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Your Prostate Needs More Than PSA

Dr. Chovanec

45,649 views

Here is the description:

Most men think prostate health is about one thing: PSA numbers. But the research tells a different story.
In this video, I walk you through what the evidence actually shows about body composition, exercise, and prostate cancer risk — including something most men and many doctors never discuss: that structured exercise may change biological markers even in men who already have a prostate cancer diagnosis.
We cover:

Why obesity — specifically visceral fat — is linked to worse prostate cancer outcomes and higher risk of recurrence after treatment
Why vigorous physical activity is associated with lower risk of advanced and lethal prostate cancer
What the ERASE randomized clinical trial found when men with prostate cancer on active surveillance exercised instead of just waiting
The five evidence-based changes that may make your body less hospitable to dangerous prostate disease

This is not biohacking. This is not supplement advice. This is peer-reviewed data from prospective cohort studies and a randomized clinical trial — explained clearly so you can act on it.
📌 References used in this video:

Cao Y, Ma J. Body Mass Index, Prostate Cancer–Specific Mortality, and Biochemical Recurrence. Cancer Prevention Research. 2011. https://pubmed.ncbi.nlm.nih.gov/21233...
Pernar CH et al. Physical Activity and Risk of Prostate Cancer. European Urology. 2019. https://www.sciencedirect.com/science...
Kang DW et al. ERASE Randomized Clinical Trial. JAMA Oncology. 2021. https://pmc.ncbi.nlm.nih.gov/articles...

🔔 Subscribe for evidence-based oncology education — no hype, no shortcuts.

👉 Free Biopsy Checklist (1 page)
If your doctor mentioned a prostate biopsy — don’t go in unprepared.
This 1-page checklist helps you ask the right questions before you decide.
Download and print it here:
https://drchovanec.kit.com/30968ddb5c

📘 Optional PSA Guide (14 pages)
If you want a clear step-by-step framework — from PSA to MRI to biopsy decisions — I’ve organized everything into a simple printable guide.
All the information is explained for free in my videos.
This just puts it into one structured plan you can actually use.
https://chovano.gumroad.com/l/luikhi

#ProstateCancer #MensHealth #OncologyEducation

20 Comments

@DrChovanec Creator 3 months ago (edited) Pinned

What is one thing you are doing this week for your prostate health?

For most men, the best place to start is not extreme: walk more, build and protect muscle, reduce visceral fat, and keep your PSA follow-up on track.

And remember: exercise does not replace PSA testing, MRI, or your doctor’s advice — but it may be one of the most important things you can do for the body your prostate lives in.

▶ Subscribe to my youtube channel: https://youtube.com/@drchovanec?si=A_pIsuLTnA408nAa

👉 Free Biopsy Checklist (1 page)
If your doctor mentioned a prostate biopsy — don’t go in unprepared.
This 1-page checklist helps you ask the right questions before you decide.
Download and print it here:
https://drchovanec.kit.com/30968ddb5c

📘 Optional PSA Guide (14 pages)
If you want a clear step-by-step framework — from PSA to MRI to biopsy decisions — I’ve organized everything into a simple printable guide.
All the information is explained for free in my videos.
This just puts it into one structured plan you can actually use.
https://chovano.gumroad.com/l/luikhi

@steveclarke8169 3 months ago

I was diagnosed with 3+4 last August at age 65 following an MRI which showed a PIRADS 4 tumor. PSA is around 6.5. I am fortunate that I have a low Decipher score but I have family history on my mother's side. I am not overweight. I decided to change my diet and to exercise more. No more red meat, processed meat or dairy, more vegetables, nuts. Less alcohol, but not zero alcohol, 3-5 units per week. I do 150 minutes of cardio a week plus strength training 3-4 times a week. Met with my urologist earlier this month hoping for no increase in PSA and expecting another MRI to be scheduled. He told me my PSA had dropped to 5.0 so no MRI for now. I am relieved, for now, and will stay on my diet and exercise plan. I feel for any man that is dealing with this.

