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The Dr. Geo Podcast

Author: Dr. Geo Espinosa

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The Dr. Geo 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.
130 Episodes
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In this insightful episode of the Dr. Geo Prostate Podcast, Dr. Geo Espinosa sits down with Dr. Jun Gong, a leading medical oncologist at Cedars Sinai Medical Center, to explore the nuanced relationship between glutamine, an essential amino acid, and prostate cancer. They break down the latest research, discussing how cancer cells manipulate glutamine for growth and whether dietary glutamine has a role in prostate cancer risk or progression. Key highlights include:The scientific role of glutamine in cellular health and cancer metabolism.Why glutamine dependency varies across prostate cancer stages, from localized to advanced neuroendocrine forms.Emerging treatments targeting glutamine pathways, including clinical trials and therapeutic resistance.The importance of lifestyle interventions like exercise in managing advanced prostate cancer.Practical takeaways for balancing dietary and supplemental glutamine in prostate health.Dr. Gong also provides an update on ongoing research, potential future treatments, and the complexities of therapeutic approaches. Whether you're a self-health advocate or a medical professional, this episode offers actionable insights to help navigate prostate cancer care.Don’t miss this engaging conversation packed with expert advice and groundbreaking research. Subscribe now to the Dr. Geo Prostate Podcast and visit DrGeo.com for exclusive content, newsletters, and updates.----------------Thank you to our partners.This episode is also brought to you by AG1 (Athletic Greens). AG1 contains 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This special blend of ingredients supports your gut health, nervous system, immune system, energy, recovery, focus, and aging. All the things. Enjoy AG1 (Athletic Greens).----------------📌 Dr. Geo’s Social Media and WebsitesInstagram:  https://bit.ly/DRGEO-INSTA-YTFacebook:  https://bit.ly/POD-FB-DrGeoLinkedIn:   https://bit.ly/DRGEO-LINKEDIN-YTWebsite:   
In this episode Dr. Geo sits down with Dr. Stacy Loeb, a leading prostate cancer researcher and faculty member at NYU Langone Health. Renowned for publishing more scientific papers on prostate cancer than any other woman in the field, Dr. Loeb shares her expertise on the benefits of plant-based diets in preventing and managing prostate cancer.Dr. Loeb, inspired by her grandfather's battle with prostate cancer, combines her groundbreaking research and board certification in Lifestyle Medicine to provide actionable tips for eating more plants and improving prostate health. Together, they discuss the science behind plant-based nutrition, the practical steps to implement these changes, and how lifestyle medicine can enhance overall quality of life.Whether you're seeking to prevent prostate cancer, manage a diagnosis, or simply live healthier, this episode is packed with insights to help you take control of your health.Key Takeaways:Why plant-based diets can lower the risk of prostate cancer and improve quality of life.Simple, actionable tips to incorporate more plants into your diet.The critical role of lifestyle changes—nutrition, exercise, sleep, and stress management—in prostate cancer prevention and care.How Dr. Loeb’s personal journey and innovative research continue to transform the field of integrative urology.----------------Thank you to our partners.This episode is also brought to you by AG1 (Athletic Greens). AG1 contains 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This special blend of ingredients supports your gut health, nervous system, immune system, energy, recovery, focus, and aging. All the things. Enjoy AG1 (Athletic Greens).----------------📌 Dr. Geo’s Social Media and WebsitesInstagram:  https://bit.ly/DRGEO-INSTA-YTFacebook:  https://bit.ly/POD-FB-DrGeoLinkedIn:   https://bit.ly/DRGEO-LINKEDIN-YTWebsite:   https://bit.ly/43khht0 XY Wellness- Prostate Health Supplements - a...
In this episode of the Dr. Geo Podcast, Dr. Geo concludes a four-week exploration of treatments for benign prostate hyperplasia (BPH) with a focus on Aquablation Therapy, an innovative robotic, heat-free treatment using water jet technology to address urinary issues caused by an enlarged prostate. Dr. Geo welcomes Dr. Chris Kelly, a urologist at NYU Langone Health and an expert in Aquablation, to share insights on this groundbreaking procedure.Dr. Kelly delves into the benefits of Aquablation compared to traditional treatments such as TURP (transurethral resection of the prostate) and other minimally invasive options. Key topics include the science behind Aquablation, its ability to personalize treatment based on prostate size and shape, and its superior outcomes in preserving sexual function, especially ejaculation. The conversation also covers how Aquablation offers a faster recovery time and lower retreatment rates than other surgical options.Key Points:Differentiating urinary symptoms caused by BPH, prostatitis, or overactive bladder.The role of diagnostic tools like urodynamic studies and post-void residual tests.Factors influencing the choice of surgical treatments for BPH, including prostate size, bladder function, and patient goals.Clinical evidence supporting Aquablation's safety and effectiveness, including studies showing its long-term benefits.Dr. Kelly shares his experience with over 150 successful Aquablation procedures and provides practical advice for patients considering this therapy. Whether you're exploring treatment options for BPH or interested in advancements in urology, this episode offers a wealth of actionable information.Don’t miss this in-depth discussion on a revolutionary approach to treating BPH.🎧 Listen, Download and Subscribe to the Dr. Geo Prostate Podcast for the latest in prostate health, prostate cancer and men’s wellness!----------------Chapters📚00:00 Aquablation for an Enlarged Prostate (BPH) with Chris Kelly, MD [REPLAY] 04:06 Dr. Kelly's Specialization and BPH Focus06:17 Differentiating Between Prostatitis, BPH, and Overactive Bladder08:28 Diagnostic Process for Urinary Symptoms11:50 Urodynamic Testing Explained23:52 Prostate Massage and Malto Device Sponsor25:45 Further Discussion on Urodynamic Testing27:06 Managing BPH and Bladder Health33:24 Surgical Treatments for BPH34:25 Patient Goals and Considerations for Prostate Surgery35:38 Bladder Function and Prostate Size36:44 Types of Prostate Procedures38:11 Orgasmic Function and Surgical Outcomes39:34 Transurethral Resection of the Prostate (TURP)40:23 Green Light Laser and Other Laser Procedures47:18 Aqua Ablation: A Revolutionary Approach---------------📌 We are excited to introduce our November Sponsors:Molto for prostate health by MysteryVibe: Take control of your prostate health with Molto—the FDA-registered, ultra-slim, and flexible device designed by urologists to mimic their touch. Clinically proven to improve prostatitis by 57%, Molto delivers powerful, targeted vibrations that help reduce inflammation, clear fluid buildup, ease symptoms like interrupted urination and painful ejaculations and even enhance erections. Its ergonomic, beginner-friendly design allows you to experience the benefits—and pleasures—of prostate massage privately and comfortably at home. Plus, it's FSA/HSA eligible, so enjoy 30% off Molto today. [Click here and get 30% off: a...
