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Posted 2/16/2023 5:40 PM (GMT -5)
I got my first 6 month PSA results after getting off of Lupron today. It was 0.01. I was sweating this one. I had my last 3 month Lupron shot in May of 2022. Stopped with my urologist's OK in August. I was disappointed not to have a testosterone result, although I'm sure it is back up since I have been regaining muscle mass and strength at the gym, among other things. This has been going on since about mid December. I know that I am still early in a lifetime process, but I'll take the win for now!
Posted 2/16/2023 5:55 PM (GMT -5)
I was able to build muscle on ADT, it was just a slow process.
Posted 2/17/2023 10:45 AM (GMT -5)

Jimlion said...
I got my first 6 month PSA results after getting off of Lupron today. It was 0.01. I was sweating this one. I had my last 3 month Lupron shot in May of 2022. Stopped with my urologist's OK in August. I was disappointed not to have a testosterone result, although I'm sure it is back up since I have been regaining muscle mass and strength at the gym, among other things. This has been going on since about mid December. I know that I am still early in a lifetime process, but I'll take the win for now!

Once one is doing any form of ADT, testing for testosterone should be automatic with every PSA blood draw. Unfortunately, it isn't. I had to specifically ask that they include that in the testing order. I wouldn't have caught it if the nurse hadn't said something like "We're testing PSA today, right?"
Posted 2/17/2023 11:11 AM (GMT -5)

Largebill68 said...


Once one is doing any form of ADT, testing for testosterone should be automatic with every PSA blood draw. Unfortunately, it isn't. I had to specifically ask that they include that in the testing order. I wouldn't have caught it if the nurse hadn't said something like "We're testing PSA today, right?"

My MO has never tested for T. Maybe his view is that the PSA drop after starting ADT indicates T suppression. When castration resistance sets in, the PSA will increase, but not because of an increase in T.

I'm not saying Largebill is wrong, but including a T test may be of limited value in some cases.

Have a good weekend everyone.
Posted 2/17/2023 11:41 AM (GMT -5)
As I see it, the problem with limited testing is you can not go back and get that information. After surgery and ART, I asked my PCP to grab a T value so I would know where I stood relative to ED and all the other odd feelings after treatment. My T was fine so could not blame anything on that, darn. I get all the tests we can think of (and he agrees with) at my annual visit so that I have baseline results and can see trends over the longer term, if any. The latest I observed is my A1C went up when my statin dose was increased three plus years ago which can only be observed over years to establish a reasonable conclusion.

Do you have to do testing all the time? Heck no but it sure seems like it would be reasonable to have a value before ADT and after PSA drops to understand efficiency of treatment. Working and working well may be two different things.
Posted 2/17/2023 3:20 PM (GMT -5)

mattam said...

Largebill68 said...


Once one is doing any form of ADT, testing for testosterone should be automatic with every PSA blood draw. Unfortunately, it isn't. I had to specifically ask that they include that in the testing order. I wouldn't have caught it if the nurse hadn't said something like "We're testing PSA today, right?"

My MO has never tested for T. Maybe his view is that the PSA drop after starting ADT indicates T suppression. When castration resistance sets in, the PSA will increase, but not because of an increase in T.

I'm not saying Largebill is wrong, but including a T test may be of limited value in some cases.

Have a good weekend everyone.

######

mine never tested for T either except for maybe once. but he did catch on that i was checking the box on my lab slip
Posted 2/17/2023 11:35 PM (GMT -5)
Thanks for the replies everyone! I plan to ask for a T test on my next draw, but right now I am just happy with an undetectable PSA. Appreciate y'all! This forum is an awesome place!

Jim
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