Update: Got the Xtandi and have started taking that. 1 year prescription. It arrived inside a bright yellow plastic bag emblazoned with a bio-hazard symbol and the notice "danger - chemotherapy drug handle with gloves only". 4 pills once a day. So far the side effects have been minimal, thank dog. A bit of diarrhea, some difficulty sleeping and a kind-of skanky feeling in my guts. The cost is $10,000USD a month. I applied for and received a grant to cover my copay which is $2600USD the first month and $600USD every month until the end of this year when we start all over again...maybe. Depends on the Radiation Oncologist and the results of any further radiation treatments I may get. I immediately gained 7 pounds within 2 weeks when I started Eligard ($4700 for 6 month injection) and my cholesterol has gone up to 218 from 98. Testosterone is less than 2.5 ng/dL, PSA is .13. Other than that I remain healthy, though I am in for a complete physical exam later this week. Am continuing my daily 7 mile runs with my lovely lady Labrador, weight training, Taekwondo and yoga. Hopefully this practice will continue to reinforce the chemotherapy. A new word that I have taught to my doctors: "oligometastatic". The cancer has metastasized, but there are less than 5 mets. Oligometastatic patients may still be curable. My mets are in 2 pelvic lymph nodes. Closeby mets are different than distant mets and may be more amenable to further treatment. We shall see. Please Register or Log in to view the hidden image!