Bloodwork after 4 months, estradiol concern?

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40 year old male, started in December on 175 mg testosterone enanthate and 500iu HCG a week, divided in two pins.

Generally I feel good, I could have more energy though, sometimes I feel tired. Mood is good, slightly faster annoyed but it's subtle. Libido is great, motivation high.

Ok, now for the results (my cholesterol was already slightly elevated before starting TRT):

Edit: check the pdf for the correct values
 

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Last edited:
Defy Medical TRT clinic doctor
Estradiol: 216.9 pmol/L → 59 pg/mL
- Testosterone: 39.6 nmol/L → 1143 ng/dL
- Free Testosterone: 0.961 nmol/L → 27.7 pg/mL
Men convert .02-.03% of T to E2, so high estrogen alongside high T is to be expected.

- Hematocrit: 0.41 L/L → 41%
- MCV: 82 fL → 82 µm^3
- MCH: 1.59 fmol → 26 pg
- MCHC: 1.86 mmol/L → 186 g/L
You're likely iron deficient/anemic. Check ferritin and iron saturation.
 
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So according to these values, and the reference values (3rd row), I'm on the high side of all those, high means low iron/ferritin?
 

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Estradiol: 216.9 pmol/L → 59 pg/mL
- Testosterone: 39.6 nmol/L → 1143 ng/dL
- Free Testosterone: 0.961 nmol/L → 27.7 pg/mL
Hemoglobin: 8.5 mmol/L → 13.8 g/dL
- Hematocrit: 0.41 L/L → 41%
- MCV: 82 fL → 82 µm^3
- MCH: 1.59 fmol → 26 pg
- MCHC: 1.86 mmol/L → 186 g/L

So according to these values, and the reference values (3rd row), I'm on the high side of all those, high means low iron/ferritin?
I thought the values with the arrows were the results. I'm unable to open the attached file.

In that case, your symptoms are likely from too many androgens.
 
Screenshots of the PDF included here
 

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