Why Weight Training is SO Important While on Hormone Therapy

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PCRI’s Executive Director, Mark Scholz, MD, discusses the significance of weight training while on hormone blockade (otherwise known as androgen deprivation, hormone deprivation, hormone blockade, etc.) for counteracting muscle degradation and fatigue, and maintaining a sense of normalcy.

0:13 Muscle loss is a natural part of aging, but men who are undergoing hormone therapy will experience muscle loss at an accelerated rate leading to the commonly associated side effects of weakness and fatigue. The best way to counteract this process of muscle loss is to practice consistent weight training.

1:03 Weight training isn’t the same as just being active. Either by use of weights, calisthenics, resistance training, or the use of weight machines you need to be doing repetitions until your muscles are taken to failure (you feel like you can’t keep going).

1:42 This can be potentially dangerous. If you injure yourself, then you will not be able to do any kind of training, and muscle loss will progress. Therefore it is advisable to get a trainer, at least for the first month or two to ensure your safety and to have someone who will hold you accountable for going past your comfort levels.

2:08 Consistent intense weight training while on hormone blockade is critical. It’s the difference between feeling relatively normal and feeling totally fatigued.

2:20 While on hormone therapy, it is inadvisable to even take a one or two week break from weight training. Muscle loss without testosterone happens so quickly that even a short break can cause big problems.

2:55 Hormone therapy and weight training should be thought of as inseparable ideas. If you want to counteract the fatigue of hormone therapy, then you have to be doing consistent and effective weight training.

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Comments

Ed McKnight says:

Now it's two weeks later, still working out and no side effects, other than a slight dizziness on two different occasions. The bike ride is now down to 3 miles every other day.

Ed McKnight says:

The proof is in the pudding, in this case, your pudding Dr. Scholtz. I am 82 years old and have been diagnosed with Advanced Prostate Cancel—metastatic in the inguinal lymph gland. I have been on Hormone Therapy, for about a week. My Urologist, who I really like, suggested a daily regime of walking, but didn't suggest, recommend, or discus any additional exercise program(s). Watching this video I think maybe making a big difference as to any side-effects, at least for me, as I took it to heart and have been working out with a home exercise gym that I purchased used. In addition I am riding a three wheel recumbent trike between three to five miles a day…wx permitting. I haven't noticed any heavy duty side effects as of yet, other than a slight dizziness while standing, which goes away after a bike ride. I may have also had a slight hot-flash during the night, but very slight. Thank you very much for your free and effective medical advise!

TomK. says:

I'm am no longer on HRT due to polycythemia (blood thickening). But I still need to do something about my ongoing muscle loss. I think this may have been the straw that tips me towards buying Resistance Bands. I have tried weight machines in the gym over the years and have never gotten any noticable results (don't get upset. I know it's my fault. #SarcasmSign).

I've been watching various YouTuber videos and the evidence for the benefits of resistance training, especially for men 60+, is persuasive.

The only question now is, Which bands?

The X3 bands look good and the number of training videos is impressive. So is how little time it takes to reach muscle failure. Just ten minutes a day, six days a week. And I'm not afraid to spend the extra money for the mere perception of higher quality because perception does create reality. However, some of the cheaper bands have other things going for them, such as wider bars, more weight variability, and a wider variety of exercises. I'm just not sure I need those additional things or that I couldn't adapt the X3 to produce those benefits.

Does anyone have any experiences and feedback that might be helpful? It will be appreciated.

Andy H says:

One more point. Would a daily work out and diet increase weight further as some bulk has already starting setting in .

Andy H says:

I am 70 and on quarterly Lupride. I try to work out regularly but my muscles need time to relax so I am unable to work out daily. Would it be sufficient. Unfortunately the treating doctors don't educate patients regarding side effects. Please continue to educate us. Thanks and regards

Your dad who left to go get the milk says:

I was on lupron from endometriosis and I am struggling with losing weight!! I gained 60lbs and I’m struggling so bad to lose it. Please give me some advice.

Keith Roland says:

Dr. Schultz thank you for your videos and information. I have prostate cancer and I am on Lupron and Erlida. I have trained with weights all my life in concert and I certainly understand the need for it now. I could greatly use some suggestions on energy. Myenergy levels are very low. I still go to the gym but when I’m not at the gym I feel like I need a nap all the time, do you have any suggestions that would help. K.roland46@gmail.com

Hangfire says:

PCRI channel is a wealth of information! You guys are awesome… thank you so much for sharing!

Steve Casper says:

I’m on my second recurrence. I had a Prostatectomy in 2006 when my PSA was 5.53. Gleason 3+4=7. Went into remission until 2013 . PSA rose to 0.22. Had 39 radiation treatments to prostate bed. Again went undetectable until 2016. Now my PSA has slowly risen to 0.44. Is Hormone therapy my next only option ? I had an Axumin PETscan done and it did not find anything. Thank you. Stephen Casper

Hal Chapple says:

I wish my urologist would have known to tell me that 9 years ago when I started Lupron. I did continue to do treadmill work and side effects weren't too bad, but I did lose lots of muscle. Thanks for the very informative video.

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