LookingForAnswers
New Member
I’m in Canada (late 50’s) and as I have many of the low-T symptoms (fatigue, poor motivation, no drive, flat mood). I went to WellnessHaus to get a bloodwork requisition and hopefully start TRT. Here are my labs
Prolactin: 20 µg/L (20 ng/mL)
Total T: 20.7 nmol/L (~596 ng/dL).
Free T: 391 pmol/L (~11.3 ng/dL).
I was told that the prolactin was “high” (18+ is considered high) and I should talk to my GP about an MRI. But from what I’ve read, most doctors here don’t even think MRI until prolactin is much much higher. I asked if getting my prolactin down or if I convinced my GP to request an MRI that said I don’t have a tumour would be enough, they then said they usually won’t prescribe unless total T is under 11 nmol/L (~317 ng/dL). That to me sounds like the levels a conservative GP would use, not an optimization clinic.
My gut feeling is because I’m borderline low testosterone they may have considered prescribing TRT with my symptoms, but they are hiding behind the “high” prolactin” for maybe liability reasons?
I’d really like to hear from anyone who was in the same range (T around 550–600 ng/dL, prolactin slightly high… or even one and not the other) and still got TRT in Canada — which clinic helped you? Or even U.S. guys with similar numbers who got approved, just so I know it’s possible.
Prolactin: 20 µg/L (20 ng/mL)
Total T: 20.7 nmol/L (~596 ng/dL).
Free T: 391 pmol/L (~11.3 ng/dL).
I was told that the prolactin was “high” (18+ is considered high) and I should talk to my GP about an MRI. But from what I’ve read, most doctors here don’t even think MRI until prolactin is much much higher. I asked if getting my prolactin down or if I convinced my GP to request an MRI that said I don’t have a tumour would be enough, they then said they usually won’t prescribe unless total T is under 11 nmol/L (~317 ng/dL). That to me sounds like the levels a conservative GP would use, not an optimization clinic.
My gut feeling is because I’m borderline low testosterone they may have considered prescribing TRT with my symptoms, but they are hiding behind the “high” prolactin” for maybe liability reasons?
I’d really like to hear from anyone who was in the same range (T around 550–600 ng/dL, prolactin slightly high… or even one and not the other) and still got TRT in Canada — which clinic helped you? Or even U.S. guys with similar numbers who got approved, just so I know it’s possible.
