Elevated Prolactin, Test Levels In Range. Trying Caber for Low Libido

Pharma TRT
1

Hi. It’s been a while since I’ve had regular hormonal tests, where there’s always a slight elevation in prolactin. 1 point above the reference value, or at the top of the reference value.

The endocrinologists (of health insurance) I consulted told me that this change does not mean anything, but the symptoms I feel are low testosterone (despite being always within the reference values, it fluctuates between 300 and 450)

I’m currently feeling mostly indisposition, lack of libido and morning erections.

I would like to know if even having testosterone within the reference, these prolactin values ​​may be interfering negatively with my quality of life, and also if using cabergoline in low doses as a test to try to relieve symptoms can be very harmful for me.

I have all the exam values, if it’s convenient to discuss the case further.

natural individual, 31 years old, 1.82m, 86kg and bf in 16%. I workout 4 times a week and 2 days of cardio. Balanced diet for mass gain.

Thank you very much, and sorry for the bad english.

2

I started TRT at 305ng, so your TT is indeed low-ish. If your PRL is just above range I wouldn’t take Caber, I’d try B6 first.

3

The Total T is only part of the picture, the Free T is where the rubber meets the road. If SHBG were slight above midrange or higher with these Total T values, I would expect to see the Free T at the bottom of the ranges.

Also no doctor can tell you at what level you will start to experience the symptoms of low-T, it seems to be different for everyone.

4

I’ll share the detailed levels and reference ranges

TSH - 2,16 uUI/mL (ref 0,38 - 5,33)
T4 - 0,99 ng/dL (ref 0,61 - 1,12)
Ferritin 58,4 ng/mL (ref 23,9 - 336,2)
LH 4,50 mUI/mL (ref 1,24 - 8,62)
FSH 3,27 mUI/mL (ref 1,27 - 19,26)
Prolactin 14,90 ng/mL (ref 2,64 - 13,13)
Testosterone 3,32 ng/mL (ref 1,75 - 7,81)
E2 20 pg/mL (ref < 33 pg/mL)
Free Testosterone 8,43 ng/dL (ref 3,40 - 24,80)
DHEA 177,0 ug/dL (ref 160 - 449)
DHT 357,0 pg/mL (ref 135 - 1365)
Zinc 123,30 ug/dL (ref 70 - 120)

5

Yes, starting trt is an option, but I would like to try to solve the root of the problem before that.

furthermore, if I restore T to optimal levels, can high prolactin levels continue to affect libido and erections?

Already tried b6, 100mg/day, but no symptom relief.

6

I haven’t tested it this time, but yes, shbg is usually in the middle of the reference levels

7

I’ve read one case study that says yes

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8

I doubt prolactin is your problem as this is barely elevated.

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9

I noticed that dht and dhea are at the lower limit of the levels too
Can the symptoms be related to low testosterone only?

10

I encounter symptoms of low-T when dipping below 400 ng/dL and would expect DHT to also be lower is most cases alongside the low-T since DHT is converted from T.

There is a strong case to be made here for low-T causing at least the majority of your symptoms, I mean you’re almost at the point where low-T is typically diagnosed with some doctors going against the guidelines and prescribing TRT to men that are higher while showing good results in patient outcomes.

All of this points to a cut off point for being considered low-T is too low.

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11

Understood.
Well, I had an appointment with an endocrinologist last year, as I have been experiencing these symptoms for some time now, he recommended trt with 100mg/week cypionate.

But I decided to keep trying to solve my problem in some natural way, taking more days off, eating better, supplementing with vitamin b6, vitamin D, vitamin C, but I didn’t have any significant results.

I have a new appointment scheduled for next week. I will take the exams and this time I will accept the doctor’s suggestion.

The problem is that testosterone is currently lacking in pharmacies in my country. I think there was a problem with the lab. has been missing for over a month. And opting for underground labs is not an option