The Role of Soy Foods in Prostate Cancer Prevention & Treatment

The Role of Soy Foods in Prostate Cancer Prevention & Treatment
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Soy is put to the test for the treatment of prostate cancer.

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Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.

A compilation of 13 “observational studies” on soy food consumption and the risk of prostate cancer found that soy foods appear to be “protective.” Observational studies, as opposed to interventional studies; they observed what people were eating, but didn’t intervene and try to change their diets. So, they observed that men who ate more soy foods had lower rates of prostate cancer.

But, the problem with observation studies is that there could be confounding factors. Maybe people who choose to eat soy also make other healthy lifestyle decisions, like eating more fruits and vegetables, and maybe that’s actually why they have less cancer. Most of the studies tried to control for these other lifestyle factors, but you can’t control for everything.

Most of the studies were done in Asia; so, maybe tofu consumption is just a sign of eating more of a traditional diet. Maybe the reason non-tofu consumers got more cancer is that they had abandoned their traditional diet. If only there was a Western population that ate a lot of soy we could look at it. There is: Seventh Day Adventists.

In the 70s, more than 12,000 Adventist men were asked about their use of soy milk, and then, they were followed for up to 16 years to see who got cancer, and who did not. So: “Does high soy milk intake reduce prostate cancer incidence?” “Frequent consumption…of soy milk was associated with [a whopping] 70 per cent reduction of the risk of prostate cancer.” Similarly, in a “Multiethnic…Study” that involved a number of groups, soy intake appeared protective in Latinos, too.

Prostate cells carry beta type estrogen receptors, which appear to act as tumor suppressors, kind of a “‘gatekeeper’…inhibiting invasion [and] proliferation,” and preventing the prostate cells from turning cancerous in the first place. And, those are the receptors targeted by the phytoestrogens in soy, like genistein, which inhibits prostate cancer cell invasion and spread in a petri dish at the kinds of levels one might get consuming soy foods. The prevention of metastases is critical, as death from prostate cancer isn’t caused by the original tumor, but its spread throughout the body, which explains recommendations for men with prostate cancer to consume soy foods as well.

Wait a second. Do you think the amazing results Dean Ornish and colleagues got—apparently reversing the progression of prostate cancer with a plant-based diet and lifestyle program—was because of the soy? It wasn’t just a vegan diet, but “a vegan diet supplemented with…[a] daily serving of tofu [and] a…soy protein [isolate powder].” There have been studies showing men given soy protein powders develop less prostate cancer than the control group, but what was the control group getting? Milk protein powder.

Those randomized to the milk group got six times more prostate cancer. But is that from the beneficial effects of soy, or the deleterious effects of the dairy? Dairy products are not just associated with getting prostate cancer, but also dying from prostate cancer. Men diagnosed with prostate cancer who then ate more dairy tended to die sooner. And, “[b]oth low-fat and high-fat dairy consumption were…associated with an increased risk of [a] fatal outcome.”

The best study we have on soy protein powder supplementation for prostate cancer patients found no significant benefit, and neither did a series of soy phytoestrogen dietary supplements. Maybe that’s because they just used isolated soy components rather than a whole soy food. “Taking the whole food approach may be more efficacious.” It’s hard to do controlled studies with whole foods, though; I mean, you can make fake pills, but how do you give people placebo tofu?

This group of Australian researchers got creative, coming up with “a specially manufactured bread…containing…soy grits,” compared to just placebo regular bread, and then gave slices to men diagnosed with prostate cancer awaiting surgery. And, in just about three weeks time, did see a remarkable difference—the first study to show a diet incorporating a whole soy food could “favorably affect” prostate cancer markers. But, it’s not like you can go out and buy soy grit bread.

This study was a little more practical. Twenty men with prostate cancer, who were treated with radiation or surgery, but seemed to be relapsing, were asked to drink three cups of regular soy milk a day. Here’s what happened to the PSA levels in each of the 20 patients before they started the soy milk. They were all rising, suggesting they had relapsing or metastatic cancer growing inside of them. Here’s what happened during the year on soy milk. The blue lines are the folks where the soy milk appeared to have a positive effect, slowing or reversing the rise. The red lines represent those that got even worse during that period, and the black lines are those in which there appeared to be no significant change. So, of the 20, six got better, two got worse, and the remaining 12 remained unchanged. So, they conclude soy food may help in “a subset of patients.”

Based on all these studies, the results Ornish got were probably more than just the soy. Similarly, the low prostate cancer rates in Asia are probably more than just the soy, since the lowest rates are also found in parts of Africa, and I don’t think they’re eating a lot of tofu in Africa. Indeed, in the multiethnic study, other types of beans besides soy also appeared protective for Latinos, and all the groups put together, when looking at the most aggressive forms of prostate cancer. And so, the protection associated with plant-based diets may be due to eating a variety of healthy foods. 

Please consider volunteering to help out on the site.

Motion graphics by Julien Herman 

Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.

A compilation of 13 “observational studies” on soy food consumption and the risk of prostate cancer found that soy foods appear to be “protective.” Observational studies, as opposed to interventional studies; they observed what people were eating, but didn’t intervene and try to change their diets. So, they observed that men who ate more soy foods had lower rates of prostate cancer.

But, the problem with observation studies is that there could be confounding factors. Maybe people who choose to eat soy also make other healthy lifestyle decisions, like eating more fruits and vegetables, and maybe that’s actually why they have less cancer. Most of the studies tried to control for these other lifestyle factors, but you can’t control for everything.

Most of the studies were done in Asia; so, maybe tofu consumption is just a sign of eating more of a traditional diet. Maybe the reason non-tofu consumers got more cancer is that they had abandoned their traditional diet. If only there was a Western population that ate a lot of soy we could look at it. There is: Seventh Day Adventists.

In the 70s, more than 12,000 Adventist men were asked about their use of soy milk, and then, they were followed for up to 16 years to see who got cancer, and who did not. So: “Does high soy milk intake reduce prostate cancer incidence?” “Frequent consumption…of soy milk was associated with [a whopping] 70 per cent reduction of the risk of prostate cancer.” Similarly, in a “Multiethnic…Study” that involved a number of groups, soy intake appeared protective in Latinos, too.

Prostate cells carry beta type estrogen receptors, which appear to act as tumor suppressors, kind of a “‘gatekeeper’…inhibiting invasion [and] proliferation,” and preventing the prostate cells from turning cancerous in the first place. And, those are the receptors targeted by the phytoestrogens in soy, like genistein, which inhibits prostate cancer cell invasion and spread in a petri dish at the kinds of levels one might get consuming soy foods. The prevention of metastases is critical, as death from prostate cancer isn’t caused by the original tumor, but its spread throughout the body, which explains recommendations for men with prostate cancer to consume soy foods as well.

Wait a second. Do you think the amazing results Dean Ornish and colleagues got—apparently reversing the progression of prostate cancer with a plant-based diet and lifestyle program—was because of the soy? It wasn’t just a vegan diet, but “a vegan diet supplemented with…[a] daily serving of tofu [and] a…soy protein [isolate powder].” There have been studies showing men given soy protein powders develop less prostate cancer than the control group, but what was the control group getting? Milk protein powder.

Those randomized to the milk group got six times more prostate cancer. But is that from the beneficial effects of soy, or the deleterious effects of the dairy? Dairy products are not just associated with getting prostate cancer, but also dying from prostate cancer. Men diagnosed with prostate cancer who then ate more dairy tended to die sooner. And, “[b]oth low-fat and high-fat dairy consumption were…associated with an increased risk of [a] fatal outcome.”

The best study we have on soy protein powder supplementation for prostate cancer patients found no significant benefit, and neither did a series of soy phytoestrogen dietary supplements. Maybe that’s because they just used isolated soy components rather than a whole soy food. “Taking the whole food approach may be more efficacious.” It’s hard to do controlled studies with whole foods, though; I mean, you can make fake pills, but how do you give people placebo tofu?

This group of Australian researchers got creative, coming up with “a specially manufactured bread…containing…soy grits,” compared to just placebo regular bread, and then gave slices to men diagnosed with prostate cancer awaiting surgery. And, in just about three weeks time, did see a remarkable difference—the first study to show a diet incorporating a whole soy food could “favorably affect” prostate cancer markers. But, it’s not like you can go out and buy soy grit bread.

This study was a little more practical. Twenty men with prostate cancer, who were treated with radiation or surgery, but seemed to be relapsing, were asked to drink three cups of regular soy milk a day. Here’s what happened to the PSA levels in each of the 20 patients before they started the soy milk. They were all rising, suggesting they had relapsing or metastatic cancer growing inside of them. Here’s what happened during the year on soy milk. The blue lines are the folks where the soy milk appeared to have a positive effect, slowing or reversing the rise. The red lines represent those that got even worse during that period, and the black lines are those in which there appeared to be no significant change. So, of the 20, six got better, two got worse, and the remaining 12 remained unchanged. So, they conclude soy food may help in “a subset of patients.”

Based on all these studies, the results Ornish got were probably more than just the soy. Similarly, the low prostate cancer rates in Asia are probably more than just the soy, since the lowest rates are also found in parts of Africa, and I don’t think they’re eating a lot of tofu in Africa. Indeed, in the multiethnic study, other types of beans besides soy also appeared protective for Latinos, and all the groups put together, when looking at the most aggressive forms of prostate cancer. And so, the protection associated with plant-based diets may be due to eating a variety of healthy foods. 

Please consider volunteering to help out on the site.

Motion graphics by Julien Herman 

Doctor's Note

That soy milk stat from the Adventist study is astounding. What about fermented soy foods, though? That was the subject of my last video, Fermented or Unfermented Soy Foods for Prostate Cancer Prevention?

Reversing the progression of cancer? Check out How Not to Die from Cancer.

Given the power of diet, it’s amazing to me how difficult Changing a Man’s Diet After a Prostate Cancer Diagnosis can be. It’s not all or nothing, though. Check out Prostate Cancer Survival: The A/V Ratio.

For soy and breast cancer survival, see Is Soy Healthy for Breast Cancer Survivors?

If you haven’t yet, you can subscribe to my videos for free by clicking here.

74 responses to “The Role of Soy Foods in Prostate Cancer Prevention & Treatment

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  1. “…other types of beans besides soy also appeared protective for Latinos, and all the groups put together, when looking at the most aggressive forms of prostate cancer.”
    I am so glad to hear this because I like tofu, but I do not eat it every day. I make a point of rotating my bean consumption so as to get the variety of phytonutrients available.




    13
    1. Hi Joe
      I hope all is well. I believe the conclusion it that it isn’t so much the soy but healthy foods in general.

      “Based on all these studies, the results Ornish got were probably more than just the soy. Similarly, the low prostate cancer rates in Asia are probably more than just the soy, since the lowest rates are also found in parts of Africa, and I don’t think they’re eating a lot of tofu in Africa. Indeed, in the multiethnic study, other types of beans besides soy also appeared protective for Latinos, and all the groups put together, when looking at the most aggressive forms of prostate cancer. And so, the protection associated with plant-based diets may be due to eating a variety of healthy foods.”




      10
      1. Speaking of healthy foods, there are meat, fish, dairy from clean sources and there are vegetables, legumes and beans, seeds from clean sources too. Soy is one of the least desirable legume in the U.S. simply because they are mostly GMO.




        3
        1. But you can choose organic soy, which is not gmo. Eden foods even has very well prepared canned organic black soybeans with kombu, no salt added. Also can find frozen organic Edamame in my market.




          10
          1. Yeah it is a good source of soy but not too many people can afford it or know about it. Most people consume soy milk from supermarkets which is heavily processed and sometime full of sugar,




            0
            1. Really? Beans are too expensive. You’re going to go there? Go to Costco, and pick up a four 14 oz pack of organic firm tofu for $5.69, OR invest a few buck into a decent pressure cooker, pre-soak some organic dry soy beans, or any other type of bean for that matter, and make yourself a mess of beans. There is no problem finding a soy milk without added sugar. It’s easy.

              Perhaps, you are familiar with the euphemism, “bean counter,” used to describe people who are focused on petty issues to the exclusion of more pressing matters. Or how about, “that’s not worth a hill of beans,” used to describe something of very little value.

              The reason for this is that beans, even organic beans, are dirt cheap, and given how good beans are for one’s health, you can’t afford NOT to eat them. Dr. Greger’s Daily Dozen calls for three servings of beans a day. Heck, there are 3.5 servings of beans in a 15 oz can which can be had at Whole Foods for $0.99 for organic, and Whole Paycheck isn’t renowned for it’s competitive prices.

              You can afford $7 a week per member of your household, can’t you? If not, breakout the pressure cooker and reduce the cost to $0.70 per person per week. If someone can’t afford beans, it’s difficult to imagine how they can afford to feed themselves.




              17
          2. Not all organic products are non-GMO. The USDA standard requires that organic means non-GMO substances are included but one has to be careful about products not labeled USDA approved or 100% organic.

            However, maybe organic products do grow more nutritious because they must survive attacking insects but they can also be growing with animal manure.




            0
        2. Clean sources does not mean that the product does not pose health risk as excessive animal protein or cooking at high dry temperatures unrelated to clean… You mention fish which has been proven to be often contaminated with microplastics regardless of where they are on the planet. The only solution to finding clean fish is to send every piece to a lab.




          0
        3. I left out the “NOT” in the above
          Should read :

          It does NOT matter how “clean” the source of meat, fish, dairy, because they ALL cause vascular disease, inflamation, and promote cancer growth.




          0
        4. Most gmo soy goes to feeding livestock. Look at tofu and it says it is non gmo and usually organic . Keep checking this site out and prepare to leave behind paleo biased information




          0
        5. Yes, most soy grown in the U.S. is GMO, but it’s fed to farmed animals. All the tofu, soymilk, etc., I’ve seen is nonGMO, and a lot of it is organic. Check the labels.




          0
    2. Tofu isn’t really a whole plant food. It’s somewhat refined as far as I know. It would have to be better to eat the whole soybeans which are excellent and can be used where other beans are used. They are especially good on salads.




      7
  2. And for those of us highly intolerant to any and all forms of soy?

    Is there any evidence that other beans
    achieve same exact prostate merits?




    2
    1. hi W, at the end of today’s video, Dr Greger talks about this study https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3040575/?report=classic examining the amount of legumes consumed in various ethnic communities and the incidence of prostate cancer. The latino group consumed the most legumes over all (and very little soy) and this was inversely associated with prostate cancer risk. The concluding comments mention that it is legume intake that is associated with moderate reduction in prostate cancer risk.




      8
  3. If people saw the amount of ‘Roundup’ sprayed almost daily, on the fields of soy, where I live, they would not be convinced of it’s health benefits…. there’s so many other ‘studies’ exclaiming the injury caused by soy.
    Red clover is a powerful aid in providing plant estrogens as well…




    9
    1. Sogi
      I’m sure you are correct , there is way to much roundup and other herbicides and pesticides being used , however almost all soybean is used for cattle, pig and chicken feed . You can easily find organic soy products in most of north america and most likely at or near the same price as conventional .
      Soy is used by a lot of people trying to make a switch away from animal products and it has to be good news that there are no adverse implications using soy at least not from what I’ve seen from this site. don’t forget every time we choose plants over animal products we are doing this green earth a favor .
      Check out this iceberg that may or may not be the biggest ever to break off , I hope it is not because of global warming.
      http://www.cbc.ca/news/technology/iceberg-breaking-antartica-larsen-1.3924091
      The iceberg is as big as the province of Prince Edward Island and the crack where it is separating is opening at the rate of 6 city blocks a day.




      8
      1. “don’t forget every time we choose plants over animal products we are doing this green earth a favor .”
        Not to mention the sentient beings tortured and killed for those animal products. Non-human animals seem to be very forgotten…




        7
      2. Actually eating nut is not doing this earth a favor because it needs tons of water.

        And don’t forget those bees that are tortured to pollinate our plants.




        0
    2. Hi Sogi, Thank you for your comment. I am one of the volunteer moderators at the website. I am glad you mentioned the “Roundup”and its adverse effect on health has to be discussed and mentioned at any opportunity that we can empower ourselves to protect our planet. I am enclosing a free article from scientific literature for people to read as it discusses the health risk assessment of Bt crops, such as Intacta soybeans. Certainly, the absence of specific receptors in mammalian species is not sufficient to conclude that Bt proteins are not toxic for them. Potential effects might be subtle and show up only after chronic exposure. Besides the acute toxicity study already mentioned, Monsanto provided two subchronic 90-day studies with meal derived from MON87701 [2]. The data from these studies showed a range of uncertainties such as significant changes in body weight [2]. EFSA did not, however, request further feeding studies over a longer period of time.

      Further, no feeding studies with the stacked event were requested [1], and thus potential combinatorial effects remain untested. This means that substantial gaps remain in the risk assessment of the Intacta soybeans: Not only is the mode of action of the Cry proteins not fully understood, there are also open questions regarding combinatorial or cumulative effects.
      Possible health impacts of Bt toxins and residues from spraying with complementary herbicides in genetically engineered soybeans and risk assessment as performed by the European Food Safety Authority EFSA.




      4
      1. Not only GMO crops are sprayed with Roundup (or other glyphosate containing products) but it is also sprayed on a lot of crops to help dry out the crop before harvesting. Those crops include cane sugar, beans, potatoes, oats, wheat etc.

        Here is an article about it:
        https://www.ecowatch.com/why-is-glyphosate-sprayed-on-crops-right-before-harvest-1882187755.html

        Think it doesn’t get into your food? Think again: http://www.fooddemocracynow.org/blog/2016/nov/14

        For the sake of your health, the bees’ health, the workers’ health, and the planets health, Go organic!




        4
    3. Yes soy is one of the most polluted legumes along with peanut. Look up at what is sprayed on peanut.

      Vegans like to talk about contaminated meat and dairy only.




      0
    1. Yes, MIke – exactly what I was going to comment. It’s been shown that isolated soy protein has a higher IGF-1 factor than dairy. (sorry, I don’t have the link handy but if you search it on YouTube it’s a Dr. McDougall video that explains it). So, perhaps the negative effects of the isolated soy product cancelled out the benefits of the whole food to make it a wash as far as any positive effects or influence goes.




      1
    2. “the high IGF-1 content” – just to be accurate, there is no IGF-1 *content* in soy (although there can be in dairy). Rather the issue is the possibility of the amino acid profile in soy (much like that of animal products) stimulates the body to produce (significant) amounts of IGF-1.

      I came across this 2017 metareview of this issue
      https://www.ncbi.nlm.nih.gov/pubmed/28434035

      Here’s the results & conclusion:

      “RESULTS:
      Although the data are difficult to interpret because of the different experimental designs employed, there is some evidence that large amounts of soy protein (>25 g/day) modestly increase IGF-1 levels above levels observed with the control protein.

      CONCLUSION:

      The clinical data suggest that a decision to incorporate soy into the diet should not be based on its possible effects on IGF-1.”
      ————————————————————————–

      25 grams of soy protein equates to about 3 servings.

      So, it would seem eating 1 or even 2 servings per day would be innocuous, and very likely health-promoting. I’d jsut stay away from heavily processed soy products. Tofu and soy milk (what I eat) are only lightly processed.




      4
  4. I agree with Dr. Greger’s conclusion on this video. I think eating a variety of plant based foods is the most efficacious way to have good health in all areas. Some of the other nutrition doctors such as John McDougall, Dr. Esselstyn, and others have nothing good to say about soy products and urge their listeners not to even eat soy products because they say that soy increases your risk for cancer. I’ll stay on the conservative side of this issue and just go with a wide variety of whole plant foods and avoid soy products altogether.




    3
    1. Like Dr. Greger, Dr. Fuhrman, Dr. Ornish and Dr. Barnard do not take such an extreme position on soy. The unqualified notion that “soy increases cancer risk” is not, as far as I can discover, supported by sound scientific evidence. Of course, it goes without saying that one should eat any food in moderation.




      4
      1. Note that I did not mean my comment to imply that any of the doctors mentioned think eating soy isolate protein is healthful (although I think Dr. Barnard does allow it, at least when one is trying to adopt a plant-based diet).




        0
  5. One aspect of soy milk is that much of it has added sugar which is detrimental. If you are going to drink soy milk, ensure that it has no added sugars.




    1
    1. I drink Silk unsweetened organic soy milk, which is non-GMO. Has only 1 gram of sugar per serving. It does have some vitamin/mineral additives, which I wish it did not – some retinal A, calcium (30% RDA), d2, B12, gellan gum (which I decided is safe), etc. I consider it safe, but others might not. F

      For purists, I’d recommend Westsoy – absolutely nothing added. Unfortunately, where I live it can be hard to find.




      2
  6. Doesn’t the study involving the 7th day adventists imply that the addition of soy offers additional protection to an otherwise vegan diet?




    2
    1. I don’t recall reading that. What I do recall, and possibly what you are referring to, is the nut-&-seed eaters had the longest lifespans Here’s a quote on this from Dr. Fuhrman’s book The End of Heart Disease.:

      ” The Adventist Health Study confirmed that nut consumption was one of the most dramatic features accounting for extended life span benefits, a variable producing a greater benefit than being a vegan. 59 In other words, vegans generally lived the longest, but only if they ate seeds and nuts regularly. Those vegans who did not eat nuts and seeds did not live as long as the intermittent meat eater (flexitarian) who ate them. Nuts alone account for a 5.6-year difference in life”

      — fromFuhrman, Joel. The End of Heart Disease: The Eat to Live Plan to Prevent and Reverse Heart Disease (Kindle Locations 2861-2865). HarperCollins. Kindle Edition.




      0
  7. Hi guys,
    I’m wondering if Dr Greger has considered doing a study on people following his recommended daily dozen. There are some 40,000 people on the independent Facebook group. I’m sure some of those would want to join a study like that.




    2
  8. I appreciate the information about how soy impacts prostate cancer (I had a prostatectomy last year) but I am concerned about the effect of processed soy on my health in general, and especially on my fatigue. My Chiropractor recommended that I not eat any processed soy products and other doctors seems to agree (see, for example, this video by Dr. Gundry, MD: https://www.youtube.com/watch?v=kg3IDHrHUp4). I would very much like to hear Dr. Greger’s opinion of this topic.

    As a separate comment, I’d like to request that you produce a series of videos on studies that examine which foods one should eat/stay away from in order to reduce ones fatigue/exhaustion–searching the existing videos for “fatigue” doesn’t yield many relevant videos. Thanks!




