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	<title>Comments on: Dr. Myers,

Could you tell us your opinion on the right time to begin androgen deprivation therapy after the failure of primary treatment by surgery or radiation.  Should ADT begin:

1. As soon as a recurrence is confirmed?

2. After some PSA threshold is crossed (2.0, 4.0, 10.0, whatever)?

3. After metastasis is confirmed?

4. Just before the onset of symptoms is anticipated?

5. Only after symptoms have actually appeared?

6. Whenever the patient wants it?

Doctors seem to have different opinions about this and I don&#8217;t know whether it&#8217;s because we don&#8217;t have enough information to make a judgment, or because many doctors aren&#8217;t keeping up with the latest research.

If you are willing, I would like your permission to post your answer to two prostate cancer Internet groups that I participate in, &#8220;alt.support.cancer.prostate&#8221;, and the Yahoo newsgroup &#8220;Prostate Cancer Support&#8221;.

Thank you very much.

  Alan Meyer
  ameyer2@yahoo.com</title>
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	<description>Prostate Cancer Prognosis, Questions and Answers</description>
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