I think you might be misunderstanding the OP.

Yes, I actually was

How do you differentiate between "normal" and a malformation?

If you need special care or attention that is a malformation. If there is a change in your physionomy that impedes you to have a life as normal as other human (you were born without a hand) that's a malformation.

You were arguing that you can't change sex and now you're retreating to 'you need drugs to change sex'

I was actually arguing that you can't change your genome, so yeah, sex. But by HRT you still don't change that, you just try to mimic traits oposite of yours.

Do you think language just evolves on its own without any human interference? Language is by definition something we do.

Of course language can be influenced, but usually when it is, it's for ease of understanding, and generally making people lives better.

By changing the language just for some people to be triggered because they were "misgendered" you don't bring any value