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The Peter Attia Drive

#291 ‒ The role of testosterone in males and females, performance-enhancing drugs, sustainable fat loss, supplements, and more | Derek, More Plates More Dates Pt.2

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 26 February 2024

⏱️ 158 minutes

🧾️ Download transcript

Summary

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Derek is a fitness educator, the entrepreneur behind More Plates More Dates, and an expert in exogenous molecules commonly used and misused by bodybuilders and athletes. In this episode, Derek returns to the podcast to explore the impact of exogenous molecules on male and female health. He covers testosterone, DHT, DHEA, progesterone, clomiphene (Clomid), hCG, and various peptides, alongside updates from the FDA affecting peptide use. Additionally, he addresses the recent hype around increasing muscle mass through myostatin inhibition via follistatin gene therapy and supplementation. Additionally, Derek discusses the various strategies that bodybuilders use for losing fat while preserving muscle, including insights on weight loss drugs.

We discuss:

  • Testosterone and DHT: mechanisms of action, regulation of muscle growth, and influence on male and female characteristics [2:15];
  • TRT in women: the complexities and potential risks associated with testosterone use in women [9:00];
  • DHEA supplementation: exploring the benefits and risks for women, and the differing effects on men vs. women [22:00];
  • The role of progesterone in both men and women, pros and cons of supplementation, the importance of tailored doses, and more [28:00];
  • Measuring levels of free testosterone [37:15];
  • The trend towards earlier interest in TRT, and the risks of underground sources of testosterone [42:00];
  • The complexities and considerations surrounding the use of Clomid, E-Clomid, and hCG in TRT [46:00];
  • Low testosterone: diagnosis, potential causes, treatment options, and other considerations [53:45];
  • Growth hormone-releasing peptides: rationale and implications of the recent FDA categorization as high-risk substances [1:03:45];
  • Follistatin gene therapy and myostatin inhibition for increasing muscle mass: the recent hype online, human and animal data, and the need for more research [1:14:45];
  • Simple tips for lowering calorie intake and losing fat [1:32:30];
  • Methods of sustainable fat loss with muscle preservation: insights gleaned from bodybuilders [1:40:00];
  • Could prolonged fasting impact testosterone levels? [1:55:30];
  • High-protein ice cream [1:57:00];
  • Exploring fat loss supplements and drugs: L-carnitine, yohimbine, and more [2:02:15];
  • Potential remedies for individuals experiencing metabolic dysfunction due to hypercortisolemia [2:12:30];
  • The cornerstones of body composition improvement remain nutrition and exercise, even in the presence of exogenous testosterone [2:19:15];
  • The importance of approaching health advice found online with a critical eye and a healthy dose of skepticism [2:23:30]; 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 Attia. This

0:15.7

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

0:19.6

translating the science of longevity into something accessible for everyone.

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and we've established a great team of analysts to make this happen.

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we offer exclusive member-only content and benefits above and beyond what is available for free.

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

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head over to Peter AttiaMD.com

1:01.0

forward slash subscribe.

1:04.7

My returning guest this week is Derek from more plates, more dates.

1:08.7

Derek was a guest back on episode number 274,

1:12.4

which aired in October of 2023.

1:15.0

In that episode, we didn't cover nearly as much as I would have liked.

1:18.0

So I wanted to have Derek back for round two.

1:20.0

In this conversation, we continue where we left off in our first discussion.

1:25.0

We talk about a number of exogenous molecules that impact both male and female health, including testosterone, D. H.T, DHA, progestrone, clomid, hcig and various peptides.

1:40.1

And we also talk about some updates from the FDA since our last conversation that impact the use of peptides.

1:47.0

We also touch on Myostatin, Follostatin, and more.

1:51.0

We cover various ways that bodybuilders will lose fat and weight while maintaining

...

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