Prostate Cancer, Elevated PSA & Active Surveillance
A Smarter Approach to Prostate Health
Work with Dr. Stephen Petteruti, DO, a board-certified physician helping men navigate elevated PSA, prostate cancer, active surveillance, and long-term prostate health with confidence.
Most men are rushed into fear-based decisions. Our goal is to help you understand your options, protect quality of life, and make informed decisions based on data, not panic.
In-person and virtual consultations available.
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We currently have providers in the following states:
AZ, CO, CT, FL, IA, IL, LA, MA, MI, MN, NM, NV, NY, OR, RI, TX, VA, WA, WY
Most Men Are Given Three Bad Options
 Wait and worry. Get a biopsy. Rush into treatment.
Many men are told they need immediate action after a rising PSA, abnormal MRI, or prostate cancer diagnosis.
What they are rarely told is this:
 You have more time and more options than you think.
 The most important decisions should not be made from fear.
 They should be made from understanding.
What Makes Us Different?
Most prostate care follows a predictable path: elevated PSA, biopsy, diagnosis, then pressure to make a treatment decision quickly.
Dr. Petteruti takes a different approach. The goal is not to rush men into fear-based decisions. The goal is to understand the full picture, reduce unnecessary interventions, and make thoughtful decisions that protect both long-term health and quality of life.
Our Approach Focuses On:
Strategic surveillance
Careful monitoring designed to track meaningful changes over time without unnecessary intervention.
PSA Trend Analysis
Looking beyond a single PSA value to understand velocity, patterns, and context.
MRI Interpretation
Using imaging as a critical tool to better understand risk and guide decision-making.
Hormone Optimization
Supporting strength, energy, metabolism, and long-term vitality.
Repurposed Medication Protocols
Thoughtful use of medications with emerging evidence in prostate health and cancer support.
Long-Term Quality of Life Focus
Every decision is evaluated through the lens of preserving strength, function, and independence.
Who We Help
This program is designed for men who are dealing with:
 Elevated PSA
 Rising PSA over time
 Enlarged prostate (BPH)
 Abnormal MRI or PIRADS findings
 Active surveillance recommendations
 Newly diagnosed prostate cancer
 Concerns about biopsy, surgery, or radiation
If you are trying to understand your options before making a major decision, this program was built for you.
What Happens During Consultation
Start with a one-on-one consultation with Dr. Stephen Petteruti, a physician with over 30 years of experience in proactive, integrative men's health.
What we review
PSA history, velocity, and free PSA %
Gleason score (if available)
MRI or biopsy reports
Family history and risk factors
Symptoms and lifestyleÂ
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What we evaluate
Whether a biopsy, MRI, or treatment is actually necessary
Your options for strategic surveillance
Potential use of repurposed medications like metformin, atorvastatin, LDN, and ivermectin
Integrative protocols that support your PSA, inflammation, and hormone balance
What you leave with
What to ask your urologist
What labs to get next
Supplement and detox strategies
When and how to monitor progress safely
Ready to get started? Choose the option that works best for you
What We Offer
DMSA
Summary
Supports removal of heavy metals under medical care.
Benefits
Doxycycline
Summary
Used for its anti-inflammatory and cellular effects in prostate protocols.
Benefits
Ivermectin
Summary
Used in select protocols to support cellular and immune pathways.
Benefits
LDN
Summary
Supports immune system regulation in prostate cancer support plans.
Benefits
Metformin
Summary
Supports energy, focus, and nerve health.
Benefits
Mebendazole
Summary
Used off-label to target cellular growth mechanisms in prostate care.
Benefits
Sirolimus
Summary
Targets cellular growth pathways used in prostate cancer protocols.
Benefits
Testosterone
Summary
Drives energy, muscle mass, strength, and sexual function.
It also supports mood, focus, and overall vitality in both men and women.
Benefits
TriMix
Summary
Supports erectile function by improving blood flow.
Benefits
Mistletoe Therapy
Summary
Stimulates the immune system — enhancing the activity of natural killer cells and strengthening the body's own defenses.
Benefits
Tools We May Consider
Depending on the individual case, protocols may include:
 Strategic surveillance
 Lab monitoring
 Hormone optimization
 Targeted supplements
 Lifestyle interventions
 Repurposed medications
Choose Your Level of Involvement
Every man’s situation is different. Your level of involvement should match your risk, your goals, and your timing. You choose how closely Dr. Petteruti is involved.
Full Patient Of Dr. Petteruti
- Direct medical care.
- Personalized strategy, medications, active management, and clinical decision making.
- Membership to our community is included.
Best for men ready for structured care and ongoing oversight.
Monitoring Only
- Track PSA, imaging, and trends without treatment.
- Focus stays on data, timing, and pattern recognition.
- No rushed decisions.Â
Best for men who want to stay informed, without starting treatment.
Membership is highly recommended.
Membership
- Clear education on prostate cancer biology, PSA trends, imaging, and risk.
- Stay informed and prepared.
- Hundred of exclusive resources and insights.
Best for men who want education, guidance, and access without becoming a patient.
Not Ready to Book Yet?
Get Dr. Petteruti’s Free Prostate Cancer Decision-Making Framework
If you’re dealing with a rising PSA, abnormal MRI, biopsy recommendation, or prostate cancer diagnosis, this guide will help you better understand your options before making a major decision.
Inside, you’ll learn:
 What PSA trends actually mean
 When to slow down before a biopsy
 Questions to ask before surgery or radiation
 How to approach prostate decisions with more clarity
Featured Products & Services
Petteruti Prostate Vitality (PPV)
A powerful supplement formulated by Dr. Stephen Petteruti, designed to support a healthy prostate. 3 month supply.
$389.00 USD