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Thyroid, Pregnenolone, Progesterone, DHEA, etc
Thyroid, DHEA, Pregnenolone, Progesterone, etc
When is Prolactin too high and what are benefits of lowering it
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<blockquote data-quote="sbstrum_MD" data-source="post: 261112" data-attributes="member: 17682"><p>The dose of cabergoline (Dostinex®) you cite above is quite reasonable. Most men on TRT (testosterone replacement therapy) will have an increase in prolactin unless they are monitored for estrogen increase that is routinely related to aromatization of T to estradiol. It is called aromatization because the enzyme is an aromatase. Therefore, for men on TRT, I also advise a low dose of either anastrozole (Arimidex®) or exemestane (Aromasin®) and I check to ensure the estradiol (E2) is within normal limits. I have not seen any adverse side-effects (AES) when using such low dose cabergoline, and very rarely does any patient complain about side effects from the aromatase inhibitor. Of course, and most importantly, men on TRT should monitor PSA. I have had a half dozen patients develop prostate cancer while on TRT with two having evidence of metastatic disease from prostate to bone.</p></blockquote><p></p>
[QUOTE="sbstrum_MD, post: 261112, member: 17682"] The dose of cabergoline (Dostinex®) you cite above is quite reasonable. Most men on TRT (testosterone replacement therapy) will have an increase in prolactin unless they are monitored for estrogen increase that is routinely related to aromatization of T to estradiol. It is called aromatization because the enzyme is an aromatase. Therefore, for men on TRT, I also advise a low dose of either anastrozole (Arimidex®) or exemestane (Aromasin®) and I check to ensure the estradiol (E2) is within normal limits. I have not seen any adverse side-effects (AES) when using such low dose cabergoline, and very rarely does any patient complain about side effects from the aromatase inhibitor. Of course, and most importantly, men on TRT should monitor PSA. I have had a half dozen patients develop prostate cancer while on TRT with two having evidence of metastatic disease from prostate to bone. [/QUOTE]
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Thyroid, Pregnenolone, Progesterone, DHEA, etc
Thyroid, DHEA, Pregnenolone, Progesterone, etc
When is Prolactin too high and what are benefits of lowering it
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