How can we help 50-year-old men who are starting to develop a prostatic adenoma and nocturia? Is there any anti-aging solution?

I already prescribe 5 mg of tadalafil, but do you have any little secrets?

Thanks

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You could consider mirabegron, a β3-adrenergic receptor agonist for the nocturia. This drug may also have metabolic benefits;

Beige is all the Rage: Drug Treatment Stimulates Beige Fat Formation Resulting in Metabolic Health Benefits in People with Obesity - NIDDK