Supplements to take during IMRT while on Zytiga

[Bacana]

Hello all, my husband has just started 5 weeks of IMRT to the abdomen based on Axumin scan which revealed a 1.8 cm avid retrocaval metastatic lymph node. He has been on Zytiga since September 2019. PSA is now at 6.18, up from 3.6 two months prior. I’ve seen several posts on supplements to take while undergoing radiation treatment but don’t want to add anything that will interfere with Zytiga.

RBC, Hemoglobin and Hematocrit numbers are already low, presumably due to Zytiga, so we’d like to keep them from going even lower while undergoing radiation treatments. Any suggestions?

[Tall_Allen]

The problem is interfering with radiation. Radiation to the pelvic LNs will lower the WBC, not the RBC.

[Bacana in reply to Tall_Allen]

His WBC’s are within range so good to know, thanks!

[tango65]

None.

[Magnus1964]

Keep his vitamin D3 level up. Lay off gas producing foods.

[Bacana in reply to Magnus1964]

Besides the obvious beans & cruciferous veggies, any others to avoid? What about hummus?

[Magnus1964 in reply to Bacana]

I love hummus I do have it once in a while. You don't have to quite the gas products all together, just cut way back on them, and know that to eat them in quantity means trouble.

[timotur]

There are studies on PubMed that berberine, soy derivatives, and intermittent fasting may sensitize PCa cell to radiation. During IMRT, I ate small portions of edamame beans, took a berberine powder, and fasted for one session per week.

[Bacana in reply to timotur]

He did take Berberine in the past but we’re concerned about adverse interactions with Zytiga.

[Bacana]

Yeah so many low fiber foods are really unhealthy 😁

[j-o-h-n]

Greetings Bacana,Please tell us his bio. Age? Location? Treatment(s)? Treatment center(s)? Scores Psa/Gleason? Medications? Doctor's name(s)? Thank You!!!

All info is voluntary, but it helps us help him and helps us too. If you do respond, copy and paste it in his/your home page for his/your use and for other members’ reference.

Good Luck, Good Health and Good Humor.

j-o-h-n Wednesday 12/02/2020 7:57 PM EST

[Bacana in reply to j-o-h-n]

Hello John, yes I did add his profile on home page. He was diagnosed in 1998 at age 43 and has undergone external beam, brachytherapy, intermittent and now continuous ADT (Eligard), surgery in March 2019 to remove a retroperitoneal mass, started on Zytiga in September 2019, and is now undergoing 5 to 6 weeks of IMRT to abdomen area based on latest Axumin scan. So 22 years and counting! Last PSA check was 6.18 in October and 3.6 two months prior. His urologist is Dr. Ian Thompson and oncologist is Dr. Sridhar Beeram. We live in Mico, TX, on the outskirts of San Antonio.

[j-o-h-n]

Wow... Thank you for your quick and detailed response...22 years.... God Bless him (and you too)...

Remember the Alamo....

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 12/03/2020 5:29 PM EST

[Bacana in reply to j-o-h-n]

Thanks and same to you!