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Prostate Cancer Support

Advanced prostate health optimization, elevated PSA evaluation, active surveillance support, and prostate cancer management using the Dr. Petteruti Prostate Protocol™.
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What this covers

The prostate plays a critical role in urinary function, sexual health, hormone balance, and overall quality of life. As men age, prostate enlargement, inflammation, elevated PSA levels, and prostate cancer become increasingly common.
The good news is that prostate health can be monitored proactively, allowing many men to make informed decisions before problems progress.

Signs this may apply to you

  • Elevated PSA Evaluation
  • Prostate Health Optimization
  • Active Surveillance Support
  • Testosterone Optimization
  • Personalized Prostate Cancer Care
  • Telehealth Available
Advanced testing we use

Test, don't guess.

At Straight 2 U Wellness, we now offer prostate cancer support through advanced training in the Dr. Petteruti Prostate Protocol™, developed by Dr. Stephen Petteruti, DO, founder of Intellectual Medicine and a board-certified physician in Anti-Aging and Regenerative Medicine and Obesity Medicine.
This program is designed for men who want to take an active, informed role in their prostate health—whether they have been diagnosed with prostate cancer, are monitoring a rising PSA, or want a more strategic approach as they age.
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test

What it shows
PSA Trend Monitoring
Changes in PSA levels over time
Free PSA Testing
Additional insight into elevated PSA
Prostate Health Index
Markers associated with prostate health
Prostate MRI Imaging
Prostate tissue and suspicious areas
Hormone Evaluation
Hormone patterns affecting prostate health
Inflammation & Toxin Testing
Inflammatory and environmental factors
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Frequently asked questions

Questions about
Prostate Cancer Support

What is the Dr. Petteruti Prostate Protocol™?

The Dr. Petteruti Prostate Protocol™ is an integrative, provider-supervised approach to prostate cancer care developed by Dr. Stephen Petteruti, DO, founder of Intellectual Medicine. The protocol focuses on helping men take an active role in their prostate health through advanced monitoring, personalized treatment strategies, metabolic optimization, targeted supplementation, and ongoing provider oversight.

The primary goal is to support prostate health, monitor disease progression, and help men make informed decisions while preserving quality of life.

This program may be appropriate for men who:

  • Have received a prostate cancer diagnosis
  • Have a rising or elevated PSA
  • Are currently on active surveillance
  • Have completed surgery or radiation and want ongoing prostate health support
  • Want a more proactive and personalized approach to prostate health as they age
  • Have been told to “watch and wait” but want a more active strategy

Traditional prostate cancer management often focuses on active surveillance, surgery, radiation, or hormone suppression depending on disease severity.

The Dr. Petteruti Prostate Protocol™ emphasizes proactive monitoring and individualized care that may include:

  • PSA trend analysis
  • Advanced laboratory testing
  • Non-invasive prostate imaging
  • Repurposed medications with published anticancer research
  • Targeted nutritional supplementation
  • Hormone optimization when appropriate
  • Heavy metal and toxin burden evaluation
  • Lifestyle and metabolic optimization

The goal is to provide patients with additional information and options to support informed decision-making.

Possibly. Many patients continue working with their urologist and other specialists while participating in this program.
Our role is to help you better understand your laboratory findings, imaging studies, treatment options, and overall health status so you can make more informed decisions regarding your care.
No. Many patients begin with existing PSA data, prior imaging, and medical records.
Depending on your situation, advanced prostate imaging such as MRI may provide valuable information. If you have already undergone a biopsy, those results will be incorporated into your evaluation.

Each program is individualized based on your history, laboratory findings, imaging results, symptoms, and goals.

Depending on your level of disease and risk factors, your plan may include:

  • Comprehensive consultation and case review
  • PSA trend monitoring
  • Quarterly laboratory testing
  • Advanced prostate imaging
  • Targeted supplementation
  • Lifestyle and nutrition recommendations
  • Heavy metal detoxification strategies
  • Hormone optimization
  • Repurposed medication protocols when clinically appropriate
  • Ongoing provider supervision and monitoring

Repurposed medications are FDA-approved medications originally developed for other medical conditions that have demonstrated potential anticancer properties in published research.

