Advanced Prostate Cancer
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Keeping Bones Strong

Advanced prostate cancer attacks the bones most frequently. Xgeva, calcium supplements and weight lifting help to keep bones strong. Milk, yogurt and other dairy products can help bone strength too but I have read that dairy is an accelerator for advanced prostate cancer so we should steer clear of it. Have you folks heard the same? Any other suggestions to maintain bone strength?

10 Replies

Often ignored is the importance of estradiol [E2] to bone health. If E2 goes much below 12 pg/mL bones are going to weaken very quickly. Castration therapy is aimed at removing testosterone - the main source of E2 via aromatization.

So, everyone on ADT should get E2 tested & ask for a low-dose E2 patch if levels are too low. IMO

The knee-jerk reaction to bone loss is to throw calcium at the problem - often without success. & there are many other factors that are just as important to bone, including vitamins D & K, magnesium, zinc, boron, etc, etc.

I wouldn't use dairy as a calcium source, nor would I use high-dose calcium - the PCa literature warns against it & minerals should be kept in balance.




LabCorp Readings of Estradiol: 7.6...27...37...52...53...8.4... on 3 tabs .5mg Arimidex per week

something is wrong somewhere ..above are monthly readings



Hi Gus,

Were you on the BAT protocol for those readings? i.e. T not constant?

Even so, when my T has been ~1,000 ng/dL, 1.5mg Arimidex/week has always kept E2 at ~20 pg/mL.



As pj---said, keep the balance as to supplements--and I like to stay with Chelated Minerals with D3 and an Ultra K Complex, if not on blood thinners.



The best source of calcium is the kind found in bones. The mineral apatite, in bones, has exactly the right mix of calcium, phosphate, and other minerals. A good source is canned salmon - it has tiny bones that are digestible.

If you're going to take calcium supplements, do so in moderation. Intake of calcium over 604 mg/day was associated with risk of prostate cancer:

High intake of calcium (>1500 mg/day) has been associated with more aggressive prostate cancer


I came across a supplement a while back called "Dr Strums Intensive Bone Formula". It seems to contain everything mentioned above (except the salmon bones!) for bone health. Does anyone have an opinion about it? Seems like a convenient way of getting all the necessary vitamins and minerals in a single tab.

Supplement facts in link below:

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I’ve been taking Theralogix Prosteon for Bone Health for 3 years. It’s a nutritional supplement formulated to support bone health for men on hormone therapy. I started it at the recommendation of the urologist who first diagnosed my PCa in May, 2015. My family doctor and MO at the Mayo Clinic are both on board with it. I don’t know how much I can attribute to it, but I have had zero bone issues, zero bone pain, and the one metastatic lesion to my inferior pubic ramus ceased to “light up” the PET scan on my last 2 annual scans. I go back to the Mayo on 7/13 for my regular scheduled bone scan. I’ll post the results when I get them.

I take one tablet twice daily. Each has 250 mg calcium citrate, 500 iu Vitamin D3, 25 mcg Vitamin K1, 50 mg Magnesium, 25 mg Stontium citrate, and 0.75 mg Boron.

It’s non-Rx, but to my knowledge is only available online.


My husband (PCa spread to 2 lymph nodes) started Casodex last week. I shall pass this useful info on to him. Thanks for sharing!


You may find Joseph Keon's presentation helpful at YouTube: "Whitewash: The Disturbing Truth about Cow's Milk..." I am a vegan so I never consume any milk or milk-based products (e.g., cheese, ice cream, yogurt, etc. The short video below will give you insight into a large Swedish study that found milk predicts higher mortality rates in both men and women.



Got Milk?

Good Luck and Good Health.

j-o-h-n Monday 05/21/2018 5:30 PM EDT


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