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Bipolar Androgen Therapy (BAT)

User
Posted 16 Mar 2018 at 08:08

Hope this helps some people.

Bit of history.

Diagnosed 2012 Gleason 9 Extensive mets throughout the skeleton PSA 3.6

9 cycles Docataxel, Abiraterone, Zoladex, Denosumab,  Cabazitaxel re try Abiraterone, Hormone resistant PSA rising

I did not want to do Chemo again and neither 20 cycles of RT to the prostate (Jamie did his best to sell me this one) 

So last night i had 400mg injection in the bottom of testosterone this will be repeated every 28 days, as all testosterone carries i warning not to give to patients with PC it made things a bit difficult, the injection i had to pay for this was £82.25

So as things progress i will keep this updated, my start point was PSA  5 and i was at castrate level

 

The link below is a PDF about the thinking behind it

 

 

http://www.pccncalgary.org/n_bipolar.pdf

 

Don't deny the diagnosis; try to defy the verdict
User
Posted 16 Mar 2018 at 08:08

Hope this helps some people.

Bit of history.

Diagnosed 2012 Gleason 9 Extensive mets throughout the skeleton PSA 3.6

9 cycles Docataxel, Abiraterone, Zoladex, Denosumab,  Cabazitaxel re try Abiraterone, Hormone resistant PSA rising

I did not want to do Chemo again and neither 20 cycles of RT to the prostate (Jamie did his best to sell me this one) 

So last night i had 400mg injection in the bottom of testosterone this will be repeated every 28 days, as all testosterone carries i warning not to give to patients with PC it made things a bit difficult, the injection i had to pay for this was £82.25

So as things progress i will keep this updated, my start point was PSA  5 and i was at castrate level

 

The link below is a PDF about the thinking behind it

 

 

http://www.pccncalgary.org/n_bipolar.pdf

 

Don't deny the diagnosis; try to defy the verdict
User
Posted 16 Sep 2019 at 16:39

Such a loss, Ness is a real star, looking after and comforting their lovely twin girls during this long period (not just the last three weeks) of illness. Si battled his own way and beat the odds for years, no wonder he won the title Si Si superman from many here. Ness and I have been in touch during our journeys, mine is nearly over so I can say with truth I know something of what’s she’s going through. Sending love to Ness and the girls during this sad time.

RIP Si.

love Allison and John xxx

User
Posted 09 Apr 2018 at 07:42

So here are the figures for my first month on BAT therapy

 

DAY 1 PSA 5 testosterone castrate level

DAY 5 PSA 9.9 Testosterone 38.9

DAY 13 PSA 19.9 Testosterone 11.8, interestingly ALP dropped to 56

DAY 22 PSA 19.7 Testosterone 5.4

I should have been castrate by now but at least PSA has started to drop, my PSA at diagnosis was 3.6 and the highest it has been prior to starting BAT was 7.2 

So on Thursday i am meant to be getting my second testosterone injection, need to have a good think about this

SI xx

Don't deny the diagnosis; try to defy the verdict
User
Posted 10 May 2018 at 11:53
Sorry to hear that Si.

Ian

Ido4

User
Posted 10 May 2018 at 22:20

Thank you for documenting. Much appreciated and sorry it dodn’t Getvto play out in full.

User
Posted 16 Mar 2018 at 18:59

Thank you all so much for your comments on my other thread really does mean a lot, i will now post on here now.

So i am having testosterone and PSA done on Monday to see how high it has gone, my main reason for doing this is there really was nothing nice left and i want a great spring and summer with my girls.

One things i forgot to mention is you MUST be pain free this will make pain a lot worse.

I am awaiting a call back from prostate cancer UK what i find really annoying is once you get in my position you have had some pretty sh*t treatments and probably crap side effects, America is now recruiting for phase 3 the actual injection costs £10 the other costs i paid was admin etc due to having to get it privately. 

