With the NHS promising to "review" care for transgender adults, community science and manufacturing capabilities are stepping up where healthcare is failing. This talk covers updates to the high standards that community medicine holds itself to, why these changes have been made, and the dangers of professional medicine deciding standards without consultation or consideration for their patients. Most importantly we talk about the different ways, pharmaco-technical and not, that you can keep trans people alive in 2026 and beyond despite all this. As before, viewers will learn: Why biohacking is, cool, and still a human right no matter what governments may want, How to manage your endocrine care, and help others be informed about theirs, How to move from buying pre-made meds to safely making your own, Risk modelling updated for dangerous times.