With Orgovyx, T recovery generally should be faster and higher than what you post.

Generally does not mean always, statistics and the Bell Curve...

It may be possible through diet, exercise and lifestyle changes to "live" with low T.

I've been on ADT twice, has the usual side effects, genitalia shrinkage, muscle and joint stiffness, fatigue, some weight gain around the middle, and the hot flashes

Both times I continued to go to the gym most days, lift weights, ride the indoor bike, swim. I ride my bike outdoors, 25-50 miles on some days, rode in the Garmin Unbound twice, did the Bataan Memorial March with my sister, skied with friends in Colorado, did the Ring Road in Iceland with my wife....there's more, but you get the idea.

I did take naps....

Interestingly, Mayo measured my T at the start of triplet therapy in January 2016, seven years after I completed that, my T was 600+! I have seen literature about the role exercise plays in T recovery...

So, if T is bad, why was it six years before my PCa returned? My medical team had no explanation nor could I find anything in my literature search. I'm high risk, GS8, GG4, 18 months to BCR, PSADT, PSAV...

Certainly with that type of clinical data and that rare of T recovery, it should have been sooner.

You have choices, live with what you got, see if diet, exercise and lifestyle modifications may mitigate the side effects of "low T (take the naps )..."

Or, do the T replacement therapy and see what happens.

If you choose the latter in concert with your medical team, you may need to actively monitor, say labs and consults every three months, have decision criteria about what to do if, when, PSA rises - how many consecutive increases, at what PSA will you image....

No reason to think about treatment options now since the landscape for that likely changes if, by the time, you need to decide!

Kevin