I had recurrent low grade NMIBC for years. Had multiple resections which carried me for about 20 years, then had Mytomycin and BCG treatments only to later get high grade NMIBC. I suspect either the Mytomycin or BCG treatments elevated my cancer grade. My doctor now is suggesting Adstiladrin. Not sure if I want to take a chance on the cancer getting out of control but I don't have much faith in these treatments anymore. I've noticed for me that there is a link between inflammation and cancer recurrence. Cancer is a metabolic disease. We need to look at diet more closely for staving off future occurrences. After my next TURBT, I will go full keto with intermittent fasting. There are a lot of reputable studies now about this and it's looking as promising if not more than some of the these mediocre treatments. It is also important to mention that everyone has different food sensitivities that may be fueling their own cancer as no two humans are alike. I found out (through testing) that I am extremely sensitive to coffee. I've been drinking it for years. This very well may be my cancer cause. It may be different for you. Some food for thought...