Prostate Restored
Prostate Restored
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“Diagnosis can be made with a reasonable accuracy by using a combination of PSA and DRE.” Prostate biopsies in elderly men are justified only among those aged 76-79 with PSA levels below 20 and minor comorbidities, “as this is the group of patients who could benefit from radical treatment.”
Jorde et al. showed that supplementation with even high-dose vitamin D (20,000–40,000 IU/week for 6–12 months) does not lead to an increase in...
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70% Choose 70% dark chocolate or higher to obtain the most flavanols. Though keep in mind that the higher the percentage of cocoa solids, the...
Read More »Prostate biopsies can be avoided in men older than 75 years who have PSA levels above 20 ng/mL because it is highly probable prostate cancer (PCa) will be detected and conservative treatment recommended, Scottish researchers concluded. Michael Nomikos, MD, and colleagues at the Western General Hospital in Edinburgh, U.K., studied 293 men over 75 years of age who underwent prostate biopsies. These men had a mean age of 82.6 years and a mean PSA level of 30.37. The overall PCa incidence was 73.7%. PCa was detected in 91% of men older than 75 with a PSA level above 20, the researchers reported in Urologia Internationalis (2010; published online ahead of print). Additionally, 92.7% of these men received hormonal deprivation therapy. The sensitivity and specificity of an abnormal digital rectal examination (DRE) for detecting PCa in men with a PSA value below 20 was 69.2% and 60.3%, respectively, the study found. In addition, among men older than 75 but younger than 80 who had PSA values between 20 and 40 and normal DRE, prostate biopsy revealed that 23% had benign disease. The authors noted that prostate biopsies are still useful in fit men older than 75 but younger than 80 with a PSA level below 20 who can still be potential candidates for treatment with curative intent. Among men aged 76-79, the positive biopsy rate was 55.6%, 63.8%, and 85.2% for those with PSA levels of 0.1-10, 10.1-20, and greater than 20, respectively. Among men aged 80-84, the rates were 72.7%, 70.6%, and 94.9%. Among those aged 85 and older, the rates were 66.7%, 85.7%, and 100%. Men older than 75 years with a PSA level above 20 and an abnormal DRE “can safely avoid biopsies as these will not influence treatment,” the authors wrote. “Diagnosis can be made with a reasonable accuracy by using a combination of PSA and DRE.” Prostate biopsies in elderly men are justified only among those aged 76-79 with PSA levels below 20 and minor comorbidities, “as this is the group of patients who could benefit from radical treatment.” The authors noted that men with a life expectancy of less than 10 years are seldom candidates for treatment with curative intent. “Radical treatment is rarely offered men with limited life expectancy as the risk of prostate cancer death is not substantially reduced, with the treatment-associated morbidity is higher in older men,” they observed.
The severity of symptoms in people who have prostate gland enlargement varies, but symptoms tend to gradually worsen over time. Common signs and...
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Does Stress Increase DHT? Yes, high levels of stress are linked to an increase in androgens and increased secretion of DHT (Dihydrotestosterone), a...
Read More »Enlarged Prostate: Bathroom Tips Practice "double voiding" by urinating as much as possible, relaxing for a few moments, and then urinating again. Try to relax before you urinate. ... Take plenty of time to urinate. Try sitting on the toilet instead of standing. ... Think of other things or read while you are waiting. More items...
Many cases of tiredness are due to stress, not enough sleep, poor diet and other lifestyle factors. Try these self-help tips to restore your energy...
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Dark chocolate has been linked to lower rates of depression Studies have shown that those who eat dark chocolate have significantly decreased...
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Fluxactive Complete is conveniently packed with over 14 essential prostate powerhouse herbs, vitamins and grade A nutrients which work synergistically to help you support a healthy prostate faster
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Strict Jains do not eat root vegetables, such as potatoes, onions, roots and tubers, as they are considered ananthkay. Ananthkay means one body,...
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Some of the most powerful adaptogens include Panax ginseng root, Rhodiola rosea root, Eleutherococcus senticosus root, astragalus root (Astragalus...
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