Status at PSA nadir: Hi folks. Here is... - Advanced Prostate...

Advanced Prostate Cancer

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Status at PSA nadir

Stoneartist profile image
β€’7 Replies

Hi folks. Here is my latest update of the PSA curve. Note as before that PSA is plotted on a log scale to enable the small changes near nadir. The most recent result is 0.1 - which is the same as 3 months ago. What does this mean?? I have made 3 suggestions for how to interpret this:

1. The curve continued downwards but in the last weeks a new tumour has begun to grow and started a new upward trend such that the PSA value is now the same as before - dotted red curve (probability 20%). Not good!!

2. The PSA is now so low that it is near the undetectable limit and the measured values have a sporadic innaccuracy (lilac curve). This means I am at or near an undetectable nadir (probability 40%).

3. The PSA has reached a stable nadir at 0.1 and will remain there for some time (hopefully years). Since I still have my prostate gland this maybe shouldnt be a surprise (probability 40%)

I am happy with these results and will wait with expectations for the next reading in May.πŸ˜€

Happy to hear other interpretations of these results.πŸ™πŸ™

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Stoneartist profile image
Stoneartist
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7 Replies
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Bravissimo Stoneartist! It means welcome to zero! You’ve arrived . Now stay there for many years of being clear . Keep up physical activity and stay strong . Being zero and having no t will take muscle bone teeth and energy away.. We tread water . Find joy wherever we can.. congrats . Now keep it going . Today is a good day ! May you have Many more down the Norwegian road ! πŸ˜ŽπŸ‘πŸ‘πŸ‘πŸ‘πŸ‘

Justfor_ profile image
Justfor_

Some of your PSA values are precise to the first decimal place (tenths) while others to the second (hundreds). At the 0.1 level (very different to 0.10) the rounding error is +/- 50%.

Gearhead profile image
Gearhead

I'm missing something very basic. What is the difference in the PSA measurements denoted by the blue (lilac?) points and the red points?

Stoneartist profile image
Stoneartistβ€’ in reply toGearhead

The red points are just markers to denote some sort of change - important when deciding if changes are affecting the PSA

hansjd profile image
hansjd

It means you've done very well and No 3 is the most likely scenario. Don't worry. Enjoy life. πŸ˜€

Ramp7 profile image
Ramp7

I got my MO to add 0.05mg estradiol, helps with Hot Flashes and bone health.

j-o-h-n profile image
j-o-h-n

Congrats, keep chiseling away......

youtube.com/watch?v=2HlK96k...

Good Luck, Good Health and Good Humor.

j-o-h-n Sunday 02/26/2023 10:04 PM EST

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