Vitex (Vitex agnus-castus)


“Chaste Berry” for Hormone Balance

Vitex, commonly known as “Chaste-berry” because of it’s effect on hormones, has hormonal effects on both men and women.

Vitex inhibits the action of male androgens (sex hormones). The name “Chaste tree” came from it’s use by monks to decrease libido. Vitex effects prolactin, the hormone responsible for making breast milk in women (although men have prolactin hormone, too). In very small doses, (120mg), prolactin may be increased in men. In higher doses, prolactin is decreased in both men and women.

In men, Vitex is used to treat prostate cancer because of its ability to inhibit male hormones and keep prolactin levels low. In women, Vitex has progesterone effects and is often used as a hormone regulator when more progesterone is indicated, such as in menopause.

The more common uses of Vitex include:

  • Prostate cancer
  • Female menopause
  • PMS
  • Irregular periods
  • Infertility

Recommended dose: 2 caps (500mg) per day between meals.

REFERENCES

  1. Merz G, Gorkow C, Schrödter A, Rietbrock S, Sieder C, et al. The effects of a special Agnus castus extract (BP1095E1) on prolactin secretion in healthy male subjects. Exp Clin Endocrinol Diabetes 1996; 104(6): 447-453.
  2. Sliutz G, Speiser P, Schultz AM, et al. Agnus castus extracts inhibit prolactin secretion of rat pituitary cells. Horm Metab Res 1993;25:253–5.
  3. Böhnert KJ. The use of Vitex agnus castus for hyperprolactinemia. Quart Rev Nat Med 1997;Spring:19–21.
  4. Bone K. Vitex agnus-castus: Scientific studies and clinical applications. Eur J Herbal Med 1994;1:12–5.
  5. Milewicz A, Gejdel E, Sworen H, et al. Vitex agnus castus extract for the treatment of menstrual irregularities due to latent hyperprolactinemia. Arzneim Forsch 1993;43:752–6 [in German].

 

URINARY INCONTINENCE

Natural Support For This Embarrassing Problem

Inability to completely control the flow of urine is a common complaint, effecting up to twenty million Americans. Symptoms may range from a mild inability to hold urine when coughing or laughing to inability to hold urine at any time. The condition occurs in both men and women, although women and elderly people are more commonly afflicted.
Causes of urinary incontinence include weak pelvic floor muscle tone, weak urethral (bladder) muscle tone, medication side-effects, nerve damage, food allergy, urinary tract irritation (from drugs, foods, bacteria, viruses, fungi), imbalanced pH, and increased intestinal permeability. Some of the drugs used to treat incontinence have dangerous side-effects and should be avoided if at all possible. Self-help measures prove highly valuable.

Diet And Lifestyle Recommendations

  • Finish daily water intake by 5 p.m. (This helps decrease nighttime urination). DO NOT, however, decrease daily water intake. Drink 64 ounces of pure water daily. Dehydration predisposes to urinary tract infections.
  • Eliminate known food allergens (which can irritate the urinary tract and cause increased frequency).
  • Check with your physician or pharmacist about any medications you are taking. Some can cause incontinence.
  • Achieve and maintain a normal weight. Excess weight pushes down on the bladder and compromises muscular ability.
  • Avoid caffeine, nicotine, and alcohol, all of which increase urination.
  • Practice KEGEL exercises: tighten muscles to stop the flow while urinating. Feel the muscles at work? Tense these muscles during the day, hold as tightly as possible for a count of 10, relax. Repeat up to 20 times per day. (Do these when you are NOT urinating. The first time is done just to “feel” which muscles are at work). You can do this in a car, in line at the grocery store, etc. You will notice improvement beginning in 3 weeks.

Primary Support

  • Maxi Multi: 3 caps, 3 times per day with meals. Optimal (not minimal) doses of antioxidants (A,C,E,beta carotene, selenium), are particularly important in treating urinary incontinence.
  • Saw Palmetto: 1 cap, 2 times per day between meals. [Target dose: 240mg per day]. Although best known for male prostate gland enlargement, this herb is useful in both men and women to tone the urinary bladder sphincter muscle. It also has a positive effect on male and female libido.

Tests

  • Consider having a male or female a href=”http://207.7.84.118/product/compplus-hormone-profile-with-2-16-eq/”>hormone profile performed. Decreased sex hormones are associated with a laxity of the bladder sphincter muscles. Natural hormone replacement therapy can be very helpful in this condition.

Dr. Myatt’s Comment

The above-listed measures, especially weight loss (if overweight), Kegel exercises, saw palmetto and hormone balancing really do work to correct urinary incontinence, even in very old people. Start those Kegel’s without delay or excuses and you can get rid of the adult diapers!

OSTEOPOROSIS


Prevent or Reverse the “Bone Thinning Disease”

Osteoporosis means, literally, “porous bone.” It is a bone-thinning disease that affects an estimated 28 million Americans. Osteoporosis is called a “silent” disease because it comes on with few or no symptoms. Often, a fall resulting in a fracture is the first evidence of weakened bones. Other symptoms and signs of osteoporosis include a decrease in height, spontaneous hip or vertebrae fractures, and back pain.

In elderly women, complications from hip fracture that result in death are far more common than death from breast cancer, yet few people realize the potential seriousness of this condition. Although osteoporosis is more common in post-menopausal women, it also occurs in younger women, men, and in all age groups. White and Asian women are at greatest risk because their bones tend to be less dense to begin with.

What Causes Osteoporosis?

There are a number of factors that can be involved in the development of osteoporosis. These include:

  • Lack of vitamins and minerals. Osteoporosis is caused by a demineralization of bone. Although calcium is one of the major bone minerals, there are a number or other minerals found in normal bone. These include boron, copper, magnesium, manganese, silicon, strontium and zinc. Vitamins B6, K, D, C and folic acid are also needed for normal bone mineralization. A deficiency of any of these can accelerate bone loss.
  • Gastric acid or digestive enzyme deficiency. Hydrochloric acid (gastric acid) and digestive enzymes are necessary for the assimilation of minerals, yet more than half of the general population over age 60 is deficient in one or both of these digestive functions. A gastric acid self-test is indicated for anyone with osteoporosis regardless of age.
  • Lack of physical activity. Exercise that stresses bone causes an uptake of minerals. Conversely, immobility leads to a demineralization of bone. Exercise alone has been shown to increase bone mineral density.
  • Dietary factors. Certain dietary factors can hasten the loss of minerals from bone. These factors include diet high in sugar and starch, excess phosphorus in the diet (as found in soda pop, processed foods, and meat), excess alcohol consumption, and possibly excess caffeine consumption (more than two cups per day).
  • Cigarette smoking.
  • Certain drugs, especially adrenal steroids (cortisone and prednisone).
  • Heavy metal toxicity. Certain heavy metals, which may be introduced into the body through cigarette smoke, drinking water, and a number of other sources, can trigger demineralization of bone by displacing the normal bone minerals. A hair mineral analysis is accurate for evaluating toxic mineral levels. Because there is substantial evidence that fluoride found in drinking water and toothpaste contributes to destruction of bone, use of pure (non fluoridated) water and alternative toothpaste is highly advisable.
  • Stress. Perhaps because perceived stress changes digestive and assimilative abilities, although the exact mechanism is unclear. Stress also increases adrenal steroid hormone output, see factor # 6 above.
  • Sex hormone imbalance. Alterations or decline in sex hormones, including estrogens, progesterone, testosterone and DHEA are significant factors in bone demineralization in both men and women.
    A female hormone profile or male hormone profile should be performed to evaluate potential sex hormone deficiencies and imbalances, especially in those over age 40.
  • Food allergies. When a person is allergic or intolerant to a food, they are unable to digest it completely. Incompletely digested food plus  possible antibodies created by food reactions damage the villi of the duodenum (the finger-like projections of the intestine that are vital for the absorption of nutrients). This reduces the amount of nutrients that are absorbed into the bloodstream.

    Which nutrients are most effected? Calcium, iron, iodine, all B complex vitamins, vitamin C, most water-soluble vitamins, and most of the trace minerals such as zinc, boron, manganese and magnesium— many of the same vitamins and minerals necessary for bone health.

  • Other factors. These include genetic predisposition and various disease states.

What About The New Drugs for Osteoporosis?

A new class of drugs, the bisphosphonates, cause a bone-rebuilding response that is 5% greater than placebo in most women who use them. For some, this is enough of an effect to help prevent fracture. For others, the drugs alone are insufficient to prevent consequences of osteoporosis. Bisphosphonates have side-effects that can be problematic, including GERD (heartburn), diarrhea and immune suppression (one side effect that is rarely mentioned). Their best use appears to be in cases of cancer, to prevent bone destruction.

Read “The Ugly Truth About Bone-Building Drugs” here

Obviously, osteoporosis is not caused by a bisphosphonate deficiency! There are, however, ways to reverse osteoporosis. This is because bone is a living, growing tissue, not a static material as some people wrongly believe. I recommend consultation with myself or another holistic physician for evaluation and recommendations for preventing or reversing osteoporosis. When the potential causes (as listed above) are carefully evaluated and discovered, osteoporosis can be halted and even reversed through non-drug methods.

Diet And Lifestyle Recommendations

  • Eat a nutritious diet. Emphasize soy products, nonfat yogurt and milk, and green leafy vegetables.
  • Avoid soda pop (“pop is slop”) and use alcohol and coffee in moderation if at all.
  • Exercise regularly, especially weight-bearing exercise. Walking and running are some of the best exercises for increasing bone strength.

Primary Support

  • Maxi Multi: 3 caps, 3 times per day with meals. Optimal doses (not minimal doses) of B complex vitamins, C, D, K, calcium, magnesium, vanadium, zinc, and boron are particularly important for strong bones. A “once per day” vitamin supplement does not supply anything close to an optimal daily dose of the necessary bone nutrients.
  • Cal-Mag Amino: Post-menopausal females take 1 cap, 3 times per day with meals in addition to the 1,000:500 mg from Maxi Multi. (Target: 1200-1500 mg/day calcium, 500-800 mg/day magnesium for post-menopausal women. Men and peri-menopausal females get sufficient calcium/magnesium/boron from Maxi Multi).
  • Strontium: 1 capsule, 1-2 times per day with or between meals (take separately from calcium).  One capsule per day is advised for prevention, 2 caps per day for those at high risk of osteoporosis or in already-established cases of osteoporosis. NOTE: Maxi Multi does not contain strontium. There is evidence that strontium should be taken away from calcium and magnesium for best absorption.
  • Vitamin D: Vitamin D increases calcium absorption. Deficiencies of Vitamin D are associated with cancer, osteoporosis, rheumatic pains, and dental disease. Please learn more in our Vitamin D Special Report. Daily adult dose range: 800-2,000 IU. Doses as high as 10,000 IU may be needed to normalize vitamin D levels. Vitamin D testing is easy and convenient and inexpensive – find Vitamin D tests here.
  • Vitamin K2: a blood clotting factor, it is also important in bone formation. Major deficiency associations include osteoporosis. The optimal adult dose range is 45 to 65 mcg. Vitamin K2 helps to direct calcium to the bone and out of blood vessel wall plaques.

Additional Support

  • Follow the recommendations for menopause if you are a peri-or post-menopausal female, or for male menopause if you are a male.

Dr. Myatt’s Comment

If you have already been diagnosed with osteoporosis, it is best to consult an alternative medicine physician who can order a hormone profile test, evaluate risk factors, and get you on a precise program for bone-remineralization.  Osteoporosis is a reversible condition when treated correctly. Natural hormone replacement therapy is safe and effective for aiding bone loss but must be conducted with a physician’s guidance.

PSA CAPSULES (formerly called Prostate Support)


A PC-SPES-Like Herbal Formula for Prostate Cancer

Prostate Support – now called PSA Capsules – contains a combination of herbs that support the prostate gland and immune system in the presence of prostate cancer. This formula is similar to “PC-SPES” without the undisclosed drugs.

Suggested dose: 1-2 capsules, 3 times per day on an empty stomach.

Dr. Myatt’s comment: It is important to work with a skilled holistic physician when treating any form of cancer.

Each (two) capsules contain:
(Please Note: Due to variances in the processing of these herbs, actual mg amounts may vary slightly)

Reishi mushroom (Ganoderma lucidum)………..172 mg
Baikal skullcap root (Scutellaria baicalensis)…..146 mg
Rabdosia root (Rabdosia rubescens) …………….120 mg
San-Qi ginseng root (Panax notoginseng)……….112 mg
Ban Lan Gen root (AKA Dyer’s Woad root)
(Isatis indigotica)…………………………………………………94 mg
Mum flower (Dendranthema morifolium) …………..78 mg
Saw Palmetto berry (Serenoa repens)……………….70 mg
Licorice root (Glycyrrhiza glabra)…………………………70 mg

NOTE: This product is only available to Dr. Myatt’s private practice patients.

The Truth about PC-SPES

The product PC SPES worked well for many men. Unfortunately, it contained a number of undisclosed drugs which not only caused some undesirable side effects such as breast enlargement and tenderness, but also side effects that could be downright dangerous, even lethal. When tested, PC-SPES was found to contain diethylstilbesterol (DES), a synthetic form of the female hormone estrogen. This compound can cause a number of negative side effects, the most significant of which is blood clotting which can lead to cardiovascular events including heart attach and stroke, deep vein thrombosis (DVT) and pulmonary embolism (PE).

Another compound found in PC-SPES was Warfarin (aka “rat poison”) – a powerful blood thinner presumably included to counter the potential blood clotting effects of the DES. Finally, the drug Indomethacin (Indocid) – a non-steroidal anti-inflammatory (NSAID)- was found. This drug has the potential to cause severe gastrointestinal side effects such as GI bleeding, ulceration and blood clotting problems.

It is believed that the great success of PC Spes was due to the undisclosed DES (female hormone). As many have noted, men would vary the dose to achieve the best  effect – from one or two to as many as a dozen capsules per day. This exposed men to potentially very dangerous levels of the other undisclosed drugs in addition to high hormone levels.

