Dr. Geo Prostate Podcast | Lifestyle Medicine In High Risk Prostate Cancer with Adam Kibel, MD EP 81 @DrGeoProstatePodcast | Uploaded October 2023 | Updated October 2024, 7 hours ago.
#prostatecancer #prostatehealth #gleason #prostatecancertreatment
In this episode, we challenge the terminology: Should Gleason 6 prostate conditions honestly be labeled as "cancer"? Many experts, including our esteemed guest, Dr. Adam Kibble - Chair of Urology at Harvard Medical School and Dana-Farber - believe the answer is a resounding "no." Delve deep into the nuances of a Gleason 6 diagnosis and why it might be more manageable than it sounds.
Dr. Kibble, an alumnus of Cornell University with a residency from Harvard and a fellowship from Johns Hopkins, has dedicated his practice to the minimally invasive treatment of urologic cancers. With over 400 peer-reviewed papers to his name and substantial grant support from the National Cancer Institute, his insights are invaluable.
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Chaptersđź“š
00:00 Lifestyle Medicine In High-Risk Prostate Cancer with Adam Kibel, MD
05:53 What have you seen that's really unusual in the space of prostate cancer?
07:06 The definition of high-risk prostate cancer.Gleason Pattern 8.
08:32 Explain the difference [ between Adjuvant and Neoadjuvant Chemotherapy]
11:45 Second opinion: do they know the Gleason score the first pathologist  scored?
14:15 We need to understand where the cancer is before we can focally ablate it.
17:15 Grade predicts whether the patient will fail therapy.
24:34 I've heard four things that I can do. How do I come up with a decision?
27:56 We're over-treating patients who have Gleason 6.
29:03 Gleason 4 plus 3.
29:49 About 1 percent of Gleason 6s. Can develop an aggressive disease.
30:31 Between 40 and 60 percent of patients who are put on active surveillance fail to show up for their follow-up.
33:55 How often do you order these genomic tests like Oncotype DX?
37:13 MRI really helps me... not only around the diagnosis but around the management strategy.
38:33 Lifestyle changes have been shown to decrease patient's risk of cardiovascular mortality
40:11 If you have a prostate [and] you live long enough. You're going to get prostate cancer. I care about the aggressive type.
42:28 Forest Bathing.
46:34 Anna Pli, Epidemiologist at Harvard T.H. Chan School of Public Health
47:37 We've identified a "Polygenic Risk Score,"...who's at increased risk for cancer.
49:36 For Those with a family history of prostate cancer or low-risk disease, this is an opportunity.
55:07 70 years old. He's been eating poorly his whole life. Diagnosed with fairly significant prostate cancer...He says I want to change my diet.
57:41 People are eating too much... Let's eat less.
58:28 Men on ADT need protein.
59:26 Genetics is only gonna work if we can then change the environment and influence the genetics or influence the outcome.
01:01 Prostate Cancer patients who visit emergency rooms on weekends - 20% increased risk of morbidity compared to those who seek care during weekdays.
___________
NOTES:
Dr. Kibel's website - dana-farber.org/find-a-doctor/adam-s-kibel Lifestyle Medicine and High-risk prostate cancer - pubmed.ncbi.nlm.nih.gov/35637041
___________
Thanks for watching this episode.
You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE. [drgeo.com/] đź“Ś Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how to live better with age.
youtube.com/c/GeoEspinosaND đź“Ś
----------------
Follow Dr. Geo on social media. đź“Ś
Facebook [bit.ly/POD-FB-DrGeo],
Instagram [bit.ly/INSTA-DrGeo_Official]
Become a member of Dr. Geo's Health Community. [bit.ly/POD-signupform] đź“Ś
Improve your urological health with Dr. Geo's formulated supplement lines: XY Wellness for Prostate cancer lifestyle and nutrition: [bit.ly/POD-XYW] Mr. Happy Nutraceutical Supplements [bit.ly/POD-MRHAPPY]. 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 [drgeo.com/store/]
----------------
Thank you to our sponsors.âś… This episode is brought to you by AG1 (Athletic Greens) [athleticgreens.com/drgeo]. AG1 contain 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, your nervous system, your immune system, your energy, recovery, focus, and aging. All the things. Enjoy AG1 (Athletic Greens) [athleticgreens.com/drgeo].
______________________________________
DISCLAIMER: This video is educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). 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 using the information contained in this video, including but not limited to economic loss, injury, illness, or death.
