PROSTATE: YOU DO NOT NEED A RECTAL EXAM!!!! (unless you want one)

[@ryanray6215]

This is crazy . Go for the checkups every 6 months , then biopsy , then radiation , then surgery from those doctors , but they will never ever ask the patients what are their life style is , what are they EATING ? They will never ever mention to patients : "How about you try the carnivore diet for a 6 months and then come back and we will check this PSA ? " I am now for the past 4 years on a carnivore diet and I have no reason to see a doctor for at least past 6 years , unless if I brake my leg or other injury . I'm 63 and thriving like never before . Feeling way better then I was 17 :-) .

[@ianstuart5660]

Good on you, that's the way to do it if able!

[@bloodybonescomic]

I am 64 and I have totally given up on my doctors. I eat one meal a day which has no or extremely few carbs, I work out and I weigh 168 which is merely 8 lbs overweight. I will not go for checkups.

[@DrAJ_LatinAmerica]

Doctor should tell them to 100% avoid alcohol and smoking. Get daily sunlight, sex, exercise and 8 hours quality sleep. Reduce stress. Move to the beach. Change job or spouse if in a toxic relationship. And of course, eat correctly for their specific age, race, activity levels, past health history and present health status.

[@ianstuart5660]

@@DrAJ_LatinAmerica You give fantastic advice. If we all had Docs like you, a lot of the trust and love would be returned to the profession!

[@DrAJ_LatinAmerica]

@@ianstuart5660 part of the problem, they take insurance and waste money with insurance companies and programs. Too many people allow their employer (who provides the insurance) or the government insurance to get into their private lives and bed. I take cash only, on retainer just like a lawyer which allows me and colleagues to be will to provide 1 minute or 1 hour or even one week of 24 hour service. Whatever the patients what. They are the boss, they are the customer. Insurance has destroyed the client / provider portion of the medical industry. Universities destroying the education side and pharmaceutical companies making capitalism look bad.

[@DrRbrain]

Thanks for the great discussion. I've had high PSA for 14 years (4.1--11.2), 3 biopsies, 2 MRIs and no Pca. For me it's been much ado about nothing. But, as Dr. Thomas says, it's all about finding the aggressive kind at an early stage, which is much less common, but deadly. Everything to do with the prostate is tricky, every test imperfect, every decision calculated guesswork. Welcome to Prostateland!

[@DrQuadrivium]

Simple PSA is unless. Digital prostate is also usually grossly inaccurate even when done by a urologist. Multi parametric MRI will give accurate prostate size and PSA density _(useful)._

[@frankenz66]

Am 56, and the last test psa was 1.0 the highest it has ever been. Prostatitis episodes since 40 years of age. Haven't had one in years since getting allergy therapy and off seed oils and high carbs.

[@trail.blazer]

I'm 58 and have an enlarged prostate for well over 14 years (so long I can't remember exactly from when!). Doesn't cause me any problems and at least since going low carb a few years ago it has not got worse. My first PSA test was in 2014 and since then it has been consistent at around 0.5 ug/L

[@godsdozer]

wow, you docs are great. Thanks

[@666LUFC]

"A lot of wriggle room" I see what you did there! :) Seriously-great info. Many Thanks.

[@Youreout]

Absolutely, one of the best discussions on KZbin, on any medical subject! Well done Doctors and thank you! I learned so much.

[@robertcywes2966]

Thanks

[@johncroasdale2748]

I can't agree with not having a rectal exam. I am 70 and had BPH since 50 with a psa of 4.0 Psa has floated around 4 since I was 50. Last year I went for exam for Resume procedure and had a rectal exam. Prostate was found to be hard and lumpy. Had a biopsy and showed I have Gleeson9 cancer prognosis. Very agressive prostate cancer now metastasized and spread to my pelvis. GET A RECTAL EXAM. PROBABLY SAVE YOUR LIFE!

[@robertcywes2966]

Ultrasound wd likely have shown it a few years earlier

[@jayhillz3705]

You were probably in a 💩 diet

[@Straightdeal]

PSA velocity is the main giveaway. I had a radical prostatectomy in 2013. I was 58 at the time. My PSA at the time was 3.68. The issue is that it had jumped by around 75% in a year. The absolute value is not really valuable at all. Low free PSA with high velocity calls for a biopsy. Digital exam really is worth basically nothing in my opinion, unless I guess the cancer is really advanced. I had no symptoms. My two siblings had the same experience around the same time. We all had biopsys, Gleason (3,4) diagnosed, and the op. Fortunately, we are all doing well up to now. PSA checked annually, < 0.05 every year.

[@petest3410]

Dr Thomas's Seyfried has reservations about biopsies and releasing cancer cells outside the r tumor. Any thoughts on that?

[@barbsdee3831]

My husband was 48 years old with no symptoms. When he had a wellman check-up with a PSA of 12 yep it was cancer 😢

[@hikari8858]

Wondering why HIFU (High Intensity Focused Ultrasound) was not discussed...? I know a couple of men who went with that treatment and it was very successful (and it's not toxic).

[@user-qj2wb7ne4e]

Excellent presentation. Please extend the the discussion to include “possible” preventative measures to reduce BPH and prostate cancer. What forms of radiation is used? What are the risks/benefits of hormonal treatment?

