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There is no evidence that early HT is better that starting late. That said, the Top oncologists, Myers, Strum and Scholz all agree that the earlier the better for the following reasons:
1. In all oncology practices with all cancers there is no treatment when applied later is more effective that one started as early as possible.
2. Prostate cancer is composed of androgen dependent and independent cells. HT kills dependent cells with great efficiency. One in one million dependent cells will mutate over time to independent cells and you want to kill these cells before they mutate.
3. HT works much better when the tumor burden is low.
The statement that PCa always becomes hormone resistant in the end is simply not correct.
It is a fact that many studies demonstrate that it may be likely to happen and that it may happen to the majority of men in the study BUT...... you need to look carefully at the men in these studies and ask yourself if their starting position matches yours; you need to see what the range of failure is, not simply the median.
It may also be worth reading the experiences of men who chose ADT and see how long some of them have gone without become hormone resistant. People like Doug Adams and Chuck Maack come to mind. Their experiences demonstrate clearly that they haven't become hormone resistant.
Many people don't like anecdotal evidence such as that offered by Yana men, but facts are facts and at times actual experiences contradict beliefs based on studies.
My personal attitude is always - What is the range of options? Which applies most closely to my personal position? What are the chances/risks involved for ME, not for smeone with a different diagnosis to mine.
Good luck and follow the path that you think fits your personal views best. It is your life, it is your choice. There is no 'right' or 'wrong'.
