How to Control Prolactin Levels During Steroid Cycles and PCT

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Hello everyone! I wanted to share some useful information on managing prolactin levels, especially for those in the post-cycle therapy (PCT) or ancillary drug section. Prolactin is a hormone that can cause significant side effects if levels become too high during or after steroid cycles, so it's important to know how to manage it effectively.
What Causes Elevated Prolactin?
Certain steroids, particularly 19-nor steroids like Deca (nandrolone) and Tren (trenbolone), are known to raise prolactin levels, especially when combined with other steroids like testosterone. These steroids are recognized by the body as progestins, which can increase prolactin levels.
In addition to Deca and Tren, other substances can also contribute to elevated prolactin levels:
• Testosterone: Though less likely to cause prolactin issues, it's still worth noting.
• Peptides: Growth hormone-releasing peptides such as GHRP-6, GHRP-2, and Hexarelin can increase prolactin levels.
• Antidepressants: Certain medications for depression are known to raise prolactin.
• Thyroid Hormones: Imbalances in thyroid function can also affect prolactin regulation.
Symptoms of High Prolactin
Elevated prolactin can lead to several unwanted symptoms, including:
• Low libido
• Anorgasmia (delayed or absent ejaculation)
• Erectile dysfunction
• Puffy or sensitive nipples
• Discharge from nipples
• Fatigue and lethargy
• Depression
• Suppressed testosterone production
One of the most concerning issues with high prolactin is that it can cause a significant drop in testosterone, making PCT more challenging or even ineffective. Prolactin can also contribute to prostate problems in men.
How to Control Prolactin During and After Steroid Cycles
Aside from using an AI (like Arimidex or Aromasin) to manage estrogen, controlling prolactin is key to successful recovery. The main options to control prolactin are dopamine agonists, which help lower prolactin by increasing dopamine levels. Here are the most commonly used drugs for this purpose:
1. Cabergoline (Dostinex)
Cabergoline is one of the most popular choices for managing prolactin levels due to its long half-life, allowing for dosing just once or twice a week. It's generally well-tolerated, with fewer side effects than other options.
• Typical Dosage: For cycles with testosterone and around 400mg of Deca, 0.25mg twice a week is usually sufficient. If needed, you can increase the dosage to 0.5mg twice per week.
• Important Note: Cabergoline is often expensive, but it can be very effective in keeping prolactin levels under control. It might take about 2-3 weeks to notice its full effect, so be patient with adjusting the dosage.
2. Pramipexole (Mirapex)
Pramipexole is another dopamine agonist that works even more effectively than Cabergoline for prolactin suppression. In addition to reducing prolactin, Prami has been shown to boost growth hormone levels by up to 300% in healthy individuals, making it an excellent choice for those looking for additional benefits.
• Dosage: Start with a very low dose (0.125mg) and gradually increase it to 0.25mg per day. For more significant prolactin suppression, some users go up to 0.5mg per day. Prami can be taken at night before sleep to minimize potential lethargy. Higher doses (1-2mg) are needed for GH-boosting benefits.
• Caution: Gradually increasing the dose is crucial to avoid side effects. The goal is to minimize adverse reactions by taking it slowly.
3. Bromocriptine (Parlodel or Bromo)
Bromocriptine is another dopamine agonist that can be effective for lowering prolactin. However, it tends to have more pronounced side effects compared to Cabergoline and Pramipexole, and some people find it harder to tolerate.
• Dosage: Bromo has a shorter half-life, so it needs to be taken 2-3 times a day. Start with 2.5mg per day, split into two doses. If needed, you can increase the dosage to 2.5mg twice per day, but be cautious of potential side effects like nausea or dizziness.
• Side Effects: Some users experience more noticeable side effects compared to other dopamine agonists, so it’s essential to monitor your body's response carefully.

Managing prolactin is crucial for maintaining healthy hormone levels during steroid cycles and ensuring a successful PCT. Using dopamine agonists like Cabergoline, Pramipexole, or Bromocriptine can help keep prolactin levels in check, preventing the unwanted side effects associated with high prolactin.
Thanks for reading!
 
Quick question: Does the elevated prolactin cause any long-term damage if left untreated? I’ve had some signs (low libido, mood swings), but I’m not sure if I need to see a doctor or just adjust my PCT regimen. Anyone experience prolonged issues even after taking meds like Cabergoline?
 
Quick question: Does the elevated prolactin cause any long-term damage if left untreated? I’ve had some signs (low libido, mood swings), but I’m not sure if I need to see a doctor or just adjust my PCT regimen. Anyone experience prolonged issues even after taking meds like Cabergoline?
High prolactin can mess you up long-term—think low T, fertility problems, or weak bones if you let it slide. Best move? Hit up a doc to figure out what’s really going on (could be a prolactinoma or just PCT messing with you). Caber works, but you gotta tackle the root cause to dodge lingering issues.
 
High prolactin can mess you up long-term—think low T, fertility problems, or weak bones if you let it slide. Best move? Hit up a doc to figure out what’s really going on (could be a prolactinoma or just PCT messing with you). Caber works, but you gotta tackle the root cause to dodge lingering issues.
Thanks a lot, bro!
 
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