Thank you Colleen. Simply put. Metastatic Prostate Cancer (PC) stage 4 is not necessarily a death sentence anymore. That said, it depends on several factors with the individual. Are they healthy with few or no comorbidities. Do they have a mutation like BRC1 or BRC2 for example. What kind of PC was found Adenocarcinoma, Small cell, or Neuroendocrine. How high is the PSA upon diagnosis. How well an individual can handle treatment. Everyone is different. Some people cannot handle radiation or chemotherapy and it makes things more challenging. Age can affect whether you can even be offered chemotherapy. Neal Shore (South Carolina) says they have an embarrassment of riches (treatment options) for stage 4 PC patients. Many men that respond to treatment live a very long life with stage 4 PC. I have read on this web site men stating they have been living with stage 4 PC for 10, 11, 12, 13, and some 20 years. So, if you can do triplet therapy. If have PC in the bone and have pain request (no demand) radiation to the areas to relive pain. Palliative radiation to the spin (10 cycles) will shrink and kill PC cancer cells. Do chemotherapy if you can. If you can do it, request 10 cycles. Studies show that > 6, > 8, and >= 10 cycles improves Overall Survival. But it is difficult. Get on Nubeqa if possible. It is a miracle drug for Castrate Sensitive PC. Xdandi is now available for Castrate Sensitive PC patients. But all the studies show Nubeqa (Darolutamide) is far better than all the other treatments. It's science. Eat 70% plant based diet. Improved diet denies cancer cells fuel. Reduce sugar and sweet. You still need to feed your brain though. Exercise as much as you are able. There is a video exercise called "Sit and be fit". Very low impact but very helpful. Walk, lift weights (light weights). Try and keep on muscle. I do pushups against a counter top all day. Have faith. Stay positive (easier said then done sometimes - I know). Ignore the SEERS data? It is old. It is based on ADT results only. The doctor's still do not know the end results of triplet therapy. Again, the recent data from ARSENS which is now 5+ years old is very good. There is a lot of hope. I refuse to die of PC. Rather, I will live with it and die of something else as an old man. I refuse.