I am including a link to a very informative paper on this subject, an essay by Subhuti Dharmananda, Ph.D., Director, Institute for Traditional Medicine, Portland, Oregon

ITM Online

Dr. Myatt’s product Prostate Support is the result of Dr. Myatt’s suspicions about the product PC Spes and her analysis of it which demonstrated the undisclosed drugs. She then formulated a replacement which contained the beneficial herbal components, without the potentially dangerous drugs. The drugs that were hidden in PC Spes are all easily available to a physician if they are needed, and Dr. Myatt felt that it was far safer and more effective to use carefully tailored separate doses of these drugs when necessary to achieve the desired effects.

This allowed Dr. Myatt to develop a very effective herbal formulation, without risking the potentially dangerous, even lethal side effects that could result from the hidden drugs. Her further observation regarding the PC Spes formula was that if the manufacturer was willing to hide drugs in it’s formula, what else was it willing to do? The drug were undisclosed – this means that the doses were also undisclosed and could be changed or even eliminated at any time.

As you will have seen from this website, we at The Wellness Club have no love for the FDA. In this instance, however, we believe that they did the right thing by removing PC Spes from the marketplace.

Dr. Myatt has a great deal of experience in treating prostate cancer. She also has a very personal interest – she has been treating her own father for prostate cancer for the two decades. His conventional physicians wanted to do the  “cut, burn, and poison” treatments when it was first discovered. Instead, Dr. Myatt pioneered a then-unconventional form of hormonal suppression therapy. This proved highly successful and she has used these techniques on hundreds of men since then with the same excellent results. Her techniques are now accepted and commonly used in conventional medicine.

Please visit our web pages where we discuss Cancer , Prostate Cancer , Prostate Enlargement , and Man Health & Fitness where Dr. Myatt discusses male hormones. There is information available on hormone testing on our Medical Tests page.

As I mentioned, my recommendation to any man who is dealing with prostate cancer – at any stage of development or treatment – is to run, not walk, to arrange a consultation with Dr. Myatt! Please see the information regarding her alternative medicine consultations  – a consultation with Dr. Myatt is an excellent investment in good health, and her patients find that the cost of her consultations is more than offset by the improved health and the money saved on both prescription drugs and treatments and on other non-prescription “treatments” of questionable value and safety.

Although different in every man who has it, prostate cancer is almost always a disease that can be managed as a chronic condition (like diabetes). Prostate cancer should certainly not be a death sentence when treated appropriately.

A transcript of the original, fully annotated notes for a lecture on Prostate Cancer presented by Dr. Myatt in May of 2000 at the 2000 Pacific Northwest Herbal Symposium may be found at the link below: Botanical and Nutritional Considerations in the Treatment of Prostate Cancer –
Dana Myatt, N.M.D.

 

PROSTATE CANCER (also see CANCER)


Natural Support Strategies for the most common male cancer in the U.S.

Prostate carcinoma is the most common male cancer in the U.S. It accounts for an estimated 32% of all newly diagnosed cancers. (Other forms of prostate cancer, such as sarcoma, are rare). The incidence of disease increases with each decade of life over age 50. Prostate cancer rates have risen 108% since 1950, believed due in part to earlier detection. Death rates from the disease have increased 23% in spite of widespread use of surgery, radiation and chemotherapy.

There is great debate in the medical community regarding the value of conventional treatment. Prostate cancer is, in most cases, slow-growing. Increased survival rates reported in some studies may be due to earlier detection, not treatment. Many newly diagnosed and early stage cancers in older men would never progress to morbidity or mortality. Considering the risk of impotence (50-60% with surgery), incontinence (from surgery or radiation) and other treatment side-effects, the value of conventional therapy must be questioned in all cases of cancer in older men.

Prostate carcinoma is a hormone-dependent cancer. Therefore, in addition to general immune enhancing and anti-cancer therapies, hormonal manipulation has a role to play in treatment of this disease. Herbal and nutritional treatment for cancer can be considered an adjuvant therapy in all cases of prostate carcinoma and the sole therapy in many cases. Even when conventional treatment is deemed advisable, non-traditional uses of conventional hormone-suppressive drugs (called “Androgen Deprivation Therapy” or ADT), may be safer and more advantageous than standard therapy alone. This is because, in it’s early stages, prostate cancer is highly controllable with hormone-blocking therapy.

Laboratory Evaluation of Prostate Cancer

In additional to generalized immune testing and basic cancer workup (chemistry screen, CBC, TFT’s, etc.), several tests specific to prostate disease allow the clinician to track progression non-invasively and with greater accuracy. These tests include prostatic-specific antigen (PSA), free PSA, prostatic acid phosphatase (PAP), and prolactin.

PSA is now used as the preferred screening test for both benign prostatic hypertrophy (BPH) and prostate cancer. Because PSA may be elevated in both benign and cancerous prostate disease, the test is not specific for prostate cancer. Values in the “indeterminate” range (4-12) present a special diagnostic dilemma. It is further estimated that 25% of men with prostate cancer will have PSA’s less than 4. Taken together, the PSA test poses a significant number of both false-negative and false-positive results. The PSA is an accurate measure of cancer cell activity once the diagnosis has been established.

Free-PSA is a more recent marker that has not yet been universally embraced by conventional medicine. Current research suggests that the free-PSA is a useful “next step” for evaluating elevated PSA’s. In men with PSA’s ranging from 4.1-10, higher levels of free-PSA (18.9 median value) correlated with benign disease while lower levels of free-PSA (10.1 median) correlated with cancer. It is estimated that 95% of “indeterminate” PSA reading could be clarified non-invasively with the additional use of the free-PSA test.

Prostatic acid phosphatase (PAP) was the prostate cancer screening test that preceded use of the PSA. An elevated PAP in a patient with known prostate cancer is indicative of lymphatic spread of the disease.

Prolactin hormone is an additional growth factor to the prostate gland, and rising prolactin levels correlate with progression in advanced prostate cancer cases. Prolactin receptors are found on prostate cancer cells, and it is postulated that these receptors may facilitate the entry of testosterone into the cell. Even with hormone ablation therapy, detectable androgen remains in the blood from adrenal sources. Blocking prolactin secretion may therefore be another method for slowing progression of the disease. It is recommended that prolactin levels be kept below 3 in all patients with hormone-responsive cancers.

Specific Goals of Prostate Cancer Therapy

Testosterone, prolactin, cortisol, insulin, glucose and arachidonic acid-derived prostaglandins (especially PGE2) act as growth factors for prostate cancer. Decreasing circulating levels of these hormones and blocking inflammatory pathways should be undertaken in addition to non-specific cancer therapies such as immune enhancement.

DIET AND LIFESTYLE RECOMMENDATIONS

Low saturated fat diets decrease the body’s endogenous and exogenous hormone production. Conversely, diets high in saturated fats decrease NK cell activity and increase arachidonic acid, an inflammatory precursor. Rates of breast, colon, prostate, uterine, ovarian and testicular cancers are significantly higher in countries with high saturated fat intakes. Saturated fats promote inflammatory prostaglandin synthesis while omega-3 fatty acids are anti-inflammatory.

A ketogenic (very low carbohydrate) diet such as The Super Fast Diet decreases the availability of glucose and insulin. Insulin is a growth factor for cancer and the primary metabolic pathway of cancer cells is anaerobic glycolysis, meaning that cancer cells thrive with a high glucose diet. In animal studies, even s slight change toward metabolic acidosis resulted in tumor regression. A low carbohydrate diet which induces ketosis (metabolic acidosis) may duplicate this effect. Overweight patients can afford to lose weight on such a diet, to further reduce their own hormone production. (Fat cells manufacture estrogen, a growth-promoting hormone).

Foods of Special Benefit

Garlic, lemon peel (the peel contains limonene), fish, flax seed, soy and soy products, fresh vegetables (especially non-starchy, dark leafy greens), blueberries and other berries (high in flavonoids and low in sugars), grains (whole grain only, to reduce insulin response and increase fiber content).

Grains should be used sparingly. In patients with more than twenty pounds to lose, they do not need to be used at all until desired weight is achieved.

DIET AND LIFESTYLE RECOMMENDATIONS

  • A ketogenic diet such as The Super Fast Diet should be followed to lower insulin and glucose levels.
  • Achieve and maintain an optimal body weight and BMI. (BMI 18-22).
  • Exercise regularly to improve prostate circulation. Walking and running are the best for prostate circulation because they use the major leg muscles. Cycling restricts blood flow to the prostate and testicles and should not be used as the primary form of exercise for men.

PRIMARY SUPPORT

  • Maxi Multi: 3 caps, 3 times per day with meals. Optimal (not minimal) doses of vitamin A, carotenes, C, D and selenium appear particularly important.
  • Omega 3 fatty acids:
    Flax seed meal, 2 teaspoons per day with food
    OR
    Max EPA (Omega-3 rich fish oil): 1-2 caps, 3 times per day with meals (target dose: 3-6 caps per day). (Or eat fish 3 times per week and use 2 teaspoons of ground flax seed per day added to food).
  • Vitamin D: 1,000-5,000IU per day based on blood test results
  • Bromelain: 1-2 caps, 3-4 times per day between meals.
  • Melatonin: 10-40mg before bed.

ADDITIONAL SUPPORT

(NOTE: These therapies should be undertaken with the guidance of a physician who can order laboratory tests to determine hormone levels and immune function, monitor the effectiveness of treatment, assess possible toxicity and prescribe drugs when advisable). Please strongly consider obtaining a consultation with Dr. Myatt.

To Decrease testosterone

  • Saw palmetto: Serenoa repens, S. serrulata (Palmaceae)
    Saw palmetto blocks the conversion of testosterone to
    dihydrotestosterone (DHT) and there is evidence that DHT may be five times as potent as testosterone in stimulating prostate cancer cell growth.
  • Chaste berry: Vitex agnus-castus, V. negundo (Verbenaceae)-
    Vitex spp. decreases testosterone production in vivo and inhibits prolactin synthesis and release in animal models. As the name “chaste tree” implies, this herb was traditionally used by monks to reduce libido.
  • Rx: Casodex, Flutamide, Lupron, Zoladex

To Decrease prolactin

  • Vitex spp.- Chaste tree
  • Vegetarian diet
  • Rx: Bromocriptine, Pergolide, Dostinex

Vitamin D3 (cholecalciferol): 1,000 I.U., 2-3 times per day with meals.
Vitamin D3 induces prostate cancer cell death (apoptosis) by apparent translocation of the cancer cell androgen receptor. This makes the cell less susceptible to testosterone-induced cell-growth stimulation. D3 encourages cancer cells to become more normal (induces differentiation), inhibits a cancer cell from developing it’s own blood supply (inhibits angiogenesis) and shows antitumor activity. Because vitamin D has the potential to cause toxicity, doses over 1,000 I.U. should be monitored by a physician. Increased blood calcium levels can result from toxicity. In clinical practice, D3 appears to benefit metastatic bone disease in higher doses, perhaps because this vitamin is needed for normal calcification of bone matrix.
Food sources of vitamin D include cold water fish (salmon, mackerel, herring), butter, egg yolks and dark green leafy vegetables. Sunlight acting on the skin will also create vitamin D. In areas of decreased sunlight, increases of breast and colon cancer have been observed.

DR. MYATT’S COMMENTS

Prostate cancer, especially early and mid-stage cancers in older patients, respond favorably to natural remedies. Whether as an adjuvant to conventional therapy or as the sole therapy, such treatment strategies should be considered.

Cancer, including prostate cancer, behaves differently depending on the age of the patient, the extent of the disease, the patient’s basic level of health, hormone status, etc., etc. For this reason, cancer patients should seek qualified holistic medical help when designing a natural (adjuvant or primary) treatment protocol.

PHYSICIAN NOTE #1:
Digestive enzymes (multi enzymes), whether from animal sources (pancreatin, etc.) or botanical (bromelain, papain), have been shown to increase survival time, inhibit metastasis, and stimulate immune cells. Enzymes induce differentiation and inhibit angiogenesis, possibly through antifibrinolytic mechanisms. It has also been postulated that enzymes may help unmask tumor cells and make them more accessible to the immune system.

PHYSICIAN NOTE #2:
Melatonin is a hormone produced by the pituitary gland. It regulates circadian rhythms and plays a role in sleep regulation. It is also a more potent antioxidant than glutathione or vitamin E. In vitro, melatonin demonstrates anti-estrogen activity and immune stimulation. Recent research shows that melatonin inhibits cell proliferation profoundly in vivo but only weakly in vitro. It is synergistic with IL-2 and increases the effectiveness of IL-2 treatment. Dosages used are much higher in cancer treatment than for insomnia or longevity protocols.

Prostate Cancer: Case Studies

The following case studies are meant to highlight for the reader or physician the effects of diet, hormone deprivation therapy, and adjuvant therapy on prostate cancer. Information about new prostate cancer blood tests, as well as new ways to interpret older tests, are also given. Anyone with a diagnosis of cancer should be working with a knowledgeable physician. Cancer can often be controlled through non-invasive measures but regular blood tests are important to verify the success of treatment. The interpretation of such tests is best done in conjunction with a physician. I am available for consultation.

Case # 1:

An otherwise healthy 65 year old male was found on routine physical exam to have a PSA of 19.7. Digital rectal exam (DRE) was unremarkable; Gleason score 2 + 3 on biopsy. Other relevant data: weight 208 pounds, height 5’11″, blood sugar 110, cholesterol 211, triglyceride 244.

The patient had originally declined conventional treatment offered him at the time of diagnosis. He began a self-prescribed regimen of CoQ10, vitamin A,C,E, N-acetyl cystein and MGN3 (mushroom preparation). In four months, his PSA was 14.0, other vitals remained relatively unchanged.

At this point, the patient consulted me. I performed a PAP which was 1.1, normal. I put the patient on a ketogenic diet, substituted Maxi Muli formula for his separate vitamins, added Maxi Greens and vitamin D3. One month later, his PSA was 10.2, weight 189, blood sugar 83, cholesterol 167 and triglycerides 43.

