Hi Tiredwanderer,
I don't have the experience that Zufus has and I have been on Lupron hormone therapy for only 5 months. Shots I get are designed to last for 4 mos. First shot Apr. 21, second Aug. 21. Next due Dec. 21. So far, so good. My PSA went down to 0.5 from 3.9 after the first shot. Felt a lot of fatigue at first, but that is gone. Now I just get hot flashes, which are little more than a nuisance.
I am on a bone supplement from Theralogix in Rockville, Md, since Lupron can cause osteoporosis. I do light weight lifting to stave off muscle loss, another side effect, and to help with bone loss. So far, I have not noticed any loss, but it is early in my treatment. I have not had the mood changes that others have experienced with hormone therapy.
I am probably one of the lucky ones - responding well to the hormone therapy with minimal side effects.
Bottom line is that it is keeping my PSA in check and I'm still kicking. See my signature for a little more info about my journey.
Good luck with whatever decision you make concerning hormone therapy.
Gene in Md