@crawdog
Having the low RBC, Hemoglobin And hematocrit are not at all unusual, you went on ADT. I’ve been on it eight years and my blood count for all three of those things have always been low. They’re not low enough to cause anemia.

Your fatigue could very well be due to the Orgovyx (ADT) Alone. It is very common for people to feel minor fatigue have hot flashes, and shortness of breath. They are just normal side effects of ADT. Believe it or not exercise can frequently help with a minor fatigue a lot. Running on a track or even the sidewalk, and doing weight exercises can all help with The other side effects of ADT, and help with the fatigue. You may notice you’re getting a belly and your muscles will definitely get weaker unless you regularly do weight training exercises.

I had terrible hot flashes on ADT at first. Still get them eight years later while I’m still on it. I’ll get from 2 to 8. Hot flashes a day. Nowadays, they are mild, Usually. Had one last night where I had to blot the sweat off my forehead with a towel a few times to stop it from dripping in my eyes. Happened while I was brushing my teeth and an electric toothbrush, a real pain.

If you have severe hot flashes, there are drugs that can help, Come back and ask For help if they are really a major problem. I have found many Solutions.