Podcasts about Benign prostatic hyperplasia

In this episode, Dr. Alexander Glaser (US) explores the relationship between genetic predisposition and lifestyle in benign prostatic hyperplasia (BPH).Drawing on data from a UK Biobank cohort study, he investigates whether varying levels of physical activity can modulate genetic risk factors for BPH. Dr. Glaser provides a detailed overview of the study's methodology, key findings, and potential implications for preventive and personalised approaches to managing prostate health. This episode sheds light on the critical intersection of genetics and lifestyle in addressing urological conditions.For more EAU podcasts, please go to your favourite podcast app and subscribe to our podcast channel for regular updates: Apple Podcasts, Spotify, EAU YouTube channel.

In this new episode, we welcome Dr Peter Chiu from Hong-Kong to talk about another topic than prostate cancer: BPHDiscover:What is BPH and its symptomsTreament optionsTargeted microwave ablation for BPHInitial results on the study testing TMA for BPHPatients' feedbacksHosted by Ausha. See ausha.co/privacy-policy for more information.

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Benign Prostatic Hyperplasia (BPH)⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠from the Renal section at ⁠⁠⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠ Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

Discover the cutting-edge Aquablation procedure and its revolutionary role in treating benign prostatic hyperplasia (BPH). Dr. Jaspreet Singh shares insights into how this minimally invasive technique benefits patients and enhances their quality of life.

This recording features audio versions of August 2024 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Safety and Effectiveness of Endovascular Treatment of Complications Associated with Persistent Sciatic Artery: A Qualitative Systematic Review ReadA Qualitative Systematic Review of Endovascular Management of Renal Artery Aneurysms ReadHemorrhagic Adverse Events of Transthoracic Needle Biopsy of the Lung in Patients with Pulmonary Hypertension: A Systematic Review and Meta-Analysis ReadRecurrence of Pulmonary Arteriovenous Malformation after Embolization in Patients with Pulmonary Hypertension ReadClinical, Functional, and Quality-of-Life Outcomes after Computer Assisted Vacuum Thrombectomy for Pulmonary Embolism: Interim Analysis of the STRIKE-PE Study ReadSafety and Effectiveness of Track Cauterization for Lung Cryoablation ReadComparison of Outcomes of Drug-Coated Balloons versus Plain Balloons in Secondary Interventions on Percutaneous Arteriovenous Fistulae ReadTransperineal Laser Ablation of the Prostate for Symptomatic Benign Prostatic Hyperplasia: Long-Term Follow-Up in 40 Patients ReadJVIR and SIR thank all those who helped record this episode:Host:Manbir Singh Sandhu, University of California Riverside School of MedicineAudio editor:Hannah Curtis, Loma Linda University School of MedicineAbstract readers:Vasan Jagadeesh, University of California San Diego School of MedicineDhanush Reddy, MBBS, Massachusetts General HospitalAshwin Mahendra, Florida Atlantic University Charles E. Schmidt College of MedicineTaji Kommineni, MD, JD, LLM, Emory UniversityAnna Hu, George Washington University School of Medicine and Health SciencesBrian Ng, MD, University of California Los AngelesJack Ficke, Frank H. Netter School of MedicineMark Oliinik,  Loma Linda University School of Medicine©  Society of Interventional RadiologySupport the Show.

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

The Surgical Management of BPH and Updates from the AUA Clinical Guidelines Podcast (2024) CME Available: https://auau.auanet.org/node/41595 ACKNOWLEDGEMENT: This educational series is supported by an independent educational grant from Olympus Corporation of the Americas. At the conclusion of this activity, participants will be able to:   1. Describe the role of the AUA Clinical Guideline on the Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia. 2. Discuss the evidence base for current technologies, including pivotal studies, and be able to define the role and clinical expectation for each of them. 3. Interpret the current clinical results and compare the patient experiences of these treatments in relation to more established and even abandoned treatments for patient groups with similar characteristics. 4. Differentiate between each of the new technologies for treating BPH/LUTS based on both their mode-of-action and the quality of their supporting evidence.

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Benign prostatic hyperplasia (BPH) is an extremely common condition seen in clinical practice, and one which can cause considerable difficulties in older men. Common symptoms include frequent urination, difficulty starting urination, weak urine stream or the need to urinate during the night – all of which significantly impact on quality of life. Treatment options vary depending on symptom severity and can include no treatment, medication, minimally invasive procedures or surgery. In this episode, Dr Roger Henderson looks at the key things to remember when assessing a patient with BPH and covers the newer treatments now available as well as more traditional conventional options.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/urology/ep-107-benign-prostatic-hyperplasia.Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.

Dr. Place teaches on BPH

Are you experiencing frequent urination, urgency, or a weak urine stream? These could be signs of a common condition called Benign Prostatic Hyperplasia, or BPH.Join us in this informative podcast episode where we chat with Dr. Nicholas Hopson, a urologist at Monument Health in Rapid City. Dr. Hopson will explain BPH in a clear and easy-to-understand way, addressing:What is BPH and what causes it?Common symptoms and how they affect daily life.Treatment options available and their effectiveness.Lifestyle changes that can help manage BPH.Whether you're concerned about your own health or looking to learn more about BPH for a loved one, this episode is for you! Tune in and gain valuable insights from Dr. Hopson to navigate this common condition with confidence. Hosted on Acast. See acast.com/privacy for more information.

Written by: David ColeIn this episode of Healthy Takeout we dive into the essential information surrounding Benign Prostatic Hyperplasia (BPH) and Urinary Incontinence in men. Our expert guest, Dr. Swierzewski will provide invaluable insights to help men and their loved ones effectively manage these common health issues.

Today we are going to discuss a treatment option for men with benign prostatic hyperplasia (BPH), or an enlarged prostate. This is a very common problem, affecting 50% of men over the age of 50.

Dr. Chadi Diab and Dr. Andrew Shabila discuss everything you need to know about Benign Prostatic Hyperplasia (BPH) and Prostatic Artery Embolization (PAE).

Kevin Hardage is President and General Manager at Teleflex Interventional Urology. They're treating a common problem males face as we age - Benign Prostatic Hyperplasia, or BPH. Their minimally invasive treatment provides relief for patients, and an effective way for physicians to better treat the disease.  In this Episode Kevin shares the issues with BPH, educating physicians who use the product, direct to consumer marketing, metrics and objectives within DTC, how to involve referring physicians, and team development.Links from this episode:Kevin Hardage LinkedIn https://www.linkedin.com/in/kevin-hardage-8466a64/Teleflex  https://www.teleflex.comUrolift System https://www.urolift.com/Support the showConnect with Mastering Medical Device: Website: https://www.masteringmedicaldevice.com LinkedIn: https://www.linkedin.com/company/mastering-medical-device Patrick Kothe LinkedIn: https://www.linkedin.com/in/patrick-kothe Patrick Kothe Twitter: https://twitter.com/patrickkothe Support the show for as little as $3/month: https://www.buzzsprout.com/1286645/support Thanks for listening!

In this episode, William Maclean talks about Benign Prostatic Hyperplasia. He covers the causes, symptoms, and treatment options for this common condition that affects many men. To access the full written article, click here. And don't forget to subscribe to our podcast on your favorite podcast provider, so you never miss an episode!See our Monthly Practitioner Discounts https://www.mayway.com/monthly-specialsSign up for the Mayway Newsletterhttps://www.mayway.com/newsletter-signupFollow ushttps://www.facebook.com/MaywayHerbs/https://www.instagram.com/maywayherbs/

Dr. Refky Nicola interviews Andrei Purysko, MD about his invited commentary recently published in RadioGraphics. Imaging in Patients with Symptomatic Benign Prostatic Hyperplasia. Purysko. RadioGraphics 2023; 43(5):e220207. MRI of Benign Prostatic Hyperplasia: Important Pre- and Posttherapeutic Considerations. Han et al. RadioGraphics 2023; 43(5):e220096.

Welcome all to IS PHARMACOLOGY DIFFICULT Podcast! I am Dr Radhika Vijay.In this episode, I will be talking about very Selective- "ALPHA 1 RECEPTOR ANTAGONISTS", like Prazosin, Terazosin and Doxazosin. Prazosin is the prototype drug and there is so much to talk about it- Extent of selectivity, its action, effect, pharmacokinetic profile, adverse effects and metabolic effects.Next in the list are Terazosin and Doxazosin, they are too discussed heartily and while comparing them with Prazosin, a good amount of light is thrown on their profile.I will be discussing uses of these agents especially in states of BPH, Benign Prostatic Hyperplasia!In the end, one liner about Tamsulosin & one liner revision advise will keep up the spirits till I knock back with next bunch of tales about left over Alpha 1 Receptor blockers like Tamsulosin, Alfuzosin and Silodosin. Chao till then!!For all the updates and latest episodes of my podcast, please visit www.ispharmacologydifficult.com where you can also sign up for a free monthly newsletter of mine.It actually contains lot of updates about the medical sciences, drug information and my podcast updates also.You can follow me on different social media handles like twitter, insta, facebook and linkedin. They all are with same name "IS PHARMACOLOGY DIFFICULT". If you are listening for the first time, do follow me here, whatever platform you are consuming this episode, stay tuned, do rate and review on ITunes, Apple podcasts, stay safe, stay happy, stay enlightened, Thank you!! Please leave Review on Apple podcasts! My E-Newsletter sign up at Website! Connect on Twitter & Instagram! My books on Amazon & Goodreads!

Welcome all to IS PHARMACOLOGY DIFFICULT Podcast! I am Dr Radhika Vijay.In this episode, I will be talking about very Selective- "ALPHA 1 RECEPTOR ANTAGONISTS", like Prazosin, Terazosin and Doxazosin. Prazosin is the prototype drug and there is so much to talk about it- Extent of selectivity, its action, effect, pharmacokinetic profile, adverse effects and metabolic effects.Next in the list are Terazosin and Doxazosin, they are too discussed heartily and while comparing them with Prazosin, a good amount of light is thrown on their profile.I will be discussing uses of these agents especially in states of BPH, Benign Prostatic Hyperplasia!In the end, one liner about Tamsulosin & one liner revision advise will keep up the spirits till I knock back with next bunch of tales about left over Alpha 1 Receptor blockers like Tamsulosin, Alfuzosin and Silodosin. Chao till then!!For all the updates and latest episodes of my podcast, please visit www.ispharmacologydifficult.com where you can also sign up for a free monthly newsletter of mine.It actually contains lot of updates about the medical sciences, drug information and my podcast updates also.You can follow me on different social media handles like twitter, insta, facebook and linkedin. They all are with same name "IS PHARMACOLOGY DIFFICULT". If you are listening for the first time, do follow me here, whatever platform you are consuming this episode, stay tuned, do rate and review on ITunes, Apple podcasts, stay safe, stay happy, stay enlightened, Thank you!!Please leave Review on Apple podcasts!My E-Newsletter sign up at Website!Connect on Twitter & Instagram!My books on Amazon & Goodreads!

Hey podcast community, Dr. Mark here. My team and I are so excited to offer you a 7 Day Free trial of the Dr. Hyman+ subscription for Apple Podcast. For 7 days, you get access to all this and more entirely for free! It's so easy to sign up. Just go click the Try Free button on the Doctor's Farmacy Podcast page in Apple Podcast. In this teaser episode, you'll hear a preview of our monthly Ask Mark Anything episode.Want to hear the full episode? Subscribe now. With your 7 day free trial to Apple Podcast, you'll gain access to audio versions of:- Ad-Free Doctor's Farmacy Podcast episodes- Exclusive monthly Functional Medicine Deep Dives- Monthly Ask Mark Anything Episodes - Bonus audio content exclusive to Dr. Hyman+Trying to decide if the Dr. Hyman+ subscription for Apple Podcast is right for you? Email my team at plus@drhyman.com with any questions you have. Please note, Dr. Hyman+ subscription for Apple Podcast does not include access to the Dr. Hyman+ site and only includes Dr. Hyman+ in audio content. Hosted on Acast. See acast.com/privacy for more information.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Mitchell R. Humphreys, M.D. Benign prostatic hyperplasia or BPH is quite common in middle-age and older men. It's estimated that up to 70% of men over age 60 have symptoms from BPH. While BPH is not a life-threatening condition, it does produce symptoms which can negatively affect the lifestyle of our patients. Since most of the patients with BPH are managed by primary care providers, we should be comfortable with the variety of treatment options available. When should treatment be initiated? What's available pharmacologically? And when should a urologist be consulted to consider a surgical option? In this podcast, we'll discuss these questions and more with Mitchell R. Humphreys, M.D., from the Department of Urology at the Mayo Clinic.  This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/ Connect with the Mayo Clinic's School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.   

In this episode Nurse Mo talks about benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland that causes an obstruction to the outflow of urine. Tune in to learn the basics about this condition and the implications for your nursing practice. Click here for show notes and references: Episode 259 Show NotesDid you find this episode helpful? Then I'd love it if you'd rate and review the podcast! And if you're not following the show, add it to your podcast library so you never miss an episode!

