The Dr. Geo Prostate Podcast

The Dr. Geo Prostate Podcast is a show that takes an integrative approach to men's health, prostate, and functional urology to optimize their health and help them live better with age.Visit https://drgeo.com/ today to learn how to live better with age.

The Dr. Geo Prostate Podcast is a health podcast hosted by Dr. Geo Espinosa, with 188 episodes on record and a Required Pod Score of 80. PitchCentric scores this show on Booking Probability, Listen Score, and live audience signals refreshed every 24 hours.

Dr. Geo Espinosa hosts The Dr. Geo Prostate Podcast, a health show with 188 episodes published.

Our AI reads these to draft pitches. Use them as grounding for a pitch that cites a real guest and a specific topic.

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  Episode #187

  Is erectile dysfunction a symptom—or an early warning sign? with Dr. Peter Bajic

  Aug 3, 20261h 6m

  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 disease The truth about "venous leak" How erections actually work Psychological vs. physical causes of ED GLP-1 medications and testosterone explained When testosterone replacement is appropriate The biggest myths about Peyronie's disease Daily Cialis beyond erectile dysfunction Lifestyle strategies that improve sexual health The latest treatments available for men Timestamps 00:00 Introduction: ED may be your first warning sign 02:45 Why erections are a window into overall health 06:20 Psychological vs. physical erectile dysfunction 13:15 GLP-1 medications, weight loss & testosterone 18:30 Combining GLP-1 therapy with testosterone replacement 28:45 The truth about "venous leak" explained 40:05 Why most men do NOT have true venous leak 43:10 The best approach to treating erectile dysfunction 49:20 Understanding Peyronie's disease 54:20 Can Peyronie's disease be prevented? 58:00 Why daily Cialis may be one of men's most useful medications 1:01:00 Xiaflex, surgery & future Peyronie's treatments ___________________________________ 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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  Episode #186

  Is 12 Months of Hormone Therapy Enough? Radiation & AI in Prostate Cancer with Dr. Dan Spratt

  Jul 27, 202640 min

  For decades, men with high-risk prostate cancer have routinely been told they need 18 to 36 months of androgen deprivation therapy (ADT) alongside radiation. But what if 12 months is enough? In this episode of the Dr. Geo Prostate Podcast , Dr. Geo Espinosa welcomes internationally recognized radiation oncologist Dr. Dan Spratt , Chair of Radiation Oncology at University Hospitals/Case Western Reserve University, to discuss groundbreaking research that could change how advanced prostate cancer is treated. Together they explore the latest MARCAP consortium data suggesting many men may receive the same cancer control with significantly less hormone therapy—potentially reducing years of unnecessary side effects while maintaining excellent outcomes. They also discuss how physicians personalize treatment decisions, the growing role of artificial intelligence with Artera AI, and why the future of prostate cancer treatment may involve doing less, not more. If you or someone you love is facing radiation therapy for prostate cancer, this episode provides one of the most important conversations happening in prostate cancer care today. What You'll Learn ✔ Why 2-3 years of ADT may not be necessary for many patients ✔ The new evidence supporting approximately 12 months of hormone therapy ✔ Why longer hormone therapy can permanently affect testosterone recovery ✔ How physicians balance cancer control with quality of life ✔ The difference between NCCN guidelines and individualized patient care ✔ Which patients may still benefit from longer hormone therapy ✔ How AI (Artera AI) is helping personalize prostate cancer treatment ✔ Why prostate cancer care is shifting toward treatment de-intensification ✔ The future of precision medicine in radiation oncology Episode Timestamps 00:00 Introduction 01:30 Meet Dr Dan Spratt 02:22 Why ADT Lasts Years 05:42 How ADT Helps Radiation 08:49 Personalizing ADT Duration 12:39 Guidelines and Real World Use 18:03 Who Needs Long Term ADT 21:13 Artera AI Explained 23:19 Old Data and Modern Outcomes 27:28 De Intensification Future 31:33 Biomarkers for Urologists 33:57 Choosing Artera vs Decipher 37:28 Final Takeaways and Outro Key Discussion Points New MARCAP consortium analysis on ADT duration Radiation sensitivity and androgen deprivation Why many men never fully recover testosterone after prolonged ADT Balancing survival outcomes with quality of life Shared decision-making between physician and patient Genomic classifiers including Decipher AI biomarkers and Artera AI Personalized radiation oncology Modern imaging and PSMA PET De-intensifying prostate cancer treatment Precision medicine in localized prostate cancer The future of individualized prostate cancer care Resources Mentioned • MARCAP Consortium research on androgen deprivation therapy duration • NCCN Prostate Cancer Guidelines (discussed throughout the episode) • Artera AI clinical decision support platform (discussion) • Decipher genomic classifier • PSMA PET imaging • MRI-guided prostate cancer staging ___________________________________ 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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  Episode #185