Dr. Myatt’s comments

PSA is an accurate marker of prostate cancer activity after the diagnosis of cancer has been established. Any significant decreases of PSA represent a slowing of the disease process, so this number can be used in early and mid-stage prostate cancer to assess efficacy of treatment. The patient’s initial decrease of PSA was due entirely to his supplement regimen since no diet changes were made at that time.

After beginning The Super Fast Diet, the patient had a further decline in PSA, accompanied by significant improvements in blood sugar, weight, cholesterol, and triglycerides. After two months and four months, the patient’s PSA’s remain at 10.2. A continuing decline is desirable, but this “holding pattern” is still good.

The ketogenic diet made the most dramatic improvement in this case. Not only did it result in further control of the cancer, but the patient is now at lower risk for cardiac and other weight-related problems as well. It is important to remember that a disease such as prostate cancer rarely appears in isolation. Overall improvement of the patient’s health is necessary to gain control of the disease and minimize risk of other diseases. What good is it to save a person from prostate cancer only to have them die of a heart attack?

Case # 2:

An obese (250 pounds+) 56 year old male with a history of asthma was found on routine physical exam to have a PSA of 4.4 and a free PSA of 5.9, suggesting cancer. Biopsy confirmed the diagnosis. During the first four weeks after diagnosis, the patient’s PSA rose from 4.4 to 6.2, a rapid increase suggesting a possibly aggressive cancer. The PAP was within normal limits, indicating no lymphatic or extra-capsular spread.

The patient was advised to follow a The Super Fast Diet (a ketogenic diet), which would be expected to benefit both the cancer and asthma. (Obesity is associated with an increased likelihood of asthma and contributes a large hormone burden to the body because fat cells manufacture estrogen. Estrogen is a growth factor for hormone-related cancers including prostate cancer). The patient has thus far failed to follow a ketogenic diet. Hormone deprivation therapy was initiated, and this dropped the PSA to less the 0.1 in one month, indicating current control of the disease. Since cancer cells eventually “escape” hormone suppression, this treatment will not be expected to work indefinitely. During this time, the patient will be encouraged to lose weight, preferably on a ketogenic diet. I will continue to encourage him to either have surgery or become more dedicated to a non-surgical cancer control program. Prostate cancer is one form of cancer that is highly amenable to diet and lifestyle modification if the individual is willing to make some modest positive changes.

This article is developed from the lecture notes for a lecture presented by Dr. Myatt in May of 2000 at the 2000 Pacific Northwest Herbal Symposium. A transcript of the original, fully annotated notes may be found at the link below:

Botanical and Nutritional Considerations in the
Treatment of Prostate Cancer

Dana Myatt, N.M.D.


References

Lab Evaluation and Incidence

1.) Beers, Mark M.D., Berkow, Robert M.D. , editors, The Merck Manual of Diagnosis and Therapy, Merck research Laboratories, 1999, p. 1918.
2.) Boik, John, Cancer and Natural Medicine, Oregon Medical Press, 1996, p. 87
3.) Faloon, William, Disease Prevention and Treatment Protocols, Life Extension foundation, Hollywood, FL, 1998, p. 192.
4.) Murphy, Gerald M.D., Lawrence, Walter Jr. M.D., Lenhard, Raymond M.D., Clinical Oncology, American Cancer Society, Atlanta, 1995, p. 315. [copies of this textbook may be obtained by calling your local branch of the American Cancer Society or call 1-800-ACS-2345].
5.) European Journal of Cancer, Vol 31A, No. 6, 1995.

Low Carbohydrate Diet

1.) Freedland SJ, Mavropoulos J, Wang A, Darshan M, Demark-Wahnefried W, Aronson WJ, Cohen P, Hwang D, Peterson B, Fields T, Pizzo SV, Isaacs WB. Carbohydrate restriction, prostate cancer growth, and the insulin-like growth factor axis. Prostate. 2008 Jan 1;68(1):11-9.
2.) Venkateswaran V, Haddad AQ, Fleshner NE, Fan R, Sugar LM, Nam R, Klotz LH, Pollak M. Association of diet-induced hyperinsulinemia with accelerated growth of prostate cancer (LNCaP) xenografts.J Natl Cancer Inst. 2007 Dec 5;99(23):1793-800. Epub 2007 Nov 27.
3.) Zhou W, Mukherjee P, Kiebish MA, Markis WT, Mantis JG, Seyfried TN. The calorically restricted ketogenic diet, an effective alternative therapy for malignant brain cancer.Nutr Metab (Lond). 2007 Feb 21;4:5.
4.) Borugian MJ, Sheps SB, Kim-Sing C, Van Patten C, Potter JD, Dunn B, Gallagher RP, Hislop TG. Insulin, macronutrient intake, and physical activity: are potential indicators of insulin resistance associated with mortality from breast cancer? Cancer Epidemiol Biomarkers Prev. 2004 Jul;13(7):1163-72.
5.) Seyfried TN, Sanderson TM, El-Abbadi MM, McGowan R, Mukherjee P.: Role of glucose and ketone bodies in the metabolic control of experimental brain cancer.Br J Cancer. 2003 Oct 6;89(7):1375-82.
6.) Muti P, Quattrin T, Grant BJ, Krogh V, Micheli A, Schünemann HJ, Ram M, Freudenheim JL, Sieri S, Trevisan M, Berrino F. Fasting glucose is a risk factor for breast cancer: a prospective study. Cancer Epidemiol Biomarkers Prev. 2002 Nov;11(11):1361-8.
7.) Meixensberger J, Herting B, Roggendorf W, Reichmann H: Metabolic patterns in malignant gliomas.J Neurooncol 1995, 24:153-161
8.) Fearon KC.: Nutritional pharmacology in the treatment of neoplastic disease.Baillieres Clin Gastroenterol. 1988 Oct;2(4):941-9.
9.) Pedersen PL: Tumor mitochondria and the bioenergetics of cancer cells. Prog Exp Tumor Res 1978, 22:190-274.

Foods of Special Benefit

Garlic

1.) Morioka, N., Morton, D.L., and Irie, R.F.: A protein fraction from aged garlic extract enhances cytotoxicity and proliferation of human lymphocytes mediated by interleukin-2 and conavalin. Proc Ann Meet Am Assoc Cancer 34:A3297, 1993.
2.) Legnani C., Frascaro M., Guazzaloca G., et al.: Effects of a dried garlic preparation on fibrinolysis and platelet aggragation in healthy subjects. Arzneim Forsch Drug Res 43:119-122, 1993.
3.) Kiesewetter H., et al.: effects of garlic coated tablets in peripheral arterial occlusive disease. Clin Investig 71:383-86, 1993.
4.) Lau, B.H., Yamasaki, T., and Gridley, D.S.: Garlic compounds modulate macrophage and T-lymphocyte function. Mol Biother 3:103-107, 1991.
5.) Dausch JG., Nixon DW.: Garlic: a review of its relationship to malignant disease. Prev Med 19:346-61, 1990.
6.) Kandil O.M., et al.: Garlic and the immune system in humans: its effect on natural killer cells. Fed Proc 46:441, 1987.
7.) Kandil, O.M. et. al.: Garlic and the immune system in humans: Its effect on natural killer cells. Fed Proc 46:441, 1987.
8.) Belman S.: Onion and garlic oils prohibit tumor promotion. Carcinogenesis 4(8):1063-5, 1983.
9.) Kroning, F.: Garlic as an inhibitor for spontaneous tumors in predisposed mice. Acta Unio Inter Contra Cancrum 20(3):855, 1964.

Super Foods

1.) Khan N, Afaq F, Mukhtar H. Cancer Chemoprevention Through Dietary Antioxidants: Progress and Promise. Antioxid Redox Signal. 2007 Dec 21 [Epub ahead of print].
2.) Moreno DA, López-Berenguer C, García-Viguera C. Effects of stir-fry cooking with different edible oils on the phytochemical composition of broccoli. J Food Sci. 2007 Jan;72(1):S064-8.
3.) Cohen JH, Kristal AR, Stanford JL. Fruit and vegetable intakes and prostate cancer risk. J Natl Cancer Inst 2000;92(1):61–8.
4.) Cohen JH, Kristal AR, Stanford JL. Fruit and vegetable intakes and prostate cancer risk. J Natl Cancer Inst 2000;92(1):61–8.
5.) Kune GA. Eating fish protects against some cancers: epidemiological and experimental evidence for a hypothesis. J Nutr Med 1990;1:139–44 [review].
6.) Rose DP, Connolley JM. Omega-3 fatty acids as cancer chemopreventive agents. Pharmacol Ther 1999;83:217–44.
7.) Demark-Wahnefried W, Price DT, Polascik TJ, et al. Pilot study of dietary fat restriction and flaxseed supplementation in men with prostate cancer before surgery: exploring the effects on hormonal levels, prostate-specific antigen, and histopathologic features. Urology2001;58:47–52.
8.) Davis JN, Singh B, Bhuiyan M, Sarkar FH. Genistein-induced upregulation of p21WAF1, downregulation of cyclin B, and induction of apoptosis in prostate cancer cells. Nutr Cancer 1998;32:123–31.
9.) Barnes S, Peterson TG, Coward L. Rationale for the use of genistein-containing soy matrices in chemoprevention trials for breast and prostate cancer. J Cell Biochem Suppl 1995;22:181–7.
10.) Jacobsen BK, Knutsen SF, Fraser GE. Does high soy milk intake reduce prostate cancer incidence? The Adventist Health Study (United States). Cancer Causes Control 1998;9:553–7.
11.) Geller J, Sionit L, Partido C, et al. Genistein inhibits the growth of human-patient BPH and prostate cancer in histoculture. Prostate 1998;34:75–9.

Body Weight (BMI) and Prostate Cancer

1.) Talamini R, La Vecchia C, Decarli A, et al. Nutrition, social factors and prostatic cancer in a Northern Italian population. Br J Cancer 1986;53:817–21.
2.) Andersson S-O, Wolk A, Bergstrom R, et al. Body size and prostate cancer: a 20-year follow-up study among 135,006 Swedish construction workers. J Natl Cancer Inst 1997;89:385–9.

Exercise and Prostate Cancer

1.) Greenspan SL. Approach to the prostate cancer patient with bone disease. J Clin Endocrinol Metab. 2008 Jan;93(1):2-7.
2.) Barnard RJ, Leung PS, Aronson WJ, Cohen P, Golding LA.A mechanism to explain how regular exercise might reduce the risk for clinical prostate cancer. Eur J Cancer Prev. 2007 Oct;16(5):415-21.
3.) Darlington GA, Kreiger N, Lightfoot N, Purdham J, Sass-Kortsak A. Prostate cancer risk and diet, recreational physical activity and cigarette smoking. Chronic Dis Can. 2007;27(4):145-53.
4.) Farrell SW, Cortese GM, Lamonte MJ, Blair SN. Cardiorespiratory fitness, different measures of adiposity, and cancer mortality in men. Obesity (Silver Spring). 2007 Dec;15(12):3140-9.
5.) Galvão DA, Taaffe DR, Spry N, Newton RU. Exercise can prevent  and even reverse adverse effects of androgen suppression treatment in men with prostate cancer. Prostate Cancer Prostatic Dis. 2007;10(4):340-6. Epub 2007 May 8.
6.) Kruk J. Physical activity in the prevention of the most frequent chronic diseases: an analysis of the recent evidence. Asian Pac J Cancer Prev. 2007 Jul-Sep;8(3):325-38.
7.) Monga U, Garber SL, Thornby J, Vallbona C, Kerrigan AJ, Monga TN, Zimmermann KP. Exercise prevents fatigue and improves quality of life in prostate cancer patients undergoing radiotherapy. Arch Phys Med Rehabil. 2007 Nov;88(11):1416-22.
8.) Chang SC, Ziegler RG, Dunn B, Stolzenberg-Solomon R, Lacey JV Jr, Huang WY, Schatzkin A, Reding D, Hoover RN, Hartge P, Leitzmann MF. Association of energy intake and energy balance with postmenopausal breast cancer in the prostate, lung, colorectal, and ovarian cancer screening trial. Cancer Epidemiol Biomarkers Prev. 2006 Feb;15(2):334-41.

Multiple Vitamins and Cancer / Prostate Cancer

1.) Simone CB 2nd, Simone NL, Simone V, Simone CB. Antioxidants and other nutrients do not interfere with chemotherapy or radiation therapy and can increase kill and increase survival, part 1. Altern Ther Health Med. 2007 Jan-Feb;13(1):22-8.
2.) Simone CB 2nd, Simone NL, Simone V, Simone CB. Antioxidants and other nutrients do not interfere with chemotherapy or radiation therapy and can increase kill and increase survival, Part 2. Altern Ther Health Med. 2007 Mar-Apr;13(2):40-7.
3.) Moss RW. Should patients undergoing chemotherapy and radiotherapy be prescribed antioxidants? Integr Cancer Ther. 2006 Mar;5(1):63-82.
4.) Moyad MA. The use of complementary/preventive medicine to prevent prostate cancer recurrence/progression following definitive therapy. Part II–rapid review of dietary supplements. Curr Opin Urol. 2003 Mar;13(2):147-51.
5.) Kristal AR, Stanford JL, Cohen JH, Wicklund K, Patterson RE.Vitamin and mineral supplement use is associated with reduced risk of prostate cancer. Cancer Epidemiol Biomarkers Prev. 1999 Oct;8(10):887-92.

