37 y/o contemplating TRT, pls help him

[Ephemeral]

Hey guys, I could use some advice on my situation. I'm 37, 5'8", 150 lbs. 6 years ago my total T was at 650, just before when I did a weak 10 week var only cycle (stupid idea I know, but at least I did a good PCT afterwards). I don't think it had an effect on my low T, I was okay until 3 years ago, but u never know. So 3 years ago I started to have some symptoms, low libido, ED problems, worse and worse sleep (diagnosed with RLS, which I got under control with pregabalin), fatigue, brain fog. I thought it was just the result of my autoimmune illness / meds (psoriasis arthritis, started 8 years ago). I didn't do any T tests then, only 1 year ago, when my total T was 420, SHBG 39.5 (no other hormones were tested).

I thought it wasn't low enough to warrant TRT so I went on with my life. Symptoms got much worse, and the latest BW shows TT at 291, SHBG 44, albumin 5.05, and according to online calculators that puts my free T at 4.45 ng/dl. I did a second BW a few days later (so one BW in the morning, one in the evening), TT 369, SHBG 64.7, albumin 5.31, so free T is almost exactly the same. The high albumin might be because of my illness which comes with chronic inflammation, and the high SHBG might be the result of the stress on my liver thanks to my meds (low dose methotrexate), but my liver numbers seem okay so far.

6 years ago i could work out 2-3 times a week, although with great pain and slow recovery, now I struggle to go even once a week. I'm gonna see a doc in 7 days who seem to be pretty good, but I want to go in there with a plan, so my question is guys, what options do I have? Is it a no-brainer to go on TRT? Since my LH is on the low side at 2.4, could HCG alone cut it? If I go with T injections, what dose should I start with? The standard 40mg cyp E3D? Any other advice do u guys have for me, additional tests I should run etc? Thanks!

Here are my latest BW results:

TT 291 ng/dl (2nd test: 369) range: 176 - 782
SHBG 44 nmol/l (2nd test: 369) 13 - 89
albumin 5.05 g/dl (2nd test: 5.31) 3.5 - 5.2
LH 2.4 IU/l (1.2 - 8.2)
FSH 3.9 IU/l (1.27 - 19)
TSH 1.6 mIU/l (0.4 - 4)
Estradiol 23 pg/ml (EIA method, haven't found a place with LCMS) 0 - 47
Prolactin 3.24 ng/ml (2.6 - 13)
Progesterone 56.6 ng/dl (15.7 - 207)
DHEA-S 8 nmol/l (230 ng/dl) 2.9 - 12.6
PSA 1.35 ug/l (0 - 4)
GOT/AST 25 U/l (5 - 37)
GPT/ALT 31 U/l (5 - 41)
GGT 13 U/l (11 - 50)
HDL 1.1 mmol/l (42.5 mg/dl) 0.9 - 2.7
LDL 2.18 mmol/l (84 mg/dl) 2.6 - 3.9
Triglycerides 0.75 mmol/l < 2.3