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...

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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___________________________________

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___________________________________

📌 Follow and Connect

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

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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...

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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🔹 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

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

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.

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

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

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📣 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.