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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Perplexing result.. thoughts?
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<blockquote data-quote="Cataceous" data-source="post: 199150" data-attributes="member: 38109"><p>1. In the units I'm used to your prolactin is 20 ng/mL. This is elevated, but not extreme. Are you experiencing any of the possible side effects, such as reduced libido, long refractory period, anorgasmia? Although a prolactinoma isn't impossible, my impression is that these usually result in much higher numbers. More likely your TRT dosing is a factor in pushing it up.</p><p></p><p>2-3. Yes, these are trough measurements. This means testosterone and estradiol are going to be higher at other times. In particular, if your absorption rate for propionate is similar to mine then your peak testosterone could be over 60% higher, putting it close to 40 nMol/L or >1,100 ng/dL. Given that your SHBG is a little below normal I'd rather see your current trough values at your peak. This would perhaps mean a 30-40% dose reduction. It would be good to try to measure peak values before making changes. There's some guesswork involved with the timing. Between two and four hours post-injection I get values that at least match predicted peaks. It's suggestive, but not definitive. You may know I'm a fan of this kind of propionate blend, so I will be interested in seeing whatever you report. </p><p></p><p>4. Having lower prolactin on propionate with similar dosing is not expected. However, I have had prolactin decide to go higher after a long period of stability. So it's not always going to be predictable. If you happen to visit an aggressive doctor then you may end up getting an MRI. But you could just see if changing the TRT dose has any effect. Also, I trust you were fasting for your test and had abstained from sexual activity in the day before? Otherwise prolactin may only have been temporarily higher.</p></blockquote><p></p>
[QUOTE="Cataceous, post: 199150, member: 38109"] 1. In the units I'm used to your prolactin is 20 ng/mL. This is elevated, but not extreme. Are you experiencing any of the possible side effects, such as reduced libido, long refractory period, anorgasmia? Although a prolactinoma isn't impossible, my impression is that these usually result in much higher numbers. More likely your TRT dosing is a factor in pushing it up. 2-3. Yes, these are trough measurements. This means testosterone and estradiol are going to be higher at other times. In particular, if your absorption rate for propionate is similar to mine then your peak testosterone could be over 60% higher, putting it close to 40 nMol/L or >1,100 ng/dL. Given that your SHBG is a little below normal I'd rather see your current trough values at your peak. This would perhaps mean a 30-40% dose reduction. It would be good to try to measure peak values before making changes. There's some guesswork involved with the timing. Between two and four hours post-injection I get values that at least match predicted peaks. It's suggestive, but not definitive. You may know I'm a fan of this kind of propionate blend, so I will be interested in seeing whatever you report. 4. Having lower prolactin on propionate with similar dosing is not expected. However, I have had prolactin decide to go higher after a long period of stability. So it's not always going to be predictable. If you happen to visit an aggressive doctor then you may end up getting an MRI. But you could just see if changing the TRT dose has any effect. Also, I trust you were fasting for your test and had abstained from sexual activity in the day before? Otherwise prolactin may only have been temporarily higher. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Perplexing result.. thoughts?
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