ConditionsOncology / Men's Health
Oncology / Men's Health⚑ High Priority

Prostate Cancer (Integrative Support)

For prostate cancer, Gabriel adds integrative care alongside your urologist's plan and says honestly what the research shows.

Root Causes

10 identified

Supplements

13 recommended

Lab Markers

16 to test

Treatments

6 modalities

Gabriel's Approach

For prostate cancer, Gabriel adds integrative care alongside your urologist's plan and says honestly what the research shows. In the ProtecT trial, monitored men died of the cancer about as rarely as treated men, though more saw it spread; active surveillance is a standard option for low-risk cancer, chosen with your urologist. Guidelines back exercise. Lifestyle changes lowered PSA in a small trial; more vegetables did not slow progression in a larger one, and ketogenic diets are unproven. DHT-blocking dutasteride slowed progression in a trial. Mistletoe may help quality of life; survival evidence is mixed. Immune and nutrient pills need care: in healthy men, vitamin E raised prostate cancer risk, and selenium high-grade cancer in men with enough.

Root Causes

Insulin resistance and metabolic syndrome
Chronic inflammation
Hormones (prostate cancer grows on testosterone and DHT, which is why hormone therapy works)
Immune dysfunction
Oxidative stress (yet antioxidant pills did not help: vitamin E raised prostate cancer risk in a large trial of healthy men)
Environmental toxins
Obesity (linked to more aggressive prostate cancer)
Zinc balance (too much is a risk too: over 100mg a day was linked to advanced prostate cancer)
Vitamin D deficiency (linked to cancer in observational studies; in a large trial, vitamin D pills did not lower cancer rates, though cancer deaths were slightly lower, possibly by chance)
Age, family history, Black ancestry and inherited genes such as BRCA2

Why Conventional Fails

Standard Treatment

Active surveillance (for low-risk), surgery (radical prostatectomy), radiation (external beam or brachytherapy), hormone deprivation therapy (Lupron, also called chemical castration), chemotherapy (advanced disease), newer treatments (HIFU, cryotherapy).

The Problem

Many prostate cancers found by PSA testing would never threaten life, so active monitoring is a standard option to discuss with your urologist. In the UK ProtecT trial of 1,643 men with localized prostate cancer, 2 to 3 in 100 died of prostate cancer over 15 years whether they had active monitoring, surgery or radiation (3.1%, 2.2% and 2.9%), and a quarter of the monitored men (24.4%) never needed treatment at all, though monitoring did mean more spread (9.4%, against 4.7% after surgery and 5.0% after radiation) [Hamdy 2023, NEJM]. The costs of treatment are large: 6 months after surgery, 46% of men needed pads for leakage (4% with monitoring) and only 12% had erections firm enough for sex (52% with monitoring), and at 6 years 17% of men who had surgery still used pads (8% with monitoring) [Donovan 2016, NEJM]. Hormone-deprivation therapy causes bone loss, weight gain, muscle loss, insulin resistance, sexual problems, hot flashes and fatigue, and may raise heart risk [Nguyen 2015, Eur Urol].

Supplement Support

Supplements and herbs some people take alongside cancer care. None is a treatment for cancer: check each one with your oncology team before you start, especially during chemotherapy, radiation or hormone therapy.

Functional MedicineChinese Herbal MedicineWhole Food Nutrition

Supplement support alongside your care

Check each item with your oncology team before you start.

Essential Protocol

Start Here
$75/mo

What's Included

  • Lycopene 30mg/day
  • Saw Palmetto 320mg
  • Vitamin D3 up to 4,000 IU a day if your level is low (the adult upper limit); retest and stay within Gabriel's optimal 50-75 ng/mL
  • Zinc 15-25mg (within upper limits; over 100mg a day was linked to advanced prostate cancer)
Get Essential Protocol

Available through Gabriel

Practitioner-Grade Protocol

Most Popular

Practitioner-Grade: Not Available on Amazon

$165/mo

What's Included

  • Standard Process whole food protocol
  • Kidney Qi Pill (Jin Gui Shen Qi Wan): A classical formula traditionally used for urinary symptoms and low energy; not shown to treat cancer in people
  • Gentiana Drain the Liver (Long Dan Xie Gan Tang): A classical formula traditionally used for 'damp heat' in the lower body; not shown to treat cancer in people
Get Practitioner Protocol

