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Replies to "I guess I’m looking at two options. 1) Start back on ADT and over the years..."
Prostate Cancer | Last Active: Jul 13, 2025 | Replies (9)
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I guess I’m looking at two options. 1) Start back on ADT and over the years change drugs as they become ineffective and how for a break through somewhere down the line. 2) be aggressive now. Wait for PSA to rise a little more, have scans to locate legions then zap the with radiation, start ADT, and throw in chemo (ala Dr Kwon) and hope for long term remission or cure.
Thoughts?
Replies to "I guess I’m looking at two options. 1) Start back on ADT and over the years..."
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Looks like you’ve been watching PCRI videos. Scholz and Moyad talk a lot About the best approach to metastasis. Scholz Said that he finds people can get their metastasis zapped and the cancer goes away (or is under control) for many people. Your PSA is too low for you to really benefit from a PSMA Pet scan. As you Mention, You gotta wait for your PSA to rise some more so they can see the metastasis. The problem is they can’t see them until they become larger than 2.7 mm and in some cases, even 5 mm is not enough to be able to find them (According to UCSF RO).
Yes, you can start with ADT and rotate the drugs in a way that reduces the chance of becoming castrate resistant. You could also stay on ADT and ARSI drugs for many years, I’ve been on them eight years and I’ve been undetectable for 20 months. Doing this stops the cancer from growing and shrinks it in most cases.
A lot of this depends on how aggressive your cancer is. If someone has multiple metastasis then that treatment plan may not work. In that case, getting on two different levels of drugs can stop your cancer from growing, but other treatment is necessary. Fortunately You are not in this position.