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The Armor Men’s Health Hour: Let Food Be Thy Medicine

Shefaly Ravula, PA-C Explains How Nutrition & Diet Can Help Heal Cancer Patients

The Armor Men’s Health Hour is brought to you by Urology Specialists of Austin.

For questions during the week, call us at 512-238-0762, or visit our website.


Welcome to the Armor Men’s Health Hour with Dr. Mistry and Donna Lee. Many thanks to KLBJ news radio and all of our wonderful staff here for helping us put on this show. This is a men’s health show. I’m a board-certified urologist. That is a doctor or a surgeon who treats genitourinary conditions of the prostate, kidney, kidney stones, low testosterone, hormones, wellness. We do so much great stuff here.

One of the big reasons that we’ve decided to bring this show to the community is to really highlight a different way of thinking about your health. One of the great things about our practice is how incredibly diverse it is—you would rarely find as intensive of a nutrition program in a medical practice, let alone a surgical practice. We strive to achieve a whole-body approach to different medical conditions.

Shefaly Ravula, PA-C

Today, we are joined by Shefaly Ravula. She is a physician assistant and she is our functional nutrition provider here at our practice. Not only was she a food writer for the Austin American Statesman, she also does cooking shows, and is a trained medical provider. She really understands the connection between nutrition and health and wellness.

It is very easy to talk to people and for them to accept on a superficial level, that what we put in our body can affect our health. That’s easy for people to believe. Somehow, it’s hard for people to believe that if they change what they’re putting in their body, that it can affect their body system.

Triggers for Diet and Nutrition Changes

What are some of the triggers that really inspire somebody to change the way they’re eating or their lifestyle? Often, in the medical world, it’s a new diagnosis. A new diagnosis is like a pain point. It’s a new pain point, especially if it’s a chronic illness. If you don’t have a pain point, then you’re going to have a really hard time being motivated and coached by anybody, including yourself, to make those changes.

Transition points like these are really an opportunity for you to re-examine what you’ve done. You know, smokers often don’t stop smoking until they get a bad illness. People who are overweight often will wait until they have some kind of chronic illness, which is really a shame, because sometimes you’ve waited too long.

Another example is when my fatty liver patients are told they have fatty liver or even cirrhosis, that’s actually when they first hear about alcohol reduction. Or they’ve heard all along, but that’s when they actually do it. It is a real struggle to get people to make lifestyle changes when they’re not having a specific pain point, unless you’re particularly motivated that way. As a medical professional, I have to give out pain points every day. I’ve got to tell people they have low testosterone. I’ve got to tell people that they have interstitial cystitis. And then, of course, cancer diagnoses are a big part of our everyday here.

Drawbacks to Band-Aid Medicine

Band-Aid medicine is, you know, it’s not what I want to call what we do in the medical field. I mean, we need this Western approach, this evidence-based medicine, and we have a role of course, for this kind of medical care. That said, I’d like us to see in this country a better approach to chronic disease and chronic illness, which takes a lot of work. It’s a work on a provider and more work for the patient.

I’m a big believer in philosophy guiding practices. If you were just to kind of generalize the nutritional approach to cancer diagnosis. And nobody here is talking about not doing traditional therapy. You know, if you have prostate cancer, take your doctor’s advice. But every single one of my patients, literally the second I diagnose them, the first question they ask is what should I eat? It’s on the very forefront of their minds.

The Cancer Nutrition Philosophy

How would you explain kind of your philosophy or your approach to cancer nutrition? There’s a lot. There’s a lot there and you can generalize diets for the masses. It would be hard. Everybody knows to eat clean and eat vegetables for the most part. If you look at all the diets out there, Paleo vegetarian, vegan, Keto…I mean, most of them don’t disagree on vegetables. And clean foods, we’re really talking about things that are minimally processed. So whole foods. Not like, a broccoli chip, but just broccoli please. All those kinds of things out there.

The reason your patients are going to ask you first and foremost, “What can I eat?” is because patients need to feel empowered. They’ve been given a diagnosis by somebody else, it’s totally out of their control. This goes for everything, cancer, heart disease, diabetes, whatnot. They are going to ask their doctor because who else can they ask? They don’t, you don’t go to a nutritionist for a well-check. You go to your doctor. So, they’re going to ask you.

Luckily now, you know, incorporate culinary, cooking classes, culinary medicine, into their programs, more and more, but certainly when you and I went, when I went to PA school, or when you went to med school, nutrition was like two hours of your, you know, education…nothing.

