The patients tell us what they need and what they need is to feel better, live longer, and live better.
Dr. Stephen Petteruti - Board-Certified Family Physician & Functional Medicine Specialist | Prostate Health Expert, Anti-Aging Medicine, Hormone Replacement, Weight Loss, IV Vitamins, Ozone, Integrative Cancer Support, Chelation | 30+ Years Experience To often in medicine we are left pursuing well worn pathways and if the patients condition doesn’t comfortable fit into that pathway we feel incapable of helping them. That’s the passion that drives my practice said Dr. Petteruti. Dr. Petteruti has been pursuing his passion for greater than 20 years. He brings his unique combination of empathy, intellect, clinical and didactic experience to change the lives of the patients he encounters. Holistic, comprehensive, complete and driven to pursue the solutions to the most difficult of problems, Dr. Petteruti has a style of practice that is rare to find. He is board certified in family medicine, weight-loss and anti-aging medicine.
09/22/2025
Testosterone plays a crucial role in health and suppressing it too much may backfire.
In some cases, aggressive testosterone suppression has been linked to a phenomenon called transdifferentiation. Instead of blindly following the "more suppression is better" dogma, you need to pause and ask: Is there a smarter way forward that prioritizes both survival and quality of life?
Don’t miss the episode of Metastatic Disease: Why Prostate Biopsies Can Do More Harm Than Good.
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09/19/2025
Your health deserves truth not bias or shortcuts.
Many prostate cancer studies used to support aggressive drug use are funded by pharmaceutical companies inviting bias. Positive outcomes get spotlighted, negative ones often don’t.
What works in a study might not work for you.
Chart your own path to smarter care. Listen to this episode of Intellectual Medicine.
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09/18/2025
Sometimes, the smartest step forward is waiting and science backs that up.
The TOAD trial followed two groups of men with rising PSA levels: one treated immediately, the other delayed therapy for up to two years. The outcome? No difference in mortality. Strategic timing matters.
Listen to this episode of Intellectual Medicine for research-backed insights into smarter, symptom-guided treatment timing.
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09/16/2025
Not all prostate cancer cells are aggressive. Many are dormant and will never cause harm unless they break out of the prostate capsule.
When you strengthen your immune system and avoid unnecessary invasive procedures, you support the body’s natural ability to keep those cells in check.
Your goal is to delay progression and preserve vitality for as long as possible.
Prioritize health without compromising quality of life. Catch the episode of Metastatic Disease: Why Prostate Biopsies Can Do More Harm Than Good.
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09/15/2025
There’s a more thoughtful way to approach prostate cancer, one that prioritizes quality of life over unnecessary intervention.
Instead of jumping into surgery or radiation, I advocate for a more strategic approach, one grounded in lifestyle improvements and repurposed drugs. While not a guaranteed cure, this method aligns with the data and protects your vitality.
Lowering body fat, strengthening the immune system, and delaying toxic therapies may offer more long-term benefit than acting on fear.
Don’t miss the episode of The Surprising Truth About Prostate Cancer and Mortality.
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09/12/2025
Biopsy and Gleason scores can offer insights, but how valuable are they if the outcome stays the same?
Both the PIVOT and ProtecT trials found no difference in prostate cancer death across groups that had surgery, radiation, or did nothing. If there’s no meaningful survival advantage, then the choice to preserve quality of life becomes paramount.
Rethink the true value of testing and treatment. Listen to this episode of Intellectual Medicine.
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09/11/2025
A prostate cancer diagnosis can feel urgent, but evidence suggests that taking time to consider your options may lead to better long-term outcomes.
The PIVOT trial followed men with prostate cancer for 20 years. Half underwent prostate removal. The other half? Nothing. The result: no difference in prostate cancer death rates.
Your body already fights cancer every day. Why compromise its defenses with unnecessary surgery?
Don’t miss the episode of Intellectual Medicine.
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09/10/2025
A rising PSA can be alarming, but before zeroing in on the prostate, take a broader look at your health.
