Episodes

  • Prostate Terrain & Mental Fortitude: Signs of High-Functioning Addiction with Dr. Ray Zakari

    Prostate Terrain & Mental Fortitude: Signs of High-Functioning Addiction with Dr. Ray Zakari
    Mar 24 2026
    Most men haven’t seen a doctor in 10 years. They wait until a crisis hits, a "zero birthday" looms, or an addiction begins to tear their family apart. Dr. Ray Zakari is changing that by stripping away the sterile clinical walls and treating the mind, body, and soul where life actually happens: at home.As a Doctor of Nursing Practice specialized in Family Psychiatry and Primary Care, Dr. Ray offers a unique "one-stop shop" for high-performing men and families navigating the complexities of modern life.What You’ll Discover Here:Men’s Mental Health: From Gen Z to Gen X, we’re diving into the unique pressures men face today.The Truth About Addiction: Real talk on everything from "ubiquitous" marijuana and alcohol to the hidden drains of workaholism and digital dependency.Parenting with Purpose: How to stop being your child’s "friend" and start being their parent—breaking the cycle of enabling and teaching self-efficacy.The Mind-Body Connection: Understanding how stress and anxiety manifest as physical symptoms (like pelvic pain, ED, and chronic fatigue).Radical Accountability: Why "victimhood mentality" is a dead end and how to build the resilience to do hard things.Timestamps 🕒00:00 – Introduction and the "Geo" Philosophy of Aging Better 01:45 – Dr. Ray Zakari: Men’s Mental Health from Gen Z to Gen X 03:45 – Why House Calls? Escaping the 10-Minute Insurance Treadmill 05:40 – The "Zero Birthday" Crisis: Why 30, 40, and 50 are Danger Zones 07:45 – Stop the Victimhood: Why You Can’t Medicate the Past 11:00 – The Parent’s Nightmare: When Your Child is Spiraling 13:45 – Illegitimate Means: Why Your Kids Use Addiction to Cope 16:30 – The Friendship Trap: Why Being Your Kid’s "Buddy" is Failing Them 18:30 – Hard Truths: How Parents Accidentally Fund the Addiction 21:00 – Digital Junkies: Reclaiming Control Over Phones and Gaming 25:30 – The 10:15 PM Rebellion: Allowing Age-Appropriate Pushback 27:45 – Red Flags: The 3 Signs Your Teen is Losing Their Way 30:30 – The Marijuana Myth: How Today’s Weed Destroys Motivation 34:30 – Defining Addiction: When the Habit Starts Taking Your Life 38:15 – The 30-Year-Old at Home: Ending the "Gravy Train" 41:30 – When Love Becomes Dangerous: Dealing with Domestic Violence 44:00 – Narcan 101: The Life-Saving Tool Every Parent Needs 46:30 – Hidden Addictions: Porn, Workaholism, and "Liquid Courage" 51:30 – Cooking as Therapy: Building Brain Function in the Kitchen 53:45 – The Goal of Therapy: Building the Capacity to Do Hard ThingsWhether you are a professional struggling to balance high-stakes work with mental peace, or a parent trying to save a child from the brink of addiction, this channel provides the clinical expertise and "straight-talk" strategies you won't find in a 10-minute insurance-treadmill appointment.___________________________________🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership___________________________________📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm📸 Instagram → https://bit.ly/DRGEO-INSTA-YT📘 Facebook → https://bit.ly/POD-FB-DrGeo💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE🌐 DrGeo.com Website → https://bit.ly/43khht0___________________________________📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
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    57 mins
  • Prostatitis or Pelvic Dysfunction? Why Your Diagnosis Might Be Wrong with Dr. Adam Gvili

