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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Eight Weeks on TRT - Feeling No Better
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<blockquote data-quote="Dr Justin Saya MD" data-source="post: 77406" data-attributes="member: 12687"><p>Hi Libra- </p><p></p><p>That would be a paradoxical reaction and highly unusual. As johndoesmith alluded to, the concern would be that there is a coincidental enlargement of the prolactinoma (which by chance correlated with the timing of the increases in your cabergoline). The concern there would be a reduction in caber dosing *could* allow the prolactinoma to grow more quickly. I wouldn't decrease dosage currently for that reason. I recommend a repeat prolactin (fasting 12 hours with no ejaculation x 48hrs) and a repeat pituitary MRI to assess current size of prolactinoma. This will give us all of the info needed to guide any potential further dosage changes in cabergoline. Forward this thread to my office via email (info@defymedical.com with attn to medical team) and staff will arrange for you.</p></blockquote><p></p>
[QUOTE="Dr Justin Saya MD, post: 77406, member: 12687"] Hi Libra- That would be a paradoxical reaction and highly unusual. As johndoesmith alluded to, the concern would be that there is a coincidental enlargement of the prolactinoma (which by chance correlated with the timing of the increases in your cabergoline). The concern there would be a reduction in caber dosing *could* allow the prolactinoma to grow more quickly. I wouldn't decrease dosage currently for that reason. I recommend a repeat prolactin (fasting 12 hours with no ejaculation x 48hrs) and a repeat pituitary MRI to assess current size of prolactinoma. This will give us all of the info needed to guide any potential further dosage changes in cabergoline. Forward this thread to my office via email (info@defymedical.com with attn to medical team) and staff will arrange for you. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Eight Weeks on TRT - Feeling No Better
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