Antioxidants (General) and Prostate Cancer

1.) Simone CB 2nd, Simone NL, Simone V, Simone CB. Antioxidants and other nutrients do not interfere with chemotherapy or radiation therapy and can increase kill and increase survival, part 1. Altern Ther Health Med. 2007 Jan-Feb;13(1):22-8.
2.) Simone CB 2nd, Simone NL, Simone V, Simone CB. Antioxidants and other nutrients do not interfere with chemotherapy or radiation therapy and can increase kill and increase survival, Part 2. Altern Ther Health Med. 2007 Mar-Apr;13(2):40-7.
3.) Kirsh VA, Hayes RB, Mayne ST, Chatterjee N, Subar AF, Dixon LB, Albanes D, Andriole GL, Urban DA, Peters U; PLCO Trial. Supplemental and dietary vitamin E, beta-carotene, and vitamin C intakes and prostate cancer risk.J Natl Cancer Inst. 2006 Feb 15;98(4):245-54.
4.) Berger MM. Can oxidative damage be treated nutritionally? Clin Nutr. 2005 Apr;24(2):172-83.
5.) Ferguson LR, Philpott M, Karunasinghe N. Dietary cancer and prevention using antimutagens. Toxicology. 2004 May 20;198(1-3):147-59.
6.) Borek C. Dietary antioxidants and human cancer.Integr Cancer Ther. 2004 Dec;3(4):333-41.
7.) Prasad KN. Multiple dietary antioxidants enhance the efficacy of standard and experimental cancer therapies and decrease their toxicity. Integr Cancer Ther. 2004 Dec;3(4):310-22.
8.) Heyland DK, Dhaliwal R, Suchner U, Berger MM. Antioxidant nutrients: a systematic review of trace elements and vitamins in the critically ill patient. Intensive Care Med. 2005 Mar;31(3):327-37. Epub 2004 Dec 17.
9.) Drisko JA, Chapman J, Hunter VJ. The use of antioxidant therapies during chemotherapy. Gynecol Oncol. 2003 Mar;88(3):434-9.
10.) Prasad KN, Cole WC, Kumar B, Prasad KC. Scientific rationale for using high-dose multiple micronutrients as an adjunct to standard and experimental cancer therapies. J Am Coll Nutr. 2001 Oct;20(5Suppl):450S-463S; discussion 473S-475S.
11.) Lamson DW, Brignall MS. Antioxidants in cancer therapy; their actions and interactions with oncologic therapies. Altern Med Rev. 1999 Oct;4(5):304-29.
12.) Prasad KN, Kumar A, Kochupillai V, Cole WC. High doses of multiple antioxidant vitamins: essential ingredients in improving the efficacy of standard cancer therapy. J Am Coll Nutr. 1999
Feb;18(1):13-25.
13.) Lupulescu A. The role of vitamins A, beta-carotene, E and C in cancer cell biology. Int J Vitam Nutr Res. 1994;64(1):3-14.
14.) Stähelin HB. Critical reappraisal of vitamins and trace minerals in nutritional support of cancer patients. Support Care Cancer. 1993 Nov;1(6):295-7.

Vitamin A , Carotenes and Prostate Cancer

1.)  Wu K, Erdman JW Jr, Schwartz SJ, Platz EA, Leitzmann M, Clinton SK, DeGroff V, Willett WC, Giovannucci E.Plasma and dietary carotenoids, and the risk of prostate cancer: a nested case-control study. Cancer Epidemiol Biomarkers Prev. 2004 Feb;13(2):260-9.
2.) Gann PH, Ma J, Giovannucci E, Willett W, Sacks FM, Hennekens CH,Stampfer MJ. Lower prostate cancer risk in men with elevated plasma lycopene levels: results of a prospective analysis. Cancer Res. 1999 Mar 15;59(6):1225-30.
3.) Giovannucci E, Ascherio A, Rimm EB, Stampfer MJ, Colditz GA, Willett WC. ake of carotenoids and retinol in relation to risk of prostate cancer. J Natl Cancer Inst. 1995 Dec 6;87(23):1767-76.
4.) Majewski S, Szmurlo A, Marczak M, Jablonska S, Bollag W.: Synergistic effect of retinoids and interferon alpha on tumor-induced angiogenesis: anti-angiogenic effect on HPV-harboring
tumor-cell lines.Int J Cancer. 1994 Apr 1;57(1):81-5.

Vitamin C and Cancer / Prostate cancer

1.) Hanck A. Vitamin C and cancer. Int J Vit Nutr Res 1983;(Suppl #24):87–104 [review].
2.) Murata A, Morishige F, Yamaguchi H. Prolongation of survival times of terminal cancer patients by administration of large doses of ascorbate. Int J Vit Nutr Res 1982;(Suppl #23):103–14.
3.)  Cameron E, Pauling L. Supplemental ascorbate in the supportive treatment of cancer: reevaluation of prolongation of survival times in terminal human cancer. Proc Natl Acad Sci USA 1978;75:4538–42.
4.) Cameron E, Pauling L. Supplemental ascorbate in the supportive treatment of cancer: prolongation of survival times in terminal human cancer. Proc Natl Acad Sci USA 1976;73:3685–9.

Vitamin D and Prostate Cancer

1.) Lappe J, Travers-Gustafson D, Davies K, Recker R, Heaney R. Vitamin D and calcium supplementation reduces cancer risk: results of a randomized trial. American Journal of Clinical Nutrition. Am J Clin Nutr. 2007 Jun;85(6):1586-91.
2.) Ma Y, et al. Study presented at the 2007 centennial meeting of the American Association for Cancer Research (AACR), April 14 to 18, 2007, Los Angeles.
3.) Holick MF.: Vitamin D: Its role in cancer prevention and treatment. Prog Biophys Mol Biol. 2006 Mar 10;
4.)Woo TCS, Choo R, Jamieson M, et al. Pilot study: potential role of vitamin D (cholecalciferol) in patients with PSA relapse after definitive therapy. Nutr Cancer 2005;51:32–6.
5.) Schwartz GG, Eads D, Rao A, Cramer SD, Willingham MC, Chen TC, Jamieson DP, Wang L, Burnstein KL, Holick MF, Koumenis C.:Pancreatic cancer cells express 25-hydroxyvitamin D-1 alpha-hydroxylase and their proliferation is inhibited by the prohormone 25-hydroxyvitamin D3.Carcinogenesis. 2004 Jun;25(6):1015-26. Epub 2004 Jan 23.
6.) Wietrzyk J, Pelczynska M, Madej J, Dzimira S, Kusnierczyk H, Kutner A, Szelejewski W, Opolski A.: Toxicity and antineoplastic effect of (24R)-1,24-dihydroxyvitamin D3 (PRI-2191).Steroids. 2004 Sep;69(10):629-35.
7.) Vegesna V, O’Kelly J, Said J, Uskokovic M, Binderup L, Koeffle HP.: Ability of potent vitamin D3 analogs to inhibit growth of prostate cancer cells in vivo. Anticancer Res. 2003 Jan-Feb;23(1A):283-9.
8.) Grant WB. An estimate of premature cancer mortality in the U.S. due to inadequate doses of solar ultraviolet-B radiation. Cancer. 2002 Mar 15;94(6):1867-75.
9.) Majewski S, Skopinska M, Marczak M, Szmurlo A, Bollag W, Jablonska S.: Vitamin D3 is a potent inhibitor of tumor cell-induced angiogenesis. J Investig Dermatol Symp Proc. 1996 Apr;1(1):97-101.
10.) Schwartz GG, Hill CC, Oeler TA, Becich MJ, Bahnson RR.1,25-Dihydroxy-16-ene-23-yne-vitamin D3 and prostate cancer cell proliferation in vivo. Urology. 1995 Sep;46(3):365-9.
11.) Majewski S, Szmurlo A, Marczak M, Jablonska S, Bollag W.: Inhibition of tumor cell-induced angiogenesis by retinoids, 1,25-dihydroxyvitamin D3 and their combination.Cancer Lett. 1993 Nov 30;75(1):35-9.

Selenium and Cancer / Prostate Cancer

1.) Meyer F, Galan P, Douville P, et al. Antioxidant vitamin and mineral supplementation and prostate cancer prevention in the SU.VI.MAX trial. Int J Cancer 2005;116:182–6.
2.) Li H, Stampfer MJ, Giovannucci EL, Morris JS, Willett WC, Gaziano JM, Ma J.A prospective study of plasma selenium levels and prostate cancer risk. J Natl Cancer Inst. 2004 May 5;96(9):696-703.
3.)Clark LC, Combs GF Jr, Turnbull BW, et al. Effects of selenium supplementation for cancer prevention in patients with carcinoma of the skin. JAMA 1996;276:1957–63.
4.)  Knekt P, Aromaa A, Maatela J, et al. Serum selenium and subsequent risk of cancer among Finnish men and women. J Natl Cancer Inst 1990;82:864–8.
5.) Fex G, Pettersson B, Akesson B. Low plasma selenium as a risk factor for cancer death in middle-aged men. Nutr Cancer 1987;10:221–9.
6.) Medina D. Mechanisms of selenium inhibition of tumorigenesis. Adv Exp Med Biol 1986;206:465–72.
7.) Willett WC, Polk BF, Morris JS, et al. Prediagnostic serum Selenium and risk of cancer. Lancet 1983;42:130–4.
8.) Beisel WR. Single nutrients and immunity. Am J Clin Nutr 1982;35:417–68.
9.) Shamberger RJ, Rukoven E, Lonfield AK, et al. Antioxidants and cancer. Selenium in the blood of normals and cancer patients. J Natl Cancer Inst 1973;4:863–70.

Omega 3 Essential Fatty Acids and Prostate Cancer

1.) Ritch CR, Wan RL, Stephens LB, Taxy JB, Huo D, Gong EM, Zagaja GP, Brendler CB. Dietary fatty acids correlate with prostate cancer biopsy grade and volume in Jamaican men. J Urol. 2007 Jan;177(1):97-101; discussion 101.
2.) Hedelin M, Chang ET, Wiklund F, Bellocco R, Klint A, Adolfsson J, Shahedi K, Xu J, Adami HO, Grönberg H, Bälter KA. Association of frequent consumption of fatty fish with prostate cancer risk is modified by COX-2 polymorphism. Int J Cancer. 2007 Jan 15;120(2):398-405.
3.) Kobayashi N, Barnard RJ, Henning SM, Elashoff D, Reddy ST, Cohen P, Leung P, Hong-Gonzalez J, Freedland SJ, Said J, Gui D, Seeram NP, Popoviciu LM, Bagga D, Heber D, Glaspy JA, Aronson WJ.Effect of altering dietary omega-6/omega-3 fatty acid ratios on prostate cancer membrane composition, cyclooxygenase-2, and prostaglandin E2. Clin Cancer Res. 2006 Aug 1;12(15):4662-70.
4.) Pilot study to explore effects of low-fat, flaxseed-supplemented diet on proliferation of benign prostatic epithelium and prostate-specific antigen. Urology. 2004 May;63(5):900-4.
5.) Augustsson K, Michaud DS, Rimm EB, Leitzmann MF, Stampfer MJ, Willett WC, Giovannucci E. A prospective study of intake of fish and marine fatty acids and prostate cancer. Cancer Epidemiol Biomarkers Prev. 2003 Jan;12(1):64-7.
6.) Dietary fat and cancer.Am J Med. 2002 Dec 30;113 Suppl 9B:63S-70S
7.) Pilot study of dietary fat restriction and flaxseed supplementation in men with prostate cancer before surgery: exploring the effects on hormonal levels, prostate-specific antigen, and histopathologic features. Urology. 2001 Jul;58(1):47-52.
8.) Comparison of fatty acid profiles in the serum of patients with prostate cancer and benign prostatic hyperplasia. Clinical Biochemistry, Vol. 32, August 1999, pp. 405-09.

Bromelain (anasas comosus) and Cancer

1.)Kalra N, Bhui K, Roy P, Srivastava S, George J, Prasad S, Shukla Y.Regulation of p53, nuclear factor kappaB and cyclooxygenase-2 expression by bromelain through targeting mitogen-activated protein kinase pathway in mouse skin.Toxicol Appl Pharmacol. 2008 Jan 1;226(1):30-7. Epub 2007 Aug 23.
2.) Báez R, Lopes MT, Salas CE, Hernández M. In vivo antitumoral activity of stem pineapple (Ananas comosus) bromelain. Planta Med. 2007 Oct;73(13):1377-83. Epub 2007 Sep 24.
3.) Beuth J, Braun JM. Modulation of murine tumor growth and colonization by bromelaine, an extract of the pineapple plant (Ananas comosum L.).In Vivo. 2005 Mar-Apr;19(2):483-5.
4.) Wallace JM. Nutritional and botanical modulation of the inflammatory cascade–eicosanoids, cyclooxygenases, and lipoxygenases–as an adjunct in cancer therapy. Integr Cancer Ther. 2002 Mar;1(1):7-37; discussion 37.
5.) Maurer HR.Bromelain: biochemistry, pharmacology and medical use. Cell Mol Life Sci. 2001 Aug;58(9):1234-45.
6.) Desser L, Holomanova D, Zavadova E, Pavelka K, Mohr T, Herbacek I. Oral therapy with proteolytic enzymes decreases excessive TGF-beta levels in human blood. Cancer Chemother Pharmacol. 2001 Jul;47 Suppl:S10-5.
7.) Hubarieva HO, Kindzel’s’kyĭ LP, Ponomar’ova OV, Udatova TV, Shpil’ova SI, Smolanka II, Korovin SI, Ivankin VS. Systemic enzymotherapy as a method of prophylaxis of postradiation complications in oncological patients] Lik Sprava. 2000 Oct-Dec;(7-8):94-100.
8.) Zavadova E, Desser L, Mohr T. Stimulation of reactive oxygen species production and cytotoxicity in human neutrophils in vitro and after oral administration of a polyenzyme preparation. Cancer Biother. 1995 Summer;10(2):147-52.
9.) Taussig SJ, Batkin S. Bromelain, the enzyme complex of pineapple (Ananas comosus) and its clinical application. An update. J Ethnopharmacol. 1988 Feb-Mar;22(2):191-203.
10.) Batkin S, Taussig SJ, Szekerezes J. Antimetastatic effect of bromelain with or without its proteolytic and anticoagulant activity. J Cancer Res Clin Oncol. 1988;114(5):507-8.