    Prostatitis or Pelvic Dysfunction? Why Your Diagnosis Might Be Wrong with Dr. Adam Gvili
    Mar 11 2026
    Have you been diagnosed with chronic prostatitis, but rounds of antibiotics like Cipro or Levoquin haven’t touched the pain? You aren’t alone. Statistics show that up to 95% of prostatitis cases are non-bacterial, meaning the root cause isn't an infection it's pelvic floor dysfunction.In this episode, Dr. Geo sits down with Dr. Adam Gvili, a leading male pelvic floor specialist and founder of Pelvis NYC. Dr. Gvili shares his personal six-year journey through pelvic pain and explains why the traditional medical model often fails men suffering from pelvic tension, urinary frequency, and sexual symptoms.Whether you are dealing with "Hard Flaccid," "Headache in the Pelvis," or chronic discomfort, this conversation provides a roadmap for what real healing looks like through nervous system retraining and specialized physical therapy.In This Episode, You’ll Discover:The Prostatitis Myth: Why the diagnosis is often a "label of exclusion" when doctors can’t find anything else.The 95% Rule: Why most pelvic pain is musculoskeletal, not bacterial.The Danger of "Floxing": Why you should be cautious of fluoroquinolone antibiotics (Cipro/Levoquin).Hypertonicity Explained: How "tight asses" and chronic guarding lead to urinary and sexual dysfunction.The Hard Flaccid Phenomenon: What is happening to the fascia and blood flow of the penis under chronic stress.Beyond Kegels: Why strengthening isn't always the answer—and why learning to relax the pelvic floor is the key to recovery.Episode Timestamps:00:00 Is Prostatitis even a real diagnosis?02:45 Dr. Gvili’s 6year personal battle with pelvic dysfunction.06:30 Why 95-98% of cases show an absence of bacteria.08:10 The danger of missing a true bacterial infection.10:45 How "Prostatitis" labels mislead men over 50.13:00 Case Study: When a "prostate" issue was actually a urinary stricture.20:30 The Black Box warning: Cipro, Levoquin, and tendon health.26:45 What a "Hypertonic" pelvic floor actually feels like.29:00 The difference between a Urologist's DRE and a Pelvic PT exam.38:30 Can you really isolate pelvic muscles?43:00 Calming the nervous system: How to unlearn the pain response.50:15 "Hard Flaccid" and the role of Buck’s Fascia in erections.52:00 Where to find Dr. Gvili and Pelvis NYC.👉 Connect with Dr. Adam Gvili:Website: https://pelvis.nyc___________________________________🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership___________________________________📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm📸 Instagram → https://bit.ly/DRGEO-INSTA-YT📘 Facebook → https://bit.ly/POD-FB-DrGeo💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE🌐 DrGeo.com Website → https://bit.ly/43khht0___________________________________📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
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    55 mins
  • Is Ignorance Bliss? Full-Body MRI, PI-RADS Confusion, and What AI Really Sees with Andrew Lacy

    Is Ignorance Bliss? Full-Body MRI, PI-RADS Confusion, and What AI Really Sees with Andrew Lacy
    Feb 25 2026
    Stop waiting for symptoms and start optimizing your longevity. In this episode, Dr. Geo sits down with Andrew Lacy, CEO of Prenuvo, to discuss how full-body MRI is fixing a reactive healthcare system that acts as a "false negative factory" during annual physicals.From the psychology of "Patient Stimulated Anxiety" to the technical reality of AI in radiology, this conversation provides a science-based blueprint for middle-aged men looking to perform better with age.Inside This Episode:The PSA Red Flag: Why a PSA above 1.0 at age 45 is a critical warning sign.PI-RADS Discordance: A case study on why one radiologist sees a "4" while another sees a "2".Prenuvo’s Method: Understanding non-contrast multiparametric MRI for risk stratification.The AI Reality: Why AI is currently a "quantitative second look" rather than a replacement for radiologists.Life-Saving Detection: Why MRI is phenomenally effective at catching pancreatic cancer early.Test, Don't Guess: Shifting from a "head-in-the-sand" mindset to informed lifestyle changes.Timestamps:00:00 Young Patient Scare00:19 Ignorance Versus Bliss02:05 Why Prenuvo Exists04:57 Scan Anxiety Tradeoff06:53 Fear Stories and Men11:05 Radiology Limits and Training14:41 PI-RADS Discordance Case17:00 How Prenuvo Fits Workup19:41 Evidence and Study Data23:18 Indolent Cancers Debate26:22 Diagnosis As Wake-Up Call27:25 Normalizing Watchful Waiting28:47 Test, Don’t Guess Mindset30:41 Connecting Symptoms To Findings31:53 Aging Mortality and Trajectory34:50 Who Should Get Scanned36:41 Baseline Scans When Healthy37:46 AI In Radiology Today41:12 What Full-Body MRI Finds Best44:33 Limits Like Arterial Plaque45:36 When Not To Get Scanned48:33 Closing Thoughts___________________________________🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership___________________________________📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm📸 Instagram → https://bit.ly/DRGEO-INSTA-YT📘 Facebook → https://bit.ly/POD-FB-DrGeo💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE🌐 DrGeo.com Website → https://bit.ly/43khht0___________________________________📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
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    51 mins
  • Rewire your Prostate with Dr. Ronald Hoffman

