If you can, there is no good reason not to run full trust. Medium trust is an obsolete, useless feature.
For your multi-lingual home page, it's not very good practice to serve them all from the same URL. It certainly won't help with SEO. What you should do is put a redirect to a separate URL when the culture is not your default. Bonus points: you get to use caching.
(side note: your blog doesn't let me comment from Chrome. The button just does nothing)
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