I’m about to start TRT at a local clinic. Got initial bloodwork and found TT at 122, but they found that prolactin was unusually high. They will not start TRT until I’m cleared by an endo regarding the high prolactin, which it will be about 4 weeks until I can get a consultation. So, I thought on posting here to share my situation and hopefully get some opinions. I’m sorta scared about potential pituitary problems. I’ve never had any chronic illness or major health issue. I’ve had a good diet and training most of my life. Diet and exercise stopped working and workouts recovery started to go downhill, along with libido so I looked into TRT. I always thought my symptoms were type 2 diabetes, since my regular doctor never ran hormone tests. Year after year they would tell me “get more exercise”.
I already have family, so not looking to optimize fertility. But it’s my understanding that preserving testicle size is important as they produce other needed hormones.
-height: 5’ 5"
-weight: 170 lbs., BF is 25% according to bodyfat scale.
-describe body and facial hair: armpits, lower legs, some arm hair, pubic hair
-describe where you carry fat and how changed: Was lean growing up, but as an adult since around age 30 carry fat in the lower abdomen, love handles, and chest.
-health conditions, symptoms: Pre-diabetic (but usually handled this with diet and exercise), Slightly high cholesterol but not enough to get on statins or other medication. Low T symtoms are mental fog, less motivation, less libido, weaker and fewer erections, hard to make progress in the gym compared to 2-3 years ago.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: None
-lab results with ranges: See below
-describe diet: Clean with cheat days every 3-4 days. Usually do slight calorie deficit (as goals mainly are fat loss and preserve as much strength as possible). Increase calories every now and then just to feel better and socialize.
-describe training: Power lifts, Olympic lifts, C2 Rowing for cardio. 4-5x a week.
-testes ache, ever, with a fever? They used to ache a couple years ago, but now they don’t (in the past year). No fever.
-how have morning wood and nocturnal erections changed: Yes, rarely get morning wood or nocturnal. Maybe 2x a month.
– Labs –
Aug 2016 (LabCorp):
PSA: 0.7 ng/mL (0.0 - 4.0)
Testosterone, Serum: 122 ng/dL (348 - 1197)
FSH: 5.1 mIU/mL (1.5 - 12.4)
Prolactin: 38.4 ng/mL (4.0 - 15.2)
Estradiol: < 6.0 pg/mL (7.6 - 42.6)
Hemoglobin: 14.6 g/dL (12.6 - 17.7)
Edit: I think thyroid is fine, as I’ve taken measurements for 3 days in the morning and throughout the day. 97.7 F upon waking, then average 98.6 during the day. Diet consists of seaweed snacks with iodized salt.