Prostate Cancer

[Perfetto-Zeynep]

My father was diagnosed with grade 4 (Gleason 4 + 4) prostate cancer on 25/03/20. psa: 39 biopsy 12/7

There were many bone and lymph metastases in the 10/04/20 psma pet. 14/04/20 bilateral acetabulum and pubic bone 30 Gy 10 dose radiotherapy was applied and Eligard was started every 3 months.

24/10/20 psma pet: right lung 25mm (suvmax 4.31), right iliac (suvmax 14.64) and right 5 loste new lesions

02/11/20 Radiotherapy and xtandi started to 30 Gy 10 dose pelvic bones

10/02/21 psma pet

right lung (4.3 * 2.8) suvmax 6.2, prostate gland suvmax 3.2, right posterior suvmax 13, L4 vertebra suvmax 4

psa 0.885 10/12/20

crp 3.65

psa 0.741 28/12/20

crp 4.95

psa 0,971 27/01/21

crp 12.97

alp 84

psa 1,28 15/02/21

crp 15.78

alp 69

My questions

1-Should my father have had chemotherapy at the beginning or was he started xtandi?

2- For the lung, the 1st oncologist asked for biopsy, the 2nd oncologist said chemotherapy, the 3rd oncologist was xtandi, which one was correct?

3-Crp is climbing rapidly and the doctor did not say anything about it.

4-Are meat, milk and eggs bad for prostate cancer?

5-Is glutamine supplements harmful?

6-How do we know that we have neuroendocrine cancer?

my father will receive 5 doses of radiotherapy to his lung and chemotherapy will be started.

Thanks for your comments

[Tall_Allen]

I think you should not be concerned with the past. The only thing that matters are the decisions you and your father make now.

Docetaxel is undoubtedly a good idea, as long as he doesn't have any problems that may stop him from getting chemo. He is starting to fail Xtandi, so now would be a good time.

Crp is just telling you that there is inflammation somewhere.

There is no credible evidence that meat, milk, or eggs are bad for prostate cancer. All the "evidence" is from observational studies that should not be used to change his diet.

Who told you that he has neuroendocrine cancer? That's very hard to believe, given his initially high PSA and excellent reaction to hormone therapy. It is diagnosed by a biopsy of one of his metastases. They would not be using docetaxel if they believed that.

[Perfetto-Zeynep in reply to Tall_Allen]

Thank you very much for your comment. As you said, eligard and xtandi got good results, but still new metastases occurred, lymph nodes and some lesions in the bone got very small.He will take Radiosurgery for the lungs and dosataksel 50 mg every two weeks

Alsoferritin 349.

I have read that ip 6 inositol lowers ferritin evalue, do you know about it

[Tall_Allen in reply to Perfetto-Zeynep]

I would avoid all supplements during radiation.

[Perfetto-Zeynep in reply to Tall_Allen]

Thank you very much for your response🙏

[Perfetto-Zeynep]

Thank you very much for your comment. I will ask for the genetic test from the oncologist

[Hidden]

I’m sorry about your father . Thank God for the loving child .. I too was 4+4 ,in 2015 .. with Imrt and double adt I’ve gone undetech for over five years now.. I wish the same for him ..#4 . I went on an all out holistic no animal protein or dairy diet on the onset . Many here don’t believe in this ... I Do! This is all an assault on our total being . Love is the best medicine . Cheer his spirit us any way you can . Good job advocating for him . 🙏❤️

[Perfetto-Zeynep in reply to Hidden]

Thank you very much for your nice wishes. I wish you a healthy and long life.🙏Unfortunately my dad continues to eat eggs, meat and cheese

[Hidden in reply to Perfetto-Zeynep]

I think it’s harder to change at a later age . I was 53 and it was a shock .. Good luck ❄️

[j-o-h-n]

Greetings P-Z

Please tell us his bio. Age? Location? When diagnosed? Treatment(s)? Treatment center(s)? Scores Psa/Gleason? Medications? Doctor's name(s)?

All info is voluntary, but it helps us help him and helps us too. When you respond, copy and paste it in his home page for his3 use and for other members’ reference.

THANK YOU AND KEEP POSTING!!!

Good Luck, Good Health and Good Humor.

j-o-h-n Friday 02/26/2021 11:33 PM EST

[Hidden]

Anything to make him feel better is good .