The Dr. Geo Prostate Podcast is a show that takes an integrative approach to men's health, prostate, and functional urology to optimize their health and help them live better with age.
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Peyronie’s Disease: Solutions and RestoreX with Dr. Landon Trost
Episode 192
Sunday, October 11, 2026 • Duration 01:19:10
What causes Peyronie’s disease? Can penile curvature be reversed without surgery? And what actually works to restore lost penile length?
In this episode of the Dr. Geo Prostate Podcast, Dr. Geo Espinosa welcomes Dr. Landon Trost, former Chief of Andrology at Mayo Clinic and a leading researcher in Peyronie’s disease and men's sexual health.
Together, they separate science from misinformation and explore the latest research on Peyronie’s disease, Xiaflex injections, RestoreX penile traction therapy, and why early intervention may make a significant difference.
Dr. Trost also shares the research behind combining Xiaflex with RestoreX, why some commonly recommended treatments lack convincing evidence, and what men should understand before considering surgery.
Whether you've recently noticed penile curvature, are experiencing lost length, or are exploring treatment options, this conversation offers valuable insights to help you make more informed decisions about your sexual health.
IN THIS EPISODE, YOU'LL LEARN:
What causes Peyronie’s disease and how genetics may contribute.
The connection between Peyronie’s disease and Dupuytren’s contracture.
Why popular remedies like pentoxifylline, castor oil, and manual stretching may not deliver the results men expect.
When penile curvature requires treatment and why early intervention matters.
How erectile quality and penile trauma may influence risk.
How Peyronie’s disease is diagnosed.
The science behind Xiaflex injections and RestoreX traction therapy.
What clinical trials reveal about restoring lost penile length.
How often RestoreX was used in clinical studies and how long improvements may last.
The potential side effects of Xiaflex and when surgery may be considered.
The psychological impact of Peyronie’s disease and the future of treatment.
📚 Chapters
00:00 Introduction: Can Peyronie’s Disease Be Reversed?
01:40 Meet Dr. Landon Trost
06:30 What Causes Peyronie’s Disease?
07:50 Genetics and Dupuytren’s Contracture 09:15 Common Myths and Ineffective Treatments
Sponsored by PathRight Medical. This episode's guest, Dr. Landon Trost, is the majority owner of PathRight Medical, manufacturer of RestoreX® and RestoreXL®. Dr. Geo Media retains editorial control over the interview and its independent clinical content.
XY Wellness- Prostate Health Supplements - https://bit.ly/3uJPC7Z
Mr. Happy- Supplements for Men- https://bit.ly/3RJMX6O
___________________________________
💪 Exclusive Membership
Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership
This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
Before Prostate Surgery, Ask These 3 Questions with Dr. Jim Hu
Episode 191
Saturday, October 3, 2026 • Duration 01:19:10
Before prostate surgery, there are 3 questions you should ask your surgeon—and “How many surgeries have you done?” isn’t enough.
In this episode of The Dr. Geo Prostate Podcast, Dr. Geo sits down with renowned prostate cancer surgeon Dr. Jim Hu, Ronald P. Lynch Professor of Urologic Oncology at Weill Cornell Medicine, Vice Chair of Clinical Research, and Director of the LeFrak Center for Robotic Surgery.
The conversation starts where many prostate cancer journeys begin: an elevated PSA.
Do you really need a biopsy? Should you get an MRI first? What about PSA density, the 4Kscore, or newer urine tests? And if a biopsy is necessary, should you choose transperineal instead of transrectal biopsy?
Dr. Hu explains why he now favors the transperineal approach and discusses findings from the PREVENT and UK TRANSLATE trials, including infection risk, antibiotic use, cancer detection, pain, and the learning curve physicians face when adopting the procedure.
Then the conversation turns to one of the biggest decisions a man with prostate cancer may ever make:
Surgery or radiation?
And if you choose surgery, how do you know whether your surgeon is actually good?
Dr. Hu explains why simply asking how many prostatectomies a surgeon has performed may not tell you what you really need to know. Instead, patients should be asking whether their surgeon actually tracks urinary continence and erectile-function outcomes.
Because two surgeons can perform the same “robotic prostatectomy” very differently—and those differences may matter to your quality of life.
