New Australian study below .
"Twenty-seven cases and 19 controls completed the study. Median duration of ADT was 2.3 years".
"Two years after cessation of ADT, total testosterone remained lower.., fat mass ... and insulin resistance ... remained higher in cases, whereas lean mass ... and physical component of QoL remained lower than controls".
"Two years after ADT cessation, metabolically adverse changes in body composition, increased insulin resistance and reduced QoL persisted."
"This may be related to incomplete testosterone recovery." No kidding!
Dr. Stephen Freedland has said that one must recognize that cessation of ADT is usually a continuation of very low testosterone [T] for a significant period of time. Men beginning ADT often have T levels that are not a lot higher than the hypogonadal cutoff of 350 ng/dL, & sometimes much lower. T often does not recover to its previous high.
The solution is to immediately begin T restoration therapy, but I suppose that most would view that as risky. Anyway, ADT has long-term consequences - even after it has ended.