I am 19 months into my 2 years on ADT + Zytiga & P. 6 months into it, I started experiencing severe hot flashes. Severe = Full body sweats, dripping off my brow, palms wet and needing to mop it off my chest or change my shirt. Every 1 -2 hours. I tried 4 antidepressants that didn't work. I then started Acupuncture, this was most effective until I took a 3 week holiday overseas. When I started back, it didn't seem to have the same effect.
I then decided to try Veozah. It's been life changing. My HFs are down by more than 90%. I no longer carry a bunch of handkerchiefs with me and don't always need to know where my portable fan is. The only downside is the cost as it is not covered by insurance as it has not approved for use by men for hot flashes. It's $570/month. I started thinking that if I woke up every day and was asked to pay $18 to Not have hot flashes all day and night, would I do it? Heck yes!