As a hiker, I have found that ADT has reduced my sense of balance. Before I got PCa, I did a lot of mountain climbing, which required a reasonable sense of balance. Since I got PCa, and was put on ADT (currently Orgovyx and abiraterone plus prednisone) I have found my sense of balance has been reduced. On a recent hike, admittedly on slippery leaves on rocks, I took a minor tumble and, while fortunately landing on my pack, I managed to bruise the lower ribs on my left side. An x-ray showed that nothing was broken. I finished the hike, but needed to use one of my wife's trekking poles. She has used poles for several years, but I have never felt the need for them. My Christmas present from me to me this year is going to be a set of Leki Makalu Lite Cor-Tec trekking poles.
I guess the big question here is has anyone else had their sense of balance lowered by ADT. To reduce the side effects of ADT I try to bike or hike daily on alternate days. An hour or so of biking or a 3-4 mile hike.