7 Ways to Help Prevent Prostate Cancer

Based on the findings of more than 200 studies conducted over nearly 20 years, these 7 steps are completely doable actions you can take to not only help prevent prostate cancer, the disease that will strike every 1 in 9 men, but also improve your overall health.

1. Prevent prostate cancer: diet

Your food choices play a significant role in the development of cancer, including prostate cancer. Many dietary recommendations are involved in this one suggestion. For example:

  • Maximize your intake of fresh (organic when possible) fruits and vegetables, which typically contain high levels of anti-inflammatory and anticancer substances.
  • Focus on healthy fats, such as monounsaturated and omega-3 fatty acids rather than saturated and trans fats. Monounsaturated fats are in olives and olive oil while omega-3 fatty acids are found in cold water fatty fish (e.g., salmon, tuna, herring, oysters, sardines), flaxseeds, chia seeds, walnuts, and soybeans.
  • Choose whole foods, which don’t contain preservatives, artificial colors or flavorings, or other chemicals.
  • Choose plant protein rather than animal protein. Plant protein provides all of the nutrition you need to support and maintain your prostate health. Protein is found in vegetables, soybeans, legumes, some grains (e.g., amaranth, quinoa), nuts, and seeds. Ease these foods into your menu.

2. Prevent prostate cancer: beware of supplements

Some nutritional and herbal supplements can be helpful for the prostate, such as saw palmetto and stinging nettle. Yet men need to be aware of the dangers associated with a few common supplements. Calcium supplements, for example, have been associated with an increased risk of advanced prostate cancer. Vitamin E supplements also are not recommended, as they’ve been shown to increase the risk of the disease among healthy men. Use of selenium supplements also have been associated with an increased risk of dying of prostate cancer among men with nonmetastatic disease.

3. Prevent prostate cancer: manage stress

Although stress may not have a direct impact on cancer development, chronic stress can weaken the immune system, cause fluctuations in hormonal balance, and make you more susceptible to disease. Stress reduction can include a wide range of activities, such as regular exercise (which has been shown to slow the spread of prostate cancer), tai chi, deep breathing, meditation, yoga, massage, reflexology, and progressive relaxation, among others.

4. Prevent prostate cancer: drink green tea

Green tea contains catechins, substances shown to help prevent the growth of cancer cells and encourage them to self-destruct (apoptosis). Catechins also can interrupt the actions of enzymes that promote the spread of cancer.

In 2017, a systematic review and meta-analysis found that higher (more than 7 cups daily) consumption of green tea was associated with a reduced risk of prostate cancer. This study was significant because it was the first meta-analysis of green tea catechins and the incidence of prostate cancer.

5. Prevent prostate cancer: stay hydrated

Drink enough water. Sounds simple, right? Yet it’s so easy to become dehydrated and not even realize it. Do it often and the effects can be cumulative. Staying properly hydrated can support prostate health and thus be a player in the prevention of prostate cancer.

6. Prevent prostate cancer: watch your weight

Research has shown that being overweight is associated with a greater risk of prostate cancer as well as a lower survival rate. One example comes from the International Journal of Cancer in 2017 in which the authors found strong associations between weight gain and metabolic changes and prostate cancer progression.

In fact, many studies have pointed to the relationship between weight (especially abdominal weight) and progression of prostate cancer. Scientists have been trying to understand the reason for this relationship, including an increase in the estrogen-to-androgen ratio and enhancement of inflammation, which in turn contributes to conditions favorable to prostate cancer. This is an area that requires much more research.

7. Prevent prostate cancer: avoid toxins

Preservatives, pesticides, and other toxins have become a part of everyday life. They have infiltrated our food, water, air, clothing, furniture, cleaning products, personal care items, and more. These substances are taking a toll on your health, including your prostate. The best preventive measure is to choose all-natural products, including organic foods, untreated furniture, chemical-free health and cleaning products, and pesticide-free garden and pest control.

Bottom line

Men need to be aware of the daily steps they can take to help prevent the development of prostate cancer. The suggestions provided here are also relevant for men who may already have been diagnosed with the disease to help ward off spread of the disease and improve quality of life.

References

Dickerman BA et al. Weight change, obesity, and risk of prostate cancer progression among men with clinically localized prostate cancer. International Journal of Cancer 2017 Sep 1; 141(5): 933-44

Esser KA et al. Physical activity reduces prostate carcinogenesis in a transgenic model. Prostate 2009 Sep 15; 69(3): 1372-77

Guo Y et al. Green tea and the risk of prostate cancer: a systematic review and meta-analysis. Medicine (Baltimore) 2017 Mar; 96(13): e6426

Jian L et al. Protective effect of green tea against prostate cancer: a case-control study in southeast China. International Journal of Cancer 2004 Jan 1; 108(1): 130-35

Kenfield SA et al. Selenium supplementation and prostate cancer mortality. Journal of the National Cancer Institute 2014 Dec 12; 107(1): 360

Klein EA et al. Vitamin E and the risk of prostate cancer: the Selenium and Vitamin E Cancer Prevention Trial (SELECT). JAMA 2011 Oct 12; 306(14): 1549-56

World Health Organization. Q&A on the carcinogenicity of consumption of red meat and processed meat. 2015 October

What Does It Mean to Have Prostate Cancer?

If you have heard the words “You have prostate cancer” from your doctor, many thoughts and questions probably ran through your mind.

  • Why me?
  • What exactly is prostate cancer?
  • How bad is it?
  • Do I need treatment and if so, what are the options?
  • Will I be able to work? Have sex?
  • Am I going to die?

It would take volumes to answer these questions. However, here are some thoughts on each of them that can serve as launching points for further discussion between you and your physician and family.

Why me?

This is a common question regardless of what disease someone develops. Check out these statistics and see where you fit into the picture.

  • Prostate cancer affects 1 out of every nine men during their lifetime.
  • In 2019, an estimated 174,650 new cases of the disease will be diagnosed in American men, and about 31,620 men will die of the disease, according to the American Cancer Society.
  • Prostate cancer is rare among men younger than 40, as the average age at the time of diagnosis is about 66
  • Sixty percent of cases occur in men aged 65 or older.
  • Older age is a main factor in the development of the disease.

Why did you get prostate cancer? That’s difficult to say. Genetics and ethnicity play a role, as the disease is at least 60 percent more common among black men than non-Hispanic white men. Other risk factors include age, location (more frequent in North America, northwestern Europe, Australia, and the Caribbean islands), and family history.

For example, if your father or brother has had prostate cancer, you have twice the risk of developing the disease than do other men without this family history. The risk is slightly higher if your brother rather than your father has had the disease.

A few other risk factors for prostate cancer include:

  • Diet: Research indicates that eating a diet that contains high-fat dairy or red meat may increase a man’s chances of developing prostate cancer.
  • Obesity: The obesity risk seems to operate at two levels. One is that obesity itself is linked to the development of the disease, and another is that it increases a man’s risk of dying of advanced prostate cancer.
  • Agent Orange: Men who were exposed to Agent Orange during the Vietnam War appear to be more prone to develop aggressive prostate cancer. This relationship is still being explored by researchers.

What exactly is prostate cancer?

Prostate cancer is the uncontrolled growth of cells in the prostate gland. When mutations of DNA occur, they can cause the cells in the prostate gland to grow abnormally and out of control. Eventually those cells can develop into a tumor.

How bad is it?

The stage at which prostate cancer is discovered is important because it determines if and how treatment should occur, which treatments are most appropriate for you, and what you can expect along this journey with prostate cancer.