On this episode we had the honor of speaking with two guests on the topic of Benign Prostatic Hyperplasia, or BPH. Our first guest is Dan, a patient who talks about his life before and after treatment for BPH and the overall journey he went on to find relief. Our second guest is Dr. Sankar Kausik, a urologist at Chesapeake Urology who talks about how other's may relate to Dan's journey before and after treatment. The goal of this podcast is to share a patient's story about their BPH journey to help people identify with the issue and to seek advice of a urologist. Short on time? Use the below timestamps to jump to any section: Dan, BPH Patient: 0:59 - Introduction 1:24 - Symptoms of BPH and seeing a urologist 3:10 - Impact of symptoms on quality of life 4:30 - Exploring treatment options 5:55 - Life after treatment 10:49 - Advice for patients, partners and caregivers on the BPH journey 11:54 - Final thoughts Dr. Sankar Kausik: 12:56 - Introduction 13:32 - How does Dan's story make you feel as a doctor? 15:46 - What does the typical journey look like for a BPH patient? 18:30 - Is BPH a lifelong journey? 20:15 - Advice for patients, partners and caregivers on the BPH journey 21:42 - Final thoughts For more information, please visit www.urologyhealth.org/ and don't forget to subscribe to our free digital magazine, UrologyHealth extra® at https://www.urologyhealth.org/healthy-living/urologyhealth-extra. Made possible through the support of Olympus. **** September 29, 2022

On this episode we had the honor of speaking with two guests on the topic of Benign Prostatic Hyperplasia, or BPH. Our first guest is Bob, a patient who details his experience with BPH and the treatment option that worked for him. Our second guest is Dr. Bilal Chughtai, a urologist at Weill Cornell Medical College who gives a high-level overview of treatment options for men with BPH. The goal of this podcast is to share a patient story of his experience, provide patients, partners and caregivers information on diagnosing and treating BPH and highlight key questions patients may have for their doctor. Stay tuned at the end of this episode for an “Ask the Experts” segment, where Bob will get to ask Dr. Ristau some questions from a patient's perspective. Short on time? Use the below timestamps to jump to any section: Bob, BPH Patient: 0:59 - Introduction 1:15 - The story (overview of symptoms, living with BPH and treatment) 5:58 - Impact of BPH on daily life and relief from treatment 7:26 - Triggers for BPH symptoms 8:05 - Finding the right treatment option 9:42 - Advice for patients, partners and caregivers on finding treatment options 11:57 - Final thoughts Dr. Bilal Chughtai: 12:18 - Introduction 13:02 - Typical symptoms of men with BPH 14:12 - Common treatment options 15:37 - How does a doctor determine which treatment option is best? 17:39 - How fast do men see results from treatment? 18:33 - How long do treatment options last? 19:18 - Advice for patients, partners and caregivers on treatment options 20:11 - Final thoughts Ask the Experts: 21:06 - Ask the Experts segment with Bob and Dr. Chughtai For more information, please visit www.urologyhealth.org/ and don't forget to subscribe to our free digital magazine, UrologyHealth extra® at https://www.urologyhealth.org/healthy-living/urologyhealth-extra. Made possible through the support of Olympus. **** September 22, 2022

Our guest is Dr. Kevin McVary, a urologist who specializes in benign prostatic disease, prostate cancer and male pelvic health. He is here to talk with us about Benign Prostatic Hyperplasia, also known as BPH. The goal of this podcast is to provide patients, partners and caregivers information on diagnosing and treating BPH. Short on time? Use the below timestamps to jump to any section: 0:46 - Introduction 1:12 - What is BPH? 4:08 - Common symptoms of BPH 5:53 - Who is most at risk for BPH? What age do symptoms start to appear? 7:54 - How is BPH commonly diagnosed? 9:40 - Treatments for BPH 17:34 - Advice for patients, partners and caregivers on diagnosis and treatment of BPH 19:54 - Final thoughts For more information, please visit www.urologyhealth.org/ and don't forget to subscribe to our free digital magazine, UrologyHealth extra® at https://www.urologyhealth.org/healthy-living/urologyhealth-extra. Made possible through the support of Olympus. **** September 15, 2022

Benign prostatic hyperplasia (BPH) can cause many uncomfortable bladder, urinary tract or kidney problems. This week on Docs in a Pod, we host Dr. Francisco Solis (Optum- Little Havana). Listen in as he discusses BPH diagnosis, symptoms and treatment with co-hosts Ron Aaron and Dr. Audrey Baria (WellMed at 9th Avenue North). Listen to the podcast by searching for Docs in a Pod on Apple Podcasts, Google Podcasts, Pandora, Podbean and Stitcher. Docs in a Pod focuses on health issues affecting adults. Clinicians and partners discuss stories, topics and tips to help you live healthier. Docs in a Pod airs on Saturdays in the following cities: 7 to 7:30 a.m. CT: San Antonio (KLUP – 930 AM) DFW (660 AM, 92.9 FM [Dallas], 95.5 FM [Arlington], 99.9 FM [Fort Worth]) 6:30 to 7 p.m. CT: Houston (1070 AM/103.3 FM The Answer) 7 to 7:30 p.m. CT: Austin (KLBJ 590 AM/99.7 FM) Docs in a Pod also airs on Sundays in the following cities.  1:30 to 2 p.m. ET: Tampa (860 AM/93.7FM) 5 to 5:30 p.m. CT: San Antonio (KLUP – 930 AM)

When it comes to BPH, the one thing men know is that BPH is a pain in the rear! So on this episode of the Dr. Geo Podcast, Dr. Geo shares his insights on what is BPH, what causes it, and the natural approaches you can take to improve BPH. He also goes into some other conventional approaches to BPH and dealing with an enlarged prostate. -- Thanks for tuning in to this episode of the Dr.Geo Podcast! If you loved what you heard, please leave a review and rating on https://podcasts.apple.com/us/podcast/id1609860250 (Apple Podcasts). You can also listen to this episode and future episodes on many major podcast platforms by clicking https://link.chtbl.com/8Z6hUclo (here). -- For the latest research in men's health and more, visit https://drgeo.com/ (drgeo.com). Follow Dr. Geo on Social Media https://www.facebook.com/drgeoespinosa/ (Facebook) https://www.instagram.com/Real_DrGeo/ (Instagram) https://twitter.com/drgeoespinosa (Twitter)

Tamsulosin is a selective alpha-1-adrenergic blocking agent also known as the brand name Flomax. Tamsulosin comes as a 0.4 mg capsule that is typically dosed 0.4 mg PO qd for 30 minutes after the same meal. The most common side effects are dizziness, cough and various infections. Some of the more serious side effects are priapism, arrhythmia, and syncope. Tamsulosin is most commonly used in males for the treatment of enlarged prostatic hyperplasia. It is commonly used to relieve symptoms such as difficulty in the beginning of urination and for weak streams as well as the need to urinate often in the middle of the night. Amazon Affiliate link: https://amzn.to/31OkKVe for NAPLEX Math Review: The Foundation of a Logical NAPLEX Prep Strategy. FREE Drug Card Sheet is available for this episode at DrugCardsDaily.com along with ALL past FREE drug card sheets! Please SUBSCRIBE, FOLLOW, and RATE on Spotify, Apple Podcasts, or wherever your favorite place to listen to podcasts are. I'd really appreciate hearing from you! Leave a voice message at anchor.fm/drugcardsdaily or find me on most all socials @drugcardsdaily or send an email to contact.drugcardsdaily@gmail.com to leave feedback, request a drug, or say hello! DISCLAIMER: This content may contain sponsored content or the use of affiliate links. Partnerships, sponsorships, and the use of affiliate links provide monetary commissions for Drug Cards Daily at no cost to you! This is done in order to keep providing as much free content to everyone that comes to Drug Cards Daily. Thanks for your support! Drug Cards Daily provides drug information for educational and entertainment use. The information provided is not intended to be a sole source of drug information that is to be acted upon for patient care. If there are drug-related patient care concerns please contact your primary care Physician or local Pharmacist. --- Send in a voice message: https://anchor.fm/drugcardsdaily/message

In this episode, we review the high-yield topic of Benign Prostatic Hyperplasia (BPH) from the Renal section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets

Urologist Dr. Claus Roehrborn and Interventional Radiologist Dr. Sandeep Bagla discuss the pros and cons of Prostate Artery Embolization (PAE) compared to other Minimally Invasive Surgical Treatments (MISTS) for Benign Prostate Hyperplasia (BPH). They also discuss the importance of a collaborative, multidisciplinary approach when offering these treatment options, including agreeing on the best treatment for the patient. --- CHECK OUT OUR SPONSOR RADPAD® Radiation Protection https://www.radpad.com/ --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/Daw1w2 --- SHOW NOTES In this episode, urologist Dr. Claus Roehrborn and interventional radiologist Dr. Sandeep Bagla discuss benign prostatic hyperplasia (BPH) and prostate artery embolization (PAE) in the context of counseling patients and cross-specialty collaboration. Dr. Roehrborn starts by reviewing the history of BPH treatment, from medications like alpha-blockers and anticholinergics, to minimally invasive options like UroLift, Rezum, and PAE. He emphasizes that the latter options are growing in popularity, since they provide treatment alternatives for patients who are concerned about side effects from medications, or have not experienced symptom relief from medications. Dr. Sandeep Bagla describes Prostate Cancer USA's philosophy on IR/Urology partnership and how it can ultimately benefit patients. This model provides the patient with both an IR suite for the PAE procedure and a urology clinic for diagnostic assessment, determination of PAE candidacy, and follow-up assessment. Both doctors describe ideal patients for PAE. These are usually patients with a gland size above 60 g, confirmed bladder function, and a desire to preserve ejaculation function. Contraindications include urinary retention, chronic prostatitis, and heavily calcified glands. Finally, they describe how they manage minor short-term complications such as frequency and dysuria with medication. They track symptom relief using the International Prostate Symptom Score (IPSS), Dr. Bagla notes that the largest drop in IPSS usually occurs about 4-5 weeks post-procedure. --- RESOURCES Prostate Centers USA: https://www.prostatecentersusa.com/ “The Role of Novel Minimally Invasive Treatments for Lower Urinary Tract Symptoms Associated with Benign Prostatic Hyperplasia”: https://bjui-journals.onlinelibrary.wiley.com/doi/abs/10.1111/bju.15154

Welcome to this episode of The Tonic, terrestrially broadcast on November 6 and 7, 2021 on AM740 and FM 96.7 in Toronto. Topics covered on the show track the lifestyle articles and themes published in Tonic Magazine. This week we'll discuss the natural treatment of benign prostatic hyperplasia with Dr. Ludovic Brunel ND, a better approach to weight loss for those over 40 with Dr. Sher Bovay DC, men's healthy hormones with Robert Pierce and upcycling food with Jon Duschinsky

Welcome to episode 38 of The Mountain Land Pelvic Health Podcast! This month, we're sitting down with Dr. Steven Gange from Granger Medical Clinic to discuss treatment options for Benign Prostatic Hyperplasia including TURP, Urolift, and medications as well as the multidisciplinary approach of pelvic floor physical therapy for any remaining side effects post-procedure. Dr. Gange is a general adult urologist who attended UCLA and The University of Kentucky. He… The post Treatments for Benign Prostatic Hyperplasia first appeared on Mountain Land Physical Therapy & Rehabilitation.

This episode covers benign prostatic hyperplasia (BPH).Written notes can be found at https://zerotofinals.com/surgery/urology/bph/ or in the urology section of the Zero to Finals surgery book.The audio in the episode was expertly edited by Harry Watchman.

Julia Willingham, MD, urologist at USMD Fort Worth Clearfork Clinic in Fort Worth, Texas, joins WellMed Radio co-hosts Dr. Marissa Charles and veteran broadcaster and attorney Ron Aaron. Listen in as Dr. Willingham discusses BPH (benign prostatic hyperplasia), prostate, and other urological issues. Listen to the podcast here https://www.podbean.com/media/share/pb-pkc2z-10a5359 or by searching for WellMed Radio in Apple Podcasts, Google Podcasts, Podbean, Pandora, Stitcher and Spotify. WellMed Radio focuses on health issues affecting adults. Clinicians and partners discuss stories, topics and tips to help you live healthier. WellMed Radio airs on Sundays in Tampa at 1:30 p.m EST on AM 860/FM 93.7 The ANSWER and in San Antonio at 6 p.m. CST at KLUP. Visit us at www.wellmedhealthcare.com.

Julia Willingham, MD, urologist at USMD Fort Worth Clearfork Clinic in Fort Worth, Texas. discusses with WellMed Radio Cohosts Dr. Marissa Charles and veteran broadcaster and attorney Ron Aaron BPH (Benign prostatic hyperplasia) and other urological issues. See omnystudio.com/listener for privacy information.

• Take Dr. Berg's Free Keto Mini-Course! • How to Bulletproof your Immune System Course • Dr. Berg's Beginner Guide to Healthy Keto & Intermittent Fasting Plan • Intermittent Fasting Basics for Beginners • Dr. Berg's Healthy Ketogenic Diet Basics: Step 1: https://youtu.be/vMZfyEy_jpI Step 2: https://youtu.be/mBqpaAKtnXE Benign prostatic hyperplasia can be controlled with certain foods. Dr. Eric Berg DC Bio: Dr. Berg, 51 years of age is a chiropractor who specializes in weight loss through nutritional & natural methods. His private practice is located in Alexandria, Virginia. His clients include senior officials in the U.S. government & the Justice Department, ambassadors, medical doctors, high-level executives of prominent corporations, scientists, engineers, professors, and other clients from all walks of life. He is the author of The 7 Principles of Fat Burning. Dr. Berg's Website: http://bit.ly/37AV0fk Dr. Berg's Recipe Ideas: http://bit.ly/37FF6QR Dr. Berg's Reviews: http://bit.ly/3hkIvbb Dr. Berg's Shop: http://bit.ly/3mJcLxg Dr. Berg's Bio: http://bit.ly/3as2cfE Dr. Berg's Health Coach Training: http://bit.ly/3as2p2q Facebook: https://www.facebook.com/drericberg Messenger: https://www.messenger.com/t/drericberg Instagram: https://www.instagram.com/drericberg/ YouTube: http://bit.ly/37DXt8C

June marks Men's Health Month. Over the last year, many men may have missed routine check-ups with the doctor due to the pandemic. As conditions improve, it's the perfect time for men to address any bothersome medical issues they may have been putting off — especially as they prepare to return to their favorite travel and leisure activities. One such medical issue, Benign Prostatic Hyperplasia, is very common in men over 50. In fact, eight out of 10 men will face BPH in their lifetimes. Dr. Naveen Kella, with The Urology Place in San Antonio, offers the following insight: How...Article Link

In this Healthed lecture, Dr Katz, Urological Surgeon; Medical Director, Men's Health Melbourne; Clinical Advisor, Healthy Male, will provide general practitioners with information to support the diagnosis and management of benign prostatic enlargement. The presentation will focus on patient history, examination, and investigation, discuss differential diagnoses and outline medication management for benign prostatic enlargement. GPs will also receive advice on when referral to urologist would be indicated and a summary of what a patient can expect upon referral to urology.    See omnystudio.com/listener for privacy information.

