The Dr. Geo Prostate Podcast

What if the fatigue, brain fog, joint pain, and low energy you've been blaming on aging are actually signs of chronic inflammation? And what does that mean for your prostate health, testosterone, and long-term wellness?In this episode of the Dr. Geo Prostate Podcast, Dr. Geo Espinosa welcomes Dr. Shivani Gupta, Ayurvedic practitioner, turmeric researcher, and author of The Inflammation Code, for an eye-opening conversation about the hidden role inflammation may play in how men feel, function, and age.From the science of turmeric and curcumin to the potential benefits of ginger, boswellia, and ashwagandha, Dr. Gupta shares how ancient Ayurvedic wisdom intersects with modern research.They also explore the connection between chronic inflammation and enlarged prostate (BPH), prostatitis, testosterone, gut health, and sleep—and the everyday choices that may help support a healthier future.🔥 In This Episode, You'll Discover:🟠 Inflammation vs. Aging: Could fatigue, brain fog, and joint pain be signs of chronic inflammation rather than aging?🟠 Prostate Health: Explore the connection between chronic inflammation, BPH, prostatitis, and prostate health.🟠 The Power of Curcumin: Discover turmeric's potential anti-inflammatory and antioxidant benefits.🟠 Better Turmeric Absorption: Black pepper, healthy fats, and what makes a difference.🟠 Beyond Turmeric: How ginger, ashwagandha, and boswellia may support overall wellness.🟠 The #1 Lifestyle Habit: Why quality sleep is essential for managing inflammation.🟠 Testosterone & Men's Health: What science says about curcumin, DHT, and hormone health.📚 Chapters 00:00 – Are You Aging or Inflamed? The Hidden Warning Signs02:00 – Acute vs. Chronic Inflammation: What's the Difference?03:30 – Brain Fog, Joint Pain & Fatigue: Understanding “Inflammaging”06:00 – Can Lifestyle Changes Help Control Inflammation?07:40 – The Blood Tests That May Reveal Inflammation10:45 – Why Exercise Can Temporarily Raise Inflammatory Markers13:35 – Turmeric & Curcumin: The Ancient Spice Behind Modern Research16:00 – How Curcumin Influences Inflammatory Pathways18:45 – Curcumin, Enlarged Prostate (BPH) & Men's Health20:00 – How Much Curcumin Is Too Much? Discussing Dosage and Safety22:00 – Curcumin Absorption: Black Pepper vs. Healthy Fats25:30 – Beyond Turmeric: Ginger, Ashwagandha & Boswellia27:30 – Why Combining Botanicals May Offer Complementary Benefits32:00 – The #1 Habit to Address Chronic Inflammation34:00 – Sleep Rituals, Screen Time & Better Recovery36:00 – Small Daily Habits That Support a Healthier Lifestyle37:00 – Omega-3s, Vitamin D & Nutrition for Inflammation38:20 – Does Curcumin Affect Testosterone or DHT?40:00 – Curcumin, Prostatitis, Blood Flow & Prostate Health41:40 – Dr. Gupta's Final Advice for Healthy Aging🌿 About Our GuestDr. Shivani Gupta is an Ayurvedic practitioner, entrepreneur, and researcher specializing in turmeric and curcumin. She is the author of The Inflammation Code and shares integrative wellness strategies rooted in Ayurveda and contemporary research.Learn more: https://www.drshivani.comInstagramThe Inflammation Code Podcast📕 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. 📌 Thank You to Our Sponsors🔹 mdxhealth | Exo-MDxElevated PSA? Wondering if a prostate biopsy is your next step? Exo-MDx is a simple, non-invasive urine test, with an at-home collection option, that helps assess your risk of clinically significant prostate cancer. If you're 50 or older with a PSA between 2–10 ng/mL, ask your doctor if Exo-MDx is right for you.🔗 For Patients: https://mdxhealth.com/exo-mdx-for-patients/🔗 For Physicians & Healthcare Providers: https://bit.ly/48tfXaz🔹 RestoreX® | Peyronie's Disease TreatmentRestoreX® is designed to address penile curvature, indentation, and lost length associated with Peyronie's disease.🔗 Learn More: https://bit.ly/4i8niC0Consult your healthcare provider and review the applicable Instructions for Use before beginning treatment. Individual results may vary.📲 CONNECT WITH DR. GEOInstagram: https://bit.ly/DRGEO-INSTA-YTFacebook: https://bit.ly/POD-FB-DrGeoLinkedIn: https://bit.ly/DRGEO-LINKEDIN-YTWebsite: https://bit.ly/43khht0💊 PROSTATE & MEN'S HEALTH SUPPLEMENTSXY Wellness – Prostate Healthhttps://bit.ly/3uJPC7ZMr. Happy – Supplements for Menhttps://bit.ly/3RJMX6O---DISCLAIMER:This audio is educational and does not constitute medical advice. This audio's content is my opinion, not that of my employer(s) or any affiliated company. Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages resulting from using the information in this video, including but not limited to economic loss, injury, illness, or death.

