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Louie was a resident of the building and the inhabitant of apartment 4B before Penny moved in. He was originally mentioned in the pilot episode, being described as a "200 pound transvestite with a skin condition". He was mentioned again in the second episode of the series, "The Big Bran Hypothesis". Sheldon states that Louie's closet was "immaculate", keeping his dresses, cocktail gowns and police uniforms in order. Sheldon had helped him install a webcam in his bedroom.

The only time Louie appears in person is in a flashback scene in the episode "The Staircase Implementation" (S03E22), when Leonard accidentally knocks on the wrong door when responding to Sheldon's advertisement for a roommate. Louie opens the door and responds that Leonard wants the "crazy guy across the hall", signifying that a transvestite is not the most unusual person in the apartment building.

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