André Bellorín has fought a long battle for the body that matches his identity. He has been through two operations, a bitter conflict with his mother and an expensive course of hormone treatment in his hometown, Caracas, Venezuela. But now he fears he may lose all the progress he has made. “My beard has stopped growing on some parts of my face and my hips are broadening again,” he says. André’s body is changing because he is failing to take the hormones he needs. Once the treatment has begun, it needs to continue for life to prevent reversion. However, these hormones have become impossible to find in Venezuela, where a political crisis has long caused shortages of medicines and other essential goods.