Am I the only one who DOES look sick?

Tried to google some support but all I found was people complaining how they don't look sick so people don't believe them.

I look so sick people tend to avoid me because I look contagious. When I was in school people often asked if I was sick because I look so pale and my under eyes are literally dark purple. My hair is thinning, my skin is dry and has red blotches (no rash, it doesn't feel like anything), my veins are visible through my skin and I'm always out of breath after moving just a little. I look overall frail because I can't build muscle, working out gives me really bad headaches.

I've completely given up on dating because not only is my body undesirable (trans) I look like I haven't slept in weeks and like I'm gonna throw up all the time, too. I sleep 8-9 hours a night and I'm only nauseous every now and then

But recently I haven't even wanted to go outside without covering my dark undereyes and wearing a mask to hide most of my paleness. Usually I don't have the energy to wear tanning lotion but sometimes I have to so I won't be white as a sheet. I feel disgusted every time I look in the mirror and I'm sure other people do too. I'm so tired