Hi welcome to HCM I have gone thru your query regarding your high prolactin level and severe headache . It is a matter of concern . Dear ,normal prolactin level should not be higher than 200 . The higher the prolactin level, the more likely a pituitary gland tumor is present and CAN BE CAUSE OF YOUR SEVERE HEADACHE for which you should consult you doctor for MRI or any test required . Many conditions can affect prolactin levels . Liver disease (cirrhosis), kidney disease, and hypothyroidism.. lack of sleep, Stress can significantly raise prolactin levels and suppresses the Dopamine Hormone which helps stay focused, productive and motivated . Your derailed life style and faulty food habits is responsible for your ill health . Rectifying the conditions will take you to path of recovery . Modifying your life style food habits , including regular exercise - walk ,yoga , jogging , swimming, any of them for 30 - 60 minutes and pranayam -deep breathing , KAPALBHATI , Bharamari PRANAYAM meditation & sound sleep ,and balanced diet should be included accoding to the deiticien s suggestion Studies found out that a single dose of 300 mg’s vitamin B6 found in whole foods diet rich in fruits and vegetables, especially dark, leafy greens, is thought to optimize anyone s health. The diet should also include whole grains;for fiber , legumes, especially soybeans; nuts and seeds; and cold-water fish Almonds, bananas, low-fat dairy, and,& Antioxidants ,sesame and pumpkin seed : Peppers, oranges, strawberries, cauliflower, Brussels sprouts Nuts and sunflower seeds, greens, broccoli, carrots and increase serum growth hormone level significantly while also causing a sharp decline in prolactin levels in human & sustains health NATURALLY . and have no side effects . Avoid fine ,fried .fast foods ,tea coffee ,alcohol , smoking , hydration , un necessary medication . sleeplessness ,constipation ,stress , anger. All increase toxins , lead to ill health If You are taking Cabergoline ,I am sure you have consulted your doctor for that . Inform him /her any side effects you undergo . Cabergoline treatment, may inadvertently affect their ability to keep their blood pressure within normal limits, creating intense discomfort, dizziness, and even fainting upon standing and walking until the single first dose clears from their system ,I am sure you have consulted your doctor for that . Inform him /her any side effects you undergo . Hope this helps solve your query Take care All the best