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Is $\frac{\textrm{d}y}{\textrm{d}x}$ not a ratio?
Not exactly. Although dxdy looks like a ratio, it is defined as a limit:
So it represents the rate of change of y with respect to x at a point, not a simple ratio of two independent quantities.
In some contexts (like separable differential equations), it can be treated like a ratio, but its meaning comes from this limit definition.