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Prostate Health Bernard Rosen, PhD
Bernard Rosen <ul><li>PhD in Nutrition (Clayton College) </li></ul><ul><li>MBA (Northwestern University) </li></ul><ul><li...
Prostate Health <ul><li>Prostate – anatomy and physiology </li></ul><ul><li>Common disorders </li></ul><ul><li>Conventiona...
The Prostate
Anatomy <ul><li>Part of male reproductive system. </li></ul><ul><li>Located just under the bladder.  </li></ul><ul><li>Sur...
Physiology <ul><li>Growth and functioning of the prostate are controlled by testosterone. </li></ul><ul><li>It protects th...
Physiology <ul><li>Acts as a valve that permits both sperm and urine to flow in the proper direction. </li></ul><ul><li>It...
Prostate Disorders <ul><li>Prostatitis </li></ul><ul><li>Benign Prostatic Hyperplasia (BHP) </li></ul><ul><li>Prostate Can...
Statistics <ul><li>By the age of 50 – 75% of men have enlarged prostates. </li></ul><ul><li>By the age of 50 – 33% of men ...
Prostatitis <ul><li>Pain and swelling of the prostate gland. </li></ul><ul><li>Merck Manual – “Prostatitis usually develop...
Benign Prostatic Hyperplasia <ul><li>A noncancerous (benign) enlargement of the prostate gland that can make urination dif...
Benign Prostatic Hyperplasia <ul><li>Statistics: </li></ul><ul><ul><li>By age 50 – 30% of males begin to experience BPH </...
Male Hormones <ul><li>Note that men and women have similar hormones. </li></ul><ul><ul><li>DHEA </li></ul></ul><ul><ul><li...
Hormone Basics <ul><li>Powerful biological chemicals produced by the endocrine glands in very small amounts.  </li></ul><u...
Hormone Manufacturing <ul><li>It starts with Cholesterol. </li></ul><ul><li>Cholesterol makes Pregnenolone. </li></ul><ul>...
Hormone Manufacturing <ul><li>Androstenedione makes Testosterone and Estrone (E1).  Testosterone can also be converted bac...
Testosterone <ul><li>The main male and androgen hormone, produced in the testes.  A steroid, anabolic, body building hormo...
What Testosterone Does <ul><li>Enhances libido. </li></ul><ul><li>Needed to achieve and sustain erections. </li></ul><ul><...
What Testosterone Does <ul><li>Assists in balance and coordination. </li></ul><ul><li>Protects against depression. </li></...
Andropause <ul><li>Andropause – the male menopause.  </li></ul><ul><li>Testosterone levels decrease. </li></ul><ul><li>Tes...
Andropause Symptoms <ul><li>1. Low mood, irritability, depression </li></ul><ul><li>2. Discouragement, pessimism </li></ul...
Benign Prostatic Hyperplasia <ul><li>What happens biochemically: </li></ul><ul><ul><li>Testosterone gets converted into di...
Benign Prostatic Hyperplasia <ul><li>More hormone talk: </li></ul><ul><ul><li>Estradiol (a form of estrogen) stimulates th...
Where Does the Estrogen Come From? <ul><li>Many sources </li></ul><ul><ul><li>Food and water </li></ul></ul><ul><ul><li>En...
Prostate Cancer <ul><li>Most common cancer among men. </li></ul><ul><li>Second most common cause of cancer death. </li></u...
Prostate Cancer <ul><li>Grows very slowly. </li></ul><ul><li>Make take decades to produce symptoms. </li></ul><ul><li>Some...
What do we know? <ul><li>We (modern medicine) does not know what causes any of these. </li></ul><ul><li>And, they have com...
Common Symptoms <ul><li>Pain in the penis </li></ul><ul><li>Pain in the testicles </li></ul><ul><li>Pain in the perineum (...
Common Symptoms <ul><li>Incomplete emptying of the bladder </li></ul><ul><li>Painful ejaculation </li></ul><ul><li>Painful...
Seemingly Unrelated Symptoms <ul><li>Lower back pain (very common) </li></ul><ul><li>Chronic pelvic pain syndrome </li></u...
Conventional Treatment: Prostatitis <ul><li>Doctor will prescribe: </li></ul><ul><ul><li>Antibiotics (when bacteria is fou...
Conventional Treatment: Prostatitis <ul><li>Do these help? </li></ul><ul><ul><li>Antibiotic does not address underlying ca...
Conventional Treatment: Prostatitis <ul><li>If condition becomes chronic, doctor may recommend: </li></ul><ul><ul><li>Part...
Conventional Treatment:  Benign Prostatic Hyperplasia <ul><li>Treatment is not necessary unless BPH causing: </li></ul><ul...
Conventional Treatment:  Benign Prostatic Hyperplasia <ul><li>Drugs </li></ul><ul><ul><li>Alpha-adrenegic blockers to rela...