Dr. Geo Espinosa sits down with Dr. Eric Giesler, a leading urologist from Austin, Texas, to discuss Rezūm, an innovative steam-based treatment for BPH (enlarged prostate). Learn how Rezūm works, who it’s best suited for, and how it compares to other minimally invasive treatments like UroLift. Discover the latest advancements in BPH care and actionable insights for improving prostate health.Key Points:What is Rezūm? A minimally invasive steam treatment for BPH, reducing prostate size and improving urinary flow.Ideal Candidates: Best for patients with moderate-to-large prostates; not suitable for extremely large prostates or those prioritizing ejaculatory preservation.Procedure Details: In-office, ~30-minute procedure with local anesthesia. Recovery includes short-term irritation, with significant improvement by 3–4 weeks.Comparison to UroLift: Rezūm offers longer-term results but may involve more recovery time. UroLift is ideal for patients who prioritize preserving ejaculatory function.Emerging Research: The VAPOR trial explores Rezūm’s potential for low-grade prostate cancer treatment.Patient-Centered Care: Importance of tailoring treatments to individual symptoms, anatomy, and lifestyle preferences.Whether you're exploring treatment options or looking to deepen your understanding of BPH, this episode is packed with expert insights and practical advice to empower your journey toward better prostate health.----------------📌 We are excited to introduce our November Sponsors:Molto for prostate health by MysteryVibe: Take control of your prostate health with Molto—the FDA-registered, ultra-slim, and flexible device designed by urologists to mimic their touch. Clinically proven to improve prostatitis by 57%, Molto delivers powerful, targeted vibrations that help reduce inflammation, clear fluid buildup, ease symptoms like interrupted urination and painful ejaculations and even enhance erections. Its ergonomic, beginner-friendly design allows you to experience the benefits—and pleasures—of prostate massage privately and comfortably at home. Plus, it's FSA/HSA eligible, so enjoy 35% off Molto today. [Link: https://bit.ly/4fv4ust]----------------Claim your FREE spot and Join us at the Prostate Cancer Summit | November 19 to 25, 2024.Click HERE and sign up. ----------------📌 Dr. Geo’s Social Media and WebsitesInstagram:  https://bit.ly/DRGEO-INSTA-YTFacebook:  https://bit.ly/POD-FB-DrGeoLinkedIn:   https://bit.ly/DRGEO-LINKEDIN-YTWebsite:   https://bit.ly/43khht0 XY Wellness- Prostate Health Supplements - https://bit.ly/3uJPC7ZMr. Happy- Supplements for Men- https://bit.ly/3RJMX6O____________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content is my opinion, not that of my employer(s) or any affiliated company.Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages resulting from using the information in this video, including but not limited to economic loss, injury, illness, or death.
