Intellectual Medicine

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Intellectual Medicine Creator of the Petteruti Protocol & Author of "Fight Cancer Like a Man." 35+ years of clinical innovation in Intellectual Medicine.

Helping men protect their vitality and navigate prostate health with data, not fear. 🩺💪 To often in medicine we are left pursuing well worn pathways and if the patients condition doesn’t comfortable fit into that pathway we feel incapable of helping them. The patients tell us what they need and what they need is to feel better, live longer, and live better. That’s the passion that drives my practice said Dr. Petteruti. Dr. Petteruti has been pursuing his passion for greater than 20 years. He brings his unique combination of empathy, intellect, clinical and didactic experience to change the lives of the patients he encounters. Holistic, comprehensive, complete and driven to pursue the solutions to the most difficult of problems, Dr. Petteruti has a style of practice that is rare to find. He is board certified in family medicine, weight-loss and anti-aging medicine.

10/14/2026

Aggressiveness implies change over time, you need a point of comparison. Yet a biopsy captures tiny pieces of tissue at one moment in time, sampling only parts of the prostate gland.

Cancer in unsampled areas goes undetected, and more aggressive patterns are missed when they are not present in the tissue collected.

So how many biopsies should a man have in order to determine aggressiveness? Three? Twelve? Twenty? How many times should a man undergo the same invasive procedure before there is enough information to make a decision? And who decides when enough is enough?

At some point, we need to question the assumption that a biopsy is the only way to assess how aggressive a cancer is, and that men need to undergo multiple of them to protect their lives, even at the expense of their quality of life.

10/07/2026

I've been in this field for over 30 years, listening to the stories and concerns of men with prostate concerns. One pattern I see again and again? The tendency to chase numbers.

It is easy to look at a PSA result and assume that a higher number means danger, or that getting it lower automatically means a man is getting healthier. In practice, that's not always the case.

I have treated patients with a PSA under 2 and Grade 4 prostate cancer. I have seen men with a PSA over 200 who were living happily and actively, with no signs of metastatic disease.

PSA is a useful tool, but you need to know how to use it. It has to be interpreted in context, compared with previous results, and monitored over time. An isolated number cannot tell you how aggressive the cancer is, whether it is progressing, or if it is even there.

I disagree with the obsession over getting PSA as low as possible, as if that automatically makes a man healthier, with no regard for the loss of energy, strength, sexual function, muscle mass, and more.

If a patient is losing the things that allow him to live well simply to achieve a better laboratory result, can that really be called success?

10/02/2026

I see men prepare for prostate cancer treatment by thinking almost entirely about getting through the procedure, getting the cancer treated, and putting the diagnosis behind them. What they are often not prepared for is what they may be living with afterward.

Urinary function, muscle mass, erections, energy, sexual sensation, strength, physical performance... Are you okay with the risk of losing them? And no, I’m not saying this to scare you, but you need to understand that these risks are real. They are not uncommon side effects.

That is why I want men to slow down before making a treatment decision. Ask your doctor what your life will look like afterward, what alternatives exist, what happens if you wait, and what you are giving up in exchange for the treatment being recommended.

Then ask yourself a different set of questions. What do you want your life to look like in five or ten years? What are you unwilling to sacrifice? Are you choosing this procedure because it is truly necessary, or because the diagnosis has made you feel like you have to do something now?

Treatment should never become the center of your life. You are still going to have a life after prostate cancer, and what that life looks like needs to be part of the decision from the beginning.

Listen to the full episode of my podcast "Can I Live With Prostate Cancer?" ➡️ https://www.youtube.com/watch?v=c-pscvc1tEM

09/30/2026

One of the regular criticisms I get is that I am defying the “standard of care” when I question the routine use of biopsy and aggressive treatment.

Biopsy was saving lives in 1879, so how dare I suggest that we may have better ways to evaluate prostate cancer in 2026?

That is the kind of thinking that keeps medicine from moving forward.

