Intellectual Medicine

A man in his 60s feels healthy, but his PSA has climbed above 16 and his MRI shows a PI-RADS 5 lesion. With the focus firmly on prostate cancer, Dr. Stephen Petteruti asks a different question: what else was wrong?Dr. Petteruti follows his patient’s story and challenges the idea that PSA alone should determine whether a patient’s treatment is successful. He discusses his approach to biopsy, monitoring, repeat MRI and PRECISE scoring, and why he always considers disease stability, symptoms and quality of life alongside PSA trends.Then another test changes the picture. A coronary calcium scan reveals a score over 900, uncovering a significant cardiovascular risk that had received far less attention than the patient’s prostate cancer.Through the episode, Dr. Petteruti explores a larger question: when treating cancer, are we focusing so closely on the disease and its numbers that we risk overlooking the health of the person living with it?Timestamps: (00:29) How should we define successful prostate cancer treatment? (01:52) A patient with a PSA over 16 (02:30) What a PI-RADS 5 MRI means (03:08) Dr. Petteruti’s perspective on prostate biopsy (04:59) Stability versus curing prostate cancer (06:59) Using MRI and PRECISE scoring to monitor progression (08:10) Looking beyond prostate cancer to overall health (10:16) The heart scan that revealed a calcium score over 900 (11:31) Does lowering PSA always mean treatment is working? (12:08) When treatment becomes focused on the number instead of the patientEnjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care.📚 ResourcesDr. Petteruti Men's Vitality Grouphttps://www.intellectualmedicine.com/membershipFight Cancer Like a Manhttps://www.amazon.com/Fight-Cancer-Like-Man-Breakthrough/dp/B0GP6JHQTQDr. Petteruti's Newsletterhttps://drstephenpetteruti.substack.com/subscribePodcast Show Noteshttps://www.intellectualmedicine.com/podcast-notes🌐 Learn MoreDr. Stephen Petterutihttps://www.drstephenpetteruti.com/Intellectual Medicinehttps://www.intellectualmedicine.com/📱 Connect with Dr. PetterutiInstagramhttps://www.instagram.com/dr.stephenpetteruti/Facebookhttps://www.facebook.com/dr.stephenpetteruti🎧 Listen to the PodcastApple Podcastshttps://podcasts.apple.com/us/podcast/intellectual-medicine/id1458649409Spotifyhttps://open.spotify.com/show/3om1BQGP8f0hODZ6neWCd1#Overdiagnosis #ProstateHealth #MensVitality #ActiveSurveillanceDisclaimer:The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.

What happens after prostate cancer surgery, and what can you do when recovery doesn’t look the way you expected? In this episode of Intellectual Medicine, Dr. Stephen Petteruti discusses life after prostatectomy, with a focus on sexual function, urinary symptoms, energy, hormonal health, and the possibility of a rising PSA.He explores options that may be discussed for erectile dysfunction and libido, including oral medications, TriMix and PT-141, before examining the more complex question of testosterone therapy after prostate cancer. He also explains biochemical recurrence and why he believes patients should understand what a rising PSA means before automatically pursuing additional treatment.The episode then turns to androgen deprivation therapy, including Dr. Petteruti’s perspective on treatment timing, quality of life, treatment resistance, and cardiovascular health. His central message is that men should remain actively involved in their care after prostatectomy, ask questions about their options, and not assume that changes in sexual function, vitality, or quality of life simply have to be accepted.Timestamps: (00:34) What happens after prostatectomy? (01:59) Restoring erectile function after surgery (03:16) Libido and sexual health after prostatectomy (04:28) Urinary leakage and bladder changes (06:09) Testosterone therapy after prostate cancer (08:33) Understanding biochemical recurrence (09:12) Should a rising PSA automatically trigger more treatment? (11:49) Dr. Petteruti’s perspective on timing ADT (14:29) ADT and cardiovascular health (15:08) Taking an active role in recovery (16:02) Don’t let PSA numbers control your lifeResources:Impact of Hormonal Therapies – https://www.ahajournals.org/doi/10.1161/HCG.0000000000000082Biochemical recurrence after radical prostatectomy – https://pmc.ncbi.nlm.nih.gov/articles/PMC5815528/Radical Prostatectomy -https://pubmed.ncbi.nlm.nih.gov/34124138/Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care.📚 ResourcesDr. Petteruti Men's Vitality Grouphttps://www.intellectualmedicine.com/membershipFight Cancer Like a Manhttps://www.amazon.com/Fight-Cancer-Like-Man-Breakthrough/dp/B0GP6JHQTQDr. Petteruti's Newsletterhttps://drstephenpetteruti.substack.com/subscribePodcast Show Noteshttps://www.intellectualmedicine.com/podcast-notes🌐 Learn MoreDr. Stephen Petterutihttps://www.drstephenpetteruti.com/Intellectual Medicinehttps://www.intellectualmedicine.com/📱 Connect with Dr. PetterutiInstagramhttps://www.instagram.com/dr.stephenpetteruti/Facebookhttps://www.facebook.com/dr.stephenpetteruti🎧 Listen to the PodcastApple Podcastshttps://podcasts.apple.com/us/podcast/intellectual-medicine/id1458649409Spotifyhttps://open.spotify.com/show/3om1BQGP8f0hODZ6neWCd1#Overdiagnosis #ProstateHealth #MensVitality #ActiveSurveillanceDisclaimer:The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.

