I have read that taking one fourth te dose with a meal is just as effective as the full dose without food. I am not taking it at all -- but read a report on it recently....
see Dr. Kwon video https://www.youtube.com/watch?v=60P98QLWf70...
You should ask another Onc. there are al lot more treatments available other than Lupron -- Zytiga -- Xtandi - Apalutamide -- he is not done by a long shot....