I'm staring down the barrel of another ADT, likely for the rest of my life. I've already done one for 2.5 years and it drove PSA to 0. I'm 60 and exercise regularly (ran a marathon, biked 250 miles in Europe, play pickup basketball, etc.).
I'm heard there may be some newer T replacement treatments that will NOT fuel the cancer? Does anyone have any experience or information if this exists? What would prevent someone from using this?
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BroncoRick
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You may want to research the work by A. Morgentaler, MD at Harvard University. He has written extensively on the benefits of doing testosterone replacement therapy (TRT) for men with prostate cancer.
I just completed Orgovyx ADT and I'm taking TRT to bring my T back up to a normal range.
Based on your bio you’re not Stage IV metastatic , i.e., incurable prostate cancer. You can probably get all the T you want. This is the Advanced PCa blog. You should probably be in the other PCa blog. I think it’s called Fight Prostate Cancer
Some, with low burden, low risk stratification can treat and achieve curative "effect" but there's not a single Oncologist in the role that'll tell you you e been "cured".
No Evidence of Disease is the closest clinical description you'll ever receive, which leaves the door open should you ever experience recurrence.
just finished 39 rounds of radiation. All numbers went well but hated loosing 10 lbs of muscle. Weight training 5 times a week to keep the remaining muscles. Planning to start Ostarine next month and will keep checking my PSA all the way. Hope nothing will affect the PSA number.
Be interested to hear how it goes. Great job keeping up the weight training, it can be a chore. i don't think I ever got gains, I was just fighting more losses.
BroncoRick, here is a discussion thread on this issue. Indeed there is much to understand about TET and PSA recurrence that you must master before you go back on treatment. I am in remission right now but if my PSA comes back I will most likely go on intermittent ADT. There appears to be no risk of having both TET and intermittent increases in PSA with regard to OS (overall survival). This is the take away I have. Take a look at the IHT article (buried in the discussion thread) and then read thru the thread to see how our group has kicked this futbol around...TNX Rick
The real question you should be asking is if you "require" T replacement?
You've demonstrated some serious physical ability in your post. Are you experiencing side effects from the loss of T? Or is it just "because"...?
My question totally centers on the necessity. I'm totally on the other side of the rainbow and have discussed this with my team(s). And each time I receive for "ME" and my diagnosis a resounding "NO".
When we are doing well, sometimes we are lured into a false sense of security. That we can take our foot off the gas pedal (treatment)... I've been there and wondered how nice it would be to go back to normal (the old normal, lol). But do get squeamish when considering the "risk" involved.
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