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Medical Forum / Diseases and Disorders / Prostate Cancer / June 2007

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PSA

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Steve Kramer - 14 Jun 2007 21:46 GMT
Please focus your attention on the last two lines of my signature.

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            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04 (06/12/2007)
Non Illegitimi Carborundum

chasjac too - 14 Jun 2007 11:32 GMT
> Please focus your attention on the last two lines of my signature.

Gosh, Steve; you scared me a bit, as I couldn't see the end of your message
in the teensy window I have here.  

I know you were nervous about that 0.05 ... I'm glad it's back down where it
belongs.  Keep those low numbers coming!

Did you do anything different in the last few months?  

--charlie
Steve Kramer - 15 Jun 2007 01:50 GMT
> Did you do anything different in the last few months?

I added Capsacin about 6 months ago.  That's about the only thing.

I recently re-started by Vitamin D.  Stopping it was an oversight, but I
just started again about two weeks ago.

Oh, and it's nice weather here.  Since April I have been back to 3-5 miles a
day, 3-5 days a week.  Lots of sun, too.

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            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04 (06/12/2007)
Non Illegitimi Carborundum

JohnHace - 23 Jun 2007 16:52 GMT
> I recently re-started byVitamin D.  Stopping it was an oversight, but I
> just started again about two weeks ago.

Just curious, how much Vitamin D do you take, and is it D3 or D2?

Thanks,

John
tedhutchinson - 23 Jun 2007 17:12 GMT
> > I recently re-started byVitamin D.  Stopping it was an oversight, but I
> > just started again about two weeks ago.
>
> Just curious, how much Vitamin D do you take, and is it D3 or D2?

Irrespective of what Steve is on NO ONE should be using D2
Ergocalciferol
EVERYONE should be using D3 Cholecalciferol.
The reasons why are set out here http://www.ajcn.org/cgi/content/abstract/84/4/694
The Case Against D2 as a Vitamin Supplement.
Basically it's not as effective, packs only about a quarter the punch
particularly for older people. Also it doesn't last as long in the
system.

You have to understand that despite the official RDA your body uses
4000iu/d approx http://www.ajcn.org/cgi/content/full/77/1/204
To raise your Vit D status 8-12nmol/L takes 400iu
So in Winter when/if (depending on latitude) there is no sun you will
need to use 4000iu give or take food inputs (possibly 300iu) and other
supplements (possibly 200iu) If you use the cheap 5000iu capsules from
one of the sources listed on The Vitamin D Council Website then it's
fine to take 2-3 alternate weeks to average 2000iu say in the Summer
(when you'll get some from sunshine) and 5-6 alternate weeks to
average 4000iu/d
Be aware that the proposed new safe upper limit is 10,000iu/d
http://www.ajcn.org/cgi/content/abstract/85/1/6 Risk assessment for
vitamin D
and reading that paper makes it clear that in fact this is allowing a
very generous safety margin as it would take a daily input of 40,000iu
to actually cause harm,
JohnHace - 24 Jun 2007 17:06 GMT
> > > I recently re-started byVitamin D.  Stopping it was an oversight, but I
> > > just started again about two weeks ago.
[quoted text clipped - 9 lines]
> particularly for older people. Also it doesn't last as long in the
> system.

Ted,

Thanks for the GREAT links. They are VERY informative.

Steve,

You may want to increase your dose at least as much as your niece
recommends. For me, I'm going even higher doses. As Ted said, it will
really take 40,000 units taken for months to cause a problem.

I became totally fascinated with D after watching a movie online by
Dr. Reinhold Vieth. You can see it at
http://www.insinc.com/onlinetv/directms13oct2005/softvnetplayer.htm.
It runs about an hour, but it's one of the best hours I've ever spent
on the net. If you Google Reinhold Vieth, you can learn a lot this
miracle we call Vitamin D.

HTH,

John
Steve Kramer - 24 Jun 2007 22:57 GMT
> You may want to increase your dose at least as much as your niece
> recommends. For me, I'm going even higher doses. As Ted said, it will
[quoted text clipped - 6 lines]
> on the net. If you Google Reinhold Vieth, you can learn a lot this
> miracle we call Vitamin D.

Thanks, John.  I'm saving the URL for some time when I have an hour.
tedhutchinson - 26 Jun 2007 08:48 GMT
> "JohnHace" <j...@amcoex.com> wrote in message

> Thanks, John.  I'm saving the URL for some time when I have an hour.
You can read Vieth's answers to general vit D questions at this link.
http://www.theglobeandmail.com/servlet/story/RTGAM.20070607.wvitaminDdiscussion0
607/BNStory/specialComment/home


But do make the time to listen to the hours lecture, It puts the
vitamin d issue into an evolutionary context.
Steve Kramer - 23 Jun 2007 22:03 GMT
>> I recently re-started byVitamin D.  Stopping it was an oversight, but I
>> just started again about two weeks ago.
>
> Just curious, how much Vitamin D do you take, and is it D3 or D2?

I take 400 IU of D3.

