I've been on Prostap for 2 years and haven't as yet been tempted to reach for the sherry bottle.
Side effects: impotence, minor hot flushes, weight static overall but maybe a bit of increase around the waist. My current worry is the risk of cognitive impairment, but I think it's a more of a risk than current reality.
Haven't done much to try to alleviate specific symptoms, but have made usual dietary changes - more greens, minimal dairy, less red meat, more plant protein and more oily fish, less alcohol. Still trying to take more exercise in an organised way. Take POMI-T.