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You may need to look at your protocol and not focus on E2. You are on 160mg T a week and 1000IU HCG a week. Your Total T is above range and if that is trough you peak is going to be 100-300 points higher. You may want to reduce the HCG to 250IU TW, maybe even lowering the T to 140mg a week. Also beware high T can cause some mood symptoms since it can cause the adrenals and neurotransmitters to go into overdrive. The red flushed face could be hematocrit\ RBC. The acne is caused by DHT. More than likely you can even it out with a dosage adjustment. Don't get caught up on estradiol. Do you have total bloodwork?