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Hey @tj1967 ,
I don't have the knowledge some of these other folks have, but I'll give you my experience in a timeline....
09/02/21 Radical Prostatectomy -
10/22/21 PSA Result of < 0.1
01/26/22 PSA Result of 0.039
04/26/22 PSA Result of 0.091

My mind went to "hitting it hard to lower long term risk" so I did two years of ADT and SRT (39 treatments). These treatments were somwhere in the neighborhood of 30 to the prostate bed and glands then the last 9 ish to the prostate bed alone.
Some will say I may have started too early on the second round of treatment, I certainly understand that opinion.
Not everyone thinks the same, you have to do what is right for you! I'm a "Give me all ya got doc!" type.

Treatment ended 8/12/22.
Then it went to ....
08/17/22 PSA Result of 0.014
11/28/22 PSA Result of < 0.006
...and been that way ever since.

I don't think I have any permanent side effects from the salvage therapies, yet anyway. Anything I have came from the RARP. There are certainly side effects to be dealt with during the srt, but in my case they mostly ended within 6 mos of stopping the relugolix. I still have the occaisional hot flash but it's certainly manageable.

....and of course, it could start climbing tomorrow...I've been called a pessimist, I'm a realist!! LOL

Best of luck to you!

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Replies to "Hey @tj1967 , I don't have the knowledge some of these other folks have, but I'll..."

Wow, it looks like you were tracking your PSA right after surgery. My surgeon had me wait until four months post-op before testing. Since then, I’ve been checking every 30 days:
May: 0.11
June: 0.15
July: 0.15
August: 0.14
From everything I’m learning, it seems like taking an aggressive approach early on may give me a better chance of avoiding recurrence down the road. Really glad to hear your PSA dropped!