@tbgb50 Gotcha re: copay. I strongly urge demanding Orgovyx rather than Lupron and evaluating your quality of life after three months with an eye to taking ADT for no more than six to nine months since no meastasis is indicated. I had the full bucket load of side effects that only relaxed a little after a year on Orgovyx. At 75 and not aspiring to live to 90, if my cancer returns I will likely look for spot radiation rather than resuming ADT. Here's one video from a reputable research source, but there are many. https://youtu.be/UFPakxHnkLs