on hormone therapy should Husband be taking something for bones

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55
New Member


Date Joined May 2010
Total Posts : 5
   Posted 5/31/2010 11:02 PM (GMT -6)   
Hi: My husband has been on hormone therapy for 2 1/2 years he takes supplements of calcium and vit d. Should he be taking something for his bones so he doesn't develop osteoporosis?

logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 6074
   Posted 6/1/2010 12:23 AM (GMT -6)   
I cant answer that question, but would check with his oncologist about the calcium supplements. Ther are studies that show calcium as not benificial to prostate cancer patients. Google calcium and prostate cancer.
age 66 First psa 4/17/09 psa 8.3, 7/27/09 psa 8.1
8/12/09 biopsy 6 out of 12 pos 2-70%, rest <5% 3+3
10/19/09 open rrp U of W Medical Center, left bundle spared
10/30/09 catheter out. continent from the jump.
pathology- prostate confined, only thing positive was the report.everything else negative
9% of prostate affected. gleason 3+4, I suppose thats a negative
After reading pathology myself, gleason was 3+4 with tertiary 5, 2-3 foci That is a negative, but I am a positive !!
Ed an issue but keeping the blood flowing with the osbon pump
Dec 14,2009 psa 0.0 May 10 2010, psa 0.0

" Hypocrisy is vice's homage to Virtue " read it in Bartlet's book of quotation years ago stuck with me, can't remember who said it.


John T
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Date Joined Nov 2008
Total Posts : 4268
   Posted 6/1/2010 9:09 AM (GMT -6)   
Did he have an initial bone density scan? Does he have regular bone density scans to see if he is losing mass? If scans show he has lost mass then Foxamex or Zometa should be given. Regular excercise, especially with weights is necessary when on HT.
JohnT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


Casey59
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Date Joined Sep 2009
Total Posts : 3172
   Posted 6/1/2010 11:03 AM (GMT -6)   
55 said...
Hi: My husband has been on hormone therapy for 2 1/2 years he takes supplements of calcium and vit d. Should he be taking something for his bones so he doesn't develop osteoporosis?
 
This is an important question to raise with his doctor.  I don't have direct experience here, but I'll share what I've learned...
 
Biphosphonate drugs help to counter the loss of bone density for HT patients.  Annual bone density tests should be performed to assure that the risks of bone breakage, osteoporosis and ONJ (Osteonecrosis of the Jaw) are minimized.  There has, however, been some findings published regarding differences in oral and IV biphosphonate drugs which are worth noting with the doctor...
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