Really excellent, practical framing! What I appreciate most is how you treat BPH/LUTS as a systems issue (metabolic health, inflammation, autonomic tone, sleep, bowel habits, and meds) rather than a “one organ, one pill” problem. That’s exactly what we see clinically: symptoms often track more with insulin resistance/visceral adiposity, deconditioning, constipation, and sleep-disordered breathing than with a single PSA or prostate-size narrative. The other high-yield nuance you’re capturing is that “frequent urination” isn’t always just the prostate. Nocturia can be driven by fragmented sleep, late caffeine/alcohol, edema redistribution, diuretics, or untreated apnea, so addressing the upstream drivers can meaningfully improve quality of life even before (or alongside) meds. If I had to summarize your 8 habits into a clinic-friendly takeaway: shrink the metabolic signal (waist/insulin), add daily movement + a bit of strength, fix constipation, and protect sleep. Not glamorous, but incredibly effective, and much more empowering than “this is inevitable with age“.
76 in good physical shape with solid diet but still have fairly frequent urinations. Your points are good ones BUT BPH will happen to almost all males if you live long enough. It is age related!
Thank you for sharing your experience. It's important to differentiate between BPH related urinary frequency and bladder spasm and urge related urinary frequency. The prostate definitely grows with age, just like our ears and noses do. The difference is the amount of pressure it puts on the urethra that traverses the prostate.
As for being in good physical shape and eating a solid diet, that's not 100% protective, unfortunately. But I also check metabolic markers on my patients because even with a solid diet and exercise routine, insulin resistance can add its own effects on the stromal cells and add to the tissue load around the urethra.
Thank you, I appreciate your support. The tissue doesn't really start growing until after and that's when the hormone signaling drops. From my research it's the exercise, blood sugar, and visceral fat.
Really excellent, practical framing! What I appreciate most is how you treat BPH/LUTS as a systems issue (metabolic health, inflammation, autonomic tone, sleep, bowel habits, and meds) rather than a “one organ, one pill” problem. That’s exactly what we see clinically: symptoms often track more with insulin resistance/visceral adiposity, deconditioning, constipation, and sleep-disordered breathing than with a single PSA or prostate-size narrative. The other high-yield nuance you’re capturing is that “frequent urination” isn’t always just the prostate. Nocturia can be driven by fragmented sleep, late caffeine/alcohol, edema redistribution, diuretics, or untreated apnea, so addressing the upstream drivers can meaningfully improve quality of life even before (or alongside) meds. If I had to summarize your 8 habits into a clinic-friendly takeaway: shrink the metabolic signal (waist/insulin), add daily movement + a bit of strength, fix constipation, and protect sleep. Not glamorous, but incredibly effective, and much more empowering than “this is inevitable with age“.
76 in good physical shape with solid diet but still have fairly frequent urinations. Your points are good ones BUT BPH will happen to almost all males if you live long enough. It is age related!
Thank you for sharing your experience. It's important to differentiate between BPH related urinary frequency and bladder spasm and urge related urinary frequency. The prostate definitely grows with age, just like our ears and noses do. The difference is the amount of pressure it puts on the urethra that traverses the prostate.
As for being in good physical shape and eating a solid diet, that's not 100% protective, unfortunately. But I also check metabolic markers on my patients because even with a solid diet and exercise routine, insulin resistance can add its own effects on the stromal cells and add to the tissue load around the urethra.
This article is really informative! Which of these lifestyle changes do you think most effective for preventing BPH in men over 40?
Thank you, I appreciate your support. The tissue doesn't really start growing until after and that's when the hormone signaling drops. From my research it's the exercise, blood sugar, and visceral fat.