@rooroo Congratulations on your good outcomes during treatment. My experience after 13 months of ADT is that I am once again a pre-pubescent 10 year old boy. While I still have facial hair, almost all neck-down hair is gone. My strength is again boyish and I have a boy belly instead of muscle. I have given up on sex because I boyishly have no desire, no erection and even with my wife's diligent help, no climax, and Trimix gives me abundant pain with any erection, so no. Fatigue is a huge issue, with a few better hours in the morning and then fading hard after lunch. Apparently, radiation has left me with 8 months of daily diarrhea and ongoing fecal urgency (5-7 bowel movements daily) and occasional fecal incontinence. So what do I do? I fight. I work out 60-90 min. weekdays, adding weight training to cardio so as not to lose more muscle mass and to reduce fatigue. I try to give my wife more affectionate touch that she enjoys, without its becoming sexual. I take extra fiber and a probiotic in an attempt to regulate my digestive system, and I'm having another exploratory colonoscopy this week in the hopes that the current condition can be improved. And I hope that if I am able to take an ADT holiday this summer after 18 months total of treatment, my body will begin recovering to a more normal state. All is not lost, and occasionally I have a better day like today in which I feel somewhat less tired and sore. May your success continue!