We are not supposed to preserve old practices simply because they became established. What “everyone is doing” does not autoamatically remain the best approach.

The fact that something has been done for a long time does not make it untouchable.

If the evidence shows that we can get what we need without putting every man through an invasive procedure, I will continue to question why aggressive treatment has to be the automatic next step.

09/25/2026

When I treat a man with prostate cancer, I am not focused on chasing numbers. What I want to see is stability. If I can follow a man over time and see that the cancer is not advancing, that is a meaningful measure of success.

Prostate cancer is a lifelong disease that has to be managed over the long term. My goal is to keep it under control, prevent progression, and allow the patient to continue living his life with as little impact from it as possible.

Preserving strength, function, independence, and quality of life while the cancer remains contained matters more to me than whether a PSA number goes up or down.

Listen to the full episode "Gleason 8 Prostate Cancer in His Late 50s — What Happened One Year Later?" ➡️ https://www.youtube.com/watch?v=Da5TrJa_LiU

09/23/2026

I get messages like these all the time: “I didn’t want the biopsy, but my insurance wouldn’t cover anything unless I did.”

“I asked for an MRI first, but insurance refused to cover it.”

This is one of the most frustrating things I see in prostate cancer care. Men trying to decide what makes sense for them, while a company that has never evaluated them is determining which tests and procedures they can access.

Your insurance isn’t the one who will have to live with the side effects. They shouldn’t have the final word when it comes to how you spend the rest of your life.

09/21/2026

Compliance touches more than policies and procedures; it impacts how you prescribe, document, market, delegate, operate, and choose your partners. How confident are you?

Join us tomorrow for our open "Compliance Within Your Clinic" webinar, and learn how to think more critically about:

✔️ Where clinics commonly create compliance risk
✔️ What questions to ask your compounding pharmacy
✔️ How USP sterility, testing, sourcing, and BUDs fit into quality assurance
✔️ Whether your SOPs actually reflect your day-to-day practice

Scale smart, grow strong, and learn how to build a stronger, more profitable practice.

September 22nd | 3 PM EST

Activate the reminder ➡️ https://www.facebook.com/events/1051120094485259

09/21/2026

What is considered success in the world of prostate cancer?

"If the PSA goes down, the treatment worked. PSA goes up, the cancer is progressing." That's not good enough for me.

This is the question I want you to think about: when treating cancer, are we focusing so closely on the disease and its numbers that we risk overlooking the health of the person living with it?

Listen to the full episode "His PSA Was 16. But That Wasn’t the Number That Worried Me" ➡️ https://www.youtube.com/watch?v=kc04fwqPjEU

09/16/2026

Does eating less meat helps with cancer? Let's talk about food and prostate health.

09/09/2026

Does the Petteruti Protocol actually work?

"I have been in Dr Petterutis program for prostate health for 8 months. No progression of disease. Dr P reviewed my MRI and blood test results as well as how I was feeling. All good. Dr P took the time to answer all of my questions, and we made some minor adjustments to my program focusing on my overall health." -Mike.

"As his patient, I can attest to the efficacy of the protocol. Doable. I'm living my best life and feeling great: so much stress has been lifted through Dr. P's common sense, straightforward approach." -Jodel.

"Very professional. Dr Petteruti has established a plan with me which is already showing results. His protocol is tolerable and he listens with empathy and compassion. He is not like the usual physicians tied to a hospital. Read his book on the protocol. I jumped in because everything he has mentioned on his podcast is true with me. I am stage 4 prostate cancer and doing well! The staff gets back to you quickly and are attentive to your needs. I totally recommend you work with a physician that made this his life’s goal." -Robert.

"My husband saw Dr. Petteruti while he was searching for information on prostate cancer and how to deal with it. Dr. Petteruti's information and guidance were the best of all that my husband found...by far! [...] We're both patients of Dr. Petteruti now, and we're feeling so much better and beginning to enjoy our lives again." -Claudia.

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333 Las Olas Way
Fort Lauderdale, FL
33301

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Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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