Dr. Stephen Petteruti

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

10/09/2026

When we read a clinical study, we need to pay attention to more than just the results. Because in some cases, a company with a financial interest in a particular treatment funds research that focuses on the findings most favorable to its product.

“Radiation is so much better than surgery! In this study following a specific group of men for a short period of time, brought to you by one of the leading manufacturers of radiation machines!” You read the headline and think, wow, that’s great. But dig a little deeper, look at the long-term data, and the results can look very different.

So be curious. Question the headlines, question the recommendations you receive, question the treatments your doctors are pushing, and question me, too. Read the evidence, compare the findings, and then make an informed decision.

Listen to the full episode "Surgery vs. Radiation For Prostate Cancer: What Should You Choose?" ➡️ https://www.youtube.com/watch?v=AZYnxfqPxIc

For over a century men have been funneled into biopsies, prostatectomies, radiation, and chemical castration based on a ...
10/08/2026

For over a century men have been funneled into biopsies, prostatectomies, radiation, and chemical castration based on a playbook that has never been proven to save lives. The ProtecT trial, the PIVOT trial, and the 2023 New England Journal of Medicine study followed over 1,500 men and reached the same conclusion — aggressive intervention offers no survival advantage over careful monitoring. What it does offer is guaranteed harm. Incontinence. Erectile dysfunction. Testosterone annihilation.

In Fight Cancer Like a Man, Dr. Stephen Petteruti, a board certified family physician with over 30 years of clinical experience, dismantles the fear-based system driving prostate cancer care and replaces it with a protocol built on evidence, precision, and the preservation of everything that makes a man vital.

Before you agree to anything, make sure you know all your options. Get your copy of Fight Cancer Like a Man today ➡️ https://www.amazon.com/dp/B0GP6JHQTQ/

(This is not a substitute for a qualified physician. Informational purposes only)

10/06/2026

When a man is diagnosed with prostate cancer, radiation and surgery are presented as the two major options. But I want men to look beyond what happens during these procedures and pay attention to what they will do to the body years later.

You are not only damaging cancer cells. You are also affecting surrounding healthy tissue, and those effects can extend far beyond the initial recovery period. For many men, urinary function, bowel function, sexual function, energy, and muscle mass will remain a problem long after treatment has ended.

We are seeing studies that tell us that living with urinary leakage years after treatment is an acceptable trade-off. Yet what continues to be missing is a third group: men who are actively monitored without surgery or radiation. Why? Because you cannot claim that the consequences of treatment are worth it if the data show that men can achieve comparable results without those long-term effects.

Before choosing between aggressive treatments, ask a more fundamental question: do I even need them?

Listen to the full episode "Surgery vs. Radiation For Prostate Cancer: What Should You Choose?" ➡️ https://www.youtube.com/watch?v=AZYnxfqPxIc

10/05/2026

2.2% with surgery, 2.9% with radiation, and 3.1% with active monitoring.

Those were the prostate cancer-specific mortality rates recorded in the ProtecT trial after 15 years of follow-up in more than 1,600 men with localized prostate cancer.

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

Yet so many men are still being made to feel that immediate, aggressive treatment is the only responsible choice. Inflammation, infection, bleeding, urinary problems, erectile dysfunction, loss of energy... these are accepted as the price men have to pay, even when less invasive management produces the same survival chances.

And yes, you may look at these numbers and still decide that surgery or radiation is the right choice for you. That is your decision to make. But it is only a real decision when you understand that there are alternatives, what the evidence says about those alternatives, and what each treatment can do to the life you are trying to protect.

If you're presented with one test, one procedure, or one treatment as though it is the only possible path forward, you have not been given an informed choice. You need to know what the treatment is actually buying you before you accept what it can take from you.

Remember: the greatest threat to many men with prostate cancer isn't the disease itself. It's the rushing.

When we talk about prostate health, tomatoes are not usually the first food that comes to mind. Yet they contain one of ...
10/04/2026

When we talk about prostate health, tomatoes are not usually the first food that comes to mind. Yet they contain one of the most extensively studied compounds in prostate nutrition: lycopene.

Lycopene is responsible for the red color found in tomatoes, watermelon, pink grapefruit, and several other fruits. But it is its antioxidant properties and potential effects on inflammation that have attracted the interest of prostate health researchers.

