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Prevent Prostate Cancer With These Tips From A Top Doctor



While prostate cancer hits one in nine men at some point in their life, men usually don’t think about it until later in life. Now is a good time to not be “normal”. If you take these steps now, you can prevent this cancer later.

I’m 37 years old and to prevent cancer I see cases almost every day. Here is what I do and my recommendations for you too:

Revise what’s for dinner

As I became more specialized in prostate cancer, I had to cut my red meat intake to two or three times a month and eliminate processed meat. There is good data that this, along with consuming cruciferous vegetables (broccoli, cauliflower, kale) and foods with antioxidants can reduce the risk of prostate cancer. Plus, I like to eat these foods anyway.

Keep moving

Everyone thinks about being active and maintaining a healthy weight to promote cardiovascular fitness, but they̵

7;re also pretty important for prostate cancer risk – especially since obesity is associated with a higher likelihood of aggressive forms. There is no specific exercise to protect the prostate, but at least 150 minutes of moderate exercise per week is associated with lower risk. I lift weights and run regularly for many health reasons.

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See more, do less

If I had a low grade, low risk prostate tumor, I would choose active surveillance or no treatment. Numerous studies show that the survival rates of these tumors are just as good as with surgery and radiation, and the risk of complications with treatment is avoided. Waiting can cause anxiety when men hear “cancer”. So there is a movement that calls this something like “non-cancer”.

Know your family’s health history

One patient just told me he didn’t know his father had prostate cancer until he gave the laudation. It is important! If your father or brother had it, your risk is two to three times higher than the average. Health issues come up easily in my family, but if your parents don’t provide a medical history, ask.

Learn more about pills

Some doctors prescribe the drugs dutasteride and finasteride, which are used to treat an enlarged prostate, off-label to reduce the risk of prostate cancer, but they are controversial. They can only reduce the risk of low-grade cancers and affect libido, cause ED, and potentially enlarge breasts. When assessing my own risk, ethnicity, lack of family history, and a desire not to mess with my libido or chest, I won’t take either.

Plus, here’s what I tell men about the current guidelines for prostate cancer screening

The guidelines for getting a PSA, the blood test that checks for prostate cancer, change as often as the movie’s release dates. The researchers disagree on the usefulness of the test. The latest advice, if you’re 40 or older and have more than one first degree relative (brother, father) diagnosed with prostate cancer before age 65, get a checkup. If you are 45 years of age or older and African American or who was diagnosed with a first degree relative before age 65, get an evaluation. If you are between 55 and 69 years old, decide with your doctor if and when screening makes sense.

Bobby Liaw, MD, is an assistant professor of medicine, hematology, and oncology at Mount Sinai Health System in New York.

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