I was having a hard time reconciling the two conflicting sets of studies: one shows waiting is better, the other shows starting treatment sooner is better (and sooner than hitting .025 is best).
I think @dhasper made a really good point--what works from a public health perspective, may not work for me, with my particular characteristics. I couldn't find this when I looked at the "wait" studies, but I bet the people studied were mostly of "average" risk profiles--not people like me and @dhasper with higher risk profiles. And @suftohealth88 put it in better perspective: 2/3 of the men DID benefit from earlier intervention. I haven't yet consulted with my wife to get her perspective, but I am leaning strongly to starting soon. I also am lining up an appointment with Dr. Paller (thank you Jeff).
You all are great!