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Medical Forum / Diseases and Disorders / Prostate Cancer / May 2006

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Question about physical fitness

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dave481 - 07 May 2006 23:35 GMT
I started on casodex 2/28. Took 7 pills. 1 aday. Then they gave me a
shot of Zoladex in the stomach. Juniper posted to me it was supposed to
last 84 days. Had RP on 03/13/06.
I know these drugs inhibit testosterone. Can one of the SE's be
softening of the muscles and fatigue? I had a few other SE's of RP. A
bad infection of the bladder that was Cipro resistence. Bladder to
urethra hole had to be dilated ina hospital (put to sleep again).
Concern here is, I'm VERY weak and muscles feel like jelly. I've tried
walking, but just wear out before I get over 3 miles. I also had a
colon re-section and had abdominal muscles cut at time of RP. 5-6 weeks
after the surgery I got on a horse, but it felt like I was straddling a
3/4 incg steel rod. Plus, even moderate riding felt like a large
riverstone was trying to roll out of my stomach. I had to quit. The
doctors are still saying don't lift anything heavy.

So, testosterone blocked, even if I could work out, say weights, or
build fence or just exercise, will muscle tone come back??

Many of you know my case and likely as not I'll have 6 weeks of
radiation, and more Zoladex, or Lupron.....maybe casodex.  Do you ever
feel strong or normal again??

David
Steve Jordan - 08 May 2006 00:15 GMT
On May 7, dave481 inquired:
> I know these drugs inhibit testosterone. Can one of the SE's be
> softening of the muscles and fatigue?
Yes indeed. For an excellent and comprehensive online Powerpoint
presentation on ADS (Androgen Deprivation Syndrome), see:
http://www.prostate-cancer.org/powerpoint/online/ADS_Strum_files/v3_document.htm

(snip)
> Concern here is, I'm VERY weak and muscles feel like jelly. I've tried
> walking, but just wear out before I get over 3 miles.
Dave's body has undergone a severe assault from the surgery. He should
do as much as he can and work on improvement. There's no rush..

> So, testosterone blocked, even if I could work out, say weights, or
> build fence or just exercise, will muscle tone come back??
>  
Being rather too indolent for my own good, I'm not the standard for
activity. However, I have in my better moments read that exercise,
regular not necessarily heavy, is very helpful in maintaining muscle
tone during ADT.
> Many of you know my case and likely as not I'll have 6 weeks of
> radiation, and more Zoladex, or Lupron.....maybe casodex.  Do you ever
> feel strong or normal again??
>  
Depends upon how long the ADT is continued. But I suspect that our lives
have changed forever.

Regards,

Steve J

"The thing is to expect nothing in particular, but be aware of the lack
of enforceable guarantees or enforceable contracts with
nature/god/entropy as to the condition or durability of our bodies."
-- Brian Brunner, PCa survivor, December 12, 2005 on The Prostate
Problems Mailing List
Thank you, Brian.
ron - 08 May 2006 00:42 GMT
Dave...It seems that an increase in body fat, some loss of muscle tone
and fatigue are a few of the common SE's from HT.  I've read from other
posters that "fighting the fight" is what it is all about.  It seems
that without exception, the guys who walk 3 miles, lift weights,
whatever, are the guys who have a smaller loss of body tone, less
fatigue, etc.  Three miles sounds like you're putting up a good fight!
You can maintain or move the bar up from there depending how feisty you
feel.  BTW, I've heard that the Zoladex stomach shot can be painful.
I've also read that preceding the shot with topical lidocaine followed
by a lidocaine stomach injection (fine gauge needle) makes it the
Zoladex injection a non-event...Ron
dave481 - 08 May 2006 01:28 GMT
>BTW, I've heard that the Zoladex stomach shot can be painful.
I've also read that preceding the shot with topical lidocaine followed
by a lidocaine stomach injection (fine gauge needle) makes it the
Zoladex injection a non-event...Ron <

I'll tell the nurse next time, but seemed like it wasn't that bad. It
was over beforemI really knew it was time for it.

