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Prostate Cancer and Prostatic Diseases - Androgen dynamics and serum PSA in patients tr... - 0 views

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    ADT therapy with abiraterone inhibits androgen production from both testicular and adrenal origins.  This study finds that a decrease in androgen production through ADT did not always equal a decrease in PSA, indicating other mechanisms of prostate cancer profession.
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https://onlinelibrary.wiley.com/doi/pdf/10.1111/bju.13554 - 0 views

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    Good brief review of the evidence of the psa flare
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Prostate-specific antigen flare phenomenon with docetaxel-based chemotherapy in patient... - 0 views

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    PSA flare is associated with docetaxol chemotherapy in men undergoing treat for prostate cancer.
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Changes in the rate of PSA progression and the level of alkaline phosphatase during hig... - 0 views

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    Brief read...will re-read, but IV vitamin C (albeit relatively low doses) correlate with decline in psa and alkP.
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Green Tea Reduced Inflammation, May Inhibit Prostate Cancer Tumor Growth - 0 views

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    Six cups of green tea daily in those men with prostate cancer found to reduce PSA, NK-KappB, and oxidative stress.  These levels were followed in men before and after surgery.
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Two years of testosterone therapy associated with ... [J Sex Med. 2009] - PubMed - NCBI - 0 views

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    no change in prostate cancer progression in man with prostate cancer on testosterone therapy.    Additionally, the PSA decreased.  The follow up was 2 years.  Two negatives: first, this was an observation study of one man, second,  was that analysis was via serum and I don't see that aromatase activity was monitored.  
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Is Testosterone Treatment Good for the Prostate? S... [J Sex Med. 2012] - PubMed - NCBI - 0 views

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    This is only the abstract, but the this study (sizable) found that risk of prostate cancer in men on testosterone therapy is "equivalent to that expected in the general population".  They found no effect on PSA by testosterone therapy.  
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Fifteen years of experience with intramuscular testosterone undecanoate for substitutio... - 0 views

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    Abstract presented finds that Testosterone IM undecanoate significantly reduced metabolic syndrome parameters in men.  This study looked at men with secondary hypogonadism and late onset.  The ages were from 15-72.  The full is not available as of this post.  The study only looked at serum T.  This limits the usefulness of this test.  According to this abstract, no evaluation of SHBG was performed.  Though not significant, PSA and prostate volume increased.
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Estradiol Activates the Prostate Androgen Receptor and Prostate-specific Antigen Secret... - 0 views

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    Estradiol increases PSA secretion.
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Combined inhibitory effects of soy isoflavones and ... [Prostate. 2010] - PubMed - NCBI - 0 views

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    curcumin supresses PSA.
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Selective aromatase inhibition for patients with androgen-independent prostate carcinom... - 0 views

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    study finds little benefit from third generation aromatase inhibitor in reducing PSA.
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Curcumin downregulates prostate specific antigen expression through the inhibition of a... - 0 views

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    Curcumin inhibits PSA expression.
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Curcumin Blocks the Activation of Androgen and Interlukin-6 on Prostate-Specific Antige... - 0 views

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    curcumin reduces the genetic expression of PSA from androgen dependent and androgen independent prostate cancer.
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Prostate-specific antigen changes and prostate cance... [BJU Int. 2009] - PubMed - NCBI - 0 views

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    As these authors call it--late onset hypogonadism (what is with all these names), Testosterone therapy provides no increased risk of prostate cancer or elevated PSA when followed for 5 years.
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Testosterone replacement therapy in hypogonadal men a... [J Urol. 2003] - PubMed - NCBI - 0 views

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    Interesting: 1 year f/u of 75 men on Testosterone therapy and high grade prostate intraepithelial neoplasia had no increase in PSA.
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Letter to the editor - 0 views

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    Good brief discussion of membrane Androgen receptor and intracellular Androgen receptor as well as the effects of aromatase and ER alpha. The point is that dual actions can be on going in the elevation of PSA values. Rightly so, this short rebuttal points out that a high T/DHT and a high mAR/iAR results in apoptosis.
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Long-term Safety of Testosterone and Growth Hormone Supplementation: A Retrospective St... - 0 views

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    Retrospective study finds that 2 years of Testosterone and GH do not change metabolic biomarkers, PSA, or disease risk.  LDL and TC were in fact decreased in the study arm without statin therapy.
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https://www.jstage.jst.go.jp/article/jmi/61/1.2/61_35/_pdf - 0 views

