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Is ADT causing anemia?

Prostate Cancer | Last Active: 1 day ago | Replies (43)

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Profile picture for stragale @stragale

@waynerl
A few questions if I may:

Have you had any of the labs done that I had listed in my post? Basically, they're to rule out (or in) other possible causes of your low RBCs etc., such as hemolytic anemia.

You mentioned having GI issues. Is it possible you have a GI bleed that's contributing to your low numbers? My PCP referred me to a GI specialist. I don't have an appointment set up yet but expect to get one soon.

If RBCs are low enough and you're having breathing problems, maybe a transfusion is in order?

Finally, have you sought a second opinion from another center? I think you mentioned that you see physicians at VA in Seattle? Maybe see if you can get in to the Hutchinson Cancer Center for a second opinion. I have seen experiences from friends and others who have seen docs who are "behind the times" in their knowledge.

Hugs and warm wishes
Gale

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Replies to "@waynerl A few questions if I may: Have you had any of the labs done that..."

@stragale Gale, both of my oncologists, although serving part-time at the VA in Seattle, are in fact from the Fred Hutchinson Cancer Research Center. They said they were not overly concerned with my low RBC because I had normal hemoglobin results. I often tell them the recommendations that I have received from various members of this group, but they are sticking to their original plan. W

@stragale I thought I had already answered this but I don't see my reply, so I'll try again. I have had a full blood workup done. Here are some of the results: PSA 0.1, WBC 7.99, RBC 4.37, HGB 13.8, HCT 40.9%, MCV 93.6., etc. My oncologists, although serving at the VA Hospital in Seattle, are actually from the Fred Hutchinson Cancer Research Center. I think my complaints about weakness and fatigue are mostly due to the effects of ADT and loss of testosterone. Maybe my claim re anemia is overstated, but I started taking slow release iron pills and B12 vitamins.
~Wayne