PSA 0.1 two test in a row good?

[rogerandme]

My psa again came back at 0.1 for the second time is this good or bad... Started at 79 in in January 2021...on Lupron and xtandi should i be doing anything else...20 rounds of radiation to prostate in September 2021...

[Fiddler2004]

Congrats! Looks like you're doing well... 🙏

[rogerandme in reply to Fiddler2004]

I guess since I still have a prostate I can't expect it to go to 0.0...

[Fiddler2004 in reply to rogerandme]

Hoping you get a few more years out of this combo 🙏

I'm coming up on the 3 year mark for Lupron / Xtandi (1/2 dose) combo... PSA started at 2400+ was down as low as .06 now hovering between .13 and .2 .

[rogerandme in reply to Fiddler2004]

Thank you for the good vibes .For now very few side effects I feel great QOL very good...keeping fingers crossed...best to you and may your good health continue...

[Fiddler2004 in reply to rogerandme]

Many thanks ...

[Tall_Allen]

I'd take the win.

[rogerandme in reply to Tall_Allen]

thanks I’ll take it as a win…

[Shooter1]

Steady is great....

[rogerandme in reply to Shooter1]

thanks shooter

[rogerandme]

😂😂😂

[rogerandme]

just read your bio… very interesting hang in there good luck to you….

[Lemonpower]

My dad, 78, after 7 months on Abiraterone and prednisone just got a second PSA of 0.1 He now says he thinks he's going to live to be 100. However he is suffering a lot of muscle wasting and, try as I might, he refuses to do strength-building exercises. He is still farming as he's done for 60 years.

He was diagnosed in 2018. Had RP, chemo, ADT. But in December 2021 his PSA started climbing again and he was diagnosed with Mets to bones and lymph nodes, and was put on Abiraterone.

[Jvaughan0 in reply to Lemonpower]

Thinking that he will live to be a 100 is the best state of mind to getting there. The demon of despair that feeds on the fear of impending death destroys the pleasure of living in the moment. Coming from a long line of farmers, I wager a good deal of exercise is already built into his day.

[Lemonpower in reply to Jvaughan0]

Yes, that's what he says. That farming is his exercise. He can't walk far though. I tell him he must try to walk more. Use it or Lose it!!! is what I tell him.

I do agree though that positive mindset is the key. He doesn't like talking about his illness, so we don't.

[anony2020]

file:///C:/Users/Capit/Downloads/A%20biochemical%20definition%20of%20cure%20after%20brachytherapy%20for%20prostate%20cancer%20-%20PubMed.html

This is interesting. The above link is from another member here. It seems the prevailing expert view backed by evidence consider PSA under 0.2 as 'cured' for 98% or LT (10 years) good result. The reason being that with the prostate in place, there is bound to be some PSA. Others , notably Dr. Scholtz maintains that the low point has to be under 0.1 and above 0.05 to be safe. The reason is that you cannot be certain there is no cancer in the body. Interestingly, he also maintained that level should be achieved in less than 7 months. Another issue with the prevailing opinion.

youtu.be/pC7SKfrTPFc(Not working as expected?)

Who is right? Time will tell. May be.

[Scout4answers in reply to anony2020]

Good info Thanks

[brilliant17 in reply to anony2020]

The information from Dr. Scholtz is very interesting. I had a prostatectomy in November 2018 and my PSA has risen slowly to from 0.0 to 0.1 over four years. I have a follow up blood test in February 2023 and I am praying and hoping that there are no further increases. The doctor’s point about achieving what he considers to be a safe zone within seven months validates my thoughts that it’s important to do what you can to keep your PSA levels down through diet and exercise to avoid further treatments.

[900312611 in reply to anony2020]

Hello:

Not fully understanding: the low point has to be under 0.1 and above 0.05 to be safe...my last 3 psa tests were <0.01...do I need to be concerned; why above 0.05 to be safe; I thought a low number is what we would want, could you explain?

thank you

[anony2020 in reply to 900312611]

The issue is in the age of informed patient choice, and what is the medical team advice. Some doctors will say that PSA 1.0 is disease free. Further a normal person with prostate intact can have PSA of 2.0. But he may have cancer cells. That is partly because there is no technology to detect all prostate cancer below that level. So at what point do you say the man is cancer free?

Also it seems there is some confusion with undetectable PSA. Some seem to imply that unless your PSA is undetectable, be it 0.03, or 0.0002 you are not disease free. That cannot be right for the reason give above.

Not sure if that helps? At the end of the day, if your doctor says you are disease free, then you are.🙂🙂

[rogerandme in reply to anony2020]

thanks for your input