    0
  9. Hi what is Dr Gerber’s view on soy infant formula? I can’t seem to get to the bottom of this in online searches. We have switched to a plant based diet, but our 6 month old baby has ordinary formula from cow’s milk. Is it best to use soy formula (brand S26 Gold is best brand in New Zealand where we live)? We are sold for adults so shouldn’t the logic apply to our children? Thanks so much




    1
    1. Hi Brenda,

      I am a volunteer for Dr. Greger. Thanks for your question.

      I would not recommend the use of a cow’s milk-based infant formula. Ideally, infants should be breastfed exclusively for the first 6 months. After that breast feeding should continue, but soft foods can be slowly introduced until after the infant is 1-years old, when the child ideally would be consuming whole, plant-foods.

      Here are a couple videos explaining this: https://nutritionfacts.org/video/the-best-baby-formula/ ; https://nutritionfacts.org/video/formula-for-childhood-obesity/

      I hope these help!




      1
      1. Thanks so much for the reply. I have exclusively breastfeed to 6 months; however, I have now had to return to work so exclusive breastfeeding is sadly no longer possible. Two feeds a day must now be formula (I can only breastfeed early morning and last at night. She is having some soft foods but still needs some milk during the day). If cows milk formula has been studied and found to have these adverse effects, has soy milk formula been looked into? Is it better to give soy formula if exclusive breastfeeding isn’t possible Thanks!




        0
    2. I don’t know the best formula for a baby, but there is good evidence that in some genetically susceptible babies cow’s milk initiates or stimulates type 1 diabetes. Apparently the protein in milk is similar to that of the pancreas and the body attacks its’ own pancreas, thinking it is a foreign substance. In other words, type 1 diabetes (the insulin-dependent kind) is an autoimmune condition.




      2
  10. Off-topic. My dad has type 2 diabetes and he’s been on a mostly vegan diet. Sunday is a cheat day. His diabetes hasn’t improved. I’m not sure I can persuade the family to go vegan long term because my cooking skills are sub-par (basically one-pot grain and beans) and I can’t find suitable supplements (darn those excipients!). I’m thinking that his intramyocellular lipids won’t go away. What should he do to burn them off? Could a fast that’s long enough to get him to burn fat be the solution? From what I’ve searched online (Youtube => Jason Fung) fasting less than 18 hours makes you burn glucose/glycogen, 18-24 makes you burn protein and 24+ you start burning fat. Not sure about the times. Not sure if I understood it right. Are there drugs that can produce the fat burning fasting effect?




    0
    1. I’m not a health professional, but I am interested in this topic as my daughter has type 2 diabetes. So what follows is just my personal opinion. I recently read that eating vegetables *before* (or at least at the same time) as carbs has a significant positive effect on glycemic control. Here’s the url and the references cited.

      http://drclydewilson.typepad.com/drclydewilson/2014/02/if-you-could-only-change-one-thing-with-your-nutrition.html

      1. “A simple meal plan of ‘eating vegetables before carbohydrate’ was more effective for achieving glycemic control than an exchange–based meal plan in Japanese patients with type 2 diabetes” by S Imai et al., Asia Pac J Clin Nutr 20 2011 161

      2. “Effects of total and green vegetable intakes on glycated hemoglobin A1c and triglycerides in elderly patients with type 2 diabetes mellitus” by K Takahashi et al., Geriatr Gerontol 12 2012 50

      3. “Eating vegetables before carbohydrates improves postprandial glucose excursions” by S Imai et al., Diabet Med 30 2013 370

      4. “Postchallenge Glucose, A1C, and Fasting Glucose as Predictors of Type 2 Diabetes and Cardiovascular Disease” by H Cederberg et al., Diabetes Care 33 2010 2077

      >>>What should he do to burn them off?

      Besides the recommendation by whollyplantfoods, if your father is physically up to it, I’d say more exercise, both aerobic and anaerobic (resistance/weight training). I’ve read that both can play a key role in controlling or reversing type 2 diabetes.

      Good luck!




      0
    2. Arthur, the best information on fasting is by Dr Goldhamer of TrueNorth Health Center. He has been curing people of all sorts of conditions with medically supervised water-only fasting for over 30 years. Check it out here:
      http://www.healthpromoting.com/water-fasting.

      He has talks on the subject on Youtube and he will answer if you email him.




      0
  11. Hi Arthur,

    I am a volunteer for Dr. Greger. Thanks for your question.

    It sounds like your dad has made some positive lifestyle choices. However, a vegan diet does not necessarily mean it is a healthy diet. Make sure to have the diet primarily centered around whole foods, especially fruits and vegetables. Oils, processed grains and sugars, and animal products, should all be kept to a minimum.

    A cheat day every now and then may not be extremely detrimental to health for a healthy person, but for somebody trying to reverse their diabetes, it may require fairly strict adherence to a whole food, plant-based diet.

    Fasting may have a beneficial effect, but is not often suitable for the long run. A healthful diet (with exercise and other healthy lifestyle factors) is the best known way to reverse diabetes, according to the research.

    I hope this helps! Best of luck!




    0
  12. Very interesting to read all the comments on Soy. I find it confusing when the plant based doctors promote soy and tofu as my understanding is that most soy products available in the market are not organic. Same thing can be said about corn. And yet, the recipes I see from PCRM, Dr. McDougall etc. use both soy and corn aplenty.
    I also learnt from the discussion thread that farmers are now using glyphosate to dry their crops before harvesting. I am shocked that this matter is not being discussed more.




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    1. >>>my understanding is that most soy products available in the market are not organic

      I don’t understand where people get this idea, at least as far as soy milk and tofu go. I find quite a variety of different non-GMO, organic tofu and soy milk in my local big box grocery store (Stop & Shop), as well as at the high end places like Whole Foods and Mrs. Green. On the other hand, I do not eat foods with isolated soy protein, but then no one is recommending that, are they?

      Corn is another issue. I do eat plenty of frozen corn, but then I am not particularly afraid of GMO foods, either.




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    2. Its NOT difficult to find Organic Tofu…. Here in Los Angeles area, Ralphs stocks it, as well as Pavilions.
      Its also relatively cheap on a per pound basis at about $2 per pound.
      You can also buy organic soy beans in the pod and shelled, I recommend the frozen ones at slightly more per pound.

      I rarely buy corn, but I should point out that most white corn on the cob is quite different from the yellow, that is mainly GMO & heavily laden with herbicides/pesticides, and used to feed animals and to make High Fructose corn syrup.




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      1. Men beware!

        Created January 5, 2016. Revised September 14, 2017

        Read the sad truth about prostate cancer testing and treatment, exploitation and dangers. Your life or your quality of life may depend on reading this document. Prostate cancer lies, exaggerations, deceptions, elder abuse and dirty secrets. A prostate cancer survival guide by a patient and victim. Men, avoid the over diagnosis and unnecessary treatment of prostate cancer.

        The man who invented the PSA test, Dr. Richard Ablin now calls it: “the Great Prostate Mistake, Hoax and a Profit-Driven Public Health Disaster”.

