Explore every episode of the podcast The Dr. Geo Prostate Podcast

The most dangerous thing about peptides may not be the peptide itself—it may be what's actually inside the vial.

Peptides are everywhere. From BPC-157 for injury recovery to anti-aging treatments, hormone optimization, and the growing popularity of GLP-1 medications, these compounds are generating enormous excitement. But which peptides are backed by science, which are still experimental, and what happens when people buy injectable products online without medical supervision?

Dr. James LaValle, clinical pharmacist, board-certified clinical nutritionist, and longtime educator in precision health and longevity medicine, joins Dr. Geo to separate the science from the hype. Drawing on more than four decades in pharmacy and his involvement in FDA advisory discussions, LaValle explains how peptides work, why compounding regulations matter, and what patients should understand before considering these treatments.

The conversation takes an especially important turn for men with prostate cancer, as Dr. Geo raises concerns about BPC-157, blood vessel formation, and the unanswered questions surrounding peptide use in patients with cancer.

In this episode, you’ll learn...

🟠 What peptides actually are, how they work in the body, and why not all peptides are created equal.

🟠 Why BPC-157 is generating excitement for injury recovery and gut health—and the unanswered safety questions for men with prostate cancer.

🟠 What the FDA's peptide regulations and compounding discussions mean for patients, and why an advisory committee recommendation is not the same as FDA approval.

🟠 How to recognize potentially unsafe peptides sold online, understand the risks of unregulated injections, and avoid the dangers of peptide overuse.

📚 Chapters

00:00 Are Peptides Really Safe?

03:00 What Are Peptides?

08:00 FDA-Approved vs. Experimental Peptides

10:00 Compounding Pharmacies Explained

13:00 The Dangers of Online Peptides

16:00 FDA Regulations and Peptide Access

19:00 GLP-1 Medications and Proper Dosing

24:00 BPC-157 for Injury Recovery

27:00 BPC-157 and Prostate Cancer Concerns

30:00 TB-500 and Immune Health

35:00 MOTS-c and Mitochondrial Aging

38:00 Epitalon, Sleep, and Growth Hormone

43:00 DSIP, Semax, and Brain Health

47:00 Oral vs. Injectable Peptides

51:00 How to Identify Unsafe Peptides

55:00 Long-Term Risks and Peptide Overuse

59:00 Dr. LaValle's Work and Resources

Peptides may hold exciting possibilities for the future of medicine. But promising science is not the same as proven safety—and knowing the difference could protect your health.

📕 Get Dr. Geo’s Free Ebook- A Guide to Improve Prostate Problems Naturally https://bit.ly/DRGEOFreeEbook

🎯Subscribe to the Dr. Geo Prostate Podcast and visit https://drgeo.com for evidence-informed prostate health education and the Rx3 Thursdays newsletter.

🎙️ GUEST – Links related to the podcast:

Dr. James LaValle

Website: https://jimlavalle.com

Instagram: @therealjimlavalle

📌 Thank You To Our Sponsors

Sponsored by PathRight Medical. RestoreXL® provides a focused option for restoring lost penile length or limiting loss of erectile function following prostatectomy.

For more information on RestoreXL: https://bit.ly/3VWiC9L.

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn: https://bit.ly/DRGEO-LINKEDIN-YT

Website: https://bit.ly/43khht0

XY Wellness – Prostate Health Supplements: https://bit.ly/3uJPC7Z

Mr. Happy – Supplements for Men: https://bit.ly/3RJMX6O

📣 Hashtags

#DrGeoProstatePodcast #Peptides #BPC157 #AntiAging #Longevity #ProstateHealth #MensHealth #FDA #IntegrativeMedicine

⚠️ Disclaimer

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 biggest mistake after prostate cancer treatment may be waiting for erections to “come back” on their own.

Dr. John Mulhall of Memorial Sloan Kettering has spent three decades in sexual medicine, sees roughly 600 prostatectomy patients a year, and served as a senior author on sexual-medicine guidelines. His central message: recovery is a race to protect erectile tissue while nerves heal. After prostatectomy, erection nerves can remain functionally “asleep” for months. During that window, reduced blood flow, oxygenation and stretch can allow penile smooth muscle to deteriorate and be replaced by collagen-rich scar tissue. Radiation follows a different pattern: function may look preserved at first, then decline over two to three years as vascular injury develops.

In this episode, you’ll learn...

• Why penile rehabilitation is about preserving tissue, not simply taking a daily pill.
• How surgery, radiation, and ADT disrupt erections through different biological pathways.
• Why sleep apnea, diabetes, and very low testosterone can reduce recovery.
• How reducing performance pressure can rebuild sexual confidence.

📚 Chapters

00:00 Sex Recovery Starts Early

05:28 Why Erections Fail

07:36 Radiation And ADT Effects

11:07 Collagenization Explained

12:39 Modern Penile Rehab Plan

16:14 Choosing A Prostate Surgeon

19:49 Orgasms After Prostatectomy

21:38 Erection Recovery Timeline

24:19 Confidence And Intimacy

34:34 Injection Safety Standards

40:48 Testosterone Before Treatment

45:24 ADT Risks and PSA Monitoring

56:32 When to Consider Implants

59:37 Choosing the Right PDE5 Pill

01:01:23 Trials and Where to Find John

This is the conversation men need before treatment—not months after sexual function has already changed.

Dr. Mulhall X handle@saveyoursexlife

Website: Dr. John Mulhall - MSKCC

📕 Get Dr. Geo’s Free Ebook- A Guide to Improve Prostate Problems Naturally https://bit.ly/DRGEOFreeEbook

📌Thank You To Our Sponsors

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.

Find the Right Device for You linked to https://bit.ly/3VnIsU0.

___________________________________

💪 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

___________________________________

📌 Dr. Geo’s Social Media and Websites

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

📣 Hashtags

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

___________________________________

⚠️ Disclaimer

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.

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.

• 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

15:20 When Does Penile Curvature Need Treatment?

16:50 Why Early Treatment Matters

20:00 Can You Prevent Peyronie’s Disease?

25:30 How Peyronie’s Disease Is Diagnosed

28:00 Early Treatment Options

31:00 Traction Therapy and Restoring Lost Length

32:30 Why Xiaflex + RestoreX Work Better Together

38:15 The Science Behind RestoreX

41:15 How Often Should You Use RestoreX?

🎙️ GUEST

Dr. Landon Trost Clinic - https://malefertilityandpeyroniesclinic.com/about/

Peyronies.com - https://malefertilityandpeyroniesclinic.com/peyronies/

Goniometer - https://en.wikipedia.org/wiki/Goniometer

📕 Get Dr. Geo’s Free Ebook- A Guide to Improve Prostate Problems Naturally https://bit.ly/DRGEOFreeEbook

📌Thank You To Our Sponsors

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.

Find the Right Device for You linked to https://bit.ly/3VnIsU0.

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn: https://bit.ly/DRGEO-LINKEDIN-YT

Website: https://bit.ly/43khht0

XY Wellness- Prostate Health Supplements - https://bit.ly/3uJPC7Z

Mr. Happy- Supplements for Men- https://bit.ly/3RJMX6O

___________________________________

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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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, 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

• Why Dr. Hu favors transperineal prostate biopsy

• 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

🔗 RESOURCES & RESEARCH

Dr. Jim Hu — Weill Cornell Medicine

https://weillcornell.org/jimhu

Follow Dr. Hu on X:

@jimhumd

PREVENT Trial — JAMA Oncology

https://jamanetwork.com/journals/jamaoncology/fullarticle/2823969

Memorial Sloan Kettering Prostate Cancer Nomogram

https://www.mskcc.org/nomograms/prostate

UK TRANSLATE Prostate Biopsy Study — The Lancet Oncology

https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(25)00100-7/fulltext

Michigan Urological Surgery Improvement Collaborative (MUSIC)

https://musicurology.com/programs/prostate/

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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

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

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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

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.

___________________________________

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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

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

37:17 Thrive After Diagnosis

👉 subscribe to RX3 Thursdays- https://bit.ly/3UyPJ2M

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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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

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.

• 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

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

28:45 The truth about "venous leak" explained

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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

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.

✔ 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

✔ The future of precision medicine in radiation oncology

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

• 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

• 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

___________________________________

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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.

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.

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

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?

____________________________________

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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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.

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.

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

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

✅ 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

___________________________________

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⚠️ Disclaimer

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.

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

00:00 Introduction & Guest Welcome

03:00 Rob Newton's Father & Origin Story

09:30 Exercise as the #1 Anti-Cancer Tool

17:00 Landmark Exercise Oncology Trial

20:00 Exercise as Medicine

26:00 Resistance Training Intensity Explained

35:30 Exercise Before Radiation & Chemotherapy

40:00 Exercise Timing Around Treatment

47:00 Myokines: Muscle as Medicine

52:00 NEAT & Daily Movement

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

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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.

Can AI help you understand your PSA, improve prostate cancer detection, and help doctors make better decisions?

In this episode, Dr. Geo sits down with Dr. Jennifer Miles-Thomas, urologist, healthcare executive, Treasurer of the American Urological Association, and Vice Chair of Integration and Innovation at Northwestern Medicine to break down how AI is changing prostate care.

We cover ChatGPT, PSA interpretation, privacy concerns, prostate MRI, digital pathology, ambient AI, and the future of prostate cancer diagnosis.

Can AI explain an elevated PSA? Which tools are best? Is your medical data private? And how are physicians using AI to improve care while keeping human judgment at the center?

Dr. Miles-Thomas explains how tools like ChatGPT, Perplexity, Claude, Gemini, and Grok can help men ask smarter questions, better understand risk, and prepare for doctor visits—but why AI should never replace medical expertise.

TIMESTAMPS

06:00 — Can AI Help You Understand Your PSA?

08:00 — Privacy & AI Health Searches

10:00 — Best AI Tools for Medical Questions

13:00 — AI for Doctors & Smarter Decisions

14:00 — Ambient AI & The Future of Doctor Visits

21:00 — AI, MRI & Prostate Cancer Detection

26:00 — The Biggest Risks of AI in Medicine

KEY TAKEAWAYS

• AI can help explain an elevated PSA—but context matters

• Better prompts lead to better answers

• Use AI to ask smarter questions, not self-diagnose

• AI may improve MRI, pathology, and cancer detection

• Human oversight still matters

AI is changing prostate care fast but what does it actually mean for you? Dr. Jennifer Miles-Thomas breaks it all down. Let’s get into it.

___________________________________

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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.

What if the persistent pelvic pain, the performance issues in the bedroom, or that nagging brain fog isn't just a physical "glitch," but a physical manifestation of an underlying mental struggle? Most men are trained to wear a mask in the clinic, but the body always keeps the score. When a man avoids reality, his physiology pays the price.

Today, we’re peeling back that mask with Dr. Daniel Margolis. Dr. Margolis is an Associate Professor of Radiology at Weill Cornell Medicine in New York City and a world-renowned diagnostic radiologist. A graduate of UC Berkeley and USC, he completed advanced fellowships at Stanford and UCLA, specializing in using MRI to detect and characterize prostate cancer. With over 90 publications to his name, Dr. Margolis serves on the ACR PI-RADS Committee and Co-Chairs the Society of Abdominal Radiology Prostate Cancer Panel. He isn't just someone who looks at screens; he’s the "driver" of the most advanced imaging "cars" in the world. If you’ve been worried about Gadolinium brain deposits or simply want to know if you can skip the needle during your next scan, this is the masterclass you’ve been waiting for.

In this episode, you’ll learn:

• The Biparametric Breakthrough: Why most men can now skip MRI contrast without missing significant cancer.
• 1.5T vs. 3T: Why a "stronger" magnet isn't always better, especially if you have a hip replacement.
• The Biopsy-Free Future: How AI and blood tests are converging to eventually eliminate the needle.
• Expert Vetting: How to tell if your radiologist is a "pro" or just a "tech" by looking for ACR certification.

00:00 – Intro & Why MRI Matters in Prostate Cancer

02:45 – How Many MRIs Does a Radiologist Read a Day?

06:20 – Will AI Replace Radiologists?

11:20 – The PRIME Trial: Can We Skip MRI Contrast Dye?

14:15 – 1.5 Tesla vs 3 Tesla MRI: Does It Matter?

22:45 – How to Know if You’re Getting a Good Prostate MRI

24:00 – Multiparametric vs Biparametric MRI Explained

35:00 – PRIME Trial Results: Did Contrast Actually Matter?

38:15 – Is Gadolinium Contrast Safe?

44:20 – Why the PRIME Trial Worked: Quality Control Matters

48:00 – Who Still Needs Contrast on Their MRI?

56:00 – Will Prostate Biopsies Disappear?

59:00 – How AI is Changing Prostate MRI

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___________________________________

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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.

What if I told you that after focal therapy, a normal PSA and a clean MRI can still mean prostate cancer is hiding in plain sight?

That’s the moment in this conversation that makes you stop—and rethink everything you’ve been told about “success” after focal therapy.

In this episode, we’re joined by Abhinav Sidana, MD, MPH, Associate Professor of Urology and Director of Prostate Cancer at University of Chicago Medicine, a nationally recognized urologic oncologist, clinical trial leader, and one of the architects shaping the future of focal therapy. Dr. Sidana has trained at AIIMS, Johns Hopkins, NIH, and now leads one of the most rigorous focal therapy programs in the country—backed by over 100 peer-reviewed publications and multiple active clinical trials.

This is not a sales pitch for focal therapy. It’s a clear-eyed look at what works, what doesn’t, and what we still get wrong.

In this episode, you’ll learn:

✅ Why MRI made focal therapy possible—and why it can still miss clinically significant disease

✅ How biopsy strategy—fusion, mapping, or transperineal—directly affects recurrence risk

✅ Why PSA is an unreliable signal after focal therapy—and what actually predicts failure

✅ How short-term ADT may expand focal therapy to larger or higher-risk tumorsIf you’re a patient, clinician, or researcher navigating prostate cancer decisions, this episode will fundamentally sharpen how you think about focal therapy—and its limits.

00:00 Can MRI and PSA Miss Significant Cancer After Focal Therapy?

04:00 Who Is a Good Candidate for Focal Therapy?