A newer prostate cancer blood test is being promoted as 270% better than PSA, but what does that claim actually mean?In this episode of the Intellectual Medicine podcast, Dr. Stephen Petteruti examines the EpiSwitch PSE test, including its potential value, limitations, cost, and the research behind the widely cited 270% figure. He contrasts the test's yes-or-no risk assessment with PSA testing, emphasizing what he sees as PSA's key advantage: the ability to track changes over time.Dr. Petteruti also discusses how men and their physicians might approach an elevated PSA, the role of prostate MRI and biopsy in conventional care, and why he believes prostate cancer risk should be viewed as a long-term management challenge rather than a single diagnostic moment. He also raises questions about the sponsorship of the study behind the EpiSwitch claims while noting that industry involvement does not automatically invalidate the research.The episode concludes with a broader message: no test should be interpreted in isolation, and results should be considered in the context of a man's overall risk, health, and long-term monitoring strategy.Timestamps:(00:00) Is the EpiSwitch PSE really 270% better than PSA?(01:12) What the EpiSwitch PSE test can and can't tell you(02:09) The cost difference between EpiSwitch PSE and PSA(03:54) Why tracking PSA over time matters(05:46) Should you consider EpiSwitch after a high PSA?(07:17) Prostate cancer as a lifetime management challenge(08:08) The test versus how the test is interpreted(08:45) What an abnormal prostate MRI can mean(09:27) Looking at the study behind the "270% better" claim(10:20) The bottom line on EpiSwitch PSE versus PSAReferences:Circulating Chromosome Conformation Signatures Significantly Enhance PSA Positive Predicting Value and Overall Accuracy for Prostate Cancer Detection- https://pubmed.ncbi.nlm.nih.gov/36765779/Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care.📚 ResourcesDr. Petteruti Men's Vitality Grouphttps://www.intellectualmedicine.com/membershipFight Cancer Like a Manhttps://www.amazon.com/Fight-Cancer-Like-Man-Breakthrough/dp/B0GP6JHQTQDr. Petteruti's Newsletterhttps://drstephenpetteruti.substack.com/subscribePodcast Show Noteshttps://www.intellectualmedicine.com/podcast-notes🌐 Learn MoreDr. Stephen Petterutihttps://www.drstephenpetteruti.com/Intellectual Medicinehttps://www.intellectualmedicine.com/📱 Connect with Dr. PetterutiInstagramhttps://www.instagram.com/dr.stephenpetteruti/Facebookhttps://www.facebook.com/dr.stephenpetteruti🎧 Listen to the PodcastApple Podcastshttps://podcasts.apple.com/us/podcast/intellectual-medicine/id1458649409Spotifyhttps://open.spotify.com/show/3om1BQGP8f0hODZ6neWCd1#Overdiagnosis #ProstateHealth #MensVitality #ActiveSurveillanceDisclaimer:The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.

Prostate cancer surgery is a major and irreversible decision, but how much do you actually know about your surgeon’s outcomes, the risks involved, and what happens after the operation?In this episode of Intellectual Medicine, Dr. Stephen Petteruti discusses the questions he believes men should ask before undergoing a prostatectomy. He examines reported differences in urinary incontinence and erectile dysfunction outcomes, the importance of asking a surgeon for their own complication and recurrence rates, and why getting more than one surgical opinion may be worthwhile.Dr. Petteruti also discusses the role of PSMA PET imaging, surgeon selection, biochemical recurrence, and findings from the PIVOT trial. He explains his perspective on non-operative approaches while acknowledging that patients may ultimately make a different choice. The episode also addresses what happens after surgery, including postoperative planning and questions surrounding radiation therapy.Timestamps:(00:27) What doctors may not tell you before prostate cancer surgery(01:25) Understanding incontinence and erectile dysfunction rates(02:00) How to evaluate your surgeon’s actual outcomes(02:57) Asking about biochemical recurrence after prostatectomy(03:56) Why you should consider more than one surgical opinion(04:12) The role of a PSMA PET scan before surgery(05:00) Complication rates and researching your surgeon(06:10) What the PIVOT trial means for the surgery decision(07:16) Why you need a plan for what happens after surgery(08:23) Why Dr. Petteruti recommends taking time before deciding(09:59) Ask your surgeon: “Who would you choose for your own surgery?”(11:24) Considering the non-operative path and planning for recurrence(11:56) Radiation after prostatectomy: immediate or delayed?(13:01) Taking ownership of your treatment decisionReferences:Garner Health- https://www.garnerhealth.com/Biochemical recurrence after radical prostatectomy- https://www.deepdyve.com/lp/springer-journals/biochemical-recurrence-after-radical-prostatectomy-where-do-we-stand-2plJJEf6x4Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care.📚 ResourcesDr. Petteruti Men's Vitality Grouphttps://www.intellectualmedicine.com/membershipFight Cancer Like a Manhttps://www.amazon.com/Fight-Cancer-Like-Man-Breakthrough/dp/B0GP6JHQTQDr. Petteruti's Newsletterhttps://drstephenpetteruti.substack.com/subscribePodcast Show Noteshttps://www.intellectualmedicine.com/podcast-notes🌐 Learn MoreDr. Stephen Petterutihttps://www.drstephenpetteruti.com/Intellectual Medicinehttps://www.intellectualmedicine.com/📱 Connect with Dr. PetterutiInstagramhttps://www.instagram.com/dr.stephenpetteruti/Facebookhttps://www.facebook.com/dr.stephenpetteruti🎧 Listen to the PodcastApple Podcastshttps://podcasts.apple.com/us/podcast/intellectual-medicine/id1458649409Spotifyhttps://open.spotify.com/show/3om1BQGP8f0hODZ6neWCd1#Overdiagnosis #ProstateHealth #MensVitality #ActiveSurveillanceDisclaimer:The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan

