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Dear Doctor, I Am A Prostate Cancer Patient, Currently Taking

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Posted on Fri, 3 May 2019
Question: Dear doctor,

I am a prostate cancer patient, currently taking Lupron Injection treatment and on Active Surveillance. I have a family history of Osteoporosis. My mother and my sister are both diagnosed with Osteoporosis. I am also taking calcium supplement.

Bone and Red Blood Cell are concerned side effects of Lupron, and I need your advice.

My Lupron injection is a 24 months program, and I am taking 7.5mg of Lupron Injection every 28 days. To complete this 24-mointh program, I have 10 more months to go with Lupron Injection. Due to this side effect from Lupron, I like to get off it if I can, maybe with an alternative. Is it a good idea for me to stop Lupron Injection sooner?
Prolia treatment is a potential alternative, but I need to be diagnosed with Osteoporosis. What is the side effects of Prolia?
For me to monitor my bone health, I need to take bone-density exams, which are quite costly. Are there any other way to test on the bone health?
Which specialist I should go to monitor my bone health?
For my blood cell issues, I am being cared by a Hematologist doctor.

Thank you for your answers and advice in advance. Best regards.
XXXXXXX Chang
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Follow up: Dr. Dr. Esmeralda Sera (0 minute later)
Dear doctor,

I am a prostate cancer patient, currently taking Lupron Injection treatment and on Active Surveillance. I have a family history of Osteoporosis. My mother and my sister are both diagnosed with Osteoporosis. I am also taking calcium supplement.

Bone and Red Blood Cell are concerned side effects of Lupron, and I need your advice.

My Lupron injection is a 24 months program, and I am taking 7.5mg of Lupron Injection every 28 days. To complete this 24-mointh program, I have 10 more months to go with Lupron Injection. Due to this side effect from Lupron, I like to get off it if I can, maybe with an alternative. Is it a good idea for me to stop Lupron Injection sooner?
Prolia treatment is a potential alternative, but I need to be diagnosed with Osteoporosis. What is the side effects of Prolia?
For me to monitor my bone health, I need to take bone-density exams, which are quite costly. Are there any other way to test on the bone health?
Which specialist I should go to monitor my bone health?
For my blood cell issues, I am being cared by a Hematologist doctor.

Thank you for your answers and advice in advance. Best regards.
XXXXXXX Chang
doctor
Answered by Dr. Dr. Esmeralda Sera (50 minutes later)
Brief Answer:
Lupron

Detailed Answer:
Hello and thank you for asking

Lupron injection its the right treatment in your case.

Due to the fact that you do not have a diagnosis of osteoporosis, in my opinion you should not switch the existing medication.
A variety of medical specialists treat people with osteoporosis, including internists, family physicians, endocrinologists, rheumatologists, physiatrists, orthopaedists, and geriatricians

Common side effects of Prolia include:
low calcium levels (especially if you have kidney problems),
weakness,constipation,back pain,muscle pain,pain in your arms and legs,anemia etc

Regards


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr. Esmeralda Sera (0 minute later)
Brief Answer:
Lupron

Detailed Answer:
Hello and thank you for asking

Lupron injection its the right treatment in your case.

Due to the fact that you do not have a diagnosis of osteoporosis, in my opinion you should not switch the existing medication.
A variety of medical specialists treat people with osteoporosis, including internists, family physicians, endocrinologists, rheumatologists, physiatrists, orthopaedists, and geriatricians

Common side effects of Prolia include:
low calcium levels (especially if you have kidney problems),
weakness,constipation,back pain,muscle pain,pain in your arms and legs,anemia etc

Regards


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Esmeralda Sera (6 days later)
Dr. XXXXXXX Sera on a related subject, I have the following question:

While I am under the Lupron treatment and if I have been diagnosed with Osteoporosis, will taking Prolia treatment be compatible? Is there a recommendation as a substitute for Prolia, if Lupron and Prolia are not compatible?

Thank you, and I look forward to your answer.
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Follow up: Dr. Dr. Esmeralda Sera (0 minute later)
Dr. XXXXXXX Sera on a related subject, I have the following question:

While I am under the Lupron treatment and if I have been diagnosed with Osteoporosis, will taking Prolia treatment be compatible? Is there a recommendation as a substitute for Prolia, if Lupron and Prolia are not compatible?

Thank you, and I look forward to your answer.
doctor
Answered by Dr. Dr. Esmeralda Sera (11 hours later)
Brief Answer:
Lupron

Detailed Answer:
Hi

More recommend in this case are calcium and vitamin D supplements
Upcoming treatments, such as denosumab and toremifene citrate, have demonstrated promise in this setting
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Dr. Esmeralda Sera (0 minute later)
Brief Answer:
Lupron

Detailed Answer:
Hi

More recommend in this case are calcium and vitamin D supplements
Upcoming treatments, such as denosumab and toremifene citrate, have demonstrated promise in this setting
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Esmeralda Sera (3 hours later)
Thank you so very much for your time and answers. Please allow me to ask you another follow up question:

Related to my concerns over Osteoporosis and Cancer, does low-dosage CT scan detect effectively on Osteoporosis and/or Pancreas or other cancers?
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Follow up: Dr. Dr. Esmeralda Sera (0 minute later)
Thank you so very much for your time and answers. Please allow me to ask you another follow up question:

Related to my concerns over Osteoporosis and Cancer, does low-dosage CT scan detect effectively on Osteoporosis and/or Pancreas or other cancers?
doctor
Answered by Dr. Dr. Esmeralda Sera (12 hours later)
Brief Answer:
Lupron

Detailed Answer:
Yes the low-dosage CT scan can detect osteoporosis and other type of cancer like pancreatic cancer

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Dr. Esmeralda Sera (0 minute later)
Brief Answer:
Lupron

Detailed Answer:
Yes the low-dosage CT scan can detect osteoporosis and other type of cancer like pancreatic cancer

Regards
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Dr. Esmeralda Sera

Oncologist

Practicing since :1998

Answered : 1375 Questions

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Dear Doctor, I Am A Prostate Cancer Patient, Currently Taking

Dear doctor, I am a prostate cancer patient, currently taking Lupron Injection treatment and on Active Surveillance. I have a family history of Osteoporosis. My mother and my sister are both diagnosed with Osteoporosis. I am also taking calcium supplement. Bone and Red Blood Cell are concerned side effects of Lupron, and I need your advice. My Lupron injection is a 24 months program, and I am taking 7.5mg of Lupron Injection every 28 days. To complete this 24-mointh program, I have 10 more months to go with Lupron Injection. Due to this side effect from Lupron, I like to get off it if I can, maybe with an alternative. Is it a good idea for me to stop Lupron Injection sooner? Prolia treatment is a potential alternative, but I need to be diagnosed with Osteoporosis. What is the side effects of Prolia? For me to monitor my bone health, I need to take bone-density exams, which are quite costly. Are there any other way to test on the bone health? Which specialist I should go to monitor my bone health? For my blood cell issues, I am being cared by a Hematologist doctor. Thank you for your answers and advice in advance. Best regards. XXXXXXX Chang