That is a very good outcome at least for now if you ask me. Your T recovers to levels at which you can rebuild muscle mass which is important to metabolic health.

I'm not a biochemist or similar but my understanding is that long term ADT can cause some cancer cells to perish and others to be damaged or place them into a state of inactivity. How many millions of cancer cells survived your treatment to some degree and are "sleeper cells?" It takes a lot of them to get the PSA meter to budge.

I'm about to enter the first ADT-free phase of my treatment after 2 years of intensified therapy. Trying to figure out everything I can do to improve the ability of my immune system to keep any residual cancer in check in the presence of T. I haven't seen a lot of literature on this particular scenario.