@alphaclubclinic: Replying to @David Mcilwrath 120mg a week is actually a pretty moderate TRT dose, so I’d be asking why your E2 and prolactin are elevated rather than assuming the dose is the problem. Higher body fat, alcohol intake, and less frequent dosing can all contribute to higher E2. If your E2 is elevated, prolactin can sometimes rise alongside it too. The other thing to remember is never interpret prolactin from a single blood test in isolation. Stress, poor sleep, training, sex, even the anxiety of having blood drawn can cause a temporary spike. If it’s genuinely elevated, I’d want to see it repeated under controlled conditions before making any big decisions. Treat the cause, not just the number. Comment TRT if you want to learn how to optimise your protocol. 💪

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