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@brianjarvis To me its a tradeoff between a 5% increase of cure vs the side effects of hormone medication. If I begin the slope of loosing muscle mass and stamina, depression will follow. Include the PE risk to that.
Replies to "@brianjarvis To me its a tradeoff between a 5% increase of cure vs the side effects..."
@ebooneac
You could instead use the estradiol patch. The patch studies showed it’s just as effective as ADT, but has many fewer side effects.
Another option would be to get on Nubeqa. I know many people that are on it as their only drug. I was on it for eight months without ADT and my PSA still stayed undetectable. Something to discuss with your doctor. This drug keeps the prostate cancer from growing and spreading, even if you have testosterone. I’ve been on it for almost 3 years and I’ve been undetectable for the last 27 months.
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@ebooneac My medical oncologist game me a heads-up of what to expect and how to minimize/avoid those risks (well before my first shot).
Since then, I’ve found much information on this topic. Here are just a few that I’ve bookmarked:
> Drs. Sholz and Moyad talking about exercise and hormone therapy: https://m.youtube.com/watch
> A paper on The Benefits of Exercise During Hormone Therapy: https://static1.squarespace.com/static/54c68ac6e4b06d2e36a4b8c9/t/55cb7275e4b0d97ae7ff60af/1439396469154/The+Benefits+of+Exercise+During+Hormone+Therapy_Insights+August+2015_PCRI.pdf
> A study about the benefits of exercise to counteract the adverse effects of ADT: (They describe a good resistance-training program): https://journals.lww.com/acsm-msse/fulltext/2023/04000/resistance_exercise_training_increases_muscle_mass.2.aspx
Mental health benefits of exercise while on ADT: https://m.youtube.com/watch
Side-effects of ADT: https://m.youtube.com/watch
Resistance-training
> https://pcri.org/sky-2/2017/9/19/fitness-and-longevity-rylt4
For me, I did lose muscle mass (and strength), but I did maintain some lean muscle mass; I did experience zero libido (but everything worked); and I had “warm” flashes. All in all, by choosing to ramp up my exercise regimen, I didn’t have much problem with hormone therapy.
With hormone therapy, if you do what it takes, you would do very well with the hormone therapy - it’ll just be an annoyance; if you don’t do anything, hormone therapy can be your worst nightmare.