A new curve in the penis is rarely just a cosmetic change. In this episode, Dr. Geo revisits his conversation with Dr. Petar Bajic, Medical Director for Urology at Cleveland Clinic Main Campus and Director of Men’s Health at the Glickman Urological Institute, to unpack what Peyronie’s disease actually is — and what can be done about it.Peyronie’s affects roughly one in ten men, yet more than 80% of them can’t recall the injury that triggered it. Dr. Bajic explains why the condition is better understood as a genetic predisposition to over-exuberant scarring than as the result of a single traumatic event, how that scar tissue interferes with the valve mechanism that holds an erection, and why curvature is only one of several possible changes — lost length, lost girth, and hourglass indentation are just as common.The conversation then turns practical: what Dr. Bajic puts every newly diagnosed patient on, where traction therapy genuinely helps and where it doesn’t, the difference between Xiaflex injections and actual surgery, and the one red flag that should send you looking for a second opinion. If you’ve noticed a change in shape, firmness, or length, this one is worth your time.Key Points🟠 Peyronie’s disease affects approximately 1 in 10 men, most commonly in their 50s and 60s.🟠 Abnormal scar tissue can cause penile curvature, shortening, narrowing, and erectile dysfunction.🟠 Over 80% of men don’t recall a specific injury, suggesting repeated microtrauma may play a role.🟠 Early treatment matters. Peyronie’s typically progresses for 6–18 months before stabilizing.🟠 Penile traction therapy may help restore lost length. Xiaflex injections combined with traction can improve curvature in eligible patients.🟠 There is no conclusive evidence that supplements effectively treat Peyronie’s disease.🟠 Surgery may help in severe cases, but the goal is a functional erection, not necessarily a perfectly straight penis.🟠 If your provider offers only one treatment option, consider getting a second opinion.⏱️ CHAPTERS00:00 — What a sudden curve can really mean01:00 — Disclaimer and introducing Dr. Petar Bajic01:50 — Dr. Geo’s question: do firmer erections protect against Peyronie’s?03:20 — What Peyronie’s disease actually is — and who gets it04:20 — Why scar tissue makes the penis bend05:00 — Beyond curvature: length, girth, indentation, and erection hardness05:40 — The 80% who don’t remember an injury06:40 — “Erectile insufficiency” as a possible trigger07:00 — Why low-dose daily Cialis is the first thing he prescribes07:45 — Centuries of failed remedies and the supplement question08:30 — Sponsor: RestoreX traction therapy09:05 — The newly diagnosed protocol, and the one-option red flag09:50 — How hard does an erection actually need to be?11:00 — The broader case for 5 mg daily tadalafil11:50 — What tadalafil doesn’t replace12:30 — Why measuring Peyronie’s improvement is so difficult13:40 — Xiaflex vs. traction: what gives the most bang for the buck15:00 — When surgery is the right answer15:50 — What’s still left to cover: shockwave, implants, GLP-1s, TRT16:20 — How to reach Dr. Bajic17:00 — Why Dr. Geo keeps doing this📕 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.📌Thank You To Our SponsorsRestoreX® is designed to address penile curvature, indentation, and lost length associated with Peyronie's disease. https://bit.ly/4i8niC0Consult your healthcare provider and review the applicable Instructions for Use before beginning treatment. Individual results may vary.📌 Dr. Geo’s Social Media and WebsitesInstagram: https://bit.ly/DRGEO-INSTA-YTFacebook: https://bit.ly/POD-FB-DrGeo LinkedIn: https://bit.ly/DRGEO-LINKEDIN-YT Website: https://bit.ly/43khht0💊 Prostate & Male Health Supplements XY Wellness-Prostate Health Supplements - https://bit.ly/3uJPC7ZMr. Happy- Supplements for Men- https://bit.ly/3RJMX6O ________________________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content is my opinion, not that of my employer(s) or any affiliated company. Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages resulting from using the information in this video, including but not limited to economic loss, injury, illness, or death.

