Stopped TRT 9 Months Ago, Low T Symptoms Returned. Bloodwork Advice?

[jimmy30]

Hi I stopped TRT 9 months ago due side effects namely Hyperprolactinemia which caused ed and mood fluctuations.

I got my bloods tested recently because I have low to no libido and ed. Could you advise on my bloods and further actions; perhaps TRT and cabergoline? Or nettle root to drop SHBG?

Many thanks

ENDOCRINOLOGY

Thyroid Function

FREE T3 5.02 pmol/L 3.10 - 6.80

FREE THYROXINE 19.300 pmol/L 12.00 - 22.00

THYROID STIMULATING HORMONE 1.87 mIU/L 0.27 - 4.20

Hormones

TESTOSTERONE 16.7 nmol/L 7.60 - 31.40

FREE-TESTOSTERONE

0.243 nmol/L 0.30 - 1.00

17-BETA OESTRADIOL 85.1 pmol/L 41.00 - 159.00

SEX HORMONE BINDING GLOB 54.5 nmol/L 16.00 - 55.00

PROLACTIN 151 mIU/L 86.00 - 324.00

FOLLICLE STIM. HORMONE 2.6 IU/L 1.50 - 12.40

LUTEINISING HORMONE 5.02 IU/L 1.70 - 8.60

[bmbrady77]

Your SHBG is very high which is why your Free T is shit. You can either start TRT again or take a magnesium and zinc supplement and hope for the best.

What was you protocol when your were on TRT before?

[jimmy30]

Hi

I was on sub q cypionate every other day and only about 70mgs a week which made my prolactin high and free t just above normal.

The high prolactin was intolerable so I stopped.

Has anyone you know of used cabergoline?

[bmbrady77]

@jimmy30

The high prolactin was intolerable so I stopped.

See the following from KSMan concerning TRT and prolactin levels.

See these stickies found here: About the T Replacement Category

• advice for new guys
• things that damage your hormones
• protocol for injections
• finding a TRT doc

So do metabolize T in a hyper fashion and need higher doses.

TRT does not increase prolactin, something else is going on. Prolactin can be released during orgasm and cuddling puppies and babies - so watch what you are doing and provide 48 hours buffer time.

Low thyroid function can rob your energy and not getting enough iodine can do that. Check overall thyroid function by checking oral body temperatures AM and mid-afternoon as per the thyroid basics sticky.

Not absorbing transdermal T is a symptom of low thyroid function.

Did you experience any head trauma? That can damage the pituitary.

You never had proper diagnostics. Should have checked LH/FSH before any TRT.
Doctors are the problem. If your testes were small and pulled up tight before TRT, that would be from low LH. On TRT that will probably happen unless you inject hCG.

Inject twice a week and always do labs half way between injections so differences in lab results are not lab timing artifacts.

[jimmy30]

Hi BM

That’s interesting, I done a search and found an article written by the endocrine society (sounds like a trustworthy source) 'Testosterone-replacement stimulated hyperprolactinaemia

R Sodi1, R Fikri1, M Diver1, L Ranganath1 & J Vora2’.

They concluded that t levels correlate with prolactin levels.

Also I should add that I am 31, temperature s are normal, I take iodine supplements, I weigh 13stone 2lb, 32 inch waist, reckless irresponsible use of AAS which I seriously regret.

When I am on TRT I feel depressed flat intrusive thoughts and generally apathetic but have libido and energy. Off TRT I am less anxious and enjoy life more but have zero sex drive, weak and gaining fat which of course impacts on one’s well being also.

[bmbrady77]

Yeah brother I couldn’t say either way concerning prolactin. That’s why I pointed you to someone else’s posts. Trying to find some way to be helpful lol!

[jimmy30]

I appreciate your advice and taking the time to reply.

[jimmy30]

Also I should add that I am 31, temperature s are normal, I take iodine supplements, I weigh 13stone 2lb, 32 inch waist, reckless irresponsible use of AAS which I seriously regret.

When I am on TRT I feel depressed flat intrusive thoughts and generally apathetic but have libido and energy. Off TRT I am less anxious and enjoy life more but have zero sex drive, weak and gaining fat which of course impacts on one’s well being also.