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low white and red and hemaglobin after 3 months of firmagon + Erleada

-db123_ profile image
6 Replies

I came back to MD Anderson after neoadjuvant therapy of Firmagon + Erleada after 11 weeks and my white, red, hemoglobin are below normal.

White is 2700.

I am recent diagnosed localized 4+3=7 with 4 cores intraductal and three of those cores are cribriform. I have a bulky tumor that 4 surgeons referred me to radiation.

I am planning on brachyboost. (HDR + proton) in feb thru march.

Has anyone had this reaction to Erleada?

I've had a couple side effects with this drug, it can lower WBC. I didn't expect to see the RBC and hemoglobin also.

Doug

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Tall_Allen profile image
Tall_Allen

Testosterone stimulates RBC development.

PT49 profile image
PT49 in reply toTall_Allen

I had somewhat of the same affect with 6 mos of Lupron only it was just my Hgb and RBC that were low.. Like Tall_Allen mentioned, after my testosterone came back the anemia went away but it took about 6 months after the Lupron was ended for it to happen. I was Gleason 7 (4+3) in 4 cores. I had SBRT + ADT. Everything seems to be good now. I'm at 1 year post Lupron and my PSA is less than 0.1.

treedown profile image
treedown

I have always had low RB on ADT and 2nd gen. WBC bounces around a bit. Been on the meds 5 of the 6 years post dx as of this July..

conbio profile image
conbio

I was on Lupron for 18 months and my RBC was down below "normal" range most of that time. Bounced back within 3 months of ending treatment.

-db123_ profile image
-db123_

any body increase them through diet?

gsun profile image
gsun

I am on ADT + Abi and am either just at or just below the low limit. Doctors are not worried.

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