Will soon have been doing this dance for 2 years. Lupron, Xgeva, 8 cycles taxotere, going on 17 months Xtandi with prednisone, celebrex, gabapentin. Have very annoying foot neuropathy. Other side effects from chemo, screwed up finger nails, loss of hair, later loss of both big toe nails ok now. Psa 0.2 for last 5 months. Original Psa 59.9 Extensive bone mets "now" subtle, lymph nodes "cleared up". Never had testosterone level checked although have blood test every month. Should MO be checking testosterone? Everyone else seems to be keeping track of theirs. Also, no mention of genetic tests, etc. Only "Provenge is in your future." Trying to get primary dr. to prescribe metformin and a statin. He won't bite on testosterone test. Says not needed. See MO in a week. Will ask her about testosterone test. So, am I getting less than Standard of Care? Or is the testosterone level just another number to make me anxious for no good reason? The lupron/xtandi will fail. What do I need to do to be proactive now? I think I need to become a squeaky wheel. I have a Kaiser Advantage Plan so may be limited in choices. Will be limited in choices. Any advice is welcome kind sirs.