@heavyphil the only treatment suggested is Lupron. After 7+ years of ADT I’ve experienced chest pains, compression fracture and now all teeth are loose and surgery to extract next week. Evidently I do not express PSMA protein since it doesn’t show up on scan. I do not want to go back to ADT if there is another treatment available. I should hear back from M. D. Anderson any day now on clinical trials. I chose to stop ADT in late August and early September PSA was .1 now it’s approaching 5.0. It’s moving fast so if MDA does take me I want to be treatment free so they can start from scratch. The issue now is getting Humana and MDA to agree to treat me. Thank you for responding