I had a PSA of 4.63, two cores with Gleason 3+4, and a Decipher score of 0.84. The recommendation in my Decipher report was for multi-modal treatment which meant ADT should be included. But my RO was adamant that ADT was unnecessary and possibly detrimental. I’m about 10 months removed from my VMRT treatments without ADT and my PSA continues to trend downward (0.79 in March).