To Baxterlee77:

Until fairly recently it WAS FDA protocol that if you had not already had chemotherapy you could not get the Pluvicto treatment. I WANTED the Pluvicto treatment but was denied due to me (by my choice) NOT having had chemotherapy.

This restriction began to be grudgingly lifted around December 2023 when I was able to start Pluvicto treatment without having had chemotherapy.

If you WANT Pluvicto, but are still being told by your oncologist that you can't get it if you haven't had chemotherapy, he is simply not up to date on the current restrictions. This is from my personal experience where I tried to receive the Pluvicto treatment for several months, was denied treatment due to FDA restrictions saying I had to have had chemotherapy first, and then having that restriction lifted so that I could begin receiving the Pluvicto treatment last December.