I'm about to start on 6 months of ADT.

I've been very interested in how to stave off the type of symptoms you are experiencing as well as anything else ADT patients are reporting. I'm just scratching the surface so far.

A book I'm almost finished reading was written by an Australian surfer dude who made a name for himself writing about surfing. He was diagnosed in his early 50s. At that point he had young kids. He has stage 4 that had already spread to a large area in his thigh as well as one of his ribs. The book is "Patting the Shark", by Tim Baker.

I picked up my copy of this book after I heard several urologists talking about the impact it had had on them, as well as the urological community in Australia and beyond. This discussion was on a GU Cast Urology Podcast episode "Patting the Hormone Therapy Shark". Urologists were said to be sending copies to other urologists. One said here is eloquent writing by a patient about what is happening to him on lifetime ADT. Adding: as urologists we've got to read this, we've had no idea about what is happening to the patients we blithely prescribe these drugs to.

Good luck.