Everyone's journey is different, Paul, but my PSA was 67 at first diagnosis and had already metastasized to my spine (stage 4b).

After spinal surgery, two rounds of SBRT radiation (spine and prostate), and nearly 3 years on ADT and Erleada, I'M STILL HERE! (Sorry for shouting 😉). There's been no progression, and my PSA remains undetectable (< 0.01).

It's normal to feel discouraged, but don't write yourself off quite yet. Modern PC treatments are pretty impressive, and you've barely scratched the surface so far.