Melatonin and Cancer

1.) Lissoni P, Barni S, Mandalà, et al. Decreased toxicity and increased efficacy of cancer chemotherapy using the pineal hormone melatonin in metastatic solid tumour patients with poor clinical status. Eur J Cancer 1999;35:1688–92.
2.) Lissoni P, Cazzanga M, Tancini G, et al. Reversal of clinical resistance to LHRH analogue in metastatic prostate cancer by the pineal hormone melatonin: efficacy of LHRH analogue plus melatonin in patients progressing on LHRH analogue alone. Eur Urol 1997;31:178–81.
3.) Lissoni P, Paolorossi F, Tancini G, et al. Is there a role for melatonin in the treatment of neoplastic cachexia? Eur J Cancer 1996;32A:1340–3.
4.) Lissoni P, Paolorossi F, Tancini G, et al. A phase II study of tamoxifen plus melatonin in metastatic solid tumour patients. Br J Cancer 1996;74:1466–8.
5.) Lissoni P, Barni S, Cazzaniga M, Ardizzoia A, Rovelli F, Brivio F, Tancini G.: Efficacy of the concomitant administration of the pineal hormone melatonin in cancer immunotherapy with low-dose IL-2 in patients with advanced solid tumors who had progressed on IL-2 alone. Oncology. 1994 Jul-Aug;51(4):344-7.
6.) Lissoni P, Barni S, Crispino S, et al. Endocrine and immune effects of melatonin therapy in metastatic cancer patients. Eur J Cancer Clin Oncol 1989;25:789–95.

Saw Palmetto (Actions)

1.) Di Silverio F, Monti S, Sciarra A, et al. Effects of long-term treatment with Serenoa repens (Permixon®) on the concentrations and regional distribution of androgens and epidermal growth factor in benign prostatic hyperplasia. Prostate 1998;37:77–83.
2. Strauch G, Perles P, Vergult G, et al. Comparison of finasteride (Proscar®) and Serenoa repens (Permixon®) in the inhibition of 5-alpha reductase in healthy male volunteers. Eur Urol 1994;26:247–52.

Chaste Berry (Vitex) Actions

1.) Sliutz G, Speiser P, Schultz AM, et al. Agnus castus extracts inhibit prolactin secretion of rat pituitary cells. Horm Metab Res 1993;25:253–5.
2.) Böhnert KJ. The use of Vitex agnus castus for hyperprolactinemia. Quart Rev Nat Med 1997;Spring:19–21.

 

Prostate Cancer


:

Lecture Notes By Dr. Myatt

The text that follows is a transcript of the lecture notes for a lecture presented by Dr. Myatt in May of 2000 at the 2000 Pacific Northwest Herbal Symposium where Dr. Myatt was a featured lecturer speaking on several subjects. It is reproduced here in it’s entirety including annotations and references (as is expected of any lecture presented to a medical or scientific body) so that readers may verify the information for themselves and engage in further research. We hope that this will be information useful to persons with an interest in this disease.

Botanical and Nutritional Considerations in the Treatment of

Dana Myatt, N.M.D.

Abstract

Prostate carcinoma is a hormone-dependent cancer. Therefore, in addition to general immune enhancing and anti-cancer therapies, hormonal manipulation has a role to play in treatment of this disease.

Overview

Prostate carcinoma is the most common male cancer in the U.S. It accounts for an estimated 32% of all newly diagnosed cancers. (Other forms of prostate cancer, such as sarcoma, are rare and are not hormone-dependent). The incidence of disease increases with each decade of life over age 50. (1) Prostate cancer rates have risen 108% since 1950, believed due in part to earlier detection. Death rates from this disease have increased 23%. 
There is great debate in the medical community regarding the value of conventional treatment. Prostate cancer is, in most cases, slow-growing. Increased survival rates reported in some studies may be due to earlier detection, not treatment. Many newly diagnosed and early stage cancers in older men would never progress to morbidity or mortality. Considering the risk of impotence (50-60% with surgery), incontinence (from surgery or radiation) and other treatment side-effects, the value of conventional therapy must be questioned in all cases of cancer in older men.

Botanical and nutritional treatment for cancer can be considered an adjuvant therapy in all cases of prostate carcinoma and the sole therapy in many. Even when conventional treatment is deemed advisable, non-traditional uses of conventional drugs may be safer and more advantageous than standard therapy. This is because, in it’s early stages, prostate cancer is highly controllable with hormone-blocking therapy.

Laboratory Evaluation of

In additional to generalized immune testing and basic cancer workup (chemistry screen, CBC, TFT’s, etc.), several tests specific to prostate disease allow the clinician to track progression non-invasively and with greater accuracy. These tests include prostatic-specific antigen (PSA), free PSA, prostatic acid phosphatase (PAP), and prolactin. 

PSA is now used as the preferred screening test for both benign prostatic hypertrophy (BPH) and prostate cancer. Because PSA may be elevated in both benign and cancerous prostate disease, the test is not specific for prostate cancer. Values in the “indeterminate” range (4-12) present a special diagnostic dilemma. It is further estimated that 25% of men with prostate cancer will have PSA’s less than 4. Taken together, the PSA test poses a significant number of both false-negative and false-positive results. The PSA is an accurate measure of cancer cell activity once the diagnosis has been established.

Free-PSA is a more recent marker that has not yet been universally embraced by conventional medicine. Current research suggests that the free-PSA is a useful “next step” for evaluating elevated PSA’s. In men with PSA’s ranging from 4.1-10, higher levels of free-PSA (18.9 median value) correlated with benign disease while lower levels of free-PSA (10.1 median) correlated with cancer. It is estimated that 95% of “indeterminate” PSA readings could be clarified non-invasively with the additional use of the free-PSA test. (3)

Prostatic acid phosphatase (PAP) was the prostate cancer screening test that preceded use of the PSA. An elevated PAP in a patient with known prostate cancer is indicative of lymphatic spread of the disease. (4)

Prolactin hormone is an additional growth factor to the prostate gland, and rising prolactin levels correlate with progression in advanced prostate cancer cases. Prolactin receptors are found on prostate cancer cells, and it is postulated that these receptors may facilitate the entry of testosterone into the cell. Even with hormone ablation therapy, detectable androgen remains in the blood from adrenal sources. Blocking prolactin secretion may there fore be another method for slowing progression of the disease. It is recommended that prolactin levels be kept below 3 in all patients with hormone-responsive cancers. (5)

Specific Goals of Therapy

Testosterone, prolactin, cortisol, insulin, and arachidonic acid-derived prostaglandins (especially PGE2) act as growth factors for prostate cancer. Cyclooxygenase is the enzyme that catalyzes the conversion of arachidonic acid to prostaglandins. Decreasing circulating levels of these hormones and blocking inflammatory pathways should be undertaken in addition to non-specific cancer therapies such as immune enhancement.

References

1.) Beers, Mark M.D., Berkow, Robert M.D. , editors, The Merck Manual of Diagnosis and Therapy, Merck research Laboratories, 1999, p. 1918.
2.) Boik, John, Cancer and Natural Medicine, Oregon Medical Press, 1996, p. 87
3.) Faloon, William, Disease Prevention and Treatment Protocols, Life Extension foundation, Hollywood, FL, 1998, p. 192.
4.) Murphy, Gerald M.D., Lawrence, Walter Jr. M.D., Lenhard, Raymond M.D., Clinical Oncology, American Cancer Society, Atlanta, 1995, p. 315. [copies of this textbook may be obtained by calling your local branch of the American Cancer Society or call 1-800-ACS-2345].
5.) European Journal of Cancer, Vol 31A, No. 6, 1995.

Materia Medica classified by action

Reduce sex hormone bioavailability

Glycine max -soy
Linum ussatatissimum -flax
Arctium lappa -burdock
low dietary saturated fat
high dietary fiber

Decrease testosterone

Cannabis sativa- marijuana
Serenoa Spp.- Saw palmetto
Vitex spp
Rx: Casodex, flutamide, Lupron, Zoladex

Decrease prolactin

Vitex spp.
vegetarian diet
Rx: Bromocriptine, Pergolide, Dostinex

Botanical Materia Medica

Arctium lappa (Compositae)- Burdock

Burdock reduces sex hormone bioavailability, perhaps due to its lignan content.(1) In vitro, it induces differentiation and inhibits tumor cell proliferation. (2) Burdock is considered highly in both Western and Chinese medicine as a detoxifier and it is an ingredient in the Hoxey formula. it is thought to stimulate the removal of excess metabolic acids. (3)

Linum ussitatissimum (Linacea)- Linseed, flax seed

Flax seed is much higher in lignans than other plants. Lignans inhibit sex hormone availability. Antiinflammatory effects are attributed to the high omega-3 fatty acid content of the seed oil.

Glycine max (Leguminosae)-Soy

Soy beans contain protease inhibitors, fixed oils, coumestrol, isoflavones including daidzein and genistein, lecithin, protein, vitamins and minerals. Soy foods reduce hormone bioavailability and cholesterol levels through several possible mechanisms, including weak estrogenic effects of the phytoestrogenic isoflavones and fiber content. Genistein is cytotoxic, induces apoptosis and differentiation, inhibits angiogenesis and metastasis (4), and blocks protein kinase which is a cancer growth factor (11) . The isoflavones in soy are both antioxidant and antimutagenic.(5)

One study of 8,000 Japanese living in Hawaii found that men who had the highest intake of soy had the lowest incidence of prostate cancer. Soy-eaters diagnosed with prostate cancer nevertheless have the lowest death rate in the world from the disease.(6)

Cannabis sativa (Cannabinaceae)- Marijuana

Marijuana contains flavonoids, volatile oils, alkaloids and over 60 different cannabinoids including THC.(7) Smoking the herb reduced testosterone levels or inhibited testosterone receptors in both animals and humans. It is known that marijuana smoking decreases male fertility. (8,9,10)

Serenoa repens, S. serrulata (Palmaceae)- Saw palmetto

Saw palmetto blocks the conversion of testosterone to dihydrotestosterone (DHT) (11) and there is evidence that DHT may be five times as potent as testosterone in stimulating prostate cancer cell growth. (12)

Vitex agnus-castus, V. negundo (Verbenaceae)- Chaste berry

Vitex spp. decreases testosterone production in vivo (13) and inhibits prolactin synthesis and release in animal models (14). As the name “chaste tree” implies, this herb was traditionally used by monks to reduce libido.

PC-SPEC

PC-SPEC is a new and novel Chinese herb formula used in the treatment of prostate cancer. “Spec” is Latin for hope, and the formula is reported to be effective in extending quality and length of life even in advanced, hormone-refractory cancers. The formula is cytostatic and cytotoxic, and regulates apoptosis (1). It may stimulate T4 (helper) cells and macrophages (2) and lower PSA levels (3). The popularity of the formula was enhanced by a recent mention in the New England Journal of Medicine which reported that:

“We found PC-Spec…. has potent estrogenic activity in yeast, mice, and humans. In patients with prostate cancer, it causes clinically significant reductions in serum testosterone concentrations, decreases PSA, and with side effects similar to those of pharmacologic doses of estrogen….. PC-SPEC may prove useful in the treatment of hormonally sensitive prostate cancer…..”(3).

The formula contains herbs which may address prostate cancer on a number of levels. According to the book New Guidelines for Surviving (4), the herbs and actions of PC-SPEC include:

1.) Isatis indigotica (da qing ye) contains beta sitosterol, a phytosterol which lowers the bioavailability of estrogen and reduces tumor yield in animals.
2.) Glycyrrhiza spp. (gan cao) stimulates the immune system and possesses in vitro antitumor activity. It also helps lower testosterone levels.
3.) Panax pseudo-ginseng (san qi) stimulates NK cell activity.
4.) Ganoderma lucidum (ling zi) contain polysaccharides that inhibit cancer cells and extend the lifespan of test animal with lung cancer up to 195%.
5.) Scutellaria baicalensis (huang qin) promotes apoptosis, stimulates the immune system and inhibits tumor-cell proliferation.
6.) Dendranthema morifolium Tzvel (Chu-hua) is a lesser-known Chinese herb with reported antiviral and detoxifying properties.
7.) Rabdosia rubescens (don ling cau) is a pain-relieving herb with multiple antitumor effects. Increased survival rates have been noted in patients with esophageal cancer.
8.) Serenoa repens or S. serrulata (Saw palmetto) decreases the bioavailability of testosterone and is widely used in the treatment of BPH.

The recommended dose is 6-12 capsules per day depending on the stage of the disease. This puts the cost of the formula at $300-$600 per month. (CHT averages $800 per month to give some perspective). Since the formula is a non-FDA approved herbal combination, it is available without a prescription.

Dr. Myatt’s comment: This formula has gotten a lot of good press lately. I’d like to see if the results will meet the hype. Unfortunately, since the formula is a non-FDA approved herbal remedy, I have found it challenging to get patients to take it with consistency in the doses recommended. I have yet to see results in two patients who have used it with regularity. PC-SPEC may indeed represent a breakthrough in the treatment of cancer. It could also be that some herbal product manufacturers are getting as clever as the drug companies in creating “buzz,” and getting journal space, about new products. How many “breakthrough” drugs have come and gone? Let’s hope PC-SPEC fares better than the current conventional treatments for prostate cancer.

References

1.) Halicka HD et al.: Apoptosis and cell cycle effects induced by extracts of the Chinese herbal preparation PC-SPEC. Intl J Oncology, 1997;11:437-448.
2.) Whittaker J: The Art of Alternative Medicine. ACAM Conference Proceedings Notes, Nov. 1998.
3.) DiPaola RS et al.: Clinical and biologic activity of an estrogenic herbal combination (PC-SPEC) in prostate cancer. New Engl J Med, Sept. 17, 1998;339(12);785-791.
4.) Lewis, James Jr.: New Guidelines for Surviving , Westbury, NY: Health Education Library Publisher, 1998.

Nutritional Materia Medica

Vitamin D3 (cholecalciferol)

Vitamin D3 induces prostate cancer cell apoptosis by apparent translocation of the cancer cell androgen receptor. This makes the cell less susceptible to testosterone-induced proliferation (15). D3 induces differentiation, inhibits angiogenesis and shows antitumor activity. It may also upregulate vitamin A receptors. (16)

Because vitamin D has the potential to cause toxicity, doses over 1,000mg should be carefully monitored. Increased blood calcium levels can result from toxicity. In clinical practice, D3 appears to benefit metastatic bone disease in higher doses, perhaps because this vitamin is needed for normal calcification of bone matrix.

