We travel to Mayo Rochester monthly for my father's monthly Lupron injection. We've been doing this for ten years! He started on Firmagon but he had such issues with injection site pain he was switched to Lupron. We chose to do monthly injections along with a monthly PSA test. He's had recurrences thru the years, but Mayo has treated them with a few different courses of radiation and now with Pluvicto, all while continuing the Lupron. Wishing you all the best!