If you have a number of metastasis that they really can’t use SBRT radiation to eliminate, then chemo or Pluvicto are your best chance of getting clear of the tumors.

Dr. Kwon Can’t do more than you are already doing with drugs, If the option of doing radiation is not possible, because of the location of the mets, leaving the cancer where it is will just allow it to grow and spread.

For most people chemo is not that limiting to their life. If you get cold caps, you can use them on your head to stop from losing your hair. Most people say they were just uncomfortable for a few days after, had to rest to recover. Some do have worse side effects, But most people don’t.

Pluvicto is being used more often to treat people in your situation. While it also has side effects like chemo, they are usually not as intense. You should talk to your doctor about the possibility of using Pluvicto first and reserving chemo to later. Pluvicto Is being used in a lot more situations than it used to be. They used to require that you had chemo first, no longer true, They used to require you be Castrate resistant, Now they are doing it with castrate sensitive people. It’s more often being used early in treatment rather than later.