44yr PSA180 Gleason9 non-metastatic. Surgery or Treatment?

@dinu
Those are great results and what is even more fantastic is that YOU are feeling great, energetic and in control of this disease - yeayyyyyy !!! : ))) I also want to commend you for your lifestyle changes - they will help you immensely on a long run. My husband had RP and on our last meeting with surgeon we were told that the best thing one personally can do for PC suppression (beside standard treatments , of course) is to stay away from red meat, eggs and milk products, which we do and have no problems doing it- more so, we discovered so many new fantastic plant based products inclooding vegan mayonnaise which is divine ; ).
Thanks for the update - it is always nice to see somebody having successful treatment and may your RP be as uneventful as was you preparation for it and may your PC soon be eradicated 100 % !

Hi to all in this beautiful gang,

UPDATE:
So as you all remember i started this challenge with a PSA of 180.
After 40 days on Bicalutamide 50mg, and the day before my Lupron 11.25g 3month-depot shot, i redid my PSA. I was down to 33.
Now I am off the Bicalutamide, and 30 days after the Lupron belly shot, took my PSA readings again:
- free PSA: 0.16ng/ml
- PSA: 4.41 ng/ml
- qPSA: 0.04%
- Testosterone: < 0.17nmol/l (< 4.9ng/Dl)

I am not sure if this is a good result or not (have not discussed the results with my doc yet) but I am pretty happy with the drop in PSA.
Besides the medication, which honestly saying, it has not exhibited any side effects so far, I am super stoked about my change in diet, which has also lead to an increase in energy, contrary to what one might believe based on my testosterone level.
Diet wise, I have dropped all that is sugar (with the exception of the natural sugar from the fruits I eat). I have eliminated all red meats (and I mean all). No more dairy (i found plenty of plant based substitutes). There are plenty of options in Soy, Almonds, Oat milks, as well as a peas based milk substitute. All of them of course without sugar. No alcohol, but that somewhat already happening before I got diagnosed.
I still eat meat (poultry and fish). Increased the intake of fruits and veggies (all in raw form) and I have to say that I become quite fond of raw broccoli :). Tofu has also become a main ingredient in my salads and some meat substitutes.
On top of that and I am tracking at least 12K steps per day, throughout my various daily activities.
I have also started a home work out program (20-30 minutes/day) with no equipment, just a mat, but when i was on vacation I substituted the mat with a beach towel.

That being said I will redo my PSA beginning of December and January, for my 2 and 3 month mark on Lupron. If the values continue to drop, which i am quite confident they will, I will redo my mpMRI and PSMA PET CT scan.
Based on the results of these two scans, I will then most likely schedule my RARP.

Overall, I am feeling really good both physically and mentally.

Feel free to share your opinions and thought on my progress.

The main thing is to stay focused and remain positive.

I know you all can do it.

Thank you for taking the time to read my update and I look forward to hearing from you all.

All the best,
Dinu