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Biden Allies Voice Concern Over Fatigue as Aides Tout Progress in Cancer Treatment

Medical experts describe bone metastases as typically incurable with increased risk of serious injury.

Overview

  • Recent reporting cites friends and longtime allies who say Joe Biden has at times seemed more fatigued in private interactions in recent weeks, with few formal updates on his condition.
  • Aides counter that he is doing well in treatment, remains active on his memoir and the development of his foundation and presidential library, and feels encouraged by his response to therapy.
  • Biden announced in May 2025 that he has stage 4 metastatic prostate cancer with a Gleason score of 9, and he completed a course of radiation at Penn Medicine in October after starting hormone therapy.
  • Experts quoted in coverage say prostate cancer that has spread to bone is treated as incurable and can heighten physical fragility, including risks associated with spinal involvement.
  • Despite limited public appearances, Biden is scheduled to travel to South Carolina on Feb. 27 to deliver remarks linked to the anniversary of his primary victory there, according to reports.