Dr. Stephen Petteruti

Dr. Stephen Petteruti Board Certified Physician | Over 30 Years of Experience | Longevity & Functional Medicine | Best-Selling Author | 17k+ Podcast Subscribers

08/12/2026

A tree can look great on the outside, until the storm comes.

When the winds pick up, what matters isn’t how healthy the tree looked from a distance. What matters is what’s happening underneath: the strength of its roots, the condition of its structure, and whether it has the resilience to withstand what’s coming.

Health works much the same way.

You can look healthy on the outside, feel fine, and still have underlying problems that aren’t obvious yet. Blood sugar, inflammation, nutrient deficiencies, hormonal changes, cardiovascular health... all can shift long before you notice a symptom.

The goal of good health isn’t simply to look healthy today. It’s to build the kind of internal strength and resilience that helps you stay healthy when life puts your body under pressure.

Don’t wait for the storm to find out how strong your foundation really is.

08/11/2026

Some level of PSA is completely normal.

Your prostate naturally produces PSA, and some of it is released into your bloodstream. That is just a normal part of how the prostate functions.

There is no single factor that determines how much PSA is released. Levels can change with age, prostate size, inflammation, exercise, ej*******on... You had a cold? The number goes up. Went for a bike ride? The number goes up.

So when a blood test shows an elevated PSA, the result itself does not tell you that you have cancer. It tells you that there is more PSA in your bloodstream, and there are many possible reasons for that increase.

The mistake is treating PSA like an on/off switch: normal means healthy, elevated means cancer. Biology is not that simple.

PSA is a normal part of having a prostate. Don't sacrifice your vitality because of the misconception that one high number automatically means cancer.

Listen to the full episode "He Refused Prostate Surgery. One Year Later, Doctors Couldn't Explain the MRI" ⬇️ Link in comments.

08/11/2026

More than 1,600 men with localized prostate cancer were followed for 15 years during the ProtecT trial, comparing active monitoring, surgery, and radiation.

The results? There was no statistically significant difference in prostate cancer mortality between the groups.

Prostate cancer mortality was:

📋 3.1% with active monitoring
📋 2.2% with surgery
📋 2.9% with radiation

Prostate cancer-specific survival was approximately 97% across all three groups.

So why is the conversation around prostate cancer so often centered on treating it as quickly as possible? If surgery and radiation do not produce a significant survival advantage, what exactly are men being asked to trade for them?

I have said it before, and I'll say it again: when talking about prostate cancer, the question should not be “how quickly can we operate?”

But, “does this man actually need invasive treatment?”

Always working on new things...
08/09/2026

Always working on new things...

08/08/2026

The road to longevity 🩺 Less talk about diet.

You can add therapies, supplements, exercise... but if the basics of nutrition are being ignored, you’re missing one of the most important pieces of the picture.

Supporting the body starts with giving it the nutrients it needs to function well.

Chris Holmes, former guitarist for W.A.S.P., recently announced that he is facing prostate cancer and is reportedly prep...
08/08/2026

Chris Holmes, former guitarist for W.A.S.P., recently announced that he is facing prostate cancer and is reportedly preparing for radiation and hormone therapy.

I extend my best wishes to him.

But his news got me thinking... several musicians have publicly discussed their prostate cancer, sharing stories about diagnosis, surgery, radiation, and hormone therapy.

What about the men who chose a different path?

Statistically, it is likely that some musicians with prostate cancer are living with the disease while choosing active management. But perhaps the words “careful monitoring” do not generate the same media attention as “surgery” or “beating cancer.”

Active management is too often portrayed as doing nothing, or as a lesser approach to cancer. As something that doesn't deserve the attention.

And I think that is a conversation worth having, because the stories we hear shape how we think prostate cancer should be treated.

Want to learn more about my opinions on this topic? Comment SUBSTACK and we'll send you the free article.

08/04/2026

I see it in prostate cancer care every day. The belief that questioning the standard approach is dangerous, even when that approach has clear limitations.

The moment a patient has an elevated PSA, the conversation often follows the same script. More testing. A biopsy. Radiation. Surgery. The assumption that this is simply the way it's done, and asking whether there's another path is treated as irresponsible.

But should your medical care be based on what's always been done?

Too many physicians are discouraged from discussing alternatives because stepping outside the accepted pathway comes with professional risk. When doctors stop asking questions, patients stop hearing about options.

That's not how medicine advances.

Listen to the full episode "Fauci Pleaded the Fifth (111 Times!)... Medicine Still Hasn’t Learned Its Lesson" ⬇️ Link in comments.

08/03/2026

There's no bad way to work out.

Walk, swim, lift weights, bike, hike. If you're moving your body consistently, you're doing something good for your health.

The "best" workout is the one that matches your goals.

I'm 67 years old, and I've been lifting weights since I was 16. I want to keep building muscle, and protect my bone health so I can stay active and independent for years to come.

For me, intensity is more important than quantity. I don't need endless sets or hours of cardio. I need to give my body a reason to keep its strength.

You don't have to train the way I do, but everyone should challenge their body in a way that's appropriate for them. Your body adapts to the demands you place on it, and if you stop asking it to be strong, it has very little reason to stay that way.

Longevity isn't just about living longer. It's about staying strong enough to enjoy the life you've worked so hard to build.

Keep moving. Keep challenging yourself.

08/02/2026

The key to longevity 🩺 What you can expect from a consultation with me.

My goal is for every patient to leave our consultation with more clarity, more peace of mind, and as much hope as is realistic for their situation. A diagnosis can bring fear and uncertainty, but no one should leave an appointment feeling rushed, pressured, or more confused than when they arrived.

My role is not to sell you my protocol. My role is to help you understand your situation so you can make informed choices with confidence.

Information is power. The more you understand what's happening, the better equipped you are to fight cancer like a man.

07/11/2026

The problem with these type of tests, is that their main purpose is to tell you whether you should get a biopsy or not. I'll save you the money: you don't need one.

What actually works? Monitoring PSA trends. A non-contrast MRI. Active non-invasive treatment.

Don't waste hundreds of dollars, just to have your urologist push a biopsy even when the result comes back negative.

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Fort Lauderdale, FL

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