Is 1 100mcg Estrodiol Patch Enough? Is my endocrinologist snubbing me?

Hi, trans woman here. So I've been on E at 1 times a 100mcg Patch for almost three years now and it seems rather low/weak, I've had breast development but almost no other notable effects, is this a normal dose?

My endocrinologist, upon being asked about if I may need a higher dose, stated their logic is that I should take the minimum dose possible to technically fulfil the treatment criteria, as this is how other drugs are managed, which is understandable, except this is a natural hormone, a transition and the standard is my own comfort with my body, not an arbitrary number. Why would I lowball my transition?