06:30 Mapping Biopsies vs MRI Fusion Biopsies

09:30 Transperineal vs Transrectal Biopsies

11:00 What Is IRE (NanoKnife)?

14:30 Who Is NOT a Candidate for Focal Therapy?

18:00 Vapor Therapy & TULSA Pro

23:00 Should Doctors Use Multiple Focal Therapy Technologies?

25:30 Can Higher-Risk Prostate Cancer Be Treated with Focal Therapy?

34:00 Does the Type of Energy Matter?

37:00 Combining ADT with Focal Therapy

40:30 How Tumor Size Impacts Eligibility

45:30 Why MRI and PSA Are Imperfect After Treatment

49:30 What Is PSA Recurrence After Focal Therapy?

53:30 The Future of MRI, AI, and Surveillance

57:30 Do Patients Need Repeat Biopsies Forever?

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___________________________________

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___________________________________

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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.

What if the most common diagnostic tool in men’s health for the last 30 years was actually failing millions of patients?” For decades, the "blind" prostate biopsy was the gold standard a primitive 'hit or miss' approach that often missed aggressive tumors while over-treating harmless ones. But then came the PRECISION trial, a research earthquake that proved we’ve been doing it wrong.

In this episode, we are joined by the architect of that revolution: Professor Veeru Kasivisvanathan. A Professor of Urology at University College London and a consultant at Cleveland Clinic London, Prof. Veeru is the elite surgeon-scientist who convinced a global medical community to stop stabbing in the dark. He led the landmark trials that made MRI the mandatory gatekeeper for prostate cancer, saving countless men from unnecessary invasive procedures. If you’ve ever wondered why your doctor is ordering an MRI before a needle, or why "contrast dye" might be a thing of the past, this conversation is your roadmap.

In this episode, you’ll learn:

• The Precision Paradigm: Why a third of men can safely avoid a biopsy altogether if their MRI is clear.
• The Prime Trial Breakthrough: Why high-quality "biparametric" scans mean you can likely skip the Gadolinium contrast without losing accuracy.
• The Focal Therapy Landscape: How "male lumpectomies" using HIFU and Cryotherapy are preserving potency and continence.
• The Future of "Robotic Nerve-Sparing": How pre-operative mapping is allowing surgeons to operate with a level of visibility once thought impossible.

• 00:00 – Introduction: Is the "Blind" Biopsy Failing Men?
• 01:30 – Meet Prof. Veeru Kasivisvanathan: The Surgeon-Scientist.
• 04:15 – What Inspired the PRECISION Trial?
• 08:45 – The Problem with the 30-Year "Standard of Care."
• 12:20 – MRI as the Gatekeeper: Avoiding Unnecessary Biopsies.
• 15:45 – The UK vs. US Healthcare Systems: Why Cost and Ethics Matter.
• 21:00 – The PRIME Trial: Biparametric vs. Multiparametric MRI.
• 28:30 – Is Gadolinium Contrast "Toxic"? Understanding the Risks.
• 34:15 – MRI Quality Control: Why the Radiologist Matters More Than the Machine.
• 40:30 – Genomic Biomarkers vs. Imaging: Do We Need Both?
• 44:45 – Treatment Paradigms: Focal Therapy (HIFU/Cryo) explained.
• 49:15 – When to Choose a Robotic Prostatectomy Over Focal Therapy.
• 53:00 – How to Find Prof. Veeru and Closing Thoughts.

• Prof. Veeru’s Profile: University College London (UCL) & Cleveland Clinic London.
• The PRECISION Trial: Published in the New England Journal of Medicine.
• The BURST Research Collaborative: A global network of 30,000+ patients.

___________________________________

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___________________________________

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___________________________________

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🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

What if your prostate biopsy is missing the most important detail?

In this powerful episode, Dr. Geo sits down with Dr. Jonathan Epstein, one of the most influential urologic pathologists in the world, to break down what’s really happening behind your diagnosis.

From Gleason scores to hidden aggressive patterns, this conversation reveals why pathology is the foundation of every prostate cancer decision — and why getting it right is critical.

If you’ve had a biopsy, elevated PSA, or are considering treatment vs. surveillance… this episode is essential listening.

⏱️ Timestamps

00:00 – The Hidden Problem With Prostate Biopsies

Why your diagnosis may not tell the full story

02:00 – Meet Dr. Jonathan Epstein

A leader who helped define modern prostate cancer pathology

04:30 – What Pathologists Actually Look For

Understanding normal vs. abnormal prostate tissue

06:30 – Gleason Scores Explained Simply

What 3+3, 3+4, and 4+3 really mean

09:00 – Why Gleason 6 Is So Controversial

Should it even be called cancer?

11:00 – The Real Risk Isn’t Gleason 6

What doctors worry about more

13:00 – Active Surveillance: Who Is It For?

Why more men are safely avoiding treatment

14:30 – Pathology vs. Biology

How research connects what we see to outcomes

15:30 – The Most Important Details in Your Report

Cribriform patterns, intraductal cancer, and why they matter

17:00 – Understanding Gleason 7 (Grade Group 2 & 3)

Low-risk vs. high-risk within the same score

19:00 – When Cancer Becomes Dangerous

What defines aggressive disease

21:00 – Gleason 9: Is It Already Spread?

The truth about micro-metastasis

23:00 – Why MRI and PSMA Scans Aren’t Perfect

What imaging can miss

25:00 – Why Biopsies Still Matter

Even in the era of advanced imaging

26:00 – What Makes a “Good” Biopsy

Why technique matters more than you think

29:00 – MRI-Guided vs. Random Biopsies

Why both are still necessary

30:00 – How to Read Your Pathology Report

What actually matters vs. what doesn’t

34:00 – Biopsy vs. Prostatectomy Findings

Why results can change after surgery

36:00 – How Often Pathology Is Wrong

Why second opinions are critical

38:00 – The Problem Patients Don’t See

You don’t know who’s reading your biopsy

41:00 – The Future: AI in Pathology

Will machines replace doctors?

45:00 – What Patients Should Do Next

How to advocate for yourself

52:00 – Managing Anxiety Around PSA & Biopsies

A real conversation about fear

56:00 – What to Do When You Get Your Results

How to approach your doctor and next steps

01:03:00 – Final Advice: Take Control of Your Health

🧠 Key Takeaways

Pathology is the foundation of your diagnosis — everything else depends on it

Up to 20–30% of biopsy readings may change with expert review

Not all prostate cancer is dangerous — but some “low-risk” cases hide more aggressive disease

MRI and advanced imaging are powerful, but they can still miss cancer

A second opinion on your biopsy can completely change your treatment plan

📌 What to Ask Your Doctor

What is my Grade Group (not just Gleason score)?

Is there any cribriform or intraductal cancer present?

How many cores were positive and how much cancer was found?

Should I get a second pathology opinion?

Am I a candidate for active surveillance or treatment?

👤 About the Guest

Dr. Jonathan Epstein is a world-renowned urologic pathologist whose work has shaped how prostate cancer is diagnosed globally. Formerly at Johns Hopkins, he has trained over 90 specialists and continues to influence the field through clinical work and research. Advanced Uropathology of New York (a division of Integrated Medical Professionals) in Garden City, NY,

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

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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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

What if your prostate symptoms aren’t actually being treated—just managed?

In this episode, Dr. Geo sits down with Dr. Brian Helfand, Clinical Professor at the University of Chicago and a leading expert in prostate care, to break down aqua ablation, a water-powered, precision therapy that’s changing how we treat BPH (benign prostate enlargement)—and potentially even prostate cancer.

What You’ll Learn

1. Why Medications May Not Be the Best First Step

• Most prostate medications manage symptoms—but don’t fix the problem
• Long-term use may come with side effects and limited improvement
• Many men stay on meds for years without real resolution

2. The Shift Toward Personalized Prostate Care

• Not all urinary symptoms come from the prostate
• Key contributors include:
• Diabetes
• Sleep apnea
• Anxiety
• Treating the whole patient, not just the prostate, leads to better outcomes

3. What is Aqua Ablation?

A minimally invasive procedure that uses a high-pressure water jet to remove excess prostate tissue.

Key Features:

• Robotically controlled for precision
• Guided by real-time ultrasound imaging
• No heat (unlike lasers or steam)
• Customized treatment plan for each patient

4. Why Aqua Ablation is a Game Changer

Compared to traditional procedures:

✅ Lower risk of sexual side effects

✅ Minimal risk of incontinence

✅ Faster recovery

✅ Highly durable results

Results:

• Significant improvement in urinary symptoms (~15-point IPSS improvement)
• Very low retreatment rate (~0.4% per year)

5. The “Money Shot” Conversation (Yes, It Matters)

• Preservation of ejaculation is a top priority for many men
• Aqua ablation preserves it in 90%+ of cases
• Many other procedures result in permanent dry orgasm

6. Who is a Candidate for Treatment?

There is no single number or test.

Dr. Helfand looks at the full picture (“gestalt”):

• Symptom severity (IPSS)
• Patient bother level
• Urinary flow strength
• Post-void residual (PVR)
• Overall health

👉 Bottom line: If symptoms are bothering your life, you’re a candidate for discussion.

7. What About the Bladder?

• Not all urinary issues are prostate-related
• Bladder function must be considered
• Urodynamics are only used in complex cases, not routine ones

8. The Future: Prostate Cancer Applications

Early data suggests aqua ablation may:

Improve urinary symptoms

Potentially reduce cancer burden in some patients

Could evolve into a whole-gland treatment approach

⚠️ Still emerging—but very promising

💡 Key Takeaways

Medications are not always the best long-term solution

Treat the patient, not just the prostate

Aqua ablation offers a precision, low-side-effect alternative

Sexual function preservation is a major differentiator

The future may include dual treatment for BPH + prostate cancer

👨‍⚕️ About the Guest

Dr. Brian Helfand

Clinical Professor, University of Chicago

MD, PhD

Author of 270+ peer-reviewed studies

Expert in prostate cancer and precision medicine

📞 Phone: 847-503-3000

🌐 Website: Endeavor Health (under development)

___________________________________

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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

Most men haven’t seen a doctor in 10 years. They wait until a crisis hits, a "zero birthday" looms, or an addiction begins to tear their family apart. Dr. Ray Zakari is changing that by stripping away the sterile clinical walls and treating the mind, body, and soul where life actually happens: at home.

As a Doctor of Nursing Practice specialized in Family Psychiatry and Primary Care, Dr. Ray offers a unique "one-stop shop" for high-performing men and families navigating the complexities of modern life.

1. Men’s Mental Health: From Gen Z to Gen X, we’re diving into the unique pressures men face today.
2. The Truth About Addiction: Real talk on everything from "ubiquitous" marijuana and alcohol to the hidden drains of workaholism and digital dependency.
3. Parenting with Purpose: How to stop being your child’s "friend" and start being their parent—breaking the cycle of enabling and teaching self-efficacy.
4. The Mind-Body Connection: Understanding how stress and anxiety manifest as physical symptoms (like pelvic pain, ED, and chronic fatigue).
5. Radical Accountability: Why "victimhood mentality" is a dead end and how to build the resilience to do hard things.

Timestamps 🕒

00:00 – Introduction and the "Geo" Philosophy of Aging Better

01:45 – Dr. Ray Zakari: Men’s Mental Health from Gen Z to Gen X

03:45 – Why House Calls? Escaping the 10-Minute Insurance Treadmill

05:40 – The "Zero Birthday" Crisis: Why 30, 40, and 50 are Danger Zones

07:45 – Stop the Victimhood: Why You Can’t Medicate the Past

11:00 – The Parent’s Nightmare: When Your Child is Spiraling

13:45 – Illegitimate Means: Why Your Kids Use Addiction to Cope

16:30 – The Friendship Trap: Why Being Your Kid’s "Buddy" is Failing Them

18:30 – Hard Truths: How Parents Accidentally Fund the Addiction

21:00 – Digital Junkies: Reclaiming Control Over Phones and Gaming

25:30 – The 10:15 PM Rebellion: Allowing Age-Appropriate Pushback

27:45 – Red Flags: The 3 Signs Your Teen is Losing Their Way

30:30 – The Marijuana Myth: How Today’s Weed Destroys Motivation

34:30 – Defining Addiction: When the Habit Starts Taking Your Life

38:15 – The 30-Year-Old at Home: Ending the "Gravy Train"

41:30 – When Love Becomes Dangerous: Dealing with Domestic Violence

44:00 – Narcan 101: The Life-Saving Tool Every Parent Needs

46:30 – Hidden Addictions: Porn, Workaholism, and "Liquid Courage"

51:30 – Cooking as Therapy: Building Brain Function in the Kitchen

53:45 – The Goal of Therapy: Building the Capacity to Do Hard Things

Whether you are a professional struggling to balance high-stakes work with mental peace, or a parent trying to save a child from the brink of addiction, this channel provides the clinical expertise and "straight-talk" strategies you won't find in a 10-minute insurance-treadmill appointment.

___________________________________

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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

Have you been diagnosed with chronic prostatitis, but rounds of antibiotics like Cipro or Levoquin haven’t touched the pain? You aren’t alone. Statistics show that up to 95% of prostatitis cases are non-bacterial, meaning the root cause isn't an infection it's pelvic floor dysfunction.

In this episode, Dr. Geo sits down with Dr. Adam Gvili, a leading male pelvic floor specialist and founder of Pelvis NYC. Dr. Gvili shares his personal six-year journey through pelvic pain and explains why the traditional medical model often fails men suffering from pelvic tension, urinary frequency, and sexual symptoms.

Whether you are dealing with "Hard Flaccid," "Headache in the Pelvis," or chronic discomfort, this conversation provides a roadmap for what real healing looks like through nervous system retraining and specialized physical therapy.

In This Episode, You’ll Discover:

1. The Prostatitis Myth: Why the diagnosis is often a "label of exclusion" when doctors can’t find anything else.
2. The 95% Rule: Why most pelvic pain is musculoskeletal, not bacterial.
3. The Danger of "Floxing": Why you should be cautious of fluoroquinolone antibiotics (Cipro/Levoquin).
4. Hypertonicity Explained: How "tight asses" and chronic guarding lead to urinary and sexual dysfunction.
5. The Hard Flaccid Phenomenon: What is happening to the fascia and blood flow of the penis under chronic stress.
6. Beyond Kegels: Why strengthening isn't always the answer—and why learning to relax the pelvic floor is the key to recovery.

