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While Fletchers team did not study the mechanism behind the findings, researchers believe the drugs may work by reducing fat around the prostate which provides a source of fuel that cancer cells use to grow and spread to other parts of the body

However, systematic reviews and randomised controlled trials supporting these claims are notably absent from peer-reviewed literature

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The precursor literature includes human pharmacokinetic work

So, your healthcare provider relies on a physical exam and review of your symptoms and medication list to make a diagnosis