Elevated Prolactin, Phenibut Alternatives, Omega 3's | THRR161

I’ll start off by saying I love the podcast! I’ve been a listener since day one. The Paleo Solution was a real eye opener in regard to noticeably feeling different after eating “clean”.

I’m turning 40 next year and thought it would be a good idea to get a snap shot of where my Hormone levels are. I like to think I do a good job of being cognizant of eating well, sleeping, and training.

My recent hormone bloodwork:

LH 4.2

FSH 2.9

Testosterone 724

Prolactin 24.5

Need I be alarmed about my prolactin? From what I understand it can indicate a serious problem or just be due to endurance training.

Over the past 2 years I’ve been running a lot. I trained for and completed a 50 mile Ultra Marathon and a Marathon. As of late I am lifting (squats 2x a week deads 1x a week). My running mileage is low comparatively to a few months ago. Some pull ups and push ups every day. Besides just being fatigued from training at times I feel and think I perform pretty well. All though I don’t notice it work is a stressor and I’m certain that the shift work I do isn’t helpful.

I plan to follow up about my blood work. Should I be asking for a thyroid blood work? Is it dumb to just attribute the high prolactin to endurance training and low carb eating?

Omega 3's

Amy writes:

To omega or not to omega? That is the question. Kresser is going to try & sell me some tomorrow. Barry Sears says they’re the answer to whatever ails you. But Masterjohn says they’re basically poison, and we need more arachadonic acid, in fact. In the last podcast of yours I heard, you mentioned them briefly. What are you doing about them lately? (Feel free to use this for a podcast question if you like :) )

Alternatives to Phenibut for Mood/Well Being (if necessary)

Matt says:

I currently average 1 gram of phenibut a day to lift my mood & prevent anxiety and have played with periods of abstaining for 1+ months. I find only a little withdrawal symptoms so its not untenable however my baseline mood is not nearly as social and happy as I am with the small to moderate phenibut usage.

My question to you both is do you see a problem with it as most of the "research" out there is N=1 examples of people abusing and experience rebound anxiety. Are there other anxiolytics like ashwaganda? others? I should try and what are good sources as I am reluctant to grab off a random amazon wholesaler.

For context my sleep is dialed in at 7-8 hrs per night, daily 10 min meditation, yoga and fitness, and eat a paleo (+rice) diet.

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