        In my opinion: Read the hard facts about prostate cancer testing and treatment that no one will tell you about, even after it’s too late. This is information all men over 50 should have. Also, anyone concerned about cancer in general, dangers from clinical trials, injuries and deaths from medical mistakes, exploitation, elder abuse, HIPAA laws and privacy issues should read this document. Prostate cancer patients are often elderly, over treated, misinformed and exploited for huge profits by predatory doctors. The testing, treatment and well documented excessive over treatment for profit of prostate cancer often results in devastating and unnecessary side effects and sometimes death. At times profit vs. QOL (quality of life). Facts per some studies: 1. Multiple studies have verified more harm and deaths caused from prostate cancer testing and treatment then from prostate cancer itself. 2. Extensively documented unnecessary testing and treatment of prostate cancer for profit or poor judgment by some doctors in the USA. 3. Medical mistakes are the third cause of deaths in the USA (over 251,000 deaths a year, over one million deaths in 4 years) more then suicide, firearms and motor vehicle accidents combined. 4. About 1 man in 6 will be diagnosed with prostate cancer in his life. 5. About 233,000 new cases per year of prostate cancer. 6. 1 million dangerous prostate blind biopsies are performed per year in the USA. 7. 6.9% hospitalization within 30 days from a prostate biopsy complication. 8. About 1.3 to 3.5 deaths per 1,000 from prostate blind biopsies. 9. .2% to 1.2% deaths as a result of prostate cancer surgery. 10. A study of early-stage prostate cancer found no difference in surviving at 10 years whether men had surgery, radiation or monitoring (no treatment). 11. Black men are at an increased risk of prostate cancer. 12. Prostate cancer patients are at an increased risk for chronic fatigue, depression, suicide and heart attacks. 13. Depression in prostate cancer patients is about 27% and 22% at 5 years, for advanced prostate cancer patient’s depression is even higher. 14. 75% to 90% of oncologists would refuse chemotherapy if they had cancer. 15. The National Cancer Institute says approximately 40 to 50% of men with low to moderate grade Prostate cancer will have a recurrence after treatment. 16. 62% to 75% of bankruptcies in America are because of medical bills. 17. Low risk Gleason 3+3=6 “cancer” lacks the hallmarks of a cancer yet it is often aggressively treated. Excuse the generally accurate humor and sarcasm. Its intent is to entertain and educate while reading this possibly laborious text. Prostate cancer patients are often elderly and exploited for profit, the treatments offered has horrible side effects, and newer treatment options are either unavailable or not offered to patients or available outside the USA. Prostate cancer is often slow growing and of low risk and can just be monitored. Often no treatment is the best treatment. Over testing and treatment has been verified by numerous experts, studies and investigations, documentation, etc. $Follow the money$: If a surgeon is financially responsible for a building lease, a large staff or an oncologist is also responsible for a lease on multimillions of dollars in radiation treatment equipment, do you think they would be more or less honest about the benefits and hazards of treatment? Do you think the profit margin would compromise some doctor’s ethics? Typically, what is the purpose in over testing and treating a cancer that often will not spread and the testing and treatment frequently causes lower QOL (quality of life), ED, incontinence, depression, fatigue, suicide, etc if it was not extremely profitable? The medical field is alluding to the fact that prostate cancer testing and treatment may do more harm then good. The U.S. Advisory Panel is now recommending for prostate cancer PSA testing and screening: for men 55 to 69 “letting men decide for themselves after talking with their doctors”. For men over 70, no testing at all is recommended. However this may not protect men from predatory doctors exploiting them. Patients usually follow a doctor’s recommendation. Do you think any regulatory agency will stop the exploitation of elderly men with a high PSA or prostate cancer or approve new treatments at the risk of financially bankrupting thousands of treatment facilities and jeopardizing thousands more jobs? Do you think any regulatory agency will set guidelines for testing and treatment at the risk of upsetting the doctors who are profiting from over treating? Some drugs and treatments for prostate cancer and ED are kept very expensive and newer or less expensive and effective drugs and treatments are seldom approved, for maximum profit. Prostate cancer patients are often elderly and exploited for profit, the treatments offered has horrible side effects, and newer treatment options are either unavailable or not offered to patients or available outside the USA. Prostate cancer is often slow growing and of low risk and can just be monitored. Often no treatment is the best treatment. Over testing and treatment has been verified by numerous experts, studies and investigations, documentation, etc. A 12, 18 or 24 core blind biopsy, holey prostate! One million dangerous prostate blind biopsies are performed in the USA each year and they should be banned. Men with a high PSA tests result are often sent to an urologist for a blind biopsy. Men should be told about other options: Percent free PSA test, 4Kscore test, PCA3 urine test or a MRI, 3D color-Doppler test before receiving a blind biopsy. These tests can often or always eliminate the need for a more risky and invasive blind biopsy. Insertion of 12, 18 or 24 large holes through the rectum into a gland the size of a walnut, a blind Biopsy can result in (per studies) pain, prostate infections, a risk of permanent or temporary erectile dysfunction at about 24% (Biopsies cause about 240,000 cases of ED a year), urinary problems, hospitalization from infections and sometimes even death from sepsis (About 1.3 to 3.5 deaths per 1,000 from blind biopsies). There is also debate that a biopsy may spread cancer because of needle tracking. A blind biopsy can also increase PSA reading for several weeks or months, further frightening men into an unnecessary treatment. Blind biopsies are almost never performed on other organs. One very prestigious hospital biopsy information states “Notice that your semen has a red or rust-colored tint caused by a small amount of blood in your semen”. Another large prestigious hospital states “Blood, either red or reddish brown, may also be in your ejaculate.” These statements are often an extreme exaggeration (mostly lies). Very often after a biopsy a man’s semen will turn into a jet black goo. This could be an unpleasant surprise for a man and especially for his unsuspecting partner. However if a biopsy is performed before Halloween or April Fools’ day this may be of some benefit to a few patients. If some very prestigious hospitals are not factual about the color of semen, what other facts are not being disclosed or misrepresented? Never submit to a blind biopsy. Bone scan scam: Prostate cancer patients are often sent for a bone scan. A bone scan has about a 13% chance of having a false positive and only 3 men in 1,000 have bone cancer who have a bone scan. Bone scans may often be unnecessary in lower risk prostate cancer patients. Low risk cancer patients or patients with advanced age are often sent for aggressive treatment by some doctors when monitoring is usually a better option. An extreme example of overtreatment is one SBRT radiation clinical trial. Prostate cancer patients (victims) where intentionally treaded (fried) with a huge dose (50Gy total, 5 fractions) of radiation resulting in disastrous long term side effect for some of these men. The typical SBRT dose is 35 to 36.35 Gy, 5 fractions. A large percentage of prostate cancer patients in this clinical trial had low risk prostate cancer and may have not required any treatment at all. Clinical trials may or may not be hazardous to patients. The goal of a clinical trial is to gather information; the intent is not necessarily to help or cure patients. In a clinical trial, if someone is given a treatment that will harm them (as in the above example) or given a placebo in place of treatment or needed treatment is withheld, the patient may be deceived or harmed. Investigate before you participate in any clinical trial. Often drug company’s get your information from medical databases and pharmacy information to lure people into clinical trials, soliciting people with letters and postcards. This is often a HIPAA violation. If you call about a clinical trial your phone conversation may be recorded “Calls may be recorded for training and quality purposes” including your medical and personal information. Even if you do get a safe and effective treatment, it may not be available to you after the clinical trial is over. If the trial is for a drug, you will not be told if you are getting a drug or a placebo until after the trial is over. Patients can be harmed by a clinical trial. Your privacy and confidentiality is just an illusion: You may have little privacy and confidentiality! Under the HIPAA law all access to your records is allegedly by a “Need to know” basis only, this is another exaggeration (lie). Prostate cancer patients are asked to fill out a series of EPIC questionnaires and other standard questioners. The EPIC questionnaire asks several intimate details about patient’s sex life, urinary and bowl function. By a prostate cancer patient completing an EPIC questionnaire may be able to assist his doctor, nurse, office workers or database track his progress or decline. By refusing to fill out these questioners and supplying other unnecessary information one can help insure his privacy, dignity and insure he do not unknowingly become part of a study or clinical trial or other collective survey or have his information forwarded to multiple databases. He may be told these questioners and records are “strictly confidential” (as stated in some EPIC questionnaires); this statement is misleading. Most of the time a patient has no idea who has access to medical records or why the records are being looked at. Who has access to your medical records? Probably everyone that works in a medical office or building has access to the records, except you (often you the patient may have limited or no access without a formal request). Access may include/however not limited to non-medical employees, office workers, bookkeepers, janitors, insurance companies, temporary high school or college interns, volunteers, etc. This may also include other medical facilities, programmers, hackers, researchers, etc. Usually records are placed on a Health Information Exchange (HIE) or servers. Dozens, sometimes even hundreds or thousands or more people may have access to medical records. Some major databases like SEER (Surveillance, Epidemiology and End Results) are linked to Medicare records to determine “end results” for researchers, studies, drug companies, clinical trials offers, etc. Servers, both government and privet are sharing information AKA “ health surveillance”. Health information may be shared and downloaded by millions of entities and servers all over the USA and the world to countries that do not have any regulations for privacy. Your prescription history can also be tracked. Records may be packaged with others and offered for sale, this does often happen on “the dark web”. If a doctor, patient or insurance company is involved in a criminal or civil case, medical records may become public court or law enforcement records. Your records can be acquired by insurance companies. If a patient has radiotherapy he may have a photo taken before treatment to verify identity. All patients should get a copy and read any confidentiality disclosures statements (HIPAA statements). Financial and medical Identity theft is a growing problem, often expensive and difficult to correct. Under the HIPAA laws you are entitled to a copy of all your medical records, however if you try to obtain a copy of extensive records as in a hospital stay you may be met with resistance. I recently went to a new optometrist for glasses and I was given a form that asked details about my heritage, including my mother’s maiden name and a form for my complete medical history. Your records can also be accessed by anyone (trainees, volunteers, students, high school interns, minors and adolescent people as young as 16 years of age, etc) “for training purposes” or any other reason, all without your consent. This gives kids a chance to play doctor and nurse in a real doctor’s office with real patients. A list of what a high school intern is allowed to do to patients: “learning simple medical procedures, watching surgeries, shadowing doctors (including seeing patients, possibly you), working in hospitals, interacting with patients, and more.” They can also read all records about your prostate problems, your wife’s hemorrhoids and your daughters yeast infections or any files for any patient, all within the HIPAA guidelines. These people do not have to be employed by the facility or have a background check. My family doctors office has summer time high school interns with full access to all records. One high school intern signed me in, took my temperature, weight, blood pressure and logged it in my file. Would you like to have a high school or college student that possibly lives in your neighborhood or attends school with your children read over your extensive family member’s medical records and personal information? How much curiosity or self control does a high school or college student have? I also went to a hearing aid center in a department store to get a free hearing test and was given forms inquiring about personal information and my complete medical history. This is information I do not want filed in a department store. All patients should avoid supplying unnecessary information whenever possible. Supply relevant information only when filling out forms. In the USA identity theft is very common, growing problem and is often financial devastating. Medical forms can be a good source of information for thieves. Recently my friend with arthritis in her hips received a letter offering a clinical trial for a new medication; coincidently looking for patients with hip and knee arthritis. How did this company determine she and not her husband or other family member was a prime candidate for this new drug study without violating any HIPAA privacy laws? Numerous exceptions (loopholes) appear within the HIPAA laws regarding you privacy. Even without HIPAA privacy law violations, records can be accessed by multiple people and appear in multiple databases. Sometimes medical phone calls are recorded “Calls may be recorded for training and quality purposes”. Calls about a clinical trial, calls to a large clinic toll free number, calls to drug companies and calls to insurance companies may be recorded. These conversations can include confidential or medical information. Some of the Obamacare goals sought to have everyone’s medical records on servers so they could be accessed by any medical facility or doctor. HIPAA laws are deficient and often will not protect your privacy. Your privacy and confidentiality is not that secure. I believe the medical field has little regard for our privacy, especially if it is in conflict with training, research, studies, profit or other objectives. If you’re a public figure, celebrity, rich or famous you may be subject to numerous people wanting to see your medical records. Also if you are known to or an acquaintance of anyone with access to your records (neighbor, co-workers spouse, etc) they would possibly (or probably) want to have a look at your medical records. On May 6, 2017 Dear Abby did an article on this subject, “Snooping into medical records” . You are naive if you believe otherwise or that your records are secure. The same also applies to pharmacies and your prescriptions, labs, etc. A patient’s dignity (or lack of dignity): Prostate cancer testing and treatment is stressful, degrading, demoralizing and often unnecessary. EPIC questionnaires can be counterproductive impact a patient’s dignity, privacy, confidentiality, and self image. EPIC questionnaires probably have an increased potential and greater impact on patients for privacy violations because of its format, nature and personal content (potential for HIPAA privacy law violations). Patients may mistakenly believe the EPIC questionnaire is a requirement to be filled out. Also the term “strictly confidential” can be misleading and ambiguous. One patient posted he filled out and turned in his “strictly confidential” EPIC questioners only to have every female office staff member read it and ogle him. Resulting in him not filling out any more EPIC forms or any other forms and he stated that he became very uncomfortable and evasive with the entire office staff. The drawbacks of this form seem to outweigh any potential benefit for some patients. Medical tests and procedures can be degrading and embarrassing for both men and women. Many women prefer or will only see female doctors or gynecologists, about 50% to 70%. Over half of men prefer a male doctor. (Per some respected doctors: Men stay away from medical care in large numbers because of privacy and dignity. Many men still avoid medical care because of embarrassment. Honest answers will often not be given if asked by a female doctor or nurse.) What percent of men will feel comfortable consulting a female doctor, nurse or office worker about his prostate problems, ED, etc or would want an invasive test or procedure performed by a female? The most common treatment options for men with prostate cancer are radiation, Brachytherapy, surgery, cryotherapy and hormones (ADT). Sometimes chemotherapy, immunotherapy and castration (orchiectomy) are used. A combination of treatments is often used. Most or all of these treatments have long term or short term side effects. Often men are not told about all of the true risks and side effects or they are downplayed for both a blind biopsy and treatments. LDR Brachytherapy is permanent radioactive seed implant. This treatment procedure implants about 60 to 120 radioactive seeds in the prostate, sometimes resulting in urinary problems. The patient will literally become radioactive for months and up to 2 years. The patient may set off radiation alarm at airports. He will also be required to use a condom, have no close contact with pregnant women, infants, children and young animals or pets for months or longer. Occasionally he may even eject radioactive seeds during sexual activity or urination. The patient will become like a walking Chernobyl, having radioactive scrap metal and emit radiation from his crotch. He will also be required to carry a card in his wallet stating he is radioactive. If he dies he can not be cremated for one year after treatment The videos of this procedure seem to be disturbing and bizarre. A catheter will also be required for a short time. ADT Hormone therapy, big profit$, devastating side effects: Lupron injections is one of the most common. Men are also prescribed hormone therapy (ADT therapy), AKA chemical castration as an additional or only treatment. Hormone (ADT) therapy is sometimes over prescribed for profit, per some studies. Hormone therapy is often very expensive (Profitable for doctors if provided at the doctors office and not a pharmacy) and can have horrible, strange and devastating side effects, feminization, hot flashes, fatigue, weight gain, ED, depression, etc. His penis could shrink and his testicles can completely disappear, he may grow breasts. This treatment can have so many mind and body altering side effects that doctors will often not inform patients about all of them. One man stated that ADT therapy turned him into a menopausal woman. Men are sometimes castrated (orchiectomy) as a cancer treatment to reduce testosterone. Amnesty International calls chemical castration “inhuman”. ADT therapy is often used in sex reassignment surgery, male-to-female transsexuals. Studies (Medicare and financial) have documented doctors do over prescribe ADT therapy for profit (depending on Insurance payout rates/profit margin). When insurance payment reimbursement for ADT decreased so did the number of patients being prescribed ADT therapy! Per Wikipedia: “in patients with localized prostate cancer, confined to the prostate, ADT has demonstrated no survival advantage, and significant harm, such as impotence, diabetes and bone loss. Even so, 80% of American doctors provide ADT to patients with localized prostate cancer.” Overtreatment with ADT is extremely profitable, unfortunate and avoidable. Nerve sparing Robotic-assisted DaVinci surgery is touted as being a better treatment and having fewer side effects, this is usually an exaggeration. The nerves can not always be spared. Robotic surgery can result in a faster initial recovery. Long term risk of incontinence, fatigue, ED, depression, some men will ejaculate urine, shorter penis, etc is about the same as conventional surgery. Patients undergoing surgery are at a very small risk of developing post traumatic stress disorder (PTSD) and about a 22% chance of long term or permanent fatigue. A catheter will be required. Also .2% to 1.2% risk of deaths as a result of prostate cancer surgery or medical mistakes. Patients can have unrealistic expectations about the results and regret the surgery or any treatment option. The ED rates and other side effects are often understated to patients. Patients should not be naive: Medical mistakes are the third cause of deaths in the USA (over one million deaths in 4 years). Medical mistakes cause more deaths then suicide, firearms and motor vehicle accidents combined. Countless other patients have been harmed by medical mistakes. If you are having surgery, biopsy or a procedure take precautions if possible. Have someone qualified or knowledgeable monitor you and your medications, etc. Doctors, nurses and technicians can be profit motivated, use obsolete procedures, be lazy, incompetent, make mistakes and be apathetic or rushed. Occasionally harm can be done or not prevented with intent. Drug abuse is often a problem with some medical workers because of easy access. Doctor’s offices and clinics can see many patients in a relatively short amount of time. This may be a disadvantage to patients, empathy and quality of care can sometimes be compromised. Sometimes a nurse, medical assistant or an office staff member may be the person that overseeing much of a patient’s care. I personally know of or have had contact with at least 14 nurses and other medical staff that I would consider dangerous: incompetent, dishonest, lazy, abusive, mentally disturbed, sadistic, drug abusers that work in doctor’ s offices, labs and hospitals. Most of these people did not have a name tag and supplied me with a first name only when asked for a name. I am now sure modern medicine protects the blameworthy and incompetent, also victimizes the naive patients. I now understand why medical mistakes are the third leading cause of deaths in the USA. I now believe some or most of the deaths and injuries are preventable or intentional. TV and sometimes the public seem to idolize doctors, nurses and caregivers; however the health care profession has about the same amount of abusive or incompetent workers as other occupations. I have also had excellent doctors and nurses. However this may not protect you from the bad ones. What are the main reasons nurses get fired: 1. Prescription drug abuse (because of easy access to drugs). 2. Too many mistakes. 3. Code of conduct and privacy violations. 3. Bad attitude. 4. No proper licenses 5. Abuse of patients. Patients should be aware that sometimes QOL (quality of life) may be secondary or an absent goal in treatment. Sometimes overtreatment for profit or to prevent an unlikely death or metastization from low risk cancer may be the primary or the only goals of prostate cancer treatment. A blind biopsy or treatments are often worse then the disease: Resulting in Chronic/permanent fatigue, incontinence, depression, sexual dysfunction and sometimes death. Hormone therapy does have an extensive list of side effects that can be devastating for men. Biopsies and treatment are degrading, stressful and often unnecessary. Many men may not be prepared or have unrealistic expectations about the outcome, physical and psychological impact of testing and treatment. The risk of long term chronic and permanent fatigue (that can result in depression) is almost always understated if mentioned at all too many patients. Per some studies and depending on your treatment; the risk of long term or permanent fatigue is about 25% to 60%. Radiation with Hormone therapy has a high risk of fatigue. Long term fatigue also increases the risk of clinical depression and suicide. In my opinion: Castration, ADT hormone therapy (chemical castration), LDR Brachytherapy (radiation seed implant), radiotherapy, surgery, chemotherapy and blind biopsies are often psychically and emotionally brutal, traumatic and disturbing. These types of treatments are primitive and almost beyond belief in today’s world of advanced technology. Newer treatments like, HIFU, hyperthermia, Conexus, Boron Neutron capture therapy, Gold Nanoparticles, PARP Inhibitors, Platinum, focal Ablation (only treating the cancer and not the entire prostate) and orphan drugs (dichloroacetate, etc.) should be approved and used when appropriate. Biopsies should be limited to selective MRI guided samples only; blind biopsies should never be performed. Per some studies vitamin D3 May help control PSA and prevent prostate cancer from becoming aggressive. Lipstick on a pig: Approved advances in prostate cancer treatment mostly consisting of newer, faster and more accurate radiation treatments, robotic surgery and new drugs. These advances sound like greater strides have been made. However most of these approved advances are of limited benefit to prostate cancer patients and still have about the same amount of long term side effects. Compared to other technologies, computers, communications, electronics, aviation, etc, cancer treatment approved advances have been dismal. The National Cancer Institute wastes about 3 billion dollars a year on PSA screening that can be used for research and true cures. QOL (quality of life) issues have not been adequately addressed. Profit often outweighs QOL. Prostate Radiotherapy (EBRT-external beam radiation therapy) for cancer treatment. New technology consists of: IMRT, SBRT, IGRT, VMAT, TrueBeam, Cyberknife, etc. This newer, faster, more accurate and easer to setup radiation equipment is of much benefit for doctors, staff and a good selling point to patient’s. However as far as reducing long term side effects, only small gains have been made with the newer radiotherapy equipment. A patient should be skeptical if exaggerated claims are made about reduced long term side effects, especially fatigue and ED rates. About 25% of radiotherapy patients can expect an alarming temporary “bounce” (spike) in the PSA value after treatment. Patients should inquire as to the treatment plan: Gy dose and fractions, margins, testicular dose, constraints and age of radiotherapy equipment to insure excessive radiation exposure treatment is not given that can result in additional side effects. Patients should be aware that pelvic shaving, permanent tattoo markers, fiducial marker (small seeds) are sometimes placed in the prostate, MRI, CT scan, photographs, catheters and other procedures may or may not a be required. Radiotherapy can also occasionally result in secondary cancers and damage to “organs at risk” (organs close to the prostate). Radiation has high probability of sexual dysfunction and fatigue, just as high and sometimes higher with the newer equipment. ED rates estimated at 35% to 75% or higher, 93% at 15 years. Sometimes radiation can also cause bowel and urinary problems. Per some studies radiotherapy causes moderate-to-severe gastrointestinal effects in 17%. A 5 day SBRT radiation treatment is now commonly available with about the same results and side effects as a 9 week radiation treatment. A doctor with a multimillion dollar lease and maintenance agreement on radiotherapy, CT scan and MRI equipment and a large staff may or may not be influenced by his or her financial obligations when deciding to recommend over testing and treatment. Fried nuts, two: Prostate radiotherapy (EBRT) can sometimes result in a 5% to 30% temporary or permanent drop in testosterone levels, excluding hormone therapy. This drop is determined by the testicular radiation dose (treatment equipment and planning). A below normal drop in testosterone can result in fatigue, depression, sexual dysfunction and other symptoms. Always ask for a printout of testicle dose and constraints before and after prostate EBRT to insure your testicles are not over radiated, also include the CT scan exposures. Have your testosterone levels tested before and months after EBRT treatment. It seems all of the best treatments for prostate cancer have not been approved and most are only available outside the USA. Treatment options outside the country or under development are HIFU, Laser, Hyperthermia, Boron Neutron capture therapy and orphan drugs, just to name some. Focal Laser Ablation is a good option with fewer side effects however it is not widely available in the USA and sometimes not practical. Chemotherapy can be extremely toxic and sometimes deadly: Any cancer patient (man or woman) who are being offered chemotherapy should be particularly cautious. Without genomic testing or proof of the effectiveness of the specific drug being used on the exact cancer type being treated, chemotherapy can often be more toxic to the patient then to the cancer. Chemotherapy may be extremely expensive, profitable for some doctors (if dispensed by the doctor and not by a third party) and can be misused or overused, often for profit. The “chemotherapy concession”: A doctor may purchase a quantity of chemo drugs for $10,000 and charge a patient $20,000. A doctor can also receive a percent kickback from the drug company for prescribing the drug. What is the motive for some doctors to perform Genomic testing and giving a patient a different and more effective treatment at an unknown or no profit versus a guaranteed profit with a probable worthless or harmful treatment? This is a well documented and common practice. 75% to 90% of oncologists would refuse chemotherapy if they had cancer. Chemotherapy fails upwards of 93 and 98% percent of the time depending on which study you look at. One Michigan oncologist who committed fraud and gave $35 million in needless chemotherapy (for profit) to patients, some who did not even have cancer is now in jail for 45 years. He was running his own in-house pharmacy. The nursing staff was indifferent and the state regulatory agency initially cleared him of any wrongdoing (a cover up). Many or most chemo drugs are considered a biohazard. Often few good choices exist for treatment. A prostate cancer patient treatment choice often ends up being the least worst choice or the choice with the side effects a patient thinks he can tolerate. Patients can sometimes be mislead about the expected side effects and results of the treatment being offered. The risk of chronic fatigue and depression is often not disclosed. Long term care consists of regular PSA testing for years. Long term care for side effects is often lacking or exploitive or ineffective. Often complaints of side effects are disregarded by nurses, doctors and sometimes referred out to other doctors. The patient is sometimes left to figure out what to do about his side effects with the resources available to him. Long term side effects often consist of fatigue, bowel or urinary problems, sexual dysfunction, depression and other symptoms. Patients with complaints of chronic fatigue are often told to exercise, get plenty of sleep, pace your self and eat a healthy diet; this advice is of limited help for chronic fatigue. Often treatments for long term side effects are embarrassing, degrading, unavailable, nonexistent, costly, not effective, not offered or bothersome. Prostate cancer treatment often results in fatigue, depression, isolation and sometimes suicide. Billions of dollars are profited from ED drug and other ED products, catheters, pads and diapers, drugs for depression or pain or insomnia or incontinence, additional treatments and surgeries for side effects. Also treatments for the multiple and bizarre side effects from hormone ADT therapy (chemical castration) is sometimes required. Men, ageing, exploitation and elder abuse: If any man lives long enough it is very likely he will have a prostate problem, low testosterones or some form of sexual dysfunction. In my opinion modern medicine often has been exploitive, abusive and has provided substandard care for older men in general due to all of the explanation given in this text. I believe much of the attitudes toward older Americans need improvement and they are sometimes viewed as being subhuman and exploitable by various groups and individuals. If documented cases of unnecessary surgery and radiotherapy or blind biopsies on children by doctors for profit were released, the vast majority of Americans would be outraged and this practice would quickly end. However for older men it dose not seems to be of great concern! As defined by some or all state laws, exploitation of elderly men by overprescribing treatment for profit is a crime or an offence of various guidelines and regulations. It is extremely unlikely any doctor will ever be prosecuted or have a medical license suspended for this common and extensively documented abuse or crime. It is well documented that all forms abuse do occur to the elderly and disabled in nursing homes and other facilities including, neglect, theft, starvation, torture, harassment, sexual assault, etc. One patient after recovering from a brain injury testified that he was repeatedly abused, slapped and hit, forced to drink boiling hot tea by multiple caregivers and sexually assaulted by one female caregiver. I personally know of an elderly lady that is living in an expensive assisted living home that has had all of her possessions (radio, clothes, underwear, shoes) repeatedly stolen and replaced by her family including the sheets off of her bed, even after the sheets where marked with her name using a larger permanent marker pen. Depression in prostate cancer patients is common, about 22% at 5 years (per some studies) and for advanced prostate cancer patient’s depression is even higher. Prostate cancer patients are at an increased risk of suicide. ED risk, no bathtub included: Almost all prostate cancer treatments usually result a high percentage of erectile dysfunction. Loss of libido estimated at about 45%. Excluding hormone therapy, lower libido is almost never disclosed as a treatment side effect and sometimes it is completely denied as a problem. Blind biopsies can often cause temporary or permanent ED. Often claims of prompt effective treatment for ED or other side effects if they occur after treatment are often misleading. Statistics for ED percentages from treatment are usually quoted after treatment with Viagra, Muse or other ED treatments, therefore most statistics are very misleading. ED rated at 5 years may be as high as 50% to 80% or higher for most treatments. ED rated at 15 years may be as high as 90% or higher for most treatments. For cryotherapy, ED rates are extremely high. The cost for ED drugs like Levitra, Cialis, Viagra and Muse are deliberately kept very expensive by drug companies, about $10 to $45 per 1 pill or dose. At these prices Lilly could consider including a free bathtub featured in its advertisements for Cialis. The cost of a 30 day supply of Cialis is usually well over $320 and the cost of an inexpensive bathtub is about $200. Generic PDE5I ED drugs in Canada and other parts of the world sell for about $0.50 to $2 a pill. Many insurance companies will not pay for ED drugs or treatment. Less expensive generic drugs are usually unavailable in the US. Viagra should have already become available in a generic (in the USA) form for about $1 a pill. This is further exploitation by the drug companies of men in general. Men are also exploited by counterfeit mail order ED drug sales. ED drugs are not always effective and may have side effects. ED treatments can also be embarrassing, not offered, not practical, painful, expensive/not covered by insurance. Men will often not seek treatment because or these reasons. The numbers game, you lose: More exaggerations and lies. A doctor may state a patients chances of ED is about 35% with EBRT radiotherapy (or some other treatment). A patient may think, 35% is not too bad and if I do get ED I can always take Viagra. What a doctor may not tell a patient is that the ED rate is 35% at 1 or 2 years for a patient under 65 years old and with an ED drug treatment option. For a patient over 3 years, over 65 and no ED drugs the ED rate may be about 75% or higher, after age 70 your chances of ED is over 85% or higher. Obviously, a man is more likely to refuse treatment at a 75% ED rate verses a 35% ED rate. Some side effects may not be disclosed at all. If side effects (low libido, chronic fatigue, depression, increased suicide risk, etc) are not disclosed, no percentages will usually need to be quoted. Results are often worse for a surgery option, the main difference in ED results between surgery and radiotherapy is; with surgery ED will start out bad and may or may not get better with time, however with radiotherapy ED will get worse over time. With both treatments together or with ADT hormones also you’re in real trouble with ED percentages. Cure rates are often quoted at the 5 years mark for most treatments. 5 years is not a magic number, anyone can have a treatment failure before or after 5 years. A cure rate for a treatment at 5 years may be quoted at 85%; however the cure rate at 7 to 10 years may be only 70% and 50%. The 85% at 5 year rate was quoted to me. I was never told about my 50% at 10 year cure rate. Always ask what is the “biochemical recurrence” (AKA rising PSA or treatment failure) rate for well beyond 5 years with your computer software simulation and Partin tables. Ask your urologist or radiation oncologist for a 10-year cure Rate. If the physician is unable to provide one, consider finding another doctor. Studies and clinical trials results, side effects percentage claims, etc can be biased. Watch out for terms like “age adjusted” or ambiguous or excluded facts as given in the above examples. ED rates for radiotherapy are usually quoted at under 1 or 2 years and for surgery over 1 or 2 year to give the appearance of a more positive result. I have read and have been given some extremely exaggerated claims (mostly lies) concerning cure rated, side effects, etc. In conclusion: Prostate cancer patients are sometimes elderly and exploited for profit (per documented studies). A blind biopsy is unsafe and newer test methods should be used. The treatments offered have horrible side effects. Some doctors are treating patients with low risk cancer or advanced age when monitoring is often a better option. Patients with low risk cancer or advanced age should often be offered “watchful waiting” or “active surveillance” instead of treatment. Aftercare for long term side effects is frequently ineffective, expensive, not offered, degrading or nonexistent. Prostate cancer patients are seldom told about chronic fatigue and the true risk of side effects are usually understated. Modern medicine often fails and victimizes prostate cancer patients. If a patient has intermediate or high risk prostate cancer and dose not have advanced age he may need treatment. He should consider genomic testing and look into other advanced treatments if available. Also he should try and avoid hormone therapy if possible because of the multiple side effects especially if the cancer is organ confined. If laser or other advanced treatments are not available a 5 day SBRT radiation treatment may be considered (In my opinion SBRT could be the least worst of the bad choices, still a poor option). SBRT seems to be fast, least invasive or traumatic. ED and fatigue is still a high long term risk. Radiation with hormone therapy has a higher risk of ED and long term fatigue. However, I now believe conventional prostate cancer testing and treatment is a mistake in most men. The short version of my story: I was referred to an urologist by my family doctor after a high PSA test. I will refer to the urologist as Doctor “A” ; he used old and dangerous testing technology (18 core blind biopsies), his nurse seemed to have a mental defect exhibiting arrogant, rude, strange, abusive behavior and was intent on inflicting psychological harm to me. Shortly after my Dr. “A” visits ended, his nurse was no longer employed at his office and no person in that office would refer to her employment or her existence. I now believe this nurse was high because of drug abuse being common among nurses (easy access to drugs). I was diagnosed with prostate cancer by Dr. “A”. I refused his surgery and hormone therapy recommendation because of the eminent side effects and his unprofessional nurse behavior, so Dr. “A” referred me to Dr. “T”. Dr. “T” was outside of my insurance network; however his office manager stated she was willing to work with my insurance, offered me a doctor consultation and would accept any insurance payment as a full payment. When I arrived in his office the waiting room was empty. He also had a large staff. Dr. “T” used older conventional technology, offered me overtreatment, hormone therapy, unnecessary procedures and testes. One week after my consultation with Dr. “T” I received an $850 bill for the consultation, in conflict with what was agreed upon with his office manager. After a recommendation from a friend, I called clinic “O” and met with the nurse. She offered me treatments with a verbal guarantee of “no side effects from the radiation”. However this nurse could not answer any of my basic questions, lacked any credibility and sounded like an unscrupulous used car salesmen. Most of these office visits caused me multiple problems with offices workers processing paperwork for tests, insurance forms and billing, etc. Two of these doctors offered me an unnecessary bone scan. Two of these doctors recommended unnecessary hormone therapy ADT (overtreatment) for my organ confined cancer. After I absolutely and utterly refused hormone therapy, both doctors admitted it probably would not help me in my final outcome because of the computer estimate run on me with my organ confined cancer, PSA, biopsy report, etc. Having no advance treatments (laser, etc) available to me at that time, I decided on SBRT treatment with Dr. “K”, he could answer my questions and had new equipment. Before my treatment could start I was referred to “W” lab for an MRI. “W” lab had a trainee assisting and it took over 2 hours to complete my MRI. 2 days later after receiving a copy of my MRI report, I examined the MRI report; it had my name and some other patient history information. I wasted 2 more days verifying it was the correct MRI of me and not some other prostate patient MRI before my treatment could start. I did receive treatment from Dr. “K”. I did have a relatively fast and noninvasive treatment (SBRT), resulting in several months of fatigue, a large PSA bounce 18 mothers later and some other short term side effects. At this time I am doing okay, however I’m not sure what the future will bring? I also no longer trust modern medicine, doctors, nurses, etc. Modern medicine seems to be more of a gamble then a science. I have wasted hundreds of hours and thousands of dollars. I feel modern medicine has abused and failed me (and others) due to the lack of guidelines and regulation, still approved obsolete technology, better unapproved treatments, exploitation, greed, apathy and incompetence. Hindsight is 20/20. I was never offered Genomic testing. If I could do it over again, I would also consider no PSA testing and treatment or traveling for advanced treatments from a competent provider if practical and available. I believe if I did take the two doctors recommendations and received unnecessary hormone therapy in addition to the radiotherapy my quality of life (QOL) would have been severely impacted for years or permanently and could possibly have resulting in my early death. I did seem to have a lot of bad luck in picking providers or is this just the new standard in medical care?
        “Do no harm”, unless you can make a lot of money and get away with it: I was harmed physically and verbally by Dr. “A” 18 core blind biopsy and verbally abused by his nurse. I was potentially exploited and financially harmed ($850) by Dr. “T” and offered unnecessary testing and overtreatment. Clinic “O” nurse attempted to misinform and deceive me about the treatment outcome of “no long term side effects”. I was harmed by “W” lab by mistakes and incompetence. I did also have numerous other billing and paperwork problems probably due to mistakes and apathy. A few of the office staff were incapable of completing some very simple tasks like filling out lab work request or insurance forms. At least 40% (probably substantially more, 50% to 60%) of the health care workers I came into contact with did or attempted to do some form of harm to me or provide substandard care, attempted excessive testing and treatment, mistakes, billing overcharges, blind biopsy, false statements, deception, misinformation, apathy and abusive behavior­­­, as explained in this text. I have also observed several medical facilities do not require workers to wear name tags and when asked for a name most will give a first name only; this may also be a factor in health care workers not acting in an ethical manner. To me, it seems that this prostate cancer nightmare maze was intended for maximum physical, psychological, financial harm and to be of questionable benefit and maximum profit for doctors. My prostate cancer experience has been one of the worst events that has happened to me in my lifetime. Also seeking testing and treatment is one of the biggest mistakes I have ever made. I specifically blame modern medicine for not protecting patients from predatory doctors, substandard technology and a lack of regulations that would protect patients. I would have been much better off going to a Voodoo or witch doctor. I would have saved thousands of dollars, time, had no side effects, no paperwork, more confidentiality and privacy, and probably received better advice. I could have received a nice amulet or a good luck charm to protect against sorcery or magic (PSA testing, blind biopsies and treatment) and evil medicine men (predatory doctors). My treatment choice: In my opinion, I feel LDR Brachytherapy and hormone therapy (AKA chemical castration) seemed to be completely degrading, disturbing and bizarre. Hormone therapy would not have been an effective treatment for me. Surgery and Brachytherapy are to invasive. Surgery has an imminent danger of incontinence and ED. 9 week EBRT radiotherapy was just too long and laborious. Because castration (orchiectomy), ADT hormone therapy (chemical castration), Chemotherapy, LDR Brachytherapy and blind biopsies are what I consider “Frankenstein medicine” (Harmful, strange, bizarre, brutal, twisted, degrading or a perverted nightmare) I would avoid all of them. Unfortunately, I was deceived and misguided into having a blind biopsy. I do not believe other conventional treatments like radiotherapy are good or great choices either, just not as horrific. The choice I made was a 5 day SBRT radiotherapy. A 5 day SBRT also has numerous drawbacks and side effects, about the same as a 9 week EBRT radiotherapy. I also had no advanced treatment options available to me. As I have stated above, If I could do it over again I would also consider either no PSA testing and treatment or traveling for advanced treatments from a competent provider if practical and available. I am now sure I made the wrong choice by receiving conventional testing and treatment. With prostate cancer, the testing or treatment is often worse then the disease. I am not implying anyone should make the same choices as I did. I am only giving the motives for my decisions. I was also the victim of profit motivated and substandard providers. 3 years later I now believe my prostate cancer testing and treatment greatly accelerated my ageing (through the stress, testing, treatments and physically from the radiation and was also a financial burden). Per a new SBRT studies my 4+3 Gleason score is considered “unfavorable”. I now have about a 50% chance of a treatment failure in 8 to 10 years. My previous long term cure rate was originally quoted at 85% before my treatment started. I am also sure prostate cancer testing and treatment is mostly smoke and mirrors (lies). The man who invented the PSA test, Dr. Richard Ablin now calls it “the Great Prostate Mistake, Hoax and a Profit-Driven Public Health Disaster”. When asked: “ How did you live so long?” A 99 year old woman stated “stay away from doctors and don’t take anything they prescribe for you”. With some exceptions, I now believe this advice to be mostly true. Always protect yourself: It should not be up to a patient to protect himself or herself from harm from doctors, however the new or common standard in medical care seems to be substandard. Do not let the sterile, friendly and professional environment of a doctor’s office detour you from protecting yourself from overtreatment or any unnecessary life changing tests and treatments. If you are concerned about misuse or privacy issues, refuse to fill out EPIC questioners and limit the information given to relevant information only. If you have a high PSA or prostate cancer, educate yourself. A patient should be extremely skeptical if exaggerated claims are made about minimal long term side effects from conventional treatments or blind biopsies. Also exaggerated cure rates or the need for immediate treatment. Bring someone educated or astute with you to your consultations and appointments. Insist on Genomic or advanced testing if you have prostate cancer. Avoid doctors that are mostly profit motivated. Do not submit to a prostate blind biopsy. Get a second or third opinion if you are being offered treatment with low risk prostate cancer. Learn about all your treatment options, testing and side effects. Verify everything you are told. Under the HIPAA law you are entitle to a copy of all your medical records and bills. Always ask the name of the person assisting you. If they refuse the request for a name leave immediately (you may or may not be in extreme danger). Be very cautious if you are ever refused a copy of your records; demand a copy of your records and a reason for any denial and seek other advice. Get a copy and keep a file of your test results, biopsy report, Gleason score, PSA, MRI report, treatment plan, bills, insurance payouts, etc. Carefully monitor your PSA. Expect a temporary increase (for weeks or months) in PSA after some procedures. Verify the accuracy of paperwork. If treatment is necessary talk to your doctor in advance about side effect management, chronic fatigue, ED, etc. Doctors that provide treatments often have computer software to predict the outcome using test results and different treatment options. Ask to see your computer predicted cure rate outcome with your treatment options if available. This may give you some insight to your options, cure rate and also to avoid overtreatment. Always ask what is the “biochemical recurrence” (AKA rising PSA or treatment failure) rate for well beyond 5 years. 5 years is not a magic number. For help contact a good prostate cancer support group without a conflict of interest. A wise man once told me “ you need to learn to think like your doctors and nurses (or other providers)” . What are the motives of your providers, place them in order that you observe at your doctors office: to profit, to cure, to get high on the backroom drug supply, to do less work, to take an extra long lunch or get off work early, to help people, to cover up their incompetents, etc? This exercise may give you some insight into the care you may receive. A medical holocaust: Multiple studies have verified more deaths caused from prostate cancer testing and treatment then from prostate cancer itself. Medical mistakes are the third leading cause of deaths in the USA, over 251,000 deaths a year or over one million four thousand (1,004,000) deaths in 4 years. More then suicide, firearms and motor vehicle accidents combined. These statistics do not include many more people that have had their lives destroyed or shortened by modern medicine or a reduction in QOL (quality of life). Per the FDA, 106,000 deaths per year (Over one million people in 10 years) from prescription drugs. Strict guidelines for cancer testing and treatment need to be created and enforced because of the extensive and documented abuses of prostate cancer patients: 1. Blind biopsies should be banned. 2. Strict standards and gridlines for testing and treatment need to be created. 3. Full mandatory industry standard disclosure forms need to be created for tests and treatment to include realistic risk factor disclosure. 4. Newer testing and treatments need to be created and approved. 5. Dignity, privacy and confidentiality need to be standardized and enforced in addition to the HIPAA laws. 6. Aftercare needs to be available, standardized and regulated. 7. The cost for drugs needs to be regulated to end financial exploitation by drug companies. 8. Medical workers should be identifiable and be required to wear name tags with first, last names and job title. 9. A new standard “Ethical Code of Conduct” needs to be created and enforced to end patient exploitation and abuse. 10. Genomic or genetic testing should be required before any patient is sent for treatment, to avoid overtreatment and insure the correct treatment. 11. A truthful and accurate standardized educational book or PDF needs to be created and distributed to all high PSA and prostate cancer patients. 12. Ban for profit ADT therapy and the “chemotherapy concession”. It is unlikely any of the above recommendations will be implemented unless prostate cancer affected a larger percent of the population or enough prominent people are affected. Prostate cancer patients must protect themselves as the only alternative! Clarification: This text may probably anger and upset some people for various reasons. The intent of this document is not to imply all doctors are dishonest or to condemn all medical providers. The intent is to educate men of the consequences and dangers that may await them so they can take appropriate action and to inform patients of real world, typical or worst case scenarios. I have also tried to include most scenarios a prostate cancer patient should be cautious of. Would some health care providers harm a patient for profit or by accident or some other reason? Yes, absolutely! We just don’t know who or what percent would. Shockingly, for me it was will over 40% (probably 50% to 60%) that intended to do me some form of harm or provided substandard care as explained in my story. Are some other doctors and nurses exceptional? Yes! I have also had excellent doctors and nurses, however this may not protect you or I from the bad ones. Differences in opinion, variations in semantics do not invalidate this document or its intent. The information in this document is a sum of my experience, other patient’s experiences and hundreds of videos, documents, books, conversations, clinical trial, peer reviews, blogs, studies, articles, etc. Recommended reading. Investigate for yourself: 1. Hardcover book, The Great Prostate Hoax: How Big Medicine Hijacked the PSA Test and Caused a Public Health Disaster. by _Richard J. Ablin_ (https://www.amazon.com/Richard-J.-Ablin/e/B00ECW0W4G/ref=dp_byline_cont_book_1) (Inventor of the PSA test). 2. https://urologyweb.com/prostate-cancer-treatment-the-disturbing-facts/ 3. Internet search or Google: prostate cancer overtreatment or scam or hoax, useless PSA, Prostate biopsy sepsis or dangers. Medical mistakes, etc. Often prostate cancer testing and treatment is harmful and a big scam for profit! The evidence is overwhelming. (javascript:void(0)) Disclaimer: I have no conflict of interest. I do not represent any support group or other organizations. I am not a doctor. I do not prevent, treat, diagnose, cure or advise on medical matters. The information in this document is for educational purposes only. If you need treatment or medical advice, consult a competent and trustworthy medical doctor. Anyone may copy, email or distribute parts of or this entire document without changing or modifying it. I have been extensively criticized by some for creating this document and its blunt content. In order to insure my privacy and avoid any potential reprisals, further abuse or exploitation, I will remain Anonymous.