#prostatecancer #prostatehealth #gleason #prostatecancertreatment
In this episode, we challenge the terminology: Should Gleason 6 prostate conditions honestly be labeled as "cancer"? Many experts, including our esteemed guest, Dr. Adam Kibble - Chair of Urology at Harvard Medical School and Dana-Farber - believe the answer is a resounding "no." Delve deep into the nuances of a Gleason 6 diagnosis and why it might be more manageable than it sounds.
Dr. Kibble, an alumnus of Cornell University with a residency from Harvard and a fellowship from Johns Hopkins, has dedicated his practice to the minimally invasive treatment of urologic cancers. With over 400 peer-reviewed papers to his name and substantial grant support from the National Cancer Institute, his insights are invaluable.
----------------
Chaptersđź“š
00:00 Lifestyle Medicine In High-Risk Prostate Cancer with Adam Kibel, MD
05:53 What have you seen that's really unusual in the space of prostate cancer?
07:06 The definition of high-risk prostate cancer.Gleason Pattern 8.
08:32 Explain the difference [ between Adjuvant and Neoadjuvant Chemotherapy]
11:45 Second opinion: do they know the Gleason score the first pathologist  scored?
14:15 We need to understand where the cancer is before we can focally ablate it.
17:15 Grade predicts whether the patient will fail therapy.
24:34 I've heard four things that I can do. How do I come up with a decision?
27:56 We're over-treating patients who have Gleason 6.
29:03 Gleason 4 plus 3.
29:49 About 1 percent of Gleason 6s. Can develop an aggressive disease.
30:31 Between 40 and 60 percent of patients who are put on active surveillance fail to show up for their follow-up.
33:55 How often do you order these genomic tests like Oncotype DX?
37:13 MRI really helps me... not only around the diagnosis but around the management strategy.
38:33 Lifestyle changes have been shown to decrease patient's risk of cardiovascular mortality
40:11 If you have a prostate [and] you live long enough. You're going to get prostate cancer. I care about the aggressive type.
42:28 Forest Bathing.
46:34 Anna Pli, Epidemiologist at Harvard T.H. Chan School of Public Health
47:37 We've identified a "Polygenic Risk Score,"...who's at increased risk for cancer.
49:36 For Those with a family history of prostate cancer or low-risk disease, this is an opportunity.
55:07 70 years old. He's been eating poorly his whole life. Diagnosed with fairly significant prostate cancer...He says I want to change my diet.
57:41 People are eating too much... Let's eat less.
58:28 Men on ADT need protein.
59:26 Genetics is only gonna work if we can then change the environment and influence the genetics or influence the outcome.
01:01 Prostate Cancer patients who visit emergency rooms on weekends - 20% increased risk of morbidity compared to those who seek care during weekdays.
___________
NOTES:
Dr. Kibel's website - dana-farber.org/find-a-doctor/adam-s-kibel Lifestyle Medicine and High-risk prostate cancer - pubmed.ncbi.nlm.nih.gov/35637041
___________
Thanks for watching this episode.
You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE. [drgeo.com/] đź“Ś Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how to live better with age.
youtube.com/c/GeoEspinosaND đź“Ś
----------------
Follow Dr. Geo on social media. đź“Ś
Facebook [bit.ly/POD-FB-DrGeo],
Instagram [bit.ly/INSTA-DrGeo_Official]
Become a member of Dr. Geo's Health Community. [bit.ly/POD-signupform] đź“Ś
Improve your urological health with Dr. Geo's formulated supplement lines: XY Wellness for Prostate cancer lifestyle and nutrition: [bit.ly/POD-XYW] Mr. Happy Nutraceutical Supplements [bit.ly/POD-MRHAPPY]. 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 [drgeo.com/store/]
----------------
Thank you to our sponsors.âś… This episode is brought to you by AG1 (Athletic Greens) [athleticgreens.com/drgeo]. AG1 contain 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, your nervous system, your immune system, your energy, recovery, focus, and aging. All the things. Enjoy AG1 (Athletic Greens) [athleticgreens.com/drgeo].
______________________________________
DISCLAIMER: This video is educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). 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 using the information contained in this video, including but not limited to economic loss, injury, illness, or death.