Prostate cancer is generally a slow-growing disease. Currently, nearly 3 million men in the United States alone are living with prostate cancer.

That’s not to say prostate cancer isn’t a very serious disease and doesn’t demand immediate attention. However, the type of attention depends on the stage of cancer, age of the patient, overall health, life expectancy, and the quality of life the patient desires.

Prostate cancer is staged based on the extent of the disease, the PSA level, and Gleason score at the time of diagnosis. The stages are:

  • T0: No evidence of a tumor in the prostate
  • T1: Although a doctor cannot feel changes in the prostate during examination, a tumor may be discovered during surgery or needle biopsy for another prostate problem, such as an enlarged prostate.
  • T2: The tumor is confined to the prostate and is large enough to be felt during a digital rectal exam.
  • T3: The tumor has grown through the prostate on one or both sides of the prostate. It also may have expanded into the seminal vesicles, which are the tubes that transport semen.
  • T4: The tumor has not grown or it has grown into the rectum, pelvic wall, of other nearby structures except the seminal vesicles, external sphincter, or several other areas.

The bottom line is, your doctor should explain to you the extent of the disease. To make that determination, clinicians use a range of diagnostic tools, including the PSA, digital rectal exam, prostate biopsy, biomarker tests, PCA3, and transrectal ultrasound test.

Do I need treatment and if so, what are the options?

You and your doctor will work together to determine whether your prostate cancer requires treatment. The choice of treatment, if any, depends on the severity of the disease.

For many men, and especially the majority who show an early, slow-growing cancer, a treatment approach called Active Surveillance is sometimes recommended. This involves regular monitoring of the disease using various tests but no active treatment unless there is progression. Other main options may include:

  • Surgery in the form of prostatectomy (removal of the prostate) for cancer that has not spread beyond the prostate
  • Chemotherapy, the use of drugs for prostate cancer that has spread beyond the gland. It is sometimes used along with hormone therapy
  • Hormone therapy, also known as androgen deprivation therapy, for cancer that has spread too far to be cured using surgery or radiation, before radiation to help make treatment more effective, or along with radiation for men at greater risk of cancer returning after treatment
  • Radiation, which may be used as the first treatment for low-grade cancer limited to the prostate, along with hormone therapy for cancer that has spread beyond the prostate, or in advanced cancer to help keep it under control
  • Cryotherapy, or the use of extremely cold temperatures to freeze and kill prostate cancer cells, may be used for early-stage disease. It is sometimes used if cancer has returned after radiation therapy.

Will I be able to work or have sex with prostate cancer?

For the vast majority of men, having prostate cancer does not end their ability to continue working or engaging in sex, although depending on the severity of the disease, they may need to make adjustments in both of these areas. For example, men who undergo chemotherapy may experience side effects from treatment that cause them to lose time at work because of nausea, fatigue, or weakness.

The ability to have sexual intercourse while living with prostate cancer can depend on the treatment. Prostatectomy and radiation, for example, are associated with a significant risk of experiencing erectile dysfunction and urinary incontinence.

However, men who become stressed over their diagnosis, even if they have low-risk disease and are on active surveillance, may experience performance anxiety. Therefore, men with prostate cancer who are concerned about their ability to continue sexual activity should discuss their concerns not only with their partners but with mental health professionals if necessary so they can find ways to continue their sex lives.

Am I going to die?

According to the American Cancer Society, about 1 man in 41 will die of prostate cancer. Once a man has been diagnosed with prostate cancer, the five-year relative survival rate for different types and stages of the disease are as follows. If the five-year relative survival rate for a specific stage of the disease is 90 percent, it means that men with prostate cancer are, on average, about 90 percent as likely as men without the disease to live for at least five years after diagnosis.

  • Localized (no sign of disease outside of the prostate), nearly 100%
  • Regional (cancer has spread to nearby structure or lymph nodes), nearly 100%
  • Distant (cancer has spread to bones, lung, liver, or other distant parts), 30 percent

Even though prostate cancer is the second leading cause of cancer death among American men, most men who have been diagnosed with the disease don’t die from it.

Bottom line

Men who have been diagnosed with prostate cancer need to educate themselves and their families about the disease. Consultation with one or more trusted physicians is recommended, and men should continue to stay abreast of the latest findings and research in the area of prostate cancer and treatment.

Reference

American Cancer Society. Key statistics for prostate cancer

Omega-3 Fatty Acids – Should Men Take Them?

Articles about omega-3 fatty acids is all over the internet. It seems there’s a new story about this important nutrient just about every week. If you’re among the nearly 19 million Americans who takes an omega-3 supplement in the form of fish oil (the typical way), then you may find yourself checking out the latest research on the topic. We’re going to talk about that here.

If you don’t take an omega-3 supplement, then it may be time for you to see why this supplement gains so much attention. Chances are unless you are a regular consumer of fatty cold water oily fish, you should be taking an omega-3 supplement since the body can’t make these fatty acids, so food and fish oil supplements are the only sources.

What are omega-3 fatty acids?

The two most prevalent omega-3s are eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). A third omega-3, called alpha-linolenic acid (ALA), is found in foods other than fish, such as walnuts, flax seed, soybeans, pumpkin seeds, canola oil, and tofu. However, the body must convert ALA into EPA and DHA, and the conversion rate is very low.

According to the National Institutes of Health, there’s insufficient data available to give recommended intake for EPA and DHA. However, many organizations recommend a range of 250 mg to 500 mg daily of EPA and DHA for healthy individuals. Higher amounts are usually recommended for people who have specific health conditions, such as heart disease. For ALA, the recommended intake is 1.1 to 1.6 grams. 

Why men should take omega-3 supplements

Heart health. Since heart disease is the number one killer of men in the United States and many other places around the world, research pointing to the heart-healthy properties of omega-3s is especially relevant. A 2017 Harvard University study reported that omega-3s are associated with a lower risk of cardiovascular disease and urged individuals to substitute saturated fatty acids with unsaturated fats, such as omega-3s. In a 2018 review, the authors noted that the American Heart Association recently expanded their Class II recommendations, stating that treatment with omega-3 fatty acids for cardiovascular disease is reasonable.

Prostate cancer. Numerous studies have shown that DHA has an ability to shrink prostate tumors, reduce the risk of prostate cancer, and enhance the impact of the chemotherapy drug, cisplatin. Now a recent study has discovered the processes by which this omega-3 fatty acid can help in the prostate cancer fight.

Without getting too technical, it appears that DHA induces the inhibition of cancer cell growth and cell suicide of prostate cancer cells that are dependent on something called the Hippo pathway. This knowledge may open the door to new therapies for prostate cancer. Until then, omega-3 fatty acids seem to be a wise supplement choice.

Memory support. Use of omega-3 supplements have been found to be helpful in individuals who have mild Alzheimer’s disease. In younger individuals (ages 18 to 25) without dementia, taking fish oil supplements daily for six months resulted in a 23 percent increase in working memory.

Depression. In a recent (December 2018) study from Spain, investigators found that moderate intake (500 to 1,000 mg daily) of omega-3 fatty acids was significantly associated with a lower prevalence of depression. This is half of the dose suggested by many organizations. In an Italian meta-analysis and review that involved 31 studies and more than 255,000 individuals, the authors reported that dietary intake of omega-3 fatty acids was associated with lower risk of depression.

Eye health. Approximately 11 million people in the United States alone have macular degeneration, and omega-3 fatty acids may be able to help. In a study of more than 114,000 adults, those with a higher intake of omega-3s were more likely to delay or prevent development of this devastating eye condition.

