Low testosterone , I believe , can really make you tired during the day and sleep poorly at night. At least, that is what happened to me. I have been off of ADT for 6 months, testosterone has increased from 6 to 19, starting to get hair on my legs and in the last couple of months had lots more energy and feeling and sleeping much better. ADT ( lupron) is good and necessary treatment, it was not too bad for me, did me good and probably in time go back on it. I hope that it continues to starve the cancer.

Thanks for your reply….it’s a necessary but brutal drug. Hoping my husband gets his energy level back soon!

I mentally push myself to stay active, especially when I feel the fatigue setting in. I'll head to the gym to get on the treadmill, or take a walk around the block. I could easily just plant myself on the couch and watch TV but I'm terrified of a downward spiral

I agree with pushing yourself when you feel tired. During my radiation treatments I had a schedule where I would head to the YMCA immediately after treatment. I swam three days a week and worked on exercise machines the other two days. I also took a 30 minute nap each day. Although I am now almost 3 months beyond my 6-month Eligard treatment, I still have hot flashes and am up three times a night to urinate. Fatigue and lack of libido remain issues. I am assured by my urologist that these side effects will disappear once my testosterone significantly increases. My T score is currently 47.

No Doc every told me not to drink coffee. Force yourself if you need to, but at least walk at a good pace, listen to music it really helps. I like the FUNK genre. I'm walking full speed at dawn for 45 min. Cause it's too damn hot. Then take a cold shower....WOW! wakes me right up.