In many men, the prostate gland enlarges with age. This is called benign prostate enlargement. The symptoms are unpleasant: strong and frequent urge to urinate, but at the same time difficulty urinating. The causes – according to conventional medicine – are not known.

Benign prostatic hyperplasia

Benign prostatic hyperplasia (abbreviated BPH) is called benign because it is not a cancer. Prostate cancer is therefore a malignant prostate enlargement.

The prostate gland is located below the bladder and is the size of a walnut or chestnut. Their task is to form the seminal fluid, i.e. not the semen itself (which is formed in the testicles), but the fluid that mixes with the sperm and forms the ejaculate together with the semen.

Benign prostate enlargement – the symptoms

The urethra runs through the middle of the prostate. If the prostate enlarges, the urethra is narrowed, which then also produces the typical symptoms of benign prostate enlargement. Officially, there are seven key symptoms (see below), the intensity of which can be classified as follows with the help of the so-called IPSS (International Prostate Symptoms Score):

The affected person gives each of the seven symptoms between zero and five points. If a patient scores less than 8 points, he or she suffers from benign prostate enlargement with mild symptoms. 8 to 19 points indicate moderate symptoms and 20 to 35 points have severe symptoms. Therapy is usually only recommended from about 7 points.

The seven main symptoms of benign prostate enlargement:

• Frequent urination: i.e. when the urge to urinate occurs again just two hours after the last visit to the toilet
• Urinary stuttering: Urine comes only in droplets
• Difficulty urinating: you have to push to get the urine to flow out
• Reduced strength of the urine stream
• Residual urine sensation: Inability to empty the bladder completely, so that there is always some urine left in the bladder
• Unusually strong urge to urinate, so that you can no longer delay urination
• Frequent trips to the toilet even at night

Other (rarer) symptoms may include the following:

• Bladder stones: The urinary stasis in the bladder increases the risk of bladder stones. The stones are therefore a long-term consequence of benign prostate enlargement rather than a symptom.
• Mild urinary incontinence
• Erectile dysfunction
• Pain when urinating or ejaculating (usually if there is also prostate inflammation)

This is how many men are affected by benign prostate enlargement

It is assumed that most men have some enlargement of the prostate gland by the time they reach the age of 45 – however, only a few in this age group show the first symptoms. The situation is completely different in the age group of 50 to 60-year-olds. One in five is said to be affected here. In people over 75, an enlarged prostate can be observed in almost every man, but the enlargement of the prostate in this age group is symptomatic in “only” 70 percent of men.

So prostate enlargement alone does not lead to symptoms. There is also not always a connection between the size and the degree of the symptoms. So it may be that a man with a severely enlarged prostate complains of fewer symptoms than a man with only a slightly enlarged prostate.

Since symptoms similar to those described above can also occur with other prostate diseases, such as prostate cancer or prostatitis (inflammation of the prostate) (both of which are also associated with prostate enlargement), you should have the matter clarified, e.g. by a urologist.

Diagnosis of prostate enlargement

Various methods can be used for diagnosis. The symptoms described by the patient are particularly important. The doctor can also palpate the prostate with his finger via the rectum (manual rectal examination) and thus determine a possible enlargement. An ultrasound examination can also be used.

A blood test is used to check the PSA level, which is higher the more the prostate is enlarged. PSA stands for prostate-specific antigen – a protein that is produced exclusively by the prostate cells and therefore specifically indicates the state of health of the prostate. However, the PSA test should also be taken with a grain of salt, as not all higher readings mean bad news. There are other factors – like sex, bike riding etc that can temporarily increase the PSA.

The urine can also be examined, e.g. whether it contains bacteria, which could indicate prostate inflammation, which can also be associated with benign prostate enlargement. In addition, one could measure the urine jet strength (uroflowmetry), which shows how many milliliters of urine leave the body per second when urinating. 15 to 20 ml/s would be normal. With BPH, results of around 10 ml/s are often the case. The bladder should be as full as possible for this test.

Causes and risk factors of prostate enlargement

Officially, the cause of benign prostate enlargement is not known. It is primarily assumed that there is a disturbed hormonal balance. However, what leads to this disorder is not clear.

Rising DHT levels with prostate enlargement

The enzyme called 5-alpha-reductase is said to be hyperactive. This enzyme turns testosterone into the hormone dihydrotestosterone (DHT). It is the actually effective form of testosterone. If the DHT level rises excessively, then the prostate is stimulated to grow more strongly. Conventional medical therapy therefore aims, among other things, to reduce DHT levels.