Australian researchers conducted what is believed to be the first study ever to show that daily use of omega-3s can reduce intraocular pressure, which is a risk factor for the potentially blinding eye disease, glaucoma. The dose used was 1,000 mg EPA plus 500 mg DHA and 900 mg ALA.

Weight loss and metabolism. Weight gain is a concern as men age, especially among those with heart disease, diabetes, or respiratory conditions. Use of fish oil supplements may help boost metabolism and result in less accumulation of fat and weight loss, based on the findings of an animal study. In a human study, adults who switched to fish oil from other fats showed a reduction in body fat mass index, which indicated that omega-3s have an ability to reduce body fat and prompt the fatty acids to produce energy (i.e., burn calories).

Immune system. Maintaining strong immune function is critical as men age, and omega-3s may play a part. A study appearing in the Journal of Leukocyte Biology indicated that DHA can enhance the activity B cells, which are critical for optimal immune system health.

Diabetes. Approximately 13 million men in the United States alone have diabetes, with up to 95 percent of them having type 2 disease. A number of studies have indicated that omega-3s can help reduce the risk of type 2 diabetes as well as prevent complications that are associated with it. One study, for example, found that adults with diabetes who took 500 mg omega-3s daily or ate two servings of fatty fish every week were nearly 50 percent less likely to develop diabetic retinopathy when compared with those who consumed less.

Another way fish oil may help with diabetes is to improve insulin sensitivity. A study in the Journal of Clinical Endocrinology and Metabolism reported that adults who took fish oil showed an increase in the levels of the hormone adiponectin, which is a strong marker for insulin sensitivity.

Bottom line

Omega-3 fatty acid supplements in the form of fish oil are beneficial for men’s health in a variety of ways. However, you want to be sure to take products from reputable suppliers. Look for supplements that have been PBC tested, sustainably sourced, and contain no preservatives, artificial colors, or allergens.

While the Food and Drug Administration states that 3,000 mg daily of omega-3s is the upper limit for safety, the European Food Safety Authority says 5,000 mg is safe. Keep these figures in mind when taking omega-3 supplements, as these fatty acids can cause excessive bleeding and blood thinning in some people.

References

Aucoin M. Fish-derived omega-3 fatty acids and prostate cancer: a systematic review. Integrated Cancer Therapy 2017 Mar; 16(1): 32-62–YES

Bright Focus Foundation. Age-related macular degeneration: facts and figures

Canhada S et al. Omega-3 fatty acids’ supplementation in Alzheimer’s disease: a systematic review. Nutritional Neuroscience 2017 May 3:1-10–YES

Couet C et al. Effects of dietary fish oil on body fat mass and basal fat oxidation in healthy adults. International Journal of Obesity and Related Metabolic Disorders 1997 Aug; 21(8): 637-43—YES 

Downie LE, Vingrys AJ. Oral omega-3 supplementation lowers intraocular pressure in normotensive adults. Translational Vision Science & Technology 2018 May 1; 7(3): 1

EFSA Panel on Dietetic Products, Nutrition and Allergies. Scientific opinion on the tolerable upper intake level of eicosapentaenoic acid (EPA) docosahexaenoic acid (DHA), and docosapentaenoic acid (DPA). EFSA Journal 2012 Jul 27; 10(7)

Elagizi A et al. Omega-3 polyunsaturated fatty acids and cardiovascular health: a comprehensive review. Progress in Cardiovascular Diseases 2018 May-June; 61(1): 76-85

Gurzell EA et al. DHA-enriched fish oil targets B cell lipid microdomains and enhances ex vivo and in vivo B cell function. Journal of Leukocyte Biology 2013 Apr; 93(4): 463-70–YES

Hu Z et al. Docosahexaenoic acid inhibit the growth of hormone-dependent prostate cancer cells by promoting the degradation of the androgen receptor. Molecular Medicine Reports 2015 Sep; 12(3): 3769-74

Kyoto University. Fish oil helps burn fat by transforming fat-storage cells into fat-burning cells. 2015 Dec 18

Narendran R et al. Improved working memory but no effect on striatal vesicular monoamine transporter type 2 after omega-3 polyunsaturated fatty acid supplementation. PLoS One 2012 Oct 3—YES

National Institutes of Health. Omega-3 fatty acids. Accessed June 21, 2019.

Sala-Vila A et al. Dietary marine w-3 fatty acids and incident sight-threatening retinopathy in middle-aged and older individuals with type 2 diabetes. Prospective investigation from the PREDIMED trial. JAMA Ophthalmology 2016; 134(10): 1142-49—YES

Sanchez-Villegas A et al. Seafood consumption, omega-3 fatty acids intake, and life-time prevalence of depression in the PREDIMED-Plus Trial. Nutrients 2018 Dec 18; 10(12): pii:E2000

Wang DD, Hu FB. Dietary fat and risk of cardiovascular disease: recent controversies and advances. Annual Review of Nutrition 2017 Jun 23—YES

Wang J et al. FFAR1- and FFAR4-dependent activation of Hippo pathway mediates DHA-induced apoptosis of androgen-independent prostate cancer cells. Biochemical and Biophysical Research Communications 2018 Nov 30; 506(3): 590-96

Wu J et al. Dietary intakes of eicosapentaenoic acid and docosahexaenoic acid and risk of age-related macular degeneration. Ophthalology 2017 May; 124(5): 634-43—YES

Wu MHY et al. Effect of fish oil on circulating adiponectin: a systematic review and meta-analysis of randomized controlled trials. Journal of Clinical Endocrinology and Metabolism 2013 Jun; 98(6): 2451-59

8 Prostate Supplement FAQs & What You Should Know

You may have been thinking about taking a prostate supplement but you’re not sure what to take. Perhaps you’ve been diagnosed with an enlarged prostate, prostate cancer, or prostatitis, or you may be interested in keeping that walnut-sized gland as healthy as possible. So your interest may be preventive.

In any case, you may have some questions about prostate supplements. After all, there are numerous products from which to choose, and the information may be confusing or lacking in specificity. Maybe your healthcare provider is not familiar with prostate supplements, in which case you should find a professional who can help you make your final purchasing decision to ensure you are getting a product that is right for you.

At the same time, you can do some research on your own, and that’s where this article comes in. Here are 8 FAQs on prostate supplements to help you get started on your search for the optimal prostate product for you.

1. Why should I take a prostate supplement?

You should consider taking a prostate supplement if you:

  • Have already tried conventional treatments for a prostate condition and you want to complement your efforts
  • Do not want to take any conventional medications. This is, of course, a personal decision. However, you should take this approach only if you are under the guidance of a medical professional, especially if you have a prostate condition or disease
  • Want to enhance or maintain your current prostate health. Taking a prostate supplement may be an effective way to help prevent future prostate problems.

2. How do I know if a prostate supplement is reputable?

You should consider several factors when looking for a reputable prostate supplement. One is transparency. Is there a way to contact the company and speak with a representative about their products? If the product is online, can you clearly see the product label and ingredients?

Another important factor is, are the claims made by the manufacturer backed up with scientific evidence? The producer should provide references to support the ingredients used in their product, and you should be able to search for and read the evidence for yourself. 

Yet another factor is certification. Look for products made in manufacturing facilities that are 100 percent FDA and GMP (Good Manufacturing Practices) certified. It is also recommended that the producer be NSF (National Sanitation Foundation) certified. NSF certification guarantees that the supplement’s contents match those printed on the label, that all the ingredients in the supplement have been listed on the label, and that there are no unacceptable levels of contaminants in the supplement.

Finally, choose a supplement that does not contain synthetic or artificial ingredients or fillers.

