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The Surprising Truth About Prostate Cancer and Mortality · Intellectual Medicine

• 0:00
  What do we do with a gentleman who has prostate cancer?
• 0:05
  Evaluate their heart. That's the thing that'll deprive
• 0:08
  you of your abundant life. Sudden death.
• 0:10
  Most common symptom of coronary artery disease is sudden death.
• 0:16
  That's hard to treat. I don't have any remedy for
• 0:20
  sudden death, so we have to look ahead.
• 0:22
  Your insurance company doesn't pay for it.
• 0:24
  Would you stop already with the insurance companies?
• 0:27
  They are not the arbiters of your health.
• 0:29
  They're there to collect the premium.
• 0:32
  Your job is to stay healthy. Time to join the revolution.
• 0:38
  All right, so you have a high PSA.
• 0:40
  Maybe you have cancer, prostate cancer.
• 0:43
  I guess that's why you're listening to the podcast or you
• 0:46
  know somebody who has it. The question then becomes, are
• 0:49
  you going to die? Are you going to die from
• 0:51
  prostate cancer? What's the thing that kills most
• 0:55
  men with prostate cancer? I'm about to tell you it's a
• 0:58
  little bit surprising. I get it.
• 1:00
  Nobody wants to die. Well, most of us don't.
• 1:03
  You know me. I don't know.
• 1:05
  I I don't want to die, like, now.
• 1:07
  But the idea of never dying is creepy.
• 1:10
  So we all have an existential sense that the end of life will
• 1:15
  come, and now we ignore that so we can enjoy living.
• 1:18
  We like to just forget the fact that one day either you or me
• 1:24
  ain't going to be here. Now there's the existential
• 1:28
  sense of it. And then, gentlemen, you who've
• 1:30
  been diagnosed with prostate cancer, you who are harboring
• 1:33
  that elevated PSA, you who had that abnormal MRI, or if you
• 1:39
  haven't heeded my advice and went forward with a biopsy, you
• 1:42
  who have the Gleason score will tell you why that's irrelevant
• 1:45
  in a moment. Have a clear and present sense
• 1:48
  of your own mortality. OK?
• 1:50
  Embrace that for a moment. It's not a horrible thing.
• 1:54
  It focuses the senses. Now, I'm not advocating that we
• 1:58
  passively allow ourselves to die from prostate cancer.
• 2:02
  I'm advocating that we're all going to die.
• 2:05
  We don't want to die from prostate cancer.
• 2:08
  And most importantly, at least in my experience, people don't
• 2:12
  want to suffer. They don't want to grind limp
• 2:16
  and wither. Many of you have had the painful
• 2:20
  experience of walking the path toward death of somebody who's
• 2:24
  dying slowly. It's God awful.
• 2:27
  So what I want for you all is abundant life.
• 2:30
  And one way we get there is by not allowing ourselves to be
• 2:34
  exposed to things that compromise our vitality with the
• 2:39
  fallacious belief that'll make us live longer.
• 2:42
  Chief among those things are conventional treatments for
• 2:47
  prostate cancer across the board.
• 2:49
  Across the board, Prostatectomy, radiation seeds.
• 2:53
  What about no, just stop now? How do I say that?
• 2:57
  I'm not just making this up out of the top of my head?
• 2:59
  The studies are in, folks. The studies are in.
• 3:03
  They're not widely publicized because they threaten a multi
• 3:08
  billion dollar industry. There are two major studies that
• 3:13
  I glean most of this information from, but let's go to the heart
• 3:17
  of the matter, right? You have prostate cancer.
• 3:19
  What are you most likely to die from?
• 3:22
  According to the Protect T trial, a study published in the
• 3:26
  New England Journal of Medicine in 2023 evaluated men with
• 3:30
  prostate cancer over 15 years on average, and they found that the
• 3:36
  most common cause of death was yes, it was cancer, but no, it
• 3:40
  was not prostate cancer. It's other forms of malignancy.
