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Metformin and ADT

Prostate Cancer | Last Active: Apr 5 8:23am | Replies (35)

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OK, my turn to “sigh”… I KNOW that both of these drugs improve metabolic pathways and their benefit is NOT simply in lowering glucose; more importantly, they prevent hyperinsulinemia, which is a direct reaction to elevated glucose levels. That’s a whole metabolic cascade way above my pay grade.
If you look back on the very first post in this thread, @jeffmarc cited the STAMPEDE trial which showed improved metabolism for a variety of levels, including lipids. So it was never just about lowering glucose.
But you cannot imagine the many, many debates about glucose that have appeared on this forum in the past year or so - way before you joined. This recurrent excess glucose/sugar causing cancer topic has been championed/debunked by just about everyone on here…it’s almost scary how much false information is still being dispatched online.
So I include the tragic passing of my friend’s son to illustrate that no amount of glucose deprivation, no metformin, no Ozempic are gonna do diddly squat if you have an aggressively deadly cancer.
All these little tidbits may be “promising” or “exciting” but when you have the “really bad cancer” as my grandmother used to say, your chances of survival are less than 10%.

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Replies to "OK, my turn to “sigh”… I KNOW that both of these drugs improve metabolic pathways and..."

The ever-evolving glucose wars—half endocrinology, half street fight, all conducted from the comfort of a keyboard. It’s like watching gladiators in lab coats arguing about carb ratios while Rome burns quietly in the background. We so wanna believe in “magic potions”. Alas…

You're right, of course. If Ozempic and metformin were the magic bullets some folks think they are, oncologists would’ve packed up and joined dermatology years ago. But alas, cancer doesn't read forum posts or randomized trials. It just mutates and marauds like a drunk pirate with a grudge.

As for the STAMPEDE trial—it's the Rorschach test of metabolic interventions. Everyone sees what they want in it. Improved lipids? Sure. Extended survival? Maybe. Vindication for their smoothie-based lifestyle? You bet.

And yeah, once you’ve seen someone you care about mowed down by the genetic freight train of aggressive cancer, you realize that no amount of artisanal kale or molecular-level insulin whispering is going to change the outcome.

There’s a point where the machinery just breaks, and all the metabolic tinkering in the world amounts to moving deck chairs on the Titanic—with a Fitbit on.

So sigh away. You’ve earned it. Just don’t forget to exhale.