    Rewire your Prostate with Dr. Ronald Hoffman
    Feb 20 2026
    What if the biggest threat to your prostate health isn't your PSA, but the slow drift into inflammation, fatigue, and metabolic chaos that nobody warns you about? Today, Dr. Geo is joined by Dr. Ronald Hoffman, one of America’s most respected voices in integrative medicine and host of the Intelligent Medicine podcast. With nearly 40 years of continuous broadcasting and clinical practice, Dr. Hoffman shares his "diversified portfolio" for aging successfully.What You’ll Learn:✅ The "Mirror" Effect: Discover why your prostate is a reflection of your whole system—including hormones, blood sugar, stress, and cardiovascular health.✅ The #1 Longevity Driver: Why "purpose" and having a trajectory are more important than any supplement for preventing biological entropy.✅ Dr. Hoffman’s Supplement Protocol: Insights into the essential role of Vitamin D, Omega-3s, and advanced mitochondrial support like Urolithin A and NAD.✅ Evolving Your Exercise: Why "no pain, no gain" fails as you age and how to prioritize your "hinges" (joints) to avoid injury.✅ A 40-Year Clinical Perspective: Lessons learned from the front lines of New York medicine, from the early AIDS epidemic to working alongside Dr. Atkins.Episode Highlights:00:00 Is your PSA the most important metric? 02:40 Standing on the shoulders of giants: The history of health radio in NYC. 10:45 Epigenetics: How environment pulls the trigger on your genetic "gun." 14:30 Dr. Hoffman’s turning point from a "cerebral nerd" to a triathlete. 33:50 Key takeaways for reducing the risk of chronic disease. 38:00 The "Top 3" supplements for men’s health and longevity. 48:30 Why joint health (the "hinges") is more critical than muscle mass alone. 53:20 Rethinking "training to failure" for men over 60About Dr. Ronald Hoffman: Dr. Hoffman is the host of the Intelligent Medicine podcast and has been a leading voice in natural healthcare since 1988. He shares his experience working alongside luminaries like Dr. Atkins and his transition from conventional internal medicine to a diversified "portfolio" of health. https://drhoffman.com/___________________________________🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership___________________________________📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm📸 Instagram → https://bit.ly/DRGEO-INSTA-YT📘 Facebook → https://bit.ly/POD-FB-DrGeo💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE🌐 DrGeo.com Website → https://bit.ly/43khht0___________________________________📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
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    58 mins
  • Prostate Cancer Sex: Reclaiming Intimacy and Connection with Dr. Marriane Brandon

    Prostate Cancer Sex: Reclaiming Intimacy and Connection with Dr. Marriane Brandon
    Feb 14 2026

    Most men believe their sex life is a mechanical issue—a matter of "equipment" and blood flow. But what if the greatest barrier to your sexual recovery isn't your prostate surgery, but an invisible biological "imprint" created by your smartphone? We are currently living through a global "sex recession" where AI and digital technology are fundamentally reprogramming the human arousal template before we even touch another person. For the man facing prostate cancer, this digital shift, combined with the "Masculinity Paradox," creates a perfect storm of sexual isolation.

    Joining us to navigate this landscape is Dr. Marianne Brandon, a world-renowned licensed clinical psychologist, diplomate in sex therapy, and co-host of The Sex Doctors. With nearly thirty years of clinical experience and a deep focus on the intersection of evolutionary biology and sex tech, Dr. Brandon offers a radical roadmap for reclaiming your power in the bedroom.

    In this episode, you’ll learn:

    1. Why your "Arousal Template" might be working against your recovery and how to reset it.
    2. The "Lingerie & Music" strategy for bypassing the anxiety that shuts down your nervous system.
    3. Why post-prostatectomy orgasms can actually be more intense than before surgery.
    4. Practical clinical hacks for managing "Climacturia" (leaking during climax) without killing the mood.

