I had quadruplet therapy. Meaning I had triplet therapy with the addition of upfront palliative radiation to my spin and ribs. I am stage 4 denovo (high volume) which means I started at stage 4 with bone metastases to my spin, pelvis, ribs, scapula, femurs, and skull. I was immediately started on Casodex for 30 days while doing 10 radiation treatments to my spin followed by 5 radiation treatments to the ribs. After 30 days I given my first injection of Eligard and the doctors put me on Nubeqa, followed by 10 cycles of chemotherapy. I requested the additional cycles of chemotherapy. This whole idea of 6 cycles was chosen not scientifically but based on avoiding additional side effect from chemo. Some people have a rough time on chemo. I iced my hands and feet to avoid nephropathy. I never got sick from chemo but the fatigue was terrible. Regardless, I went to work every day. I choose 10 cycles because I wanted to kill am much cancer up front. I did not want to leave any cells around that could later mutate. It has been almost 2 years after chemo and I feel like I am still recovering from it. Regardless, triplet therapy worked for me. I remain undetectable after 2.5 years after my initial diagnosis. May I recommend that if it is possible - stay active. Keep going to work. Have a purpose in life regardless of the Cancer. Eat a plant based diet as much as possible, do not smoke, do no drink (ever). Exercise and lift very light weights 3 times a week. Try and maintain some muscle.