I was diagnosed with Stage 4 ductal adenocarcinoma of the prostate in late October 2020. After initially being on Eligard for 4 months my PSA had dropped to around 2.0, and the Oncologist was happy.
My next PSA test after a further 4 months which included a continuation of Eligard and 25 radiation treatments, my PSA was 1.3 and my Testosterone was 0.4.
I had another test last week around the 12 month anniversary of my diagnosis and my PSA was <1.0, and my early morning testosterone level was 0.6 (all of these tests are performed in Canada).
My Oncologist has advised me that she thinks that this is an excellent response to treatment. Of course i already know that this can all change on the very next blood test, and I still remain cautious and wary of things going sideways in the future.
My Oncologist advised that the Eligard will continue for another year or possibly more 2 years. ADT is currently kicking my arse in terms of side effects. The observable side effects for me so far are; fatigue, muscle wasting, additional stomach fat, the start of metabolic syndrome, complete loss of body hair, total loss of libido, impotence, penile shrinkage, and testicular shrinkage.
I'm exercising, only eating vegetables with some chicken occasionally, but still drinking a glass of red wine every day and the occasional single malt. My family doctor has prescribed Metformin to try to stave off the commencement of metabolic syndrome.
I'm still taking supplements such as VITAMIN D, VITAMIN K, TURMERIC, COQ10, GARLIC, ARGININE/CITRULINE/VITAMIN C, QUERCETIN, BLACK SEED OIL, MISTLETOE, MUSHROOM EXTRACT, MAGNOLIA BARK, IP6 INOSITOL, MODIFIED CITRUS PECTIN, and GRAPE SEED EXTRACT (am i missing anything?).
Anyway, that's my one year update. I can only take a deep breath and wait to see what next year will bring.