Yes, I'm a reluctant member of the ADT fraternity club. There are so many unpleasant ADT side effects, but I hadn't previously heard about liver enzymes becoming compromised. Just when a person thinks they have read all there is on ADT difficulties I'm humbled to learn of another side effect.

Now that you mention that and have obviously experienced the climb in your own ALT levels, I suspect ADT is likely the culprit for me. I also received a response from my radiation oncologist this morning asserting SBRT prostate radiation should not impact liver enzymes. I see this is consistent with your experience too.

Thank you. I appreciate your follow-up and details.