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  13. Men beware!

    Created January 5, 2016. Revised August 5, 2017

    Read the sad truth about prostate cancer testing and treatment, exploitation and dangers.
    Your life or your quality of life may depend on reading this document.
    Prostate cancer lies, exaggerations, deceptions, elder abuse and dirty secrets.
    A prostate cancer survival guide by a patient and victim.
    Men, avoid the over diagnosis and unnecessary treatment of prostate cancer.

    The man who invented the PSA test, Dr. Richard Ablin now calls it: “the Great Prostate Mistake, Hoax and a Profit-Driven Public Health Disaster”.

    In my opinion:
    Read the hard facts about prostate cancer testing and treatment that no one will tell you about, even after it’s too late. This is information all men over 50 should have. Also, anyone concerned about cancer in general, dangers from clinical trials, injuries and deaths from medical mistakes, exploitation, elder abuse, HIPAA laws and privacy issues should read this document. Prostate cancer patients are often elderly, over treated, misinformed and exploited for huge profits by predatory doctors. The testing, treatment and well documented excessive over treatment for profit of prostate cancer often results in devastating and unnecessary side effects and sometimes death. At times profit vs. QOL (quality of life).

    Facts per some studies:
    1. Multiple studies have verified more harm and deaths caused from prostate cancer testing and treatment then from prostate cancer itself.
    2. Extensively documented unnecessary testing and treatment of prostate cancer for profit or poor judgment by some doctors in the USA.
    3. Medical mistakes are the third cause of deaths in the USA (over 251,000 deaths a year, over one million deaths in 4 years) more then suicide, firearms and motor vehicle accidents combined.
    4. About 1 man in 6 will be diagnosed with prostate cancer in his life.
    5. About 233,000 new cases per year of prostate cancer.
    6. 1 million dangers prostate blind biopsies are performed per year in the USA.
    7. 6.9% hospitalization within 30 days from a prostate biopsy complication.
    8. About 1.3 to 3.5 deaths per 1,000 from prostate blind biopsies.
    9. .2% to 1.2% deaths as a result of prostate cancer surgery.
    10. A study of early-stage prostate cancer found no difference in surviving at 10 years whether men had surgery, radiation or monitoring.
    11. Black men are at an increased risk of prostate cancer.
    12. Prostate cancer patients are at an increased risk for chronic fatigue, depression, suicide and heart attacks.
    13. Depression in prostate cancer patients is about 27% and 22% at 5 years, for advanced prostate cancer patient’s depression is even higher.
    14. 75% to 90% of oncologists would refuse chemotherapy if they had cancer.
    15. The National Cancer Institute says approximately 40 to 50% of men with low to moderate grade Prostate cancer will have a recurrence after treatment.
    16. 62% to 75% of bankruptcies in America are because of medical bills.
    17. Low risk Gleason 3+3=6 “cancer” lacks the hallmarks of a cancer yet it is often aggressively treated.

    Excuse the generally accurate humor and sarcasm. Its intent is to entertain and educate while reading this possibly laborious text.

    Prostate cancer patients are often elderly and exploited for profit, the treatments offered has horrible side effects, and newer treatment options are either unavailable or not offered to patients or available outside the USA. Prostate cancer is often slow growing and of low risk and can just be monitored. Often no treatment is the best treatment. Over testing and treatment has been verified by numerous experts, studies and investigations, documentation, etc.

    $Follow the money$: If a surgeon is financially responsible for a building lease, a large staff or an oncologist is also responsible for a lease on multimillions of dollars in radiation treatment equipment, do you think they would be more or less honest about the benefits and hazards of treatment? Do you think the profit margin would compromise some doctor’s ethics? Typically, what is the purpose in over testing and treating a cancer that often will not spread and the testing and treatment frequently causes lower QOL (quality of life), ED, incontinence, depression, fatigue, suicide, etc if it was not extremely profitable? The medical field is alluding to the fact that prostate cancer testing and treatment may do more harm then good. The U.S. Advisory Panel is now recommending for prostate cancer PSA testing and screening: for men 55 to 69 “letting men decide for themselves after talking with their doctors”. For men over 70, no testing at all is recommended. However this may not protect men from predatory doctors exploiting them. Patients usually follow a doctor’s recommendation. Do you think any regulatory agency will stop the exploitation of elderly men with a high PSA or prostate cancer or approve new treatments at the risk of financially bankrupting thousands of treatment facilities and jeopardizing thousands more jobs? Do you think any regulatory agency will set guidelines for testing and treatment at the risk of upsetting the doctors who are profiting from over treating? Some drugs and treatments for prostate cancer and ED are kept very expensive and newer or less expensive and effective drugs and treatments are seldom approved, for maximum profit. Prostate cancer patients are often elderly and exploited for profit, the treatments offered has horrible side effects, and newer treatment options are either unavailable or not offered to patients or available outside the USA. Prostate cancer is often slow growing and of low risk and can just be monitored. Often no treatment is the best treatment. Over testing and treatment has been verified by numerous experts, studies and investigations, documentation, etc.

    A 12, 18 or 24 core blind biopsy, holey prostate! One million dangerous prostate blind biopsies are performed in the USA each year and should be banned. Men with a high PSA tests result are often sent to an urologist for a blind biopsy. Men should be told about other options: Percent free PSA test, 4Kscore test, PCA3 urine test or a MRI, 3D color-Doppler test before receiving a blind biopsy. These tests can often or always eliminate the need for a more risky and invasive blind biopsy. Insertion of 12, 18 or 24 large holes through the rectum into a gland the size of a walnut, a blind Biopsy can result in (per studies) pain, prostate infections, a risk of permanent or temporary erectile dysfunction at about 24% (Biopsies cause about 240,000 cases of ED a year), urinary problems, hospitalization from infections and sometimes even death from sepsis (About 1.3 to 3.5 deaths per 1,000 from blind biopsies). There is also debate that a biopsy may spread cancer because of needle tracking. A blind biopsy can also increase PSA reading for several weeks or months, further frightening men into an unnecessary treatment. Blind biopsies are almost never performed on other organs. One very prestigious hospital biopsy information states “Notice that your semen has a red or rust-colored tint caused by a small amount of blood in your semen”. Another large prestigious hospital states “Blood, either red or reddish brown, may also be in your ejaculate.” These statements are often an extreme exaggeration (mostly lies). Very often after a biopsy a man’s semen will turn into a jet black goo. This could be an unpleasant surprise for a man and especially for his unsuspecting partner. However if a biopsy is performed before Halloween or April Fools’ day this may be of some benefit to a few patients. If some very prestigious hospitals are not factual about the color of semen, what other facts are not being disclosed or misrepresented?

    Bone scan scam: Prostate cancer patients are often sent for a bone scan. A bone scan has about a 13% chance of having a false positive and only 3 men in 1,000 have bone cancer who have a bone scan. Bone scans may often be unnecessary in lower risk prostate cancer patients.

    Low risk cancer patients or patients with advanced age are often sent for aggressive treatment by some doctors when monitoring is usually a better option. An extreme example of overtreatment is one SBRT radiation clinical trial. Prostate cancer patients (victims) where intentionally treaded (fried) with a huge dose (50Gy total, 5 fractions) of radiation resulting in disastrous long term side effect for some of these men. The typical SBRT dose is 35 to 36.35 Gy, 5 fractions. A large percentage of prostate cancer patients in this clinical trial had low risk prostate cancer and may have not required any treatment at all.

    Clinical trials may or may not be hazardous to patients. The goal of a clinical trial is to gather information; the intent is not necessarily to help or cure patients. In a clinical trial, if someone is given a treatment that will harm them (as in the above example) or given a placebo in place of treatment or needed treatment is withheld, the patient may be deceived or harmed. Investigate before you participate in any clinical trial. Often drug company’s get your information from medical databases and pharmacy information to lure people into clinical trials, soliciting people with letters and postcards. This is often a HIPAA violation. If you call about a clinical trial your phone conversation may be recorded “Calls may be recorded for training and quality purposes” including your medical and personal information. Even if you do get a safe and effective treatment, it may not be available to you after the clinical trial is over. If the trial is for a drug, you will not be told if you are getting a drug or a placebo until after the trial is over. Patients can be harmed by a clinical trial.

    Your privacy and confidentiality is just an illusion: You may have little privacy and confidentiality! Under the HIPAA law all access to your records is allegedly by a “Need to know” basis only, this is another exaggeration (lie). Prostate cancer patients are asked to fill out a series of EPIC questionnaires and other standard questioners. The EPIC questionnaire asks several intimate details about patient’s sex life, urinary and bowl function. By a prostate cancer patient completing an EPIC questionnaire may be able to assist his doctor, nurse, office workers or database track his progress or decline. By refusing to fill out these questioners and supplying other unnecessary information one can help insure his privacy, dignity and insure he do not unknowingly become part of a study or clinical trial or other collective survey or have his information forwarded to multiple databases. He may be told these questioners and records are “strictly confidential” (as stated in some EPIC questionnaires); this statement is misleading. Most of the time a patient has no idea who has access to medical records or why the records are being looked at. Who has access to your medical records? Probably everyone that works in a medical office or building has access to the records, except you (often you the patient may have limited or no access without a formal request). Access may include/however not limited to non-medical employees, office workers, bookkeepers, janitors, insurance companies, temporary high school or college interns, volunteers, etc. This may also include other medical facilities, programmers, hackers, researchers, etc. Usually records are placed on a Health Information Exchange (HIE) or servers. Dozens, sometimes even hundreds or thousands or more people may have access to medical records. Some major databases like SEER (Surveillance, Epidemiology and End Results) are linked to Medicare records to determine “end results” for researchers, studies, drug companies, clinical trials offers, etc. Servers, both government and privet are sharing information AKA “health surveillance”. Health information may be shared and downloaded by millions of entities and servers all over the USA and the world to countries that do not have any regulations for privacy.. Your prescription history can also be tracked. Records may be packaged with others and offered for sale, this does often happen on “the dark web”. If a doctor, patient or insurance company is involved in a criminal or civil case, medical records may become public court or law enforcement records. Your records can be acquired by insurance companies. If a patient has radiotherapy he may have a photo taken before treatment to verify identity. All patients should get a copy and read any confidentiality disclosures statements (HIPAA statements). Financial and medical Identity theft is a growing problem, often expensive and difficult to correct. Under the HIPAA laws you are entitled to a copy of all your medical records, however if you try to obtain a copy of extensive records as in a hospital stay you may be met with resistance. I recently went to a new optometrist for glasses and I was given a form that asked details about my heritage, including my mother’s maiden name and a form for my complete medical history. Your records can also be accessed by anyone (trainees, volunteers, students, high school interns, minors and adolescent people as young as 16 years of age, etc) “for training purposes” or any other reason, all without your consent. This gives kids a chance to play doctor and nurse in a real doctor’s office with real patients. A list of what a high school intern is allowed to do to patients: “learning simple medical procedures, watching surgeries, shadowing doctors (including seeing patients, possibly you), working in hospitals, interacting with patients, and more.” They can also read all records about your prostate problems, your wife’s hemorrhoids and your daughters yeast infections or any files for any patient, all within the HIPAA guidelines. These people do not have to be employed by the facility or have a background check. My family doctors office has summer time high school interns with full access to all records. One high school intern signed me in, took my temperature, weight, blood pressure and logged it in my file. Would you like to have a high school or college student that possibly lives in your neighborhood or attends school with your children read over your extensive family member’s medical records and personal information? How much curiosity or self control does a high school or college student have? I also went to a hearing aid center in a department store to get a free hearing test and was given forms inquiring about personal information and my complete medical history. This is information I do not want filed in a department store. All patients should avoid supplying unnecessary information whenever possible. Supply relevant information only when filling out forms. In the USA identity theft is very common, growing problem and is often financial devastating. Medical forms can be a good source of information for thieves. Recently my friend with arthritis in her hips received a letter offering a clinical trial for a new medication; coincidently looking for patients with hip and knee arthritis. How did this company determine she and not her husband or other family member was a prime candidate for this new drug study without violating any HIPAA privacy laws? Numerous exceptions (loopholes) appear within the HIPAA laws regarding you privacy. Even without HIPAA privacy law violations, records can be accessed by multiple people and appear in multiple databases. Sometimes medical phone calls are recorded “Calls may be recorded for training and quality purposes”. Calls about a clinical trial, calls to a large clinic toll free number, calls to drug companies and calls to insurance companies may be recorded. These conversations can include confidential or medical information. Some of the Obamacare goals sought to have everyone’s medical records on servers so they could be accessed by any medical facility or doctor. HIPAA laws are deficient and often will not protect your privacy. Your privacy and confidentiality is not that secure. I believe the medical field has little regard for our privacy, especially if it is in conflict with training, research, studies, profit or other objectives. If you’re a public figure, celebrity, rich or famous you may be subject to numerous people wanting to see your medical records. Also if you are known to or an acquaintance of anyone with access to your records (neighbor, co-workers spouse, etc) they would possibly (or probably) want to have a look at your medical records. On May 6, 2017 Dear Abby did an article on this subject, “Snooping into medical records”. You are naive if you believe otherwise or that your records are secure. The same also applies to pharmacies and your prescriptions, labs, etc.

    A patient’s dignity (or lack of dignity): Prostate cancer testing and treatment is stressful, degrading, demoralizing and often unnecessary. EPIC questionnaires can be counterproductive impact a patient’s dignity, privacy, confidentiality, and self image. EPIC questionnaires probably have an increased potential and greater impact on patients for privacy violations because of its format, nature and personal content (potential for HIPAA privacy law violations). Patients may mistakenly believe the EPIC questionnaire is a requirement to be filled out. Also the term “strictly confidential” can be misleading and ambiguous. One patient posted he filled out and turned in his “strictly confidential” EPIC questioners only to have every female office staff member read it and ogle him. Resulting in him not filling out any more EPIC forms or any other forms and he stated that he became very uncomfortable and evasive with the entire office staff. The drawbacks of this form seem to outweigh any potential benefit for some patients. Medical tests and procedures can be degrading and embarrassing for both men and women. Many women prefer or will only see female doctors or gynecologists, about 50% to 70%. Over half of men prefer a male doctor. (Per some respected doctors: Men stay away from medical care in large numbers because of privacy and dignity. Many men still avoid medical care because of embarrassment. Honest answers will often not be given if asked by a female doctor or nurse.) What percent of men will feel comfortable consulting a female doctor, nurse or office worker about his prostate problems, ED, etc or would want an invasive test or procedure performed by a female?

