Ashim Matthan: Hi! Everyone. Welcome to the RhinoMight Podcast. My name is Ashim and I’m here with Dr.Kanishka

Dr. Kanishka Jain: Hi! Everyone.

Ashim Matthan: So we’ve taken a small break from our last episode, Episode-4 and this is Episode-5. We’ve had an increase in patient load so we’ve not had much time to record podcast but we want to get quality information out to you guys so we’re gonna try to be more regular with this. And today’s Episode-5 is about a question that we came across on Reddit, a couple of weeks ago and it was about a gentleman who was going to start a Testosterone blast and he wanted to know if his Prolactin levels were going to increase on that blast. Now we’re going to break up the answer to this in like 4 sections The first one is like a short answer. Section-2 is going to be about, ‘How to detect high Prolactin levels’. Section-3 is going to be about ‘How to prevent high Prolactin levels’, and Section-4 is going to be ‘How to reverse high Prolactin levels’. So with that being said the short answer is that while it is extremely rare for Prolactin levels to increase on a Testosterone blast Yes, it can happen. If you are someone who has never ever taken steroids before, never taken any hormones before then it’s very unlikely that you’re going to be experiencing Prolactin levels that go up on a Testosterone blast but if you’re someone who has for example got a history of using Trenbolone or other chemicals then yes you should be worried about Prolactin levels going up. You could be susceptible to that and the reason why this happens is regardless of whichever… which demographic you fall into, the reason why Prolactin levels go up is because your body has a genetic threshold. Now, what happens is when you take Testosterone and you blast Testosterone which is something we’ve covered in previous videos if you blast TEST, your.. your Total Testosterone is going to go up that is going to cause a trigger effect where beyond a certain point, beyond a certain genetically determined threshold which is different for every person once your Testosterone hits that level it’s going to get converted to Estrogen. Then excess Estrogen in turn is going to get converted to Prolactin, and that is how indirectly high Testosterone, Super high, super physiological levels of Testosterone could sometimes get converted to Prolactin. This is how it happens.

Dr. Kanishka Jain: So how to detect it? There are clinical signs which you notice when you have a high Prolactin level, where you have a lack of sex drive, a lack and a loss of libido where your morning erections tend to vanish and things that were exciting and stimulating you don’t excite and stimulate you anymore.

Ashim Matthan: So what Dr.Kanisk is saying is that you’re going to be having.. There are going to be a lot of qualitative changes to your life that you got to be aware of. I think we reiterate this in every single video. But when you’re going to be taking any of these chemicals, when you’re going to be on HRT, TRT or even if you’re just going to be blasting steroids, you have to be hyper aware of yourself. You have to know certain things, You have to know like okay I used to wake up with morning erections every single day and then I go from that to like not even having erections at all. If you go from wanting to have sex regularly to just not be interested in it. If things before that used to arouse you don’t arouse you anymore, you have to be aware. And the second this type of changes take place then yes you have to be really really concerned because it could be Prolactin levels and one of the things that I think.. Dr. Kanishk will also mention is that you could on some rare occasions even suffer from headaches, right?

Dr. Kanishka Jain: Yes. So when you have high levels of Prolactin that can lead to headaches. So in short to cover it, how to detect it? Clinical signs – lack of libido, lack of sex drive, lack of interest in sex, headaches these are the signs that you need to watch out for High Prolactin.

Ashim Matthan: But these are clinical, what else can we do to?

Dr. Kanishka Jain: So the next thing that we can do is get a lab test done Where you do a blood test.. blood checkup for your Prolactin levels. We suggest that you check yourself before you go on a TEST blast and in between if you are susceptible to these kind of issues so you know what was your baseline and what is the value after starting the TEST blast.

Ashim Matthan: Right, right. So exactly, so you are saying to compare. All right, that takes us to the point number three and section-3 is going to be about how to prevent High Prolactin levels and if you are getting high Prolactin levels what you should be taking is; there are three chemicals that you can supplement into your system which will really help you. I’m just going to give you a brief overview of it and then Dr. Kanishka is going to break it down. So you should be taking vitamin B6, you should be taking vitamin E.

Dr. Kanishka Jain: Actually, so to prevent it you would need a high dose of vitamin B6, it can be anywhere between 50 to 100 mg per day. You can also take vitamin E, which we would suggest would be around 30 mg or 400 IUS per day to start with. You may even require up to 600 IUS and something called as S-Adenosyl methionine, which is SAM, which is an over the counter supplement which has also helped in reducing Prolactin level for a lot of patients, and also in prevention. Then the last thing that we come to goes more towards the reversing off the high Prolactin levels, that is Cabergoline.

