Guest guest Posted April 2, 2010 Report Share Posted April 2, 2010 Hi Guys, So no scientific evidence / hard science that folic acid is cancer related positive or negative. I guess true by no response! Next issue-Lupron I am going to see my Doctor about my next Lupron shot (my second one). I have a Gleason of 7 my PSA was rising rapidly within a month Major back surgery and an infection that almost killed me. In one month it went 1, to 4.6and still rising. I have no prostrate and have done radiation and PSA was very low four 3 years. Until back problems my PSA was around 1.6 up and down a bit. Alan, Terry, Steve and Byran others. I am probably wanting to still be in denial and as you know I am new to this. You can conjecture or do "seems to me" would be OK with me. I want and value your opinion and how I should talk with this doctor this time. I have entertained in my mind a faint hope that when my system got better from the back surgery and near death by infection that maybe my PSA could return to and stay low without the Lupron. About 2 months after the Lupron (4 month dosage) my PSA went from 4.6 to 1.8. Good the Lupron is working. My body is returned to a much healthier state and the inflammation that seemed to be in body everywhere seems to be gone. The MRI done by MD shows a much smaller lymph node near where my vessels split to my legs. Down in size to 1,3. Depending on my PSA being is wise to ask to not get another injection and check it 2 weeks to 1 month until it starts back up again. Of course my hope is it will stay down. If I delay the next shot will it extend the period of Lupron or ADT usage or does cancer adopt to less testosterone in the same period of time anyway. Come on just guess as much you can with what you know. Thanks Guys, Tom To: Kathy Meade Sent: Fri, April 2, 2010 11:21:33 AMSubject: Healthy Body Healthy Mind Below is a sponsored link to an informational piece on Advanced Prostatecancer. It also touches on bone health, screening, research and the need forfunding and the history of prostate cancer treatment. All advocates and menwith prostate cancer should learn something by watching the video. http://www.itvisus. com/programs/ hbhm/index. asp#ooid= Iza2VhMTqn- tHgaxfstDRMBJ1b12EW7i If this link does not work I have also posted the link to the VPCC facebookpage. There are links on the VPCC facebook page to other issues in the newsthat are of interest that you may want to read.http://www.facebook .com/home. php?ref=home#!/group.php? gid=24163819983 Please share this email with anyone who you feel may be interested.Kathy Meade Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2010 Report Share Posted April 2, 2010  Tom My feeling is that you want 6 months of PSA less then analytical minimum (ie next to nothing) before contemplating a Lupron holiday Discuss it with your doc Best wishes Healthy Body Healthy Mind Below is a sponsored link to an informational piece on Advanced Prostatecancer. It also touches on bone health, screening, research and the need forfunding and the history of prostate cancer treatment. All advocates and menwith prostate cancer should learn something by watching the video. http://www.itvisus. com/programs/ hbhm/index. asp#ooid= Iza2VhMTqn- tHgaxfstDRMBJ1b12EW7i If this link does not work I have also posted the link to the VPCC facebookpage. There are links on the VPCC facebook page to other issues in the newsthat are of interest that you may want to read.http://www.facebook .com/home. php?ref=home#!/group.php? gid=24163819983 Please share this email with anyone who you feel may be interested.Kathy Meade Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2010 Report Share Posted April 2, 2010 Metcalf wrote: > My feeling is that you want 6 months of PSA less then > analytical minimum (ie next to nothing) before contemplating a > Lupron holiday I've read similar statements, but some say at least one year. In your case Tom, you haven't (yet at least) achieved an extremely low PSA. I bet your doctor will want you to get your next Lupron dose on time. > Discuss it with your doc Yes. Tom wrote: > ... If I delay the next shot will it extend the period of > Lupron or ADT usage or does cancer adopt to less testosterone > in the same period of time anyway. > > Come on just guess as much you can with what you know. Cancer cells mutate all the time. Some of those mutated cells will be less dependent on testosterone than others, depending on the nature of the mutation. My inexpert, purely layman's guess about the underlying biology is that the rate of mutation is more dependent on the number of cells there are (together with the nature of the cells, e.g., the Gleason score) than on the exposure to testosterone. In other words, if