Im a Urologist. Prostate cancer screening and treatment have evolved . The AUA has evidence based guidelines. Not all prostate cancer is the same. The disease aggression is variable. We now have genomic testing and many patients who have low grade disease are routinely recommended surveillance (observation without treatment). But some prostate cancers are very aggressive and need treatment. If you have it and wait too long then you loose the window of time to have nerve sparing treatments that save erectile function. Both robotic surgery and radiation are much more precise. It is mostly a disease of diet and I recommend all my patients get off of dairy asap and transition to a plant based or even better low fat vegan nutrition. If you have been on the western diet and are between the ages of 45 and 75, I recommend doing the screening each year.
@@allencrider Im not trying to convince you just giving my recommendations. Look up the evidence based prostate screening guidelines by the American Urologic Association and decide for yourself. I have been a Urologist almost 30 years and I can tell you that not prostate cancers are the same. Some are very aggressive and some are low risk. If you have been vegan all your life your risk is substantially lower of not having the disease.
Q. Does drinking herbal teas and decaf coffee increase the risk at all? I need to go to the toilet fairly often when I drink plenty of them, seem to lose some bladder control. But it does not bother me otherwise. Up once in the night to go the toilet is not too bad. I reckon the teas benefit me in other ways. The coffee esp seems to make me go more. Hope you don't mind a question, something that I have been wondering, should I give them up to help my bladder.
@@andrewnorris5415 risk for prostate ca? Not that im aware of but caffeine can aggravate an over active bladder. Dairy is a risk factor for prostate and breast cancer.
Do you consider a Gleason score of 7 (3+4) with less than 5% at Grade 4 to be low enough to consider active surveillance rather than treating immediately?
I am vegan and have been since 2015. Prior to being vegan, I was pescatarian since 1998. I eat pretty much the same thing every single day for dinner. Mushrooms, tofu, avocado, rice, onions peppers and broccoli. I've typically adopted an OMAD diet for the last several years. I will occasionally have the mock meats, but not as a routine thing. Granted, I do drink alcohol, but not excessively. Maybe an airplane shot 2 or three times a week, if that. I've never smoked anything in my life up until around 2019, and since then I would have an occasional cigar with the fellas when we're having a guys night out. I have always been considered a person in very good health. My Doctor has always said, if all of his patients were like me, he would have to go work at McDonald's. Being that I just turned 50 this year, my wife decided to raise my life insurance. The medical staff came to my home to do the routine physical and took blood tests along with blood pressure and other vitals. My results came back from the test stating that everything on my chart was excellent and perfect, except that I had a PSA of 32.1. I then had my PSA Taken again a few weeks later, and it was 34.1. My urologist did a biopsy and discovered that I had 3 tumors on my prostate. I then got a PETscan done, and it showed that there was some cancer on my pelvic bone as well. Essentially showing that I have stage 4 (metastatic). It would seem that I would be the most unlikely candidate to ever get cancer, but here I am. Cancer doesn't discriminate against ANYONE. No matter the lifestyle. I hope that everyone going through this makes it out of the woods with the best results possible. I will come back to this thread with updates as they occur.
@djo3994 Wow, brother, you're a warrior, and you'll do just fine . Considering you have such a good diet and still wound up with this crap is mind-boggling. All these latest studies telling men pc is a metabolic disease, and you had otherwise. BTW pc is a paper tiger you can beat it ,you just gotta walk through the fire .🙏
I am so sorry to hear about your situation. Can I ask you if your father, maybe uncle had prostate cancer too? Also, what procedure have you selected to fight this. Not sure just how many selections are available at this stage, again I am sorry.
I had a coworker whose husband was diagnosed with prostate cancer when he about 60. I suggested they investigate dietary change and just watch and wait. They didn't and he had a prostectomy. They didn't realize before surgery that he could never have an erection again, not including the urinary and fecal incontinence and long term pain. Very sad....and unnecessary.
The biopsy alone is f*ck1ng torture. No one should have to go through that BS. I'm flabbergasted why a biopsy is done when you can get a non-invasive MRI. And according to this research/analysis neither is even needed (if you're worried about the cost).
