Really sounds like you made a good decision moving your treatment. Sorry to see your PSA is rising so quickly. Hopefully the radiation will make a big difference and with Lupron you’re not going to notice any PSA rise for a while.

Is there some reason you didn’t try to get Orgovyx Instead of Lupron? It does seem to have slightly fewer side effects for some people. How long did they say you would be on Lupron? Orgovyx Is a pill you just take once a day.

You should talk to your doctor about putting you on an ARPI. The Problem is that staying on ADT alone can cause you to become castrate resistant too soon. If you are on an ARPI like Darolutamide or apalutamide They can delay the amount of time it takes to become castrate resistant. This is actually Done more frequently now that doctors have become aware of the problem with castrate resistance. Speak to the oncologist at Duke about this. They may talk to you about putting you on Zytiga instead. That drug has a lot more side effects and there’s really no solid reason you should do that drug first. Darolutamide does have the least side effects of the lutamide drugs.

Just some things to think about and discuss with your doctors.