← Return to Gleason 7 (4+3) radiation, but ADT also? Over treatment?

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@heavyphil

Seasuite, Don’t regret having ADT. I was also Gleason 4+3 unfavorable. Had surgery but then had a recurrence 5 yrs later and needed radiation and ADT.
Hopefully, your treatment -because of the ADT - will be a one and done.
I think when the word ‘unfavorable’ is in the mix ADT is a good idea….JMHO.

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Replies to "Seasuite, Don’t regret having ADT. I was also Gleason 4+3 unfavorable. Had surgery but then had..."

No regrets Heavyphil and I'd most likely do the same thing again given the available information. The diagnosis that I received had more disclaimers than Autopilot on a Tesla, e.g. T1c/T3a why not pick one or the other. Even the designation 'unfavorable' leaves a lot to be desired, just saying G8 would be more objective grading. By not being more clear, the onus is on patients to do more research and make decisions.

My biggest concern is over treatment since I lost a much loved body part that was removed unnecessarily. Now, I practice a great deal more due diligence on any recommendations from the medical community.

It is also clear to me that medical units are siloed and typically focus on their, and only their issues. I've been pre-diabetic for 20+ years and gaining extra weight puts me at risk for heart attack and stroke. When I queried the blood work orders placed by my RO regarding lipids, the reply was something on the order of, "it's not my job man". The team was also suggesting a variety of other diet remedies, like avoiding fiber, that would surely drive up my A1c and cholesterol.

Best wishes and hopes that you stay forever in remission.