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I am in a similar place as you. I, like Don O, have failed Proton Therapy and now after 5 years of remission have a PSADT of about 4 months with a current PSA reading of 2.6. I had thought about starting ADT this summer when my PSA reaches in the 6-8 range but I recently ran across a study done by the Harvard School of Public Health and UCSF which says you might delay starting ADT. I've been on Trelstar in the past and am not looking forward to ADT again. Find the study at: