@pyates I have heard that some people get hormone therapy, and there are fewer side effects…whatever we choose will have plus and minus, and a good doc can sort out what’s likely to be best for us with the least downside…docs check out what others meds we take and any vulnerabilities we may have….personally, I’m starting out with increased exercises, walking, carefully chosen supplements and attention to diet. I have to be careful of meds and supplements due to recent colon cancer….Will see how it all works out… if something doesn’t work ,will just keep trying until i get something that does. Best of luck to you !