Dr. Geo Espinosa
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.
Where to listen?
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Episodes
Can exercise be one of the most powerful anti-cancer therapies available today? with Robert Newton 22.06.2026 1:01:50
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...
AI, PSA, and the Future of Prostate Care with Dr. Jennifer Miles-Thomas 31.05.2026 29:01
Can AI help you understand your PSA, improve prostate cancer detection, and help doctors make better decisions? 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. We cover ChatGPT, PS...
Prostate MRI: When Is Contrast Essential with Dr. Dan Margolis 26.05.2026 1:07:47
What if the persistent pelvic pain, the performance issues in the bedroom, or that nagging brain fog isn't just a physical "glitch," but a physical manifestation of an underlying mental struggle? Most men are trained to wear a mask in the clinic, but the body always keeps the score. When a man avoids reality, his physiology pays the price. Today, we’re peeling back that mask with Dr. Daniel Margol...
Benefits & Challenges with Focal Options for Prostate Cancer with Dr. Abhinav Sidana 18.05.2026 1:04:15
What if I told you that after focal therapy, a normal PSA and a clean MRI can still mean prostate cancer is hiding in plain sight? That’s the moment in this conversation that makes you stop—and rethink everything you’ve been told about “success” after focal therapy. In this episode, we’re joined by Abhinav Sidana, MD, MPH, Associate Professor of Urology and Director of Prostate Cancer at Universit...
Skip MRI contrast Gadolinium, Precision Biopsy, UK vs. US Care, Dr. Veeru Kasivisvanathan –179 09.05.2026 54:49
What if the most common diagnostic tool in men’s health for the last 30 years was actually failing millions of patients?” For decades, the "blind" prostate biopsy was the gold standard a primitive 'hit or miss' approach that often missed aggressive tumors while over-treating harmless ones. But then came the PRECISION trial , a research earthquake that proved we’ve been doing it wrong. In this epis...
How a Pathologist for Prostate Cancer Reads a biopsy & Cribriform with Dr. Jonathan Epstein – 178 30.04.2026 1:05:38
What if your prostate biopsy is missing the most important detail? In this powerful episode, Dr. Geo sits down with Dr. Jonathan Epstein, one of the most influential urologic pathologists in the world, to break down what’s really happening behind your diagnosis. From Gleason scores to hidden aggressive patterns, this conversation reveals why pathology is the foundation of every prostate cancer dec...
Prostate Cancer Future: Can Water Jets Replace Surgery & Radiation? with Dr. Brian Helfand 13.04.2026 1:03:49
What if your prostate symptoms aren’t actually being treated—just managed? In this episode, Dr. Geo sits down with Dr. Brian Helfand, Clinical Professor at the University of Chicago and a leading expert in prostate care, to break down aqua ablation , a water-powered, precision therapy that’s changing how we treat BPH (benign prostate enlargement) —and potentially even prostate cancer. What You’ll...
Prostate Terrain & Mental Fortitude: Signs of High-Functioning Addiction with Dr. Ray Zakari 24.03.2026 56:56
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 offer...
Prostatitis or Pelvic Dysfunction? Why Your Diagnosis Might Be Wrong with Dr. Adam Gvili 11.03.2026 55:15
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 P...
Is Ignorance Bliss? Full-Body MRI, PI-RADS Confusion, and What AI Really Sees with Andrew Lacy 25.02.2026 51:15
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-...
Rewire your Prostate with Dr. Ronald Hoffman 20.02.2026 58:22
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. Hoffm...
Prostate Cancer Sex: Reclaiming Intimacy and Connection with Dr. Marriane Brandon 14.02.2026 52:07
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...
Lower PSA with Low-Carb Metabolic Science with Dr. Stephen Freedland 08.02.2026 49:24
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 Th...
Prostate Cancer Diagnosis: Why MRI and PSMA PET Are Better with Dr. Mark Emberton 02.02.2026 1:05:39
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 expl...
Dr. Morgentaler Debunks Myths about Testosterone & Prostate Cancer 11.01.2026 1:21:56
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...
High-Pressure Water Therapy for BPH with Dr. Ravi Munver 23.12.2025 1:01:04
If you’re a man in your 50s, 60s, or 70s waking up at night to pee, planning your day around bathroom access, or quietly worrying about erections and testosterone, this episode is for you. Dr. Geo sits down with Dr. Ravi Munver (Hackensack University Medical Center) to break down what’s actually driving urinary symptoms, how to tell “prostate vs bladder,” when waiting too long can permanently weak...
