I’ve been on ADT for eight years. I’m 78 years old and I never had a problem with fatigue. Taking abiraterone & prednisone can really cause fatigue for some people. In some cases, you can increase your prednisone to 10 mg, A standard dose some doctors give, and that can greatly reduce the fatigue.

To get around the muscle issue, I run on the track 1 mile twice a day and go to the gym three days a week for one hour to build up my muscles in my arms and legs. I also am on bone straighteners to prevent the loss of bone.

Yes, there is a loss of libido, But it is not permanent. If you stop ADT, your testosterone will return as well as your libido in almost all cases. Since you are on Orgovyx Your testosterone will return much quicker than with other types of ADT.

I’ve used multiple ways of getting rid of hot flashes. If they are really a major issue Post back and I can give you some pointers as to things you can do to eliminate them or at least greatly reduce them.