Exactly, and that diagnosis means you need to go to therapy/counseling for a certain amount of time. You don't just walk into a clinic, tell them you're trans, and you immediately get the diagnosis. And that bar isn't as low as you think; it depends on the counselor you see. If you're in an area that's not trans-friendly (like Chris in podunk Virginia) then finding an easy to work with, trans-friendly psychologist is going to be tough. Some states even require you to be "living as the preferred gender" for at least 2 years on top of seeing the counselor and getting a true diagnosis. So Chris could be Christine all he wants, but I'm not too sure on him getting a true gender dysphoria diagnosis, especially when you consider his overall psyche
Chris will then have to find a doctor that is well-versed in prescribing HRT to trans women specifically. Again, I doubt there will be one in Charlottesville or the nearby vicinity. But let's say he finds one. He then most likely will be put on a significantly long wait list to even see that doctor. A friend of mine had to wait over a year to get her appointment, and that's considered "short".
So let's say he passes through all these hoops. Like I said, he will be stopped by the health restrictions, and that'll be the final nail the coffin for this venture. Chris is far too lazy to bother working out and eating healthy to lose the weight to get on HRT. It's just not in him, plus he thinks he's not that fat in the first place. He's just going to keep buying sketchy meds on eBay and just claim to be on actual HRT on Facebook. He can "look into it" all he wants, but it's not going to get him anywhere. If it does, I'll eat my hat.
Also, women on menopause don't get the same HRT regimen that trans women get. Totally different stuff because it's meant to combat a different condition.