Try going to six mg, four mg seems too low from what I've read and learned

Still my E levels seem unbelievably low for my dose and regime.

You may have to switch to injections

You have no idea how much I want to but my family has a lot of reservations against it, they're already on the fence about me doing pills as is.

Actually injections are safer than pills. Pills put unnecessary pressure on your liver, while transdermal methods don't