3. How long does it take for prostate supplements to work?

That depends on the supplement and the issue you are addressing. Remember that prostate supplements are not medications, and that natural substances can take longer to initiate noticeable results. You may experience results in a few days or a few weeks. If you don’t notice any improvement after 30 days, you may need to find a different prostate supplement.

4. What prostate supplement ingredients may help with an enlarged prostate?

If you have been diagnosed with an enlarged prostate (aka, benign prostatic hyperplasia), there are several natural ingredients that can complement your management strategy. The following ingredients are among those most studied for an enlarged prostate. Although these herbal remedies can be purchased individually, it is often best to use a supplement that combines several herbs to take advantage of the synergy of the product.

Beta-sitosterol: This substance is found in many plants, including corn oils, soybeans, peanuts, rice bran, and wheat germ. Although beta-sitosterol will not have an impact on the size of your prostate, it may help improve urinary flow and allow you to better empty your bladder. In a review of four studies involving more than 500 participants, researchers reported that beta-sitosterol improves urinary flow and urological symptoms.

Pygeum africanum: The bark of the African plum tree (Prunus africana) is the source of this herbal remedy. Some studies have indicated that it may help men with nocturnal urinary urgency (nocturia), improve urine stream, better empty the bladder, and go to the bathroom fewer times during the day. Prunus africana bark may contain atranorin, atraric acid, beta-sitosterol, ferulic acid, and N-butylbenzene sulfonamide, substances that have been shown to improve the symptoms of an enlarged prostate.

Rye grass pollen extract: Evidence that rye grass pollen extract is helpful in managing an enlarged prostate is limited. In one review that involved 163 men, rye grass pollen was compared with placebo. Use of the pollen extract was associated with a significant increase in self-rated improvement and reduced need to get up at night to urinate when compared with placebo. In a subsequent study that enrolled 444 men, the pollen extract resulted in an improvement in overall urinary symptoms, including nocturia.

5. What prostate supplement ingredients may help with prostatitis?

Many of the symptoms of prostatitis are similar to those of an enlarged prostate, so some of the natural remedies are the same. However, there are a few different ingredients you should look for in a prostate supplement that may help manage this condition.

Beta-sitosterol: See question on enlarged prostate

Green tea extract: So far, the research on green tea and prostatitis has focused on animal models. The findings have indicated that the catechins in green tea have anti-inflammatory and antimicrobial effects on prostatitis. This effect was better when the catechins were altered using nanotechnology. Other work has shown that catechins combined with the antibiotic ciprofloxacin (Cipro) resulted in significant improvements in prostatitis symptoms when compared with placebo.

Quercetin: Animal study results point to the value of using quercetin against prostatitis. According to a recent study published in Prostate, quercetin helps protect against CP/CPPS, which is mediated by anti-oxidation, anti-inflammation, and specific signaling functions in the body.

Rye pollen extract: See question on enlarged prostate

Saw palmetto: Numerous studies have explained the benefits of taking saw palmetto for management of prostatitis symptoms, especially those associated with the most common form of the condition, chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). In a 2017 report, for example, use of 320 mg saw palmetto daily for 12 weeks resulted in dramatic improvement in lower urinary tract symptoms and in quality of life.

Zinc: The prostate has a very high concentration of zinc, which indicates that this mineral is important for the integrity of this gland. Research shows that taking zinc supplements can help individuals with chronic prostatitis because of its anti-bacterial and immune-modulatory actions in the body.

6. What prostate supplement ingredients may help with prostate cancer?

Prostate supplements should not be used as a replacement for conventional prostate cancer treatment. However, they can be a significant complementary addition to your current treatment strategy. Be sure to discuss your plans to use prostate supplements with your physician.

Green tea: Numerous studies have shown that high consumption of green tea is associated with a lower risk of prostate cancer. One such study includes a systematic review and meta-analysis published in 2017. That study was the first meta-analysis that looked at the consumption of the active ingredients in green tea (catechins) and the incidence of prostate cancer. The authors found that “higher green tea consumption was linearly reduced PCa [prostate cancer] risk with more than 7 cups/day and green tea catechins were effective for preventing PCa.”

Resveratrol: This antioxidant and phytonutrient has been demonstrating much promise in the fight against prostate cancer. In 2019 alone, there have been numerous animal studies showing how resveratrol can not only inhibit the growth of prostate cancer cells but also suppress spread of the disease and promote cell death (apoptosis). Effective doses of resveratrol have not yet been determined.

Vitamin D: The body transforms vitamin D into several factors that help prevent the spread of prostate cancer cells as well as their reproduction. A number of studies also indicate that low levels of vitamin D are more likely to be seen in men with prostate cancer than in those without the disease, and that vitamin may help lower PSA levels. However, several studies have noted that high doses of vitamin D are not recommended.

Zinc: Taking zinc supplements may reduce the risk of developing advanced prostate cancer. In animal studies, human prostate cancer cells were exposed to zinc, and the cells were prone to undergo cell suicide. Zinc also has been shown to be a player in the regulation of prostate cancer cell growth.

7. What prostate supplement ingredients are recommended for overall prostate health?

Look for a prostate supplement that offers a variety of support. The main ingredients for a prostate supplement include beta-sitosterol, green tea extract, Pygeum africanum, vitamin D, and zinc (see details about each above). Saw palmetto and pumpkin seed oil are also sometimes suggested.

8. How do I know if my prostate supplement will interact with medications or other supplements?

If you plan to take a prostate supplement (or any supplement for that matter), you should talk to a knowledgeable healthcare professional about any possible drug and/or supplement interactions. This is especially important if you have any medical issues that may be impacted by your use of the supplement. Naturally, you can do your own research online to uncover possible interactions or contraindications, but it’s always best to check with a professional; if not your doctor, then talk with a pharmacist.

References

Costello LC, Franklin RB. A comprehensive review of the role of zinc in normal prostate function and metabolism; and its implications in prostate cancer. Archives of Biochemistry and Biophysics 2016 Dec 1; 611:100-12

Goodarzi D et al. The efficacy of zinc for treatment of chronic prostatitis. Acta Med Indones 2013 Oct; 45(4): 259-64

Guo Y et al. Green tea and the risk of prostate cancer: a systematic review and meta-analysis. Medicine (Baltimore) 2017 Mar; 96(13): e6426

Jang YG et al. Resveratrol inhibits DHT-induced progression of prostate cancer cell line through interfering with the AR and CXCR4 pathway. Journal of Steroid Biochemistry and Molecular Biology 2019 Jun 8; 192:105406

Lee YS et al. Synergistic effect between catechin and ciprofloxacin on chronic bacterial prostatitis rat model. International Journal of Urology 2005 Apr; 12(4): 383-89

MacDonald R et al. A systematic review of cernilton for the treatment of benign prostatic hyperplasia. BJU International 2000 May; 85(7): 836-41

McNicholas T, Kirby R. Benign prostatic hyperplasia and male lower urinary tract symptoms (LUTS). BMI Clinical Evidence 2011 Aug 26; 2011.

