Hi Missy, my dad is in a similar situation. He was diagnosed with PCa 6 weeks ago, found to be advanced 4 weeks ago after scans....PSA 55, T3b N0 M1b (stage 4) He was put straight on degarelix HT and we are scheduled to meet with the Oncologist this friday for the 1st time. I believe the plan is start him on chemo as soon as possible (6 rounds over an 18 week period), alongside his HT. I'll update you once we have a clearer picture of the treatment path. Sending you all heaps of positivity. Xx