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Treatment Report Form

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we're now starting to see five-year survivals um in the metastatic setting uh when men are treated with these more potent therapies and a large number of men in my practice are doing very well even past five years even talking perhaps seven to ten year survivals and these drugs while they're life prolonging can have real world toxicities for our patients both on the cardiovascular system but also on their muscular skeletal system as well as mental health and bone health so some notable side effects of the potent ar inhibitors and that's abby with prednisone enza apolludamide particularly we see higher risks of falls and fractures you can see loss of muscle mass and loss of cardiovascular fitness so it's really important to emphasize exercise regularly you know three to five times per week the more the better full body you know crossfit type exercises if you're able walking if if that's what you can do it's very much personalized f

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