The Dr. Geo Prostate Podcast

Dr. Geo Espinosa
  • 4.8 (61)
  • ALTERNATIVE HEALTH
  • UPDATED WEEKLY

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.

  1. 1D AGO

    Prostate MRI: When Is Contrast Essential with Dr. Dan Margolis

    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 Margolis. Dr. Margolis is an Associate Professor of Radiology at Weill Cornell Medicine in New York City and a world-renowned diagnostic radiologist. A graduate of UC Berkeley and USC, he completed advanced fellowships at Stanford and UCLA, specializing in using MRI to detect and characterize prostate cancer. With over 90 publications to his name, Dr. Margolis serves on the ACR PI-RADS Committee and Co-Chairs the Society of Abdominal Radiology Prostate Cancer Panel. He isn't just someone who looks at screens; he’s the "driver" of the most advanced imaging "cars" in the world. If you’ve been worried about Gadolinium brain deposits or simply want to know if you can skip the needle during your next scan, this is the masterclass you’ve been waiting for. In this episode, you’ll learn: The Biparametric Breakthrough: Why most men can now skip MRI contrast without missing significant cancer.1.5T vs. 3T: Why a "stronger" magnet isn't always better, especially if you have a hip replacement.The Biopsy-Free Future: How AI and blood tests are converging to eventually eliminate the needle.Expert Vetting: How to tell if your radiologist is a "pro" or just a "tech" by looking for ACR certification. Chapters00:00 – Intro & Why MRI Matters in Prostate Cancer 02:45 – How Many MRIs Does a Radiologist Read a Day? 06:20 – Will AI Replace Radiologists? 11:20 – The PRIME Trial: Can We Skip MRI Contrast Dye? 14:15 – 1.5 Tesla vs 3 Tesla MRI: Does It Matter? 22:45 – How to Know if You’re Getting a Good Prostate MRI 24:00 – Multiparametric vs Biparametric MRI Explained 35:00 – PRIME Trial Results: Did Contrast Actually Matter? 38:15 – Is Gadolinium Contrast Safe? 44:20 – Why the PRIME Trial Worked: Quality Control Matters 48:00 – Who Still Needs Contrast on Their MRI? 56:00 – Will Prostate Biopsies Disappear? 59:00 – How AI is Changing Prostate MRI ___________________________________ 🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV ___________________________________ 💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership ___________________________________ 📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast 🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE 🌐 DrGeo.com Website → https://bit.ly/43khht0 ___________________________________ 📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology ___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.

    1h 8m

  2. MAY 18

    Benefits & Challenges with Focal Options for Prostate Cancer with Dr. Abhinav Sidana

    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 University of Chicago Medicine, a nationally recognized urologic oncologist, clinical trial leader, and one of the architects shaping the future of focal therapy. Dr. Sidana has trained at AIIMS, Johns Hopkins, NIH, and now leads one of the most rigorous focal therapy programs in the country—backed by over 100 peer-reviewed publications and multiple active clinical trials. This is not a sales pitch for focal therapy. It’s a clear-eyed look at what works, what doesn’t, and what we still get wrong. In this episode, you’ll learn: ✅ Why MRI made focal therapy possible—and why it can still miss clinically significant disease ✅ How biopsy strategy—fusion, mapping, or transperineal—directly affects recurrence risk ✅ Why PSA is an unreliable signal after focal therapy—and what actually predicts failure ✅ How short-term ADT may expand focal therapy to larger or higher-risk tumorsIf you’re a patient, clinician, or researcher navigating prostate cancer decisions, this episode will fundamentally sharpen how you think about focal therapy—and its limits. 00:00 Can MRI and PSA Miss Significant Cancer After Focal Therapy? 04:00 Who Is a Good Candidate for Focal Therapy? 06:30 Mapping Biopsies vs MRI Fusion Biopsies 09:30 Transperineal vs Transrectal Biopsies 11:00 What Is IRE (NanoKnife)? 14:30 Who Is NOT a Candidate for Focal Therapy? 18:00 Vapor Therapy & TULSA Pro 23:00 Should Doctors Use Multiple Focal Therapy Technologies? 25:30 Can Higher-Risk Prostate Cancer Be Treated with Focal Therapy? 34:00 Does the Type of Energy Matter? 37:00 Combining ADT with Focal Therapy 40:30 How Tumor Size Impacts Eligibility 45:30 Why MRI and PSA Are Imperfect After Treatment 49:30 What Is PSA Recurrence After Focal Therapy? 53:30 The Future of MRI, AI, and Surveillance 57:30 Do Patients Need Repeat Biopsies Forever? ___________________________________ 🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV ___________________________________ 💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership ___________________________________ 📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast 🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE 🌐 DrGeo.com Website → https://bit.ly/43khht0 ___________________________________ 📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology ___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.