It's a good time to get some input as to the opinions of my niece, a doctor
of pharmacology.

"I did a large amount of research on vitamin D. I was talking to [my son]
about it, and I recommended that both [my son] and Uncle Steve start taking
some if they weren't already. I know Uncle Steve takes fish oil, and I
checked to make sure there were no contraindications to take both together.
Vitamin D has been shown to both prevent the occurrence of epithelial cell
carcinomas like prostate cancer, as well as slow the progression or prevent
the reoccurrence of prostate cancer. We don't get near the amount of vitamin
D that we need in our northern climate, especially in the winter. I would
recommend that Uncle Steve be on 2000 IU units of vitamin D3 or
"cholecalciferol" daily, if he isn't already."
cpw - 14 Jun 2007 23:23 GMT
> Please focus your attention on the last two lines of my signature.
>
[quoted text clipped - 10 lines]
> PSA <0.04, <0.05, <0.04 (06/12/2007)
> Non Illegitimi Carborundum

That's looooooooooooow.
Congratulations, Steve.
CPW
Larry Sabo - 15 Jun 2007 01:00 GMT
>Please focus your attention on the last two lines of my signature.

...
>PSA <0.04, <0.05, <0.04 (06/12/2007)
>Non Illegitimi Carborundum

Congrats, Steve! That's really great to see. Good on ya!
JerryW - 15 Jun 2007 01:35 GMT
> Please focus your attention on the last two lines of my signature.
>
> PSA <0.04, <0.05, <0.04 (06/12/2007)
> Non Illegitimi Carborundum

Way to go, Steve!
Signature

JerryW

Please respond to group; email address is not valid

2/11/04 PSA 2.6, Suspicious DRE (age 62)
2/23/04 Biopsy: Gleason 3+4=7, T2a, left lobe
5/18/04 RRP, Path: Gleason 4+3=7, T2c, both lobes
Fully continent by 9/04
PSA through 4/2/07: <0.1

Fernando - 15 Jun 2007 03:56 GMT
> Please focus your attention on the last two lines of my signature.
>
[quoted text clipped - 10 lines]
> PSA <0.04, <0.05, <0.04 (06/12/2007)
> Non Illegitimi Carborundum

That looks great Steve, congratulations and keep up the good work!

Fernando
Zoom - 15 Jun 2007 04:53 GMT
Wonderful, Steve!
Z

> PSA <0.04, <0.05, <0.04 (06/12/2007)
Dick Smith - 15 Jun 2007 07:10 GMT
Dave P - 15 Jun 2007 13:43 GMT
Steve,

Great news. Very significant reading <0.04 - undetectable. The Docs
are probably elated and scratching their heads at the same time.

If this were a twelve round fight - your'e in the seventh and the
momentum just turned in your favor - and it looks like your headed for
a knockout by the tenth as your opponent is on the ropes.

The vitamin D/sun, your walking, capsacin etc., attitude - will only
help - more than what current research reports.

Believe

Dave P
Steve Kramer - 15 Jun 2007 23:41 GMT
> The vitamin D/sun, your walking, capsacin etc., attitude - will only
> help - more than what current research reports.
>
> Believe

Thanks, Dave.

I cannot help but believe.  Considering my age, aggressiveness of the
cancer, failure of RRP and SRT and, for all intents and purposes, Lupron, it
seems to be unlikely that I would have a year of undetectable PSA.  Assuming
God is not wasting a miracle on me, it's got to be one of the things I'm
doing, or a combination.
PCAinAZ@gmail.com - 15 Jun 2007 23:37 GMT
Hi Steve,
Interesting result that supports the use of an antiandrogen in
patients with biochemical failure after localized treatment.

Did you ever get your adrenal androgen output and testosterone/DHT
measured before adding the AA? That would be an important piece of
information to explain the increase in PSA in spite of hormonal
suppression.

Wish you many more UD PSAs and best of health!

RalphV
pcainaz.org/phpbb

> Please focus your attention on the last two lines of my signature.

> Lupron 07/03 (1 mo) 8/03 and every 4 months there after
> PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
> Casodex added daily 07/06
> PSA <0.04, <0.05, <0.04 (06/12/2007)
> Non Illegitimi Carborundum
Steve Kramer - 15 Jun 2007 23:48 GMT
> Hi Steve,
> Interesting result that supports the use of an antiandrogen in
[quoted text clipped - 4 lines]
> information to explain the increase in PSA in spite of hormonal
> suppression.

No, that's something I keep forgetting to ask for.  I'm going to send this
to my PDA so I don't forget next time.
kh - 15 Jun 2007 23:47 GMT
> Please focus your attention on the last two lines of my signature.

> Lupron 07/03 (1 mo) 8/03 and every 4 months there after
> PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
> Casodex added daily 07/06
> PSA <0.04, <0.05, <0.04 (06/12/2007)

Looks like you'll be around for a LoooOOooooOOoooOOOng time.

Tell you what, I'll put aside some change every month and when they
come up with a silver bullet cure, after the lupron flushes from our
system, we'll go to one of those "gentlemen's" clubs they have in the
big cities.   My treat.

