I'm stage 4 with cancer cells in my lymph nodes. After a prostatectomy 20 years ago, then a reappearance of cancer cells five years ago, followed by off and on cyberknife radiation until recently--when I was told further radiation likely would damage tissue--I was transferred to Georgetown University Hospital's oncology department, where I'm in systemic doublet therapy, with a Lupron injection every three months and a daily tablet of Erleada. My question is whether it makes sense for me to start Pluvicto now or wait until the doublet therapy starts to lose its effectiveness. Of course I'll ask my oncologist this question, but I thought it wouldn't hurt to get input from some of you. Thanks and God bless.