The role of testosterone in males and females, performance-enhancing drugs, sustainable fat loss, supplements, and more | Derek, More Plates More Dates Pt.2
Peter Attia
26 feb 2024
Mindsip insights from this episode:
Rely on accurate LCMS tests for hormone assessment
An example showed a standard estradiol test was over double the result of the more accurate LCMS test (41.3 vs 18.3), potentially due to supplement interference.
Inject L-carnitine to enhance bioavailability and avoid TMAO
L-carnitine is often injected because its oral bioavailability is only 10-15% and injection bypasses the gut's conversion to the potentially concerning compound TMAO.
Transform protein shakes into satisfying ice cream with Ninja Creamy
The Ninja Creamy machine is a popular gadget for turning protein shakes into a highly satiating ice cream, helping to manage cravings during a diet.
Manage free DHT levels to reduce anxiety on TRT
Men on TRT often have disproportionately high free DHT due to lowered SHBG, which can lead to a perpetually anxious or 'keyed up' state.
Unmask fitness photo fakes through lighting and posture manipulation
Fitness 'before and after' photos are easily faked on the same day by manipulating lighting, muscle pump, food-induced bloating, posture, and even facial expressions.
Understand Clomid limitations in raising testosterone levels
Clomid may fail to raise testosterone in men with very low estradiol because there isn't enough estrogenic negative feedback to inhibit in the first place.
Monitor voice changes with decibel recorder during androgen use
Some female bodybuilders use a decibel voice recorder to monitor for irreversible voice changes when using androgens.
Restore testosterone levels with DHEA during birth control use
A study showed that 50mg of DHEA per day can fully restore total and free testosterone levels in women whose hormones are suppressed by combined oral contraceptives.
Balance anxiety on TRT with progesterone supplementation
Some men on TRT use 50-200mg of progesterone to help balance the sympathetic drive and anxiety from perpetually high free androgen levels.
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