Confused about what I should do next.

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Hello Everyone,

New to the Forum and wondering if others can help me decide on my next step.  But first a bit of background, will try to keep it short.

I'm 75 yo and 11 years ago I was diagnosed with Prostate Cancer.  I decided against any of the offered treatments.

Three months ago I noticed lumps in my neck that were confirmed as Cancer and I had a PET Scan.  There is some hot spots on the result but not a lot according to my specialist.  I started on monthly injections of Firmagon, first 240mg starter and the next was 80mg, as will the next couple, before going onto 3 monthly injections.

Have only had 2 injections so far and the PSA has dropped from 420 to 50 and testosterone is 0.4.

Specialist wants now to start me on Apalutamide and I don't know if I want to do that as I already have a loss of energy, plus the other side effects are not great either.

Quality of Life is my main aim and I'm afraid that this drug might reduce that to a level I'm not happy with.  Plus I think it is like having 2 "get our of jail free" cards and using them both up with nothing left for later.

Thoughts from others greatly appreciated and thanks in advance.