I'm 75, gleason 9 and on orgovyx. I had a procedure after which the radiation oncologist prohibited any bike riding which was my Florida go to exercise. It's so flat I don't need a motor:). I swim a mile 3 days a week and participate in a pickleball for cancer patients group three days a week. Exercise makes me feel better, but my sleep is plagued by hot flashes. I have read that the conflict of ADT induced fatigue and the need for exercise can cause some guilt. I feel short of breath in pickleball and my mile time is down about 5 minutes but I soldier on like most guys.