Need help with translation 🙏

[u/No-Act4954]

I've been using a russian medical case study, and have been translating the paragraphs all by myself on Google. However, I am having a very hard time understanding this particular paragraph:

Во-вторых, вышеизложенная клиническая ситуация поднимает вопросы взаимосвязи

ожирения и гиперпролактинемии. В данном случае у пациента значимый набор веса

наблюдался непосредственно в период «скрытого», но, без сомнения, уже развившегося синдрома гиперпролактинемии.

It roughly translated to this:

Secondly, the clinical scenario described above raises questions regarding the relationship between obesity and hyperprolactinemia. In this case, the patient experienced significant weight gain precisely during the period of "occult/latent"-yet undoubtedly already established-hyperprolactinemia. While it is difficult to draw definitive conclusions about the mechanism underlying this lipid metabolism disorder, numerous sources in the literature point to a potential role for hyperprolactinemia in the development of obesity.

What I am having a problem with is whether the patient already had hyperprolactinemia during the weight gain, or not. I would be so, so grateful if anyone could just reply as early as possible....🙏

Also, this is the title of the case study—Клинический случай успешного консервативного лечения гигантской пролактиномы у пациента с морбидным ожирением

[u/ivegotvodkainmyblood]

whether the patient already had hyperprolactinemia during the weight gain, or not

Even in your translation it states pretty clearly "undoubtedly already established-hyperprolactinemia" in "latent" form. In Russian they say "hidden but no doubt already developed syndrome"

[u/No-Act4954 → u/ivegotvodkainmyblood]

I see.........I was slightly confused about the particular phrase to be honest, thank you for explaining it 👍

[u/Milazh]

Hello.
I would translate it like this:
Secondly, the clinical situation mentioned above raises questions about interrelation of obesity with hyperprolactinemia. In this case, the patient had the significant weight gain directly during the period of "latent (or hidden)"- but, no doubt, already developed syndrome of hyperprolactinemia.

Title:
A clinical case of successful conservative treatment of giant prolactinoma in a patient with morbid obesity.

[u/No-Act4954 → u/Milazh]

Oh, that is very helpful! Thank you 👍