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Testosterone Replacement Therapy after RALP

Prostate Cancer | Last Active: Sep 29 4:57am | Replies (25)

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@stevecando54

we both about the same, age included. I get firmagon once a month and take Abiraterone daily. Been on this for the last 18 months. Have the fatigue since the beginning. I will say I don't believe it has gotten worse over time but I sure know I have it. You just have to do the best you can to keep moving. Having it every day at times wears me down. I sometimes have to fight through it so I don't fall into that hole. I consider a good day when I keep my head on straight and have a good time, fatigue be damned. Welcome to the site, so many here that share, and I wish you the best on your journey. Best to all

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Replies to "we both about the same, age included. I get firmagon once a month and take Abiraterone..."

The reason they give you prednisone with Zytiga is to replace the cortisol lost by taking Zytiga.

Low cortisol can be a problem. According to a web search low cortisol causes this.

‘Low cortisol levels can cause any of the following symptoms: Fatigue and morning sluggishness. Depression. Anxiety.”

It’s possible you can talk to your doctor into increasing your prednisone from 5mg to 7.5mg or 10mg to see if that relieves some of the fatigue problems. Some doctors actually give their patients 10 mg of prednisone with Zytiga. Can’t hurt to ask.