Please directly edit opening post to add reference ranges or repost with reference ranges. You do not memorize these in different unit systems and we do not either. Ranges are actually not universal and are specific to each testing lab.
The normal values for prolactin are:
Males: less than 20 ng/dL (425 mIU/L ) -but vary by testing lab
Prolactin is fine.
You have secondary hypogonadism. As a rule, FSH should be tested as well. Your secondary is not caused by high prolactin, so cause is not a prolactin secreting pituitary adinoma. However, your pituitary could be damaged by heading balls and other blows to the head or concussions which can sometimes show up on a MRI.
Please read the stickies found here: About the T Replacement Category
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.
Over training can also cause some secondary.
SHBG is not causing secondary but increases SHBG+T that lowers FT. SHBG+T is not bioavailable and it inflates TT so TT is actually overstating your T status. Liver panel labs are useful, AST/ALT at a minimum.