Thanks for that clarification.

I'm trying to figure out, just out of curiosity, why they don't suggest a six month dose right when you get diagnosed while your deciding on a treatment plan with your "team".

For example, my diagnosis (biopsy results) were March, then I waited for an appt with a radiation oncologist to discuss that option then waited for a surgeon to discuss RP, made a decision and scheduled surgery. By the time I got cut 5+ mos had gone by. (2021 so just post COVID max impact on facilities may have extended the normal timeline.)

My invasion was minimal in the nerve and capillary tissues but 6 mos of ADT might have prevented or minimized that. ....or am I missing something altogether...

I have been on Lupron for 4 years now the first year was difficult with fatigue primarily and hot/cold sweats, but quiet frankly now I feel quite normal. Except I am not as strong and erections are not possible. I did have a bad problem one time after having knee surgery. The opioids they gave me for pain reacted with the Lupron and sent me for a spin. They could not figure it out. I lost 40 lbs in six weeks and was sick as hell. I finally just said the only different was the opioids so I dropped them, dealt with the pain using Tylenol and almost immediately start getting better. Strange the Drs could not find figure it out. I even told them that is what I suspected but they would not listen and put through all these tests which were all normal. Anyway way better now and cancer seems to be stable. Do to anyone on Lupron please be careful with your pain meds if you are given them.