Diagnosed in October 2023, after PSA of 7.8 PSA & 3, 4 & 5 PIRAD lesions found in an initial mpMRI.

Targeted TRUS found 7/15 cores positive…five 3+3 (5-10%) & two 3+4 (10-20%).

My Decipher score was 0.22 and the GRID report's Clinical-Genomic Model indicated “Low Risk" and recommended active surveillance, to which my urologist agreed.

Increased my running regiment to three 5K’s/wk, along with occasional HIIT, and implemented a whole plant food diet for the first three months to lose 25 lbs and reach a BMI=22.5 by Feb ‘24. At that point, I changed over to what is probably best described as a "heart healthy" diet and have maintained the lower weight/BMI ever since.

My PSA dropped 25% after 4 mths and has stayed at the new (lower) level for the last 18 months. My most recent PSA was at it's lowest since pre biopsy, at 5.6.

A 12 month follow-up MRI, compared by the same radiologist, indicated that the original PIRADS 3 and 4 lesions were no longer visible and the PIRADS 5 had shrunk and its T2 & DWI/ADC signals were reduced from “moderate” to “mild”.

Since March 2025, I modified my running regiment to maintain my long distance running in "Zone 2"....I always run on local track and use Hoka Bondi 8's (extra cushioning) to ensure joint safety.

My general health (other than PCa) has improved significantly, as other chronic issues have disappeared.

Overall, I'm convinced the aerobic cardiovascular exercise has been the key driver to my success (see ERASE randomized clinical trial results).

Disclaimer: I'm not a physician and your results may vary.......