Food sources of vitamin D include cold water fish (salmon, mackerel, herring), butter, egg yolks and dark green leafy vegetables. Sunlight acting on the skin will also create vitamin D. In areas of decrease sunlight, increases of breast and colon cancer have been observed. (17)

Melatonin

Melatonin is a hormone produced by the pituitary gland. It regulates circadian rhythms and plays a role in sleep regulation. It is also a more potent antioxidant than glutathione or vitamin E (19). In vitro, melatonin demonstrates antiestrogen activity and immune stimulation (18). Recent research shows that melatonin inhibits cell proliferation profoundly in vivo but only weakly in vitro. It is synergistic with IL-2 and increases the effectiveness of IL-2 treatment. (20)
 

CoQ10 (ubiquinone)

CoQ10 is a vitamin-like substance that is involved in mitochondrial energy production. The heart is a high user of CoQ10, and many chemotherapeutic drugs deplete body stores of this nutrient. CoQ10 has been used successfully to reduce chemotherapy-induced cardiotoxicity.
In breast cancer patients, a dose of 90mg daily increase late-stage survival dramatically. Three cases of complete remission have been documented at higher doses (300-400mg) per day. (21)

Enzymes (multi enzymes)

Digestive enzymes, whether from animal sources (pancreatin, etc.) or botanical (bromelain, papain), have been shown to increase survival time, inhibit metastasis, and stimulate immune cells. Enzymes induce differentiation and inhibit angiogenesis (22), possibly through antifibrinolytic mechanisms. It has also been postulated that enzymes may help unmask tumor cells and make them more accessible to the immune system.

Dietary Guidelines

Low saturated fat diets decrease the body’s endogenous and exogenous hormone production. Conversely, diets high in saturated fats decrease NK cell activity and increase arachidonic acid, an inflammatory precursor. Rates of breast, colon, prostate, uterine, ovarian and testicular cancers are significantly higher in countries with high saturated fat intakes.

Saturated fats promote inflammatory prostaglandin synthesis while omega-3 fatty acids are antiinflammatory.

Low carbohydrate diets decrease the availability of glucose and insulin. Insulin is a growth factor for cancer and the primary metabolic pathway of cancer cells is anaerobic glycolysis, meaning that cancer cells thrive with a high glucose environment. In animal studies, even slight change toward metabolic acidosis resulted in tumor regression. A low carbohydrate diet which induces ketosis (metabolic acidosis) may duplicate this effect. Overweight patients can afford to lose weight on such a diet, to further reduce their endogenous hormone production. (Fat cells manufacture estrogen).
 

Foods of Special Benefit

garlic
lemon zest (the peel contains limonene)
fish
flax seed
soy and soy products
fresh vegetables (especially non-starchy, dark leafy greens)
olive oil
blueberries and other berries (high in flavonoids and low in sugars)
grains (whole grain only, to reduce insulin response and increase fiber content. Grains should be used sparingly. In patients with more than twenty pounds to lose, gains need not be used at all until desired weight is achieved)

Materia Medica References

1.) Boik, John: Cancer and Natural Medicine, Oregon Medical Press, 1995, p. 159
2.) Ibid., p. 177
3.) Tilgner, Sharol N.D.: Medicines from the Earth, Wise Acres Press, 1999, p. 44.
4.) Ibid, Boik, p. 184.
5.) Editors of time-Life Books: The Drug and Natural Medicine Advisor, time-Life Books, Alexandria, VA. 1997, p.704.
6.) Yeager, Selene, editor: Food Remedies., Prevention Health Books, Rodale Press, 1998, p. 494.
7.) Chevallier, Andrew: Encyclopedia of Medicinal Plants. DK Publishing, London, 1996, p.180.
8.) Barnett G.,Chaing CW, Licko V: Effects of Marijuana on testosterone in male subjects. J Theor Biol 1983 Oct 21; …104(4):685-92
9.) Fujimoto GI, Morrill GA, O’Connell ME, Kostello AB: Effects of cannabinoids given orally and reduced appetite on the male rat reproductive system. Pharmagology 1982;24(5):303-13.
10.) Purohoit V, Ahluwahlia BS, Vigersky RA: Marijuana inhibits dihydrotestosterone binding to the androgen receptor. Endocrinology, 1980 Sep; 107(3):848-50.
11.) Sultan C, Terraza A, Devillier C, Carilla E, et al.: Inhibition of androgen metabolism and binding by a liposteric extract of Serenoa repens B in human forskin fibroblasts. J Steroid Biochem 1984 Jan; 20(1):515-9.
12.) The effects of Flutamide on total DHT and nuclear DHT levles in the human prostate. Prostate, 1981, 2/3: 309-314.
13.) Bhargava SK: Antiandrogenic effects of a flavonoid-rich fraction of Vitex negundo seeds: a histological and biochemical study in dogs. J Ethnopharmacol 1989 Dec; 27(3):327-39.
14.) Bohnert KJ: The use of Vitex agnus castus for Hyperprolactinemia. Quarterly Review of Nat Med Spring 1997;19-20.
15.) Vitamin D and : 1,25 Dihydroxyvitamin D3 receptors and actions in human prostate cancer cell lines. Endocrin 1993;132(5):1952-60.
16.) Majewski S, Szmurlo A, Marczak M, Jablonska S, Bollag W: Inhibition of tumor-cell induced angiogenesis by retinoids, 1,25-dihydroxyvitamin D3 and their combination. Canceer Lett 1993 Nov 30; 75(1):35-9.
17.) Murray M: Encyclopedia of Nutritional Supplements. Prima Publishing, 1996: p.40.
18.) reiter RJ, Melchiorri D, Swewerynek E, Poeggeler B, et al.: A review of the evidence supporting melatonin’s role as an antioxidant. J Pineal Res 1995; 57:125-28.
19.) Hill SM, Spriggs LL, Simon MA: The growth inhibitory action of melatonin on human breast cancer cells is linked to the estrogen response system. Cancer Lett 1992 Jul 10;64(3):249-56.
20.) Lissoni P, Barni S, Cazzaniga M, et al.: Efficacy of the concommitant administration of the pineal hormone melatonin in cancer immunotherpay with low-dose IL-2 in patients with advanced solid tumors who had progressed on IL-2 therpay alone. Oncology 1994b Jul-Aug; 51(4):344-7.
21.) Boik, John: Cancer and Natural Medicine, Oregon Medical Press, 1995, p. 71.
22.) 22.) Ibid., p.184.

 

Sex Hormone Balance:


For Serious Anti-Aging and Disease Prevention

In both males and females, a decline or imbalance of the sex hormones is associated with a wide variety of health problems.

Imbalanced or decreased sex hormones in women can cause:

  • Acne or oily skin
  • Bloating
  • Bone loss
  • Breast disease including cancer
  • Cancer (hormone-related: breast, ovary, uterus)
  • Decreased fertility
  • Depression
  • Endometriosis
  • Excess facial and body hair
  • Heart disease
  • Heavy or painful periods
  • Hot flashes
  • Irregular periods
  • Irritability
  • Loss of muscle mass
  • Loss of scalp hair
  • Low libido
  • Memory lapses
  • Menstrual irregularities
  • Mood swings
  • Nervousness
  • Night sweats
  • Osteoporosis
  • Polycystic ovarian syndrome (PCOS)
  • Poor concentration
  • Sleep disturbances
  • Tender or fibrocystic breasts
  • Urinary incontinence
  • Vaginal dryness
  • Weight gain

Imbalanced or decreased sex hormones in men can cause:

  • Bone loss
  • Decreased mental clarity
  • Decreased muscle strength
  • Decreased stamina
  • Decreased urine flow
  • Depression
  • Erectile dysfunction
  • Heart disease
  • Hot flashes
  • Increased abdominal fat
  • Increased urge to urinate
  • Irritability
  • Low sex drive
  • Mood swings
  • Night sweats
  • Poor concentration
  • Sleep disturbances

Youthful hormone balance, achieved with natural (“bio-identical”) hormone replacement therapy is considered a main-stay of anti-aging and longevity medicine.

Best Test for Sex Hormone Balance

The sex hormones can be tested in blood, saliva or urine. Urine provides the most accurate results, saliva is next best and blood testing is least accurate. Here’s why:

The sex hormones are released in “pulsed” doses throughout a 24-hour period. One hour, the output may be high, the next hour it may be low. This is a normal pattern for both sex and adrenal hormone excretion.

A blood sample gives us only a “photograph” of the hormones present at the time the blood is drawn. It tells us nothing about the 24-hour average of hormones (which is the real number we are concerned with). Blood testing is the least accurate measure of sex and adrenal hormones.

Saliva, which reflects an “average” of the 24-hour hormone content of the blood, is the next most accurate.

Because a 24-hour urine test “captures” both the highs and lows of hormone output for an entire 24-hour time period and averages them, this method of hormone testing is in my opinion the “Gold Standard” of hormone testing.

I currently recommend urine hormone testing for any patient who has concerns of hormone balance (which should be everyone over age 35-40!). Saliva testing is next best but does not appear to be as accurate.

What’s Your EQ?

Do you know what your EQ — estrogen quotient — is? You should, because this may be the single most important piece of information for preventing breast and prostate cancer. Here’s why:

Estriol (E3) is a “good” estrogen and higher levels of estriol are associated with less cancer risk. Estriol appears to block many of the effects of the carcinogenic estrogens, estradiol (E2), estrone (E1), and other related “pro-carcinogenic” estrogens. How do you find out if you have enough estriol to protect you from cancer? You calculate your EQ.

Studies done in the 19060’s and 1970’s showed that women with an EQ above 1.0 had a significantly lower risk of breast cancer. Many women today have EQ’s of less than 1.0, and breast cancer rates are on the rise. This is no coincidence.

Although the EQ ratio has been best-studied in women, it appears that a similar ratio may be predictive for prostate cancer in men.

I now recommend that my patients who have hormone testing done have the EQ performed at the same time. The results, if unfavorable, are easily improved with dietary changes, supplements, iodine therapy or other natural measures. Where cancer is concerned, “prevention” trumps “early detection” every time.

Learn more about urinary sex hormone testing, The “Gold Standard” of hormone testing, here: Comprehensive Plus Hormone Testing

 

PC-Spes, Dr. Dana Myatt, and Dr. Myatt’s Prostate Support.


A Letter From Nurse Mark To Those Enquiring About Prostate Support and Matural Prostate Cancer Treatments.

There has been an increase in interest and phone calls to the Wellness Club recently from persons concerned about prostate cancer and interested in Prostate Support and PC Spes.

In response to this I would like to offer the following information, on behalf of Dr. Myatt and Dr. Myatt’s Wellness Club.

First and foremost, for those who wish to call for information, or to have questions answered, or to argue that PC-Spes was “done wrong” by the FDA, the State of California, or anyone else, please note that our toll-free number should be reserved for orders only – if you have more specific questions, please either use our Contact Us page to send us a message or call to arrange a personal consultation with Dr. Myatt.

Please do not ask for names of satisfied patients, or for case histories, or for statistics of success. To give out such personal information is highly unethical and we will not do it. If you want “testimonials” there are plenty of other “practicioners” who will be more than happy to dazzle you with endless unsubstantiated, unprovable “success stories”.

Dr. Myatt has treated a large number of cases of prostate cancer over the past two decades – ranging from men with mild elevations of PSA and minor enlargements of the prostate to men who have been told they have a few weeks to live by their conventional doctors. Most of her patients are happily in remission, getting on with their lives, and to our knowledge not involved with any of the various prostate support groups

There are a few, such as the fellow who was given two to four weeks, who have passed away. That man enjoyed well over a year of good life while following Dr. Myatt’s advice, and actually played 36 holes of golf shortly before he died from complications of the conventional treatments prescribed by his “oncologist” who panicked in response to an aberrant lab result. There are a few case studies available on our website that illustrate a number of Dr. Myatt’s techniques. Please feel free to study them.

Please do not write or call until you have been to our website, and read fully and completely the pages discussing Cancer, Prostate Cancer, Prostate Support (which includes a discussion of PC-Spes), and alternative medicine consultations with Dr. Myatt. These pages, and the links within them, will answer most all of your questions.

Dr. Myatt is a Naturopathic Medical Doctor – an NMD – licensed in the State of Arizona with full prescribing privileges and a DEA number. Please note: licensing requirements for NMD’s are as stringent and more than the licensing requirements for “regular” MD’s. Dr. Myatt’s biography can be found on her alternative medical consultations page and the Consultations Brochure page that links to it.

Now, about PC-Spes and Prostate Support: When PC-Spes first appeared Dr. Myatt was impressed by it’s apparent good effect on those who were taking it. Then, following reports of side effects resulting from the use of this formula, Dr. Myatt became suspicious that there might be “more than meets the eye.” She had independent testing done, and found that there was indeed more in the formula than was listed on the label.

She then looked at the individual herbs listed in the formula, determined the best ratios of these herbs for maximal effect, and formulated Prostate Support to provide those beneficial herbs in the very most effective ratios, without the undisclosed drugs that were being discovered to be in some lots of PC-Spes.

There has been some suggestion that the only “good” formulation of these herbs must be obtained from the University of Shanghai in China. Dr. Myatt’s Prostate Support does not come from the University of Shanghai. Dr. Myatt’s Prostate Support formula is compounded here in the USA using the highest quality, purest materials available, standardized and combined to Dr. Myatt’s very exacting standards. There is good reason that she has become known amongst supplement manufacturers as “The Dragon Lady!” She is well known for her lack of tolerance for anything but the highest of quality standards!

Please take note that it is Dr. Myatt’s opinion that for most cases of prostate cancer, hormone suppression should be a cornerstone of treatment. There are also a number of other therapies that must be used in conjunction in order to obtain best results. It is her belief that PC-Spes was highly effective because it contained undisclosed drugs that in effect resulted in hormone suppression therapy in those who used it. It is further her belief that someone needing or wishing to use hormone suppression therapy should be doing so knowingly, with knowledge of the doses of drugs involved, and not by using “shot in the dark” amounts such as were found in some lots and then not others of PC-Spes.