>posters that "fighting the fight" is what it is all about.  It seems
that without exception, the guys who walk 3 miles, lift weights,
whatever, are the guys who have a smaller loss of body tone, less
fatigue, etc<

That's never what I cared to do in my spare time, but I did play hard
usually. But, thanks for the comeback Ron. I guess as Steve said in the
preceding post, accepting life change is a big part of it. I may HAVE
to work out then play moderate...lol

God Bless you guys
David
Heather - 08 May 2006 19:47 GMT
Dave.....I see that Steve K gave you some information on Ron.  I will
add to that in a day or so.  I am in the midst of changing ISP's once
again due to the new one also cancelling news groups, so doing a test
run on a free news server.

Suffice it to say that the debilitating side effects were so bad that he
came off the Zoladex and Casodex and is now feeling a hundred times
better.  He aged about 15 years in 6 months!!!!  It was that drastic.
And the transformation back to my old Ron was amazingly quick.

If you need any more info, let me know via the news group.  After 4
months, my OLD handle on Rogers is still getting tons of spam.....

THE DAMNED SPAMMERS NEVER GIVE UP!!  (VBG)

Cheers....Heather (aka Figgs)
> >BTW, I've heard that the Zoladex stomach shot can be painful.
> I've also read that preceding the shot with topical lidocaine followed
[quoted text clipped - 17 lines]
> God Bless you guys
> David
Tom Cular - 08 May 2006 01:51 GMT
Dave,

I have no experience with Zoladex, but I believe the SEs are similar to
Lupron. You can expect fatigue, more body fat and loss of muscle, as others
have said, regular excercise will help overcome these side effects. One
thing that surfaced in my case was anemia that the Uro dismissed as not
being caused by the Lupron, I showed my GP literature that indicated a
strong possibility that it was the result of Lupron and she addressed it
with B-12 shots and it seemed to take care of the problem for the balance of
my "Lupron experience". There are several possible side effects, happily
most of us only experience a few, but the fatigue and hot flashes seem to be
very common, but like too many burritos, they too shall pass.

Tom
> Dave...It seems that an increase in body fat, some loss of muscle tone
> and fatigue are a few of the common SE's from HT.  I've read from other
[quoted text clipped - 7 lines]
> by a lidocaine stomach injection (fine gauge needle) makes it the
> Zoladex injection a non-event...Ron
juniper - 08 May 2006 01:34 GMT
I am sure someone with experience will write.  I have read that a low
fat diet and exercise prevents the weight gain and keeps muscle tone.

This page has a part about ADT anemia.  Call your doc and see if he
checked for anemia.  Anemia would definitely exhaust you as a seperate
and treatable issue.

http://www.prostate-cancer.org/aboutus/acomplsh_research%20.html

and another page on the same site says
"Anemia is usually already present to some degree in AIPC patients due
to their ADT. Anemia, left untreated, can cause severe weakness,
shortness of breath, dizziness, mental status changes and chest pain. "

Here is a whole article on The Influence of Androgen Deprivation
Therapy on Metabolism in Patients with Prostate Cancer.
http://jcem.endojournals.org/cgi/content/full/90/2/657

> I know these drugs inhibit testosterone. Can one of the SE's be
> softening of the muscles and fatigue? I had a few other SE's of RP. A
> Many of you know my case and likely as not I'll have 6 weeks of
> radiation, and more Zoladex, or Lupron.....maybe casodex.  Do you ever
> feel strong or normal again??
Alan Meyer - 08 May 2006 06:11 GMT
...
> Many of you know my case and likely as not I'll have 6 weeks of
> radiation, and more Zoladex, or Lupron.....maybe casodex.  Do you ever
> feel strong or normal again??
...

