Dr. Geo Espinosa is a renowned Naturopathic and Functional Medicine doctor specializing in urology and men's health. He has over two decades of experience and has provided care to thousands of men, addressing various urological and male health issues, from sexual dysfunction and low testosterone to different prostate conditions, including cancer. Leveraging natural therapeutics and integrative medicine based on rigorous clinical and scientific research, he and his team strive to offer the most up-to-date information and treatments. As a faculty member at the NYU Langone Department of Urology, Dr. Espinosa collaborates with some of the world's leading urologists. Dr. Geo is the Chief Medical Officer (CMO) and formulator at the male-focused nutraceutical company XY Wellness, LLC and its sister company Mr. Happy. He is the co-founder and producer of the popular male health website, DrGeo.com, and the popular urological and male-focused podcast, The Dr. Geo Podcast. As an avid researcher and writer, Dr. Geo has authored numerous scientific papers and books, including co-editing the Integrative Sexual Health book, and author of the best-selling prostate cancer book: Thrive, Don't Only Survive.

Together Dr. Geo and I address some of the most commonly asked questions regarding men's health, from testosterone levels to prostate cancer prevention and the impact and potentially negative effects of testosterone replacement therapy on fertility and sperm production. Dr. Geo highlights ways to boost testosterone naturally, including nutraceuticals and lifestyle choices, and underscores the importance of recent findings from research addressing high levels of testosterone replacement therapy. He offers baseline screening advice for practitioners who are not specialized in men's health, insights into the key differences between prostatitis and benign prostatic hyperplasia (BPH), and shares his approach to treating nocturia, or excessive nighttime urination. This conversation is filled with clinical pearls and insights into the world of prostate health.

I'm your host, Evelyne Lambrecht, thank you for designing a well world with us.

Episode Resources:

Dr. Geo Espinosa - https://drgeo.com/

Designs for Health - https://www.designsforhealth.com/

Clinical Study: Geranylgeraniol Supplementation May Benefit Males With Low Testosterone - https://americanrivernutrition.com/geranylgeraniol-supplementation-may-benefit-males-with-low-testosterone-clinical-study/

Nutrition Blog: The Biochemistry of Ashwagandha - https://www.casi.org/biochemistry-of-ashwagandha

Science Update: New review demonstrates the role of ashwagandha in male infertility - https://www.casi.org/node/746

Nutrition Blog: Zinc - One of the Major Influencers of Male Fertility - https://www.casi.org/node/1109

Lifestyle Vlog: Magnesium for Men's Health - https://www.casi.org/patient-blog/magnesium-for-men-s-health

Research Blog: Boron – Not Boring at All - https://www.casi.org/node/790

Research Blog: Natural Ways to Boost Testosterone - https://www.casi.org/natural-ways-to-boost-testosterone

Visit the Designs for Health Research and Education Library which houses medical journals, protocols, webinars, and our blog.

https://www.designsforhealth.com/research-and-education/education

Chapters:

00:00 Intro.

02:06 Dr. Geo explains how the field of men's health chose him and has continued to fascinate him.

05:36 An overview of the role of testosterone, how and where in the body it's made, and common process interruption points.

08:47 Nutrients that Leydig cells need in order to effectively produce testosterone.

10:26 Lab markers and hormones, in addition to total testosterone, that Dr. Geo looks for in a new patient.

14:12 Dr. Geo's recommendations for clomiphene, a drug that is used to stimulate the production of testosterone.

15:58 Considerations and cautions for testosterone hormone replacement therapy and levels for SHGB and DHT.

21:41 Testosterone metabolism measurements and the utilization of DIM and chrysin to address high estrogen levels.

22:58 The impact and potentially negative effects of testosterone replacement therapy on fertility and sperm production.

29:11 Findings from research addressing high levels of testosterone replacement therapy.

30:16 Ways to boost testosterone naturally include tonkadale, ashwagandha, and fenugreek.

31:37 Lifestyle changes that can increase testosterone levels including improved sleep and exercise.

35:32 Controversy around PSA (prostate-specific antigen) testing for prostate health and prostate cancer screening.

38:58 Unraveling the numbers behind PSA density, 4k scores, and IsoPSA testing when screening for prostate cancer.

42:41 Baseline screening advice for practitioners who are not specialized in men's health.

44:49 Dr. Geo's advice for prostate cancer prevention through healthy lifestyle choices and formulated nutraceuticals.

52:39 Insights and key differences of prostatitis and benign prostatic hyperplasia (BPH).

56:07 Dr. Geo's approach to treating nocturia, or excessive nighttime urination.

1:00:44 Nutraceutical recommendations for prostatitis and benign prostatic hyperplasia.

1:03:15 Dr. Geo's changed opinion of medicines in the field of urology, his favorite personal supplements, and his favorite health practices.