At puberty, a mix of male and female characteristics may emerge. Some individuals will experience deepening of the voice and secondary hair development, while others may experience breast tissue development. [7]

In humans, sexual dimorphism is a consequence of the XY sex-determination system. In normal prenatal sex differentiation, the male and female embryo is anatomically identical until week 7 of the pregnancy, when the presence or the absence of the SRY gene on the Y chromosome causes the undetermined gonadal tissue to undergo differentiation and eventually become a pair of testes or ovaries respectively. [ citation needed] The cells of the developing testes produce anti-Müllerian hormone (AMH) and androgens, causing the reproductive tract and the genitals of the fetus to differentiate. [2] As individuals with 46,XX/46,XY partially express the SRY gene, the normal process by which an embryo normally develops into a phenotypic male or phenotypic female may be significantly affected causing variation in the gonads, the reproductive tract and the genitals. [3] Despite this, there have been cases of completely normal sex differentiation occurring in 46,XX/46,XY individuals reported in the medical literature. [4] [5] [6] 46,XX/46,XY chimerism can be identified during pregnancy by prenatal screening or in early childhood through genetic testing and direct observation. [7] thirteenth discrete semiprime ( 2 × 23 {\displaystyle 2\times 23} ) and the eighth of the form (2.q), where q is a higher prime. Dowler, H. J.; Molyneaux, T. C. K.; Miles, J. C. (1987). "Analysis of the forces on a nuclear fuel transport flask in an impact by a train". Proceedings of the Institution of Mechanical Engineers, Part A: Power and Process Engineering. 201 (11): 55. doi: 10.1243/PIME_PROC_1987_201_007_02. S2CID 111297025. Access the GP in hours syndromic surveillance bulletins on GOV.UK GP out-of-hours syndromic surveillance system Diagnosing a chimera is particularly difficult due to the random distribution of 46,XX and 46,XY cells within the body. An organ might be made up of a mix of 46,XX and 46,XY, but it may also be made up entirely of one genotype only. When that is the case, no abnormalities are noted and other types of tissues need to be analyzed. [12] Pre-birth testing [ edit ]The product of all the factors of 46 is equal to the square of 46, that means 1 × 2 × 23 × 46 = 46 × 46 = 46 2 = 2116. Marsden, Colin J.; Fenn, Graham B. (1988). British Rail Main Line Diesel Locomotives. Sparkford: Haynes. pp.196–199. ISBN 9780860933182. OCLC 17916362.

XX/46,XY is most commonly explained by the in utero combination of two fertilized zygotes. Two ova from the mother are fertilized by two sperm from the father. One sperm contains an X chromosome; the other contains a Y chromosome. The result is that a zygote with an XY genotype and a zygote with an XX genotype are produced. Under normal circumstances, the two resulting zygotes would have gone on to become fraternal twins. However, in 46,XX/46,XY, the two zygotes fuse shortly following fertilization to become a two-cell zygote made up of two different nuclei. The zygotes fuse early enough that there is no risk of them developing into conjoined twins. [11] Variations of this mechanism include fertilization of an ovum and its first or second polar body by two sperm. [12] Sloane's A059756: Erdős-Woods numbers". The On-Line Encyclopedia of Integer Sequences. OEIS Foundation. Archived from the original on 2017-12-21 . Retrieved 2016-05-30. This angel number appears in your life as a sign that you need to start laying foundations in your life. Foundations that will last a long time, and they will be followed by harmony, balance, and peace of mind. Be a good example to other people are you will receive great rewards. 46 Numerology

What are the Factors of 46?

Vehicle Diagram Book No. 100 for Main Line Diesel Locomotives (PDF). Derby: British Railways Board. October 1984. pp.27, 37, 108–109 (per pdf). {{ cite book}}: |work= ignored ( help)