Trans influencers typically take a by-any-means-necessary approach to procuring cross-sex hormones. Whatever you have to do, whatever you have to say—do it. Your life is on the line. “Find out what they want to hear if they’re gonna give you T and then tell them just that,” offers one trans advisor on social media. “It’s about getting treatment, not about being true to those around you. It’s not their business and a lot of time, doctors will screw stuff up for you.”

