I.would have Dr check ft3 ft4 rt3 total t4 and antibodies. If.you are.near London i have an endorsing which.may be able.to.help. Prolactin can be driven by low dopamine or low thyroid ( primary or.secondary) ..One.needs to.find the root cause as.not.just address symptoms. In England.there are multiple factors i run into.clients over there. Number one is crappy diets and lifestyles.which need to be addressed before even touching.hrt in younger guys <35. Second.is piss poor.genetic ..>70% have mthfr mutation on.top of about 15-20 others. These can cause issue.from.neurological to toxins being built up.over years. One needs to.look at all.variables with genetic at the top.of the list ..