The latest NCCN guidelines state in part,
"......Relugolix shows a shorter time to to testosterone recovery, which might be associated with a higher rate of death from prostate cancer. Therefore, although the Panel considers Relugolix to be an acceptable option in the curative-intent setting, additional studies in this setting are needed....."

The sole research paper they cite for this is from 2007 and seems to address those with Gleason 8 and 9.
https://acsjournals.onlinelibrary.wiley.com/doi/10.1002/cncr.22972
There other HUGE factor in Orgovyx is patient compliance. With Lupron, one shot and you are good for 1 - 3 months. Orgovyx you must choose to take a pill every day. That was some of the appeal for me as it gave me a modicum of perceived control in this journey even though I had no intent of stopping the 6 months of Orgovyx.

Stay Strong Brother, we got this.