You are probably referring to Dr. Kwon at the Mayo clinic in Rochester.

I saw him in January 2017. He advocated triplet therapy - ADT, Chemotherapy, Radiation, based on my clinical history (see attached). He considered adding an ARI but given my response to the ADT (Lupron) and chemotherapy, he did not feel it was needed. Last Lupron shot was in May 18, so, about 4-1/2 years off treatment.

Back on now because of a single PLN identified in a Plarify scan, we did SBRT and are at the 9 of 12 months on ADT. Intent is to stop in April is PSA stays undetectable, go off treatment, and actively monitor again.

As to the SEs, well, you can read about those. Mine were the usual, fatigue, muscle and joint stiffness, hair loss, some toe and finger nail damage, metallic taste in my mouth. None really interfered completely with work, travel, exercise...

Kevin