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Dr. Grey AI

Protocol · Men's Health

Peyronie's Disease Supportive Care Protocol

Coenzyme Q10 and Vitamin E are the core of this stack, with 5 supporting supplements. Each row gives the amount the protocol lists and the grade our evidence database holds for that supplement in Peyronie's Disease Supportive Care.

We are re-verifying the studies cited on protocol pages; only confirmed citations are shown.

The stack

7 supplements · 1 graded

Amount listed in this protocol; not a recommendation.

Supplements in the Peyronie's Disease Supportive Care protocol, with the amount the protocol lists, the grade on file and confirmed studies
GradeSupplementAmount listedWhy it’s in the stackEvidence on fileShop
Primary stackThe core of this protocol
Coenzyme Q10Amount listed: 200–300 mg daily

Antioxidant that may reduce oxidative stress contributing to plaque formation

  • Erections: improves
  • Peyronie's Disease Symptoms: improves
Grade C for Erections186 people
Vitamin EAmount listed: 400–800 IU daily

Classic antioxidant therapy for PD; may reduce plaque progression

Not graded yet
Supporting stackListed as additions to the core
L-CarnitineAmount listed: 1–2 g acetyl-L-carnitine daily

Shown to reduce plaque size and curvature in studies; supports tissue healing

Not graded yet
Omega-3 Fatty AcidsAmount listed: 2–3 g EPA+DHA daily

Anti-inflammatory effects may help reduce fibrosis progression

Not graded yet
Potassium Para-aminobenzoate (PABA)Amount listed: 3 g four times daily (12 g total) - high doses needed

May have anti-fibrotic effects; historically used for fibrotic conditions

Not graded yet
Collagen PeptidesAmount listed: 5–10 g daily

May support tissue remodeling and healing

Not graded yet
ZincAmount listed: 25–50 mg daily

Supports wound healing and tissue repair

Not graded yet

Shop the evidence-backed picks

Support alongside medical care. These supplements are not a treatment for Peyronie's Disease. If you are being treated for it, talk to your clinician before adding one: supplements can interact with medicines.

Fullscript collectionMen's health: evidence-graded picksOpen on Fullscript

Or shop one supplement

Each opens third-party tested products, matched to the dose above where we can.

  • Grade C

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How this protocol works

In plain language

Peyronie's disease (PD) is a condition where scar tissue (plaque) forms in the penis, causing curvature, pain, and erectile dysfunction. It typically begins after minor trauma to the penis during sex. The scar tissue forms as part of abnormal wound healing in genetically susceptible individuals. PD has two phases: the acute/active phase (pain, plaque forming, curvature worsening) lasting 6-18 months, and the stable/chronic phase (pain resolves, plaque and curvature stabilize). About 10% of men are affected.

CRITICAL: Peyronie's disease treatment depends on the phase and severity. In the acute phase, conservative management (supplements, traction devices) may help limit progression. In the stable phase with significant deformity, medical and surgical options include: intralesional injections (collagenase/Xiaflex, verapamil), traction therapy, and surgery (plication, grafting, implants). See a urologist who specializes in PD. Supplements may provide modest benefit but won't reverse established plaques. Evidence for most supplements is limited. Sexual counseling and psychological support are important components of care.

Coenzyme Q10* has shown the most promise in clinical trials, with one study showing reduced curvature progression and plaque size compared to placebo.

Vitamin E* is the most traditionally used supplement for PD, though evidence is actually limited. It's thought to work through antioxidant effects. Often combined with other treatments.

Acetyl-L-Carnitine* has shown benefit in some studies, with effects on pain, curvature, and plaque size comparable to or better than vitamin E.

Omega-3 Fatty Acids* may help through anti-inflammatory and anti-fibrotic effects.

PABA (Potassium Para-aminobenzoate)* has been used historically for fibrotic conditions. High doses are needed, which can cause GI side effects.

Collagen and Zinc* support tissue healing in general.

Expected timeline: PD natural history: acute phase 6-18 months, then stabilizes. Supplements are most likely to help during the acute phase when plaque is still forming. Allow 3-6 months to assess benefit. Surgery is reserved for stable disease with significant deformity.

Printed from drgrey.ai/protocols/peyronies-disease. For education only; not medical advice. Talk to a clinician before starting any supplement.