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Medicine 3.0: Rethinking Prostate Cancer Screening

Peter Attia MD 67,909 1 month ago
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This clip discusses: - Biden’s Diagnosis Sparks a PSA (Prostate-Specific Antigen) Wake-Up Call – Former President Biden’s case illustrates a failure in how prostate cancer screening is approached in Medicine 2.0 - Why PSA Alone Isn’t Enough – PSA can be misleading without also evaluating PSA velocity, PSA density, and free PSA—all available from the same $5 test - Additional Tests Can Refine Risk – Tools like the 4Kscore, PHI (Prostate Health Index), or a multiparametric MRI help determine whether a biopsy is even needed - Medicine 2.0 Prioritizes Lifespan Over Healthspan – Screening was likely dismissed based on actuarial life expectancy, not quality of life or long-term health - Be Your Own Advocate in Medicine 3.0 – For preventable cancers like prostate and colorectal, proactive screening and smarter interpretation can save lives Quick Correction: Please note at 2:40 Peter says the units for PSA are usually ng/dL, but he intended to say ng/mL. -------- About: 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 90 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. Learn more: https://peterattiamd.com Connect with Peter on: Facebook: http://bit.ly/PeterAttiaMDFB Twitter: http://bit.ly/PeterAttiaMDTW Instagram: http://bit.ly/PeterAttiaMDIG Subscribe to The Drive: Apple Podcast: http://bit.ly/TheDriveApplePodcasts Overcast: http://bit.ly/TheDriveOvercast Spotify: http://bit.ly/TheDriveSpotify Google Podcasts: http://bit.ly/TheDriveGoogle Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice. No doctor-patient relationship is formed. The use of this information and the materials linked to this podcast is at the user's own risk. The content on this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they have, and they should seek the assistance of their healthcare professionals for any such conditions. I take conflicts of interest very seriously. For all of my disclosures and the companies I invest in or advise, please visit my website where I keep an up-to-date and active list of such companies. For a full list of our registered and unregistered trademarks, trade names, and service marks, please review our Terms of Use: https://peterattiamd.com/terms-of-use/

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