20 Y/O. Advice on Lab Results? High E2, Prolactin, Low TSH

Try getting near E2=80 pmol/L with 0.5mg/week anastrozole two doses per week.

Most PCT info on BB sites is stupid. SERM’s should never be stacked and should be low dose, 20-25mg every other day max, sometimes less than that.

Do not test prolactin within a few days of orgasm or hugging babies, kittens, puppies etc as that causes prolactin release. Otherwise one worries about a prolactin secreting pituitary adinoma that needs to be evaluated as it can press on the optic nerves. Retest later.

TT appears OK
FT not tested but may be reduced by E2 induced SHBG
SHBG not tested
AST/ALT not tested
CBC not tested

LH/FSH looks good, lower T may be implying a problem with the testes.

Please read the stickies found here: About the T Replacement Category - #2 by KSman

  • 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.