![How to Eat for Better Hormones with Alan Christianson, ND [EP 69]](https://i.ytimg.com/vi/qmdvU7481PE/hqdefault.jpg "How to Eat for Better Hormones with Alan Christianson, ND [EP 69]
#beets #walnuts #figs #hormones #hormonehealth #DrAlanChristianson
On this episode, join Dr. Geo for a captivating conversation with Dr. Alan Christensen is a distinguished board-certified naturopathic endocrinologist specializing in thyroid care. Dr. Christensen, a celebrated New York Times bestselling author, recently penned the enlightening book, The Hormone Healing Cookbook, which takes center stage in todays podcast.
In this engaging conversation, Dr. Geo and Dr. Chritensen explore the fascinating relationship between food and hormones. Departing from the realm of laboratory values and numbers, Dr. Christensen takes a practical approach, focusing on five key symptoms indicating hormonal imbalances, including night sweats, fatigue, insomnia, and more, and further suggests that a hormonal imbalance might present if you identify with these symptoms. Dr. Christensen delves into testosterone, sharing insights on natural approaches to increase testosterone levels for individuals seeking to optimize their hormone balance.
Tune in to discover practical ways to address hormonal imbalances through the power of nutrition. Join us for an intriguing conversation with Dr. Alan Christensen, esteemed author of the Hormone Healing Cookbook, and gain valuable insights to help you control your hormonal well-being.
Chaptersđź“š
00:00 How to Eat for Better Hormones with Alan Christianson, ND [EP 69]
03:32 Youre having, you know, hormonal imbalances.
03:46 Dietarily exercise
03:52 Fatigue
04:01 Sleep
4:05 Hot Flashes
4:20 Brain Fog
05:44 Hormone Healing Cookbook
06:47 Youre treating symptoms, not necessarily numbers
06:59 Beets and Fatigue
07:57 How many beets do we need to eat to increase our VO two max
10:34 The awesome thing about food, is that foods not a drug.
12:55 The active constituent in figs is really figs
13:55 Reduce hot flashes by 50% or more.
14:52 How many figs a day
15:45 Walnuts were a superstar in the book for fatigue
19:31 You want more produce in your diet
21:53 Phytonutrients
34:44 Batch cooking
36:30 80 recipes that will help with. Fatigue, brain fog, sleep, insomnia,
Thanks for watching this episode.
You can also listen to this episode and future episodes of the Dr. Geo Podcast by clicking HERE. [https://bit.ly/POD-DrGeoSite] đź“Ś Subscribe to The Dr. Geo YouTube Channel to get more content like this and learn how to live better with age. / @geoespinosand đź“Ś
Follow Dr. Geo on social media. đź“Ś
Facebook [https://bit.ly/POD-FB-DrGeo],
Instagram [https://bit.ly/INSTA-DrGeo_Official]
Become a member of Dr. Geo’s Health Community. [https://bit.ly/POD-signupform] 📌
Improve your urological health with Dr. Geo’s formulated supplement lines: XY Wellness for Prostate cancer lifestyle and nutrition: [https://bit.ly/POD-XYW] Mr. Happy Nutraceutical Supplements [https://bit.ly/POD-MRHAPPY]. 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 [https://bit.ly/POD-Supplements]
Thank you to our sponsors.âś…
This episode is brought to you by ExoDx™ Prostate Test for prostate tissue. [https://bit.ly/3oA8rXC] The ExoDx™ Prostate Test is a simple, non-DRE, urine-based, liquid biopsy test indicated for men 50 years of age and older with a prostate-specific antigen (PSA) 2-10ng/mL, or PSA in the “gray zone” who may be considering a biopsy. The ExoDx Prostate test provides a risk score determining a patient’s potential risk of clinically significant prostate cancer (Gleason Score ≥7). The test is included in the National Comprehensive Cancer Network (NCCN) guidelines and has been clinically validated at the cut-point of 15.6 with a 91% sensitivity and 92% negative predictive value, meaning there is less than a 9% chance of having aggressive prostate cancer below the validated cut-point of 15.6. Ask your urologist about the ExoDx Prostate Test.[https://bit.ly/3oA8rXC]
This episode is also brought to you by AG1 (Athletic Greens) [https://bit.ly/3mA2tVV]. AG1 contain 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, your nervous system, your immune system, your energy, recovery, focus, and aging. All the things. Enjoy AG1 (Athletic Greens)[https://bit.ly/3mA2tVV].
DISCLAIMER: This video is educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). 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.")