In this insightful episode of the Dr. Geo Podcast, Dr. Geo Espinosa dives deep into chronic pelvic pain syndrome (CPPS), discussing its causes, diagnosis, and innovative therapies. Joining him is the renowned Dr. Jeanette Potts, a urologist and expert in CPPS, who brings her wealth of experience from her time at the Cleveland Clinic and beyond.Key Takeaways:Understanding CPPS: Learn why prostatitis might be an overused or even misdiagnosed term, and how CPPS encompasses a broader spectrum of symptoms, including penile pain, testicular pain, and pelvic "itis."The Role of Central Sensitization: Discover how CPPS often intersects with functional somatic syndromes, highlighting the importance of a holistic approach to diagnosis and care.Practical Insights for Patients and Practitioners: From using timelines and genograms to exploring therapies like pelvic floor physical therapy, deep breathing, and even neuromodulation.Treatment Misconceptions: Dr. Potts and Dr. Geo discuss the pitfalls of over-reliance on antibiotics and the importance of avoiding unnecessary invasive procedures.Mental Health Connection: How addressing psychological and emotional factors, including past trauma, is integral to managing chronic pelvic pain.Exciting Innovations: Introducing the FDA-registered Malto device for prostate wellness, designed for targeted stimulation and improved prostate health.Dr. Potts also shares her call for a better healthcare system while offering actionable advice for patients on how to prepare for appointments and advocate for themselves effectively. Tune in for an episode filled with valuable insights, practical tools, and hope for those navigating the challenges of prostatitis.----------------📌 We are excited to introduce our November Sponsors:Molto for prostate health by MysteryVibe: Take control of your prostate health with Molto—the FDA-registered, ultra-slim, and flexible device designed by urologists to mimic their touch. Clinically proven to improve prostatitis by 57%, Molto delivers powerful, targeted vibrations that help reduce inflammation, clear fluid buildup, ease symptoms like interrupted urination and painful ejaculations and even enhance erections. Its ergonomic, beginner-friendly design allows you to experience the benefits—and pleasures—of prostate massage privately and comfortably at home. Plus, it's FSA/HSA eligible, so enjoy 35% off Molto today. [Link: https://bit.ly/4fv4ust]----------------Claim your FREE spot and Join us at the Prostate Cancer Summit | November 19 to 25, 2024.Click HERE and sign up. ----------------📌 Dr. Geo’s Social Media and WebsitesInstagram:  https://bit.ly/DRGEO-INSTA-YTFacebook:  https://bit.ly/POD-FB-DrGeoLinkedIn:   https://bit.ly/DRGEO-LINKEDIN-YTWebsite:   https://bit.ly/43khht0 XY Wellness- Prostate Health Supplements - https://bit.ly/3uJPC7ZMr. Happy- Supplements for Men- https://bit.ly/3RJMX6O____________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content is my opinion, not that of my employer(s) or any affiliated company.Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages resulting from using the information in this video, including but not limited to economic loss, injury, illness, or death.
In this highly requested episode, Dr. Geo sits down with Dr. Vikram Rajpurohit, a clinical professor at NYU Langone and an expert in Prostate Artery Embolization (PAE), to dive into the specifics of PAE as a treatment for Benign Prostatic Hyperplasia (BPH). Dr. Rajpurohit explains what PAE is, how it works, and who the ideal candidates are. The discussion covers the procedure’s effectiveness in shrinking the prostate and improving urinary symptoms, along with details on expected outcomes, duration, and what patients should consider when choosing between PAE and other treatments.Key Points:Overview of PAE as a minimally invasive alternative to surgery for BPHThe science behind how PAE works and its impact on prostate and urinary healthInsights into patient outcomes, including prostate shrinkage and symptom improvementComparison of PAE with other common BPH treatmentsCandidacy factors for PAE and important questions for patients to askListen in to learn if PAE might be the right choice for you or a loved one facing prostate-related urinary issues.----------------📚 Chapters 00:00 Introduction to Peripheral Arterial Embolism (PAE)04:16 In-Depth Discussion on PAE08:36 Interventional Radiology Explained11:29 Procedure Details: Radial vs. Femoral Artery16:36 Post-Procedure Care and Success Rates20:17 Ejaculation Concerns and PAE21:07 Prostate Massage Device Sponsor23:23 Ejaculatory Function and PAE23:48 Erectile Function Post-PAE24:51 Comparing PAE to Other Procedures26:32 Lifestyle Modifications and PAE28:42 Revisiting PAE and Other Options30:30 Interventional Radiologists and Urologists32:18 Finding a PAE Specialist34:20 Making the Right Decision for BPH Treatment39:04 Effectiveness of PAE for Large Prostates----------------📌 We are excited to introduce our November Sponsors:Molto for prostate health by MysteryVibe: Take control of your prostate health with Molto—the FDA-registered, ultra-slim, and flexible device designed by urologists to mimic their touch. Clinically proven to improve prostatitis by 57%, Molto delivers powerful, targeted vibrations that help reduce inflammation, clear fluid buildup, ease symptoms like interrupted urination and painful ejaculations and even enhance erections. Its ergonomic, beginner-friendly design allows you to experience the benefits—and pleasures—of prostate massage privately and comfortably at home. Plus, it's FSA/HSA eligible, so enjoy 30% off Molto today. [Click here and get 30% off: https://bit.ly/3NY0gxK]----------------Claim your FREE spot and Join us at the Prostate Cancer Summit | November 19 to 25, 2024.Click HERE and sign up. ----------------📌 Dr. Geo’s Social Media and WebsitesInstagram: https://bit.ly/DRGEO-INSTA-YTFacebook: https://bit.ly/POD-FB-DrGeoLinkedIn: https://bit.ly/DRGEO-LINKEDIN-YTWebsite: https://bit.ly/43khht0 XY Wellness- Prostate Health Supplements - https://bit.ly/3uJPC7ZMr. Happy- Supplements for Men- https://bit.ly/3RJMX6O____________________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content is my opinion, not that of my employer(s) or any affiliated company.Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages resulting from using the information in this video, including but not limited to economic loss, injury, illness, or death.
