Many transgender people in the US are scrambling to shore up their treatments out of fear the incoming Trump administration will follow through on threats to restrict their healthcare. “My goodness this subreddit has exploded ever since Emperor Trump’s ascendency. Literally overnight almost a thousand newcomers,” read a post just after the 5 November election in one Reddit forum dedicated to sharing advice on gender-affirming hormone therapy. A popular underground hormone manufacturer stopped taking new orders in order to get through a backlog.