Intellectual Medicine

04/29/2026

Men have had their prostates removed based on a number that can be elevated by a long bike ride.

But a rising PSA does not mean cancer is brewing.

04/27/2026

Every year, men still make irreversible decisions based on a single number. Why? Because the headlines are scary.

“Prostate cancer risk jumps sharply among men who skip PSA testing.”
"Every minute you wait, the cancer spreads."
"Man dies after rejecting a biopsy."

Then you read the article and realize the real numbers are far smaller, there is time, and the man was hit by a flying brick leaving the doctor's office.

Of course, by then the fear is already there, telling you to accept the treatment just in case — because nothing sells treatment like fear does.

The key is not letting it control you.

Slow down. Ask questions. Work with a physician who listens.

And if you want to learn more about prostate health, comment MORE. We'll send you the information for free.

04/24/2026

“Oh, so you’re anti-biopsy. Does that mean you’re telling men to do nothing?”

I get asked that often, and the answer will always be: no.

Watchful waiting without a real plan can be just as dangerous as rushing into invasive treatment.

Prostate cancer treatment shouldn’t be about choosing between extremes. The idea that your only options are to either over-treat or sit back and hope for the best is outdated.

There is a middle ground. There is a way to have active intervention without losing your quality of life.

Don’t let them scare you into thinking otherwise. Protect your life, but also protect how you spend the following years.

Fight Cancer Like a Man, by Dr. Stephen Petteruti, is already available on Amazon ➡️ https://www.amazon.com/dp/B0GP6JHQTQ/

04/22/2026

Medicine has a complicated relationship with its own habits. Some procedures earn their place through decades of evidence, while others earn it through repetition.

They have been done so many times by so many physicians that questioning them makes you feel like you're on the wrong side. But just because something became a habit, doesn't mean we should ignore the better options.

What if the most common procedure in prostate cancer is actively working against your outcomes? ➡️

If you want to learn more about prostate health, comment MORE and we'll send you the information for free.

04/22/2026

04/20/2026

04/20/2026

Men usually leave their first oncology appointment with three options on the table: surgery, radiation, or watchful waiting.

But there are more ways to fight.

A medication that has been prescribed for type 2 diabetes for decades is now sitting at the center of some of the most interesting research in prostate cancer management —and most men have never heard it mentioned once.

Want to learn more? 📙 Fight Cancer Like a Man, by Dr. Stephen Petteruti, is already available on Amazon.

Get your copy. Learn your options ➡️ https://www.amazon.com/dp/B0GP6JHQTQ/

04/18/2026

The default response to an elevated PSA or a concerning scan is to move fast — schedule the biopsy, get the answer, decide from there. That urgency feels responsible, but in reality, it is working against you.

Urinary control, sexual health, energy, strength, independence. They are the substance of daily life, and they are precisely what aggressive intervention puts at risk, often without a conversation about whether it is actually necessary for your specific situation.

A prostate cancer diagnosis does not automatically mean your life is at immediate risk. What it does mean is that the decisions you make in the weeks after that diagnosis will shape the years that follow.

You have more time to think than you are being led to believe. Use it.

Fight Cancer Like a Men, by Dr. Stephen Petteruti, is already available on Amazon. Get your copy. Learn your options ➡️ https://www.amazon.com/dp/B0GP6JHQTQ/

04/17/2026

Lots of urologists are highly trained and experienced. But training does not protect against habit. And in prostate care, some of those habits are outdated.

An elevated PSA is followed by a quick referral and after that, the push toward biopsy. No time for questions. No time for proper evaluation.

But that pattern comes from an older era. Back when the only way to understand what was happening inside the prostate was to sample it blindly with needles.

That is no longer the world we’re practicing in.

Today, a non-contrast prostate MRI can map the gland, highlight suspicious regions, and in many cases rule out clinically significant disease before a single needle is used.

Yet men are still being pushed toward invasive treatment. Not because it is the best step, but because it has been the default for years.

I wrote “Fight Cancer Like a Man” because I believe men deserve to know their options are broader than what they’re presented with.

Get your copy. Protect longevity ➡️ https://www.amazon.com/dp/B0GP6JHQTQ/

04/15/2026

Fear is the first thing that shows up when you hear the words “prostate cancer.”

And fear makes everything feel urgent.

It tells you to move fast. To say yes. To do something, anything, just to feel like you’re in control. That’s exactly how men get rushed into decisions they don’t fully understand.

Because in that moment, it doesn’t feel like you have time.

But fear shouldn’t be what drives irreversible decisions. Acting quickly might feel like strength, but moving without clarity is how men end up in treatments they didn’t need to begin with.

Slow down.
Get the full picture. Ask the questions that matter, to a professional that knows what they're doing.

Take the decision when you understand it, not when fear is telling you to.

Fight Cancer Like a Man, by Dr. Stephen Petteruti, is here to let you know there are more options. Get your copy ➡️ Link in Bio.

04/13/2026

Here's the thing, most urologists are skilled, well-intentioned professionals. But good intentions and good decisions are not the same thing. Years of training do not make a doctor immune to habit.

When man gets a PSA result that comes back elevated, within a very short period of time he'll be sitting in a urologist’s office being told he needs a biopsy.

But PSA is not a diagnosis. It can rise for multiple reasons, many of which have nothing to do with cancer. Treating it as proof of disease and moving straight to an invasive procedure is not careful medicine, it is a reflex built on outdated habits.

Better tools exist. A non-contrast prostate MRI can provide meaningful information before a single needle is used. So why are still risking infections, bleeding, and hospitalization based on a number?

Men are being rushed into procedures they do not fully understand, based on a biomarker that was never designed to make that decision on its own.

You are allowed to slow this down. You are allowed to ask better questions. And you are absolutely allowed to understand what you are agreeing to before you say yes.

Want to read more about this topic? Comment READ and we'll send you the full article for free.

04/11/2026

An isolated PSA value does not define disease severity, and it does not justify urgency on its own.

Yet men are routinely pushed to act as if it does.

There are men out there with elevated PSAs who are fully functional, asymptomatic, and living without any meaningful limitation.

A higher number does not equal a worse outcome. It does not tell you if a condition is aggressive, or even clinically significant. Without context, it tells you very little.

But decisions made in response to it will carry permanent consequences.

Next time someone tries to rush you intro treatment just based on PSA, remember, you are not treating a number. You are making a decision that affects the next 20 years of your life.