Happy Monday, everyone. My pilgrimage to Rochester, Minnesota went well, last week. 656 days post diagnosis my PSA is, again, dropping after a modest post-radiation flair--now down to 0.14 (from the low three digits in April of '18). I'm pleased with the trajectory but I don't think I'll make it to zero by the two-year anniversary or my 53rd birthday. I'm probably in for a long slog on ADT and Zytiga. The radiology report is encouraging..."Decreasing uptake in the recently irradiated RIGHT humeral lesion. Decreasing uptake in the T9 vertebral body metastasis. Numerous other sclerotic skeletal metastases show minimal or no uptake consistent with treatment. Nothing to suggest locally recurrent prostate cancer or regional lymph node metastases." I've tried hard over the last couple of months to eat for quality and am following advice of my MO to get exercise every day, first-thing to mitigate brain fog--I can't afford to be stupid at work! I'm in better shape and trimmer as result and we'll see how fit I can get on Zytiga. This weekend were the American Birkebeiner XC ski races up in northern Wisconsin and the first time in several years I wasn't racing, but I was able to be the Sherpa for everyone else in my family, so there's that.
***One thing that concerns me is joint pain which I thought was from prednisone, but apparently it's more likely from ADT. I hope I'm not aging my joints too much because the exercise keeps me sane. Anyone else who's on Zytiga feeling the joints? Advice? I searched the topic here on HU and see Meloxicam is helpful for some, but is there anything we can do other than treat symptoms? Does chondroitin / glucosamine work?