Hormone therapy before radiation treatment question....

@ecurb
While you suffer from fatigue, be careful about how much sleeping you do in the afternoon. I occasionally get tired in the afternoon, I take a 25 minute nap setting my phone for 25 minutes. That keeps me awake till midnight.

The problem is, if you sleep more than about an hour, you go into REM sleep. Once that happens it makes it more difficult to sleep at night. People find they’re not getting a full nights sleep when they do that, and as a result, they are tired in the afternoon. The short naps resolve that issue and allows you to get a full night’s sleep.

If he wants you to take a daily ADT, then he probably is going to give you Orgovyx, The only ADT you get daily. Orgovyx For ADT Allows the testosterone to come back much quicker, which will minimize the side effects.

While you will have some effects from the ADT. They should be very short term. Muscle loss bone deterioration are all things that happen over time not enough matter of a couple of months. You could do some weight exercises to keep the muscles you have in shape.

Whether or not you gain weight is up to you most of the time. Weigh yourself on the scale daily and eat based on what you weigh. I’ve never gained weight and I’ve been an ADT for eight years.

You may get hot flashes. If you do, there are some resolutions, Come back and ask if you have a problem with them.

3 1/2 years after my surgery, my PSA started rising, so I had salvage radiation. They gave me a six month Lupron shot two months before the radiation. To tell you the truth, I didn’t really have any side effects at all from it. He’ll be much better off with Orgovyx.

Recent studies I’ve shown it’s more effective to have ADT at the time of radiation Or shortly after it rather than Before radiation. Here’s some information about that you could talk to your doctor about. This is pretty new information and doctors are not really doing it yet.
https://www.medscape.com/viewarticle/940049
Some information on radiation treatment, if you’re cancer comes back.
People who have radiation as their primary treatment have been told by doctors that surgery isn’t really an option if there’s a reoccurrence. Other options are not really mentioned..

This study shows that both salvage focal therapy (HIFU and cryotherapy) and salvage surgery were equally effective at extending the life of a patient that started off with radiation.

Those that had focal therapy had fewer perioperative complications.
https://jamanetwork.com/journals/jamaoncology/article-abstract/2844900
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You will probably continue ADT for 6-8 weeks after radiation as well; it’s usually a 6 month total, but 4 is also done.
Keep exercising -especially when you don’t feel like it! Pushing thru the fatigue is KEY for success.
Also, get your body used to low fiber meals - gas in the bowels is a big no no! The Linac machine is great when it comes to thus because it automatically turns off if a gas bubble moves your prostate out of target range; but your RO won’t be happy if the 15 minute procedure becomes an hour or more because of gas issues. Do some diet homework! Best,
Phil