In this episode, you’ll learn:
• What an elevated PSA really means—and what may come before biopsy
• How MRI, PSA density, 4Kscore, and urine biomarkers can help guide decisions
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Therapeutic Estrogen for Prostate Cancer: Hot Flashes & Better Sleep | Dr. Richard Wasserbug
Episode 190
Friday, September 18, 2026 • Duration 59:48
What if one of the hardest parts of androgen deprivation therapy is not simply low testosterone—but the loss of estradiol that comes with it?
Dr. Richard Wassersug brings a rare dual perspective to that question.
He is a PhD evolutionary biologist, former professor of anatomy and neurobiology, prostate cancer quality-of-life researcher, co-developer of an androgen deprivation education program, and a patient who has used transdermal estradiol for more than two decades. His experience helped drive a deeper investigation into whether estrogen delivered through the skin could suppress testosterone while avoiding some of the burdens associated with standard LHRH-based ADT.
In this episode, you’ll learn:
🟠 Why men need estradiol for **brain, bone, sexual, and overall health.**
🟠 What the **PATCH research** suggests about transdermal estradiol, cancer control, and quality of life.
🟠 Why **hot flashes, poor sleep, fatigue, and cognitive symptoms** may reflect more than testosterone loss.
🟠 What men should know about **gynecomastia, monitoring, exercise, and shared decision-making** before considering this emerging strategy.
decision-making before considering this emerging strategy.
Chapters
00:00 ADT Side Effects Question
00:54 Podcast Disclaimers
01:33 Meet Dr Wassersug
03:59 Diagnosis And Early Treatment
04:58 Finding Estradiol Research
07:29 Lupron Side Effects And Sleep
08:48 Why Men Need Estradiol
11:00 Switching To Estradiol
15:13 NEJM Patch Trial Breakdown
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Prostate Biopsy: Do You Really Need One? with Dr. James Wysock
Episode 189
Saturday, September 5, 2026 • Duration 58:27
Most men who undergo a prostate biopsy may not have cancer found at all—and the bigger mistake may be rushing from a single elevated PSA straight to the needle.
Dr. James Wysock, an NYU urologist with deep expertise in prostate cancer diagnostics and image-guided biopsy, explains why the modern biopsy decision is no longer about PSA alone. Repeat testing, prostate MRI, PSA density, blood and urine biomarkers, and expert image targeting can dramatically change who should be biopsied and how that biopsy should be performed.
Just as surprising: transperineal biopsy is not automatically “better” in every case. It clearly lowers infection and antibiotic exposure, but biopsy accuracy still depends heavily on imaging, fusion quality, sampling technique, and operator experience.
In this episode, you’ll learn...
Why one elevated PSA should often be repeated before escalating testing.
Why MRI may be the most important next test when biopsy risk remains concerning.
How transperineal and transrectal biopsies really compare.
How new fusion, needle and tissue-preservation technologies could make future biopsies shorter, more precise and less invasive.
___________________________________
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Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership
What if the biggest mistake men make after a prostate cancer diagnosis is not eating the "wrong" food - but becoming so afraid of food that eating itself becomes stressful?
In this solo episode, Dr. Geo draws on more than two decades in holistic and integrative urology to cut through the noise around prostate cancer nutrition. Rather than promoting another rigid diet, he explains how food choices interact with physical activity, stress, metabolic signaling, and long-term sustainability. The goal is not perfection. It is to create a healthier internal environment while still enjoying life, family, and food.
In this episode, you'll learn...
Why no single food causes or cures prostate cancer.
How exercise and stress may change the way your body responds to food.
Why Dr. Geo favors a plant-forward Mediterranean pattern while allowing strategic flexibility.
How to think about protein, fish, red meat, processed foods, saturated fat, and fasting after diagnosis.
If prostate cancer nutrition has left you overwhelmed, this episode offers a simpler framework for deciding what to eat - and what actually matters most.
