Active Holistic Surveillance for Low & FI Risk PCa

While changes to a person‘s usual lifestyle such as dietary changes and exercise Can make a significant difference in cancer progression, adding evidence-based supplements is questionable. It is well known that holistic medicines are absolutely worthless, They have no diagnostic value at all because they have such small amounts of whatever components they’re supposed to include.

Holistic drugs have been declared worthless by medical groups, Because they are.

It could be that these evidence based supplements are not holistic medicine, if so, maybe they can help but diet and exercise can make a major difference in the treatment of prostate cancer when it is not advanced.

Running alone has been shown to break up the ability of cancer cells to join together making the cancer worse. That alone could make a major difference.

I’m wonderin what these evidence based supplements are.

@jeffmarc

Maybe the word “holistic” is unfortunate; but the program Dr Katz developed has NOTHING to do with “Holistic drugs” and everything to do with evidence based exercise, dietary changes and supplements.

I agree that supplements generally have the weakest level of clear progression slowing evidence. However, there is directional evidence for the supplements on their list (which are few in number, btw). Some of the dietary change/supplements on the list include:

- elimination of red meat
- increased intake of fish or poultry
- increased intake of fresh vegetables (kale, spinach, cauliflower, broccoli)
- 1-2 tablespoons of ground flaxseed added to oatmeal, cereal, yogurt, daily
- reduced dairy intake, with the exception of organic yogurt
- reduced sugar intake
- soy milk instead of cow’s milk
- whole wheat pasta instead of white pasta;
- 1-2 cups of green tea/day
- vitamin D3
- omega 3 fish oil
- daily multivitamin.

Some of the research papers supporting this directional evidence, is summarized at evidence.zone. Often categorized as “Tier 2” level.

Here’s another very recently release study out of the UK involving a probiotic supplement and human clinical trials.
https://www.beds.ac.uk/news/2026/january/new-study-shows-plant-rich-diet-and-probiotics-slows-prostate-cancer-progression/
No one is saying that this protocol (or ones like it) cures LR and FIR PCa; but then again neither does surgery, radiation or ADT.

@handera
Yes, calling it Holistic is definitely a misnomer.

I like everything they’re recommending.

The diet they recommend is very close to the diet I have. And I do exercise every day, Something you didn’t really mention. I don’t know if it’s a factor in my being able to stay undetectable for so long with BRCA2, But I don’t think it’s hurting me.

Their requirements were pretty Rigorous. This made sure that the cases were not aggressive with these requirements. Patients eligible for AHS have clinical stage T1c, PSA < 20 ng/mL, Gleason 6 or 7 with tumor volume of < 50%, and an initial PSA doubling time of greater than 1 year.

I am not really surprised with the results. Sounds like people eligible for active surveillance.

@jeffmarc

Well…SoC Active Surveillance, for LR or FIR PCa folks, is simply a passive endeavor of getting retested continually….

I’ll rename my program “Proactive Surveillance”…rather than “Active Holistic Surveillance”

How does that sound?😉

Best!