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← Return to Numbers After SRT/ADT
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The shot is ADT. You could also get Orgovyx, Which works the same, but you take a pill every day. Xtandi is pretty standard in your situation as well.
The two drugs will take your PSA to undetectable.
The radiation they want you to do is probably salvage radiation, That’s what I had when my PSA started rising after having an RP. Some doctors say wait till you See a metastasis and then zap it with SBRT, but salvage radiation does work for some people, give me 2 1/2 more years.
Rib fractures that have healed are frequently mistaken for cancer, happens to me. Possible that just damage to them can do the same thing, because I’ve heard of false positives on the ribs just today even, in a webinar.
If it has been at least three months since your last PSMA pet Scan your insurance company may allow you to have a second one, but they may want you to wait six months. You could ask for an FDG or an Axumin scan and maybe that would show something, they can see smaller metastasis than a PSMA pet scan.
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Thanks again Mark, you’ve been a great help in my situation. I guess my next question for me is, do the salvage radiation or wait for the PSMA-PET. I’ve not heard of anything to terrible with the radiation treatments other then it’s 6 weeks long other than for me it’s an hour to the clinic. My urologist is thinking at .45 the window for a possible cure is closing if I don’t do the radiation soon as possible. I’d rather do the pill form of ADT, can I request that? Radio Oncologist seemed to be okay with waiting for another PSMA PET. Decisions decisions!