Dr Geo Interviewed: His Philosophy, Protocols & Why the "Why" Matters most in Prostate Cancer -167 22.11.2025 47:01
🔹 Register FREE for the Prostate Summit 2.0: 👉 https://drtalks.com/summit/prostate-cancer/?oid=104&ref=3642&uid=918 In this special session from the upcoming Prostate Summit 2.0 , Dr. Eric Zielinski sits down with Dr. Geo for a rare, vulnerable and informative conversation about the why behind his life’s work in prostate cancer care. Key Points The emotional and spiritual side of working...
Is Vapor Therapy Right for Your BPH ? with Dr. Robert Caruso 13.11.2025 56:35
Dr. Geo and Dr. Robert Caruso dive deep into what really causes urinary symptoms in men—and why prostate size alone doesn’t tell the full story. Dr. Caruso shares how his “blue zone” Italian upbringing, his 98-year-old mother, and even a family story involving a bear shaped his holistic view of urology, where diet, movement, spine health, constipation, and sleep apnea all matter. From there, they...
How Dangerous Is an Enlarged Prostate? with Dr. Geo 06.11.2025 11:28
Is a big prostate really dangerous? Does it mean prostate cancer—or explain why you’re waking up at night to urinate? Not always. In this upgraded replay, Dr. Geo breaks down the real story behind prostate enlargement why size isn’t always the issue, how bladder and nerve health factor in, and what questions to ask your doctor before starting medication or considering surgery. 🎯 You’ll Learn ✅ W...
How the Immune System Fights Prostate Cancer with Dr. Matthew Halpert, Phd 25.10.2025 1:02:50
Dr. Geo speaks with cancer immunologist Matthew Halpert, PhD about Immunocine , a dendritic-cell platform that “double-loads” patient-specific tumor signals to trigger a strong, physiologic immune response. Discussion includes mechanism, prostate cancer cases, how it can complement ADT and focal radiation, eligibility, workflow, and access. Chapters 00:00 How the Immune System Fights Prostate Canc...
AI Revolution in Prostate Cancer with Dr. Daniel Spratt 18.10.2025 22:22
AI has existed for decades, but modern deep learning is finally delivering precision decisions in clinic. Dr. Spratt details how ArteraAI’s predictive biomarker —validated on long-term randomized data—can spare roughly two-thirds of eligible men from ADT without compromising outcomes. We unpack ADT’s quality-of-life trade-offs, practical training and nutrition strategies to preserve muscle, and wh...
SBRT for Metastatic Prostate Cancer with Dr. Ron Chen 05.10.2025 1:01:39
Can high-precision radiation change how we treat metastatic prostate cancer? In this episode, I’m joined by Ronald C. Chen, MD, MPH —radiation oncologist, national guideline author (AUA/ASCO), and clinical-trial leader with 170+ publications—to unpack stereotactic body radiation therapy (SBRT) for disease that has spread to lymph nodes, bones, and beyond. We get practical about who benefits, where...
Is ADT Needed During Prostate Radiation? with Dr. Nima Aghdam 27.09.2025 59:31
Is androgen deprivation therapy (ADT) always necessary when prostate cancer patients undergo radiation? And if so, for how long—six months, a year, two years? In this insightful conversation, Dr. Geo sits down with Dr. Nima Aghdam , radiation oncologist at NY CyberKnife and NYU Langone, to explore the evolving role of ADT in prostate cancer treatment. Dr. Aghdam shares his expertise on advanced ra...
Insights on Robotic Surgery, Innovation & Evolving Care in Prostate Cancer Treatment – 160 17.09.2025 54:19
What if prostate cancer surgery meant fewer incisions, faster recovery, and more precise cancer control? Today I’m joined by Dr. Michael D. Stifelman, Chair of Urology at Hackensack University Medical Center and a pioneer in robotic surgery with 4,000+ robotic procedures. We unpack how single-port robotics, real-time margin assessment, and AI are reshaping outcomes—while protecting continence and...
MRI-LINAC Radiation for Prostate Cancer with Dr. Michael J. Zelefsky 10.09.2025 1:05:42
What if prostate cancer treatment weren’t months of daily radiation—but five ultra-precise sessions guided in real time by MRI? Today, Dr. Michael J. Zelefsky (Professor of Radiation Oncology, NYU Grossman School of Medicine) explains how MRI-LINAC and adaptive planning are redefining accuracy, reducing side effects, and personalizing care. A pioneer behind IMRT and image-guided radiotherapy, Dr....
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