Latest / Intellectual Medicine / ED, Low Testosterone and Peyronie's After Prostate Cancer Treatment
Transcript
- 0:00Do not let false fear hold you back from contemplating a
- 0:05different path forward. The preservation of vitality is
- 0:09something that you can feel confident pursuing in grasp
- 0:13extension of life. I believe a more vital man with
- 0:16greater health is going to live longer.
- 0:18Even if he ends up dying of prostate cancer, he's going to
- 0:21live better. So maybe you've been listening
- 0:25to my podcast and you're thinking to yourself, man, I
- 0:29wish I knew this stuff a year, 2-3 years ago.
- 0:34I've already had treatment. They took out my prostate.
- 0:39What can I do now? They've already done castration
- 0:43treatment. How's it affecting you?
- 0:46What can you do? I'm going to talk about that and
- 0:49I'm going to address you men who are in the contemplated state.
- 0:54Either you've had a biopsy or you're thinking about it.
- 0:57Well, if you're thinking about it, hopefully you're thinking
- 1:00twice. Do not get biopsies.
- 1:04All right, I'll tell you about that.
- 1:06But the focus here is what about if you're in the midst somewhere
- 1:12prostate's removed, you're on testosterone blocking therapy,
- 1:16you've had a radiation, maybe even have metastatic disease in
- 1:21your bone. Wherever you are, your focus is
- 1:26on regeneration and vitality 100%.
- 1:31Now crude measurements in prostate cancer treatment focus
- 1:36on longevity, as if you can have sacrifice of vitality and
- 1:44somehow gain longevity that doesn't add up.
- 1:50How can you crush a man's health and expect him to live longer?
- 1:55It is illogical. It defies common sense.
- 1:58I don't believe it's accurate at all.
- 2:01But this type of fear gets imposed upon men until they
- 2:07crumble under the withering fire of the neurologist, their
- 2:11oncologist, maybe their family. You've got to do this.
- 2:14You've got to do this, or you're going to die.
- 2:17Right time out. First of all, you're going to
- 2:20die anyhow. No, no prostate cancer
- 2:22necessarily. But you know, the end comes.
- 2:25So let's talk about quality, vitality and longevity.
- 2:29Lifespan is a blunt tool for measuring the quality of our
- 2:32life. You may have heard the term
- 2:35health span. You know how long you're vital.
- 2:38There's another term called sex span.
- 2:41And I don't care where you are in your journey, you can
- 2:45regenerate health span, you can maintain or regenerate sex span.
- 2:51But you can't do it following the bread crumbs of conventional
- 2:54treatment. They will lead you to calamity.
- 2:56So what if you're already in that process?
- 3:00Some of the things men notice, they're not the same after the
- 3:02prostatectomy. Penis can shrink, testosterone
- 3:07levels drop, depression can set in.
- 3:10The treatment for all of that is to get out of the cycles of
- 3:15conventional treatment. The thing that keeps men stuck
- 3:19there is a misapplication of the PSA test prostate specific
- 3:25antigen. You've got to be able to
- 3:27comprehend what it is and what it isn't.
- 3:31For those of you that have been through treatment, conventional
- 3:35treatment, they love to see your, your PSA level go to like
- 3:400. They love to see that, you know,
- 3:43they think that that correlates with no cancer.
- 3:45It's nice when it's low, I grant that.
- 3:49But what about when it starts going up?
- 3:50If you have your prostate removed and the PSA starts to go
- 3:55up, they call that a biochemical recurrence.
- 4:01The Hell's that? It's a numeric change in the
- 4:03PSA. Well, here's some things you
- 4:06need to know about APSA, because you should never treat a lab
- 4:12value in the absence of compelling evidence of benefit
- 4:16or in the absence of a symptom. So your PSA went from 1:00 to
- 4:222:00 and your doctor is having kittens.
- 4:26Oh my God, it's a, it's a biochemical recurrence.
- 4:30You know their remedy for that. It's castration.
- 4:33You thought you had a rough time before.
