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What is the thought process for this?

Prostate Cancer | Last Active: Jan 29 10:45am | Replies (17)

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Profile picture for jeff Marchi @jeffmarc

Your doctor should’ve put you on bone strengtheners the moment you went on ADT. Waiting this long is really not good medicine, It makes me think your doctor is inexperienced.4

I was put on Fosamax For six years when I started ADT. It has kept my bones strong, and they don’t break when I fall (A very infrequent experience). I’m now on Zometa infusions that I get every three months. I’ve never had any bone pain from any of those drugs. Not sure where you’re finding out that people are having that problem, but I have not heard about that happening except in rare cases. Taking a Fosamax pill once a week in the morning sure didn’t cause any problems.

At a Prostate cancerconference a few months ago a bone doctor discussed how ADT makes the bones weak. He said that everyone on ADT should be on bone strengtheners as soon as they start. I guess your doctor never listened to that information.

At least your doctor does understand that having your testosterone rise too high is going to affect your PSA and may cause your cancer to reoccur sooner. A lot depends on what they found in your biopsy. Your Gleason score is very important to understand what’s going on, but you didn’t mention it. Was anything else found in your biopsy that was negative like intraductal, cribriform, Seminal vesicle invasion, EPE or ECE. Any of those can make your cancer much more aggressive.

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Replies to "Your doctor should’ve put you on bone strengtheners the moment you went on ADT. Waiting this..."

Jeff- does that apply for short term ADT also (4-6 mos) ?

Thanks Jeff. I didn't know there was a pill version of bone meds. I'm definitely going to ask for that since if it does have a lot of bad side effects I can always stop.

My Gleason score was 4+3 based on one core being 4+3, a couple 3+4's, some 3+3s and some benigns. No intraductal, cribriform, seminal vesicle invasion, EPE or ECE but one benign sample did mention "high grade prostatic intraepithelial neoplasia (PIN)" if that's significant