Petrou S et al. Effect of vitamin D supplementation in prostate cancer: a systematic review of randomized control trials. International Journal for Vitamin and Nutrition Research 2018 Feb; 88(1-2): 100-12

Ramakrishnan S et al. Association among plasma 1,25(OH)2D, ratio of 1,25(OH)2 D to 25(OH)D, and prostate cancer aggressiveness. Prostate 2019 Jul; 79(10): 1117-24

Shahvazi S et al. The effect of vitamin D supplementation on prostate cancer: a systematic review and meta-analysis of clinical trials. Hormone and Metabolic Research 2019 Jan; 51(1): 11-21

Thompson RQ et al. Chemical comparison of Prunus africana bark and pygeum products marketed for prostate health. Journal of Pharmaceutical and Biomedical Analysis 2019 Jan 30; 163:162-69

Wilt TJ et al. Beta-sitosterol for the treatment of benign prostatic hyperplasia: a systematic review. BJU International 1999 Jun; 83(9): 976-83

Yoon BI et al. Anti-inflammatory and antimicrobial effects of nanocatechin in a chronic bacterial prostatitis rat model. Journal of Infection and Chemotherapy 2010 Aug 7

Men Over 40 Should be Taking These Supplements – Here’s Why

As we get older, our hormone levels fluctuate, our lifestyle choices undergo transitions, and the types of stressors that impact us shift—it’s all a part of life. Family, financial, employment, and social demands are different from those a decade or more ago. Yet while all of this is occurring, we often forget that our nutritional needs are changing as well.

How are you addressing those changing nutritional needs? Only you can answer that question for yourself, but if statistics are any indication, adults in American are deficient in many important nutrients. Based on data from the National Health and Nutrition Examination Survey (NHANES) and other sources, for example, 95 percent of adults don’t meet the daily requirements for vitamin D, 94 percent don’t get enough vitamin E, 61 percent don’t get enough magnesium, and 49 percent are low in calcium.

Here are 9 supplements all men who are over 40 should consider taking based on their individual lifestyle habits. Keep in mind that even when consuming a healthy diet on a regular basis, various environmental stressors—physical and psychological—can take its toll on your body’s ability to absorb and utilize nutrients.

Calcium

Most of us know about how important calcium is for strong bones and teeth, but its role in heart, muscle, and nerve function, hormone regulation, blood clotting, and blood pressure is critical as well. Given the high percentage of adults who do not get enough calcium from food, supplementation seems to be a viable option. 

A word of caution concerning calcium supplementation for men. Some research, including a study of nearly 400,000 men and women followed for more than 12 years, found that men who took more than 1,000 mg of calcium supplement daily were 20 percent more likely to die of heart disease than their peers who did not take calcium. This increased risk of death was not seen in women nor in getting calcium from food.

Therefore, men who are not getting sufficient calcium from food should either boost their calcium-rich food intake or be sure they limit their calcium supplementation to no more than 1,000 mg daily.

Coenzyme Q10

Although your body produces coenzyme Q10, the production levels decline as you get older. Benefits of this antioxidant include helping in the fight against cancer, Parkinson’s disease, and heart disease, as well as slowing the progression of aging. A daily dose of 100 mg is suggested. However, if you are taking statins, you should talk to your doctor about increasing the dose to 200 mg because statins reduce coenzyme Q10.

Fiber

The role of fiber in reducing the risk of cardiovascular disease should not be underestimated. Fiber helps eliminate cholesterol and the accumulation of plaque in the arteries. It also has been found to be a key player in reducing the risk of colon cancer, a disease that is the third cause of cancer deaths among men. Men should strive to get between 25 and 35 grams of fiber daily from food. If you fall short of this goal, all-natural fiber supplements that contain whole husk psyllium, flax seed, chia seed, and oats are suggested.

Fish oil

Unless you eat at least two servings of fatty fish every week, chances are you are not getting enough omega-3 fatty acids. These essential fats are critical for men over 40 because of the rising risk of heart disease and stroke in this population. Omega-3s help keep triglyceride and blood pressure levels low and also work to decrease inflammation.

Although there’s no established dose of omega-3 fatty acids, a common recommendation is for 1,000 mg daily for health men and 2,000 to 4,000 mg for those who have heart disease. Check with your healthcare provider before starting a regimen of fish oil supplementation.

Folic acid

This B vitamin is often associated with women’s health because adequate levels are necessary for pregnant women to help prevent certain birth defects. However, folic acid also is a key factor in preventing clogged arteries because it helps regulate homocysteine, an amino acid that increases the risk of blood clots. Other duties of the B vitamin include DNA synthesis and hormone balance.

The recommended daily intake of folic acid is 400 micrograms daily. If you are using medications for acid reflux or heartburn, such as proton pump inhibitors (i.e., Aciphex, Nexium, Prevacid, Prilosec), you risk folic acid deficiency.

Magnesium

This mineral is involved in more than 300 biochemical activities in the body, including blood pressure control, muscle relaxation, anxiety and depression relief, lowering insulin resistance, reducing inflammation, lowering insulin resistance, calcium absorption, and supporting bone strength, among others. Men who experience muscle cramps and spasms, especially associated with exercise, may be low in magnesium. The RDA for magnesium for men is 400 to 420 mg daily. 

Probiotics

A healthy gut is critical at any age, so there’s nothing magical about age 40. However, it’s important to get into the habit of nourishing and fortifying your immune system and intestinal flora as you get older. If you haven’t started already, now’s the time. Benefits you may notice quickly are better digestion and regularity. Probiotics also may lower levels of bad cholesterol (LDL) and blood pressure and assist in weight loss.

Look for probiotic supplements that contain about 10 or more species and strains. No standard dosing has been established, but take at least 10 to 20 billion CFUs daily as a maintenance program and higher doses if you are battling digestive issues.

Vitamin B12

We begin to lose optimal ability to absorb this essential vitamin as we age, so supplementation should be considered. Vitamin B12 is essential for healthy nervous system function, production of red blood cells, and energy production. If you consume partial or complete plant-based diet, then you will likely need to take a supplement because nearly all sources of this vitamin are from animals. You can get vitamin B12 from plant foods that have been fortified with it, such as plant beverages and cereals.

Vitamin B12 is essential for healthy blood and brain function. The recommended daily intake is 2.4 mg.

Vitamin D3 

While insufficient vitamin D affects most adults, it is especially important for men as they age because it is an essential part of testosterone production. Vitamin D also enhances energy levels and sex drive and is a significant player in protein synthesis, tissue repair, and fat burning. All of these factors work in synch, and the unifying feature is getting enough vitamin D.

Vitamin D also has a big role in bone health, as it, along with calcium, are critical for structural integrity. Too little vitamin D can be a factor in the development of osteoporosis down the road.

Experts do not agree on the amount of vitamin D supplementation nor the blood levels of the vitamin men should have for optimal health. The Institute of Medicine says 600 International Units (IUs) is a sufficient daily dose for the vast majority of people. However, an independent analysis of data used by the Institute established that most people need 8,895 IU daily to reach vitamin D values of 50 nmol/L, considered to be a healthy level by many health professionals.

Before starting a vitamin D3 supplement program, you should have a blood test to determine your vitamin D levels. Your healthcare provider can help identify the best vitamin D dose for your needs.

Bottom line

As you age, your physical and psychological needs change and evolve. You need to make adjustments to your nutritional intake to ensure you are keeping up with those changes. Men older than 40 should consider taking supplements to help meet those changing nutritional needs. 

