Tips for Keeping a Healthy Prostate

Prostate Cancer: Prevention

Tips for Keeping a Healthy Prostate | Johns Hopkins Medicine

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While many people may wonder how to prevent prostate cancer, there’s no one way to avoid the disease. Staying healthy as you age, or working to reverse existing health problems, can lower your risk. However, all cancers, prostate cancer has certain risk factors that cannot be avoided.

Things You Can’t Change: Age, Race and Genes

Prostate cancer is primarily a “disease of aging.” As you get older, your chances of developing prostate cancer increase. Race and genetics also play a significant role. If you are African American, your chances of developing prostate cancer are double those of white American men. If your father, brother or multiple blood relatives had prostate cancer, you are more ly to get it, too.

Preventing prostate cancer might be difficult if you have these risk factors, but screening early and often can help ensure that if you do get cancer, it’s diagnosed and treated as soon as possible.

Things You Can Change: Diet and Lifestyle

Men in western countries have much higher rates of prostate cancer than men in Asia. While no one can definitively explain this phenomenon, experts suspect differences in eastern and western diets are to blame. Poor eating habits and diets that heavily rely on fats and animal proteins can cause DNA damage and lead to cancer.

Even men who are already at greater risk due to age, race or genetics can reduce their chances of developing prostate cancer by adopting healthy diets and lifestyles.

Improve Your Diet

Researchers don’t completely understand the relationship between diet and prostate cancer prevention, but studies suggest that certain eating habits may help.

  • Reduce fat intake. Eat less trans fats and saturated fats. Focus on healthy fats such as omega-3 fatty acids from nuts, seeds and fish.
  • Eat more fruits and vegetables. Incorporate a wide variety of produce, including plenty of leafy greens. The antioxidant lycopene, which is plentiful in cooked or processed tomatoes, has been shown in some studies to slow the growth of prostate cancer cells. Cruciferous vegetables (e.g., broccoli and cauliflower) contain a compound called sulforaphane that may protect against cancer.
  • Add green tea and soy. Clinical trials have suggested that soy may lower PSA levels, and that green tea may help men who are at high risk for prostate cancer lower their risk.
  • Avoid charred meat. Charred meat, from frying or grilling at high temperatures, may produce a chemical compound that leads to cancer.

Maintain a Healthy Weight

Obesity can be a risk factor for developing more aggressive prostate cancer. In general, losing weight and maintaining a healthy weight as you age can help reduce your risk of cancer and many other health problems.

Get Regular Exercise

In addition to helping you achieve a healthy weight, exercise can reduce inflammation, improve immune function and fight some of the negative health effects of a sedentary lifestyle—all of which can help prevent cancer.

Stop Smoking and Drink Less

Quitting smoking can improve your health in many ways, including lowering your cancer risk. And if you drink, do so in moderation. Some studies suggest that red wine has antioxidant properties that may benefit your health.

Increase Your Vitamin D

Most people don’t get enough vitamin D. It can help protect against prostate cancer and many other conditions. Vitamin D-rich foods include cod liver oil, wild salmon and dried shitake mushrooms.

Since the sun is a better, more readily available source of vitamin D, many experts recommend getting 10 minutes of sun exposure (without sunscreen) every day. Doctors often recommend vitamin D supplements.

However, you should talk to your doctor before taking any vitamin or supplement.

Stay Sexually Active

Two studies appear to show that men who have a higher frequency of ejaculation (with or without a sexual partner) were up to two-thirds less ly to be diagnosed with prostate cancer. Studies are ongoing, but some experts theorize that ejaculation clears the body of toxins and other substances that could cause inflammation.

Drugs to Prevent Prostate Cancer

Men with benign prostatic hyperplasia (BPH) are often treated with dihydrotestosterone (DHT)-lowering drugs called finasteride or dutasteride.

These drugs have been studied extensively to determine whether they can prevent prostate cancer, and results suggest that they could reduce cancer risk by about 25 percent.

Patients who develop cancer while on the drugs are more ly to get an aggressive form of the disease, so discuss the advantages and disadvantages with your doctor.


Urologist Michael Johnson explains the connection between prostate cancer and exercise. He also offers tips for getting started with a new workout routine.

How can you protect your prostate? Johns Hopkins urologist H. Ballentine Carter offers tips.


Mayor posts coronavirus misinformation on , falsely claims to be from Johns Hopkins

Tips for Keeping a Healthy Prostate | Johns Hopkins Medicine

Every day, we learn new information about the coronavirus (COVID-19), the pandemic that has changed the world. Wochit

LAS CRUCES – Mayor Ken Miyagishima shared an inaccurate post about coronavirus avoidance tips that falsely purported to come from Johns Hopkins University, an institution which has been researching the virus and providing expert information.

On Sunday, the mayor posted to the community page “las cruces community watch” a post that falsely claims “Johns Hopkins University has sent this detailed note on avoiding the contagion.”