In this episode of the Dr. Geo Podcast, Dr. Geo Espinosa interviews Dr. Matthew Cooperberg, a leading expert in prostate cancer from UCSF. They discuss the intricacies of diagnosing prostate cancer, the criteria for active surveillance, and how to choose the right treatment path. Dr. Cooperberg explains the evolving role of genetic testing, MRI, and other diagnostic tools that aid in personalized prostate cancer care. Together, they delve into why the best treatment decisions are made based on individual patient risk, offering invaluable insights for both patients and healthcare providers.Key Points:The right candidate for active surveillance in prostate cancerComparing surgery, radiation, and hormone therapy optionsThe importance of genetic testing and MRI in prostate cancer diagnosisBenefits of personalized medicine in prostate cancer treatmentWhen to use genomic tests like DecipherThe role of MRI-guided and transperineal biopsiesThe evolving landscape of prostate cancer care at academic institutionsListeners will gain a comprehensive understanding of how to navigate prostate cancer treatment options with cutting-edge tools and techniques.----------------We are excited to introduce our October Sponsors:XY Wellness: XY Wellness provides a high-value roadmap to health and wellness for men with prostate cancer. Co-founded by our Chief Medical Officer, they aim to help men thrive post-diagnosis. [Learn more about XY Wellness here [https://bit.ly/3uJPC7Z].AG1 (Athletic Greens): AG1 contains 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This special blend of ingredients supports your gut health, nervous system, immune system, energy, recovery, focus, and aging. All the things. Enjoy AG2 (Athletic Greens)  [https://bit.ly/3mA2tVV] here----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.Improve your urological health with Dr. Geo’s formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition: Mr. Happy Nutraceutical Supplements for prostate health and male optimal living.You can also check out Dr. Geo’s online dispensary for other supplement recommendations Dr. Geo’s Supplement Store____________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content is my opinion and not that of my employer(s) or any affiliated company.Use of this...
In this insightful episode, Dr. Geo welcomes Dr. James Eastham, a renowned urologist from Memorial Sloan Kettering Cancer Center. They discuss the ideal candidates for prostate removal (prostatectomy), the latest surgical approaches, and Dr. Eastham’s experiences and philosophy as a surgeon. Dr. Eastham shares valuable insights on robotic vs. open surgery, the evolving landscape of prostate cancer treatments, and how he balances professional success with personal wellness. Listeners also get a glimpse into Dr. Eastham’s personal health practices and how lifestyle choices can impact long-term outcomes for both patients and medical professionals.Key Takeaways:Ideal Candidates for Prostatectomy: Who should consider surgery, and when is it appropriate.Robotic vs. Open Surgery: How technology has evolved and when open surgery is still preferred.Recovery and Outcomes: Discussing incontinence, sexual function, and long-term recovery after prostatectomy.Lifestyle and Wellness: Dr. Eastham’s personal approach to maintaining health and work-life balance.AI and the Future of Prostate Surgery: Insights into how technology will shape the future of urology and patient care.Tune in to learn more about the latest in prostate cancer treatments and gain practical advice on improving prostate health.----------------We are excited to introduce our October Sponsors:XY Wellness: XY Wellness provides a high-value roadmap to health and wellness for men with prostate cancer. Co-founded by our Chief Medical Officer, they aim to help men thrive post-diagnosis. [Learn more about XY Wellness here [https://bit.ly/3uJPC7Z].AG1 (Athletic Greens): AG1 contains 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This special blend of ingredients supports your gut health, nervous system, immune system, energy, recovery, focus, and aging. All the things. Enjoy AG2 (Athletic Greens)  [https://bit.ly/3mA2tVV] here----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.Improve your urological health with Dr. Geo’s formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition: Mr. Happy Nutraceutical Supplements for prostate health and male optimal living.You can also check out Dr. Geo’s online dispensary for other supplement recommendations Dr. Geo’s Supplement...
In this episode, Dr. Geo sits down with Dr. Todd Morgan, a leading urological surgeon from Michigan Medicine, to explore cutting-edge tools like biomarkers, MRI, and genomic testing in diagnosing prostate cancer. They dive into the benefits of active surveillance, the importance of the MUSIC trial, and how advanced diagnostics shape treatment decisions.Key Points:Importance of biomarkers and MRI in reducing unnecessary biopsies.Active surveillance for low-risk prostate cancer and the impact of the MUSIC trial.Use of genomic testing (Decipher, Prolaris) to inform treatment decisions.Debate around active surveillance for higher-risk Gleason 7 cancers.Role of AI and precision-based treatments in prostate cancer care.----------------We are excited to introduce our October Sponsors:XY Wellness: XY Wellness provides a high-value roadmap to health and wellness for men with prostate cancer. Co-founded by our Chief Medical Officer, they aim to help men thrive post-diagnosis. [Learn more about XY Wellness here [https://bit.ly/3uJPC7Z].AG1 (Athletic Greens): AG1 contains 75 high-quality vitamins, minerals, whole-food sourced ingredients, probiotics, and adaptogens to help you start your day right. This special blend of ingredients supports your gut health, nervous system, immune system, energy, recovery, focus, and aging. All the things. Enjoy AG2 (Athletic Greens)  [https://bit.ly/3mA2tVV] here----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.Improve your urological health with Dr. Geo’s formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition: Mr. Happy Nutraceutical Supplements for prostate health and male optimal living.You can also check out Dr. Geo’s online dispensary for other supplement recommendations Dr. Geo’s Supplement Store____________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content is my opinion and not that of my employer(s) or any affiliated company.Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video, including but not limited to economic loss, injury, illness, or death.
