@jeffmarc re: "orgovyx does not directly kill cancer cells".

I believe I got the idea that ADT can kill cancer cells from a Prostate Cancer Research Institute video featuring Mark Scholz. I can't find the video right now, but I did find a paper PCRI put out that states the theory I thought I heard Scholz talk about. A percentage of prostate cancer cells are androgen dependent, and depriving them of testosterone kills them. I attached a graphic from the paper.

In the video I thought I heard Scholz state that something like what is depicted in the graphic happens in the more common type of prostate cancer. He commented that this means ADT starts a selective breeding process where the resistant cells end up being the predominant cells so that the tumors that grow back afterwards will be resistant to ADT. I thought what he was describing was an observation that this is how metastasized tumors become ADT resistant.

I don't know if this is a widely held view. I may be completely mistaken to think Scholz knows what he is talking about. Up until I saw his video I described ADT to myself as stopping tumor growth which I am very much in favor of. I guess I'm so much in favor of tumor death I didn't study deeply enough to be able be confident of my previous statement.