Diagnosed Gleason 7(4+3) in Sept ‘23, treated with 5 Proton blasts with ADT, Firmagon (2) and Eligard(1). I really didn’t have issues with the radiation. I felt a little sensation after the first treatment but nothing major. Now with the ADT, another story. To date I am still dealing with side effects. Namely my testosterone is not returning to normal levels, which I found out is common, if I remember right us about one third of treatment subjects. What about Spaceor gel? I have also experienced some bone density loss and some other effects. Whether to have ADT is a decision that you will have to make and the side effects are serious. Research the effects and look through the correspondence on here for the related effects. To date, I am doing very well and at the last PSA check, my surgeon (he’s the one who ruled out surgery for me, but administered the shots), told me I had the lowest PSA of all the patients in the practice. Sort of a plus but do your research because there is definitely more infornation out there now than when I went thru it. I am interested in the use of estrogen patches, same effect, cheaper, safer and less side effects. No matter what you choose, your life has been changed and welcome to the club.