Connect
Comment receiving replies
Thanks for the good wishes!
I fully understand your cautionary note.
I obtained a Decipher score of 0.22, along with a low volume Gleason 3+4 pathology report and the ERASE randomized clinical trial protocol I embarked on IS designed for someone with “Low Risk” localized PCa, on active surveillance.
I fully realize new (and worse) cancerous lesions are always possible and I’m not recommending my particular protocol to anyone….everyone needs to do their own homework and, in conjunction with their doctor, decide what is the best treatment in their particular situation.
As far as my situation is concerned, I’m quite convinced (after 1300 hours of research, 2.5 years of protocol implementation and a history of clear, measurable results) that this is working for me.
For example, regarding heart rate reduction during HIIT runs over time, my average heart rate has dropped from 182 bpm (March 2023) to 130 bpm (August 2025) to stay at the same 0.25 mile HIIT running pace.
Obviously, my heart and lungs have strengthened significantly.
Hopefully, those with low risk PCa can look into these matters themselves and decide, with a physician’s advise, if any of this is of interest for their situation.
Replies to "@surftohealth88 Thanks for the good wishes! I fully understand your cautionary note. I obtained a Decipher..."
@handera We live in a technological age of testing, scans, numbers and scores.
One hundred years ago when none of this was available, men walked around with prostatic lesions - some totally benign, some so-so, others a bit more feisty, and yes, others that would grow, spread and kill them.
None of that has changed one bit.
I think your training regimen and better fitness level is terrific! It’s a lot of hard work and requires discipline and sacrifice. I would say that all these improved numbers are a result of that hard work.
But how can anyone EVER know if your original lesions with the higher PIRADS scores would have ever amounted to anything more than diffuse PIN or BPH? Who knows if that small G3+4 was destined to go onto anything more aggressive than the original ‘low risk’ category?
I guess what I’m saying is that ultramarathoners get deadly PCa, couch potatoes get it too. Meat, egg and dairy eaters get it, but many, many don’t…it’s a riddle inside an enigma! Don’t think it will be solved in our lifetimes.
Meanwhile, congratulations on your recent results and best wishes for staying on ‘that side’ of the forum!
Phil
Connect
@handera Congratulations! I've only had two MRI's in 2025. First was Pirads 3 (one lesion) and second was Pirads 2 (no focal lesion) and some indication of BPH and Prostatitis. Currently on Tamsulosin which is doing its thing. PSA has fluctuated between 8 and 4. Most recently 6. Prostate volume went from 95 ml to 70 ml. I'll do another PSA in March. But for now tracking all the metrics, running, drinking unsweetened cranberry and eating broccoli sprouts. Hoping for some PSA stability.