Hi chipe,

Speaking from a perspective of being diagnosed at stage 4 with bone and lymph metastasis over 8 years ago, I would recommend staying off ADT as long as you are comfortable with it. Once you go down that road, you lose strength and endurance rather quickly. ADT takes away all the testosterone in your body and even if you are later cancer free, it can take years, if ever, for the testosterone to come back. It does not kill all the cancer but makes an environment where the cancer is slowed way down. Once the cancer decides it doesn't need your testosterone any more it becomes what they call castration resistant. Then, only chemo and other more radical methods are needed. Talk with your oncologist about this.