ConditionsReproductive / Men's Health
Reproductive / Men's Health

Benign Prostatic Hyperplasia (BPH)

Gabriel treats BPH by reducing DHT with saw palmetto and other 5-alpha reductase inhibitors, addressing estrogen dominance, reducing inflammation, optimizing zinc and other nutrients, supporting urinary flow, and monitoring PSA and prostate size.

Root Causes

8 identified

Supplements

12 recommended

Lab Markers

9 to test

Treatments

1 modalities

Gabriel's Approach

Gabriel treats BPH by reducing DHT with saw palmetto and other 5-alpha reductase inhibitors, addressing estrogen dominance, reducing inflammation, optimizing zinc and other nutrients, supporting urinary flow, and monitoring PSA and prostate size. Combines natural approach with conventional monitoring (PSA, DRE, flow studies). Recognizes many men can avoid surgery or medications with comprehensive natural protocol. Emphasizes lifestyle factors (weight loss, exercise) profoundly affect BPH progression.

Root Causes

Age-related hormonal changes (increased DHT, estrogen)
Testosterone conversion to dihydrotestosterone (DHT) via 5-alpha reductase
Estrogen dominance in aging men
Chronic inflammation
Insulin resistance and metabolic syndrome
Obesity
Zinc deficiency
Chronic prostatitis

Why Conventional Fails

Standard Treatment

Watchful waiting if mild, alpha-blockers (tamsulosin, doxazosin) relax prostate and bladder neck, 5-alpha reductase inhibitors (finasteride, dutasteride) shrink prostate, combination therapy, TURP surgery (transurethral resection) if severe, newer minimally invasive procedures (laser, steam).

The Problem

Medications have side effects (sexual dysfunction with finasteride, dizziness with alpha-blockers), doesn't address estrogen dominance or inflammation, inadequate nutritional support (saw palmetto as effective as finasteride with fewer side effects), doesn't optimize weight and metabolic health, surgery has risks and complications, doesn't use combination of natural 5-alpha reductase inhibitors and phytosterols proven effective.

Your Complete Protocol

A comprehensive, tiered approach combining supplements, herbs, and advanced therapies

Functional MedicinePeptide TherapyWhole Food Nutrition

Your Protocol for Benign Prostatic Hyperplasia (BPH)

Choose the level that's right for your healing journey

Essential Protocol

Start Here
$75/mo

What's Included

  • Saw Palmetto 320mg/day (proven effective)
  • Beta-sitosterol 180mg/day
  • Pygeum 100-200mg
  • Stinging Nettle Root 300mg 2x/day
Get Essential Protocol

Available through Fullscript

Practitioner-Grade Protocol

Most Popular

Practitioner-Grade — Not Available on Amazon

$165/mo

What's Included

  • Standard Process whole food protocol
Get Practitioner Protocol

Whole food supplements by Standard Process

Complete Protocol

Best Value
$245/mo

What's Included

  • All Practitioner-Grade supplements & herbs
  • BPC-157 (tissue repair + gut healing)
  • Thymosin Alpha-1 (immune modulation)
Get Complete Protocol

Standard Process + Matter peptides

Recommended Supplements

Saw Palmetto 320mg/day (proven effective)
Beta-sitosterol 180mg/day
Pygeum 100-200mg
Stinging Nettle Root 300mg 2x/day
Zinc 30-50mg
Lycopene 15mg
Pumpkin seed oil 1000mg
Rye pollen extract (Cernilton)
DIM 200mg (estrogen metabolism)
Curcumin 1000mg 2x/day
Omega-3 2-4g/day
Vitamin D3 5000 IU

Key Lab Markers

PSA (prostate-specific antigen)
Free PSA / Total PSA ratio
Digital rectal exam (DRE)
Post-void residual volume
Uroflowmetry
Prostate ultrasound (measure size)
Testosterone, estradiol, DHT
Urinalysis (rule out infection)
Creatinine (kidney function)

Dietary Guidance

Lycopene-rich foods (cooked tomatoes, watermelon), zinc-rich foods (pumpkin seeds, oysters, red meat), cruciferous vegetables (DIM for estrogen metabolism), green tea (inhibits 5-alpha reductase), omega-3 rich fish, avoid excess animal fat (may worsen BPH), limit dairy (some evidence dairy worsens), avoid caffeine and alcohol evening (worsen urinary frequency), adequate hydration but limit fluids before bed, plant-based diet associated with lower BPH risk.

Lifestyle Factors

Lose excess weight (obesity worsens BPH), regular exercise (reduces risk and symptoms), avoid long periods sitting (bicycle riding may worsen), pelvic floor exercises (strengthen urinary control), double voiding technique (empty bladder completely), avoid decongestants and antihistamines (worsen urinary retention), limit evening fluids, urinate when first feel urge (don't hold), keep warm (cold worsens symptoms), manage stress, regular ejaculation (may help drain prostate).

Mind, Body & Spirit

Evidence-based practices that complement physical treatment protocols

Mind

Stress Reduction

moderate

Stress can worsen urinary symptoms.

Body

Pelvic Floor Physical Therapy

moderate

Strengthening and relaxation techniques for urinary control.

Kegel Exercises

moderate

Strengthen pelvic floor and improve urinary symptoms.

Prostate Massage

emerging

May help drain congested prostate and reduce inflammation.

Weight Loss

moderate

Reduces prostate size and improves urinary symptoms.

Regular Exercise

moderate

Associated with reduced BPH risk and symptom improvement.

Spirit

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