Before resorting to cabergoline (Caber) for prolactin control, consider these foundational steps to address the root cause of high prolactin levels:

1. Adjust Androgen Use

• Reduce androgens that contribute to prolactin-related side effects, especially 19-nor compounds (e.g., Nandrolone, Trenbolone).
• Increase non-aromatizing androgens, such as Masteron, to maintain anabolic balance while minimizing prolactin-related issues.
• If you cannot tolerate prolactin-related effects from 19-nors, lower the dosage to a more manageable level.

2. Control Estrogen Levels

• High estrogen can indirectly increase prolactin, so ensure estrogen is properly managed with AI use (if necessary).
• Use bloodwork to dial in optimal estrogen levels rather than over-suppressing, which can cause other hormonal imbalances.

3. Using Cabergoline if Needed

• If prolactin remains elevated despite adjusting androgens and estrogen, introduce Cabergoline cautiously.
• Recommended starting dose: 0.25mg (half tab) twice per week for 2-3 weeks.
• Check bloodwork after 2-3 weeks to reassess prolactin levels and adjust if necessary.

By following this structured approach, you minimize unnecessary Cabergoline use while addressing the root causes of elevated prolactin for long-term hormonal balance.