Hormone therapy and ARSI are still working for me. I don't know for sure what we'll do if/when they "fail" (which is what Dr Kwon is discussing, according to @nparadisum).

I'd think chemo and/or Pluvicto might end up being good options, or maybe trying a different -lutamide. Or maybe I'll never get there, or at least won't until there are new treatment alternatives.

Also, if there are only a couple of hotspots on a PSMA PET scan, we might be able to radiate them directly and reset the clock, so to speak.