Exercise/Cycling and Doublet HT

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While my >2 years on decapeptyl (with EBRT) at time of original treatment 2021-2023 caused me few problems with "strength and fitness", that plus darolutamide for spread, recurrent, PCa, is now a different matter.

Second 3-mthly decapeptyl injection 19th Jan '26.and now that well into that plus the darolutamide, side effects becoming more noticeable. Less "energy", "stamina", whatever the term  -  received wisdom says 20-25% loss of strength and that corresponds with my cycling times/distances. Also cycling related, muscle ache in upper arms when on a bike where set up throws weight onto my arms. Swopping cockpits to raise front end on most used bikes!

However, difficult to separate out cancer and COPD effects! Oh, and age....

Anyone else found that HT second time round (especiallywhen elevating up to doublet treatment) greatly increases side effects? Any other cyclists with same experience?

Maybe just down to COPD and age!

Thanks, Dave.