My first Endo had me at like 35pg/ml E and called it good because only low T would be important for trans women...... Totally ignored that I was sweating like crazy even when it was really cold outside or that I was feeling down all the time or other problems....

That's some *nonsense* that's just setting you, hormonally, as a post-menopausal woman. And you know what we do with that in cis women? Supplemental Fucking Estrogen.