@jeremiahreilly9739 3 months ago

Very helpful, positive, practical presentation. One caveat: All your advice is statistical, meaning keeping fit, minimal visceral fat, high muscle mass, eating vegetarian, never smoking, etc. will benefit men overall, but any individual man can still get prostate cancer despite good behavior. I was an ovo-lacto vegetarian for more than 25 adult years, never smoked, weight training, cross-country skied, played ice hockey, ran 10 km a day, cycled 80 to 120 km several times a week, never smoked, low stress, slept 8-9 hours a night—and I still got aggressive prostate cancer. On the other hand, I weight trained and ran through chemo and while on anti-hormone therapy. My PSA dropped from 894 to 0,3 and still falling. I have not visualized cancer on PSMA-PET scan and I feel fantastic.

@mikeowen1192 1 month ago

Sir Chris Hoy from the UK a champion cyclist and super fit was diagnosed with aggressive prostate cancer about a year ago and given two years to live seen him on TV recently he still looks extremely muscular and very fit I think he will definitely exceed these expectations good luck Chris,😮

@matthewchild7927 1 month ago

Since going primarily carnivore diet my prostate is more calm now at 63 than it was at 55 when eating a higher plant based diet. Red meat is the least inflammatory food there is.

@segovia5758 1 month ago

Difficult to generalise from one's own experience but as a very fit 76 year old who has ticket the right boxes (VO2 max 42 from pre cancer 44, resting heart 52-55) and always ran/exercised five days a week and now exercising well after 72gy and ADT my strong belief is the following : 'good lifestyle' does not stop prostate cancer developing totally if at all. However, my experience is it very definitely super aids recovery, minimises the side effects, gives strength during difficult therapy and even encourages doctor to prescribe treatment normally reversed for younger patients. Seriously, I went into my first meetings wiearing vests from race meetings to make the point that I wanted whatever treatment they could throw at me! PS it all went extremely well.

@onerider808 1 month ago

Appreciate the focus on things I can do. Thanks, doc!

@subhashaol 2 weeks ago

Red meat and tallow are good to keep prostate soft

@james-ei7ku 3 months ago

I was diagnosed with stage 4 prostate cancer in august 2024 at the age of 57, due to exposures from chemicals during the war. After my chemo treatments, I have been taking Lupron. I have been lazy working out with weights, but I do heavy chores around my house, walking my dogs and I feel that I am getting stronger. After watching this video, I will start working out again and reduce my BMI. Thanks for the video.

@derekpaulwilliams1 1 month ago

Very informative indeed

@mldkenny 1 month ago

A really helpful video,thank you.

@JingleJangleJam 3 months ago

Healthy breathing doesn't just require the lungs to be in good shape, but for the objective environment of the air to work. Likewise a prostate doesn't just need itself to be healthy, because prostate bad function is as function as much of the whole environment as of the individual prostate.

@ridebywire07 1 month ago

Thanks Dr. Chovanec for this advice. I've been diagnosed with prostate cancer in the low risk/monitor stage. My Dr. has not given me any life style advice. This is helpful. Thanks.

@acoslow8321 2 months ago

Excellent information, but it was difficult to listen to.Because of the background music

@Levon9404 1 month ago

Doctor, I'm 68 years old, my prostate got swollen when I was 61. It was so bad one day with urination I saw blood, I panicked, immediately I googled to find out what is going on with me, I realized. I have prostate enlargement. I went to the doctor's office they told me my taste showing normal, I don't I have cancer, I told my doctor I cannot pee, I wake up five to six times a night to urinate. Plus my private part has shrunk, to the point I cannot have relationship with my wife, but I have a strong desire. Any advice for me doctor?

@Anthony-ix3rp 1 month ago (edited)

You give me hope..thank you Doctor .
I try to fast by missing a meal or 2 .
Is that helpful ?

@geared-train 1 month ago

Not true i know of very fit and lean atheletes- crossfit, triatheletes, getting diagnosed with PC.

@Michel-gb7gl 1 month ago

I quit eating vegetables and that cured all my prostate problems. That was 7 years ago. All these men with prostate problems can only be linked to diet. There's no other common denominator.