What can you do every day to support your health after a prostate cancer diagnosis without allowing cancer to take over your life?This week on Intellectual Medicine, Dr. Stephen Petteruti outlines five lifestyle areas he believes deserve attention when thinking about prostate health, immune function, and long-term vitality. He begins with nutrition and protein intake, including his approach to complete proteins and intermittent fasting, before turning to sleep and why he believes obsessing over eight hours or relying too heavily on sleep trackers can become counterproductive.Dr. Petteruti also discusses walking and exercise intensity, supplements including vitamin D, zinc, vitamin C, and copper, and why more antioxidants are not necessarily better. He finishes with perhaps the most unexpected strategy: making room for pleasure and enjoyment.Rather than constantly worrying about cancer or chasing every new intervention, Dr. Petteruti encourages building sustainable habits, focusing on vitality, and continuing to live fully.Timestamps:(00:00) Five ways to make your body less friendly to prostate cancer(00:34) Why your health strategy needs to stay simple(01:28) Aging, immune function and cancer risk(03:19) Protein, nutrition and supporting immune function(04:59) Does intermittent fasting matter for cancer?(06:38) Sleep: why eight hours isn't a magic number(07:47) Walking, exercise and prostate health(09:27) Why supplements come after the basics(10:03) The antioxidant paradox: can you have too much?(12:16) Vitamin D, zinc, vitamin C and copper(14:10) The unexpected fifth strategy: fun and pleasure(15:59) Living fully without being controlled by fearReferences:Anti-inflammatory Therapy with Canakinumab for Atherosclerotic Disease- https://www.nejm.org/doi/full/10.1056/NEJMoa1707914?referer=https://www.google.com/&Chapter 15 - Exercise, Immunity, and Illness-https://www.sciencedirect.com/science/chapter/edited-volume/pii/B9780128145937000153The immune hunger games: the effects of fasting on monocytes-https://pmc.ncbi.nlm.nih.gov/articles/PMC10541887/Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care.📚 ResourcesDr. Petteruti Men's Vitality Grouphttps://www.intellectualmedicine.com/membershipFight Cancer Like a Manhttps://www.amazon.com/Fight-Cancer-Like-Man-Breakthrough/dp/B0GP6JHQTQDr. Petteruti's Newsletterhttps://drstephenpetteruti.substack.com/subscribePodcast Show Noteshttps://www.intellectualmedicine.com/podcast-notes🌐 Learn MoreDr. Stephen Petterutihttps://www.drstephenpetteruti.com/Intellectual Medicinehttps://www.intellectualmedicine.com/📱 Connect with Dr. PetterutiInstagramhttps://www.instagram.com/dr.stephenpetteruti/Facebookhttps://www.facebook.com/dr.stephenpetteruti🎧 Listen to the PodcastApple Podcastshttps://podcasts.apple.com/us/podcast/intellectual-medicine/id1458649409Spotifyhttps://open.spotify.com/show/3om1BQGP8f0hODZ6neWCd1#Overdiagnosis #ProstateHealth #MensVitality #ActiveSurveillanceDisclaimer:The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan

What happens when a man diagnosed with prostate cancer decides not to undergo surgery or radiation?In this episode of the Intellectual Medicine podcast, Dr. Stephen Petteruti shares the true story of a 51-year-old patient diagnosed with biopsy-confirmed prostate cancer who chose a different path. After years of active surveillance, repeated MRIs, and multiple biopsies, the patient sought an alternative approach designed to monitor his cancer without additional biopsies while focusing on preserving his health and quality of life.Dr. Petteruti explains the rationale behind his non-biopsy monitoring protocol, which combines advanced imaging, lifestyle modification, nutritional strategies, and carefully selected repurposed medications. He discusses how the patient's MRI findings improved dramatically over time and why those results should be interpreted cautiously rather than viewed as evidence of a cure.Throughout the episode, Dr. Petteruti also explores the limitations of PSA testing, the role of PSMA PET imaging, and the importance of understanding all available treatment options before making life-changing decisions. Prostate cancer management should aim not only to control the disease but also to preserve vitality, function, and quality of life.Timestamps(00:00) Diagnosed with prostate cancer at age 51(01:15) Active surveillance and the burden of repeated biopsies(02:40) Introducing a non-biopsy monitoring approach(04:10) Building a protocol: repurposed drugs, lifestyle, and nutrition(05:45) MRI changes from PI-RADS 4 to PI-RADS 1(07:00) Why this is not evidence of a cure(07:45) PSMA PET scan: looking beyond the prostate(08:25) Why PSA alone doesn't tell the whole story(09:20) Preserving vitality while managing prostate cancer(10:25) Why patients deserve more than two treatment optionsEnjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care.📚 ResourcesDr. Petteruti Men's Vitality Grouphttps://www.intellectualmedicine.com/membershipFight Cancer Like a Manhttps://www.amazon.com/Fight-Cancer-Like-Man-Breakthrough/dp/B0GP6JHQTQDr. Petteruti's Newsletterhttps://drstephenpetteruti.substack.com/subscribePodcast Show Noteshttps://www.intellectualmedicine.com/podcast-notes🌐 Learn MoreDr. Stephen Petterutihttps://www.drstephenpetteruti.com/Intellectual Medicinehttps://www.intellectualmedicine.com/📱 Connect with Dr. PetterutiInstagramhttps://www.instagram.com/dr.stephenpetteruti/Facebookhttps://www.facebook.com/dr.stephenpetteruti🎧 Listen to the PodcastApple Podcastshttps://podcasts.apple.com/us/podcast/intellectual-medicine/id1458649409Spotifyhttps://open.spotify.com/show/3om1BQGP8f0hODZ6neWCd1#Overdiagnosis #ProstateHealth #MensVitality #ActiveSurveillanceDisclaimer:The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan

Should patients always trust the experts, or should they ask more questions?This week on the Intellectual Medicine podcast, Dr. Stephen Petteruti reflects on the broader lessons that medicine can learn from the COVID-19 era. Using recent headlines surrounding Dr. Anthony Fauci as a starting point, he explores larger questions about medical authority, patient autonomy, and the role of healthy skepticism in healthcare.Dr. Petteruti discusses how uncertainty is an unavoidable part of medicine and argues that clinicians should acknowledge the limits of what they know while empowering patients to participate in important healthcare decisions. He also examines how institutional dogma, fear, and emotional pressure can influence decision-making, emphasizing the importance of distinguishing evidence from opinion.Drawing parallels between pandemic policies and other areas of medicine, including prostate cancer care, Dr. Petteruti explains how prioritizing a single outcome can sometimes compromise a patient’s overall health and quality of life. He concludes by encouraging informed patients to ask thoughtful questions, seek reliable evidence, and take an active role in decisions about their care.Timestamps(00:00) The cost of losing personal freedom during the pandemic(00:45) Who should make healthcare decisions?(02:25) Dogma, certainty, and the limits of medical expertise(03:00) Why patients should remain in control of their medical choices(05:00) The dangers of emotional coercion in healthcare(06:35) Healthy skepticism versus cynicism(08:35) Why medicine must treat the whole patient, not just one problem(10:30) What the COVID era can still teach modern medicine(11:50) A final message: ask good questions and verify what you're toldEnjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care.📚 ResourcesDr. Petteruti Men's Vitality Grouphttps://www.intellectualmedicine.com/membershipFight Cancer Like a Manhttps://www.amazon.com/Fight-Cancer-Like-Man-Breakthrough/dp/B0GP6JHQTQDr. Petteruti's Newsletterhttps://drstephenpetteruti.substack.com/subscribePodcast Show Noteshttps://www.intellectualmedicine.com/podcast-notes🌐 Learn MoreDr. Stephen Petterutihttps://www.drstephenpetteruti.com/Intellectual Medicinehttps://www.intellectualmedicine.com/📱 Connect with Dr. PetterutiInstagramhttps://www.instagram.com/dr.stephenpetteruti/Facebookhttps://www.facebook.com/dr.stephenpetteruti🎧 Listen to the PodcastApple Podcastshttps://podcasts.apple.com/us/podcast/intellectual-medicine/id1458649409Spotifyhttps://open.spotify.com/show/3om1BQGP8f0hODZ6neWCd1#Overdiagnosis #ProstateHealth #MensVitality #ActiveSurveillanceDisclaimer:The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan

An elevated PSA often leads to an important question: should you have a prostate biopsy right away, or is an MRI the better first step? In this episode of Intellectual Medicine, Dr. Stephen Petteruti explains why multiparametric MRI has become an essential tool in evaluating men at risk for prostate cancer before proceeding to biopsy.Dr. Petteruti discusses how MRI helps identify suspicious areas within the prostate, the role of the PI-RADS scoring system, and why imaging can provide valuable information that guides decision-making. He also explains the limitations of prostate biopsies, including sampling error and the challenge of drawing broad conclusions from a relatively small tissue sample.The conversation explores how PSA trends, MRI findings, and clinical judgment work together to determine the most appropriate next steps. Dr. Petteruti also discusses active surveillance and emphasizes the importance of patients understanding their diagnostic options so they can make informed decisions in partnership with their physician.Timestamps(00:00) Elevated PSA: What's the next step?(00:55) Why MRI often comes before biopsy(01:45) What a prostate MRI can reveal(02:20) Understanding the PI-RADS scoring system(03:15) Why targeted biopsies have limitations(05:20) What a biopsy can and cannot tell you(07:20) Understanding Gleason scores and cancer grading(09:15) When active surveillance may be appropriate(11:10) Monitoring PSA and MRI over time(12:20) Becoming an informed patient and making confident decisionsEnjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care.📚 ResourcesDr. Petteruti Men's Vitality Grouphttps://www.intellectualmedicine.com/membershipFight Cancer Like a Manhttps://www.amazon.com/Fight-Cancer-Like-Man-Breakthrough/dp/B0GP6JHQTQDr. Petteruti's Newsletterhttps://drstephenpetteruti.substack.com/subscribePodcast Show Noteshttps://www.intellectualmedicine.com/podcast-notes🌐 Learn MoreDr. Stephen Petterutihttps://www.drstephenpetteruti.com/Intellectual Medicinehttps://www.intellectualmedicine.com/📱 Connect with Dr. PetterutiInstagramhttps://www.instagram.com/dr.stephenpetteruti/Facebookhttps://www.facebook.com/dr.stephenpetteruti🎧 Listen to the PodcastApple Podcastshttps://podcasts.apple.com/us/podcast/intellectual-medicine/id1458649409Spotifyhttps://open.spotify.com/show/3om1BQGP8f0hODZ6neWCd1#Overdiagnosis #ProstateHealth #MensVitality #ActiveSurveillanceDisclaimer:The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan

A prostate cancer diagnosis can bring uncertainty, fear, and stress, but does stress actually make cancer worse? In this episode of the Intellectual Medicine podcast, Dr. Petteruti explores the relationship between stress, mindset, and prostate cancer. He explains the difference between healthy, action-oriented stress and chronic fear, which can diminish the quality of life.Rather than focusing on eliminating stress altogether, Dr. Petteruti encourages listeners to channel anxiety into meaningful action, make informed treatment decisions, and avoid letting cancer dominate every aspect of their lives. He shares personal stories and practical strategies for breaking cycles of worry, maintaining vitality, and preserving a sense of purpose throughout the cancer journey.The discussion also highlights the importance of finding joy, planning meaningful experiences, and avoiding "hedonistic deprivation," the loss of life's simple pleasures in the pursuit of perfect health. Ultimately, this episode is a reminder that while cancer may be part of your life, it doesn't have to define it. By prioritizing vitality, reducing unnecessary fear, and focusing on what you can control, you can improve both your well-being and your outlook.Timestamps:(00:00) Does stress really make cancer worse?(01:03) Healthy stress vs. chronic stress(05:10) A different way to overcome fear(08:45) Don't let cancer beat you twice(10:42) Practical ways to reduce stress(12:48) Why joy is part of your treatment plan(14:20) Planning for happiness while living with uncertainty(15:24) Don't let cancer become your identity(16:41) Living without regret(17:45) Why stress has always been part of the human experienceEnjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care.📚 ResourcesDr. Petteruti Men's Vitality Grouphttps://www.intellectualmedicine.com/membershipFight Cancer Like a Manhttps://www.amazon.com/Fight-Cancer-Like-Man-Breakthrough/dp/B0GP6JHQTQDr. Petteruti's Newsletterhttps://drstephenpetteruti.substack.com/subscribePodcast Show Noteshttps://www.intellectualmedicine.com/podcast-notes🌐 Learn MoreDr. Stephen Petterutihttps://www.drstephenpetteruti.com/Intellectual Medicinehttps://www.intellectualmedicine.com/📱 Connect with Dr. PetterutiInstagramhttps://www.instagram.com/dr.stephenpetteruti/Facebookhttps://www.facebook.com/dr.stephenpetteruti🎧 Listen to the PodcastApple Podcastshttps://podcasts.apple.com/us/podcast/intellectual-medicine/id1458649409Spotifyhttps://open.spotify.com/show/3om1BQGP8f0hODZ6neWCd1#Overdiagnosis #ProstateHealth #MensVitality #ActiveSurveillanceDisclaimer:The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan

Can cancer really be "starved" through diet? In this episode of the Intellectual Medicine podcast, Dr. Petteruti takes a closer look at the Warburg Theory and the growing interest in cancer metabolism. He explains why the popular idea that cancer can simply be "starved" by cutting out sugar or following an extreme diet is an oversimplification and explores the critical role mitochondria play in both cellular health and cancer development. The conversation delves into how mitochondrial dysfunction, aging, and metabolic stress may influence cancer risk, while distinguishing between promising laboratory research and what current clinical evidence actually supports. Dr. Petteruti also addresses common misconceptions about sugar, glutamine, meat consumption, and ketogenic diets, emphasizing that nutrition should be personalized—not shaped by fear or internet trends. The episode concludes with practical strategies for improving metabolic health, including managing insulin resistance, avoiding excessively large meals, maintaining a healthy body composition, and supporting mitochondrial function. Rather than presenting metabolism as a cure for cancer, Dr. Petteruti explains how optimizing metabolic health may complement conventional cancer treatment as part of a comprehensive approach to patient care. Timestamps: (00:00) Can you really starve cancer? (02:37) Why cancer research shifted away from the Warburg Theory (05:01) Mitochondria, aging, and how metabolic dysfunction develops (06:12) Why you can't starve cancer through diet alone (08:17) The truth about glutamine, meat, and cancer nutrition (10:44) Why clinical experience matters alongside scientific theory (12:33) mTOR, meal size, and mitochondrial health (13:17) Understanding insulin resistance and its role in metabolic health (14:53) How to identify insulin resistance using waist circumference (17:30) The metabolic approach to supporting cancer care Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms. Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care. Book: Fight Cancer Like a Man: https://tinyurl.com/FightLikeAManBookDr. Steve's email newsletter: https://drstephenpetteruti.substack.com/subscribePodcast show notes : https://www.intellectualmedicine.com/podcast-notesMember exclusive content: https://tinyurl.com/DrPetterutiMemberLearn more: https://www.drstephenpetteruti.com/ Learn more: https://www.intellectualmedicine.com/ Connect with Dr. Petteruti on:⁠Instagram: ⁠https://www.instagram.com/dr.stephenpetteruti/⁠ Facebook: ⁠https://www.facebook.com/dr.stephenpetteruti⁠ Disclaimer: The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan

Is “watchful waiting” for prostate cancer really the safest path—or could it be creating more harm than help?Today on Intellectual Medicine, Dr. Stephen Petteruti challenges the conventional use of watchful waiting and active surveillance in prostate cancer management. He argues that prostate biopsies and many standard treatment strategies often do little to improve long-term survival while subjecting patients to significant physical, emotional, and psychological burdens.Dr. Petteruti explains why he believes prostate biopsies have become outdated, questions the benefits of repeated surveillance procedures, and explores the stress and uncertainty that can accompany living with the ongoing fear of disease progression.The conversation also examines the potential side effects of prostate surgery and radiation therapy, including their impact on sexual function, urinary control, and overall quality of life.Rather than relying exclusively on PSA testing, biopsies, and imaging to drive treatment decisions, Dr. Petteruti advocates for a more proactive approach, one focused on optimizing overall health, supporting immune function, and preserving vitality while navigating a prostate cancer diagnosis.Timestamps:(00:00) Why watchful waiting feels like “water torture”(00:32) Why Dr. Petteruti believes the era of prostate biopsy should end(01:24) The limitations of surgery and radiation in prostate cancer care(02:50) Why biopsies cannot predict future disease behavior(04:45) Active surveillance vs. true treatment(06:00) The problem with labeling prostate cancer as “low risk”(07:20) PSA testing, MRI scans, and monitoring over time(09:00) Who should decide how prostate cancer is managed?(10:21) Why PSA trends matter more than a single result(11:55) Concerns about the side effects of surgery and radiation(14:10) The psychological burden of watchful waiting(15:18) A different approach: functional active treatment(16:12) The Prostate Vitality community and patient support(17:34) Challenging conventional thinking about prostate cancer management Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms. Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care. Book: Fight Cancer Like a Man: https://tinyurl.com/FightLikeAManBookDr. Steve's email newsletter: https://drstephenpetteruti.substack.com/subscribePodcast show notes : https://www.intellectualmedicine.com/podcast-notesMember exclusive content: https://tinyurl.com/DrPetterutiMemberLearn more: https://www.drstephenpetteruti.com/ Learn more: https://www.intellectualmedicine.com/ Connect with Dr. Petteruti on:⁠Instagram: ⁠https://www.instagram.com/dr.stephenpetteruti/⁠ Facebook: ⁠https://www.facebook.com/dr.stephenpetteruti⁠ Disclaimer: The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.

