As someone who isn't trans, I didn't think about that since I see a lot of posts on social media have people wishing they could magically change themselves to be who they want to be. But honestly, I think this is still a viable option. Science has advanced far enough in Sharlayan and Radz-at-Han that master alchemists can extract and/or manufacture individual nutrients for use in medicine and food. It's entirely possible that some alchemist has developed a process to produce hormones for HRT in case someone needs it.
