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Lupron or Not at 76?

Prostate Cancer | Last Active: 12 hours ago | Replies (50)
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@brianjarvis
Thanks for the advice.

I did not know about the ArteraAI prostate test this so will ask for this.

"In your MRI and biopsy reports, is there any mention of cribriform pattern, extracapsular extension, seminal vesicle invasion, perineural invasion or intraductal carcinoma? (If not, that’s good.)"

I checked the MRI, PET scan and biopsy and none of these are mentioned at all.

I'm probably going to start the Lupron (or Orgovyx) and decide at the 1 year mark whether is is worth continuing.

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Replies to "@brianjarvis Thanks for the advice. I did not know about the ArteraAI prostate test this so..."
brianjarvis | @brianjarvis | 2 days ago

@tbgb50 Unfortunately, there’s no way to know “whether it’s worth continuing” except by going off of it and seeing if the PSA immediately starts rising again. While on Lupron/Orgovyx your testosterone will be suppressed (with all that goes along with that), and your PSA will be suppressed as a result. (My medical oncologist compared hormone therapy to training wheels on a bicycle - at some point you have to take off the training wheels and see if you can ride without them.) A risky endeavor indeed, to take the training wheels off too early.

But, all of these decisions are personal calls based on the quality of life we each expect.

(In my case, I ramped up my resistance-training exercises, and as a result experienced minimal Eligard side-effects.)

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