you have X cancer cells in your body, some number of them, say Y, are going to randomly mutate and produce less testosterone dependent offspring. If you have 2X cells, then they will produce 2Y less T dependent offspring. If that's true, you want to hold down the total number of cancer cells by staying on the Lupron, not try to keep them from adapting to it by getting off. But that's my uneducated guess. As says, ask the doctor. Alan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2010 Report Share Posted April 2, 2010 > Next issue-Lupron (snip) > I have entertained in my mind a faint hope that when my system got > better from the back surgery and near death by infection that maybe my > PSA could return to and stay low without the Lupron. About 2 months > after the Lupron (4 month dosage) my PSA went from 4.6 to 1.8. Good the > Lupron is working. My body is returned to a much healthier state and the > inflammation that seemed to be in body everywhere seems to be gone. The > MRI done by MD shows a much smaller lymph node near where my > vessels split to my legs. Down in size to 1,3. > Depending on my PSA being is wise to ask to not get another injection > and check it 2 weeks to 1 month until it starts back up again. Of course > my hope is it will stay down. If I delay the next shot will it extend > the period of Lupron or ADT usage or does cancer adopt to less > testosterone in the same period of time anyway. As to the last question, I would not bet my life on it. Unless the criteria for intermittent ADT are met. Those criteria are: undetectable PSA (meaning =/< 0.05 ng/mL) for at least one year while on an LHRH agonist such as Lupron, Trelstar or Zoladex. Nothing less will do. Read about ADT at this point on the encyclopedic website of the Prostate Cancer Research Institute at: http://www.prostate-cancer.org/pcricms/node/199 The author of the article is B. Strum, MD, a medical oncologist who has specialized in PCa for over 28 years. Much more on ADT and IADT can be found on the site. As well as reliable information on just about any PCa subject one can imagine. I most strongly recommend _A Primer on Prostate Cancer_ 2nd ed., subtitled " The Empowered Patient's Guide " by medical oncologist and PCa specialist B. Strum, MD and PCa warrior Donna Pogliano. It is available from the PCRI website and the like, as well as Amazon (30+ five-star reviews), & Noble, and bookstores. A lifesaver, as I very well know. Never accept guesswork; educate yourself. All the best, Steve J " Come to the cold, hard realization that medicine no more knows what causes cancer or how to cure it than they know what is the best house, diet, profession and companion for you. Each person and life is different. That is why YOUR education and YOUR choice in YOUR life is best. Make your doctor explain until you understand and if (s)he doesn't like it, get a new one. It is YOUR body, YOUR treatment and YOUR future. It won't be easy but learn to take back control.... " -- Young, PCa Mentor Phoenix 5 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2010 Report Share Posted April 2, 2010 OK Tom, here’s my <snip> ….conjecture or … " seems to me " <snip> … I think that your rising PSA is connected directly to your surgery and infection. It would be good if it was associated with the inflammation that goes with a major surgery and the healing process. But I fear that it may well be due to the action of prostate cancer cells that have gained strength from the human growth factors (HGF) generated in substantial quantities by the body to heal the trauma of the surgery. The background to that conjecture goes back some years when, on a Forum that is alas! long gone, there was a good deal of intelligent discussion on speculative theories. Many of the men who joined in the discussion had qualifications that enabled them to have input at level beyond we lay people. We were discussing the subject that raises it’s head from time to time – does a biopsy procedure spread the disease? Why is there sometimes a failure of RP (Radical Prostatectomy), in cases where to all intents and purposes the clear margins on the pathology indicated that the disease was most likely self-contained. This had been raised in the context of the work that Dr Judah Folkman was doing on how tumours created their own blood supply. One of the men had a medical degree (he was not a urologist) and he had a very clear view that he would never submit to a second biopsy because, from his knowledge and the studies he had read he believed that there was a greater risk that the disease could spread in this way and become systemic. He also believed that HGF might be behind the RP failures and quoted some studies where people who had been