Episode Timestamps:

00:00 Is Prostatitis even a real diagnosis?

02:45 Dr. Gvili’s 6year personal battle with pelvic dysfunction.

06:30 Why 95-98% of cases show an absence of bacteria.

08:10 The danger of missing a true bacterial infection.

10:45 How "Prostatitis" labels mislead men over 50.

13:00 Case Study: When a "prostate" issue was actually a urinary stricture.

20:30 The Black Box warning: Cipro, Levoquin, and tendon health.

26:45 What a "Hypertonic" pelvic floor actually feels like.

29:00 The difference between a Urologist's DRE and a Pelvic PT exam.

38:30 Can you really isolate pelvic muscles?

43:00 Calming the nervous system: How to unlearn the pain response.

50:15 "Hard Flaccid" and the role of Buck’s Fascia in erections.

52:00 Where to find Dr. Gvili and Pelvis NYC.

👉 Connect with Dr. Adam Gvili:

Website: https://pelvis.nyc

___________________________________

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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

Stop waiting for symptoms and start optimizing your longevity. In this episode, Dr. Geo sits down with Andrew Lacy, CEO of Prenuvo, to discuss how full-body MRI is fixing a reactive healthcare system that acts as a "false negative factory" during annual physicals.

From the psychology of "Patient Stimulated Anxiety" to the technical reality of AI in radiology, this conversation provides a science-based blueprint for middle-aged men looking to perform better with age.

1. The PSA Red Flag: Why a PSA above 1.0 at age 45 is a critical warning sign.
2. PI-RADS Discordance: A case study on why one radiologist sees a "4" while another sees a "2".
3. Prenuvo’s Method: Understanding non-contrast multiparametric MRI for risk stratification.
4. The AI Reality: Why AI is currently a "quantitative second look" rather than a replacement for radiologists.
5. Life-Saving Detection: Why MRI is phenomenally effective at catching pancreatic cancer early.
6. Test, Don't Guess: Shifting from a "head-in-the-sand" mindset to informed lifestyle changes.

1. 00:00 Young Patient Scare
2. 00:19 Ignorance Versus Bliss
3. 02:05 Why Prenuvo Exists
4. 04:57 Scan Anxiety Tradeoff
5. 06:53 Fear Stories and Men
6. 11:05 Radiology Limits and Training
7. 14:41 PI-RADS Discordance Case
8. 17:00 How Prenuvo Fits Workup
9. 19:41 Evidence and Study Data
10. 23:18 Indolent Cancers Debate
11. 26:22 Diagnosis As Wake-Up Call
12. 27:25 Normalizing Watchful Waiting
13. 28:47 Test, Don’t Guess Mindset
14. 30:41 Connecting Symptoms To Findings
15. 31:53 Aging Mortality and Trajectory
16. 34:50 Who Should Get Scanned
17. 36:41 Baseline Scans When Healthy
18. 37:46 AI In Radiology Today
19. 41:12 What Full-Body MRI Finds Best
20. 44:33 Limits Like Arterial Plaque
21. 45:36 When Not To Get Scanned
22. 48:33 Closing Thoughts

___________________________________

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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

What if the biggest threat to your prostate health isn't your PSA, but the slow drift into inflammation, fatigue, and metabolic chaos that nobody warns you about? Today, Dr. Geo is joined by Dr. Ronald Hoffman, one of America’s most respected voices in integrative medicine and host of the Intelligent Medicine podcast. With nearly 40 years of continuous broadcasting and clinical practice, Dr. Hoffman shares his "diversified portfolio" for aging successfully.

What You’ll Learn:

✅ The "Mirror" Effect: Discover why your prostate is a reflection of your whole system—including hormones, blood sugar, stress, and cardiovascular health.

✅ The #1 Longevity Driver: Why "purpose" and having a trajectory are more important than any supplement for preventing biological entropy.

✅ Dr. Hoffman’s Supplement Protocol: Insights into the essential role of Vitamin D, Omega-3s, and advanced mitochondrial support like Urolithin A and NAD.

✅ Evolving Your Exercise: Why "no pain, no gain" fails as you age and how to prioritize your "hinges" (joints) to avoid injury.

✅ A 40-Year Clinical Perspective: Lessons learned from the front lines of New York medicine, from the early AIDS epidemic to working alongside Dr. Atkins.

00:00 Is your PSA the most important metric? 02:40 Standing on the shoulders of giants: The history of health radio in NYC. 10:45 Epigenetics: How environment pulls the trigger on your genetic "gun." 14:30 Dr. Hoffman’s turning point from a "cerebral nerd" to a triathlete. 33:50 Key takeaways for reducing the risk of chronic disease. 38:00 The "Top 3" supplements for men’s health and longevity. 48:30 Why joint health (the "hinges") is more critical than muscle mass alone. 53:20 Rethinking "training to failure" for men over 60

About Dr. Ronald Hoffman: Dr. Hoffman is the host of the Intelligent Medicine podcast and has been a leading voice in natural healthcare since 1988. He shares his experience working alongside luminaries like Dr. Atkins and his transition from conventional internal medicine to a diversified "portfolio" of health. https://drhoffman.com/

___________________________________

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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

Most men believe their sex life is a mechanical issue—a matter of "equipment" and blood flow. But what if the greatest barrier to your sexual recovery isn't your prostate surgery, but an invisible biological "imprint" created by your smartphone? We are currently living through a global "sex recession" where AI and digital technology are fundamentally reprogramming the human arousal template before we even touch another person. For the man facing prostate cancer, this digital shift, combined with the "Masculinity Paradox," creates a perfect storm of sexual isolation.

Joining us to navigate this landscape is Dr. Marianne Brandon, a world-renowned licensed clinical psychologist, diplomate in sex therapy, and co-host of The Sex Doctors. With nearly thirty years of clinical experience and a deep focus on the intersection of evolutionary biology and sex tech, Dr. Brandon offers a radical roadmap for reclaiming your power in the bedroom.

In this episode, you’ll learn:

1. Why your "Arousal Template" might be working against your recovery and how to reset it.
2. The "Lingerie & Music" strategy for bypassing the anxiety that shuts down your nervous system.
3. Why post-prostatectomy orgasms can actually be more intense than before surgery.
4. Practical clinical hacks for managing "Climacturia" (leaking during climax) without killing the mood.

Podcast “The Sex Doctors” https://www.youtube.com/@thesexdoctorspod/videos

Website: www.drbrandon.net (http://www.drbrandon.net)

Seminars:https://www.tzkseminars.com/marianne-brandon-phd/

___________________________________

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

___________________________________

📺 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

In this episode, Dr. Geo is joined by Dr. Steven Freeland to discuss the powerful intersection of urologic oncology and metabolic health. Dr. Freeland shares groundbreaking research on how dietary interventions—specifically low-carbohydrate protocols—can slow prostate cancer progression and counteract the metabolic damage caused by standard treatments like Androgen Deprivation Therapy (ADT).

1. The Metabolic Growth Signal: Why insulin and Insulin-like Growth Factor 1 (IGF-1) are considered "fuel" for prostate cancer cells and how reducing sugar can starve that signal.
2. The 20-Gram Protocol: Insights from Dr. Freeland’s study on ultra-low-carb diets, where participants saw a 20-pound weight loss and a significant slowing of PSA doubling time.
3. Combatting ADT Side Effects: How a metabolic approach can improve insulin resistance by 30% and surprisingly help preserve bone density during hormone therapy.
4. The "Slim-Fat" Reality: Why your BMI might be normal, but your visceral fat (adiposity) could still be driving inflammation and cancer growth.
5. Clinical Markers to Watch: Why patients should ask about HOMA-IR (Insulin Resistance) and Hemoglobin A1C rather than just focusing on PSA alone.

1. Dr. Steven Freeland: Cedars-Sinai Faculty Profile
2. Research Paper: Ultra-low carbohydrate diet and prostate cancer progression (referenced as the "20-gram study").
3. Recommended Diet Protocol: Induction Phase Atkins (as used in the clinical trials).
4. Clinical Markers: * HOMA-IR: (Fasting Insulin $\times$ Fasting Glucose) / 405 (or 22.5 in SI units).
5. Hemoglobin A1C: A 90-day average of blood sugar levels.
6. Wearables: Fitbit, Oura Ring, and Whoop (discussed in the context of tracking "active steps" and sleep quality).

1. [07:35] Breaking down the 20-gram carbohydrate trial and patient adherence.
2. [13:45] The impact of low-carb living on PSA doubling time (extending it by over a year).
3. [22:20] Using diet to shield the body from ADT-induced diabetes and bone loss.
4. [34:10] Why BMI is a "good enough" tool, but adiposity is the real target.
5. [41:00] Circadian eating: Why you are most insulin resistant at night.

___________________________________

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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

___________________________________

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🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm

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___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

Is the biopsy needle more dangerous than the cancer itself? In this episode, Dr. Geo sits down with Dr. Mark Emberton, Dean of Medical Sciences at UCL and a global leader in urologic oncology. We dive deep into the "See and Treat" revolution—a massive shift in prostate cancer care that moves away from "blind" invasive biopsies toward precision imaging like MRI and PSMA PET scans.

Dr. Emberton explains why many prostate cancers found through traditional methods are "biological non-events" that never needed treatment, and how younger men (ages 40-50) can better navigate their diagnosis. We also discuss the future of focal therapy, the role of AI in radiology, and the groundbreaking "Transform" study that aims to change prostate screening forever.

WHAT YOU'LL LEARN IN THIS EPISODE:

✅ Why a normal MRI (PI-RADS 1-2) might mean you can skip the biopsy entirely.

✅ The difference between "visible" tumors on imaging vs. microscopic disease.

✅ How PSA density acts as the crucial "tie-breaker" for indeterminate results.

✅ The future of "See and Treat": Targeting lesions while avoiding surgery side effects.

✅ Why tumor location (Anterior vs. Posterior) changes your treatment options.

✅ How AI and new magnets are making MRI screening cheaper and faster.

🕒 EPISODE TIMESTAMPS:

00:00 – The dangers of the biopsy needle

02:45 – Innovation in urologic oncology

06:45 – Rising cancer rates in younger men

10:15 – How MRI prevents unnecessary biopsies

12:30 – The PI-RADS "Traffic Light" system

13:45 – PSA Density: The diagnostic tie-breaker

16:30 – Diagnosing without a biopsy

21:00 – AI's role in faster, cheaper MRIs

26:45 – Visible vs. Invisible Cancer: What matters?

35:30 – The "Transform" Study & global screening

42:45 – PSMA PET Scans: Pre-biopsy utility

48:00 – Focal Therapy: Saving the "clockwork"

56:45 – Why tumor location (Anterior) matters

58:30 – Lifestyle and the "Teachable Moment"

01:03:30 – Final advice for patients and policy

Connect with Dr. Mark Emberton: UCL Profile: https://profiles.ucl.ac.uk/mark-emberton

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___________________________________

💪 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

___________________________________

📌 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

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___________________________________

📣 Hashtags

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

___________________________________

⚠️ Disclaimer

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.

If you’re 55, 60, 65+ and dealing with low energy, low libido, ED, or you’ve been told testosterone therapy (TRT) is dangerous for prostate cancer—this episode is for you. Dr. Geo sits down with Dr. Abraham Morgentaler (Harvard-trained), founder of the first comprehensive Men’s Health Center in the U.S., co-founder of the Androgen Society, author of the bestseller Testosterone for Life, and winner of the 2024 Grandmaster in Testosterone Award.

In this conversation, Dr. Morgentaler explains how the old “testosterone causes prostate cancer” dogma took hold, why it’s being challenged, and what men should understand today about:

✅ TRT and prostate cancer (past, present, and what’s changing)

✅ Why FREE testosterone matters more than total testosterone for symptoms

✅ The importance of listening to patient symptoms, not just “a number”

✅ Testosterone options: injections, gels/creams, pellets, oral testosterone

✅ What men should ask their doctor if they have low testosterone, active surveillance, or history of prostate cancer treatment

This episode is educational and designed to help you walk into your next doctor’s visit with better questions and clearer understanding.

⏱️ CHAPTERS

00:00 — TRT + prostate cancer: the myth that won’t die

01:00 — Who is Dr. Abraham Morgentaler (why he matters) 04:00 — The Harvard lizard lab: how testosterone shaped his thinking

10:00 — Pre-Viagra era + why he started testing testosterone in men

18:00 — The turning point: finding prostate cancer in men with low T

21:00 — Where the dogma came from (Huggins) + why it stuck 27:00 — Why younger men may be seeing lower testosterone (obesity, plastics, more)

34:00 — Testosterone in advanced/metastatic prostate cancer: real cases + quality of life

40:00 — BAT explained: bipolar androgen therapy (high/low testosterone cycling)

45:00 — What patients should do today (TRT after treatment, ADT tradeoffs)

51:00 — The “twin” story: why stopping TRT often makes no sense

53:00 — Free testosterone vs total testosterone (what to focus on)

01:02:00 — TRT options: injections vs gels vs pellets vs oral 01:08:00 — Where to find Dr. Morgentaler + final takeaways

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Join here → https://drgeo.com/membership

📌 Follow and Connect

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📣 Hashtags #DrGeoProstatePodcast #ProstateCancer #ProstateHealth #MensHealth #IntegrativeUrology #Testosterone #TRT #ProstateCancer #LowTestosterone #MensHealth #ProstateHealth #DrGeo #AbrahamMorgentaler #AndrogenSociety #FreeTestosterone #ErectileDysfunction #HormoneHealth #HealthyAging #TestosteroneTherapy #Urology #MaleHormones #SexualHealth #ActiveSurveillance #ADT #BipolarAndrogenTherapy

⚠️ Disclaimer This video is for educational purposes only and not medical advice. Always consult with a qualified healthcare provider. Geovanni Espinosa, N.D., assumes no liability for outcomes based on this content.

If you’re a man in your 50s, 60s, or 70s waking up at night to pee, planning your day around bathroom access, or quietly worrying about erections and testosterone, this episode is for you. Dr. Geo sits down with Dr. Ravi Munver (Hackensack University Medical Center) to break down what’s actually driving urinary symptoms, how to tell “prostate vs bladder,” when waiting too long can permanently weaken your bladder, and how today’s BPH procedures compare—especially Aquablation (high-pressure, room-temperature waterjet therapy).