Importance of Patient Follow-Through

There’s a lot of reasons for it. How much can we really try to turn the patient’s viewpoint? When somebody comes to me with an enlarged prostate, I know that I can recommend, 10 times out of 10 prostate surgery is going to help you pee better. I’m going to feel very confident that’s going to work. But I’m not as confident that if I send somebody for weight-loss counseling since I don’t know if they’re going to follow through. And I think it’s people being disappointed with our patients follow through that, discourages us to keep going, but that’s never been my philosophy. I’m always a big fan of the one person that decides to go through the therapy.

When it comes to cancer eating, a lot of them are very motivated to lose weight prior to surgery, but it’s the maintenance of some kind of lifestyle. And if it’s too drastic, they, a lot of people can’t stick with it.

Nutrition Principles for a Cancer Diet

What are some guiding nutrition principles that people can easily kind of think about when they approach a cancer diet?

I think the first thing I would say, you can say this the moment you see them in the office is to start eating cruciferous vegetables every single day. They’re a part of the brassica family and, they just all cruciferous vegetables–so this is kale, broccoli, cauliflower, bok choy, arugala, I’m missing a big one here, couple other ones in that class–if you can eat that every day, you know, a good handful or two servings, just put that…We should all be doing this, this is preventative anti-cancer therapy, truly.

Really, I would tell your patients, “You want to do something, you want some empowerment? Do you want to take charge, be in control a little bit? Start eating blueberries and broccoli every single day.”

Reducing Inflammation

The idea is that you’re reducing inflammation, so an anti-inflammatory diet is huge. If I had to really encapsulate what approach is to so many disease processes, it’s this idea that inflammation is a central core component of many things: cancer, heart disease, high cholesterol, weight. And by reducing the inflammatory response in our body, I think that we can reduce rashes, irritable bowel, cancer diagnosis and progression, and so I’m really proud of the approach that we’re taking together when it comes to nutrition.

If you’re out there and you’ve been diagnosed with cancer, whether it be prostate cancer, kidney cancer, or another type of cancer, and you haven’t been given nutrition guidance on what to put in your body, we would highly encourage you to come in and visit with us. What we put in our body has to have some impact in what’s going on with us in terms of our health, even if it’s cancer.

You don’t have to have a urologic condition per se, to be able to visit with Shefaly or our team. And she can see you directly. She’s a physician assistant. She has incredible medical training, worked in oncology, worked in GI medicine, and we are now very happy to have her here in urology.

If you have questions for Dr. Mistry, email him at

The transcript has been edited for length and clarity. Listen to the original episode on The Armor Men’s Health Hour podcast.

To make an appointment, call us at 512-238-0762, or visit our website.

Life After Prostate Cancer: What Happens Next?


A diagnosis of prostate cancer can be scary, but the fact of the matter is that life goes on—before, during, and after treatment. Thousands of men are diagnosed with prostate cancer each year, and they go on to navigate treatment and move on with their lives. So, if you’ve been diagnosed with this disease, don’t panic. You’ll make it through and be able to resume your life with a low risk of side effects. With our team here at NAU at your back and our cutting-edge treatments, you can rest assured that you’re receiving the best care available for this condition.

Based on our years of working with prostate cancer patients, here’s what you can expect your life to look like after treatment:

Follow-Up Care

The best thing you can do for your ongoing health after treatment for prostate cancer is to stay on top of your follow-up care. This means making (and attending) all the right appointments, getting the recommended testing, and keeping an eye out for symptoms of reoccurrence. The recommending follow-up appointments will likely include blood tests and scans at regular intervals, just to make sure you’re staying cancer-free.

Healthier Habits

Men who improve their physical health are less likely to run the risk of cancer reoccurrence. After treatment, it may be wise to evaluate your habits and consider making changes like eating healthier, quitting smoking, and exercising regularly. Hey, you were going to start eating more salads anyway… right?

Sexual Health

While some men who undergo treatment for prostate cancer experience ED afterward, the chances of this are much lower with our HIFU treatment. If side effects do occur, they are often short-lived, last only for a few months, and can be addressed with help from your healthcare provider. You should expect relatively few changes to your sex life after your body has had time to heal from treatment.

