Dr. Saya and Dr. Crisler are at the top of their field and experts at treating and curing what you have. You will be in great hands with them. That is what I meant to relay in my post about them, I just personally have a great Doctor in Houston that I can go see face to face and is covered by my insurance. If for some reason insurance stopped covering or I had to move Defy would be the first place I would call, I have heard nothing but great things about them.
Is it really affecting your work that bad? I was wayy lower t than you (in the 100-160s) and I felt like crap too...but I had no problem holding my job and taking care of business even if I didn't feel 100% in the testosterone department. Maybe something else is wrong?
Prolactin can be caused by a lot of things and it also goes up and down ALOT. I actually have/had HIGH Prolactin. There are all different kinds of explanations for your other blood tests and to be honest I would just be sort of winging educated guesses, so I will leave that to you to ask your Doctor.
I would give Defy a call and at least tell them your situation and see what they have to say, I doubt that will cost you anything. Like I said before, finding a good Doctor is the hardest part of this whole thing. It is scary how different treatment is from Doctor to Doctor when it comes to testosterone. A lot of Dr.'s will be afraid to treat you at your age or will give you bad treatment (give you injections before trying clomid/restart protocol) Like for example that guy who wants to put you on a couple pumps of gel would litterally make you feel worse and probably make your levels lower than the 500ish ones you have.
