A Health Dilemma Unraveled

Meet a 68-year-old survivor navigating the waters of post-cancer health. After undergoing a prostatectomy and radiotherapy, he remains vigilant about his wellness—especially his vitamin regimen, which includes Centrum Silver multivitamins, fish oil, calcium, and vitamin D.

However, he stumbled upon alarming information: certain nutrients like selenium and vitamin E, found in his multivitamins, might not be safe for someone with a history of prostate cancer. Conflicting studies about fish oil only added to his confusion.

Should He Continue or Cut Back?

The question looms: Do these vitamins pose a threat? In response, Dr. Roach shared startling insights. He highlighted that vitamin E has been linked to a 17% higher risk of prostate cancer. Consequently, he strongly advises against the usage of both vitamin E and selenium for prostate cancer patients.

On the topic of fish oil, it's a mixed bag. Some studies raise concerns while others find it harmless. If there aren't clear clinical reasons for taking it, Dr. Roach suggests skipping it altogether.

Diet Over Supplements: The Winning Strategy

Dr. Roach emphasizes adopting a plant-forward diet rich in fruits, vegetables, and whole grains. This approach, combined with lean meats and healthy fats, has shown promise in improving the outcomes for prostate cancer survivors. He encourages limiting processed meats and refined carbs for the best results.

So, what's the takeaway? If you're a man with prostate cancer, it's time to reevaluate those vitamins in your cabinet—your health might depend on it!

Another Reader Seeks Clarity on Blood Tests

In another query, a healthy 78-year-old man is wrestling with contrasting advice on metabolic blood tests—should he fast or not? While he’s always been told to fast for accurate results, his nephrologist has recommended testing without fasting. Who should he listen to?

Dr. Roach puts the matter to rest: heed your doctor's advice. Fasting gives a clearer picture of your body chemistry under typical conditions. While creatinine levels stay relatively stable regardless of meals, blood sugar and lipid levels can vary significantly, making fasting essential for those tests.

In conclusion, staying informed about your health choices, especially after serious conditions like cancer, is crucial. Whether it's re-evaluating vitamin use or understanding the best practices for blood tests, knowledge is power!