Chapterts
00:00 Food Myths Intro
00:55 Podcast Disclaimer
01:34 Why Nutrition Confuses
03:34 Principle One No Guilt
04:46 Stress Exercise Absorption
08:57 No Magic Foods
12:55 How Cancer Signals Work
16:40 Processed Foods And Portions
21:02 Best Diet Patterns
25:11 Protein And Muscle
28:38 Meat Poultry Fish
31:23 Carbs And Fats
35:48 Fasting And Overeating
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Is erectile dysfunction a symptom—or an early warning sign? with Dr. Peter Bajic
Episode 187
Monday, August 3, 2026 • Duration 01:05:37
Dr. Geo welcomes Dr. Peter Bajic, Medical Director for Urology at Cleveland Clinic Main Campus and Director of Men's Health at the Glickman Urological Institute, for an evidence-based conversation about erectile dysfunction, testosterone, Peyronie's disease, and the biggest myths in men's sexual medicine.
They explore why erections reflect cardiovascular health, why "venous leak" is often misunderstood, how GLP-1 medications may temporarily influence testosterone during weight loss, and when testosterone replacement therapy is actually appropriate.
The episode also covers Peyronie's disease, treatment options including daily tadalafil and traction therapy, and practical lifestyle changes that can improve both sexual function and long-term health.
If you've ever wondered whether ED is psychological, physical, hormonal—or all three—this episode delivers clear answers backed by today's science.
In this episode you'll learn:
Why erectile dysfunction often predicts cardiovascular disease
The truth about "venous leak"
How erections actually work
Psychological vs. physical causes of ED
GLP-1 medications and testosterone explained
When testosterone replacement is appropriate
The biggest myths about Peyronie's disease
Daily Cialis beyond erectile dysfunction
Lifestyle strategies that improve sexual health
The latest treatments available for men
Timestamps
00:00 Introduction: ED may be your first warning sign
02:45 Why erections are a window into overall health
06:20 Psychological vs. physical erectile dysfunction
13:15 GLP-1 medications, weight loss & testosterone
18:30 Combining GLP-1 therapy with testosterone replacement
The truth about "venous leak" explained
💪 Exclusive Membership📌 Follow and Connect📣 Hashtags___________________________________⚠️ Disclaimer
Is 12 Months of Hormone Therapy Enough? Radiation & AI in Prostate Cancer with Dr. Dan Spratt
Episode 186
Monday, July 27, 2026 • Duration 40:02
For decades, men with high-risk prostate cancer have routinely been told they need 18 to 36 months of androgen deprivation therapy (ADT) alongside radiation.
But what if 12 months is enough?
In this episode of the Dr. Geo Prostate Podcast, Dr. Geo Espinosa welcomes internationally recognized radiation oncologist Dr. Dan Spratt, Chair of Radiation Oncology at University Hospitals/Case Western Reserve University, to discuss groundbreaking research that could change how advanced prostate cancer is treated.
Together they explore the latest MARCAP consortium data suggesting many men may receive the same cancer control with significantly less hormone therapy—potentially reducing years of unnecessary side effects while maintaining excellent outcomes. They also discuss how physicians personalize treatment decisions, the growing role of artificial intelligence with Artera AI, and why the future of prostate cancer treatment may involve doing less, not more.
If you or someone you love is facing radiation therapy for prostate cancer, this episode provides one of the most important conversations happening in prostate cancer care today.
What You'll Learn
✔ Why 2-3 years of ADT may not be necessary for many patients
✔ The new evidence supporting approximately 12 months of hormone therapy
✔ Why longer hormone therapy can permanently affect testosterone recovery
✔ How physicians balance cancer control with quality of life
✔ The difference between NCCN guidelines and individualized patient care
✔ Which patients may still benefit from longer hormone therapy
✔ How AI (Artera AI) is helping personalize prostate cancer treatment
✔ Why prostate cancer care is shifting toward treatment de-intensification
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High-Dose Testosterone (BAT) for Prostate Cancer with Dr. Michael Schweizer
Episode 185
Tuesday, July 21, 2026 • Duration 55:21
We’ve been told for decades that giving testosterone to a man with prostate cancer is like throwing gasoline on a fire. But what if, in the right context, it actually acts as the extinguisher?” It sounds like medical heresy, yet this is the foundation of Bipolar Androgen Therapy (BAT). Imagine a treatment that intentionally cycles your hormones from extreme highs to extreme lows to "overload" cancer cells and reset their sensitivity to medicine.
