I was on Orgovyx for 6 months. I was very happy with my 0.19 nadir on Orgovyx. Your 0.22 seems to me to be a good result. Don't be surprised if your PSA goes up now that you are off Orgovyx. SBRT can take 18 to 36 months to show an end result. You will see bounces along the way. Bounces are seen as a good prognostic indicator. Ask you oncologist about bounces, if she considers the 0.22 as a nadir even if it was while you were on Orgovyx (the reading on Orgovyx is generally accepted as a valid nadir until and unless you test lower). Ask about your frequency of PSA tests moving forward. Ask at what point she would be concerned. Biochemical failure is nadir plus 2.0. Ask what your options are IF you get to that point. Again, I think your 0.22 is totally acceptable.
Stay Strong Brother We Got This