Although it has been a few months since he passed away --- On March 17, 2022, at the age of 66 --- my cousin John was a life-long fighter, having had prostate cancer for about 8 years, like myself. John and I grew up together in South Carolina as best friends, doing most things together. He had originally been diagnosed with testicular cancer at the age of thirty, but after successful treatment he and his wife had four healthy boys. Throughout his life, he was a superb athlete, even into his 60s.
If there is anything we learned from his death, it is this: respect your doctor and his/her treatments, but always be open to a second opinion, no matter how "expert" your doctor may be. John was being treated by a top cancer specialist, but near the end he had apparently been given too many chemo treatments, leaving him with very few platelets and red blood cells, too few to consider any further transfusions; this was the second opinion of another physician that looked at his medical history. His body could simply fight back no more as he passed away in hospice care. This is not to disrespect his doctor, only to say that second opinions can be very helpful.
I don't just give advice, I take it myself. I have had prostate cancer since 2015, originally receiving EBRT and brachytherapy. My PSA went down for a while, but it came roaring back in 2019, at which time I received six sessions of docetaxel chemo followed up by monthly or quarterly shots of Eligard and then Firmagon, later being switched to once-daily Orgovyx. However, I sought a second opinion beyond my urologist in 2020 and found the Care Oncology Protocol and Dr. Paul Zhang. Since 2019, my PSA has remained undetectable, but a small lesion was found on my spine (L1) in 2020, for which I received local radiation. My doctors continue to monitor my spine each year with a nuclear scan. I am still on the protocol along with my Orgovyx, and my PSA to this day is still undetectable.
I hope you find this information helpful, and I am very grateful for this website.