"It's said in Tibetan medicine that you have to have all five elements plus karma in order to be incarnated at all. So, even to obtain the precious human body you have to have all five elements in karma. So you're going to choose certain parents and situations. They're going to give you some genetic factors which are going to influence your inner elements and then also you're going to have the diet and the behavior that your mother has during your pregnancy is going to influence it. The outer environment is going to influence it and then very early on in life -- your life situations are also going to influence it. So, family systems, psychology, all of that has an impact on the choices we make. So, somebody could be inherently one type of being and perhaps their family system either didn't recognize or support that and so they made a choice in order to compensate on a psychological level."