This may be high in part if liver is not clearing estrogens properly.
But the main problem is that your dose of Nolvadex is too high for you. Suggest 10mg every day.
What these tell us is that Nolvadex is pushing LH/FSH too high and high LH is creating a lot of T-->E2 inside the testes where T levels can be ~100 times higher than serum levels. This also then means that a competitive drug like anastrozole/Arimidex will not work because it cannot compete with T inside the testes. Do not expect that you will find doctors who understand that, but if they were to read this they might.
XXY may be making your Nolvadex driven high T-->E2 inside the testes worse than what XY guys experience. So you may need to do a lot of work to see what works for you.
As I expect that your infertile, why are you using Nolvadex?
So you need to reduce Nolvadex and then anastrozole might work. Watch LH/FSH levels that need to go down. You do not need much LH/FSH when on TRT as TRT provides lots of T. So you may end up on 10mg EOD.
TSH is way too high, should be closer to 1.0.
Please provide actual T3, T4 data and ranges.
In future, test fT3, fT4, not T3, T4
Thyroid ranges are mostly useless and hide many problems that need attention.
Thyroid has a huge effect on fat storage and can make fat loss difficult or impossible.
You could have thyroid problems from not using iodized salt or vitamins that list iodine+selenium.
Please eval overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. I expect lower body temperatures. Also possible mood problems, sparse outer eyebrows, dry skin, thinning hair...
Please post more labs that you might have.
AM cortisol - at 8AM please
Read these stickies found here: https://forums.t-nation.com/t/about-the-t-replacement-category/38/2?u=ksman
- advice for new guys
- things that damage your hormones
- protocol for injections
- thyroid basics
- finding a TRT doc