Thank you rick137! You've raised a great point. I try my best to stick to a healthy diet and maintain an active lifestyle, as we've been repeatedly advised. I've always enjoyed exercise in my life. As I'm getting old, going out for a walk and gardening have become part of my daily routine. I also enjoy traveling and playing with my grandchildren. Remember moderate exercise is beneficial for our bone health. In terms of diet, I follow the general principles of a heart-healthy diet. ADT and older age increase the risk of heart disease and stroke, which may partially explain my suboptimal cholesterol and glucose level. Management of prostate cancer is continual learning process. I'm also interested in learning what others are doing.
Personally I like being involved in deciding my treatment plan. It's a learning process. For prostate cancer and many other diseases, you're best managed by a multidisciplinary team. It's helpful to know the underlying reasoning and data about choosing a treatment.