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.📚 Chapters00:00 Are Peptides Really Safe?03:00 What Are Peptides?08:00 FDA-Approved vs. Experimental Peptides10:00 Compounding Pharmacies Explained13:00 The Dangers of Online Peptides16:00 FDA Regulations and Peptide Access19:00 GLP-1 Medications and Proper Dosing24:00 BPC-157 for Injury Recovery27:00 BPC-157 and Prostate Cancer Concerns30:00 TB-500 and Immune Health35:00 MOTS-c and Mitochondrial Aging38:00 Epitalon, Sleep, and Growth Hormone43:00 DSIP, Semax, and Brain Health47:00 Oral vs. Injectable Peptides51:00 How to Identify Unsafe Peptides55:00 Long-Term Risks and Peptide Overuse59:00 Dr. LaValle's Work and ResourcesPeptides 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 LaValleWebsite: https://jimlavalle.comInstagram: @therealjimlavalle📌 Thank You To Our SponsorsSponsored 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 WebsitesInstagram: https://bit.ly/DRGEO-INSTA-YTFacebook: https://bit.ly/POD-FB-DrGeoLinkedIn: https://bit.ly/DRGEO-LINKEDIN-YTWebsite: https://bit.ly/43khht0XY Wellness – Prostate Health Supplements: https://bit.ly/3uJPC7ZMr. Happy – Supplements for Men: https://bit.ly/3RJMX6O📣 Hashtags#DrGeoProstatePodcast #Peptides #BPC157 #AntiAging #Longevity #ProstateHealth #MensHealth #FDA #IntegrativeMedicine⚠️ 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.

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.📚 Chapters00:00 Sex Recovery Starts Early05:28 Why Erections Fail07:36 Radiation And ADT Effects11:07 Collagenization Explained12:39 Modern Penile Rehab Plan16:14 Choosing A Prostate Surgeon19:49 Orgasms After Prostatectomy21:38 Erection Recovery Timeline24:19 Confidence And Intimacy34:34 Injection Safety Standards40:48 Testosterone Before Treatment45:24 ADT Risks and PSA Monitoring56:32 When to Consider Implants59:37 Choosing the Right PDE5 Pill01:01:23 Trials and Where to Find JohnThis is the conversation men need before treatment—not months after sexual function has already changed.Dr. Mulhall X handle@saveyoursexlifeWebsite: 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 SponsorsSponsored 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 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___________________________________📌 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___________________________________⚠️ 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 causes Peyronie’s disease? Can penile curvature be reversed without surgery? And what actually works to restore lost penile length?In this episode of the Dr. Geo Prostate Podcast, Dr. Geo Espinosa welcomes Dr. Landon Trost, former Chief of Andrology at Mayo Clinic and a leading researcher in Peyronie’s disease and men's sexual health.Together, they separate science from misinformation and explore the latest research on Peyronie’s disease, Xiaflex injections, RestoreX penile traction therapy, and why early intervention may make a significant difference.Dr. Trost also shares the research behind combining Xiaflex with RestoreX, why some commonly recommended treatments lack convincing evidence, and what men should understand before considering surgery.Whether you've recently noticed penile curvature, are experiencing lost length, or are exploring treatment options, this conversation offers valuable insights to help you make more informed decisions about your sexual health.IN THIS EPISODE, YOU'LL LEARN:What causes Peyronie’s disease and how genetics may contribute.The connection between Peyronie’s disease and Dupuytren’s contracture.Why popular remedies like pentoxifylline, castor oil, and manual stretching may not deliver the results men expect.When penile curvature requires treatment and why early intervention matters.How erectile quality and penile trauma may influence risk.How Peyronie’s disease is diagnosed.The science behind Xiaflex injections and RestoreX traction therapy.What clinical trials reveal about restoring lost penile length.How often RestoreX was used in clinical studies and how long improvements may last.The potential side effects of Xiaflex and when surgery may be considered.The psychological impact of Peyronie’s disease and the future of treatment.📚 Chapters 00:00 Introduction: Can Peyronie’s Disease Be Reversed?01:40 Meet Dr. Landon Trost06:30 What Causes Peyronie’s Disease?07:50 Genetics and Dupuytren’s Contracture 09:15 Common Myths and Ineffective Treatments15:20 When Does Penile Curvature Need Treatment?16:50 Why Early Treatment Matters20:00 Can You Prevent Peyronie’s Disease?25:30 How Peyronie’s Disease Is Diagnosed28:00 Early Treatment Options31:00 Traction Therapy and Restoring Lost Length32:30 Why Xiaflex + RestoreX Work Better Together38:15 The Science Behind RestoreX41:15 How Often Should You Use RestoreX?🎙️ GUESTDr. 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 SponsorsSponsored 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 WebsitesInstagram: https://bit.ly/DRGEO-INSTA-YTFacebook: https://bit.ly/POD-FB-DrGeoLinkedIn: https://bit.ly/DRGEO-LINKEDIN-YTWebsite: https://bit.ly/43khht0XY Wellness- Prostate Health Supplements - https://bit.ly/3uJPC7ZMr. Happy- Supplements for Men- https://bit.ly/3RJMX6O___________________________________💪 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.

