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Radiation and 6 month Hormone treatment ASAP. You may get lucky and have no problems with the radiation like me and I think most people. You need to prepare for the hormone treatment by starting an appropriate exercise program and watch your diet/weight gain. I think most patients will say that their fear of treatment was far greater than what it is actually like. The 33 treatments were like going to a spa for me and you meet the nice people running the machine.
Terry, you say "the PSMA will not show the cancer under PET Scan at such a low PSA number now", but actually a PSA of 0.4 is not too early to get a Ga68 PSMA scan. It may not show anything, but is highly like to do so.
With a post surgery PSA rising from 0.1 to 0.4 so quickly, there is something very serious going on. Sitting back is not the way to go. Maybe it is not too early to start ADT treatment (Casodex, Zoladex, etc), and have a GA68 scan and then be prepared for some targeted radiation sooner rather than later.