Cabergoline

**Joshua H** · 10-05-2011, 11:58 PM

Originally Posted by Dr. Joel Nathan

Joshua,
Your case is complex. It would be best to sort it out with your health care provider as well as with an endocrinologist.
Regards,
Joel Nathan, MD

I have never needed nor asked for a referral to a specialist before. Is this something I pursue on my own or would I ask my primary doc to refer me to a endocrinologist?

**Dr. Joel Nathan** · 10-09-2011, 09:00 AM

Originally Posted by Joshua H

I have never needed nor asked for a referral to a specialist before. Is this something I pursue on my own or would I ask my primary doc to refer me to a endocrinologist?

Your primary care doc would refer you. The primary would know which endocrinologist he found was knowledgeable and helpful.

**GarlicChicken** · 10-12-2011, 01:04 PM

Originally Posted by Joshua H

I have never needed nor asked for a referral to a specialist before. Is this something I pursue on my own or would I ask my primary doc to refer me to a endocrinologist?

Joshua, have you underwent clomid therapy with your doc? I ask this because it seems to be the number one method of treating HPTA supression...used in conjunction with the caber it might just do the trick. I would talk to your doctor about it. Hope you come out on top with this issue man.

**Dr. Joel Nathan** · 10-19-2011, 05:44 PM

Why the interest in Cabergoline?
Cabergoline will decrease prolactin levels. Since prolactin is secreted post orgasm, it inhibits a second orgasm from happening until the refractory period is over. If you lower prolactin, the refractory period between orgasms is decreased.

**Joshua H** · 11-28-2011, 09:55 AM

1st Test Pre-Dostinex (Caber)

2nd Test 4 months Post-Dostinex (Caber)

So as we see here my prolactin levels did in fact drop down to the levels we wanted them to. A good thing of course. I was at 23ng/ml and not am under 3ng/ml. The drug worked well in that I got these outcomes in just under 5 months.

The REALLY shitty part is that my T levels both total and free have dropped BIG time in the same 5 months.

As you can see I went from 517ng/dl to 260ng/dl with both tests taken at the same lab, same time of day under the same fasted conditions. No differences in diet, cardio or training has taken place between tests either to confound the outcomes I can think of.

I have a follow up with my doc to discuss these numbers and our game plan on the 5th of Dec. I am curious as hell to learn his suggestions since the drug worked by my T also dropped which was the opposite effect we wanted from lowering Prolactin levels....?

I should note my libido has been shit the past 3 weeks or so as well which is not normal for me at all to put it simply.

This is really upsetting for a guy busting ass to gain even a little muscle each year. As an ecto don't I have it hard enough!!??

**Joshua H** · 12-05-2011, 11:46 PM

Today after a good long talk with my doctor we decided that Clomid would be an option suitable for my situation. However the possible side effects (nausea when taken, possible burnout due to leydig cell overstimulation and downregulation) did make it a less attractive option. That said he advised (with an endocrinologist consult) that starting me on test-cyp would be the best bet. We decided to go 300mg 1x per week for 3 weeks. We will retest in 8 weeks to see where my labs are then in hopes that my T levels are around 500-600 range or even a bit higher.

So as of today I had to make a big decision since I have not ever, prior to today never taken anything even close to a prohormone let alone full blown T injections.

I think any healthy, active 27 year old make who works as a strength and conditioning specialist with a T level of 260ng/dl would be willing and eager to get on a therapeutic dosing protocol as that's just damn well sad levels if you ask me.

**juiceinator3000** · 12-05-2011, 11:56 PM

Originally Posted by Joshua H

Today after a good long talk with my doctor we decided that Clomid would be an option suitable for my situation. However the possible side effects (nausea when taken, possible burnout due to leydig cell overstimulation and downregulation) did make it a less attractive option. That said he advised (with an endocrinologist consult) that starting me on test-cyp would be the best bet. We decided to go 300mg 1x per week for 3 weeks. We will retest in 8 weeks to see where my labs are then in hopes that my T levels are around 500-600 range or even a bit higher.

So as of today I had to make a big decision since I have not ever, prior to today never taken anything even close to a prohormone let alone full blown T injections.