The post then claims to lay out tips and tricks to avoid catching the virus. It describes the virus' genetic makeup, describes why hot water and soap can destroy the virus and explains that alcohol can kill the virus.

It claims the virus cannot go through healthy skin, claims keeping your fingernails short prevents the virus from hiding under them and claims you can prevent the virus from spreading by not shaking clothes or bedsheets.

While many of these claims seem to sound tips the public has heard from health officials, a spokesperson for Johns Hopkins confirmed to the Sun-News that the post is a hoax. It did not come from Johns Hopkins Medicine.

The Sun-News couldn't get Johns Hopkins to evaluate the veracity of each claim in the post, so it's unclear the degree to which each claim included is true or false. Johns Hopkins emphasizes the whole post lacks credibility.

“This is not something produced by Johns Hopkins Medicine (JHM),” a spokesperson said in a statement. “We have seen rumors and misinformation about COVID-19 citing our experts and circulating on social media, and we have received several inquiries from the general public about these posts. We do not know their origin, and they lack credibility.”

More: Coronavirus in Southern New Mexico: What you need to know about the COVID-19 outbreak

Johns Hopkins has kept a detailed webpage about the novel coronavirus, COVID-19, called the Coronavirus Resource Center that includes a map of infections and deaths, information about proper social distancing, information about the virus' behavior and updates from experts and researchers. 

You can find coronavirus information from Johns Hopkins at

Once another member of the group pointed out the post appeared to not have come from Johns Hopkins, the mayor removed it Monday morning.

Miyagishima said when the veracity of the post was called into question, he looked for the information on the Johns Hopkins website and couldn't find it. So he removed the post.

“I made an error in not verifying that it came from Johns Hopkins and that won’t happen again,” the mayor said.

More: Council gives mayor authority to declare state of emergency

The text of the post has been circling in dozens of posts and the mayor’s post appears to have been a direct copy and paste of the viral hoax's text. Before the mayor took the post down, his post was shared more than 480 times. 

Miyagishima told the Sun-News he takes responsibility for the mistake, saying he received the information in an email.

“I have an acquaintance who in the past has emailed me and it always seemed to be pretty much, well, I had no reason to dispute it,” Miyagishima said. “I took it for granted that it was good.”

He said he did research some of the claims online to see if they checked out and determined the information seemed true. 

“There was information on there that seemed credible,” Miyagishima said. “So I guess what I’m trying to say is, some of that, for example washing your hands, certain things that were on there (seemed credible).”

For the last few weeks Miyagishima has been sharing all sorts of coronavirus information with residents on “community watch.”

He's reminded residents that the Las Cruces tap water is available in the event of bottled water shortages. He's reminded travelers into New Mexico from certain hot spot cities to self-quarantine. And he's compiled and posted information about essential city services, grocery store hours for seniors and assistance for workers.

Miyagishima said to expect a further statement on about the false post.

For other places with trusted information, visit the Centers for Disease Control and Prevention website at and the New Mexico Department of Health website at

Michael McDevitt can be reached at 575-202-3205, or @MikeMcDTweets on .

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COVID-19 Tip Sheet: Story Ideas From Johns Hopkins

Tips for Keeping a Healthy Prostate | Johns Hopkins Medicine

The following are various story ideas regarding the COVID-19 illness. To interview Johns Hopkins experts on these topics or others, contact


In a time where limited contact and social distancing is imperative, telemedicine is proving to be a valuable staple of the future of health care. Led by Rebecca Canino, administrative director for telemedicine, and Brian Hasselfeld, M.D.

, assistant medical director of Johns Hopkins digital health innovations, Johns Hopkins Medicine has turned on telemedicine capabilities systemwide in response to the pandemic.

The technology means all Johns Hopkins patients registered in the Epic electronic medical system will be able to access remote care.

Keeping patients at home instead of in hospitals or clinics, when appropriate, will slow the spread of the virus that causes COVID-19, enable continuity of care between our providers and patients, and protect at-risk groups such as geriatric and oncology patients. Canino and Hasselfeld can discuss details about activating a telemedicine response to COVID-19.


Across the nation, COVID-19 has given children a longer spring break from school than expected. For parents searching desperately for things to keep their youngsters busy with besides an endless stream of video games and TV watching, Shannon Barnett, M.D.

, assistant professor of psychiatry and behavioral sciences at Johns Hopkins University School of Medicine, may have just what Mom and Dad need. She can discuss her flyer, “Schools are Closed.

Now What,” a tool that helps families schedule activities, exercise, projects and even chores so that Mr. Boredom stays far away, parents maintain their sanity and children have less anxiety about the pandemic.

Fun ideas from the piece include: have a dance party, cook a meal together and make a video about how the family is staying safe from COVID-19.


In addition to older adults, people with certain pre-existing conditions may be more at risk for serious complications from COVID-19. In particular, pulmonologist Enid Neptune, M.D., can discuss how people with asthma or other chronic lung disorders may be more susceptible.

