I am due for another 3 month adt shot on 5-20. I have lost ten pounds mostly from muscle lost since beginning adt in February. I go to the gym 6 days a week which helps with side effects. I had two days where my blood pressure dropped 16 points I don't know if this is related to adt use.
I had two RO's recommend hormone therapy but from most of the studies I have seen shows little benefit of adt with a low psa and low decipher score. I am thinking about not taking the next shot or changing it to one month for a total of 4 months of adt. Is there a benefit of taking 4 months instead of 3 months even if the benefit of adt is small? I have completed 8 srt treatments so far.
My last psa was .16 before starting srt . Pathology 95 percent G6, 5 percent G7, 3+4, two psm's highest gleason score at margin was G6. Surgery was in 2016.