After some suggestions.
I started ZYTIGA with Triptorelin at the beginning of April, 2018, with stage 4 and Mets in my Pelvis, spine, ribs, and both collar bones, as well as some lymph involvement.
My PSA dropped to 0.05 in October 2018 and stayed at that level until July 2019, when it went up to 0.06, and then at each monthly blood test it has risen by 0.01. Last blood test was 0.09.
Bone scan in October 2018 was clear.
My Testosterone has remained steady at 0.1 with my sex hormone binding globulin usually between 30 and 35. Calculated Free testosterone is 0.0.
I have an appointment with my Med Onc on 19th November.
I'm guessing ZYTIGA is on its last legs. Or are there some Neuroendocrine Tumors popping up?
Where can I go from here? Chemo? Keytruda? Apalutimide?
Any suggestions would be welcome.
Phone call to Med Onc suggested waiting until I am at 0.2 and then have a Ga-68 PSMA PET scan to pinpoint any areas of concern.
A visit to the Onc is about 450 miles each way, not that its an issue, we turn it into a mini adventure in our caravan.