Disturbed testosterone-estrogen ratio

Researchers at the University of Florence wrote in April 2014 in the Journal of Endocrinological Investigation that falling testosterone levels (often due to age) and at the same time excessively high estrogen levels can promote the progression of the disease.

In addition, it is assumed that other factors are at least as involved in the development of benign prostate enlargement, such as metabolic syndrome* and inflammatory processes in the prostate. Perhaps – as experts are now considering – benign prostate enlargement is “quite simply” a metabolic disease ( 10 ) ( 11 ).

(*Metabolic syndrome includes several diseases: obesity, high cholesterol, high blood sugar and high blood pressure.)

Prostate enlargement: Several causes at the same time

For example, this multifactorial theory of origin is being discussed: The prostate becomes the victim of an acute or subclinical, i.e. imperceptible, bacterial or viral infection (first factor), which consequently leads to an inflammatory reaction. This would heal again with a strong immune system. In the presence of metabolic disorders, however, the inflammation can persist or even worsen. The inflammatory problem becomes chronic. The metabolic disorders mentioned above are said to include a high cholesterol level (second factor). An excessively high estrogen level (third factor) also has a pro-inflammatory effect and thus prevents healing.

The combined effect of these three factors, or even just two of them, can be enough to set in motion a mechanism that ultimately triggers an overproduction of growth factors, which in turn cause the prostate to enlarge.

Hormone-like substances from the environment

So-called xenoestrogens are hormone-like substances in the environment, but they basically have no place there. They are also known as endocrine disruptors. A list of these substances can be found in our article: Increasing testosterone levels naturally. Examples of xenoestrogens are bisphenol,a from plastics or organophosphates from pesticides.

By definition, phytoestrogens (estrogen-like substances from plants) and pharmaceutically produced estrogen preparations do not belong to the xenoestrogens.

Xenoestrogens shift the estrogen-testosterone balance in favor of estrogen, which contributes to undesirable growth of the prostate, so that the substances can be a contributing cause of prostate enlargement.

Lack of exercise and sedentary lifestyle

The prostate is dependent on healthy blood flow to allow fresh blood and oxygen to reach this region. A less active lifestyle leads to blood stasis and stagnation in the prostate. Therefore, those men who spend most of the day sitting in the office or in the car are at greater risk of suffering from prostatic hyperplasia.

The vibration in the car or truck exerts additional pressure on the prostate, which increases the risk even further, e.g. for truck drivers, bus drivers, pilots or people who have long commutes to work every day. Even passionate cyclists are exposed to increased pressure on the groin area, which increases the risk of benign prostate enlargement in old age.

What conventional medicine does for prostate enlargement

If a prostate enlargement is detected during a preventive examination, the further procedure depends on whether the patient complains of symptoms or not. If the prostate does not cause any distressing symptoms, no medication is prescribed. For mild symptoms, some doctors recommend herbal preparations, which are described below.

Alpha blockers

In the case of symptoms that the doctor classifies as too strong for the use of herbal remedies, he generally prescribes so-called alpha-blockers (also called alpha-1 receptor blockers, e.g. alfuzosin or tamsulosin). These drugs relax the muscles of the prostate, bladder neck and urethra in a very targeted manner. As a result, this leads to an expansion of the urethra and thus to a facilitated outflow of urine.

However, alpha-blockers are also successful antihypertensive drugs. A common side effect of alpha blockers in benign prostate enlargement is therefore low blood pressure with dizziness or even fainting. Other side effects can manifest themselves in the form of ejaculation or digestive disorders and decreased libido.

Finasteride & Co.

5-alpha reductase inhibitors (e.g. dutasteride or finasteride) are often prescribed for benign prostate enlargement – sometimes combined with alpha-blockers. Dutasteride and finasteride inhibit the enzyme 5-alpha-reductase. It converts the hormone testosterone into its active form (dihydrotestosterone, DHT).

DHT causes cell proliferation in the prostate and thus promotes prostate enlargement. However, if 5-alpha-reductase is inhibited with medication, the DHT level drops and the prostate can shrink again. However, this process takes many months. Moreover, if the drug is discontinued one day, the prostate immediately begins to grow again.

