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Levels normal but PROLACTIN off the CHARTS.....
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...- strum
- Post #7
- Forum: hCG, Clomid & Others for Fertility, PCT or Low T
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Ask Dr Rand McClain
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...- strum
- Post #79
- Forum: Questions for Specific Doctors & Experts
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What do you do when your estradiol is too high
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
- Post #5
- Forum: Testosterone Basics & Questions
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new to trt
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
- Post #12
- Forum: Introductions
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Ask Dr Rand McClain
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- strum
- Post #74
- Forum: Questions for Specific Doctors & Experts
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E2 Levels in Healthy Young Men
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...- strum
- Post #4
- Forum: Testosterone Basics & Questions
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I would be really grateful for any help understanding my blood test results.
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...- strum
- Post #8
- Forum: Blood Test Discussion
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