I completed IMRT with short term ADT (Orgovyx) and am doing fine. Testosterone back within 2 months. Did weight lifting, calcium supplements, etc. to minimize damage of ADT. Before doing Lupron read the post about when side effects end. Takes a lot longer on Lupron (4-8 months) to recover and the side effects seem to be worse. I had none of the hot flashes or night sweats on but 50%+ do report these side effects on Orgovyx and a higher percentage on Lupron. Once the injection is made you are stuck in more ways than one.

All of that being said at your age and with your Decipher score I would have chosen surgery. Read Wheel1 post about the latest surgical techniques. If you go this way the selection of the surgeon is critical to minimize side effects.