References

Environmental Working Group. How much is too much? Appendix B: Vitamin and Mineral Deficiencies in the US. 2014 Jun 19

Fulgoni VL 3rd at al. Foods, fortificants, and supplements: where do Americans get their nutrients? Journal of Nutrition 2011 Oct; 141(10): 1847-54

Larsson SC. Are calcium supplements harmful to cardiovascular disease? Comment on “Dietary and supplemental calcium intake and cardiovascular diseases mortality: the National Institutes of Health-AARP Diet and Health Study. JAMA Internal Medicine 2013; 173(8): 647-48

Khalesi S et al. Effect of probiotics on blood pressure: a systematic review and meta-analysis of randomized, controlled trials. Hypertension 2014 Oct; 64(4): 897-903

La Fata G et al. Probiotics and the gut immune system: indirect regulation. Probiotics and Antimicrobial Proteins 2018 Mar; 10(1): 11-21

NIH-AARP Diet and Health Study. National Cancer Institute

Papadimitriou DT. The big vitamin D mistake. Journal of Preventive Medicine & Public Health 2017 Jul; 50(4): 278-81

The Power of Probiotics

Extensive research has shown that beneficial bacteria, aka probiotics, can play a significant role in numerous areas of human health. Because these good microorganisms are concentrated in the digestive system, and especially in the intestinal tract, their interactions with food and their impact on all things related to digestion are of most interest.

For example, one of the strengths associated with probiotics is an ability to help balance the healthy bacteria in your digestive system. An imbalance can occur for many reasons, including use of antibiotics, illness, and eating a poor diet, such as one that includes processed meats, sugary beverages, and refined carbohydrates. We could easily be talking about a hot dog or sausage on a white flour bun accompanied by greasy French fries and washed down with a cola. This combination could cause some internal fireworks!

Probiotics can defuse that fire. For example, people who take probiotics have experienced a reduced risk of experiencing diarrhea. Several factors can be involved in diarrhea, including the use of antibiotics and traveling to a different country, but it also can develop if you consume foods that have been left out on a serving table too long or not stored properly. Cases of food poisoning are not uncommon during the summer months because higher temperatures foster more rapid growth of harmful bacteria.

Probiotics are insurance

Taking probiotics is an insurance policy. Even if you try to eat a balanced diet and avoid food additives and other harmful ingredients, it’s a challenge. Holidays and special occasions are prime opportunities to step away from your usual diet. Although the end result may be stomach pain, diarrhea, or other intestinal disturbances, use of probiotics can step in and help restore balance.

In fact, daily use of a wide spectrum probiotic, which is one that contains many different species of beneficial bacteria, is a prudent way to protect your digestive and immune systems every day.

Health benefits of probiotics

If you take probiotics on a regular basis, you can set yourself free from stressing over the detrimental effects of poor dietary choices. That does not mean you can make bad food choices on a continuous basis and expect probiotics to save you! However, if you provide your body with beneficial bacteria daily, you can help create and maintain a healthy intestinal (gut) environment where beneficial bacteria secure the upper hand over disease-causing, system-disrupting microorganisms.

For example:

Heart health. Heart disease is still the number one killer of men in the United States and many other countries, and probiotics can help change that statistic. Studies show probiotics can lower bad cholesterol (LDL) and blood pressure and also raise good cholesterol (HDL). It’s recommended you take at least 10 billion CFUs daily for 8 weeks to experience results.

Digestive disorders. If you suffer from inflammatory bowel disease, which includes ulcerative colitis and Crohn’s disease, or irritable bowel syndrome, then probiotics can be helpful. One study even found that a specific probiotic called E. coli Nissle was as effective as drugs in maintaining remission in ulcerative colitis cases. Symptoms of irritable bowel syndrome can be reduced when using probiotics.

Immune system function. Probiotics can enhance the function of the immune system. One study, for example, showed that probiotics limited damage to the epithelium by certain pathogens and also promoted the restoration of the tissue. In a 2018 Swiss report, the authors noted that probiotics can increase the activity or natural killer cells and other natural antibodies, modulate the secretion of cytokines (molecules that regulate immunity and inflammation), enhance the epithelial barrier in the gut, and help keep out damaging bacteria.

Weight problems. How can microorganisms help with weight loss? Study results suggest probiotics may prevent the absorption of dietary fat in the intestinal tract and help you feel fuller for longer, store less body fat, and burn more calories.

In one study in women, use of Lactobacillus rhamnosus for three months resulted in a 50 percent greater weight loss than among women who did not take the supplement. Another showed that those who took L. gasseri for 12 weeks had an 8.5 percent reduction in belly fat. Given the challenge associated with losing weight, probiotics could offer this benefit along with the other health advantages.

Mental health. Studies in both animals and humans show that probiotic supplements can improve some mental health issues. In a review of 15 human studies, for example, supplementation with various Bifidobacterium and Lactobacillus strains resulted in an improvement in anxiety, depression, obsessive-compulsive disorder, and memory.

In a group of chemical workers, those who ate 100 grams of probiotic yogurt daily experienced improvement in anxiety, depression, stress, and general health when compared with those who took a placebo. In a study of 40 individuals with depression, taking probiotics daily for 8 weeks reduced levels of depression and levels of C-reactive protein (a marker of inflammation) and insulin when compared with individuals who did not take the probiotic.

Bottom line

Are you ready to set yourself free from worry about the damaging effects of some of your dietary choices? Would you like to improve your heart health, boost your immune function, enhance the ability to lose weight, and improve symptoms of digestive problems and depression and anxiety?

Then a daily dose of probiotics may help. A wide spectrum of strains should be present in the supplement you choose (i.e., at least 8 to 10). Declare your independence from worry about digestive health or slipping up on your diet. Always strive to eat organic, all-natural foods and exercise regularly, and complement your efforts with daily probiotic supplementation.

References

Agerholm-Larsen L et al. The effect of a probiotic milk product on plasma cholesterol: a meta-analysis of short-term intervention studies. European Journal of Clinical Nutrition 2000 Nov; 54(11): 856-60

Aronsson L et al. Decreased fat storage by Lactobacillus paracasei is associated with increased levels of angiopoietin-like 4 protein (ANGPTL4). PLoS One 2010 Sep 30; 5(9)

Behm B. Avoid food poisoning during summer picnics. Centers for Disease Control and Prevention 2017 Jul 10

Kadooka Y et al. Effect of Lactobacillus gasseri SBT2055 in fermented milk on abdominal adiposity in adults in randomized controlled trial. British Journal of Nutrition 2013 Nov 14; 110(9): 1696-703

Kiessling G et al. Long-term consumption of fermented dairy products over 6 months increases HDL cholesterol. European Journal of Clinical Nutrition 2002 Sep; 56(9): 843-49

Khalesi S et al. Effect of probiotics on blood pressure: a systematic review and meta-analysis of randomized, controlled trials. Hypertension 2014 Oct; 64(4): 897-903

La Fata G et al. Probiotics and the gut immune system: indirect regulation. Probiotics and Antimicrobial Proteins 2018 Mar; 10(1): 11-21

Moayyedi P et al. The efficacy of probiotics in the treatment of irritable bowel syndrome: a systematic review. Gut 2010 Mar; 59(3): 325-32

Mohammadi AA et al. The effects of probiotics on mental health and hypothalamic-ituitary-adrenal axis: a randomized, double-blind, placebo-controlled trial in petrochemical workers. Nutritional Neuroscience 2016 Nov; 19(9): 387-95

Ogawa A et al. Lactobacillus gasseri SBT2055 suppresses fatty acid release through enlargement of fat emulsion size in vitro and promotes fecal fat excretion in healthy Japanese subjects. Lipids in Health and Disease 2015 Mar 20; 14:20

Resta-Lenert S, Barrett KE. Live probiotics protect intestinal epithelial cells from the effects of infection with enteroinvasive Escherichia coli (EIEC). Gut 2003 Jul; 52(7): 988-97

Sanchez M et al. Effect of Lactobacillus rhamnosus CGMCC1.3724 supplementation on weight loss and maintenance in obese men and women. British Journal of Nutrition 2014 Apr 28; 111(8): 1507-19

Wang H et al. Effect of probiotics on central nervous system functions in animals and humans: a systematic review. Journal of Neurogastroenterology and Motility 2016 Oct 30; 22(4): 589-605

 

8 Things Men Do When They Get Cancer

I had a conversation with one of my team members this morning that reminded me of one of my main principles of healthy living.

