Posted 11/20/2020 5:12 PM (GMT -7)
Duck2 - ABSOLUTELY NOT! ! !
What Glen is doing with TRT is simply replacing the T that his body no longer produces internally. What difference does it make if he produces T or buys it? His body (and his PCa) cannot tell the difference.
As long as ADT is not standard of care for his particular pathology (and it is not), then there is absolutely NO reason to withhold normal levels of T. It doesn't make sense to do so.
The notion that administering T to a PCa patient is like pouring gasoline on a fire is an outdated concept from a very flawed research study performed 75 years ago. BTW, said "study" started out with a cohort of 3 patients, and by the end of the study, only ONE remained. Nowadays we don't call that a research study. We call it an anecdote. Modern thinking is that if standard of care does not include ADT, then there is no real reason to withhold therapeutic levels of T from the patient who would otherwise become symptomatic without it.
I was in Glen's shoes about 4 years ago. I suffered (and truly suffered) from adult onset hypogonadism - where in adulthood the body loses its ability to produce even remotely normal levels of T. Symptoms are sometimes the same as ADT, and we all have read about that. With a lot of time spent in research, meeting with my uro and a couple of RO's, and even taking a paratrooper trip to Boston to be seen by another specialist (Dr. Morgentaler), I was finally able to gain a consensus among my docs that I could continue my TRT before, during and after SBRT treatment. The results are in my last update posting, but to paraphrase it all, I'm doing just fine.
Duck, I don't mean to come across as being overly emotional here, and don't mean to be snarky. It is just that those of us who do require lifelong TRT often have gotten the short end of the stick in PCa treatment, and I'm easily riled up if I see someone else being admonished for taking a more modern track.
And Glen, Great Job, my friend! You are on the right track and will do just fine!