The Shocking Truth Between Testosterone and Prostate Cancer with Dr. Helen Bernie [Ep 108]
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- čas přidán 14. 07. 2024
- #prostatehealth #prostatecancer #trt #testosteronelevels #hormonereplacementtherapy
In this episode, Dr. Geo interviews Dr. Helen Bernie from Indiana University about Testosterone Replacement Therapy (TRT) post-prostate cancer diagnosis and treatment. They discuss the suitability of TRT for different stages of prostate cancer patients, debunk the long-standing myth that testosterone fuels prostate cancer, and highlight the importance of a shared decision-making process for improving patient quality of life.
Dr. Bernie emphasizes the significant benefits of TRT for men's overall health and quality of life, even in patients with a history of high-risk prostate cancer. They also touch on the historical context of the fears surrounding testosterone and prostate cancer, the importance of comprehensive patient discussions, and the evolving research and guidelines in this field.
📚 Chapters
00:00 The Shocking Truth Between Testosterone and Prostate Cancer with Helen Bernie, DO [Ep 108]
03:08 Dr. Bernies's Journey and Passion for Men's Health
12:38 Testosterone and Prostate Cancer: Historical Perspectives
14:57 Current Understanding and Controversies in TRT
24:55 Understanding Testosterone Levels
25:50 When to Discontinue Testosterone Therapy
26:07 Managing Rising PSA Levels
27:25 Testosterone Therapy Post-Prostate Cancer Treatment
28:34 High-Risk Prostate Cancer and Testosterone
30:23 Patient Case Studies and Shared Decision Making
33:43 Advanced Prostate Cancer and Testosterone Therapy
37:04 Herbal and Lifestyle Interventions
43:57 Final Thoughts and Recommendations
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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. - Věda a technologie
I’m a walking experiment.
At 48 I was diagnosed with advanced PC with spread to 1 lymph. Radiation and hormone deprivation for 16 months.
Psa went from 70 down to .8
I chose to go carnivore and start trt 6 months ago.
Will be getting blood work soon so shall be interesting.
Your cock still work? Most men fear that almost as much as dying.
You should blog this.
Keep us informed, if you don't mind.
If hormone treatment brings down the PSA what does it do to the cancer? And if that's true why even have radiation if the goal is to get the PSA down in the first place!? Wtf!
@@clintcarter CANCER INDUSTRY IS CRIMINAL. FOR MONEY. MY PSA OVER 20. NO PROBLEMS
This is a really important discussion... I am 66, was on TRT for about 6 years looked and felt my best ! All changed last Nov., stopped TRT following a positive MRI, then biopsy with a PC diagnosis Gleason 3+4 and very low risk Decipher test. I'm choosing active surveillance. Despite a recent history of low T scores: 117, 183, 376 and feeling like crap my Urologist will not even consider TRT. He actually said "it's like throwing gasoline on your cancer". I cannot find any evidence to support that but am finding opinions to the contrary; like this video. If Dr. Huggins was still alive today I think he would be tared and feathered.
You should know about Abe Morgantaler Harvard. Been promoting TRT for a long time and he is one of the top Gurus. Another guy is Larry Lipshultz Baylor Houston.
Thank you for your comment. Maybe find a urologist like Dr. Bernie. All the best.
@@dewholdingsllc1050 Thank you very much for your comment!! I will look them up. Best Regards....
You dont need to have low testosterone if you have had prostate problems.
It is unapposed DHT ( A testosterone derivitive from enzymatic conversion) that causes prostate problems
The solution is not to keep testosterone low [ or crash it] but to start upping PROGESTERONE levels. Progesterone protects the prostate from DHT and it is anti inflametory.
I take progesterone cream every day because Im on a huge amount of testosterone. My T levels are way over the upper limit of labcorp testing which just says >1500 ng/ dL. Im on TRT and take 235-280 mg of testosterone cypionate a week
+ Finasteride 0.3mg ED
Pretty interesting. It’s never made sense to me that T would fuel prostate cancer. If that was the case young men would have prostate cancer. It’s only when we get older and have lower T, and other hormonal issues that BPH, and cancer shows up.
