Scott, you are totally justified in being against an array of meds which can possibly be avoided by simply increasing your T.
I realize your RO wants to be conservative but as you point out, if your PSA starts to rise you can STOP the T. I don’t believe T is going to give you a new strain of PCa or wake up your old one. If that were the case, EVERY patient whose T recovers to pretreatment levels is fair game for cancer all over again; we KNOW that doesn’t happen!
My wife has been taking Fortibone collagen peptides (Amazon) for osteoporosis. It is clinically proven to add functional bone - not simply increase radiographic density. ZERO side effects (except slight low grade nausea if not mixed in food). My wife has been working out both aerobically and with weights for decades and STILL has the bone loss issue, so there are a lot of unknowns.
I know you were treated at Sloan in Westchester (?) and some of their older clinicians are VERY rigid in their views. I had a very young RO at the Commack facility and he was night and day with the first oldtimer assigned to my case….thank God he retired!! Best,
Phil