as you asked by the numbers alone, what I see is a need to reduce your dose to a point that your Free T is not so far over the lab range. Consider 55mg E3.5D, maybe need to go to 50mg E3.5D. The SHBG means you have too much Free T...see its over the lab range. In turn with the Free T being high, you probably have high Free Estrogen, as well. Your LC/MS/MS number may need to be close in number to your SHBG.
If money allows in subsequent testing I recommend you do "Estradiol, Free", along with the LC/MS/MS. If not just get your E2 closer to 20. A Cyp dose reduction would be the preferred option to do that.