    The most common treatment options for men with prostate cancer are radiation, Brachytherapy, surgery, cryotherapy and hormones (ADT). Sometimes chemotherapy, immunotherapy and castration (orchiectomy) are used. A combination of treatments is often used. Most or all of these treatments have long term or short term side effects. Often men are not told about all of the true risks and side effects or they are downplayed for both a blind biopsy and treatments.

    LDR Brachytherapy is permanent radioactive seed implant. This treatment procedure implants about 40 to 100 radioactive seeds in the prostate, sometimes resulting in urinary problems. The patient will literally become radioactive for months and up to 2 years. The patient may set off radiation alarm at airports. He will also be required to use a condom, have no close contact with pregnant women, infants, children and young animals or pets for months or longer. Occasionally he may even eject radioactive seeds during sexual activity or urination. The patient will become like a walking Chernobyl, having radioactive scrap metal and emit radiation from his crotch. He will also be required to carry a card in his wallet stating he is radioactive. The videos of this procedure seem to be disturbing and bizarre. A catheter will also be required for a short time. However, allegedly LDR Brachytherapy seems to have less sexual side effects than some of the other treatments available.

    ADT Hormone therapy, big profit$, devastating side effects: Lupron injections is one of the most common. Men are also prescribed hormone therapy (ADT therapy), AKA chemical castration as an additional or only treatment. Hormone (ADT) therapy is sometimes over prescribed for profit, per some studies. Hormone therapy is often very expensive (Profitable for doctors if provided at the doctors office and not a pharmacy) and can have horrible, strange and devastating side effects, feminization, hot flashes, fatigue, weight gain, ED, depression, etc. His penis could shrink and his testicles can completely disappear, he may grow breasts. This treatment can have so many mind and body altering side effects that doctors will often not inform patients about all of them. One man stated that ADT therapy turned him into a menopausal woman. Men are sometimes castrated (orchiectomy) as a cancer treatment to reduce testosterone. Amnesty International calls chemical castration “inhuman”. ADT therapy is often used in sex reassignment surgery, male-to-female transsexuals. Studies (Medicare and financial) have documented doctors do over prescribe ADT therapy for profit (depending on Insurance payout rates/profit margin). When insurance payment reimbursement for ADT decreased so did the number of patients being prescribed ADT therapy! Per Wikipedia: “in patients with localized prostate cancer, confined to the prostate, ADT has demonstrated no survival advantage, and significant harm, such as impotence, diabetes and bone loss. Even so, 80% of American doctors provide ADT to patients with localized prostate cancer.” Overtreatment with ADT is extremely profitable, unfortunate and avoidable.

    Nerve sparing Robotic-assisted DaVinci surgery is touted as being a better treatment and having fewer side effects, this is usually an exaggeration. The nerves can not always be spared. Robotic surgery can result in a faster initial recovery. Long term risk of incontinence, fatigue, ED, some men will now ejaculate urine, etc is about the same as conventional surgery. Patients undergoing surgery are at a very small risk of developing post traumatic stress disorder (PTSD) and about a 22% chance of long term or permanent fatigue. Also .2% to 1.2% risk of deaths as a result of prostate cancer surgery or medical mistakes. Patients can have unrealistic expectations about the results and regret the surgery or any treatment option. The ED rates and other side effects are often understated to patients.

    Patients should not be naive: Medical mistakes are the third cause of deaths in the USA (over one million deaths in 4 years). Medical mistakes cause more deaths then suicide, firearms and motor vehicle accidents combined. Countless other patients have been harmed by medical mistakes. If you are having surgery, brachytherapy, a biopsy or a procedure take precautions if possible. Have someone qualified or knowledgeable monitor you and your medications, etc. Doctors, nurses and technicians can be profit motivated, use obsolete procedures, be lazy, incompetent, make mistakes and be apathetic or rushed. Occasionally harm can be done or not prevented with intent. Drug abuse is often a problem with some medical workers because of easy access. Doctor’s offices and clinics can see many patients in a relatively short amount of time. This may be a disadvantage to patients, empathy and quality of care can sometimes be compromised. Sometimes a nurse, medical assistant or an office staff member may be the person that overseeing much of a patient’s care. I personally know of or have had contact with at least 12 nurses and other medical staff that I would consider dangerous: incompetent, dishonest, lazy, abusive, mentally disturbed, drug abusers that work in doctor’s offices and hospitals. Most of these people did not have a name tag and supplied me with a first name only when asked for a name. I am now sure modern medicine protects the blameworthy and incompetent, also victimizes the naive patients. I now understand why medical mistakes are the third leading cause of deaths in the USA. I now believe some or most of the deaths and injuries are preventable or intentional. TV and sometimes the public seem to idolize doctors, nurses and caregivers; however the health care profession has about the same amount of abusive or incompetent workers as other occupations. I have also had excellent doctors and nurses. However this may not protect you from the bad ones. What are the main reasons nurses get fired: 1. Prescription drug abuse (because of easy access to drugs). 2. Too many mistakes. 3. Code of conduct and privacy violations. 3. Bad attitude. 4. No proper licenses 5. Abuse of patients. Patients should be aware that sometimes QOL (quality of life) may be secondary or an absent goal in treatment. Sometimes overtreatment for profit or to prevent an unlikely death or metastization from low risk cancer may be the primary or the only goals of prostate cancer treatment.

    A blind biopsy or treatments are often worse then the disease: Resulting in Chronic/permanent fatigue, incontinence, depression, sexual dysfunction and sometimes death. Hormone therapy does have an extensive list of side effects that can be devastating for men. Biopsies and treatment are degrading, stressful and often unnecessary. Many men may not be prepared or have unrealistic expectations about the outcome, physical and psychological impact of testing and treatment.

    The risk of long term chronic and permanent fatigue (that can result in depression) is almost always understated if mentioned at all too many patients. Per some studies and depending on your treatment; the risk of long term or permanent fatigue is about 25% to 60%. Radiation with Hormone therapy has a high risk of fatigue. Long term fatigue also increases the risk of clinical depression and suicide.

    In my opinion: Castration, ADT hormone therapy (chemical castration), LDR Brachytherapy (radiation seed implant), radiotherapy, surgery, chemotherapy and blind biopsies are often psychically and emotionally brutal, traumatic and disturbing. These types of treatments are primitive and almost beyond belief in today’s world of advanced technology. Newer treatments like, HIFU, hyperthermia, Boron Neutron capture therapy, PARP Inhibitors, Platinum, focal Ablation (only treating the cancer and not the entire prostate) and orphan drugs should be approved and used when appropriate. Biopsies should be limited to selective MRI guided samples only; blind biopsies should never be performed.

    Lipstick on a pig: Approved advances in prostate cancer treatment mostly consisting of newer, faster and more accurate radiation treatments, robotic surgery and new drugs. These advances sound like greater strides have been made. However most of these approved advances are of limited benefit to prostate cancer patients and still have about the same amount of long term side effects. Compared to other technologies, computers, communications, electronics, aviation, etc, cancer treatment approved advances have been dismal. The National Cancer Institute wastes about 3 billion dollars a year on PSA screening that can be used for research and true cures. QOL (quality of life) issues have not been adequately addressed. Profit often outweighs QOL.

    Prostate Radiotherapy (EBRT-external beam radiation therapy) for cancer treatment. New technology consists of: IMRT, SBRT, IGRT, VMAT, TrueBeam, Cyberknife, etc. This newer, faster, more accurate and easer to setup radiation equipment is of much benefit for doctors, staff and a good selling point to patient’s. However as far as reducing long term side effects, only small gains have been made with the newer radiotherapy equipment. A patient should be skeptical if exaggerated claims are made about reduced long term side effects, especially fatigue and ED rates. About 25% of radiotherapy patients can expect an alarming temporary “bounce” (spike) in the PSA value after treatment. Patients should inquire as to the treatment plan: Gy dose and fractions, margins, testicular dose, constraints and age of radiotherapy equipment to insure excessive radiation exposure treatment is not given that can result in additional side effects. Patients should be aware that pelvic shaving, permanent tattoo markers, fiducial marker (small seeds) are sometimes placed in the prostate, MRI, CT scan, photographs, catheters and other procedures may or may not a be required. Radiotherapy can also occasionally result in secondary cancers and damage to “organs at risk” (organs close to the prostate). Radiation has high probability of sexual dysfunction and fatigue. ED rates estimated at 35% to 75% or higher, 93% at 15 years. Sometimes radiation can also cause bowel and urinary problems. Per some studies radiotherapy causes moderate-to-severe gastrointestinal effects in 17%. A 5 day SBRT radiation treatment is now commonly available with about the same results and side effects as a 9 week radiation treatment. A doctor with a multimillion dollar lease and maintenance agreement on radiotherapy, CT scan and MRI equipment and a large staff may or may not be influenced by his or her financial obligations when deciding to recommend over testing and treatment.

    Prostate radiotherapy (EBRT) can result in a 5% to 30% temporary or permanent drop in testosterone levels, excluding hormone therapy. This drop is determined by the testicular radiation dose (treatment equipment and planning). A below normal drop in testosterone can result in fatigue, depression, sexual dysfunction and other symptoms. Always ask for a printout of testicle dose and constraints before and after prostate EBRT to insure your testicles are not over radiated, also dose include the CT scan exposures.

    It seems all of the best treatments for prostate cancer have not been approved and most are only available outside the USA. Treatment options outside the country or under development are HIFU, Laser, Hyperthermia, Boron Neutron capture therapy and orphan drugs, just to name some. Focal Laser Ablation is a good option with fewer side effects however it is not widely available in the USA and sometimes not practical.

    Chemotherapy can be extremely toxic and sometimes deadly: Any cancer patient (man or woman) who are being offered chemotherapy should be particularly cautious. Without genomic testing or proof of the effectiveness of the specific drug being used on the exact cancer type being treated, chemotherapy can often be more toxic to the patient then to the cancer. Chemotherapy may be extremely expensive, profitable for some doctors (if dispensed by the doctor and not by a third party) and can be misused or overused, Often for profit. The “chemotherapy concession”: A doctor may purchase a quantity of chemo drugs for $10,000 and charge a patient $20,000. A doctor can also receive a percent kickback from the drug company for prescribing the drug. What is the motive for some doctors to perform Genomic testing and giving a patient a different and more effective treatment at an unknown or no profit versus a guaranteed profit with a probable worthless or harmful treatment? This is a well documented and common practice. 75% to 90% of oncologists would refuse chemotherapy if they had cancer. Chemotherapy fails upwards of 93 and 98% percent of the time depending on which study you look at. One Michigan oncologist who committed fraud and gave $35 million in needless chemotherapy (for profit) to patients, some who did not even have cancer is now in jail for 45 years. He was running his own in-house pharmacy. The nursing staff was indifferent and the state regulatory agency initially cleared him of any wrongdoing (a cover up). Many or most chemo drugs are considered a biohazard.

    Often few good choices exist for treatment. A prostate cancer patient treatment choice often ends up being the least worst choice or the choice with the side effects a patient thinks he can tolerate. Patients can sometimes be mislead about the expected side effects and results of the treatment being offered. The risk of chronic fatigue and depression is often not disclosed.

    Long term care consists of regular PSA testing for years. Long term care for side effects is often lacking or exploitive or ineffective. Often complaints of side effects are disregarded by nurses, doctors and sometimes referred out to other doctors. The patient is sometimes left to figure out what to do about his side effects with the resources available to him. Long term side effects often consist of fatigue, bowel or urinary problems, sexual dysfunction, depression and other symptoms. Patients with complaints of chronic fatigue are often told to exercise, get plenty of sleep, pace your self and eat a healthy diet; this advice is of limited help for chronic fatigue. Often treatments for long term side effects are embarrassing, degrading, unavailable, nonexistent, costly, not effective, not offered or bothersome. Prostate cancer treatment often results in fatigue, depression, isolation and sometimes suicide. Billions of dollars are profited from ED drug and other ED products, catheters, pads and diapers, drugs for depression or pain or insomnia or incontinence, additional treatments and surgeries for side effects. Also treatments for the multiple and bizarre side effects from hormone ADT therapy (chemical castration) is sometimes required.

    Men, ageing, exploitation and elder abuse: If any man lives long enough it is very likely he will have a prostate problem, low testosterones or some form of sexual dysfunction. In my opinion modern medicine often has been exploitive, abusive and has provided substandard care for older men in general due to all of the explanation given in this text. I believe much of the attitudes toward older Americans need improvement and they are sometimes viewed as being subhuman and exploitable by various groups and individuals. If documented cases of unnecessary surgery and radiotherapy or blind biopsies on children by doctors for profit were released, the vast majority of Americans would be outraged and this practice would quickly end. However for older men it dose not seems to be of great concern! As defined by some or all state laws, exploitation of elderly men by overprescribing treatment for profit is a crime or an offence of various guidelines and regulations. It is extremely unlikely any doctor will ever be prosecuted or have a medical license suspended for this common and extensively documented abuse or crime. It is well documented that all forms abuse do occur to the elderly and disabled in nursing homes and other facilities including, neglect, theft, starvation, torture, harassment, sexual assault, etc. One patient after recovering from a brain injury testified that he was repeatedly abused, slapped and hit, forced to drink boiling hot tea by multiple caregivers and sexually assaulted by one female caregiver. I personally know of an elderly lady that is living in an expensive assisted living home that has had all of her possessions (radio, clothes, underwear, shoes) repeatedly stolen and replaced by her family including the sheets off of her bed, even after the sheets where marked with her name using a larger permanent marker pen.

    Depression in prostate cancer patients is common, about 22% at 5 years (per some studies) and for advanced prostate cancer patient’s depression is even higher. Prostate cancer patients are at an increased risk of suicide.

    ED risk, no bathtub included: Almost all prostate cancer treatments usually result a high percentage of erectile dysfunction. Loss of libido estimated at about 45%. Excluding hormone therapy, lower libido is almost never disclosed as a treatment side effect and sometimes it is completely denied as a problem. Blind biopsies can often cause temporary or permanent ED. Often claims of prompt effective treatment for ED or other side effects if they occur after treatment are often misleading. Statistics for ED percentages from treatment are usually quoted after treatment with Viagra, Muse or other ED treatments, therefore most statistics are very misleading. ED rated at 5 years may be as high as 50% to 80% or higher for most treatments. ED rated at 15 years may be as high as 90% or higher for most treatments. For cryotherapy, ED rates are extremely high. The cost for ED drugs like Levitra, Cialis, Viagra and Muse are deliberately kept very expensive by drug companies, about $10 to $45 per 1 pill or dose. At these prices Lilly could consider including a free bathtub featured in its advertisements for Cialis. The cost of a 30 day supply of Cialis is usually well over $320 and the cost of an inexpensive bathtub is about $200. Generic PDE5I ED drugs in Canada and other parts of the world sell for about $0.50 to $2 a pill. Many insurance companies will not pay for ED drugs or treatment. Less expensive generic drugs are usually unavailable in the US. Viagra should have already become available in a generic (in the USA) form for about $1 a pill. This is further exploitation by the drug companies of men in general. Men are also exploited by counterfeit mail order ED drug sales. ED drugs are not always effective and may have side effects. ED treatments can also be embarrassing, not offered, not practical, painful, expensive/not covered by insurance. Men will often not seek treatment because or these reasons.

    The numbers game, you loose. More exaggerations and lies. A doctor may state a patients chances of ED is about 35% with EBRT radiotherapy (or some other treatment). A patient may think, 35% is not too bad and if I do get ED I can always take Viagra. What a doctor may not tell a patient is that the ED rate is 35% at 1 or 2 years for a patient under 65 years old and with an ED drug treatment option. For a patient over 3 years, over 65 and no ED drugs the ED rate may be about 75% or higher, after age 70 your chances of ED is over 85% or higher. Obviously, a man is more likely to refuse treatment at a 75% ED rate verses a 35% ED rate. Some side effects may not be disclosed at all. If side effects (low libido, chronic fatigue, depression, increased suicide risk, etc) are not disclosed, no percentages will usually need to be quoted. Results are often worse for a surgery option, the main difference in ED results between surgery and radiotherapy is; with surgery ED will start out bad and may or may not get better with time, however with radiotherapy ED will get worse over time. With both treatments together or with ADT hormones also you’re in real trouble with ED percentages. Cure rates are often quoted at the 5 years mark for most treatments. 5 years is not a magic number, anyone can have a treatment failure before or after 5 years. A cure rate for a treatment at 5 years may be quoted at 85%; however the cure rate at 7 to 10 years may be only 70% and 50%. The 85% at 5 year rate was quoted to me. I was never told about my 50% at 10 year cure rate. Always ask what is the “biochemical recurrence” (AKA rising PSA or treatment failure) rate for well beyond 5 years with your computer software simulation and Partin tables. Ask your urologist or radiation oncologist for a 10-year cure Rate. If the physician is unable to provide one, consider finding another doctor. Studies and clinical trials results, side effects percentage claims, etc can be biased. Watch out for terms like “age adjusted” or ambiguous or excluded facts as given in the above examples. ED rates for radiotherapy are usually quoted at under 1 or 2 years and for surgery over 1 or 2 year to give the appearance of a more positive result. I have read and have been given some extremely exaggerated claims (mostly lies) concerning cure rated, side effects, etc.

    In conclusion: Prostate cancer patients are sometimes elderly and exploited for profit (per documented studies). A blind biopsy is unsafe and newer test methods should be used. The treatments offered have horrible side effects. Some doctors are treating patients with low risk cancer or advanced age when monitoring is often a better option. Patients with low risk cancer or advanced age should often be offered “watchful waiting” or “active surveillance” instead of treatment. Aftercare for long term side effects is frequently ineffective, expensive, not offered, degrading or nonexistent. Prostate cancer patients are seldom told about chronic fatigue and the true risk of side effects are usually understated. Modern medicine often fails and victimizes prostate cancer patients.

    If a patient has intermediate or high risk prostate cancer and dose not have advanced age he may need treatment. He should consider genomic testing and look into other advanced treatments if available. Also he should try and avoid hormone therapy if possible because of the multiple side effects especially if the cancer is organ confined. If laser or other advanced treatments are not available a 5 day SBRT radiation treatment may be considered (In my opinion SBRT could be the least worst of the bad choices, still a poor option). SBRT seems to be fast, least invasive or traumatic. ED and fatigue is still a high long term risk. Radiation with hormone therapy has a higher risk of ED and long term fatigue. However, I now believe conventional prostate cancer testing and treatment is a mistake in most men.

    The short version of my story: I was referred to an urologist by my family doctor after a high PSA test. I will refer to the urologist as Doctor “A”; he used old and dangerous testing technology (18 core blind biopsies), his nurse seemed to have a mental defect exhibiting arrogant, rude, strange and abusive behavior and was intent on inflicting psychological harm to me. Shortly after my Dr. “A” visits ended, his nurse was no longer employed at his office and no person in that office would refer to her employment or her existence. I now believe this nurse was high because of drug abuse being common among nurses (the easy access to drugs). I was diagnosed with prostate cancer by Dr. “A”. I refused his surgery and hormone therapy recommendation because of the eminent side effects and his unprofessional nurse behavior, so Dr. “A” referred me to Dr. “T”. Dr. “T” was outside of my insurance network; however his office manager stated she was willing to work with my insurance, offered me a doctor consultation and would accept any insurance payment as a full payment. When I arrived in his office the waiting room was empty. He also had a large staff. Dr. “T” used older conventional technology, offered me overtreatment, hormone therapy, unnecessary procedures and testes. One week after my consultation with Dr. “T” I received an $850 bill for the consultation, in conflict with what was agreed upon with his office manager. After a recommendation from a friend, I called clinic “O” and met with the nurse. She offered me treatments with a verbal guarantee of “no side effects from the radiation”. However this nurse could not answer any of my basic questions, lacked any credibility and sounded like an unscrupulous used car salesmen. Most of these office visits caused me multiple problems with offices workers processing paperwork for tests, insurance forms and billing, etc. Two of these doctors offered me an unnecessary bone scan. Two of these doctors recommended unnecessary hormone therapy ADT (overtreatment) for my organ confined cancer. After I absolutely and utterly refused hormone therapy, both doctors admitted it probably would not help me in my final outcome because of the computer estimate run on me with my organ confined cancer, PSA, biopsy report, etc. Having no advance treatments (laser, etc) available to me at that time, I decided on SBRT treatment with Dr. “K”, he could answer my questions and had new equipment. Before my treatment could start I was referred to “W” lab for an MRI. “W” lab had a trainee assisting and it took over 2 hours to complete my MRI. 2 days later after receiving a copy of my MRI report, I examined the MRI report; it had my name and some other patient history information. I wasted 2 more days verifying it was the correct MRI of me and not some other prostate patient MRI before my treatment could start. I did receive treatment from Dr. “K”. I did have a relatively fast and noninvasive treatment (SBRT), resulting in several months of fatigue, a large PSA bounce 18 mothers later and some other short term side effects. At this time I am doing okay, however I’m not sure what the future will bring? I also no longer trust modern medicine, doctors, nurses, etc. Modern medicine seems to be more of a gamble then a science. I have wasted hundreds of hours and thousands of dollars. I feel modern medicine has abused and failed me (and others) due to the lack of guidelines and regulation, still approved obsolete technology, better unapproved treatments, exploitation, greed, apathy and incompetence. Hindsight is 20/20. I was never offered Genomic testing. I also believe I should have had no PSA testing or treatment. If I could do it over again, I would also consider no PSA testing and treatment or traveling for advanced treatments from a competent provider if practical and available. I believe if I did take the two doctors recommendations and received unnecessary hormone therapy in addition to the radiotherapy my quality of life (QOL) would have been severely impacted for years or permanently and could possibly have resulting in my early death. I did seem to have a lot of bad luck in picking providers or is this just the new standard in medical care?

