Yes abiraterone has some nasty side effects if you have a heart condition it’s especially troublesome. The thing is, it is the best way to start if you can handle the side effects. You do have a very serious case of prostate cancer And with a Gleason nine and cribriform they want to try to hold off recurrence so they give you abiraterone. You could try it for a few months and if it was real troublesome, move on to one of the lutamides. The thing is Enzalutamide (Xtandi) also has a lot of serious side effects for some people, Darolutamide (Nubeqa) has the fewest side effects?.

Has your PSA reached undetectable with just Eligard? If it has you could stay with just Eligard until your PSA started rising again. That’s how my prostate cancer was handled, but I was a Gleason seven.

If your PSA is undetectable you should talk to your doctor and ask him If abiraterone is absolutely necessary at the current time. Maybe he can give you specific risk information, so you can make a decision.