    1h 4m

  3. MAY 9

    Skip MRI contrast Gadolinium, Precision Biopsy, UK vs. US Care, Dr. Veeru Kasivisvanathan –179

    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 episode, we are joined by the architect of that revolution: Professor Veeru Kasivisvanathan. A Professor of Urology at University College London and a consultant at Cleveland Clinic London, Prof. Veeru is the elite surgeon-scientist who convinced a global medical community to stop stabbing in the dark. He led the landmark trials that made MRI the mandatory gatekeeper for prostate cancer, saving countless men from unnecessary invasive procedures. If you’ve ever wondered why your doctor is ordering an MRI before a needle, or why "contrast dye" might be a thing of the past, this conversation is your roadmap. In this episode, you’ll learn: The Precision Paradigm: Why a third of men can safely avoid a biopsy altogether if their MRI is clear.The Prime Trial Breakthrough: Why high-quality "biparametric" scans mean you can likely skip the Gadolinium contrast without losing accuracy.The Focal Therapy Landscape: How "male lumpectomies" using HIFU and Cryotherapy are preserving potency and continence.The Future of "Robotic Nerve-Sparing": How pre-operative mapping is allowing surgeons to operate with a level of visibility once thought impossible. Timestamps:00:00 – Introduction: Is the "Blind" Biopsy Failing Men?01:30 – Meet Prof. Veeru Kasivisvanathan: The Surgeon-Scientist.04:15 – What Inspired the PRECISION Trial?08:45 – The Problem with the 30-Year "Standard of Care."12:20 – MRI as the Gatekeeper: Avoiding Unnecessary Biopsies.15:45 – The UK vs. US Healthcare Systems: Why Cost and Ethics Matter.21:00 – The PRIME Trial: Biparametric vs. Multiparametric MRI.28:30 – Is Gadolinium Contrast "Toxic"? Understanding the Risks.34:15 – MRI Quality Control: Why the Radiologist Matters More Than the Machine.40:30 – Genomic Biomarkers vs. Imaging: Do We Need Both?44:45 – Treatment Paradigms: Focal Therapy (HIFU/Cryo) explained.49:15 – When to Choose a Robotic Prostatectomy Over Focal Therapy.53:00 – How to Find Prof. Veeru and Closing Thoughts. Key Resources Mentioned:Prof. Veeru’s Profile: University College London (UCL) & Cleveland Clinic London.The PRECISION Trial: Published in the New England Journal of Medicine.The BURST Research Collaborative: A global network of 30,000+ patients. ___________________________________ 🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV ___________________________________ 💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership ___________________________________ 📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast 🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE 🌐 DrGeo.com Website → https://bit.ly/43khht0 ___________________________________ 📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology ___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.

    55 min

  4. APR 30

    How a Pathologist for Prostate Cancer Reads a biopsy & Cribriform with Dr. Jonathan Epstein – 178

