I had eligard for a year with zeros for PSA and T levels we paused the eligard and for a year afterwards everything thing was still zeros and I was still anemic. After lots of discussion we started TRT but my testosterone levels were near 1000 at the start. Over a year I reduced the T amount I was taking until I was no more than 5% of what we started with. At this level my T blood levels were < 100 and still no PSA but good hemoglobin levels. My PSA began to wiggle a bit above zero, so we started ADT again. The whole time period of this was about 4 years. It was nice while it lasted. My T levels dropped back to zero, and I became anemic again and I got the pleasure of experiencing hot flashes once again. I’m now 10 years past initial diagnosis, and have just gone off eligard, but am continuing xtandi treatments of 2 pills per day. The xtandi started 2 years ago. I think there are better options than eligard, especially for long term use. There’s some debate between my urologist and I, but I think the eligard was a major factor in the decline of my kidney function, which I’m now battling along with everything else.