I have to say I agree with DET 100% here. Yes blood work is always a good thing but what he's trying to explain is that in this case you do not need blood to determine it's an estro problem, possibly and likely low on gh, but the extra bf% will cause high amounts of Aromatase.
I've been in the situation where I was completely lethargic, not feeling well, low libido, got bloods and guess what, estro was 28, pretty much perfect so I really freaked, well I had been adjusting dosing of AI/hcg and while my blood finally showed good I wasn't feeling good yet, sometimes you still need to give your body a little time to catch up.
Trt can make a world of difference but you have to get it dialed in. For me, it takes very very small amounts of ai's.
But we can be pretty sure his e2 is off and I also would dump the Human Chorionic Gonadotropin (HCG) for now because it can and will cause more estro, from elevated t aromatizing and from the lydegs. Trt needs to be an all around program that helps adjust body composition as well as hormones to really have the best result and it's difficult for a guy to lose weight when hormones are off.
Good info DET, I would follow your info everytime, and you have got me out of feeling like crap before. The man has more experience than people realize and even if some of what he says goes against the norm, it's because each situation is different in the anabolic forum I always advise blood work because most times people have so many different things going on but this is a little different.