I said that's the societal paradigm, not the healthcare professional opinion. Doctors recognized the legitimacy of gender dysphoria long before society at large

I said that's the societal paradigm, not the healthcare professional opinion. Doctors recognized the legitimacy of gender dysphoria long before society at large did. There are large numbers of self-diagnosed people and not an insignificant number of them are taking improvised or illicit hormone medications. In addition, many jurisdictions such as the UK are moving to make hormone therapy medications available over the counter or after a brief consultation.