Ashim Matthan: Right, so the way we would do it is that.. and I think we do this with every single side effect of any chemical that can ever happen is that because you’re going to be hyper aware, now that you know that you should be aware of every little, small thing that could possibly change. So if you’re going to be aware of this, and the second you notice a change, you nip the problem in the bud, you don’t wait for it to fester and You don’t have that attitude.. lackadaisical attitude where you just let the problem grow, right? Or you just assume that it’s just gonna vanish because it’s not. Any side effect that comes in it’s not just a storm that you’re gonna ride out. You know like when.. when we start squatting, and i’m just going to equate this to training for a bit when anybody starts like strength training and they get to a certain level, maybe it’s going to be at like 275 pounds or at some point in your squatting you’re going to go through these like aches and pains in your knees and you’re going to be thinking at that time.. I mean this is for natural lifters and just for like mostly beginners or like not beginners but mostly towards intermediates, whatever you want the label to be, it doesn’t really matter. But the point is that at some threshold they’re going to be like yeah my knee problems are there and I probably want to just wait it out and ride out the pain and it will go away, and yes most times it will but when it comes to chemicals, that attitude cannot translate into this.. it doesn’t work. If you get side effects you’ve got to address it right there and then. and if you get these side effects you should be… if it were up to Dr. Kanishk and me, the way we do it.. Actually, why don’t you talk about how.. how would we do it if in a clinical.. we have these types of cases if a patient comes in and we know that they’ve got a history of Prolactin issues and say this is on a TEST blast this happens to them.

Dr. Kanishka Jain: Yeah. So there are a lot of chemicals that can increase Prolactin levels. Our first job is prevention, where we tell them not to go into those chemicals which are the Nandrolone family, Most likely to cause high Prolactin issues. Then when you are doing a TEST blast you scale up gradually and slowly, you don’t allow these kind of issues to build up overnight. You allow them to come gradually. If they are coming gradually the chemicals that you are supplementing yourself with, they will prevent this. But if this still happens you can run small doses of Cabergoline to control the Prolactin levels. A Cabergoline dose can be around 0.25 which is one tablet or half a tablet a week repeated again after three days and see your effects, like if you’re still getting the lack of sex drive, the lack of libido then the Prolactin levels have not been controlled, you need to cut down on your dose of the Testosterone blast.

Ashim Matthan: So say someone has gone up, say they scaled up from like 0 to 500 which seems to be a really small amount for anybody considering it to be a blast, and say they go to 500 mg a week and they start developing these issues so we will of course put in all these chemicals and then we also start lowering the doses… say 500 goes to 350, 350 goes to 250, all right. And say at 250 there are no problems anymore and then we start scaling it back up, so we normally scale it back up in the same way that we scale down.. like gradually we raise it back up and at that time we hope that the second run of it you’re not going to be getting these issues and the second it happens you know what your threshold is, say it is 420 or whatever.. we we like to do a very frequent dosing so that’s why our number is always like multiples of seven or like six or something like that.

Dr. Kanishka Jain: A good TEST blast would have you flying off the radar or flying.. like achieving things that you thought were not possible like workout to workout you will be beating your PR’s, you will be beating the reps Yeah. And that’s how you know that the TRT or the Testosterone blast is working for you.

Ashim Matthan: Yeah, that’s not really TRT that’s the Testosterone blast.

Dr. Kanishka Jain: Yeah.

Ashim Matthan: But even on TRT you should be like flying way above what you were normally flying at a zero. So there’s always that.. um Yeah so I think that we’ve covered everything to do with Prolactin, and just to wrap this just do a quick summary so everybody who’s tuned in like gets the final gist of it.

Dr. Kanishka Jain: Yes. So, we covered this in four parts: Can Prolactin levels rise on a TEST blast? Yes they can. Can it be detected? Yes it can be detected with clinical signs. We have lack of libido, lack of sex drive, sometimes headaches. Then third is how do you can prevent it? You can take vitamin E, you can take vitamin B6, you can also take something called as SAM and Cabergoline. Cabergoline goes towards the treatment. So if you were to treat it, you would reduce your dose of the Testosterone blast and you would take Cabergoline once or twice a week till your levels are normal or you feel good at a lower dose without the.. without the need of Cabergoline.

Ashim Matthan: Right. And there’s another thing that I want to mention is that people who are prone to Prolactinemia, Testosterone is a wonderful solution to it.. um.. and if you are running Testosterone over a period of time as long as you are running it within TRT limits which is when you’re not blasting, keep in mind this question was about a blast. This question was not about someone who was just taking TRT levels of TEST and all. It was about someone was considering blasting Testosterone, so if you’re going to be blasting it and you know that you’ve got these issues it would be better to not blast and to just run a TRT version of Testosterone or TRT dosage of Testosterone for a longer period of time and you’ll probably still get like really good effects.

Dr. Kanishka Jain: Yes.

Ashim Matthan: Right?.. I think we’ve covered everything and thanks a lot for.. uh.. for listening to us and we hope to see you soon. Thank You.

Dr. Kanishka Jain: Bye.