Leibowitz Protocol

This may be old news, but here is something I ran across that is interesting...

compassionateoncology.org/p...

[Dan59]

Dale, Thanks for posting this. IMO Dr Bob is one of the most forward thinking Drs in this disease. Many of his ideas have been proven and adopted 15 years after he started using them. He was one of the first to start with TRT.This is an old paper. Dr. Bob pioneered many things in APC

[Hidden]

Interesting but there is not science behind this protocol. Dr Bob never published a randomized prospective study about his protocol or for that matter a study in metastatic prostate cancer .

[Hidden in reply to Hidden]

I'm guessing he was more of a practitioner than a researcher. Reminds me of a very well liked Physics professor at the college I went to. He was a terrific teacher but was disrespected (not by his students) for his lack of scholarly papers.

[Dan59]

I find it interesting that this paper was written in 2001,before docetaxol was even approved, and in it Dr. Bob states that he has been using chemo upfront with adt for 10 years, that would put his use of upfront chemo with initial adt 25 years before the rest of the Prostate Cancer world caught on around 2015. What else was he right about, perhaps the use of testosterone when in remission, this is currently still in clinical trials. Perhaps these are some of the reasons to go to a PC specialist in private practice, of which there are not many,who is not tied to the Standards of Care that other Drs. Are tied too, All the best. Live long and prosper.

[Hidden in reply to Dan59]

Dan, this is all new to me, but I agree with you and Dr. Leibowitz is an excellent case-in-point. The more I dig into this, not just research and treatments, but actual patient outcomes, the more convinced I am that I need to stay away from institutions that employ evidence-based practices. I want an MO who is going to treat me based on my statistics, not someone who is just going to give the standard-of-care for whatever-ails-you.

[Dan59 in reply to Hidden]

Dale there is nothing wrong with evidenced based medicine. I think at the present time ADT added to early zytiga or chemo is pretty state of the art, perhaps the LU177 is in the future. I am a fan of using adt3 when doing adt ,that being Lupron, zolodex, eligard , or firmagon, firmagon perhaps best in class , along with an antiandrogen like casodex or nilandron to block adrenal androgens and a 5 alpha reductase inhibitor, avodart /dutasteride being best in class to prevent t from converting to the more lethal form dihydrotestosterone, which may be controversial to some, but not to Myers or Liebowitz. The only expert MO I can think of currently in private practice and one of the best IMOwould be would be Dr Sholtz in Marina del ray,CA

[gusgold in reply to Hidden]

not a lot around...myers retired...that leaves leibowitz and Dr. Nalakrats...Nalakrats has killed 83 patients with his protocols and saved 7...maybe you will be one of the lucky ones...after looking at his pic I think I will treat myself.

funnypica.com/wp-content/up...

[Hidden in reply to gusgold]

Ha! 😂

[j-o-h-n in reply to gusgold]

Only 83?

His wife BTW:

giphy.com/gifs/woman-fat-gr...

Good Luck and Good Health.

j-o-h-n Monday 02/12/2018 1:23 PM EST

[Hidden in reply to j-o-h-n]

Big girls , don’t cry.. made me walk to do jumping jacks.

[Dan59 in reply to gusgold]

Gus, I am sure glad we have Dr. Nalakrats and Patrick here to keep us informed. Gus IMO it says a lot about a guy if he is nice to dogs, You have a great group of Dogs and I am glad they have you. Just got in from Florida , did not find any gators where I was, I was looking.

Dan

[Hidden in reply to Dan59]

Yah! Dogs know good people !!

[gusgold]

Dr. Bob.....I read most of his papers and had a telephone consultation....His big thing was ADT3...for 13 months...then never do Lupron again to prevent CRPCa....use radiation or chemo....rat poison or Gator Blood...PCa will not kill you in the vast majority of cases until it becomes CR

[Hidden in reply to gusgold]

Interesting. I posted an audio from Dr. Meyers about durable remissions. I believe he talked about that.

[paulofaus]

I read just about every paper Dr L has published. They all sound very inspiring, also are his youtube videos worth a watch. I wonder why he doesn't publish his results or clinical trials? He always seems to discuss his success stories, but it would be nice to know his strike rate. I live in Australia and I seriously considered going to see him in L.A. but the practicalities made it too difficult. He had a young doctor working with him called Dr Steve Tucker who is now living and working in Singapore, which is closer to home for me. I haven't been to see him yet, I'm not sure why, I think its because he seems to be a generalist now, covering not just other cancers besides PCa, but also other medical conditions. I think it's hard to be a jack of all trades with this condition as there is so much to know/learn. If I were in the US Dr L would be high on my list, but I think he's either retired or on the way to retiring.

[Hidden]

I've got to decide between Dr Amato in Houston and Dr Pienta in Baltimore. I know what Pienta is offering, but I have no idea what Amato is offering. I would be in a trial for Pienta and that would probably exclude me from any drugs other than those being used in the trial. From what I've read, I think I'd like to take Metformin while taking the Lupron and maybe even a statin drug. Cholesterol is about 230 anyway, although I've read that the prostate is the second largest producer of cholesterol in the body (and mine is out). Also interested in Adovart after completing Lupron. Pienta is offering 2 years on Lupron started at the same time with taxotere and casodex. Six to eight weeks after chemo, salvage radiation and targeted radiation to any mets that show up on a scan. After it's over, it's a waiting game to see if and when it comes back. It seems like the longer you can keep it in remission, the lesser the odds of it coming back.

[Hidden in reply to Hidden]

I say it’s good that you do have choices..I’m searching for answers of what to do next.. A degree in chemistry would help. Whatever you choose I hope it’s best for you..