Don't have the time to reply fully, but you'd be one of a handful of men to have an aromatase deficiency, and usually it's very obvious.
Not sure what the LEFs hard stance against the sensitive test is, they sell labs, they should give options for people to buy labs, not get unwanted opinions.
I believe you're looking at this wrong, by asking if knowing how low your E2 actually is matters. As has been stated(by you as well), it may end up that a sensitive test reads higher than the standard, in which case that is critical information to have.
I've often believed I could predict my...
hCG wouldn't be injected every two weeks, and neither should testosterone. That's a terrible protocol.
hCG benefits vary from person to person, like any other drug, so you'll simply have to find out. What you've written so far regarding its benefits is mostly what I'd say they can be.
The testes will not respond to hCG very well, but the LH receptors all over the body will, primary hypogonadism typically effects the testes, meaning they are incapable of producing sufficient testosterone in response to LH or hCG.
There are other benefits to hCG other than just preventing...
Definitely get a thyroid panel done, as there's almost certainly something going on with that TSH level. Other than that you just look like you have low testosterone and I have faith Defy will help you out.
They do that to minimize expense for patients, but if you want to do it sooner, that's up to you. This way people aren't forced to spend more than is necessary. You get a choice in following up sooner, or saving money and following protocol.
Honestly, these are pretty standard labs for low testosterone, nothing really sticks out except for low Test and low E2. They're boring, which is good. I'd say you've found your problem.
Be happy with boring.