Is this normal?

[Daisygreen]

My 91 year old dad was diagnosed in February 2019 with a psa of 1551. He had his first shot of Lupron March. His psa on June 3 was 52. He feels great. No pain and back to cutting his grass and walking without a cane. His second lupron injection was on June 3. He also received an Xgeva infusion. He now has low calcium but I guess that's a common side effect? Also a routine blood test on june 14 showed his psa is 59. Is he castrated resistant already?

[LearnAll]

I suggest you not jump to conclusion so soon. A few point difference in PSA can occur as lab error. Repeat PSA and see if it is increasing and has an upward pattern..

[NPfisherman]

He should have a PSA next month...The trend will tell you...

As for his low calcium, did he have a Vitamin D level also? That may need checked....

With the Xgeva, he will need supplementation and LE vitamins makes a product called--Bone Restorer----instead of swallowing the 4 capsules, open them and put them in applesauce or flavored yogurt......70% of daily calcium and various levels of other minerals needed for bone growth. Best of luck to you and Dad....

Don Pescado

[Tall_Allen]

It takes a while for the full effect of Lupron to kick in. He should supplement calcium and Vitamin D.

[Daisygreen]

Thank you all for your advice. I truly appreciate this forum. It's nice to know we're not the only ones on this journey.

[Magnus1964]

If Lupron has indeed stopped working, which I don't think it has, there are other ADT drugs he can go to.

[Hidden]

Sounds normal to me. I suggest that he tracks with monthly blood draws testing for at least PSA and T are in order. He should follow the recommendation of his medical oncologist that specializes in prostate cancer.

GD

[j-o-h-n]

You selling the cane?

Good Luck, Good Health and Good Humor.

j-o-h-n Friday 06/28/2019 2:24 PM DST