Whole food supplements by Standard Process

Recommended Supplements

Lycopene 30mg/day
Saw Palmetto 320mg
Vitamin D3 up to 4,000 IU a day if your level is low (the adult upper limit); retest and stay within Gabriel's optimal 50-75 ng/mL
Zinc 15-25mg (within upper limits; over 100mg a day was linked to advanced prostate cancer)
Curcumin up to 2g/day, the dose found safe with chemo in a small trial (ask your oncology team during chemo or radiation: it blunted some chemo drugs in lab studies; rare liver injury; stop if dark urine or yellow eyes)
Omega-3 (EPA and DHA) 2-4g/day (4g a day slightly raised atrial fibrillation in trials; ask your oncology team if you take a blood thinner such as warfarin or have AFib)
Green Tea Extract (EGCG) under 800mg a day (800mg or more raised liver enzymes)
Modified Citrus Pectin 15g/day
DIM 300mg
Melatonin 0.5-5mg at bedtime for sleep (20mg did not improve appetite or weight in advanced cancer in one trial, or survival with chemo in another)
Medicinal Mushrooms
Berberine 500mg 3x/day (ask your oncology team during chemo: it slows how the liver clears many drugs; not in pregnancy or breastfeeding)
Pomegranate extract

Key Lab Markers

PSA (not reliable alone; read it with other markers and imaging)
Free PSA (ratio to total PSA)
PSA velocity (rate of rise)
4Kscore test
PCA3 urine test
Prostate Health Index (PHI)
Fasting insulin and glucose
HbA1c
Testosterone (total and free)
Estradiol
DHT
SHBG
Vitamin D, 25-OH (Gabriel's optimal 50-75 ng/mL)
Omega-3 Index
hs-CRP
MRI, biopsy as appropriate

Dietary Guidance

Ketogenic or very low-carb diet (aims to lower insulin and IGF-1; unproven against prostate cancer), cut sugar and refined carbs, cruciferous vegetables daily, tomatoes/tomato sauce (lycopene, absorbed better cooked with fat), pomegranate juice, green tea daily, turmeric, ground flaxseed, organic soy in moderation, omega-3 rich fish, limit red meat and dairy (the evidence is mixed), eliminate alcohol, organic only.

Lifestyle Factors

Maintain healthy weight (obesity is linked to more aggressive prostate cancer), regular exercise (guidelines back it; in observational studies, more vigorous activity was linked to lower prostate cancer death), stress management, adequate sleep, avoid xenoestrogens and EDCs (plastics, BPA), vitamin D (test, and correct a low level), ejaculation frequency (more frequent ejaculation was linked to lower prostate cancer risk in a large observational study), avoid excessive cycling (pressure on prostate), social support, emotional processing, sense of purpose.

Mind, Body & Spirit

Evidence-based practices that complement physical treatment protocols

Mind

Meditation and Mindfulness

strong

Guidelines recommend mindfulness-based programs for anxiety, depression and quality of life in people with cancer; an effect on the immune system or the cancer is unproven.

Visualization Therapy

moderate

Calming imagery may ease anxiety and help with coping (guidelines back relaxation with imagery for anxiety and mood); it has not been shown to affect the cancer.

Body

Moderate Exercise

strong

Guidelines back exercise during and after treatment for fitness, fatigue and quality of life; in observational studies, more activity was linked to lower prostate cancer death.

Spirit

Support Groups for Men

strong

Connection with other men facing prostate cancer reduces isolation.

Emotional Processing

moderate

Addressing fear, masculinity issues, and treatment side effects.

Purpose & Legacy Work

moderate

Finding meaning and contribution during health journey.

Foods That Help

πŸ₯—Broccoli
πŸ₯—Green Tea Cancer
πŸ₯—Fermented Soy Natto Tempeh
πŸ₯—Flaxseed

What You Should Know

PSA Screening Reversal

PSA screening may cause more harm than benefit

Strength: 5/5β€’diagnostic

PSA False Positive Rate

PSA screening has 80% false positive rate causing unnecessary biopsies

Strength: 5/5β€’diagnostic

Find a Practitioner

Find practitioners who offer integrative care alongside your oncology team.

Browse Practitioners

Educational purposes only. Consult a qualified healthcare provider before starting any treatment protocol.

Questions about your options?

Ask Gabriel what the research shows for any option, alongside your oncologist's plan.