It would be good to discuss that with your doctor, since we don't have access to your test results, and most of us wouldn't qualified to analyse them anyway.

I will mention that Casodex is an ARSI: it's not meant to change the levels of testosterone or other androgens in your bloodstream (like ADT does), but to block the cancer cells from "seeing" the testosterone.

Many of us with metastatic cancer are on both ADT (to reduce testosterone) and ARSI (to hide any remaining testosterone from the prostate cancer cells). It seems to be a highly-effective combination.