Yeah, every word is made up. Looks like this one is made up “from lonia, the ancient region (western Asia Minor) occupied by the lonian people” as it says in the graphic as well as the suffix “stan”, which you probably know from some other countries and “is Persian and Urdu for “place of” or “where one stands”” according to dictionary.com.
I read that as not being directed at you but more as realisation that the state of things are even worse than suggested in the first comment.
“Why is this specific gender affirming care ok but not the rest?”
“That specific thing is actually mutilation”
“So to THEM (not you) mutilation is ok but not gender affirming care(any at all)!”