My husband started it exactly a month ago. He says he feels fine. He has had a few hot flashes but none are terrible…he calls them warm flashes. He had the 6 month Lutron a week before he started Nubeqa. His PSA went from over 400 to 70 the first 3 weeks. He was diagnosed with advanced prostate cancer with many bone metastasis on his pet scan. His psa test in 2023 was normal. In 2024 he missed the psa. In early 2025 it was over 400. We were blindsided. We are very optimistic. He is 73. Good luck and keep the faith💕