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Strum: for men on TRT (testosterone replacement therapy) I want to suppress prolactin (PRL) and this is easily done in 95% of cases with very low dose cabergoline, such as 0.25 mg three times a week and then recheck PRL after a couple of weeks. Once in a while I need to up to 0.5 mg 3x a week...

Good morning Eudes, Re the aromasin dose, I would use half tablet twice a week (abbreviated biw) and recheck the estradiol (E2) level and keep below the lower limit of normal (usually 40 but depends on the lab). If the level is still high, I would ↑ the dose to three times a week...

I have used a lot of aromatase inhibitors in my medical practice. First of all, anastrozole (Arimidex) or exemestane (Aromasin) are for me about equivalent. I just use Arimidex more because more pharmacies seem to carry it. My patients on TRT (testosterone replacement therapy) often require...

Strum: what I find in my medical practice involving men that are either getting ADT (androgen deprivation therapy) or TRT (testosterone replacement therapy) is that most physicians do not obtain baseline lab results, do not monitor changes over time, often forget a major dictum (Above all do no...

Strum: your English is fine. Again, I hope I did not break any rules with my input here. Stephen B. Strum, MD, FACP Medical Oncologist

Not exactly sure what you are asking but in any man, if there are high T levels or a testosterone surge it is fairly routine to see aromatization of T to E2 (estradiol). And that is not something you wish to ignore since estrogen will stimulate prolactin production (PRL) and PRL has many...

I am a MD, focused on prostate cancer but well versed in the endocrinology of male hormones. A few points, in no particular order. Your TSH of 3.5 does not indicate you are definitely clinically or even biochemically hypothyroid. First, we need to know the normal range which you said was not...