@jxj
Sounds like they found your prostate cancer when it was pretty advanced. Most people with prostate cancer don’t have any symptoms at all, even if it’s advanced.

Pluvicto only works really well on about 1/3 of people OK on 1/3 of people and not at all on 1/3 of people. Since you are already preparing for your sixth infusion, it sounds like it’s not really working for you.

Chemo might work better since it doesn’t have this issue with only working real well with a small percentage of people. Have you discussed chemo with your doctors? Is that an option for you? You could get chemo with carboplatin which is more aggressive in killing the cancer cells. Just bringing this up as things to talk to your RO doctor about.

Are you on ADT and an ARPI (Zytiga or a lutamide)? They can shrink the metastasis and stop them from spreading and reduces the pain for most people.