Thank you. Have been advised Surgery would not get it all due to regional spread, and would then need to be radiated anyway. ADT and IMRT suggested. Starting Eligard Friday in hopes to shrink prostate, remove catheter (post biopsy complication) then start radiation 28 sessions. Need to follow up with cardiologist regularly due to heart condition ADT combo. Anyone know if hot flashes and side effects start right away after ADT shot or does it build up?