Watch Dr. Shamm Rockove's "Help for Benign Prostatic Hyperplasia (BPH)" presentation on AM Northwest (KATU-ABC) from May of 2021! Dr. Shamm Rockove is the founder and co-owner of The Center for Men's and Women's Urology (1uro.com). He serves patients in the Pacific Northwest including Portland, Vancouver and Gresham. The original video can be viewed on KATU's website: https://katu.com/amnw/am-northwest-lifestyle-health/help-for-benign-prostatic-hyperplasia-bph Copyright 2021 by The Center for Men's and Women's Urology (1uro.com)

Watch Dr. Shamm Rockove's "Help for Benign Prostatic Hyperplasia (BPH)" presentation on AM Northwest (KATU-ABC) from May of 2021! Dr. Shamm Rockove is the founder and co-owner of The Center for Men's and Women's Urology (1uro.com). He serves patients in the Pacific Northwest including Portland, Vancouver and Gresham. The original video can be viewed on KATU's website: https://katu.com/amnw/am-northwest-lifestyle-health/help-for-benign-prostatic-hyperplasia-bph Copyright 2021 by The Center for Men's and Women's Urology (1uro.com)

In this episode, we review the high-yield topic of Benign Prostatic Hyperplasia (BPH) from the Reproductive section. --- Send in a voice message: https://anchor.fm/medbulletsstep1/message

On Health Suites, ahead of Prostate Health Month in May at SGH, Claressa Monteiro speaks with Dr Edwin Jonathan Aslim, Associate Consultant, Urology, SGH, to find out more about Benign Prostatic Hyperplasia. See omnystudio.com/listener for privacy information.

This week on Dr. Amy Lindsey's B-sides to health we learn about 3 medicinal plants in the Pacific Northwest that many might confuse as weeds.* First, we explore the Dandelion or Taraxacum officinale, known to most as a pesky weed that takes over the lawn. However, this is a highly medicinal & nutritive plant. The leaves are bitter but will jump start the digestive system getting all the right signals going, letting the body know to prepare to digest food. The leaves are also a potassium sparing diuretic that are not overstimulating to the kidneys. This is useful for hypertension & edema. The root is used medicinally to support the liver primarily but is also great for the gall bladder & the entire digestive system. Next is the Stinging Nettle or Urtica dioica. This plant grows all over the Pacific Northwest & is known to most for its "sting" or brief stinging rash one gets from getting too close. However, the leaves are full of nutrients & depending on how they are used have different medicinal properties. Nettle leaves are also a diuretic when steeped in hot water. They are great for swollen joints & arthritis. The root of the plant is specifically for BPH or Benign Prostatic Hyperplasia, the non-cancerous enlarged prostate.  If you steep the leaves in cold water for 5-6 hours, you do not get the diuretic effect, but instead get a cold tea full of minerals & vitamins such as Vitamin A, B, C as well as potassium & calcium. Last but not least is the California Poppy or Eschscholzia californica. This beautiful orange flower is also often classified as a weed in the Pacific Northwest. The whole plant can be used to calm the nervous system. Examples include stress, migraines, anxious thoughts, or as a gentle relaxant. It is a very safe & mild medicinal plant. Of course, never pick these plants from the side of the road where they have been subjected to car pollution, or never just pick them from random places in your neighborhood as they may have been sprayed with a toxic weed killer. You can get these plants at your local herbalist, natural food store, or your doctor. Always listen to your own doctor about the use of these plants & always get them from clean & safe sources. AmyThe DR & the DJ* Reminder: Nothing in this email or in this podcast is a substitute for medical or professional advice. Please always consult your doctor.Thank you to our sponsors:Caddis. They make awesome reading glasses & blue light blockers.  Get 15$ off with code DRDJ15OFF with a minimum purchase of $95 at caddislife.com.  IZotope. The show uses Izotope’s audio plug ins & software extensively to make everything sound better. Check out the Producers Club & Music Production Suite Pro with a 7-day free trial. On all other software, get 10% off with code FRET10 at izotope.com.

Throughout Europe, which has shown a much greater understanding of male physiology and has a much greater track record of treating BHP and prostate cancer than the US, Nettle Root has been used widely to treat BPH. Clinical research in Europe has shown that Nettle Root may be effective at relieving symptoms of BHP, such as reduced urinary flow, incomplete emptying of the bladder, post urination dripping, and the constant urge to urinate. Visit Us:- https://www.rawforestfoods.com/blog/nettle-root-and-hormonal-health/

This episode explains the anatomy of Prostate gland and 3 common problems men could face as a result of the gland.

On the Mayo Clinic Radio podcast, Dr. Mitchell Humphreys, a Mayo Clinic urologist, highlights prostate health and treatment options for benign prostatic hyperplasia. Also on the program, Dr. Francisco Lopez-Jimenez, a Mayo Clinic cardiologist, discusses sex after a heart attack. And Dr. Bruce Levy, a Mayo Clinic orthopedic surgeon, shares how his patients' experiences with lack of privacy during surgery led him and his wife to found a new company, COVR Medical.

You notice that you're feeling the urge to urinate more frequently. Yet, when you're in the bathroom, you have trouble getting starting and your urine tends to stop and start in the middle of going. What's causing this to happen? What steps do you need to take to fix? 

Dr. Douglas Strand joins the AUA Inside Tract Podcast to discuss benign prostatic hyperplasia (BPH) take home messages from AUA2020. His article on this subject appeared in the August 2020 issue of AUANews. Dr. Strand serves as Assistant Professor with UT Southwestern Medical Center's Department of Urology in Dallas.

The sad reality that we have an ageing population, and ageing causes physiological changes to our bodies that just can’t be avoided. One such condition is Benign Prostatic Hyperplasia, or enlarged prostate, affecting an estimated 50% of men aged 51 to 60, 60% of men aged 60 plus and 70% of men aged 70 or older. It can disrupt sleep, lifestyle and activities as it causes the frustrating and confusing symptoms of feeling the need to urinate but being slow or unable to, or the need to constantly be looking out for a bathroom. Luckily thanks to a new surgical procedure , the first of its type in Australia done at the Sydney Adventist Hospital last week, the condition can be treated without the side effects of traditional surgeries that might deter men from trying to fix the problem. Professor Henry Woo has been a constant pioneer in bringing in new procedures to treat enlarged prostate who performed 4 of the surgeries last week and removed the 4 devices on Monday and is the only doctor in Australia trained to do the procedure. He joins John Stanley. See omnystudio.com/listener for privacy information.

Talk to a Dr. Berg Keto Consultant today and get the help you need on your journey (free consultation). Call 1-540-299-1556 with your questions about Keto, Intermittent Fasting, or the use of Dr. Berg products. Consultants are available Monday through Friday from 8 AM to 10 PM EST. Saturday & Sunday from 9 AM to 6 PM EST. USA Only. Get Dr. Berg's Veggie Solution today! • Flavored (Sweetened) - https://shop.drberg.com/veggie-solution-flavored-sweetened?utm_source=Podcast&utm_medium=AGM(Anchor) • Plain (Unflavored) - https://shop.drberg.com/veggie-solution-plain?utm_source=Podcast&utm_medium=AGM(Anchor) Take Dr. Berg's Free Keto Mini-Course! In this podcast, Dr. Berg discussed Benign Prostatic Hyperplasia (BPH), it is when the prostate is enlarging. The problem with this condition is, it is going to obstruct your urine flow and the urine is going to back up in the kidney and the liver that could create toxicity. This condition is really affected by the hormones. Certain hormones have an anabolic effect on the body which means that hormones have the ability to make things grow. Type of Anabolic Hormone Involved: 1. Insulin - Do healthy ketosis and intermittent fasting 2. IGF-1 or Insulin-like growth factor - it is similar to insulin but also similar to growth hormones. To make this hormone under control, you would want to make sure you don't consume any dairy products and avoid consuming excessive amounts of protein. 3. Testosterone – It can also convert to a more powerful form of testosterone called DHT. Some of the most powerful inhibitors of these enzymes help improve enlarge prostate. Saw Palmetto and Stinging Nettle Root 4. Estrogen – One of the more potent influences of an enlarged prostate in addition to insulin. Cruciferous vegetables and DIM (very powerful enzyme inhibitor) Dr. Eric Berg DC Bio: Dr. Berg, 51 years of age is a chiropractor who specializes in weight loss through nutritional & natural methods. His private practice is located in Alexandria, Virginia. His clients include senior officials in the U.S. government & the Justice Department, ambassadors, medical doctors, high-level executives of prominent corporations, scientists, engineers, professors, and other clients from all walks of life. He is the author of The 7 Principles of Fat Burning. FACEBOOK: fb.me/DrEricBerg?utm_source=Podcast&utm_medium=Anchor TWITTER: http://twitter.com/DrBergDC?utm_source=Podcast&utm_medium=Post&utm_campaign=Daily%20Post YOUTUBE: http://www.youtube.com/user/drericberg123?utm_source=Podcast&utm_medium=Anchor DR. BERG'S SHOP: https://shop.drberg.com/?utm_source=Podcast&utm_medium=Anchor MESSENGER: https://www.messenger.com/t/drericberg?utm_source=Podcast&utm_medium=Anchor DR. BERG'S VIDEO BLOG: https://www.drberg.com/blog?utm_source=Podcast&utm_medium=Anchor

Join Drs. Kevin McVary and Charles Welliver with host Dr. Brian Matlaga as they present BPH findings from the Urologic Diseases in America Report. Host: Brian Matlaga, MD, MPH, Johns Hopkins University School of Medicine Guests: Kevin McVary, MD, Loyola University Medical Center and Charles Welliver, MD, Albany Medical College This project has been funded in whole or in part with Federal funds from the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Department of Health and Human Services, under Contract No. 75N94019F00260.

Quelles sont les techniques actuellement à disposition ?Quels sont les avantages et inconvénients ? Quelles techniques ont montré une efficacité ?Quid de l’embolisation des artères prostatiques ?Le Pr Grégoire Robert (CHU de Bordeaux) répond à toutes vos questions !L’orateur n’a pas reçu de rémunération pour la réalisation de cet épisode.Pour aller plus loin :Lire ici : Prostatic urethral lift vs transurethral resection of the prostate: 2‐year results of the BPH6 prospective, multicentre, randomized study - Gratzke - 2017 - BJU International - Wiley Online Library [Internet].McVary KT, Roehrborn CG. Three-Year Outcomes of the Prospective, Randomized Controlled Rezūm System Study: Convective Radiofrequency Thermal Therapy for Treatment of Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia.Urology. 2018;111:1‑9.Lire ici : Recommandations de l’EAU sur les troubles du bas appareil urinaire masculin.Musique du générique : Via AudioNetworkResponsable projet AFUF : Dr Benjamin PradèreProduction : La Toile Sur Ecoute See acast.com/privacy for privacy and opt-out information.

Welcome To The MedFlashGo Podcast. This Is Your Daily 4 Minutes Or Less Rapid Review for medical students. Topics are based on medical board examinations including USMLE, COMLEX, And Shelf Exams. We release a new episode every weekday! In this question of the day, Percy asks students if the given presentation is indicative of Benign Prostatic Hyperplasia. These questions are powered by MedFlashGo The First Voice-based interactive medical question bank currently available on Alexa. This tool allows medical students to study medical topics and be interactively tested without the use of a screen. You can study on your couch, in your car, and on the move without the use of a screen. To get access to the free audio-interactive question bank, click here or go to your Alexa application and search medflashgo In the skills section. To learn more details go to medflashgo.com and check out our frequently asked questions section. Please know that these questions were creatively designed by medical students and physicians for the purpose of education and do not replace health information given from your health professionals. We have tried our best to make sure the information is accurate please, so please let us know if you find any errors and we will be sure to correct them. --- Send in a voice message: https://anchor.fm/medflashgo/message

Michael A. Dennis, Jr., MD, FACS discusses Benign Prostatic Hyperplasia. He helps us to understand BPH in its role of causal symptomatology. He reviews the epidemiology and treatment modalities in BPH, and he shares an evidence based knowledge of current and emerging therapies for BPH.

