Who knows?

Troon propaganda is so strong these days that they are genuinely convincing tomboys and skinny nerds that their below average femininity/masculinity means they're trans, and that if they haven't realized it, they're 'eggs'. Eggs are indoctrinated into the cult with mass love-bombing until the sense of belonging motivates them to go through with the initiation ritual and troon out.

Once the ritual is complete, you're most likely in for life even if you regret it, because leaving (detransitioning) is painful, humiliating, ostracizing, and most importantly, the physical effects of the ritual are impossible to physically, completely reverse.

It functions like a religion from top to bottom.