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Replies to "Gleason 9 dictates 24 months or more . Started ADT December 2022 :stopped ADT January 2025...."
Prostate Cancer | Last Active: 4 hours ago | Replies (44)
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Replies to "Gleason 9 dictates 24 months or more . Started ADT December 2022 :stopped ADT January 2025...."
Hi, you stopped all medications now?
Note that the OP's cancer is metastatic — that most-likely indicates ADT+ARSI forever, not just 24 months, though there's ongoing research and discussion.
The Gleason number predicts the risk of metastasis, so it's *almost* irrelevant once the metastasis has already happened (it's almost always an 8 or 9 at that point, as my oncologist explained when I asked).