Thank for asking to HCM
I really appreciate your concern if you are taking hormone therapy
then this could interfere with the all the physiology of human body particularly at the level of biochemistry such disturbances could cause acid base balance and glucose metabolism
disturbances and these all some time create great disturbances in the brain could be similar to TAI, in my opinion first is go for CT scan
and then some blood work like serum electrolyte, blood glucose level, have a nice day.