Totally weird lab. "Estrogens total", meaning E1 E2 E3 combined? Perhaps there are some meaningful reference ranges for all three summed up, but you need to know what your E2 is as this is the most potent estrogen. Indeed, judging from that analysis your E-total is within range. Why don't you just ask for an AI? Take the TRT dose and tell your doc you feel better, but you feel some E side effects and want an AI to feel safe.