updated blood work

[Vitamin S]

p,

i met with my endo and we discussed my blood work and high prolactin levels and low test. i told him i took dostinex as outlined by you. he said i should stop the dostinex as not a lot is needed to lower prolactin and lets do further blood work. i got the results online. i meet him again tomorrow. i took the dostinex at .25mg twice a week up to 1mg over a month.

General Chemistry (these two are slightly over could be due to creatine/protein use, and lack of water consumption not sure)

Urea H 9.2 2.0 - 9.0 mmol/L
Creatinine H 120 45 - 110 umol/L

Thyroid Function

TSH 2.70 0.30 - 5.50 mU/L
T4 Free 14 11 - 22 pmol/L


Pituitary Function

Follicle Stimulating Hormone 4.8 2.0 - 18.0 U/L
Leutinizing Hormone (LH) 7.3 2.0 - 18.0 U/L

Adrenal Function
Cortisol
AM Cortisol 477 171 - 875 nmol/L

Reproductive and Gonadal
Testosterone 16.2 8.4 - 28.7 nmol/L
(Roche - Electrochemiluminescence)

In adult males, Bioavailable Testosterone is only
a benefit of the Medical Services Plan if the
Total Testosterone is between 4.0 and 10.0 nmol/L.



Pituitary Function (a bit low not sure why)
Insulin-Like Factor-1 L 118 142-344 ug

Pituitary Function
Macroprolactin 1.00 0.50-1.00 RECOVERY
Diagnosis of macroprolactinemia is certain
if recovery is <0.40 and probable if
recovery is <0.50.

Prolactin A 57.8 <15 ug/L (still high but it was 98 last nonth so its almost half) Increased prolactin is seen in: pituitary
tumours, pituitary pathology, lactation,
pregnancy, the ingestion of a variety of
drugs, renal disease, stress, exercise,
breast stimulation, chest lesions, primary
hypothyroidism, cirrhosis, and spinal cord
disease. In 25% of cases, elevation may be
due to cross-reactivity to biologically
inactive macroprolactin. Prolactin levels
can vary significantly from day to day.
A repeat sample collection is recommended
to confirm elevated results before
requesting macroprolactin.

[Praetorian]

Appears to be improving...lets see what your endo says.
P

[Vitamin S]

endo said things are getting better. i asked him if my test levels are restrored he said its hard to say since we have no prior blood work of what it ever was back before i started juicing. he did say it could be normal for me to be 16 out of max 24. he said all numbers are in the range thats all that matters, some people are on higher end some on lower, but as long as in brackets its fine.

he also said he wants to redo blood work in 4-6 weeks to see what the prolactin is without dostinex. it is half of what it was but he says that might be due to dostinex i ran. if it goes down on its own then all good, if it climbs back up again then he said i will have to take bromo or dostinex to shrink it and he will order a MRI at same time to see if any mass is present in pitutatory gland.

he thinks it should be fine since all the other variables are going in right direction.

thanks for all your help, i will keep you posted.

ps. do you think i should wait to start up again, i think i should at least wait another 3 months.

[Praetorian]

Yes definitely wait...if you start up again everything was for nothing and you will never know. I find the statement "if its in the range thats all that matters" naive at best. I know more than one endo that will tell you within the range is a guideline only...for some on the low end they feel fine for others on the low end and they illicit many many symptoms of low test and feel like absolute crap...this is supposed to be ok...NOT. When it comes to hormones things can be very individualistic and you need to treat based on more than just a number. See how things go without the dostinex...Im curious to see if the levels keep dropping.
P

[Vitamin S]

sounds good will do.