I too have PC, first suspected last March, PSA 5.2, then MRI showed something, subsequently confirmed by biopsy as Gleason 3+4, PSMA showed contained within gland and no spread. After a bunch of reading I couldn't decide on a treatment, but I swore I would not do ADT. I told myself I would have surgery before that. However, after having the Artera test (showed I have a biomarker that indicates a significant risk reduction with short term ADT) and speaking with a couple radiation oncologists and medical oncologists at different highly regarded cancer centers, well - I start Orgovyx tomorrow, with RT starting in 2 months. I exercise and eat well already, so hopefully it won't be that bad.