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Taking Orgovyx long term

Prostate Cancer | Last Active: May 21 2:44pm | Replies (47)

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Profile picture for northoftheborder @northoftheborder

That's a fair choice.

However, for metastatic castrate-sensitive prostate cancer, studies like TITAN have shown dramatically better outcomes when you start the -lutamide at the same time as ADT instead of waiting until the ADT stops suppressing PSA. It would be worth discussing with your oncologist.

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Replies to "That's a fair choice. However, for metastatic castrate-sensitive prostate cancer, studies like TITAN have shown dramatically..."

At issue is that the surgical/hormone oncologist and the radiation oncologist have differing opinions of the seriousness of my cancer. They work closely together, but the surgical oncologist thinks the person who initially reported my PET results mistook urine (the radiation being eliminated) for lymph node metastasis, saying the two are in close proximity. The radiation oncologist took the stance of "lymph node positive" in his approach to my treatment and the other specialist supported the use of Orgovyx, which was initially prescribed by my urologist. Both surgical and radiation specialists say their experience is that adding a lutamide to Orgovyx significantly increases side effects, but what I find online doesn't confirm that. Any insight?