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Has your doctor suggested dosing for Calcium and Vitamin D during ADT?

Posted by jime51 @jime51, Sep 4 11:29pm

My oncologist has suggested that taking Calcium and Vitamin D during treatment is helpful, but not type or amount. I'm currently taking 1200 mg Calcium Citrate and 50 mcg Vitamin D daily. Is this adequate?

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Robert | @rlplaut | Sep 28 10:35am
In reply to @jasonnyc "Thanks for reminding us of the 500mg absorption limit. Is there are reason or benefit for..." + (show)
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Thanks for reminding us of the 500mg absorption limit. Is there are reason or benefit for taking calcium citrate as opposed to calcium carbonate? And thanks for the reminder of bone strengtheners. Given my BCR, I'm bracing myself for the eventual ADT.

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@jasonnyc When I started ADT (*) in late 2022 a nurse practioner mentioned that Calcium Citrate is recommened IF you take stomach acid reducers such as Zantac, Priosec, Nexium, etc.

Otherwise, any type of Calcium Carbonate can be used.

(*) I've been on Firmagon (Degarelix) and Nubeqa (Darolutamide) for stage 4 CSPC since late 2022.

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Robert | @rlplaut | Sep 29 12:29pm
In reply to @rlplaut "@jasonnyc When I started ADT (*) in late 2022 a nurse practioner mentioned that Calcium Citrate..." + (show)
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@jasonnyc When I started ADT (*) in late 2022 a nurse practioner mentioned that Calcium Citrate is recommened IF you take stomach acid reducers such as Zantac, Priosec, Nexium, etc.

Otherwise, any type of Calcium Carbonate can be used.

(*) I've been on Firmagon (Degarelix) and Nubeqa (Darolutamide) for stage 4 CSPC since late 2022.

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@rlplaut - In addition to my comment (above) about Calcium Citrate, I feel I should mention two other vitamins to take for healthy bones during ADT:

1. Magnesium Glycinate, and
2. Vitamin D3

These three vitamins (Calcium Citrate, D3, and Magnisium Glycinate) have not been mentioned to me by my doctors. Rather, this advice was offered to me by both Nurse Practioners and Physician Assistants.

Of course physical exercise (fast walking, push ups, etc.) and moderate weight training help as well. No matter how tired I feel when starting to exercise, I always feel better having done it.

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jeff Marchi | @jeffmarc | Sep 29 1:52pm
In reply to @rlplaut "@rlplaut - In addition to my comment (above) about Calcium Citrate, I feel I should mention..." + (show)
Profile picture for Robert @rlplaut

@rlplaut - In addition to my comment (above) about Calcium Citrate, I feel I should mention two other vitamins to take for healthy bones during ADT:

1. Magnesium Glycinate, and
2. Vitamin D3

These three vitamins (Calcium Citrate, D3, and Magnisium Glycinate) have not been mentioned to me by my doctors. Rather, this advice was offered to me by both Nurse Practioners and Physician Assistants.

Of course physical exercise (fast walking, push ups, etc.) and moderate weight training help as well. No matter how tired I feel when starting to exercise, I always feel better having done it.

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@rlplaut
My doctor has said I should be on calcium and the pharmacist that calls me every six months tells me I should be on calcium citrate. It’s absorbed better. Should also be on vitamin D.

Costco has calcium citrate with magnesium and vitamin D.

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ededed | @ededed | Sep 29 2:24pm

My urologist has me on calcium and vitamin D after ADT as well as during.

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