PSA Less than 0.01 - Next Steps, Testosterone After Hormone Therapy | Answering YouTube Comments #58
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- Опубліковано 10 вер 2024
- Alex asks Dr. Scholz about a patient from our UA-cam comments who has a PSA of 0.28 while on hormone therapy after radiation, and answers his question whether or not he should get a PSMA PET scan.
0:09 Is a PSA of 0.023 considered undetectable? Is it safe for me to consider testosterone replacement therapy?
3:43 How long does it take for testosterone to come back after stopping hormone therapy, and does a second-generation hormone therapy like Zytiga affect that?
4:38 I am 72 years old with a Gleason 8 prostate cancer. I had IMRT and have been on hormone therapy. My PSA is currently 0.28; should I get a PSMA PET scan?
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@@francescvilallonga6973 oui
I had PSMA PET, results indicated no spreading outside prostate, and radical prostatectomy was done on 15 Nov 2021. Now recovering well. Your video gave me hope, thank you. I’m 77.
Will you get an erection or all the nerves severed,good luck.
ALEX, this series is exquisitely produced and helpful beyond just information. It helps us in that because the system is so loaded that the oncologists and clinics drop us back to the care of our family physicians whom we seldom see and thus feel in a vacuum after all the visits for care. But You and the excellent Dr. Scholz keep us feeling "IN" the loop.
After Lupron, my testosterone became undetectable four over four years and then rose along with my PSA to 1.3 but dropped without further treatment.
What are therapeutic means to measure and kill circulating cancer stem cells when low PSA is reached? 18 year survivor.
With intermittent hormones therapy can the cancer cells come back as hormones resistant and causing more problems? Thank you. You are doing a great job and videos
Good information for all of us that we have some type of prostate cancer.
These videos are so helpful, thank you Alex and Dr. Scholz. Just the best!
Did not even know of PSMA scans until seeing these videos, so thanks for that. I wonder if it is worth having one on active surveillance.
Me either man, thank God for this information!
Thank you so much for these videos. They are so useful for those of us with or members of family with prostate cancer. Lots of love from London England. Hugs to hunter and also you two lovely people
I was diagnosed with high risk stage four prostate cancer year before last and now my PSA level has dropped to 0.01 while on hormone therapy
Which treatment are you taking
@@jerrysingh1617 Casodex and Lupron
Doing combo Treatment now ❤
Thank you for the relevant information which is so useful.
Great Stuff, informative
Dr. Scholz , how would a senior man age 67 , ( without cancer) to keep the PSA level low ? or any advice to prevent prostate cancer ?
I am very much thankful to you for your sincere advice and information regarding proastate cancer.
Your information is a hope for our worries to survive. and good guidance for treatment.
Your information is sirvice to Humanity, is service to God. I pray God to give you good health to serve Humanity, Thanks
Thanks for sharing
Thanks, very informative. Just what I needed to know.
So with Lupton and Nubequa if my psa goes to a .01 does this mean a possibility of getting off hormone therapy. I'm a stage 4 and psa was 160 now down to a 1.0
Hey there hope you well, my husband is stage 4, PSA 131 now on blockers for a week going for a injection tomorrow then they want to remove his testicles.... you just gave me hope that my hubby will be okay .... did yours spread to to the bone and lymph nodes through the body??? My hubbies is in the lymphnods through the body but only small magnified activity on the left hip no spread to any organs.... how long have you being a stage 4? And did you remove the prostate itself? Love and peace from south Africa Cape town
@@foodislifesouthafricacapet3716
@@foodislifesouthafricacapet3716 surely hormone therapy is the way to go rather than testicle removal. I'm stage 4.
@@foodislifesouthafricacapet3716YOUR DOCTOR IS A THIEF
My P.S.A.is at 84.9 I was told it can go to 2,500
thank you for another informative video. Hello Hunter, what a handsome dude
I was diagnosed with prostate cancer in 2016, 4+3 gleason score. I had a radical prosectomy followed by salvage radiation when psa was at .08. I was put on trt about 20 years ago. After having undetectable psa for 2 years I went back on trt. After a few months my psa is back up to .06. I stopped the trt. I was wondering if you had any advice regarding trt use in the future? I'm also curious if a PSMAT scan is too early at this point? Thank you very much!
Thank you so much for another great presentation Dr S and Alex !!!
I had a PSA of 125 and was a Gleason 8 but with radiation and ADT for nine months until I was suicidal from the ADT .
I’m 0.008 PSA with no testosterone returning yet .
Now I’m on high vit D3 and …..