- 4:36Good luck having a good life without your testicles working
- 4:40or no testosterone. But the PSA, we have to, you
- 4:44have to comprehend what it what it can't do.
- 4:49It is not a reliable test. Point to point.
- 4:54There's something called analytic variability, and that
- 4:57means we take the same blood, test the same blood, and we
- 5:02analyze it with the same test twice.
- 5:07That's called analytic variability from one test to the
- 5:10other. If you have a really bad scale
- 5:12at home, you may have noticed if you hop on it, hop off, hop on
- 5:15it, hop off, you get a different number every time.
- 5:17Analytic variability, it happens with the PSA up to 15% or more
- 5:24with the same sample. So if you have a 15% change in
- 5:29One Direction or the other from one lab test to the next, it
- 5:34could be nothing more than lab variability when the test is
- 5:39done in two different points in time.
- 5:42Let's say you do it this month and do it again in three months.
- 5:46Unless the change is greater than 25%, it's probably not
- 5:50relevant clinically. It's just lab variability.
- 5:55You do not allow them to crush you with with soul crunching
- 6:01testosterone blocking libido obliterating therapy because the
- 6:07number goes down. It's false comfort guys, that
- 6:11number is not your fate. The lab test be patient think
- 6:16three times in my protocol, we react to a number with a panic
- 6:21mode. Let's cut your testicles off.
- 6:24Why do we foment so much fear? I believe it is.
- 6:30It's because they want an objective result.
- 6:35I can castrate you and your PSA level will go down right?
- 6:39Why? PSA is a testosterone dependent
- 6:45protein. You need testosterone to make
- 6:50natural PSA. So you take away testosterone
- 6:54then the number goes down. It's just a reaction to
- 6:58eliminate it as necessary substrate.
- 7:01The fact that it then goes up again.
- 7:04It's not a death sentence guys. And there's an alternative
- 7:07approach in my protocol. We don't castrate men ever.
- 7:13There are other ways that you can maintain vitality,
- 7:17underutilized resource testosterone.
- 7:20For those of you that have been through conventional treatment,
- 7:25stop, Reconsider the path you're on.
- 7:29Do not do chemotherapy. Do not do radiation therapy.
- 7:33These are more torturous of treatments that are going to
- 7:37make you feel bad without any tangible longevity addition.
- 7:42Feel bad, Don't live longer. Who's paying for that?
- 7:46No, you want to maintain your vitality.
- 7:49You want to restore and maintain energy, mental clarity.
- 7:55You don't want to be falling asleep in the afternoon.
- 7:58You don't want to be walking around with a brain fog,
- 8:00depression, lost confidence. What about that sex span?
- 8:06There's no reason then that we ever need to consider our sexual
- 8:12span of life to be over. You take it to your grave.
- 8:18So I share the story of a patient of mine I had got.
- 8:21It had to be 15 years ago. It was early in my career,
- 8:25starting to do some of the regenerative therapies that
- 8:28Ioffer my patients now. He had stage 4 lung cancer.
- 8:31It was metastatic. He didn't have very long to
- 8:34live, but we're doing some of the cool stuff that I do now in
- 8:37my practice, you know, doing testosterone therapy, some
- 8:40functional Cancer Support. He's feeling pretty good.
- 8:43So he came to my office and said, how you feeling?
- 8:45How's your breathing? He said.
- 8:47Well, doc, you know, I sometimes I get a little short of breath,
- 8:50You know, when I'm having sex with my wife, I get a little
- 8:52breathless, right? 85 Stage 4 lung cancer
- 8:58Preservation of sex span. Preservation of vitality
- 9:04Preservation of health span Yes. He died of lung cancer about
- 9:08three months later, but after a short, short interval of ill
- 9:13health. That's what I want for all my
- 9:15patients. That's what I want you men to be
- 9:17thinking about. Only you can decide how you want
- 9:19to live, you know, And having penile atrophy, alteration of
- 9:26the fibrous connective tissue, the two tunica albagenia, that's
- 9:31the casing around the sausage, if you will, right?