I recently received my biopsy results which showed Gleason 6 and Gleason 7 (3+4). I have an appointment with my Urologist to discuss. In the meantime I have been researching treatment options and switching to a mostly plant based diet. Mostly fruits and vegetables. I have eliminated or severely restricted processed and fried foods, meat, dairy, sugar and salt. I actually lost 5 pounds so far.
Same starting point a year ago as a 62 year old avid cyclist. (3+4, PSA 13.6) Take your time. Take control. Your team will likely present the binary choice of surgery or radiation and put you on a decision tree of appointments without addressing any other options or self help. A.) Going 100% whole food plant based is a great first step. The more research you do the more sense this will make. By the time I made a therapy decision my PSA had dropped by more than 3%. B.) Explore alternative treatment options. While surgery or radiation may be the best solution, there is a third option of focal therapies with another decision tree of their own. It took me 6 months to narrow it down to In bore MRI guided SBRT or Focal Laser Ablation. Now 6 months post Focal Laser I'm extremely happy I took the time to make the right choice. I'm back on the bike with no drugs, zero defects, and 100% committed to a whole food plant based lifestyle. Just a little ironic that I just might be in the best shape of my adult life. Wishing you the very best on your journey.
@@schmingusss I think if watchful waiting is in your range of options it would be a very good idea to include the diet. To be clear though, vegan is an ethic more than a diet. There is a ton of vegan junk food you don't want. Whole Food Plant Based is diet based on science. The venn diagram overlap between the two is eliminating animal protein. (I actually wound up going back to school to work on the nutrition degree.) That said, once you stop eating them, you do begin to see animals differently.
I have advanced prostate cancer so I did some research on things that may help as I had nothing to lose and plenty to gain. I came across your videos on cooked tomato products and Lycopene. I now take tomato puree 20g 3 times a day with added low-sugar ketchup. This had stopped my PSA from rising and hopefully reversed it. I have now started HDT on the advice of my oncologist So it is difficult to keep track of my progress. The HDT apparently will fail at some point and hopefully, The tomato puree will do its job.
Do high dose vitamin c intravenous twice a week , at 70 g a day it will kill cancer , go for lower doses at the beginning . Vegan diet , no low sugar ketchup , no sugar , 0 sugars.
Father died of prostate cancer in his 70's, and both younger/older brothers had cancers in their 50's, with them removed without major complications. I'm the outlier so far, and at 68 still have PSA < 2. Can afford the whole body scan every so often even though most docs don't recommend it. Would never do biopsy, just take it.
Yes that's right. In Australia the term " soy boys " is used to describe weak, non tough sorts of men. Real men eat heaps of red meat apparently. After my treatment for low level/intermediate PCa I gave up dairy and became about 95% whole food plant based. To me it is a tough man that can stomach tofu every day which really dosent taste any where near as nice as steak or chicken
@patricktrussell7465 brachytherapy high dose August 2022. Psa November 2022 waa 0.19 which rose to 0.64 May 2023 which sky rocketed to 2.61 December 2023. Had petscan that showed no reoccurance. Next psa was 0.75 in May 2024. Doctors said I almost certainly had psa bounce. Younger men more likely to get psa bounce. Losing weight and maintaining a good bmi makes reoccurance much less likely.
Was one of those patients who was told I did not need my PSA checked by my Dr. Only a very diligant urologist who insisted on it,saved my life. My PSA was 14, and found to have three tumors, two Gleason 7's and an 8. Surgery was the only option. That urologist saved me from likely Stage 4 or 5 PC. Gentlemen get screened. It's a fast and easy blood test.
Don't forget the role of multiparametric MRI of the prostate. It noninvasively detects the vast majority of clinically significant prostate cancer. I believe it is underutilized by some health care providers.
1994 was an important year, that the PSA test was approved. In my last 20 years of Internal Medicine, I have never seen a PSA to lie. A "falsely" high PSA sometimes indicates low grade prostate infection that does not cause too much of a problem symptom-wise. With antibiotic, the PSA often comes back down. Seems to me that "experts" were strongly influenced by the ENTIRE COST of doing the test, paying for the further tests such as MRI, biopsy, etc. Cost vs benefit thing. Eh, said the experts, most people with prostate cancer don't die of that cancer....or so they said.
