How I Think About Prostate Cancer Prevention
I recently read an article in The Epoch Times titled “Iโm an OncologistโHereโs How I Protect Myself From Prostate Cancer” by Dr. Manuj Agarwal. As someone who cares deeply about helping men stay fit to fight into their later years, I wanted to share my thoughts with a few minor critiques.

But first, hereโs a quick breakdown of what Dr. Agarwal recommends:
Dr. Agarwalโs Prostate Cancer Prevention Strategy
Proactive Habits:
- Annual PSA testing starting at age 40 โ
- Prioritizing sleep with wearable tracking โ
- Regular intake of cooked tomatoes for lycopene โ
- Daily matcha for EGCG and stress modulation โ
- 300+ minutes of weekly movement, including resistance training, cardio, and rucking โ
- Natural testosterone support via sleep, strength, micronutrients, and lean body composition โ
- Zinc supplementation โ
- Blood sugar control using a CGM โ
- Stress management and recovery routines (like qigong!) โ
- Morning sunlight exposure to anchor circadian rhythm โ
Avoidance Strategies:
- Endocrine disruptors (e.g., BPA, phthalates, parabens) โ
- High-dose anti-oxidents (vitamin E, selenium, choline) โ
- Processed and red meats โ
- Smoking โ
Caution Note:
- Warns that finasteride/dutasteride can artificially lower PSA readings, possibly delaying detection. โ
IMO, these are evil drugs anyway. Finasteride was originally developed for enlarged prostates, then repurposed as a hair loss drug. But its side effects are far from benign. Users report everything from erectile dysfunction, low libido, and emotional blunting to anxiety, insomnia, and brain fog. Some of these effects persist even after stopping the drugโa condition now called Post-Finasteride Syndrome (PFS). It works by suppressing DHT, but DHT isnโt just about hairโit plays a key role in hormone balance, brain health, and sexual function. If youโre considering it, weigh the short-term cosmetic gains against the potential long-term cost.
Philosophy:
- Focuses on “pre-habilitation”โbuilding physical and mental resilience in advance of illness, not just reacting after the fact.โ
My Take
Overall, this is a solid article. Dr. Agarwal lays out a good framework for proactive health, but thereโs one glaring undercurrent: he underplays the role of testosterone.
Yes, supporting natural T production is criticalโand itโs good to see he lifts, sleeps, and watches his diet. But zinc alone isnโt enough. Magnesium is essential tooโitโs a key cofactor in converting pregnenolone into testosterone, and preventing Test from being inactivated by SHBG (sex hormone binding globulin). I also recommend botanicals like ashwagandha and tongkat ali. I use a supplement called Sigma Male by Gorilla Mind to help keep my T levels dialed in.
That said, supplements and lifestyle tweaks arenโt always enough. With the sheer volume of endocrine disruptors in modern life, some men are going to need TRT. And in many cases, itโs more cost-effective than throwing money at marginal gains from over-the-counter products. (Remember, there is a difference between something being “statistically significant” in a research setting and being clinically significant in the real world. Even if a supplement doubles your T levels from 300 to 600, 600 is still low from a functional perspective.)
Cutting processed food is smartโbut the red meatโcancer link, much like the “climate crisis,” is junk science. Itโs based on flawed observational studies riddled with reporting errors, confounders, and researcher bias. The same level of evidence supports lycopene from tomatoes, which are nightshades that can trigger inflammation in sensitive individuals.
Instead of obsessing over annual PSA checks, most men would be better served by regularly testing their testosterone and aiming to keep levels as close to our ancestral levels of 1200 ng/dL as possible. Prostate cancer is often framed as a disease of agingโbut thatโs correlated with declining T. As I discussed in Declining Testosterone Levels, todayโs 40-year-old has lower testosterone than his grandfather did at 60. Thatโs a problem.
Another concern: routine PSA screening followed by a 12-needle biopsy can do more harm than good. Biopsies puncture the basal cell layerโyour natural containment barrierโand that can enable cancer to spread. In humans, basal cells form a continuous layer of cells resting on the basement membrane, and upon which rests a layer of luminal cells. Elevated PSA often prompts doctors to push T blockers, which tank your health and quality of life, and ironically, have the opposite of the intended effect.
If you want a more nuanced, up-to-date view on prostate health, check out the work of Dr. Victoria Bird. Her approach is grounded in current research, not fear-driven, and arguably anti-manliness, if not anti-male protocol.

Read More!
- You Are What You Think
- Choose Tradition Over Tech
- What “Reality-Based” Martial Arts Actually Means
- The Case For Training Low-Percentage Martial Arts Techniques
Disclaimers & Conflicts of Interest
I am not a doctor or a lawyer, and the information provided should not be considered medical or legal advice.
The information provided is for educational and informational purposes only and should not be used as a substitute for professional legal or medical advice, diagnosis, or treatment. Consult your doctor or a qualified healthcare professional before making any changes to your diet, exercise routine, or lifestyle.
Please note that some of the links provided in this content may be affiliate links, meaning that I may receive a small commission if you purchase through them. However, please rest assured that any products or services recommended are based on my personal experience and belief in their value. I only recommend products or services that I have personally used and believe in.
About the Author

Ashe Higgs, I Liq Chuan Master Instructor & L2 Nutrition Coach
Ashe is a highly skilled martial arts instructor and certified nutrition coach with over two decades of experience in the field. He holds a Master Instructor certification in I Liq Chuan under Sam FS Chin, making him one of only several individuals worldwide to hold the title. He has taught classes and workshops worldwide and is passionate about helping others achieve their fitness and wellness goals.
With a background in full-contact fighting and a Level 2 certification from Precision Nutrition in nutrition coaching, Ashe is a well-rounded expert in the fields of martial arts. In addition to his expertise, he has a wealth of experience in teaching and mentoring others. He has a natural ability to connect with his students and inspire them to reach their full potential.







