JNF, re your comment "Relugolix. It’s advantages are slightly lower side effects, particularly less cardio related, and very quick T recovery when you stop taking it" -- I will mention this to my oncologist (not RO, who my MO referred me to do brachy at a different
Michael_T, "You know how time goes by more quickly as you get older? In the case of ADT, that's a benefit!" -- I sometimes wonder how I got to be here and now,
! A benefit it is, considering.
Vynbal, "First off, you should evaluate what is your life expectancy outside of PCa. You have an enlarged heart and aortic/coronary calcifications, looking at parents and siblings, can you make an assessment? I mean, if your parents are still alive and kicking and are 105, that would certainly influence your view of treatment. OTOH, if you honestly don't expect to make it past 85, that is another story." -- off the top of my head, 93 would be nice. Anything past that would be great!
The ADT will make the radiation more effective, and your PSA classifies you as High Risk, the standard protocol being something like 12-24 months of ADT. I would talk to the RO about
length of ADT taking into consideration your overall life expectancy, as the standard protocol assumes that aside from PCa, you expect to live at least another 15 years, so they are looking for treatment that gives the best chance of a 15-year PCa survival. The RO might very well agree to a 6-month course for you.
Someone previously mentioned Relugolix (Orgovyx) as an alternative to Lupron/Eligard. I have been on that for 3 months now (3 more to go). I feel I have had very few side effects - no noticeable fatigue, no hot flashes or night sweats.
Vynbal, " -- Heart disease had been the cause of death in the family. So if I get to live past 90 would be great! JNF mentioned Relugolix; I will definitely mention it to my MO (who likely will be my RO too).
Thank you all for your advice/comments! You have made my day, or night as it's 8:22 pm, 9/2/21 now.