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Metastatic prostate cancer is not fun. My wife's father died from it. I have a 70-year old friend who was the picture of good health seven months ago and now surprisingly has stage 4 prostate cancer and has become quite debilitated.
We've heard that this cancer is "preventable". So why is it that older guys still suddenly show up with advanced cancer that has spread to the spine?
Peter Attia, MD, sent me an email about this topic today (5/25/25). I found it to be informative so I'm passing it along to you.
"As most of you are likely aware, last weekend it was announced that former President Joe Biden had been diagnosed with stage 4 (i.e., metastatic) prostate cancer. Putting politics and conspiracy theories aside, and speaking strictly from a medical perspective, the news is nothing short of a tragic demonstration of Medicine 2.0 at its worst.
Prostate cancer is one of the very few forms of cancer for which metastasis, and therefore mortality, are almost entirely preventable. Thus, news of such advanced disease in anyone is unacceptable in my mind.
But the fact that this occurred in a man who presumably was receiving the best possible medical care -- a man whose health had, until recently, been a matter of national security -- underscores a bitter truth: despite our ability to catch and treat prostate cancer well before it spreads, this form of cancer remains the second leading causing of cancer deaths among men. Around 35,000 men die of prostate cancer each year in the United States alone, and most of those deaths are preventable. Tragic indeed.
As such, I’d like to take this high-profile case as an opportunity to try to make some small dent in those numbers." [See video below]
In his video, Dr. Attia mentioned several different ways to screen for prostate cancer, including PSA velocity, PSA density, and Percent-free PSA. Click here for more information about these tests.
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