Prostate Cancer Q&A 2024 PCRI Mid-Year Update

madman

Super Moderator

Chapters Timeline:

4:48 Physical activity and exercise are important to make you feel better plus mental health booster
5:31 What comes to mind from the Genetics lecture?
9:24 How does liquid biopsies relate to early screening?
14:29 15-20 years ago total body CT scans not finding actionable cancer-MRI's now can
18:25 The problem of over diagnosed Prostate Cancer
19:05 Active Surveillance - why isn't every man tested for BRCA mutations?
23:16 How does being BRCA positive correlate with treatment in breast vs prostate cancer?
27:25 Random biopsies - root cause of over treatment until 2015
28:26 How does MRI replace biopsies in liver cancer? What about Prostate? PET scans?
30:53 Information is evolving too fast for one person to keep track of
31:25 GINA - Genetic Information Nondiscrimination Act 2009
32:58 Statistics show mortality rates for men with 3+3 PCa is lower than general population
34:10 Lynch Syndrome
38:05 Familial Hypercholesterolemia
39:09 Sharks and Minnows
42:52 70% of men with PSA above 4 will never get diagnosed with prostate cancer
43:41 Gadolinium contrast agent - yes or no?
44:09 MRI second opinions
48:00 MRI's can miss up to 20% of clinically significant cancers but...
49:01 Historical reason for going off active surveillance
51:02 New role for PSMA test
53:39 Around one half of men with high gleason scores will never metastasize
56:43 PSMA scans can now pick up small amounts of cancer
58:59 MRI's and PSMA scans
1:03:36 How often can MRI complement PSMA?
1:04:12 DIY Combat Manual
1:06:27 Different types of Stage 4 cancer
1:08:03 Insurance and pharmaceutical company appeals
1:12:01 Follow up - Plan B
1:15:39 Hormone resistant men with treatments from Dr. Kwon
1:17:20 Law of probability - clinical trials
1:23:11 Sharks and minnows
1:24:11 How close is a clinical trial to completion and success?
1:30:24 For some Medicare covers drugs for high cardio event risk patients
1:32:40 What are the downsides and cautions of some drugs?
1:34:39 How does lifestyle effect drugs?
1:37:25 The more you exercise the bigger the reward
1:41:39 Active surveillance patients improved with exercise - ERASE 2022 randomized trial
1:43:10 "I did all these healthy things and I still got cancer?"
1:46:27 You can benefit in a multitude of ways with exercise/taking care of yourself
1:53:01 We are cars
1:55:42 When a doctor says exercise makes a difference you should believe it
2:02:05 Diet questions
 

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TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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