New bloods in, very high prolactin and somewhat high e2. Would a small dose ai help? Or should I look to cabergoline

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Dannydonair

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High prolactin, e2 somewhat high, would an ai help? Or should I look into caber. On 100mg test E split everyday injections and added calcium d glucarate for e2 and P5P for prolactin, since starting P5P prolactin has increased from 19-27.8. Also looking to maybe increase T dose to get it into the 800s or so.
 

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Why, do you not have symptoms relief?
No I do not unfortunately, especially on the sexual side. If anything my libido and erections have gotten worse.
Where are your hematocrit and hemoglobin labs?
Sorry I did not include these because they were in normal range. My hematocrit was 0.443 L/L with a range of 0.4-0.5 and my hemoglobin was 145 g/Lwith a range of 135-175
Too little information to take action on.

The very normal estrogen, you mention no symptoms of any kind.
So I posted a couple weeks ago with prolactin of high end prolactin of 19 and high end estrogen of 180, the only symptoms I have that might be estrogen are maybe my fatigue I still experience and my low libido, some mild water retention too.

My TSH was tested too and in normal range. It was 1.33 mIU/L with a range of 0.32-4
 
Also you have only been on TRT for about 30 days, very early in treatment to be expecting to feel like your old self.


Results: Effects on sexual interest appear after 3 weeks plateauing at 6 weeks, with no further increments expected beyond. Changes in erections/ejaculations may require up to 6 months. Effects on quality of life manifest within 3-4 weeks, but maximum benefits take longer. Effects on depressive mood become detectable after 3-6 weeks with a maximum after 18-30 weeks. Effects on erythropoiesis are evident at 3 months, peaking at 9-12 months. Prostate-specific antigen and volume rise, marginally, plateauing at 12 months; further increase should be related to aging rather than therapy. Effects on lipids appear after 4 weeks, maximal after 6-12 months. Insulin sensitivity may improve within few days, but effects on glycemic control become evident only after 3-12 months. Changes in fat mass, lean body mass, and muscle strength occur within 12-16 weeks, stabilize at 6-12 months, but can marginally continue over years. Effects on inflammation occur within 3-12 weeks. Effects on bone are detectable already after 6 months while continuing at least for 3 years.

Conclusion: The time-course of the spectrum of effects of testosterone shows considerable variation, probably related to pharmacodynamics of the testosterone preparation. Genomic and non-genomic effects, androgen receptor polymorphism and intracellular steroid metabolism further contribute to such diversity.
 
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