    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 decision — and why getting it right is critical. If you’ve had a biopsy, elevated PSA, or are considering treatment vs. surveillance… this episode is essential listening. ⏱️ Timestamps 00:00 – The Hidden Problem With Prostate Biopsies Why your diagnosis may not tell the full story 02:00 – Meet Dr. Jonathan Epstein A leader who helped define modern prostate cancer pathology 04:30 – What Pathologists Actually Look For Understanding normal vs. abnormal prostate tissue 06:30 – Gleason Scores Explained Simply What 3+3, 3+4, and 4+3 really mean 09:00 – Why Gleason 6 Is So Controversial Should it even be called cancer? 11:00 – The Real Risk Isn’t Gleason 6 What doctors worry about more 13:00 – Active Surveillance: Who Is It For? Why more men are safely avoiding treatment 14:30 – Pathology vs. Biology How research connects what we see to outcomes 15:30 – The Most Important Details in Your Report Cribriform patterns, intraductal cancer, and why they matter 17:00 – Understanding Gleason 7 (Grade Group 2 & 3) Low-risk vs. high-risk within the same score 19:00 – When Cancer Becomes Dangerous What defines aggressive disease 21:00 – Gleason 9: Is It Already Spread? The truth about micro-metastasis 23:00 – Why MRI and PSMA Scans Aren’t Perfect What imaging can miss 25:00 – Why Biopsies Still Matter Even in the era of advanced imaging 26:00 – What Makes a “Good” Biopsy Why technique matters more than you think 29:00 – MRI-Guided vs. Random Biopsies Why both are still necessary 30:00 – How to Read Your Pathology Report What actually matters vs. what doesn’t 34:00 – Biopsy vs. Prostatectomy Findings Why results can change after surgery 36:00 – How Often Pathology Is Wrong Why second opinions are critical 38:00 – The Problem Patients Don’t See You don’t know who’s reading your biopsy 41:00 – The Future: AI in Pathology Will machines replace doctors? 45:00 – What Patients Should Do Next How to advocate for yourself 52:00 – Managing Anxiety Around PSA & Biopsies A real conversation about fear 56:00 – What to Do When You Get Your Results How to approach your doctor and next steps 01:03:00 – Final Advice: Take Control of Your Health 🧠 Key Takeaways Pathology is the foundation of your diagnosis — everything else depends on it Up to 20–30% of biopsy readings may change with expert review Not all prostate cancer is dangerous — but some “low-risk” cases hide more aggressive disease MRI and advanced imaging are powerful, but they can still miss cancer A second opinion on your biopsy can completely change your treatment plan 📌 What to Ask Your Doctor What is my Grade Group (not just Gleason score)? Is there any cribriform or intraductal cancer present? How many cores were positive and how much cancer was found? Should I get a second pathology opinion? Am I a candidate for active surveillance or treatment? 👤 About the Guest Dr. Jonathan Epstein is a world-renowned urologic pathologist whose work has shaped how prostate cancer is diagnosed globally. Formerly at Johns Hopkins, he has trained over 90 specialists and continues to influence the field through clinical work and research. Advanced Uropathology of New York (a division of Integrated Medical Professionals) in Garden City, NY, ___________________________________🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV ___________________________________ 💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership ___________________________________ 📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast 🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE 🌐 DrGeo.com Website → https://bit.ly/43khht0 ___________________________________ 📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology _______________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.

    1h 6m

  5. APR 13

    Prostate Cancer Future: Can Water Jets Replace Surgery & Radiation? with Dr. Brian Helfand

    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 Learn 1. Why Medications May Not Be the Best First Step Most prostate medications manage symptoms—but don’t fix the problemLong-term use may come with side effects and limited improvementMany men stay on meds for years without real resolution 2. The Shift Toward Personalized Prostate Care Not all urinary symptoms come from the prostateKey contributors include:DiabetesSleep apneaAnxietyTreating the whole patient, not just the prostate, leads to better outcomes 3. What is Aqua Ablation? A minimally invasive procedure that uses a high-pressure water jet to remove excess prostate tissue. Key Features: Robotically controlled for precisionGuided by real-time ultrasound imagingNo heat (unlike lasers or steam)Customized treatment plan for each patient 4. Why Aqua Ablation is a Game Changer Compared to traditional procedures: ✅ Lower risk of sexual side effects ✅ Minimal risk of incontinence ✅ Faster recovery ✅ Highly durable results Results: Significant improvement in urinary symptoms (~15-point IPSS improvement)Very low retreatment rate (~0.4% per year) 5. The “Money Shot” Conversation (Yes, It Matters) Preservation of ejaculation is a top priority for many menAqua ablation preserves it in 90%+ of casesMany other procedures result in permanent dry orgasm 6. Who is a Candidate for Treatment? There is no single number or test. Dr. Helfand looks at the full picture (“gestalt”): Symptom severity (IPSS)Patient bother levelUrinary flow strengthPost-void residual (PVR)Overall health 👉 Bottom line: If symptoms are bothering your life, you’re a candidate for discussion. 7. What About the Bladder? Not all urinary issues are prostate-relatedBladder function must be consideredUrodynamics are only used in complex cases, not routine ones 8. The Future: Prostate Cancer Applications Early data suggests aqua ablation may: Improve urinary symptoms Potentially reduce cancer burden in some patients Could evolve into a whole-gland treatment approach ⚠️ Still emerging—but very promising 💡 Key Takeaways Medications are not always the best long-term solution Treat the patient, not just the prostate Aqua ablation offers a precision, low-side-effect alternative Sexual function preservation is a major differentiator The future may include dual treatment for BPH + prostate cancer 👨‍⚕️ About the Guest Dr. Brian Helfand Clinical Professor, University of Chicago MD, PhD Author of 270+ peer-reviewed studies Expert in prostate cancer and precision medicine 📞 Phone: 847-503-3000 🌐 Website: Endeavor Health (under development) This conversation goes beyond procedures. It challenges the traditional “medication-first” approach and explores how personalized, data-driven care can transform outcomes for men.👉 View complete episode show notes, resources, and transcript at DrGeo.com___________________________________ 🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV ___________________________________ 💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership ___________________________________ 📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast 🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE 🌐 DrGeo.com Website → https://bit.ly/43khht0 ___________________________________ 📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology ___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.