Prostate tissue appears to accumulate lycopene at relatively high concentrations, showing potential for protecting prostate cells from oxidative damage, while supporting healthier cellular function where it is most relevant.

That does not make it a cure or an infallible form of prostate cancer prevention. But the evidence suggests it is worth considering as part of a broader approach to long-term prostate health.

Especially since getting more of it does not mean taking another supplement (although it is certainly a valid option). Tomatoes, tomato sauce, tomato paste, watermelon, and pink grapefruit are all natural sources of lycopene.

Remember that ultimately, what we want is to create an internal environment that supports healthy cellular function.

10/03/2026

Prostate cancer is a disease you live with for the long term.

You can have radiation and still have cancer. You can remove the prostate and still have cancer. You can undergo multiple treatments, see your PSA become undetectable, and have the cancer return years later.

That is why we need to think about it differently from the way we usually approach this type of disease. No treatment can tell you with certainty that every cancer cell has been eliminated from the body.

What we can do is work to keep it contained. We can monitor how it behaves, identify changes, and intervene when the disease requires it. We can keep prostate cancer from progressing while allowing you to live with as little impact from the disease as possible.

You may have prostate cancer for the rest of your years. That doesn't mean it has to become the center of your life.

When you are told something is wrong with your prostate, it is easy to feel like you need to act immediately. My approac...
10/02/2026

When you are told something is wrong with your prostate, it is easy to feel like you need to act immediately. My approach is different.

During your first consultation, I’ll review the complete picture. We look at your PSA history and trends, free PSA percentage, prostate MRI and PI-RADS score, pathology reports, Gleason score if applicable, family history, symptoms, testosterone and other relevant labs, lifestyle and metabolic factors, and the recommendations you have already received.

Then we look at what matters in your specific situation. Do you really need invasive treatment? What questions should you ask before agreeing to surgery or radiation? Is there additional testing that may be useful? How should you be monitored from here?

You should leave the consultation with a better understanding of your body, what information is still missing, and a plan for how to move forward.

We do not rush into anything. Before you make a decision that will affect your vitality and quality of life, take the time to understand what you are dealing with and what actually needs to be done.

Schedule a call with me or come visit our Fort Lauderdale office ➡️ https://www.intellectualmedicine.com/prostate-cancer-doctor

09/29/2026

The ProtecT trial followed 1,643 men who were randomly assigned to active monitoring, surgery, or radiation. After 15 years, prostate cancer-specific mortality was low across all three groups: 3.1% with active monitoring, 2.2% with surgery, and 2.9% with radiation.

While radical treatment reduced disease progression and metastasis, those reductions did not translate into a statistically significant difference in prostate cancer mortality between the groups.

The trial also followed the functional consequences of these approaches, showing significant differences in urinary and sexual function over time. Men assigned to active monitoring avoided the effects of radical treatment.

So when the actual life timespan doesn't change, is losing your vitality still an acceptable side effect?

Listen to the new episode "Can I Live With Prostate Cancer?" available now ➡️ https://www.youtube.com/watch?v=c-pscvc1tEM

09/28/2026

What should you do if you already had the biopsy? First, breathe.

Don’t spend your time going back and thinking about what you should have done differently. You made the decision you thought was best with the information you had available at the time.

Now you have more knowledge, so let’s focus on what comes next.

Understand what the results mean, decide how to move forward, and focus on creating an internal environment that is less favorable to cancer cells.

You cannot change the decisions you made yesterday, today your attention belongs on what you can do from here.

A prostate cancer diagnosis can make everything feel urgent, and that urgency can make it easy to focus only on getting ...
09/27/2026

A prostate cancer diagnosis can make everything feel urgent, and that urgency can make it easy to focus only on getting rid of the cancer without stopping to consider what the treatment may take from you.

What will your life look like after treatment? How long might you need pads? What happens to your erections, or**sm, and sexual sensation? What changes might you experience with urinary function? And what about your muscle mass, strength, energy, and physical performance?

These are not secondary concerns. They are potential side effects of conventional treatment that can affect your life for years.

Before you agree to an irreversible procedure, you need to understand exactly what you are giving up and what those consequences could mean for your life.

The cancer deserves to be taken seriously, but so does the rest of the life you are trying to protect.

Want to read what men who chose traditional treatment are saying? Comment “SUBSTACK” and I’ll send you their stories.

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