RP in 2013. Positive PSMA PET in 2023 at PSA 0.23. Just completing 6 months ADT and prostate bed salvage radiation (X36). Here are my thoughts. DON'T PANIC. You have time to sit back, do your research and make the correct decision FOR YOU. If you read all the comments about negative side effects you will be paralyzed with fear. (I know I was.) There is no way to predict what YOUR journey will look like. My guess is the vast majority of patients have manageable side effects and don't bother to write comments or posts. 1: You have time to get multiple second opinions from top doctors at major teaching hospitals and center's of excellence. This is SO important. (I had six different opinions!) In the end I travelled 1200 miles to Mayo in Rochester, MN to receive treatment. 2: Exercise! Movement is medicine!. You don't have to run a marathon but you do have to get off the couch. 3: Figure out what makes you happy and DO IT! 4: Surround yourself with positive people and smile. You have one life, one journey. You're in charge! Sending positive thoughts your way.