Dutasteride or finasteride must therefore be taken permanently in the case of benign prostate enlargement. However, this can be accompanied by considerable impairments of well-being for many men, with headaches and stomachaches still being among the most harmless side effects because the two drugs can also lead to ejaculation disorders or even impotence and loss of libido. The problem is that these side effects do not even subside in every case when the drugs are discontinued. They may persist for years.

If an overactive bladder is the result of benign prostate enlargement, then in some cases medication is prescribed to relax the bladder muscles. Side effects of these medicines include memory impairment and confusion. Since older men in particular receive these drugs, you should always first look at what medication your grandfather, father or husband is taking if you suspect dementia.

Benign prostate enlargement – natural remedies

There are therefore many good reasons for a naturopathic approach to benign prostate enlargement. Of course, this can also be used as an accompaniment to conventional medical therapy and strengthen and support it in its effect. Because one thing is clear: conventional medical treatment does not address the causes, but tries to alleviate the symptoms. Naturopathy, on the other hand, wants to get to the bottom of the cause, remedy it and thus alleviate the symptoms.

In summary, benign prostate enlargement can have the following problems:

• Chronic (often imperceptible) inflammation
• Oxidative stress
• Metabolic disorders (high blood lipid and cholesterol levels, disorders of blood sugar levels, obesity, etc.)
• Unwanted hormonal changes
• Nutrient and vital substance deficiencies or surpluses of individual nutrients and vital substances (e.g. calcium)
• Excessive tension of the bladder muscles

With naturopathic and holistic measures and remedies, all these factors can be taken into account, so that each affected person can put together the program that suits them individually – gladly in cooperation with their doctor, urologist or alternative practitioner. These measures counteract the factors/problems mentioned above. They…

• have an anti-inflammatory effect
• Have an antioxidant effect
• Eliminate metabolic disorders
• try to regulate hormonal imbalance
• remedy vital substance deficiencies or ensure a balanced ratio of vital substances to each other
• relax the bladder muscles
• provide movement

Nutrients and vital substances in benign prostate enlargement

As with many chronic diseases, chronic vital substance deficiencies also play a role in benign prostate complaints, such as prostate enlargement. Optimizing the supply of vital substances can therefore not only help prevent chronic diseases, but also contribute to an improvement of existing complaints.

We cannot go into all the vital substances here, but we will pick out the most important ones. In the following, we explain how you can determine a vital substance deficiency. Often, a glance at the menu shows how well you are supplied with one or the other substance – although a nutritionist will be happy to help you.

Vitamin D in benign prostate enlargement

In the case of benign prostate enlargement, healthy vitamin D levels are extremely important – as we could read, for example, in the Canadian Journal of Urology in August 2013. A review was published there, in which the studies on benign prostate enlargement and vitamin D had been evaluated. Researchers from New York University School of Medicine wrote that taking vitamin D (through diet or supplementation) may reduce the risk of suffering from benign prostate enlargement (1).

Vitamin D also had not only a preventive, but also a therapeutic effect. When taking 6000 IU of vitamin D per day, a reduction in prostate volume could be observed in the case of already existing prostate enlargement. This effect has also been shown in preclinical studies. The vitamin D did not have any negative side effects in any of these studies.

Vitamin C for benign prostate enlargement

If there is an enlarged prostate, the prostate cells contain extraordinarily large amounts of a certain protein that is involved in cell proliferation: the so-called HIF-1alpha. It prevents prostate cell degradation and is therefore directly involved in excessive prostate growth.

Since vitamin C – as has been known for some time – inhibits the activity of HIF-1alpha in malignant tumors, its effect has now also been investigated in benign prostate enlargement. It was shown that vitamin C also had an inhibiting effect on HIF-1alpha and thus also prevented progressive prostate enlargement ( 4 ).

Since the previous studies have been carried out on animals, it is not yet possible to give an exact dosage in which vitamin C should be taken. We recommend that you always eat a diet rich in vitamin C and include plenty of kale smoothies and berry smoothies, broccoli salad, red pepper sticks, fresh parsley and sea buckthorn.

Acerola powder or camu camu powder are suitable as dietary supplements. With such a combined vitamin C intake, you can easily get 500 to 1000 mg of natural vitamin C.

Omega-3 fatty acids in benign prostate enlargement

Chronic inflammatory processes are often observed in patients with benign prostate enlargement, which is why omega-3 fatty acids with their anti-inflammatory properties can also be used.

