@kevtrav
One of the first things ADT does is weaken, the stomach muscle muscles, resulting in a belly. Your problem may not be mainly in the stomach, It may just be ADT’s effect.

I weigh myself every day in order to make sure I don’t gain weight. I base what I eat on what I weigh. If you don’t keep a real close track of it, you gain a few pounds and then it is very hard to lose it. I did gain 6 pounds over the holidays last year and it took me four months to lose them.

Low T causes a sluggish metabolism, reduced muscle mass, increased abdominal fat storage, and low energy for exercise. Low-T creates a cycle where weight gain further lowers testosterone, requiring lifestyle changes or medical intervention to break.

Cutting out meals for weight loss often backfires by causing your metabolism to slow down and promoting fat storage as the body enters a survival-oriented "conservation mode". It leads to nutrient deficiencies, intense hunger causing overeating later, energy crashes, mental fatigue, and potential muscle loss.

Between low T and the inability to cut out meals. It’s really annoying how hard it is for prostate cancer patientsto lose weight. When it comes down to is we really need to change our diets.