    “Do no harm”, unless you can make a lot of money and get away with it: I was harmed physically and verbally by Dr. “A” 18 core blind biopsy and verbally abused by his nurse. I was potentially exploited and financially harmed ($850) by Dr. “T” and offered unnecessary testing and overtreatment. Clinic “O” nurse attempted to misinform and deceive me about the treatment outcome of “no long term side effects”. I was harmed by “W” lab by mistakes and incompetence. I did also have numerous other billing and paperwork problems probably due to mistakes and apathy. A few of the office staff were incapable of completing some very simple tasks like filling out lab work request or insurance forms. At least 40% (probably substantially more, 50% to 60%) of the health care workers I came into contact with did or attempted to do some form of harm to me or provide substandard care, attempted excessive testing and treatment, mistakes, billing overcharges, blind biopsy, false statements, deception, misinformation, apathy and abusive behavior¬¬¬, as explained in this text. I have also observed several medical facilities do not require workers to wear name tags and when asked for a name most will give a first name only; this may also be a factor in health care workers not acting in an ethical manner. To me, it seems that this prostate cancer nightmare maze was intended for maximum physical, psychological, financial harm and to be of questionable benefit and maximum profit for doctors. My prostate cancer experience has been one of the worst events that has happened to me in my lifetime. Also seeking testing and treatment is one of the biggest mistakes I have ever made. I specifically blame modern medicine for not protecting patients from predatory doctors, substandard technology and a lack of regulations that would protect patients. I would have been much better off going to a Voodoo or witch doctor. I would have saved thousands of dollars, time, had no side effects, no paperwork, more confidentiality and privacy, and probably received better advice. I could have received a nice amulet or a good luck charm to protect against sorcery or magic (PSA testing, blind biopsies and treatment) and evil medicine men (predatory doctors).

    My treatment choice: In my opinion, I feel LDR Brachytherapy and hormone therapy (AKA chemical castration) seemed to be completely degrading, disturbing and bizarre. Hormone therapy would not have been an effective treatment for me. Surgery and Brachytherapy are to invasive. Surgery has an imminent danger of incontinence and ED. 9 week EBRT radiotherapy was just too long and laborious. Because castration (orchiectomy), ADT hormone therapy (chemical castration), Chemotherapy, LDR Brachytherapy and blind biopsies are what I consider “Frankenstein medicine” (Harmful, strange, bizarre, brutal, twisted, degrading or a perverted nightmare) I would avoid all of them. Unfortunately, I was deceived and misguided into having a blind biopsy. I do not believe other conventional treatments like radiotherapy are good or great choices either, just not as horrific. The choice I made was a 5 day SBRT radiotherapy. A 5 day SBRT also has numerous drawbacks and side effects, about the same as a 9 week EBRT radiotherapy. I also had no advanced treatment options available to me. As I have stated above, If I could do it over again I would also consider either no PSA testing and treatment or traveling for advanced treatments from a competent provider if practical and available. I am now sure I made the wrong choice by receiving conventional testing and treatment. With prostate cancer, the testing or treatment is often worse then the disease. I am not implying anyone should make the same choices as I did. I am only giving the motives for my decisions. I was also the victim of profit motivated and substandard providers. 3 years later I now believe my prostate cancer testing and treatment greatly accelerated my ageing (through the stress, testing, treatments and physically from the radiation and was also a financial burden). Per a new SBRT studies my 4+3 Gleason score is considered “unfavorable”. I now have about a 50% chance of a treatment failure in 8 to 10 years. My previous long term cure rate was originally quoted at 85% before my treatment started. I am also sure prostate cancer testing and treatment is mostly smoke and mirrors (lies). The man who invented the PSA test, Dr. Richard Ablin now calls it “the Great Prostate Mistake, Hoax and a Profit-Driven Public Health Disaster”. When asked: “How did you live so long?” A 99 year old woman stated “stay away from doctors and don’t take anything they prescribe for you”. With some exceptions, I now believe this advice to be mostly true.

    Always protect yourself: It should not be up to a patient to protect himself or herself from harm from doctors, however the new or common standard in medical care seems to be substandard. Do not let the sterile, friendly and professional environment of a doctor’s office detour you from protecting yourself from overtreatment or any unnecessary life changing tests and treatments. If you are concerned about misuse or privacy issues, refuse to fill out EPIC questioners and limit the information given to relevant information only. If you have a high PSA or prostate cancer, educate yourself. A patient should be extremely skeptical if exaggerated claims are made about minimal long term side effects from conventional treatments or blind biopsies. Also exaggerated cure rates or the need for immediate treatment. Bring someone educated or astute with you to your consultations and appointments. Insist on Genomic or advanced testing if you have prostate cancer. Avoid doctors that are mostly profit motivated. Do not submit to a prostate blind biopsy. Get a second or third opinion if you are being offered treatment with low risk prostate cancer. Learn about all your treatment options, testing and side effects. Verify everything you are told. Under the HIPAA law you are entitle to a copy of all your medical records and bills. Always ask the name of the person assisting you. If they refuse the request for a name leave immediately (you may or may not be in extreme danger). Be very cautious if you are ever refused a copy of your records; demand a copy of your records and a reason for any denial and seek other advice. Get a copy and keep a file of your test results, biopsy report, Gleason score, PSA, MRI report, treatment plan, bills, insurance payouts, etc. Carefully monitor your PSA. Expect a temporary increase (for weeks or months) in PSA after some procedures. Verify the accuracy of paperwork. If treatment is necessary talk to your doctor in advance about side effect management, chronic fatigue, ED, etc. Doctors that provide treatments often have computer software to predict the outcome using test results and different treatment options. Ask to see your computer predicted cure rate outcome with your treatment options if available. This may give you some insight to your options, cure rate and also to avoid overtreatment. Always ask what is the “biochemical recurrence” (AKA rising PSA or treatment failure) rate for well beyond 5 years. 5 years is not a magic number. For help contact a good prostate cancer support group without a conflict of interest. A wise man once told me “you need to learn to think like your doctors and nurses (or other providers)”. What are the motives of your providers, place them in order that you observe at your doctors office: to profit, to cure, to get high on the backroom drug supply, to do less work, to take an extra long lunch or get off work early, to help people, to cover up their incompetents, etc? This exercise may give you some insight into the care you may receive.

    A medical holocaust: Multiple studies have verified more deaths caused from prostate cancer testing and treatment then from prostate cancer itself. Medical mistakes are the third leading cause of deaths in the USA, over 251,000 deaths a year or over one million four thousand (1,004,000) deaths in 4 years. More then suicide, firearms and motor vehicle accidents combined. These statistics do not include many more people that have had their lives destroyed or shortened by modern medicine or a reduction in QOL (quality of life). Per the FDA, 100,000 deaths per year (one million people in 10 years) from prescription drugs.

    Strict guidelines for cancer testing and treatment need to be created and enforced because of the extensive and documented abuses of prostate cancer patients: 1. Blind biopsies should be banned. 2. Strict standards and gridlines for testing and treatment need to be created. 3. Full mandatory industry standard disclosure forms need to be created for tests and treatment to include realistic risk factor disclosure. 4. Newer testing and treatments need to be created and approved. 5. Dignity, privacy and confidentiality need to be standardized and enforced in addition to the HIPAA laws. 6. Aftercare needs to be available, standardized and regulated. 7. The cost for drugs needs to be regulated to end financial exploitation by drug companies. 8. Medical workers should be identifiable and be required to wear name tags with first, last names and job title. 9. A new standard “Ethical Code of Conduct” needs to be created and enforced to end patient exploitation and abuse. 10. Genomic or genetic testing should be required before any patient is sent for treatment, to avoid overtreatment and insure the correct treatment. 11. A truthful and accurate standardized educational book or PDF needs to be created and distributed to all high PSA and prostate cancer patients. 12. Ban for profit ADT therapy and the “chemotherapy concession”. It is unlikely any of the above recommendations will be implemented unless prostate cancer affected a larger percent of the population or enough prominent people are affected. Prostate cancer patients must protect themselves as the only alternative!

    Clarification: This text may probably anger and upset some people for various reasons. The intent of this document is not to imply all doctors are dishonest or to condemn all medical providers. The intent is to educate men of the consequences and dangers that may await them so they can take appropriate action and to inform patients of real world, typical or worst case scenarios. I have also tried to include most scenarios a prostate cancer patient should be cautious of. Would some health care providers harm a patient for profit or by accident or some other reason? Yes, absolutely! We just don’t know who or what percent would. Shockingly, for me it was will over 40% (probably 50% to 60%) that intended to do me some form of harm or provided substandard care as explained in my story. Are some other doctors and nurses exceptional? Yes! I have also had excellent doctors and nurses, however this may not protect you or I from the bad ones. Differences in opinion, variations in semantics do not invalidate this document or its intent. The information in this document is a sum of my experience, other patient’s experiences and hundreds of videos, documents, books, conversations, clinical trial, peer reviews, blogs, studies, articles, etc.

    Recommended reading. Investigate for yourself:
    1. Hardcover book, The Great Prostate Hoax: How Big Medicine Hijacked the PSA Test and Caused a Public Health Disaster. by Richard J. Ablin (Inventor of the PSA test).
    2. https://urologyweb.com/prostate-cancer-treatment-the-disturbing-facts/
    3. Internet search or Google: prostate cancer overtreatment or scam or hoax, useless PSA, Prostate biopsy sepsis or dangers. Medical mistakes, etc.

    Often prostate cancer testing and treatment is harmful and a big scam for profit! The evidence is overwhelming.

    Disclaimer: I have no conflict of interest. I do not represent any support group or other organizations. I am not a doctor. I do not prevent, treat, diagnose, cure or advise on medical matters. The information in this document is for educational purposes only. If you need treatment or medical advice, consult a competent and trustworthy medical doctor.

    Anyone may copy, email or distribute parts of or this entire document without changing or modifying it.

    I have been extensively criticized by some for creating this document and its blunt content. In order to insure my privacy and avoid any potential reprisals, further abuse or exploitation, I will remain Anonymous.




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  14. Dr G… Please look into the polyphenols found within soy and other legumes, seeds and nuts. The benefits are in these phenolic compounds. Genistein and daidzein are two very important compounds. There are pros and cons to many foods depending on the person, their condition and even their sex. These compounds however are beneficial to all. It’s the source as a whole which one needs to be more discerning of. This is often the case with many foods and herbs.




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    1. I don’t really care whether its polyphenols, because its clear to me that the most important point is to eat WHOLE FOODS and NOT attempt to find magic bullets within them.

      The most important point is that the cultures/people who eat beans live longer!

      Still big pharma, big vitamin will attempt to sell people magic bullets, because there is NO big Bean.

      *The cultures that consume the largest amounts of whole foods have the lowest incidences of the chronic diseases that will eventually bankrupt the U.S.A.*

      *The “Blue Zones” eat diets that are based on whole foods, with very small amounts of animal products. *

      *I do supplement with B-12, because our modern/clean society lacks this key nutrient that is created by bacteria. *

      *I do supplement with algal DHA because:* * A) most of the wild fish is now polluted with mercury and other stuff. * *B) Algal DHA is healthier than eating fish because it does NOT increase cholesterol and cause **inflammation*




      1
      1. Ken,

        I agree with you completely. I don’t have the time

        or the desire to debate issues like polyphenol molecules.

        Just tell me what populations live the longest and why?

        I’ll take it from there, and like you, I also take B12 and

        algae omega 3’s. Keep it simple.




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        1. Thanks for the support John.

          I do appreciate the researchers who figured out what nutrients we MUST have, and canNOT get from a vegan diet = B-12 & DHA for older folks who don’t convert omega3s from plants as efficiently anymore.

          I also appreciate the research that points out what fruits and vegetables have more nutrients than others.
          Berries have more anti-oxidants than apples and bananas.
          Cruciferous and Onion family vegs have more powerful anti-cancer nutrients than the most popular salad vegs.
          Orange/purple sweet potatoes are better than common white potatoes Etc., etc.




          1
      2. Ken I agree, whole plant for based diet is the way to go. However certain foods are beneficial for one and not for another. Yet there are similar benefits that are gained from a different source. For example soy and flax. They are beneficial for some and not for others, depending. I’m talking about this on a much deeper level with regard to and in addressing proper health and disease. Getting the most beneficial nutrition for a person as an individual as will as not inviting the wrong balance into a person’s body. It is not a debate it’s facts. Bottom line is getting all the nutrition and benefits a person, the individual, requires and benefits from. This is why nothing should be seen as an exact diet for everyone even a plant based diet




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    2. Damian,

      what exactly is your question? Polyphenols are very healthy but you can’t just eat them in a pill form, you need the whole foods.

      Moderator Adam P.




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  15. I’ve heard that soy is naturally high in glutamate and glutamine which act as fertilizer for cancer growth. For this reason, wouldn’t it be a good idea to avoid soy – especially if you have cancer?




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  16. Thanks for your question.

    As far as research goes, a recent review has stated:

    “The positions of the American Cancer Society [265] and the American Institute for Cancer Research [266] are that soyfoods can be safely consumed by women with breast cancer. In addition, an evidence-based conclusion in response to a recent clinical inquiry published in the Journal of Family Practice was that post-diagnosis soy intake improves the prognosis of breast cancer patients [267]. This conclusion is similar to that of the World Cancer Research Fund International that there is a possible link between consuming soyfoods and improved breast cancer prognosis [268]. (…)

    Prostate cancer is the second most commonly diagnosed cancer in men worldwide, and the fourth most commonly diagnosed cancer overall [269]. However, as is the case for breast cancer, prostate cancer incidence and mortality rates vary dramatically throughout the world; rates in Asian countries where soyfoods are commonly consumed are very low relative to Western countries [270]. More relevant are the Asian population studies showing that higher soy consumption is associated with as much as a 50% reduction in prostate cancer risk although most data come from case-control not longitudinal studies [271–274].
    Intervention studies involving prostate cancer patients generally show that isoflavone exposure slows the rise in prostate specific antigen (PSA) levels [275–278]. In contrast, in long-term trials isoflavone exposure did not affect the biochemical recurrence of prostate cancer after radical prostatectomy [279] or the progression from high-grade prostatic intraepithelial neoplasia to cancer [280].”

    Hope this answer helps.




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    1. I read the report. The report was not alarming. It said that there was NO SIGNIFICANT increase in prostate cancer for total consumption. The other point made at the bottom of the abstract was that this study didn’t really prove anything and that further study should be considered.

      The key thing to always remember is that Asians consume huge amounts of soy and they have less cancer than people from America and Europe. Here’s the problem….all the rich executives live in America and Europe and they create false studies, pay for advertisements, or even pay scientists to promote their products, their services, and to denigrate any work, or any articles that are in opposition to their food products or their services. Money talks.

      I’ll stick with the idea that the older Japanese population eats more soy than probably anybody on the planet and they are very long lived and have 50 percent less cancer. I am more moved by that fact than some little article written in the Journal of Nursing Oncology.




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      1. Men beware!
        Read the sad truth about prostate cancer over testing and treatment, dangers and exploitation for profit by predatory doctors.
        A prostate cancer survival guide by a patient and victim.
        Created January 8, 2016. Revised November 13, 2017  
        The man that invented the PSA test, Dr. Richard Ablin now calls it:  “the Great Prostate Mistake, Hoaxand a Profit-Driven Public Health Disaster”.
         
        Your life or your quality of life may depend on reading this document.
        Prostate cancer dirty secrets,lies, exaggerations, deceptions and elder abuse.
        Men, avoid the over diagnosis and unnecessary treatment of prostate cancer.
         
        In my opinion: Read the hard facts about prostate cancer testing and treatment that no one will tell you about, even after it’s too late.  This is information all men over 50 should have.  Also, anyone concerned about cancer in general, dangers from clinical trials, injuries and deaths from medical mistakes, prescription drugs at a discount from Canada, exploitation, elder abuse, HIPAA laws and privacy issues should read this document.Prostate cancer patients are often elderly, over treated, misinformed and exploited for huge profits by predatory doctors.The testing, treatment and well documented excessive over treatment for profit of prostate cancer often results in devastating and unnecessary side effects and sometimes death.At times profit vs. QOL (quality of life). Low risk Gleason 6 (3+3) is a pseudo-­cancer mislabeled as a cancer; it does not need detection or treatment.
         
        Facts per some studies: 1. Multiple studies have verified more harm and deaths caused from prostate cancer testing and treatment then from prostate cancer itself.
        2. Extensively documented unnecessary testing and treatment of prostate cancer for profit or poor judgment by some doctors in the USA.
        3. Medical mistakes are the third cause of deaths in the USA (over 251,000 deaths a year, over one million deaths in 4 years) more then suicide, firearms and motor vehicle accidents combined.
        4. About 1 man in 6 will be diagnosed with prostate cancer in his life. 5. About 233,000 new cases per year of prostate cancer.
        6. 1 million dangerous prostate blind biopsies are performed per year in the USA.
        7. 6.9% hospitalization within 30 days from a prostate biopsy complication.
        8. About 1.3 to 3.5 deaths per 1,000 from prostate blind biopsies.
        9. .2% to 1.2% deaths as a result of prostate cancer surgery.
        10. A study of early-stage prostate cancer found no difference in surviving at 10 years whether men had surgery, radiation or monitoring (no treatment).
        11. Low risk Gleason 3+3=6 “cancer” lacks the hallmarks of a cancer yet it is often aggressively treated.
        12. Prostate cancer patients are at an increased risk for chronic fatigue, depression, suicide and heart attacks.
        13. Depression in prostate cancer patients is about 27% and 22% at 5 years, for advanced prostate cancer patient’s depression is even higher.
        14. 75% to 90% of oncologists would refuse chemotherapy if they had cancer.
        15. The National Cancer Institute says approximately 40 to 50% of men with low to moderate grade Prostate cancer will have a recurrence after treatment.
        16. 62% to 75% of bankruptcies in America are because of medical bills.
         
        Excuse the generally accurate humor and sarcasm. Its intent is to entertain and educate while reading this possibly laborious text.
         
        $Follow the money$: If a surgeon is financially responsible for operating expenses, a large staff or an oncologist is also responsible for a lease on multimillions of dollars in radiation treatment equipment, do you think they would be more or less honest about the benefits and hazards of treatment?  Do you think the profit margin would compromise some doctor’s ethics?  Typically, what is the purpose in over testing and treating a cancer that often will not spread and the testing and treatment frequently causes lower QOL (quality of life), ED, incontinence, depression, fatigue, suicide, etc if it was not extremely profitable?  The medical field is alluding to the fact that prostate cancer testing and treatment may do more harm then good.   The U.S. Advisory Panel is now recommending for prostate cancer PSA testing and screening: for men 55 to 69 “letting men decide for themselves after talking with their doctors.  For men over 70, no testing at all is recommended.”  However this may not protect men from predatory doctors exploiting them.  Patients usually follow a doctor’s recommendation. Do you think any regulatory agency will stop the exploitation of elderly men with a high PSA or prostate cancer or approve new treatments at the risk of financially bankrupting thousands of treatment facilities and jeopardizing thousands more jobs?  Do you think any regulatory agency will set guidelines for testing and treatment at the risk of upsetting the doctors who are profiting from over treating?  Some drugs and treatments for prostate cancer and ED are kept very expensive and newer or less expensive and effective drugs and treatments are seldom approved for maximum profit. Prostate cancer patients are often elderly and exploited for profit, the treatments offered has horrible side effects, and newer treatment options are either unavailable or not offered to patients or available outside the USA.  Prostate cancer is often slow growing and of low risk and can just be monitored.  Often no treatment is the best treatment.  Over testing and treatment has been verified by numerous experts, studies and investigations, documentation, etc.
         
        A 12, 18 or 24 core blind biopsy, holey prostate! One milliondangerous prostate blind biopsies are performed in the USA each year and they should be banned. Men with a high PSA tests result are often sent to an urologist for a blind biopsy.  Men should be told about other options: Percent free PSA test, 4Kscore test, PCA3 urine test or a MRI, 3D color-Doppler test before receiving a blind biopsy. These tests can often or always eliminate the need for a more risky and invasive blind biopsy. Insertion of 12, 18 or 24 large holes through the rectum into a gland the size of a walnut, a blind Biopsy can result in (per studies) pain,prostate infections, a risk of permanent or temporary erectile dysfunction at about 24% (Biopsies cause about 240,000 cases of ED a year), urinary problems, hospitalization from infections and sometimes evendeath from sepsis (About 1.3 to 3.5 deaths per 1,000 from blind biopsies).  There is also debate that a biopsy may spread cancer because of needle tracking.A blind biopsy can also increase PSA reading for several weeks or months, further frightening men into an unnecessary treatment. Blind biopsies are almost never performed on other organs. One very prestigious hospital biopsy information states “Notice that your semen has a red or rust-colored tint caused by a small amount of blood in your semen”.  Another large prestigious hospital states “Blood, either red or reddish brown, may also be in your ejaculate.” These statements are often an extreme exaggeration (mostly lies).  Very often after a biopsy a man’s semen will turn into jet black goo.  This could be an unpleasant surprise for a man and especially for his unsuspecting partner. However if a biopsy is performed before Halloween or April Fools’ day this may be of some benefit to a few patients.  If some very prestigious hospitals are not factual about the color of semen, what other facts are not being disclosed or misrepresented? Never submit to a blind biopsy.
         
        Bone scan scam:  Prostate cancer patients are often sent for a bone scan.   A bone scan has about a 13% chance of having a false positive and only 3 men in 1,000 have bone cancer who have a bone scan.  Bone scans may often be unnecessary in lower risk prostate cancer patients.   
        Low risk cancer patients or patients with advanced age are often sent for aggressive treatment by some doctorswhen monitoring is usually a better option.  An extreme example of overtreatment is one SBRT radiationclinical trial.  Prostate cancer patients (victims) where intentionally treated (fried) with a huge dose (50Gy total, 5 fractions) of radiation resulting in disastrous long term side effect for some of these men.  The typical SBRT dose is 35 to 36.35 Gy, 5 fractions. A large percentage of prostate cancer patients in this clinical trial had low risk prostate cancer and did not require any treatment at all.  
        Clinical trials may be hazardous to patients.  The goal of a clinical trial is to gather information; the intent is not necessarily to help or cure patients.  In a clinical trial, if someone is given a treatment that will harm them (as in the above example) or given a placebo in place of treatment or needed treatment is withheld, the patient may be deceived or harmed.  Investigate before you participate in any clinical trial.  Often drug company’s get your information from medical and pharmacy databases to lure people into clinical trials, soliciting people with letters and postcards. This is often a HIPAA violation.  If you call about a clinical trial your phone conversation may be recorded “Calls may be recorded for training and quality purposes” including your medical and personal information. Even if you do get a safe and effective treatment, it may not be available to you after the clinical trial is over. If the trial is for a drug, you will not be told if you are getting a drug or a placebo until after the trial is over.   Patients can be harmed by a clinical trial.
         
