LDH added to bloodwork by MO

[IKNY]

Medical oncologist just added LDH to my regular ongoing blood work.

Stage 4A

RAPL, RT, ADT Lupron/Nubeqa

Abiraterone was switched to Nubeqa due to liver inflammation 12/12/2024

RAPL 08/29/2023

ADT 11/07/2023

RT finished 07/28/2024

Undetected PSA since 01/06/2024

what is LDH a good marker for in this situation… liver damage?

Early heads-up on castrate resistance?

Monitor the effectiveness of RT?

LDH level is within normal range.

Thanks

[Xavier10]

I think it's similar to the alkaline phosphatase test which is a marker for the body trying to heal some damage to the bones caused by metastatic cancer, but LD is more for soft tissues and organs. I think. So if it is high, then that's a possible situation where some damage is taking place.

[IKNY in reply to Xavier10]

Thanks, I have no Mets to the bone… so far just the Lymph Nodes which some were removed and the others cooked with RT

[dhccpa in reply to Xavier10]

Thanks. That was my recollection as well. My MO wouldn't run it, but maybe I need to work on him some more.

[IKNY]

I meet with PA tomorrow and MO on 02/06 .

I’ll certainly ask and post response here.

[j-o-h-n]

AI Overview

Lactate dehydrogenase (LDH) levels are a biomarker that can help predict the survival and progression of prostate cancer. High LDH levels are associated with a worse prognosis and are often found in aggressive cancers.

Good Luck, Good Health and Good Humor.

j-o-h-n

[IKNY]

PA UPDATE:

LDH, in my specific case was ordered to monitor the liver distress after twice having liver issues on Abiraterone.

Still on half dose Nubeqa, liver enzymes and LDH levels are all normal… as well as all other blood work. All is excellent.