In this engaging episode, Dr. Geo sits down with Dr. Behfar Ehdaie, a renowned urologic surgeon from Memorial Sloan Kettering Cancer Center, for an insightful discussion on prostate cancer treatment. The focus is on High-Intensity Focused Ultrasound (HIFU) as a focal therapy for prostate cancer, including patient selection criteria and the future of minimally invasive treatments.Key points covered include:Prostate Cancer: Understanding active surveillance for Gleason 6 and Gleason 7 prostate cancers, who qualifies, and why active surveillance is an essential tool in patient management.Focal Therapies: Exploring HIFU technology, the benefits of preserving quality of life, and minimizing risks like erectile dysfunction and incontinence.Communication with Patients: Dr. Ehdaie shares his unique approach to patient communication, emphasizing the importance of trust and understanding patient priorities when navigating treatment decisions.Innovations in Prostate Cancer: Dr. Ehdaie discusses the exciting future of prostate cancer treatments and his research on personalized approaches using advanced imaging and biomarkers.Personal Experiences: The episode also delves into personal stories of patients on active surveillance and how lifestyle changes can positively affect health outcomes.This episode is a must-listen for those interested in the latest advancements in prostate cancer treatment and improving doctor-patient communication. Tune in to gain valuable insights into proactive management of prostate health.----------------Tune in for our in-depth 4-part series on Focal and Ablation Therapies, featuring insightful interviews on the latest advancements in treatment.Thank you to our September Sponsors!Focal One- The first and only robotic platform for precise focal ablation using high-intensity focused ultrasound (HIFU). This minimally invasive treatment offers unmatched precision with no surgery, cutting, or radiation, and helps preserve healthy tissue while minimizing side effects. For more details, click [HERE] Profound Medical- TULSA Pro- The innovators behind Tulsa-Pro. Their transurethral ultrasound ablation (TULSA) procedure targets prostate tissue from the inside out through the urethra, reducing risks like erectile dysfunction and incontinence. With real-time MRI and robotics, Tulsa-Pro provides precise, incision-free treatment for effective cancer control. Learn more about Profound Medical and Tulsa-Pro, click [HERE]----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.Improve your urological health with Dr. Geo’s formulated supplement lines:
Dr. Geo sits down with Dr. Ara Karamanian, MD, a board-certified interventional and diagnostic radiologist with expertise in prostate cancer treatment. Dr. Karamanian, who holds a biomedical engineering degree from Duke University, specializes in Focal Laser Ablation (FLA), a cutting-edge, minimally invasive therapy that uses real-time MRI guidance to precisely target and treat prostate cancer. Together, they discuss the benefits of FLA, how it compares to other focal therapies, and who makes an ideal candidate for this advanced procedure. They also delve into the reasons why FLA is not yet widely available, despite its promising results.Key Points:What FLA is and how it works for prostate cancer.Differences between FLA and other focal therapies like MRI fusion biopsy.Who is the right candidate for FLA treatment.The benefits of real-time MRI in guiding FLA procedures.Why FLA is not yet a standard treatment option in many places.Tune in to learn more about this revolutionary therapy from one of the leading experts in the field.----------------Tune in for our in-depth 4-part series on Focal and Ablation Therapies, featuring insightful interviews on the latest advancements in treatment.Thank you to our September Sponsors!Focal One- The first and only robotic platform for precise focal ablation using high-intensity focused ultrasound (HIFU). This minimally invasive treatment offers unmatched precision with no surgery, cutting, or radiation, and helps preserve healthy tissue while minimizing side effects. For more details, click [HERE] Profound Medical- TULSA Pro- The innovators behind Tulsa-Pro. Their transurethral ultrasound ablation (TULSA) procedure targets prostate tissue from the inside out through the urethra, reducing risks like erectile dysfunction and incontinence. With real-time MRI and robotics, Tulsa-Pro provides precise, incision-free treatment for effective cancer control. Learn more about Profound Medical and Tulsa-Pro, click [HERE]----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.Improve your urological health with Dr. Geo’s formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition: Mr. Happy Nutraceutical Supplements for prostate health and male optimal living.You can also check out Dr. Geo’s online dispensary for other supplement recommendations Dr. Geo’s Supplement Store____________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content...
In this episode of the Dr. Geo Podcast, Dr. Geo sits down with Dr. Xiaosong Meng from UT Southwestern Medical Center to discuss TULSA (Transurethral Ultrasound Ablation), an advanced focal treatment for prostate cancer. They explore how TULSA works, its benefits, and how it compares to other focal therapies like HIFU, cryoablation, and IRE. The episode also highlights key factors such as MRI guidance, potential side effects, and the suitability of TULSA for patients with both BPH and prostate cancer.Key Points:Comparison of TULSA with HIFU, cryoablation, and IRE.Importance of MRI guidance and tumor location.Discussion on potential side effects and 'natural' focal therapies.TULSA’s suitability for patients with BPH and prostate cancer.Role of TULSA in salvage treatments for recurrent prostate cancer.----------------Tune in for our in-depth 4-part series on Focal and Ablation Therapies, featuring insightful interviews on the latest advancements in treatment.Thank you to our September Sponsors!Focal One- The first and only robotic platform for precise focal ablation using high-intensity focused ultrasound (HIFU). This minimally invasive treatment offers unmatched precision with no surgery, cutting, or radiation, and helps preserve healthy tissue while minimizing side effects. For more details, click [HERE] Profound Medical- TULSA Pro- The innovators behind Tulsa-Pro. Their transurethral ultrasound ablation (TULSA) procedure targets prostate tissue from the inside out through the urethra, reducing risks like erectile dysfunction and incontinence. With real-time MRI and robotics, Tulsa-Pro provides precise, incision-free treatment for effective cancer control. Learn more about Profound Medical and Tulsa-Pro, click [HERE]----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.Improve your urological health with Dr. Geo’s formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition: Mr. Happy Nutraceutical Supplements for prostate health and male optimal living.You can also check out Dr. Geo’s online dispensary for other supplement recommendations Dr. Geo’s Supplement Store____________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content is my opinion and not that of my employer(s) or any affiliated company.Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages that may result...
