not really sure . My Situation was 251 PSA - Gleason 9 with gland involvement in abdomen . Went to tumor board and treatment suggestion was Lupron -casodex 4 weeks then Lupron - Xtandi plus 8 weeks Radiate to prostate and lymph. PSA dropped to .006 and remains that level after 1 year - still on Lupron -160 mg Xtandi everyday . Side effects arw occasional hot flash and shoulder pain . Not really bad though
I’m 65 and in good health other than prostate
Snake Doctor