• 3:44
  How about that? You have prostate cancer, You're
• 3:48
  most likely to die from some other kind of cancer.
• 3:51
  So what's going on? It's possible the treatment
• 3:54
  itself is so weakening to your immune system, so devastating to
• 4:00
  your cellular health, that it sets you up for cancer.
• 4:05
  Radiation therapy increases leukemia, lymphoma risk.
• 4:08
  Chemotherapy runs the risk of cancer by virtue of weakening
• 4:12
  the immune system. Testosterone ablation,
• 4:16
  testosterone is part of your immune system support.
• 4:20
  So all these things are relevant.
• 4:22
  Another common cause of death #2 actually in the protectee trial,
• 4:27
  again, not prostate cancer, it was heart disease, lung
• 4:33
  infection. But then stroke, right?
• 4:35
  I can think of few more horrible ways to exit than having had a
• 4:39
  disabling stroke first. But those were the risk folks.
• 4:43
  So you have prostate cancer. Do not over focus on your
• 4:48
  prostate. You got to take a broadview.
• 4:51
  So what is a a humble family doctor like me doing in the
• 4:53
  prostate cancer world? I'll tell you because I can look
• 4:57
  at it from the outside in, take a step back and realize what are
• 5:01
  we doing? There needs to be a revolution
• 5:05
  in care. We need to pull away from the
• 5:09
  gravitational pull of Oh my God, you have prostate cancer, we got
• 5:13
  to get you in right away and take out before it.
• 5:16
  But no, just no. OK, so if you're not going to
• 5:20
  die from prostate cancer even though you have prostate cancer,
• 5:24
  then what should you consider doing?
• 5:27
  Had a gentleman and recently he had a Gleason score of 6.
• 5:31
  That's right. He got a biopsy before he had a
• 5:33
  chest talk to me. Never do a biopsy.
• 5:36
  I don't think you should ever do a biopsy.
• 5:38
  All right, we'll continue to dive into why.
• 5:41
  Gleason score of 6. And what do we do with a
• 5:44
  gentleman who has prostate cancer?
• 5:49
  Evaluate their heart. That's the thing that'll deprive
• 5:52
  you of your abundant life. Sudden death.
• 5:54
  The most common symptom of coronary artery disease is
• 5:59
  sudden death. That's hard to treat.
• 6:02
  I don't have any remedy for sudden death, so we have to look
• 6:06
  ahead. If you're over 50, just get a
• 6:08
  calcium score. Why?
• 6:10
  It'll show you whether or not you have hardening of the
• 6:11
  arteries, whether or not you're at risk for future heart
• 6:14
  disease. It's a powerful prognostic tool.
• 6:18
  Your insurance company doesn't pay for it.
• 6:20
  Would you stop already With the insurance companies, they are
• 6:23
  not the arbiters of your health. They're there to collect the
• 6:27
  premium. Your job is to stay healthy.
• 6:30
  Your job is to pay a premium and get ripped off because he didn't
• 6:34
  use it again this year. Right?
• 6:35
  How about that for a concept? Pay my premium.
• 6:38
  Another year went by and I didn't need, you know, to have
• 6:40
  bypass surgery. Doesn't that suck?
• 6:42
  No, it's great. Anyhow, the prostate, the
• 6:46
  calcium score is an out of pocket expense.
• 6:49
  In our neighborhood. It's about 100 bucks, maybe 150.
• 6:53
  Chump change. I pay more to fill up my car
• 6:55
  with gas. Not really, but yeah, I know a
• 6:59
  little bit less. Anyhow, you get the point.
• 7:01
  So heart disease is relevant. Be careful.
• 7:05
  Be careful of treatments. So what about the trial?
• 7:09
  One study published in 2017 called the Pivot trial.
• 7:14
  They looked at men with prostate cancer across the board.
• 7:19
  Half of the men got their prostate gland removed.
