What to do if your PSA test is abnormal | Peter Attia & Ted Schaeffer
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Published 2023-10-15
Watch the full episode: • 273 ‒ Prostate health: common problem...
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This clip is from episode #273 ‒ Prostate health: common problems, cancer prevention, screening, treatment, and more
In this episode, Peter is joined by Ted Schaeffer, M.D., Ph.D., an internationally recognized urologist who specializes in prostate cancer.
In this clip, we discuss:
- What is PSA
- Why PSA in the blood is problematic
- The importance of PSA screening
- Why patients should take ownership of their own health
- And more
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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 70 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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All Comments (21)
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As a practicing MD for over 30 years, I have little confidence in the PSA test. I have had MULTIPLE patients with a PSA < 1.o and had cancer; I have had others that were over 8 and no cancer. It is an imperfect test, at best. I have picked up more cancers based on the trend for a patient than I have with a single read. We need something better.
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I’m dealing with an enlarged prostate and my PSA levels are up and down hearing this news is somewhat comforting. I am very appreciative of the content and the manner in which its presented.
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My PSA was 5.6 for decades. 30 years ago a doctor recommended an ultra sound. After that he said the results were inconclusive and scheduled a biopsy. After the biopsy my PSA elevated to 19.8 where it has remained for 30 years. I have never had cancer but after the biopsy I now suffer from BPH do not trust PSA tests.
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Thanks Peter! Excellent comparison with CGM , if we were able to CONTINUOUSLY monitor PSA levels we would be able to prevent 99% of prostate cancer!
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Peter makes the most sense.
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Thank you for this information. It seems like the urology community is all over the map in regards to PSA and other prostate discussions. I can't imagine undergoing radical surgery with so many question marks hanging out there.
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Great information. I’m 60. In very good health. But 2 years ago my PSA was 4 for first time ever. I got my bloodwork today. It’s 5.2. Yikes. I have my annual physical in 2 weeks. We will address.
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I'm 60 and my PSA goes between 2.7 / 4.33, highest was 4.77 two years ago, I'm do a test on my own and taking 3 tablespoons of Costco Tomato Paste each day until my next test in July. I'll keep you posted if it lowers....read it's high in Lycopene which is an carotenoid antioxidant found in many plants, especially tomatoes. GLTA and stay positive
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Excellent video, especially for persons with already some background info
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OR as discussed at the end, men must be proactive in their own health. I started testing my own PSA at age 39 because I have a family history of prostate cancer. Now its a basic PSA, but it costs $40 labcorp and cheaper than going to my primary care doctor.
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In a for profit private healthcare system there’s no incentive to actually heal your pool of “clients”. UR right that patients should take responsibility
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At 65 My Psa Was 6 And I Had A MRI ,Then A BI OPSY Which Showed I Had Gleason 6,7,8 Prostate Cancer Confined To The Prostate Gland .
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Gift to hear such expert dialogue. I’m 77, PSA spiked from 5.7 to 7.5. Scheduled an MRI for next week.Free PSA 15%, ratio 1.2. Not worried.
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I’m 66 diagnosed with low grade cancer about two years ago. It’s so low the MRI did not pick up my cancer. Diagnosed from my second biopsy. My PSA in the last two years has been up and down between 4.5 to 5.0. Then it just to 8.44 down to 7,43. Just had my PSA it dropped to 5.43. Will be getting my third biopsy in May. My doctor i feel bis staying on top of it. And I do my homework and ask questions.
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This podcast is timely. I’m 58 years old. A lifetime athlete. Bloodwork this past week revealed that my PSA increased significantly, from 1.2 to 4.6. I’ll be having follow up bloodwork in two weeks. Thanks.
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In one of my annuals I had a PSA of 12 after past regular readings of less than 3. I was concerned. Did a biopsy and there was nothing. Doc even said they found no signs of pre-cancer. Did a new PSA reading a few weeks after and it was back to normal levels. A simple infection can affect readings.
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With a PSA of 17.7 and prostate 7 times normal size, I thought that my health issues were down to that, subsequently I have been told that the prostate was held within a capsule and the capsule had not been perforated. Eventually found that I am suffering from a kidney tumour, due to be removed in three months, seems a long time.
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The ExoDX urine test is a good option for those who are concerned about an elevated PSA but don’t want to go straight to a biopsy.
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What is the highest psa reported and metastatic in bone reported and person survived with good life for more than 5 years.
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One thing I found out was you have to drink plenty of water prior to the test. It changed my reading from 8 to 3.4.