[@robertcywes2966]

Will ask Dr T to comment

[@derwynmdockenjr]

Robert Cywes, I F***ing Love you!❤🥰

[@kimheath9974]

So helpful!

[@LeahWriter]

Great video. I'm wondering why the prostate seems to be a weak link in human physiology.

[@trail.blazer]

Maybe it's only a weak link when it is 'attacked' by modern lifestyle. Insulin is a growth factor which some people suggest causes the prostate to grow larger. Many things appear to be correlated with increased cancer, particularly seed oils, then of course high carbs increase insulin, plus many cancers love glucose.

[@davidcottrell1308]

HA HA...love the title. Precious!!

[@my-yt-inputs2580]

I had my prostate removed in 2019. I go back to my urologist every 6 months for followup. I get a PSA and digital exam. I asked why the urologist feels the need to do a digital exam since I no longer have a prostate. It was suggested it was done to generate billables.

[@rfolea2]

Great content, though I wish they had talked about the 4K Test vs PSA Test ...

[@robertcywes2966]

Will ask Dr T

[@rle440]

My fathers PSA was normal and his doctor did a rectal exam and felt something abnormal. He was 58 years old and it was cancer but they caught it in the nick of time as it had broke through the prostate, gleason score of 7. He is now 67 and did have some radiation done in the prostate bed last year because his PSA got up to .2 He has been at zero ever since.

[@edwinhermanson8842]

One doc says PSA is poor indicator of cancer one says its great wtf ! Ive read that often a person can have a high psa yet not have cancer yet have a low psa and have advanced cancer. We're fucking LOST !!

[@zachary813]

What about the old Chinese trick for relief from BPH? About twice a week, you stick your finger up there and tap on the prostate 121 times.

[@trail.blazer]

I just tried that but got a funny look from the other people on the bus.

[@dieselbourbon3728]

I can only get to about 30 then need a nap.

[@robertcywes2966]

This is not that kind of talk!😂

[@zachary813]

@@robertcywes2966 I'm not kidding!

[@tallowturq]

Does occasionally pulling your plonker help? 🧐

[@will2dmax1]

High PSA is an indication of an enlarged prostate, has nothing to do with cancer, I've always had a high PSA, with the exception of after my prostate surgery it was 2.5 after that, now it's been running like 8 for years had biopsy's scans you name it, I've had an enlarged prostate since I was about 50,when I had green laser surgery.

[@donparkes5056]

Any thought on Radiosurgery vs std surgery and radiation?

[@Seattlebeginner]

AMEN

[@341788]

So this fermentation… I heard in another video that any leafy greens are always okay to eat. Can they not ferment? Would grains be less prone to fermentation than veggies?

[@judiumstead5484]

I wish I had the choice...since my Colorectal surgeon retired it is like pulling teeth to get my GYN to do a rectal to make sure there is no reoccurrence and since my CA was found early grade 1. SOC dictates I don't get to have another PET scan until the 5 yr mark. which happened during covid but the last time i saw my Onc he wanted me to get the poke I said absolutely not and they haven't called me back for follow ups. btw i had a 3.25X 3.45 cm squamous cell mass on the back side of the anal sphincter w/ bx only and chemo/rad sandwich with 5FU

[@Unsensitive]

I started taking pygeum and saw palmetto berry to reduce DHT and stave off prostatic hyperplasia, including the problems that come with it. That plus lower insulin of fasting and eating whole foods, mostly animal based and seed oil avoidance, will help keep my prostate normal sized and healthy.

[@tanzanable]

Do chronically high insulin levels cause prostate dysfunction and cancer?

[@frankenz66]

Believed to be yes. I know my symptoms of BPH improved getting off high carbohydrates and seed oil fats.

[@Bass.Player]

I believe it does, certainly as it pertains to BPH. Insulin is anabolic particularly when you also consider IGF1 so this is what I believe causes BPH and therefore dysfunction. I don't think testosterone/androgen is the culprit realizing at what time in a males life is testosterone the highest, it's probably during puberty and for some time thereafter when there is no occurrence of BPH. We only seem to get BPH when our testosterone is at a very low point. So if you are insulin resistant you would be more likely to experience BPH due to higher levels of circulating insulin. IMO...

[@robertcywes2966]

They contribute..low carb helps w most cancers

[@wjm4268]

I’m 55 and have had a fluctuating psa for 13 years. Does a carnivore or keto help lower and restore the prostrate? My prostrate is twice the size it should be.

[@bbujic]

I am much older (84) and also have had an enlarged prostate. I kept it stable for years using turmeric paste. However, since I jumped on a keto diet, after less than 90 days I noticed a terrific improvement. It indicates that my prostate is shrinking. So yes, keto works!

[@jans8304]

An MRI is not even that expensive. Much better than this guesswork

[@StephenHope-d2p]

Funny, until recently I hadn't realized that Mario updated his favorite way to tackle ED and it's a relief! Although what he previously suggested was pretty good, it was a real pain to follow... I just go'ogled the latest in Mario's Thunderous Erections, it's so much easier and potent now!

[@FRANCISJPERIERASANTOS]

Completely wrong. the fact is you do not want one unless you NEED one for medical reasons. Unless you are "a little special".

[@allstarchris33]

Finger talk got me cringing

[@jans8304]

Kenneth Thomas hast low energy.