Hi pippi,
Did you get a free androgen index?
This is much easier to interpret.
Your estradiol is lower than I would be happy with, however gel peaks quickly then drops off so blood levels on gel can be hard to measure. However it indicates your own production is low because unless this was an early follicular phase sample, you would expect to have more than that naturally at 39.
Your testosterone is in "normal" range but some people including myself feel better when higher up in this range.
A lower SHBG can mean more biologically available testosterone in the blood, hence FAI is helpful.
I believe Newson are happy with a FAI up to 5. Mine is around 5, which I achieve with DHEA. I have taken this since age 41.
They are right about it being better (but not mandatory) to have healthy estrogen levels before adding T.
Otherwise your estrogen-hungry body simply aromatises the T to estradiol as fast as it can, so you are essentially just taking really expensive estrogen.
I am not an expert in thyroid but I would be very happy if those results were mine. A lowish T4 doesn't really matter if your T3 is good, it is clearly being converted and it is T3 which is biologically active.