        Your privacy and confidentiality is just an illusion:You may have little privacy and confidentiality!  Under the HIPAA law all access to your records is allegedly by a “Need to know” basis only. This is another exaggeration (lie). Prostate cancer patients are asked to fill out a series of EPIC questionnaires and other questioners.  The EPIC questionnaire asks several intimate details about patient’s sex life, urinary and bowl function. By a prostate cancer patient completing an EPIC questionnaire may be able to assist his doctor, nurse, office workers or database track his progress or decline. By refusing to fill out these questioners and supplying other unnecessary information one can help insure his privacy, dignity and insure he do not unknowingly become part of a study or clinical trial or other collective survey or have his information forwarded to multiple databases. He may be told these questioners and records are “strictly confidential” (as stated in some EPIC questionnaires); this statement is misleading.  Most of the time a patient has no idea who has access to medical records or why the records are being looked at.  Who has access to your medical records?  Probably everyone that works in a medical office or building has access to the records, except you (often you the patient may have limited or no access without a formal request). Access may include/however not limited to non-medical employees, office workers, bookkeepers, janitors, insurance companies, temporary high school or college interns, volunteers, etc. This may also include other medical facilities, programmers, hackers, researchers, etc.  Usually records are placed on a Health Information Exchange (HIE) or servers. Dozens, sometimes even hundreds or thousands or more people may have access to medical records. Some major databaseslike SEER (Surveillance, Epidemiology and End Results) are linked to Medicare records to determine “end results” for researchers, studies, drug companies, clinical trial offers, etc. Servers, both government and privet are sharing information, AKA “health surveillance”.  Health information may be shared and downloaded by millions of entities and servers all over the USA and the world to countries that do not have any regulations for privacy.  Your prescription history can also be tracked. Records may be packaged with others and offered for sale, this does often happen on “the dark web”.  If a doctor, patient or insurance company is involved in a criminal or civil case, medical records may become public court or law enforcement records. Your records can be acquired by insurance companies. If a patient has radiotherapy he may have a photo taken before treatment to verify identity. All patients should get a copy and read any confidentiality disclosures statements (HIPAA statements).  Financial and medical Identity theft is a growing problem, often expensive and difficult to correct. Ransomware is also a growing problem. Under the HIPAA laws you are entitled to a copy of all your medical records, however if you try to obtain a copy of extensive records as in a hospital stay you may be met with resistance. I recently went to a new optometrist for glasses and I was given a form that asked details about my heritage, including my mother’s maiden name and a form for my complete medical history. Your records can also be accessed by anyone (trainees, volunteers, students, high school interns, minors and adolescent people as young as 16 years of age) “for training purposes” or any other reason, all without your consent. A high school interns can even watch your surgeries and other invasive procedures. This gives kids a chance to play doctor and nurse in a real doctor’s office with real patients.  A list of what a high school intern is allowed to do to patients: “learning simple medical procedures, watching surgeries, shadowing doctors (including seeing patients, possibly you), working in hospitals, interacting with patients, and more.”They can also read all records about your prostate problems, your wife’s hemorrhoids and your daughters yeast infections or any files for any patient, all within the HIPAA guidelines.  These people do not have to be employed by the facility or have a background check. My family doctors office has summer time high school interns with full access to all records. One high school intern signed me in, took my temperature, weight, blood pressure and logged it in my file.  Would you like to have a high school or college student that possibly lives in your neighborhood or attends school with your children read over your extensive family member’s medical records and personal information? How much curiosity or self control does a high school or college student have?  I also went to a hearing aid center in a department store to get a free hearing test and was given forms inquiring about personal information and my complete medical history. This is information I do not want filed in a department store. All patients should avoid supplying unnecessary information whenever possible. Supply relevant information only when filling out forms.  In the USA identity theft is very common, growing problem and is often financial devastating. Medical forms can be a good source of information for thieves.  Recently my friend with arthritis in her hips received a letter offering a clinical trial for a new medication; coincidently looking for patients with hip and knee arthritis.  How did this company determine she and not her husband or other family member was a prime candidate for this new drug study without violating any HIPAA privacy laws? Numerous exceptions (loopholes) appear within the HIPAA laws regarding you privacy. Even without HIPAA privacy law violations, records can be accessed by multiple people and appear in multiple databases.  Sometimes medical phone calls are recorded “Calls may be recorded for training and quality purposes”. Calls about a clinical trial, calls to a large clinic, toll free number, calls to drug companies and calls to insurance companies may be recorded. These conversations can include confidential or medical information. Some of the Obamacare goals sought to have everyone’s medical records on servers so they could be accessed by any medical facility or doctor. HIPAA laws are deficient and often will not protect your privacy. Your privacy and confidentiality is not that secure.  I believe the medical field has little regard for our privacy, especially if it is in conflict with training, research, studies, profit or other objectives.  If you’re a public figure, celebrity, rich or famous you may be subject to numerous people wanting to see your medical records.  Also if you are known to or an acquaintance of anyone with access to your records (neighbor, co-workers spouse, etc) they would possibly (or probably) want to have a look at your medical records. On May 6, 2017 Dear Abby did an article on this subject, “Snooping into medical records”. You are naive if you believe otherwise or that your records are secure.  The same also applies to pharmacies and labs, etc.
         
        A patient’s dignity (or lack of dignity): Prostate cancer testing and treatment is stressful, degrading, demoralizing and often unnecessary.  After his surgery one patient stated both his prostate and his dignity was removed and discarded. EPIC questionnaires can be counterproductive impact a patient’s dignity, privacy, confidentiality and self image.  EPIC questionnaires have an increased potential and greater impact on patients for privacy violations because of its format, nature and personal content (potential for HIPAA privacy law violations). Patients may mistakenly believe the EPIC questionnaire is a requirement to be filled out. Also the term “strictly confidential” can be misleading and ambiguous.  One patient posted he filled out and turned in his “strictly confidential” EPIC questioners only to have every female office staff member read it and ogle him.  Resulting in him not filling out any more EPIC forms or any other forms and he stated that he became very uncomfortable and evasive with the entire office staff. The drawbacks of this form seem to outweigh any potential benefit for some patients. Medical tests and procedures can be degrading and embarrassing for both men and women.  Many women prefer or will only see female doctors or gynecologists, about 50% to 70%.  Over half of men prefer a male doctor. (Per some respected doctors: “Men stay away from medical care in large numbers because of privacy and dignity.  Many men still avoid medical care because of embarrassment.  Honest answers will often not be given if asked by a female doctor or nurse.”)  Per surveys: nurses and medical staff often laugh at and ridiculepatients. What percent of men will feel comfortable consulting a female doctor, nurse or office worker about his prostate problems, ED, etc or would want an invasive test or procedure performed by a female?    
         LDR Brachytherapy is permanent radioactive seed implant, a bizarre treatment option.  This procedure implants about 60 to 120 radioactive seeds in the prostate, sometimes resulting in urinary problems. The patient will literally become radioactive for months and up to 2 years.  The patient may set off radiation alarm at airports, seaports and border security checkpoints.  He will also be required to use a condom, have no close contact with pregnant women, infants, children and young pets for months or longer. Occasionally he may even eject dangerous radioactive seedsduring sexual activity or urination.The patient will become like a walking Chernobyl, having radioactive scrap metal and emitting hazardous radiation from his crotch.  He will also be required to carry a card in his wallet stating he is radioactive. After treatment, if he dies cremation may be a big problem.  The videos of this procedure are disturbing and bizarre.  A catheter will also be required. Brachytherapy has a high possibility for ED.
         
        ADT Hormone therapy, big profits, and devastating side effects: Lupron injections are one of the most common.  Men are prescribed hormone therapy (ADT therapy), AKA chemical castration as an additional or only treatment.  Hormone (ADT) therapy is sometimes over prescribed for profit, per some studies. Hormone therapy is often very expensive (Profitable for doctors if provided at the doctor’s office and not a pharmacy) and can have horrible, strange and devastating side effects, feminization, hot flashes, fatigue, weight gain, long term or permanent ED, depression, etc.His penis could shrink and his testicles can completely disappear, he may grow breasts.  This treatment can have so many mind and body altering side effects that doctors will often not inform patients about all of them. One man stated that ADT therapy turned him into an old menopausal woman. Men are sometimes actuallycastrated (orchiectomy) as a cancer treatment to reduce testosterone; I just can’t imagine a more barbaric and primitive treatment. Amnesty International calls chemical castration “inhuman”.  ADT therapy is often used in sex reassignment surgery, male-to-female transsexuals.Studies (Medicare and financial) have documented doctors do over prescribe ADT therapy for profit (depending on Insurance payout rates/profit margin).  When insurance payment reimbursement for ADT decreased so did the number of patients being prescribed ADT therapy!  Per Wikipedia:“in patients with localized prostate cancer, confined to the prostate, ADT has demonstrated no survival advantage, and significant harm, such as impotence, diabetes and bone loss. Even so, 80% of American doctors provide ADT to patients with localized prostate cancer.”Overtreatment with ADT is extremely profitable, unfortunate and avoidable.
         
        Nerve sparing Robotic-assisted DaVinci surgery is touted as being a better treatment and having fewer side effects, this is usually an exaggeration. The nerves can not always be spared. Robotic surgery can result in a faster initial recovery. Long term risk of incontinence, fatigue, ED, depression, some men will ejaculate urine, shorter penis; etc is about the same and sometimes worse then conventional surgery.  Patients undergoing surgery are at a very small risk of developing post traumatic stress disorder (PTSD) and about a 22% chance of long term or permanent fatigue. A catheter will be required.  Also .2% to 1.2% risk of deaths as a result of prostate cancer surgery or medical mistakes.  Patients can have unrealistic expectations about the results and regret the surgery option.  The ED rates and other side effects are often understated to patients. Men are left limp and leaking after this surgery.
         
        Patients should not be naive:  Medical mistakes are the third cause of deaths in the USA (over one million deaths in 4 years).  Medical mistakes cause more deaths then suicide, firearms and motor vehicle accidents combined. Countless other patients have been harmed by medical mistakes.  If you are having surgery, biopsy or a procedure take precautions if possible. Have someone qualified or knowledgeable monitor you and your medications, etc.  Doctors, nurses and technicians can be profit motivated, use obsolete procedures, be lazy, incompetent, make mistakes and be apathetic or rushed.Occasionally harm can be done or not prevented with intent. Drug abuse is often a problem with some medical workers because of easy access.  Doctor’s offices and clinics can see many patients in a relatively short amount of time.  This may be a disadvantage to patients, empathy and quality of care can sometimes be compromised. Sometimes a nurse, medical assistant or an office staff member may be the person that overseeing much of a patient’s care.  I personally know of or have had contact with at least 14 nurses and other medical staff that I would consider dangerous: incompetent, dishonest, lazy, abusive, mentally disturbed, sadistic, drug abusers that work in doctor’s offices, labs and hospitals. Most of these people did not have a name tag and supplied me with a first name only when asked for a name. I am now sure modern medicine protects the guilty and incompetent, also victimizes the naive patients. I now understand why medical mistakes are the third leading cause of deaths in the USA.  I now believe some or most of the deaths and injuries are preventable or intentional. Medical workers can know everything about a patient, hide behind anonymity and do patients irreversible harm or death. The patient may not even know his or her first name.TV and sometimes the public seem to idolize doctors, nurses and caregivers; however the health care profession has about the same amount of abusive or incompetent workers as other occupations.  I have also had excellent doctors and nurses. However this may not protect you from the bad ones.  What are the main reasons nurses get fired: 1. Prescription drug abuse (because of easy access to drugs). 2. Too many mistakes. 3. Code of conduct and privacy violations. 3. Bad attitude. 4. No proper licenses 5. Abuse of patients. Often the bad health care workers can just get another job if they get fired, without any repercussions.  Patients should be aware that sometimes QOL (quality of life) may be secondary or an absent goal in treatment. Sometimes overtreatment for profit or to prevent an unlikely death or metastization from low risk cancer may be the primary or the only goals of prostate cancer treatment.   
        A blind biopsy or treatments are often worse then the disease: Testing and treatment often resulting in Chronic/permanent fatigue, incontinence, depression, sexual dysfunction and sometimes death.  Hormone therapy does have an extensive list of side effects that can be devastating for men. Biopsies and treatment are degrading, stressful and often unnecessary.  Many men may not be prepared or have unrealistic expectations about the outcome, physical and psychological impact of testing and treatment.
         
        Depression in prostate cancer patients is common, about 22% at 5 years (per some studies) and for advanced prostate cancer patient’s depression is even higher.  Prostate cancer patients are at an increased risk of suicide.  Men are seldom screened for depression after prostate cancer.
         
        The risk of long term chronic and permanent fatigue(that can result in depression) is almost always understated if mentioned at all too many patients.  Per some studies and depending on your treatment; the risk of long term or permanent fatigue is about 25% to 60%.  Radiation with Hormone therapy has a high risk of fatigue. Long term fatigue also increases the risk of clinical depression and suicide.  
        Prostate cancer testing and treatment, quackery and butchery! Castration, ADT hormone therapy (chemical castration), LDR Brachytherapy (radiation seed implant), cryotherapy, radiotherapy, surgery, chemotherapy and blind biopsies are dangerous, psychically and emotionally brutal, traumatic and disturbing.  These types of treatments are primitive and almost beyond belief in today’s world of advanced technology. It seems all of the best treatments for prostate cancer have not been approved and some are only available outside the USA. Newer treatments like, HIFU, hyperthermia, Conexus, IRE Therapy, Boron Neutron capture therapy, Gold Nanoparticles, PARP Inhibitors, Platinum, focal Ablation (only treating the cancer and not the entire prostate) and orphan drugs (dichloroacetate, etc.) should be approved and used when appropriate.  Biopsies should be limited to selective MRI guided samples only; blind biopsies should never be performed. Per some studies vitamin D3 may help control PSA and prevent prostate cancer from becoming aggressive.   
         Lipstick on a pig: Approved advances in prostate cancer treatment mostly consisting of newer, faster and more accurate radiation treatments, robotic surgery and new drugs.  These advances sound like greater strides have been made.  However most of these approved advances are of limited benefit to prostate cancer patients and still have about the same amount of long term side effects.  Compared to other technologies, computers, communications, electronics, aviation, etc, cancer treatment approved advances have been dismal. The National Cancer Institute wastes about 3 billion dollars a year on PSA screening that can be used for research and true cures.   QOL (quality of life) issues have not been adequately addressed. Profit often outweighs QOL.
         
        Prostate Radiotherapy (EBRT-external beam radiation therapy) for cancer treatment.  New technology consists of: IMRT, SBRT, IGRT, VMAT, TrueBeam, Cyberknife, etc.  This newer, faster, more accurate and easer to setup radiation equipment is of much benefit for doctors, staff and a good selling point to patient’s.  However as far as reducing long term side effects, only small gains have been madewith the newer radiotherapy equipment.A patient should be skeptical if exaggerated claims are made about reduced long term side effects, especially fatigue and ED rates.  Radiotherapy can cause hip and bone problems later in life.  About 25% of radiotherapy patients can expect an alarming temporary “bounce” (spike) in the PSA value after treatment.  Patients should inquire as to the treatment plan: Gy dose and fractions, margins, testicular dose, constraints and age of radiotherapy equipment to insure excessive radiation exposure treatment is not given that can result in additional side effects.  Patients should be aware that pelvic shaving, permanent tattoo markers, fiducial marker (small seeds) are sometimes placed in the prostate, MRI, CT scan,  photographs, catheters and other procedures may or may not a be required. Radiotherapy can also occasionally result in secondary cancers and damage to “organs at risk” (organs close to the prostate).  Radiation has a high probability of sexual dysfunction and fatigue, just as high and sometimes higher with the newer equipment. ED rates estimated at 35% to 75% or higher, 93% at 15 years. Sometimes radiation can also cause bowel and urinary problems. Per some studies radiotherapy causes moderate-to-severe gastrointestinal effects in 17%. A 5 day SBRT radiation treatment is now commonly available with about the same results and side effects as a 9 week radiation treatment.  A doctor with a multimillion dollar lease and maintenance agreement on radiotherapy equipment and a large staff may or may not be influenced by his or her financial obligations when deciding to recommend over testing and treatment.
         
        Fried nuts, two-: Prostate radiotherapy (EBRT) can sometimes result in a 5% to 30% temporary or permanent drop in testosterone levels, excluding hormone therapy. This drop is determined by the testicular radiationdose (treatment equipment and planning).  A below normal drop in testosterone can result in fatigue, depression, sexual dysfunction and other symptoms.  Always ask for a printout of testicle dose and constraints before and after prostate radiotherapy to insure your testicles are not over radiated, also include the CT scan exposures.  Have your testosterone levels tested before and months after EBRT treatment.
         
        Chemotherapy can be extremely toxic and sometimes deadly: Any cancer patient (man or woman) who are being offered chemotherapy should be particularly cautious.  Without genomic testing or proof of the effectiveness of the specific drug being used on the exact cancer type being treated, chemotherapy can often be more toxic to the patient then to the cancer. Chemotherapy may be extremely expensive, profitable for some doctors(if dispensed by the doctor and not by a third party) and can be misused or overused, often for profit. The “chemotherapy concession”: A doctor may purchase a quantity of chemo drugs for $10,000 and charge a patient $20,000.  A doctor can also receive a percent kickback from the drug company for prescribing the drug.  What is the motive for some doctors to perform Genomic testing and giving a patient a different and more effective treatment at an unknown or no profit versus a guaranteed profit with a probable worthless or harmful treatment? This is a well documented and common practice.  75% to 90% of oncologists would refuse chemotherapy if they had cancer.  Chemotherapy fails upwards of 93 and 98% percent of the time depending on which study you look at.  One Michigan oncologist who committed fraud and gave $35 million in needless chemotherapy (for profit) to patients, some who did not even have cancer is now in jail for 45 years. He was running his own in-house pharmacy.  The nursing staff was indifferent and the state regulatory agency initially cleared him of any wrongdoing (a cover up).  Many or most chemo drugs are considered a biohazard.
         
        Long term care consists of regular PSA testing for years.  Long term care for side effects is often lacking or exploitive or ineffective. Often complaints of side effects are disregarded by nurses, doctors and sometimes referred out to other doctors. The patient is sometimes left to figure out what to do about his side effects with the resources available to him.  Long term side effects often consist of fatigue, bowel or urinary problems, sexual dysfunction, depression and other symptoms.  Patients with complaints of chronic fatigue are often told to exercise, get plenty of sleep, pace your self and eat a healthy diet; this advice is of limited help for chronic fatigue.  Often treatments for long term side effects are embarrassing, degrading, unavailable, nonexistent, costly, not effective, not offered or bothersome.  Prostate cancer treatment often results in fatigue, depression, isolation and sometimes suicide.  Billions of dollars are profited from ED drug and other ED products, catheters, pads and diapers, drugs for depression or pain or insomnia or incontinence, additional treatments and surgeries for side effects.  Also treatments for the multiple and bizarre side effects from hormone ADT therapy (chemical castration) is sometimes required.
         
        Men, ageing, exploitation andelder abuse: If any man lives long enough it is very likely he will have a prostate problem, low testosterones or some form of sexual dysfunction. In my opinion modern medicine often has been exploitive, abusive and has provided substandard care for older men in general due to all of the explanation given in this text.  I believe much of the attitudes toward older Americans need improvement and they are sometimes viewed as being subhuman and exploitable by various groups and individuals.  If documented cases of unnecessary surgery and radiotherapy or blind biopsies on children by doctors for profit were released, the vast majority of Americans would be outraged and this practice would quickly end.  However for older men it dose not seems to be of great concern!   As defined by some or all state laws, exploitation of elderly men by overprescribing treatment for profit is a crime or an offence of various guidelines and regulations.  It is extremely unlikely any doctor will ever be prosecuted or has a medical license suspended for this common and extensively documented abuse or crime. It is well documented that all forms abuse do occur to the elderly and disabled in nursing homes and other facilities including neglect, theft, starvation, torture, harassment, sexual assault, etc. Elderly are being exploited in many ways (Also scams for profit).One patient after recovering from a brain injury testified that he was repeatedly abused, slapped and hit, forced to drink boiling hot tea by multiple caregivers and sexually assaulted by one female caregiver.  I personally know of an elderly lady that is living in an expensive assisted living home that has had all of her possessions (radio, clothes, underwear, shoes) repeatedly stolen and replaced by her family including the sheets off of her bed, even after the sheets where marked with her name using a larger permanent marker pen.  Guardian scam: If you are declared incompetent by strangers, they can become your guardian (Guardianships and Conservatorships). You can be forced to move into a nursing home and your property can be sold and your assets can be seized by them.  In other words-they can steal your assets and incarcerate you. Some people are becoming very wealthy by using this exploitation method. Make sure you have an estate trust, executor, etc.
         
