ADT/breast pain or breast enlargement

Please confirm the before and after eating restrictions on Zytiga. I was on Zytiga for 2 years under the oversight of a Medical Oncologist at a world renown cancer center, and I never had those eating restrictions with Zytiga.

Visit zytiga.com It explains there.

@jimekrut and @swl1956, I have some strong opinions about hormone therapy induced gynecomastia that are not always popular, but please hear me out.

I'm not on ADT but I have done plenty of research in anticipation. Personally, I'd rather look like Dolly Parton instead of going through unnecessary treatments because of vanity. I have moobs anyway, which I totally accept, and it is more common the older you get due to the natural hormone imbalance from reducing testosterone levels that comes with aging. ADT just speeds up the process, but you might be surprised to learn that classic LHRH Agonists such as Lupron only result in gyne for about 20% of users (anti-androgens are a different kettle of fish, with gyne occurring in around 80% of cases). I'm not sure what the % is for Orgovyx. But look at any 70yo guy walking topless along the beach; chances are he isn't on ADT but he should be dressed more modestly anyway. Boobs happen.

True gynecomastia will result in pain, tenderness, irritation etc. but it will also let you know what 50% of the world's population deal with, generally without complaint. It might also result in major growth, but this is rare. Tamoxifen is effective with dealing with growth symptoms apparently, but guess what its side effects are - headaches, nausea, hot flashes, skin rash, fatigue, sexual dysfunction, weight and mood changes - the same as ADT, but in addition to it! No thanks!

I sometimes notice a particular elderly guy at the shops, he has pendulous breasts which he tries to hide by walking in a stoop and by wearing excessively baggy t-shirts. All he does is draw attention to himself as they're banging together! What he really needs is physical support. There's no shame in it; it's only fabric.

Anyone who, in their senior years, thinks that they have to keep proving that they are a man by having a body that they think society expects from them, is wasting their time. Again, it's just my opinion, but we're better off accepting our breasts if we have them, whatever their cause, instead of unnecessary drugs or surgery.

I follow my Medical Oncologists instructions/recommendations, and not a supplier website. If you are that concerned about what the supplier's website says, simply take your Zytiga at night, just before going to bed, and you will be basically compliant with the website.

Yes, probably not that big of a deal to be compliant. My Medical Oncologist did articulate clearly to take it at least 2 hours after food and then no food for an hour afterwards. I'm thinking maybe early morning a couple hours before breakfast.

Just try to get rid of this idea of demasculation due to treatment. Many forum members who have undergone treatment of one kind or another (including me) are alive and doing reasonably well and enjoying their lives. Isn't that what matters?

Phew, I'm glad that my opinions were taken at face value and didn't come across as insulting or anything like that, because it wasn't my intent to upset anyone.

Yes, the prospect of radical changes can be unsettling, I totally understand that. But life itself is far more precious.

I'm a bit 'different' to most men in that I am not compliant with gender stereotypes. I'm not transitioning or queer or anything like that, but I suspect that compared to most blokes, I'm a bit gender blind. Whatever changes occur to my physical attributes in the future, I'm already comfortable with. Plus, as red-blooded men, we know that boobs are fun to play with. 😉 What's wrong with doubling the pleasure? 🤣