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Optimal Duration of Hormone Therapy

Prostate Cancer | Last Active: 33 minutes ago | Replies (53)

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Profile picture for robertov @robertov

This adds more evidence to those trials. I should also clarify that this is *just* determining the appropriate time of efficacy from ADT under certain circumstances. That does NOT mean that I am cured. I understand this is the beginning of the journey, not the end.

I was literally on the verge of ending ADT and it hit me bigtime. I think for others in prostate confined cancer and wtih none or some certain defined risk factors (no palpable prostate lump, psa < 10,, no seminal vesicle invasion) that now can re-exame what they want to do. As the video says, you can bring the study to your oncologist and discuss it.

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Replies to "This adds more evidence to those trials. I should also clarify that this is *just* determining..."

@robertov PC seems so personal: I had no palpable lump, PSA 6.x, Gleason 7 but PSMA PET showed lesions in prostate and adjacent lymph nodes. My treatment includes 44 IMRT treatments and 18 months on Orgovyx. @jeffmarc and I have had such extremely different outcomes from treatment: he continues to endure ADT like an athlete and I have been through all the known side effects. I was pre-diabetic (glucose 111) but lost 40 pounds during Covid, pre-diagnosis making all my indicators "normal". Unfortunately, since diagnosis, I've gained back 30 and am pre-diabetic again, and diabetes and stroke are my major fears. I think it's providential that I lost weight earlier. Had I gained 30 with no prior loss, I would definitely be diabetic. ADT has my Testosterone < 10, and life is so different. I had an hour of physical therapy yesterday followed by 2-3 hours of yard work, and I am still "crashed" today. The video doesn't apply to me, but other studies have shown that 18 months ADT is typically as effective as 24 or even 36, so we'll see! I am scheduled to complete ADT at the end of June and am anxious to see whether and how much testosterone returns afterward.