What is PSA elevation?
Prostate specific antigen (PSA) is a protein secreted by the prostate gland. It’s primary function is to liquefy semen. PSA is tested with a simple blood test which should be done annually starting at or before the age of 50. There is no normal value, although we like the value to be below 4.0. We also monitor how the PSA changes over time to make sure it is not rising to rapidly. A rise in PSA can indicate prostate cancer, prostate infection or inflammation, or benign growth. If the PSA level is elevated or rises to rapidly a biopsy may be indicated.
Evaluation
If an elevation in your PSA is detected, another PSA is often repeated within a few months with the addition of a free PSA. These values will help the urologist decide if a biopsy is necessary.
Treatment
Treatment is based on your evaluation results.
Diet
Water
Drink at least 2 liters of water a day. Decaffeinated teas and coffees can count towards the goal level, but beverages that contain caffeine can not.
Fruits
Aim to intake at least 2 whole fruits a day. A variety of fruits (structure and color) should be consumed as well.
Vegetables
Consume at least 4 servings of vegetables a day. A variety of colored vegetables should be selected as well. Aim to have at least 2 servings of green vegetables, 1 serving of orange vegetables and 1 serving of red vegetables each day. White and yellow vegetables should be included when available.
Fiber
Consume plenty of fiber, 25 to 35 grams a day. Sources of fiber include whole grains, bran, vegetables, legumes and fruits.
Vegetable Protein <
Aim to have at least 1 meal a day that includes vegetable protein in cluding soy rather than animal protein (turkey, chicken, fish, eggs, cheese, pork, red meat, etc.).
Low in fat
Fat should be kept at 20% of your diet each day. The sources of the 20% fat should be of monounsaturated fats such as olive oil. Saturated fats should be kept to a minimum.
Sample Meal Plan
Breakfast
Lunch
Dinner
Dessert
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