You have multiple impacts on your pituitary.
Typically 0.5 mg cabergoline per week, two split doses of 0.25 gets the job done.
Prolactin should become very low.
They watch to see what happens to LH/FSH. If they do not recover, T will not recover and TRT will be required.
Has your width of peripheral vision become reduced from expected near 180 degrees?
Thyroid:
TSH should be close to 1.0
Most common and preventable cause of thyroid problems is not using iodized salt.
Please check overall thyroid function via last paragraph in this post.
Labs should be TSH and free hormones fT3, fT4. fT3 is the active hormone.
Guys with great TT and FT numbers with thyroid problems feel like crap. Thyroid is very critical. Your thyroid number are “normal” and most doctors will think that everything is good, but they do not understand optimal. T3, T4, fT3, fT4 should optimally be near mid-range or a bit higher.
hCG:
Released in pulses with very short half-life, so low levels mean nothing and hCG should never be tested in this context, but can be in a stimulation test.
hCG causes generation of IGF-1 in the liver and IGF-1 is a better measure of GH status than hGH labs. Is IGF-1=180 good? Depends on age that you have not provided. If you are young, IGF-1=180 is not great. But wait to see how this may change with cabergoline+time.
You have a lot of reading to do and its a steep but manageable learning curve, if you like drinking from a fire hose. Most of your encounters with doctors are probably going to be regrettable. You need to understand things that your doctors do not and passive rarely works.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc
- Thyroid basics
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.