Conventional Treatment:  Benign Prostatic Hyperplasia <ul><li>Drug (Finasteride) or Proscar. </li></ul><ul><ul><li>Side ef...
Conventional Treatment:  Benign Prostatic Hyperplasia <ul><li>Surgery – First stage – remove part of prostate </li></ul><u...
Conventional Treatment: Prostate Cancer <ul><li>It starts with screening. </li></ul><ul><li>Blood test to measure the leve...
Conventional Treatment: Prostate Cancer <ul><li>Small, slow-growing, confined to prostate; man expected to live many years...
Conventional Treatment: Prostate Cancer <ul><li>Cancer spread to areas around prostate, but not to distant areas – radiati...
Conventional Treatment: Prostate Cancer <ul><li>Surgery: </li></ul><ul><ul><li>Complete incontinence (3%) </li></ul></ul><...
Conventional Treatment: Prostate Cancer <ul><li>Hormonal Therapy (drugs to block testosterone which is believed to make ca...
What Have We Learned <ul><li>As men age they are increasingly likely to get one of these ailments. </li></ul><ul><li>We ar...
Hypothesis <ul><li>Perhaps there is a cause – modern lifestyle. </li></ul><ul><ul><li>Constant sitting, sedentary lifestyl...
For More Thought <ul><li>Remember the “non-bacterial” prostatitis? </li></ul><ul><li>It has “no medical remedy”. </li></ul...
The Good News <ul><li>Prostate problems come from genetic, hormonal, dietary, and lifestyle factors. </li></ul><ul><li>We ...
And Remember… <ul><li>The body is self healing. </li></ul><ul><li>Healing is done by nature and with fresh healthy blood. ...
Prevention <ul><li>Diet </li></ul><ul><li>Specific Nutrients </li></ul><ul><ul><li>Vitamins </li></ul></ul><ul><ul><li>Min...
Diet <ul><li>A good diet also influences hormones. </li></ul><ul><li>Good fats vs. Bad fats. </li></ul><ul><li>Prostatic a...
What causes nutrient deficiencies? <ul><li>Glandular elements depleted by excessive consumption of coffee, alcohol and spi...
What causes nutrient deficiencies? <ul><li>Diet of bad fats, refined and processed foods, minimal fruits and vegetables ->...
Nutrients for the Prostate <ul><li>B 6  – plays an important role in hormonal metabolism.  </li></ul><ul><ul><li>It reduce...
Where do we get these nutrients? <ul><li>B vitamins – whole grains, healthy animal products. </li></ul><ul><li>Antioxidant...
Zinc <ul><li>Zinc – a trace mineral </li></ul><ul><ul><li>Involved in male hormone production, seminal fluid production, a...
Zinc <ul><li>Zinc deficiency common today due to depleted soils. </li></ul><ul><li>Zinc is removed in food processing. </l...
Saw Palmetto <ul><li>Saw palmetto ( Serenoa repens ) </li></ul><ul><ul><li>Extract from the berries of this small palm tre...
Saw Palmetto <ul><li>Benefit comes from the fat and sterol portions of the plant. </li></ul><ul><li>Double blind study </l...
Saw Palmetto <ul><li>Additional uses: </li></ul><ul><ul><li>Discharge and inflammation of the genitourinary tract </li></u...
Other Herbs <ul><li>Pygeum </li></ul><ul><ul><li>Powdered bark from the  Pygeum africanus  tree has been used to treat BPH...
Colloidal Silver <ul><li>And how about those pesky bacteria in the prostate sacs? </li></ul><ul><ul><li>Colloidal silver <...
Glandular Extract <ul><li>Prostate tissue from: </li></ul><ul><ul><li>Cow (bovine) </li></ul></ul><ul><ul><li>Pig (porcine...
Sex Frequency <ul><li>Too much/too frequent ejaculation can cause strain and swelling to the prostate. </li></ul><ul><ul><...
Toxins <ul><li>Cadmium accumulates in the prostate from: </li></ul><ul><ul><li>Cigarette smoke </li></ul></ul><ul><ul><li>...
Helping Yourself <ul><li>Improve your diet: </li></ul><ul><ul><li>Healthy fats </li></ul></ul><ul><ul><li>Vegetables and f...
Helping Yourself <ul><li>Goal – increase the blood flow and nerve energy to the surrounding tissues and to the prostate it...
How I Can Help <ul><li>Dietary recommendations </li></ul><ul><li>Supplement recommendations </li></ul><ul><li>Exercise and...
Resources <ul><li>Ann Louise Gittleman:  Super Nutrition for Men. </li></ul><ul><li>www.prostate-massage-and-health.com </...
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Prostate Health

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One of the keys to a man's health is the health of his prostate. Learn about common symptoms and natural solutions.