In this episode of Intellectual Medicine, Dr. Stephen Petteruti challenges the conventional thinking around prostate biopsies, Gleason scores, and treatment decisions for prostate cancer. He explains why a high Gleason score, including Gleason 7, 8, or 9, may indicate a higher risk of progression but does not automatically prove that aggressive treatment will improve survival. Drawing on studies including the PROTECT-T trial, he argues that surgery, radiation, and watchful waiting often show similar long-term prostate cancer mortality outcomes, while invasive treatments can carry serious consequences. Dr. Petteruti also discusses why biopsy results may not always provide the clarity men are promised and why PSA, MRI, and PSMA testing can offer repeatable ways to monitor risk. Beyond the clinical discussion, he emphasizes the importance of vitality, peace of mind, and making informed decisions without being driven by fear. His core message is that men should preserve strength, independence, and quality of life while carefully weighing their options.Timestamps:(00:29) Why vitality matters before disease or decline(01:37) The false trade-off in prostate cancer treatment(02:30) What a Gleason score does and does not mean(04:13) Facing a Gleason 8 or 9 diagnosis without panic(04:36) Comparing treatment outcomes in high Gleason prostate cancer(06:27) What the PROTECT-T trial suggests about surgery, radiation, and monitoring(07:48) The difficult decision between treatment risk and regret(10:03) Why watchful waiting is not the same as taking action(12:29) Gleason scores, progression risk, and treatment outcomes(14:25) Why biopsy may not determine the best treatment path(15:35) PSA, MRI, and repeatable monitoring as alternatives(16:33) Why men with high Gleason scores still have time to think(17:27) Living with vitality while making prostate cancer decisions(18:37) Why prostate cancer care needs a broader health perspective(20:47) The mission behind Intellectual Medicine and the Men’s Vitality GroupEnjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care.📚 ResourcesDr. Petteruti Men's Vitality Grouphttps://www.intellectualmedicine.com/membershipFight Cancer Like a Manhttps://www.amazon.com/Fight-Cancer-Like-Man-Breakthrough/dp/B0GP6JHQTQDr. Petteruti's Newsletterhttps://drstephenpetteruti.substack.com/subscribePodcast Show Noteshttps://www.intellectualmedicine.com/podcast-notes🌐 Learn MoreDr. Stephen Petterutihttps://www.drstephenpetteruti.com/Intellectual Medicinehttps://www.intellectualmedicine.com/📱 Connect with Dr. PetterutiInstagramhttps://www.instagram.com/dr.stephenpetteruti/Facebookhttps://www.facebook.com/dr.stephenpetteruti🎧 Listen to the PodcastApple Podcastshttps://podcasts.apple.com/us/podcast/intellectual-medicine/id1458649409Spotifyhttps://open.spotify.com/show/3om1BQGP8f0hODZ6neWCd1#Overdiagnosis #ProstateHealth #MensVitality #ActiveSurveillanceDisclaimer:The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.

In this episode of Intellectual Medicine, Dr. Stephen Petteruti challenges the common belief that a low PSA is always good news. He explains that PSA is not a cancer marker by itself, but a natural substance produced by the prostate, and that testosterone plays an important role in normal PSA production. If testosterone is low, PSA may also appear unusually low, which can create a false sense of reassurance. Dr. Stephen discusses why men, especially those over 50 or 60, should evaluate PSA in the context of hormone health, vitality, and overall risk rather than reacting to a single number. He also cautions against fear-based decisions around prostate biopsy, radiation, or surgery, arguing that men deserve a broader, more informed approach to prostate health. The episode also explores testosterone therapy, MRI before biopsy, body fat reduction, and the need for clinicians who understand both prostate cancer and whole-person men’s health. Timestamps: (00:27) Why Dr. Stephen says to avoid prostate biopsy(00:49) Can a PSA level be too low?(01:19) Why conventional prostate treatments are questioned(01:37) The connection between low testosterone and prostate cancer risk(02:27) Why PSA should be interpreted with testosterone(03:20) What happens to PSA when testosterone therapy begins(04:00) Why a low PSA may not always be reassuring(05:01) When a rising PSA may reflect hormonal balance(06:01) Why MRI should come before biopsy(06:38) Why prostate health needs a broader medical perspective(07:35) How PSA is useful but often misinterpreted(10:21) Why body fat matters for cancer risk(10:41) When low PSA should prompt a testosterone check(11:21) Why testosterone therapy should be medically guided(12:44) Final warning about low PSA and scare tactics Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms. Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care. Book: Fight Cancer Like a Man: https://tinyurl.com/FightLikeAManBookDr. Steve's email newsletter: https://drstephenpetteruti.substack.com/subscribePodcast show notes : https://www.intellectualmedicine.com/podcast-notesMember exclusive content: https://tinyurl.com/DrPetterutiMemberLearn more: https://www.drstephenpetteruti.com/ Learn more: https://www.intellectualmedicine.com/ Connect with Dr. Petteruti on:⁠Instagram: ⁠https://www.instagram.com/dr.stephenpetteruti/⁠ Facebook: ⁠https://www.facebook.com/dr.stephenpetteruti⁠ Disclaimer: The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.