What you’ll learn in this episode

• Why BPH symptoms can start earlier than most men think (and why more men are finally talking about it)

• Why prostate size does NOT equal symptom severity (big prostate ≠ big problem… always)

• How to distinguish “prostate obstruction” vs overactive bladder—and why you can’t reliably do this without proper testing

• The “danger zone”: when untreated obstruction can lead to a weakened/crippled bladder

• Medication options: what each class does, who it’s for, and the most common side effects

• The full “toolbox” of procedures—from office-based options to the most durable surgical solutions

• Why Aquablation is changing the conversation (symptom relief + low sexual side effects + broad size range)

Episode chapters (timestamps)

00:00:00

00:02:00 Why younger men are showing up with urinary symptoms Prostate growth patterns (growth early, pause, then growth again in the 40s); increased awareness, openness, and access to information.

00:07:00 “Blame the organ you have” — prostate vs overactive bladder Why symptoms overlap; why only a clinician can truly differentiate causes.

00:10:00 When should a man see a urologist? When symptoms interfere with life (work, travel, sleep). The real issue is often difficulty returning to sleep.

00:13:00 The risk of waiting: bladder decompensation How long-term obstruction can lead to a weakened bladder and urinary retention.

00:18:00 The holistic patient scenario + why objective testing matters Why symptoms can “seem better” while retention worsens; importance of measuring PVR and other tests.

00:21:00 Medications for BPH—pros/cons

• Alpha blockers: tamsulosin (Flomax), alfuzosin, silodosin (Rapaflo)

• 5-alpha reductase inhibitors: finasteride, dutasteride

• Tadalafil (Cialis) daily 5 mg: dual benefits for BPH + erectile function

00:31:00 The modern BPH procedure toolbox TURP as the historical “gold standard,” plus lasers, robotic options, office-based procedures, and newer technologies.

00:36:00 What men care about most when choosing a procedure Incontinence risk, erectile dysfunction risk, ejaculatory changes, irritative symptoms, and durability/retreatment rates.

00:38:00 Robotic Simple Prostatectomy — what “simple” actually means Removing the obstructing inner tissue while leaving the capsule; major symptom relief for large prostates, with tradeoffs (especially ejaculation).

00:43:00Aquablation explained (high-pressure water therapy) Image-guided treatment planning + robotic waterjet tissue removal with minimal thermal damage.

00:48:00 Durability and size range Discussion of longer-term data vs TURP and why Aquablation can treat very large prostates.

00:51:00 If Aquablation isn’t available—what’s next best? How options shift based on prostate size and the priority to preserve ejaculation vs maximize durability.

00:54:00 Final guidance + where to find Dr. Munver Individualized care; find a urologist who can offer a broad set of options.

___________________________________

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___________________________________

💪 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

___________________________________

📌 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

💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

📣 Hashtags

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology #ProstateHealth #BPH #EnlargedProstate #UrinarySymptoms #OveractiveBladder #ErectileHealth #TestosteroneHealth

___________________________________

⚠️ Disclaimer

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.

🔹 Register FREE for the Prostate Summit 2.0:

👉 https://drtalks.com/summit/prostate-cancer/?oid=104&ref=3642&uid=918

In this special session from the upcoming Prostate Summit 2.0, Dr. Eric Zielinski sits down with Dr. Geo for a rare, vulnerable and informative conversation about the why behind his life’s work in prostate cancer care.

Key Points

• The emotional and spiritual side of working with thousands of men
• Why your why matters more than the diet, protocol, or treatment choice
• The 3 buckets of prostate cancer and why care must be personalized
• His 4 pillars of healing: lifestyle, nutrition, fitness, and stress mastery
• How fasting, cruciferous veggies, mushrooms, herbs, and targeted nutraceuticals help build resilience
• Why exercise is non-negotiable, and how sitting all day harms prostate and metabolic health

This episode blends heart, science, and practical strategy to help men live longer and better with prostate cancer.

Chapters

00:00 – Intro

02:00 – The “why” behind Dr. Geo’s work

07:00 – A powerful patient story & legacy

12:00 – The 3 buckets of prostate cancer

18:00 – Food, fasting & “It Days”

23:00 – Exercise, sitting & movement

32:00 – Mushrooms, herbs & targeted nutraceuticals

From the upcoming Prostate Summit 2.0

🔶 FREE EVENT – PROSTATE SUMMIT 2.

👉 https://drtalks.com/summit/prostate-cancer/?oid=104&ref=3642&uid=918

___________________________________

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

___________________________________

📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast

🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm

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🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE

🌐 DrGeo.com Website → https://bit.ly/43khht0

___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

Dr. Geo and Dr. Robert Caruso dive deep into what really causes urinary symptoms in men—and why prostate size alone doesn’t tell the full story. Dr. Caruso shares how his “blue zone” Italian upbringing, his 98-year-old mother, and even a family story involving a bear shaped his holistic view of urology, where diet, movement, spine health, constipation, and sleep apnea all matter.

From there, they walk through medications (alpha-blockers, 5-alpha-reductase inhibitors, daily tadalafil) and when each actually makes sense, including surprising cardiovascular and nocturia benefits of PDE5 inhibitors. The conversation then shifts to procedures: bipolar TURP vs classic TURP, and in-office options like UroLift, Rezūm steam therapy, and the newer iTind device—who they’re for, how they’re done, and what to expect for recovery, ejaculation, and long-term results. By the end, you’ll know what questions to bring to your urologist, how to think beyond “just the prostate,” and when vapor therapy or other minimally invasive treatments may be the right next step for your BPH.

Time-Stamped Highlights

00:00 – Why surgery isn’t the only answer for BPH-Dr. Geo introduces Dr. Caruso and frames the episode around minimally invasive, real-world solutions for urinary symptoms.

05:00 – Blue-zone lifestyle, Italian roots, and holistic urology-Dr. Caruso’s upbringing, his 98-year-old mother, and how growing food, movement, and nature shape his approach to men’s health.

15:00 – It’s not “just the prostate”: spine, sleep, and metabolism-How back and neck issues, constipation, diabetes, and sleep apnea can drive frequency and nocturia just as much as gland size.

25:00 – Meds that do more: tadalafil, alpha-blockers, and 5-ARIs-When daily tadalafil can help erections, BPH, and nocturia; who might benefit from alpha-blockers or finasteride/dutasteride—and who probably shouldn’t.

35:00 – From TURP to in-office options: choosing the right procedure-Bipolar TURP for large prostates and median lobes vs. office-based UroLift, Rezūm steam therapy, and iTind—what they are, how long they last, and what to ask your urologist about ejaculation, catheters, and recovery.

________________________

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💪 Exclusive Membership

Unlock curated transcripts, detailed show notes, expert resources, and perks.

Join here → https://drgeo.com/membership

📌 Follow and Connect

YouTube → https://www.youtube.com/@DrGeoProstatePodcast

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Instagram → https://bit.ly/DRGEO-INSTA-YT

Facebook → https://bit.ly/POD-FB-DrGeo

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Website → https://bit.ly/43khht0

📣 Hashtags

#EnlargedProstate #ProstateHealth #MensHealth #DrGeoEspinosa #ProstateProblems #BPH #ProstateEnlargement #UrinaryHealth #IntegrativeUrology #ProstateCancerAwareness

⚠️ Disclaimer

This episode is for educational purposes only and not medical advice. Always consult with a qualified healthcare provider. Geovanni Espinosa, N.D., assumes no liability for outcomes based on this content.

Is a big prostate really dangerous? Does it mean prostate cancer—or explain why you’re waking up at night to urinate? Not always.

In this upgraded replay, Dr. Geo breaks down the real story behind prostate enlargement why size isn’t always the issue, how bladder and nerve health factor in, and what questions to ask your doctor before starting medication or considering surgery.

🎯 You’ll Learn

✅ Why prostate size isn’t always the cause of urinary problems


✅ How the bladder and nerves affect flow and frequency


✅ When drugs like Finasteride and Dutasteride are unnecessary


✅ Why an enlarged prostate ≠ prostate cancer


✅ Smart testing options to avoid unnecessary biopsies

⏱ Chapters

00:00 Introduction — How dangerous is an enlarged prostate?


00:45 Normal vs Enlarged Prostate — Walnut vs Orange size explained


01:20 When Size Doesn’t Matter — Obstruction without enlargement


02:00 The Morning Stream Myth — Why slow flow at dawn isn’t always serious


03:00 Bladder-Prostate Synergy — The teamwork behind healthy urination


04:15 Medication Pitfalls — Finasteride & Dutasteride explained


05:30 Hair Loss & Hormones — Side effects of prostate drugs


06:00 Enlarged Prostate ≠ Cancer — Clearing up the myth


07:00 When It Can Be a Problem — Nerve compression & PAE treatment


08:00 Smarter Testing — ExoDx urine test vs PSA


08:45 Questions to Ask Your Urologist


09:30 Closing Thoughts — Live stronger, longer, and better

________________________

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💪 Exclusive Membership

Unlock curated transcripts, detailed show notes, expert resources, and perks.

Join here → https://drgeo.com/membership

📌 Follow and Connect

YouTube → https://www.youtube.com/@DrGeoProstatePodcast

All Podcast Episodes → https://dr-geo-prostate-podcast.captivate.fm

Instagram → https://bit.ly/DRGEO-INSTA-YT

Facebook → https://bit.ly/POD-FB-DrGeo

LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT

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Website → https://bit.ly/43khht0

📣 Hashtags

#EnlargedProstate #ProstateHealth #MensHealth #DrGeoEspinosa #ProstateProblems #BPH #ProstateEnlargement #UrinaryHealth #IntegrativeUrology #ProstateCancerAwareness

⚠️ Disclaimer

This episode is for educational purposes only and not medical advice. Always consult with a qualified healthcare provider. Geovanni Espinosa, N.D., assumes no liability for outcomes based on this content.

Dr. Geo speaks with cancer immunologist Matthew Halpert, PhD about Immunocine, a dendritic-cell platform that “double-loads” patient-specific tumor signals to trigger a strong, physiologic immune response. Discussion includes mechanism, prostate cancer cases, how it can complement ADT and focal radiation, eligibility, workflow, and access.

Chapters

00:00 How the Immune System Fights Prostate Cancer

02:00 Why dendritic cells matter; generals vs NK/T “soldiers”

07:00 The “double-loading” breakthrough and fail-safe concept

14:00 Trials in difficult cancers; safety and early signals

18:00 Prostate cases: CRPC responses; lesions regressing

22:00 Combining with ADT and focal radiation; timing

27:00 Critical need for viable tissue; preservation tips

34:00 Patient journey: review → tissue + apheresis → 3 doses/6 weeks

41:00 Peri-lymphatic delivery; what patients feel; follow-up/boosts

49:00 Cost, access, insurance help; foundations; closing takeaways

Key Takeaways

• Dendritic cells orchestrate immunity; NK/T cells execute.
• Precision double-loading overcomes a built-in fail-safe to amplify activation.
• Tissue access and preservation are essential for a broad, personalized target set.
• Pragmatic combination care: ADT and selective radiation can create a therapeutic window and enhance antigen presentation.

________________________

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💪 Exclusive Membership

Unlock curated transcripts, detailed show notes, expert resources, and perks.

Join here → https://drgeo.com/membership

📌 Follow and Connect

YouTube → https://www.youtube.com/@DrGeoProstatePodcast

All Podcast Episodes → 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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Website → https://bit.ly/43khht0

📣 Hashtags

#DrGeoProstatePodcast #ProstateCancer #ProstateHealth #MensHealth #IntegrativeUrology #SBRT #Oligometastatic #RadiationOncology #PSMAPET #ADT

⚠️ Disclaimer

This episode is for educational purposes only and not medical advice. Always consult with a qualified healthcare provider. Geovanni Espinosa, N.D., assumes no liability for outcomes based on this content.

AI has existed for decades, but modern deep learning is finally delivering precision decisions in clinic. Dr. Spratt details how ArteraAI’s predictive biomarker—validated on long-term randomized data—can spare roughly two-thirds of eligible men from ADT without compromising outcomes. We unpack ADT’s quality-of-life trade-offs, practical training and nutrition strategies to preserve muscle, and where AI is headed next (post-surgery models, higher-risk disease). You’ll also hear a clear framework for shared decision-making so men are treated as people, not just numbers.

✅ AI meets prostate cancer. ArteraAI, developed by Dr. Daniel Spratt’s team, is now part of the NCCN guidelines—helping doctors know which patients truly benefit from hormone therapy.

✅ Two-thirds can skip ADT. Long-term data from the RTOG 9408 trial show most men can avoid the side effects of hormone therapy without affecting outcomes.

✅ Quality of life first. Treatments should improve survival or well-being—if they don’t, they shouldn’t be used.

✅ Lifestyle still matters. Exercise, protein, and resistance training help men on ADT preserve muscle and energy.

✅ The future is personalized. New AI models will soon guide therapy for higher-risk patients and integrate full-body health data for truly tailored care.

• 00:00 – Why AI in prostate cancer now? From buzzword to bedside with ArteraAI.
• 01:30 – Deep learning vs. “human-defined” inputs; beyond Gleason to hundreds of slide features.
• 03:10 – Landmark validation: RTOG 9408 and how the model predicts who benefits from ADT.
• 05:00 – ADT trade-offs: longevity vs. libido, energy, bone/muscle; treat only if it improves life or survival.
• 07:15 – “Exercise is medicine”: the 10-minute rule, protein targets, and resistance training on ADT.
• 09:00 – Current indication: primarily intermediate-risk (Gleason 7) men receiving radiation.
• 10:45 – What’s next: models for higher-risk and post-prostatectomy patients; shorter-course ADT questions.
• 13:00 – “Black box” & explainability: why robust external validation matters for trust.
• 15:10 – Access & coverage: ordering via online portal; CMS coverage; what patients can ask their doctors.
• 17:20 – Shared decision-making: reduce PSA anxiety; treat the person, not the number.

___________________________________

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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

___________________________________

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___________________________________

#ProstateCancer #RadiationOncology #AIinHealthcare #ArteraAI #ADT #DigitalPathology #MensHealth #PrecisionOncology

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.

