I was on lupron and abiraterone with 5 mg of prednisone for 2 years. After completing the ADT, I was on a full dose of prednisone for two weeks and then one dose every other day for two weeks. Although I hadn't had hot flashes for a while, they returned when the ADT ended. My doctor said this is normal. As it did earlier, accupuncture addressed the problem for the most part. For many weeks after completing treatment, I slept A LOT (I had slept poorly for the two years on ADT)! After about 3.5 months, my sleep began to normalize (average of 7.5. hours a night). If I get too little sleep, I still get VERY tired. One thing I've learned through this entire process is that my body has suffered multiple insults, and I need to allow myself the grace to be patient and the time to recover. Sometimes that's easier said than done. I want to be back to my old self yesterday. Never gonna happen. We're on to the new normal.