Community Support

As you go through this treatment process and then attend your follow-up appointments, you may feel totally alone. But with an estimated 174,650 men in the United States diagnosed with prostate cancer in 2019, that’s certainly not the case. Many men find it encouraging and useful to seek out a support group in their area, where prostate cancer patients and survivors share their stories. If you seek out a support group like this, one of the biggest long-term changes that you’ll make is acquiring a group of new friends!

That’s a relatively short list of life changes, don’t you think? For the most part, men who have been successfully treated for prostate cancer here at NAU are able to resume their lives as normal after the treatment. While it’s natural to have concerns, rest assured that the risks associated with properly treated prostate cancer are very low. If you have any further questions regarding HIFU, prostate cancer, or other conditions, please contact us and we’ll connect you with the answers and resources you need.

How To Keep Up Healthy Habits During The Holidays (Without Turning Into The Grinch!)


It’s that time of year again. Yes, that one where you sit down in front of the TV with the Thanksgiving or Christmas leftovers, and five hours later you’re still sitting there surrounded by empty beer cans. We get it, we’ve all been there before. But these days, you’ve realized that you want to take better care of your health, especially during this temptation-heavy season. When everyone around you is double-fisting Christmas cookies and eggnog, however, it can be hard to stay on track—and you feel like the Grinch, sitting back with your salad while everyone else enjoys holiday parties.

It doesn’t have to be like that! Health is about balance, not depriving yourself of all good things. Here are a few ways you can stay on track and take care of your health while still enjoying the holiday season:

Less is More (No, Really!)

Picture this. You promise to not eat any dessert on Christmas day, in order to stick to your diet. But that chocolate cake looks SO good, that you decide to have a slice. And then another, and just one more, since you’ve screwed up already and what’s a few more calories, anyway? If that sounds familiar, you’re not alone. Instead of choosing the “feast or famine” approach, however, give yourself permission to indulge a little bit. One dessert, or one extra roll, and then it’s time to call it quits. This will help you feel like you’re still celebrating, but also still control of your health.

Stick to Routines

Prone to staying out late, eating poorly, and watching too much TV when you have time off? Don’t mess up your routines just because you’re on vacation! Stick to regular mealtimes, even if you’re serving turkey and stuffing instead of chicken and rice. The same goes for sleep schedules, screen time, and even exercise routines. By sticking to your routines where possible, you’ll avoid the issues that come with lack of sleep and poor personal care—like brain fog, weight gain, and lower immunity to illness.

Get Festive

Think about how you could get more involved in the holidays by doing activities with family and friends. Take the kids to go cut down your own Christmas tree, stroll through an outdoor light display, or head out to an ice-skating rink to really burn some calories. We’re prone to using the holiday season as an excuse to indulge in unhealthy habits and overindulge. By instead focusing on spending time with family, you’re able to participate fully in the holiday season—and that’s good for your mental health, too!

Plus, no one will dare accuse you of turning into a green-skinned grouch if you’re always looking for the next fun and festive holiday activity.

All things considered, health is about balance, not restriction. As you embark on the holiday season, taking care of yourself mentally and physically means learning how to enjoy celebrating with family and friends without going entirely off the rails. It is possible! And if you’re ready to get a head start on those new year’s resolutions, we can help. Our office is equipped with resources to assist you with all your healthcare needs. Contact us today to schedule your next appointment.

Are You Listening To The Armor Men’s Health Hour? (You Should Be!)


If you’re a man or have men in your life, you should be listening to the Armor Men’s Health Hour! It’s funny, it’s educational, and best of all, it’s hosted by experts in the field—so you know you can trust our advice.

Each week, our hosts Dr. Sandeep Mistry and Donna Lee cover a wide range of medical topics that are important to men. From prostate cancer to testosterone therapy, to weight loss, to vasectomies, there’s no aspect of male health that we don’t touch on. If you’re looking to get educated about your body and have a laugh at the same time…We got you.

If you’re not sold yet, we even made a list. Here are five reasons you should absolutely, positively, definitely be listening to the Armor Men’s Health Hour podcast:

Myths: Debunked

Don’t fall for common myths about men’s health and wellness any longer! No, a vasectomy doesn’t hurt your sex drive, and no, it’s not extremely painful. Arm yourself with the facts about your body and the wellness practices that will help you live your best life, by learning from our Board-Certified Urologists.

