Having Difficulty with Libido/Sexual Health on TRT, Otherwise

A1C: You are showing problems with insulin sensitivity and should make changes under the assumption that you are becoming type II diabetic. You need to avoid sugars and starchy foods that are quicky converted to sugars during digestion. TRT will help with insulin sensitivity.

TRT may improve cholesterol.

Thyroid labs should be TSH, fT3, fT4, not the other stuff you had done and please not T4, T4.

Note that blows to the head can damage the pituitary leading to secondary hypergonadism.

TSH should be closer to 1.0
T3, T4, fT3, fT4 should be mid-range or a bit higher.
Thyroid lab ranges are spectacularly bogus.

Blood pressure might improve with magnesium supplements that can improve arterial wall muscle tone. If you get leg or foot cramps, you have a magnesium deficiency.

Cortisol seems OK, but I do not know what is optimal.

You are on T+hCG and E2 is is not tested and probably too high. Suggest T+hCG+AI
You need yet another doctor,

Elevated E2 is a heart disease risk that also lowers insulin sensitivity, lowers libido, increases prostate risk and promotes more fat storage at belly, chest and hips.

You really need to test E2.
Get aggressive with diet changes for diabetes.

Please read the stickies found here: About the T Replacement Category - #2 by KSman

*advice for new guys
*things that damage your hormones
*protocol for injections
*thyroid basics
*finding a TRT doc