Does testosterone therapy cause an increased risk of prostate cancer? | Peter Attia & Mohit Khera
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- Опубликовано: 4 июл 2023
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Watch the full episode: • 260 ‒ Men’s Sexual Hea...
This clip is from episode #260 of The Drive - Men's sexual health: Why it matters, what can go wrong, and how to fix it | Mohit Khera, M.D., M.B.A., M.P.H.
In this episode, Peter is joined by Mohit Khera, M.D., M.B.A., M.P.H., a world-renowned urologist with expertise in sexual medicine and testosterone therapy
In this clip, we discuss:
- Why do people associate TRT with an increased risk of prostate cancer?
- Testosterone may be protective against prostate cancer
- Animal studies related to testosterone therapy and cancer
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The Peter Attia Drive is a deep-dive podcast focusing on maximizing longevity, and all that goes into that from physical to cognitive to emotional health. With over 60 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimer’s disease, cancer, mental health, and much more.
Peter Attia is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan.
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Started TRT in 2021 and was diagnosed with prostate cancer two years later. Just had surgery 2 months ago. Did TRT cause it? I highly doubt it, but now I am freaked out to use TRT ever again.
Very good information!! I went to my Dr at the age of 42, I was working out 4-5 times a week and eating really good. I was tired all the time and went to my Dr of 17 year. I asked him to test my levels, he said if you leveled are low what are we going to do. I said what about TRT, he said that will give you cancer and He would not prescribe it to me. This is in 2007, I asked him again to test me and my test levels came back at 199. He wouldn’t do anything and back then there were not any TRT clinics except in Florida. I did a bunch of reading and research, I finally found a clinic that put me on TRT. To this day I have been on TRT, my range is level at 750, I have been higher and lower, both have there issues. My PSA has never been higher then .8. At 56 yo I am in a much better place and healthier than ever.
I learned by having a prostatectomy that testosterone was the only fuel feeding prostate cancer growth. Being a bodybuilder and taking testosterone boosters for years, I thought it was the reason I had cancer, but my doctor said it's strictly genetic.
Well this was good to hear. I been on trt for years
Why aren't men receiving new treatments in line with the latest research? Because that's how it goes in American medicine. We have too few doctors, who work too many hours. It's not possible for them to keep up with the literature. Back in the 1990s, when PubMed had millions fewer entries, Altman and another guy looked at how many articles an Internist had to read every day in order to keep up with the field - it was 19. Doctors don't have time to read 19 abstracts per day, let alone digest 19 manuscripts. It's commonly found that it takes well over a decade for the latest research findings to go from bench to bedside. This is a problem.
Peter. Myself and Dr. Ruddy would be glad to talk to you about the Prostate Community trial and the role of ivermectin and lactoferrin on prostatomegaly and cancer.
My urine flow is reduced noticibly using TRT so obviously it has an impact on cardio vascular system snd im healthy 57 who exercises and eats whole food diet.
Large observational study with a VA cohort back in 2010 saw massive problems following suppression of T levels upon Dx of prostate cancer. Within six months men were diabetic, occult CVD, depression etc.
Talking about the hypogonadal range - back around 2014 or so there was a paper in NEJM where men that had prostate cancer had worse outcomes as T got lower. This prostate cancer stuff is both fascinating and terrifying at the same time. It really needs a major emphasis in research, far beyond what is taking place right now. It wasn't long ago that I looked at PubMed and found more studies being devoted to PCOS in women (which is related to testosterone) than testosterone issues in men.
If I walk into my doctor's office complaining of low testosterone symptoms. And he doesn't do anything about it, how do I go about doctor shopping?
This message is for Peter. Can you please do a segment where you explain this podcast to us mere mortals? The info here is fascinating but there were too many terms that I have no idea when they meant. Thanks,
The most important, natural testosterone booster:
Excellent video on a very important topic. Thank you for posting.
Excellent interview, Luuuv hearing Hannah talk about his experiences, but wish I could hear the background questions !!
Well done! Thanks for sharing!
Is this protocol available in the UK? Anyone here doing it?
Impressive info. Greatly done!!
I believe there was a study in the 1950s that bathed prostate cells in a medium that was loaded with DHT and this also contributed to the stigma and scare for many years.
Excellent talk!
Any studies with progesterone and the ratio of hormones?