He does his usual thing - it looks like he's saying it, but if called out he can point out that he didn't actually say he was on HRT, he just said his food was spiked by a family member trying to activate the side-effects of HRT.
Which, knowing Jake, means his mother offered him sauce for his tendies, which means she's trying to raise his blood pressure and to murder her own son, an innocent trans woman, for her own diabolical reasons. By god he wants you to think he's on HRT and a family member tried to murder him, but it's really just him exaggerating beyond the point of lying, again.
Also, he doesn't know any trans women who express their dysphoria in a specific manner is exactly the same technique. No troon of his Twitter acquaintance has specifically told him that they do any of those extremely specific activities, implying they never experience dysphoria, or that they do those exact things but never tell him. Also, he's claims he's never stared at his genitals while pondering self-harm, but he's already said he has a micro-dick (meaning he most likely can't see his genitals) and that he thinks about self-harm constantly (thank god for SPC), so he can pretend he's never wanted to hurt himself over being troon because it has to be that specific set of circumstances for it to 'count'.
I mean, we already know he's a transtrender. Looking for consistency in his bullshit is likely a fruitless task. But it's very Jake to be so weaselly when complaining about some troon thing so that he can leave a backdoor, allowing himself to pretend that people are making shit up about what he said on what he likely thinks is an intelligent technicality. It's like what he did with Soha, repeatedly saying 'I've never met this person, how could I be harassing them?' to the accusations, where it's true he's never met her but that doesn't mean he hadn't spent four years repeatedly attacking her online.
It's weird, since he's happy to lie outright about other things, but there's certain topics he contorts the English language to breaking point just so he can sophist his way around anyone calling him out. Implausible deniability seems to be his safety blankie.