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Medical Forum / Diseases and Disorders / Prostate Cancer / September 2004

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Re:  TRT

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Ed Friedman - 13 Sep 2004 18:12 GMT
JimBob,

Your endo-doc was unusually well informed in knowing that a 5-alpha
reductase inhibitor is needed in order to give testosterone safely to
people with prostate cancer.

You might want to check out the info at
http://www.prostatepointers.org/leibowitz/TEST-REV2.html and at
http://www.prostatepointers.org/leibowitz/HDTRT8.html

Testosterone supplementation still has to be considered experimental and
while the short term results are very promising, no long term data is
available yet.  You might want to have your doctor contact Dr. Leibowitz
or Dr. Tucker to find out what their latest procedures are in order to
get the safest dosages of T and of 5AR inhibitors.

Ed Friedman
MH - 14 Sep 2004 00:25 GMT
This article seems to promote the idea that TRT can be *beneficial* to men
with low T... even if they have PCa.  Yet, in the middle of the article is
the following passage:

"Do not try to be your own doctor and/or try to convince your doctor to
prescribe TRT for you. There is a risk of permanent paralysis or even
death."

So.... it's helpful.... but don't try it????

MikeH

> JimBob,
>
[quoted text clipped - 13 lines]
>
> Ed Friedman
Ed Friedman - 14 Sep 2004 17:19 GMT
> This article seems to promote the idea that TRT can be *beneficial* to men
> with low T... even if they have PCa.  Yet, in the middle of the article is
[quoted text clipped - 7 lines]
>
> MikeH

Mike,

I believe they added that line as a form of legal disclaimer.  The bad
results they were talking about occurred in a few patients over 30 years
ago when testosterone(T) was given (with no measurements of blood levels
of T) with no 5AR inhibitors to patients who were in the final stages of
prostate cancer.  There were also some patients in the final stages of
prostate cancer who experienced total remission after being given T
(again with no measurements of blood levels of T).

However, as I said before, this procedure is still experimental.  They
are trying proscar, avodart and combinations of both in varying doses as
5AR inhibitors.  The target level of T is changing as more data is being
gathered (they have treated over 100 patients with this so far).  If
someone wants to try this, then it only makes sense that they have their
doctor contact Dr. Leibowitz or Dr. Tucker to learn what the latest
protocols are.

Ed Friedman
 
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