Difficult journey; hope he finds a good path.

When you mentioned that “… His 1st PET scan was literally black….”, was that a PSMA PET scan or some other type of PET scan? (PSMA PET scans usually “light up like a Christmas tree” when there is prostate cancer present.)

Yes, Xofigo (Radium-223) is another isotope therapy that is only for bone metastasis. It’s been around for over a decade and has shown to be successful with bone mets.

Beyond hormone therapy (ADT & ARPI), chemotherapy, isotope therapies (Pluvicto, & Xofigo), there are Immunotherapies/Checkpoint Inhibitor therapies and PARP inhibitor therapies (if he’s had the tests to determine if he’s a candidate).