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Prostate Health

  1. 1. Prostate Health Bernard Rosen, PhD
  2. 2. Bernard Rosen <ul><li>PhD in Nutrition (Clayton College) </li></ul><ul><li>MBA (Northwestern University) </li></ul><ul><li>B.S. (University of Pennsylvania) </li></ul><ul><li>Corporate Experience – Norlight Telecommunications, Kohler Company, J.I.Case, United Airlines </li></ul><ul><li>I used to weigh 185 pounds! </li></ul>
  3. 3. Prostate Health <ul><li>Prostate – anatomy and physiology </li></ul><ul><li>Common disorders </li></ul><ul><li>Conventional treatments </li></ul><ul><li>Prevention </li></ul>
  4. 4. The Prostate
  5. 5. Anatomy <ul><li>Part of male reproductive system. </li></ul><ul><li>Located just under the bladder. </li></ul><ul><li>Surrounds the urethra and the ejaculatory duct. </li></ul><ul><ul><li>Urethra – transports urine from the bladder and ejaculates semen. </li></ul></ul><ul><li>Walnut size in young men. </li></ul><ul><li>Merck Manual - “Enlarges with age.” </li></ul>
  6. 6. Physiology <ul><li>Growth and functioning of the prostate are controlled by testosterone. </li></ul><ul><li>It protects the genitourinary system from infection. </li></ul><ul><li>Filters out the impurities in blood stream so that seminal fluid is healthy place for sperm cells. </li></ul>
  7. 7. Physiology <ul><li>Acts as a valve that permits both sperm and urine to flow in the proper direction. </li></ul><ul><li>It receives sperm from the testicles, produces nutrients to nourish the sperm, and assists in the passage of the sperm. </li></ul><ul><li>As it does all this, it removes toxins and metabolic wastes from the blood. </li></ul><ul><li>Question: Where does this stuff go? </li></ul>
  8. 8. Prostate Disorders <ul><li>Prostatitis </li></ul><ul><li>Benign Prostatic Hyperplasia (BHP) </li></ul><ul><li>Prostate Cancer </li></ul>
  9. 9. Statistics <ul><li>By the age of 50 – 75% of men have enlarged prostates. </li></ul><ul><li>By the age of 50 – 33% of men have cancer cells in their prostates. </li></ul><ul><li>By the age of 75 – 75% have cancer cells in their prostates. </li></ul>
  10. 10. Prostatitis <ul><li>Pain and swelling of the prostate gland. </li></ul><ul><li>Merck Manual – “Prostatitis usually develops for unknown reasons.” </li></ul><ul><li>Can result from a bacterial infection. </li></ul><ul><li>Most times is “non-bacterial” = unknown origin. </li></ul><ul><li>Toxins and wastes can accumulate over time -> why more prevalent in older men. </li></ul><ul><li>Generally in men under age 50. </li></ul>
  11. 11. Benign Prostatic Hyperplasia <ul><li>A noncancerous (benign) enlargement of the prostate gland that can make urination difficult. </li></ul><ul><li>Merck Manual – “Benign prostatic hyperplasia (BHP) becomes increasingly common as men age, especially after age 50. The precise cause is not known but probably involves changes induced by hormones, especially testosterone. </li></ul>
  12. 12. Benign Prostatic Hyperplasia <ul><li>Statistics: </li></ul><ul><ul><li>By age 50 – 30% of males begin to experience BPH </li></ul></ul><ul><ul><li>By age 60 – 50%. </li></ul></ul><ul><ul><li>Beyond 70 – 80%. </li></ul></ul><ul><ul><li>By age 80 – virtually 100%. </li></ul></ul><ul><ul><li>20% of men with BPH will develop prostate cancer. </li></ul></ul>
  13. 13. Male Hormones <ul><li>Note that men and women have similar hormones. </li></ul><ul><ul><li>DHEA </li></ul></ul><ul><ul><li>Progesterone </li></ul></ul><ul><ul><li>Androstenedione </li></ul></ul><ul><ul><li>Estrogen </li></ul></ul><ul><ul><li>Testosterone </li></ul></ul><ul><ul><li>Dihydrotestosterone (DHT) </li></ul></ul>
  14. 14. Hormone Basics <ul><li>Powerful biological chemicals produced by the endocrine glands in very small amounts. </li></ul><ul><li>Endocrine glands – hypothalamus, pituitary, thyroid, adrenal, ovaries, testes. </li></ul><ul><li>Released into the blood stream and carried to cells of the body. </li></ul><ul><li>Hormones initiate cell actions as wells as help regulate, control, and coordinate body functions. </li></ul>
