@pesquallie If you are talking about the side effects of ADT:

In my case, at times, I've experienced joint pain and muscle pain so severe there were some exercises and stretches I could not continue to perform. My medical oncologist, the guy who is supervising my ADT (Orgovyx) for me was certain that the ADT had nothing to do with it. I wonder about that.

At one point, my hip and the front of my right thigh were the most consistently affected. A primary care doc thought the start of arthritis was responsible, and that stretches and specific exercises might lessen the rest of the symptoms. The thing is, the pains moved around. For a while it was the hip that was the worst. Then it was the thigh. Then it was the left knee. Then I had extremely severe mid back pain for one night.

Muscle and joint pain is listed on the Sumitomo/Pfizer Orgovyx webpage as one of the most common side effects of Orgovyx.

I kept on exercising. If the pain was so severe in enough places, I would skip a day, but that was rare. If I couldn't maintain a certain position or exercise a certain muscle, I would move on to a different position or exercise some other muscle. Some of the stretches and exercises prescribed by my primary care doc seemed beneficial, others caused pain so I didn't do those. Things got gradually better over a month or two.

Maybe things would have continued to slowly, in fits and starts, resolve over time, but what caused the diminished symptoms to almost completely disappear was when I started in exercising muscle groups in a more controlled and vigorous way using pin loaded machines in the local YMCA. The resistance training I was doing at home was nowhere near as controlled or consistently vigorous as the resistance training I discovered how to do at the gym.

I don't have pains in muscles or joints now that stop me from doing anything, or that cause me to complain, not sleep, or take days off.