
#274 - Performance-enhancing drugs and hormones: risks, rewards, and broader implications for the public | Derek: More Plates, More Dates
from The Peter Attia Drive
by Peter Attia, MD
Published: Mon Oct 09 2023
Show Notes
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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 [];
- The backstory on More Plates, More Dates and Derek’s unique ability to blend scientific knowledge with personal observation [];
- Growth hormone – from extreme use-cases to the more typical – and the misconception that it’s the “elixir of life” [];
- Growth hormone 101: definition, where it comes from, and the challenges of measuring it [];
- Does exogenous growth hormone compromise one’s ability to make endogenous growth hormone? [];
- The use of growth hormone in restoration of tissue during periods of healing [];
- Growth hormone-releasing peptides to increase endogenous GH: various peptides, risks, benefits, and comparison to exogenous growth hormone [];
- The role of growth hormone in building muscle and burning fat, as well as its effects on sleep and daytime lethargy [];
- The evolution of drug use in the sport of bodybuilding [];
- What explains the protruding abdomens on some bodybuilders and athletes? [];
- Death of bodybuilders [];
- The complex interplay of hormones, and the conversion of testosterone into metabolites like DHT and estrogen [];
- Post-finasteride syndrome and how Derek successfully treated his hair loss [];
- Testosterone replacement therapy: compelling use-cases, side effects, and optimal dosing schedules [];
- Aromatase inhibitors to suppress estrogen, and the misconceptions around estrogen in men [];
- Other hormones beyond testosterone for male sex hormone replacement [];
- The history of anabolic compounds, and the differing effects of various anabolic testosterone derivatives and related drugs [];
- Use of SARMs by bodybuilders [];
- Anabolic steroid and testosterone regimens of professional bodybuilders and the downstream consequences [];
- The challenge of accurate hormone testing in the presence of anabolic steroids and supplements [];
- The use of Clomid, hCG, and enclomiphene [];
- Concerns about fertility: comparing the use of testosterone and hCG [];
- The use of BPC-157 peptide for healing injuries [];and
- More.
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