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Dr. Peter Attia

👤 Speaker
11186 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Men, six months- And this was a real goalpost move.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Men, six months- And this was a real goalpost move.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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?

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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?

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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,

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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,

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Would we be in the same place we are today, or would men have said, oh, hell no?

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

Would we be in the same place we are today, or would men have said, oh, hell no?

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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?

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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?

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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.

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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?

The Peter Attia Drive
#348 ‒ Women’s sexual health, menopause, and hormone replacement therapy (HRT) | Rachel Rubin, M.D.

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?