After bouncing around GUI toolkits (from win32 to SwiftUI) and web for 30 years I have simply run out of fucks. They all suck. Each in their own unique way. Apple aren't worth singling out - they are just their own special isolated variant of it.
Gtk on the other hand is absolutely terrible and its developers don't help by completely rewriting things every few years and breaking all existing code in the process.
The work around was 'simply' to switch to 100% DPI scaling before opening Visual Studio. On my macBook Pro built-in monitor, this was not cool.