Are you .1 with a micro PSA test? I started .03 after RP and sat at .4 for 6 months then doubled every 6 months until I hit .22 which triggered BCR and started Lupron and radiation 3 months later at .24. The good news is velocity slowed over that 3 month period. Radiation EBRT and ADT pretty much sucked for me. They did not recommend a block to protect my rectum which they hit and I developed bladder spasms. After blowing up on the table twice at the end of 4 weeks I told them I would not get back on the table until they did something for me. At $2700 a pop for each session of radiation they got me something for my urgency. I finished radiation March 7 and ADT July 14 so waiting for my first PSA/T test in September. As mentioned they hit my rectum and crapped all over myself for about a month. Couldn't make it 20' to the bathroom. ADT was manageable and I kept active albeit at a lower intensity but exercise definitely helped with ADT side effects. Some days I felt lousy and didn't push through. Last 3 months was with Orgovyx and close to a month done I am feeling much better and my energy is returning. I went anemic on Lupron and returned to normal after 3 months of Orgovyx. Not sure if that is typical but an interesting side by side comparison.