Heart disease, not prostate cancer, remains one of the top killers of men with prostate cancer. A Gleason score of 6 doesn’t always demand radical treatment, but your heart might.
That’s why I recommend a calcium score for men over 50 to assess risk. It’s a cheap, powerful tool that helps predict coronary artery disease.
Tune in to the full episode of Intellectual Medicine to hear more.
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09/09/2025
When facing prostate cancer, many men assume the greatest risk lies within the prostate itself.
In the ProtecT trial, most men with prostate cancer died from other causes like leukemia, lymphoma, or other forms of cancer.
The likely culprit? The treatments intended to help—radiation, chemotherapy, and testosterone ablation—can suppress your immune system.
Protect your vitality while navigating prostate cancer. Watch the episode of The Surprising Truth About Prostate Cancer and Mortality.
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09/08/2025
When prostate cancer reaches the bones, the treatment priority becomes clear: control the metastases first.
Testosterone therapy is not appropriate until bone disease is under control. That’s step one. Once the metastases are stabilized, there may be room to explore intermittent therapy or even a bipolar model.
What matters most is avoiding regret and preserving vitality. Get clear on your goals, options, and path.
Don’t miss the episode of When Is Castration Worth Doing?
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09/05/2025
Metastatic prostate cancer requires strategic timing.
Instead of waiting for treatment resistance, I sometimes apply the bipolar strategy before resistance sets in. This means carefully cycling androgen deprivation and testosterone to get ahead of the cancer’s progression.
Evidence may still be developing, but thoughtful timing and application matter.
If you're facing rising PSA and tough choices, this episode might offer a better path.
Watch NOW: Intellectual Medicine.
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09/04/2025
New research is challenging long-held assumptions about testosterone and prostate cancer.
In Johns Hopkins studies, some men with rising PSA levels after castration responded positively to testosterone spikes. Their cancer cells became resensitized to treatment, and PSA levels dropped.
This approach may damage cancer cell DNA, creating a reset effect.
It’s not a one-size-fits-all answer, but it points toward a new direction in advanced care.
Want to know how testosterone could become part of the solution? Don’t miss the episode of Intellectual Medicine.
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Guiding people towards living the 120 lifespan while retaining youth.
This works by applying logic, reason, and scientific evidence to address conditions that drain people of their joy and vitality, while protecting from the harmful aspects of conventional medicine.
The beauty of our calling as healers is in the moment when we divine a way to improve the quality or length of a patient's life. The evolution of "evidence-based medicine" has had the downside of depriving clinicians of their creative freedom to practice the true art of medicine.
Intellectual Medicine respects the core of evidence, but expands its meaning to include that evidence which has merit but has yet to be integrated into the mainstream of care. After all, if we are limited to practice only the current standard of care, then the standard will never advance.
The object of Intellectual Medicine is to take the rapid advances being made in the many fields of science and to apply them to patients in real time.
The capacity for self healing.
Throughout my career I've been impressed with the capacity of the human body to heal itself. Frequently the best way toward healing a clinical condition is to create a healthy environment and stay out of the body's way as it heals itself. Too often modern medical techniques have become reliant upon aggressive intervention, often doing more harm than good.
By using the full range of tools available to you at Intellectual Medicine, including intravenous (IV) vitamins and supplements, hormone therapy, weight loss therapy, oral supplements, and other advanced modalities, long-suffering patients can finally find the relief they have been seeking but not receiving.
Extending youth, extending life.
Good health is not merely the absence of disease. Good health is an abundance of energy and bountiful vitality regardless of your age. If we believe that advancing years brings with it infirmity and fatigue, that belief will become self fulfilling. Achieving these outcomes requires the freedom of intellectual pursuit.
To often in medicine we are left pursuing well worn pathways and if the patients condition doesn’t comfortable fit into that pathway we feel incapable of helping them. The patients tell us what they need and what they need is to feel better, live longer, and live better. That’s the passion that drives all IM120 centers.
To living 120 youthful years,
Dr. Stephen Petteruti,
founder, IM120
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