In a study published in August 2017 in the journal Inflammopharmacology, Iranian researchers wrote that omega-3 fatty acids (3 times a day 300 mg each) significantly improved the effectiveness of conventional medical therapy with finasteride and tamsulosin in 50- to 70-year-old patients (2).

So if omega-3 fatty acids can make such a noticeable difference in addition to medication, then taking them is worth a try even if you don’t have to take medication yet.

The importance of the proper supply of omega-3 fatty acids for the prostate is also shown by a somewhat older, but no less impressive study from 1999 ( 3 ):

The lower the omega-3 levels, the sicker the prostate

The fatty acid profile in the blood serum of 24 patients with benign prostate enlargement, 19 patients with prostate cancer and 21 healthy men was analyzed. It was found that the two groups of patients had conspicuously low omega-3 levels compared to the healthy men. The omega-3-omega-6 ratio was worse the sicker the men were. So while the healthy men had a good ratio of these two fatty acids, the ratio was no longer balanced in the BPH men. It was worst among prostate cancer patients.

A good omega-3 value would be over 8 percent, a bad one less than 4 percent. The omega-3-omega-6 ratio should be between 1:1 and 1:5. In modern times, such a ratio is rarly achieved, as the ratio of the modern diet is about 1:25 on average.

The right omega-3 supply

Therefore, especially in the case of chronic diseases, pay attention to a good omega-3 supply and a healthy omega-3-omega-6 ratio. This is not only about increasing your consumption of omega-3 fatty acids, but also about reducing your omega-6 consumption.

If, for example, you use olive oil for cooking and frying as well as for salads in the future, then you will automatically avoid oils with high omega-6 contents, such as sunflower oil, soybean oil, safflower oil or corn oil. Furthermore, if you use hemp oil or linseed oil for salads and raw food dishes, you increase your omega-3 intake without taking too many omega-6 fatty acids at the same time.

In order to achieve a therapeutic effect, high-dose omega-3 fatty acids are taken as a dietary supplement. Try to get a supplement that provides a daily minimum dose of 800 mg of the high-quality long-chain omega-3 fatty acids DHA and EPA.

Magnesium for benign prostate enlargement

Epidemiological studies have shown a correlation between calcium and magnesium levels in the blood and the risk of dying from prostate cancer. Magnesium proved to protect against prostate cancer, while an imbalanced calcium-magnesium ratio (too high calcium and, at the same time, too low magnesium levels) seemed to drive the cancer.

If the extracellular calcium level is too high, this condition not only promotes chronic inflammatory processes (which in themselves have a cancer-promoting effect), but also inhibits apoptosis (suicide program of diseased cells) and thus accelerates cancer growth. Too high a calcium level can be caused by a magnesium deficiency, for example. The less magnesium there is in the extracellular space, the higher the calcium level.

Calcium-magnesium ratio important in prostate enlargement

However, such an imbalanced calcium-magnesium ratio not only promotes prostate cancer, but also cell proliferation in general and is therefore also associated with benign prostate enlargement, as researchers at the University of Ghana announced in March 2017. 86.7 percent of the BPH patients they examined had a magnesium deficiency. The magnesium levels in the healthy control group, on the other hand, were four to five times higher. At the same time, the patients had significantly higher calcium levels than the healthy subjects ( 6 ).

Since dairy products contain much more calcium and magnesium and also provide growth factors, this food group is not recommended in the case of prostatic hyperplasia. They could increase an unbalanced calcium-magnesium ratio even further.

When the ratio was balanced again in the aforementioned study (the magnesium level was raised), both the PSA values and the IPSS values decreased. Since this did not happen with the help of magnesium supplements, but thanks to a special African medicinal plant (the root extract of Croton membranaceus, which we, unfortunately, did not find either as a dietary supplement or as a medicine), it is not yet clear whether the improvements were due to the now increased magnesium level or due to special mechanisms of action of the medicinal plant ( 7 ).

To be on the safe side, those affected should have their magnesium levels (serum and whole blood) checked. If a deficiency or borderline results are found, magnesium supplements can easily remedy the risk factor of a shifted calcium-magnesium ratio. We have explained here how a magnesium-rich diet can be designed: Remedy magnesium deficiency with diet

Magnesium supplements can help to raise the magnesium level again as quickly as possible. The daily dose should be 300 to 400 mg. Always remember that you probably only need to supplement magnesium, but not calcium (especially if you eat dairy products)!