Cardiologist Erin Michos, M.D., M.H.S., can discuss why people with heart and vascular conditions are at risk. Rehabilitation psychologist Abbey Hughes, Ph.D., M.A.

, can address how patients with autoimmune diseases such as multiple sclerosis need to take additional precautions against infection.


Viruses such as the one that causes COVID-19 infect the cells that line the lungs, intestine and blood vessels by latching onto a protein known as ACE2 and hitchhiking their way into the cell. In theory, the more ACE2 the cells make, the easier it is for the virus to get inside.

People with diabetes and high blood pressure are often treated with medications that raise ACE2 levels, such as ACE inhibitors and angiotensin II type-I receptor blockers that lower blood pressure by relaxing blood vessels. Glitazones, diabetes drugs that help lower blood sugar, also increase ACE2 levels.

Obesity and diabetes can themselves lead to elevated ACE2 levels independent of drug treatment. As a result, some have questioned whether people on these medications may be more susceptible infection from the virus that causes COVID-19. Basic science researcher and cardiologist David Kass, M.D.

, can discuss what we know about this and what patients should do if they are on one of these medications.


COVID-19 has greatly impacted daily life for communities worldwide and has put many communities at risk. The virus has infected thousands of patients in the United States.

Routine doctors’ appointments are being postponed, retail stores and restaurants have closed their doors, and large public events have been canceled in an effort to stop the spread of the virus.

While many are able to seek the care they need to address the illness, some people are in communities that lack basic access to health care facilities that are equipped to treat them. This is becoming a growing issue in America. Lisa Cooper, M.D., M.P.H., can discuss how COVID-19 is affecting these populations.

For more information about coronavirus disease (COVID-19) from Johns Hopkins Medicine, visit For information on coronavirus disease (COVID-19) from around the Johns Hopkins enterprise, including from the Johns Hopkins University Bloomberg School of Public Health and The Johns Hopkins University, visit


From our collaborators at Johns Hopkins Medicine | A user’s guide to men’s health

Tips for Keeping a Healthy Prostate | Johns Hopkins Medicine

Men are less ly than women to visit a doctor, and even when they do, they are less ly to be honest about their symptoms, especially “masculine” guys with male doctors, according to a recent Rutgers University study.

The danger of ignoring a warning sign a sexual slump is that it could indicate a more serious condition, such as diabetes or hypertension.

We asked experts at Johns Hopkins to offer advice on how to identify, address, and prevent common men’s health issues, and they gave us evidence-based answers on everything from ED to heart disease, and from hair loss to supplements. The good news is that when addressed early, many issues can be managed, even reversed.

(Here’s a hint: A few extra pounds around your midsection is often where problems start.) As you scroll through this article, learn how subtle lifestyle changes—maintaining healthy weight, consuming alcohol in moderation, practicing proper skincare, reducing stress, getting more sleep—can help stave off chronic disease and keep you healthier, longer.

Johns Hopkins Experts

Prostate Health: Ballentine Carter, urologist
Hair Loss: Lisa Ishii, otolaryngologist/facial plastic surgeon, and specialist in hair restoration
Healthy Skin: Anna Chien, dermatologist
Supplements: Lawrence Cheskin, gastroenterologist; Gerry Mullin, integrative gastroenterologist
ED: Arthur “Bud” Burnett, urologist
Heart Health: Kerry Stewart, exercise physiologist

Keep Your Prostate Healthy

Approximately one in seven men will be diagnosed with prostate cancer, making it the most common cancer in men, other than skin cancer. It’s also the second deadliest cancer, behind lung cancer. So, is there anything you can do to decrease your odds of getting it?

“The 30,000-foot view is that a heart-healthy diet is a prostate-healthy diet,” says urologist Ballentine Carter. “Diet improves prostate health. Exercise improves prostate health. That’s been proved. Even after diagnosis people who maintain a healthy diet have a smaller chance of recurrence.”

According to Carter, eating fresh fruits and vegetables and maintaining a healthy weight go a lot further in potentially preventing the disease than supplements that claim to be good for prostate health, saw palmetto, DHEA, and selenium.

“Throw them all out,” says Carter, who stresses they are ineffective at best and potentially harmful at worst. “If you were dealt a certain set of genetic cards and you metabolize supplements in a negative way, they could be harmful.

Carter recommends that men in the high-risk category—African-American men and those with a family history of the disease—get a prostate exam and PSA screening by age 40 to establish a baseline. Those who aren’t at high risk can wait until 50.  (Medcan is more proactive and starts screening at age 40 – Read more here.)

Getting a checkup is important in catching the disease at its early stages because it often presents no symptoms or symptoms similar to those of an enlarged prostate, also known as benign prostatic hyperplasia (BPH), the most common prostate problem in men over 50. (Symptoms of BPH include frequent or urgent urination, trouble urinating, or urinary incontinence.) But Carter says that having an enlarged prostate doesn’t mean your risk of cancer increases.