Finally, it is Dr. Myatt’s very strong opinion that Prostate Support, PC-Spes, and any of the other “Prostate Formulas” available must NOT be used as a sole treatment for prostate cancer. The herbs found in PC-Spes and in Prostate Support are valuable adjuncts and support for the prostate and the immune system, but by themselves they will not “cure” prostate cancer.

Here is the bottom line from my viewpoint: Gentlemen, Dr. Myatt has been successfully treating prostate cancer for a decade and a half, her patients include her own 83 year old father who remains alive and well after being diagnosed over 20 years ago. She has been treating my own father for over 6 years. She knows what she is doing, and does it well

Any of you who believe that PC-Spes worked solely because of the combination of herbs that it contained and not because it contained undisclosed drugs, please try our Prostate Support – it is the same optimal combination of herbs, with no adulterants or drugs. It is compounded (mixed) to the very highest of western standards for purity and precision. There will be no surprises or changes from lot to lot with this formula.

Please be aware though that Prostate Support is not a “Holy Grail” of prostate cancer treatment – it is but one facet of a complex treatment plan.

Expecting to treat prostate cancer with a single formula such as this would be like trying to give your car a “tune-up” or even an engine overhaul by using a bottle of “gasoline treatment.” That stuff may help keep your engine clean – great for preventive maintenance – but it won’t fix what’s broken!

Prostate cancer is NOT a “do-it-yourself” disease to be experimented with as you might with toenail fungus.

Prostate cancer can be a deadly disease if managed poorly, or a chronic medical condition if managed skillfully – it’s your choice.

Cheers,
Nurse Mark

Prostate Cancer, PSA, and Biopsies – A Critical Look

By Nurse Mark

Cancer is a terrifying word. It generates mental images of pain and suffering and disfigurement and disability. It seems almost everyone knows of someone who has died a hideous death from cancer. We instinctively recoil from cancer as we might from a venomous reptile or insect. We react with revulsion. The “ick factor.”

For this reason the word “cancer” can be used by doctors to justify almost anything – no matter how risky, unproven, or nonsensical, if something is presented as being necessary to “fight this thing” or “catch it early” most people will meekly agree in order to purge themselves of the “ick factor” that the thought of cancer brings.

Prostate cancer is especially troublesome for men, because it hits us “where it hurts” – like a “kick in the…” – well, you know what I mean… It conjures up visions of emasculation, incontinence, and unpleasant medical and surgical procedures performed on our most sensitive parts.

But is prostate cancer really all that it is made up to be? Is it really a dread disease that strikes down virile men in their prime, killing all it touches? Or is that the “marketing angle” used to sell expensive tests, surgeries, drugs, and treatments?

Let’s look at the whole issue a little more deeply.

Normal Prostate AnatomyWhat the heck is this prostate thing anyway?

In men the prostate is a walnut-sized lump of tissue that surrounds the urethra – the tube that carries urine out of the bladder – just below the urinary bladder. It normally weighs around 11 grams (just over 1/3 of an ounce) but can range from 7 to 11 grams and be considered normal. Its main purpose is to produce a fluid that aids in reproduction, transporting and protecting the sperm during the reproductive act.

Women have a similar organ, and female paraurethral glands called Skene’s glands were officially renamed the female prostate by the Federative International Committee on Anatomical Terminology in 2002. But that is a whole different story, since the female prostate doesn’t seem to encounter the same troubles as the male prostate does…

So what’s the big deal about it?

For men, there are a couple of potential problems with the prostate.

First, and most commonly, like ears and noses the prostate just doesn’t seem to know when to stop growing. In older men this leads to a condition known as Benign Prostatic Hypertrophy (or BPH) and can cause problems with urination since while it grows in size outwardly it also tends to tighten down on the urethra as it gets larger – with predictable results. Difficulty starting urination and difficulty emptying the bladder fully lead to a condition known as Urinary Frequency. This usually results in multiple trips to the bathroom through the day and more significantly through the night.Normal and Enlarged Prostate

It is believed that this unnecessary growth of the prostate begins at around age 30 and that by age 50 at least 50% of men will have evidence of BPH. This number increases to include 75% of men who reach the age of 80, and some 40% to 50% of those men will experience symptoms from this otherwise benign growth.

The second and more serious problem occurs when some of those ever-increasing numbers of prostate cells become cancerous.

Most prostate cancers are what considered “indolent” (that’s right – indolent means lazy, lethargic or idle) and more men than you might imagine actually have cancerous cells in their prostate but never, ever know it. One autopsy study of men who died of other causes found prostate cancer in 30% of men in their 50s, and in 80% of men in their 70s. It seems that any man who lives long enough will have prostate cancer eventually.

A few of those cancers however are of a more aggressive nature and can grow quickly, escaping the confines of the prostate gland and affecting other areas of the body in a process known as metastasis. These prostate cancers tend not to be without symptoms however, and are usually easy for an observant doctor to detect – a simple Digital Rectal Exam (the “dreaded DRE”) where the doctor inserts a finger into the rectum and simply feels the surface of the prostate gland will quickly reveal any lumps or bumps or hardness that could indicate a cancer.

Well, how can a fellow know?

Good question – since most men go through life with nary an untoward symptom from their prostate.

Even though they may actually have an “enlarged” prostate, or even a cancerous prostate, chances are very good that most men will never know it and will go on to die from some other cause – things like a heart attack or stroke, an infection like pneumonia, an accident, old age, or even (as the joke goes) “shot by a jealous husband” are a far more likely end for most men.

When they do occur, symptoms of BPH that might send a man to his doctor include urinary hesitancy, frequent urination, urinary tract infections, urinary retention, or insomnia caused by frequent awakening to urinate through the night.

Cancer in the prostate, as mentioned, is often quite asymptomatic (without symptoms or complaints) for most men since it is usually “indolent” – slow growing and not aggressive. When the cancer is an aggressive kind the symptoms will often be fairly obvious: as in BPH they include frequent urination, nocturia (increased urination at night), and difficulty starting and maintaining a steady stream of urine.

Because the cancerous cells are abnormal additional symptoms can include hematuria (blood in the urine), and dysuria (painful urination). Problems with sexual function and performance like difficulty achieving an erection or painful ejaculation can occur. And, should the cancer escape the prostate other areas of the body can be affected – the bone is a common site for these metastasis, with bone pain and weakness being common symptoms.

But my doctor – can he know?

Digital Rectal Exam of the Prostate GlandSure – if you help. Your doctor will do a number of things – but the most important thing will be to sit and talk with you. He (or she) will start out by just talking – asking about your family history, any symptoms you may be experiencing, your recent and past medical history, and so on. He will do a physical examination with DRE, and may order some lab tests – more on that in a moment.

For most men that’s as far as it needs to go – if you are not having any symptoms and the doctor doesn’t find anything on physical exam that rings his alarm bells then you can relax until next year’s annual physical exam when he should be doing the same thing all over again for you.

Well, what about the PSA test – isn’t that the best way to know?

Maybe, and no. There is a lot of controversy surrounding the PSA test and it’s promoted use as a “screening tool” for prostate cancer. While the drug companies, laboratories, and urologists continue to support PSA testing as a universal screening tool for all men, most of the rest of conventional medicine is quietly turning away from the test except in specific circumstances.

Even the discoverer of PSA, researcher Richard J Ablin – whose father died of prostate cancer – concluded in a 2010 OpEd article in The New York Times:

“I never dreamed that my discovery four decades ago would lead to such a profit-driven public health disaster. The medical community must confront reality and stop the inappropriate use of P.S.A. screening. Doing so would save billions of dollars and rescue millions of men from unnecessary, debilitating treatments.”

He says in his letter:

“American men have a 16 percent lifetime chance of receiving a diagnosis of prostate cancer, but only a 3 percent chance of dying from it. That’s because the majority of prostate cancers grow slowly. In other words, men lucky enough to reach old age are much more likely to die with prostate cancer than to die of it.”

And he continued:

“Even then, the [PSA] test is hardly more effective than a coin toss. As I’ve been trying to make clear for many years now, P.S.A. testing can’t detect prostate cancer and, more important, it can’t distinguish between the two types of prostate cancer — the one that will kill you and the one that won’t.”

More and more conventional medical governing bodies are moving away from PSA testing:

The American College of Preventive Medicine conducted a study that found:

“…no convincing evidence that early screening, detection, and treatment improves mortality. Limitations of prostate cancer screening include potential adverse health effects associated with false-positive and negative results, and treatment side effects.”

They issued a statement to say that

“there is insufficient evidence to recommend routine population screening with DRE or PSA.”

The American College of Physicians has taken a similar cautionary stance:

“…PSA is not just a blood test. It can open the door to more testing and treatment that a man may not want or that may harm him. Because chances of being harmed are greater than chances of benefiting, each man should have the opportunity to decide for himself whether to be screened.”

The American Society of Clinical Oncology and the American College of Physicians together concluded that based on recent research:

“…it is uncertain whether the benefits associated with PSA testing for prostate cancer screening are worth the harms associated with screening and subsequent unnecessary treatment.”

The U.S. Preventive Services Task Force says in their recommendation against the use of PSA testing:

“…many men are harmed as a result of prostate cancer screening and few, if any, benefit.”

Even The American Urological Association – whose members obviously stand to profit handsomely from all things associated with the prostate – has issued a guideline that makes the following statements:

  • PSA screening in men under age 40 years is not recommended.
  • Routine screening in men between ages 40 to 54 years at average risk is not recommended.
  • For men ages 55 to 69 years, the decision to undergo PSA screening involves weighing the benefits of preventing prostate cancer mortality in 1 man for every 1,000 men screened over a decade against the known potential harms associated with screening and treatment. For this reason, shared decision-making is recommended for men age 55 to 69 years that are considering PSA screening, and proceeding based on patients’ values and preferences.
  • To reduce the harms of screening, a routine screening interval of two years or more may be preferred over annual screening in those men who have participated in shared decision-making and decided on screening. As compared to annual screening, it is expected that screening intervals of two years preserve the majority of the benefits and reduce over diagnosis and false positives.
  • Routine PSA screening is not recommended in men over age 70 or any man with less than a 10-15 year life expectancy.

Now, to be fair, there a number of medical experts (besides the drug and laboratory industry) that are still actively, even enthusiastically promoting universal PSA screening for men – the British Journal of Urology published a “consensus statement” created by a group of self-described “leading prostate cancer experts from around the world” who met at the 2013 Prostate Cancer World Congress in Melbourne, Australia and presented their recommendations for PSA testing.

Here are some highlights of their statement called The Melbourne Consensus Statement on Prostate Cancer Testing:

First, the authors emphasize that:

“For men aged 50–69, level 1 evidence demonstrates that PSA testing reduces prostate cancer-specific mortality and the incidence of metastatic prostate cancer.”

BUT they go on to say…

“…the degree of over-diagnosis and over-treatment reduces considerably with longer follow-up.
While routine population-based screening is not recommended, healthy, well-informed men in this age group should be fully counseled about the positive and negative aspects of PSA testing to reduce their risk of metastases and death. This should be part of a shared decision-making process.”

AND

“Although screening is essential to diagnose high-risk cases within the window of curability, it is clear that many men with low-risk prostate cancer do not need aggressive treatment.
While it is accepted that active surveillance does not address the issue of over-diagnosis, it does provide a vehicle to avoid excessive intervention.”

AND

“PSA testing should not be considered on its own, but rather as part of a multivariable approach to early prostate cancer detection. PSA is a weak predictor of current risk and additional variables such as digital rectal examination, prostate volume, family history, ethnicity, risk prediction models, and new tools such as the phi test, can help to better risk stratify men.”

AND FINALLY

“…a man in his 70s who has had a stable PSA at or below the median for a number of years previously is at low risk of developing a threatening prostate cancer and regular PSA screening should be discouraged.”

In other words: With regular PSA testing a very narrowly defined group of men in a narrow age range might have an aggressive, treatable cancer detected but routine screening of all men is not recommended. They recognize that PSA testing frequently leads to over-diagnosis and over-treatment and that for many men there is no need for aggressive treatment. And finally, they admit that PSA testing “is a weak predictor of current risk” and should be considered only one part of an overall approach to men’s prostate health.

But I did get tested, and my PSA is going up. The doctor said stuff like “PSA Velocity” and scared the heck out of me!

PSA Velocity is a fancy way of saying how quickly (or not) a PSA level has increased over a given amount of time. It’s a fiddly, complicated mathematical exercise that looks really impressive to laypeople, but is being discredited by many authorities

In an article in the National Cancer Institute Cancer Bulletin we can find the following statement:

“A rapid increase in prostate-specific antigen (PSA) levels is not grounds for automatically recommending a prostate biopsy, according to a study published online February 24, 2011, in the Journal of the National Cancer Institute.”

The study looked at over 5500 men to determine if using the “PSA Velocity” calculations could help doctors detect more prostate cancers. Here is what they found:

“Adding PSA velocity to the model would have identified 115 additional cancers (although not necessarily fatal cancers) but also resulted in 433 “unnecessary biopsies” that would have shown no cancer.”

In other words, they might have found a few more cancers, but they would have had to do a lot of unnecessary biopsies to do it.

The researchers at the Memorial Sloan-Kettering Cancer Center in New York conclude:

“We found no evidence to support the recommendation that men with high PSA velocity should be biopsied in the absence of other indications; this measure should not be included in practice guidelines.”

Well, my urologist says that the biopsy is “No Big Deal” and I shouldn’t worry about it…

Again, conventional medical authorities are turning against that old party line, and so they should – because evidence of the dangers of prostate biopsies just keeps piling up.

A recent Bloomberg.com news article went into great detail on the risks, starting out with this statement:

“Doctors are changing their approach to prostate biopsies as evidence mounts that the danger of complications from the procedure may outweigh its usefulness identifying some cancers.

An increasing incidence of potentially lethal, difficult- to-treat bloodstream infections tied to prostate biopsies has become so serious that urologists are reassessing when, how and even if they do the procedure.”

Prostate BiopsyThe problem is in the geographical location of the prostate in the body. It lives just under the bladder, and is most easily accessible to a doctor by way of the rectum – which is why the Digital Rectal Exam or DRE is such a convenient tool for your doctor.