    1h 4m

  6. MAR 24

    Prostate Terrain & Mental Fortitude: Signs of High-Functioning Addiction with Dr. Ray Zakari

    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 offers a unique "one-stop shop" for high-performing men and families navigating the complexities of modern life. What You’ll Discover Here:Men’s Mental Health: From Gen Z to Gen X, we’re diving into the unique pressures men face today.The Truth About Addiction: Real talk on everything from "ubiquitous" marijuana and alcohol to the hidden drains of workaholism and digital dependency.Parenting with Purpose: How to stop being your child’s "friend" and start being their parent—breaking the cycle of enabling and teaching self-efficacy.The Mind-Body Connection: Understanding how stress and anxiety manifest as physical symptoms (like pelvic pain, ED, and chronic fatigue).Radical Accountability: Why "victimhood mentality" is a dead end and how to build the resilience to do hard things. Timestamps 🕒 00:00 – Introduction and the "Geo" Philosophy of Aging Better 01:45 – Dr. Ray Zakari: Men’s Mental Health from Gen Z to Gen X 03:45 – Why House Calls? Escaping the 10-Minute Insurance Treadmill 05:40 – The "Zero Birthday" Crisis: Why 30, 40, and 50 are Danger Zones 07:45 – Stop the Victimhood: Why You Can’t Medicate the Past 11:00 – The Parent’s Nightmare: When Your Child is Spiraling 13:45 – Illegitimate Means: Why Your Kids Use Addiction to Cope 16:30 – The Friendship Trap: Why Being Your Kid’s "Buddy" is Failing Them 18:30 – Hard Truths: How Parents Accidentally Fund the Addiction 21:00 – Digital Junkies: Reclaiming Control Over Phones and Gaming 25:30 – The 10:15 PM Rebellion: Allowing Age-Appropriate Pushback 27:45 – Red Flags: The 3 Signs Your Teen is Losing Their Way 30:30 – The Marijuana Myth: How Today’s Weed Destroys Motivation 34:30 – Defining Addiction: When the Habit Starts Taking Your Life 38:15 – The 30-Year-Old at Home: Ending the "Gravy Train" 41:30 – When Love Becomes Dangerous: Dealing with Domestic Violence 44:00 – Narcan 101: The Life-Saving Tool Every Parent Needs 46:30 – Hidden Addictions: Porn, Workaholism, and "Liquid Courage" 51:30 – Cooking as Therapy: Building Brain Function in the Kitchen 53:45 – The Goal of Therapy: Building the Capacity to Do Hard Things Whether you are a professional struggling to balance high-stakes work with mental peace, or a parent trying to save a child from the brink of addiction, this channel provides the clinical expertise and "straight-talk" strategies you won't find in a 10-minute insurance-treadmill appointment. ___________________________________ 🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV ___________________________________ 💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership ___________________________________ 📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast 🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE 🌐 DrGeo.com Website → https://bit.ly/43khht0 ___________________________________ 📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology ___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.

