ADT/ARI treatment - 1 month in

Posted by mjp0512 @mjp0512, Jul 13 2:41pm

mCSPC - Gleason 9 (5+4) - lymph and bone metastasis. Treatment plan is ADT/ARI (Orgovyx/Nubequa) for 3-4 months then IMRT x 20. First blood work 1 month into treatment:

PSA: Baseline - 30.11
7/9 - 0.55

Testosterone: Baseline - 450
7/9 - 10

Seems as though the drugs work. 😁

Side effects: Tolerable hot flashes and some joint stiffness in hands and knees. That's about it. I walk 2 miles a day and do full body resistance training 3 days a week (resistance bands). Hopefully that will keep the side effects mild.

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northoftheborder | @northoftheborder | Jul 14 1:30pm

That's great news! No guarantee, but since it's started off so well, here's hoping you'll stay in the cohort that experiences only mildly-uncomfortable side-effects from hormone therapy, not serious ones. After almost 4 years, I'm still tolerating my Orgovyx+Erleada surprisingly well (all considered).

mjp0512 | @mjp0512 | Jul 23 2:27pm

Well, just had an appointment with my urologic oncology guy. He was pleased with the blood work; however, my diagnostic code list keeps getting bigger. Last visit, only the first 3 were listed. Maybe he finally finished reading the PSMA PET report. 🤣

C61 Malignant neoplasm of prostate
C77.5 Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes
C79.51 Secondary malignant neoplasm of bone
C77.2 Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes
C77.1 Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes