The Radiology Team tells me that flares are a relatively common side effect at least in the early injections. You are correct that I've had a variety of pains from the metastization and was using oxycodone prior to Pluvicto. After the first two flares, things calmed down so I hardly needed oxy. My last treatment was Friday and the flare was Tuesday/Wednesday. We'll see how it goes from here. Thanks for your thoughts