Why is there no trials starting here, yes its a bit Russian roulette but when you get hormone resistant it really is a pretty nice treatment i really fill good

So do we only run trials for drugs that cost thousands, i have already been asked for details of how others can do this.

Rant over i am off to wrestle a bear     

Don't deny the diagnosis; try to defy the verdict
User
Posted 16 Mar 2018 at 21:42
Originally Posted by: Online Community Member

I’m secretly hoping my prof will offer immuno when I’m classically diagnosed as advanced

I have read a lot about this recently and some very exciting outcomes ( although for other types of cancer so far)

Have you seen anything Chris about prostate cancer outcomes. I do think this may be the way to go in the future especially if tailored to the individual.

Good luck Si with your BAT. I feel so humbled by your bravery. What a star you are.

Regards

Ann

User
Posted 16 Mar 2018 at 22:40
Hi Si

Pleased you and Jamie are on the same page and I hope you get a positive outcome. I wil be following your journey with interest as I feel I may be looking to persuade my Onco to think outside the box next week ( chemo sucks doesn't it). Enjoy the boost mate.

All the best

Roy

User
Posted 28 Mar 2018 at 16:03

So quick update

Started on the 15th March PSA 5 testosterone castrate level

19th March PSA 9.9 Testosterone 38.9

Today PSA 19.9 Testosterone 11.8, interestingly ALP dropped to 56

Just need to get to castrate pretty soon next testosterone injection due on 12th April

Si  

Don't deny the diagnosis; try to defy the verdict
User
Posted 28 Mar 2018 at 16:42

Hi AC

Yes the ALP is right at the bottom of the range, i think i was expecting a big rise.

Here is a nice video i found that really explains the use of Testosterone really well compassionateoncology.org/v...

I think my biggest problem at the moment is when i had problems on any other treatment either my nurses or someone on here would have the answer, as things are now no one has the answer.

I did get in contact with a guy in the U.S doing BAT but he wanted to skype me so that we could pray together https://community.prostatecanceruk.org/editors/tiny_mce/plugins/emoticons/img/smiley-embarassed.gif so i will just continue to be in the dark

Hope all is going well for you, i am trying to get Jamie to join me at the meet up at the Mill to do a talk if he is up for it i will contact Prostate cancer UK to see if they want him to come

All the best mate

Si  

Don't deny the diagnosis; try to defy the verdict
User
Posted 29 Mar 2018 at 07:44
Sure you guys and gals have seen this site https://healthunlocked.com/advanced-prostate-cancer/posts/135715505/high-dose-testosterone

It's a bit technical for me to folliwing but I post it anyway as it may help if you haven't seen it.

Good luck with your cutting edge therapy...

User
Posted 13 Apr 2018 at 07:25

Good luck x

User
Posted 27 Apr 2018 at 07:20

Hi Lyn

Ness is behind me 100%, once the HT stops working treatment options become quite limiting, and anything that can keep me away from Chemo and thats all that is really left is worth a shot.

I am lucky to have an Onco that lets me have such an input into my treatment, even tho we have many heated arguments he still sticks with me and i am sure over these last 5 years he has learnt a lot.

Ian

A typical month is first week lots of muscle ache, reduced urine flow and thats about it, the next two weeks or so everything is back to normal and then the last week as i head back to castrate level my love of handbags and makeup returns https://community.prostatecanceruk.org/editors/tiny_mce/plugins/emoticons/img/smiley-embarassed.gif

I have put on about 10lb in weight in the last 7 weeks but perhaps thats just fattening me up ready for Chemo.

Si  

Don't deny the diagnosis; try to defy the verdict
User
Posted 04 May 2018 at 12:09

So just had for me the most important PSA test since diagnosis.

Jamie wanted to stop the BAT therapy after my last PSA increase but has agreed if my PSA drops with today's blood test then i can continue.

As he is on Holiday next week he has left a script with the Chemo nurses to administer it next Thursday on me producing the PSA results.

