They're really not different issues, though. Most men using TRT would cite, in some fashion, wanting to feel more manly. That is gender affirmation.

Testosterone is beneficial for everyone. If a man or woman wants to do TRT, it is not illegal to do so. But if they cite some kind of gender dysphoria, it is suddenly extremely taboo.

It's a bit humorous living in a society where roided out podcasters complain about people not accepting their natural identities or hormones