  15. 15. Hormone Manufacturing <ul><li>It starts with Cholesterol. </li></ul><ul><li>Cholesterol makes Pregnenolone. </li></ul><ul><li>Pregnenolone makes DHEA or Progesterone. </li></ul><ul><li>DHEA and Progesterone can make Androstenedione. </li></ul><ul><li>Progesterone also makes Aldosterone and 17-hydroxyprogesterone (which makes Cortisol). </li></ul>
  16. 16. Hormone Manufacturing <ul><li>Androstenedione makes Testosterone and Estrone (E1). Testosterone can also be converted back to Androstenedione. </li></ul><ul><li>Testosterone can make DHT or Estradiol (E2). </li></ul><ul><li>Estrone (E1) makes Estriol (E3) and Estradiol (E2). Estradiol can also be converted back to Estrone (E1). </li></ul>
  17. 17. Testosterone <ul><li>The main male and androgen hormone, produced in the testes. A steroid, anabolic, body building hormone. </li></ul>
  18. 18. What Testosterone Does <ul><li>Enhances libido. </li></ul><ul><li>Needed to achieve and sustain erections. </li></ul><ul><li>Protects against heart disease and stroke. </li></ul><ul><li>Increases and enhances energy and stamina. </li></ul><ul><li>Builds strong bones. </li></ul><ul><li>Builds strong muscles. </li></ul><ul><li>Maintains muscle tone. </li></ul>
  19. 19. What Testosterone Does <ul><li>Assists in balance and coordination. </li></ul><ul><li>Protects against depression. </li></ul><ul><li>Normalizes weight. </li></ul><ul><li>Protects against age-related mental decline. </li></ul><ul><li>Helps maintain a healthy cholesterol balance. </li></ul><ul><li>May protect against prostate problems and cancer. </li></ul>
  20. 20. Andropause <ul><li>Andropause – the male menopause. </li></ul><ul><li>Testosterone levels decrease. </li></ul><ul><li>Testosterone deficiency signs and symptoms occur because of a variety of hormone imbalances and not just testosterone deficiency. </li></ul><ul><ul><li>Estrogen dominance. </li></ul></ul><ul><li>The onset is usually gradual </li></ul><ul><ul><li>Signs and symptoms are often missed or treated as separate problems without concern for male hormone status. </li></ul></ul>
  21. 21. Andropause Symptoms <ul><li>1. Low mood, irritability, depression </li></ul><ul><li>2. Discouragement, pessimism </li></ul><ul><li>3. Loss of energy, strength, stamina </li></ul><ul><li>4. Withdrawal from activities and relationships </li></ul><ul><li>5. Concentration and memory difficulties </li></ul><ul><li>6. Less productive at work, decreased initiative, motivation, drive </li></ul><ul><li>7. Gradually increasing fatigue </li></ul><ul><li>8. Decrease in spontaneous morning erections </li></ul><ul><li>9. Loss of libido </li></ul><ul><li>10. Erectile dysfunction (ED) </li></ul><ul><li>11. Muscle soreness, weakness, decreased muscle tone </li></ul><ul><li>12. Decreased lean muscle mass </li></ul><ul><li>13. Sleep problems </li></ul><ul><li>14. Blood sugar problems, Insulin Resistance, increased risk for Diabetes </li></ul><ul><li>15. Weight gain, central weight gain </li></ul><ul><li>16. Increased fat distribution in hips and breasts </li></ul><ul><li>17. Increased cholesterol and triglycerides </li></ul><ul><li>18. Elevated blood pressure </li></ul><ul><li>19. Increased risk for cardiovascular disease </li></ul><ul><li>20. Skin problems, thinning and dry skin </li></ul><ul><li>21. Prostate problems and urinary problems </li></ul><ul><li>22. Osteoporosis </li></ul>
  22. 22. Benign Prostatic Hyperplasia <ul><li>What happens biochemically: </li></ul><ul><ul><li>Testosterone gets converted into dihydrotestosterone (DHT). </li></ul></ul><ul><ul><li>DHT makes the prostate grow. </li></ul></ul><ul><ul><li>DHT is formed when enzyme is 5-alpha-reductase acts upon testosterone. </li></ul></ul><ul><ul><li>Goal of medications – to inhibit the production of 5-alpha-reductase. </li></ul></ul>
  23. 23. Benign Prostatic Hyperplasia <ul><li>More hormone talk: </li></ul><ul><ul><li>Estradiol (a form of estrogen) stimulates the uptake of DHT. </li></ul></ul><ul><ul><li>Men with BPH were found to have excessive estradiol in their prostates. </li></ul></ul><ul><ul><li>Estrogen – fat storing hormone. Chances are if you are overweight, you have excess estrogen. </li></ul></ul><ul><ul><li>Estrogen stimulates production of enzyme aromatase which turns testosterone into estrogen. </li></ul></ul><ul><ul><li>So, where does this estrogen come from and what does it mean to prostate health? </li></ul></ul>