         
        Pharmacy Rip Off!  ED, no bathtub included: Almost all prostate cancer treatments usually result a high percentage of erectile dysfunction. Loss of libido estimated at about 45%. Excluding hormone therapy, lower libido is almost never disclosed as a treatment side effect and sometimes it is completely denied as a problem.   Blind biopsies can often cause temporary or permanent ED. Often claims of prompt effective treatment for ED or other side effects if they occur after treatment are often misleading.  Statistics for ED percentages from treatment are usually quoted after treatment with Viagra, Muse or other ED treatments, therefore most statistics are very misleading. ED rated at 5 years may be as high as 50% to 80% or higher for most treatments. ED rated at 15 years may be as high as 90% or higher for most treatments.  For cryotherapy, ED rates are extremely high.  The cost for ED drugs like Levitra, Cialis, Viagra and Muse are deliberately kept very expensive by drug companies, about $10 to $45 per 1 pill or dose.  At these prices Lilly could consider including a free bathtub featured in its advertisements for Cialis. The cost of a 30 day supply of Cialis is usually well over $320 and the cost of an inexpensive bathtub is about $200. Generic PDE5I ED drugs in Canada and other parts of the world sell for about $0.50 to $2 a pill. Many insurance companies will not pay for ED drugs or treatment. Less expensive generic drugs are usually unavailable in the US. Some ED drugs should have already become available in a generic (in the USA) form for about $1 a pill.  This is further exploitation by the drug companies of men in general. Men are also exploited by counterfeit mail order ED drug sales. ED drugs are not always effective and may have side effects.  ED treatments can also be embarrassing, not offered, not practical, painful, expensive/not covered by insurance. Men will often not seek treatment because or these reasons.  You can get inexpensive generic and brand name drugs from Canada, just get a prescription from your doctor and make sure the pharmacy is CIPA licensed. Generic Cialis Viagra for about $0.50 to $2 a pill and other drugs.   Go to https://www.cipa.com/certified-safe-online-pharmacies/for a list of trusted Canadian pharmacies. Stop getting ripped off by American drug companies.   
        The numbers game, you lose: More exaggerations and lies.   A doctor may state a patients chances of ED is about 35% with EBRT radiotherapy (or some other treatment). A patient may think, 35% is not too bad and if I do get ED I can always take Viagra.  What a doctor may not tell a patient is that the ED rate is 35% at 1 or 2 years for a patient under 65 years old and with an ED drug treatment option.  For a patient over 3 years, over 65 years old  and no ED drugs the ED rate may be about 75% or higher, after age 70 your chances of ED is over 85% or higher. Obviously, a man is more likely to refuse treatment at a 75% ED rate verses a 35% ED rate.  Some side effects may not be disclosed at all.  If side effects (low libido, chronic fatigue, depression, increased suicide risk, etc) are not disclosed, no percentages will usually need to be quoted.Results are often worse for a surgery option, the main difference in ED results between surgery and radiotherapy is; with surgery ED will start out bad and may or may not get better with time, however with radiotherapy ED will get worse over time.  With both treatments together or with ADT hormones also you’re in real trouble with ED percentages.   Cure rates are often quoted at the 5 years mark for most treatments. 5 years is not a magic number, anyone can have a treatment failure before or after 5 years. A cure rate for a treatment at 5 years may be quoted at 85%; however the cure rate at 7 to 10 years may be only 70% and 50%.  The 85% at 5 year rate was quoted to me. I was never told about my 50% at 10 year cure rate.   Always ask what is the “biochemical recurrence” (AKA rising PSA or treatment failure) rate for well beyond 5 years with your computer software simulation and Partin tables. Ask your urologist or radiation oncologist for a 10-year cure Rate. If the physician is unable to provide one, consider finding another doctor.Studies and clinical trials results, side effects percentage claims, etc can be biased.  Watch out for terms like “age adjusted” or ambiguous or excluded facts as given in the above examples.  ED rates for radiotherapy are usually quoted at under 1 or 2 years and for surgery over 1 or 2 year to give the appearance of a more positive result.  I have read and have been given someextremely exaggerated claims (mostly lies) concerning cure rated, side effects, etc.   
        Prostate cancer patients are sometimes elderly and exploited for profit (per documented studies). A blind biopsy is unsafe and newer test methods should be used. The treatments offered have horrible side effects. Some doctors are treating patients with low risk cancer or advanced age when monitoring is often a better option. Patients with low risk cancer or advanced age should often be offered “watchful waiting” or “active surveillance” instead of treatment. Aftercare for long term side effects is frequently ineffective, expensive, not offered, degrading or nonexistent.  Prostate cancer patients are seldom told about chronic fatigue, depression and the true risk of side effects are usually understated.  Modern medicine often fails and victimizes prostate cancer patients.   
        Often few good choices exist for treatment: A prostate cancer patient treatment choice often ends up being the least worst choice or the choice with the side effects a patient thinks he can tolerate.  If a patient has intermediate or high risk prostate cancer and dose not have advanced age he may need treatment. He should consider genomic testing and look into other advanced treatments if available. Also he should try and avoid hormone therapy if possible because of the multiple side effects especially if the cancer is organ confined. If laser or other advanced treatments are not available a 5 day SBRT radiation treatment may be considered (In my opinion SBRT could be the least worst of the bad choices, still a poor option).  SBRT seems to be fast, least invasive or traumatic. ED and fatigue is still a high long term risk.  Radiation with hormone therapy has a higher risk of ED and long term fatigue.  However, I now believe conventional prostate cancer testing and treatment is a mistake for most men.
         
        The short version of my story:  I was referred to an urologist by my family doctor after a high PSA test.  I will refer to the urologist as Doctor “A”; he used old and dangerous testing technology (18 core blind biopsies), his nurse seemed to have a mental defect exhibiting arrogant, rude, strange, abusive behavior and was intent on inflicting psychological harm to me.   Shortly after my Dr. “A” visits ended, his nurse was no longer employed at his office and no person in that office would refer to her employment or her existence.  I now believe this nurse was high because of drug abuse being common among nurses (easy access to drugs). I was diagnosed with prostate cancer by Dr. “A”.  I refused his surgery and hormone therapy recommendation because of the imminent side effects and his unprofessional nurse behavior, so Dr. “A” referred me to Dr “T”.  Dr. “T” was outside of my insurance network; however his office manager stated she was willing to work with my insurance, offered me a doctor consultation and would accept any insurance payment as a full payment. When I arrived in his office the waiting room was empty. He also had a large staff.  Dr. “T” used older conventional technology, offered me overtreatment, hormone therapy, unnecessary procedures and testes. One week after my consultation with Dr. “T” I received an $850 bill, in conflict with what was agreed upon with his office manager.  After a recommendation from a friend, I called clinic “O” and met with the nurse. She offered me treatments with a verbal guarantee of “no side effects from the radiation”.  However this nurse could not answer any of my basic questions, lacked any credibility and sounded like an unscrupulousused car salesmen. Most of these office visits caused me multiple problems with offices workers processing paperwork for tests, insurance forms and billing, etc.  Two of these doctors offered me an unnecessary bone scan.  Two of these doctors recommended unnecessary hormone therapy ADT (overtreatment) for my organ confined cancer.  After I absolutely and utterly refused hormone therapy, both doctors admitted it probably would not help me in my final outcome because of the computer estimate run on me with my organ confined cancer, PSA, biopsy report, etc.  Having no advance treatments (laser, etc) available to me at that time, I decided on SBRT treatment with Dr. “K”, he could answer my questions and had new equipment.  Before my treatment could start I was referred to “W” lab for an MRI.  “W” lab had a trainee assisting and it took over 2 hours to complete my MRI.  2 days later after receiving a copy of my MRI report, I examined the MRI report; it had my name and some other patient history information. I wasted 2 more days verifying it was the correct MRI of me and not some other prostate patient MRI before my treatment could start.   I did receive treatment from Dr. “K”. I did have a relatively fast and noninvasive treatment (SBRT), resulting in several months of fatigue, a large PSA bounce 18 mothers later and some other short term side effects.  At this time I am doing okay, however I’m not sure what the future will bring?  I also no longer trust modern medicine, doctors, nurses, etc.  Modern medicine seems to be more of a gamble then a science. I have wasted hundreds of hours and thousands of dollars.  I feel modern medicine has abused and failed me (and others) due to the lack of guidelines and regulation, still approved obsolete technology, better unapproved treatments, exploitation, greed, apathy and incompetence. Hindsight is 20/20. I was never offered Genomic testing. If I could do it over again, I would also consider no PSA testing and treatment or traveling for advanced treatments from a competent provider if practical and available.  I believe if I did take the two doctors recommendations and received unnecessary hormone therapy in addition to the radiotherapy my quality of life (QOL) would have been severely impacted for years or permanently and could possibly have resulting in my early death.  I did seem to have a lot of bad luck in picking providers or is this just the new standard in medical care?  
        “Do no harm”, unless you can make a lot of money and get away with it:   I was harmed physically and verbally by Dr. “A” 18 core blind biopsy and verbally abused by his nurse.  I was potentially exploited and financially harmed ($850) by Dr. “T” and offered unnecessary testing and overtreatment.  Clinic “O” nurse attempted to misinform and deceive me about the treatment outcome of “no long term side effects”.  I was harmed by “W” lab by mistakes and incompetence. I did also have numerous other billing and paperwork problems probably due to mistakes and apathy. A few of the office staff were incapable of completing some very simple tasks like filling out lab work request or insurance forms.  At least 40% (probably substantially more, 50% to 60%) of the health care workers I came into contact with did or attempted to do some form of harm to meor provide substandard care, attempted excessive testing and treatment, mistakes, billing overcharges, blind biopsy, false statements, deception, misinformation, apathy and abusive behavior­­­, as explained in this text.  I have also observed several medical facilities do not require workers to wear name tags and when asked for a name most will give a first name only; this may also be a factor in health care workers not acting in an ethical manner.  To me, it seems that this prostate cancer nightmare maze was intended for maximum physical, psychological, financial harm and to be of questionable benefit and maximum profit for doctors. My prostate cancer experience has been one of the worst events that has happened to me in my lifetime. Also seeking testing and treatment is one of the biggest mistakes I have ever made. I specifically blame modern medicine for not protecting patients from predatory doctors, substandard technology and a lack of regulations that would protect patients.  I would have been much better off going to a Voodoo or witch doctor. I would have saved thousands of dollars, time, had no side effects, no paperwork, more confidentiality and privacy, and probably received better advice.  I could have received a nice amulet or a good luck charm to protect against sorcery or magic (PSA testing, blind biopsies and treatment) andevil medicine men (predatory doctors).     
        My treatment choice: I feel LDR Brachytherapy and hormone therapy (AKA chemical castration) seemed to be completely degrading, disturbing and bizarre. Hormone therapy would not have been an effective treatment for me. Surgery and Brachytherapy are to invasive. Surgery has an imminent danger of incontinence and ED. 9 week EBRT radiotherapy was just too long and laborious. Because castration (orchiectomy), ADT hormone therapy (chemical castration), surgery, Chemotherapy, LDR Brachytherapy and blind biopsies are what I consider “Frankenstein medicine” (Harmful, strange, bizarre, brutal, twisted, degrading or a perverted nightmare) I would avoid all of them. Unfortunately, I was deceived and misguided into having a blind biopsy. I do not believe other conventional treatments like radiotherapy are good or great choices either, just not as horrific. The choice I made was a 5 day SBRT radiotherapy.  A 5 day SBRT also has numerous drawbacks and side effects, about the same as a 9 week EBRT radiotherapy. I also had no advanced treatment options available to me.  As I have stated above, If I could do it over again I would also consider either no PSA testing and treatment or traveling for advanced treatments from a competent provider if practical and available.  I am now sure I made the wrong choice by receiving conventional testing and treatment. With prostate cancer, the testing or treatment is often worse then the disease.  I am not implying anyone should make the same choices as I did.  I am only giving the motives for my decisions.  I was also the victim of profit motivated and substandard providers.  3 years later I now believe my prostate cancer testing and treatment greatly accelerated my ageing (through the stress, testing, treatments and physically from the radiation and was also a financial burden).  Per a new SBRT studies my 4+3 Gleason score is considered “unfavorable”. I now have about a 50% chance of a treatment failure in 8 to 10 years. My previous long term cure rate was originally quoted at 85% before my treatment started.  I am also sure prostate cancer testing and treatment is mostly smoke and mirrors (lies).  The man who invented the PSA test, Dr. Richard Ablin now calls it “the Great Prostate Mistake, Hoax and a Profit-Driven Public Health Disaster”.  When asked: “How did you live so long?” A 99 year old woman stated “stay away from doctors and don’t take anything they prescribe for you”.  With some exceptions, I now believe this advice to be mostly true.  
        Always protect yourself: It should not be up to a patient to protect himself or herself from harm from doctors, however the new or common standard in medical care seems to be substandard.  Do not let the sterile, friendly and professional environment of a doctor’s office detour you from protecting yourself from overtreatment or any unnecessary life changing tests and treatments. If you are concerned about misuse or privacy issues, refuse to fill out EPIC questioners andlimit the information given to relevant information only.  If you have a high PSA or prostate cancer, educate yourself. A patient should be extremely skeptical if exaggerated claims are made about minimal long term side effects from conventional treatments or blind biopsies.   Also exaggerated cure rates or the need for immediate treatment. Bring someone educated or astute with you to your consultations and appointments.  Insist on Genomic or advanced testing if you have prostate cancer.  Avoid doctors that are mostly profit motivated. Do not submit to a prostate blind biopsy.  Get a second or third opinion if you are being offered treatment with low risk prostate cancer.  Learn about all your treatment options, testing and side effects.  Verify everything you are told. Under the HIPAA law you are entitle to a copy of all your medical records and bills. Always ask the name of the person assisting you. If they refuse the request for a name leave immediately (you may or may not be in extreme danger). Be very cautious if you are ever refused a copy of your records; demand a copy of your records and a reason for any denial and seek other advice.  Get a copy and keep a file of your test results, biopsy report, Gleason score, PSA, MRI report, treatment plan, bills, insurance payouts, etc. Carefully monitor your PSA. Expect a temporary increase (for weeks or months) in PSA after some procedures.  Verify the accuracy of paperwork. If treatment is necessary talk to your doctor in advance about side effect management, chronic fatigue, ED, etc. Doctors that provide treatments often have computer software to predict the outcome using test results and different treatment options.  Ask to see your computer predicted cure rate outcome with your treatment options if available.  This may give you some insight to your options, cure rate and also to avoid overtreatment.   Always ask what is the “biochemical recurrence” (AKA rising PSA or treatment failure) rate for well beyond 5 years,5 years is not a magic number. For help contact a good prostate cancer support group without a conflict of interest.  A wise man once told me “you need to learn to think like your doctors and nurses (or other providers)”.  What are the motives of your providers, place them in order that you observe at your doctors office: to profit, to cure, to get high on the backroom drug supply, to do less work, to take an extra long lunch or get off work early, to help people, to cover up their incompetents, etc?  This exercise may give you some insight into the care you may receive.  
        A medical holocaust: Multiple studies have verified more deaths caused from prostate cancer testing and treatment then from prostate cancer itself.  Medical mistakes are the third leading cause of deaths in the USA, over 251,000 deaths a year or over one million four thousand (1,004,000) deaths in 4 years. More then suicide, firearms and motor vehicle accidents combined.  These statistics do not include many more people that have had their lives destroyed or shortened by modern medicine or a reduction in QOL (quality of life).  Per the FDA, 106,000 deaths per year (Over one million people in 10 years) from prescription drugs.  Very often men are not told about all of the true risks and side effects or they are downplayed for both a blind biopsy and treatments.  I personally know of 2 patients killed from medical mistakes, one got hepatitis from a colonoscopy and the other death from an upset ER nurse forcing a tube down his throat causing lethal damage.  
        No national guidelines: Strict guidelines for cancer testing and treatment need to be created and enforced because of the extensive and documented abuses of prostate cancer patients: 1. Blind biopsies should be banned. 2. Strict standards and gridlines for testing and treatment need to be created.  3. Full mandatory industry standard disclosure forms need to be created for tests and treatment to include realistic risk factor disclosure. 4. Newer testing and treatments need to be created and approved.  5. Dignity, privacy and confidentiality need to be standardized and enforced in addition to the HIPAA laws. 6. Aftercare needs to be available, standardized and regulated. 7. The cost for drugs needs to be regulated to end financial exploitation by drug companies. 8. Medical workers should be identifiable and be required to wear name tags with first, last names and job title. 9. A new standard “Ethical Code of Conduct” needs to be created and enforced to end patient exploitation and abuse. 10. Genomic or genetic testing should be required before any patient is sent for treatment to avoid overtreatment and insure the correct treatment. 11. A truthful and accurate standardized educational book or PDF needs to be created and distributed to all high PSA and prostate cancer patients. 12. Ban for profit ADT therapy and the “chemotherapy concession”.  It is unlikely any of the above recommendations will be implemented unless prostate cancer affected a larger percent of the population or enough prominent people are affected.  Prostate cancer patients must protect themselves as the only alternative!   
        Clarification: This text may probably anger and upset some people for various reasons.  The intent of this document is not to imply all doctors are dishonest or to condemn all medical providers.  The intent is to educate men of the consequences and dangers that may await them so they can take appropriate action and to inform patients of real world, typical or worst case scenarios.  I have also tried to include most scenarios a prostate cancer patient should be cautious of.  Would some health care providers harm a patient for profit or by accident or some other reason?  Yes, absolutely!  We just don’t know who or what percent would.  Shockingly, for me it was will over 40% (probably 50% to 60%) that intended to do me some form of harm or provided substandard care as explained in my story.  Are some other doctors and nurses exceptional? Yes! I have also had excellent doctors and nurses, however this may not protect you or I from the bad ones.  Differences in opinion, variations in semantics do not invalidate this document or its intent.  The information in this document is a sum of my experience, other patient’s experiences and hundreds of videos, documents, books, conversations, clinical trial, peer reviews,blogs, studies, articles, etc.    
        Recommended reading. Investigate for yourself: 1. Hardcover book, The Great Prostate Hoax: How Big Medicine Hijacked the PSA Test and Caused a Public Health Disaster. by Richard J. Ablin (Inventor of the PSA test).
        2. https://urologyweb.com/prostate-cancer-treatment-the-disturbing-facts/ 3. Internet search or Google: prostate cancer overtreatment or scam or hoax, useless PSA, Prostate biopsy sepsis or dangers.  Medical mistakes, etc.
         
        Often prostate cancer testing and treatment is harmful and a big scam for profit!  The evidence is overwhelming.
         
        Disclaimer: I have no conflict of interest. I do not represent any support group or other organizations. I am not a doctor. I do not prevent, treat, diagnose, cure or advise on medical matters. The information in this document is for educational purposes only.  If you need treatment or medical advice, consult a competent and trustworthy medical doctor.
         
        Anyone may copy, email or distribute parts of or this entire document without changing or modifying it.
         
        I have been extensively criticized by some for creating this document and its blunt content.  In order to insure my privacy and avoid any potential reprisals, further abuse or exploitation, I will remain Anonymous.




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  17. What about Natto, sticky harmented soy bean? I saw a video from this site, and
    it said farmented vegetables like Kimch could have harmful effect on human
    body. So I wonder




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  18. I would like to hear more about the validity and implications of this recent study:
    The Indiana University study, which appeared in the International Journal of Cancer, was titled “Dietary intake of isoflavones and coumestrol and the risk of prostate cancer in the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial.”

    This study seems to indicate that lignins and phytoestrogens such as found in green tea, soy, flaxseed and other foods that have long been held to reduce and control pCa are actually implicated in dramatic increases in the risk of aggressive prostate cancer.

    As a 10.5 year pCa patient I have consumed these foods in quantities. Have I been killing myself? And what am I supposed to substitute for my tofu protein now? Im eating more nuts already than a squirrel w/o any red meat or chicken. So depressing….

    Website link:
    https://prostatecancernewstoday.com/2017/11/21/study-reports-that-consuming-certain-plants-increases-risk-of-aggressive-prostate-cancer/




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    1. Tom, I know how you feel about having fewer options for eating food. When I first started the whole plant food diet about 3 years ago, I was primarily eating black beans and rice, and oatmeal. Then I added salads with no dressings because dressings have oil. I got really tired of that in about 3 months. Plus, I was eating fruits, but that also never gave me to much eating satisfaction. Then I started going to restaurant and only ordering side dishes that were vegetables. But, the restaurants use a lot of olive oil in their cooked vegetables. So, now I eat a lot of black beans with added barley, a little rice from Thailand mixed in it, and I add a lot of salsa sauce to the mix with some other Mexican sauces. I will eat this with a half of avacado and a bowl full of raw arugula with no salad dressing. But, if you look in the frozen food section of your major grocery store you will find a lot of interesting frozen vegetables that cook up real fast. My wife makes vegan spaghetti which is a nice break from the black beans and rice combo. Recently, I have discovered vegan burgers in the frozen food section. There are different brands of vegan burgers to choose from. They taste really good when you add cooked onion, tomato, lettuce, and Boar’s head mustard to the mix. There are a lot of good vegan recipes out there, you just have to hunt them down. Since we have been eating the standard diet and restaurant foods all of our lives we are void of any knowledge about vegan recipes and we have a brand new learning curve in front of us.




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  19. Hello Tom,
    Thank you for your question. I am a family physician with a private practice in lifestyle medicine, and also a volunteer moderator for this website. I responded to a very similar question on 11/29/17 which was posted under the video “Treating Advanced Prostate Cancer with Diet, Part I”.

    The information you can find on the internet about soy is very confusing and contradictory; in general, I recommend that you NOT believe things you read which contradict what Dr. Greger says, because he takes a very scientific approach. Here is a video explaining the process he goes through in researching and producing a video: https://nutritionfacts.org/video/behind-the-scenes-at-nutritionfacts-org/.

    I looked up both the link you provided, which is from Prostate Cancer News Today, and then I went to the original article, although I was only able to see the abstract, not the full article: http://onlinelibrary.wiley.com/doi/10.1002/ijc.31095/epdf?r3_referer=wol&tracking_action=preview_click&show_checkout=1&purchase_referrer=onlinelibrary.wiley.com&purchase_site_license=LICENSE_DENIED_NO_CUSTOMER.

    There are two big problems I see with this study:
    1) The type of study they did, called a case-control study, is much more subject to bias than an experimental study — where half the people are given soy products and the other half don’t eat any soy, and then you see how many in each group get prostate cancer. Instead, they looked at 287 cases of advanced prostate cancer, out of 2,598 total cases of prostate cancer, out of a larger study of 27,004 men. Then they looked at their responses to a “food frequency questionnaire”, and found that among the 287 advanced cancer cases, they ate more total isoflavones (as well as specific ones such as genistein) than did men without prostate cancer. The problem is that with this type of study, maybe they ate more soy products AFTER they were diagnosed with prostate cancer, maybe because they thought eating soy would help. Or maybe there was some “confounding” variable that was the true cause of the prostate cancer which just happened to also be associated with eating more soy products. For example, high calcium intake is a known risk factor for prostate cancer, and maybe those who eat more soy also eat more calcium.

    2) They found NO association between isoflavone consumption and total prostate cancer cases (advanced plus non-advanced). If it causes cancer, why was it only associated with advanced cancer?

    So, I would not put much stock into this article, and instead would believe Dr. Greger.

    I hope this helps.
    Dr.Jon
    PhysicianAssistedWellness.com
    Volunteer moderator for NutritionFacts.org




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