What do you call someone who is very careful with their word choice?

Solution 1:

How about lexicographer? From Lexico:

lexicographer: A person who compiles dictionaries.

Your example:

Only a lexicographer would know the meaning of X.

Another possibility is vocabularian. From Wiktionary:

vocabularian: One who cultivates a large vocabulary.

Your example:

Only a vocabularian would know the meaning of X.