Your doctor is clearly frightened to prescribe a drug commonly used to help with estrogen conversion, she’s comfortable with not sticking her neck out and getting in trouble for prescribing a drug she knows little about. If she is ignoring any symptoms and is comfortable with your levels get rid of her and find a knowledgeable doctor, this one inexperienced.
Insurance based doctors are usually reluctant to prescribe AI’s since it’s not in the guidelines for TRT, instead they stick to their guns even when presenting with symptoms. They don’t care because they don’t want to get in trouble, their not going to risk their career for you. You’re estrogen dominant, males aren’t supposed to be estrogen dominant.
A Total T of 595 and FT high normal, you clearly have low SHBG and probably need to split your doses up EOD, this will lower estrogen in some men.