Without going in to too much detail, this team member was concerned that her boyfriend wasn’t paying enough attention to his health. He was eating badly, not exercising and was probably about 70-80 pounds over his healthy weight. In short, he was a classic case of chronic disease just waiting to happen!

The thing is, I told her, most people don’t really focus on their health UNTIL they get sick. It takes a life event like getting a serious disease (cancer being “the” BIG one) to wake most people up to getting healthy and making the right choices — choices that have a positive impact on their health and prevention of chronic disease. Continue reading

8 Reasons to Avoid Energy Drinks

Energy drinks ARE convenient. If you feel hammered after a gym workout, are fading at the end of a long day at the office, or need a boost to get you through a long study session or meeting, you can just pop the lid or tab on an energy drink bottle or can and you’ll feel the energy flow in no time. The problem is, you’re getting much more than just an energy boost.

The makers of energy drinks say their products contain natural ingredients that can improve concentration, energy, attention, and sports performance. The most prominent ingredients are caffeine and sugar (with some products including artificial sweeteners); other ingredients may include ginseng, taurine (an amino acid), B vitamins, and guarana (which contains caffeine), among others. The ingredient posing the biggest problem is caffeine, although sugar isn’t so sweet either.

According to a 2013 report by the Substance Abuse and Mental Health Services Administration, the number of emergency department visits that involved energy drink consumption doubled from 10,068 visits in 2007 to 20,783 visits in 2011. Men were more likely to make these visits, and the age group with the greatest number of visits were between 18 and 39. However, the largest increase was seen among individuals aged 40 and older.

Why should you stay away from these highly concentrated forms of caffeine? Here are 8 reasons pretty good reasons: Continue reading

7 Foods That Boost Your Sex Drive

The meals you ate yesterday could have improved your staying power in the bedroom last night. That’s great, you may be thinking, but which foods are we talking about? Is there any proof that certain foods can boost sexual stamina?

The 7 foods discussed here have components known to enhance and prolong sexual stamina. But how long is right for you and your partner? American and Canadian sex therapists have reported in the Journal of Sexual Medicine that the average length of intercourse is 3 to 7 minutes, while 1 to 2 minutes is considered to be “too short” and from 10 to 30 minutes is “too long.”

If the survey findings of the makers of a sexual activity app called Nerve are any indication, these sex therapists were right on the money. The producers teamed up with Spreadsheets App to uncover the sexual longevity time of 10,000 app users across the United States. They found that couples in New Mexico ranked highest (7:01 minutes), followed by West Virginia (5:38) and Idaho (5:11). It seems people in the coldest states are quick to warm up the sheets: South Dakota came in at 1:30 while Alaska finished the list at 1:21.

Regardless of where you live, if you are looking to give some extra charge to your lovemaking, then you may want to add the following foods to your menu on a regular basis. Continue reading

Top 9 Ingredients for Men’s Health

The supplement market has become a challenging environment to navigate. Not only are there scores of different ingredients from which to choose; you also have different formulations, manufacturers, sources, and claims to sift through before you make up your mind which product to buy. We’re here to help make your choices a bit easier, especially in the first category by talking about the top 9 ingredients for men’s health.

The internet and other media sources often tout the supplements that are important for men’s health, and that list can be rather lengthy. However, there are certain ingredients that are especially worthy of mention because they are most often deficient in men’s lives or essential for their overall health and well-being. So if you are looking for the ingredients you should focus on the most, these are our choices. We hope you agree and will take the time to evaluate your possible need to take one or more of these substances to support and promote your health today.

Arginine

Arginine (aka, L-arginine) is an amino acid that your body produces naturally. However it is also present in foods that contain protein, such as soybeans, turkey, peanuts, and pumpkin seeds. In fact, arginine is essential for the body to make proteins.

Much of the research on arginine has involved its ability to improve compromised blood flow, which is characteristic of heart disease, erectile dysfunction, congestive heart failure, high blood pressure, male infertility, and clogged arteries. Because these are common problems among men, getting sufficient arginine is important.

Some men take arginine supplements to improve their athletic performance, but it’s also used to enhance mental function and improve immune system activity. The reason arginine is able to help with all of these conditions is that once it enters the body, it is converted into nitric oxide, a chemical that causes blood vessels to open wider for improved blood flow. The amino acid also has an ability to stimulate the release of insulin and growth hormone.

Talk to a healthcare provider before taking arginine supplements. A typical dose of arginine supplement is no less than 5 grams daily for erectile dysfunction, while men with congestive heart failure may take 6 to 20 mg daily in three doses. Dosing to enhance athletic performance should be determined by a health professional.

Coenzyme Q10

Coenzyme Q10, aka CoQ10 and ubiquinone, is a potent antioxidant that is found in nearly every cell in the body. It is most abundant in the heart, liver, kidneys, and pancreas. As a coenzyme, it helps enzymes do their job. The body’s cells use CoQ10 to produce the energy cells need to grow and thrive. More specifically, CoQ10 is key in the making of adenosine triphosphate (ATP), which is essential for energy transfer within cells.

CoQ10 is also used as an antioxidant, especially when it comes to heart health. In fact, CoQ10 is used to treat heart conditions, including heart failure, and may improve some symptoms and reduce the risk of future attacks when it is used along with traditional medications.

Levels of CoQ10 decrease with age. Research also shows that people with heart disease, brain disorders, diabetes, and cancer have low levels of this antioxidant. Do low CoQ10 levels cause or contribute to these diseases or is it the other way around? The jury is still out on this question.

CoQ10 supplements are available as ubiquinone and ubiquinol, and the latter is the more absorbable form. The standard dose ranges from 90 mg to 200 mg daily. Because this supplement is fat soluble, you should take it with a food that contains healthy fat, such as avocado, nuts, or coconut oil. Your body will absorb it up to three times faster than if you take it without food.

Fiber

Are you getting the 25 to 35 grams of fiber you should have every day for optimal health? Far too many adults don’t get the amount of fiber they need for optimal health.

What’s so great about fiber? First of all, it’s a carbohydrate that your body can’t digest, so it passes through the body and in the process performs some essential functions, such as helping in the elimination of cholesterol, moving along stool in the intestinal tract, regulating sugar, and keeping blood sugar and hunger in check.

Fiber comes in two forms, and fiber-containing foods typically have both types in varying percentages. Soluble fiber dissolves in water and helps lower cholesterol. Insoluble fiber doesn’t dissolve in water but it does promote regularity and help prevent constipation.

Fiber has been credited with assisting in reducing the risk of heart disease, constipation, diverticular disease, diabetes, and colon cancer. To increase fiber intake, you should include more foods such as whole grains, fresh fruits and vegetables, legumes and beans, and nuts. The best way to get fiber is to eat high-fiber foods.

However, fiber supplements are available in many forms. Natural fiber powders, including psyllium and methylcellulose, are typically safe to take daily. However, you should discuss fiber supplement use with your healthcare provider before you start because they can interact with some medications.

Folic acid

Folic acid (aka folate, which is the form found in foods) is a B vitamin (B9) that is essential for producing white and red blood cells in the bone marrow, converting carbos into energy, and making DNA and RNA. It also is involved in the production of sperm and may reduce the risk of depression.

The foods that are the best source of folate include leafy greens (e.g., spinach, Swiss chard, mustard greens, collard greens, kale) as well as asparagus, oranges, pinto beans, lentils, pumpkin seeds, and sesame. If you choose a supplement (folic acid), look for methylfolate on the label. The recommended daily intake is 400 micrograms. 