Practical Health Advice

Ever see health advice on the internet that goes along the lines of “Get up at 4 am and drink only kale all day”? Yeah, we don’t do that here. Our holistic approach to men’s health is practical and includes all the elements of a balanced lifestyle like nutrition, weight loss, and pelvic floor physical therapy. We’re experts in the field, not a BuzzFeed listicle—so you can trust us to give you reliable health and wellness information.

Get Your Funny Fix

Nobody wants to listen to a dry, boring discussion on health issues, right? That’s why our show is a little different than the others, and definitely anything but dry and boring. One of our co-hosts, Donna Lee, is a comedian—a finalist in Nick-at-Nite’s Search for the Funniest Mom in America. Dr. Misty, “the master of urology” according to his patients, is a lifelong funnyman in addition to being a urologist, surgeon, and owner of the Austin practice for 12 years. Put them in a room together, and you’re sure to be entertained.

The Educational Element

Okay, here’s the deal. You’re a man. You have a body. And it’s important that you know how to take care of it through all the crazy things that can happen in life. We’re here to help you understand your body and the things you can do to take care of yourself, whether that means talking about E.D., connecting you with the latest in prostate cancer treatments, or just reminding you to eat your veggies.

First Look At Upcoming Events

Want to be the first to know about exciting events like our historic “Make America Pee Again” experience? The Armor Men’s Health Hour is the place to find out. We talk about all our upcoming events far in advance, including letting you in on who our guest speakers will be. You’ll be the first to know any time we have something exciting to share!

Convinced yet? If you’re ready to join the Armor Men’s Health Hour army, tune in at KLBJ 590 AM & 99.7 FM every Sunday 4-5pm, or catch up on Spotify, Google Podcasts, or other major streaming platforms. See you there!

The Life-Changing Magic of a Healthy Lifestyle


You’ve probably heard the same tips for “getting healthy” your whole life. Exercise regularly, sleep more, don’t stress out so much, and make sure to get some more vegetables in your diet. Then, the internet tells you, one day you too can look like Channing Tatum or Charlize Theron. But between late nights at the office, kids to drop off at soccer practice, and weekends out with your kids, it can be hard to make time to eat better and get to the gym if you’re just in it for the six-pack abs that you don’t think you’ll ever have anyway. You may even give up on trying to live a healthy lifestyle at all. Why bother?

We understand. But don’t despair! A healthy lifestyle is about so much more than how you look.

Here are some unexpected ways that making healthy choices throughout your days can transform your life:

Resolve Urological Issues

A personalized diet plan can actually help relieve certain health issues. If you struggle with kidney stones, interstitial cystitis, male infertility, low testosterone, or other urologic issues, our health and wellness experts may be able to work with you to relieve your pain with dietary changes. Especially for those with sensitive bladders, a couple of small diet changes can go a long, long way. Even just minor changes like drinking more water and reducing salt intake can make a difference for those who may feel perfectly healthy.

Improve Stress Levels

If you’re always on the go, good nutrition may be the farthest thing from your mind as you scurry from the gym, to work, to school. You may just be happy to grab some fast food at the end of the day—but if this pattern continues, you may find your overall stress levels increasing. By changing things up and choosing options indicative of a healthy lifestyle, you can provide your body better fuel and lessen your stress levels, as a proper diet has been shown to strengthen the immune system, reduce blood pressure, and even help stabilize your moods.

Contribute to Weight Loss

When you begin to incorporate healthy habits into your lifestyle, one of the side effects you may experience is weight loss. As you choose more nutrient-rich options and fuel your body properly, you’ll be eating less sugar and harmful “empty calories”. Even if you aren’t actively pursuing weight loss, and just want to adopt a healthy lifestyle, weight loss is a common side effect of doing so. If you are seeking a weight loss plan, our Ideal Protein plan is designed with just that goal in mind.

If you’re ready to get started on your journey to the healthiest version of yourself, we can help. We have an entire clinic devoted to assisting patients with weight loss and wellness as part of our efforts to treat the “whole you”. Whether you need meal plans, healthy lifestyle advice, or just an accountability partner—we can help. Contact us today to get started.

The Many Talents Of Your Urologist

Ever wished you had a physician who was dedicated to “Men’s Health”? The ladies get gynecologists for all their issues related to women’s health, why don’t men have something similar? A one-stop-men’s-health-shop, if you will.

You’ve thought about it. Maybe even fantasized about it. You could go annually and have a specialist who’s dedicated to men’s health evaluate your health, recommend preventative care, and even answer your questions in detail. Wouldn’t that be nice?