November, or Brovember as we like to call it, is all about our men's health at SuperFeast. Today we're thrilled to have our good friend Dan Sipple back on the podcast. Dan is absolute gem and wealth of information in his field of natural medicine. In today's chat Mason and Dan discuss the importance of men's hormonal health and outline the diet and lifestyle factors men can embody to keep their hormones primed and rocking.  Dan and Mason break down: The male hormonal cascades. The importance of brain and cognitive health in regards to male fertility. The influence of diet and lifestyle on healthy hormonal function. The two simple pillars of hormone health; Sleep and Breath. Testosterone; the amazing hormone. Detoxification and reproductive health. Genetic testing. The connection between abnormally high iron (ferritin) and male infertility.  The role zinc plays in the conversion of androgens. The damaging effects of chronic inflammation in regards to hormonal health. Naked sunbathing and vitamin D3. The herbs that stimulate and antagonise androgens.   Who is Dan Sipple? Dan is a also known as The Functional Naturopath who uses cutting-edge evidence-based medicine. Experienced in modalities such as herbal nutritional medicine, with a strong focus on environmental health and longevity, Dan has a wealth of knowledge in root-dysfunction health.   Resources: Dan Instagram Dan Email Benny Fergusion - The Movement Monk The Dutch Test - Carrie Jones Podcast with Tahnee The Wildcrafting Brewer Book by Pascal Baudar SuperFeast Deer Antler  SuperFeast Ashwagandha SuperFeast Eucommia Bark SuperFeast Cordyceps   Q: How Can I Support The SuperFeast Podcast?   A: Tell all your friends and family and share online! We’d also love it if you could subscribe and review this podcast on iTunes. Or  check us out on Stitcher :)! Plus  we're on Spotify!   Check Out The Transcript Here:   Mason:  Hello everybody, we're welcoming back our good mate Dan, Dan Sipple, functional naturopath, how are you going man?   Dan Sipple:  Mate, I am fantastic today, how about you?   Mason:  Yeah, I'm really good. It's a nice sunny day down there, nice sunny day up here, we'll get into why that's significant and important if you're a man, you're going to be very happy at those points when the sun comes out. Thanks for joining me for Brovember here at SuperFeast focusing especially on this pod, going through some very important aspects and elements for men's health, men's physiology, things that, it's just going to be great. As they say, "They should teach this in schools," because it would actually be useful for us to understand about our hormonal cascades and our physiology going forth.   Dan Sipple:  Absolutely, and it's exciting. It's an exciting time to be alive and loving all the information that is just coming through right now in our amazing little world of natural health and how that can affect hormones and we'll dive obviously deep into all that stuff today I'm sure.   Mason:  Yeah, I think it's great as well. I really like this time of being alive as well, because we've gone through the extreme deconstruction of what's going on with health, and including lifestyle and dietary kind of fads that have been reduced to their parts. Likewise, of course we've learned a lot about the body through a reductionist western model, which can even sometimes cross over into naturopathic thought, but then it's synthesising and emerging, and just a real blossoming time where it's kind of coming together and being able to come into harmony in a lifestyle long term that doesn't make you feel like you as a person, in working on these things, need to reduce aspects of your lifestyle to work on them necessarily.   Mason:  Of course there's going to be areas where we put our focus upon, it's a very important thing for men to be able to do and then the aspect of men to able to have laser-like focus on something we're working on. That's when men can quite often in health scene loose themselves and we see that in many areas of dietary faddiness and going, that focus takes us right down the barrel of dogma or down the barrel of something like the more of the extreme bio-hacking kind of scenes, where we remain compartmentalised in our day, or our supplementation, or our diet.   Mason:  I think now we're seeing that the emergence of us being very aware that we have a foundational personal culture, lifestyle that mingles in with our family and our community and how can we sculpt an integrative lifestyle that's going to lead to these various markers, these various hormonal cascades and processes to be naturally nourished and able to function and regulate themselves, just through us living our lives, right?   Dan Sipple:  Absolutely, and I think people, men and women are just.. It's A time in the human existence where it's like we're feeling it now. People just know that there's something not quite right, and obviously being a naturopath, I'm a little bit biased because I'm seeing a lot of those people, naturally. But I think I read a study a couple of weeks ago that was saying something like men in even the 60s and 70s had just such a higher grade of production across the board of testosterone compared to men now. And it's a scary thought. I think I read in the same study something like by 2035, the rates of infertility in males is just going to absolutely sky rocket should all the factors, which disrupt that sort of cascade continue to be at work.   Mason:  Boys, let's learn how to not become just another statistic, take control of your sovereign health and hopefully end up with nice healthy levels of testosterone. Of course we'll have a little bit of, I guess that will be a little bit of a pillar. Where we go is you take us through the entire hormonal cascade from upstream, right through the middle of the stream, to downstream and then I feel like, you will of course go into this physiologically, but lifestyle wise, how that downstream is then ... We talked a little bit about it if we are a microcosm, in the macrocosm here where, and we have the reflection of nature within us, of course it isn't just upstream to downstream and then you get your results. What's going on downstream is very much going to evaporate and emerge and go right up to the top of the stream and affect our ability that, you know those kingpin aspects of our health.   Mason:  So, with that lets start jumping in. Was it the hormonal cascade in general and just the nature of that and the process of that do you want to take us through primarily?   Dan Sipple:  Yeah, I think it would be good just to do a little refresher on the actual physiological side of it, just to give focus on a bit of a mental picture. And if there's anything the guys take away from this today, and girls, it's that, just not to focus on male hormone production at the area of the downstream like you said, the testes and the adrenals. And to really factor in how important brain health is, and cognitive health, because that organ itself is the master commander, it's commanding that communication down to those organs to say, hey make testosterone mate, make DHEA et cetera.   Dan Sipple:  And that all starts from two hormonal chemicals, I guess you call them. Follicle Stimulating Hormone FSH, and Luteinizing Hormone LH. So they're speaking down to the leydic cells in the testicles to say make hormones, make testosterone and they operate like many hormones do on a bit of a feedback mechanism, a negative feedback mechanism. So for example, if testosterone down at the testicular level is adequate, FSH and LH back off in men and in women respectively with testis and ovaries.   Dan Sipple:  Likewise, if the production is low, those at the higher end in the pituitary LH and FSH will spark up and start screaming down at those organs to say, make more hormones, make more hormones. And there's a lot of things that we'll get into that can disrupt the communication between those two vital organs. So I've got that going on and then in terms of the steroid pathways, that's another kind of area that you weigh into the equation with regards to how cholesterol from the diet then gets transferred down into hormones like Pregnenolone and Progesterone, and across to precursors to testosterone and oestrogen like androstenedion. And again, things can go a little bit haywire during that conversion if there are other factors that play such as things like stress, acute infection, illness, a plethora of things, different herbs as well will affect the destination. Ultimately those signals.   Dan Sipple:  But essentially, we're starting at cholesterol and we're wanting to get down to progesterone in men and females. What can happen as a bit of something in between those two, an interruption if you like, is we call this the pregnenolone steal, and there's still a little bit of controversy around that in our field on whether it's actually a thing. You'll read a lot about that online and whatnot. The theory is that cholesterol starts and if it doesn't reach progesterone, pregnenolone comes in and diverts that signal down to cortisol, which is the stress pathway, and away from testosterone and away from oestrogen and away from DHEA, which for men and females are all the hormones responsible for making you feel strong, resilient, able to recover, confident, et cetera.   Dan Sipple:  With today's level of chronic stress and inflammation, a lot of hormonal panels when we look at them in folks with different stuff going on, will show that they've got a lot of production going down that cortisol pathway. It's being stolen if you like, hence the phrase the pregnenolone steal.   Mason:  And so, let me know whether you want to just go through the full range first to give us an insight, or whether you want to just start diving in there, because that seems like one of those critical physiological points. And when you're talking about stress, we've kind of gone through the stress model before in a podcast, but clinically, was it the pregnenolone steal? Is that what you said?   Dan Sipple:  Yep.   Mason:  So at that point, when you say chronic stress, you're talking about a diet that's going to be causing high amounts of inflammation and you're generally going to talk about a lifestyle that's going to keep you within the variations of a sympathetic nervous system, rather than being able to get into that deep parasympathetic.   Mason:  This is something interesting because clinically we see it a lot of the time and we hear it again and again and again, being banged on about getting out of the stress response and making sure you don't have stress in your lifestyle. But then, of course that's kind of a reductionist view in itself in terms of it's like a light switch and when it's on, you're in sympathetic and you're stressed and you're running away from the tiger. And we are boom, we turn it off and now you just happen to be relaxed.   Mason:  I feel like there's more and more, the conversation in men's health and women's health as well is coming to the various nuances and the personal relationship that you have with the reality of what a parasympathetic state is and what being able to approach the world in a way where you're nervous system isn't running a rye, your amygdala isn't throwing up past fears and memories that are then affecting your HPA axis and therefore taxing your adrenals. There's so many different nuances and because men are so focused and love to hanging on to things especially in processing mentally things, it's like all right, now I need practices that switch it off, turn it off and get me into this static thing that is a parasympathetic system.   Mason:  So, I'm just interested in some of, just clinically of course you're bridging people to try and get some protocols going, where they're maybe meditating, maybe doing something like a yin yoga or generally just coming back to their breath daily in order to really approach life in kind of more a balance between that yin and yang. But have you got any kind of tips or insights in terms of how we're going to deal with that stress without it being a reductionist conversation?   Dan Sipple:  That's a big question, I like it. I'll say first of all, the first two things that I always try and dial in, sleep and breath. Sleep and breath. It's that simple. If you can get a male, take a tradie for example. I see a lot of tradies down here. High pressure, they have to be able to exert authority on the job side, they have to be able to cope in that environment, and the ones that can't, usually leave the trade, from what I hear.   Dan Sipple:  But getting them to dial down from that, that sort of level of activity once the day is over, and just getting them doing this simple stuff like I say, if you can just do one minute, if you can do 60 seconds, where you can take literally eight to 10 breaths only, to get down to that level. That done daily as soon as you get home. So go outside, strip off your clothes, get you bare feet on the grass, sit down, let the sun hit you, have a chamomile tea or something like that, that's just going to take that edge off, probably the worst thing to do, which a lot do, is just go and smash four or five beers, and that's [crosstalk 00:11:30], because they want that [inaudible 00:11:31]. It's understandable, they want to come down. But we'll get into why that's not a great idea down the line.   Dan Sipple:  Breath and sleep, just dialling those two in. And sleep is something that so many people, I know I've banged on about this in the past, but I find people get it right and then they drift away from it and they forget that they got it right, and they slip back into old habits and they become really hyper-focused on the supplements and the weights and the diet and all that, but they forget the sleep. And I'm guilty of it 100%, I put my hand up. It's always something that I'm constantly trying to reel back in. I don't know about you, but it's something that I just find, if it's out of whack, there's no point even trying with the other stuff. That has to be first and foremost.   Mason:  I mean it's an interesting thing because you're right. And men are quite often, and then generally going to be those kinds of people that you give them an inch and they'll take a mile. And so, if you treat sleep and having somewhat of a subtle breath practice or even throughout your day where you can come into noticing your breath and allow that noticing without agenda to be the precursor for your actions, so in that awareness of the breath, you are leaving space for a non-stuck in the mental state, or non-stuck in an over identification with the physical to take place. In that space when you're just observing the breath. You then have an ability to have a noticing of what's going on with the mind and what's going on with the body and therefore there's less division and there's less as you said, that focusing on the thing which the mind tries to do. I'm going to do these weights to heal this problem, I'm going to do this ...   Mason:  So when it comes down to, there is, although that stuff is fun, you're never going to be able to go past the chop wood, carry water practice. Now if you really think about that, rather than it being just another thing, great, I'll take on that practice of chopping wood, carrying water and just doing that mundane for the rest of my life ... I was talking to my acupuncturist about it the other day and he was just like, and I was like, "Yeah man, that chop wood, carry water, I'm really working on it, but it can be really fleeting at times." And he was just like, "Listen mate ..." And my interpretation is we have such a privileged world, where we don't actually have to do the chopping of wood and carrying of water, but we do have to go to work every day, we need to be working on our homes and our cars and things that keep us going so that we can have the wood in the warmth and the material for us to live in this house and the water.   Mason:  Normally we're thing like actually chopping wood and actually getting up and carrying water and bringing that so we have something to drink, but now we're doing it in different ways, but it's the same thing. Keep ourselves warm and sheltered with chopping that wood and ensuring that you always have water to sustain life and cook with and prepare everything that we rely on water to do.   Mason:  That, because those practices are as methodical and slow and Yin in their repetitiveness as they were, they're very dynamic, naturally we need to lean a little bit more into the intentional nature of there are things like chopping wood, carry water, if you think about doing that for the next 40 years, this is what my acupuncturist was talking about, classically trained, worth mentioning, not modern TCM style. Is that, you're doing that for 40 years, of course along the way you are going to have some big pops and big insights and it's going to be moments of enlightenment, which of course the whole nature of chop wood, carry water is to release that enlightenment, otherwise you will be stuck in that place. And then, if you look at the majority of it, it's going to be very mundane, very boring, and very repetitive.   Mason:  But the nature of that is so beautiful in what it's going to do if you're going to accept that, and realize it's not always going to be bells and whistles. All of a sudden, the simple act of chopping wood and carrying water and coming consistently back to the breath and back to your practice daily, if that's one minute or if it's back to that practice of that discipline of screens down, creating that beautiful sleep environment, absolutely prioritizing bedtime, and if I can't prioritise, be able to get to stay up and stay asleep the next morning.   Mason:  We all have kids, a lot of us have kids, a lot of us have hectic jobs and social lives. But that chop wood and carry water, I think at the essence of this men's health message, that needs to be respected and honored, even if you're standing solid in your Yang. If you look at the Yin and Yang symbol, there is always going to be that place where you can stand with the Yin, within the Yang to ensure that, that is there and present so you don't have these hormonal stealings, which are going to lead us, this generation being dramatically lower in testosterone, and basically emasculated, right?   Dan Sipple:  Totally, and that's the thing too. How many males do we know that over train and spend too much time if you like in TCM terms, in the Yang, and just burning that furnace, I've got to lift weights and I've got to smash it and I've got to do this and do that. And I've got to make so much testosterone jacked up, and this and that. And it's like yeah, do all those things and that's cool, but fuck, regenerate man, get that sleep, get that breath dialed in. You have to regenerate, you have to dial in to regenerating, otherwise, let's face it, it's when you sleep that you build your testosterone and your growth hormone.   Mason:  In your blood, right?   Dan Sipple:  Yeah, and your blood.   Mason:  It's in your blood. That's kind of what I think, women are so, women are more sensitive to it because women are way more prone to running low on blood. Women are running on blood. We're running on Qi generally, and so it's a little bit, because we're not bleeding every month, it's a little bit harder for us to become deficient in blood, but it comes up and bites men in the arse, it's a gradual thing, but when you're over-training, over-ejaculation, overworking, in your mind excessively, you can go for so long. But then eventually bit by bit, you're chipping away at that blood and that Jing and ultimately when you look at what's going on hormonally, you're chipping away at the efficacy of these pathways and so you're going to end up in a place where you are deficient and it's not going to be a supplement, and it's not going to be a training session that's going to be able to turn that back on, build that blood back and actually restore the ability of these pathways.   Dan Sipple:  Mm-hmm (affirmative), 100%. And I want to make it clear too to the men listening. I'm not saying don't do all these things, we're not saying don't go and lift weights, and don't try and optimize testosterone, because I still think there's a lot of shame politically around that today, which I really want to see dispel. I hope this doesn't come across the wrong way, but I feel like, especially in naturopathy especially, there's a lot of focus on female hormonal health and it's totally acceptable and it's not even thought of twice for a female to want to optimize her estrogen and her progesterone and regulate her cycle and yadi, yadi, yada.   Dan Sipple:  As soon as a male wants to build up his testosterone, I feel like there's a bit of a stigma there still in some circles.   Mason:  You know who kind of cracks that with Stephen Harrod Buhner. He was totally in those herbal scenes going, "Hang on, we've got this huge apothecary full of phytoestrogenic herbs that are absolutely incredible for women's hormonal health." And we've got really nothing driving androgen, no herbs driving androgen, basically androgenic herbs. And then when he brought pine pollen, and that book on pine pollen that I think he supported or wrote, but he just championed it.   Mason:  Because he's such a gentle man, I feel like it was accepted, and he begun the process. But you are right, if you are taking pine pollen even to an extent ashwagandha, deer antler is probably the biggest one where people associate it with, of course maybe not in this community as much, but very much generalising. But you're right, the stigma is there, you're a boof head for wanting to, "You want to jack up your testosterone do you? Yeah, Good on you." In order to develop Shen, far out. In order to continue to grow our personality, emotionally, spiritually going deep into the ether of ourselves in order to become better humans, better men, you absolutely require that baseline testosterone optimisation.   Mason:  I'm with you, and it also comes down to the way that men approach it. There's no other context rather than, all right, you know we're going to like get, I just want to jack up my testosterone, I don't know how that connects to everything else. The only association with it is to become "more manly" and therefore that has a glass ceiling on its usefulness, right?   Dan Sipple:  Totally, yep. You nailed it, and that's another thing I really want to highlight too in that context is that don't just think of testosterone as my testosterone is up because I'm horny, because I feel like I'm keen and I'm good to go. Na man, bone health, you need to [crosstalk] testosterone, and immune function you need testosterone. Cognitive health, brain health, sleeping well, recovering, all that sort of stuff as well comes into that amazing hormone, which is testosterone.   Dan Sipple:  And I say to a lot of patients too, our physiology and our genetic demands and our DNA is, it sounds really harsh, but it does not give a shit about what's going on today societally. It doesn't care that we've got food problems and government problems and this problem and that problem. It's demands are exactly the same as they were seventy years ago, and you have to serve that. I'm sorry, you have to recognise that, and the sooner you do and start getting things back to simplicity like it's referring to, chopping your wood and your carrying your water. They're metaphors, but the audience, and I know exactly what you mean by that. Stripping things back to that simplicity just so that as a man you are serving your physiology and you're not putting things into your body and putting practices around your environment which affect that.   Mason:  So, just to kind of finish up on that, that stress conversation. I feel like it's a good point. If any guys, they feel like they're really rocking their physical practice in terms of, in that aspect of men's health, whether you feel like it's, whether you're lifting weights or you're running or whether it's MMA or whatever. If you've got that kind of side rocking and you're really loving it, you want to make, then you want to have like a more integrative practice in a way of training and practicing, approaching life from that parasympathetic place so that you can widen your cup, so that cup can hold more of these androgenic hormones and testosterone.   Mason:  My man Benny Ferguson has that really, really great programs, you can get in touch with him to see what might be ideal, but whether it's the tension release programs or in body flexibility or whatever it is, there's some really beautiful practices and you can hopefully find something there for yourself and as well, connect to the breath outside of dogmatic or, not that they're all dogmatic, but sometimes you don't want to enter into another clique. You don't want to go into a different style of yoga, you don't want to go into a different style of soft martial art. You want to just be working on your pure physiology and connecting to your breath and there's many people doing that in a way that's not just based on cues and rules of what it should look like to get good output. Many people are doing that, but Benny happens to be the one that I work with and I think he can be a really great resource for a lot of people, he's a beautiful man.   Mason:  So that stress, I think we've kind of really hit somewhat of a core of that ability to not maintain a life that's not philosophically stressful in the way that you approach it. Is there any other aspects of the pathways you want to go into before you jump into cholesterol? Otherwise, I want to really hear your two sense on it.   Dan Sipple:  Just touching back on that cascade we got kind of from cholesterol to progesterone, if all things are going well, then across to Androstenedione and then again if all things are still going well, across the testosterone ultimately.   Dan Sipple:  An important thing to look at there is, and it gets a little bit tricky, but I'll try and break it down, aromatase, which is an enzyme which influences or encourages the conversion of testosterone down to estradiol or E2 in men and female. And the really neat thing is when you do a DUTCH test by the Precision Analytical Company-   Mason:  That's not [Carrie] is it?   Dan Sipple:  That's Carrie.   Mason:  Dr. Carrie Jones, so that's for men as well, did you say?   Dan Sipple:  Totally, yep.   Mason:  That's cool. That was a great podcast that Tahnee had Dr Jones on. All right, great. We will put that in the show notes, so-   Dan Sipple:  She is a weapon. If anyone hasn't followed her yet on Instagram Dr. Carrie Jones, she's amazing.   Dan Sipple:  There's certain compounds that are going to influence that conversion, but ultimately if you're a man, obviously you want to keep it dialled in at testosterone, you don't want to lose that to a conversion process down to oestrogen, which inflammation, excess body fat, high insulin. So if you're getting too much carbohydrate and refined sugars, you'll influence that. Alcohol is a classic one that's going to encourage testosterone to convert down to oestrogen. And-   Mason:  A man's drink.   Dan Sipple:  That's right, exactly.   Mason:  Beer made with the most oestrogenic herb on the planet-   Dan Sipple:  Can't be-   Mason:  [crosstalk 00:25:47].   Dan Sipple:  What do you mean? That's right. Guys, beer, we have alcohol and we've got hops in there, double whammy, not so good for your testosterone.   Mason:  Yeah, but it's so delicious.   Dan Sipple:  I know.   Mason:  I think that's a nice thing, we'll bring it home in the end. We'll talk about, really, I can't stand having a rule based approach, not allowed this, not allowed that, so it's like ... My gosh, I can't wait until natural androgenic beers starts actually hitting the market. It's going to be the most incredible revelation and this is going to pop it for men that, Hops is literally, I think literally the most oestrogen forming herb that we have on the planet, and the man's drink not only you have like a shit load of beer, you're going to have excessive alcohol in the system, which is going to help, it's going to ... Is it an antagonist for aromatase?   Dan Sipple:  It encourages aromatase. So aromatase, you want to inhibit it ideally. So I think like zinc, grape seed extracts-   Mason:  Nettle root.   Dan Sipple:  Nettle, you've got damiana, [inaudible] and those sort of things, will inhibit that conversion, that enzyme. But yeah, androgenic beer, man.   Mason:  Yeah, pine pollen beer with no Hops, no grain, it's going to be the best thing. Everyone can go and get, and then start making their own with Pascal [Boudet 00:27:12], I think I've got my French-   Dan Sipple:  Have you done it before? Have you experimented with-   Mason:  We don't have that kind of crazy time, we try every now and then, [Tahnee] and I try to, we're kind of working our way back into being in the kitchen where we can get really fermenty again. We've gone and done the workshop with Pascal, where we went and foraged everything we made. We made a beer with few different types of sages and reishi's and fermented limes and a shit load of mugwort in order to bring out that bitterness. I've had a lot of natural beers and it's just like, it's watery, it doesn't have that oomph and punch that a beer normally does. But Pascal, I think he's the wild brewer, anyway ...   Mason:  Pascal is, we'll put the notes for the book down there. He's got a wild crafting brewer, or something like that, and he can teach you how to make these natural beers and you can just go and put pine pollen in there. You can either use SuperFeast like Deer Antler or we'll go to China Town and get deer antler slices and throw that in there to the fermentation process. Then you're kind of working with something, and you're working with an androgenic beer, but the way he makes them, he gets the flavour profile and he gets that meatiness that you need to hit the spot.   Mason:  So we started with aromatase and we went off to beer, but that's natural.   Dan Sipple:  That's all good. And then additionally into aromatase, there's another enzyme called 5-alpha reductase, which can also push testosterone down to its more potent form, 5-alpha DHT, which is also known as dihydrotestosterone. I think there's still a little bit of debate on whether you want to limit that conversion or whether no, You actually do want some healthy degree of DHT, which is the more potent androgen form of testosterone. I think there was a bit of a stigma because of the association and literature around BPH, Benign Prostatic Hyperplasia, and that being associated so they say, with higher DHT, dihydrotestosterone.   Dan Sipple:  We'll get into further, but that's essentially what I wanted to kind of just bring to light, the cholesterol conversion, and then once you arrive at testosterone, if all is going well down that cascade and that chain, keeping it there, rather than letting it go to those other hormones which we don't really want too much of as males.   Mason:  In terms of like the estriol or the estradiol.   Dan Sipple:  Yeah.   Mason:  Okay.   Dan Sipple:  And cortisol too. Yeah.   Mason:  Where does the cortisol come into it? Is that in the pregnenolone steal?   Dan Sipple:  That's right, so that's backup the chain. So that's before it gone across to testosterone, so it starts at cholesterol. You want it to get down to progesterone and then skate across from progesterone to the androgen pathways, but between cholesterol and progesterone, pregnenolone is kind of in the middle there and that can divert it if you like, down to the stress pathway...cortisol.   Mason:  Okay, cool. Well, let's go up and let's start breaking it down a little bit. So cholesterol, I think by now most people should know, but if you don't know, is the primary ingredient for the creation of hormones. Backbone of creation of hormones, so that's why you see a lot of people getting very passionate about having the inclusion of cholesterol in saturated fats in the diet, especially back probably a decade ago. It was like a massive kickback on a wider scale from those low fat diets and the 80-10-10 diets. 80% carbohydrates and sugars, 10% fats, 10% protein.   Mason:  And even in a lot of vegan and raw circles, as that kind of got to it's height, you saw a lot of endocrine disruption occurring and it kind of, a lot of it came down to the fact that no one actually had the backbone for the creation of hormones and then naturally that affected the nervous system as well. So, now it seems more of a normal conversation and there isn't that, even on a cultural level in Australia at least, there's not as much of championing of low fat diet.   Dan Sipple:  There was.   Mason:  Yeah, I don't even know whether the Healthy Heart Tick, I don't know whether that institution of dieticians is ever going to budge. But I don't know where you're at with your knowledge, [crosstalk 00:31:26].   Dan Sipple:  I don't even look at what they're doing anymore Mason, to be totally honest with you. It sometimes comes up in a conversation with a dietician or around the traps, but I try and shy away to be totally honest.   Mason:  But this study from Sanatorium told me-   Dan Sipple:  You've got it. We digress.   Mason:  All right, so what have you got to say on the cholesterol front?   Dan Sipple:  Well look, I see a lot of people on plant based diets and a lot of people on the flip side, that are doing close to carnivore diets. So I see them both. I think it's important to highlight that the body is a machine and a weapon and it will do its best to serve you no matter what diet you're doing for a time. In the plant based realms, I can hear people going, "But I get plenty of cholesterol, I have coconut oil for this, and I put coconut oil on that, and this and that."   Dan Sipple:  There's going to be a time where that supply, that kind of constitution and life force will start to dry up, eventually, that's just inevitable. And that can be argued til the cows come home, but I see it, I see it, I see it. And I've felt it before too, where you lean more towards those plant based diets and then you feel what it's like when you return back to a diet where you're getting lots of different saturated fats and mono unsaturated fats from different types of sources, plant based and animal sources, and you feel that return, you feel that gene come back and that neuroplasticity and whatnot.   Dan Sipple:  But look, I just encourage people to not over do it either, there's a big ... I feel like there was the plant based movement but then even now with all the carnivore madness going on at the moment, there's a big kickback to people and ketogenic diet, just going crazy on fats and ending up with all these bile issues and digestive issues, which we've gone into in the past as well. So it's a sweet spot. It's like anything, you have to hit the sweet spot. So long as you're doing things like macadamia nuts, avocados, a bit of coconut oil, grass fed beef, if you can get it, venison and deer, especially the men, trust me the next day your body will thank you for it, you know what I'm talking about, when you first wake up in the morning.   Dan Sipple:  But yeah, did you have anything that you would like to add there mate, with your take on that?   Mason:  I agree, just get out of the labels, if you can challenge yourself, it's one thing because I did want to talk a little bit about the fact if throughout this conversation, if there is someone that is really feeling like they've broken out of the dogma of like a vegan or raw kind of style of things, but they're still walking that lifestyle, just make sure we're hitting little points to enable them to maintain as best as they can a healthy cascade. In that sense, the best you're going to be able to do is just continue to hit those plant based fats, especially making sure you're getting an array of macadamias, avos, coconuts, any others that come to mind there?   Dan Sipple:  I probably wouldn't do any more than that. I think in that scenario, you then want to look to your herbs because as long as you're getting the backbone there, which is cholesterol, it's the rest of the process that you have to worry about on a plant based diet, and that's where the herbs can really help influence, maca is fantastic, maca is one of my favourite herbs. Couldn't speak more highly of that for men and female. That's always going to help men and female detoxify those more toxic types of oestrogens. Any oestrogenic kind of reabsorption that you're going to get through the enterohepatic recirculation, which sounds really complicated, but it's just essentially oestrogen getting broken down on its way out for excretion, but then due to certain gut bacteria, getting recirculated and popped back into the system. And ultimately, that can keep you in an oestrogen dominant state.   Mason:  All right, let's quickly hit that for a second, because we're looking at, I talk a lot about liver support and liver supporting herbs ongoingly, being present for women to ensure that their endocrine system remains healthy. Somewhat the liver, somewhat this is an analogy, but being like a conductor in terms of this gets broken down, this gets recycled, that's out, this is going to be reused, nope we want to keep that in circulation, and also just keeping those phases of detoxification open and present, so that then you don't get that bleed over of toxins and to an extent, I think even to the extent like toxic hormones bleeding over into the sex organs. There's a lot to do, from what I understand with women sexual organ issues, but for men as well, really, really key core to ensure that you're not getting these bleed overs of especially oestrogen [inaudible] into the rest of your system.   Dan Sipple:  Well that's right, because even if you've got good detoxification, even if your liver and gall bladder and your bile is all doing a fantastic job at getting that stuff broken down and packaged up in a nice little package ready for excretion, but then it gets down the large colon and then it hits disbiosis and you've got certain overgrowth of species known to basically unpackage that oestrogen, break it all back down and then guess what, it gets reabsorbed through the gut wall, then suddenly, it's back into the blood stream and back into the liver.   Mason:  So we've got a couple of things. We've got like a huge amount of time, but just in terms of what you like seeing included in the diet, we've got a couple of things in helping that through the intestines, we're going to make sure that we don't have disbiosis occurring in that area, so men maintaining a thorough awareness of their gut health. And then on the liver health in just ensuring that those detox pathways through the liver as well as the bile flow is going. Some basic recommendations.   Dan Sipple:  Totally, so I've got things like Schizandra, we've got globe artichoke, we've got-   Mason:  We're looking at the liver right now?   Dan Sipple:  We're looking at the liver right now, from the top-down. Those things are going to be usually as well as helping the liver, helping you stimulate bile. Bile is so, so important there, that's like washing crap through your liver and getting it down into the bowel for excretion.   Dan Sipple:  To your point though, just to hit that off on the head, binders are the important thing to prevent that recirculation. So we're hitting the charcoal, we're hitting Chlorella, zeolite if you like, I'm not such a fan of zeolite, but those first two are my faves.   Mason:  Why aren't you so much of a fan of zeolite?   Dan Sipple:  Zeolite, from certain studies I have looked at, can potentially bind up good minerals as well, and for that reason, and I've seen that happen too. I've seen people do it for too long and end up really depleted across the board, in terms of their micronutrients and trace minerals.   Dan Sipple:  It does do a good job of getting rid of the crap, but it can take out some of the good too. So something like, I tell people, always do your binders right before you go to bed, away from food, away from supplements. Do it as the last thing. So, a tall glass of water with some charcoal or some Chlorella thrown in there, make sure they are good quality.   Mason:  What about the clay side of things? As I said I generally sit, not like one back from the intensity of zeolite, even charcoal, I can't really handle every day because it's just too dehydrating for me, and I kind of feel like it has that same approach. Whereas clay's seem a little bit more gentle.   Dan Sipple:  Clay is something I have had less experience with, so you're probably going to be a little bit more vast in its ability to do that. But it does definitely fall into that same category. I definitely consider that before I hit zeolite.   Mason:  Yeah, okay. Cool. And then maintaining that liver health is something I feel like those staples. MSM is something that I'm still absolute thorough fan of, is that something you're still comfortable with men having?   Dan Sipple:  I do like it. It is very sulfuric, so people on a high protein diet that are already getting too much sulfur, all that have certain snips or SNPs or genetic variations on certain enzymes that predispose them to accumulating sulfur, have to be careful with that one. That's why it's always good to test them and check that stuff out before you just go gnarly on detoxing and those sorts of things.   Mason:  Do a genetic testing?   Dan Sipple:  Genetic testing is good, yeah. Mm-hmm (affirmative). Good old 23 and me run it through a genetic converter, find out if you've got enzymes like the CBS enzyme, that's to do with the transsulfuration pathway. But look, generally speaking, I see it do good things, it's excellent for joint mobility, I know I'm preaching to the choir here anyway, but, yeah. Back to you.   Mason:  Keep the inflammation down as well.   Dan Sipple:  Totally.   Mason:  And then with these things, the reason I like having these conversations because we get into the nuances of particular herbs, nuances of particular mineral supplements like MSM, and if something doesn't have a nuance, and it's just like a broad statement and it doesn't actually have room to move and breathe with all the different constitutions and genetics and tensions we have. Then it's marketing, you're not looking at it deep enough.   Mason:  Okay, so great. Keep up the Schisandra, globe artichoke probably milk thistle falls in there as well, it's like a here and there kind of like ... Helping herbal aid. And then getting down into the digestive system, like binders is just something I'm going to ... You know binders and clays, are in the Shen Nong original Materia Medica, as one of the original tonic herbs. And so we have the reishi's and the eucommia's and the schizandra's and the shatavari's there, within these ... Over 2000 years ago and thousands of years of pouring in, humans, men and women, herbalist and shamans like looking into what's going to be the most life enhancing, life procuring tonics from minerals, animals and plants and mushrooms, that you're going to be able to include in our diet longterm, and there's four different clays in there, that fit into that tonic herbal system as a mineral herb.   