I never worried much about me having Prostate cancer. I went more or less regularly to the routine check up with my urologist. He never mentioned anything to worry about. In february 2025 I went to a heart specialist as I felt I had some cardiovascular problems (after I went through a rather painful episode of shingles (herpes zoster) from early December 2024 til late January 2025.) The specialist had an extended lab done and found accidentally that my PSA value was rather high (6.12) and suggested that betterv I follow this up. So I went directly to a lab and had my PSA retested on 18 March 2025 with a result of 4.5: I retested this again by mid May with about the same result. As a consequence, I had an mpMRT done.
Traces of a previous inflammation of the prostate was found and suggested that this might explain the elevated PSA value of 6.12 in February. A PIRADS-3 classification was done. A follow-up mpMRI was recommended within 6 to 12 months. Being an optimist this put me in a good spirit and I only had the next PSA test done in December 2025. I was shocked when the PSA-value went up to 7.61 and I had it redone 10 days later hoping, it was some kind of mistake. It was again above 7. So I organised another mpMRI by mid January 2026. The mpMRI indicated that my prostate grew to about double the size in the meantime (now it was about 54ccm) and also that there are two potential cancerous lesions (8mm diameter and one 9x12mm - both in the right half. This was PIRADS-4 and a biospy was strongly recommended.

I had a targeted biopsy done in late January 2026 at the ALTA clinic in Bielefeld which unfortunately confirmed the suspicion of prostate cancer, where Gleason 3+4 was detected in 6 out of 12 probes. The percentage of tumor cells was about 36% in total and a maximum of 58% in a single probe. Gleason 4 showed up in 10 to 15% of the tumor cells. The actual procedure of the biopsy was not too bad. I didn't feel any pain - just after I woke up from the anaesthesia, I fainted for a short period of time.
6 out of 12 probes showed tumor cells of Gleason 3 and Gleason 4 with a percentage of 10 to 15% of Gleason 4.
Tumor cells were found on both sides. It was strongly suggested that I have a prostatectomy done.

I researched for several weeks all the literature I could find and was not happy to have a prostatectomy done, due to the potential (and likely) side effects. Radiation was another option I considered, but this was not too palatable either.

I found that a life-style change might be an alternative and I wanted to pursue this further. I also consulted with head of urology of the nearby hospital who suggested that I could safely do active surveillance with PSA-tests every 3 months and another consultation in 6 months time. After 12 months another mpMRI and a biopsy would be necessary.
I decided to change my life-style thoroughly and to see whether I can do without any medical treatments.
I changed my diet from rather Western style to very limited carbohydtrates, broccoli, tomato-soups, onion-soups with lots of garlic - no meat - just fish, such as tuna, salmon, herring and makarel. Also I had o.2 litres of Pomegranate jiuce daily.
Green tea became the new standard drink for me instead of Coke zero before. Also I started exercising 2-3 times a week for about 30 minutes (on a rowing machine). I lost about 11kgs from mid January 2026 until mid June 2026, resulting a weight of about 73kgs with a height of 170cm. I had a bad fatty liver (NASH) which appears to have cleared by now (June 2026). My liver blood tests show regular results now. A ultrasound check on my liver need still to be done though, to see to what degree the fat is really gone.