The Dr. Geo Prostate Podcast

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 Learn1. Why Medications May Not Be the Best First StepMost prostate medications manage symptoms—but don’t fix the problemLong-term use may come with side effects and limited improvementMany men stay on meds for years without real resolution2. The Shift Toward Personalized Prostate CareNot all urinary symptoms come from the prostateKey contributors include:DiabetesSleep apneaAnxietyTreating the whole patient, not just the prostate, leads to better outcomes3. 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 precisionGuided by real-time ultrasound imagingNo heat (unlike lasers or steam)Customized treatment plan for each patient4. Why Aqua Ablation is a Game ChangerCompared to traditional procedures:✅ Lower risk of sexual side effects✅ Minimal risk of incontinence✅ Faster recovery✅ Highly durable resultsResults: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 menAqua ablation preserves it in 90%+ of casesMany other procedures result in permanent dry orgasm6. 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 levelUrinary flow strengthPost-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-relatedBladder function must be consideredUrodynamics are only used in complex cases, not routine ones8. The Future: Prostate Cancer ApplicationsEarly data suggests aqua ablation may:Improve urinary symptomsPotentially reduce cancer burden in some patientsCould evolve into a whole-gland treatment approach⚠️ Still emerging—but very promising💡 Key TakeawaysMedications are not always the best long-term solutionTreat the patient, not just the prostateAqua ablation offers a precision, low-side-effect alternativeSexual function preservation is a major differentiatorThe future may include dual treatment for BPH + prostate cancer👨‍⚕️ About the GuestDr. Brian HelfandClinical Professor, University of ChicagoMD, PhDAuthor of 270+ peer-reviewed studiesExpert in prostate cancer and precision medicine📞 Phone: 847-503-3000 🌐 Website: Endeavor Health (under development)This conversation goes beyond procedures. It challenges the traditional “medication-first” approach and explores how personalized, data-driven care can transform outcomes for men.👉 View complete episode show notes, resources, and transcript at DrGeo.com___________________________________🌱 Partner OffersProLon 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/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant 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___________________________________⚠️ DisclaimerThis 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.What You’ll Discover Here:Men’s Mental Health: From Gen Z to Gen X, we’re diving into the unique pressures men face today.The Truth About Addiction: Real talk on everything from "ubiquitous" marijuana and alcohol to the hidden drains of workaholism and digital dependency.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.The Mind-Body Connection: Understanding how stress and anxiety manifest as physical symptoms (like pelvic pain, ED, and chronic fatigue).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 ThingsWhether 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.___________________________________🌱 Partner OffersProLon 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/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant 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___________________________________⚠️ DisclaimerThis 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:The Prostatitis Myth: Why the diagnosis is often a "label of exclusion" when doctors can’t find anything else.The 95% Rule: Why most pelvic pain is musculoskeletal, not bacterial.The Danger of "Floxing": Why you should be cautious of fluoroquinolone antibiotics (Cipro/Levoquin).Hypertonicity Explained: How "tight asses" and chronic guarding lead to urinary and sexual dysfunction.The Hard Flaccid Phenomenon: What is happening to the fascia and blood flow of the penis under chronic stress.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___________________________________🌱 Partner OffersProLon 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/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant 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___________________________________⚠️ DisclaimerThis 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.Inside This Episode:The PSA Red Flag: Why a PSA above 1.0 at age 45 is a critical warning sign.PI-RADS Discordance: A case study on why one radiologist sees a "4" while another sees a "2".Prenuvo’s Method: Understanding non-contrast multiparametric MRI for risk stratification.The AI Reality: Why AI is currently a "quantitative second look" rather than a replacement for radiologists.Life-Saving Detection: Why MRI is phenomenally effective at catching pancreatic cancer early.Test, Don't Guess: Shifting from a "head-in-the-sand" mindset to informed lifestyle changes.Timestamps:00:00 Young Patient Scare00:19 Ignorance Versus Bliss02:05 Why Prenuvo Exists04:57 Scan Anxiety Tradeoff06:53 Fear Stories and Men11:05 Radiology Limits and Training14:41 PI-RADS Discordance Case17:00 How Prenuvo Fits Workup19:41 Evidence and Study Data23:18 Indolent Cancers Debate26:22 Diagnosis As Wake-Up Call27:25 Normalizing Watchful Waiting28:47 Test, Don’t Guess Mindset30:41 Connecting Symptoms To Findings31:53 Aging Mortality and Trajectory34:50 Who Should Get Scanned36:41 Baseline Scans When Healthy37:46 AI In Radiology Today41:12 What Full-Body MRI Finds Best44:33 Limits Like Arterial Plaque45:36 When Not To Get Scanned48:33 Closing Thoughts___________________________________🌱 Partner OffersProLon 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/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant 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___________________________________⚠️ DisclaimerThis 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.Episode Highlights: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 60About 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/___________________________________🌱 