@bikeman1
You’re on Casodex (Biclutamide) now, Which usually means they’re going to give you a Lupron shot. Here’s the opinion on that.

Orgovyx is actually considered to be easier on the heart than Lupron. In clinical trials, Orgovyx demonstrated a significantly lower risk of major adverse cardiovascular events (such as heart attack or stroke) compared to Lupron. Your testosterone also comes back quicker when you stop. Lupron has been shown to cause arterial sclerosis buildup in the first year of use.

I would talk to the doctor and find out if you can get Orgovyx instead of a leuprolide.