I thought I'd provide an update. Some info may be of help to others. I met with Dr Sartor of Tulane University, Jan 10, 2023. He said my bloodwork was excellent. I had some questions. Can I go snow skiing in March? Yes. When do I have to worry about bones breaking. Dr Sartor said his recent experience using the Eligard, Abiraterone + Prednisone combo, was not as hard on bones as past treatments. He did recommend that I get a DEXA scan and take Oscal 500+D 2 times a day. As far as I know the Oscal company is out of business. I found a substitute. It contains, 10 mcg which equals 10 iu which Dr Sartor says is the minimum. For me, he recommended 2 pills a day. I take one in the morning and one at night.
I also told him that I sleep very poorly getting up 3 or more times a night to urinate. I suggested Merbetriq as I heard about it on this forum. He recommended 5mg Oxybutynin 2 times a day instead. He said it also helps with hot flashes. While sitting there he called in my prescription to my local Florida drug store. I've never had a doctor do that. When I got home I picked up the prescription, took one pill at lunch and another before bedtime. Amazingly I slept better and felt more relaxed when I got up. When I do urinate a stronger stream comes out. Hot flashes appear to be gone. The only downside is extremely dry mouth. My dental assistant turned me on to some over the counter products, mouthwash and spray. They can be found in the dental department. They appear to work.
After my initial discussion with Dr. Sartor I wanted to know what happens after my PSA goes up. I had a list. The first thing he talked about what getting a PSMA Pet scan and subjecting any hot spots to SBRT. He was interested in searching out those hot spots after my PSA gets up to 0.2. It's 0.05 now. Interestingly I talked to him about similar things 6 months ago. He didn't think other strategies were worth pursuing until PSA got up to 2. One other trick he mentioned was switching Prednisone to Dexamethasone. Two treatment strategies he said were dead, Thorium Th 227 anti-PSMA monoclonal anti body and Amgen AMG 509. Here's hoping for another 2 years.
PSA increased after surgery
Next step..
When is Provenge indicated? 
