Value Of Vigorous Exercise: When I was... - Advanced Prostate...

Advanced Prostate Cancer

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Value Of Vigorous Exercise

N_Kal profile image
20 Replies

When I was first diagnosed with Stage 4 prostate cancer in 2018, I went through 6 rounds of chemo (docetaxel). However, I also maintained my rigorous exercise program (HITT). I had played rugby for many years & had studied martial arts for 15 years.

I tried to do 3 sessions per week of either : a) Rugby sprints (kick & chase) or b) a martial arts kickboxing routine with push ups , crunches and skipping rope after pounding the heavy bag with kicks, punches, elbows & knees. I tried to do at least 3 complete rounds which included all of the above. I would be in the gym EVERY day after chemo.

It worked.

When my PSA once again jumped, I went through another round of the same chemo to no avail and I moved on to pluvicto infusions. Once again , I spend 3 days per week in the gym doing that kickboxing workout. My PSA has dropped & is almost non measurable. I attribute this to the pluvicto infusions which are augmented by the kickboxing routine.

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N_Kal profile image
N_Kal
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20 Replies
NanoMRI profile image
NanoMRI

Well done!!! Insufficient evidence to prove but IMO a reasonable theorem. Question is - what is intense?

With my prostate cancer Dx ten years ago I retired and embarked on nearly daily exercise/activity schedule of long mountain hikes, bike rides, etc. With four treatments and ten years of intense exercise my uPSA is holding 0.03X range, no ADT.

Three years ago I added in intense weight training and continue to add bulk and strength.

Met yesterday with my MO following imaging done at this half-way point into my doublet melanoma immunotherapy. We were both cautious to discuss my current status; treatment SE's are not worth mentioning and liver tumor reduction is over 50%.

MO believes my otherwise most excellent health and fitness, including no prescription drug needs are key.

Tomorrow I race my grandson in American Thanksgiving holiday turkey-trot run. I am so grateful. All the best to all of us!

j-o-h-n profile image
j-o-h-n in reply toNanoMRI

Good news and good luck on your trot today (and let your grandson win LOL).

Just a note to let you know (I've posted this many times) that Keytruda (immunotherapy) worked on my melanoma/lung metastases (in MSKcc NYC).

Good Luck, Good Health and Good Humor.

j-o-h-n

Retireddoc profile image
Retireddoc in reply toNanoMRI

Wish you luck on your treatment and your positive attitude is a an inspiration.

NanoMRI profile image
NanoMRI in reply toRetireddoc

thank you doc! All the best to all of us!

Nusch profile image
Nusch

Congrats - so well done. I do a lot of vigorous exercise, too. And I trust it’s the best drug without a price tag.

Tall_Allen profile image
Tall_Allen

I wish everyone took your example to heart. There's evidence now to prove HIIT slows progression and reduces SEs from radiation (Pluvicto is a kind of radiation):

jamanetwork.com/journals/ja...

redjournal.org/article/S036...

I believe that HIIT also improves the results of all kinds of radiation, because it increases oxygenation, and oxygen is necessary for radiation to kill the cancer. It prevents radiation-induced fatigue too.

Of course, it increases bone mineral density, and may allow men on ADT to delay taking Xgeva or Zometa. It also benefits cognitive ability, cardiovascular health, and sexual function.

The only downsides are for men with multiple bone metastases, because it may increase their bone fractures, and for men who have cardiovascular conditions that may preclude it.

Tinkudi profile image
Tinkudi in reply toTall_Allen

Allen , is it ok for men with multiple bone mets to do resistance training

Tall_Allen profile image
Tall_Allen in reply toTinkudi

Ask his doctor.

Tinkudi profile image
Tinkudi in reply toTall_Allen

Doc said 3 pounds is ok I think. Forgot if he said pounds or kilos

mimgen profile image
mimgen in reply toTall_Allen

"...oxygen is necessary for radiation to kill the cancer". What about incorporating hyperbaric oxygen therapy with radiation?

Tall_Allen profile image
Tall_Allen in reply tomimgen

Overkill. Exercise is enough.

Shellhale profile image
Shellhale in reply tomimgen

We bought a mild HBOT during husband's RT. It helped alot with radiation side effects. He has completed RT on 8/16/24, and continues to use HBOT along with weight training. PSA dropped to 0.27. No ADT, monotherapy nubeqa.

Mgtd profile image
Mgtd

For those who can not do HIIT doing some cardio exercise and resistance training may be a reasonable goal. It helped with the SE and overall mental attitude.

macdunno profile image
macdunno

You have done the right thing to go on with Pluvicto. When Pluvicto stops working, move onto Actium or other immunotherapy.

Tommyj2 profile image
Tommyj2

as someone too arthritic to exercise heavily I am always troubled by the constant emphasis on exercise here…..could someone explain to me how heavy exercise translates into cancer improvement?

Mgtd profile image
Mgtd in reply toTommyj2

Tommyj2 based on your post you are not be able to do HIT. It would be to stressful in most advanced cases of arthritis.

I can sympathize with your frustration regarding the recommendation of HIT training. At almost 80 I recognize I have limitations that limit the quantity and quality of my exercise experience.

However, you can do light weight resistance work with resistance bands. They come in a package of 5 of various levels of resistance. Fairly inexpensive and readily available. I am sure your doctor has mentioned to you that even light resistance work and walking can actually help your arthritis pain.

My wife has very bad arthritis in her hands, knees, etc and has been doing braided horsehair jewelry, stained glass, needle point, etc for years which helps relieve the pain in her hands. Not a miracle but it helps. She also uses heat patches and pain meds to help with the pain.

Please do not be put off when the use of exercise is often recommended on this site. Just keep in mind that it must be adapted to the individual. What specifically works for me may not work for you. However exercise in general is cheap medicine.

Tommyj2 profile image
Tommyj2 in reply toMgtd

Thank you for the response and the info

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

Okay at the N_Kar ral. (High-intensity interval training (HIIT))

Question, do you need leather balls to play Rugby?

Would you please update your bio. All info is voluntary but it helps you and helps us too. Thank you and enjoy Turkey day!!!

Good Luck, Good Health and Good Humor.

j-o-h-n

Churchman123 profile image
Churchman123

I had my prostatectomy in 2011. Since then I have done well on Abiraterone and Dexamethasone with some radiation in between!

spolyu profile image
spolyu

I had less rounds of docataxel than you did. Keep doing what ever you're doing. You are a wonderful example for everyone .

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