I am metastatic castrate resistant. I am on Darolutamide as are many other people I know that are also mCRPC. A lot of doctors don’t consider nmCRPC To be real. If you are castrate resistant, it is very likely you are also metastatic, If you can’t see it, it’s still too small to be seen yet.

Being castrate resistant is decided when your PSA starts to rise, even though you are on ADT. The only way your PSA is going to rise is if you have prostate cancer growing somewhere.

A huge number of doctors will prescribe this for you, If yours won’t, it sounds like you need to find a different physician. They will usually try to give you Enzalutamide, because some people on it have no side effect problems. You need to ask, saying Emphatically what you wish.