What Causes Cancer? The Truth Most Doctors Don’t Talk AboutIn this episode of Intellectual Medicine, Dr. Stephen Petteruti explores the relationship between cancer, metabolism, sugar, insulin, body fat, and prostate cancer progression. He discusses the Warburg theory, which suggests that cancer may begin with dysfunctional mitochondrial metabolism, and compares it with the later focus on genetic causes of cancer. While he argues that the idea of “starving cancer” by eliminating sugar is too simplistic, he also emphasizes that metabolic health plays a real role in cancer risk and progression.The episode focuses heavily on prostate cancer, which Dr. Petteruti describes as unique compared with other cancers. He argues that conventional approaches often overlook the environment in which cancer develops, including excess body fat, high insulin, elevated blood sugar, inflammation, and poor metabolic health. He also discusses tests such as fasting insulin, hemoglobin A1c, and continuous glucose monitoring, as well as the importance of nutritional and behavioral change. The episode closes with a warning against extreme diets, oversimplified supplement advice, and one-size-fits-all cancer theories. Timestamps: (00:00) What Causes Cancer? (01:02 )The Warburg Theory (02:14) Genetics vs. Metabolism (04:22) Why “Starving Cancer” Is Too Simplistic (05:42) Body Fat, Insulin, and Prostate Cancer (08:30) Tests That May Help Assess Metabolic Health (10:47) Food, Weight Loss, and Cancer Risk (13:42) The Anti-Cancer Lifestyle (15:04) Toxins, Viruses, and Parasites (16:15) NAD, Mitochondria, and Supplement Caution (17:33) Growth Hormone, IGF-1, and Cancer Risk (19:12) Why Extreme Dieting Is Not the Answer Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms. Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care. Book: Fight Cancer Like a Man: https://tinyurl.com/FightLikeAManBookDr. Steve's email newsletter: https://drstephenpetteruti.substack.com/subscribePodcast show notes : https://www.intellectualmedicine.com/podcast-notesMember exclusive content: https://tinyurl.com/DrPetterutiMemberLearn more: https://www.drstephenpetteruti.com/ Learn more: https://www.intellectualmedicine.com/ Connect with Dr. Petteruti on:⁠Instagram: ⁠https://www.instagram.com/dr.stephenpetteruti/⁠ Facebook: ⁠https://www.facebook.com/dr.stephenpetteruti⁠ Disclaimer: The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.

What if the diagnosis you fear most is also the one most likely to be wrong and the treatment that follows causes more damage than the disease ever would? In this episode, Dr. Stephen Petteruti highlights how the prostate is often overdiagnosed and overtreated. The issue is not the PSA test itself. It’s how the result is interpreted and what happens next. Dr. Stephen breaks down the cycle: arbitrary PSA cutoffs, fear-based referrals, and biopsies that detect dormant cells and trigger aggressive treatments. These pathways can lead to real consequences without clear evidence of improving survival. Instead, he emphasizes monitoring trends, using imaging, and focusing on overall health rather than reacting to a single number. If longevity and clarity matter to you, take a step back before your next test or procedure. Tune in to the full episode of The Overdiagnosis Trap: Why Common Prostate Screenings Often Lead to Unnecessary Harm. Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms. Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care. Learn more: https://www.drstephenpetteruti.com/ Learn more: https://www.intellectualmedicine.com/ Connect with Dr. Petteruti on:⁠ Instagram: ⁠ https://www.instagram.com/dr.stephenpetteruti/⁠ Facebook: ⁠ https://www.facebook.com/dr.stephenpetteruti⁠ Subscribe to Intellectual Medicine on: Apple Podcast: https://tinyurl.com/DrPetterutiApplePodcast Spotify: https://tinyurl.com/DrPetterutiSpotifyPodcast Disclaimer: The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan. Produced by https://www.BroadcastYourAuthority.com

Longer lives bring new changes and with the right strategy, those changes don’t have to limit how you feel or function. In this episode, Dr. Stephen Petteruti explains benign prostatic hypertrophy (BPH) with clarity and perspective. An enlarged prostate is often a normal part of aging, not a signal of cancer or immediate danger. The real question is how much does it affect daily life, and what can be done to manage it intelligently? He focuses on what actually moves the needle. Inflammation, body fat, and metabolic health play a central role in prostate growth and urinary symptoms, not testosterone levels. He breaks down practical steps like reduce excess body fat, managing inflammatory triggers, supporting the body with targeted antioxidants, and giving any intervention enough time to work. Rethink what’s “normal,” and take one step today that improves how you live tomorrow. Watch the full episode of BPH Explained: Best Treatments for Enlarged Prostate and Frequent Urination in Men. Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms. Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care. Learn more: https://www.drstephenpetteruti.com/ Learn more: https://www.intellectualmedicine.com/ Connect with Dr. Petteruti on:⁠ Instagram: ⁠ https://www.instagram.com/dr.stephenpetteruti/⁠ Facebook: ⁠ https://www.facebook.com/dr.stephenpetteruti⁠ Subscribe to Intellectual Medicine on: Apple Podcast: https://tinyurl.com/DrPetterutiApplePodcast Spotify: https://tinyurl.com/DrPetterutiSpotifyPodcast Disclaimer: The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan. Produced by https://www.BroadcastYourAuthority.com

