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.

________________________

Introducing The Dr. Geo Prostate Podcast Exclusive Membership

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

_________________________

Thank you to our partners

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

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

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

_________________________

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

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

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

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

• XY Wellness – for prostate cancer lifestyle and nutrition -

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

_________________________

📌 Thanks for tuning in

In this episode of the Dr. Geo Prostate Podcast, Dr. Geo welcomes Dr. Alberto Vargas, Vice Chair of Oncologic Imaging at NYU Langone Health and expert in prostate cancer imaging.

They dive deep into the evolving world of diagnostic tools—MRI, PET, CT, and PSMA scans—and how these technologies help detect, monitor, and guide treatment for prostate cancer. Dr. Vargas explains the difference between imaging modalities, when to use them, and how PSMA PET scans are changing the game in identifying recurrent and metastatic disease earlier than ever before.

Key topics covered:

• MRI vs. PET vs. CT: what each scan shows and when it matters most
• The rise of PSMA PET for finding prostate cancer at extremely low PSA levels
• Why not all PET scans are the same, and how tracers like FDG, Axumin, and PSMA work
• The potential future of prostate cancer diagnosis: fewer biopsies, more imaging
• Limitations, false positives, and how imaging results are interpreted
• The role of imaging in both first-time diagnosis and recurrence

Whether you're a patient, caregiver, or clinician, this episode offers valuable insight into how imaging helps guide smart, proactive decisions in prostate cancer care.

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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 maintain the body in a fasting state.

Special Offer: Thank you for listening, you can purchase the ProLon kit for just $148 by using this link.

We’d also like to thank our partner AG1 by Athletic Greens. AG1 contains 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This special blend of ingredients supports your gut health, nervous system, immune system, energy, recovery, focus, and aging. All the essentials in one scoop. Enjoy AG1 by Athletic Greens.

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Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.

You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.

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Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.

Improve your urological health with Dr. Geo’s formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition: Mr. Happy Nutraceutical Supplements for prostate health and male optimal living.

You can also check out Dr. Geo’s online dispensary for other supplement recommendations Dr. Geo’s Supplement...

Is diet making your prostate cancer better—or worse? With countless influencers pushing plant-based diets, keto carnivores, and everything in between, it’s easy to feel overwhelmed and unsure about what to eat.

In this essential solo episode, Dr. Geo dives deep into the real science and practical insights from over 30 years of experience in nutritional research, clinical practice, and personal experimentation. Whether you're newly diagnosed, in treatment, or working on prevention, this episode will help you feel clearer, more confident, and empowered about your food choices.

You’ll learn what the research really says, why one-size-fits-all diets don’t work, and how to eat in a way that supports longevity, muscle retention, and a healthier microbiome—without guilt or confusion.

KEY POINTS FROM THE EPISODE

• There's no one-size-fits-all diet for prostate cancer.
• Every person’s condition, goals, and needs are different. Be cautious of diet “gurus” and extreme positions.
• No one food causes or cures cancer.
• Forget the hype around “superfoods” or villainizing a single food group—context, quality, and quantity matter most.
• Most people simply eat too much.
• Overeating—not any one nutrient—is a major contributor to health issues. Practice mindful eating and avoid nighttime pantry raids.
• Time-restricted eating can help.
• Consider 12:12 or 16:8 intermittent fasting based on your protein needs and lifestyle. It’s about balance, not punishment.
• Protein quality > quantity.
• About ½ gram per pound of body weight is enough for most men—especially those 60+ or on androgen deprivation therapy. Salmon is one of the best options.
• Not all meats are created equal.
• Processed meats (like cold cuts and hot dogs) and high-heat cooking methods are problematic—not grass-fed meats or lean cuts eaten in moderation.
• Complex carbs are NOT the enemy.
• Whole grains, legumes, and vegetables feed your microbiome and offer critical phytonutrients. Just watch for arsenic in certain brown rice.
• Fats should come from whole, natural sources.
• Omega-3s (like from fish oil), olive oil, avocado, and even some saturated fats can be part of a healthy plan. Avoid trans fats from fried and overly processed foods.
• Build in an “Eff-It Day.”
• Sustainability is key. Enjoy 1 day a week (or 3 meals weekly) guilt-free—no need for perfection. You can live and eat well at the same time.
• Stay empowered.
• You are not powerless. The way you eat, move, and live can positively influence your prognosis.

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

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 maintain the body in a fasting state.

Special Offer: Thank you for listening, you can purchase the ProLon kit for just $148 by using this link.

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

In this episode, Dr. Geo sits down with Jeff Nuziard, a passionate expert in men’s sexual wellness and founder of the Sexual Wellness Centers of America. Jeff shares his personal journey with erectile dysfunction (ED), the emotional toll it took, and how he developed Regen Max, the only globally patented, regenerative protocol designed to reverse ED at the root cause.

They explore the causes of ED in younger men, hormone imbalances, collagen deterioration, and cutting-edge regenerative treatments involving laser therapy, shockwave, and stem cell applications.

Key Takeaways:

Jeff’s Personal Story:

• At age 40, Jeff experienced ED despite being healthy and fit. His journey led to deep research and a PhD in Biomedical Science focused on regenerative therapies.

Causes of Erectile Dysfunction (ED):

• Hormonal decline (especially testosterone)
• Stress, emotional trauma, neurological desensitization (e.g., from porn)
• Collagen breakdown in the penile tissue
• Lifestyle factors such as sugar intake, smoking, and inactivity

Important Insights:

• Men in their 20s average 20 erections per day, which is crucial for penile health.
• Testosterone doesn’t drop because we age — we age because testosterone drops.
• ED is often the first sign of deeper health issues, like cardiovascular disease or diabetes.

