I'm so happy to hear that your lungs are improving!

As far as side effects go, it's very personal again. I've tolerated Apalutamide well for the past few years; others here in the forum have found its impact on their lives almost catastrophic.

In the end, the right medication is the whatever keeps YOUR cancer in check and doesn't prevent YOU from living a fulfilling life. I was lucky to hit that on the first try with the Apalutamide (and ADT to some extent, but Firmagon really did knock me out for 2-3 days every month, so switching to Orgovyx gave me a nice quality-of-life boost).

When you find a treatment works for you, stick with it until it stops working, whatever the stats say (they're just aggregates, and don't apply to every single person).