- 9:35The corpus cavernosum is a stuff inside the tunica.
- 9:38What holds it together without testosterone?
- 9:43Or if you've had radiation that can be damaged, there are ways
- 9:47to rejuvenate that maintain that, and one of the ways is to
- 9:52avoid harm. What if you've already got
- 9:56prostate cancer? What if it's in your bone?
- 9:59Conventional treatment, the stud, androgen deprivation
- 10:03therapy. It's a waste station on the way
- 10:07to your death. It is not curative.
- 10:10In fact, nothing really is. I can't tell you that my
- 10:14protocol is going to cure you if you have bone Mets.
- 10:16I can tell you we're going to keep you vital.
- 10:20How you give men testosterone. What testosterone For a man with
- 10:27metastatic prostate cancer? Done properly and carefully, it
- 10:33can be administered in a manner that has the potential to not
- 10:38only restore masculine vitality, but to help prevent and delay
- 10:44cancer progression. This is experimental.
- 10:48This is cutting edge. This is how men would prefer to
- 10:53live. Do not let false fear hold you
- 10:58back from contemplating a different path forward.
- 11:02The preservation of vitality is something that you can feel
- 11:07confident pursuing and grasping extension of life.
- 11:11I believe a more vital man with greater health is going to live
- 11:14longer. Even if he ends up dying of
- 11:16prostate cancer, he's going to live better.
- 11:20So the way that you treat post therapeutic deficits is to avoid
- 11:28the therapy that damages them. Radiation, prostatectomy, even
- 11:33focal therapies have adverse effects with uncertain benefit.
- 11:39See, I hate to be so skeptical. I guess I'm not even skeptical,
- 11:46and I don't mean to be fully dismissive of all conventional
- 11:49therapy, but I challenge them all.
- 11:52I challenge the current state of prostate cancer treatment.
- 11:56Let's see if we can stop hurting men.
- 12:00And one of the ways we could do that is by honestly carefully
- 12:06interpreting APSA without panicking men.
- 12:11That PSA test can change. I told you about the intra
- 12:16testing variability, the analytic variability.
- 12:21It can change because of what you did last night.
- 12:23So be careful. Don't let them force you into a
- 12:27toxic treatment because of a change in the PSA number.
- 12:32So low testosterone can be addressed at any point.
- 12:37If you have a high PSA of an abnormal prostate MRI, there's
- 12:40no reason to deprive yourself of the benefits of testosterone
- 12:44therapy. You can do both.
- 12:47We can create an inhospitable environment for prostate cancer,
- 12:52and we can rejuvenate you with testosterone therapy.
- 12:57Now, there are a lot of pieces to this puzzle, but the first
- 13:01step toward vitality is avoiding things that harm it without
- 13:06tangible benefit. And again, no matter where you
- 13:09are on this path of treatment, you have the freedom to make a
- 13:14choice. But there's got to be other
- 13:16outlets. That's why this podcast exists.
- 13:20In April, we'll be training other providers.
- 13:23In my protocol, there's a provider from Texas, from
- 13:27Illinois, I think Michigan. My goal is to have the pederated
- 13:33protocol available to any man who chooses it throughout the
- 13:36country. Now you can have it done right
- 13:38now you got to come see me in Fort Lauderdale.
- 13:42I understand that's not that. That is not the solution to the
- 13:45problem. It's the beginning of it.
- 13:49In the near future, the protocol will be widely available and any
- 13:53man will have the opportunity to partake of it.
- 13:57You could start right now, Keep tuning in the podcast, avoid
- 14:00harm, be patient, do your homework.
- 14:03Only you can choose how you want to live.
- 14:09You don't get to choose not dying guys, but you get to
- 14:12choose how you're going to exit. At least to a high degree, you
- 14:16can get that choice. Vitality, vitality, vitality,
- 14:21short illness and death. That's what we're after, my
- 14:25team. Until next time, thanks for
- 14:27being part of the journey. I'll talk to you then.
- 14:29Bye.