Diet is very important in controlling your disease. You should stop eating red meat right away. Going vegetarian or vegan would give you the best chance of keeping your cancer from spreading. Eating chicken or fish is acceptable, but not quite as good. As an example, they have a super broccoli soup in Australia, that you only have to drink once a week, but it prevents DNA changes which stops cancer from growing.

You don’t mention your Gleason score. That really is critical in knowing how aggressive your cancer is

You should discuss with a radiation oncologist, having your metastasis zapped with SBRT radiation. if you have too many, they may not want to do it, but it can stop them from growing

I can’t imagine your insurance company would not allow you to take Zytiga. The generic version is quite inexpensive and it is really the first line of defense with all the metastasis you have, it can stop them from growing and give you time.

Holistic approaches like vitamins and acupuncture can help with issues with your treatment, but will not have an effect on your cancer growth. If you take Zytiga you also take prednisone and should start taking calcium and vitamin D, something your doctor will tell you about.

You are an advanced case with all the metastasis. I’m not sure where you were getting your care but you should make sure you have a Genito Urinary oncologist handling your case. They specialize in prostate cancer and when you have a lot of metastasis, you want that kind of specialist.