Can high-precision radiation change how we treat metastatic prostate cancer? In this episode, I’m joined by Ronald C. Chen, MD, MPH—radiation oncologist, national guideline author (AUA/ASCO), and clinical-trial leader with 170+ publications—to unpack stereotactic body radiation therapy (SBRT) for disease that has spread to lymph nodes, bones, and beyond. We get practical about who benefits, where SBRT shines, and how to balance treatment intensity with quality of life.

SBRT offers highly focused, short-course radiation that can control limited (“oligo-”) metastatic prostate cancer and delay systemic therapy for many men. Dr. Chen explains when to treat individual nodes/bone lesions versus comprehensive nodal fields, how anatomy determines dose/fraction choices (often 3–5 treatments), and why modern SBRT sometimes reduces the need for concurrent hormone therapy. We cover salvage options after prior radiation (brachytherapy seeds, HIFU, cryo, repeat SBRT, or salvage prostatectomy), the role and limits of PSMA PET, fracture risk and bone health (DEXA), and the evolving data—including the large NRG-GU013 trial—for higher-risk disease. Throughout, we emphasize shared decision-making, realistic expectations, and considering clinical trials when data are evolving.

00:00 – Can SBRT change metastatic prostate cancer care? Meet Dr. Ron Chen.

01:00 – Disclaimer: Views are Dr. Geo’s and guests’—independent of NYU Langone.

07:00 – Recurrence scenarios: prostate-only, nodal, or bone/other; why catching early matters.

12:00 – Five salvage options after prostate radiation: seeds (brachytherapy), HIFU, cryo, SBRT (focal or whole-gland), or salvage prostatectomy.

19:00 – Nodal relapse: treat all pelvic nodes + ADT ± abiraterone vs. SBRT to a few nodes only—how patient priorities drive the plan.

26:30 – Oligometastasis: SBRT alone can control disease for many men ~2+ years on average, delaying hormones.

30:00 – Fractions: why 3–5 treatments is typical and how adjacent bowel/organ anatomy sets the pace.

31:00 – SBRT in 2 fractions for select primary cases looks promising; high-risk SBRT under study (NRG-GU013).

37:00 – Bone mets: SBRT preferred; understanding fracture risk (tumor size, dose, shrinkage).

40:00 – DEXA before ADT; spine SBRT can spare the spinal cord with modern planning.

48:00 – Clavicle/hilar nodes: SBRT near lung/heart/esophagus—safe with careful dose constraints.

56:00 – Why clinical trials matter for “how long on hormones?” and other open questions.

57:00 – Soft-tissue mets (liver/brain): SBRT can help, often alongside systemic therapy.

59:00 – Parting advice: early detection, close follow-up, and hopeful trajectory of care.

___________________________________

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

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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

___________________________________

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___________________________________

#ProstateCancer #SBRT #Oligometastatic ProstateCancer #RadiationOncology #PSMAPETScan #MensHealth #IntegrativeUrology #AndrogenDeprivationTherapy #DrGeoPodcast #ProstateHealth

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.

Is androgen deprivation therapy (ADT) always necessary when prostate cancer patients undergo radiation? And if so, for how long—six months, a year, two years? In this insightful conversation, Dr. Geo sits down with Dr. Nima Aghdam, radiation oncologist at NY CyberKnife and NYU Langone, to explore the evolving role of ADT in prostate cancer treatment.

Dr. Aghdam shares his expertise on advanced radiation techniques like SBRT, personalized approaches to ADT duration, and the importance of lifestyle interventions. Together, they highlight how individualized care can improve survival, minimize side effects, and help men thrive beyond diagnosis.

If you or a loved one are facing decisions about radiation and hormone therapy for prostate cancer, this episode offers clarity, evidence-based guidance, and hope.

Radiation vs. Surgery: Both are highly effective; choice often comes down to quality-of-life goals and patient preference.

Lymph Node Positive Disease: Options include focal SBRT or comprehensive external beam therapy; treatment decisions must balance efficacy and quality of life.

Lifestyle’s Role: Exercise and nutrition create a “hostile microenvironment” for cancer, improving both survival and side-effect management.

Radiation Innovations: From rectal spacers to fewer treatment sessions (trials reducing SBRT from five to two fractions), techniques continue to evolve.

ADT Considerations:

Historically prescribed for up to 24–36 months with radiation.

New genomic and AI-based classifiers may allow some men to stop ADT earlier (6–12 months).

Balancing survival benefits with quality of life is critical.

PSA Anxiety: PSA fluctuations don’t always equate to recurrence or mortality. Context and long-term monitoring matter more than isolated numbers.

Finding the Right Oncologist: Beyond equipment and technology, trust and honest communication with your doctor are essential.

• 00:00 – Introduction: Is ADT always necessary during radiation?
• 05:00 – Radiation vs. surgery for localized and advanced prostate cancer.
• 10:00 – Salvage options: what happens if radiation or surgery fails?
• 13:00 – Treating prostate cancer with lymph node involvement.
• 17:00 – Communicating metastasis risk and long-term outcomes to patients.
• 18:30 – Lifestyle interventions as part of prostate cancer care.
• 21:00 – Rectal spacers and preparation for SBRT.
• 23:30 – Advances in SBRT: reducing from five fractions to two.
• 25:30 – Understanding fractions, dosage, and radiation delivery.
• 32:00 – Personalizing ADT: who benefits, and for how long?
• 36:00 – Clinical trials on ADT duration (6, 12, 18, 24+ months).
• 39:00 – Radiation’s long-lasting effects and how ADT fits in.
• 42:00 – PSA recurrence vs. actual risk of mortality
• 45:00 – Patient anxiety and the psychological impact of PSA testing.
• 47:00 – Exercise and lifestyle: evidence for improved survival.
• 49:00 – Supplements, PSA manipulation, and misinformation.
• 51:00 – How to choose a reputable radiation oncologist.
• 56:00 – Evolving evidence: are radiation-related risks lower today?
• 58:00 – Parting words: seeing prostate cancer as a chance for transformation.

___________________________________

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

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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

___________________________________

📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast

🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm

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___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

What if prostate cancer surgery meant fewer incisions, faster recovery, and more precise cancer control? Today I’m joined by Dr. Michael D. Stifelman, Chair of Urology at Hackensack University Medical Center and a pioneer in robotic surgery with 4,000+ robotic procedures. We unpack how single-port robotics, real-time margin assessment, and AI are reshaping outcomes—while protecting continence and erections.

Dr. Stifelman traces robotics from the early-2000s “pioneer phase” (and heavy skepticism) to today’s standard of care, explaining why reproducibility, visualization, and tissue-sparing dexterity made the difference. We compare surgery vs. radiation (and focal therapies), when each shines, and why sequencing often matters—especially in higher-risk disease. He shares emerging tech like single-port prostatectomy, intra-operative margin evaluation (e.g., Histo-style scanning), quantitative surgical analytics, and even remote robotic assistance. We also talk “trifecta” outcomes, the role of genomics in Gleason 7 decision-making, and why lifestyle medicine and optimizing the tumor micro-environment go hand-in-hand with any treatment.

Time-Stamped Highlights

00:00 – Why fewer incisions + faster recovery are now real in prostate surgery

05:40 – Work–life changes that improved health (sleep, exercise, biking)

09:10 – Open vs. robotic: why reproducibility (teachability) matters

11:05 – Robotics adoption curve: from early resistance to mainstream

19:05 – Outcomes today: continence and erections after modern surgery

20:10 – “Yes, I’m a surgeon—and here’s my bias.” Radical honesty with patients

22:05 – Offering the full menu: surveillance, focal (HIFU/cryotherapy), surgery, SBRT, proton

25:40 – High-risk (Gleason 8–9): why surgery-first can preserve options & avoid long ADT

34:00 – Dexterity & visualization: why robots spare nerves with less trauma

35:10 – Real-time margin assessment during surgery to reduce positives

40:00 – The “trifecta” (cancer control, continence, erections) and patient priorities

42:10 – Genomics to risk-stratify Gleason 7 and guide surveillance vs. treatment

45:00 – Future: nerve activation mapping & fluorescence to “light up” cancer

46:10 – Single-port prostatectomy: smaller access, faster return of function (select patients)

49:00 – Quantifying surgery with analytics; tele-mentoring & remote console potential

52:30 – How to find Dr. Stifelman & closing advice

___________________________________

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___________________________________

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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

___________________________________

📌 Follow and Connect

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📣 Hashtags

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology #SinglePortRobotics #Genomics #ActiveSurveillance #Cryotherapy #ProstateHealth #IntegrativeUrology #CancerCare #PrecisionMedicine

___________________________________

⚠️ Disclaimer

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.

What if prostate cancer treatment weren’t months of daily radiation—but five ultra-precise sessions guided in real time by MRI? Today, Dr. Michael J. Zelefsky (Professor of Radiation Oncology, NYU Grossman School of Medicine) explains how MRI-LINAC and adaptive planning are redefining accuracy, reducing side effects, and personalizing care. A pioneer behind IMRT and image-guided radiotherapy, Dr. Zelefsky breaks down SBRT vs. IMRT, protons vs. photons, HDR brachytherapy, when to add hormone therapy, and how genomics + AI are shaping what’s next.

In this conversation, Dr. Zelefsky charts the evolution from long-course radiation to short-course SBRT with outcomes comparable to 7–9 week regimens—thanks to precision imaging and planning. He clarifies where IMRT ends and SBRT begins, why protons haven’t shown superiority over photons in prostate cancer, and where HDR brachytherapy (Ir-192) shines—especially as a boost in higher-risk disease. We dig into dose equivalence (why 5×8 Gy can match ~80–90 Gy long-course), risk-based treatment + ADT duration, and how Decipher/Artera scores can refine decisions. Most exciting: MRI-LINAC with continuous motion monitoring keeps the prostate in a virtual “bullseye,” enabling whole-gland treatment with focal boosts today—and potentially true focal therapy tomorrow as biologic imaging and AI mature.

Time-Stamped Highlights

00:00 – Welcome

02:00 – Why Dr. Zelefsky’s work is so respected; career arc and impact

04:00 – What changed: CT/MRI planning → 3D-CRT → IMRT → SBRT

12:45 – IMRT vs. SBRT: definitions, session counts, who gets what

19:10 – Energy sources overview: photons, protons, brachytherapy

20:30 – Protons vs. photons: evidence, indications, cost, access

24:00 – HDR brachytherapy (Ir-192) as a temporary “in-and-out” boost

28:00 – Dose logic: why 5×8 Gy (~40 Gy) ≈ long-course 80–90 Gy

29:30 – Risk groups (low/intermediate/high) and when ADT is crucial

33:00 – ADT durations (6–36 months): what trials actually showed

37:00 – Genomics (Decipher/Artera): resolving risk discrepancies

39:00 – What MRI-LINAC adds: real-time adaptive planning

43:00 – Continuous Motion Monitoring (CMM): beam stops if target moves

47:00 – Treat whole gland + boost the DIL (FLAME study approach)

49:00 – Toward focal therapy with better biologic imaging + AI

54:00 – How to choose: values, side-effects, lifestyle, comorbidities

01:01:00 – Final guidance: don’t be overwhelmed—multiple good option

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📣 Hashtags

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #RadiationOncology #SBRT #MRILINAC

⚠️ Disclaimer

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.

HIFU (high-intensity focused ultrasound) is one of the most talked-about focal therapies in prostate cancer—but who is it really right for? In this conversation, Dr. Matthew Cooperberg (UCSF)—a leading voice in urology, epidemiology, and integrative prostate cancer care—breaks down patient selection vs. energy modality, how modern imaging (MRI, fusion, RSI) drives precision, what genomics (e.g., Decipher) can and can’t tell us, and how salvage options compare after focal therapy vs. radiation. We also tackle lifestyle factors, trial design, and why midlife PSA screening (ideally <1 between ages 45–55) remains crucial.

👉 View more at DrGeo.com

00:00 – Welcome + episode setup (HIFU overview, aims of focal therapy)

04:10 – The real first question: Who is a candidate? (selection > modality)

05:10 – What “focal therapy” means (lesion-only, margin, hemi-ablation) + imaging progress

06:25 – Recurrence after focal therapy: targeting, dose, or biology? Follow-up biopsies

07:40 – Genomics (Decipher): predicting recurrence; how results change counseling

09:30 – Lifestyle & microenvironment: can diet/exercise influence outcomes?

11:00 – Salvage after focal vs. radiation: fibrosis, feasibility, quality of life

14:00 – Cryotherapy vs. HIFU: image guidance, control, and why HIFU advanced

16:00 – Imaging upgrades (MRI fusion, RSI, C-13 spectroscopy) and treatment constraints

17:00 – IRE (irreversible electroporation): role for apical tumors, early results

18:00 – TULSA, water/thermal concepts, focal radiation, partial prostatectomy: what’s known

20:00 – Smarter trials: active surveillance ± focal therapy for borderline cases

22:00 – The counseling hierarchy: decision first, technology second

24:30 – Proton vs. photon incentives; why advertising confuses choices

26:30 – UCSF’s program: mostly HIFU; where IRE fits; adding new machines prudently

28:30 – The real bottleneck: sub-millimeter targeting; AI-guided ablation future

33:00 – HIFU mechanics: probe size, apex/anterior reach, distance constraints

35:00 – “I want HIFU for Gleason 8”: agency, nuance, and when we advise against it

38:00 – A cautionary case: negative biopsy → later mets—what it teaches us

40:30 – Millennials, risk tolerance, and why PSA at 45–55 (<1 is ideal) matters

44:00 – Growth vs. spread: which high-grade tumors can we treat focally?

46:00 – How low vs. high genomic scores tilt decisions (and their limits)

47:30 – Where to find Dr. Cooperberg + parting PSA advice

___________________________________

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

___________________________________

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🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm

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___________________________________

#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology

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.

Can high-dose IV Vitamin C really support cancer treatment—even in men with prostate cancer? In this episode of the Dr. Geo Prostate Podcast, Dr. Geo welcomes Dr. Paul Anderson, one of the world’s leading voices in integrative oncology with 30+ years of clinical experience and NIH-funded cancer research.

