ADT's are used to slow and/or stop the cancer rate of development. Once that is accomplished the cancer can be dealt with. There are many treatments available. For my Gleason 10 I chose Proton Beam. Proton Beam can very precisely target what needs to be dealt with. The treatment itself is absolutely painless and a piece-of-cake. No anesthesia at all is necessary. My testosterone is now undetectable. But I am dealing with the after effects of Lupron. You being active and strong should minimize the Lupron after effects. I wish you best of luck realizing that luck has little to do with this.