Symptoms should always be an important consideration, whether as a need to start TRT, or if it is working well for you. The bloodwork sort of confirms the symptoms if you will. I have a bit of acne that comes and goes. It isn't a big deal usually. I do some hCG, so shrinkage is not much of a problem for me. Before getting on hCG, there was some shrinkage present.

The better question is...are you feeling better? Libido, energy, workouts, etc.