Partner OffersProLon 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/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant 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___________________________________⚠️ DisclaimerThis 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:Why your "Arousal Template" might be working against your recovery and how to reset it.The "Lingerie & Music" strategy for bypassing the anxiety that shuts down your nervous system.Why post-prostatectomy orgasms can actually be more intense than before surgery.Practical clinical hacks for managing "Climacturia" (leaking during climax) without killing the mood.Podcast “The Sex Doctors” https://www.youtube.com/@thesexdoctorspod/videosWebsite: www.drbrandon.net (http://www.drbrandon.net)Seminars:https://www.tzkseminars.com/marianne-brandon-phd/___________________________________🌱 Partner OffersProLon 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/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant 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___________________________________⚠️ DisclaimerThis 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).In This Episode, You’ll Learn: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.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.Combatting ADT Side Effects: How a metabolic approach can improve insulin resistance by 30% and surprisingly help preserve bone density during hormone therapy.The "Slim-Fat" Reality: Why your BMI might be normal, but your visceral fat (adiposity) could still be driving inflammation and cancer growth.Clinical Markers to Watch: Why patients should ask about HOMA-IR (Insulin Resistance) and Hemoglobin A1C rather than just focusing on PSA alone.Key Quotes from the Episode:"Lifestyle intervention isn't alternative medicine; it is metabolic medicine." — Dr. Steven Freeland"Cancers need the same nutrients the body needs to grow. If we're reducing pro-growth stimuli to the whole body through weight loss and low carbs, it makes sense we're reducing it to the cancer." — Dr. Steven FreelandResources & Links Mentioned:Dr. Steven Freeland: Cedars-Sinai Faculty ProfileResearch Paper: Ultra-low carbohydrate diet and prostate cancer progression (referenced as the "20-gram study").Recommended Diet Protocol: Induction Phase Atkins (as used in the clinical trials).Clinical Markers: * HOMA-IR: (Fasting Insulin $\times$ Fasting Glucose) / 405 (or 22.5 in SI units).Hemoglobin A1C: A 90-day average of blood sugar levels.Wearables: Fitbit, Oura Ring, and Whoop (discussed in the context of tracking "active steps" and sleep quality).Episode Breakdown by Timestamp:[07:35] Breaking down the 20-gram carbohydrate trial and patient adherence.[13:45] The impact of low-carb living on PSA doubling time (extending it by over a year).[22:20] Using diet to shield the body from ADT-induced diabetes and bone loss.[34:10] Why BMI is a "good enough" tool, but adiposity is the real target.[41:00] Circadian eating: Why you are most insulin resistant at night.👉 View complete episode show notes, resources, and transcript at DrGeo.com___________________________________🌱 Partner OffersProLon 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/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant 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___________________________________⚠️ DisclaimerThis 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 needle02:45 – Innovation in urologic oncology06:45 – Rising cancer rates in younger men10:15 – How MRI prevents unnecessary biopsies12:30 – The PI-RADS "Traffic Light" system13:45 – PSA Density: The diagnostic tie-breaker16:30 – Diagnosing without a biopsy21:00 – AI's role in faster, cheaper MRIs26:45 – Visible vs. Invisible Cancer: What matters?35:30 – The "Transform" Study & global screening42:45 – PSMA PET Scans: Pre-biopsy utility48:00 – Focal Therapy: Saving the "clockwork"56:45 – Why tumor location (Anterior) matters58:30 – Lifestyle and the "Teachable Moment"01:03:30 – Final advice for patients and policyConnect with Dr. Mark Emberton: UCL Profile: https://profiles.ucl.ac.uk/mark-emberton___________________________________🌱 Partner OffersProLon 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/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant 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___________________________________⚠️ DisclaimerThis 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 treatmentThis episode is educational and designed to help you walk into your next doctor’s visit with better questions and clearer understanding.⏱️ CHAPTERS00:00 — TRT + prostate cancer: the myth that won’t die01:00 — Who is Dr. Abraham Morgentaler (why he matters) 04:00 — The Harvard lizard lab: how testosterone shaped his thinking10:00 — Pre-Viagra era + why he started testing testosterone in men18:00 — The turning point: finding prostate cancer in men with low T21:00 — 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 life40:00 — 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 sense53:00 — 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🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet → https://bit.ly/3TVehAxAG1 by Athletic Greens → https://bit.ly/3mA2tVV💪 Exclusive Membership Unlock curated transcripts, detailed show notes, expert resources, and perks.Join here → https://drgeo.com/membership📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — / @drgeoprostatepodcast🎧 All 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🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE🌐 DrGeo.com Website → https://bit.ly/43khht0📣 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 function00:31:00 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.___________________________________🌱 Partner OffersProLon 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/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant 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___________________________________⚠️ DisclaimerThis 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.