The free total PSA ratio is created to differentiate between chronic prostatitis and prostate cancer for those who have PSA above 4 ng/mL and below 10 ng/mL to avoid unnecessary prostate biopsies. So you should not worry about it. After the age of 50 prostate starts to enlarge, and it can cause symptoms.
Include foods rich in omega-3 fatty acids (e.g., cold-water fatty fish, walnuts, algae) Avoid or significantly limit certain foods and supplements (see "Reduce or avoid foods that harm the prostate") Choose prostate cancer-killing foods and supplements, such as tomatoes, green tea, and vitamin D. Stay well hydrated with pure water.
Following cycling activity, two studies reported total PSA increased from baseline by up to 3.3-fold, free PSA increased in one study by 0.08±0.18 ng ml(-)(1) and did not change in four studies. One study compared PSA in elite/professional cyclists versus non-cyclists and demonstrated no significant difference in PSA measurements between groups.
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