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You could also try radiation without or only short-term ADT. Would give you better odds than doing nothing.

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I did that 39 SBRT with 6 months Lupron on the second-round year after RARP. Came out of that with bowel issues and tinnitus; that was 2016 (still ringing and pooping is no fun). But was undetectable for 8 years.

My point is the treatments have left me in an undesirable state, and I wonder how long I might have enjoyed younger women had I done nothing