“What I tell patients is that prostates come in all sizes, breasts,” he says. “There are plenty of people who have large prostates and have no symptoms. And there are plenty of people who have small prostates, and they have really bad symptoms. There may be some environmental factors involved, but many things, it depends on the cards you were dealt.”

The Bald Truth

with otolaryngologist Lisa Ishii

You inherit the hair of your mother’s father.

FALSE. There’s a genetic predisposition for balding, but the gene may come from either side.

Men who go bald have more testosterone.

FALSE. It’s not the testosterone itself that is harmful to the hair root. It’s a breakdown of testosterone into something called DHT (dihydrotestosterone). We don’t know exactly how it happens, but it causes the hair root to shrivel up and die.

Saw palmetto stems hair loss.

UNCLEAR. The reason it may be true is because saw palmetto decreases the conversion of testosterone to DHT, but there is not enough data as yet.

Hats cause hair loss.

FALSE. It’s a common misconception, but there’s no relation.

Overshampooing or using the wrong shampoo is a cause.

FALSE. The chemicals in shampoos cannot penetrate the skin to get to the hair root, and hair loss happens at the root.

Stress or sudden tragedy can contribute to hair loss.

TRUE. If you have severe physical or less commonly psychological stress, a death in the family, it can cause the hair root to shift into the telogen (shedding) phase and you suddenly shed a whole bunch of hair at once. It’s not true that common, everyday stress causes it.

Hair loss treatments work.

TRUE. Propecia blocks the enzyme that converts testosterone to DHT. Rogaine (minoxidil) was initially designed for hypertension. People took it in pill form and noted they had better hair. Both slow down the rate at which you lose your hair but don’t necessarily help with regrowth.

Iron deficiency = hair loss.

FALSE. At one point it was accepted as true but has since been proved wrong.

If you have hair past age 40, you ly won’t go bald.

FALSE. Your lihood of experiencing pattern hair loss increases with each decade, but the later you start experiencing it, the better off you will be. You’ll ly end up with more hair if you start losing your hair at 40 than at 20.

Men’s Multivitamins

The claim: Often spiked with lycopene and saw palmetto for prostate health, they provide vitamins and nutrients men’s bodies need.

The verdict: “Studies show they’re not worth spending money on,” says integrative gastroenterologist Gerry Mullin. “I to recommend to people to just eat well.” Gastroenterologist Lawrence Cheskin adds that if you’re going to take a multi­vitamin, make sure it’s specifically for men as multi­vitamins for women often have iron, which, in excess, is a heart disease risk for men.

Vitamin D

The claim: Good for heart health, cancer prevention, and the immune system, vitamin D is often seen in lower levels in men than women.

The verdict: Jury’s still out. There’s no consensus as to whether we should be screening people for vitamin D levels or not, says Cheskin, who personally does recommend screening to his patients.

Fish Oil

The claim: Helps prevent heart disease.

The verdict: “There’s a large body of evidence that omega-3 fatty acids as opposed to omega-6 fatty acids are good for heart disease risk and other things including brain function,” Cheskin says.


The claim: An antioxidant found in red fruits and vegetables, such as tomatoes, which is effective for prostate health.

The verdict: “There have been studies about the benefits of lycopene for prostate health,” Mullin says, “but it’s not a magic bullet. If I had an enlarged prostate and I was having problems, I’d consider it, but I wouldn’t take it just because I’m a male and happen to have an enlarged prostate.”


The claim: Effective in combating everything from heart disease and hypertension to muscle aches and insomnia.

The verdict: any supplement, if there is a specific medical condition that would make your magnesium levels low, you could take it, Cheskin says. Otherwise, you don’t need to take it on its own.

Body by Decade


The problem: As men age, blood pressure and cholesterol levels often increase.

The fix: Eat a heart-healthy diet, exercise, and have your blood pressure and cholesterol levels checked annually. Consider a coronary calcium scan above age 50, if heart disease runs in the family.


The problem: Men ignore their skin more often than women.

The fix: Get an annual head-to-toe skin screen by a dermatologist to evaluate suspicious moles and other skin conditions.


The problem: Men begin losing muscle mass by age 30.

The fix: Incorporate muscle training into your fitness routine to help increase bone density, metabolism, and muscle-fat ratio, while maintaining flexibility and balance.


The problem: Colon cancer is the third most common cancer in men.

The fix: Eat a diet high in vegetables, fruits, and whole grains, and low in red meat and alcohol. Consider a colon­oscopy at age 50, particularly if colon cancer runs in the family.


The problem: Benign prostatic hyperplasia (an enlarged prostate) affects about 50 percent of men between the ages of 51 and 60 and up to 90 percent of men older than 80.

The fix: Eat a low-fat diet, exercise, and undergo a prostate exam by age 50 or sooner if at high risk for prostate cancer.


