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Dexa Results

Osteoporosis & Bone Health | Last Active: Aug 25 9:38pm | Replies (20)

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I'm not at all sure I'm going to "feel good" about my cancer.

My cancer was/is 4a, Gleason 9, Decipher .99 I had prostatectomy then radiation and ADT. My PSA has ben < 0.01 for over 2 years. But now that I'm off ADT, it's got me worried.

I'd say my cancer does leave me at high risk for metastasis.

I've got labs and MO appointment next month. I've got a lot of questions. Increasing T levels and possible increase in PSA, and bad side effects if I start some kind of bone treatment are all worrisome.

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Replies to "I'm not at all sure I'm going to "feel good" about my cancer. My cancer was/is..."

Increase in testosterone will normally increase your PSA.
If you are at risk for metastasis, you might best consider Zometa or
Prolia--both effective, and protective. Side effects are a worry.
They may have wanted you off ADT in order to get a clear PSMA(pylarify)/PET
scan.
https://jnm.snmjournals.org/content/64/11/1730#:~:text=Androgen%20deprivation%20therapy%20(ADT)%20is,and%20affecting%20PSMA%20radioligand%20therapy
.
It's good you are gathering your question. Wishing you the best.