also being tall seems to increase blood clotting for some stupid reason; that is about every inch in height increases the blood's tendency to clot
being tall also includes a higher cancer risk because more cell divisions.
but you should probably relax a bit about the blood clots. Everything has risks; testosterone has risks, having low sex hormones has risks, estrogen has risks.. theres no hormonal state which doesn't put you totally risk free for something terrible.. But I believe high E is overall the safest of the 3 options all things considered.
and honestly I'm not totally convinced that estradiol significantly raises risk of blood clots If it is not taken orally. we have to keep in mind that so much data on estrogen all gets lumped together with synthetic versions, older women taking HRT with progestins; a word which implies synthetic versions of progesterone are included, and finally the different routes of administration.
consider the fact that ethynl estradiol is wayy more risky in terms of blod clots than bioidentical E, and yet millions of women take it in birth control.
also oral E goes straight to the liver and the way which it is metabolized induces the liver to release clotting factors. . Its like the difference between eating a piece of fruit with the fiber and antioxidants included and drinking a can of soda.
I could be wrong but I'm willing to bet that if you took a moderate dose of estradiol topically, buccally or through injection and ~stay thin, ~don't smoke, ~go for a walk everyday, then you'll be fine.
your other options to be androgenic and possibly go bald, get prostate cancer and heart disease
or
go eunuch style and get osteoporosis, hot flashes and brain fog.