I medically cannot take HRT because it would kill me.
Many trans people cannot take HRT because of its inherent medical risks.
The type of misinformation/exaggeration that you are calling out is known as transmedicalism. It's toxic and should be called out as such. It presents hormones as the One True Way to be trans. It implies that the other ways of being trans are not valid, even if they have existed for as long as humans have.
We should pursue, uplift, and recover old cultural methods of being trans. It's more inclusive, and avoids the often-downplayed medical and health impacts of HRT. We have forgotten these older methods because transphobic industrial/abrahamic societies erased them from our cultural memory. Now drugs are filling the void, but it would be healthier if we recovered these old methods as alternatives to drugs. Drugs aren't for everyone and shouldn't be treated as the default.