Newly diagnosed

[rsgdmd]

My profile has pertinent info. 63 yrs old. Just diagnosed in April with stage IV, mets in 6 spots on bones. Starting Docetaxel in 10 days. Any suggestions on minimizing side effects. Planning to use ice packs for hands and feet. Anything else? THC products for nausea? Thanks

[Tall_Allen]

Discuss starting triplet therapy immediately - this isn't something you can wait and start later:

prostatecancer.news/2021/05...

[rsgdmd in reply to Tall_Allen]

I know. Started on abiraterone 1 week after Lupron injection. Abnormal heartbeat within 3 days & had to stop. Five days after last dose, heartbeat back to normal. That was last Wed. See oncologic-cardiologist tomorrow. Just got results of blood work my PCP took 9 days ago (while had abnormal heartbeat). Shows high alkiline phosphatase, maybe from bone mets(?) My serum IgA was very high (1834, normal range is 61-437). Not sure what this means.

[Tall_Allen in reply to rsgdmd]

Any chance you are positive for Covid19 or other infection? Possibly an anaphylactic reaction to the Lupron injection? The "5 days after last dose" may just be a coincidence of the anaphylactic reaction calming down. This happened to a friend of mine. He switched from Lupron to Orgovyx (and Zytiga) and does fine with that.

[rsgdmd]

I feel OK. Neg fast covid test this past Fri. before visiting son & pregnant daughter in law.5 days after was last abiraterone.

[tango65]

This link has information about chemo for prostate cancer by a real expert in the treatment of PC:

grandroundsinurology.com/dr...

[Vangogh1961]

I used a modified fast. I worked full-time, so I had to maintain my energy and couldn't do a full fast, but it seemed to help the energy and especially the taste recover more quickly. I ate ice chips during chemo as well as the hands and feet. I gave up on the scalp when I lost my hair after my second dose. And exercise. I was mountain biking with my brothers until after the third dose when my energy levels really dropped.