Multiple comments expecting conflict, but after a scientific chapter everyone was cool so far. That gives me hope, even if people engage with trolls later.
The realism about hormones grounded some things that were unclear about the scenario. From this point, there's much less allegories people can read into Miho's identity because the story is a personal journey in a large and well-realized world. Basically ours, with many decisions, traumas, and body horrors validated.
Usually it's a bad move to delay explaining parts of a premise that are common knowledge, but this is a case where it turned out really clever. The author artificially pumped up the confusion and discomfort in early chapters in a way that felt unique and broadly relatable. Explaining the science of short-term treatment straight up would have been a relief for the reader by giving Miho a place in the process, now we know Miho well enough to see the explanation only moderately helped.