The problem: Levels typically decrease with age, with about 20 percent of men having low T by their 60s.

The fix: See an endo­crinologist to get your testosterone levels checked, if experiencing a drop in libido, energy level, unexplained weight gain, or ongoing depression.


with urologist Arthur Burnett

First off, what is the definition of erectile dysfunction?

The clinical definition is a persistent inability to obtain and maintain an erection that is sufficient for satisfactory sexual intercourse.

How do you distinguish between a “sexual slump” and clinical ED?

There are so many factors that play into a man’s achieving an erection. Some are transient, some are more constant. Transient things could be just how rested you are, how much stress you’ve been under that day, whether you had something to drink.

Something personal or emotional can influence a response. More constant things are those that are changing a person’s physiology—diabetes or cardiovascular disease or being a longtime smoker or being shape. ED is a symptom and not a disease itself.

So, it can be a symptom of a bigger health problem?

Some do say the penis can be a barometer of your overall health. As your penile vascular health goes, so goes your overall vascular systemic health. Since the blood vessels in the penis are smaller than those in the chest, arterial damage can show up there first.

Can it be a symptom of low testosterone levels?

The two are not so tied together. Some men have very low testosterone and can get erections. Other men have a normal range of testosterone and have ED because of other issues, so there isn’t necessarily a connection.

What’s the difference between the “big three” ED medications?

They all work in a similar way, targeting the mechanism of how tissue responds in the penile area. Cialis has a longer half-life of roughly 17½ hours in the body. That’s why it’s called the “weekend drug.

” By contrast Viagra and Levitra have half-lives of four hours. Side effects are generally the same and are typically minor.

The real risk is that if taken in combination with nitrate drugs, they can have serious blood pressure–lowering effects.

What about taking natural supplements red ginseng, DHEA, or zinc?

Those things are unproved, so I don’t recommend them.

A Canary in the Coal Mine?

Men in their 40s who have erectile dysfunction and no other risk factors for cardiovascular disease run an 80 percent risk of developing heart problems within 10 years.


Prostate Cancer Diet and Nutrition

Tips for Keeping a Healthy Prostate | Johns Hopkins Medicine

Differences in diet and lifestyle may account for the variability of prostate cancer rates in different countries.

Good nutrition may help reduce the risk of developing prostate cancer, slow progression of the disease and prevent aggressive disease.

In this section, we discuss guidelines for a healthy diet for good prostate health and guidelines for a healthy diet while in treatment for prostate cancer. These tips, however, should never be used as a replacement for treatment.

Healthy Diets

We do know that improved nutrition reduces risk of heart disease, cancer, diabetes and obesity, and usually improves overall quality of life.

It’s estimated that a third of cancer deaths in the United States can be attributed to diet in adults, including diet’s effect on obesity. Additionally, a healthy diet helps to increase energy levels, facilitate recovery and enhance the immune system.

According to the World Health Organization, a person with a body mass index (BMI) of 30 or more is considered obese.

Experts now believe choices about our diet account for the vast majority of prostate cancer cases. It’s important to evaluate diet choices when it comes to risk of prostate cancer. Scientists have slowly uncovered a list of cancer super foods and supplements to optimize in your diet while also discovering foods and supplements that could actually contribute to cancer risk and aggression.

Guidelines for a Healthy Diet

  • Your diet should be:
    • Primarily plant based
    • Include plenty of fruits and vegetables
    • High in fiber
    • Low in fat
    • Limited in the amount of simple sugars