The Regen Max Protocol (Patented Treatment):

A 4-step process combining:

1. Laser Therapy: Remodels collagen in the corpus cavernosum
2. Shockwave Therapy: Regenerates blood vessels
3. Stem Cell-Based Injections: Promotes rapid tissue healing
4. Hormone Optimization: Restores vitality and libido

Success Rate:

• 97.2% success in clinical trials and real-world results across licensed clinics.

Women’s Wellness:

• The clinic also treats women experiencing painful sex or low libido with regenerative therapies—though not publicly advertised.

Emotional & Relationship Impact:

• ED can be emotionally devastating; addressing the root cause can restore confidence, intimacy, and joy in relationships.

🔗 Important Links:

🌐 Regen Max Protocol Info: www.regenmax.com

🏥 Sexual Wellness Centers of America: www.swcofusa.com

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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 maintain the body in a fasting state.

Special Offer: Thank you for listening, you can purchase the ProLon kit for just $148 by using this link.

We’d also like to thank our partner AG1 by Athletic Greens. AG1 contains 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This special blend of ingredients supports your gut health, nervous system, immune system, energy, recovery, focus, and aging. All the

In this episode, Dr. Geo Espinosa speaks with Shalin Shah, CEO of Marius Pharmaceuticals, about the latest advancements in testosterone replacement therapy (TRT) and the first FDA-approved oral testosterone pill, Kyzatrex. They discuss the challenges of traditional testosterone treatments, the role of SHBG and free testosterone, and how oral testosterone therapy is changing the landscape of hormone optimization.

Shalin also shares insights on the impact of testosterone on cardiovascular health, the potential of TRT in preventing muscle loss in those using GLP-1 agonists (Ozempic, Mounjaro), and the importance of strength training for hormonal balance and longevity.

Key Topics:

• How oral testosterone therapy works and why previous versions failed

• The role of SHBG, free testosterone, and hormone optimization

• TRT vs. injections vs. gels—what’s most effective?

• Testosterone’s link to cardiovascular health and FDA concerns

• The connection between GLP-1 medications and muscle loss

• Why strength training is critical for hormonal balance

Resources & Links:

Learn More About Kyzatrex: www.kyzatrex.com

Understanding Testosterone & SHBG: www.rethinktestosterone.com

Follow Shalin Shah: @TheMetabolicCEO

Dr. Geo’s Website & Newsletter: www.drgeo.com

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

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 maintain the body in a fasting state.

Special Offer: Thank you for listening, you can purchase the ProLon kit for just $148 by using this link.

We’d also like to thank our partner AG1 by Athletic Greens. AG1 contains 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This special blend of ingredients supports your gut health, nervous system, immune system, energy, recovery, focus, and aging. All the essentials in one scoop. Enjoy AG1 by Athletic Greens.

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

Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.

You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.

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

Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.

Improve your urological health with Dr. Geo’s formulated supplement lines:XY Wellness for Prostate cancer lifestyle and...

In this episode, Dr. Geo welcomes Dr. Amy Pearlman, a renowned board-certified urologist and fellowship-trained specialist in men's sexual health, genital aesthetics, and male rejuvenation. As the Director of Men’s Health at Prime Institute in Coral Gables, Miami, Dr. Pearlman is at the forefront of cutting-edge treatments for penile length, girth, and function. Together, they dive into the facts and myths surrounding penile size concerns, evidence-based enhancement strategies, and solutions for men seeking improvements, especially after prostate cancer treatment.

Key Takeaways:

Penile Size Perception & Reality

• The average erect penile length is less than six inches, with most men underestimating their size.
• Body image concerns are common but often influenced by pornography and misinformation.
• Weight loss and pubic hair grooming can enhance the perception of length.

Medical Perspective on Small Penis Concerns

• The condition of micropenis is extremely rare.
• Many concerns stem from buried penis syndrome, often due to excess pubic fat.
• Stretched penile length (SPL) is a key indicator of actual erect length.

The Impact of Prostate Cancer Treatment on Penile Length

• Surgery and radiation can reduce penile length and girth.
• Erectile dysfunction over time leads to further shrinkage due to collagen buildup.
• Early intervention, including vacuum pumps and traction therapy, can help maintain size.

Options for Penile Length & Girth Enhancement

• Traction Therapy: RestoreX device has clinical evidence supporting penile length restoration.
• Injectable Fillers: Hyaluronic acid is a safer, non-permanent option for girth enhancement.
• Surgical Options: Cutting the suspensory ligament is controversial and not widely recommended.

The Psychological & Relationship Impact of Penile Size

• Concerns over size affect confidence and relationships.
• Many men lack proper education about normal anatomy.
• Open discussions and seeking expert advice can reduce anxiety and improve satisfaction.

Emerging Technologies & Solutions

• A new vacuum-based device, Phalback, is being explored for non-surgical enhancement.
• Ongoing advancements in urology and men’s health are expanding treatment options.

💡 Final Thoughts:
Dr. Amy emphasizes the importance of safe, evidence-based approaches for penile enhancement and encourages men to consult qualified professionals for guidance.

📌 Resources & Links:

• Dr. Amy Pearlman’s Clinic: Prime Institute (Coral Gables, Miami)

• RestoreX Traction Device: restorex.com

🎧 Listen & Subscribe:
🔔 Don’t forget to subscribe and leave a 5-star review on Apple Podcasts & Spotify to help others discover expert-backed men’s health insights.

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

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 maintain the body in a fasting state.

Special Offer: Thank you for listening, you can purchase the ProLon kit for just $148 by using this link.

We’d also like to...