Together, they unpack how vitamin C works differently when taken orally versus intravenously, what the latest research shows about IV vitamin C, and how it may impact the tumor microenvironment and immune response.

Listeners will also learn about practical approaches to integrative oncology, the role of detoxification and immune health, and what patients with advanced prostate cancer should know before seeking out IV vitamin C therapy.

✅ What You’ll Learn in This Episode:

• How oral vs. IV vitamin C behave differently in the body
• What the latest science says about IV vitamin C in cancer care
• Why the tumor microenvironment matters for long-term outcomes
• How IV vitamin C may support men with advanced prostate cancer
• Synergies with lifestyle therapies, immunotherapy, and sauna

💡 Don’t forget to subscribe, rate, and review the podcast! Every review helps us reach more men who want to thrive, not just survive.

_________________________

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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

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_________________________

⚠️ Disclaimer: This podcast is educational and not medical advice. Always consult your healthcare provider before making changes to your treatment.

In this inspiring episode of the Dr. Geo Prostate Podcast, Dr. Geo sits down with Dr. Amy Rothenberg — a licensed naturopathic doctor for over 36 years, 2017 Physician of the Year by the American Association of Naturopathic Physicians, and a living example of resilience.

After 18 rounds of chemotherapy in 2014, Dr. Rothenberg competed in her first triathlon just six months later. She shares her journey of overcoming breast, ovarian, and leukemia diagnoses while integrating both conventional and naturopathic medicine. Her best-selling book, You Finished Treatment, Now What?, offers cancer survivors a compassionate, practical roadmap to reclaim their health.

Whether you’re living with cancer, supporting someone who is, or looking for ways to live better with age, this conversation is filled with actionable insights on healing, prevention, and thriving.

Key Points:

• A Doctor Becomes the Patient – How Dr. Rothenberg faced multiple cancer diagnoses and treatments while maintaining her health philosophy.
• Integrative Approach – Combining conventional oncology care with naturopathic strategies for side effect management, immune support, and recovery.
• The Role of Movement – How exercise, even in small amounts, supports treatment efficacy and recovery.
• Fasting Mimicking Diet & Microbiome Support – Evidence-backed dietary strategies during treatment and beyond.
• Mindset & Resilience – The importance of goal-setting, community support, and finding joy during and after cancer care.
• Life After Treatment – Practical steps to reduce recurrence risk and improve quality of life.

Resources & Links Mentioned:

• Book: You Finished Treatment, Now What? – Order here or at your local bookstore.
• Learn more about Dr. Amy Rothenberg: dramyrothenberg.com
• Find a licensed naturopathic doctor: naturopathic.org
• Oncology Association of Naturopathic Physicians: oncanp.org

----------------

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#CancerSurvivor #CancerRecovery #IntegrativeMedicine #NaturopathicMedicine #CancerSupport #ProstateHealth #ThrivingAfterCancer #CancerTreatment #Survivorship #CancerWellness #MensHealth #ProstateCancer #HealthTips #OncologySupport #wellnessjourney

⚠️ Disclaimer

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for any direct or indirect consequences, including economic loss, injury, illness, or death.

Are low testosterone clinics helping men—or creating more harm than good?

In this revealing episode, Dr. Geo is joined by Dr. Justin Dubin, a leading urologist and host of The Man Up Podcast, to pull back the curtain on the booming world of direct-to-consumer testosterone clinics.

Together, they explore:

• The truth behind the rise of low-T clinics
• What these businesses get right—and where they dangerously fall short
• Dr. Dubin’s undercover study: 6 out of 7 clinics offered testosterone to men who didn’t qualify
• The overlooked risks of infertility, heart issues, and priapism
• How buzzwords like “optimization” may be misleading patients
• What every man should ask before starting testosterone therapy

If you’ve been curious about TRT, overwhelmed by online advice, or simply want to make informed decisions about your hormonal health—this episode is for you.

💡 If you're facing prostate cancer surgery, concerned about erectile function, or simply fascinated by medical innovation, this episode is a must-listen.

👉 Learn more about Kyzatrex at KYZATREX.com/testing-kit.

💡 Don’t forget to subscribe, rate, and leave a review! Each review helps us reach more men who want to thrive, not just survive.

_________________________ 

Thank you to our July 2025 Sponsor

KYZATREX is an FDA-approved oral testosterone replacement therapy that helps restore testosterone levels back to normal. It’s not an injection or a messy gel — just a simple twice-daily pill that fits easily into your routine. Find out where you stand. Order a testing kit today at KYZATREX.com/testing-kit. Call your doctor to learn more about KYZATREX. For more information, visit www.kyzatrex.com or call 1-833-949-5040.

👉 Ask your doctor about Kyzatrex or visit KYZATREX.com/testing-kit. [https://bit.ly/4lUgY0j] to learn more.

_________________________ 

The ProLon 5-Day Fasting Mimicking Diet is a plant-based meal program designed to provide fasting benefits while allowing food intake. Developed by Dr. Valter Longo, it supports cellular renewal, fat loss, and metabolic health through low-calorie, pre-packaged meals that keep the body in a fasting state.

Special Offer: As a listener, you can get the ProLon kit for just $148 using this [https://bit.ly/3TVehAx ].

We’d also like to thank our partner AG1 by Athletic Greens. AG1 includes 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This blend supports your gut, immune system, energy, focus, and more—all in one daily scoop. https://bit.ly/3mA2tVV

________________________ 

The Dr. Geo Prostate Podcast Exclusive Membership

We’ll continue bringing you powerful weekly episodes to support your prostate health journey. But if you’re ready to dive deeper, the Exclusive Membership gives you more: curated transcripts, detailed show notes, expert resources, and member-only perks—all designed to help you live better with age. Join HERE [https://drgeo.com/membership]

_________________________ 

📌 Thanks for tuning in to this week’s episode.

Subscribe to The Dr. Geo YouTube Channel for more content like this and learn how to thrive as you age. [https://www.youtube.com/@DrGeoProstatePodcast] 

You can also listen to this episode and future episodes of The Dr. Geo Prostate Podcast by clicking [http://drgeo.com/]

Support your urological health with Dr. Geo’s supplement lines:

• XY Wellness – for prostate cancer lifestyle and nutrition - https://bit.ly/3uJPC7Z
• Mr. Happy – nutraceuticals for prostate health and male vitality https://bit.ly/43YSDiq
• Or visit the full Dr. Geo Supplement Store for trusted recommendations. - https://bit.ly/3RJMX6O

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn:  https://bit.ly/DRGEO-LINKEDIN-YT

Website:   https://bit.ly/43khht0 

_________________________ 

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for any direct or indirect consequences, including economic loss, injury, illness, or death.

In this episode of the Dr. Geo Prostate Podcast, Dr. Geo welcomes Dr. Mohit Khera, a globally recognized leader in men’s health, Professor of Urology and Director of the Executive Health Program at Baylor College of Medicine. With over 160 peer-reviewed publications and decades of clinical experience in testosterone therapy, male infertility, and prostate health, Dr. Khera shares cutting-edge insights on testosterone replacement therapy (TRT), including the rise of oral testosterone like Kyzatrex, and the evolving understanding of testosterone’s relationship to prostate cancer.

Whether you’re considering TRT, recovering from prostate cancer, or supporting a loved one’s health journey, this conversation brings clarity to one of men’s most pressing health topics.

What You’ll Learn:

• The 4 C’s framework to determine the best TRT option:
• Cost, Compliance, Convenience, Concentration
• Why oral testosterone (Kyzatrex, Tlando, Jatenzo) is gaining traction—and what makes them different
• How Kyzatrex may help preserve fertility by reducing gonadotropin suppression
• What the TRAVERSE trial revealed about TRT and cardiovascular safety
• Why low testosterone may be linked to more aggressive prostate cancer
• What the latest science says about BAT (Bipolar Androgen Therapy) for advanced prostate cancer
• The truth about testosterone’s impact on BPH and urinary symptoms
• Why total testosterone isn't enough—labs like SHBG, DHT, estradiol, and free testosterone matter

Key Insights:

• TRT doesn’t cause prostate cancer — and may even have protective effects in some men.
• Testosterone is the best barometer of male health—predicting cardiovascular risk, mood, bone density, and more.
• BAT (Bipolar Androgen Therapy) is showing promise in treating advanced prostate cancer in specific scenarios.
• Avoid unnecessary aromatase inhibitors and DHT blockers unless clinically indicated.

💡 If you're facing prostate cancer surgery, concerned about erectile function, or simply fascinated by medical innovation, this episode is a must-listen.

👉 Learn more about Kyzatrex at KYZATREX.com/testing-kit.

💡 Don’t forget to subscribe, rate, and leave a review! Each review helps us reach more men who want to thrive, not just survive.

_________________________ 

Thank you to our July 2025 Sponsor

KYZATREX is an FDA-approved oral testosterone replacement therapy that helps restore testosterone levels back to normal. It’s not an injection or a messy gel — just a simple twice-daily pill that fits easily into your routine. Find out where you stand. Order a testing kit today at KYZATREX.com/testing-kit. Call your doctor to learn more about KYZATREX. For more information, visit www.kyzatrex.com or call 1-833-949-5040.

👉 Ask your doctor about Kyzatrex or visit KYZATREX.com/testing-kit. [https://bit.ly/4lUgY0j] to learn more.

_________________________ 

The ProLon 5-Day Fasting Mimicking Diet is a plant-based meal program designed to provide fasting benefits while allowing food intake. Developed by Dr. Valter Longo, it supports cellular renewal, fat loss, and metabolic health through low-calorie, pre-packaged meals that keep the body in a fasting state.

Special Offer: As a listener, you can get the ProLon kit for just $148 using this [https://bit.ly/3TVehAx ].

We’d also like to thank our partner AG1 by Athletic Greens. AG1 includes 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This blend supports your gut, immune system, energy, focus, and more—all in one daily scoop. https://bit.ly/3mA2tVV

________________________ 

The Dr. Geo Prostate Podcast Exclusive Membership

We’ll continue bringing you powerful weekly episodes to support your prostate health journey. But if you’re ready to dive deeper, the Exclusive Membership gives you more: curated transcripts, detailed show notes, expert resources, and member-only perks—all designed to help you live better with age. Join HERE [https://drgeo.com/membership]

_________________________ 

📌 Thanks for tuning in to this week’s episode.

Subscribe to The Dr. Geo YouTube Channel for more content like this and learn how to thrive as you age. [https://www.youtube.com/@DrGeoProstatePodcast] 

You can also listen to this episode and future episodes of The Dr. Geo Prostate Podcast by clicking [http://drgeo.com/]

Support your urological health with Dr. Geo’s supplement lines:

• XY Wellness – for prostate cancer lifestyle and nutrition - https://bit.ly/3uJPC7Z
• Mr. Happy – nutraceuticals for prostate health and male vitality https://bit.ly/43YSDiq
• Or visit the full Dr. Geo Supplement Store for trusted recommendations. - https://bit.ly/3RJMX6O

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn:  https://bit.ly/DRGEO-LINKEDIN-YT

Website:   https://bit.ly/43khht0 

_________________________ 

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for any direct or indirect consequences, including economic loss,...

What if artificial intelligence could help save your erections during prostate cancer surgery?

In this groundbreaking episode of the Dr. Geo Prostate Podcast, Dr. Geo sits down with world-renowned urologist and sexual health pioneer Dr. Arthur "Bud" Burnett from Johns Hopkins. Together, they discuss an exciting new frontier in men's health: using AI and intraoperative neuromonitoring to preserve erectile function during prostate cancer surgery.

Dr. Burnett shares his four decades of experience and explains how advanced techniques — including real-time nerve mapping and AI-guided signals during surgery — are transforming outcomes for men. Imagine a future where surgeons can “see” and protect the exact nerves critical for erections, like having a GPS guiding them in real time.

They also dive into:

✅ The evolution of erectile dysfunction treatments — from Yohimbine to Viagra and beyond

✅ The history and future of penile implants, including the possibility of app-controlled devices

✅ Why nerve-sparing techniques alone may not be enough to preserve function after prostatectomy

✅ How AI and precision medicine are changing surgical outcomes and offering men more hope

Plus, Dr. Burnett discusses upcoming clinical trials and how men can potentially participate today at Johns Hopkins.

💡 If you're facing prostate cancer surgery, concerned about erectile function, or simply fascinated by medical innovation, this episode is a must-listen.

👉 Learn more about Kyzatrex at KYZATREX.com/testing-kit.

💡 Don’t forget to subscribe, rate, and leave a review! Each review helps us reach more men who want to thrive, not just survive.

_________________________ 

Thank you to our July 2025 Sponsor

KYZATREX is an FDA-approved oral testosterone replacement therapy that helps restore testosterone levels back to normal. It’s not an injection or a messy gel — just a simple twice-daily pill that fits easily into your routine. Find out where you stand. Order a testing kit today at KYZATREX.com/testing-kit. Call your doctor to learn more about KYZATREX. For more information, visit www.kyzatrex.com or call 1-833-949-5040.

👉 Ask your doctor about Kyzatrex or visit KYZATREX.com/testing-kit. [https://bit.ly/4lUgY0j] to learn more.

_________________________ 

The ProLon 5-Day Fasting Mimicking Diet is a plant-based meal program designed to provide fasting benefits while allowing food intake. Developed by Dr. Valter Longo, it supports cellular renewal, fat loss, and metabolic health through low-calorie, pre-packaged meals that keep the body in a fasting state.

Special Offer: As a listener, you can get the ProLon kit for just $148 using this [https://bit.ly/3TVehAx ].

We’d also like to thank our partner AG1 by Athletic Greens. AG1 includes 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This blend supports your gut, immune system, energy, focus, and more—all in one daily scoop. https://bit.ly/3mA2tVV

________________________ 

The Dr. Geo Prostate Podcast Exclusive Membership

We’ll continue bringing you powerful weekly episodes to support your prostate health journey. But if you’re ready to dive deeper, the Exclusive Membership gives you more: curated transcripts, detailed show notes, expert resources, and member-only perks—all designed to help you live better with age. Join HERE [https://drgeo.com/membership]

_________________________ 

📌 Thanks for tuning in to this week’s episode.