Diet Tips for Prostate Health

  1. Eat Fruits and Vegetables
    • Fruits and vegetables contain large amounts of cancer-fighting and inflammation-reducing substances vitamins, polyphenols, antioxidants, minerals and natural fiber. Most men and women do not consume the recommended daily intake of fruits and vegetables. If you are working to change the way you eat, aim to make manageable changes. Try to include a variety of fruits and vegetables in your diet.
      • Cruciferous vegetables (includes broccoli, cauliflower, Brussels sprouts, kale and cabbage) have phytochemicals that reduce Oxidative stress or oxygen free radicals in the body which means a lower risk of prostate cancer and its aggression
      • Carrots are rich in nutrients and contain antioxidants beta-carotene and falcarinol that reduce the risk of cancer
      • Tomatoes are a rich source of a phytochemical called lycopene which attacks free radicals helping the body lower the risk of prostate cancer and its aggression
      • Mushrooms help fight cancer by building the immune system with a supply of compounds called beta glucan and proteins called lectin which have shown to attack cancer cells
      • Pomegranates, particularly pomegranate juice, have been shown to slow PSA doubling time and may help prevent prostate cancer recurrence after primary treatment
      • Grapes and grape juice are rich sources of resveratrol, a type of natural phytochemical that belongs to a larger group of phytochemicals called polyphenols that possess potent antioxidant and anti-inflammatory properties
      • Grapefruit contains several phytochemicals including naringenin, limonin, beta-carotene and lycopene
      • Oranges, lemons and other citrusfruits help protect against DNA-damaging free radicals because they contain hundreds of bioactive compounds including flavonoids and monoterpenes
      • Avocados contain the highest amount of the carotenoid luteinutein of all common fruit
      • Peppers and jalapenos contain a chemical, capsaicin, which neutralizes certain cancer causing substances
      • Apples are a good source of fiber, vitamin C and contain quercetin, a flavonoid that shows both anti-oxidant and anti-inflammatory properties
      • Berries (raspberries and blueberries) are an excellent source of vitamins C and K, manganese and a good source of fiber and blueberries are among the fruits highest in antioxidant power because of the many phytochemicals they contain
  2. Limit Consumption of Animal Protein
    • Diets high in red meat, dairy products and animal fat have frequently been connected with the development of prostate cancer. Red meat (such as beef, pork, and lamb) is particularly tied to aggressive prostate cancer.
  3. Seek Plant Protein
    • Plant-based protein beans, flax and nuts contain quercetin and lignans that suppress the growth of many kinds of cancer including prostate cancer.
  4. Green Tea
    • Green tea contains polyphenols and flavonoids which are strong antioxidants. Tea is the best source of catechins which are being studied for their anti-cancer properties. Green tea has been shown to slow and/or prevent the development of prostate cancer.
  5. Whole Grains
    • Whole grains include brown rice, oatmeal, corn, whole wheat bread, barley, bulgar, kasha, millet, faro, quinoa, and more. Whole grains are great sources of fiber and magnesium and provide protein. Choose food made with whole grain over processed foods.
  6. Limit Sugary Drinks
    • Cutting down on surgary carbonated beverages and drinking water can speed metabolism and flush the body of cancer-causing substances.
  7. Choose Organic Foods when Possible

Click here to find out how healthy your diet is by taking the American Institute for Cancer Research’s Quiz.

Maintaining a healthy diet can help you prepare for and recover after cancer treatment. It may also help to prevent the prostate cancer from coming back.
Watching your weight may also reduce your risk of dying from prostate cancer.

Recent studies have indicated that the risk of dying from prostate cancer is more than double in obese men diagnosed with the disease compared with men of normal weight at the time of diagnosis.

Obese men with local or regional disease have been shown to have nearly four times the risk of their cancer spreading beyond the prostate or metastasizing.

Prostate cancer treatment may affect your appetite, eating habits, and weight, but it is important for you to maintain a healthy weight, get essential nutrients, and remain as physically active as possible.

If you have difficulty eating due to side effects from treatment, there are ways to make eating more comfortable.

Working with a registered dietitian/nutritionist (RDN) can help make sure you are getting the nutrition you need.

Unfortunately it is possible for the side effects of surgery, radiation therapy, and chemotherapy to cause you to lose your appetite, eat less and lose weight. On the other hand, some treatments, such as androgen deprivation therapy may cause weight gain for some men.

Click here to access our previously recorded webinar, Prostate Cancer and Nutrition featuring Margaret Martin, RD, MS, LDN, a nutrition educator from PearlPoint Nutrition Services℠.

Tips for Nutrition During Cancer Treatment

  • Maintain a healthy weight. For many men, this means avoiding weight loss by getting enough calories on a daily basis. For men who are overweight and are obese, this may mean losing some weight. If you are trying to lose weight, it should be moderate, meaning only about a pound a week.
  • Get essential nutrients the body needs, such as protein, carbohydrates, fiber, vitamins, minerals, phytonutrients, such as carotenoids, and water. Not only will your body function better, you will feel better.
  • Be as active as you can, such as taking a daily walk. If you sit or sleep too much, you may lose muscle mass and increase your body fat, even if you are not gaining weight.

If you are struggling to eat enough or are eating too much, nutrition counseling may help you get essential nutrients, such as protein, vitamins, and minerals into your diet and maintain a healthy body weight.

Ask your health care team for a referral to a registered dietitian or nutritionist. Dietitians and other members of the health care team work with people to meet their nutritional needs.

Side Effects and Nutrition

Cancer treatment often causes side effects, such as nausea, mouth sores, and taste changes that may make it difficult to eat or drink. Follow these tips to help you get the nutrition you need:

  • If water tastes unpleasant to you, take in more liquid though items such as soup, tea, milk or milk substitutes such as almond milk, or a sports drink. Or, flavor your water by adding fresh cut fruit.
  • If food tastes bland, try seasoning it with flavorful spices such as garlic, cayenne, dill, and rosemary.
  • Eat several small meals throughout the day instead of trying to eat large amounts of food at one time.
  • Enhance your protein intake with protein from foods such as fish, egg whites, cheese, beans, or high protein smoothies.
  • Suck on mints, chew on gum, or try fresh citrus fruits if you have a metallic taste in your mouth. Brushing your teeth before eating, using plastic utensils, and cooking in glassware can also help.
  • If you have mouth sores or a gum infection, use a blender to make vegetables and meats smooth. Try juicing or making smoothies.Some side effects are often treated with medication, so talk with your doctor or another member of your health care team for more information.

