This forum is for the discussion of anything to do with Prostate Cancer. There are only four rules:
No fundraisers, no commercials (although it is OK to recommend choices of treatment or medical people based on your personal research; invitations to participate in third-party surveys are also acceptable, provided there is no compensation to YANA);
No harvesting e-mail addresses for Spam;
No insults or flaming - be polite and respectful at all times and understand that there may be a variety of points of view, all of which may have some validity;
Opinions are OK, but please provide as much factual evidence as possible for any assertions that you are making
Failure to abide by these simple rules will result in the immediate and permanent suspension of your posting privileges.
Since this is an International Forum, please specify your location in your post.
Dad will begin Complete Androgen Blockade next week with 45 Eligard (6-month) combined with Casodex (Bicalutamide). Doctor's also prescribed diet changes, Lycopene and calcium supplements.
Pinning my hopes on an article I found and other similar papers on patients with non-regional lymph nodes but no bone mets.
I had emailed Dr.Myers (through the website) but I believe he does not offer telephonic consultations yet. I'd be more than happy to visit his clinic. But I am unsure whether he would be willing to follow-up with our doctor here and how feasible that would be.
PSA trajectory
220 (15 days prior to biopsy and 25 days before start of ADT)
20 (6 weeks into ADT)
5 (a little less than 12 weeks into ADT)
Testosterone seems to have stabilized at 29 ng/dl with Trelstar and I think it's as low as it's ever going to be with LHRH analogues. What are my options?
1. Increase Casodex (bicalutamide) dose to 150 mg/day
2. Add Avodart to the mix
3. Surgical castration to try and bring it down below 20 ng/dl
4. Something more aggressive
For the last 2 months, have added dutasteride. So, in effect, on ADT3 for the last 2 months. Still worried about higher levels of T. The doctor does not seem overly concerned.
Is surgical castration an option or just let the T be?
We will meet a radonc next week to decide if and how to administer radiotherapy.
After a PSA nadir of 0.1 7 months post HT PSA slowly inched up. 0.21 at 9 months and then 0.52 at 13 months and 0.67 at 14 months with an approx DT of 3 months.
When PSA hit 0.67 bicalutamide dose was escalated to 150 mg and also started with metformin XR 500 mg to begin with.
PSA at 15 months in March 2016 dropped slightly to 0.58.
The plan is to continue with Eligard + 150 mg bicalutamide + Dutasteride + metformin until PSA starts to rise again. If PSA crosses ~1.5 the plan is to stop the bicalutamide and add Ketoconazole.