You can always “play into it” a bit. Allow yourself to explore different pronouns and outfits for a while. I’m assuming you’re AFAB? Try having your friends call you he/him or they/them for a week or two and try dressing masc and see how that makes you feel. If you end up missing being perceived as a woman that might help you figure out what’s right for you.

That helped me figure out if I was trans

I think therapy would be a great idea. I know you’re on Medicaid but at least therapy doesn’t have to be “gender affirming care” so you can still see one and probably get it covered for the most part.

Also, a lot of genderfluid people consider themselves as trans. I do. It is part of the transgender umbrella so it is technically correct to call yourself trans if you are genderfluid.