There is no "clear harm" from PSA testing. A biopsy that comes back negative for cancer was not "unnecessary," as that is the only way to know whether life-saving treatment is needed. The harm comes from aggressive treatment (radical prostatectomy or radiation and hormone therapy) for low-grade cancers that are not life-threatening. It is better to know if you are one of the relatively few men who have aggressive cancers that can kill you if left untreated than to think "the odds are in my favor" and refuse a test that ultimately could save your life. Not getting a PSA test is about the same as not wearing a seat belt. Most people never have a car accident, so by analogy, seat belts are "unnecessary." It is wise to buckle up, and it is wise to get a PSA test.
my total psa since 2019 was averaging 2.9 to 3.2, I am 64 years old in 2024. June 2024 psa 4.4 July psa 4.9...doc ordered an mri and found a 15mm x 5mm tumor.......prior to June 2024 I was on a Thai food diet...came back to the usa in June and ate ice cream, pizza, cheese.....mri was on September 12th and immediately changed diet to fruits, veggies, pomegranate juice mixed with green apply juice and ginger.....eat vegetable soup with some skinless chicken....on 10-2-24 had my total psa redone and it was 2.6!!!!! doc wants to do a biopsy of the tumor to make sure it's not cancerous.....hmmm
If it is an aggressive cancer, you want to know that when life-saving treatment is still a possibility. If you do decide on a biopsy, though, transperineal has a lower chance of infection than transrectal. Not medical advice, do your own research. Ignoring it is not research.
Im a Urologist. Prostate cancer screening and treatment have evolved . The AUA has evidence based guidelines. Not all prostate cancer is the same. The disease aggression is variable. We now have genomic testing and many patients who have low grade disease are routinely recommended surveillance (observation without treatment). But some prostate cancers are very aggressive and need treatment. If you have it and wait too long then you loose the window of time to have nerve sparing treatments that save erectile function. Both robotic surgery and radiation are much more precise. It is mostly a disease of diet and I recommend all my patients get off of dairy asap and transition to a plant based or even better low fat vegan nutrition. If you have been on the western diet and are between the ages of 45 and 75, I recommend doing the screening each year.
You haven't convinced my to accept screening.
@@allencrider Im not trying to convince you just giving my recommendations. Look up the evidence based prostate screening guidelines by the American Urologic Association and decide for yourself. I have been a Urologist almost 30 years and I can tell you that not prostate cancers are the same. Some are very aggressive and some are low risk. If you have been vegan all your life your risk is substantially lower of not having the disease.
Q. Does drinking herbal teas and decaf coffee increase the risk at all? I need to go to the toilet fairly often when I drink plenty of them, seem to lose some bladder control. But it does not bother me otherwise. Up once in the night to go the toilet is not too bad. I reckon the teas benefit me in other ways. The coffee esp seems to make me go more. Hope you don't mind a question, something that I have been wondering, should I give them up to help my bladder.
@@andrewnorris5415 risk for prostate ca? Not that im aware of but caffeine can aggravate an over active bladder. Dairy is a risk factor for prostate and breast cancer.
Do you consider a Gleason score of 7 (3+4) with less than 5% at Grade 4 to be low enough to consider active surveillance rather than treating immediately?
I am vegan and have been since 2015. Prior to being vegan, I was pescatarian since 1998. I eat pretty much the same thing every single day for dinner. Mushrooms, tofu, avocado, rice, onions peppers and broccoli. I've typically adopted an OMAD diet for the last several years. I will occasionally have the mock meats, but not as a routine thing. Granted, I do drink alcohol, but not excessively. Maybe an airplane shot 2 or three times a week, if that. I've never smoked anything in my life up until around 2019, and since then I would have an occasional cigar with the fellas when we're having a guys night out. I have always been considered a person in very good health. My Doctor has always said, if all of his patients were like me, he would have to go work at McDonald's. Being that I just turned 50 this year, my wife decided to raise my life insurance. The medical staff came to my home to do the routine physical and took blood tests along with blood pressure and other vitals. My results came back from the test stating that everything on my chart was excellent and perfect, except that I had a PSA of 32.1. I then had my PSA Taken again a few weeks later, and it was 34.1. My urologist did a biopsy and discovered that I had 3 tumors on my prostate. I then got a PETscan done, and it showed that there was some cancer on my pelvic bone as well. Essentially showing that I have stage 4 (metastatic).
It would seem that I would be the most unlikely candidate to ever get cancer, but here I am. Cancer doesn't discriminate against ANYONE. No matter the lifestyle.
