This isn’t good news. Low T at high r... - Advanced Prostate...

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This isn’t good news. Low T at high risk of death from Covid 19

Longterm101 profile image
34 Replies

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Longterm101
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34 Replies
Tall_Allen profile image
Tall_Allen

This was just posted. You are conflating low T (hypogonadal) with castrate. They are very different.

Longterm101 profile image
Longterm101 in reply to Tall_Allen

T is T in my book.... but what do I know

Tall_Allen profile image
Tall_Allen in reply to Longterm101

Castrate levels of T enhances immune response, and puts the brakes on prostate cancer growth. Low levels of T accomplish neither. In fact, low T (hypogonadal) is associated with increased risk of prostate cancer. You probably missed this post:

healthunlocked.com/advanced...

Schwah profile image
Schwah in reply to Tall_Allen

So confusing. So super low T is good. Low T is bad. High T is good. The logic is hard to follow. I’m on an ADT “vacation” for almost 8 or 9 months and my T had gone from below 10 to about 125. Still relatively low T. I suppose this means I should go back on ADT or add T to protect myself from Coronavirus? Very strange.

Schwah

Tall_Allen profile image
Tall_Allen in reply to Schwah

Trying to simplify biochemistry is always fraught. Especially the biochemistry of steroids (testosterone, estrogens, progesterone, cortisol, Vitamin D, etc.) There are multiple receptors, and sub-receptors (e.g., Estrogen Receptor α and Estrogen Receptor β) often with opposing functions, there are complexing and escort proteins (e.g., SHBG and Vitamin D binding protein), receptor upgrading and downgrading, enzymes that convert one into another, negative feedback regulated by the pituitary and hypothalamus, differing effects on cells in different organs, in different cells of the immune system, within cells vs the exterior, and in the presence of other biochemicals.

Schwah profile image
Schwah in reply to Tall_Allen

Ok. Now I understand lol 🤔.

Tall_Allen profile image
Tall_Allen in reply to Schwah

This is why I roll my eyes when people post lab research on here. Only randomized (or at least some attempt at randomization) clinical evidence is useful to patients.

monte1111 profile image
monte1111 in reply to Schwah

Now you can explain it to me.

Schwah profile image
Schwah in reply to monte1111

Lol. I have no clue what any of that means. I consider myself a reasonably intelligent and educated guy , but a lot of this science stuff we see in here goes right over my head.

Schwah

in reply to Schwah

You and me both brother. Who’d of thunk that we need to be scientist to figure out our life’s? I leave pc science to the experts . We have many .

in reply to monte1111

😳

Shooter1 profile image
Shooter1 in reply to Tall_Allen

Easy to read that way. What about us with zero T who are not on ADT??

Tall_Allen profile image
Tall_Allen in reply to Shooter1

It doesn't matter if one is castrated chemically or physically.

Shooter1 profile image
Shooter1 in reply to Tall_Allen

OK ,Thanks

joeguy profile image
joeguy in reply to Tall_Allen

So are you saying a low T level of say 200 would put you at high risk of dying from covid, but a super low T level of say 20 would not ??????

Tall_Allen profile image
Tall_Allen in reply to joeguy

That's what some data are showing.

joeguy profile image
joeguy in reply to Tall_Allen

not good news for those of us currently on ADT vacation with T in the 200s

Tall_Allen profile image
Tall_Allen in reply to joeguy

I agree, not the best time for a vacation.

pjoshea13 profile image
pjoshea13

Hypogonadism has consequences - there are usually symptoms of the metabolic syndrome. To single out low T as the reason for COVID-19 death is to ignore other potential factors or co-factors. Note that diabetics do poorly too - & perhaps pre-diabetics.

-Patrick

kreg001 profile image
kreg001

Here is a link to the prepub doi: doi.org/10.1101/2020.05.07....

This is all very confusing. I wonder if the PATCH test will have data on low T, 'high' E, and the virus?

Chubby42 profile image
Chubby42

Im still confused I'm on Zoladex so am I more likely to die from Covid19 ? I've go no idea what my testosterone level would be. I'm not due to see my Onc until mid June.

Kind regards

Gary

Tall_Allen profile image
Tall_Allen in reply to Chubby42

If you are taking Zoladex, you are chemically castrated, which strengthens immune response.

Chubby42 profile image
Chubby42 in reply to Tall_Allen

Ok thanks Tall_Allen

j-o-h-n profile image
j-o-h-n

T for Two......

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 05/14/2020 5:56 PM DST

monte1111 profile image
monte1111 in reply to j-o-h-n

Not supposed to go near the hospital. Guess a pair of tin snips will do. Snip, snip; large pair of tweezers and a glass jar and its a done deal. Maybe invite the neighbor gal over for conversation. Ask her if she likes nuts. What's the going rate on Ebay? Maybe I can get one of those small business grants. Pun intended. How about "Nuts Are Us"? Curbside pickup available.

j-o-h-n profile image
j-o-h-n in reply to monte1111

Funny and not a bad idea..... Maybe post a sign

"2 for the price of 1"...

-or-

"We give you more room when we remove your heirloom"

-or-

"Let us whack your sack"

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 05/14/2020 8:12 PM DST

in reply to j-o-h-n

Nuts be gone!

Seebs9 profile image
Seebs9 in reply to j-o-h-n

I'm just happy we can only die once...

j-o-h-n profile image
j-o-h-n in reply to Seebs9

Two for me..... Living with my ex-wife was wishing for number one.............

Good Luck, Good Health and Good Humor.

j-o-h-n Friday 05/15/2020 12:59 PM DST

in reply to Seebs9

That’s all that we will need🙏

R410a profile image
R410a

There was also an article in the Daily Mail that data from Italy described the opposite. In that study, males on ADT with low T were less likely to get Covid -19 with less death.

Maybe drinking more wine than beer is the answer.

j-o-h-n profile image
j-o-h-n in reply to R410a

I think it had to do with that Italian sport, pinching strange women on the ass.....

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 05/19/2020 7:18 PM DST

in reply to j-o-h-n

That’s a fact jack!

BruceSF profile image
BruceSF

Sorry to jump in so late. The full article is at medrxiv.org/content/10.1101... Most of the ‘low testosterone’ was 90-240 ng/dL, extremely low was <90, so they probably didn’t have many at castrate level (<50), (though they did not report that percentage). I’m concerned because I stopped Adt plus Zytiga at the end of January, and my testosterone just went up to 9 (from <4) a few weeks ago. The way I see it, I have some residual protection from COVID-19 while my T is < 50. When it goes over 50 I will be at increased risk, which I figure will be in a couple of months. Hmm, that’s just in time for the second wave (yuck!). I guess that’s when I really need to go into isolation. Does that make sense?

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