Dr. Peter Attia

What does that mean?

What does that mean?

Wait a minute, wait a minute. This is impossible for me to fathom. A woman went to her gynecologist and said, I'm having pain with intercourse.

Wait a minute, wait a minute. This is impossible for me to fathom. A woman went to her gynecologist and said, I'm having pain with intercourse.

Any idea how old this woman is?

Any idea how old this woman is?

Okay. And you think this gynecologist doesn't know about estrogen?

Okay. And you think this gynecologist doesn't know about estrogen?

I did in medical school.

I did in medical school.

And you're saying that the reason that this price has come down is, I know Mark is a very hard liner against the PBMs. Did Mark basically take a sledgehammer to that?

And you're saying that the reason that this price has come down is, I know Mark is a very hard liner against the PBMs. Did Mark basically take a sledgehammer to that?

Well, I'm very sorry to hear that story, both at the personal level, but also at the meta level of what is implied. I want to clarify one thing, Rachel. If a woman is on a high enough systemic dose of estradiol, does she also need later in life local estradiol?

Well, I'm very sorry to hear that story, both at the personal level, but also at the meta level of what is implied. I want to clarify one thing, Rachel. If a woman is on a high enough systemic dose of estradiol, does she also need later in life local estradiol?

Has that study been done? That would be a super interesting study. Think of how easy it would be to do a study where you took a group of women that were all at systemic target of estradiol, and you randomized them to a placebo vaginal cream versus an estradiol vaginal cream.

Has that study been done? That would be a super interesting study. Think of how easy it would be to do a study where you took a group of women that were all at systemic target of estradiol, and you randomized them to a placebo vaginal cream versus an estradiol vaginal cream.

You could follow these women for a year if they were in a susceptible enough population, and you would get a very clear answer as to whether or not you're getting additional UTI protection. And if the answer to that is yes, just imagine the implications there. At that point, it becomes malpractice.

You could follow these women for a year if they were in a susceptible enough population, and you would get a very clear answer as to whether or not you're getting additional UTI protection. And if the answer to that is yes, just imagine the implications there. At that point, it becomes malpractice.

Why is DHEA doing it?

Why is DHEA doing it?