I was finally able to get a long awaited PSMA scan. The radiopharmaceutical used was F-18 labeled rhPSMA-7.3. There was no evidence of residual/recurrent tumor, although over the last 5 years my PSA has gone from .04 to .41.
It seems my best option now is to simply start salvage radiation. Given the slow rise in my PSA value, the radiation oncologist is considering the possibility of not including ADT at the same time. I’ve explained how badly I reacted to ADT 4 years ago when I received a single Firmagon shot, which is why this is a consideration.
I’ve been researching to try and find out exactly what to expect during my first simulation or preparation, and the following 45 days of radiation. Should I expect to be able to continue with normal daily activities? Should I prepare for a period of being too exhausted to do too much of anything? Just curious if someone can explain what I should expect.