This is a real conundrum. People have their PSA rising, The test don’t find it, Salvage radiation can’t kill it. and people are left with anxiety because they have no idea where their cancer actually is.

The one positive thing about this issue is that ADT and ARSI’S will usually suppress the growth of those mini metastasis for many years. At least that leaves the people that are having this issue with a stopgap that can possibly allow them to live long enough for the next major cancer treatment discovery. Of course there is the health and lifestyle issue of taking those drugs, we need better options .

The other option is to listen to what Doctors Scholz and Moyad have to say.

1. When PSA rises but can’t be found in the PSMA Pet scan, do an MRI, it will be found in Retroperitoneum or lung with high frequency

2. Having a metastasis doesn’t mean you can’t be cured. He has people who’s metastasis were just Zapped, and when some came back, did it again. In some cases people don’t come back, Somethings he stressed a lot. Waiting for the metastasis to show up and zapping it was, in their opinion, more effective than salvage radiation.

I’m not recommending anything, remember folks I’m not a doctor, I am just pointing out a way of seeing these options.