@jc76 We only stopped the Zytiga after 3yrs. He's been on hormone therapy, leuprolide, for almost 4yrs and we are just now stopping that, but with strict PSA monitoring.

He has only had that 1 biopsy by Urology Austin in late 2018 that showed Gleason 3+4, 2 out of 12 cores with < 10%. I've never heard the term Decipher before I started reading MCC. David was on Active Surveillance for 2yrs. He was put on hormone therapy in early 2021 because of PSA of 72 & 1 CT that "suggested" lymph node mets. This was the only urologist in Alamogordo, NM. We moved back to & saw Austin Cancer Center Oncologist who added Zytiga, even though their CT showed no metasis a little over a month after 1 Lupron shot! Then when that Dr moved away we went to Texas Oncology. Then we decided just to move back to NM & at least be happy in the mtns! Every Dr only wanted to take up where that 1st Urologist in NM left off!

The next oncology appt is Nov 10 @ a Christus Cancer Ctr to agree to monitor the PSA after stopping ADT. It went down from 0.06 to 0.05. Yay! And yes we did find a great Internist for both of us, who let's me handle David's med mgmt, ha! He is not a proactive patient but very compliant. You probably know how stressful being "proactive" can be & I let all these Drs intimidate me for too long. Thanks so much for all the support from y'all @ MCC!!!