Dear Dr. Roach: I am a 63-year-old man. At a recent visit to my endocrinologist for my annual thyroid check , I revealed that I have been suffering from fatigue and erectile dysfunction. After additional blood work was performed, my doctor indicated that I have low testosterone levels and high prolactin levels.
The most important next step is to discover where the prolactin is coming from. In addition to a careful exam, an MRI scan of the brain is normally recommended. Unless your endocrinologist is sure the prolactin is coming from a medication , it’s critical to be sure that there isn’t a tumor causing high prolactin levels. Very high levels almost always indicate a tumor.
Dear Dr. Roach: I am a 35-year-old woman and have recently began donating blood regularly. My hemoglobin level was initially around 15 g/dL when I started donating, and it has tapered down to around 12-12.5 g/dL with regular donations. 12.5 g/dL is the minimum requirement for donating. I had to wait an extra month after I didn’t meet the requirements to donate.
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