trailguy said...
The complete removal/cessation of ALL pituitary hormones has a profound effect on most all of your body functions, some of those changes are permanent. Interference with cognitive functions is part of that, though the subjective experience will differ from one person to the next. It will likely be more noticeable to someone who needs do a lot of high-level thinking than it would be to a sedentary retiree.:
I have been thus far able to dodge the ADT bullet, BUT for a number of years before diagnosis I was hypogonadal. My T level went down into the 130's, and the brain fog and poor decision-making was one of the things that drove me to see my uro and an endocrinologist about
TRT. I was still working at a high-level executive job, and without the clarity promoted by the TRT, I would have had to retire early.
That is also one of the reasons why I fought so hard to be able to continue my TRT before, during and after PCa treatment. I apparently am one of the patients most profoundly affected by low-T. Everyone is different, though, so I would not make any blanket judgements from my own experience.