Weight lifting and ADT

I have been on ADT for 9 months now, I have continued my weightlifting program all during this time, I have always lifted weights 4 days per week, since I was 20 yrs old, so I was not going to stop because of prostate cancer and ADT. I have actually gotten stronger while on ADT, probably because I am more disciplined now fighting cancer. I just wanted to post this information to help others deal with ADT and why weight lifting will help you much more than other forms of exercise
ADT drastically lowers testosterone, causing muscle atrophy, bone loss, and metabolic slowdown. Resistance training directly stimulates muscle protein synthesis and strengthens bones through mechanical loading—effects that aerobic exercise or yoga alone can’t match. Studies show men on ADT who lift weights maintain lean mass, improve strength, preserve bone density, reduce fatigue, and support long-term metabolic health. Simply put, lifting is the most potent exercise to counteract ADT’s side effects.
Can Muscles Still Grow on ADT? Yes—With Resistance Training
Despite ADT’s muscle-wasting effects, research shows that men can still gain muscle through resistance exercise.
Key Findings:
Muscle Mass Gains: A 20-week study with 60 prostate cancer patients on ADT found that resistance training increased muscle mass and strength, even without additional protein supplementation. 
Strength Improvements: A meta-analysis of 7 randomized controlled trials revealed that supervised physical training significantly enhanced muscle strength in men undergoing ADT, even if muscle mass didn’t increase. 
Muscle Memory: Previous training can provide a “muscle memory” effect, allowing for faster muscle regrowth after periods of inactivity. 
Conclusion: While ADT poses challenges, consistent resistance training can help build and maintain muscle mass and strength. It’s a powerful tool to combat ADT-related side effects.