Imaging Prostate Cancer
Posted: Nov 01, 2018
POSTED: September 04, 2015
Prostate Forum recently spoke with Dr. Mark Moyad, the Jenkins/Pokempner Director of Preventive & Complementary Medicine at the University of Michigan Medical Center. Dr. Moyad is a popular speaker at patient-centered prostate conferences in the US and abroad. The author of the popular Beyond Hormonal Therapy and the ABCs of Nutrition and Supplements for Prostate Cancer, Promoting Wellness for Prostate Cancer Patients & Male Sexual Health, Moyad is dedicated to educating prostate cancer patients about the connections between diet, supplements, lifestyle, and health.
You can read the entire conversation in Prostate Forum Volume 15 # 9.
Prostate Forum: What would you say to a man in his early to mid 30s interested in preventing prostate cancer or other prostate diseases?
Last year 150,000 individuals under the age of 65 died from a cardiovascular event. Let me repeat: 150,000 under the age of 65. The problem with heart disease is that people are now saying the rates are going down. But all that means is that we have a super epidemic that has now been turned into an epidemic. But it’s still an epidemic. A terrible epidemic.
So the first thing I do when I talk to a man in his 20s or 30s who is worried about prostate cancer is make sure he sees the forest over the tree. I’m going to make sure that he becomes his own cardiologist. I want him to become obsessed with his heart disease risk. In his attempt to become obsessed with his heart disease risk, he’ll be doing everything possible to reduce his risk of prostate cancer.
I make sure that he becomes an expert on anything that falls within the spectrum of heart health. If he is interested in nutrition, I’ll focus on foods and fats that are heart-healthy. I’ll talk about the positives and negatives of saturated fats. I will give a whole lecture on fiber. I’ll talk about carbohydrates. I’ll talk about reading food labels. I’ll walk him through the different diets: low carb; high carb; high protein; low protein; Mediterranean; and vegan. For 8 out of 10 men, I’ll recommend some kind of weight loss program-either a diet or a medical weight loss clinic.
The biggest problem I see is that men in their 20s and 30s interested in preventing prostate cancer are obsessed with their PSA. They can tell me their last 5 PSAs, but they can’t even give me a hint as to their cardiac risk. I want men to know their latest PSA result, but I also want them to know their last LDL. When someone says my doctor told me my cholesterol was normal but I don’t know the numbers, I’m worried. Normal is relative based on your situation.
I tell young men that everything we talk about in the realm of heart disease and heart disease reduction looks beneficial for preventing prostate cancer. There is a huge amount of research on how obesity increases the risk of prostate cancer and a huge amount of research showing that high blood glucose increases the risk of aggressive prostate cancer. There is a huge amount of information on cholesterol increasing the risk of aggressive prostate cancer. There is even some data to suggest high blood pressure and diet may increase prostate cancer risk. I redirect their attention so they can see the forest over the tree. And in that way we still take care of the tree.
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