Magnesium

This mineral is one of the busiest in the body, as it is involved in more than 300 enzyme systems that regulate a wide range of reactions in the body. Magnesium has a role in protein synthesis, muscle and nerve function, regulation of blood pressure, energy production, and blood sugar control, among others. It also plays a role in normal heart rhythm and the conduction of nerve impulses and muscle contractions.

Magnesium insufficiency is common, and groups most often affected are those with gastrointestinal problems, type 2 diabetes, alcohol dependence, or who are 50 or older. It’s not difficult to get the amounts necessary for optimal health if you select green leafy vegetables, legumes, nuts, seeds, and whole grains on a daily basis.

If, however, you choose to take a magnesium supplement, the forms that are best absorbed are aspartate, chloride, citrate, and lactate rather than oxide or sulfate.

Omega-3 fatty acids

When you see the words “omega-3 fatty acids,” you may immediately think of fatty fish such as tuna, salmon, and sardines. These and similar fish are the richest sources of this essential fatty acid. Omega-3s are credited with many health benefits, and a reduction in the risk of prostate cancer is one of them.

In a recent case-control study, investigators discovered why omega-3 fatty acids can lower the risk of prostate cancer: the fatty acids interfere with the activity of pro-cancer molecules called soluble intercellular adhesion molecule-1 (slCAM-1).

What other benefits have been bestowed upon omega-3s? How about reduction of inflammation, lowering of triglycerides and cholesterol, prevention of excessive blood clotting, helping prevent obesity, reduction in symptoms of depression, psychosis, and bipolar disorder, and enhancement of memory.

The American Heart Association recommends eating 7 ounces of fatty fish per week to get an adequate amount of the two main omega-3s, EPA and DHA (eicosapentaenoic acid and docosahexaenoic acid, respectively). However, if fish is not your game, then you can take fish oil supplements. An omega-3 supplement that provides approximately 1,080 mg EPA and 720 mg DHA daily in no more than three doses is suggested.

Probiotics

Beneficial bacteria, aka probiotics, play an essential role in supporting, promoting, and maintaining healthy immune function. In fact, the good and harmful bacteria in your gut form a precarious balance that makes up about 80 percent of your immune system. Therefore, you want this relationship to be harmonious as much as possible.

If the bacterial environment in your gut is out of balance, it can result in a variety of health issues, ranging from headaches and nutritional deficiencies to gastrointestinal problems, autoimmune disorders, depression, brain fog, and more. The secret is to keep the level of good bacteria up so it can counteract any ill effects of the harmful microorganisms.

To accomplish that, you can include foods rich in probiotics in your diet, such as fermented tofu (tempeh), kimchee, some yogurts (look for “active cultures” on the label), sauerkraut, kefir, or foods fortified with probiotics. However, it can be challenging to get the beneficial bacteria you need from foods alone, which is why a high-quality probiotic supplement can be a great option.

Look for products that contain a variety of bacteria species and strains that have been shown to remain viable on the shelf and in your body. Reputable brands will have available scientific evidence to back up their claims. A suggested dose is 1 to 10 billion CFUs (colony-forming units) daily, but higher doses are generally recommended if you are dealing with a health issue such as diarrhea or gastrointestinal problems.

Vitamin D

Vitamin D deficiency is one of the most common nutrient deficiencies in the world, with about 40 percent of men having levels that are below what is considered to be healthy (28 nanograms per milliliter). In fact, since many experts consider this figure to be too low, the percentage is even higher.

Best known as the sunshine vitamin because the body produces vitamin D from sunlight exposure to the skin, a deficiency of this nutrient has been associated with high blood pressure, obesity, diabetes, depression, bone loss, back pain, hair loss, poor wound healing, frequent infections, muscle pain, and fatigue.

So where should men get their vitamin D? If you don’t get at least 15 to 20 minutes of sunlight on your skin every day, there’s a good chance you are deficient in vitamin D. Only a few foods are considered good to excellent sources, including egg yolks, beef liver, fortified cereals and milk, cheese, and mushrooms.

That leaves vitamin D supplements. The National Academies of Sciences Engineering Medicine set recommendations on vitamin D intake at 600 International Units for individuals up to age 70 years and 800 IU for those aged 71 and older. These figures are considered low by some experts, however, such as the Vitamin D Council, which recommends 5,000 IU daily. You should have your vitamin D levels checked using a simple blood test to determine your specific needs before taking this supplement.

Zinc

If you want testosterone, then you need zinc. However, many adults don’t get enough of this trace element. Zinc is necessary for the production of testosterone, which in turn can affect erectile dysfunction. Other noteworthy things about zinc are its ability to help metabolize nutrients, support immune system function (which is why some people take zinc for a cold), and promote the production of protein and DNA.

Although a zinc deficiency is rare in the United States, men can notice significant problems if their levels are below the recommended threshold, which is 0.66 to 1.10 micrograms per milliliter (mcg/mL). Signs and symptoms can include low testosterone levels, decreased sense of taste and smell, diarrhea, wounds that won’t heal, lack of alertness, and diarrhea. Taking zinc supplements also has been found to boost testosterone in men with moderately low levels.

Zinc is abundant in oysters, and more moderate amounts can be found in beef, pumpkin seeds, lentils, cashews, mushrooms, spinach, whole grains, and avocados. The recommended daily intake for men is 11 mg. Zinc supplements are available alone and in multivitamins. The most accessible form of zinc for the body is zinc orotate; other forms include zinc acetate, gluconate, and sulfate.

Bottom line

No matter how much we try to eat right and take care of our body, life often gets in the way. Stress from jobs and relationships, financial worries, social demands, and environmental toxins can all take a toll on us. It’s easy to lose focus on some of the nutritional factors that can help us maintain and optimize our health. Take time to make your well-being a priority and examine your nutritional needs today.

References

Garrido-Maraver J et al. Coenzyme Q10 therapy. Molecular Syndromology 2014 Jul; 5(3-4): 187-97

Glover EI et al. A randomized trial of coenzyme Q10 in mitochondrial disorders. Muscle & Nerve 2010 Nov; 42(5): 739-48

Lafuente R et al. Coenzyme Q10 and male infertility: a meta-analysis. Journal of Assisted Reproduction and Genetics 2013 Sep; 30(9): 1147-56

Mayo Clinic. Nutrition and healthy eating.

Mortensen SA et al. The effect of coenzyme Q10 on morbidity and mortality in chronic heart failure: results from Q-SYMBIO: a randomized double-blind trial. JACC Heart Failure 2014 Dec; 2(6): 641-49

The National Academies of Sciences Engineering Medicine. Dietary reference intakes for calcium and vitamin D. 2010 Nov 30

National Institutes of Health. Magnesium

Prasad AS et al. Zinc status and serum testosterone levels of healthy adults. Nutrition 1996 May; 12(5): 344-48

Stibich M PhD. Health problems linked to vitamin D deficiency. VeryWellHealth 2019 Mar 11

Touvier M et al. Modulation of the association between plasma intercellular adhesion molecule-1 and cancer risk by n-3 PUFA intake: a nested case-control study. American Journal of Clinical Nutrition 2012, doi: 10.3945/​ajcn.111.027805

WebMD. Coenzyme Q10: CoQ10

WebMD. L-arginine

Wadsworth TL et al. Evaluation of coenzyme Q as an antioxidant strategy for Alzheimer’s disease. Journal of Alzheimers Disease 2008 Jun; 14(2): 225-34