-kh woohoo.
Jean - 16 Jun 2007 02:43 GMT
Whoo Hoo!!!  Way to go.  :o}

Jean & Larry

> Please focus your attention on the last two lines of my signature.
Bill - 16 Jun 2007 15:04 GMT
Steve, after a year undetectable do you plan to go off ADT? You
deserve it! What does your onc say?

Bill Denton
RP 2/12/02
PSA 1.5
Memphis
Steve Kramer - 18 Jun 2007 01:40 GMT
> Steve, after a year undetectable do you plan to go off ADT? You
> deserve it! What does your onc say?

I asked for a consult during my next appointment.  The nurse was going to
ask the doc if he wanted to add it to the appointment time or a separate
meeting.  I want a half-hour with him.  Haven't really had a good consult
since my initial diagnosis in 2000.

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            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04 (06/12/2007)
Non Illegitimi Carborundum

Bernieboy - 18 Jun 2007 05:20 GMT
> PSA <0.04, <0.05, <0.04 (06/12/2007)
> Non Illegitimi Carborundum

Hey Steve,

Although late on this thread the drop your PSA is MAGIC - super news!

My PSA is going supersonic (143) 18 month post RT when it was down to
0.1. Still on Zoladex. (3 months on cosodex as well as Zolodex made no
difference.)  Mets have "escaped" to lymph nodes and I am now on 2nd
hit of 10 Chemos.

As a result I am very interested to know what you consider are the
contributing factors?

TIA
Cheers
Bernie
Steve Kramer - 18 Jun 2007 10:35 GMT
> My PSA is going supersonic (143) 18 month post RT when it was down to
> 0.1. Still on Zoladex. (3 months on cosodex as well as Zolodex made no
[quoted text clipped - 3 lines]
> As a result I am very interested to know what you consider are the
> contributing factors?

Welcome to the NG, Bernie (or at least I don't recall seeing your handle
before).

I firmly believe the most important aspect of my success is my doc's
insistence on changing treatments every time I have a couple of rises.  In
hitting it early, my PSA has never been over 0.75 in the 6½ years since
surgery.  Obviously, that is not good news for you at 143.

What have I tried?

I walk.  I walk a lot.  3-5 miles a day, 3-5 days a week.

I walk in the sun, which is supposedly good for Vit. D. and for cancer of
several sorts.

I still work.  Up until January, I was working 50 to 60 days a week.  It
sometimes wasn't easy, but I think that pushing myself through it helped a
lot.  Of course, I.P. and others will tell you that retiring and playing is
what's doing it for them.  Who knows?

I take some selenium, 1000 gm Vit C, 400 gm Vit E, 200,000 SU Capsaicin,
some lycopene, and green tea extract every morning.

In the last few weeks, I've been packing a lot of fruits and vegetables when
I go to work, but I haven't seen the effects of that yet.

My children, in the last three years, has sired or bore for me five
grandchildren.  That certainly gave me another purpose.

And, while I do not pray for myself, I somehow think that God has had a hand
in it.  personally, I think I'd be a waste of a perfectly good miracle, but
I do not discount the possibility.

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            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04 (06/12/2007)
Non Illegitimi Carborundum

Bernieboy - 21 Jun 2007 08:52 GMT
Thanks Steve - Appreciated :-)
Cheers
Bernie
Hugh Kearnley - 18 Jun 2007 06:31 GMT
Hi Steve - only just saw this this morning - I've been distracted by other
things...
Fantastic news for you and long may you have figures like that. You're an
inspiration my friend.
Thankyou.
Hughie.

>> Steve, after a year undetectable do you plan to go off ADT? You
>> deserve it! What does your onc say?
[quoted text clipped - 3 lines]
> meeting.  I want a half-hour with him.  Haven't really had a good consult
> since my initial diagnosis in 2000.
Steve Kramer - 18 Jun 2007 10:36 GMT
> Hi Steve - only just saw this this morning - I've been distracted by other
> things...

Glad to hear it, Hugh.  Tell her I said, "hi".
Alan Meyer - 26 Jun 2007 20:27 GMT
> Please focus your attention on the last two lines of my signature.
...
> PSA <0.04, <0.05, <0.04 (06/12/2007)
> Non Illegitimi Carborundum

Steve,

I'm jumping in late to this thread but want to add my
congratulations and good wishes.

I think you're right to focus attention on the last line
as well as the next to last.  In the years I've been following
this group I've never seen you let the Illegitimi grind you
down.  You've fought it every possible way and kept up a
strong spirit throughout.

I don't know if any "miracles" occurred in your case, but
I believe that, if they did, they weren't wasted.

Good luck.

   Alan
Steve Kramer - 27 Jun 2007 00:23 GMT
>> Please focus your attention on the last two lines of my signature.
> ...
[quoted text clipped - 14 lines]
> I don't know if any "miracles" occurred in your case, but
> I believe that, if they did, they weren't wasted.

Thanks, Alan.  I could have waited months for a message like that.

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