I’m currently on ADT, and having a hard time keeping my blood sugar levels down. Glucose fuels cancer, wtf? I want my T back.
Medicine normally tells us the complete opposite so that they couldn't be more wrong in there recommend treatments especially when it comes to diet. Eat meat, saturated fats, eggs, salt and keep off the real cause of all these health problems carbs, polyunsaturated fats and fiber.
All the best to you. Exercise is imperative in men on ADT, at least 4 hours a week.
After reproduction age, the human body starts to die. T levels tells the body what stage we r in.
Thank you for the informative video . I have an enlarged prostate at 67 years old , a healthy lifestyle, and sleep apnea with Cpap. My doctor says the size of an orange, PSA stable at or below 7, guided biopsies of a few spots, benign. My Dad had prostate cancer at 65 and lived to 95. The doctor is against checking T level, so i had a test done at
Quest. Results 310 , estradiol 28, may have to get a different doctor to prescribe T therapy
if high test is cause for prostrate cancer then why don't teens and young adult males have the problem? too much inflammation and insulin resistance
@@sgtcoach62 THE WHOLE FUCKN TRUTH. THEY ALMOST DESTROYED ME
Too much useless talk .....give us the real story related to prostate problems.....come on ....now
I agree! Get to the facts within 5 minutes and summarize all the filler. Video should be 15 minutes long or less.
The lady said it in the first 5 min everything you needed to hear! Stop eating junk food, seed oil, sugar/carbs exercise, get sun improve your metabolic health!!!!🤦♂️🤦♂️🤦♂️
So true but some people love to hear themselves yalky
No kidding. Would never go to them. Thanks for the warnings.
So low testosterone is likely a cause so they chemically castrate. I heard him say science in there one time. Dr's don't do science they use science against you.
Six years ago I was told I had an enlarged prostate,I had mri scan plus a biopsy no cancer found,
Psa every 12 months for 5 years levels rising from 3.4 to 7.5,Last year I was given another mri plus biopsy results were
Gleason 6,I was given the choice of prostate removal.chemotherapy or active monitoring,I chose active monitoring.
I have since had psa every 3 months for the last 12 months,my psa has dropped to 5.3,this Saturday I get another mri scan.
Chemo and radiation are to make people worse. Find a placebo control study with any of those things. Use ketogenic diet and better yet carnivorous diet and see how you do. Also look into manual massage of the prostate. I've heard of that a couple times. Personally not aware of a prostate problem but I have cancer so researching all kinds.
Thank you. Good luck!
All the best to you.
@@GeoEspinosaND thank you.
This is exactly why I don't want to do anything with my prostate cancer. You had a Gleason six and they wanted to radiation or prostatectomy! Mike leeson score was 3 + 4 = 7 with a volume 5%! Of the four! And they all wanted to do treatments! Like I was ready to die next week! Unbelievable! I don't trust these doctors! And all their expensive hormone treatments they want to give you! $4,000 to 10,000 and I heard one was 32,000 a pop! That's why they want to give you hormone treatments cuz there's so much money involved! That's what I think.lol
Mine fluctuates from 4.0 to 7.1 up and down. I’ve had an mri and the doc said prostate looks good. Very strange to me
PSA IS OK AT 20... YES 20
@@KDean22 Yeah, I saw a video on here that a urologists did. She said the cut off number of 4 was just a number they pretty much pulled out of their ass. There was no basis for it whatsoever. 🙄
@@dlindo8892 THE WHOLE TRAGIC TRUTU
@@dlindo8892 THE CANCER INDUSTRY IS MADE OF THIEVES. I worked for big pharma and they bribed everyone to make you sick
@@dlindo8892As soon as my cancer disappeared, I said goodbye to the doctor pigs
Very interesting. Thanks.
recall most docs go by "standard of care" so they don't loose license or get sued for malpractice
This is so important to know. Find a doc in a more independent situation.
