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ADT paradox study.

Prostate Cancer | Last Active: Jan 15 9:09am | Replies (20)

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@heavyphil

I would agree that the article is NOT saying that. And “dogma” can sometimes be a good thing since in the medical field it is based on countless outcomes supported by facts.
It is KNOWN that testosterone can fuel prostate cancer; it is KNOWN that Prostate cancer can become castrate resistant.
But if you don’t follow the dogma - the facts - what would be your alternate course of action? No ADT? T supplements for a highly speculative already castrate resistant strain of PCa? No doctor would ever agree to that.
May I make a suggestion? Why not go with the dogma for now and see what happens. If your PSA drops and stays very low during the course of treatment, you’ll absolutely know that you are on the right path. If, however, your PSA starts to noticeably rise you can then make the course correction - if your doctors agree - to take an ADT holiday and see if the PSA comes down….or goes even higher. That can happen as well.
You are not going to cause yourself to have a fatal outcome by going on ADT for a short period of time, if that is your main worry.

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Replies to "I would agree that the article is NOT saying that. And “dogma” can sometimes be a..."

Thanks for the info. The original question really was that, if a tumor manages to grow in a very low natural T environment, wouldn’t cutting off what’s left of T not making that tumor more aggressive by accelerating its desire to survive through alternative sources ? I get that dogma is what it is. Just asking for a friend…