I can relate to your perfect storm comment. A couple of years ago I did the 2 years of Lupron along with 43 treatments of Proton Radiation Therapy for my aggressive and advanced prostate cancer. I have been done with the Lupron for a year now and can report that my psa and testosterone numbers are good. However, I have now been diagnosed with Myleodysplastic Syndromes (MDS), a form of blood cancer. Radiation oncologist claims that this was not caused by the PRT, but I am not convinced. In any case, I have it and will be starting down that journey for myself while also being a caregiver for my wife of 58 years who has Lewy Body Dementia (LBD) - similar to alzheimers. And then there is the covid too.