Expected drop in PSA after single Lu... - Advanced Prostate...

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Expected drop in PSA after single Lupron shot.

Jamesrh profile image
17 Replies

In November I had 10 days of Vitamin C and ALA infusions , in mid November I had a single injection of Lupron, and in mid January I repeated the infusions for 10 more days' worth.

I had an 8 year old RP and a one year old metastasis to one node. My PSA was 65 in December when I got the Lupron. By mid February, my PSA was .2.

Is this what would be expected of a single Lupron shot, or does it appear that the infusions helped?

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Jamesrh profile image
Jamesrh
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17 Replies
FCoffey profile image
FCoffey

No way to know. The N=1 problem. That's a great response - whatever the reason.

Tall_Allen profile image
Tall_Allen

That's a good response to Lupron, but you may be able to improve it by adding Zytiga. Zytiga was recently approved for use in men who are metastatic but still hormone-sensitive. I'm suspicious of untested remedies like those infusions, but there is some value in making you feel that you are taking some control.

Jamesrh profile image
Jamesrh

Thx, I have been using complementary medicine md with extensive experience and a regular MO at MSKCC and will ask about these ideas and report. MSKCC md did not give me scheduled second shot because I was getting too tired driving and I believe he may have been pondering the rapid response. Should see him within a couple of weeks. ,MSKCC has strengthened its integrative medicine center and started this year to include

supplements in its treatments.

FCoffey profile image
FCoffey

I have been taking vitamin C IV infusions for years. I'm getting one today. I take liposomal R-ALA, vitamin C, and GSH/glutathione every day.

My Lupron experience did not go well at all. The testosterone dropped to quite low levels, but the PSA did not. The side effects were severe. My oncologist wrote that I had "multiple grade 3 toxicities." I had to look up the grading system - Grade 1 is annoying, Grade 5 means you are dead. I had to stop ADT, it was literally killing me.

My experience doesn't invalidate yours. As I wrote initially, yours is a great response, and I hope it continues for you.

Jamesrh profile image
Jamesrh in reply to FCoffey

I have been lucky so far with the side effects: short spells of depression (few hours), fatigue (Starbucks treatment works) and very mild flashes, barely detectable. As you point out, not yet many innings.

Bigpike profile image
Bigpike

I went from 147 PSA to 0.1 in 60 days, I was blessed with good response.

Jamesrh profile image
Jamesrh in reply to Bigpike

Good to hear mine was not a fluke. Thx.

DW1986 profile image
DW1986 in reply to Bigpike

What did that mean for you afterwards? Treatment wise?

Jamesrh profile image
Jamesrh in reply to DW1986

I got a second - one month- shot in the spring following the 90 day shot in January. In July the PSA started to climb, reaching 3. In November, a year after the first shot it had reached 25. The doctor switched me to Casodex and to date, one month, it has fallen to 2. The malignant node had returned to normal after the first shot.

DW1986 profile image
DW1986 in reply to Jamesrh

So just strictly hormone treatment? My dad is on a lot of alternatives and has his last 3 month shot at the end of this month. PSA has dropped from 36 to 0.9 after 2 shots. But they want to start Chemo soon? We don't understand why if the psa is continuing to drop. They have already said it's to manage the cancer. But surely if the psa is sitting at a very low number it's being managed? Is that how u avoided it?

Jamesrh profile image
Jamesrh in reply to DW1986

I have pursued an extensive complementary medicine regimen which may have helped. The base line accomplishment is that the rest of my 83 year old body is in good condition. The doctors make comments like “these are the numbers of a 20 year old”. Considering that at my age a lot of illnesses develop outside the cancer, it seemed prudent to do what I can to keep them at bay. Some of the numerous supplements also are touted as elements making the body inhospitable to cancer development- who knows?One of them ,the malaria medicine Artemisinin, may actually destroy cancer cells rather than inconvenience them. I am in personal touch with a few well informed and credentialed non-oncologists who have counseled a conservative approach to treatment. I passed on the 44 session radiation treatment and have not regretted it . Following a number of adverse reports, a friend nevertheless proceeded with the treatment at a top institution with a renowned oncologist . It worked on the PSA but he now has a couple of the persistent negative side effects.

I also have gone for three two week visits to be infused with vitamin c and alpha lipoid acid and I take low dose naltrexone.I cannot evaluate whether they have helped, but with all this, the cancer knows I am in the game! My oncologist is not even talking about chemo and seems intent on delaying even the Lupron. Side effects for me have been minimal.

KenDuchek profile image
KenDuchek

Hi,ken here. My psa of 72 dropped to less than .1 on my first lupron shoot,which is a 3 month injection.happy thoughts.

G9doingfine profile image
G9doingfine in reply to KenDuchek

I have had quick and major drops to undetectable psa very soon after HT. The first time prior to RRP in a clinical trial with xtandi , the second time on Lupron following a recurrence .

Is a fast and quick drop to undetectable favorable for long term remission ? Or just favorable for a fast and quick drop to undetectable that will become CR sooner than later ?

Jamesrh profile image
Jamesrh in reply to KenDuchek

thx, very similar

DW1986 profile image
DW1986 in reply to KenDuchek

What did that mean for you afterwards, treatment wise?

VN6465 profile image
VN6465

Who is best to follow bloodwork , side effects, etc and make recommendations? MO or primary care doc?

Don_1213 profile image
Don_1213 in reply to VN6465

My GP has me do a full blood panel at least every 6 months. He prefers every 3 months, but sometimes the less than full blood panel my Medical Oncologist has me do has to suffice.

The medical oncologist (actually ALL the specialists treating me) tend to be very focused on what they pay attention to. My GP pays attention to everything. We discuss changes in results, good or bad, and what to do about them.

I've been seeing the same GP since about when he got his license at least 30 years ago.. so he knows what goes on in my body fairly well. Find one you like and trust - it can ease treatment even for your PCa (my GP had no issue giving me a metformin prescription... where I've heard of other people being told since they didn't have diabetes the GP wouldn't prescribe it. Hell - almost everyone in our age category is in the "pre-diabetes" category so there shouldn't be an issue.)

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