I hope that everyone going through this makes it out of the woods with the best results possible.
I will come back to this thread with updates as they occur.
@djo3994 Wow, brother, you're a warrior, and you'll do just fine . Considering you have such a good diet and still wound up with this crap is mind-boggling. All these latest studies telling men pc is a metabolic disease, and you had otherwise. BTW pc is a paper tiger you can beat it ,you just gotta walk through the fire .🙏
I am so sorry to hear about your situation. Can I ask you if your father, maybe uncle had prostate cancer too? Also, what procedure have you selected to fight this. Not sure just how many selections are available at this stage, again I am sorry.
I had a coworker whose husband was diagnosed with prostate cancer when he about 60. I suggested they investigate dietary change and just watch and wait. They didn't and he had a prostectomy. They didn't realize before surgery that he could never have an erection again, not including the urinary and fecal incontinence and long term pain. Very sad....and unnecessary.
The biopsy alone is f*ck1ng torture.
No one should have to go through that BS.
I'm flabbergasted why a biopsy is done when you can get a non-invasive MRI.
And according to this research/analysis neither is even needed (if you're worried about the cost).
We now have nerve and sphincter sparing robotic surgery .
@@spoudaois You go for it... I have adopted a plant based diet and hope not to need any surgery...
No thanks, I’ll go with dietary changes.
I recently received my biopsy results which showed Gleason 6 and Gleason 7 (3+4). I have an appointment with my Urologist to discuss. In the meantime I have been researching treatment options and switching to a mostly plant based diet. Mostly fruits and vegetables. I have eliminated or severely restricted processed and fried foods, meat, dairy, sugar and salt. I actually lost 5 pounds so far.
Same starting point a year ago as a 62 year old avid cyclist. (3+4, PSA 13.6) Take your time. Take control. Your team will likely present the binary choice of surgery or radiation and put you on a decision tree of appointments without addressing any other options or self help. A.) Going 100% whole food plant based is a great first step. The more research you do the more sense this will make. By the time I made a therapy decision my PSA had dropped by more than 3%. B.) Explore alternative treatment options. While surgery or radiation may be the best solution, there is a third option of focal therapies with another decision tree of their own. It took me 6 months to narrow it down to In bore MRI guided SBRT or Focal Laser Ablation. Now 6 months post Focal Laser I'm extremely happy I took the time to make the right choice. I'm back on the bike with no drugs, zero defects, and 100% committed to a whole food plant based lifestyle. Just a little ironic that I just might be in the best shape of my adult life. Wishing you the very best on your journey.
@@jeffmorgan5152 That's great news. What if you just did the vegan thing without radiation?
@@schmingusss I think if watchful waiting is in your range of options it would be a very good idea to include the diet. To be clear though, vegan is an ethic more than a diet. There is a ton of vegan junk food you don't want. Whole Food Plant Based is diet based on science. The venn diagram overlap between the two is eliminating animal protein. (I actually wound up going back to school to work on the nutrition degree.) That said, once you stop eating them, you do begin to see animals differently.
I have advanced prostate cancer so I did some research on things that may help as I had nothing to lose and plenty to gain. I came across your videos on cooked tomato products and Lycopene. I now take tomato puree 20g 3 times a day with added low-sugar ketchup. This had stopped my PSA from rising and hopefully reversed it. I have now started HDT on the advice of my oncologist So it is difficult to keep track of my progress. The HDT apparently will fail at some point and hopefully, The tomato puree will do its job.
TOMATO PASTE IS MOST CONCENTRATED & EFFECTIVE. THIN TOMATO IS WEAK. MUST BE COOKED PRODUCT & COMBINED WITH OLIVE OIL. IT IS OIL SOLUBLE.
Do high dose vitamin c intravenous twice a week , at 70 g a day it will kill cancer , go for lower doses at the beginning . Vegan diet , no low sugar ketchup , no sugar , 0 sugars.
@@WolfmanMackand obviously no sugar!
We love you Dr. Greger, thank you for educating us❣️
Dr G for president!!!!
Yess!
Father died of prostate cancer in his 70's, and both younger/older brothers had cancers in their 50's, with them removed without major complications. I'm the outlier so far, and at 68 still have PSA < 2. Can afford the whole body scan every so often even though most docs don't recommend it. Would never do biopsy, just take it.
