I was diagnosed with metastatic prostate cancer in January 2021. Thanks to the US Preventative Services Task Force recommendation that men over 70 don't get p.s.a. tests any longer!! my urologist stopped. After a later routine general physical exam my primary care doc told me my blood numbers were a bit out of line. "Go see a hematologist". Did. My p.s.a. had shot up to 985. Hematologist said go quickly and get a hormone suppression shot. Fired my urologist and turned my care over to the hematologist/urologist and ever since have been getting the androgen deprivation hormone shots ("Lupron") plus abiteraterone ("Zytega") pills for testosterone suppression produced in other than the gonads. In my ninth decade, guys, I feel great BUT all they can do these days if the cancer has metastasized is PALLIATIVE treatment. There is NO CURE. The palliative treatments will stop working after a while and then . . . (put your affairs in order now!) -- (but I'm backstopping with natural herbal soursop (Graviola). Anybody have experience with that?)