Dad is currently only on ADT - Firmagon.
Since his PSA is almost 0 and blood work has improved, doctors have given us 2 options of Chemo - Docetaxel (every 3 weeks, 6 cycles) and Zytiga (Abiretarone).
However my MO strongly advises Chemo first, considering dads age (53 yrs) and widespread mets.
MO's main concern is that since dad has bone marrow infiltration due to the cancer, blood levels can go way lower than usual. [Risk]
So our MO wants to give only 70-80% of the Chemo dose for the 1st Cycle and monitor, if side effects aren't bad, he shall increase the dosage next cycle, if its too bad, he'll stop Chemo and start Zytiga.
Want to know if its a good idea to try Chemo first? (Main concern remains regarding possible infections or reduced blood levels).
PSA: 149, ALP: 887
PSA: 1.43, ALP: 1225 -(1st month)
PSA: 0.776 -(6 weeks)
PSA: 0.566, ALP: 655 -(2.5 months)