Just something to think about. If you are on Lupron or Orgovyx Or equivalent and it takes your PSA down to undetectable you may not want to start anything else. Because it can reduce the amount of time that you can stay undetectable or close to it.

I was able to go 2 1/2 years on Lupron before it failed and I became castrate resistant. I then started Zytiga And for 2 1/2 more years, it kept my cancer under control. The combination of drugs, so early may not be beneficial, It’s really hard to say

I’ve been on Darolutamide For almost a year and a half, and it’s kept my cancer undetectable. Getting 2 1/2 years out of Zytiga Was well worth it.

If your cancer has spread, and you have multiple metastasis, then maybe you want to use Triple therapy, which includes chemo.