You probably know that BAT treatment is designed to allow your body to work correctly with an ARSI after it has failed. In my case since I have BRCA2, I am not a candidate for BAT.

They essentially stop treatment and give you testosterone injections, which in some cases can result in your ability to have those drugs work again.

PTEN and TP53 are genetic problems. BRCA2 is a genetic problem, but there is actually a drug (PARP inhibitor) that works with BRCA but is not really a treatment for any other genetic issues. If you have PTEN or TP53 it is resistant to Pluvicto a Oh my God,nd does not work well with it. There really is no treatment for those two genetic issues.

Proton radiation is much more controlled and only affects the tissue it is directed at. It has been extremely difficult to build proton radiation machines, in the past, it required whole buildings to be built to fit it. They have recently reduced the construction needs down to one or two rooms, so it will be much more commonly used as the cost comes down. It will probably replace photon radiation in the future. Photon radiation, of course has a wider spread and affects more tissue, While the incident of cancers caused by, it are quite low there is a risk.

While my red blood cell count and hemoglobin have been a lot below the minimum I have not felt any effects of anemia at all, and as a result I have not had any blood transfusions.