  24. 24. Where Does the Estrogen Come From? <ul><li>Many sources </li></ul><ul><ul><li>Food and water </li></ul></ul><ul><ul><li>Environmental </li></ul></ul><ul><li>Estrogen is eliminated in the liver. </li></ul><ul><li>Need a healthy liver, if not may have excess estrogen. </li></ul><ul><ul><li>Alcohol, unhealthy lifestyles, prescription drugs. </li></ul></ul>
  25. 25. Prostate Cancer <ul><li>Most common cancer among men. </li></ul><ul><li>Second most common cause of cancer death. </li></ul><ul><li>Chance of development increases: </li></ul><ul><ul><li>Age </li></ul></ul><ul><ul><li>African-American or Hispanic </li></ul></ul><ul><ul><li>Relatives had or have the disease </li></ul></ul><ul><ul><li>Men receiving testosterone treatments </li></ul></ul>
  26. 26. Prostate Cancer <ul><li>Grows very slowly. </li></ul><ul><li>Make take decades to produce symptoms. </li></ul><ul><li>Sometimes grows rapidly and spreads outside the prostate. </li></ul><ul><li>Merck Manual – “The cause of prostate cancer is not known.” </li></ul>
  27. 27. What do we know? <ul><li>We (modern medicine) does not know what causes any of these. </li></ul><ul><li>And, they have common symptoms and some seemingly unrelated symptoms. </li></ul><ul><li>Such as: </li></ul>
  28. 28. Common Symptoms <ul><li>Pain in the penis </li></ul><ul><li>Pain in the testicles </li></ul><ul><li>Pain in the perineum (the area between the scrotum and the rectum) </li></ul><ul><li>Frequent urination </li></ul><ul><li>Burning urination </li></ul><ul><li>Night-time urination </li></ul>
  29. 29. Common Symptoms <ul><li>Incomplete emptying of the bladder </li></ul><ul><li>Painful ejaculation </li></ul><ul><li>Painful urination </li></ul><ul><li>Sensation of having to urinate immediately, often accompanied by bladder pain or spasm (urgency) </li></ul><ul><li>Recurring urinary tract infection </li></ul>
  30. 30. Seemingly Unrelated Symptoms <ul><li>Lower back pain (very common) </li></ul><ul><li>Chronic pelvic pain syndrome </li></ul><ul><li>Fever </li></ul><ul><li>Chills </li></ul><ul><li>Joint pain </li></ul><ul><li>Muscle pain </li></ul><ul><li>Infection in bloodstream </li></ul>
  31. 31. Conventional Treatment: Prostatitis <ul><li>Doctor will prescribe: </li></ul><ul><ul><li>Antibiotics (when bacteria is found, sometimes when not found) </li></ul></ul><ul><ul><li>Analgesics and anti-inflammatory drugs </li></ul></ul><ul><li>Doctor will recommend: </li></ul><ul><ul><li>“Massage” </li></ul></ul><ul><ul><li>Frequent ejaculation </li></ul></ul><ul><ul><li>Sitting in a warm bath </li></ul></ul>
  32. 32. Conventional Treatment: Prostatitis <ul><li>Do these help? </li></ul><ul><ul><li>Antibiotic does not address underlying cause(s). </li></ul></ul><ul><ul><li>The massage does bring some temporary relief, but have you ever had one? (Perhaps there is a better way.) </li></ul></ul><ul><ul><li>Ejaculation – we’ll hear about that later. </li></ul></ul>
  33. 33. Conventional Treatment: Prostatitis <ul><li>If condition becomes chronic, doctor may recommend: </li></ul><ul><ul><li>Partial or complete removal of prostate </li></ul></ul><ul><ul><li>Destruction of prostate by microwave or laser treatments </li></ul></ul><ul><li>Important to treat, or it can lead to infection in the kidneys, testicles, or bladder obstruction. </li></ul>
  34. 34. Conventional Treatment: Benign Prostatic Hyperplasia <ul><li>Treatment is not necessary unless BPH causing: </li></ul><ul><ul><li>Urinary tract infections </li></ul></ul><ul><ul><li>Impaired kidney function </li></ul></ul><ul><ul><li>Blood in the urine </li></ul></ul><ul><ul><li>Kidney stones </li></ul></ul><ul><ul><li>Urinary retention </li></ul></ul><ul><li>However, if nothing is done, these are likely to occur. </li></ul>
  35. 35. Conventional Treatment: Benign Prostatic Hyperplasia <ul><li>Drugs </li></ul><ul><ul><li>Alpha-adrenegic blockers to relax certain muscles to ease the flow of urine. </li></ul></ul><ul><ul><li>Drugs to reverse the effects of male hormones responsible for the prostate’s growth, “shrinking the prostate and helping delay the need for surgery.” </li></ul></ul>
