First, I'm happy that you feel comfortable posting about this here in a Star Trek community. Something about that makes me feel "correct" in my love for Trek.
I cannot directly relate to your struggles with dysphoria, but I am trapped in a body that tortures me. For all of my life I have struggled with autoimmune problems that were only diagnosed a few years ago. In that time, I have gone from having a decent job with decent pay to being unemployed and broke. After a couple of years of unemployment, I am working again but not anywhere near the salary level I was previously.
Nothing I could have done would have prevented my health problems - at least not altogether. My body hurts practically always, and I have hormonal issues that can only be addressed to a point.
As I put it, my body has betrayed me and become my walking prison. I had to make some major adjustments just to survive this shit, and I'm still struggling with just feeling healthy. I don't imagine that I will ever be happy with my body for the rest of my life.
So while we don't have the same issues, I think our suffering makes us siblings of sorts. I hope things get better for you! Just take things one day at a time and be sure to watch some Trek!