I am de nova stage 4 Prostate Cancer metastatic in bones only. At diagnosis my PSA was slightly above 32 and I had severe bone pain from metastases in my spin and ribs. I did palliative radiation to my spin (10 cycles) and ribs (5 cycles), and triplet Eligard + Nubeqa + Chemo (10 cycles). After treatment my PSA has remained undetectable and my Alkaline Phosphase has remained as low as 37 indicating no cancer growth in the bone. After my initial diagnoses and bone scan, I have received 2 additional bone scans. Both showed improvement from the first bone scan.

My oncologist says I actually had quadruple therapy. Everyone experiences chemo and medications different, but I agree with one of the earlier posts. Hollywood has created in the mind of the public that chemotherapy is worse than it really is. While Castrate Sensitive, Radiation and Chemotherapy are the only treatments that actually kill cancer cells. Eligard and Nubeqa block the creation of testosterone within the body and starves or weakens the cancer cells. If you handle it, Carpet bomb the cancer up front. Do not allow any micro metastases to hang around. If you can handle it, I recommend 10 cycles of chemotherapy as it will increase Overall Survivability and kill as many micro metastases. The 6 cycles was arbitrarily selected by the medical community.