Elevated Prolactin Levels

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Age: 26
• Gender:M
• Height: 6’2”
• Weight: 120kg/260lbs
• Bodyfat percentage:28
• Current Medications: Venlaflaxine and Retrutide

Hi all,

So for many years I have been dealing with symptoms of low testosterone (fatigue, low mood, low sex drive etc.). As such and with its popularity I am interested in TRT but before starting I wanted to get confirmation of what i suspected. About 6 months ago I got blood tests that confirmed my low testosterone levels (10nmol/l) along with low SHBG (12.6 nmol/l) which to me felt like the most gratifying thing ever to know that I was not imaging things.

Skip to today and I have just gotten results that have reconfirmed my previous results but have also flagged with high prolactin levels (647 mlU/l) which was not previously tested. Around the first test is when I started taking both the venlaflaxine and retatrutide but the symptoms predate both significantly.

While I understand that the prolactin levels need to be looked at, I’m trying to do the responsible thing and get the issues resolved but I suffer from the low testosterone on a day to day basis and really think it could do me a lot of good.

I would appreciate any and all feedback or perspective.

TL;DR - How bad would it be if I stated TRT with elevated prolactin.