Examples used within the protocol may include:

  • Metformin
  • Doxycycline
  • Low-Dose Naltrexone (LDN)
  • Atorvastatin
  • Sirolimus
  • Ivermectin
  • Mebendazole

Medication recommendations are individualized and prescribed only when clinically appropriate. All therapies are monitored by your healthcare provider.

Yes. Targeted supplementation is often incorporated into the program.
Supplement recommendations are based on your laboratory findings, medical history, medications, nutritional status, and overall treatment goals.
Historically, men with prostate cancer were advised to avoid testosterone therapy. However, emerging research over the past two decades has challenged many of these traditional assumptions.
For carefully selected patients, testosterone optimization may be considered when clinically appropriate and is always performed with close monitoring of PSA trends, laboratory markers, symptoms, and imaging findings.
A thorough evaluation is required before determining whether testosterone therapy is appropriate for your situation.

Yes. Men who have completed conventional treatment often seek support for:

  • Ongoing PSA monitoring
  • Metabolic health optimization
  • Hormone balance
  • Nutritional support
  • Inflammation management
  • Recurrence risk reduction strategies
  • Quality-of-life improvement
No.
This program is intended to complement—not replace—the care provided by your urologist, oncologist, radiation oncologist, or primary care physician.
Any treatment decisions regarding surgery, radiation, chemotherapy, or other conventional cancer treatments should be made in consultation with the appropriate specialists.

Yes. Telehealth consultations are available in states where your provider is licensed.

Straight 2 U Wellness currently offers telehealth services in:

  • Texas
  • Arizona
  • Colorado
  • Florida
  • Illinois
  • Iowa
  • Minnesota
  • New Mexico
  • Washington
  • Wyoming

Contact our office to verify current availability.

Monitoring frequency depends on your specific situation and protocol level.

Many patients complete:

  • Quarterly PSA testing
  • Routine laboratory monitoring
  • Periodic prostate MRI imaging
  • Follow-up consultations to review progress and make adjustments

Your provider will develop an individualized monitoring schedule.

Your initial consultation includes a comprehensive review of:

  • PSA history
  • Laboratory testing
  • Imaging reports
  • Previous biopsy results (if applicable)
  • Current medications
  • Supplements
  • Lifestyle factors
  • Personal goals and concerns

Following your review, we will discuss whether the program is appropriate for you and recommend the most appropriate treatment pathway.

The first step is scheduling a prostate health consultation.

Please bring:

  • PSA history
  • Prostate MRI reports
  • Biopsy reports (if available)
  • Medication list
  • Supplement list
  • Previous urology or oncology records

Following your consultation, we will determine the appropriate level of care and develop your personalized prostate health plan.

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PSA (Prostate-Specific Antigen) is a protein produced by the prostate gland. PSA testing is commonly used to monitor prostate health and may help identify inflammation, enlargement of the prostate, infection, or prostate cancer.
PSA is an important tool, but it should never be interpreted in isolation. PSA trends over time often provide more meaningful information than a single PSA value.

A rising PSA does not automatically mean prostate cancer.

Several factors may contribute to elevated PSA levels, including:

  • Benign Prostatic Hyperplasia (BPH)
  • Prostatitis (prostate inflammation)
  • Urinary tract infections
  • Recent ejaculation
  • Testosterone therapy
  • Prostate enlargement
  • Recent prostate procedures
  • Cycling or prolonged pressure on the prostate
  • Prostate cancer

Understanding why PSA is rising requires evaluation of your overall clinical picture rather than relying on a single laboratory result.

No.
Many men with elevated PSA levels do not have prostate cancer, while some men with prostate cancer may have relatively normal PSA levels.
PSA is best used as a screening and monitoring tool that should be interpreted alongside imaging studies, symptoms, physical examination findings, and PSA trends over time.

There is no single PSA number that automatically indicates prostate cancer.

