Thanks for asking KarlT. I have a T2b/0/0 tumor with extra-prostatic extensions into adjacent structures but with a current depth of <10mm. Using the Yale formula which looks at numerous tumor factors the likelihood of distant metastes exceeds 100%, yet there are no distant metastases, according to a PSMA-pet scan (~80% sensitive), a very + thing.
I’ve been to many “radocs” (radiation docs) and one very good medical oncologists. It is fascinating, you may have a hankering for tenderloin, but if the butcher is out of beef, he’ll wax poetic about the flavor of his chicken—and that’s largely what I experienced.
Prostate Cancer (PCa) is largely sequestered into groups based upon Gleason Scores, PSA values, tumor size and whatnot, and treatment is really very “cookbook’ish.”
Therefore, what I got from all was: Lupron for 2-3 years + IMT radiation therapy (8 weeks) + a bit of prayer. My prayer itinerary, from a distant past (Boy Scouts) was, “rub a dub, bud, thanks for the grup, yay God.”
What I intend is Orgovyx + Abiraterone + 5 weeks of IMRT radiation + 1 week of radiation to pelvic lymph nodes (in case there are micro-metases.) Then, I will got to Dana Farber in Boston and get what is known as brachytherapy, where they place rice-sized radioactive “seeds” in the prostate. I hope to be done w/ the Orgo + Abi at the end of one year—the Androgen Deprivation Drugs are brutal, but one year is doable. On the other hand, I’ll do a Decipher genome test which allocates a number from 0.01>0.99, higher = more aggressive. If high, I’d likely stay on those terrible meds longer.
This combination appears to give me an 80% chance of ten-year survival. More importantly, over the standard therapy, the graphs using brachytherapy “goes flat,” which means a good likelyhood of a 12-15 year survival. I had hoped to live to age 95, based upon my genetic family past.
Why Orgovyx? Lupron, the “old” standard, if I had been on for 2-years would take about 2-years for my Testosterone to bounce back (and it may never bounce back at all). Orgovyx allows one’s T to bounce back in a couple of months. Further Orgovyx has a much better cardio profile.
The Orgovyx cost, retail = $2,950 a month. I’m told that I should be happy because I only pay $850/month on Medicare Advantage. But, as I do with my Sirolimus, I am buying 4 months to be shipped from India, to arrive near the end of the month.
Interestingly, next year the “cap” (currently $7500/year) on meds w/in my insurance drops to $2,000, so starting January, I won’t need to get them from India.
In the meantime, hoping to prevent any distant metastases I’ve been taking Sirolimus + 1200mg ALA + 1 gram NAC + Curcumin (1.5g 95%) + Ubiquinol 200mg + Celecoxib + Rosuvastation + Metformin, each which has anti-proliferative and anti-angiogenesis effects. There is no “cure,” there but there may well be the creation of a micro-environment that makes a micrometastatic tumor unable to grow or create it’s necessary blood supply.
In addition, over the past year I’d water fasted 44 days (1,2,3 and a few 4-day fasts) and have been in +1 or more ketosis for more than 80% of days, all of which may have been the reason that the Yale formula predicted distant metastases yet I appear to have none.
It’s a fascinating, but tiring journey.