I still worry ... My PSA is still 1.2 after diagnosed with PS 4+3 T3b N1 M0 7 months ago (ags 68); started Eligard 45mg right away, then radiation x 39. PSA fell from 27 to 12, 6.8 than recently 1.2 - Still not 'undetectable' after at least 6 months. All doctors I met (3) told me 1.2 it normal and ok. Just received 2'nd Eligard. How come my doctors says ok, even confronted with your PCRI facts and every PCRI video says like 0,1-0,2 and this video to to worry if it doesn't go down.. what to believe??
DOCTORS GET BRIBES FOR GIVING YOU POISON
I'm an engineer, not a doctor, have familiarity with science in general, but not medicine in particular.
Most abnormal cell-growth, it seems, is either caused by improper synthesis of folic acid or by an exaggerated immune response caused by bacteria and other germs breaking into the body from the colon after they breed behind hardened feces.
Furthermore, the only amino acids with a methyl group that can alter the DNA are Methionine and Cysteine, which also lead to the issues that manifest themselves in the conversion of methionine into SAM, cysteine into homocysteine, and also issues with folic acid absorption.
What causes the hydrolysis of testosterone into hydro-testosterone?
I tried parsley to prevent the conversion of testosterone into H-testosterone, and was somewhat pleased with the results.
I also experimented with fat-reducing MIC Vitamin B-complex injections (Methionine Inositol, Cysteine and Vitamin B-complex injections) because people use them to dissolve fat in the body, so I wonder if they'd also help rid abnormal cells.
Folic acid is a B-vitamin.
Finally, I tried the 5MTHF-type of folic acid, that is already processed, so doesn't need further processing by the body.
I even tried fasting and the cleaning of my colon through a blend of fasting and a diet of lemon juice.
The results have been mixed, my prostate issue is far from resolved, but the pain is bearable and I have managed to keep the PSA levels low, I would still, though, want to to opt for radical prostatectomy or a focal therapy just to put my mind to ease.
I suppose hormone therapy does pretty much the same as my diet, perhaps, better, but with more side effects?
GO SMOKE POT. YOU FUNNY
My PSA is 1.6 after radiation treatment, is it too high?
I have recently completed radiation therapy for prostate cancer. I discovered that I had a mass in my underwear that looked like melted hydrogel. Is this possible that the ApaceOar gel melted during. Radiation therapy?
I think that's unlikely. I would guess you may have expelled a mucous plug from your rectum, a result of proctitis caused by the radiation.
Hello i love the clarity of this , i have a question, im on hormone therapy 6 monthly injections of Decapeptyl sr , is the common name for this in ur list so i know about what im taking , thank you, im in uk near Oxford
I’m 74 and had robotic surgery to remove my prostate in October 2020. I have 7 PSA test since then. The first one was 6 weeks post surgery and that was a .001 and I just had a PSA test a week ago. And that was a .26. It has been a gradual rise from .001 to .26. Now I’m scheduled for an Axumin Pet Scan. And follow up radiation. Is the PSMA Pet Scan a better choice for me and is 30 days of radiation my best choice. I’m located in Southwest Florida. Gleason was was 7, 3+ 4.
I was able to find a location that offers the PSMA Pet Scan. That is scheduled for February 15, 2022. Will be followed up with radiation at the least and hopefully not androgen therapy
I'm not with PCRI, but in Dr. Scholz' comments in the past and those of every urologist I know of who cares to comment, the consensus is that PSMA pet scan is now the best, state of the art scan for finding PCa metastasis.
@@richardkremmen7811 I agree
If you have not completed RT yet, you might speak with Dr. Rod Ellis in Ft. Myers. 5 treatments SBRT with ViewRay could be a good option.
My PSA before treatment was 248 and after treatment in three twelve weeks it came down to 0.74. How do you interpret this, in relation to my prostate cancer?
I am taking lupride inj since 12year with Abirateronemy PSA is around .5 what should I take next step
I have had TRT before during and after SBRT my PSA went from 3,74 to 1.06 yet I still have not doctor who will prescribe so I have to fudge te truth and go to an expensive clinic. Any doctor out there will to prerscribe? My T level without TRT is very very low at 25 unless on TRT my cancer was grade G6 but higher volume
My PSA is 0.006, amI cured?
Is PSA under 0.1 mean cancer free
My psa at present 2.25 l had robotic ptostanomy in2 019August and radiation in2021 when my psa was .920 please advise me .
YOU ARE BEING POISONED
What age does PCRI consider a man to be elderly?
Me. 095