Very Low Total Testosterone and High Prolactin

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abarrus

New Member
Hello, Excel Males!

A month ago I asked my PCP/GP for a T-test. It came back as 40. They had me come in the next morning to test again, and it showed 65 and diagnosed me with hypogonadism.

I think I've been low T since I was 16 or 17. That's when I recall I started having low energy, little motivation, lethargy, and putting on visceral fat. I guess I self-medicated with fantasy. I got into online gaming; most notably Everquest.

I had little aspirations and joined the Army reserves on a whim. I got in without issue. I was able to pass the fitness tests with great effort and by the skin of my teeth. I was an Army print and photo journalist. I went to Iraq and really put on weight there. A few months after I got home I self-medicated PTSD by drinking heavily and using drugs. A lot of cannabis.

I went to the VA for help, and they put me on SSRIs. I've been on antidepressants for 13.5 years now. I understand some people think that SSRIs cause low T, but I'm pretty sure I had low T for years before starting SSRIs.

I got out of the military after failing 6 drug tests. I shed the weight once when I was a postal carrier. I went to college and got a BA. I got a VA disability for PTSD. I went to live with my step-dad's family in Mexico to try and get healthy. I met my wife, moved back to the US to work.

Life got pretty good for me despite everything. I have a great job doing communications for a federal conservation agency. I live in Albuquerque with my wife and two tiny little kids. I was able to have kids alright. My sperm count was about 90 million, but motility was kind of low.

I want to be healthy for my wife and kids, so I got the T test. I did my first injection one week ago, and I'm getting all sorts of energy.

Had an MRI and they couldn't find any tumors, so don't know the cause at this point.

Edit: Nelson Vergel suggested on the FB group: "Have him prescribe 1 mg per week of cabergoline and get blood tests 4 weeks after that "
 
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Defy Medical TRT clinic doctor
Welcome to Excelmale. Can you give us some more details about your pre-TRT lab results? And your current protocol: what does it consist of? Is it working for you?

We hope you’ll be an active member!
 
Most inject T-cyp two or more times per week otherwise levels will be lower by the end of the week, some can't get away with on injection per week, but usually not an injection every 2 weeks.

Your SHBG levels will dictate injection frequencies.
 
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My pre trt showed 65. I been on trt a week now. Doing 1 inj per week of half a a ml. Doc says no 2x per week but i may do it anyway.

I been on the fb grp a lot. Ill post my labs here
 
Nice post abarrus. Thank you for your service. Are you still on the ssri's? Your pre trt labs should have things like shbg, estradiol, free t etc... do you have follow up labs scheduled with your dr? Ask here what those labs should include if you need to.
 
Nice post abarrus. Thank you for your service. Are you still on the ssri's? Your pre trt labs should have things like shbg, estradiol, free t etc... do you have follow up labs scheduled with your dr? Ask here what those labs should include if you need to.

Thanks, Outcome. I'm still on SSRIs. I'll have to ask for a fuller hormone panel. They were planning to test me 3 months in, i'm just 1 week in. I did an edit on the OP to show my numbers. Nelson Vergel says I should get a script for a drug that limits prolactin. Right now I have prolactin levels of a pregnant woman. Luckily I don't have breast tissue.

Cabergoline is the name of the drug. It says it's a dopamine promoter. Perhaps that will help with depression?
 
You posted some test results - that is the extent of your pre-treatment workup?

No SHBG? That is an absolute essential test to provide insight into the design of your protocol. Without it...its shooting I the dark.

Was your thyroid evaluated?

A PSA was captured, or not?
 
My prolactin is 25.4 and gives me problems. But it’s caused by one of my necessary medications. Are you taking anything other than a SSRI, either prescribed or otherwise?
 
Beyond Testosterone Book by Nelson Vergel
I also take trazadone for sleep. I've had problems with low T since I was 17 or so. Never got much of a beard, but I should have one according to my genetics. I started on SSRIs when i was 22, pretty sure that's not what's causing my low t
 
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