I have been following several members and posting replies for a couple of months. HealthUnlocked has been very informative.
The following is my personal story: I was diagnosed in February 2016 with metastatic prostate cancer just two months prior to retirement. After my father passed away from prostate cancer in 1996, I started monitoring my PSA every year. The PSA gradually rose from ~1 to 3.75 ng/ml in 2015. The threshold for action according to published guidelines is 4 ng/ml and annual DRE’s, which I religiously adopted. In 2016 the PSA registered at 18 ng/ml, which was initially thought to be a testing error. Repeat testing showed that it was climbing fast and in a few weeks it was close to 28 ng/ml. I suspect that the family doctor may not have been proficient in performing the DRE, hence the sudden change in PSA concentration. I was put on bicalutamide initially for two weeks and then Lupron (leuprolide) as part of the ADT regimen. I went through a course of chemotherapy with docetaxel (aka, Taxatere) and about a year after the initial diagnosis also underwent 5 SBRT treatments at 7 Gy to the prostate, because of age and lack of comorbidities. I have used various phytochemicals during ADT and radiation therapy as adjuvants. I do resistance and cardio exercises for more than hour each day. I am feeling healthy and energetic, but do suffer from hot flashes which seem to be declining with time. My PSA is presently trending around 0.2 ng/ml. Therapy with abiraterone or apalutamide has been postponed.