Prostate gleason score is a 7

@mozir
MRI guided SBRT 5 sessions. Restrictive urination after 3. Flomax handled that overnight. That was February 2023. No re-occurrence for now. I get tested every 3 months.no adt.

@brianjarvis If anyone is interested in doing a deep dive into what a resistance training program for cancer might look like, Dr. Newton's book, My Exercise Medicine for Cancer is a good place to start. There's a lot to absorb but the first 5 chapters and the the appendices at the back where Dr. Newton gives examples of initial programs was enough to get me started. He also spoke at last year's PCRI conference and you should be able to find that talk or others on Youtube.

Had a Gleason score of 7, ADT 3 injections - hot flushes, Brachytherapy and Radiation - finished June 24, urgency and pain when urinating. Tried all medications but no luck, on my 19th session of HBOT and I think it is beginning to work TG best of luck.

Biopsy 7/25/24 I was 4+3/7, Opted for surgery 11/11/24. After surgery they said I was in fact a 9 (4+5). PSA was low (0.04) but rising, and we began radiation in December. I had Lupron in October followed by 39 radiation sessions that ended in February. Today I am < 0.01 (undetectable),

Hormone shot left me with hot flashes that are continuing 6 months later but are starting to be less frequent. The fatigue from radiation has been significant. I can't work out as much or as often as before. Hoping to build that back up but it's a challenge.

I was Gleeson 4 + 3 and 3 + 4 and underwent five weeks of external beam IMRT daily radiation as well as a single high dose brachytherapy session. My radiation was accompanied by six months of Orgovyx ADT.

I did have a day or two of shin pain but it resolve quickly and no other aches during my ADT. I also experienced emotional periods seemingly out of context. Though I did not have any hot flashes, I did and continue (now 12 months post treatment) to experience occasional short term fatigue often appearing to be caused by very hot weather.

I also saw my blood sugar increase and about 5-8 lbs of weight gain over the six months of ADT.

I would look into Orovyx vs. shots. I found my ADT regime very tolerable for the most part.

@drewlevine Yes, that is a useful resource. If someone is unfamiliar with exercise regimens, that certainly is helpful.
In my case, I didn’t need exercise due to my prostate cancer, it was due to the hormone therapy and the desire to minimize/avoid side-effects.

When my medical oncologist recommended that I do resistance-training exercises to minimize/avoid side-effects.by promoting lean muscle mass, being a gym rat myself I knew what to do — multi-joint exercises that utilize the largest muscle groups: squat, deadlift, bench press, row, overhead press, and lat pulldown exercises for a total of 1-1/2 hours each day. On alternating days, I would also add some cardio - either jog 3-4 miles or swim 35-45 minutes. On the 7th day I rested…..

For me that worked, and I was able to maintain it throughout my time on Eligard,

@brianjarvis That's a great routine! Seems like you have all the bases covered and I could see why it would be so helpful with ADT. I was never a gym rat before so the book was a great help to getting under way. It does talk about (briefly) twinning the routine with the therapy you're using (radiation, ADT and Chemo) so that was a bit of help for me too (I had radiation therapy).

@brianjarvis I guess I'm what you would call a gym rat. 75, go four days a week, three days of intense resistance, one day stretching and conditioning. I am exhausted after each work out and they're only 45 minutes. I am not on ADT or any other medication (yet, anyway). Had RALP two years ago and so far so good except for some urinary issues. I also use a trainer, which for me makes all the difference because I don't think I would have the discipline to work hard like this all of the time on my own. They also make sure I exercise all muscle groups. My question is: How do you manage to do this for 1 and a half hours? I do all the things you do, and more, yet I am l worn out in less than an hour. The good news is that I quickly recoup and then I'm ready for the day. Then on top of it you are doing cardio two more days. I could probably fit that in, but I try to keep active the three days I am not working out. Maybe you've been working out a lot longer than I have, and your body can handle it. What's your secret?

@tango32652 Doing 3 sets of ~15 reps of each of those routines will take time. (And those exercises I mentioned are just the major muscle groups.) When I was younger, the gym was also a social scene.

Proper diet and sufficient rest play a role in not only getting through the exercise routine, but in recovery as well.

These days I work out at the gym only 2 or 3 days a week; and I’ve cut out the 5Ks; but I now swim 1 to 1-1/2 miles 2 or 3 days a week. Still getting in the exercise, just mixing it up a bit.

They say that heart-healthy is prostate-healthy. I hope they’re right……

(The rest of the time is still filled with other activities - my wife, grandkids, volunteering, lunch/dinner out with friends, attending 2 (sometimes 3) local prostate cancer support group meetings, and more. Life is certainly not dull……)

Except for the treatment time (28 sessions of proton radiation) prostate cancer really hasn’t interrupted much of what I’ve always done.)