In this episode, Dr. Geo sits down with Dr. Arvin George, a renowned urologic surgeon from Johns Hopkins specializing in prostate cancer, to delve into the world of focal therapy. They discuss what focal therapy is, its side effects, and various energy types used in treating prostate cancer. Dr. George explains the advancements in imaging, the importance of patient empowerment, and compares different therapeutic modalities like HIFU, cryoablation, TULSA, and more. This comprehensive conversation aims to inform patients about their options, helping them make empowered decisions regarding their prostate health.----------------Tune in for our in-depth 4-part series on Focal and Ablation Therapies, featuring insightful interviews on the latest advancements in treatment.Thank you to our September Sponsors!Focal One- The first and only robotic platform for precise focal ablation using high-intensity focused ultrasound (HIFU). This minimally invasive treatment offers unmatched precision with no surgery, cutting, or radiation, and helps preserve healthy tissue while minimizing side effects. For more details, click [HERE] Profound Medical- TULSA Pro- The innovators behind Tulsa-Pro. Their transurethral ultrasound ablation (TULSA) procedure targets prostate tissue from the inside out through the urethra, reducing risks like erectile dysfunction and incontinence. With real-time MRI and robotics, Tulsa-Pro provides precise, incision-free treatment for effective cancer control. Learn more about Profound Medical and Tulsa-Pro, click [HERE]----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.Improve your urological health with Dr. Geo’s formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition: Mr. Happy Nutraceutical Supplements for prostate health and male optimal living.You can also check out Dr. Geo’s online dispensary for other supplement recommendations Dr. Geo’s Supplement Store____________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content is my opinion and not that of my employer(s) or any affiliated company.Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video, including but not limited to economic loss, injury, illness, or death.
Join Dr. Geo as he sits down with Dr. Valary Raup, a top urologist specializing in male sexual health, to uncover the pros and cons of erectile dysfunction treatments, particularly after prostate cancer. In this episode, they discuss everything from penile implants and urinary incontinence solutions to the importance of patient-centered care. Dr. Raup shares her expert insights on the latest advancements and what men need to know to make informed decisions about their sexual health. Whether you're exploring treatment options or want to stay informed, this episode offers valuable takeaways to help you live better with age.Key Points:Erectile dysfunction post-prostate cancer.Penile implants vs. other treatments.Managing urinary incontinence.Patient-centered decision-making.Latest advancements in male sexual health.Tune in for an informative and engaging discussion that could change your approach to prostate journey.----------------Thank you to our August SponsorsThis month on The Dr. Geo podcast, we're diving into a special four-part series on Male Sexual Health, and we are excited to introduce our sponsorBoston Scientific- [EDCure]- As a leader in innovative medical solutions, Boston Scientific is dedicated to improving patient health globally. Erectile Dysfunction (ED) affects one in five American men, even as young as 20 years old, but it’s important to know that ED is treatable. From lifestyle changes and natural solutions to medical treatments like medications, vacuum devices, injections, and penile implants, there are various options available. Boston Scientific's AMS 700 Inflatable Penile Prosthesis is a long-term solution designed to mimic a natural erection, offering both functionality and a natural appearance. For more information on ED treatment options, click HERE for more information. Mr. Happy -This episode is also brought to you by Mr. Happy products-formulated by Dr. Geo Espinosa, these products address age-related health concerns like BPH and declining sexual health. By boosting nitric oxide levels and providing antioxidant support, Mr. Happy products help improve cardiovascular health, energy levels, cellular health, sexual health, mood, and stress levels. Experience the benefits of Mr. Happy products and visit > IamMrHappy.com ----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.Improve your urological health with Dr. Geo’s formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition: a...
In this rebroadcast episode, Dr. Geo Espinosa hosts a discussion with Dr. Robert Valenzuela, a leading expert in penile implants and reconstructive urology, about the journey to restoring sexual function after prostate cancer treatment. They delve into penile rehabilitation, exploring both non-invasive treatments like medications and devices, as well as more advanced solutions such as penile implants. Dr. Valenzuela provides valuable insights into the entire process, from pre-surgery preparation to post-surgery recovery, while also addressing the psychological impact of prostate cancer and the importance of early intervention for better outcomes.The conversation delves into topics such as:Penile Rehabilitation: The importance of prehabilitation and rehabilitation for regaining sexual function post-treatment.Surgical Vs. Non-Surgical Treatments: Various treatment options from medications, injections, and devices to surgical implants.Psychological Impact: Addressing the initial psychological trauma following a prostate cancer diagnosis and the subsequent impact on sexual health.Technological Advances: The advancements in robotic prostate surgery and its benefits over traditional----------------Thank you to our August SponsorsThis month on The Dr. Geo podcast, we're diving into a special four-part series on Male Sexual Health, and we are excited to introduce our sponsorBoston Scientific- [EDCure]- As a leader in innovative medical solutions, Boston Scientific is dedicated to improving patient health globally. Erectile Dysfunction (ED) affects one in five American men, even as young as 20 years old, but it’s important to know that ED is treatable. From lifestyle changes and natural solutions to medical treatments like medications, vacuum devices, injections, and penile implants, there are various options available. Boston Scientific's AMS 700 Inflatable Penile Prosthesis is a long-term solution designed to mimic a natural erection, offering both functionality and a natural appearance. For more information on ED treatment options, click HERE for more information. Mr. Happy -This episode is also brought to you by Mr. Happy products-formulated by Dr. Geo Espinosa, these products address age-related health concerns like BPH and declining sexual health. By boosting nitric oxide levels and providing antioxidant support, Mr. Happy products help improve cardiovascular health, energy levels, cellular health, sexual health, mood, and stress levels. Experience the benefits of Mr. Happy products and visit > IamMrHappy.com ----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click
