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@surftohealth88

That is a great idea and I had been looking into that since proton therapy is supposed to cause minimal damage to surrounding tissues.. The challenge is there are very few medical institutions with proton equipment due to its huge cost. In our area, I only know of Loma Linda, and a little further : UC San Diego. But for something as important as this, distance shouldn’t be a shop stopper, so I will continue to explore proton therapy for potential adjuvant or salvage radiation therapy. I will also look into UCLA’s acclaimed (non-proton) radiation therapy program under renowned Dr. Amar Kishan.

A lot to investigate….

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Replies to "@surftohealth88 That is a great idea and I had been looking into that since proton therapy..."

@soli
An article link that was posted here today outlines some of the risks of salvage radiation or adjunct radiation.

In general, toxicities after postprostatectomy radiation using photon-based techniques have been tolerable, although the rates of late grade 2 and gastrointestinal (GI) and genitourinary (GU) toxicities range from 10% to 20% [10–14] with image-guided intensity-modulated radiation therapy (IMRT).

What this means. “ late grade 2 and gastrointestinal (GI) and genitourinary (GU) toxicities”
Above describes moderate symptoms of damage to the bowel and bladder, requiring minimal intervention but impacting daily activities, and occurring after salvage radiotherapy for a recurrence or persistent cancer after initial treatment. Gastrointestinal (GI) symptoms can include moderate diarrhea or bleeding, while genitourinary (GU) symptoms might involve increased urinary frequency, pain, or intermittent bleeding.

Article the information came from
https://pmc.ncbi.nlm.nih.gov/articles/PMC8019576/