    57 min

  7. MAR 11

    Prostatitis or Pelvic Dysfunction? Why Your Diagnosis Might Be Wrong with Dr. Adam Gvili

    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 Pelvis NYC. Dr. Gvili shares his personal six-year journey through pelvic pain and explains why the traditional medical model often fails men suffering from pelvic tension, urinary frequency, and sexual symptoms. Whether you are dealing with "Hard Flaccid," "Headache in the Pelvis," or chronic discomfort, this conversation provides a roadmap for what real healing looks like through nervous system retraining and specialized physical therapy. In This Episode, You’ll Discover: The Prostatitis Myth: Why the diagnosis is often a "label of exclusion" when doctors can’t find anything else.The 95% Rule: Why most pelvic pain is musculoskeletal, not bacterial.The Danger of "Floxing": Why you should be cautious of fluoroquinolone antibiotics (Cipro/Levoquin).Hypertonicity Explained: How "tight asses" and chronic guarding lead to urinary and sexual dysfunction.The Hard Flaccid Phenomenon: What is happening to the fascia and blood flow of the penis under chronic stress.Beyond Kegels: Why strengthening isn't always the answer—and why learning to relax the pelvic floor is the key to recovery. Episode Timestamps: 00:00 Is Prostatitis even a real diagnosis? 02:45 Dr. Gvili’s 6year personal battle with pelvic dysfunction. 06:30 Why 95-98% of cases show an absence of bacteria. 08:10 The danger of missing a true bacterial infection. 10:45 How "Prostatitis" labels mislead men over 50. 13:00 Case Study: When a "prostate" issue was actually a urinary stricture. 20:30 The Black Box warning: Cipro, Levoquin, and tendon health. 26:45 What a "Hypertonic" pelvic floor actually feels like. 29:00 The difference between a Urologist's DRE and a Pelvic PT exam. 38:30 Can you really isolate pelvic muscles? 43:00 Calming the nervous system: How to unlearn the pain response. 50:15 "Hard Flaccid" and the role of Buck’s Fascia in erections. 52:00 Where to find Dr. Gvili and Pelvis NYC. 👉 Connect with Dr. Adam Gvili: Website: https://pelvis.nyc ___________________________________ 🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV ___________________________________ 💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership ___________________________________ 📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast 🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE 🌐 DrGeo.com Website → https://bit.ly/43khht0 ___________________________________ 📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology ___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.

    55 min

  8. FEB 25

    Is Ignorance Bliss? Full-Body MRI, PI-RADS Confusion, and What AI Really Sees with Andrew Lacy

    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-based blueprint for middle-aged men looking to perform better with age. Inside This Episode:The PSA Red Flag: Why a PSA above 1.0 at age 45 is a critical warning sign.PI-RADS Discordance: A case study on why one radiologist sees a "4" while another sees a "2".Prenuvo’s Method: Understanding non-contrast multiparametric MRI for risk stratification.The AI Reality: Why AI is currently a "quantitative second look" rather than a replacement for radiologists.Life-Saving Detection: Why MRI is phenomenally effective at catching pancreatic cancer early.Test, Don't Guess: Shifting from a "head-in-the-sand" mindset to informed lifestyle changes. Timestamps:00:00 Young Patient Scare00:19 Ignorance Versus Bliss02:05 Why Prenuvo Exists04:57 Scan Anxiety Tradeoff06:53 Fear Stories and Men11:05 Radiology Limits and Training14:41 PI-RADS Discordance Case17:00 How Prenuvo Fits Workup19:41 Evidence and Study Data23:18 Indolent Cancers Debate26:22 Diagnosis As Wake-Up Call27:25 Normalizing Watchful Waiting28:47 Test, Don’t Guess Mindset30:41 Connecting Symptoms To Findings31:53 Aging Mortality and Trajectory34:50 Who Should Get Scanned36:41 Baseline Scans When Healthy37:46 AI In Radiology Today41:12 What Full-Body MRI Finds Best44:33 Limits Like Arterial Plaque45:36 When Not To Get Scanned48:33 Closing Thoughts ___________________________________ 🌱 Partner OffersProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV ___________________________________ 💪 Exclusive MembershipWant deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership ___________________________________ 📌 Follow and Connect📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast 🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE 🌐 DrGeo.com Website → https://bit.ly/43khht0 ___________________________________ 📣 Hashtags#DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology ___________________________________⚠️ DisclaimerThis podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.

    51 min
See All (182)

Trailer

4.8
out of 5
61 Ratings

About

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.

Information

  • Creator
    Dr. Geo Espinosa
  • Years Active
    2022 - 2026
  • Episodes
    182
  • Rating
    Explicit
  • Copyright
    © Copyright 2026 Dr. Geo Espinosa
  • Show Website
    The Dr. Geo Prostate Podcast

You Might Also Like