involved in traumatic accidents (mainly road accidents) were said to have a higher incidence of cancer of all types over the years that followed their recovery. I felt that this was indeed food for thought, especially in the light of what I had learned about Judah Folkman’s work, but couldn’t agree on the biopsy spread, purely on the basis that, given the millions of biopsy procedure carried out for prostate cancer, there would be a substantial increase in the incidence of prostate cancer instead of the falling incidence we see. So that’s the background to my conjecture. Either way I would, in your position, seriously consider continuing ADT (Androgen Deprivation Therapy) at this time. If Lupron doesn’t suit you – if you had a really bad reaction to that medication, try another, but it seems to me you should do it and see what happens to your PSA. If it drops back again, then perhaps one more shot after the next one will knock the PSA number down to an accepted level. If that happens then, I think, that would be the time to consider an ADT ‘holiday’. Of course if the PSA continues to rise, despite your continued ADT, it might be time to step up the attack – perhaps with multiple medications. I hope this helps. I know I don’t really have to say it, given your request, but, as you know I have no medical training and this is only based on what I have learned. I can’t even quote the studies mentioned above because I never kept the discussion. One tends to think that material that has been published on the Internet will be there forever, - and much of it is – but not when the ISP goes bust and the machinery goes as well. All the best Prostate men need enlightening, not frightening Terry Herbert - diagnosed in 1996 and still going strong Read A Strange Place for unbiased information at http://www.yananow.net/StrangePlace/index.html From: ProstateCancerSupport [mailto:ProstateCancerSupport ] On Behalf Of Tom Sent: Saturday, 3 April 2010 7:19 AM To: ProstateCancerSupport Subject: Re: Healthy Body Healthy Mind Hi Guys, So no scientific evidence / hard science that folic acid is cancer related positive or negative. I guess true by no response! Next issue-Lupron I am going to see my Doctor about my next Lupron shot (my second one). I have a Gleason of 7 my PSA was rising rapidly within a month Major back surgery and an infection that almost killed me. In one month it went 1, to 4.6and still rising. I have no prostrate and have done radiation and PSA was very low four 3 years. Until back problems my PSA was around 1.6 up and down a bit. Alan, Terry, Steve and Byran others. I am probably wanting to still be in denial and as you know I am new to this. You can conjecture or do " seems to me " would be OK with me. I want and value your opinion and how I should talk with this doctor this time. I have entertained in my mind a faint hope that when my system got better from the back surgery and near death by infection that maybe my PSA could return to and stay low without the Lupron. About 2 months after the Lupron (4 month dosage) my PSA went from 4.6 to 1.8. Good the Lupron is working. My body is returned to a much healthier state and the inflammation that seemed to be in body everywhere seems to be gone. The MRI done by MD shows a much smaller lymph node near where my vessels split to my legs. Down in size to 1,3. Depending on my PSA being is wise to ask to not get another injection and check it 2 weeks to 1 month until it starts back up again. Of course my hope is it will stay down. If I delay the next shot will it extend the period of Lupron or ADT usage or does cancer adopt to less testosterone in the same period of time anyway. Come on just guess as much you can with what you know. Thanks Guys, Tom From: Kathy Meade <kmeadelistaec225> To: Kathy Meade <kmeadelistaec225> Sent: Fri, April 2, 2010 11:21:33 AM Subject: Healthy Body Healthy Mind Below is a sponsored link to an informational piece on Advanced Prostate cancer. It also touches on bone health, screening, research and the need for funding and the history of prostate cancer treatment. All advocates and men with prostate cancer should learn something by watching the video. http://www.itvisus. com/programs/ hbhm/index. asp#ooid= Iza2VhMTqn- tHgaxfstDRMBJ 1b12EW7i If this link does not work I have also posted the link to the VPCC facebook page. There are links on the VPCC facebook page to other issues in the news that are of interest that you may want to read. http://www.facebook ..com/home. php?ref=home#!/group.php? gid=24163819983 Please share this email with anyone who you feel may be interested. Kathy Meade Quote Link to comment Share on other sites More sharing options...
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