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Howard, late to the party, consider reminding readership USDA has for years issued a card with $80 for free to seniors below an income threshold for purchases of fruits, vegetables and honey only through the Farmers Market Senior Nutrition Program. Card obtained in May, funded first week in June, is available locally in every state through designated social agencies and non-profits and usable through late Fall.

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Thanks. You've just reminded them.

Howard

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Great article and more important than many realize. I am a doctor, although not medical, and over the last two years since my diagnosis I have studied this a great deal and have made significant changes in my lifestyle. When you read the recommendation it sounds sort of vague, but the reality in my opinion is that it is much, much more than just diet. You need to get what I call "Hippie Healthy" and that means exercise (intense), diet (Mediterranean is my go to), sleep (good, deep, restorative) and mindfulness. The last is not religion, but can be. Meditation, yoga, tai chi, etc,; i.e., getting in touch with the cosmos kind of thing. Prostates hate stress. You also need to get body comp down to less than 15% BF because if your gland is swaddled in excess BF then you are just feeding a potential cancer. This, of course, won't stop anything genetic, but it will improve final outcomes.

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Good advice Harley.

Congrats on your success.

Maybe you can share your story in detail in article for TheACtiveSurveillor.com?

Let me know what you think.

Howard Wolinsky

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you're welcome.

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Howard, thank you so much for this info. It's very interesting and important data for PCa patients in AS with GG2 (Gleason 3+4) like me.

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Interesting article, especially since one of the Hopkins doctors mentioned is my doctor! I won't mention names, but he signs my patient portal responses with "Dr. P". ; - )

I believe diet is a critical issue regarding PCa. I personally feel a diet trend that I started in 2016 may have led to the start of some tumor growth in my prostate. That diet was high in calories and a large part of those calories was from animal protein. 2016 is when my PSA levels started to trend upward. After being diagnosed, I abandoned that diet and started on one similar to the one mentioned in this newsletter. My PSA levels have stabilized as well as my MRI results. Coincidence? Maybe, maybe not.

I will not say that I think the diet I was on would affect everyone in the same manner. The human body is extremely complex (so I am told) and everybody will metabolize food differently. What affects one cohort may not affect another cohort in the same way.

Thanks Howard for another great article and keeping your finger on the pulse of AS!

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Mike Little is an AS patient from battleground Michigan. I wrote recently about how a few readers felt I was taking sides between Harris and Trump just because I mentioned that Harris was wore a Prostate Cancer Awareess ribbon September and how in October she announced a program to help Black men with higher risks for prostate cancer. I urged ex-Prez Trump get onboard with these ideas.

Here's what Mike had to say:

Howard, you are not making this a political issue. Yes, l am a Harris supporter and black. The fact that someone, regardless of their political beliefs is trying to make you aware of information that will allow you to make informed decisions about your health isn't political to me. I don't care if it's Trump, Biden, Harris, Bush or whoever is willing to help create awareness of this issue is what's important to me. Thanks for all you do. You do a great job and have been very helpful to me with my prostate cancer journey.

Mike Little

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Thanks, David.

When I was diagnosed, I asked about diet.

There was NO guidance then.

Glad to see some movement.

Howard

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What a wonderful column and please keep up the great work!!

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