In this episode, Dr. Geo shares a practical guide to choosing the right prostate cancer treatment. Broadcasting from the American Urological Association meeting in Las Vegas, he explains how to navigate overwhelming advice, ask better questions, and make confident, informed decisions based on your diagnosis, values, and personal goals.

• Why it's important to gather multiple opinions before deciding on a treatment.
• How to weigh treatment options based on potential cure rates and side effects.
• The role of your personal values and intuition in making the final decision.
• Why bringing a supportive partner to medical visits can make a big difference.
• How lifestyle medicine can help reduce the risk of recurrence after treatment.

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Introducing The Dr. Geo Prostate Podcast Exclusive Membership

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

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Thank you to our partners

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

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

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

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

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

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

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

• XY Wellness – for prostate cancer lifestyle and nutrition -

In this episode of the Dr. Geo Prostate Podcast, we welcome Dr. Jonathan Lischalk, Director of Genitourinary Cancers at MedStar Georgetown University Hospital and former Medical Director at NYU’s NYCyberKnife Center. Dr. Lischalk breaks down the evolution of radiation oncology and how cutting-edge imaging and targeted SBRT (Stereotactic Body Radiation Therapy) are reshaping prostate cancer treatment.

We explore how imaging advances like MRI and PSMA PET scans are enabling unprecedented precision, the future of genetic-based personalization in prostate cancer therapy, and why fewer, more focused radiation sessions might soon become the new standard. From understanding the biology of radiation dosing to upcoming trials eliminating ADT in select patients, this is a must-listen for anyone looking to stay informed on the forefront of cancer care.

🔑 Key Learning Points:

• What is SBRT?
• SBRT delivers high-dose radiation with sub-millimeter precision over fewer sessions, minimizing harm to healthy tissue.
• The evolution of imaging:
• MRI and PSMA PET scans now allow radiation to be personalized based on tumor location and surrounding anatomy.
• Radiation then vs. now:
• From “clouds” of radiation in the '90s to sculpted beams today—Dr. Lischalk likens this transformation to upgrading from a flip phone to an iPhone.
• Radiation dose explained:
• It’s not just how much radiation, but how it’s delivered—larger, more targeted doses in fewer sessions are more effective and less burdensome.
• Personalized radiation planning:
• Every radiation plan is customized based on imaging, anatomy, and now genetics. This improves outcomes and reduces side effects.
• The future of personalization:
• Dr. Lischalk discusses new research using genetic tests (like Decipher) to determine who needs radiation, who may avoid ADT, and who may benefit from one single treatment.
• SBRT vs. IMRT and Proton Therapy:
• Head-to-head comparisons show SBRT is equally effective with less treatment time—though more trials are underway, especially for proton therapy.

________________________

Introducing The Dr. Geo Prostate Podcast Exclusive Membership

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

_________________________

Thank you to our partners

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

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

We’d also like to thank our partner AG1 by Athletic Greens. AG1 includes 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This blend supports your gut, immune...

How powerful is exercise in the fight against advanced prostate cancer? Dr. Geo speaks with world-renowned exercise oncology expert Dr. Rob Newton from Australia, whose groundbreaking research has shaped how clinicians approach fitness and cancer care. From bone metastasis to androgen deprivation therapy (ADT), Dr. Newton explains how the right exercise, at the right dose, can not only improve quality of life but potentially extend it.

Together, they explore the science, practical guidelines, and inspiring stories behind using movement as medicine—even for men with metastatic, castration-resistant disease.

Key Takeaways

• Exercise is medicine for men with prostate cancer—including advanced and metastatic cases.
• Resistance training helps preserve or build muscle during androgen deprivation therapy (ADT), reducing side effects like fatigue, bone loss, and metabolic issues.
• Even with bone metastases, exercise can be done safely with modified strength programs—no increase in fractures observed in studies.
• Muscle strength and fitness are strongly linked to lower cancer-related and all-cause mortality.
• Myokines released from working muscles have direct anti-cancer effects and support immune function.
• Focus on large muscle groups (legs, back, chest) using moderate to heavy weights—6 to 15 reps per set.
• Tailor workouts to the individual: more strength training for muscle loss, more cardio for heart/metabolic risk.
• Periodized, varied routines improve outcomes and help patients tolerate treatments like chemo better.

_________________________

Introducing The Dr. Geo Prostate Podcast Exclusive Membership

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

_________________________

Thank you to our partners

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

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

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

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📌 Thanks for tuning in