Denosumab is also given to some men on ADT to prevent osteoporosis-induced fractures. This medication is given monthly to some men whose prostate cancer has spread to the bone to help prevent or delay fractures as well as pain. In addition to Flash’s prostate cancer treatment, he receives an injection every month called denosumab. Supplement your diet with vitamin D and calcium to keep bones strong.” Your doctor may recommend a yearly bone density scan to see if your bones are thinning. “Avoid smoking and excessive amounts of alcohol. “Make sure you are not leading a sedentary lifestyle-exercise regularly and keep fit with weight-bearing activities like walking,” he says. If you are receiving ADT, there are a number of things you can do to reduce your risk of bone loss, Dr. “My lifestyle hasn’t really changed a whole lot,” he says. But he continues to enjoy a busy schedule. ![]() He has had some side effects from previous prostate cancer treatment, including some numbness in his hands and feet. “I’m still out performing a couple of nights a week-I don’t have pain in my bones,” he says. Ludwick also takes calcium and vitamin D daily to protect his bones-another key recommendation for men taking ADT. Men with prostate cancer should get regular exercise to keep their bones strong, says his doctor, Neal Shore, MD, Director for the Carolina Urologic Research Center in Myrtle Beach, South Carolina. He and his wife regularly walk three miles indoors and do an exercise video together. He says the disease is not slowing him down. He has been taking ADT since his cancer spread to his bones. Patrick “Flash” Ludwick, a 72-year-old singer and songwriter, was diagnosed with prostate cancer in 2007. Some doctors may even prescribe ADT for men in an earlier stage of prostate cancer because it can shrink the tumor and make radiation treatment more effective. ADT may be given to men with prostate cancer that has spread beyond the prostate or for prostate cancer that is in an advanced stage. Studies suggest that men live longer if they start ADT after prostate cancer has spread to lymph nodes, the bones, or other tissues. This hormone serves as the main fuel for growth of prostate cancer cells. ![]() In addition to estrogen, ADT also lowers the body’s supply of the hormone testosterone. The bones of men who take ADT may become thinner, more brittle and at increased risk for breaking.įortunately, men with advanced prostate cancer can take medications and make lifestyle changes to protect their bones and help prevent fractures. This medication lowers the amount of estrogen, a hormone that keeps bones strong. ![]() This can be because the disease has spread to the bone, or because they are taking a type of prostate cancer treatment called androgen deprivation therapy (ADT). Men with advanced prostate cancer are at risk for the brittle-bone disease, osteoporosis.
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