I'm 78 years old and I was in pretty good health until about a year ago when I started feeling very tired all the time. Then I got a PSA test and it was 41. By the time I started treatment three months later at UCSF, my PSA was 71. I had an MRI, a biopsy, two PSMA Pet MRIs, a CAT scan and a bone scan. My doctors now have a good baseline. My ADT treatments have gone well; my PSA went from 71 to 1.09 to 0.52 and I'll get the next result tomorrow. My side effects of hot flashes, night sweats, muscle loss, hair loss and lack of libido are quite tolerable, considering that the ADT has taken away the bone pain, fatigue and daily fear. I've heard that as the ADT goes on, I'll get joint pain and tiredness, but so far that hasn't happened. Right now, I feel thankful for all the medical people who are helping us patients.