Trans people like Stille have been discreetly circulating a comprehensive a guide and a digital master list of hormone suppliers, some more reliable than others, through social media.
Although taking testosterone can help trans men develop some desired physical features, it also increases their risk of a blood clot or stroke. Lash said doctors need to closely monitor a patient's red blood cell count, lipids and liver function and adjust their dosage accordingly. Estrogen use can also increase risk of blood clots, he said.
Even for those willing to assume the risks, not all trans people have the same level of access. Trans men like Levi Sobel, a 30-year-old from Springfield, are finding it much more difficult to source testosterone than other hormones. “This makes it essentially impossible for me to stockpile in the same ways my transfeminine friends can,” Sobel said. “The best I can do to stretch it is to make sure I'm using every last drop from every vial.”
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