Hello fellow nb o7
In my case, my dysphoria got a little better after losing some weight and learning to work out to "modify" my shape a bit. Can't really do anything about my hip bones, but losing weight = losing fat around the hip = making it look less pronounced. I've also been focusing my workouts to get wider shoulders and more solid obliques, which makes the body look more like a "rectangle" instead of an "hourglass."
Putting on muscles as an afab takes a lot of time, esp if you're not on T. I'm still a long way to my ultimate goals, but I definitely don't dread looking at the mirror as much as I did a year ago!
Oh, geez.