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Newly dx ….. starting down the path to treatment

Prostate Cancer | Last Active: Oct 27 11:23am | Replies (14)

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Profile picture for jeff Marchi @jeffmarc

When you start ADT one thing that happens is your muscles start to deteriorate. Stomach muscles in particular weaken and you end up getting a belly very quickly. This may not be something you look forward to, but ADT gives you a lot more progression free survival.

Even though I really watch what I’m eating, I did get a little bit of a belly. In order to keep my muscles and bones healthy with ADT I walk on a track twice a day every day at least a mile each time and I go to the gym three times a week and do an hour of weight training. When I go to the gym, I do 60 or 70 situps every time to try to keep my stomach muscles in shape. I am 77 and have had prostate cancer for 15 years, It has reoccurred four times so I’ve been on ADT for nine years. I became castrate resistant six years ago, Beating out the median survival of two years. Leading a healthy lifestyle can really help.

The reason I do this is your bones start to deteriorate under ADT as well as your muscles. Many people on ADT end up with osteoporosis, So you wanna be careful about exercising and keeping your bones healthy?.

A bone specialist who was at a recent conference, said that everybody that is on ADT should be taking bone strengtheners. I was on Fosamax weekly for about six years and I am now on Zometa infusions every three months. Talk to your doctor about this, It is very important.

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Replies to "When you start ADT one thing that happens is your muscles start to deteriorate. Stomach muscles..."

@jeffmarc
All this information is really helpful. In the initial 9 years, while you were on ADT, was it ADT alone (which med), or was it ADT + ARSI (which ARSI again) ?
Is it a good idea to start with ADT (bilateral orch.) + ARSI, right when a person begins treatment of ADT + Radiation (recommended)? Or wait to see if one becomes Resistant and then introduce ARSI?