Elevated PSA

**Amuuzen** · 08-24-2018, 12:22 PM

Originally Posted by kelkel

That's way to much adex. You're going to crash your estrogen. Remember that standard estradiol can often times read much higher in men as the test is geared to women and not sensitive enough for men's lower levels. This caused doc's to over-write adex. I'd simply go with .25 each day you inject and retest in a month. Small, incremental changes are always best.

Re Finasteride it will definitely help. I'm on it at 5 mgs per day (had no choice) and I believe BB is as well but maybe at a lower dose? It's still a last resort imho. If you do take it combine it with Cialis.

Just saw your psa is at 0.4. That's excellent. Fina def not needed.

Good to know. I'll do 1/4 tab (0.25mg) of anastrazole per shot day and f/u with next test.

Yeah, no Fina for myself. But I will ask about Tadalafil and the Alpha-Blockers. Don't think it's completely needed yet, but good to get the info to my doc (and myself).

I hear many ppl struggling with Dr's and protocols. That just sucks. I'm glad I have a good relationship with mine (PCP anyway, the specialist was shit). I'll defer to him, but since I have a medical (pharmacy) background perhaps he listens more. Glad for the information here. Thank you!

**kelkel** · 08-24-2018, 12:37 PM

Imho, two of the best supplements you can take are low dose daily cialis and vitamin D. Cialis is simply one of the healthiest things to take for an adult male regardless of bph or it's indented purpose.

**Mr.BB** · 08-24-2018, 01:18 PM

Originally Posted by kelkel

Imho, two of the best supplements you can take are low dose daily cialis and vitamin D. Cialis is simply one of the healthiest things to take for an adult male regardless of bph or it's indented purpose.

Cant take cialis, I get a horrific acid reflux for 3 days. Plus the almost priapism state.

But I agree if you can take it its very healthy.

**kelkel** · 08-24-2018, 03:29 PM

Originally Posted by Mr.BB

Plus the almost priapism state.

Well that rules out tri-mix!

**Mr.BB** · 08-24-2018, 03:46 PM

Originally Posted by kelkel

Well that rules out tri-mix!

Just got my first tattoo, so enough needles for a while

**Amuuzen** · 08-29-2018, 07:15 AM

Originally Posted by kelkel

Imho, two of the best supplements you can take are low dose daily cialis and vitamin D. Cialis is simply one of the healthiest things to take for an adult male regardless of bph or it's indented purpose.

I'll def look into and get on (depending the price) Tadalafil. I did just start on vitamin D (after my results showed they were borderline low). I thought my multi-vit and all the added D food products (milk, OJ) I consume would get me there, but I guess not.

**kelkel** · 08-29-2018, 07:43 AM

Originally Posted by Amuuzen

I'll def look into and get on (depending the price) Tadalafil. I did just start on vitamin D (after my results showed they were borderline low). I thought my multi-vit and all the added D food products (milk, OJ) I consume would get me there, but I guess not.

Most everyone in N. America is low in Vit D. Don't over-do it though as it's fat soluble not water soluble. Be sure to take it with a large meal as well for best absorption. I believe the range is 3-100 for D. I like to keep mine around 80. For me that takes 10K IU's per day but we are all different.

**almostgone** · 08-29-2018, 06:22 PM

Originally Posted by kelkel

Most everyone in N. America is low in Vit D. Don't over-do it though as it's fat soluble not water soluble. Be sure to take it with a large meal as well for best absorption. I believe the range is 3-100 for D. I like to keep mine around 80. For me that takes 10K IU's per day but we are all different.

Same here. My last vitamin D, 25-hydroxy was 74.7 w/ a range of 30-100 ng/mL. The time before that it had drifted down towards 64.1 so I added supplemental D back in @ 5k per day.

**Rwy** · 09-10-2019, 02:33 PM

Update

I had PSA tested twice in the past 6 months and I'm currently standing at 2.10. This seems to be where I level off at with a 100mgs a week.

I had a 4k blood test done, and just received the results and the evaluation came back low risk. However, the test data is based on if I was a patient age 60 or older. I am trying to get someone on the phone from the lab to explain what the results mean for a 41-year-old male.

I have done some pretty in-depth research on PSA to do everything possible to avoid biopsy. My current Dr (I have had about 15 over the past few years) is ok with me not getting a biopsy but we are watching closely. Let me point out some info I have learned to share with others.

Prostate cancer is not easy to diagnosis in younger men. I have spoken to Dr's who have requested T3 MRI's for patients that don't show prostate cancer yet a biopsy reveals aggressive cancer is there. 4k tests show low risk but prostate cancer is there. I have spoken to other men who have had t3 MRI's and 4ks that look like everything is good but prostate cancer is there. I have spoken to lots of guys who had biopsys that revealed no cancer. I have spoken to guys who had biopsys and the needle missed the cancer cells and didn't find out until there 2nd or 3rd biopsy. It is without a doubt VERY different from patient to patient.

At this point I agree No matter how you slice a PSA of 2.10 for a 41-year-old male is not normal. Whether its BPH or test is "throwing" fire (i swear every Dr says this) on my prostate cancer is an unknown at this point. If I do get above 3 and stay above there for 6 months I will opt for a biopsy. Based on the many conversations I have had it would not shock me if I have prostate cancer down the road.

While I agree that Dr knowledge on this topic is still significantly lagging these Drs are also seeing younger men develop prostate cancer that are on testosterone .

**Youthful55guy** · 09-10-2019, 08:17 PM

Thanks for sharing. Wish I could offer you something, but you seem to be our resident expert on this subject. Please keep us posted.

**ssaunders** · 01-20-2020, 09:32 AM

I've had my PSA over 3 for the past 2 years and nothing has indicated that I have any cancer like symptoms (every test under the sun except biopsy which my DR thinks is unnecessary. My PSA did go down to 2.25 when I went off of Test for 1 mth so I think TEST C causes a spike I my PSA which is unfortunate. I too have contemplated going of TRT due to my PSA and now Prostatitis symptoms. The endocrine system is complex and everyone is different. I'm now working with an Osteopath on alignment which I believe is root cause of my Prostatitis. Going for BW soon so I'm curious to see if my PSA has dropped. Would like my PSA to be in low 2's or even high 1's. I'll keep you posted on my situation as well to see if I can shed some like on this.

**Youthful55guy** · 01-20-2020, 12:16 PM

Just wanted to share my recent experience with elevated PSA. Mine has been consistently below 1 for well over 10 years. That is, until it suddenly shot up to over 8 and I developed slow and painful urination problems. My doc suspected that it was a prostate infection and she was correct. See the graph below showing my PSA levels over the years. A few days after the big spike in PSA, I started a 40-day course of antibiotics (ciprofloxacin) and my PSA values came way down. Still not back to below 1, but hopefully getting there. Bottom line is don't jump strait to a biopsy. It could be just an infection.

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**Rwy** · 08-12-2020, 06:28 PM

About a yeat later PSA is at a 2.47. Im having more problems peeing emptying at night than before. I got a finger in my ass with a goal of trying to recreate the burning feeling I have at night. Dr doesn't think I have prostate cancer. He prescribed me flomax but I asked for Cialis.