In this compelling episode of The Dr. Geo Podcast, Dr. Geo Espinosa sits down with Dr. Justin Dubin, a renowned urologist specializing in penile implants and men's health, to explore the challenges men face in their sexual health after a prostate diagnosis.Dr. Dubin shares a detailed overview of penile implants, discussing the various types, the surgical procedures involved, and who might be the right candidate for this life-changing solution. They dive into some of the most common questions, such as whether porn stars use these implants, and discuss how chronic conditions like diabetes can impact success rates. They also look ahead to future innovations like Bluetooth-enabled implants.But it's not just about the technical aspects—Dr. Geo and Dr. Dubin emphasize the importance of informed decision-making and highlight the high satisfaction rates among men who choose penile implants. This episode is packed with valuable information for anyone exploring their options to maintain or restore sexual function after a prostate diagnosis.Tune in to discover how penile implants can play a critical role in men’s sexual health and overall well-being, and why it’s essential to be informed when making health decisions. Don’t miss this insightful and empowering conversation!----------------Thank you to our August SponsorsThis month on The Dr. Geo podcast, we're diving into a special four-part series on Male Sexual Health, and we are excited to introduce our sponsorBoston Scientific- [EDCure]- As a leader in innovative medical solutions, Boston Scientific is dedicated to improving patient health globally. Erectile Dysfunction (ED) affects one in five American men, even as young as 20 years old, but it’s important to know that ED is treatable. From lifestyle changes and natural solutions to medical treatments like medications, vacuum devices, injections, and penile implants, there are various options available. Boston Scientific's AMS 700 Inflatable Penile Prosthesis is a long-term solution designed to mimic a natural erection, offering both functionality and a natural appearance. For more information on ED treatment options, click HERE for more information. Mr. Happy -This episode is also brought to you by Mr. Happy products-formulated by Dr. Geo Espinosa, these products address age-related health concerns like BPH and declining sexual health. By boosting nitric oxide levels and providing antioxidant support, Mr. Happy products help improve cardiovascular health, energy levels, cellular health, sexual health, mood, and stress levels. Experience the benefits of Mr. Happy products and visit > IamMrHappy.com ----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to...
In this episode , Dr. Geo is joined by two distinguished urologists, Dr. Raphael Carrion and Dr. Raul Fernandez Crespo, from the University of South Florida. Together, they provide a comprehensive overview of medical approaches to treating erectile dysfunction (ED). The discussion covers the effectiveness of PDE5 inhibitors like Cialis and Viagra, as well as the intricacies of penile implant surgeries, exploring both malleable and inflatable options.Dr. Carrion and Dr. Fernandez-Crespo share their expertise on the step-by-step treatment process for ED, emphasizing the importance of personalized patient care and shared decision-making in selecting the right treatment. They also address the challenges posed by generic drugs, the significance of proper dosing, and considerations for surgical interventions. Dont miss this episode is a must-listen for anyone seeking a deeper understanding of the evolving landscape of male sexual health and the available treatment options for overcoming ED.----------------Thank you to our August SponsorsThis month on The Dr. Geo podcast, we're diving into a special four-part series on Male Sexual Health, and we are excited to introduce our sponsorBoston Scientific- [EDCure]- As a leader in innovative medical solutions, Boston Scientific is dedicated to improving patient health globally. Erectile Dysfunction (ED) affects one in five American men, even as young as 20 years old, but it’s important to know that ED is treatable. From lifestyle changes and natural solutions to medical treatments like medications, vacuum devices, injections, and penile implants, there are various options available. Boston Scientific's AMS 700 Inflatable Penile Prosthesis is a long-term solution designed to mimic a natural erection, offering both functionality and a natural appearance. For more information on ED treatment options, click HERE for more information. Mr. Happy -This episode is also brought to you by Mr. Happy products-formulated by Dr. Geo Espinosa, these products address age-related health concerns like BPH and declining sexual health. By boosting nitric oxide levels and providing antioxidant support, Mr. Happy products help improve cardiovascular health, energy levels, cellular health, sexual health, mood, and stress levels. Experience the benefits of Mr. Happy products and visit > IamMrHappy.com ----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.Improve your urological health with Dr. Geo’s formulated supplement lines:a...
In this episode of The Dr. Geo Podcast, Dr. Geo Espinosa sits down with Dr. Johan Skog, the Chief Scientific Officer and founding scientist of Exosome Diagnostics, to delve into the groundbreaking Exosome DX test. This innovative urine test is designed to determine whether a patient needs a prostate biopsy, providing a non-invasive approach to diagnosing prostate cancer. Dr. Skog explains the fascinating science of exosomes and their crucial role in this diagnostic process.The conversation covers the development and validation of the Exosome DX test, highlighting its sensitivity and predictive values. Listeners will gain insights into the clinical implications of this diagnostic tool and the shared decision-making process between patients and doctors. Dr. Skog also discusses his background and the scientific rigor that underpins the Exosome DX test, emphasizing its potential to minimize unnecessary biopsies and enhance patient care.----------------Thank you to our July Sponsors:The Decipher Test: The Decipher Prostate Test by Veracyte analyzes specific genes in a prostate tumor to assess cancer aggressiveness, aiding in personalized treatment decisions and improving patient outcomes. Learn more about the Decipher Prostate Test here [https://bit.ly/4cNH805].ExoDx: The ExoDx Prostate Score is a non-invasive urine test for assessing the risk of aggressive prostate cancer, using cancer-specific genomic biomarkers. Scores below 15.6 indicate low risk, while scores above 15.6 indicate higher risk. Decisions on further actions, such as biopsies, should involve shared decision-making between the doctor and patient. Learn more about ExoDx here [https://bit.ly/3oA8rXC].XY Wellness: XY Wellness provides a high-value roadmap to health and wellness for men with prostate cancer. Co-founded by our Chief Medical Officer, they aim to help men thrive post-diagnosis. [Learn more about XY Wellness here [https://bit.ly/3uJPC7Z].----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.Improve your urological health with Dr. Geo’s formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition: Mr. Happy Nutraceutical Supplements for prostate health and male optimal living.You can also check out Dr. Geo’s online dispensary for other supplement recommendations Dr. Geo’s Supplement Store____________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content is my opinion and not that of my employer(s) or any affiliated company.Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for...