Before taking Lupron I was running 4 miles in 36 minutes.  It's not
great, but it was respectable I think.  After two months on Lupron
with radiation beginning, I was down to one mile in 11 minutes and
couldn't go any further or faster than that.  I was ready to plotz at
the end of mile.

Although I lost a lot of capability, I tried to get an extra hour of sleep
each night, and continued jogging for just one mile at a time, but
still several times per week.

When the Lupron wore off, my strength began to come back.  I
had to give up running for other reasons (heel pain unrelated to
treatment) so I can't say what I would have gotten back to.  I do
other forms of exercise instead.

I don't think I'm as strong as I was before treatment, but then I'm
a couple of years older too.  But I'm not too badly off.  I can still
walk many miles, climb hills, ride a bike, and run if I have to.

So I'd say, keep up as much exercise as you can.  When the drugs
wear off, you will get a lot of strength back.  It may not be all the
way back to where you were, but it will be close.

    Alan
dave481 - 08 May 2006 07:04 GMT
Thanks Alan, what is you age? The 4 miles in 36 is very respectable.
I'm 53 be 54 in August. I suspect I'll be 54 before I get strength
back........LOL. I NEVER could run that far that fast. Or at least not
since high school.

your friend
David
Alan Meyer - 08 May 2006 18:47 GMT
> Thanks Alan, what is you age? The 4 miles in 36 is very respectable.
> I'm 53 be 54 in August. I suspect I'll be 54 before I get strength
[quoted text clipped - 3 lines]
> your friend
> David

I'll be 60 in a week.  I was diagnosed at age 57.

I probably gave the false impression that I ran 4 miles in 36 minutes
and then walked off smiling and with a spring in my step.  What
actually happened is that I would walk off panting and gasping for
breath with rubbery legs and feeling like I was ready to die.  But
I did force myself to do this on a treadmill three times a week.

However, while on Lupron, I got that treasured panting, gasping
for breath, rubbery legged feeling after one mile in 11 minutes.
Still, I continued forcing myself to do it three times a week.

It has been said that radiation also makes one weaker.  If so, then
my weakness was compounded of both radiation and Lupron.  I
had 5 weeks of external beam radiation plus two sessions of high
dose rate brachytherapy.

I will say this for exercise.  I never felt particularly tired when I went
to work or went for a walk.  I attriibute that to having a significant
reserve of energy built up by exercise.  The Lupron dug into my
reserves, but the reserves were apparently deep enough that I was
able to give up a lot and still have enough energy left that my daily
living was not affected.

I had talked to my radiation oncologist about all of this before my
treatment began and she encouraged me to continue exercising
throughout treatment.  I think it was helpful.

Regards,

   Alan
Steve Kramer - 08 May 2006 17:53 GMT
> I'm VERY weak and muscles feel like jelly. I've tried
> walking, but just wear out before I get over 3 miles.

> Do you ever
> feel strong or normal again??

I've been on Lupron for years now.  I was a powerful man at one time.  No
cowboy, but able to pull my weight in most manual and aggressive activities.
I "feel" weaker, which is to say I do not "feel" strong or normal.  Yet,
when I decide to try, I can still lift my end of a triple dresser.   As far
as walking, I don't "feel" like walking 2, 3, 4, or 5 miles.  But, once I
start, I just push myself through it.  And, I still work every day, usually
9 hours a day, and sometimes on nights and weekends.

But, I'm only on Lupron.  Heather's Ron was completely wiped out on a
regimen similar to that which you relate.  He finally decided it wasn't
worth it and came off of them.

