What did @maxlifts actually say?
The creator got blood work back expecting low testosterone or high estrogen, but found his testosterone and estrogen were normal. His prolactin was "through the roof," roughly double the upper reference limit. He's attributing a cluster of symptoms to elevated prolactin, has already followed up with his GP, and is waiting on a confirmatory blood test before pursuing treatment. He also asked followers who'd dealt with "hyperlatin" (presumably hyperprolactinemia) to share their experiences.
To be clear: he's not claiming to have a diagnosis. He's sharing a lab result, forming a hypothesis, and working through a medical system. That's a reasonable sequence of events. The problem is that 435,000 people are watching, and not all of them will absorb the "I'm waiting for a second test" part as carefully as the "prolactin is wrecking my hormones" part.
Does the science back this up?
Yes, to a meaningful degree. Elevated prolactin can genuinely suppress testosterone and cause symptoms that look like hypogonadism, but the relationship is more conditional than the video implies.
Prolactin inhibits gonadotropin-releasing hormone (GnRH) pulsatility, which can reduce LH and FSH secretion and consequently drop testosterone. This pathway is well-established (Molitch, 2011, New England Journal of Medicine). However, mildly elevated prolactin, say in the range of 20-40 ng/mL, often produces no symptoms at all. Significant reproductive and sexual symptoms typically emerge at higher levels, and macro-prolactinemia (a lab artifact caused by large-molecule prolactin complexes) can produce falsely elevated readings without any clinical consequence whatsoever (Fahie-Wilson and Smith, 2013, Annals of Clinical Biochemistry).
The GP ordering a repeat test is exactly the right move. A single elevated prolactin result means very little without ruling out stress, recent sexual activity, nipple stimulation, or the blood draw itself as confounding factors. First-pass prolactin results are notoriously noisy.
What did they get wrong (or right)?
Credit where it's due: the creator got several things right. Saying "I do think the prolactin is causing a feel of my symptoms" is appropriately hedged. Booking a follow-up test before seeking treatment is medically sensible. And the general statement that "having an out of balance hormone can have a lot of diverse effects" is accurate, if vague.
What's missing is important though. He doesn't mention that a single high prolactin reading frequently doesn't hold up on repeat testing. He doesn't mention macro-prolactinemia. He doesn't mention that if prolactin is genuinely and persistently elevated, the standard workup includes an MRI to rule out a pituitary adenoma (prolactinoma), which is the most common pituitary tumor in adults (Casanueva et al., 2006, Clinical Endocrinology). That's not a scare tactic. It's standard protocol. Leaving it out means viewers with similar results might not push their GP for imaging if the second test also comes back high.
He also doesn't share actual numbers, which makes it impossible to contextualize "double the amount I should have." Double 15 ng/mL is very different from double 100 ng/mL in terms of clinical urgency.
What should you actually know?
If you get a high prolactin result, here is what the evidence actually supports. First, repeat the test under optimal conditions: fasted, no sexual activity the night before, draw the blood mid-morning, and ideally request a macroprolactin screen at the same time. A significant portion of mildly elevated results do not confirm on repeat (Smith, 2003, Clinical Chemistry).
Second, if the repeat comes back elevated, a pituitary MRI is standard of care, not optional. Prolactinomas are benign and very treatable, usually with dopamine agonists like cabergoline, but they need to be identified.
Third, many medications raise prolactin: antipsychotics, some antidepressants, metoclopramide, opioids. If you're on any of these, that conversation needs to happen with your doctor before you start attributing symptoms to a primary hormone problem.
Finally, if testosterone is in normal range on blood work and your symptoms are real, prolactin is a legitimate thing to investigate. But it's one item on a longer checklist, not necessarily the villain in the story.