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@mrscott

With radiation, some of the side-effects occur years later. Just FYI.
Radiation still seems to be a better option (for my situation, yours may be different), especially if everything is done to minimize the negatives of ADT. Beware providers who have not stayed current (perhaps because they are swamped) and just prescribe ADT without the mitigating meds, diet and exercise. Be proactive and do what you can to get the best care -- and spreading current knowledge helps other patients as well.

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Replies to "With radiation, some of the side-effects occur years later. Just FYI. Radiation still seems to be..."

In 2018 I had 40 days of radiation Then on Zolodex for 1 year I should have stayed on it longer as PC metastasized to L2 spine and T 2 and T12
I then had Intense radiation on L2 lumbar like a GPS that took out 7/8 inch of prostate metastatic cancer. I went back on Zolodex and PSA dropped from 26 to 1.2 Testosterone is the fertilizer for pc. so, forget sex The Zolodex also wore down the other spots by starving them of testosterone.
I am stage 4 but castrate SENSITIVE metastatic PC versus RESISTIVE meaning that ADT is working for me again for 2 years. If I were castrate resistive, they would put me on Enzalutamide which is chemo in a daily pill and then the clock starts to tick.

No side effects in 6 years just caution with my back which hurts if I need to go poopo as the rectum sh#t pushes on the L2 L4 etc