I am convinced it will work and just need one more injection https://community.prostatecanceruk.org/editors/tiny_mce/plugins/emoticons/img/smiley-laughing.gif for two weeks each month i feel just like i did before i was diagnosed and the option of Chemo again for the third time is not appealing and i will be declining it.

So watch this space, due to the bank holiday i will not get the result till Tuesday but i know it will be a big drop https://community.prostatecanceruk.org/editors/tiny_mce/plugins/emoticons/img/smiley-laughing.gif hopefully

Hope everyone has a great Bank Holiday and enjoy the lovely weather the twins are away camping with scouts so its just me and Ness and a few nice pubs

Si xx 

  

Don't deny the diagnosis; try to defy the verdict
User
Posted 04 May 2018 at 14:07
Enjoy your weekend Si. Hope the result on Tuesday allows you to continue on BAT.

Ian

Ido4

User
Posted 04 May 2018 at 16:13

Si, fingers and everything else crossed for you on Tuesday. My own experience is no correlation between how well I feel and that damned PSA reading. My PCa treatment is now parked until we know what is going on in my liver, following my biopsy, supposedly urgent, on 15th. If you meet with success, I may well follow your lead, so for both our sakes I hope all goes well!

AC

User
Posted 04 May 2018 at 21:00

All my digits are crossed for you as well!

Have a good weekend.

dave

Do all you can to help yourself, then make the best of your time. :-)
User
Posted 05 May 2018 at 18:15
Good luck for Tuesday. I totally understand the reluctance for more chemo. Enjoy your time together without the kids.

All the best

Roy

User
Posted 10 May 2018 at 19:13

Gutted for you, my friend, but no-one will ever say you were timid xxx

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 10 May 2018 at 20:24

Sorry to read this Simon.

dave

User
Posted 10 May 2018 at 21:51
So gutted for you, I know how much you wanted it to continue, let's hope it's had some effect.

All the best

Roy

User
Posted 11 May 2018 at 17:20

So sorry Si. Our wishes are with you.

If life gives you lemons , then make lemonade

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User
Posted 16 Mar 2018 at 18:38

How often is your PSA and T going to be measured?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 16 Mar 2018 at 18:59

Thank you all so much for your comments on my other thread really does mean a lot, i will now post on here now.

So i am having testosterone and PSA done on Monday to see how high it has gone, my main reason for doing this is there really was nothing nice left and i want a great spring and summer with my girls.

One things i forgot to mention is you MUST be pain free this will make pain a lot worse.

I am awaiting a call back from prostate cancer UK what i find really annoying is once you get in my position you have had some pretty sh*t treatments and probably crap side effects, America is now recruiting for phase 3 the actual injection costs £10 the other costs i paid was admin etc due to having to get it privately. 

Why is there no trials starting here, yes its a bit Russian roulette but when you get hormone resistant it really is a pretty nice treatment i really fill good

So do we only run trials for drugs that cost thousands, i have already been asked for details of how others can do this.

Rant over i am off to wrestle a bear     

Don't deny the diagnosis; try to defy the verdict
User
Posted 16 Mar 2018 at 19:53

Which injection is it Si? I was on Nebido 4mg for over a year which was injected into the buttocks. Probably nowhere near the dose you are getting though !! But it was on prescription

If life gives you lemons , then make lemonade

User
Posted 16 Mar 2018 at 20:01

Hi Chris it was 400 mg the problem is Testosterone will need to be reclassified as they all say do not give to people with prostate cancer

Jamie really has put his neck on the line as he said if i die there are two approved  treatments that i have not had yet, that old Chemo mixo something or other and Rad 223 and questions will be asked why he did not give me them first.

i owe this guy a lot

Si   

Don't deny the diagnosis; try to defy the verdict
User
Posted 16 Mar 2018 at 20:03
Good luck si, and not forgetting your family who are no doubt behind you on this new journey, it means so much to men like my OH who are relatively new to this awful disease who have so many uncertain paths to god down, so for you to be trailblazing this and bringing it to the forefront and sharing it with us is truly amazing..

