Royal is defined as the presence of metastases located outside the pelvic lymph nodes or the development of resistance to one of the Lupron-like drugs. Royal is the most life-threatening of all the Stages and requires aggressive treatment. The overarching goal is to…

Many treatments have irreversible consequences, so the goal is to do it right the first time. It is well known that long-term survival is improved by receiving optimal treatment upfront. The first treatment is your best opportunity to eradicate cancer

PSA plays a variety of roles, the most familiar being screening to detect prostate cancer. PSA also helps to define the Stages of Blue. Another role of PSA is to detect cancer relapse after surgery or radiation. Lastly, rises or declines in PSA…

Lymph nodes and bone are the most common sites of metastatic spread. Body scans are necessary to determine the extent of the cancer. CT scans and bone scans are used to detect lymph node and bone metastases respectively…

Once the proper Stage of Blue is assigned, the different treatments appropriate for that Stage can be considered. Overall, there are two broad categories of treatment available for Royal: Systemic treatments and combination therapy.

Low-Royal occurs when a man who is Indigo develops a rising PSA while taking a Lupron-like drug, and the re-staging PET scans are clear. Despite the clear scans…

Rapid improvements in medical technology are forcing us to rethink our traditional approach to early metastatic prostate cancer. PSMA scans are now widely available…

Metastases originate from the prostate and spread to another part of the body, most commonly the lymph nodes and bones, and less often to the liver or lungs. Early metastases are usually without symptoms. When cancer becomes widespread, a “whole-body” treatment plan with systemic therapy is necessary…

Clinical trials, research trials, and studies all refer to the process that investigates the effectiveness of a new drug, type of therapy, or combination of drugs. There are 3 main phases of an investigational treatment along the road to FDA approval...

Uncontrolled cancer cell growth results from misbehaving genes. An intriguing approach to cancer therapy is to identify mutated genes which can then be targeted with specific therapies. In some cases, a treatment…

Pain can occur for a variety of reasons, many which may be unrelated to cancer. Therefore, the cause of the pain needs to be accurately diagnosed for optimal management. Generally, doctors should analyze the situation in this five-step process…

Blocking testosterone, a hormone that induces libido, strength, endurance, emotional stability, and potency, creates all kinds of side effects…

The most common side effect from Taxotere or Jevtana is fatigue. If tiredness from Taxotere becomes excessive, changing the schedule of infusions to weekly may be less toxic…

The post-treatment surveillance policy for men who have undergone an attempt at curative surgery or radiation is to check PSA quarterly for the first two years, biannually for the next three, and annually thereafter. For radiation patients…

Ideally, food intake should be from whole food sources (unprocessed, unadulterated, natural), with only a small percentage of food products (processed, refined, boxed, bottled, canned, packaged, and powdered). Whole foods provide…

The risk of a sedentary lifestyle is about the same as a pack-a-day smoking habit. “Sitting is the new smoking.” After age 60, just through the normal aging process, men lose 1% of their muscle every year. Hormonal treatments accelerate…

When it comes to dietary supplements, less is more. Mega-doses suggest a worse outcome or prognosis in patients with cancer…