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	<title>Comments on: Dear Dr.
I have been on Lupron injection and Casodex for 3 months. My initial PSA was 9.7, my stage is t3aN0M0, I am awaiting Proton treatment at Tsukuba in Japan. My first blood test after 3 months on these meds showed  PSA .09 ; slightly elevated liver (forget which one exactly, but a 50 when top normal range is 45); cholesterol 255 LDL, higher than last t test several years a go. Bone density, in normal range but low in spine area.
What does the low PSA # tell you? Does this mean the chance of metastasize is low?  Any other comments on the ther numbers? I just turned 55, 200 lbs jog regularly albeit  very slow. Am having hot flashes, some extra fatigue and redness in my eyes. I have been on an SSRI (remeron) for headaches for 10 yrs.  15 mg usually before bed, original prescription was for 60 mg. but I never take that much occasionally  30 mg.
Thank You
Steve S</title>
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