Good luck..

Jo

User
Posted 16 Mar 2018 at 20:12

Well they were giving it to me having missed the fact I had prostate cancer. Can’t be bothered suing. When I rejected RT for the third time they had a specialist nurse come into the room to witness it. They knew it wasn’t there but were simply following protocol. I’m secretly hoping my prof will offer immuno when I’m classically diagnosed as advanced

If life gives you lemons , then make lemonade

User
Posted 16 Mar 2018 at 20:42

Thank you for sharing your journey and this thread. I will be following your story and all fingers crossed for the ‘injection in the bum’ solution.. go batman!

Regards

Clare

User
Posted 16 Mar 2018 at 21:42
Originally Posted by: Online Community Member

I’m secretly hoping my prof will offer immuno when I’m classically diagnosed as advanced

I have read a lot about this recently and some very exciting outcomes ( although for other types of cancer so far)

Have you seen anything Chris about prostate cancer outcomes. I do think this may be the way to go in the future especially if tailored to the individual.

Good luck Si with your BAT. I feel so humbled by your bravery. What a star you are.

Regards

Ann

User
Posted 16 Mar 2018 at 22:40
Hi Si

Pleased you and Jamie are on the same page and I hope you get a positive outcome. I wil be following your journey with interest as I feel I may be looking to persuade my Onco to think outside the box next week ( chemo sucks doesn't it). Enjoy the boost mate.

All the best

Roy

User
Posted 17 Mar 2018 at 08:14
Thanks for posting this Si. I will be following with interest but also very much wishing you a good outcome from this “trial”.

Ian

Ido4

User
Posted 17 Mar 2018 at 10:56

Best wishes and thoughts to you all with this Simon,

It may be a bold move for Jamie, well done to him for that.

But, it's an incredibly courageous decision by you.

Trusting that you will continue to surprise us all and push boundaries.

dave

Do all you can to help yourself, then make the best of your time. :-)
User
Posted 20 Mar 2018 at 18:44

So Had bloods done after 4 days on BAT

PSA has gone from 5 to 9.9

Testosterone has gone from castrate to 38.9 nmol or 1121 ng the target they would like is 800 - 1200 god knows what is was 4 days ago

Now just need to ride out the storm https://community.prostatecanceruk.org/editors/tiny_mce/plugins/emoticons/img/smiley-laughing.gif

Don't deny the diagnosis; try to defy the verdict
User
Posted 21 Mar 2018 at 17:55

Si,. Looks to be as expected. Hope all goes well through the first month.

AC

User
Posted 21 Mar 2018 at 20:19

😨

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 22 Mar 2018 at 11:33
Good luck Si, I hope it all goes as hoped in the next few weeks.

Thanks Chris

User
Posted 22 Mar 2018 at 11:53

How do you feel Simon? What does all that testosterone do to you? Hope you are well during this. Thinking of you and Ness

User
Posted 22 Mar 2018 at 19:50

Hi Paul,

Well now things have settled down this is what happened

one hour after the injection i felt like i had drunk 8 pints of beer

Friday felt absolutely great

then it went down hill, every muscle in my body ached, urine flow for a couple of days dropped dramatically, felt totally washed out and it all came to a head yesterday when it felt just like i was on chemo all i needed was the metallic taste and it would have been there.

Today things are much better and hopefully that,s it till the next injection

Not quite what i expected but i suppose when your body has had no testosterone for over 5 years something was bound to happen

Bloods again Wednesday when hopefully i am at castrate level

Si xx    

Don't deny the diagnosis; try to defy the verdict
User
Posted 22 Mar 2018 at 20:09

I do hope it works out, please make sure you get checked out if things get difficult. Your body must be doing somersaults. Stay safe mate.

User
Posted 22 Mar 2018 at 21:14

How will you get back to castrate level so quickly?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

 
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