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Keith R. Holden, M.D.'s avatar

Hi Steve. Welcome! It will be interesting to see what you Urologists says. If he or she is non-academic, you my need to bring my article to him😁 Let me know what they say.

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Steve Wylie's avatar

I found your newsletter when this post was shared in a Facebook group on this topic. I had my RARP in September - margins, lymph nodes, and bladder neck were clear. I had my T measured in August before the surgery - it was 348. I think it's always been on the low side based on my life history. I've been researching Enclomiphene Citrate as a way to boost my own testosterone production rather than relying on supplementation. I plan to discuss this with my urologist as soon as I can.

I'm catching up on your story and thank you for sharing it with us.

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Keith R. Holden, M.D.'s avatar

Hi Dr G. You are so right about how little we know about this topic.

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Tim G's avatar

I’m a retired internist/geriatrician. While I haven’t kept up with the literature as much as I used to, I recall similar study’s in women with a history of breast cancer who took estrogen replacement therapy yet had no higher recurrence rates than women who didn’t. There is much we don’t understand about hormones and supposedly hormone responsive cancers.

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Keith R. Holden, M.D.'s avatar

Tim. That is so true. So many odd issues regarding testosterone and prostate cancer. Why bipolar androgen therapy works, etc.

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