Food Safety

People receiving cancer treatment need to be aware of food safety, because some treatments may weaken the immune system and lead to an infection. An infection occurs when harmful bacteria, viruses, or fungi, such as yeast, invade the body and the immune system is not able to destroy them quickly enough. Here are some basic food safety tips to reduce the risk of infection.

  • Wash your hands before and during the handling and preparing of food.
  • Wash vegetables and fruit thoroughly before eating them.
  • Handle and store food appropriately. For example, keep raw meat away from other foods when cooking.
  • Eat thoroughly cooked foods. For example, do not eat eggs that are not cooked solid, and do not eat raw fish, oysters, or shellfish.
  • Avoid drinking unpasteurized beverages, such as unpasteurized cider, raw milk, and fruit juices.
  • Make sure food you purchase is not past its “sell-by” or expiration date.

Nutrition After Cancer

Choosing to eat a diet filled with fresh fruits and vegetables and other unprocessed, low-fat foods will help you regain strength after prostate cancer treatment. Nutritious eating can also reduce the risk of heart disease, high blood pressure, obesity, and diabetes.

In addition, recent research suggests that making healthy food choices in your survivorship may lower your risk of recurrence and help you live longer. According to many experts, the types of foods recommended to help prevent prostate cancer are the same ones that protect against prostate cancer recurrence.

These experts recommend eating plant-based foods (such as fruits, vegetables, and whole grains), lean protein, and low-fat dairy products, and avoiding highly processed foods and red meats as much as possible.

Nutrition Consultations

PearlPoint Nutrition Services℠ offers free one-on-one nutrition consultations with a registered dietitian experienced in oncology nutrition. The nutrition educator can help cancer patients with healthy eating strategies and side-effect management. Click here for more information.


COVID-19: Infection Control in Your Home – COVID-19 – Johns Hopkins Bloomberg School of Public Health

Tips for Keeping a Healthy Prostate | Johns Hopkins Medicine

If someone in your home is sick—whether confirmed or suspected to be COVID-19—that doesn’t mean all members of the household will get sick. There are still things that everyone in a home can do that may help reduce risk of transmission.

Anna C. Sick-Samuels and Raphael P. Viscidi, from the Johns Hopkins University School of Medicine offered some guidance on the most important things to do—and how the equation changes if one of your family members is in a high-risk category.

Risk-Reducing Behavior Matters

Most often, the virus will spread through very close contacts with people who are sick with symptoms or from touching your face or mouth with contaminated hands. So, risk-reducing behaviors are the most important priority.

That means encouraging more rigorous and frequent handwashing—especially when entering or leaving the house and after using the bathroom; avoiding touching faces; coughing or sneezing into our elbows; and throwing away used tissues.


Spring Cleaning Could Save Lives

Regardless of whether or not anyone in the household is sick, everyone should be stepping up hygiene. It’s also a good idea to disinfect frequently touched surfaces door knobs and light switches.

A CDC how-to guide gives tips on how to clean everything from carpets to laundry, what solutions to use, and specific precautions to take. If someone in the house is sick, give them a separate, lined trash can if possible, and use gloves or wash hands after handling the trash.

Increasing ventilation by opening windows and adjusting air conditioning could help, too.

A Little Distance Could Keep You Healthy

People should try to keep some physical distance—ideally 6 feet apart—between a sick person and other household members, when feasible.

If it’s possible to relocate a high-risk or sick person to a separate room or even another home, that could help. But that isn’t practical or possible for everyone.

If you don’t live in a mansion—or can’t give someone their own room and bathroom—don’t despair. What’s really important are the behaviors.

Remember, too, that if one member is in a high-risk category (e.g. older people and those with significant underlying conditions), that calls for heightened vigilance.

Healthy household members should behave as though they pose a significant risk to more vulnerable members even before anyone is sick, according to a CDC guide with infection control strategies tailored to a variety of settings and situations.

Anna C. Sick-Samuels, MD, MPH, is an instructor of Pediatric Infectious Diseases at the Johns Hopkins School of Medicine and associate hospital epidemiologist for Johns Hopkins Hospital.  

Raphael P. Viscidi, MD, is a virologist and professor of pediatrics and oncology at the Johns Hopkins University School of Medicine and is on faculty at the Johns Hopkins Bloomberg School of Public Health.

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Tips for Keeping a Healthy Prostate | Johns Hopkins Medicine

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The probability illustrations generated from the engine are “Monte Carlo” simulations of 500 possible investment scenarios for a given time period and assume a range of possible returns.

The illustrations are generated according to models developed by Morningstar Investment Management LLC, a leading independent provider of asset allocation, manager selection, and portfolio construction.

