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A Russian doctor butchered and cooked his lover after discovering she was transgender while they were having sex, police say.

Dr. Mikhail Tikhonov, 27, allegedly confessed the gruesome dismemberment murder of Nina Surgutskaya, 25, in her Kursk apartment.

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The doctor apparently had no idea that his lover had undergone a sex change and struck at her in a blind rage.

More macabre, Tikhonov then cooked some of the dead woman’s body parts and flushed other remains down the toilet.

According to detectives, the couple had enjoyed a romantic evening together before retiring to her apartment for sex.

But then the accused killer realized she had undergone gender reassignment surgery and strangled her in bed.

“He stopped only when she had no more signs of life,” a police report said, adding that the maniacal medic “cut out her internal organs” before chopping them into small pieces.

Tikhonov also roasted chunks of Surgutskaya’s flesh in the oven.