An update on this. Saw the RO today he was very pleased with the results of the PSMA PET scan. Said SUVs should continue to decline in treatment areas so he wasn't concerned about the node or the prostate at this time. He suggested that I have two options going forward. First active monitoring with a PSA every three months. If my PSA become noticeable then scan again to determine where to zap for the metastases. Second, zap the two metastases now that hadn't been zapped previously. In either case it would be 5 doses with minimal risks for side effects given the locations. He also said that with the Gleason 8 I should stay on the Orgovyx and Xtandi for two years regardless. I asked what he would do and he declined to say. He called it an emotional decision and whatever path I chose was the right call for me. Your thoughts? TIA