• 7:23
  The other half did nothing. Now pause and freeze frame for a
• 7:27
  moment the concept of either ripping out your prostate gland
• 7:30
  or patting you on the back and saying good luck.
• 7:33
  I hope prostate doesn't kill you.
• 7:36
  Well doc, what do you got from me?
• 7:38
  We got nothing. That's not true.
• 7:40
  It is not true. Your body is fighting cancer
• 7:44
  every single day. You need to help it.
• 7:48
  You need to do things that support the fight.
• 7:50
  Now, I empathize with you guys because you're stuck.
• 7:54
  You have the urology community, the oncology community.
• 7:56
  Ask them what you can do. They have no knowledge of
• 7:59
  nutrition. They have no knowledge of
• 8:00
  supplements. They have no knowledge about
• 8:02
  what can be done. Repurposed drugs applied to help
• 8:06
  kill and prevent cancer. Rational, safe, plausible.
• 8:12
  So in the future, what I hope to see happen is let's compare the
• 8:19
  conventional approach to the Pederuti protocol over the
• 8:22
  years. You know, is it possible that
• 8:25
  we're actually instigating metastatic disease and
• 8:29
  accelerating the rate of cancer death by virtue of jabbing
• 8:33
  needles into the prostate gland? There is no known answer to
• 8:38
  that. They anybody, any Doctor Who
• 8:41
  tells you that, oh, don't worry about the biopsy.
• 8:44
  That's not been shown to spread cancer, all right?
• 8:48
  It's never been studied. It hasn't been shown because
• 8:51
  nobody looked. Now, it's going to take years,
• 8:55
  but those of you that are choosing the Pedruti protocol
• 8:59
  without a biopsy, we're going to get a cohort of data that will
• 9:03
  be illuminating to me. It is intuitively logical.
• 9:08
  If you stick a needle in cancer and you make a bloody mess of
• 9:11
  it, it's more likely to spread. The problem is we have no, no,
• 9:17
  no delta, no comparison group because literally everybody gets
• 9:21
  jabbed because that's the standard of care established in
• 9:26
  1980. And we haven't moved the needle.
• 9:30
  Killing me, folks. You're killing me smalls.
• 9:32
  All right, let's go back though, to the stats here because
• 9:35
  they're revealing the pivot trial. 20 years, men, prostate
• 9:40
  gland removed. Men did nothing. 20 years later,
• 9:44
  no difference in death from prostate cancer.
• 9:50
  What? But I had my prostate gland
• 9:53
  removed. Doctor, how could I have
• 9:55
  metastatic disease? Well, I don't know some of the
• 9:57
  cells, but no difference in death from prostate cancer
• 10:04
  whether you get the gland removed or not.
• 10:07
  And here's an interesting detail when comparing the stage of the
• 10:13
  cancer, the Gleason score, the magnitude of it, no difference
• 10:19
  in death whether or not you remove the gland.
• 10:21
  So this notion that you have to get a prostate biopsy, we have
• 10:25
  to know the Gleason score so it can help us decide what to do,
• 10:30
  is rendered moot when you realize that the outcome is the
• 10:34
  same with or without the prostate being removed.
• 10:38
  So what is a man to do? You protect your health.
• 10:44
  You do not let them strip you of your manhood without a colossal
• 10:48
  upside. There's no upside.
• 10:49
  Guys, keep your prostate gland and by all means, never ever let
• 10:56
  them irradiate you. And here's the stats on that.
• 11:00
  So the pivot trial did not look at radiation.
• 11:02
  They just looked at yes, no surgical removal, 2017, 2023,
• 11:08
  the Protect T trial looked at that element, surgery, radiation
• 11:14
  or nothing. Once again, no difference in
• 11:18
  prostate cancer death among all three groups.
• 11:22
  No difference. What are we doing?
• 11:26
  You're going to die, folks, right?
• 11:29
  Be prepared. Be prepared.
• 11:31
  This is a little bit of a reflective thing, right?