And since magnesium has an anti-inflammatory effect, supports weight loss, helps to eliminate metabolic disorders and also relaxes the muscles, this vital substance has a beneficial effect on several levels in benign prostate enlargement.

Zinc in benign prostate enlargement

Zinc plays a very important role in the reproductive organs – and thus also in the prostate. In the first issue of the Indian Journal of Urology in 2011, a study was described in which the zinc status of men with prostate diseases was determined and compared with that of healthy men ( 12 ).

The zinc content of the prostate tissue was 83 percent lower in prostate cancer than in a healthy prostate. In the case of benign prostate enlargement, it was still 61 percent lower. Zinc levels in the blood were also lower in prostate cancer or benign prostate enlargement than in healthy men, while zinc excretion through the urine was higher in the patients.

As early as 1979, the British Journal of Cancer also reported that the pathological hormonal change in the prostate does not take place until the zinc status in the prostate has decreased ( 14 ). Another older in vitro study (1984) showed that high zinc levels can inhibit the conversion of testosterone into DHT (dihydrotestosterone) (13). Unfortunately, since this was a test-tube experiment, it is not possible to conclude what a “high zinc level” means and how much zinc would have to be taken to reach this level.

However, it seems to be important in any case to prevent a zinc deficiency, to cover the daily zinc requirement of 10 mg and to remedy it if there is a zinc deficiency. It is interesting to note that pumpkin seeds, which have such a positive effect on the prostate, contain a particularly high amount of zinc (7 mg/100 g).

Healthy diet for benign prostate enlargement

The above information on the impressive effects of a good supply of vital substances on prostate health already shows how important a healthy diet rich in vital substances is for the prostate as well.

In a January 2013 study, researchers at New York University showed that the form of diet can alter the pathogenesis of benign prostate enlargement. “Although there are numerous drugs and other therapeutic models for this disease,” the researchers say, “diet alone can improve the symptoms of BPH, whether used as a sole initial measure or as an accompaniment to other forms of therapy.” ( 8 )

It should be noted that “bad” carbohydrates (bread, pasta and baked goods made from white flour) and red meat are associated with an increased risk of benign prostate enlargement, while the increased consumption of polyunsaturated fatty acids and vegetables as well as legumes reduces the risk. (You will only find recipes that meet these criteria in our recipes section).

In the following, we present a selection of those foods that are particularly suitable for the protection and healing of the prostate:

Pumpkin seeds for benign prostate enlargement

Pumpkin seeds are not only prostate-friendly because of their zinc content. They also contain numerous antioxidants as well as lignans and phytosterols. The latter in particular are known to lower DHT levels and thus actively counteract prostate enlargement.

Studies then also showed that even the consumption of 5 grams of pumpkin seeds twice a day could improve the symptoms of benign prostate enlargement.

Soy products for benign prostate enlargement

Secondary plant substances from the soybean – the soy isoflavonoids – are used therapeutically again and again. In general, it is not sufficient for soy products to be part of the diet in normal quantities. Instead, the isolated and highly concentrated isoflavonoids are used here. In animal experiments, isoflavonoids increased nitric oxide levels, among other things, and thus stopped prostate enlargement ( 5 ).

In a human study, however, there was a significant improvement in symptoms after taking 40 mg of soy isoflavonoids, but the differences between the isoflavone and placebo groups were not really large. Both groups felt noticeably better after 12 months.

However, a diet that regularly contains soy products could be helpful as a preventative measure. It is assumed that this is why benign prostatic hyperplasia is so rarely observed in Asian countries, while in Western industrialized nations it affects a large number of men.

Isoflavonoids accumulate preferentially in prostate tissue and therefore have a particular effect there. They regulate the hormonal balance without lowering testosterone levels (as is feared in some places). In our recipes section you will find numerous delicious recipes with soy products such as tofu, tempeh, edamame and soy milk. Simply enter these terms into our recipe search.

Tomatoes for benign prostate enlargement

Furthermore, tomatoes and tomato products are of course often served if you want to protect your prostate. Tomatoes contain the plant substance lycopene. This substance belongs to the carotenoid family (like beta-carotene from carrots) and has a particularly positive and healing effect on the prostate.

It almost doesn’t matter whether you eat the tomatoes in the form of salad, soup, ketchup or tomato sauce – although the more concentrated the respective food, the higher the lycopene content is. For example, a tomato paste is significantly richer in lycopene than a fresh tomato.

