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ADT and rising PSA

Prostate Cancer | Last Active: Jul 16 1:26pm | Replies (58)

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@mjp0512

Yeayyyyy !!!! πŸ˜ƒ
IMHO it is a BIG drop in just 2 weeks πŸ€ !!!
Maybe it will continue going down !!! : )))) What a relief ! It was that spot on your spine that caused all this turmoil and now it is gone !
Do they plan to do yet another PSMA scan in near future or will just go by PSA levels ? Maybe the rest of this what is seen is just a "bounce" ? I am not very knowledgeable about RT as initial treatment, but I know that "bounce" is mentioned often. I wonder if other tissues can have "bounce" , same as gland itself. Maybe @jeffmarc knows : )))

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Replies to "@mjp0512 Yeayyyyy !!!! πŸ˜ƒ IMHO it is a BIG drop in just 2 weeks πŸ€ !!!..."

@surftohealth88 - Hi surf. It's actually 5 weeks to the day since SBRT. Maybe it's good enough for now. I don't know but sure hope so. As far as "bounce" is concerned, that's what got me here in the first place. I've been on ADT since June 2025. There should be no "bounce". I'm guessing another PSA test in 30-45 days and if rising, another PSMA PET but that's just a guess. GUO appt on 7/14 will reveal details.

@surftohealth88 @mjp0512
That is a real nice drop after RT. When I had my L4 zapped, I dropped from .2 to undetectable in 1.5 months. I was on Orgovyx and nebeqa at the time. He started at a much higher number.

After radiation, PSA can bounce around a little bit, And for some people, it can take a long time to drop To the lowest level they will reach. I’d want to see his results in another month it may continue to go down and chemo may not be necessary.

The important thing is What was found in the PSMA PET scan. Was it just that one spot on L5? For that, they would not normally set up chemo.