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Transition out of ADT therapy
I am looking for a clinic or clinician that specializes in the transition from ADT therapy. Last injection was 5 months ago and so far the worst experience of my life.
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Have you been getting blood test to tell you what your testosterone level is? You need to know this so you can see if it’s rising regularly. For some people, it doesn’t rise more than a little bit, for others. It comes back close to normal. A lot depends on how long you were on it And how old you are.
When I was 77 I stopped ADT for eight months, After being on it for six years. At that point, my testosterone hit 50 and was going up 20% a month. My oncologist wanted me to go back on it because I have a genetic problem. Just an example so you know it can return, Just don’t know how long it will take.
A doctor, I hear from once a month wrote this in his newsletter.
After 3 - 9 months of ADT nearly all men fully recover by about 10 months;
- After 18 - 24 months of ADT only 60% fully recover by about 3 years; and
- After 36 months of ADT exposure only 50% fully recover by ~ 5 years.
If your testosterone has not returned to a decent level >250 After a year or so, you can get testosterone injections, which can return you to normal. Whether or not you do, this is dependent on the aggressiveness of your prostate cancer. If it’s real aggressive, you don’t want to do it Since it can cause it to come back.
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3 ReactionsFor me there was no “transition.” After my 2nd (& final) 3-month ADT injection (Eligard), we simply stopped.
(I recall telling my wife (in late January 2022), that I thought the Eligard was wearing off because I was beginning to lift heavier weights at the gym. Since I wasn’t due for another “official” bloodwork for another couple of months, I self-ordered another PSA & testosterone test (out of curiosity), and those came back as 0.13 & 403.0, respectively, meaning that everything was going exactly as expected - that is, PSA staying low and testosterone increasing as the Eligard was leaving my system. The muscle mass, and strength all slowly returned.)
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2 Reactions@jeffmarc I started ADT today for the next six months.🙏🏻
@beshoe66
Hopefully, you will have very few side effects. Went to dinner With a couple a week ago. Husband had started Orgovyx Two months before and had no side effects at all. Some people can handle it well. He has no fatigue like me.
@jeffmarc I'm curious about your comment that T injections can cause prostate cancer to come back. I am very aware that T injections can fuel the fire if the cancer comes back, but does it actually cause the cancer to come back? Thanks