Mason:  So, it's something that I don't see as a treatment of myself daily, I see it in that kind of, the way that you see indigenous humans, birds, primates, going and sorting out the clay deposits or finding like here in Australia, the those termite mounds that are high clay, and every now and then, just popping a little bit of that through your tract in order to bind, to not just toxins in the environment, but metabolic waste that occurs just in general.   Dan Sipple:  Which includes hormones, yeah, totally.   Mason:  Which includes hormones. All right, beautiful. Now-   Dan Sipple:  Can I just chime in there Mase.   Mason:  Yeah.   Dan Sipple:  You've brought up a good point. While we're talking about detoxing the liver, and inflammation and whatnot, oxidative stress, iron is such a big, big factor that I never look past when I'm treating males. Obviously men don't menstruate, so we don't have a natural means of losing iron. And a lot of men, particularly those with low testosterone will have elevated ferritin or even elevated serum iron.   Dan Sipple:  Now, there's a genetic condition called hemochromatosis, which some of the listeners might be familiar with. That affects males and females. So, if iron is really high, guys when you've done blood checks in the past and your doctors just gone, "Oh well, we don't really know what to do about that, it's all good. Just check it out in a year." Pay attention because iron, if it's high, it's going to spell a lot of issues when it comes to your hormones. It creates a lot of inflammation, a lot of oxidative stress and just like it does in the environment, it's going to rust out your body and your organs.   Dan Sipple:  So ferritin scores, this could be reference range, western diagnostic range between 30 and 300. You don't really as a male want to be over say 100, 120. The sweet spot I find tends to be around 90 or 100 for ferritin. That's a deep reservoir sources of stored iron. But look, iron, even iron rich foods funnily enough, in a lot of the androgenic foods, beef, chicken, eggs and that sort of thing, naturally are going to contain large amounts of iron. So if you fall into that category where iron toxicity is a thing for you and you work that out and you link that back to why you haven't been able to reach your androgenic potential, that's something that you'll need to individually curve and look at. And again that's going to come back to how well your liver is detoxifying, because of all that iron creating a lot of oxidative stress, you have to be hammering the antioxidants. That's your blueberries, your green tea's and all those liver herbs which Mason and I just rattled off, so your milk thistle, globe artichoke, schizandra berries, rosemary, so forth.   Dan Sipple:  I just want to throw that in there because the dance and the balance between those metals and micronutrients like zinc and iron, you have to get that dialed in, you have to make sure that your zinc isn't being lost to iron, because all those metals are going to compete. Copper, iron, zinc. And zinc, we'll do a little section on that soon, but that is, they call it the male mineral for that reason, it's the one that always is associated with proper formation of your androgens and getting that testosterone converted from progesterone.   Dan Sipple:  So in a nutshell, to cap off from that, check your iron out, it's always good to do a full serum iron panel, iron studies and look at your ferritin scores, if it's a problem for you, make sure you're not taking any iron supplements. Definitely get all iron out of your supplements-   Mason:  You probably shouldn't be taking iron supplements to begin with.   Dan Sipple:  That's right. They do tend to work their way into a lot of the multi-mineral formulas, unfortunately. But there are some companies like Thorn for example, that will do iron free multi-mineral formulas.   Mason:  Okay. You recommend, I know this is like you get down the route of blood letting, which we know maybe it's not happening as much. Or even just going and donating blood in order to alleviate that. I know it's always like a real easy way to, if you're prone to those high iron levels, getting in there and doing something like that, right?   Dan Sipple:  100%, and you'll know it too, because there will be the sort of people that you'll do a consult with, and they'll be like, yeah I went and got my blood test and I don't know what it was, I don't know if it was just because I was fasting that morning, but man, I felt light that day and the next day. And you'll be like, okay. It's going to be interesting to see what your iron scores come back with, and sure enough, a lot of the times they're high.   Mason:  Okay, leading on from that, do you want to talk a little bit more on zinc while we're at it?   Dan Sipple:  I'd love to. So zinc and copper, zinc, the male mineral, copper the female mineral. Little bit sort of, it's not that straight forward but they do have that sort of reputation. We do see in today's society usually a lot of panels where zinc will come back low and copper will come back high. And copper dominance for females and males is an issue, because it definitely will cause a lot of hormonal disruption, brain fog, immune system problems. Any issue where zinc cannot accumulate and build up to a healthy decent level is going to affect immunity, constitution and hormones.   Dan Sipple:  So, zinc as a supplement is always a good idea I think for men, as soils these days are just as fact depleted in zinc. It is hard to get zinc. So a good sort of 30 milligram supplement, but it's also good to test as well. Test and check where you're at. But I just rarely see when we run a zinc panel a mans zinc is like prime and in good shape, it's always like, it could be better.   Mason:  It's always nice, you can, just that connection that it's like, took Tahnee out for dinner last night and of course started with a couple of Sydney rock oysters, like always good to keep the oysters in a high rotation if possible. Don't know where pumpkin seeds sit anymore in terms of actually affecting zinc levels, but-   Dan Sipple:  Yeah, I'm on the same kind of band wagon there. That really got pumped, so I remember when I was at uni, pepita seed, pumpkin seeds for zinc.   Mason:  It used to be on the pepita seed butter.   Dan Sipple:  Yeah, me too.   Mason:  And it's very delicious. But like I don't think there's any drawback, I don't see as many drawbacks. I definitely don't have as many seeds these days in my diet as I used to, but a little bit of that there. But then in terms of supplementation, I think we were talking yesterday, I got a little bit of citrate sitting up there, zinc citrate in that form, which is quite effective. But you like the-   Dan Sipple:  I like picolinate. Picolinate is, I won't talk too much to it because I'm not a chemist, but it's a form of zinc, which the body is going to be able to yield more from essentially. There are studies that actually conflict that too, however. So it's something where you do need to do a bit of personal trial. I do well on picolinate, I don't do well on citrate. Others, they do well on citrate.   Dan Sipple:  Generally avoid the over the counter versions though. I find like zinc gluconate, zinc oxide, some of the cheaper forms of zinc, just you'll probably absorb 10 to 20% of them. You're wasting your money really. But before you supplement, like you touched on Mason, definitely try and stack your diet if you're a man, in zinc rich foods. So we're talking oysters, deer venison, eggs, beef, funnily enough, zinc is found in a lot of the animal foods, it's just a fact. I find that even, and I can hear the plant based community in my head going, but there's zinc in this and there's zinc in that. Yeah, there is zinc in like pepita seeds for example, but there's also phytoestrogens in that same food. And there's also copper in that same food, which is going to make it hard for you to use that zinc.   Dan Sipple:  Whereas, something like good old grass fed beef, it's just bioavailable. Your body will just know what to do with it, and will suck it up.   Mason:  Or even better, like a venison, like wild non-vaccinated venison.   Dan Sipple:  Yes, exactly, yeah. And anything, as I think Sylvester Stallone said it in the 80s, "I'll eat anything that runs, walks, crawls, or flies".   Mason:  Okay. Deep.   Dan Sipple:  Yeah.   Mason:  Can you just, so I can get my head around a little bit of more of the importance of zinc. It's definitely something I haven't really, I'm not doing too may isolated supplements these days, but zinc and iodine was always one that I kind of like had hanging around at least. So can you just talk in terms of the pathway of where zinc is supporting that process of maintenance of health testosterone.   Dan Sipple:  Definitely. So like we touched on before, preventing testosterone from aromatising down to oestrogen. That's the main association there with zinc. If you have poor zinc levels, you can be pretty sure that that's going to be what's happening.   Mason:  Okay.   Dan Sipple:  That's essentially in a nutshell. But I find zinc isn't just testosterone fuel, it's all the other stuff too, like its bone health, its immune function, which is super important for much as male all around health and female too. But specifically the hormones, yeah, it's preventing that aromatisation.   Mason:  And the association between copper and oestrogen?   Dan Sipple:  Yeah, so copper is going to act like a shield for zinc to get on its receptor. So zinc and copper are always, excuse me. Trying to compete for the same receptors. It's a constant battle, and the ideal ratio, no matter what the scores are when you look at them on blood, as long as they're one to one, that's what you're aiming for. So I usually look at plasma zinc and serum copper. But most of the time, I'd say 90% of the time in males and females, we're seeing too much copper and not enough zinc.   Dan Sipple:  The way you remedy that is essentially just by pushing more zinc into the body to help push copper off the receptor sites, but you then have to get it out. So same thing applies what we were talking about before. You have to have good liver health, you have to be sweating, you have to be moving, and you have to be binding.   Mason:  And you've got to be pooing well with the binder.   Dan Sipple:  And pooing.   Mason:  So, that's kind of like a similar conversation, I guess there's always competition and ratios going on in the body. It's a similar thing with taking iodine to get those toxic halogens out of those receptors, right.   Dan Sipple:  It is, it is man. You have to look at selenium, you have to never just blindly take iodine and never look at selenium. You can see that become problematic and you can see, it can be flip side too. I have experienced that where I was on supplements that, and a diet that's naturally high in selenium and all of a sudden, I was creeping into selenium toxicity and my iodine was falling really short.   Dan Sipple:  So, it's always about that dance, you have to, don't just look at one mineral, you have to look at the full array.   Mason:  Okay. What's next down the chain?   Dan Sipple:  Let's have a look. We talked a little bit about soy-boys as they're sort of referred to.   Mason:  The precursor to the conversation guys, just in case you were like, hang on, I didn't hear the words soy-boy, I would have remembered that.   Dan Sipple:  Yeah, that's right. The precursor conversation. I mean, just highlighting that phytoestrogen sources can be anything really in the diet, that does have oestrogen mimicking or oestrogen like qualities, it can be problematic for men. So naturally when men do a plant based diet and they do it for too long, inadvertently, they're going to end up on, not all of them, but some, on foods that do have a high soy intake. Especially if they're not doing it properly and that, we don't need to go down it too detailed, but that's an obvious disrupter to testosterone. It's always going to be an issue there.   Dan Sipple:  And so that's where it pays to do, if you're an honest vegetarian or vegan and you want to do things properly, check out your hormones. Get the data, see what's going on and be honest with yourself and call it into check if things feel out of whack and if you're not feeling good. Because as I said earlier, your genetics are the same as they were all those thousands of years ago. Things have not changed genetically.   Mason:  That's the best thing, we can just all take our way of a charge. I think a lot of people are really emotional in the meat eating community, because they've had their own experiences of being vegan, vegetarian, and done something to themselves and then they feel like they've got to wave the banner. Otherwise, you've got people in the vegan community consistently only following vegan advocates and therefore justifying their diet and going further down that rabbit hole. But if you can take the charge away, get your panels done, don't do it in a sense that's defensive, don't do it trying to prove that one diet is right or wrong, no one is rocking it.   Mason:  There might be a few like indigenous communities that are really kind of making it really work still, but despite, yes we've got that, medical systems they're supporting us at the moment, but we're still everyone is experimenting at the moment in terms of what's going to be ideal in this post industrial world. For health, we're all trying to, we're picking and choosing and scraping things from different traditions and different countries and trying to make that work. So, in that sense, everyone can really get off their high horse-   Dan Sipple:  Yes, on both sides.   Mason:  Yeah, well from carnivore, to vegan. Veganism and everything in between. And if you can take away that charge and just get these panels and not be waving a flag for an agenda, or a justification of what you are doing currently. One of the best things I ever did when I was basically vegan, raw food, was reading Weston Price Natural Degeneration. I looked into the reality of why the China study was pretty horrible. Not horrible science, just horrible correlations that were results that they pulled out of that study.   Mason:  And just because I wanted to take away the charge of trying to justify myself and what I was doing, rather than actually having natural curiosity. Reading those books and reading about all the benefits of animal fats and all those kinds of things when I was vego, that was years before I made the transition. They weren't causative things that made me flip over, they just made me, they just kind of helped balance me out. It's nice to know other points of view, so you don't feel like you have to get defensive with your diet, because that's when you really dig yourself a hole, it's something, I don't exactly, I haven't got my head completely around the physiology of this particular susceptibility, but again, our acupuncturist talks a lot about the fact that when you have excessiveness in your lifestyle and in your diet, excessiveness is generally going to lead towards a deficiency of Jing at some point.   Mason:  And that is going to lead to a deficiency of your neurology and especially when you get to the point when you are deficient in blood, that is when you become susceptible to dogmatic ideas because it's so much harder for you to find your own center, your own Shen, your own mental consciousness, that you need to lean out and rely upon external systems. And because you can't establish the blood, which carries the Shen through your body, then you can't restore your Jing because you put on the blinders for your dogmatic diet or lifestyle factors or whatever it is, and you can't get out of it. And so, it's going to be a slow build out of that, and if you can work, even if you're in a nice balanced place now, consistently having little challenges for yourself to make sure that you are actually living dietarily supplement wise, belief system wise, based on something that is still relevant and innately coming from your center and your family center, rather than an idea that you feel like you've put your chips on and so you've got to make sure that you have all the data to justify.   Mason:  I think that's a huge part of it here, and I think that's all I have to say on that conversation because I really have a lot of friends who are vegan, I really respect the fact that they do that. And they're like, I'm going down this route, and there doesn't need to be any justification of it. But then they're doing the panels, right. They're taking the herbs and they're trying to ensure as much as possible that they're not degenerating their genetics.   Dan Sipple:  Totally, and that's the thing. I work with vegan's, carnivore's, paleo's, keto's, all of them, right. And I have respect for anyone that walks through the door no matter what they're doing, as long as they're being conscious about it, and which feeds into what you're saying. So getting your panels done, being conscious and honest with how you're feeling. If you're honest with your body and it's not working for you, it's okay, you tried it, you gave it a crack and you cleaned out your body, and you're going to revolve it from there. Don't get stuck into the dogma where, that's right, you've just got the blinders on and you can't hear anything. And that's on both sides of the equation too.   Dan Sipple:  If you've gone down that path and you are feeling signs of degeneration and you're skipping meals and you're eating chips and you're drinking beer, but you're plant based. It's like, come on, that's not cool.   Mason:  Or even not that, even if it's not like that kind of like faux health, even if there's no beers and chips and it's all that. There's always obvious signs of degeneration and you want to get to them before, not that it's about other people, but you want to get onto them before it becomes evident to everyone else.   Dan Sipple:  Totally.   Mason:  Because that's what happens a lot. Thanks for going down that little rabbit hole with me. We haven't got too much longer, so I want to hear a couple of other things. We've looked at cholesterol and how important it is, having a reasonable amount of and varied fats, plant and animal. Ensuring not to go excessive as to put taxation on our gull bladder and as well I think we've talked about too much fat is going to lead to an overgrowth of particular bacteria and off gassing, and that's why you see a lot of people who aren't designed for keto or just tend to stay there too excessively, are going to see this dibiosis in their gut. Runny poos and all those kinds of things. That general queasiness-   Dan Sipple:  Yeah, nausea, queasiness-   Mason:  Or it's that little queasiness when you have too much fats [crosstalk 00:59:22]. It's good to be on to that.   Mason:  Now tell me, we've gone down the nature of stress and ensuring that inflammation and stress isn't present, so that we can have that pregnenolone steal, which happens up above and inevitably goes down to forming more cortisol, right? So it's not even that directly cortisol being caused, it's the fact that we've got potentially these shenanigans going on in that hormonal cascade.   Mason:  I want to quickly talk about the formation of vitamin D3. It being a hormone in itself, it's one of the other things that always came up in terms of vitamin D3 levels being very low in people who don't have adequate cholesterol, and that's something that came out of that same conversation about 10 years ago for me, that I was talking about. So, can we quickly touch on the role that vitamin D3 is playing on all of this as well as our testosterone?   Dan Sipple:  Sure. So vitamin D3 isn't actually a vitamin, that's the first thing. It's a hormone. It's a steroid hormone with a cholesterol backbone. So straight away, we get out on the mindset of oh, it's just a vitamin and its good for you. It's like no, it's a hormone and you need it in big quantities. And if you want happy hormones and you want low inflammation, you'd better damn sure be looking at your vitamin D3, and that includes the active and non-active forms when you do blood panels.   Dan Sipple:  Typically, when you go to a doctor, they're just going to look at the non-active form, which is called 25-hydroxy vitamin D. Looking at the activated form is 1,25-dihydroxy vitamin D. And that's the one that the kidneys I believe converts from the sunlight and using sunlight and cholesterol hits your body, boom, goes into the organs, the liver and the kidneys and gets converted. And making sure that you've got a healthy, good level of both ultimately. That's kind of the long and the short of it.   Dan Sipple:  But, I'll say in addition to that, that hormone D, I don't call it a vitamin, I call it hormone D, is the ultimate antiinflammatory hormone in the body. So if you have high cortisol and low hormone D, guarantee you're in trouble. Guaranteed.   Dan Sipple:  Inflammation, we hear a lot about inflammation and it's kind of like people, yeah, yeah, yeah, I get inflammation. But it goes so, so deep in terms of what stimulates inflammation and just how catastrophic that can be to your hormonal cascade. So, inflammation can come from yes, diet, it can come because you're not sleeping, but an often overlooked area is infections. If you have stealth infections in your body, and your po

