Best excercise to combat ADT therapy side effects?

Ms. Young:
I just want to say thank you for all you do concerning this site. It is very helpful for someone like you to keep track of all the posts and interject your thoughts and guidance.
All the Best
Nick

I’d be interested in the cancer survivorship component. I suspect my interpretation with the term “moderate” doesn’t match the actual regimen if I look at the comments here. And I hate exercising.

My radiation oncologist said NO bike riding, I used to ride everyday about 20 miles, he even banned riding a recumbent.

I've been told to hold tight and that they are developing a survivorship program through my local Palm Harbor Fl YMCA

I'm stage 3 having had 8 week external beam radiation treatments in conjunction with 2 year plan of daily ADT oral (Orgovyx and Zitega), just hitting one year mark on the ADT.
I was strongly encouraged prior to starting ADT to get on a disciplined resistance training regimen, which I did in addition to getting a personal trainer to set up a few workout schedules, which had the added benefit of " re-introducing" me to the multiple pieces of gym equipment and how to properly use them.
I also ride my e-bike but hit the gym at least 5 times per week (I'm retired and soon to be 69)
The coaching I got was that while all exercise is good for ADT patients, resistance training is best of all given the complete testosterone drain and the impact of that on musculature, as well as being a good offset to battling fatigue (getting myself to the gym regularly is a challenge some days but I always feel great after doing so).
I hope this is helpful, it works for me, but I would certainly advocate for ANY type of exercise as being crucial for an ADT patient to participate in regularly.

I think Carlspackler’s advice is the one I would recommend. ADT turns everything to flab rather quickly and trying to reverse this trend later is much harder. So yes, weights are recommended and you don’t have to “pump iron” either. Ten pound dumbbells are sufficient to perform a range of exercises while you watch TV, listen to an audiobook or music.
As for aerobics, nothing beats walking at a brisk pace for 30 mins - more if you can - outside or on a treadmill; cycling is great as well.
Some people LOVE exercising; I know I used to….but now I view it as a chore and do it grudgingly and only because I know I need it to counteract ADT.
I will still continue to exercise, but in a more relaxed way, not as regimented, and now that spring is almost here I will enjoy digging, planting and hauling bags of mulch and stone - instead of lifting weights indoors.
And Hans, if absolutely none of this appeals to you, screw it all and buy a new wardrobe which hides the flaws and flatters whatever physique is left😉

… on my way.

I'm in my 4th year of Eligard, and I'm betting my life on resistance training. Every time I push forward on, say, the chest press machine, it's a small victory. It's therapeutic. I feel better physically and mentally after each session.

I listen to podcasts on my mp3 player while I work out. Usually it's mindfulness meditation, in a foreign language I've decided to learn (Portuguese).

Yes, I'm weird.

Interesting as I took my bike to radiation and mountain biked after radiation therapy. (no prostate) RO said nothing about it. But then again, he never said anything about anything. Just asked questions. Modern healthcare in Richmond pretty much stinks.

I'm 65 and 6 weeks into a 6 month Orgovyx regimen. I lift weights twice a week and do body weight calisthenics once a week, run 4-5 days a week (30 - 40 miles), and a couple times a week either row or do a 3-4 mile walk with a 20# pack. I've been doing most of this for years so I didn't have to start anything new, but I am being more diligent about it than before. I have no idea what specifically is doing what, but I have zero side effects (except for a loss of libido, and since I don't currently have a partner even that's not a big deal). I eat a high protein (1 gram/lb) diet to promote muscle growth and recovery. I start 28 days of proton therapy in about a month, so we'll see what happens then.