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TJ...thanks for the note. After surgery my PSA went down from 4.1 to about 0.08 . then started a very slow climb over 3 years to 0.14 , at which time I got 22 sessions of EBRT - external BM radiation therapy. No ADT as I asked the doctors about 6 to 7 times and he said no. During the 22 sessions of External being radiation, I didn't actually get my blood tested, but I am told that it bounces around like crazy. After the 22 sessions and after about two months, I had my first PSA test and that came down to 0.11 then 0.072 a month after that ( so three months now. ) . The PSA has a big lag time with EBRT . Sometimes she will not get peak kill off of cancerous cells for 6 to 8 months. This is what my doctor had told me. So immediately you will get lots of fluctuations followed up by which should be a steady decline in your PSA. Keep me in the loop of how you're doing. Very interested.

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Replies to "TJ...thanks for the note. After surgery my PSA went down from 4.1 to about 0.08 ...."

Thank you. Everyone has been really kind with their advice. I’m waiting on my PET scan, MRI, and next PSA results before deciding how to move forward. Some days I lean toward taking an aggressive approach that includes ADT, and other days I feel strongly about avoiding ADT altogether and trying radiation only. Being relatively young, I can’t help but wrestle with how either choice could impact my future battle with prostate cancer or my quality of life. I appreciate hearing your story about lowering your PSA with radiation alone. That gives me hope, and I’ll keep you posted as things progress.