- All great questions! My only experience with ADT was with a Lupron shot given just prior to undergoing radiation. The shot as offered in 1 - 3 or 6 month variations. While I thought it was going to be a 3 shot since the treatment protocol was only 8 weeks, I was surprised when I ended up with the 6 month version. Personally I had a lot of reactions to the ADT (Lupron) and almost none to the radiation.
Concerning your question on ADT resistance - I am a civilian grant reviewer for the Dept of Defense's project on metastatic prostate cancer. Many of the proposals I see are for ADT resistance. From the 60+ that I have reviewed over the past 2 years, the amount of time for ADT resistance to build appears to vary by patient.
I can only surmise there is no magic number. It depends on how your body reacts to the protocols - I am familiar with one individual who has been on ADT for almost 20 years. At the same time a former business partner of mine became resistant in just months. Why? No one knows as far as I can tell.
One of the coaches at our prostate cancer survivor meetings tells guys to take off a sock and look at the bottom of their foot. He then asks if they see a expiration date printed there. All say no ... and then he says "Exactly so live your life now and enjoy every day" ... not a bad message to remember.
The future happens every day and no matter how much we worry ... nothing will change it. Hang in there 😀
...Dennis(ProstateCancer.net Team)