Subscribe to The Dr. Geo YouTube Channel for more content like this and learn how to thrive as you age. [https://www.youtube.com/@DrGeoProstatePodcast] 

You can also listen to this episode and future episodes of The Dr. Geo Prostate Podcast by clicking [http://drgeo.com/]

Support your urological health with Dr. Geo’s supplement lines:

• XY Wellness – for prostate cancer lifestyle and nutrition - https://bit.ly/3uJPC7Z
• Mr. Happy – nutraceuticals for prostate health and male vitality
• Or visit the full Dr. Geo Supplement Store for trusted recommendations. - https://bit.ly/3RJMX6O

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn:  https://bit.ly/DRGEO-LINKEDIN-YT

Website:   https://bit.ly/43khht0 

_________________________ 

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for any direct or indirect consequences, including economic loss, injury, illness, or death.

Is testosterone therapy a friend or foe to your prostate? In this eye-opening episode, Dr. Geo and Dr. Thomas Masterson separate fact from fiction to help you understand the real impact of testosterone on men’s health.

Dr. Geo sits down with Dr. Thomas Masterson — a leading urologist at the University of Miami, known for his work in male infertility, sexual health, and testosterone therapy.

They take a deep dive into one of the most common and controversial questions in men’s health: Does testosterone therapy harm your prostate?

Together, they explore:

• The science behind testosterone and its impact on the prostate
• Myths vs. facts about testosterone replacement therapy (TRT)
• How testosterone affects fertility and what to know before starting TRT
• The connection between testosterone, prostate enlargement (BPH), and prostate cancer
• The latest research insights from the groundbreaking TRAVERSE trial
• Real-world patient scenarios and clinical decision-making

Dr. Masterson also shares his nuanced approach to managing patients who are on active surveillance for prostate cancer and considering testosterone therapy.

If you're curious about TRT, prostate health, or how to optimize your hormones safely, this episode is a must-listen.

👉 Learn more about Kyzatrex at KYZATREX.com/testing-kit.

💡 Don’t forget to subscribe, rate, and leave a review! Each review helps us reach more men who want to thrive, not just survive.

_________________________ 

Thank you to our July 2025 Sponsor

KYZATREX is an FDA-approved oral testosterone replacement therapy that helps restore testosterone levels back to normal. It’s not an injection or a messy gel — just a simple twice-daily pill that fits easily into your routine. Find out where you stand. Order a testing kit today at KYZATREX.com/testing-kit. Call your doctor to learn more about KYZATREX. For more information, visit www.kyzatrex.com or call 1-833-949-5040.

👉 Ask your doctor about Kyzatrex or visit KYZATREX.com/testing-kit. [https://bit.ly/4lUgY0j] to learn more.

_________________________ 

The ProLon 5-Day Fasting Mimicking Diet is a plant-based meal program designed to provide fasting benefits while allowing food intake. Developed by Dr. Valter Longo, it supports cellular renewal, fat loss, and metabolic health through low-calorie, pre-packaged meals that keep the body in a fasting state.

Special Offer: As a listener, you can get the ProLon kit for just $148 using this [https://bit.ly/3TVehAx ].

We’d also like to thank our partner AG1 by Athletic Greens. AG1 includes 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This blend supports your gut, immune system, energy, focus, and more—all in one daily scoop. https://bit.ly/3mA2tVV

________________________ 

The Dr. Geo Prostate Podcast Exclusive Membership

We’ll continue bringing you powerful weekly episodes to support your prostate health journey. But if you’re ready to dive deeper, the Exclusive Membership gives you more: curated transcripts, detailed show notes, expert resources, and member-only perks—all designed to help you live better with age. Join HERE [https://drgeo.com/membership]

_________________________ 

📌 Thanks for tuning in to this week’s episode.

Subscribe to The Dr. Geo YouTube Channel for more content like this and learn how to thrive as you age. [https://www.youtube.com/@DrGeoProstatePodcast] 

You can also listen to this episode and future episodes of The Dr. Geo Prostate Podcast by clicking [http://drgeo.com/]

Support your urological health with Dr. Geo’s supplement lines:

• XY Wellness – for prostate cancer lifestyle and nutrition - https://bit.ly/3uJPC7Z
• Mr. Happy – nutraceuticals for prostate health and male vitality
• Or visit the full Dr. Geo Supplement Store for trusted recommendations. - https://bit.ly/3RJMX6O

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn:  https://bit.ly/DRGEO-LINKEDIN-YT

Website:   https://bit.ly/43khht0 

_________________________ 

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for any direct or indirect consequences, including economic loss, injury, illness, or death.

Today on the Dr. Geo Prostate Podcast, Dr. Geo sits down with Dr. Jacob Meyers, Director of Research and Development at LynxDx, and a scientist with a fascinating background spanning malaria research and genetic testing. Together, they unpack the science behind MyProstateScore 2.0 (MPS2) — a new urine-based test designed to help men and their doctors make smarter, more precise decisions about prostate cancer screening and whether a biopsy is truly needed.

In this insightful conversation, you’ll learn:

• The story behind MPS2 and how it moves beyond PSA alone
• Why the test focuses on detecting more aggressive prostate cancer
• The unique biomarkers (including TMPRSS2:ERG fusion and KLK3) that set MPS2 apart
• How MPS2 can help avoid unnecessary biopsies and even be done at home — no prostate massage required
• Future directions in biomarker development and what’s next for prostate cancer diagnostics

This episode is full of practical, empowering information for men looking to take control of their prostate health and for clinicians seeking to stay on the cutting edge.

👉 Learn more about MPS2 at LynxDx.

💡 Don’t forget to subscribe, rate, and leave a review! Each review helps us reach more men who want to thrive, not just survive.

_________________________ 

Thank you to our June 2025 Sponsor LynxDx.

Discover MyProstateScore 2.0 (MPS2), the next-generation urine test that helps you understand your prostate cancer risk. MPS2 analyzes a powerful panel of 18 biomarkers to deliver a personalized risk score, helping you and your doctor decide if further testing or a biopsy is right for you. MPS2 brings clarity and convenience to your prostate cancer screening journey with easy at-home or in-office collection. Visit lynxdx.com to learn more

👉 Ask your doctor about MyProstateScore 2.0 (MPS2) or visit LynxDx: https://bit.ly/4mOHQ2U to learn more.

_________________________ 

The ProLon 5-Day Fasting Mimicking Diet is a plant-based meal program designed to provide fasting benefits while allowing food intake. Developed by Dr. Valter Longo, it supports cellular renewal, fat loss, and metabolic health through low-calorie, pre-packaged meals that keep the body in a fasting state.

Special Offer: As a listener, you can get the ProLon kit for just $148 using this [https://bit.ly/3TVehAx ].

We’d also like to thank our partner AG1 by Athletic Greens. AG1 includes 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This blend supports your gut, immune system, energy, focus, and more—all in one daily scoop. https://bit.ly/3mA2tVV

________________________ 

The Dr. Geo Prostate Podcast Exclusive Membership

We’ll continue bringing you powerful weekly episodes to support your prostate health journey. But if you’re ready to dive deeper, the Exclusive Membership gives you more: curated transcripts, detailed show notes, expert resources, and member-only perks—all designed to help you live better with age. Join HERE [https://drgeo.com/membership]

_________________________ 

📌 Thanks for tuning in to this week’s episode.

Subscribe to The Dr. Geo YouTube Channel for more content like this and learn how to thrive as you age. [https://www.youtube.com/@DrGeoProstatePodcast] 

You can also listen to this episode and future episodes of The Dr. Geo Prostate Podcast by clicking [http://drgeo.com/]

Support your urological health with Dr. Geo’s supplement lines:

• XY Wellness – for prostate cancer lifestyle and nutrition - https://bit.ly/3uJPC7Z
• Mr. Happy – nutraceuticals for prostate health and male vitality
• Or visit the full Dr. Geo Supplement Store for trusted recommendations. - https://bit.ly/3RJMX6O

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn:  https://bit.ly/DRGEO-LINKEDIN-YT

Website:   https://bit.ly/43khht0 

_________________________ 

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for any direct or indirect consequences, including economic loss, injury, illness, or death.

What if prostate cancer could be treated without surgery or full-gland radiation?

In this episode of the Dr. Geo Prostate Podcast, Dr. Geo is joined by Dr. Aaron Katz, Chairman of Urology at NYU Long Island, a pioneer in prostate cryotherapy and integrative urology.

With over 130 peer-reviewed publications and two books on prostate health, Dr. Katz has helped redefine prostate cancer treatment through focal cryotherapy—a minimally invasive technique that targets only the tumor, preserving sexual and urinary function.

Together, they explore:

• The difference between whole-gland and focal cryotherapy
• How imaging (like MRI and fusion biopsy) guides precision treatment
• Who is an ideal candidate—and who is not
• Why cryotherapy is gaining attention as a frontline option
• What men should know after President Biden’s prostate cancer diagnosis
• A holistic, patient-centered view of long-term prostate health

Whether you're newly diagnosed or exploring treatment alternatives, this episode will give you clarity, confidence, and options.

_________________________ 

Thank you to our June 2025 Sponsor LynxDx.

Discover MyProstateScore 2.0 (MPS2), the next-generation urine test that helps you understand your prostate cancer risk. MPS2 analyzes a powerful panel of 18 biomarkers to deliver a personalized risk score, helping you and your doctor decide if further testing or a biopsy is right for you. MPS2 brings clarity and convenience to your prostate cancer screening journey with easy at-home or in-office collection. Visit lynxdx.com to learn more

👉 Ask your doctor about MyProstateScore 2.0 (MPS2) or visit LynxDx: https://bit.ly/4mOHQ2U to learn more.

_________________________ 

The ProLon 5-Day Fasting Mimicking Diet is a plant-based meal program designed to provide fasting benefits while allowing food intake. Developed by Dr. Valter Longo, it supports cellular renewal, fat loss, and metabolic health through low-calorie, pre-packaged meals that keep the body in a fasting state.

Special Offer: As a listener, you can get the ProLon kit for just $148 using this [https://bit.ly/3TVehAx ].

We’d also like to thank our partner AG1 by Athletic Greens. AG1 includes 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This blend supports your gut, immune system, energy, focus, and more—all in one daily scoop. https://bit.ly/3mA2tVV

________________________ 

The Dr. Geo Prostate Podcast Exclusive Membership

We’ll continue bringing you powerful weekly episodes to support your prostate health journey. But if you’re ready to dive deeper, the Exclusive Membership gives you more: curated transcripts, detailed show notes, expert resources, and member-only perks—all designed to help you live better with age. Join HERE [https://drgeo.com/membership]

_________________________ 

📌 Thanks for tuning in to this week’s episode.

Subscribe to The Dr. Geo YouTube Channel for more content like this and learn how to thrive as you age. [https://www.youtube.com/@DrGeoProstatePodcast] 

You can also listen to this episode and future episodes of The Dr. Geo Prostate Podcast by clicking [http://drgeo.com/]

Support your urological health with Dr. Geo’s supplement lines:

• XY Wellness – for prostate cancer lifestyle and nutrition - https://bit.ly/3uJPC7Z
• Mr. Happy – nutraceuticals for prostate health and male vitality
• Or visit the full Dr. Geo Supplement Store for trusted recommendations. - https://bit.ly/3RJMX6O

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn:  https://bit.ly/DRGEO-LINKEDIN-YT

Website:   https://bit.ly/43khht0 

_________________________ 

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for any direct or indirect consequences, including economic loss, injury, illness, or death.

In this powerful episode of the Dr. Geo Prostate Podcast, Dr. Geo sits down with Dr. Preston Sprenkle, leading urologic oncologist at Yale School of Medicine, to explore the emerging role of focal therapy in prostate cancer care. A pioneer in MRI-ultrasound fusion biopsy using the Artemis Device, Dr. Sprenkle shares how focal treatments can offer cancer control while preserving quality of life.

Whether you’re on active surveillance or facing a Gleason 7 or 8 diagnosis, this episode helps you better understand:

• When focal therapy is appropriate—and when it’s not
• Key differences between cryoablation, IRE (NanoKnife), and Tulsa Pro
• How patient goals (erectile function, continence, cancer control) shape treatment
• What recent research shows about focal therapy success rates
• How to approach higher-risk prostate cancer (Gleason 8–10) with focal therapy
• What to know about PSMA PET scans, genomic tests, and repeat biopsies
• The real risks of skipping follow-up on active surveillance

You’ll also hear candid reflections on the evolution of holistic and integrative urology, and why building trust with your urologist matters more than ever.

📌 Subscribe to the Dr. Geo Prostate Podcast for expert insights on prostate cancer, active surveillance, lifestyle strategies, and men’s health.

#ProstateCancer #ProstateHealth #MPS2 #MyProstateScore #MensHealth #Biomarkers #PSAtest #ActiveSurveillance #Urology #ProstateBiopsy #DrGeoPodcast #LynxDx

_________________________ 

Thank you to our June 2025 Sponsor LynxDx.

Discover MyProstateScore 2.0 (MPS2), the next-generation urine test that helps you understand your prostate cancer risk. MPS2 analyzes a powerful panel of 18 biomarkers to deliver a personalized risk score, helping you and your doctor decide if further testing or a biopsy is right for you. MPS2 brings clarity and convenience to your prostate cancer screening journey with easy at-home or in-office collection. Visit lynxdx.com to learn more

👉 Ask your doctor about MyProstateScore 2.0 (MPS2) or visit LynxDx: https://bit.ly/4mOHQ2U to learn more.

_________________________ 

The ProLon 5-Day Fasting Mimicking Diet is a plant-based meal program designed to provide fasting benefits while allowing food intake. Developed by Dr. Valter Longo, it supports cellular renewal, fat loss, and metabolic health through low-calorie, pre-packaged meals that keep the body in a fasting state.

Special Offer: As a listener, you can get the ProLon kit for just $148 using this [https://bit.ly/3TVehAx ].

We’d also like to thank our partner AG1 by Athletic Greens. AG1 includes 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This blend supports your gut, immune system, energy, focus, and more—all in one daily scoop. https://bit.ly/3mA2tVV

________________________ 

The Dr. Geo Prostate Podcast Exclusive Membership

We’ll continue bringing you powerful weekly episodes to support your prostate health journey. But if you’re ready to dive deeper, the Exclusive Membership gives you more: curated transcripts, detailed show notes, expert resources, and member-only perks—all designed to help you live better with age. Join HERE [https://drgeo.com/membership]

_________________________ 

📌 Thanks for tuning in to this week’s episode.

