Rena Malik, MD Podcast Do Supplements Like Selenium and Vitamin E Help or Harm Prostate Health?
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Feb 6, 2026 Dr. Scott Eggener, urologic oncologist and UCLA chair focused on prostate cancer research and reducing overdiagnosis. They unpack prevention, lifestyle and exercise effects. They debate supplements like selenium and vitamin E and review screening strategies, PSA interpretation, MRI and biomarkers. Treatment choices, surveillance for low-grade cancer, and emerging tech like focal therapy and AI are also explored.
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Prefer Surveillance For Gleason 6
- If diagnosed with Grade Group 1 (Gleason 6), choose active surveillance as preferred management in most cases.
- Understand surveillance requires monitoring but long-term prostate-cancer mortality is typically ≤1%.
System Programs Raise Surveillance Rates
- Many countries achieve >90% surveillance for Grade Group 1, but US nationwide rates lag near 60%.
- System-level programs like Michigan's MUSIC improved surveillance adoption and outcomes.
Take Time And Seek Multiple Opinions
- When choosing treatment, get a balanced discussion of all options and seek second opinions if unsure.
- Take 30 minutes to review options, side effects, and quality-of-life tradeoffs before deciding.
