@odie10 wrote ❝…eventually kill me because I have no other co-morbidities, probably 7-8 years out❞

Yes, back in 2021 they told me usually I could expect to live 3–5 years more, but maybe 7 if I was lucky because I was 56 at the time and otherwise healthy.

Here's the thing: those estimates are based on old SEER data, some of it tracking patients who started treatment many years ago. I can't say it's wrong, but with all the major changes in the prostate-cancer-treatment landscape over the past few years, I wouldn't assume it's right, either.

So far, I'm not seeing the disease progression they told me to expect back in 2021. My cancer hasn't become castrate resistant (that was supposed to happen in 18–24 months). My PSA has remained undetectable. I haven't needed chemotherapy or Pluvicto. My energy level and general health have beem improving year to year, despite being on ADT and Apalutamide long term.

In fact, the main reminders that I still have stage 4 prostate cancer (and always will) are the quarterly blood tests and the bucket of pills I have to swallow every day. 🤷

Just one person's experience, of course, but there are many others here in the forum with stage 4 and similar stories. See also this 2024 Scientific American article:
https://www.scientificamerican.com/article/treating-prostate-cancer-at-any-stage/
Best of luck!