Factors that influence PSA interpretation include:

  • Age
  • PSA velocity (rate of increase)
  • PSA density
  • Family history
  • Symptoms
  • Imaging findings
  • Previous PSA results

A steadily rising PSA trend may warrant further evaluation even if the number falls within a traditional reference range.

PSA velocity refers to how quickly PSA changes over time.
Many prostate specialists consider PSA trends more valuable than a single PSA measurement because rapid increases may indicate that further evaluation is warranted.
Tracking PSA over months and years helps create a more complete picture of prostate health.
PSA density compares PSA levels to prostate volume.
Men with larger prostates often produce more PSA naturally. PSA density can help determine whether an elevated PSA may be related to benign enlargement or whether additional investigation should be considered.

Depending on your individual situation, additional testing may include:

  • Repeat PSA testing
  • Free PSA
  • Percent Free PSA
  • Prostate Health Index (PHI)
  • Advanced laboratory testing
  • Hormone evaluation
  • Inflammatory markers
  • Heavy metal testing
  • Multiparametric prostate MRI
  • Urology consultation

Recommendations are individualized based on your history and risk factors.

A prostate MRI is an advanced imaging study that provides detailed visualization of prostate tissue.
MRI may help identify suspicious areas, monitor known lesions, assess disease progression, and support treatment planning.
Many patients appreciate MRI because it is non-invasive and can provide valuable information about prostate health.
Yes.
Inflammation of the prostate, known as prostatitis, is a common cause of elevated PSA levels.
Inflammation may occur due to infection, metabolic dysfunction, dietary factors, environmental toxins, or other health conditions. Addressing inflammation is often an important part of optimizing prostate health.

Benign Prostatic Hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland that becomes increasingly common with age.

Symptoms may include:

  • Frequent urination
  • Nighttime urination
  • Weak urine stream
  • Difficulty starting urination
  • Incomplete bladder emptying

BPH can also contribute to elevated PSA levels.

Lifestyle factors play a significant role in overall prostate health.

Areas commonly addressed include:

  • Nutrition
  • Exercise
  • Sleep quality
  • Stress management
  • Metabolic health
  • Inflammation reduction
  • Weight optimization
  • Environmental toxin exposure

A comprehensive approach often produces better long-term outcomes than focusing on a single intervention.

A prostate-supportive nutrition plan often emphasizes:

  • Vegetables
  • Healthy fats
  • Lean proteins
  • Omega-3 fatty acids
  • Fiber-rich foods
  • Antioxidant-rich foods

Many men also benefit from reducing ultra-processed foods, excessive sugar, and inflammatory dietary patterns.

Nutritional recommendations are individualized based on your health status and goals.

Emerging research suggests that environmental toxin exposure and heavy metal accumulation may contribute to inflammation, oxidative stress, and overall health challenges.
For selected patients, heavy metal testing and detoxification strategies may be incorporated into a comprehensive prostate health program.
There is no guaranteed method of preventing prostate cancer.
However, maintaining a healthy weight, exercising regularly, optimizing metabolic health, reducing inflammation, supporting hormone balance, and following a nutrient-dense diet may help support overall prostate health and potentially reduce risk factors.
PSA screening recommendations vary based on age, family history, race, and individual risk factors.
Many men begin discussions regarding PSA testing between ages 40 and 50, while men with higher risk factors may benefit from earlier evaluation.
Testing decisions should be individualized through shared decision-making with a healthcare provider.
Active surveillance is a management strategy used for selected men with low-risk prostate cancer.
Rather than immediately pursuing surgery or radiation, active surveillance involves regular monitoring through PSA testing, imaging, laboratory assessments, and clinical follow-up.
The goal is to closely track disease status while preserving quality of life whenever appropriate.
The best way to determine whether this program is appropriate is through a comprehensive consultation.
We review your PSA history, imaging studies, laboratory findings, symptoms, previous treatments, family history, and goals before making recommendations.
Every patient’s situation is unique, and care recommendations are personalized accordingly.
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