I guess what I'm saying is, in some it is debilitating.  In me, I think it
just feels debilitating, but I find that it's not really.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05,
2/06
PSA  .07 .05 .06 .09 .08 .132
Non Illegitimi Carborundum

dave481 - 09 May 2006 00:47 GMT
I've been on Lupron for years now.  I was a powerful man at one time.
No
cowboy, but able to pull my weight in most manual and aggressive
activities.
I "feel" weaker, which is to say I do not "feel" strong or normal.
Yet,
when I decide to try, I can still lift my end of a triple dresser.   As
far
as walking, I don't "feel" like walking 2, 3, 4, or 5 miles.  But, once
I
start, I just push myself through it

Steve, I never was really Hercules, not a body builder or anything like
that. But you answered my question I think. It's just been sooo  long
since I "felt like "  doing anything. Sure, I know I'm gettting older,
but I meant waking up after 7-8 hrs. sleep. taking a deep breath and
just looking forward to the day. It's a secret, and cowboys work hard,
but most of us are lazy. Will let the horse do all te work....lol. but
that in itself is work sometimes. A lot of us are a little stupid too,
we'll work 3 times as hard trying to get out of digging up a busted
water line or digging a post hole than it is to do the chore...lol.

Now days I don't even think like I used to. This morning, for instance,
I saw on the news where the British Govt. says UFO's can be explained
as natural phenomanon. I'm used to cover up's and conspiracy by our
govt. But, the Brits? So I thought about it. I used to believe in UFO's
, Big Foot and the Loch Ness. Now I don't. I'm pretty sure that I
believed in them before the RP. Just can't remember. Anybody else been
changing their mind since their RP??

Thanks Steve
David
I.P. Freely - 09 May 2006 03:43 GMT
>  Anybody else been
> changing their mind since their RP??

Yes, but not in the way you mean.

1. I once thought I'd do every single thing possible to overcome
something like cancer. Now that I've taken that first big step -- an
initial treatment -- and have no specific indicator of anything
remaining, the many other things we can do seem more like nuisances than
worthy efforts. I'll never know how valid that paradigm change was in my
case unless I die of something else 20 years from now.

2. Just a couple of years ago I thought I could stay healthy and
reasonably vigorous for at least 20 more years. I now will be pleasantly
surprised to last another decade, and that presumption affects many
large and small decisions, including cancer treatment choices.

3. Until recently I thought urinary incontinence would be a minor
nightmare. Now, I know that at least moderate incontinence just means
wearing funny underwear.

4. I sort of hoped my excellent diet since the mid-80s would provide
pretty good cancer insurance. I now know, from first-hand experience and
 volumes of new information I've read the past 18 months, that it
doesn't help THAT much.

5. I also thought impotence would be a fairly big deal. The impact is
obviously highly personal, but for me it isn't a huge deal.  But then we
had both gotten pretty blase about sex anyway as age, hormonal changes,
and very busy lives had crept up on both of us, so the risk of impotence
with RRP was not a significant factor compared to the alternatives.

Good thing!

6. And pre-RRP I assumed all USENET forums were completely overrun with
vile ad hominem BS. That's rare here, and never reaches the levels that
are NORMAL for many or most of them.

I.P.
Alan Meyer - 12 May 2006 23:49 GMT
> ...
> 6. And pre-RRP I assumed all USENET forums were completely overrun with vile ad hominem
> BS. That's rare here, and never reaches the levels that are NORMAL for many or most of
> them.
> ...

I think it's an age thing.  Newsgroups frequented by older folk seem
to show more politeness and more adult behavior.  It's the ones the
kids use where you see the most show-off, put-down, and flame war
behavior.

Maybe we really do get smarter as we get older. :)

   Alan
I.P. Freely - 09 May 2006 01:30 GMT
> Can one of the SE's be
> softening of the muscles and fatigue?

The fact that fatigue / muscle atrophy is not only near-certain but
probably the MOST certain ADT SE makes me wonder why on earth your
doctor didn't advise you in advance of it, even if ADT is a no-brainer
in your case. I hope the doc is doing all that can be done to offset any
other SEs that emerge, especially bone loss.

I.P.
juniper - 09 May 2006 05:44 GMT
> > Can one of the SE's be
> > softening of the muscles and fatigue?
[quoted text clipped - 6 lines]
>
> I.P.

