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The Peter Attia Drive

#274 - Performance-enhancing drugs and hormones: risks, rewards, and broader implications for the public | Derek: More Plates, More Dates

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 9 October 2023

⏱️ 201 minutes

🧾️ Download transcript

Summary

View the Show Notes Page for This Episode

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We discuss:

  • Derek’s interest in weightlifting and experimentation with anabolic steroids at a young age [3:15];
  • Derek’s experience acquiring steroids from underground labs and the potential long-term fertility concerns early in his bodybuilding career [12:00];
  • The backstory on More Plates, More Dates and Derek’s unique ability to blend scientific knowledge with personal observation [17:00];
  • Growth hormone – from extreme use-cases to the more typical – and the misconception that it’s the “elixir of life” [21:30];
  • Growth hormone 101: definition, where it comes from, and the challenges of measuring it [28:45];
  • Does exogenous growth hormone compromise one’s ability to make endogenous growth hormone? [40:00];
  • The use of growth hormone in restoration of tissue during periods of healing [42:00];
  • Growth hormone-releasing peptides to increase endogenous GH: various peptides, risks, benefits, and comparison to exogenous growth hormone [48:45];
  • The role of growth hormone in building muscle and burning fat, as well as its effects on sleep and daytime lethargy [1:02:30];
  • The evolution of drug use in the sport of bodybuilding [1:10:30];
  • What explains the protruding abdomens on some bodybuilders and athletes? [1:20:30];
  • Death of bodybuilders [1:26:00];
  • The complex interplay of hormones, and the conversion of testosterone into metabolites like DHT and estrogen [1:33:45];
  • Post-finasteride syndrome and how Derek successfully treated his hair loss [1:43:15];
  • Testosterone replacement therapy: compelling use-cases, side effects, and optimal dosing schedules [1:57:15];
  • Aromatase inhibitors to suppress estrogen, and the misconceptions around estrogen in men [2:16:00];
  • Other hormones beyond testosterone for male sex hormone replacement [2:21:00];
  • The history of anabolic compounds, and the differing effects of various anabolic testosterone derivatives and related drugs [2:24:30];
  • Use of SARMs by bodybuilders [2:29:45];
  • Anabolic steroid and testosterone regimens of professional bodybuilders and the downstream consequences [2:36:15];
  • The challenge of accurate hormone testing in the presence of anabolic steroids and supplements [2:44:45];
  • The use of Clomid, hCG, and enclomiphene [2:47:15];
  • Concerns about fertility: comparing the use of testosterone and hCG [3:00:30];
  • The use of BPC-157 peptide for healing injuries [3:12:00]; and
  • More.

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Transcript

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0:00.0

Hey everyone, welcome to the Drive Podcast. I'm your host Peter Atilla. This podcast,

0:16.6

my website, and my weekly newsletter all focus on the goal of translating the science

0:21.0

of longevity into something accessible for everyone. Our goal is to provide the best

0:25.7

content and health and wellness, and we've established a great team of analysts to make

0:29.9

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relying on paid ads. To do this, our work is made entirely possible by our members, and

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in return, we offer exclusive member-only content and benefits above and beyond what is

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available for free. If you want to take your knowledge of this space to the next level,

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it's our goal to ensure members get back much more than the price of the subscription.

0:54.6

If you want to learn more about the benefits of our premium membership, head over to

0:58.5

PeterAtillaMD.com forward slash subscribe.

1:04.6

My guess this week is Derek from More Plates More Dates. Derek is a fitness educator and

1:10.1

entrepreneur behind the More Plates More Dates YouTube channel podcast and companion

1:14.8

website. I've been following Derek now for a couple of years, and I have always found

1:19.6

him to be very thorough in his analysis and assessment of areas that are very difficult

1:27.0

to get insight into from the mainstream channels by which we would go about searching for

1:33.8

insights, for example, using published literature. Derek in particular has a lot of expertise

1:40.5

around molecules and the types of molecules that are both used and abused by bodybuilders

1:46.6

and athletes, and a lot of our discussion today focuses on that. By way of background,

1:51.6

Derek himself is heavily into bodybuilding fitness and talks very openly about his past

1:57.5

use with performance enhancing drugs and his real interest in understanding the science

2:03.1

around these things. So we really cover these things in great detail and you might be asking,

...

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