They will also fail to mention options not covered by insurance. I was advocating for a parent in a university hospital setting and asked for an MRI instead of mammogram based on info suggesting better. I ended up in a meeting with 5 specialists to discuss my request. I asked "Is there any MEDICAL. reasonably to do the MRI? Long pause..they look at each other..and say "No." The MRI was done. They thought it wouldn't be covered by Medicare but it was,
@@anonymissed3611 CANCER INDUSTRY IS CRIMINALS
@@sgtcoach62 DO YR OWN RESEARCH. CANCER INDUSTRY IS CRIMINAL
@@sgtcoach62 DOCTORS COULD NOT CARE LESS. THEY ARE CRIMINALS
@@sgtcoach62 MY DOCTORS WERE COLD AND CARELESS
13:00 min mark they get into the TRT PC topic.
Thank you!
@@clintcarter Thanks mate! Ffs you'd think this was a bloody social call, not a discussion about a serious, destructive & debillitating male disease! One of the most annoying videos ever, actually!
OK. Thank you for your feedback mate.
@@clintcarter THEY ARE USELESS. WASTE OF TIME
@@KDean22 Ok
Good information, it is sad that there is still a lot of unknown. I'm 77 healthy, weight train, did the finasteride way back 20 yrs ago mainly for hair loss anyways PSA ended at 24, Gleason 7, 3+4 and then Brachytherapy in 2020 and it went to 2.5. Today it is 7 and we are just monitoring it, feel great and my urologist says ADT when at 10 which I want to avoid, so we will see. Forgot to add every time I get PSA done they do automatic testosterone, and pre operation it ranged 500-700 and today is at 450.
It's a big grey area. Remember, it is a shared decision between your doctor and you.
Gonna watch with interest. 66 year old who had my Prostate removed almost 5 years ago. Not sure how this will apply to my situation. I don't think I've ever had my Testosterone tested. Also from Bama. ;)
Go tide! All the best!
I'm always amazed how slow the medical establishment adopts change based on the latest research. I have BPH & low T, no PC, my urologist won't even discuss TRT because of elevated PSA.
How did they determine you do not have PC?
Thank you so much
I am 22 months past being coerced,, deceived, extorted and intimidated into getting injected against my will with one six month shot of Eligard.
Never warned about ALL the horrific quality of life destroying and life shortening side effects, and certainly never warned that that Eligard would leave me hypogonadal for years or forever.
Then, two months later, began 25 fractions of 68 Grey IMRT. My dictator doctor at the CROSS CANCER INSTITUTE ordered me on ADT for two years for locally advanced Gleason 3 plus 4, only 3 percent 4, PSA 42 cancer
The ADT CASTRATION effects were so INSUFFERABLE that I refused further ADT. MY T dropped to 9, well below castrate level and my PSA gradually dropped to ZERO on ultra sensitive tests. The fatigue, muscle loss, loss of libido and orgasms were insufferable, but the worst was the severe brain fog.
Now, 18 months after the first and only Eligard shot expired, my
testosterone has only recovered to 150 and I am experiencing painful gynecomastia.
I ask my GP for an aromataize inhibitor for the gyno, and for TRT.
Absolutely refused.
The CROSS refuses to see me or even consider any follow up care.
They have treated me like a concentration camp inmate rather than a human with rights.
I am having to resort to off prescription TRT in order to reclaim some semblance of quality of life??
It is much easier here in Alberta to deal with insufferable effects of ADT CASTRATION by getting a MAID (medical assistance in dying) injection to kill myself, than to get simple self administered Testosterone.
Thank you and you guests for advocating for patients.
@@gazunni
You can never be certain, unless you want to be butchered and have your prostate removed and biopsied
Not a viable option
@@robwells230 So they did not perform just a biopsy (no prostate removal) or an MRI?
@@gazunni biopsy
Read Edward Friedmans book. He presents data that suggests it is estrogen responsible for progression. Testosterone is converted to Estrogen by aromatase enzyme. Aromatase enzyme inhibitors might block any progression with TRT.