Oh, yeah, Dave, did they do a bone density?  For a baseline?  Pretty
important.  The chems can cause bone loss.  There is treatment.  My
(personal) case applies here.  After going through an early menopause,
I didn't see a gynecologist for a few years.  He ordered a bone density
and (as much as possible for him, he is so sweet), he was upset that he
had no baseline.  Because mine was pretty low.  But he didn't know if
it had been going low for years, or suddenly dropped away from some
unknown cause.  Fortunately, the following one the next year showed no
change, so there wasn't some bone-eating bug in me or whatever.  But
they do need a baseline bone density because if the ADT affects that
strongly, they need to know.  I'm just suspicious of urologists, even
fine urologists, running a hormone therapy program.  Onc Onc Onc
dave481 - 09 May 2006 15:41 GMT
14 From:  I.P. Freely - view profile
Date:  Mon, May 8 2006 7:30 pm
Email:   "I.P. Freely" <fuhgheddabou...@noway.nohow>
Groups:   alt.support.cancer.prostate
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dave481 wrote:
> Can one of the SE's be
> softening of the muscles and fatigue?

The fact that fatigue / muscle atrophy is not only near-certain but
probably the MOST certain ADT SE makes me wonder why on earth your
doctor didn't advise you in advance of it, even if ADT is a no-brainer
in your case. I hope the doc is doing all that can be done to offset
any
other SEs that emerge, especially bone loss.

I.P.

Reply     Rate this post:  Text for clearing space

 15 From:  juniper - view profile
Date:  Mon, May 8 2006 11:44 pm
Email:   "juniper" <ditt...@gmail.com>
Groups:   alt.support.cancer.prostate
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I.P. Freely wrote:
> dave481 wrote:
> > Can one of the SE's be
> > softening of the muscles and fatigue?

> The fact that fatigue / muscle atrophy is not only near-certain but
> probably the MOST certain ADT SE makes me wonder why on earth your
> doctor didn't advise you in advance of it, even if ADT is a no-brainer
> in your case. I hope the doc is doing all that can be done to offset any
> other SEs that emerge, especially bone loss.

> I.P.

Oh, yeah, Dave, did they do a bone density?  For a baseline?  Pretty
important.  The chems can cause bone loss.  There is treatment.  My
(personal) case applies here.  After going through an early menopause,
I didn't see a gynecologist for a few years.  He ordered a bone density

and (as much as possible for him, he is so sweet), he was upset that he

had no baseline.  Because mine was pretty low.  But he didn't know if
it had been going low for years, or suddenly dropped away from some
unknown cause.  Fortunately, the following one the next year showed no
change, so there wasn't some bone-eating bug in me or whatever.  But
they do need a baseline bone density because if the ADT affects that
strongly, they need to know.  I'm just suspicious of urologists, even
fine urologists, running a hormone therapy program.  Onc Onc Onc

Reply     Rate this post:  Text for clearing space

Thanks guys, as far as I know, there has been no bone density tests.
My uro intends on getting me a good onc, and said he started ADT,
because time appeared short after the biopsy. Ironically, his office
called this morning and cancelled my upcoming Friday appt. He got hurt
somehow and is getting his shoulder opersted on this morning. His
office has 5 other associates, So one of them sees me Monday to do the
dilation that was sceduled for Friday. Last one, two weeks ago is still
working good though, good stream. They took blood last Friday (05/05)
for a PSA. So maybe Monday (05/15) I'll get an onc. My ADT will have to
be started again soon, but they seem concerned about starting radiation
because I've had a lot of surgery this year. BTW, yesterday and today,
I've felt more alive, stronger, and am thinking about going to San
Antonio and visiting my 14 yr.old son. It's about 500 miles, but I've
got friends scattered the whole way down there. Will stop, rest and
visit.

David
 
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