@jeffmarc Eight months to still be at castrate level (50) may be okay for metastatic patients who expect to be on ADT for life but will not inspire confidence for someone contemplating a 6-month ADT course if it will take 16 months or more to recover. Testosterone increases tend to plateau so it is unlikely that a low (300) testosterone level would be achieved in another 8 months (25% per month). Anyone over 75 should know the long-term risk of Lupron if taken for short term (vs permanent) ADT, especially since Orgovyx is as good with a better recovery profile. Even with Orgovyx the risk of poor and slow recovery is higher over 75 than at younger ages. Doctors tend to minimize this risk.