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 therapyIf 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 TIMESTAMPS00:00 – The prostate cancer decisions you can’t easily take back08:00 – Elevated PSA: Do you really need a biopsy?12:00 – How MRI can help some men avoid biopsy16:00 – PSA density, MRI & deciding whether to biopsy17:00 – Transperineal vs. transrectal prostate biopsy19:00 – PREVENT & TRANSLATE studies: infection and cancer detection22:00 – The learning curve for transperineal biopsy26:00 – Why transperineal biopsy may avoid antibiotics36:00 – 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 surgeon51:00 – What are good erectile-function outcomes after surgery?55:00 – Nerve sparing: the surgical details that may affect erections59:00 – The 3 questions to ask BEFORE prostate surgery1:03:00 – Active surveillance for Gleason 6 / Grade Group 11:06:00 – Focal therapy: Where does it fit?1:10:00 – Erectile dysfunction & incontinence after prostate surgery1:11:00 – Prostate surgery after radiation or focal therapy1:12:00 – PSMA PET scans, recurrence & salvage treatment🔗 RESOURCES & RESEARCHDr. Jim Hu — Weill Cornell Medicinehttps://weillcornell.org/jimhuFollow Dr. Hu on X:@jimhumdPREVENT Trial — JAMA Oncologyhttps://jamanetwork.com/journals/jamaoncology/fullarticle/2823969Memorial Sloan Kettering Prostate Cancer Nomogramhttps://www.mskcc.org/nomograms/prostateUK TRANSLATE Prostate Biopsy Study — The Lancet Oncologyhttps://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(25)00100-7/fulltextMichigan 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.___________________________________💪 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 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 Question00:54 Podcast Disclaimers01:33 Meet Dr Wassersug03:59 Diagnosis And Early Treatment04:58 Finding Estradiol Research07:29 Lupron Side Effects And Sleep08:48 Why Men Need Estradiol11:00 Switching To Estradiol15:13 NEJM Patch Trial Breakdown20:53 Gynecomastia And Management24:07 Real World Patient Stories25:20 Sponsor Message Break27:51 Access Barriers And Limits29:03 ADT Protocols and Sleep31:32 Estradiol Targets and Ratios37:23 Patch vs Gel Dosing39:10 Combining ADT With Estradiol42:52 Who Benefits Most44:18 PATCH Study Scope and Add-Ons47:33 Getting Estradiol Prescribed50:23 Suffering Mindset and Sexual Health54:48 Active Surveillance Trial Ideas___________________________________💪 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 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.___________________________________💪 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 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.Chapterts00:00 Food Myths Intro00:55 Podcast Disclaimer01:34 Why Nutrition Confuses03:34 Principle One No Guilt04:46 Stress Exercise Absorption08:57 No Magic Foods12:55 How Cancer Signals Work16:40 Processed Foods And Portions21:02 Best Diet Patterns25:11 Protein And Muscle28:38 Meat Poultry Fish31:23 Carbs And Fats35:48 Fasting And Overeating37:17 Thrive After Diagnosis👉 subscribe to RX3 Thursdays- https://bit.ly/3UyPJ2M___________________________________🌱 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.

Dr. Geo welcomes Dr. Peter Bajic, Medical Director for Urology at Cleveland Clinic Main Campus and Director of Men's Health at the Glickman Urological Institute, for an evidence-based conversation about erectile dysfunction, testosterone, Peyronie's disease, and the biggest myths in men's sexual medicine.They explore why erections reflect cardiovascular health, why "venous leak" is often misunderstood, how GLP-1 medications may temporarily influence testosterone during weight loss, and when testosterone replacement therapy is actually appropriate.The episode also covers Peyronie's disease, treatment options including daily tadalafil and traction therapy, and practical lifestyle changes that can improve both sexual function and long-term health.If you've ever wondered whether ED is psychological, physical, hormonal—or all three—this episode delivers clear answers backed by today's science.In this episode you'll learn:Why erectile dysfunction often predicts cardiovascular diseaseThe truth about "venous leak"How erections actually workPsychological vs. physical causes of EDGLP-1 medications and testosterone explainedWhen testosterone replacement is appropriateThe biggest myths about Peyronie's diseaseDaily Cialis beyond erectile dysfunctionLifestyle strategies that improve sexual healthThe latest treatments available for menTimestamps00:00 Introduction: ED may be your first warning sign02:45 Why erections are a window into overall health06:20 Psychological vs. physical erectile dysfunction13:15 GLP-1 medications, weight loss & testosterone18:30 Combining GLP-1 therapy with testosterone replacement28:45 The truth about "venous leak" explained40:05 Why most men do NOT have true venous leak43:10 The best approach to treating erectile dysfunction49:20 Understanding Peyronie's disease54:20 Can Peyronie's disease be prevented?58:00 Why daily Cialis may be one of men's most useful medications1:01:00 Xiaflex, surgery & future Peyronie's treatments___________________________________💪 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.