@brianjarvis Good morning! I need to clarify that first post, but can’t seem to find the EDIT function. Last dose of Firmagon was in Feb 2026. Decision made in May to discontinue. So at the 7 month post last shot blood draw in late September, psa undetectable using ultra sensitive psa test. Previous testosterone levels also undetectable. I had an 18 at the September draw. I consult with an oncologist out of my COE that treated me. He actually told me that four shots Firmagon would get me the majority of any ADT treatment benefits. There is Diminishing benefit going beyond that regarding cancer suppression. He also told me that four shots Firmagon would yield 8 months of “being on adt”. And he nailed that assessment perfectly. I took 5 shots, and it has been a full 11 months for me. I was small quantity Gleason 8 and my COE just wanted to use the standard playbook. With my list of other risk factors, I JUST SAID NO.