Bicalutamide and the way of Testosteron - Advanced Prostate...

Advanced Prostate Cancer

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Bicalutamide and the way of Testosteron

leiflines profile image
17 Replies

Bicalutamide is supposed specifically to block metastatic cancer cells Testosterone receptors to starve them of their growth potential. Even so, testosterone has many additional functions, one of which is to produce and facilitate muscle growth and maintenance of the same. I have lost a lot of weight on my current ADT Biacalutamide regimen, 20 kg (about 45 lbs) in just about 3 1/2 months. I have asked my oncologist if there is any benefit to adding a SARM, like Enobosarm (Ostarine) or other, and am awaiting her response. I follow Keto, although not strictly, and train hard but am seriously afraid that I am loosing not only fat but muscle mass. Hence my question!. Anyone had similar thoughts or experiences from SARMs in conjunction with Bicalutamide?

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leiflines
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Justfor_ profile image
Justfor_

Are you exclusively on Bicalutamide, because the term ADT is used to denote Luprolide. If yes, you may try the Minimum Effective Dosage instead of the standard 50 mg/day or 150 mg/day in some countries for monotherapy. I have been on 1/10 (25 mg/5days) the standard dose for 3 years without loosing any weight, which I would have liked.

leiflines profile image
leiflines in reply toJustfor_

Many thanks for dropping these lines Justfor_. From my horizon ADT encompasses quite a few substances used for Androgene Deprivation Therapy. That set aside, Yes I am on my third Bicalutamide treatment and responding fairly well so far but have lost a lot of weight during a short period. A little bit scared of loosing muscle mass as I am not an any way obese. Your Minimum approach to SARM regime looks very interesting and just wonder if it is Osterine?

Justfor_ profile image
Justfor_ in reply toleiflines

No SARMs for me. What I do and take is documented here:

healthunlocked.com/prostate...

leiflines profile image
leiflines in reply toJustfor_

Sorry, mixed you up with another post I recently posted on the forum. I have already made a printout of your approach to get to an effective steady state and will study it carefully

mrscruffy profile image
mrscruffy

I have been on SARM's for 2+ years now(Osterine) with approval of my MO. gained considerable amount of muscle over that time. 185lbs without SARM"s looks horrible compared to me at 195lbs on SARM's. When administered properly, paired with a good workout and diet, muscle growth is very possible. I began to see results at about 6 week mark.

leiflines profile image
leiflines in reply tomrscruffy

Thanks mrscruffy. Valuable points especially when you had the approval of your MO. Went from about 175 lbs after radiation in 2021 to 195 lbs in a few months. Now on Keto, Training and Bica and lost about 44 lbs (weight now more or less 150 lbs) since the beginning of July. Are you currently on any other medication specifically for PC/MPC? If so, your MO mentioned something about doing Bica and Osterine at the same time?

mrscruffy profile image
mrscruffy in reply toleiflines

I did Lupron/Zytiga for 8+ years until it failed, I am now on Lynparza. I cyle the Ostarine every 6 weeks to prevent any kind of problems. Oddly enough Ostarine was designed for Prostate cancer and gave me an extra year when ADT started to fail. At least that is what MO believes.

Tall_Allen profile image
Tall_Allen

You wouldn't use both. Bicalutamide blocks androgen receptors on all cells (PCa, muscle, etc.), so there is no point in using it together with a SARM.

leiflines profile image
leiflines in reply toTall_Allen

Without going into any polemics here on the forum is there any, to your knowledge, publication made on this topic? No matter if it´s Bicalutamide or any ADT that have been simultaneusly administrated?

Tall_Allen profile image
Tall_Allen in reply toleiflines

It would never be tried because its counterproductive to combine them. Trials have to make sense. There have been trials of SARMs alone in men who have already had curative therapy.

leiflines profile image
leiflines in reply toTall_Allen

That is really the issue. I understand that SARM stands for selective modulator of androgen receptors, but is it really true that Bicalutamide has the same effect on all cells receptors? As Testosteron has so many versatile functions I think that the question is legitimate even though as you say it doesn´t make sense, still no simultaneous trials.

Tall_Allen profile image
Tall_Allen in reply toleiflines

People who understand biochemistry would not be interested. Bicalutamide prevents activation of the androgen receptor on all cells. You might want to read a textbook on biochemistry.

leiflines profile image
leiflines in reply toTall_Allen

I am a Biologist

Tall_Allen profile image
Tall_Allen in reply toleiflines

You may want to review some basic texts, then.

leiflines profile image
leiflines in reply toTall_Allen

Nothing is only black or white. It´s like saying cancer can only be explained to be a thing derived from mutations which we now had as pardigm for at least 50 years. How can anyone cathegorically say that because "basic texts" say something this has to be 100% true?

Tall_Allen profile image
Tall_Allen in reply toleiflines

You obviously don't understand how the AR works, what anti-androgens do, and its ubiquity.

leiflines profile image
leiflines in reply toTall_Allen

I think noone does in full

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