Whether by injection or oral, bio-identical estradiol is the same, 17-beta estradiol, the active estrogenic component. If estradiol cypionate is taken as injection, then the active estrogenic components could perhaps be two, 17-beta estradiol and estradiol cypionate, perhaps accounting for this solution's potency.
I have better results on injections but this may vary from one person to another person. My doctors aren't concerned about levels, don't believe in "ideal levels". Levels fluctuate, more so on injectables unless pills taken sublingually. Typical is to take lowest levels, therefore day before injection.