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Is exercise with ADT the Secret Sauce?
Prostate Cancer | Last Active: Mar 22 9:21pm | Replies (41)Comment receiving replies
Scott, what you’ve experienced with 6 months of ADT is really unfortunate - and, I think, not the usual outcome.
Your side effects seem profound, almost like someone years on ADT!
Even my urologist, who told me I didn’t need ADT with salvage radiation, said that 6 months of it wouldn’t hurt me if I was set on having it.
Don’t get hung up on “osteopenia” - it’s a nice way to scare people into “bone building” meds. VitaminD with K and resistance exercise stimulate bone growth much better with NO side effects ( read the label on those drugs - Orgovyx is nothing!).
What they never tell you is that while bisphosphonates (bone drugs) promote calcification of the vertebrae, they cause “spontaneous” fractures of the long bones. Nice, huh?
Your T problem and your fear of testicular failure should probably be addressed first since your trend is downward. You may need an endocrinologist to administer a cocktail (my word) to balance everything out, raise the estradiol, etc. Probably way too early for supplemental T after recent treatment, but I am not qualified to say.
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Thanks Phil. They haven't tried too hard to push bone building drugs on me but did say they were available if I wanted them. I'm taking calcium and vitamin D3 so will keep on with that for awhile and keep up exercising. I did not know about the bone drugs causing fractures. It seems every drug causes side effects that require another drug that causes more side effects, etc. etc.
I think once it warms up enough to start my long bike rides again my mood will drastically improve and that being stuck inside for long periods of time is a big part of my mental health issues. Going to the gym is fine and all but not nearly as nice as pedaling up a steep hill and seeing the view from the top of trees, etc.
I will look into seeing an endocrinologist. They told me I need to wait at least two years before considering supplemental T and strongly discouraged me not to take DHEA, the precursor to T, but did say a Zinc supplement can't hurt so we'll see. The worst part is still feeling the ADT symptoms when the doctor says the drugs have been out of my body for awhile now but it is what it is. The small print on the Orgovyx web site does imply a small percentage of people don't recover, I just never imagined myself in that small percent.
I guess I need to appreciate that at least my cancer is in remission for now and that I can still do most of what I did before. My brain logically knows that being angry and sad is unproductive.