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The thing that jumps out to me is "permacutting". This could explain every single one of your symptoms including low T, and it has likely slowed your metabolism down. Until you get your body into a state of abundance you won't know what (if anything) else needs to be addressed or how to do it. I am very much pro-TRT, but as with any other tool, only when the necessary precursors are in place. Permacutting sounds like the calorie restriction cult of years ago where people ended up with symptoms like yours or worse. The people who do well with fasting seem to do it intermittently while having a fairly high calorie intake during non-fasting times. Long-term low-calorie is basically sending the message to your body that you are in a permanent famine and/or that you are not good at hunting and gathering. It therefore shuts down all non-essential systems. This would be a problem even on TRT and TRT could in fact make it worse. It sounds like priority one is to do a "reverse diet" where you very gradually raise your calories (say by no more than 100 cals per week) so that your metabolic rate rises and you gradually get into a state of abundance. The additional cals could come from quality animal protein (non chicken), starches like white rice and potatoes (not wheat) but no seed oils or high simple-sugar foods or processed foods. You may have to up your salt intake as well. Until you get your fueling to a healthy state, nothing else is likely to work correctly. If you want to be a high-performance machine (think Top Fuel) you need to eat like a high-performance machine.

Also, regarding fat distribution/body comp, permacutting is viewed as a stress by the body and as such can raise cortisol in many people which in turn promotes belly fat retention and other bad stuff. So again, under-fueling is a hornet's-nest of bad stuff that you need to address before anything else.