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Anyone considered bilateral orchiectomy: Why or why not?
Prostate Cancer | Last Active: Dec 23, 2025 | Replies (74)Comment receiving replies
@overage
Thankx for sharing.
In term of daily nutrition or diet , any recommendation ?
Understand we can insert spacer to avoid radiation hurt our other organ. Is thks effective ?
Replies to "@overage Thankx for sharing. In term of daily nutrition or diet , any recommendation ? Understand..."
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@kingsiang
I do not have any specific recommendations on diet as an aid in combating cancer. My diet was revised at the end of 2024 when after a year of ADT, my fasting glucose levels came in at 110 to 115, the pre-diabetic range. I tried a low-carbohydrate diet for about 2 months without success, and called the nutritionist back and had her revise the diet.
The revised diet further reduced the carbohydrates and consists of a lunch, the main meal of the day, of cooked vegetables, a protein source, meat, chicken, or fish and salad. Evening meal is a salad plus a protein source as in the lunch. Breakfast cooked oatmeal or low sugar granola, eggs a small piece of baguette, an empanada with chicken or beef, and possibly a tortilla and a dish of fresh fruit. I have milk at all meals.
The revised diet did not reduce the glucose enough so in August I asked my Oncologist to prescribe Metformin. He replied enthusiastically and brought up the report of the Stampede trial on his computer. This is the trial mentioned in the article you posted. I started on Metformin in mid-August. The only adverse effect was that on the second day, I had diarrhea. I cut the dose down to one-half tablet for 6 days and then moved to a whole tablet. When the first 30 tablets were exhausted I moved up to 1 and a half tablets for 6 days, and then the 2 tablets of 850 mg. The tablets are taken twice a day with a meal.
Results:
Fasting glucose 2 weeks ago 97. I am hoping for a further decrease on my next test at the end of this week which will include a A1C.
No adverse effect after the first diarrhea.
On your question on the spacer for the rectum, I asked about that with my Radiologist. He said that it was not available in Panama. If it were available, I would have asked for it.
If the spacer is available for you, I think it may be advisable to have it placed, if your doctors recommend it, to further reduce the risk of any side effects.
Radiation technology has improved in recent years, and comments you see on this website and other sites have to be evaluated based upon what type of radiation they received.