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I will follow the medical professional information given to me by my PCP, urologist, and R/Os on medical advise. My PCP told me that .1 was the lowest number given out as anything below that means undetectable. So you would not get a number below .1 This comes from Mayo Jacksonville.
Mayo specialists and PCP advise they don't give numbers below .1.
I don't think doubling of PSA is the concern. It is the continued rising of PSA each time you have it done especially if you are having it done every 1-3 months. This came from my Mayo PCP, Mayo urologist, Mayo R/O and UFHPTI R/O.
After radiation treatments end my R/Os at UFHPTI and Mayo advised I will have some bumps up occassionally and were common. Again stating that the concern is continuing rising to see what causing.
Having your prostate removed is a total different cicumstance and PSA levels than still having a prostate which you will have PSA levels up and down.
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.1 isn’t quite as low as they can go however, They can differentiate between .1 and < .1, They don’t have a number for it below that but they know it’s < .1, which is sort of a number In the mathematical world. You also said your surgeons equipment didn’t go below .2, after getting exactly that 1 month earlier.
Mayo Clinic uses The ultra sensitive test and requires it to be below .01 in order to be undetectable. They’re not the only one.
You should ask Your doctor about the doubling time, They are quite aware of it and if you’re doubling time was fast, less than 3 months for example, they would do something quickly. What they are waiting for is for the PSA rising in a shorter period of time. That is calculated for prostate cancer as the doubling time. Do a Google search and you will see.
You are on Orgovyx , if your PSA has a significant doubling time you would be considered castration resistant, and get one of those two drug types I mentioned.
If you have radiation it can take years for your PSA to really get to its low point, Much quicker for most people. And it can bounce around as they told you, but trending down