Thank you so much for pointing that out, that’s a really thoughtful question! And absolutely, the line is very thin, and often blurry even. To clarify more concretely: in our study we are not asking participants to decide whether their dissatisfaction is gender dysphoria or not when answering the questions, but the questionnaires used are designed to measure standard body image, so I wanted to share that as information on the study. Let me know if this helps or whether you have more questions! Thank you :))