The Your Retirement Outlook® graphic reflects the difference between the model’s estimated annual income (which corresponds to a 70% probability level of income in the investment scenarios simulated) and your annual income goal.

When forecasting the probability of achieving your income goal, the model employs different returns for different asset classes, Morningstar Investment Management’s capital market assumptions developed using historical and forward-looking data.

Forecasts of expected return, expected standard deviation and correlation among asset classes Morningstar Investment Management LLC's proprietary equity, fixed income, currency and risk models.

Current assets are assigned to asset classes Morningstar Categories, and fees and charges inherent in investing are incorporated with an average fee assumption for each asset class. The benchmarks used for modeling the various asset classes are below.

Return assumptions are updated annually; these updates may have a material impact on your projections. Return assumptions are estimates not guarantees. The returns you experience may be materially different than projections. You cannot invest directly in an index.

Lower Risk/
Asset ClassCash Alternatives Short Term Bonds Aggregate Bonds Foreign Bonds Direct Real Estate High Yield Bonds TIPS Long Term Bonds Large Cap Value Equity Large Cap Equity Mid Cap Value Equity Mid Cap Equity International Equity Commodities Mid / Small Cap Value Equity Large Cap Growth Equity Mid / Small Cap Equity Small Cap Value Equity Small Cap Equity Mid Cap Growth Equity Mid / Small Cap Growth Equity REITs Small Cap Growth Equity

Emerging Markets Equity

BenchmarkBofA ML US Treasury Bill 3 Month USD BarCap US Govt/Credit 1-3 Yr TR USD Barclays Capital US Agg Bond TR Barclays Global Aggregate Ex USD TR NCREIF Transaction Based Index Barclays Capital US Corporate High Yield TR Barclays Capital Global Inflation Linked US TIPS TR Barclays Capital US Govt/Credit Long TR Russell 1000 Value TR Russell 1000 TR Russell Mid Cap Value TR Russell Mid Cap TR MSCI EAFE GR Bloomberg Commodity TR Russell 2500 Value TR Russell 1000 Growth TR Russell 2500 TR Russell 2000 Value TR Russell 2000 TR Russell Mid Cap Growth TR Russell 2500 Growth TR FTSE NAREIT Equity REITs TR Russell 2000 Growth TR


Higher Risk/

Unless you choose otherwise or your employer supplies different information, the probability illustrations assume retirement at the age at which you qualify for full Social Security benefits and an annual retirement income goal of 80% of your projected final working salary.

Social Security estimates are the Social Security Administration methodology and your current salary.

The probability illustrations also assume a consistent contribution percentage and asset allocation (no future changes or rebalancing unless you are subscribed to a managed account or a target date asset allocation service), annual inflation of approximately 2%, and annual salary increases a calculation that incorporates multiple factors including a salary growth curve and inflation. Mortality assumptions are the Society of Actuaries tables.

The engine utilizes models, algorithms and/or calculations (“Models”). The Models are subject to a number of limitations. Returns associated with market extremes may occur more frequently than assumed in the Models. Some asset classes have relatively limited histories; for these classes the Models use historical data for shorter time periods.

The Model does not consider other asset classes such as hedge funds or private equity, which may have characteristics similar or superior to those used in the Model.

Capital market assumptions are forecasts which involve known and unknown risks, uncertainties, and other factors which may cause the actual results to differ materially and/or substantially from any future results, performance, or achievements expressed or implied by those projections for any reason. Additionally, Models have inherent risks.

Models may incorrectly forecast future behavior or produce unexpected results resulting in losses.

The success of using Models depends on numerous factors, including the validity, accuracy and completeness of the Model’s development, implementation and maintenance, the Model’s assumptions, factors, algorithms and methodologies, and the accuracy and reliability of the supplied historical or other data. If incorrect data is entered into even a well-founded Model, the resulting information will be incorrect. Investments selected with the use of Models may perform differently than expected as a result of the design of the Model, inputs into the Model, or other factors.

There is no guarantee that your income goal will be achieved or that the aggregate accumulated amount will ensure a specified annual retirement income. Results may vary with each use and over time.

IMPORTANT: The projections or other information generated by the engine regarding the lihood of various investment outcomes are hypothetical in nature, do not reflect actual investment results, and are not guarantees of future results.

Moreover, even though the tool’s estimates are statistically sound based upon the simulations it runs, the tool cannot foresee or account for every possible scenario that may negatively impact your financial situation.

Thus you should monitor your account regularly and base your investment decisions on your time horizon, risk tolerance, and personal financial situation, as well as on the information in the prospectuses for investments you consider.

Transamerica has licensed the Morningstar® Wealth Forecasting EngineSM from Morningstar, Inc.

, which is used by Morningstar Investment Management LLC, a registered investment adviser and subsidiary of Morningstar, Inc, in the services it provides to participants.

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