I have been on TRT for approximately 18 months and trying to get dialed in. This is my most recent bloodwork. I am injecting 200mg Test Cyp weekly and taking 1mg Anastrozole on the day of the shot. Based on latest results Endo advised to to go 2mg Anastrozole split 1mg two times per week. With past bloodwork, Test levels have been consistent if not a bit higher but the E2 has been in check. As a result of the RBC, I donated double reds at the Endos request. The lab is Quest. Any opinions on what is happening with E2?

ESTRADIOL, ULTRASENSITIVE LC/MS/MS 42 < OR = 29 pg/mL
ESTRONE, LC/MS/MS 35 < OR = 68 pg/mL
ESTRIOL, LC/MS/MS, SERUM <0.10 ng/mL

ALBUMIN,SERUM 4.5 3.6-5.1 g/dL
SEX HORMONE BINDING GLOBULIN 20 10-50 nmol/L
TESTOSTERONE ,BIOAVAILABLE 196.0 110.0-575.0 ng/dL
TESTOSTERONE, FREE 95.3 46.0-224.0 pg/mL
TESTOSTERONE, TOTAL, LC/MS/MS 482 250-1100 ng/dL

TSH W/REFLEX TO FT4 1.97 0.40-4.50 mIU/L

eGFR NON-AFR. AMERICAN 64 > OR = 60 mL/min/1.73m2
eGFR AFRICAN AMERICAN 74 > OR = 60 mL/min/1.73m2
ALT 29 9-60 U/L
AST 28 10-40 U/L
ALKALINE PHOSPHATASE 42 40-115 U/L
BILIRUBIN, TOTAL 0.6 0.2-1.2 mg/dL
ALBUMIN/GLOBULIN RATIO 1.6 1.0-2.5 (calc)
PROTEIN, TOTAL 7.5 6.1-8.1 g/dL
ALBUMIN 4.6 3.6-5.1 g/dL
GLOBULIN 2.9 1.9-3.7 g/dL (calc)
CHLORIDE 101 98-110 mmol/L
CARBON DIOXIDE 29 19-30 mmol/L
CALCIUM 9.4 8.6-10.3 mg/dL
POTASSIUM 4.4 3.5-5.3 mmol/L
SODIUM 139 135-146 mmol/L
CREATININE 1.30 0.60-1.35 mg/dL
GLUCOSE 107 65-99 mg/dL
UREA NITROGEN (BUN) 16 7-25 mg/dL

PLATELET COUNT TNP Thousand/uL
MCH 31.8 27.0-33.0 pg
MCHC 32.8 32.0-36.0 g/dL
RDW 13.6 11.0-15.0 %
MCV 97.1 80.0-100.0 fL
HEMATOCRIT 53.4 38.5-50.0 %
HEMOGLOBIN 17.5 13.2-17.1 g/dL
WHITE BLOOD CELL COUNT 4.8 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 5.50 4.20-5.80 Million/uL