To answer your question about having a hard time getting back to normal, the answer is YES. I, too, share many of your side effects. After 10 months on Abiraterone , 9 months Elligard and 1 month Orgovyx, I was having so many heart events that my doc stopped the treatment and is having me see a cardiologist prior to the next step. My PC is aggressive. Gleason scores 9 throughout. Positive lymph nodes on PSMA PET. In the three weeks I've been off all ADT, my sleep has improved 100%. No more heart events (waking up throughout the night feeling like my heart has stopped.... death dreams with significant clarity... out of breath walking up stairs...etc...). In the three weeks I've been off all ADT, my mental health has improved significantly. The heart issues and mental health have been my biggest concerns. I think we can all appreciate the hot flashes, insomnia, exhaustion and sadness in our change of circumstances, but for me the pervasive heart issues and overbearing depression suggested I needed further intervention. I hope that you're on the best path for you. I'm sorry you're enduring this struggle.