When somebody has a metastasis, it is not going to go away on its own. ADT and Zytiga will not eliminate it. Most radiation oncologist like to start you on ADT at a minimum, To get the metastasis to stop growing and to shrink it. At that point, they want to radiate it so that it will stop growing and be permanently killed. Yes, You do want to have radiation soon so you can eliminate the cancer that is visible in your body now. This is the standard Of care when somebody has prostate cancer.

I started off with just Lupron (ADT same as Orgovyx), Didn’t start taking Zytiga until I was castrate resistant 2 1/2 years later. You have not only had a PSA rise, you have also had metastasis show up. That usually calls for more than one drug. Yes, you could try dropping Zytiga, It might work just fine. This is something you need to discuss with your doctor, however.

When you go on Orgovyx and Zytiga Your PSA should drop to < .1 Within about three months. Yours is still >.1 So let’s see what happens in the next PSA test.