Thank you so much ❤🎉
Wonderful work
Thank you!
It's truly disturbing that there is so much resistance to a plant based diet when something as dire as a cancer diagnosis is in play.
@@raystaar right agreed. Also how damaging animal farming is to our Earth. What can we do other than lead by example💚🙏🏽
Yes that's right. In Australia the term " soy boys " is used to describe weak, non tough sorts of men. Real men eat heaps of red meat apparently. After my treatment for low level/intermediate PCa I gave up dairy and became about 95% whole food plant based. To me it is a tough man that can stomach tofu every day which really dosent taste any where near as nice as steak or chicken
@@Grybyx What was your treatment ?
@patricktrussell7465 brachytherapy high dose August 2022. Psa November 2022 waa 0.19 which rose to 0.64 May 2023 which sky rocketed to 2.61 December 2023. Had petscan that showed no reoccurance. Next psa was 0.75 in May 2024. Doctors said I almost certainly had psa bounce.
Younger men more likely to get psa bounce. Losing weight and maintaining a good bmi makes reoccurance much less likely.
@@Grybyx Thanks . I think that you are winning . Good luck !
Was one of those patients who was told I did not need my PSA checked by my Dr. Only a very diligant urologist who insisted on it,saved my life. My PSA was 14, and found to have three tumors, two Gleason 7's and an 8. Surgery was the only option. That urologist saved me from likely Stage 4 or 5 PC. Gentlemen get screened. It's a fast and easy blood test.
I love this channel!
Don't forget the role of multiparametric MRI of the prostate. It noninvasively detects the vast majority of clinically significant prostate cancer. I believe it is underutilized by some health care providers.
You The Man!
Best youtube channel!
Most of the bulk pumpkin seeds sold in Amazon are from China. So do you recommend them ? And , do you mean raw or roasted ?
of the 30,000 men who die each year in the USA (?) from prostate cancer, what percentage of those were treated with chemo?
good question
Great, I wasn't going to get tested anyhow 😅
1994 was an important year, that the PSA test was approved. In my last 20 years of Internal Medicine, I have never seen a PSA to lie. A "falsely" high PSA sometimes indicates low grade prostate infection that does not cause too much of a problem symptom-wise. With antibiotic, the PSA often comes back down. Seems to me that "experts" were strongly influenced by the ENTIRE COST of doing the test, paying for the further tests such as MRI, biopsy, etc. Cost vs benefit thing. Eh, said the experts, most people with prostate cancer don't die of that cancer....or so they said.
There is no "clear harm" from PSA testing. A biopsy that comes back negative for cancer was not "unnecessary," as that is the only way to know whether life-saving treatment is needed. The harm comes from aggressive treatment (radical prostatectomy or radiation and hormone therapy) for low-grade cancers that are not life-threatening. It is better to know if you are one of the relatively few men who have aggressive cancers that can kill you if left untreated than to think "the odds are in my favor" and refuse a test that ultimately could save your life. Not getting a PSA test is about the same as not wearing a seat belt. Most people never have a car accident, so by analogy, seat belts are "unnecessary." It is wise to buckle up, and it is wise to get a PSA test.
What species of pumpkin?
my total psa since 2019 was averaging 2.9 to 3.2, I am 64 years old in 2024. June 2024 psa 4.4 July psa 4.9...doc ordered an mri and found a 15mm x 5mm tumor.......prior to June 2024 I was on a Thai food diet...came back to the usa in June and ate ice cream, pizza, cheese.....mri was on September 12th and immediately changed diet to fruits, veggies, pomegranate juice mixed with green apply juice and ginger.....eat vegetable soup with some skinless chicken....on 10-2-24 had my total psa redone and it was 2.6!!!!! doc wants to do a biopsy of the tumor to make sure it's not cancerous.....hmmm
If it is an aggressive cancer, you want to know that when life-saving treatment is still a possibility. If you do decide on a biopsy, though, transperineal has a lower chance of infection than transrectal. Not medical advice, do your own research. Ignoring it is not research.
Well,you can recommend the corresponding vaccine!You know yhe drill lately!
There is no vaccine for prostate cancer. And none for believing conspiracy theories.
stanford, City of Hope and my doctors here all tell .e prostate cancer spreads slowly........yet you contradict them!!