Subscribe to The Dr. Geo YouTube Channel for more content like this and learn how to thrive as you age. [https://www.youtube.com/@DrGeoProstatePodcast] 

You can also listen to this episode and future episodes of The Dr. Geo Prostate Podcast by clicking [http://drgeo.com/]

Support your urological health with Dr. Geo’s supplement lines:

• XY Wellness – for prostate cancer lifestyle and nutrition - https://bit.ly/3uJPC7Z
• Mr. Happy – nutraceuticals for prostate health and male vitality
• Or visit the full Dr. Geo Supplement Store for trusted recommendations. - https://bit.ly/3RJMX6O

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn:  https://bit.ly/DRGEO-LINKEDIN-YT

Website:   https://bit.ly/43khht0 

_________________________ 

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for any direct or indirect consequences, including economic loss, injury, illness, or death.

Are we entering a new era of prostate cancer testing? In this episode, Dr. Geo speaks with Dr. Jeffrey Tosoian—urologist, researcher, and lead author behind MyProstateScore 2.0 (MPS2)—a cutting-edge urine test that may outperform PSA and even MRI in identifying clinically significant prostate cancer.

Learn:

• How MPS2 works and what makes it different from PSA, 4Kscore, and ExoDx
• Why MPS2 offers a 95%+ negative predictive value (NPV) — helping men avoid unnecessary prostate biopsies 💉🚫
• When to use MRI vs. biomarker testing 🧪
• How this test may improve outcomes for populations with limited access to 3T MRI, including Black men and underserved communities 🏥
• How MPS2 could become a game changer for men on active surveillance 🔎📈
• This test includes 18 prostate cancer-specific gene markers and is now available without a rectal exam. It can even be done from home. Dr. Tosoian explains everything—from clinical validation to future directions.

📌 Subscribe to the Dr. Geo Prostate Podcast for expert insights on prostate cancer, active surveillance, lifestyle strategies, and men’s health.

#ProstateCancer #ProstateHealth #MPS2 #MyProstateScore #MensHealth #Biomarkers #PSAtest #ActiveSurveillance #Urology #ProstateBiopsy #DrGeoPodcast #LynxDx

_________________________ 

Thank you to our June 2025 Sponsor LynxDx.

Discover MyProstateScore 2.0 (MPS2), the next-generation urine test that helps you understand your prostate cancer risk. MPS2 analyzes a powerful panel of 18 biomarkers to deliver a personalized risk score, helping you and your doctor decide if further testing or a biopsy is right for you. MPS2 brings clarity and convenience to your prostate cancer screening journey with easy at-home or in-office collection. Visit lynxdx.com to learn more

👉 Ask your doctor about MyProstateScore 2.0 (MPS2) or visit LynxDx: https://bit.ly/4mOHQ2U to learn more.

_________________________ 

The ProLon 5-Day Fasting Mimicking Diet is a plant-based meal program designed to provide fasting benefits while allowing food intake. Developed by Dr. Valter Longo, it supports cellular renewal, fat loss, and metabolic health through low-calorie, pre-packaged meals that keep the body in a fasting state.

Special Offer: As a listener, you can get the ProLon kit for just $148 using this [https://bit.ly/3TVehAx ].

We’d also like to thank our partner AG1 by Athletic Greens. AG1 includes 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This blend supports your gut, immune system, energy, focus, and more—all in one daily scoop. https://bit.ly/3mA2tVV

________________________ 

The Dr. Geo Prostate Podcast Exclusive Membership

We’ll continue bringing you powerful weekly episodes to support your prostate health journey. But if you’re ready to dive deeper, the Exclusive Membership gives you more: curated transcripts, detailed show notes, expert resources, and member-only perks—all designed to help you live better with age. Join HERE [https://drgeo.com/membership]

_________________________ 

📌 Thanks for tuning in to this week’s episode.

Subscribe to The Dr. Geo YouTube Channel for more content like this and learn how to thrive as you age. [https://www.youtube.com/@DrGeoProstatePodcast] 

You can also listen to this episode and future episodes of The Dr. Geo Prostate Podcast by clicking [http://drgeo.com/]

Support your urological health with Dr. Geo’s supplement lines:

• XY Wellness – for prostate cancer lifestyle and nutrition - https://bit.ly/3uJPC7Z
• Mr. Happy – nutraceuticals for prostate health and male vitality
• Or visit the full Dr. Geo Supplement Store for trusted recommendations. - https://bit.ly/3RJMX6O

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn:  https://bit.ly/DRGEO-LINKEDIN-YT

Website:   https://bit.ly/43khht0 

_________________________ 

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for any direct or indirect consequences, including economic loss, injury, illness, or death.

In this inspiring episode of the Dr. Geo Prostate Podcast, Dr. Geo welcomes Dr. Karen Wonders—founder of Maple Tree Cancer Alliance, PhD in Exercise Physiology, professor, and mom of seven!—to explore the transformative power of exercise for cancer patients.

What you'll learn in this episode:

• Why exercise is medicine during and after cancer treatment
• How Karen built a global nonprofit supporting 20,000+ cancer patients through tailored movement
• The science behind exercise oncology and how it improves quality of life, strength, and survival
• How to overcome fear and fatigue to get moving—even on the hardest days
• The real-life story that inspired Maple Tree and how it's helping patients around the world
• Tips for staying consistent, motivated, and empowered through movement

Karen shares powerful insights on meeting patients where they are—whether in chemo, remission, or simply too exhausted to move—and creating custom exercise plans that work with the body's challenges. She also reveals how to access Maple Tree On Demand, an affordable, cancer-specific fitness program you can do at home.

This conversation is not just about cancer—it's about resilience, family, and thriving in the face of adversity. Whether you're a patient, caregiver, or health enthusiast, this episode will move you.

________________________ 

Introducing The Dr. Geo Prostate Podcast Exclusive Membership

We’ll continue bringing you powerful weekly episodes to support your prostate health journey. But if you’re ready to dive deeper, the Exclusive Membership gives you more: curated transcripts, detailed show notes, expert resources, and member-only perks—all designed to help you live better with age. Join HERE [https://drgeo.com/membership]

_________________________ 

Thank you to our partners

The ProLon 5-Day Fasting Mimicking Diet is a plant-based meal program designed to provide fasting benefits while allowing food intake. Developed by Dr. Valter Longo, it supports cellular renewal, fat loss, and metabolic health through low-calorie, pre-packaged meals that keep the body in a fasting state.

Special Offer: As a listener, you can get the ProLon kit for just $148 using this [https://bit.ly/3TVehAx ].

We’d also like to thank our partner AG1 by Athletic Greens. AG1 includes 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This blend supports your gut, immune system, energy, focus, and more—all in one daily scoop. https://bit.ly/3mA2tVV

_________________________ 

📌 Thanks for tuning in to this week’s episode.

Subscribe to The Dr. Geo YouTube Channel for more content like this and learn how to thrive as you age. [https://www.youtube.com/@DrGeoProstatePodcast] 

You can also listen to this episode and future episodes of The Dr. Geo Prostate Podcast by clicking [http://drgeo.com/]

Support your urological health with Dr. Geo’s supplement lines:

• XY Wellness – for prostate cancer lifestyle and nutrition - https://bit.ly/3uJPC7Z
• Mr. Happy – nutraceuticals for prostate health and male vitality
• Or visit the full Dr. Geo Supplement Store for trusted recommendations. - https://bit.ly/3RJMX6O

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn:  https://bit.ly/DRGEO-LINKEDIN-YT

Website:   https://bit.ly/43khht0 

_________________________ 

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for any direct or indirect consequences, including economic loss, injury, illness, or death.

In this episode of the Dr. Geo Prostate Podcast, Dr. Geo unpacks President Joe Biden’s recent diagnosis of Gleason 9 advanced prostate cancer. With real talk and real science, Dr. Geo dives deep into what this diagnosis means medically, why it’s raising eyebrows, and how it could have been caught earlier—even with access to the best healthcare in the world.

🎯 Key topics in this episode:

• What is advanced prostate cancer? (Gleason grade, bone metastasis, PSA levels)
• The difference between hormone-sensitive and castration-resistant prostate cancer
• How prostate cancer spreads and why PSA testing still matters—even after age 70
• A breakdown of current treatments like Lupron, Orgovyx, and Pluvicto (Lutetium-177)
• Why lifestyle changes post-diagnosis—including diet, sleep, and exercise—can lower mortality by up to 40%
• Natural approaches and supplements that can support cognition, bone health, and immunity during treatment
• What neuroendocrine prostate cancer is and why it’s harder to catch
• The value of being a Self-Health Advocate and Prostate Cancer Thriver

📌 Whether you're navigating prostate cancer yourself or supporting someone who is, this episode offers clarity, context, and proactive advice for managing health with confidence.

🔗 For detailed show notes, curated transcripts, supplement recommendations, and exclusive member Q&As, join our membership at drgeo.com for just $19/month.

📺 Watch this episode on YouTube-

https://youtu.be/dveEqwvneug

🔔 Subscribe to stay informed on prostate health, testosterone, and erectile function

________________________ 

Introducing The Dr. Geo Prostate Podcast Exclusive Membership

We’ll continue bringing you powerful weekly episodes to support your prostate health journey. But if you’re ready to dive deeper, the Exclusive Membership gives you more: curated transcripts, detailed show notes, expert resources, and member-only perks—all designed to help you live better with age. Join HERE [https://drgeo.com/membership]

_________________________ 

Thank you to our partners

The ProLon 5-Day Fasting Mimicking Diet is a plant-based meal program designed to provide fasting benefits while allowing food intake. Developed by Dr. Valter Longo, it supports cellular renewal, fat loss, and metabolic health through low-calorie, pre-packaged meals that keep the body in a fasting state.

Special Offer: As a listener, you can get the ProLon kit for just $148 using this [https://bit.ly/3TVehAx ].

We’d also like to thank our partner AG1 by Athletic Greens. AG1 includes 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This blend supports your gut, immune system, energy, focus, and more—all in one daily scoop. https://bit.ly/3mA2tVV

_________________________ 

📌 Thanks for tuning in to this week’s episode.

Subscribe to The Dr. Geo YouTube Channel for more content like this and learn how to thrive as you age. [https://www.youtube.com/@DrGeoProstatePodcast] 

You can also listen to this episode and future episodes of The Dr. Geo Prostate Podcast by clicking [http://drgeo.com/]

Support your urological health with Dr. Geo’s supplement lines:

• XY Wellness – for prostate cancer lifestyle and nutrition - https://bit.ly/3uJPC7Z
• Mr. Happy – nutraceuticals for prostate health and male vitality
• Or visit the full Dr. Geo Supplement Store for trusted recommendations. - https://bit.ly/3RJMX6O

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn:  https://bit.ly/DRGEO-LINKEDIN-YT

Website:   https://bit.ly/43khht0 

_________________________ 

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for any direct or indirect consequences, including economic loss, injury, illness, or death.

Today on the Dr. Geo Prostate Podcast, we’re joined by world-renowned oncologist Dr. Rana McKay of UC San Diego Health. With training from Harvard and Dana-Farber, Dr. McKay breaks down the evolving landscape of triplet therapy—a combination of ADT, an ARPI (androgen receptor pathway inhibitor), and chemotherapy (docetaxel)—and how it’s changing survival outcomes for men with advanced prostate cancer.

In this enlightening and practical episode, Dr. Geo and Dr. McKay discuss:

• What triplet therapy is and how it compares to doublet therapy
• The latest clinical trials and the importance of timing treatment
• How to personalize care for high- and low-volume metastatic prostate cancer
• When to escalate treatment—and when quality of life may outweigh aggressive therapy
• The role of genomic tools like the Decipher score in decision-making
• Side effect profiles, cold therapy, fasting, and integrative strategies
• Why communication and patient values should drive treatment decisions

If you or a loved one is facing a diagnosis of advanced prostate cancer, this episode offers invaluable clarity and hope.

👉 Subscribe, share, and review the podcast to help us reach more men navigating prostate cancer and aging with strength and purpose.

________________________ 

Introducing The Dr. Geo Prostate Podcast Exclusive Membership

We’ll continue bringing you powerful weekly episodes to support your prostate health journey. But if you’re ready to dive deeper, the Exclusive Membership gives you more: curated transcripts, detailed show notes, expert resources, and member-only perks—all designed to help you live better with age. Join HERE [https://drgeo.com/membership]

_________________________ 

Thank you to our partners

The ProLon 5-Day Fasting Mimicking Diet is a plant-based meal program designed to provide fasting benefits while allowing food intake. Developed by Dr. Valter Longo, it supports cellular renewal, fat loss, and metabolic health through low-calorie, pre-packaged meals that keep the body in a fasting state.

Special Offer: As a listener, you can get the ProLon kit for just $148 using this [https://bit.ly/3TVehAx ].

We’d also like to thank our partner AG1 by Athletic Greens. AG1 includes 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This blend supports your gut, immune system, energy, focus, and more—all in one daily scoop. https://bit.ly/3mA2tVV

_________________________ 

📌 Thanks for tuning in to this week’s episode.

Subscribe to The Dr. Geo YouTube Channel for more content like this and learn how to thrive as you age. [https://www.youtube.com/@DrGeoProstatePodcast] 

You can also listen to this episode and future episodes of The Dr. Geo Prostate Podcast by clicking [http://drgeo.com/]

Support your urological health with Dr. Geo’s supplement lines:

• XY Wellness – for prostate cancer lifestyle and nutrition - https://bit.ly/3uJPC7Z
• Mr. Happy – nutraceuticals for prostate health and male vitality
• Or visit the full Dr. Geo Supplement Store for trusted recommendations. - https://bit.ly/3RJMX6O

📌 Dr. Geo’s Social Media and Websites

Instagram: https://bit.ly/DRGEO-INSTA-YT

Facebook: https://bit.ly/POD-FB-DrGeo

LinkedIn:  https://bit.ly/DRGEO-LINKEDIN-YT

Website:   https://bit.ly/43khht0 

_________________________ 

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for any direct or indirect consequences, including economic loss, injury, illness, or death.