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First blood test 3 months after initial ADT (Lupron) injection
Prostate Cancer | Last Active: Dec 19 11:03am | Replies (15)Comment receiving replies
So why didn't my doctor put me on Casodex for two weeks to prevent testosterone spikes? Is doing so a standard or "intelligent procedure?"
Also, if I had an "every 3 months" ADT injection the first week in November, should the testosterone spike be over by now? I get these "hot flashes" that come and go, but from my informal research they're related to drops in estrogen that's normally converted from testosterone via aromatase.
Replies to "@jeffmarc So why didn't my doctor put me on Casodex for two weeks to prevent testosterone..."
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@thanks4sharing
There are doctors that just don’t pay attention to the medical literature. A doctor that does this should be Considered iffy. I would find a different doctor if I had one that did that to me.
The spike is not a long-term thing after a few days/weeks it’s gone.
From AI
After the first Lupron shot without Casodex, the testosterone flare (a temporary surge in testosterone) typically peaks around day 3 and starts to subside by day 7, with symptoms often improving within 2-4 weeks, though it takes about 3-4 weeks for testosterone levels to drop significantly to castration levels and fully resolve the initial flare's effects.