If he wants you to take a daily ADT, then he probably is going to give you Orgovyx, The only ADT you get daily. Orgovyx For ADT Allows the testosterone to come back much quicker, which will minimize the side effects.
While you will have some effects from the ADT. They should be very short term. Muscle loss bone deterioration are all things that happen over time not enough matter of a couple of months. You could do some weight exercises to keep the muscles you have in shape.
Whether or not you gain weight is up to you most of the time. Weigh yourself on the scale daily and eat based on what you weigh. I’ve never gained weight and I’ve been an ADT for eight years.
You may get hot flashes. If you do, there are some resolutions, Come back and ask if you have a problem with them.
3 1/2 years after my surgery, my PSA started rising, so I had salvage radiation. They gave me a six month Lupron shot two months before the radiation. To tell you the truth, I didn’t really have any side effects at all from it. He’ll be much better off with Orgovyx.
Recent studies I’ve shown it’s more effective to have ADT at the time of radiation Or shortly after it rather than Before radiation. Here’s some information about that you could talk to your doctor about. This is pretty new information and doctors are not really doing it yet.
https://www.medscape.com/viewarticle/940049
Some information on radiation treatment, if you’re cancer comes back.
People who have radiation as their primary treatment have been told by doctors that surgery isn’t really an option if there’s a reoccurrence. Other options are not really mentioned..
This study shows that both salvage focal therapy (HIFU and cryotherapy) and salvage surgery were equally effective at extending the life of a patient that started off with radiation.
Those that had focal therapy had fewer perioperative complications.
https://jamanetwork.com/journals/jamaoncology/article-abstract/2844900
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@jeffmarc
Thank you so much for the information and links....I am so glad I found this group.....Everyone has been very helpful, and I am learning by everyone's responses, and comments throughout this board....
I received an update from NYU today as well....They sent my biopsy slides to a company in Florida (Artera) which does an AI assessment of the biopsy slide...My prognostic risk score was "low"...And the document mentioned "no clear risk reduction with the addition of short-term androgen deprivation therapy to RT"...
The great staff at NYU believes with my advance PC, I should still follow through with the short term ADT. It's because the pathologist noticed cribriform when they reviewed the slides....I am waiting for the Decipher results which won't be ready for 4-5 days....
The nurse practitioner did mention to me that the ADT treatments will be for 4-6 months, and not 4-6 weeks.....I guess I misunderstood when I met with the RO at NYU....either way I am preparing myself mentally and physically for the journey ahead....
I really appreciate all the guidance and support from ya all.....
You all are in my prayers!
Thank you!!