In this episode, we sit down with a true pioneer of this paradigm shift: Dr. Michael Schweizer. An Associate Professor at the Fred Hutchinson Cancer Center and a key architect behind the original BAT trials at Johns Hopkins, Dr. Schweizer is the scientist moving the bar for men with advanced, castrate-resistant disease. We’re moving past the fear-based dogma to look at the clinical data that proves supraphysiologic testosterone isn't just a quality-of-life booster—it’s a sophisticated weapon against resistant tumors.
In this episode, you’ll learn:
The "Hormone Shock" Mechanism: How flooding the body with 1,500+ ng/dL of testosterone causes "mitotic catastrophe" in cancer cells adapted to low-androgen environments.
The Resensitization Secret: Why cycling BAT can actually "reset" your cancer, making drugs like Enzalutamide work again after they’ve failed.
Precision Selection: Which specific genetic mutations (like TP53) might predict who becomes an "exceptional responder" to high-dose testosterone.
The Sequential Strategy: Why the order of your treatments—BAT first, then RPIs—could potentially extend survival by nearly 10 months.
⏱️ Chapters
00:00 Introduction: Can Testosterone Treat Prostate Cancer?
02:00 The surprising origin of Bipolar Androgen Therapy (BAT)
04:10 ⭐ Stop & Watch: Why Charles Huggins hinted at this decades ago
07:10 Why ordinary testosterone therapy failed—and BAT didn't
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Can AI Replace the Prostate Biopsy? The Future of Prostate Cancer Diagnosis with Dr. Wayne Brisbane
Episode 184
Monday, July 6, 2026 • Duration 35:13
Artificial intelligence is transforming prostate cancer care faster than ever before but could it one day replace the traditional biopsy?
In this episode, Dr. Geo sits down with Dr. Wayne Brisbane, Assistant Professor of Urology and urologic oncologist whose research is helping redefine how prostate cancer is detected and treated. After earning his medical degree from Loma Linda University School of Medicine, completing his urology residency at the University of Washington, and a fellowship in Urologic Oncology at UCLA, Dr. Brisbane has become one of the leading voices in AI-driven prostate cancer diagnosis.
His clinical practice and research focus on image-guided biopsy, MRI, PSMA PET imaging, micro-ultrasound, and focal therapy—helping patients receive more precise treatment while minimizing unnecessary side effects. UCLA remains one of the few centers in the world advancing all of these technologies under one program.
Together, Dr. Geo and Dr. Brisbane explore how artificial intelligence is improving MRI interpretation, helping physicians better map prostate tumors, identify the best candidates for focal therapy, and potentially reduce the need for invasive biopsies in the future.
If you're navigating a prostate cancer diagnosis or simply want to understand where prostate cancer care is headed this conversation offers a fascinating look at the next generation of precision medicine.
Episode Chapters
00:00 Introduction
03:00 AI Is Changing Prostate Cancer Diagnosis
07:00 Unfold AI: Mapping Tumors with Greater Precision
10:00 Who Is the Right Candidate for Focal Therapy?
13:00 Life After Focal Therapy: MRI, PSMA & Monitoring
15:00 Focal Therapy vs. Surgery: What the Latest Research Shows
Resources Mentioned
Can exercise be one of the most powerful anti-cancer therapies available today? with Robert Newton
Episode 183
Monday, June 22, 2026 • Duration 01:01:50
In this compelling episode of the Dr. Geo Prostate Podcast, Dr. Geo sits down with internationally renowned exercise oncology pioneer Professor Robert Newton to explore the groundbreaking science behind exercise as medicine for cancer.
Inspired by his father's battle with prostate cancer, Professor Newton has spent decades researching how targeted exercise can improve treatment outcomes, preserve muscle mass, strengthen immune function, reduce treatment side effects, and potentially slow cancer progression. Together, Dr. Geo and Professor Newton discuss why muscle is far more than a movement organ—it functions as a powerful endocrine organ that releases cancer-fighting compounds known as myokines.