• 11:33
  I've, I've sometimes wondered, would I rather have a sudden
• 11:36
  death episode or would I rather like, yeah, I get some kind of
• 11:38
  like forewarning. It's like, you know, so I could
• 11:41
  do like, I don't know, a novena or something, you know, before I
• 11:44
  die. So I get into heaven.
• 11:46
  I don't know, maybe I should be prepared regardless.
• 11:49
  Maybe that's a good idea for all of us.
• 11:51
  Anyhow, let's go back to protect T, right?
• 11:53
  Those 3 branches. It is true that there was a
• 11:57
  slight increase in metastatic disease and the people who did
• 12:01
  not do anything. But here's a fascinating detail.
• 12:04
  I think it's fascinating of the men who ended up with metastatic
• 12:09
  disease in the groups, right? The group that did nothing and
• 12:14
  the group that had surgery and the group that had radiation
• 12:19
  after 10 years when they acquired metastatic disease, the
• 12:23
  death rate in those three cohorts was 13% for the folks
• 12:30
  who did nothing and then subsequently developed
• 12:33
  metastatic disease. So you do nothing, 10 years
• 12:36
  later you get metastatic disease in your bone, 15 years later, 13
• 12:40
  percent death rate. OK.
• 12:42
  If you have the surgery to remove the prostate gland, 10
• 12:45
  years later when Mets occurred or if they occur, the subsequent
• 12:51
  death rate at 15 years is about 25%.
• 12:55
  So if you get metastatic disease and you've had your prostate
• 12:58
  removed, based upon the study, there may be an increased rate
• 13:02
  of death. Hard to explain why.
• 13:05
  The radiation group after 10 years, if they get metastatic
• 13:09
  disease, by 15 years their death rate was 70%.
• 13:15
  Wow, think about that. Now, I know this sounds
• 13:19
  uncomfortable, guys, but the best approach?
• 13:22
  Avoid surgery. Avoid radiation, apply
• 13:26
  alternative treatment. Of course, I advocate the
• 13:28
  protocol I've developed. Not proven to cure cancer, not
• 13:31
  proven to prevent its progression, but built on
• 13:34
  evidence of potential benefit regarding the repurposed drugs.
• 13:40
  An unequivocal benefit regarding lifestyle modifications, right?
• 13:44
  Chief among them, lower percent body fat.
• 13:47
  It's better than to wait to develop metastatic lesions and
• 13:52
  then treat them than it is to do so in a pre emptive manner.
• 13:58
  That is, there's no good evidence that starting radiation
• 14:02
  or androgen deprivation or any kind of a treatment just because
• 14:06
  your PSA is going up. There's no good evidence it's
• 14:08
  going to help you live longer. It will make you feel bad.
• 14:11
  It will make you miserable in all likelihood.
• 14:14
  So we have to really carve through the noise and it's
• 14:17
  really hard. It's hard to get a full amount
• 14:20
  of information. The time it takes, like in the
• 14:24
  few minutes we've spent, that's probably as much time as we get
• 14:27
  with your urologist. It's hard for them to explain
• 14:30
  all this. Number one, they're obliged
• 14:32
  almost to do standard of care. How will the standard of care
• 14:35
  ever change if we're all doing the same thing over and over and
• 14:38
  over again? And these studies have been in
• 14:41
  the literature and they're having some effect, but it's too
• 14:46
  slow. Too many men are being hurt,
• 14:48
  they're being overtreated. They're being scared to take
• 14:52
  steps that are not in their best interest.
• 14:55
  So as you contemplate your fake guys, think about staying vital,
• 14:59
  staying healthy, living life in the moment.
• 15:02
  And don't let anybody put a timeline on your lifespan.
• 15:06
  Hey, if you have metastatic lesions, as you listen to this
• 15:10
  properly manage, you got years in most cases.
• 15:14
  All right, well, here's to abundant living.
• 15:16
  Have a great time out there folks, and stress not because
• 15:20
  stress is bad for your immune system.
• 15:21
  All right, team, I'll see you all next time.