> You'd expect to see a sharp increase in cis men presenting with ED and gynecomastia and such.

It does feel like I've seen more men with more than just regular moobs, who aren't necessarily otherwise severely obese. The trans women I know have less shapely breasts even though they're deliberately taking hormones, and it's a bit bizarre. Not a huge amount, but enough to notice. I'd be willing to believe also that there's a contingent of those that are trans men too, but I just mean it's actually more bizarre to see someone who is otherwise just a cis man with like C or D cups