u/BiocaHD

M30

• Initial prolactin(~75 ng/mL). Retested for 55 and then 78 over the course of 2 months.
• Tested for macroprolactin → not present
• Done an MRI and no tumors found
• Total test is low

Doctor feedback so far:

• Two doctors think ~78 isn’t “that high” (more concerned if 150–200+)
• Suggested focusing on weight loss first instead of medication (1,80cm 97kg)
• Didn’t recommend starting something like caber yet

Other context:

• Libido still pretty low
• Kinda depressed, low motivation

Questions:

1. Is ~70–80 prolactin enough to cause low libido?
2. At what point does treatment like caber usually make sense?
3. Has anyone improved prolactin just through weight loss/lifestyle changes?
4. Anything else I should be testing or looking into?

LH: 3.8 mUI/mL (prev 3.52)
FSH: 2.36 mUI/ML (prev 2.15)
E2: 23.8 pg/ML (prev 22.2)
Total test: 2.63 ng/mL (prev 2.01, 2.35)
SHBG: 17.4 nmol/L (prev 16.2)
Free test: 6.64 ng/dL (prev 5.46)

Appreciate any insight or personal experiences 🙏

L: 20cm (10 going in + 10 going out)