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It's been 6 months since I've started to your T. I just want to feel better, I apologize if I seem annoying. I just have a difficult case. As far as narrowing down to what I believe will help me "dial in", I believe it comes down to prolactin and estradiol. I will let my other doctors deal...

Dr. Saya I just got the results from my MRI and it shows no change in size of the tumor from last year. I haven't masturbated in 2 months, so I am not sure if a repeat bloodwork for prolactin would change much. One thing I would like to note and I feel could be the reason why I haven't had the...

My full name is XXXXXXXXX...It is a prolactinoma, my protocol for the cabergoline is .75mg (one pill and a half) twice a week. My initial protocol prior to defymedical was .5mg twice a week in which my prolactin was at about 20ng/L. I am not sure if you recall, but you told me that the...

According to the blood work, my prolactin has gone higher after up dosing my cabergoline, and my CBC seems to be off, Dr. Saya or Dr. Calkins, if you are reading this what should I do about the prolactin levels and CBC?

So just got bloodwork done, here are the results Order: CBC Name Date Value Units Range Source WBC 7/18/2017 3.87 K/uL 4.23-9.07 NIH Clinical Center RBC 7/18/2017 4.87 M/uL 4.63-6.08 NIH Clinical Center HGB 7/18/2017 15.10 g/dL 13.7-17.5 NIH Clinical Center HCT 7/18/2017 46.00 % 40.1-51.0 NIH...

I just bought Jarrow PS-100, I read that that can help with insomnia, sleep studies seem to be pretty expensive. Dr. Saya if you are reading this, do you have any sleep aid at Defy Medical that can help me sleep?

Thanks for the link Julian, I think I may jave found the reason as to why TRT hasn't been working...I have had difficulty sleeping most nights since I can remember, even before TRT. So I believe if I can start to get a good 7-8 hours of quality sleep a night then it should help tremendously...

I can't recall, side note:name of supplement is a Drenal

Update to trt protocol: 80 mg test cyp 2x a week HCG 400IU 2x a week .125 Anastrozole 2x a week cabergoline 1.5 2x a week Adrenal Tea (I believe) 2 capsules every morning. So I spoke with Dr. Calkins and he told me according to my salivary cortisol test, my cortisol is lower than average the...

I also want to ask everybody according to my blood work, is there any other red flags that I should be aware of?

So with these labs above, do you feel better than when you weren't on TRT? And also how long did it take you to get dialed in on a protocol that was right for you? Thanks for your responses man.

Julian do you notice a difference in any aspect of your life when your prolactin was at 30 as opposed to 8-10?

I am trying to lower it to about optimal levels which I believe is 8-10 ng/ml. I am under he assumption that the prolactin is screwing with my libido and TRT in general.

I also forgot to mention, now that I am doing the anastrozole twice a week, is there a certain time I'm supposed to do it? Also I am wondering why my LH/FSH was not tested just to see how the HCG is working in my body?

Ok that is fine, I also hope that I can raise my Testosterone/HCG dose so that I can achieve the highest optimal Testosterone levels. I plan on becoming a personal trainer or something to do with fitness and know how important Testoterone is. Will the doctor allow me to have a higher Test...

Dr. Saya, whatever test I need done to make me feel better I am willing to take. I am just tired of living life the way that I am. I've been dealing with low T for over 10 years and now I am 28. Your next avaliable appointment is May 30th, I have an apoinment on May 10th with one of your...

my prolactin was at 20, so with my initial consult Dr. Saya had me up my dose of cabergoline and now its at 40, so he told me to updose it again.

Protocol: 70mg Test cyp 2x aweek HCG 400IU 2x a week anastrozole .125 3x a week I also take cabergoline .5mg 2x a week I spoke with Dr. Saya in this forum and he told me to lower the AI to 2x a week, but also told me because my SHBG is in the lower range of normal that more of the free...

Hello Excelmale family, I have my 8 week bloodwork results in this link https://www.dropbox.com/s/1fmavjkr2pdi1aw/MIRZADA%2C%20JAMAL%20SYED%20LAB%20RESULTS%204.11.17.pdf?dl=0 I am trying to find out why there has been absolutely no change as far as getting better and was trying to see if...

Thank you for responding Dr. Saya. I understand the whole low shbg means their is more free test or estradoil. So now I will take anastrozole .125 2x a week and up the dose of cabergoline another half a pill. Can ED be caused by prolactin being a little bit above normal ranges? Also I still...

I understand, I just spend alot of time researching about time of TRT working in different areas of your body, I just thought by 2 months I should be starting to get better at least gradually...

Also I haven't really felt any different from 2 months of TRT other that bloating and a little bit of b.o. I would like to know considering if everything else is balanced, could raising my estradoil to 20-25 help me feel better and help the testosterone give me a better effect on me overall?

Yes I agree, that is why I was thinking of reducing the anastrozale to 2x a week as opposed to 3x a week.

Yes they are done with Defy Total T 690 (348-1197) Free T 24.0 (9.3-26.5) estradoil 11.7 (8.0-35.0) SHBG 23.4 (16.5-55.9) prolactin 40.4 (4.0-15.2)

I have had 2 MRI's since I found out about the tumor 2 years ago. It started as a 14mm adenoma and is now about 10mm so basically it has shrunk 2mm per year since starting cabergoline.

Thanks for the quick reply...I upped the dose of cabergoline when I started TRT, so its been 2 months. I understand the appointment is close, but I feel like horrible and don't know an alternative. I will take your recommendation of emailing them thanks again. So do you believe my estradoil...

Greetings everyone. I am a 28 y/o male who is dealing with a prolactinoma that has caused my testosterone to go below normal (around 271) and prolactin too high (around 231) Long story short, the tumor has shrunken a bit since starting cabergoline( for 2years now) and brought my prolactin down...