  High-Dose Testosterone (BAT) for Prostate Cancer with Dr. Michael Schweizer

  Jul 21, 202655 min

  We’ve been told for decades that giving testosterone to a man with prostate cancer is like throwing gasoline on a fire. But what if, in the right context, it actually acts as the extinguisher?” It sounds like medical heresy, yet this is the foundation of Bipolar Androgen Therapy (BAT) . Imagine a treatment that intentionally cycles your hormones from extreme highs to extreme lows to "overload" cancer cells and reset their sensitivity to medicine. In this episode, we sit down with a true pioneer of this paradigm shift: Dr. Michael Schweizer . An Associate Professor at the Fred Hutchinson Cancer Center and a key architect behind the original BAT trials at Johns Hopkins, Dr. Schweizer is the scientist moving the bar for men with advanced, castrate-resistant disease. We’re moving past the fear-based dogma to look at the clinical data that proves supraphysiologic testosterone isn't just a quality-of-life booster—it’s a sophisticated weapon against resistant tumors. In this episode, you’ll learn: The "Hormone Shock" Mechanism: How flooding the body with 1,500+ ng/dL of testosterone causes "mitotic catastrophe" in cancer cells adapted to low-androgen environments. The Resensitization Secret: Why cycling BAT can actually "reset" your cancer, making drugs like Enzalutamide work again after they’ve failed. Precision Selection: Which specific genetic mutations (like TP53) might predict who becomes an "exceptional responder" to high-dose testosterone. The Sequential Strategy: Why the order of your treatments—BAT first, then RPIs—could potentially extend survival by nearly 10 months. ⏱️ Chapters 00:00 Introduction: Can Testosterone Treat Prostate Cancer? 02:00 The surprising origin of Bipolar Androgen Therapy (BAT) 04:10 ⭐ Stop & Watch: Why Charles Huggins hinted at this decades ago 07:10 Why ordinary testosterone therapy failed—and BAT didn't 08:20 ⭐ Stop & Watch: The BAT protocol explained (400 mg every 28 days) 10:00 Why BAT is only used in castration-resistant prostate cancer 14:05 ⭐ Stop & Watch: The TRANSFORMER trial—did BAT actually work? 16:20 ⭐ Stop & Watch: How BAT may make failed treatments work again 20:30 ⭐ Stop & Watch: If testosterone isn't the enemy...why do we suppress it? 22:10 ⭐ Must Watch: The biology that completely changes how we think about testosterone 24:10 How BAT damages cancer DNA 26:30 BAT, quality of life, and survival—what the evidence really shows 30:00 ⭐ Stop & Watch: The sequencing strategy that could add months of cancer control 31:30 Which patients may respond best to BAT? 33:20 ⭐ Must Watch: Why every advanced prostate cancer patient should consider genetic testing 36:00 Can someone on ADT simply start testosterone? 40:00 Where BAT fits among today's prostate cancer treatments 43:00 ⭐ Stop & Watch: BAT + Lutetium PSMA—the next frontier 45:00 How to find BAT clinical trials 47:00 Should hormone therapy ever be stopped? 53:00 Final thoughts ____________________________________ 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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  Episode #183

  Can exercise be one of the most powerful anti-cancer therapies available today? with Robert Newton

  Jun 22, 20261h 2m

  In this compelling episode of the Dr. Geo Prostate Podcast, Dr. Geo sits down with internationally renowned exercise oncology pioneer Professor Robert Newton to explore the groundbreaking science behind exercise as medicine for cancer. Inspired by his father's battle with prostate cancer, Professor Newton has spent decades researching how targeted exercise can improve treatment outcomes, preserve muscle mass, strengthen immune function, reduce treatment side effects, and potentially slow cancer progression. Together, Dr. Geo and Professor Newton discuss why muscle is far more than a movement organ—it functions as a powerful endocrine organ that releases cancer-fighting compounds known as myokines. The conversation dives deep into exercise intensity, resistance training, chemotherapy and radiation timing, wearable technology, exercise "dosing," and the landmark Phase III clinical trial that demonstrated exercise can significantly improve survival outcomes in cancer patients. They also discuss practical strategies for overcoming fear of the gym, maintaining muscle during androgen deprivation therapy (ADT), and why sitting all day may undermine your health even if you exercise regularly. Whether you're living with prostate cancer, supporting a loved one, or simply interested in maximizing your healthspan, this episode provides actionable, science-backed strategies to help you move from surviving to thriving Episode Timestamps 00:00 Introduction & Guest Welcome 03:00 Rob Newton's Father & Origin Story 09:30 Exercise as the #1 Anti-Cancer Tool 17:00 Landmark Exercise Oncology Trial 20:00 Exercise as Medicine 26:00 Resistance Training Intensity Explained 35:30 Exercise Before Radiation & Chemotherapy 40:00 Exercise Timing Around Treatment 47:00 Myokines: Muscle as Medicine 52:00 NEAT & Daily Movement 58:00 Final Takeaways & Closing Thoughts Resources Mentioned My Exercise Medicine for Cancer by Professor Robert Newton Exercise Medicine Research Institute New England Journal of Medicine Exercise Oncology Trial American Society of Clinical Oncology (ASCO) Researc ___________________________________ 🌱 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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  Episode #182

  AI, PSA, and the Future of Prostate Care with Dr. Jennifer Miles-Thomas

  May 31, 202629 minS0

  <p>Can AI help you understand your PSA, improve prostate cancer detection, and help doctors make better decisions?</p><p>In this episode, Dr. Geo sits down with Dr. Jennifer Miles-Thomas, urologist, healthcare executive, Treasurer of the American Urological Association, and Vice Chair of Integration and Innovation at Northwestern Medicine to break down how AI is changing prostate care.</p><p>We cover ChatGPT, PSA interpretation, privacy concerns, prostate MRI, digital pathology, ambient AI, and the future of prostate cancer diagnosis.</p><p>Can AI explain an elevated PSA? Which tools are best? Is your medical data private? And how...

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