    Podcast “The Sex Doctors” https://www.youtube.com/@thesexdoctorspod/videos

    Website: www.drbrandon.net (http://www.drbrandon.net)

    Seminars:https://www.tzkseminars.com/marianne-brandon-phd/


    ___________________________________

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    ___________________________________

    💪 Exclusive Membership

    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

    ___________________________________

    📌 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 →
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    52 mins
  • Lower PSA with Low-Carb Metabolic Science with Dr. Stephen Freedland

    Lower PSA with Low-Carb Metabolic Science with Dr. Stephen Freedland
    Feb 8 2026
    In this episode, Dr. Geo is joined by Dr. Steven Freeland to discuss the powerful intersection of urologic oncology and metabolic health. Dr. Freeland shares groundbreaking research on how dietary interventions—specifically low-carbohydrate protocols—can slow prostate cancer progression and counteract the metabolic damage caused by standard treatments like Androgen Deprivation Therapy (ADT).In This Episode, You’ll Learn:The Metabolic Growth Signal: Why insulin and Insulin-like Growth Factor 1 (IGF-1) are considered "fuel" for prostate cancer cells and how reducing sugar can starve that signal.The 20-Gram Protocol: Insights from Dr. Freeland’s study on ultra-low-carb diets, where participants saw a 20-pound weight loss and a significant slowing of PSA doubling time.Combatting ADT Side Effects: How a metabolic approach can improve insulin resistance by 30% and surprisingly help preserve bone density during hormone therapy.The "Slim-Fat" Reality: Why your BMI might be normal, but your visceral fat (adiposity) could still be driving inflammation and cancer growth.Clinical Markers to Watch: Why patients should ask about HOMA-IR (Insulin Resistance) and Hemoglobin A1C rather than just focusing on PSA alone.Key Quotes from the Episode:"Lifestyle intervention isn't alternative medicine; it is metabolic medicine." — Dr. Steven Freeland"Cancers need the same nutrients the body needs to grow. If we're reducing pro-growth stimuli to the whole body through weight loss and low carbs, it makes sense we're reducing it to the cancer." — Dr. Steven FreelandResources & Links Mentioned:Dr. Steven Freeland: Cedars-Sinai Faculty ProfileResearch Paper: Ultra-low carbohydrate diet and prostate cancer progression (referenced as the "20-gram study").Recommended Diet Protocol: Induction Phase Atkins (as used in the clinical trials).Clinical Markers: * HOMA-IR: (Fasting Insulin $\times$ Fasting Glucose) / 405 (or 22.5 in SI units).Hemoglobin A1C: A 90-day average of blood sugar levels.Wearables: Fitbit, Oura Ring, and Whoop (discussed in the context of tracking "active steps" and sleep quality).Episode Breakdown by Timestamp:[07:35] Breaking down the 20-gram carbohydrate trial and patient adherence.[13:45] The impact of low-carb living on PSA doubling time (extending it by over a year).[22:20] Using diet to shield the body from ADT-induced diabetes and bone loss.[34:10] Why BMI is a "good enough" tool, but adiposity is the real target.[41:00] Circadian eating: Why you are most insulin resistant at night.👉 View complete episode show notes, resources, and transcript at DrGeo.com___________________________________🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAxAG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV___________________________________💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership___________________________________📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm📸 Instagram → https://bit.ly/DRGEO-INSTA-YT📘 Facebook → https://bit.ly/POD-FB-DrGeo💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE🌐 DrGeo.com Website → https://bit.ly/43khht0___________________________________📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
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    49 mins
  • Prostate Cancer Diagnosis: Why MRI and PSMA PET Are Better with Dr. Mark Emberton

    Prostate Cancer Diagnosis: Why MRI and PSMA PET Are Better with Dr. Mark Emberton
    Feb 2 2026

    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

    ___________________________________

    🌱 Partner Offers

    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

    ___________________________________

    💪 Exclusive Membership

    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

    ___________________________________

    📌 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

    ___________________________________

    ⚠️ 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 or indirect consequences, including economic loss, injury, illness, or death.
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    1 hr and 6 mins
  • Dr. Morgentaler Debunks Myths about Testosterone & Prostate Cancer

    Dr. Morgentaler Debunks Myths about Testosterone & Prostate Cancer
    Jan 11 2026

    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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    ⚠️ 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.
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    1 hr and 22 mins