In men, urine flows from the bladder through the urethra. BPH is a benign (noncancerous) enlargement of the prostate that blocks the flow of urine through the urethra. The prostate cells gradually multiply, creating an enlargement that puts pressure on the urethra -- the "chute" through which urine and semen exit the body.   As the urethra narrows, the bladder has to contract more forcefully to push urine through the body. Over time, the bladder muscle may gradually become stronger, thicker, and overly sensitive; it begins to contract even when it contains small amounts of urine, causing a need to urinate frequently. Eventually, the bladder muscle cannot overcome the effect of the narrowed urethra so urine remains in the bladder and it is not completely emptied. (Credit: WEBMD ) Our guest today is a 60 year old Chicago suburb father and grandfather who has recently undergone a procedure to correct the BPH he had been living with for almost a decade.  

Jeffrey Klein, MD, speaks with Dr. Andrew Picel, about his article, “Prostatic Artery Embolization for Benign Prostatic Hyperplasia: Patient Evaluation, Anatomy, and Technique for Successful Treatment”. See Picel et al, RadioGraphics 2019; 39:1526–1548.

This episode of the "Ask Dr. Sundaram" video podcast from The Center for Men's and Women's Urology (1uro.com) in Gresham, Oregon, USA focuses on "Benign Prostatic Hyperplasia (BPH)". Copyright 2019 all rights reserved.

Join us on “Have the balls to talk about it” with Dr. Andrew Steinberg and Nick Drossos and our amazing experts and fascinating guests. We will discuss men’s health issues including prostate, heart and sexual and other great topics of interest (sports, business, motivational). We will even be discussing women’s issues, that men want and need to know more about.

Description: Prostates often enlarge with age, due to a variety of causes. Tune in and hear leading experts discuss what guys should be concerned about (urinary issues); what treatments exist (many, including new ones); whether supplements work (medically, no); and more. Guest: Kevin McVary, MD, Professor Department of Surgery, Division of Urology Southern Illinois University School of Medicine, Chair of the American Urologic Association Guidelines on BPH, Director of the Male Pelvic Health Fellowship at Southern Illinois University School of Medicine.

