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

Prostate Cancer | Last Active: Dec 3 10:37am | Replies (59)

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@jeffmarc

Are you on ADT? That is the first step to get your PSA down, With the Gleason nine they also might want to give you a second level Drug like Zytiga or one of the lutamides.

If it above .2 you should be doing something, by .6 your doctor should have put you on at least ADT. That would drop your PSA back down to undetectable probably.

Have you had a PSMA PET scan? If your PSA is above .6 you should ask for one. It is the standard According to the NCCN for finding cancer metastasis

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Replies to "Are you on ADT? That is the first step to get your PSA down, With the..."

Thanks for the insight. The PSA remained undetectable for five years, tested annually. It shows up last year and slightly higher this year in October. But not above the .2 threshold, Not on any meds. Scheduled another check in 6 months to determine rate of change. If above . 2 a PET Scan will be done. That’s all I know at this point. So we wait.