"Thank you #DrOlubor for sharing your knowledge and expertise with us! Your videos have been a valuable resource and a source of inspiration for many. Your passion for helping others and making a positive impact is truly admirable. Keep up the great work and thank you again for all that you do!"
what about metastatic stage 4 prostate to abdominal lymph node (post surgery) with targeted radiation to lymph node is adt needed?
I have fought with my Doctor for 16 years to get testosterone replacement therapy. He refuses we got into a heated argument about it and while now he's retiring and I have to find a new Doctor but I have Always said 16 years of no, no sign of Cancer whatsoever and I can't seem to get it. I am angry.I am just so angry for 16 years.I can't get it.I need help
Get a new doc. Find a holistic doc
Come here to my country, it s over the counter.
12:39 pertinent discussion begins
For some, historical context matters and that starts earlier.
@@GeoEspinosaND Chit chat about a woman in urology not so interesting.
how about supraphysiological level of test?
I have had 18 month ADT and PSA is now .0145,i.e.,cured. This flies in the face of what this discussion is saying
could it be nerve issues?
Summary please
Fascinating subject but this guy managed to make it seem boring. His microphone sound is terrible too.
Her (quieter) Mic was making static noise too.
I have heard you have to monitor cholesterol when taking testosterone
If it increases to stop taking it
Would a Botox injection help with the tight scrotum muscles?
I have meststic prostate cancer and more testosterone would be great to help build muscle to help lift more weight to build more bone
And make me a healthier person
Zero T causes so many problems in the body
I have been on ADT and daralutamide for 2 years
I lift as much weight as i can
I do what ever I want
They say I nearly have osteoperosis
I asked my oncologist if I could have a break from ADT but they say what if what if it gets worse
No sense of adventure
They just follow the ADT guidelines and don't think out side that.
Why in the world would they give you ADT treatments when all it does is make you sick,, fatigue lose weight gain weight loss of bone density depression I want to make my body healthy to fight cancer. Not weaken it I will refuse all hormone treatments.
We're all missing a key ingredient: iodine
Thank you for the content. TRT is important but getting TRT does not itself fix ED, fixes low or no libido but does little if a guy is pushing a rope. Most docs, including Urologists are not the expertise with TRT or other HRT as your guest. (The optimal range and whether a guy with BPH should be dosing) Not all Urology docs are expert in TRT. Especially on optimal ranges of free and total T. A guy with a high PSA is told not to get TRT when that is an old false narrative by average docs. (non expert) A guy has to be their own advocate. Follow the data and science.
Yes, I have been treated by three of the the top Urology groups in ACL but only one person in the third group correctly diagnosed ED resulting from veno occlusive deficiency with a Doppler study. And that was only after I took him the research paper.
Before that his colleagues were just trying to sell ED treatments without knowing whether I had leaky veins. That is, just trying to hawk the “snake oils” like shock waves, ED meds, stem cells shots, and other wallet emptying treatments never seeking root cause of the ED.
The Doppler exam study should have come before the expensive failed treatments that will never help anyone with leaking veins. TRT is good for well being, and libido, but not directly related to ED. TRT can put a man in a good range of free Testosterone and still have ED because the cause of ED has not been identified.
My 2 cents.
If you want me to watch at least get the grammar right in the headline.
Lol😂😂😂
The shocking truth about.....not between
OK. Thank you for your feedback.
45:05 bottom line
Thanks 👌
For your info.
Audio not balanced well. Your mike is way too loud, compared to hers......
Annoying...
Ps
Great topic though👍
OK. Thank you for your feedback.
I like his topics but I don't like this Dr Geo his little noises he makes after every other sentence the other person makes. Like... "Um-mm". "That's right". Etc. extremely annoying hearing those little sounds he makes. Does anybody else pay attention to those little sounds he makes? Annoying sounds!
I think hormone treatments eat lupron etc is all a pharmaceutical conspiracy. Back in 1971 when President Nixon gave close to 2 billion dollars to the Kansas institution That's when the chemical companies came up with this great idea of chemical suppression of testosterone. that testosterone was the fuel for cancer. I don't believe anything.
I wish Dr George went to interrupt all the time. And quit saying....."um-mm"!!!!!!!
Always interrupting!