This week we narrow in on the enlarging prostate and decipher the common issue of benign prostatic hyperplasia with Adam C. Reese MD, Associate Professor of Urology at the Lewis Katz School of Medicine at Temple University and Chief of Urologic Oncology at Temple University Hospital. Learn how to interpret the symptom profile for patients presenting with common urinary issues, what to feel for in the digital rectal exam, how to treat BPH, and when to refer. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). See you at SGIM 2019! Find us in our red Curbsider’s t-shirts handing out Curbsiders and Kashlak stickers/patches at SGIM 2019 in Washington DC! We’ll be recording full length shows and daily recaps! Credits Written and produced by: Paul Williams MD Hosts: Paul Williams MD, Matthew Watto MD Images and infographics: Elena Gibson, Beth Garbitelli Show Notes: Elena Gibson, Beth Garbitelli Edited by: Matthew Watto MD, Chris Chiu MD Guest: Adam Reese MD Time Stamps 00:00 SGIM announcement 00:30 Disclaimer, intro and guest bio 03:20 Guest one liner, book recommendation, favorite failure and surgical M&M 10:56 Case of benign prostatic hyperplasia, defining terms and obstructive/voiding versus storage/irritative symptoms 16:11 IPSS score and evaluating symptoms 22:10 Digital rectal exam. Will this give any useful information? 26:55 Taking a history about BPH and some lifestyle modifications 29:20 Lab studies for urinary tract symptoms and interpreting PSA and free PSA 36:20 Initial therapy for BPH and managing patient expectations, alpha blocker side effects 39:25 Choice of agent and monitoring symptoms on therapy 42:25 Nonpharmacologic management of bladder complaints 45:10 Who and when to refer to urology 47:33 Counseling about use of 5 alpha reductase inhibitors, their side effects and is there a risk for high grade cancer? 52:35 Phosphodiesterase inhibitors for BPH symptoms 53:50 Urethral milking. NOT prostate milking 54:55 Desmopressin for nocturia 56:20 Take home points 59:03 Prostate volume and PSA 61:10 Outro Full show notes available at http://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

One in seven males can expect to suffer with a problem with their prostate by age 40, the most common being benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate. However prostate cancer is the most commonly diagnosed cancer and the fourth leading cause of mortality for males in Australia today. Despite these health issues being exceedingly common they remain chronically under-recognised and in some cases, poorly managed. Today we are joined by Dr Mark Donohoe who expertly takes us through the quandry that is the prostate. Dr Donohoe discusses why, in a quest to deliver better screening and diagnosis it may have actually resulted in unnecessary over-treatment and invasive medical intervention. He also shares the simple, modifiable risk factors that everybody can benefit from. Find today's show notes and transcript here: https://www.fxmedicine.com.au/content/reshaping-perspectives-benign-prostatic-hyperplasia-and-prostate-cancer-dr-mark-donohoe *****DISCLAIMER: The information provided on FX Medicine is for educational and informational purposes only. The information provided is not, nor is it intended to be, a substitute for professional advice or care. Please seek the advice of a qualified health care professional in the event something you learn here raises questions or concerns regarding your health.*****

Moderator(s) Kevin McVary, MD Southern Illinois University School of Medicine Panelist(s) Harris Foster, Jr., MD Yale University School of Medicine Charles Welliver, MD Albany Medical College Steven Kaplan, MD Icahn School of Medicine at Mount Sinai

Guest: Mitchell R. Humphreys, M.D. (@MayoMitch)Host: Darryl S. Chutka, M.D. (@ChutkaMD)Our topic for discussion today is benign prostatic hyperplasia, or BPH. By age 60, it’s estimated that 50% of men will have some symptoms of BPH. While BPH is not a life-threatening condition, and only rarely does it result in serious health consequences, it commonly causes symptoms affecting men’s lifestyle. Our guest today is Dr. Mitchell Humphreys, chair of the Department of Urology at Mayo Clinic Arizona and Dean of the Mayo Clinic School of Continuous Professional Development.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

On this episode we are joined by P4 PharmD student Blake Roche and Dr. Michael Unks. We give a very brief overview of benign prostatic hyperplasia (BPH).

Sat, 30 Jun 2018 22:05:00 +0000 https://evidenzbasierte-pharmazie.podigee.io/55-podcast-evidenzbasierte-pharmazie-journalclub-im-juli 27b12b87d1987aebaec640506092583d Im Juli schauen wir uns eine Studie an, die den Nutzen von Kürbiskernextrakt bei benigner Prostatahyperplasie (BPH) untersucht. BPH ist eindeutig ein Krankheitsbild, das in ärztliche Behandlung gehört. Dennoch suchen viele Patienten auch Hilfe in der Selbstmedikation. Angeboten wird beispielsweise Kürbiskern-Extrakt. Aber welchen Nutzen kann man betroffenen Patienten tatsächlich versprechen? In dieser Episode ist Viktoria Mühlbauer zu Gast. Sie gehört zum VdPP und wir kennen uns aus dem EbM-Netzwerk. Gemeinsam schauen wir uns eine Studie aus 2015 an. Den freien Volltext der Studie könnt ihr euch hier herunterladen. Vahlensieck W et al. Effects of Pumpkin Seed in Men with Lower Urinary Tract Symptoms due to Benign Prostatic Hyperplasia in the One-Year, Randomized, Placebo-Controlled GRANU Study. Urol Int 2015;94:286-295 https://doi.org/10.1159/000362903 Weitere Infos zu Kürbiskern-Extrakt bei BPH findet ihr bei medizin-transparent (Stand 2017). Und nun viel Spaß beim Zuhören und Mit-Kritisieren. Musik Ausschnitte aus „I dunno“ von grapes, unter CC BY 3.0 Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International Lizenz. 55 full no Dr. Iris Hinneburg

BPH, or Benign Prostatic Hyperplasia, is common in aging men. About half of all men between the ages of 51 and 60 have BPH. We sat down with Dr. Viprakasit to discuss what men need to know about this common condition.

In recent years St. Luke's Cornwall Hospital has been increasing education and engagement across all areas of Urology care. One such condition is benign prostatic hyperplasia. It is the most common disorder of the prostate, and the most common diagnosis made by urologists for men in age group of 45-74.Joining the show to discuss benign prostatic hyperplasia, and treatment options available to help with bothersome symptoms is Dr. Praneeth Vemulapalli. He is a board certified urologist and Co-Chair, St. Luke's Cornwall Hospital Urology Services.

Dr Kevin McVary, MD, FACS - Professor, Department of Surgery, Chair, Division of Urology, Southern Illinois University School of Medicine. Joseph Ischia discusses the management of Benign Prostatic Hyperplasia management with Professor Kevin McVary.

Dr Henry Woo @DrHWoo is Professor of Surgery & Discipline Head at the Sydney Adventist Hospital Clinical School, and Professor of Robotic Cancer Surgery & Director of Uro-Oncology at Chris O’Brien Lifehouse. Professor Henry Woo gives an Australian perspective on minimally invasive treatments for Benign Prostatic Hyperplasia.

GreenLight XPS for treating benign prostatic hyperplasia. Veeru Kasivisvanathan discusses the NICE Guidance published in BJUI

We discussed what the prostate is, common problems including; benign prostatic hyperplasia and prostate cancer, how to prevent and treat them naturally.

Dr Mark Little discusses his ongoing research into the role of prostate artery embolisation within the treatment of benign prostatic hyperplasia (BPH). Dr Little is a Senior Fellow in Interventional Radiology at Oxford University Hospitals NHS Foundation Trust and Lecturer in Anatomy and Embryology at Keble College, University of Oxford.

This is the audio recording of the study guide Benign Prostatic Hyperplasia, available here -> http://www.letstalkmed.com/benign-prostatic-hyperplasia.html .

Dr. Brandt discusses the physiology of obstruction and urinary symptoms from enlargement of the prostate, also known as BPH (benign prostatic hyperplasia).

Drs. Andre Uflacker and Ziv Haskal of UVA (Charlottesville, VA) discuss their meta-analysis of prostate artery embolization.

Prostate artery embolization is a new minimally invasive procedure designed to help men with Benign Prostatic Hyperplasia (BPH).While undergoing the aging process, men face an increased risk of Benign Prostatic Hyperplasia (BPH).Benign Prostatic Hyperplasia (BPH) affects about half of men over the age of 60. BPH results when the prostate becomes enlarged and causes many unpleasant symptoms.Some of the symptoms include feeling like you constantly have to go to the bathroom, trouble starting or completely stopping your urine system, dripping, waking up in the middle of the night to urinate and feeling like your bladder is not empty after you go to the bathroom.Getting screened regularly can help identify BPH early on. How is BPH treated?Until now, drugs and invasive surgeries were the only solutions for treatment.However, there is a new, non-surgical procedure called prostatic artery embolization that is being offered to patients.Prostate artery embolization is a minimally invasive procedure that is just now being evaluated in the U.S. and is actually still in the research stages. In fact, most of the facilities that are doing this procedure do so under a research protocol.The procedure works by putting in a catheter (a very thin tube) into the artery that feeds the prostate gland. Doctors then are able to inject tiny beads, called microspheres, in the arteries surrounding the prostate to block its blood supply. This decreases the size of the prostate and, more importantly, relieves the obstruction of urinary flow.Are there any side effects with this treatment?Many men worry about sexual dysfunction as a side effect to any medication or procedure that involve their prostate. Fortunately, the prostate artery embolization does not cause sexual dysfunction or any other problematic side effects.What else do you need to know about BPH and prostate artery embolization?Chairman of the Department of Radiology at MedStar Georgetown University Hospital, James B. Spies, MD, MPH, FSIR, discuss BPH, who is at risk for developing BPH and the new non-surgical treatment option available.

Prostate artery embolization is a new minimally invasive procedure designed to help men with Benign Prostatic Hyperplasia (BPH).While undergoing the aging process, men face an increased risk of Benign Prostatic Hyperplasia (BPH).Benign Prostatic Hyperplasia (BPH) affects about half of men over the age of 60. BPH results when the prostate becomes enlarged and causes many unpleasant symptoms.Some of the symptoms include feeling like you constantly have to go to the bathroom, trouble starting or completely stopping your urine system, dripping, waking up in the middle of the night to urinate and feeling like your bladder is not empty after you go to the bathroom.Getting screened regularly can help identify BPH early on. How is BPH treated?Until now, drugs and invasive surgeries were the only solutions for treatment.However, there is a new, non-surgical procedure called prostatic artery embolization that is being offered to patients.Prostate artery embolization is a minimally invasive procedure that is just now being evaluated in the U.S. and is actually still in the research stages. In fact, most of the facilities that are doing this procedure do so under a research protocol.The procedure works by putting in a catheter (a very thin tube) into the artery that feeds the prostate gland. Doctors then are able to inject tiny beads, called microspheres, in the arteries surrounding the prostate to block its blood supply. This decreases the size of the prostate and, more importantly, relieves the obstruction of urinary flow.Are there any side effects with this treatment?Many men worry about sexual dysfunction as a side effect to any medication or procedure that involve their prostate. Fortunately, the prostate artery embolization does not cause sexual dysfunction or any other problematic side effects.What else do you need to know about BPH and prostate artery embolization?Chairman of the Department of Radiology at MedStar Georgetown University Hospital, James B. Spies, MD, MPH, FSIR, discuss BPH, who is at risk for developing BPH and the new non-surgical treatment option available.

Get relief from urinary problems with new benign prostatic hyperplasia treatment options

Get relief from urinary problems with new benign prostatic hyperplasia treatment options

In this episode, Dr Keith Rourke discusses problems with the prostate. Listen and learn about: the symptoms of BPH key points of the history and physical investigation of BPH medical and surgical treatment of BPH Running time: 23:22

Guest: Joseph Harryhill, MD Host: Lee Freedman, MD Dr. Joseph Harryhill, assistant clinical professor of surgery at the University of Pennsylvania School of Medicine, outlines procedural considerations for men with benign prostatic hyperplasia with host Dr. Lee Freedman. Dr. Harryhill provides a contrast between more traditional approaches and newer therapies, including the GreenLight laser. Should you be referring your patients for laser therapy? If so, what might be the expected outcome?

Guest: Joseph Harryhill, MD Host: Lee Freedman, MD Dr. Joseph Harryhill, assistant clinical professor of surgery at the University of Pennsylvania School of Medicine, outlines procedural considerations for men with benign prostatic hyperplasia with host Dr. Lee Freedman. Dr. Harryhill provides a contrast between more traditional approaches and newer therapies, including the GreenLight laser. Should you be referring your patients for laser therapy? If so, what might be the expected outcome?

The objective of interstitial laser coagulation (ILC) of benign prostatic enlargement is to achieve a marked volume reduction and to decrease bladder outlet obstruction and lower urinary tract symptoms with minimal morbidity. Coagulation necrosis is generated well inside the adenoma by means of specifically designed laser applicators combined with either a Nd:YAG laser or a diode laser. Because the laser applicators can be inserted as deeply and as often as necessary, it is possible to coagulate any amount of tissue at any desired location while preserving adjacent structures such as the urethra. Postprocedural, the intraprostatic lesions result in secondary atrophy and regression of the prostate lobes, rather than sloughing of necrotic tissue. Several single-armed and randomized studies indicated the effectiveness of interstitial laser coagulation of BPH-syndrome. Marked improvements in AUA score, peak flow rate, residual urine volume and prostate volume were reported. Pressure-flow studies demonstrated a sufficient decrease of the intravesical/detrusor pressure, urethral opening pressure and urethral resistance. Long-term results demonstrating sustained success for up to 3 years were reported on a series of 394 patients. ILC is suitable to debulk even large prostates and to treat highly obstructive patients. Therefore, ILC can be seen as a true alternative to TURF with certain advantages, such as almost no serious morbidity and with certain disadvantages, such as the need for postoperative catheterization. However, ILC can be done under local anesthesia and does not require hospitalization.

Thu, 1 Jan 1981 12:00:00 +0100 https://epub.ub.uni-muenchen.de/6476/1/Juengst_Dieter_6476.pdf Karl, Hans Josef; Lazik, E.; Tauber, R.; Jüngst, Dieter

Urinary excretion of nonesterified (NEC) and total cholesterol (TC) has been investigated in 79 patients with prostatic adenoma (BPH) and 48 patients with carcinoma of the prostate. Normal range of NEC was determined in 62 healthy individuals and was found to be 0.26-2.2 mg/24 hours (2 SD) with a mean value of 0.76 mg/24 hours. TC ranged from 0.3-2.9 mg/24 hours with a mean value of 0.92 mg/24 hours. In benign prostatic hyperplasia normal values for NEC and TC were determined in stages without residual urine. In contrast patients with BPH and residual urine showed elevated NEC in 42.1% and elevated TC in 61.4%. In prostatic carcinoma NEC hyperexcretion was present in 44.8% of stage A and B and in 52.6% of stage C and D. TC was elevated in 52.2% and 63.2%, respectively. Simultaneous determination of NEC and serum acid phosphatase (SAP) gave a pathologic result of at least one parameter in 51.7% of stage A and B and in 84.2% of stage C and D. If TC and serum acid phosphatase were combined, percentage of elevated values increases to 62.1 of stage A and B and was identical with 84.2 of stage C and D. If BPH with residual urine and other known conditions of urinary cholesterol hyperexcretion in males, pluripotential malignant testicular neoplasms and diseases of kidney and urinary tract, can be excluded with reasonable certainty, both parameters may be of value in diagnosis of prostatic cancer in even early clinical stages of the disease, especially in combination with the determination of SAP.