  36. 36. Conventional Treatment: Benign Prostatic Hyperplasia <ul><li>Drug (Finasteride) or Proscar. </li></ul><ul><ul><li>Side effects include erectile dysfunction, decreased libido, and ejaculatory disorders. </li></ul></ul><ul><ul><li>Also warning for pregnant women not to come in contact with the drug. </li></ul></ul><ul><li>Drug (Terzosin hydrochloride) or Hytrin. </li></ul><ul><ul><li>Side effects include low blood pressure, erectile dysfunction, heart palpitations, dizziness, fatigue, and sinus problems. </li></ul></ul>
  37. 37. Conventional Treatment: Benign Prostatic Hyperplasia <ul><li>Surgery – First stage – remove part of prostate </li></ul><ul><ul><li>Incontinence (1%) </li></ul></ul><ul><ul><li>Erectile dysfunction (5-10%) </li></ul></ul><ul><ul><li>Need surgery again in five years (10%) </li></ul></ul><ul><li>A variety of other techniques to destroy prostate tissue without removal. </li></ul>
  38. 38. Conventional Treatment: Prostate Cancer <ul><li>It starts with screening. </li></ul><ul><li>Blood test to measure the level of prostate specific antigen (PSA), a substance that is “usually elevated in men with prostate cancer.” </li></ul><ul><li>PSA levels can be misleading. </li></ul><ul><li>PSA levels normally increase with age. </li></ul><ul><li>PSA levels can be elevated due to other causes. </li></ul>
  39. 39. Conventional Treatment: Prostate Cancer <ul><li>Small, slow-growing, confined to prostate; man expected to live many years – surgery or radiation therapy. </li></ul><ul><li>Small, slow-growing, confined to prostate; man not expected to live many years – no treatment. </li></ul><ul><li>Large or fast-growing, confined to prostate – surgery or radiation therapy. </li></ul>
  40. 40. Conventional Treatment: Prostate Cancer <ul><li>Cancer spread to areas around prostate, but not to distant areas – radiation therapy. </li></ul><ul><li>Widespread cancer – hormonal therapy. </li></ul>
  41. 41. Conventional Treatment: Prostate Cancer <ul><li>Surgery: </li></ul><ul><ul><li>Complete incontinence (3%) </li></ul></ul><ul><ul><li>Partial or stress incontinence (20%) </li></ul></ul><ul><ul><li>Erectile dysfunction (common) </li></ul></ul><ul><li>Radiation: </li></ul><ul><ul><li>Incontinence (5%) </li></ul></ul><ul><ul><li>Erectile dysfunction (30%) </li></ul></ul><ul><ul><li>Urethra strictures (7%) </li></ul></ul>
  42. 42. Conventional Treatment: Prostate Cancer <ul><li>Hormonal Therapy (drugs to block testosterone which is believed to make cancer grow, yet BHP comes from decreasing testosterone – it can be a little confusing!) side effects: </li></ul><ul><ul><li>Hot flashes </li></ul></ul><ul><ul><li>Osteoporosis </li></ul></ul><ul><ul><li>Low energy </li></ul></ul><ul><ul><li>Reduced muscle mass </li></ul></ul><ul><ul><li>Reduced libido </li></ul></ul><ul><ul><li>Erectile dysfunction </li></ul></ul><ul><ul><li>Breast enlargement </li></ul></ul>
  43. 43. What Have We Learned <ul><li>As men age they are increasingly likely to get one of these ailments. </li></ul><ul><li>We are not really sure what causes it. </li></ul><ul><li>There are not a lot of pleasant options once we have it. </li></ul><ul><li>Perhaps there is another side to the story………(I’ll tell you my story.) </li></ul>
  44. 44. Hypothesis <ul><li>Perhaps there is a cause – modern lifestyle. </li></ul><ul><ul><li>Constant sitting, sedentary lifestyle, limited exercise -> lack of blood flow and circulation </li></ul></ul><ul><ul><li>Deficient foods -> lack of nutrients to nourish body </li></ul></ul><ul><ul><li>Emphasis on constant sexual performance -> depletes nutrients </li></ul></ul><ul><ul><li>Stress, anxiety, and worry ->adds toxins to the blood </li></ul></ul><ul><ul><li>Prescription drugs -> add toxins to the blood </li></ul></ul>
  45. 45. For More Thought <ul><li>Remember the “non-bacterial” prostatitis? </li></ul><ul><li>It has “no medical remedy”. </li></ul><ul><li>More news…It is actually bacterial. </li></ul><ul><ul><li>The bacteria is trapped inside the small sacs (acini) that make up the interior of the gland. </li></ul></ul><ul><ul><li>When the fluid in these sacs is stagnant or unhealthy, bacteria will grow. </li></ul></ul><ul><ul><li>The sacs will inflame and swell then seal off. As they do this, the prostate swells. </li></ul></ul><ul><ul><li>The bacteria does not get outside of the sacs, so it can not be identified in the urine or semen. </li></ul></ul>