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    study looked at androgen deprivation therapy in non-metastatic prostate cancer.  This study found that the elimination of ADR post 5 years was associated with low recurrence.  Relapse of increased PSA was associated with increasing Testosterone off of ADR.  This study did not look at estrogens or androgen metabolites.  Too short sided in its design.
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Elderly men over 65 years of age with late-onset hypogonadism benefit as much from test... - 0 views

  • The benefits of restoring serum testosterone in men with LOH were not significantly different between men older than 65 years of age and younger men. There were no indications that side effects were more severe in elderly men. The effects on prostate and urinary function and hematocrit were within safe margins.
  • obesity, but also impaired general health, are the more common causes of low testosterone in aging men
  • Severe LOH is associated with substantially higher risks of all-cause and cardiovascular mortality,
  • ...30 more annotations...
  • advanced age, obesity, a diagnosis of metabolic syndrome, and poor general health status were predictors of LOH
  • Diabetes mellitus was correlated with hypogonadism in most studies
  • coronary heart disease, hypertension, stroke, and peripheral arterial disease did not predict hypogonadism, they did correlate with the incidence of low testosterone
  • LOH can be defined by the presence of at least three sexual symptoms associated with a total testosterone level of less than 11 nmol/L (3.2 ng/mL) and a free testosterone level of less than 220 pmol/L (64 pg/mL)
    • Nathan Goodyear
       
      the European Male Aging study defined low T as total < 320 ng/dl and free < 64 pg/ml.  
  • Mean weight decreased
  • Waist circumference decreased
  • Total cholesterol decreased
  • Low-density lipoprotein decreased
  • Triglycerides decreased
  • High-density lipoprotein (HDL) increased
  • ratio of total cholesterol to HDL improved
  • Prostate volume increased
  • PSA increased
  • The benefits for men older than 65 years of age were compared with those of younger men, and the improvements in body weight, metabolic factors, psychological functioning, and sexual functioning were of the same magnitude in both age groups
  • weight loss was progressive over the 6-year period, effects of testosterone on lipids and on psychological and sexual functioning reached a plateau after approximately 3 years and these effects were sustained
  • Effects of testosterone on hematopoiesis, on the prostate, and on bladder function were not more severe in older men than in younger men
  • observe a mild increase in prostate volume and serum PSA over time, which is a normal finding in aging men. Maybe somewhat surprising, postvoiding residue and the IPSS did not deteriorate with aging but showed a degree of improvement
  • the severity of the metabolic syndrome is associated with the severity of lower urinary tract symptoms
  • The symptoms of the metabolic syndrome improve upon testosterone treatment and testosterone may thus have a favorable effect on lower urinary tract symptoms
  • it seems reasonable to conclude that the risks of testosterone administration to elderly men are not disproportionately higher in elderly men than in younger men.
  • Despite evidence to the contrary, physicians still harbor a wrongful association between testosterone and the development of prostate pathology (prostate cancer and benign prostate hyperplasia)
  • Not surprisingly, the incidence of prostate cancer was higher in older men; however, it was lower than expected in both groups
  • These observations suggest that the incidence of prostate cancer in patients receiving testosterone therapy, both in the younger and in the older group, was not greater than in the general population not receiving testosterone treatment
  • The historical fear that raising testosterone levels will result in more prostate cancer has been dispelled, particularly by the work of Abraham Morgentaler
  • Higher serum testosterone levels fail to show an increased risk of prostate cancer, and supraphysiological testosterone does not increase prostate volume or PSA in healthy men
  • This apparent paradox is explained by the "saturation model,"
  • Recent studies indicate no increased risk of prostate cancer among men with serum testosterone in the therapeutic range
  • In the present observational study, no cases of major adverse cardiovascular events occurred.
  • the benefits of testosterone therapy are fully achieved only by long-term treatment
  • To achieve maximal benefits, good patient adherence is a prerequisite
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    Study finds new difference in Testosterone benefits and/or side effects between men < 65 with low T and men > 65 with low T.
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Long-acting testosterone injections for treatment of... [BJU Int. 2014] - PubMed - NCBI - 0 views

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    Study finds no increase in PSA , cancer progression, or recurrence during and 31 months follow up in men with low T with prostate cancer treated with brachytherapy.
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