Since lycopene is not sensitive to heat, the corresponding dishes can be cooked. However, you should also pay attention to high quality here, e.g. buy the tomato paste in organic quality and make the ketchup yourself – not least to avoid excessive amounts of sugar.

Of course, lycopene is not only found in tomatoes, but also in other foods, such as pink grapefruits, watermelons and papayas. The lycopene contents (subject to fluctuations – as is usual with food) of the most important lycopene sources can be found below:

In 2013, a comprehensive study on the effect of lycopene on the prostate was published in the Journal of Nutritional Science and Vitaminology. The researchers in question had evaluated a total of 17 studies. These were exclusively high-quality studies. It showed that the consumption of tomato and tomato products can protect prostate health (9).

The risk of developing prostate cancer was lower the higher the lycopene level in the blood serum. The difference between consuming raw and cooked tomatoes was not relevant.

Herbal remedies for benign prostate enlargement

Herbal prostate remedies have an anti-inflammatory and decongestant effect. They also counteract irritation and facilitate the flow of urine. The two most important are saw palmetto and nettle root:

Saw palmetto for benign prostate enlargement

Compared to conventional medicines, an extract from the fruit of the saw palmetto (Serenosa repens) helps without side effects, even strengthens potency and is therefore an alternative for men with prostate problems. In addition to flavonoids, the saw palmetto fruits also contain so-called sterols, which counteract prostate enlargement.

The symptoms, such as the urge to urinate, residual urinary sensation, frequent visits to the toilet at night or a weak urine stream improved thanks to saw palmetto extract in an eight-week clinical pilot study with 82 patients. They all had mild to moderate prostatic hyperplasia and took 320 mg of saw palmetto extract daily. Even if the men suffered from erectile dysfunction, saw palmetto extract could lead to improvement.

It is important that the effect of plant substances, such as saw palmetto extract, does not occur immediately, but only after regular intake over a longer period of time. Also, a single plant substance is rarely ingested. In most cases, it is combinations of different plant extracts and vital substances that ultimately lead to a noticeable effect and improvement.

Stinging nettle for benign prostate enlargement

The nettle is a wonderful wild vegetable rich in nutrients and vital substances. The leaves are used either raw in smoothies or steamed as a vegetable. However, benign prostate enlargement does not use the leaves, but the root of the nettle. It is even considered THE phytotherapeutic agent for prostate diseases.

Two clinical studies on the effect of nettle root in benign prostate enlargement showed that taking the root (as an extract) after six months led to significant improvements in symptoms (even in the case of already pronounced symptoms), which was not the case in the respective placebo group.

In one study, the men took two capsules daily, each containing 120 mg of nettle root extract and 160 mg of saw palmetto extract. In the other, no dosage was specified. Although the preparations must be taken over the long term, i.e. for months, this is no different with finasteride & Co – with the difference that the herbal preparations did not show any unpleasant side effects in the studies presented.

It is best to use combination preparations that contain not only one herb.

For more great tips read our article on how to increase your testosterone level .

Benign prostate enlargement: summary

The above measures could now be combined in the following ways:

• Normalize your vitamin D levels by having your actual value checked and, if you have a vitamin D deficiency, go out in the sun and/or take vitamin D supplements in the dose that suits you.
• Check your diet and thus your supply of the relevant nutrients and vital substances – especially vitamin C, magnesium, calcium, zinc, selenium and manganese as well as omega-3 fatty acids.
• Lose weight if you are overweight.
• If you already suffer from metabolic disorders such as high cholesterol, blood sugar problems or high blood pressure, take holistic measures against them.
• Use herbal remedies, such as combination preparations of nettle root extract and saw palmetto extract.
• Eat pumpkin seeds and tomatoes every day!
• Regularly reach for tofu products, which are available in different variants. Pay attention to high organic quality and choose brands such as Soyana (in Switzerland) and Taifun (in Germany).
• Choose high-quality oils and fats.
• Avoid meat and dairy products.
• Avoid cold and alcoholic beverages. The feared urinary retention usually occurs after drinking cold beer. Urinary retention is when urine no longer appears in droplets, but no longer appears at all. In this case, the doctor must intervene and insert a catheter, in the worst case through the abdominal wall.
• Exercise regularly, although cycling is considered rather unsuitable for prostate health and avoid long periods of sitting. Put an indoor trampoline in your office, on which you can relax swinging for a few minutes at least once an hour.

Your team from Vitalis Health wishes you all the best.