← Return to ADT, Brachytherapy, IMRT...done!

Discussion
callibaetis avatar

ADT, Brachytherapy, IMRT...done!

Prostate Cancer | Last Active: Apr 28 9:14am | Replies (22)

Comment receiving replies
Profile picture for johnsonjn @johnsonjn

@callibaetis I am starting my journey and just found your post.
My case - Recent PET/PSMA is clear, Current PSA 5.8, Clinical Stage - T2a , Gleason 7 (3+4), Decipher Score .9 (high risk)
I am considering IMRT/VMAT with ADT and I would love to know how your doing now after this many months?

Jump to this post


Replies to "@callibaetis I am starting my journey and just found your post. My case - Recent PET/PSMA..."

@johnsonjn

Doing pretty well I suppose. My most recent PSA in early March was 0.15, so that continues a downward trend. Testosterone was 319.

Had a Dexa Scan in late December which showed me to be osteoporotic. Unfortunately, I didn't have a scan prior to initiating treatment, and therefore, have no baseline for comparison. I'd have to recommend that anyone starting this journey, especially if it involves ADT, get a baseline Dexa or REMS scan. In addition, where ADT is on the table, perhaps consider the estrogen patch as an alternative? The present plan for me is to do a repeat scan in a year or so and go on from there.

I've upped my calcium intake via some variable daily combination of calcium citrate w/D and milk/cheese/yogurt. I'm aware of the dairy thing with prostate cancer. I'm not going to agonize over it though.

All in all, I feel pretty good. I'm fairly active, but it varies seasonally and with the weather. I prefer to do things outdoors, and....hike in the mountains as much as possible. I weight train too, but don't go overboard. My joints and body aches dictate what and how much I do.

I still believe that I made the best choice in selecting a treatment based on my interpretation of my situation. Best of luck in making a treatment decision.