HIFU (high-intensity focused ultrasound) is one of the most talked-about focal therapies in prostate cancer—but who is it really right for? In this conversation, Dr. Matthew Cooperberg (UCSF)—a leading voice in urology, epidemiology, and integrative prostate cancer care—breaks down patient selection vs. energy modality, how modern imaging (MRI, fusion, RSI) drives precision, what genomics (e.g., Decipher) can and can’t tell us, and how salvage options compare after focal therapy vs. radiation. We also tackle lifestyle factors, trial design, and why midlife PSA screening (ideally <1 between ages 45–55) remains crucial.

👉 View more at DrGeo.com

00:00 – Welcome + episode setup (HIFU overview, aims of focal therapy)

04:10 – The real first question: Who is a candidate? (selection > modality)

05:10 – What “focal therapy” means (lesion-only, margin, hemi-ablation) + imaging progress

06:25 – Recurrence after focal therapy: targeting, dose, or biology? Follow-up biopsies

07:40 – Genomics (Decipher): predicting recurrence; how results change counseling

09:30 – Lifestyle & microenvironment: can diet/exercise influence outcomes?

11:00 – Salvage after focal vs. radiation: fibrosis, feasibility, quality of life

14:00 – Cryotherapy vs. HIFU: image guidance, control, and why HIFU advanced

16:00 – Imaging upgrades (MRI fusion, RSI, C-13 spectroscopy) and treatment constraints

17:00 – IRE (irreversible electroporation): role for apical tumors, early results

18:00 – TULSA, water/thermal concepts, focal radiation, partial prostatectomy: what’s known

20:00 – Smarter trials: active surveillance ± focal therapy for borderline cases

22:00 – The counseling hierarchy: decision first, technology second

24:30 – Proton vs. photon incentives; why advertising confuses choices

26:30 – UCSF’s program: mostly HIFU; where IRE fits; adding new machines prudently

28:30 – The real bottleneck: sub-millimeter targeting; AI-guided ablation future

33:00 – HIFU mechanics: probe size, apex/anterior reach, distance constraints

35:00 – “I want HIFU for Gleason 8”: agency, nuance, and when we advise against it

38:00 – A cautionary case: negative biopsy → later mets—what it teaches us

40:30 – Millennials, risk tolerance, and why PSA at 45–55 (<1 is ideal) matters

44:00 – Growth vs. spread: which high-grade tumors can we treat focally?

46:00 – How low vs. high genomic scores tilt decisions (and their limits)

47:30 – Where to find Dr. Cooperberg + parting PSA advice

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Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. →

Can high-dose IV Vitamin C really support cancer treatment—even in men with prostate cancer? In this episode of the Dr. Geo Prostate Podcast, Dr. Geo welcomes Dr. Paul Anderson, one of the world’s leading voices in integrative oncology with 30+ years of clinical experience and NIH-funded cancer research.

Together, they unpack how vitamin C works differently when taken orally versus intravenously, what the latest research shows about IV vitamin C, and how it may impact the tumor microenvironment and immune response.

Listeners will also learn about practical approaches to integrative oncology, the role of detoxification and immune health, and what patients with advanced prostate cancer should know before seeking out IV vitamin C therapy.

✅ What You’ll Learn in This Episode:

• How oral vs. IV vitamin C behave differently in the body
• What the latest science says about IV vitamin C in cancer care
• Why the tumor microenvironment matters for long-term outcomes
• How IV vitamin C may support men with advanced prostate cancer
• Synergies with lifestyle therapies, immunotherapy, and sauna

💡 Don’t forget to subscribe, rate, and review the podcast! Every review helps us reach more men who want to thrive, not just survive.

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🌱 Partner Offers

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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 Membership

Want 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 / @drgeoprostatepodcast

🎧 Listen to All Episodes → https://dr-geo-prostate-podcast.captivate.fm/

_________________________

⚠️ Disclaimer: This podcast is educational and not medical advice. Always consult your healthcare provider before making changes to your treatment.

In this inspiring episode of the Dr. Geo Prostate Podcast, Dr. Geo sits down with Dr. Amy Rothenberg — a licensed naturopathic doctor for over 36 years, 2017 Physician of the Year by the American Association of Naturopathic Physicians, and a living example of resilience.

After 18 rounds of chemotherapy in 2014, Dr. Rothenberg competed in her first triathlon just six months later. She shares her journey of overcoming breast, ovarian, and leukemia diagnoses while integrating both conventional and naturopathic medicine. Her best-selling book, You Finished Treatment, Now What?, offers cancer survivors a compassionate, practical roadmap to reclaim their health.

Whether you’re living with cancer, supporting someone who is, or looking for ways to live better with age, this conversation is filled with actionable insights on healing, prevention, and thriving.

Key Points:

• A Doctor Becomes the Patient – How Dr. Rothenberg faced multiple cancer diagnoses and treatments while maintaining her health philosophy.
• Integrative Approach – Combining conventional oncology care with naturopathic strategies for side effect management, immune support, and recovery.
• The Role of Movement – How exercise, even in small amounts, supports treatment efficacy and recovery.
• Fasting Mimicking Diet & Microbiome Support – Evidence-backed dietary strategies during treatment and beyond.
• Mindset & Resilience – The importance of goal-setting, community support, and finding joy during and after cancer care.
• Life After Treatment – Practical steps to reduce recurrence risk and improve quality of life.

Resources & Links Mentioned:

• Book: You Finished Treatment, Now What? – Order here or at your local bookstore.
• Learn more about Dr. Amy Rothenberg: dramyrothenberg.com
• Find a licensed naturopathic doctor: naturopathic.org
• Oncology Association of Naturopathic Physicians: oncanp.org

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🌱 Partner Offers

ProLon 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 here → https://bit.ly/3TVehAx

AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop to support your gut, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV

💪 Exclusive Membership

Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and exclusive member perks. Join here https://drgeo.com/membership

📌 Follow and Connect

📺 YouTube → Dr. Geo Prostate Podcast / @drgeoprostatepodcast

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#CancerSurvivor #CancerRecovery #IntegrativeMedicine #NaturopathicMedicine #CancerSupport #ProstateHealth #ThrivingAfterCancer #CancerTreatment #Survivorship #CancerWellness #MensHealth #ProstateCancer #HealthTips #OncologySupport #wellnessjourney

⚠️ Disclaimer

DISCLAIMER: This audio is educational and not medical advice. The views expressed are my own and not those of my employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for...