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Allendale, Michigan( CNN) Jasmine Glenn's friends recollect late-night telephone call from her, sobbing and remarking she was ready to kill herself, knife in hand.

“I was trying to drink myself to extinction to escape who I was, ” she remarked. “I wasn't allowed to be myself, so I didn't want to be anyone else.”

Then, at 35, she realise what she needed to do to be herself: accept that she's transgender and live honestly as the status of women she always knew she was.

To do that, she alleged, she had to “fix” her body. But after the battle with herself came the battle with insurers.

Not all transgender and gender-nonconforming mortals necessary medical care to change. And not all mark as a gentleman or girl. Some resent the pressure to conform their bodies to traditional minds about what makes a serviceman a subject or a woman the status of women — especially as a growing person of research questions the relationship between fornication and gender issues.

But those who seek consolation in a commonly masculine or feminine structure say they are caught in a agonizing hertz of constantly having to prove that they are who they say they are to meet criteria set by specialists, insurance companies and lawmakers.

And they fear that it's about to get harder.

Transgender identity, in their words