I think any healthy, active 27 year old make who works as a strength and conditioning specialist with a T level of 260ng/dl would be willing and eager to get on a therapeutic dosing protocol as that's just damn well sad levels if you ask me.

300mg/week should put you well over 5-600ng/dl. I bet they end up lowering the dose on you eventually. You're lucky to get that dose, 200 is relatively standard and shitty docs prescribe 200 every 2 weeks.

**Anabolic77** · 12-06-2011, 12:31 AM

So what's the point of this drug. To lower gyno and you can cum more often?

**catthetrainer** · 12-06-2011, 01:46 AM

Originally Posted by Anabolic77

So what's the point of this drug. To lower gyno and you can cum more often?

thats exactly what it sounds like to me lolol

**Joshua H** · 12-07-2011, 10:23 AM

Originally Posted by juiceinator3000

300mg/week should put you well over 5-600ng/dl. I bet they end up lowering the dose on you eventually. You're lucky to get that dose, 200 is relatively standard and shitty docs prescribe 200 every 2 weeks.

My bad......its actually 300mg every 3 weeks for now. He feels that due to my higher then normal metabolism we may need to do 300mg every 2 weeks for the first month and then 200mg every 2 weeks after that. I am supposed to follow up in 10 days to let him know exactly how I feel in reference to strength, energy, vigor, libido and recovery. That will let him decide if I need another injection 2 weeks from the first or 3 weeks.

I am pushing through a nasty ass head cold right now so any benefits now are being masked by a head full of mucus and a throat raw to the bone plus a mildly suppressed immune system. Been 48 hours since the first dose as of this writing so will see where things go here on out.

**Joshua H** · 01-09-2012, 06:37 PM

So I got my first 2 T injections (enathate) at 300mg each. One Dec 5th and one Dec 20th. My levels just prior to this were 260ng/dl for total T. Pretty damn low yes.

I went back in on Friday for follow up to these 2 injections to see where I was at and how I was responding. My weight had stabilized but not gone up much from the 192 I was at just prior to HRT started. My levels now are 216ng/dl. Mind you my SHBG is right where it was both times so no changes there. % free T is the same but total has dropped (it also dropped from 532 to 460 to 260 in 6 months time with little change in sleep, diet or training). So this leads me to my purpose in this post.

My doc is going to put me at 400mg every 3 weeks as of tomorrow in hopes this gets the levels up. My concern is weather or not I should still be training balls out with T levels in the freaking low 200's at 27 years old and healthy!?

I lift 4 days a week powerlifter like for about 90 minutes. I do 3 HIIT sessions for 25 minutes on my rest days. I eat no less then 3000 calories a day even on rest days or even when super busy at work. I push for 4000 most days I can feasible find the time to do so. I sleep 7-8 hours a night with maybe 1 night less then 6 hours pending work needs.

I rarely drink, dont smoke, dont do drugs, never did pro hormones etc.

I am prepping for my 2nd ever powerlifting meet on Feb 4th right now and so far so good with my maxes going up week to week but my weight is struggling like hell to hold at 195 (used to be right around 205ish back in spring 2010)

Would it be better to just back off a bit or drop to 3 workouts a week? Drop out cardio? Can you even build any real muscle with T levels around 200ng/dl?

Thoughts?

**juiceinator3000** · 01-09-2012, 06:48 PM

Your doctor is a retard. By the time you take your bloodwork there is no testosterone left in you. Tell him he needs to dose you weekly, ideally twice a week with cypionate. Unless he wants to ruin your life.

**juiceinator3000** · 01-09-2012, 06:50 PM

You seriously need to tell him to read on hrt. He's gonna fuck you up with injections 15 days apart.

**GarlicChicken** · 01-09-2012, 07:12 PM

So you're saying you are getting cyp injections every 3 weeks? That's retarded. 2 weeks at the maximum. Your levels are fluctuating, that's probably why you keep testing low. I would imaging you are getting blood drawn right at the end of the three weeks? That would make perfect sense that your levels are coming back low. At 100/week you should come back somewhere in the normal range. Maybe low, but still normal. Try to get your doc to do at least biweekly injections. He should understand that cypionate has a half life of I believe about 16 days...don't quote me on that, but its much shorter than three weeks.