Since completing RT and a 6 month regimen of Orgovyx in November last year, his Testosterone has remained at a level of 51. Someone has told him that low T can have negative effects on other body systems, (besides the obvious) like heart, diabetes and kidneys. He has kidney disease and only one kidney. Anyone have any info or experience with this?
Low T - Health Effects : Since... - Prostate Cancer N...
Low T - Health Effects
No experience whatsoever, but one kidney and RT sounds as a taller risk than low T alone. Just my layman's take.
Testosterone recovery after ADT varies between individuals substantially.
urotoday.com/video-lectures...
If it doesn't return to an acceptable amount, Testosterone Replacement Treatment (TRT) is available. The use of TRT is controversial, but becoming more widespread as time goes on. Many men do it after radiation treatment, depending on whether treatment to date appears successful.
I've had a T level of under 10 (undetectable) for almost 6 years while on Lupron. Yes, muscles, bones, heart, etc. can be affected. Best to exercise, both aerobic and resistance, as much as possible. I also adopted the whole food plant based diet very strictly, which has been great for blood pressure, weight loss, glucose, cholesterol, etc.
Low T can really destroy your Quality of Life (QOL) and cause cardio issues that can be debilitating. It sounds like about 8 months since the end of ADT?
I'd go 12 months before considering TRT, and then only with the guidance of a medical oncologist who is very familiar with your case, and an endocrinologist who has managed PCa victims successfully before.
Even then depending on your age, comorbidities, status of your PCa, it's worth considering QOL vs QOL, Quantity vs Quality of life, it comes down to a possible trade of one for the other (no free lunch here..)
TRT after a "curative" treatment is a reasonable and relatively safe thing to do at any time. No need to wait 12 months.
You may want to Google one of 150+ papers on this subject by Dr. Abraham Morgentaler. He is also now taking patients to talk on the phone about TRT.