Well, we have good news for you: that physician exists. And you may already have one.


It’s your urologist. What??

Here are five things your urologist can do that you may not have known about:

General Urology

This one is the obvious one, but we’d be remiss if we didn’t mention it. Your urologist will treat and provide preventive care for the things you normally think about going to the urologist for. That’s things like kidney stones, blood in the urine, incontinence, UTIs, and other conditions of that nature. Treatments like these form the backbone of what we do, but it’s really just the beginning.

Treat Prostate Cancer

Your urologist can treat prostate cancer—if that urologist is cool like us. With the HIFU procedure that we employ, we can focus our treatment on only the affected area without incision—and without damaging any of the healthy tissue around the area. This procedure is unique and involves no blades, scars, or radiation.

Reproductive Health

Yes, you read that right. Your urologist can assist you with your reproductive health needs, whether that’s investigating male infertility or signing you up for a ticket to vasectomy city. Whether you can’t wait to bring home another little one, or have as many munchkins around the house as you can handle, we pride ourselves on being able to meet your reproductive health needs, whatever they may be.

Combat Low T

Many men struggle with low testosterone (Low T), sexual dysfunction, weight gain, or other symptoms associated with low T or erectile dysfunction. Guess what? Your urologist can help with that too. Hormonal balance is essential to your comprehensive health, so we treat all aspects of your wellness that may contribute to erectile dysfunction or low T.

Encourage Healthy Living

At the end of the day, healthcare should be about ensuring that you can get healthy and stay that way. And your urologist is should be part of that equation. We can provide you with a health coach who will work with you to create healthy habits like changing your diet, working out regularly, and managing stress, so that you can continue to be your best self. Who would have thought your urologist could do that?

Ready to treat yourself to comprehensive men’s healthcare? Schedule a visit with your local urologist, North Austin Urology, today!

A Holistic Approach to Men’s Health

What sets us apart at North Austin Urology?

We have a unique approach to men’s health that is founded, fundamentally, in ensuring your holistic health. We don’t want to just treat a symptom, we want to get to the root of the problem and fix it for good—and address any other issues we find along the way, too. We care about all the aspects of your health, from weight loss to reproductive issues; and all the services we offer connect to further this goal.


Here’s a quick overview of all the services we offer, and how they connect to ensure that you get healthy and stay that way:

Urologic Health

At North Austin Urology, we use state of the art technology to treat urological conditions, prostate cancer, and other issues related to men’s health. Whether you’re struggling with low testosterone or just looking to improve your lifestyle, we can help you find a solution that fits your needs. Our experienced providers are dedicated to listening to your needs and working with you to ensure your long-term health.

Austin Vasectomy

At Austin Vasectomy, one of our specialty is the Mistry Vasectomy. This unique procedure, developed by our senior physician Dr. Sandeep Mistry, is a no-scalpel vasectomy with minimal pain and a quick recovery. If you’ve decided against kids, or have as many as you want, this procedure is a quick, efficient, and highly effective way to prevent pregnancy. For more information about what a vasectomy is and how ours works, check out this breakdown.

Men’s Health

In this aspect of our practice, we specifically study and treat issues like low testosterone, sexual dysfunction, weight gain and more. This comprehensive male wellness center uses treatments like hormone optimization and targeted supplement therapies to target and treat issues related to men’s health. We also seek to educate our patients on the best ways to take care of themselves, to ensure that all our patients live long and healthy lives.

Male Fertility

We believe that a patient’s fertility potential can offer insight into overall health, and vice versa, so we also have an entire clinic devoted to treating issues related to male fertility. Overall health can and does play a major role in determining one’s fertility, and therefore it is essential to evaluate and treat the whole person as we perform fertility evaluations. From hormonal to genetic testing, our advanced methods are designed to both determine fertility potential and determine if there are any medical issues which could be corrected to improve fertility.

Weight Loss

At North Austin Weight Loss, we use a multifaceted approach to evaluate and solve your health issues that is based on nutrition science. From personalized diet plans to supplements that complement your unique biochemistry, our experts work with you to help you achieve your goals. Focusing on physical and dietary wellness can help your body in ways you may never have expected.

These are just a few of the services we offer through North Austin Urology, and they all combine seamlessly towards the same end goal: your health. Each of these services can be paired with one or more of the other, so we can use these methods together to ensure your continued holistic well-being. Remember: your health is our highest priority.

Contact us to find out how we can help you live your healthiest life today.