ConditionsPain / Urological
Pain / Urological

Chronic Prostatitis / CPPS

Gabriel recognizes most chronic prostatitis is CPPS (non-bacterial) requiring multimodal approach: pelvic floor physical therapy (most important), addresses psychological stress, anti-inflammatory supplements, quercetin (proven helpful), zinc, addresses gut health, and uses relaxation techniques.

Root Causes

6 identified

Supplements

9 recommended

Lab Markers

7 to test

Treatments

2 modalities

Gabriel's Approach

Gabriel recognizes most chronic prostatitis is CPPS (non-bacterial) requiring multimodal approach: pelvic floor physical therapy (most important), addresses psychological stress, anti-inflammatory supplements, quercetin (proven helpful), zinc, addresses gut health, and uses relaxation techniques. For bacterial prostatitis, supports antibiotic treatment with probiotics and immune support.

Root Causes

Chronic Pelvic Pain Syndrome (CPPS - non-bacterial, most common)
Bacterial prostatitis (less common, recurrent)
Pelvic floor dysfunction
Autoimmune factors
Neurogenic inflammation
Stress and psychological factors

Why Conventional Fails

Standard Treatment

Alpha-blockers (relax prostate and bladder neck), antibiotics if bacterial (often empiric even without bacteria), NSAIDs for pain, sometimes 5-alpha reductase inhibitors, pelvic floor physical therapy (underutilized), psychological support.

The Problem

Overuse of antibiotics even when not bacterial, inadequate use of pelvic floor physical therapy (most effective), doesn't use quercetin (proven helpful), inadequate psychological and stress management support, alpha-blockers have side effects, often frustrating condition without comprehensive multimodal approach.

Your Complete Protocol

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

Functional MedicinePeptide TherapyWhole Food Nutrition

Your Protocol for Chronic Prostatitis / CPPS

Choose the level that's right for your healing journey

Essential Protocol

Start Here
$75/mo

What's Included

  • Quercetin 500mg 2x/day (proven effective)
  • Bromelain 500mg 2x/day
  • Zinc 50mg
  • Saw palmetto 320mg
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Available through Fullscript

Practitioner-Grade Protocol

Most Popular

Practitioner-Grade — Not Available on Amazon

$165/mo

What's Included

  • Standard Process whole food protocol
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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)
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Standard Process + Matter peptides

Recommended Supplements

Quercetin 500mg 2x/day (proven effective)
Bromelain 500mg 2x/day
Zinc 50mg
Saw palmetto 320mg
Pygeum 100mg 2x/day
Curcumin 1000mg 2x/day
Omega-3 4g/day
Magnesium Glycinate 400-600mg
Probiotics if antibiotics used

Key Lab Markers

Urinalysis and culture
Expressed prostatic secretions (EPS) culture
Post-prostate massage urine
PSA (may be elevated with inflammation)
Uroflowmetry
STI testing
Cystoscopy if hematuria or other concerns

Dietary Guidance

Anti-inflammatory diet, avoid bladder irritants (caffeine, alcohol, spicy foods, acidic foods, artificial sweeteners), adequate hydration, omega-3 rich fish, quercetin-rich foods (onions, apples, berries, green tea), zinc-rich foods, avoid constipation (worsens pelvic pain).

Lifestyle Factors

Pelvic floor physical therapy (MOST IMPORTANT - myofascial release, trigger point therapy, relaxation techniques), stress management and psychological support, regular ejaculation (may help drain prostate), warm sitz baths, avoid prolonged sitting or cycling, adequate exercise, biofeedback, acupuncture, alpha-blockers if voiding dysfunction, avoid antibiotics unless bacterial (worsen gut health).

Mind, Body & Spirit

Evidence-based practices that complement physical treatment protocols

Mind

Stress Management

moderate

Psychological stress major component of CPPS.

Biofeedback

moderate

Pelvic floor relaxation training.

Body

Pelvic Floor Physical Therapy

strong

Most effective treatment for CPPS - myofascial release, trigger points.

Quercetin Supplementation

moderate

Proven effective in clinical trials for CPPS.

Acupuncture

moderate

May reduce pain and improve symptoms.

Warm Sitz Baths

moderate

Relaxation and pain relief.

Spirit

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