Smarter treatment paths often begin with asking better questions about what truly works and what simply sounds promising. In this episode, Dr. Stephen Petteruti explains why repurposed drugs are gaining attention in prostate cancer care. He challenges conventional therapies that often offer limited survival benefit despite significant side effects, and highlights how publication bias and interpretation of data can shape treatment narratives. Dr. Stephen outlines how repurposed drugs are selected. Rather than relying on a single solution, he emphasizes synergy: combining therapies like sirolimus and select statins to target cancer pathways while supporting overall health. If you value longevity and informed decision-making, take a moment to rethink your options. Tune in to the full episode of Repurposed Drugs for Prostate Cancer: What Your Oncologist Will Never Tell You. Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms. Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care. Learn more: https://www.drstephenpetteruti.com/ Learn more: https://www.intellectualmedicine.com/ Connect with Dr. Petteruti on:⁠ Instagram: ⁠ https://www.instagram.com/dr.stephenpetteruti/⁠ Facebook: ⁠ https://www.facebook.com/dr.stephenpetteruti⁠ Subscribe to Intellectual Medicine on: Apple Podcast: https://tinyurl.com/DrPetterutiApplePodcast Spotify: https://tinyurl.com/DrPetterutiSpotifyPodcast Disclaimer: The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan. Produced by https://www.BroadcastYourAuthority.com

Stronger health comes from staying engaged, not from assuming the fight is over. In this episode, Dr. Stephen Petteruti challenges the idea of being “cancer free.” He explains why reaching five years does not eliminate risk, highlighting delayed relapse and how cancer can persist at a cellular level for years before resurfacing. He shifts the focus to what actually supports long-term outcomes: controlling body fat, maintaining metabolic health, staying physically active, and supporting the immune system. Strategies like vitamin D optimization, targeted supplementation, and consistent lifestyle habits create an internal environment that helps keep cancer in check. Dr. Stephen also questions common practices that offer comfort without clear benefit. The goal is to manage it with clarity and intention. Commit to the habits that protect your health for the long run. Don’t miss this episode of The Dangerous Myth of "Cancer Free". Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms. Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care. Learn more: https://www.drstephenpetteruti.com/ Learn more: https://www.intellectualmedicine.com/ Connect with Dr. Petteruti on:⁠ Instagram: ⁠ https://www.instagram.com/dr.stephenpetteruti/⁠ Facebook: ⁠ https://www.facebook.com/dr.stephenpetteruti⁠ Subscribe to Intellectual Medicine on: Apple Podcast: https://tinyurl.com/DrPetterutiApplePodcast Spotify: https://tinyurl.com/DrPetterutiSpotifyPodcast Disclaimer: The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan. Produced by https://www.BroadcastYourAuthority.com

The most dangerous medical advice is the kind that never gets questioned. In this episode, Dr. Stephen Petteruti takes a closer look at the $11 billion mammogram industry and why it remains largely unquestioned. He explains how protocols often replace real conversations, leading many women into routine screening without fully understanding the benefits, risks, or alternatives. Dr. Stephen breaks down the data behind mammograms, highlighting that large studies have shown no meaningful difference in breast cancer mortality between women who undergo routine screening and those who do not. He also discusses the role of radiation exposure, the financial incentives behind imaging centers, and why alternatives like ultrasound or MRI may offer safer, more targeted evaluation in certain cases. If you value longevity, clarity, and control over your health decisions, take a moment with this episode. Tune in now The $11 Billion Mammogram Industry No One Questions. Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms. Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care. Learn more: https://www.drstephenpetteruti.com/ Learn more: https://www.intellectualmedicine.com/ Connect with Dr. Petteruti on:⁠ Instagram: ⁠ https://www.instagram.com/dr.stephenpetteruti/⁠ Facebook: ⁠ https://www.facebook.com/dr.stephenpetteruti⁠ Subscribe to Intellectual Medicine on: Apple Podcast: https://tinyurl.com/DrPetterutiApplePodcast Spotify: https://tinyurl.com/DrPetterutiSpotifyPodcast Disclaimer: The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan. Produced by https://www.BroadcastYourAuthority.com

Clear thinking leads to stronger health decisions and better long-term outcomes. In this episode, Dr. Stephen Petteruti takes a closer look at common guidance around PSA testing and early prostate cancer detection, including viewpoints from Peter Attia, MD. He explains how impressive-sounding statistics can mislead, showing that a 44% relative risk reduction translates to only a 0.34% actual benefit. He reframes PSA as a monitoring tool. The typical pathway often leads to harm without proven life extension. Evidence from long-term studies shows no meaningful difference in prostate cancer mortality between aggressive treatment and observation. Rethink the numbers and make choices that support both your health and future. Don’t miss the full episode of Peter Attia, MD is wrong about Prostate Cancer and PSA. Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms. Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care. Learn more: https://www.drstephenpetteruti.com/ Learn more: https://www.intellectualmedicine.com/ Connect with Dr. Petteruti on:⁠ Instagram: ⁠ https://www.instagram.com/dr.stephenpetteruti/⁠ Facebook: ⁠ https://www.facebook.com/dr.stephenpetteruti⁠ Subscribe to Intellectual Medicine on: Apple Podcast: https://tinyurl.com/DrPetterutiApplePodcast Spotify: https://tinyurl.com/DrPetterutiSpotifyPodcast Disclaimer: The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan. Produced by https://www.BroadcastYourAuthority.com