The conversation dives deep into exercise intensity, resistance training, chemotherapy and radiation timing, wearable technology, exercise "dosing," and the landmark Phase III clinical trial that demonstrated exercise can significantly improve survival outcomes in cancer patients. They also discuss practical strategies for overcoming fear of the gym, maintaining muscle during androgen deprivation therapy (ADT), and why sitting all day may undermine your health even if you exercise regularly.
Whether you're living with prostate cancer, supporting a loved one, or simply interested in maximizing your healthspan, this episode provides actionable, science-backed strategies to help you move from surviving to thriving
• What the PREVENT and TRANSLATE trials tell us about prostate biopsy
• Why avoiding antibiotics may be another advantage of transperineal biopsy
• The learning curve patients should consider when choosing who performs their biopsy
• How to think about prostate surgery vs. radiation
• Why robotic technology doesn’t automatically mean better surgical outcomes
• Why surgical volume alone may not predict continence or erectile-function recovery
• The questions to ask before choosing a prostate cancer surgeon
• Why surgeons should track their own patient-reported outcomes
• How surgical technique, nerve handling, and cautery may affect recovery
• Where active surveillance and focal therapy may—or may not—fit
• Why treatment choice matters if prostate cancer eventually returns
• What patients should understand about salvage prostatectomy after radiation or focal therapy
If you’ve recently been diagnosed with prostate cancer—or you’re trying to decide whether to have a biopsy, surgery, radiation, focal therapy, or active surveillance—watch this conversation before making a decision you can’t easily take back.
Chapters
⏱️ KEY TIMESTAMPS
00:00 – The prostate cancer decisions you can’t easily take back
08:00 – Elevated PSA: Do you really need a biopsy?
12:00 – How MRI can help some men avoid biopsy
16:00 – PSA density, MRI & deciding whether to biopsy
17:00 – Transperineal vs. transrectal prostate biopsy
19:00 – PREVENT & TRANSLATE studies: infection and cancer detection
22:00 – The learning curve for transperineal biopsy
26:00 – Why transperineal biopsy may avoid antibiotics
36:00 – Prostate surgery vs. radiation: How do you choose?
42:00 – Does doing more prostatectomies make a better surgeon?
43:00 – The #1 question to ask your prostate surgeon
51:00 – What are good erectile-function outcomes after surgery?
55:00 – Nerve sparing: the surgical details that may affect erections
59:00 – The 3 questions to ask BEFORE prostate surgery
1:03:00 – Active surveillance for Gleason 6 / Grade Group 1
1:06:00 – Focal therapy: Where does it fit?
1:10:00 – Erectile dysfunction & incontinence after prostate surgery
1:11:00 – Prostate surgery after radiation or focal therapy
1:12:00 – PSMA PET scans, recurrence & salvage treatment
MUSIC brings together academic and community urology practices across Michigan with the shared goal of improving prostate cancer care and patient outcomes.
Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership
This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
20:53 Gynecomastia And Management
24:07 Real World Patient Stories
25:20 Sponsor Message Break
27:51 Access Barriers And Limits
29:03 ADT Protocols and Sleep
31:32 Estradiol Targets and Ratios
37:23 Patch vs Gel Dosing
39:10 Combining ADT With Estradiol
42:52 Who Benefits Most
44:18 PATCH Study Scope and Add-Ons
47:33 Getting Estradiol Prescribed
50:23 Suffering Mindset and Sexual Health
54:48 Active Surveillance Trial Ideas
___________________________________
Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership
This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
ProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx
AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV
___________________________________
Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership
This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
28:45
40:05 Why most men do NOT have true venous leak
43:10 The best approach to treating erectile dysfunction
49:20 Understanding Peyronie's disease
54:20 Can Peyronie's disease be prevented?
