Dr. Peter Attia
speaker
5,258 appearances
36 recordings
6 series
first heard Jan 2024
last heard Jun 2025
Dr. Peter Attia’s voice in public audio — every appearance, attributed to the second.
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Men, six months- And this was a real goalpost move.
Why do you think this is happening? If you try to steel man the case for the other side, where are they in their thinking on this?
But is this a paternalistic, I mean, I hate to put sociology on top of this. As you know, I've spoken with one of the PIs from the WHI, and I think she is by far the most honest broker of that group. And I don't have good things to say about that group. I really don't. But I also can't even wrap my head around their thinking. Like I can't steel man their case.
I usually do not subscribe to theories like that. I usually find myself thinking there are alternative explanations and we're just pointing to the most sensational ones. But it gets hard to dismiss an argument as follows, which is if the tables were turned and the WHI was really the MHI, the Men's Health Initiative, and it produced equally idiotic results,
Would we be in the same place we are today, or would men have said, oh, hell no?
And by the way, the Traverse Trial is not even a great trial. I've been so critical of the Traverse Trial. I think you could have come to the same conclusion of the Traverse Trial if you knew how to read all of the data before it. I actually don't think the Traverse Trial added much, but anyway.
I mean, I do believe this is going to change. And I don't know who said this, but it's a great quote that said, funeral by funeral, science makes progress. That's not a great explanation for what's about to happen temporarily, because it's going to be a while before everybody who held that belief in their soul is no longer around.
But it does give me hope that a new generation of women will come along and take ownership over their health. And look, I've seen a change in 10 years. 10 years ago, when I was prescribing hormones to women, you cannot believe the fights I would have with their other doctors. And I don't mean like we weren't fist fighting, but they were scolding me like, how dare you?
But it came with an arrogance, a lack of willingness to even look at the data. which I found ironic. If you want to scold me, you better know as much as me and hopefully more. But this arrogance of I'm going to scold you, but I know nothing.
And I'm not actually willing to have a discussion with you because I'd be like, great, turn to figure two in the JAMA paper and let's look at this and look at the appendix and look at the supplemental data. Like, are you seeing the same thing I'm seeing? Can we at least agree on the fact?
Now, let's talk about the flip side, because the unfortunate nature of everything we've just described is you create a fringe movement. And unfortunately, I've seen a lot of dock on a box hormone practices that are, I believe, putting women at risk and I believe are doing bad things to women in the name of doing good. And I don't believe that these are inherently bad individuals.
I think they're ill-informed. I think they're just not that bright. And maybe some of them are just actually charlatans and they're seeing an enormous opportunity here. As a general rule, I tell patients be very, very suspicious of a doctor that is selling you hormones. Be incredibly suspicious of any physician
who has their own compounding pharmacy within the practice and is giving you compounded formulations and also making money on it. Talk a little bit about, I don't want to call it the dark side, but just the fringe side of this world.
Yeah, the number of online testosterone clinics is mind-boggling. And a lot of them are prescribing, I think, second-tier drugs.
4% of women who would theoretically be required.
That's worse than I would have guessed.
Every doctor who sees a woman of that age.
Yeah. Let's talk a little bit about the playbook. I want to tell you how we do it. I'm not saying we do it right because I don't think there's a right way to do it, but I mostly want to hear how you do it because I bet you're way better than we are. Maybe we take a step back and explain. We've already alluded to it twice, but I just want to make sure people are understanding this.
If a woman has a uterus, you have to protect that endometrial lining. Even if she's in the camp of women who don't notice being on progesterone, you have to be on progesterone. We'll come back to IUDs and progesterone-coded devices and things like that. Let's just talk about the way you get progesterone. Progesterone is the easiest of the lot.
Is there any reason when giving oral progesterone to use anything other than micronized FDA approved progesterone orally?
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