Join Dr. Geo as he interviews Dr. David Albala, Chief of Urology at Crouse Hospital and a renowned expert in laparoscopic and robotic urological surgery. They explore the advancements in prostate cancer diagnosis, emphasizing the shift from routine biopsies based on high PSA levels to more sophisticated methods like urine tests and biomarkers such as free PSA, ExoDx, and 4Kscore. Dr. Albala shares his experiences and insights on the benefits and limitations of these tests, reflecting on how telemedicine and technological advancements are improving patient outcomes.In this episode, Dr. Albala discusses the evolution of prostate cancer surgeries from open and laparoscopic to robotic techniques, highlighting the importance of minimally invasive procedures. He emphasizes the role of patient education and shared decision-making in prostate cancer treatment, sharing his reflections on his career and contributions to the field.----------------Thank you to our July Sponsors:The Decipher Test: The Decipher Prostate Test by Veracyte analyzes specific genes in a prostate tumor to assess cancer aggressiveness, aiding in personalized treatment decisions and improving patient outcomes. Learn more about the Decipher Prostate Test here [https://bit.ly/4cNH805].ExoDx: The ExoDx Prostate Score is a non-invasive urine test for assessing the risk of aggressive prostate cancer, using cancer-specific genomic biomarkers. Scores below 15.6 indicate low risk, while scores above 15.6 indicate higher risk. Decisions on further actions, such as biopsies, should involve shared decision-making between the doctor and patient. Learn more about ExoDx here [https://bit.ly/3oA8rXC].XY Wellness: XY Wellness provides a high-value roadmap to health and wellness for men with prostate cancer. Co-founded by our Chief Medical Officer, they aim to help men thrive post-diagnosis. [Learn more about XY Wellness here [https://bit.ly/3uJPC7Z].----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.Improve your urological health with Dr. Geo’s formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition: Mr. Happy Nutraceutical Supplements for prostate health and male optimal living.You can also check out Dr. Geo’s online dispensary for other supplement recommendations Dr. Geo’s Supplement Store____________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content is my opinion and not that of my employer(s) or any affiliated company.Use of this information is at your own risk. Geovanni Espinosa,...
In this episode Dr. Geo speaks with Dr. Elai Davicioni, a pioneering figure in the field of genomics related to prostate cancer. The discussion delves into the development and utility of the Decipher test, a cutting-edge genomic test that helps assess the metastatic potential of prostate tumors. Dr. Elai Davicioni elaborates on the rigorous processes involved in creating and validating the test, tracing its origins from pediatric oncology to its broader applications in adult cancers. They also explore the implications of precision medicine, potential future expansions of genomic testing, and the role of AI in enhancing accuracy. Emphasizing patient empowerment, the episode underscores the importance of integrating Decipher and other data into personalized cancer treatment plans. Tune in to learn more about how genomic testing is revolutionizing prostate cancer care.----------------We are excited to introduce our July Sponsors:The Decipher Test: The Decipher Prostate Test by Veracyte analyzes specific genes in a prostate tumor to assess cancer aggressiveness, aiding in personalized treatment decisions and improving patient outcomes. Learn more about the Decipher Prostate Test here [https://bit.ly/4cNH805].ExoDx: The ExoDx Prostate Score is a non-invasive urine test for assessing the risk of aggressive prostate cancer, using cancer-specific genomic biomarkers. Scores below 15.6 indicate low risk, while scores above 15.6 indicate higher risk. Decisions on further actions, such as biopsies, should involve shared decision-making between the doctor and patient. Learn more about ExoDx here [https://bit.ly/3oA8rXC].XY Wellness: XY Wellness provides a high-value roadmap to health and wellness for men with prostate cancer. Co-founded by our Chief Medical Officer, they aim to help men thrive post-diagnosis. [Learn more about XY Wellness here [https://bit.ly/3uJPC7Z].----------------Thanks for listening to this week's episode. Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how you can live better with age.You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE.----------------Follow Dr. Geo on social media. Facebook, Instagram Click here to become a member of Dr. Geo’s Health Community.Improve your urological health with Dr. Geo’s formulated supplement lines:XY Wellness for Prostate cancer lifestyle and nutrition: Mr. Happy Nutraceutical Supplements for prostate health and male optimal living.You can also check out Dr. Geo’s online dispensary for other supplement recommendations Dr. Geo’s Supplement Store____________________________________DISCLAIMER: This audio is educational and does not constitute medical advice. This audio's content is my opinion and not that of my employer(s) or any affiliated company.Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any
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