58:00 Why daily Cialis may be one of men's most useful medications
1:01:00 Xiaflex, surgery & future Peyronie's treatments
___________________________________
Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership
This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
✔ The future of precision medicine in radiation oncology
Episode Timestamps
00:00 Introduction
01:30 Meet Dr Dan Spratt
02:22 Why ADT Lasts Years
05:42 How ADT Helps Radiation
08:49 Personalizing ADT Duration
12:39 Guidelines and Real World Use
18:03 Who Needs Long Term ADT
21:13 Artera AI Explained
23:19 Old Data and Modern Outcomes
27:28 De Intensification Future
31:33 Biomarkers for Urologists
33:57 Choosing Artera vs Decipher
37:28 Final Takeaways and Outro
Key Discussion Points
New MARCAP consortium analysis on ADT duration
Radiation sensitivity and androgen deprivation
Why many men never fully recover testosterone after prolonged ADT
Balancing survival outcomes with quality of life
Shared decision-making between physician and patient
Genomic classifiers including Decipher
AI biomarkers and Artera AI
Personalized radiation oncology
Modern imaging and PSMA PET
De-intensifying prostate cancer treatment
Precision medicine in localized prostate cancer
The future of individualized prostate cancer care
Resources Mentioned
• MARCAP Consortium research on androgen deprivation therapy duration
• NCCN Prostate Cancer Guidelines (discussed throughout the episode)
• Artera AI clinical decision support platform (discussion)
• Decipher genomic classifier
• PSMA PET imaging
• MRI-guided prostate cancer staging
___________________________________
Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership
This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
08:20 ⭐ Stop & Watch: The BAT protocol explained (400 mg every 28 days)
10:00 Why BAT is only used in castration-resistant prostate cancer
14:05 ⭐ Stop & Watch: The TRANSFORMER trial—did BAT actually work?
16:20 ⭐ Stop & Watch: How BAT may make failed treatments work again
20:30 ⭐ Stop & Watch: If testosterone isn't the enemy...why do we suppress it?
22:10 ⭐ Must Watch: The biology that completely changes how we think about testosterone
24:10 How BAT damages cancer DNA
26:30 BAT, quality of life, and survival—what the evidence really shows
30:00 ⭐ Stop & Watch: The sequencing strategy that could add months of cancer control
31:30 Which patients may respond best to BAT?
33:20 ⭐ Must Watch: Why every advanced prostate cancer patient should consider genetic testing
36:00 Can someone on ADT simply start testosterone?
40:00 Where BAT fits among today's prostate cancer treatments
43:00 ⭐ Stop & Watch: BAT + Lutetium PSMA—the next frontier
45:00 How to find BAT clinical trials
47:00 Should hormone therapy ever be stopped?
53:00
____________________________________
Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership
This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
21:00 Can AI Eventually Replace the Prostate Biopsy?
25:00 Dr. Brisbane's Vision for the Future of Diagnosis
29:00 Cribriform Disease: Identifying High-Risk Cancer
32:00 Beyond DNA: How Proteomics May Transform Cancer Care
Key Takeaways
✅ How AI is making prostate cancer diagnosis more accurate
✅ Why MRI can still miss clinically significant prostate cancer
✅ The technology behind Unfold AI and personalized tumor mapping
✅ Who is—and isn't—a good candidate for focal therapy
✅ Why tumor size plays a critical role in treatment decisions
✅ Can AI eventually replace the prostate biopsy?
✅ The latest research comparing focal therapy and surgery
✅ Why prospective clinical trials matter when evaluating new treatments
✅ How MRI, PSMA PET, genomics, and AI are shaping the future of prostate cancer care
✅ Dr. Wayne Brisbane's vision for the next generation of precision prostate cancer diagnosis
Unfold AI (Avenda Health)
MRI for prostate cancer
PSMA PET imaging
Focal Therapy
Active Surveillance
UCLA Prostate Cancer Research
Stanford validation studies
CAPTAIN Trial
FARP Trial
HIFU clinical studies
___________________________________
🌱 Partner Offers
ProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx
AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV
___________________________________
💪 Exclusive Membership
Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership
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📌 Follow and Connect
📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast
🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm
📸 Instagram → https://bit.ly/DRGEO-INSTA-YT
📘 Facebook → https://bit.ly/POD-FB-DrGeo
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🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE
This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
58:00 Final Takeaways & Closing Thoughts
My Exercise Medicine for Cancer by Professor Robert Newton
Exercise Medicine Research Institute
New England Journal of Medicine Exercise Oncology Trial
American Society of Clinical Oncology (ASCO) Researc
___________________________________
ProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx
AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV
___________________________________
Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership
This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
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