How long does your oncologist have you on ADT?

Posted by tjv1156 @tjv1156, Jul 17 3:07pm

I had surgery in March 2020. I was undetectable for 3 years, then started to see some PSA. .05.....06 ... Eventually climbed to .25 in Feb/2025, which triggered follow up treatment, starting in Late March 2025. Orgovyx for 6 weeks then 25 radiation treatments which ended 6/25/25. I am scheduled for ADT for 6 months,ending around Oct .1. My question is- is 6 months the norm?

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Profile picture for ecurb @ecurb

Might depend on your age and financial status . I m 76 and retired now from being a bus driver for 12 years. I was an ATC for 4 years and got fired by movie star Reagan, that bad event of course led me to a better paying job, less stressful too at a nuclear plant for 21 years, bus driving came after this. Moral as discussed before- bade things can lead to better things. The US Govt. Screwed itself losing all that talent: just like what’s happening today.

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I appreciated ATC during my flying years. Some private pilots are nervous about them and go out of their way to avoid controlled airspace, but I always considered them a partner in the cockpit.

After all, we both wanted the same thing: get my slow little Piper the h*ll out of their airspace as quickly and efficiently as possible. 🙂

And I'd help by offering intersection takeoffs, LAHSO, short turns to base and final, etc to fit me in more easily with the big iron.

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Profile picture for northoftheborder @northoftheborder

I appreciated ATC during my flying years. Some private pilots are nervous about them and go out of their way to avoid controlled airspace, but I always considered them a partner in the cockpit.

After all, we both wanted the same thing: get my slow little Piper the h*ll out of their airspace as quickly and efficiently as possible. 🙂

And I'd help by offering intersection takeoffs, LAHSO, short turns to base and final, etc to fit me in more easily with the big iron.

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Nice pilot to others, that’s good. I m off to church , will text later.

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Profile picture for rklinke11 @rklinke11

Can I ask, what dose of prednisone is everybody on, and how many times a day?

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I’m on 5mg along with 1000mg zytega.

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Profile picture for northoftheborder @northoftheborder

I appreciated ATC during my flying years. Some private pilots are nervous about them and go out of their way to avoid controlled airspace, but I always considered them a partner in the cockpit.

After all, we both wanted the same thing: get my slow little Piper the h*ll out of their airspace as quickly and efficiently as possible. 🙂

And I'd help by offering intersection takeoffs, LAHSO, short turns to base and final, etc to fit me in more easily with the big iron.

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Todays trivia question- what IAS is required for a Cessna 152 Aerobatic to do a loop?

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Profile picture for northoftheborder @northoftheborder

I appreciated ATC during my flying years. Some private pilots are nervous about them and go out of their way to avoid controlled airspace, but I always considered them a partner in the cockpit.

After all, we both wanted the same thing: get my slow little Piper the h*ll out of their airspace as quickly and efficiently as possible. 🙂

And I'd help by offering intersection takeoffs, LAHSO, short turns to base and final, etc to fit me in more easily with the big iron.

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I have trouble interpreting the anagrams therefore harder to rap benefits of discussion. Is there a resource on meaning

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Profile picture for wdene @wdene

I have trouble interpreting the anagrams therefore harder to rap benefits of discussion. Is there a resource on meaning

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Reap

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Profile picture for ecurb @ecurb

Todays trivia question- what IAS is required for a Cessna 152 Aerobatic to do a loop?

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I'd have to look at the POH; I've been in a C152 only once, over 15 years ago.

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For those of us who are stage 4 metastatic - forever. Even if, and I emphasis if you become castrate hormone resistant most doctors have you continue on your ADT shot and ARSI medications. Why? Because it is because these medication are still working on the cells that are not resistant. I said if to castrate resistance because not everyone become resistant. It is just not true that it is a matter of when. I do not know the percentage of men that remain castrate sensitive but men with stage 4 metastatic do remain castrate sensitive throughout their disease journey. This is why I believed in hitting the cancer as hard as possible upon being diagnosed. Radiation to the spin and ribs - keeps killing cancer cells 2+ years. 10 cycles of docetaxel chemotherapy. It took 33 weeks to finish chemo. That is a a lot of cellular death and DNA cell damage to the cancer cells. Cancer cells do die. They just do not die in the normal timely fashion. Cancer is killed in three ways - radiation, chemo, and starvation through ADT, ARSI's, and diet.

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Profile picture for wooldridgec @wooldridgec

For those of us who are stage 4 metastatic - forever. Even if, and I emphasis if you become castrate hormone resistant most doctors have you continue on your ADT shot and ARSI medications. Why? Because it is because these medication are still working on the cells that are not resistant. I said if to castrate resistance because not everyone become resistant. It is just not true that it is a matter of when. I do not know the percentage of men that remain castrate sensitive but men with stage 4 metastatic do remain castrate sensitive throughout their disease journey. This is why I believed in hitting the cancer as hard as possible upon being diagnosed. Radiation to the spin and ribs - keeps killing cancer cells 2+ years. 10 cycles of docetaxel chemotherapy. It took 33 weeks to finish chemo. That is a a lot of cellular death and DNA cell damage to the cancer cells. Cancer cells do die. They just do not die in the normal timely fashion. Cancer is killed in three ways - radiation, chemo, and starvation through ADT, ARSI's, and diet.

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I agree--forever. My husband has been Stage 4 and castrate resistant for many years, and has stayed on Lupron the entire time. His local medical oncologist and the Pluvicto team and the Kwon team at Mayo all agree that it makes no sense to remove one of the weapons you are using to fight the cancer.

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