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Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

I'm not sure that's receptor-driven at all. It might be several pathways going on that are logarithmically better but it allows you to push the system and go back and then push it again. And that's how you build muscle.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

I'm not sure that's receptor-driven at all. It might be several pathways going on that are logarithmically better but it allows you to push the system and go back and then push it again. And that's how you build muscle.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So it's funny because a lot of guys come in and they look good. When I examine, I'll say, are you taking anything? Because they never put it on their medications, right? They never write it out on the history.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So it's funny because a lot of guys come in and they look good. When I examine, I'll say, are you taking anything? Because they never put it on their medications, right? They never write it out on the history.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So I will look them in the eyes. So are you taking testosterone? And I'll look them in the eye until they answer. And if they look down and they don't say anything, I know they're on it. If they look me in the eye and say no, then I know they're not. But they'll always look away. It's this verboten thing.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So I will look them in the eyes. So are you taking testosterone? And I'll look them in the eye until they answer. And if they look down and they don't say anything, I know they're on it. If they look me in the eye and say no, then I know they're not. But they'll always look away. It's this verboten thing.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

Yeah, yeah, yeah. So my theories about this is why is he taking it? So if he's taking it for anabolics and, you know, he probably has a pretty good idea. I want to give you a little research we're doing on the lifespan of anabolic steroid users. So remind me at the end of the story, give you a little brief about what I know about that. So how he takes it matters.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

Yeah, yeah, yeah. So my theories about this is why is he taking it? So if he's taking it for anabolics and, you know, he probably has a pretty good idea. I want to give you a little research we're doing on the lifespan of anabolic steroid users. So remind me at the end of the story, give you a little brief about what I know about that. So how he takes it matters.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So if he's been in constant use injectables, that's the most suppressive of fertility. And if you turn a gland like a testicle off long enough, it's off. So I gave a lecture to the Antigran Society on recovering men from hypogonadism in young men. And I asked them a question at the end. My whole procedure comes from steroid users.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So if he's been in constant use injectables, that's the most suppressive of fertility. And if you turn a gland like a testicle off long enough, it's off. So I gave a lecture to the Antigran Society on recovering men from hypogonadism in young men. And I asked them a question at the end. My whole procedure comes from steroid users.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

I take notes when the anabolic guys come see me because they're really smart and they know a lot about reactions, biology. Yeah, it's incredible.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

I take notes when the anabolic guys come see me because they're really smart and they know a lot about reactions, biology. Yeah, it's incredible.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

But it's a science. Some of them are PhDs. I took notes for years and it came up my approach along with what I know. So it's very much in concert with concert with them. So everything I say is built on a large experience and it's called getting off the juice, the blog. And I have people read that blog, do it and say, get about 80% of the way. And then call me and say, I need help here.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

But it's a science. Some of them are PhDs. I took notes for years and it came up my approach along with what I know. So it's very much in concert with concert with them. So everything I say is built on a large experience and it's called getting off the juice, the blog. And I have people read that blog, do it and say, get about 80% of the way. And then call me and say, I need help here.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

Now I'm here. We'll link to this in the show notes for sure. Getting off the juice. And there's a PowerPoint in it. So the recovery is usually possible in young men, but it depends on how much they took, how long they took it, and how they took it. If they do it like a cycling effort, that's the best.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

Now I'm here. We'll link to this in the show notes for sure. Getting off the juice. And there's a PowerPoint in it. So the recovery is usually possible in young men, but it depends on how much they took, how long they took it, and how they took it. If they do it like a cycling effort, that's the best.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So if you cycle steroids, you recover the pituitary, you get back to normal, and then you hit it again, that's actually quite smart. Constant use is not. Constant use for longevity or whatever is not a good idea for fertility. So that's going to be much more suppressive. Injections are worse than orals or any gels.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So if you cycle steroids, you recover the pituitary, you get back to normal, and then you hit it again, that's actually quite smart. Constant use is not. Constant use for longevity or whatever is not a good idea for fertility. So that's going to be much more suppressive. Injections are worse than orals or any gels.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So the next thing is how long, so I asked the Endocrine Society, since I answered all their questions, I said, I have a question for you. Can you turn a testicle off like in a thyroid or an adrenal gland if you suppress it enough? Can you turn it off for good? And they said, yeah, that's an important question of ours. We can do that.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So the next thing is how long, so I asked the Endocrine Society, since I answered all their questions, I said, I have a question for you. Can you turn a testicle off like in a thyroid or an adrenal gland if you suppress it enough? Can you turn it off for good? And they said, yeah, that's an important question of ours. We can do that.