Blood Work results Thyroid questions and slightly elevated estrogen and prolactin also low shbg

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Dro

New Member
So I'm a long time lurker on the forum first off I wanna say that thanks to this forum. I have been able to recover from the damage. I have done to my body with steroid abuse during my competition days.
My situation is a typical low SHBG case but I have managed to find a protocol that works 90% of the time meaning libido and erection quality are 90% to what they use to be before trt.

My situation is unique been on trt 2 years theses last 3 months have been the best I have ever felt just need to dial it a little more. I feel like I might have subclinical hypothyroidism which could be the cause of my low SHBG just wanted some opinions on my lab results

Due to low SHBG I'm a hyper metabolizer and hyper excreter
also, an AI hyper responder meaning Arimidex, zinc, dim, too much Cialis anything like that can easily crush my estrogen.

Symptoms: mild anxiety and mild ed randomly other than that sex life great libido is usually high but erection quality at times can waiver which causes me a lot of performance anxiety but when it's good which is 90 percent of the time no complaints. I no longer use Cialis or viagra. I also deal with gyno flare up due to gyno caused while I was bodybuilding.

Protocol:
50mg dual blend cypionate with prop 180/20 injected IM 50mg EOD.
NO AI, No DHEA, No HCG, No preg

I have already tried sub q and lowering my dose before this is honestly the best my labs have looked and the best I have felt since before my trt nightmare.

Concerns with lab results are Hgh estradiol, yes I know it's not the E2 Sensitive test, High prolactin, and my thyroid numbers.

Lab Results:

Endocrinology Reproductive

SHBG: 17.8 ---- 12.5 - 68.6 nmol/L
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Testosterone Total: 861.45 ---- 300 - 1200 ng/dL

Free Testosterone (c): 24.5 ---- 5 - 26 ng/dL

Bioavailable Testosterone (c): 628.7 --- 126 - 661 ng/dL
Endocrinology
IGF-1: 262 ---- 17 - 537 ng/mL

Prolactin High: 34.43 ---- 3.3 - 20.8 ng/mL
Estradiol High: 54 ---- 11 - 47 pg/ml
DHEA-S: 453.5 5 - 690 ug/dl


Endocrinology Thyroid

TSH, 3rd generation: 3.3430 ---- 0.5 - 5.0 uIU/ml

Total T3: 1.12 ---- 0 - 1.7 ng/mL

Total T4: 8.04 ---- 4.0 - 11.0 ug/dL

Free T3: 3.00 ---- 2.0 - 4.9 pg/ml

Free T4: 1.03 ---- 0.61 - 1.22 ng/dl

Thyroperoxidase Antibodies < 1.00 ---- 0 - 5.61 IU/ml
 

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Last edited:
Defy Medical TRT clinic doctor
Your prolactin seems high.

What is your hematocrit?

Your TSH is on the high side but your free T3 and free T4 are OK.

What else are you taking? Your free testosterone is above 2%. That is why I am asking.
 
Your prolactin seems high.

What is your hematocrit?

Your TSH is on the high side but your free T3 and free T4 are OK.

What else are you taking? Your free testosterone is above 2%. That is why I am asking.

My hematocrit is at 46 all I take is 50mg eod of dual blend test cyp and prop.

what can Cuase such high prolactin? I have read hypothyroidism can lead to high prolactin.

Plus my low shbg I’m trying to find the source of my problem I feel like my protocol is solid but maybe there other things I’m dealing with that need to be addressed
 
My hematocrit is at 46 all I take is 50mg eod of dual blend test cyp and prop.

what can Cuase such high prolactin? I have read hypothyroidism can lead to high prolactin.

Plus my low shbg I’m trying to find the source of my problem I feel like my protocol is solid but maybe there other things I’m dealing with that need to be addressed

My prolactin is elevated as well. Mine because I’m on Suboxone which is for opioid use disorder. Opioid and dopaminergic type drugs/medications raise prolactin. I use Cabergoline to lower my prolactin, others have success with P5P supplements.
 
My prolactin is elevated as well. Mine because I’m on Suboxone which is for opioid use disorder. Opioid and dopaminergic type drugs/medications raise prolactin. I use Cabergoline to lower my prolactin, others have success with P5P supplements.

i some caber at my house how much do you recommend I start with
 
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