Biopsies of the prostate are performed by stabbing a special needle into the prostate gland in a half-dozen or more places to pull out bits of tissue for the pathologist to inspect for cancerous cells

The most common way to get at the prostate for these needle pokes is, like the finger exam, up the rectum.

Since the lower bowel and rectum are a region of our body that is rich in bacteria and almost impossible to “sterilize” or even thoroughly clean, you can imagine the risks!

Just one errant bacterium dragged from the rectum into the prostate or bloodstream as the needle penetrates can result in potentially life-threatening sepsis or even septicemia (aka “blood poisoning”). Since we have been using antibiotics with such wild abandon over the past few decades and have created “superbugs”, many of those bacteria are now antibiotic resistant and virtually untreatable.

But my urologist says he’ll use a different procedure that avoids the rectum – that will be safer, right?

Your urologist is talking about using a trans-perineal approach and may even boast that it will allow him to access more of the prostate gland and take even more biopsy samples.

It is also a much bigger money-maker for your urologist – here is what that Bloomberg article had to say about it:

“The perineum, the skin between the bottom of the scrotum and the anus, is a safer entry point because it can be cleaned with antiseptic, unlike the rectum, said Lindsay Grayson, Austin Hospital’s head of infectious diseases.

The lower risk of infections means urologists can take more core samples of the prostate, especially of the part of the gland that’s difficult to reach from the rectum, Frydenberg said.

On the downside, the procedure takes at least twice as long to perform, requires heavier patient sedation, six people in an operating theater, and equipment costing about $100,000, he said.”

And still not without risk…

Though the transperineal approach may carry less risk of infection, it still exposes men to the same risk as the rectal approach – the risk of spreading an indolent cancer from inside the confines of the prostate where it was sleeping peacefully to the blood and other areas of the body as those cells are dragged out through the surrounding tissues.

In an article in Medical News Today titled Prostate Biopsy Spreads Prostate Cancer Cells, the Diagnostic Center For Disease in Sarasota Florida discussed the phenomenon called “tracking” that occurs:

“A more important issue that is often not discussed between physician and patient involves the possibility of “needle tracking”, the very real possibility of spreading cancer cells beyond the prostate when a biopsy is performed. An extensive review of the literature confirms that once a needle penetrates the capsule of an organ, a phenomenon called “needle tracking” takes place. When the needle is withdrawn from the targeted organ, the chance of spreading cancer cells (when encountered) establishes itself, and every puncture of the prostate adds to this risk.

Despite the significance of this risk to the patient, physicians generally fail to acknowledge a process that allows cells to lie dormant or incubate for up to 10 years or more regardless of the treatment rendered. In a 2 billion dollar prostate biopsy industry, the phenomenon of “needle tracking” takes place approximately 20-30 percent of the time.”

This same article also discusses some of the other risks of prostate biopsy:

“…all men suffer the potential risk for bleeding, scarring, infection or sepsis and needless intrusion that has reportedly resulted in impotency and/or incontinence in some patients.”

But, my PSA is up and my doctor says he’s worried…

There are more reasons than just prostate cancer that might account for a rising PSA – and most of those reasons are quite benign.

Once again let’s see what the discoverer of PSA, Richard J Ablin, has to say:

“Even then, the test is hardly more effective than a coin toss. As I’ve been trying to make clear for many years now, P.S.A. testing can’t detect prostate cancer and, more important, it can’t distinguish between the two types of prostate cancer — the one that will kill you and the one that won’t.

Instead, the test simply reveals how much of the prostate antigen a man has in his blood. Infections, over-the-counter drugs like ibuprofen, and benign swelling of the prostate can all elevate a man’s P.S.A. levels, but none of these factors signals cancer.”

PSA naturally rises as a man ages and the prostate continues growing, but that’s not all:

  • A urinary tract infection or prostatitis can elevate PSA.
  • A healthy activity like a vigorous bicycle (or horseback) ride can elevate PSA.
  • PSA can also be falsely and transiently elevated from something as innocent as having sex with your wife within a day or two of the test.
  • Even the DRE that the doctor performed can cause an elevation of the PSA.

Yes that’s right; an unscrupulous doctor could conceivably perform a “vigorous” or “thorough” DRE “prostate exam” knowing that an elevated PSA would be the result and then use that PSA result to sell his patient a completely unnecessary biopsy procedure!

So, it looks like the PSA is a Bust and shouldn’t ever be used?

Not at all! There are some specific situations where the PSA is a useful tool for the wise doctor to have at his disposal. The following are some of those men who may be wise to follow their PSA:

  • Men with a family history of aggressive prostate cancer, early onset prostate cancer, or death from prostate cancer.
  • Men, especially younger men, (under age 50 or so) who have symptoms of prostate enlargement or disease or unusual findings on DRE.
  • Men of African ethnicity, who tend to develop more aggressive prostate cancers, earlier in life.
  • Men who have been treated for prostate cancer or who has had a prostatectomy performed.

And those biopsies – are there any alternatives?

There may be times when you and your doctor just really need to know – because of symptoms, an unusual finding on DRE, or a rapidly rising PSA over several tests… but biopsy may not be the only option.

Recently, an imaging technology called a “3.0 Tesla Magnetic Resonance Imaging Spectroscopy” scan (MRI -S) is being used to predict and confirm the presence of prostate cancer. This technology is claimed to be the most sensitive and specific diagnostic tool for prostate evaluation in the world, and is said to be able to replace less accurate scanning procedures like the PET scan, CAT scan and Prostascint scans. This is certainly something to discuss with your urologist.

Ultrasound, while not as accurate, may also be employed and is frequently used to guide needle biopsy procedures, either by itself or in combination with MRI imaging.

So, what’s the bottom line?

  • Most men as they age will have an increase in the size of their prostate. This is normal.
  • Most men as they age will have increased PSA levels. This is normal.
  • Most men, if they live long enough, will have cancer in their prostate.
  • Most prostate cancers are very slow growing and cause no problems.
  • Most men with prostate cancer will never know it and will die from something else.
  • PSA testing by itself cannot detect cancer.
  • PSA testing is unreliable in many cases and often leads to unnecessary biopsies and treatments.
  • Prostate biopsy procedures are risky for many reasons.
  • Treatments for prostate cancer can cause more harm than good in many cases.

It is clear that for every aggressive prostate cancer found, treated, and “life saved”, there are many more lives made into a misery of impotence and incontinence through aggressive and unnecessary diagnostics and treatments.

We must do better.

References and Resources:

Epidemiology of BPH: http://emedicine.medscape.com/article/1950546-overview#aw2aab6b5

Latent carcinoma of prostate at autopsy in seven areas. Collaborative study organized by the International Agency for Research on Cancer, Lyons, France: http://onlinelibrary.wiley.com/doi/10.1002/ijc.2910200506/abstract

Richard J Ablin – The Great Prostate Mistake: Published: March 9, 2010 New York Times – http://www.nytimes.com/2010/03/10/opinion/10Ablin.html?_r=0

Screening for prostate cancer in U.S. men ACPM position statement on preventive practice.: http://www.ncbi.nlm.nih.gov/pubmed/18201648

Screening for Prostate Cancer: A Guidance Statement From the Clinical Guidelines Committee of the American College of Physicians: http://annals.org/article.aspx?articleid=1676184

The USPSTF recommends against PSA-based screening for prostate cancer.: http://www.uspreventiveservicestaskforce.org/prostatecancerscreening.htm

AUA RELEASES NEW CLINICAL GUIDELINE ON PROSTATE CANCER SCREENING – http://www.auanet.org/advnews/press_releases/article.cfm?articleNo=290

PSA Screening Does More Harm Than Good, Says New Analysis: http://www.medscape.com/viewarticle/811846

The Melbourne Consensus Statement on Prostate Cancer Testing: http://www.bjuinternational.com/bjui-blog/the-melbourne-consensus-statement-on-prostate-cancer-testing/

PSA Velocity Does Not Improve Prostate Cancer Detection: http://www.cancer.gov/clinicaltrials/results/summary/2011/psa-velocity2011

An empirical evaluation of guidelines on prostate-specific antigen velocity in prostate cancer detection.: http://www.ncbi.nlm.nih.gov/pubmed/21350221

Prostate Cancer Test Causing Sepsis Spurs Biopsy Concerns. Bloomberg, Apr 24, 2013: http://www.bloomberg.com/news/2013-04-24/prostate-cancer-test-causing-sepsis-spurs-biopsy-concerns.html

The Impact of Repeat Biopsies on Infectious Complications in Men with Prostate Cancer on Active Surveillance.: http://www.ncbi.nlm.nih.gov/pubmed/24018237

Diagnostic Center For Disease: Prostate Biopsy Spreads Prostate Cancer Cells – http://www.medicalnewstoday.com/releases/97872.php

Mortality Results from a Randomized Prostate-Cancer Screening Trial: http://www.nejm.org/doi/full/10.1056/NEJMoa0810696

Screening and Prostate-Cancer Mortality in a Randomized European Study: http://www.nejm.org/doi/full/10.1056/NEJMoa0810084

Harvard School of Public Health – Men with prostate cancer more likely to die from other causes: http://ki.se/ki/jsp/polopoly.jsp?d=130&a=146954&l=en&newsdep=130

Accurate Use of Prostate-specific Antigen in Determining Risk of Prostate Cancer: http://www.medscape.com/viewarticle/718972_1

ECC 2013 Press Release: Organised Screening for Prostate Cancer using the Prostate-Specific Antigen Test, Does more Harm than Good – Prostate cancer screening using the prostate-specific antigen (PSA) test is widely used in France despite a lack of evidence showing that it reduces cancer deaths.: http://www.esmo.org/Conferences/European-Cancer-Congress-2013/News/ECC-2013-Press-Release-Organised-Screening-for-Prostate-Cancer-using-the-Prostate-Specific-Antigen-Test-Does-more-Harm-than-Good

 

Man Health


Natural Strategies For Maintaining Male Health

Although men and women are both susceptible to many of the same diseases, those areas of men’s health that pertain to the sex hormones and male sex organs vary greatly from those of a woman. Correct balance of male sex hormones is one of the most important aspect of a man’s health.

Maintaining Youthful Hormone Balance

Myth: only women go through menopause (a decrease in production of sex hormones).

Fact: Both men and women have decreased hormone outputs with advancing age, but the decrease is not as rapid in men as it is in women. Men may have hot flashes, psychogenic changes, bone mineral loss, decreased libido and/or sexual function, weight gain, depression and other symptoms identical to the female menopause.

Normal weight is crucial to hormone balance. Fat cells manufacture estrogen. This can lead to an excess of estrogen in men. Ever see a man with a beer belly and breast-buds? (Female-like development of breasts)? This is caused by an estrogen excess made by the fat cells. Maintaining normal weight is important for balanced sex hormones. Perhaps this is the reason that overweight and obese men have a higher incidence of prostate cancer and benign prostatic hypertrophy.

In males, higher levels of dihydrotestosterone, a hormone derived from testosterone, is associated with benign prostate hypertrophy (BPH) and possibly prostate cancer. Increased levels of estrogens in males also appear to play a role in the development of BPH.

Other non-sex-hormone factors can create imbalances in the sex hormones. An excess or deficiency of thyroid hormone will change sex hormone levels, and no amount of sex hormone replacement will correct the problem until the thyroid function has been compensated for. Changes in liver function cause a shift in the relative amounts of various hormones. That is because the liver processes most sex hormones. I have found many menopausal-aged people, both men and women, who still had normal or even high levels of the circulating sex hormones. Additional mammalian hormones in this instance are inadvisable, because they can create an excess of hormones with the attendant problems.

Self-Help for Hormone Balance

Without a laboratory test, it is difficult to know exactly which hormones are out of balance and by how much. If you are truly interested in preventing the age-related changes that occur with diminished sex hormones, then laboratory testing and personal consultation is advised. Still, there are some good self help measures that you can take.

First, remember that overall good health is critical to the body’s production of hormones. Inadequate nutrients from diet is a major factor in hormone imbalance. Excesses of certain foodstuffs, especially alcohol, refined carbohydrates (sugars), and “trans” fats can all change hormone levels for the worst.

Faulty liver function, as evidenced by high cholesterol levels, contributes to inadequate transformation of hormones. Improving liver function is a key step in normalizing hormones and the body’s response to hormones. (It is possible to have adequate hormone levels and still have symptoms of deficiency or excess if the liver is not working properly).

DIET AND LIFESTYLE RECOMMENDATIONS

  • Diet: eat a nutritious diet high in nutrient-rich foods.
  • Increase consumption of soy products.
  • Achieve and maintain a normal weight.
  • Exercise regularly. 30 minutes, 3 times per week minimum. Running is especially valuable for improving and maintaining erectile function in men!
  • Don’t smoke! The climacteric (menopause) occurs sooner in people who smoke.

PRIMARY SUPPORT

  • BASIC Program such as Maxi Multi’s or Once Daily My Pack  (Multivitamin/mineral supplement with extra antioxidants)
  • Flax Oil l to 2 Caps, 3 times per day with meals.
  • DHEA: 2 caps (25mg) with breakfast. This is a conservative dose for a male. Higher doses might be needed, but it is inadvisable to take higher than 50mg per day without first obtaining a hormone profile. See “Dr. Myatt’s Comment” below.

ADDITIONAL SUPPORT

For Erectile Dysfunction (ED):

For Libido:

For Prostate Health:

  • Saw Palmetto: 1 cap, 2 times per day. This may be increased to 3 times per day if symptoms of BPH are present.

AND

OR

  • Saw Palmetto/Pygeum Plus+: 1-2 capsules, 2 times per day with meals.

ALSO:

Support any organ system that scored high on the Self-Health Questionnaire (see page 6-8 in the Holistic Health Handbook)

DR. MYATT’S COMMENT:

Hormone testing takes the guesswork out of hormone balancing and make correction surer and safer. If you do not see noticeable improvement in six to twelve weeks with self-help measures, consider consulting myself or another holistically-oriented physician. Youthful hormone balance is one of the best health and longevity measures you can take!