@ambika
I have been on ADT for eight years. When I first started, I had a lot of very strong hot flashes. My oncologist after a year had me get Depo-Provera shots every three months. They pretty much stopped the hot flashes until I started taking Zytiga.

I never had fatigue from ADT. Some people do. If you exercise regularly, it can help alleviate the fatigue. I walk a mile twice a day at a very fast pace and go to the gym three days a week, I’m 78 and I can do it. I go to the gym because ADT deteriorates your muscles quickly. You might notice right away that you get a belly. I do 65 or more sit ups every time I go to the gym, I think that helps a little. I also am on bone strengtheners every three months. I take calcium and vitamin D for bone strengthening as well. They are Recommended By almost every doctor. You need to take 500 mg of calcium at a time since your body can’t absorb more than that, Calcium citrate is the better version of calcium to use.

I feel good all the time. The only side effect that really bothered me was hot flashes, and now they are very mild, after all these years. If you get them, there are a lot of solutions so you just need to ask and we can tell you how to resolve the problem.