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Pearl · 04 of 05

Ask about fitness and muscle before and during hormone therapy for prostate cancer

Set a baseline for fitness, metabolism and bone health when starting hormone therapy, and revisit it.

Androgen deprivation therapy reduces muscle and bone and shifts metabolism. Record baseline weight, activity level, blood pressure, glucose and lipids when it starts, and check bone health.

Give every man a concrete activity recommendation at the same visit, since advice that is specific, written down and revisited is more likely to be followed than a general suggestion.

  • Record weight, blood pressure, glucose and lipids at the start of androgen deprivation therapy.
  • Check bone health and consider calcium, vitamin D and bone density assessment.
  • Give written, specific activity advice at the same visit.
  • Review activity and weight at each follow-up.

Why it matters

The adverse effects of androgen deprivation are predictable, so they can be planned for.

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