T Nation

Started TRT 1 Month Ago, Labs Attached, Brain MRI Tomorrow

T Replacement
#1

So the doc prescribed me the following protocol a month ago
the only reason i went is because of high prolactin levels and just feeling lazy and tired all the time

35 yrs old, 5’6 ,150lb, work out 4-5x a week would like to maximize and see some growth from TRT

Brain MRI to look for pitituary tumor (doing tomorrow)

100MG Test C twice a week, Tues, Fri.
anastrozole 0.5 same time as injections
1 drop iodine solution on wrists same time as injections
1 mg methyl folate, 25mg dhea per day

Here are results from my last 2 labs before i started this

1/30/2019
tsh 1.9
t4 6.2
t3 25
LH 5.9
FSH 2.2
testosterone total 709
free test 18.6
prolactin 41
estradiol 32.8
shbg 34.3

2/10/2019
tsh 1.84
t4 6.1
t3 3.0
estradiol 31.0
fsh 2.3
lh 3.5
shbg 39
testosterone total 625
free test 12.41
prolactin 27

then a separate test just for prolactin on 2/17/2019
prolactin 12.4 (normal finally)

my question is, anything else i should be doing here? Obviously ill find out more with this brain MRI tomorrow about the prolactin, but do FSH and LH seem low? I know my semen volume is down definitely…
Ive been doing the test 200mg a week for a month and i do notice more energy and feeling better but id like to make sure i keep everything where it needs to be. I havent got a new hormone panel since starting his protocol because he wants the MRI results first

Any input? Thank you!

#2

Those are PRE TRT labs?

#3

Yeah he said it was up to me whether i wanted to do the test before the MRI etc but he said i should because ill probably feel better in the 900 range then in the 500-700 range

Past bloods in the past couple years before the ones i posted from this year had results of 480-580 with low free test (6-10 free test)

#4

So, what is your T level ON 200 mg of Cyp?

#5

no clue yet, havent done bloods since i started, i expect hell want bloods right after MRI result

#6

You when on TRT with these numbers. You and your doctor are idiots.
Stop the TRT before you damage yourself and ask for a scrip of Cabergoline for the prolactin.
Jeeze.

Sorry I know this is your first post and I don’t mean to come across so rough but you’ve got a bad doc.

#7

i mean 709 test was oddly high, like i said past couple years its been 480-625, i TOTALLY get what youre saying, he didnt force it on me, he gave me the option…whos to say i wont feel better at 900+? i mean honestly those numbers i posted pre TRT i still felt like shit everyday

#8

If I had your T numbers I sure wouldn’t have been looking there for your problem.
The high prolactin is not normal that is a clue. What about your thyroid? I’m not a thyroid expert but your numbers look weird and a full panel is not listed.
What about diet sleep, stress? Are you taking SSRI’s or other drugs? What are there side effects?
IMO low T is not your problem. If you want to mess around with T go to the pharma and learn about cycling. TRT sucks compared to natural production. Don’t go down that rabbit hole until you absolutely have to.

#9

@hrdlvn is right on. I asked because you have better numbers pre-TRT than a lot of guys have on TRT. I am baffled that the doc even offered it. I think you are chasing the wrong thing, it is not likely your T.

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#10

Maybe the doc thinks ill feel better at 900+ then 600ish? I have no idea, i mean i can always stop its only been a month. Interested to see this MRI result first for the prolactin, maybe the cause is there. Thats why i posted the numbers here. Diet is decent but he wants be to tweak what carbs i eat and to get in way more greens. Stress has been high but sleep has been 7-8 hours a night. He did say Thyroid was ok but not optimal thats why he has be doing the iodine 2x a week
Who knows