See you just joined our support group….hopefully you’ll find it a place where you can share your concerns and find folks who have similar experiences and develop questions that you can take back to your doctor(s).

Please recognize that nothing I (or anyone in this group) write should be considered medical advice…we share our experiences with prostate cancer in hopes that it will encourage and elicit questions that others can direct to their physician(s).

First, let me congratulate you on your weight loss, assuming you had some excess to shed, that’s a significant feat!

The post, that you reference, is ~14 months old, so I went back to refresh my memory.

Much has transpired since that post…my Decipher score came in at 0.22 (low risk), so I embarked on a recommended active surveillance program.

My PSA levels (I’ve had 6 tests since then) have averaged 6.2, as compared to 7.8 prebiopsy.

More importantly, I’ve had a 12 month follow up mpMRI which showed the PIRADS 3 and 4 lesions were not visible and the PIRADS 5 lesion had weakened signaling.

In any case, I continue my AS program and I’ve maintained my lower weight (a drop of 25 lbs in first three months after diagnosis) for over a year.

I have changed various aspects of my diet; and now it’s quite diverse.

IMHO, based on all the research I’ve done I believe my cardio exercise (running) regiment is more important than diet when it comes to slowing the progression of PCa….but again…that’s just me….results may vary…

I understand your concerns about biopsy…you can review my related post, for specifics, under discussions in my profile. However, I don’t think my biopsy experience was typical of what the vast majority apparently experience.

I think you are right in asking for a mpMRI PRIOR to submitting to a biopsy…from what I’ve read that’s “standard of care” protocol by the vast majority in the field…and it’s critically important if you end up pursuing AS.

All the best!

Alan