Integrated medicine consultation
Highest adult weight:
Dining out <50%.
Height: 72 in | Weight: 211.2 lb | Temp 98.4 °F | Pulse 56 bpm | BMI 28.6 | Blood pressure 146/86 mmHg
Labs: PSA 4.1 vitamin B12 545, vitamin D 29.9, total cholesterol 145, HDL-C 54, LDL-C 81
Current Medications & Supplements
(C61) Malignant neoplasm of prostate
1. Nutrition - Shift towards a anti-inflammatory/plant based diet. Incease fruit and whole grains to breakfast. Focus high-protein low carb, lower glycemic vegetables, onions, garlic, nuts, legumes (pulses), lentils, fish. Avoid dairy. Limit eggs and use egg white only when possible (the yokes have the cholesterol and choline which possibly may potentiate prostate cancer). If eating chicken, focus on skin-less breast meat. For grilling marinate with olive, vinegar, or lemon. Use herbs such as garlic, rosemary, time and oregano. This reduces advanced glycation end products. Polycylic Aromatic Hydrocarbons (PAH) and Aromatic Amines (AA). Also grill outside when possible to reduce exposure to these.
We can provide access to recipes on our website to your friends and family so they can assist with food preparation - please ask them to log on to our web site @ www.drfabio.com/civana and use the client code Civana00. They will be granted free access to the site.
Food to focus on:
flax seed (1-3 tablespoons/day)
soy (tofu, tempeh)
curciferous vegs, blueberries (and berries in general)
green tea 2-3 cups per day
2. Consider 5:2 intermittent fasting. 1/2 calorie days twice per week (not days in a row). Use this day as an opportunity to maximize fruit and vegetable intake - ideally via a smoothly
3. Consider adding “movement” resistance training 1-2 times per week . A great way to increase core strength , flexibility and balance. This will be particularly important while on hormone therapy
4. Recommended supplements
Multivitamin (combination of B complex, ALA, A, E, Chromium) - Take 3 in the morning
Metabolic Synergy - 180 Capsules, Multivitamin / Mineral for Blood Sugar Support
Turkey Tail 2gm/day
Turkey Tail Mushroom Supplement - 120 Veg. Capsules with Trametes Versicolor Mushrooms
Activa Naturals Inc.
AngioStop (Philinopside A from sea cucumber) 2 capsules two times per day after meals (total of 1000 mg) per day - note the capsules are 250 mg each.
Curcumin - Theracurmin 300 mg (2 capsules in the morning, 2 at bed time)
Integrative Therapeutics - Theracurmin HP - Turmeric, Curcumin Supplement - 27x More Bioavailable - High Absorption Turmeric
Fish Oil - 1280 mg (EPA/DHA) - Take 2 in the Morning
Nordic Naturals - Ultimate Omega, Support for a Healthy Heart, Lemon, 180 Soft Gels
Fish Oil - 2000 mg (EPA/DHA) - Take 2 in the Morning
Nordic Naturals ProOmega 2000 - Fish Oil, 1125 mg EPA, 875 mg DHA
Milk Thistle - Take 1 in the morning
GNC Herbal Plus Milk Thistle for Liver Support, 200mg
GSE (Grape Seed Extract) 450 mg - Take 1 in the morning
Swanson Leucoselect Grapeseed Phytosome 450 Milligrams 60 Capsules
CoQ10 100mg Take 1 in the morning
Pure Encapsulations Ubiquinol-QH 100 mg
Vitamin D 3 5000 IU
Green Tea Extract (take 2 500 mg capsules in the AM)
Designs for Health - EGCg - 500mg Decaffeinated Green Tea Extract
Add Amla (Indian gooseberries) to your smoothies
Melatonin slowly titrate up to 20mg in the evening before bed (start with 3mg for 5 days, then 6mg for 5 days, then 12mg for 5 days, then 20mg)
Pure Encapsulations - Melatonin 3 mg - Hypoallergenic Supplement Supports the Body's Natural Sleep Cycle* - 180 Capsules
Naltrexone 3-4.5mg in the evening before bed
Sleep aid - (combination of Valerian, Lemon Balm and Passionflower) start with 2 capsules 30-60 min before bed. After two weeks we can adjust up - up to 4 capsules)
PGX: Supports healthy glucose and insulin levels, creates a feeling of lasting fullness. Take 2 pills with a large glass of water before each meal. Watch for constipation and let me know if this starts to happen.
Powered version - for smoothie:
Also add 1000mg mg of Mulberrry Powder: https://www.amazon.com/Bulksupplements-Mulberry-Extract-Powder-kilogram/dp/B01N1KP7KF/ref=sr_1_7_a_it?ie=UTF8&qid=1538439142&sr=8-7
Berberine (Chol, DM, BMI) before meals
Amazing Nutrition Berberine Plus 500 mg
Metformin 500mg (order sent to CVS) Start with one per day in the morning with meal. You have have mild cramping and diarrhea for a couple of days. This is normal - let me know if it lasts more than a few days.
Labs & nutrition overview in 1 Month.