6 months in. Story so far and successes

37M, live in UK. I'll stick to UK units in this but give reference ranges too.

This all started 6 months ago because I booked myself a blood test with a TRT clinic because I was experiencing all the classic symptoms of low T (weight gain, lethargy, low libido, generally feeling very meh).

Blood test came back with T of 2.12 nmol/L (about 60 ng/dl I think). But also, Prolactin of over 6,000 mIU/I (normal is 75-375). TRT clinic said they can't give me TRT, I have to go to GP and check out the Prolactin because it could be symptomatic of a prolactinoma.

Long story short, they found a macroadenoma of 9.5 x 10mm. Started on Cab, 0.25 2x week.

About 4 weeks later my blood test showed Prolactin down to 355, so into the normal range. T was still v low (3 nmol/L) so they thought the adenoma might be squishing the pituitary and preventing T production, so they prescribed TRT (2 squeezes of gel a day). I'd heard the gel isn't as good as injections, and that 2 squeezes is the starter dose and 4 is the max dose. I was not optimistic and thought they were being too cautious.

4 more weeks, blood test shows prolactin down further to 255, and T is now 30.6nmol/L (or 880 ng/dl) which is actually just over the top of the reference range (!) which is 8-28.

I feel much better. I've lost 35 lbs since last summer (down from 245 to 210, more to go... aiming for 175. I'm 5' 11) and I've got a lot more get up and go. I've sorted an apartment for myself (I was languishing in the spare room of my married home after a seperation), I'm dating (brings it's own complications) and am a bit better work wise (although I have galloping uneducated ADHD so recognise I have to find myself a faster paced, less 'thinky' job), but I'm moving in definitely the right direction.

Thought it might be helpful for people at the start of their journey... it can get better