  46. 46. The Good News <ul><li>Prostate problems come from genetic, hormonal, dietary, and lifestyle factors. </li></ul><ul><li>We have influence over 3 of the 4! </li></ul><ul><li>We can do something(s)!! </li></ul><ul><ul><li>Diet </li></ul></ul><ul><ul><li>Supplements </li></ul></ul><ul><ul><li>Specific exercise </li></ul></ul><ul><ul><li>Relaxation </li></ul></ul><ul><ul><li>Sexual frequency </li></ul></ul>
  47. 47. And Remember… <ul><li>The body is self healing. </li></ul><ul><li>Healing is done by nature and with fresh healthy blood. </li></ul>
  48. 48. Prevention <ul><li>Diet </li></ul><ul><li>Specific Nutrients </li></ul><ul><ul><li>Vitamins </li></ul></ul><ul><ul><li>Minerals </li></ul></ul><ul><ul><li>Herbs </li></ul></ul><ul><ul><li>Glandulars </li></ul></ul><ul><li>Sex Frequency </li></ul><ul><li>Detoxification </li></ul>
  49. 49. Diet <ul><li>A good diet also influences hormones. </li></ul><ul><li>Good fats vs. Bad fats. </li></ul><ul><li>Prostatic and seminal lipid (fat) levels and ratios are often abnormal in people with BPH and prostate cancer. </li></ul><ul><li>Nutrient deficiencies in the gland can create favorable conditions for infections to develop. </li></ul>
  50. 50. What causes nutrient deficiencies? <ul><li>Glandular elements depleted by excessive consumption of coffee, alcohol and spicy foods -> lower immunity. </li></ul><ul><li>Increased sexual activity depletes the prostate gland of enzymes and zinc that sterilize the urethra and protect the gland from infection - > lower immunity. </li></ul>
  51. 51. What causes nutrient deficiencies? <ul><li>Diet of bad fats, refined and processed foods, minimal fruits and vegetables -> nutrient deficiencies. </li></ul><ul><li>Bad fats -> bad cells -> disease. </li></ul><ul><li>Stress -> hormonal deficiencies. </li></ul><ul><li>Stress -> weight gain. </li></ul><ul><li>Sedentary lifestyle -> no movement of blood. </li></ul>
  52. 52. Nutrients for the Prostate <ul><li>B 6 – plays an important role in hormonal metabolism. </li></ul><ul><ul><li>It reduces prolactin levels which reduces the conversion of testosterone into DHT. </li></ul></ul><ul><ul><li>B Vitamins work together and should be taken together. </li></ul></ul><ul><li>C, E, Selenium – antioxidants. </li></ul><ul><li>Essential Fatty Acids (Omega 3 EPA and DHA) – anti-inflammatory, help build and maintain healthy cells. </li></ul>
  53. 53. Where do we get these nutrients? <ul><li>B vitamins – whole grains, healthy animal products. </li></ul><ul><li>Antioxidants – fruits and vegetables. </li></ul><ul><li>Essential fatty acids – healthy animal products. </li></ul><ul><li>What don’t you see on this list? </li></ul><ul><ul><li>Hint: sugar, processed flour, refined foods, alcohol, coffee (get the picture?). </li></ul></ul>
  54. 54. Zinc <ul><li>Zinc – a trace mineral </li></ul><ul><ul><li>Involved in male hormone production, seminal fluid production, and sperm production. </li></ul></ul><ul><ul><li>Prevents formation of DHT. </li></ul></ul><ul><li>A normal prostate gland contains more zinc than any other organ in the body. </li></ul><ul><li>Prostate is the zinc storehouse – where the body may go when it needs zinc. </li></ul><ul><li>Zinc inhibits estrogen. </li></ul><ul><li>The ability to absorb zinc declines with age. </li></ul>
  55. 55. Zinc <ul><li>Zinc deficiency common today due to depleted soils. </li></ul><ul><li>Zinc is removed in food processing. </li></ul><ul><li>Zinc is depleted by smoking, alcohol, coffee, infections, and medications. </li></ul><ul><li>Zinc sources – brewer’s yeast, eggs, meat, organ meats, seafood (especially oysters), and seeds (particularly pumpkin). </li></ul>
  56. 56. Saw Palmetto <ul><li>Saw palmetto ( Serenoa repens ) </li></ul><ul><ul><li>Extract from the berries of this small palm tree has been used for enlarged prostate. </li></ul></ul><ul><ul><li>Used by Herbalists and Native Americans. </li></ul></ul><ul><li>What it does </li></ul><ul><ul><li>Blocks the formation of DHT by inhibiting testosterone 5-alpha reductase. </li></ul></ul><ul><ul><li>Prevents DHT uptake by prostate cells. </li></ul></ul>
