Lethwei is bare knuckle fighting no gloves, second there are no judges, its win,lose or draw. The headbutt is legal as well as some other techs. Lethwae is burmese bare knuckle fighitng. Muay Thai is fought with gloves, with judges and point scoring, the headbutt as well as many other techs are illegal including the headbutt.
There is more to it but you get the overall picture.
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