I think you are taking bits and pieces of comments out of context here. What I see people saying most of the time (and that I echo) is that if you truly fall into the category medically where you should, actual transitioning in of itself, if it had been done the right way, would not have caused any of the negatives. Those being the loss of popularity, the deranged behavior, etc. What a lot of people forget is how Cosmo went about doing this. He went to an "informed consent" clinic to get his initial prescription for HRT meds. For those of you not in the know, this means he did NOT have to undergo any mental evaluations before getting his prescription. What this ALSO means is that the clinic doesn't have a chance to go over any possible side effects with other current medications you are on, and Cosmo is on SEVERAL of that depression med type shit. In his Portland studio a few years ago you always say a bunch of prescription bottles laying an his desk.
Cosmo immediately began taking this HRT along with his many other legal (prescription) and illegal drugs. He'd very often be so high he'd forget if he'd taken a dose of HRT and just pop a bunch on stream. He'd also give advice to teenagers under 18 about how to "safely" mix illegal drugs. After a while Cosmo got tired of having to submit paperwork every year to keep his free government health insurance for poor people valid, so it lapsed. Cosmo then bought black market HRT, which he was mocked for but stood up for himself saying he shouldn't have had to of been bothered to fill out paperwork and that he deserved his free tranny meds. I forget exactly where in the arc he went back to black market ones but I know for the last year or so he's been back to buying them illegally / without a prescription. I have no idea how tranny meds work, maybe after a point you do require a real doctor visit and/or mental health check and he refused, who knows.
Those saying his brain is literal much are correct; the combination and abuse of so many different legal, illegal, black market / prescription / abuse drugs so consistently over the years have been terrible to him. And he doesn't just do it by himself and attempt to hide it like most addicts, he FLAUNTS it while admitting and bragging about being high on stream, REGULARLY. Note to all of Cosmo's paypigs: your money does not go to help him pay rent, it buys him drugs and doordash.
Finally what others have alluded to earlier about the transition piece, if done correctly, wouldn't have mattered is that Cosmo like so many troons is actually (ironically) very misogynistic. His idea of how a 32 year old woman should act is to pretend to prance about, wear tiaras, terrible clothes, try to bare his shoulder all the time, have his hair in super weird pigtails, and obsess over media (games/comics/tv/etc) meant for adolescent children. If he tried to dress like and be an actual 32 year old woman no one would care....he's trooning out trying to be a trans femme cat girl which makes 0 sense and just adds to his delusion. Cosmo feeds off of his paypigs and hoverers believing his delusions until they get too crazy and/or he gets bored, then he just switches the narrative or current project. They're like goldfish so they don't mind.
So yeah sorry for the rambling post but at the end of the day what people are trying to get at is that trooning out is different from legitimately going through a gender transition; Cosmo did the former and its toxicity greatly added to the cumulative negativity he finds his life in now. Had he done the latter no one would have cared, and I think that's the main point.