  57. 57. Saw Palmetto <ul><li>Benefit comes from the fat and sterol portions of the plant. </li></ul><ul><li>Double blind study </li></ul><ul><ul><li>Decreased nighttime urination by 45%. </li></ul></ul><ul><ul><li>Increased urinary flow rate by 50%. </li></ul></ul><ul><ul><li>Reduced urine retained in bladder by 42%. </li></ul></ul><ul><li>Many studies show it is effective for BPH. </li></ul><ul><li>Warning – there are many types of preparations, not all are potent. </li></ul><ul><ul><li>Want extract containing 85-95% fatty acids and sterols. </li></ul></ul>
  58. 58. Saw Palmetto <ul><li>Additional uses: </li></ul><ul><ul><li>Discharge and inflammation of the genitourinary tract </li></ul></ul><ul><ul><li>Atrophy of sexual tissues (male and female) </li></ul></ul><ul><ul><li>Incontinence (improves bladder tone) </li></ul></ul>
  59. 59. Other Herbs <ul><li>Pygeum </li></ul><ul><ul><li>Powdered bark from the Pygeum africanus tree has been used to treat BPH. </li></ul></ul><ul><ul><li>It is an anti-inflammatory. </li></ul></ul><ul><li>Nettle Root </li></ul><ul><ul><li>Root from Urtica dioica used to treat BPH. </li></ul></ul><ul><ul><li>Also used for skin eruptions and bowel disorders. </li></ul></ul>
  60. 60. Colloidal Silver <ul><li>And how about those pesky bacteria in the prostate sacs? </li></ul><ul><ul><li>Colloidal silver </li></ul></ul>
  61. 61. Glandular Extract <ul><li>Prostate tissue from: </li></ul><ul><ul><li>Cow (bovine) </li></ul></ul><ul><ul><li>Pig (porcine) </li></ul></ul><ul><li>Provides the pattern from which the body can build new healthy cells. </li></ul><ul><ul><li>Extract seems to be more beneficial than actual organ. </li></ul></ul><ul><ul><li>Refined raw glandular tissue assumes an enzyme-like action that improves assimilation in the target organ. </li></ul></ul>
  62. 62. Sex Frequency <ul><li>Too much/too frequent ejaculation can cause strain and swelling to the prostate. </li></ul><ul><ul><li>Muscles contract when ejaculate. After ejaculation the muscles will swell. </li></ul></ul><ul><li>Guidelines of Chinese Medicine: </li></ul><ul><ul><li>Teenagers – twice per day. </li></ul></ul><ul><ul><li>20’s – 5-7 times per week. </li></ul></ul><ul><ul><li>30’s – 3-4 times per week. </li></ul></ul><ul><ul><li>40’s – 2 times per week. </li></ul></ul><ul><ul><li>50’s – 1 time per week. </li></ul></ul><ul><ul><li>70’s – 1 time per month. </li></ul></ul>
  63. 63. Toxins <ul><li>Cadmium accumulates in the prostate from: </li></ul><ul><ul><li>Cigarette smoke </li></ul></ul><ul><ul><li>Paints </li></ul></ul><ul><ul><li>Contaminated drinking water </li></ul></ul><ul><ul><li>Shellfish from polluted waters </li></ul></ul><ul><li>Pesticides used in food or in the home. </li></ul><ul><li>Air and water pollution. </li></ul><ul><li>Solution – detoxification. </li></ul>
  64. 64. Helping Yourself <ul><li>Improve your diet: </li></ul><ul><ul><li>Healthy fats </li></ul></ul><ul><ul><li>Vegetables and fruits </li></ul></ul><ul><ul><li>Whole grains </li></ul></ul><ul><li>Utilize supplements </li></ul><ul><li>Exercise </li></ul><ul><li>Relax (Meditate) </li></ul>
  65. 65. Helping Yourself <ul><li>Goal – increase the blood flow and nerve energy to the surrounding tissues and to the prostate itself. </li></ul><ul><li>Sitz baths – 30 minutes minimum </li></ul><ul><li>Massages </li></ul><ul><ul><li>External </li></ul></ul><ul><ul><li>Internal </li></ul></ul>
  66. 66. How I Can Help <ul><li>Dietary recommendations </li></ul><ul><li>Supplement recommendations </li></ul><ul><li>Exercise and relaxation techniques </li></ul><ul><li>Lifestyle modification recommendations </li></ul><ul><li>Nutritional testing (hair, saliva, blood) </li></ul>
  67. 67. Resources <ul><li>Ann Louise Gittleman: Super Nutrition for Men. </li></ul><ul><li>www.prostate-massage-and-health.com </li></ul><ul><li>Bernard Rosen, PhD </li></ul><ul><ul><li>262-389-9907 </li></ul></ul><ul><ul><li>[email_address] </li></ul></ul>

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