"Oh." There will be a few moments of silence, after that. It might be taken for shock or speechlessness, and maybe it is, but he's also going over what he can see, to decide whether or not he wants to believe the claim. It's obvious that the man's rejected his body, regardless of what else is true. Looking at him in that state, West would almost rather it be a case of something entirely bizarre, than illness, neglect and extreme body-modification. No one has any business putting cosmetic tooth implants in a mouth that bad.

"What are you, then?", he asks, after a little while. That's a good, neutral question, and will hopefully prompt more of that long explanation.