I had an interesting development this week in my PCa journey. I went in for my quarterly hospital visit, which would normally include blood tests, meeting with my medical oncologist, and my last 3-month injection of Eligard. Blood tests were great, PSA and testosterone still undetectable. My MO decided to cancel my Eligard injection, mostly out of concern for my bone density (which became a problem last summer), and to let my testosterone recovery start sooner. (I'll still be on Abiraterone for 3 more months.) She said to expect about 18 months to fully recover T, but at least I'm starting 3 months earlier than expected. Yay!On the flip side, I'm having a diverticulitis episode, but I've been on antibiotics since Monday, and it's subsiding.π
Waiting for Mr. T: I had an interesting... - Advanced Prostate...
Waiting for Mr. T
You got this, Atda! I pity the fool who thinks otherwise π
Overall great news, Atdabeach! I love it when a plan comes together..... π
I can't speak to why your oncologist is making the decisions she is. However, in my experience, your high gleason score would seem to indicate you need to stay on Eligard but add a denosumab, like Prolia or other similar drug to counter bone loss. If you have any metastasis, Aberaterone has been shown very effective at preventing progression and shrinking tumors. This is my regimen and it has kept my PSA at undetectable for five years (I have gleason 9 and am stage 4)
Again, I don't know the specifics of your situation and I am not a doctor. I discuss this further with your oncologist and get a second opinion at another medical center with prostate cancer specialist if your are unsure.
Good luck and keep us posted.
Thanks, and your points are well taken. I'm on Reclast (another bisphosphonate, like Prolia), which was prescribed last August after an MRI showed sacral insufficiency fractures, ascribed to both reduced bone density and radiation damage. I'll have 3-5 annual infusions as currently planned. I was fine with the initial plan for two years of combined ADT, but certainly didn't object to stopping Eligard 3 months early, since its effects will continue for some time, as evidenced by its slow T recovery time. I'll continue to have PSA and T tests every 90 days, and we'll see where we go from here.
Went to the hospital?..........I thought you were at da beach.
Reminder: When you're at da beach, make sure your wife is in the hotel room watching "The View" on tv and not watching you messing with the ladies at da beach....
Good Luck, Good Health and Good Humor.
j-o-h-n