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I need advice to help make a decision.......

Prostate Cancer | Last Active: 5 hours ago | Replies (48)

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@jeffmarc

Actually, castrate resistant doesn’t mean your Cancer doesn’t need testosterone anymore. Many people that are castrate resistant get Zytiga which reduces your testosterone even more and can work for years to keep your cancer at bay.

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Replies to "Actually, castrate resistant doesn’t mean your Cancer doesn’t need testosterone anymore. Many people that are castrate..."

Very true, and with metastatic PCa our main goal is to keep the cancer from spreading into new places. My oncologist told me that much of the cancer remains castrate-sensitive even after some of it evolves castrate resistance, so, as @jeffmarc wrote, continuing on ADT and ARSI still makes sense in many/most cases to slow things down.