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716 total appearances

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 said, okay, or maybe it was six months. And I said, I need a little more time for you to be off testosterone. But since you've been on HCG for six months. And what dose did you have him on? 3,000, three times a week. That's a whole vial a week. Wow.

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

I said, okay, or maybe it was six months. And I said, I need a little more time for you to be off testosterone. But since you've been on HCG for six months. And what dose did you have him on? 3,000, three times a week. That's a whole vial a week. Wow.

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

Interesting. You can maintain whatever's going on in the testicle with HCG and take any testosterone you want. That's an important lesson. Yeah. Here's the catch though. The caveat is it was done in, I think, Finnish bodybuilders. They were doing a cycle of steroids, huge amounts. They took Lotus HCG 500 twice a week.

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

Interesting. You can maintain whatever's going on in the testicle with HCG and take any testosterone you want. That's an important lesson. Yeah. Here's the catch though. The caveat is it was done in, I think, Finnish bodybuilders. They were doing a cycle of steroids, huge amounts. They took Lotus HCG 500 twice a week.

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

And John Amory has worked out and Washington has worked out all the exact doses, but 250 to 500 twice a week is a good dose for that. It keeps your intertesticular testosterone high, keeps your sperm production going. And they went on both concurrently for 12 weeks and their sperm counts were normal the whole time. At any dose of tea.

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

And John Amory has worked out and Washington has worked out all the exact doses, but 250 to 500 twice a week is a good dose for that. It keeps your intertesticular testosterone high, keeps your sperm production going. And they went on both concurrently for 12 weeks and their sperm counts were normal the whole time. At any dose of tea.

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

Now, what happened after that is people start saying, you can preserve your fertility on testosterone replacement, which is possible. They missed half the story. But it was only 12 weeks. And if you're doing it for three years and you miss your dose of HCG, boom, you're done. You're cooked. You're going to go to zero. So unopposed testosterone without it. So you have to be... 95% compliant.

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

Now, what happened after that is people start saying, you can preserve your fertility on testosterone replacement, which is possible. They missed half the story. But it was only 12 weeks. And if you're doing it for three years and you miss your dose of HCG, boom, you're done. You're cooked. You're going to go to zero. So unopposed testosterone without it. So you have to be... 95% compliant.

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

The Clomid doesn't work. HCG is the one. Yeah. Clomid doesn't improve intertesticular testosterone levels like HCG does. It's ineffective. Got it. It will potentially make you more recoverable. If you do it 80%, you'll be zero, even though you thought you might have a superb count, but your recovery will be faster because it's done something.

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

The Clomid doesn't work. HCG is the one. Yeah. Clomid doesn't improve intertesticular testosterone levels like HCG does. It's ineffective. Got it. It will potentially make you more recoverable. If you do it 80%, you'll be zero, even though you thought you might have a superb count, but your recovery will be faster because it's done something.

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

But the only way to maintain your current fertility is you have to be 100% compliant with dual therapy. You can't go on monotherapy with testosterone.

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

But the only way to maintain your current fertility is you have to be 100% compliant with dual therapy. You can't go on monotherapy with testosterone.

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

Well, I think muscle mass. So with aging, it's a great one. I mean, it used to be like growth hormone with age wasting syndrome, things like that. I mean, muscle mass is a key for men.

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

Well, I think muscle mass. So with aging, it's a great one. I mean, it used to be like growth hormone with age wasting syndrome, things like that. I mean, muscle mass is a key for men.

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

No, I think the only reason would be if you want testicles to be big. Okay. So just volume. I just created a new procedure to make testicles larger naturally by putting a fat injection in the hydrosil space in men on testosterone because they don't like their small testicles.

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

No, I think the only reason would be if you want testicles to be big. Okay. So just volume. I just created a new procedure to make testicles larger naturally by putting a fat injection in the hydrosil space in men on testosterone because they don't like their small testicles.

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 all natural and there's no prosthetics and you can't tell. It makes them nice and big and testes fat grafting and it's fabulous.

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 all natural and there's no prosthetics and you can't tell. It makes them nice and big and testes fat grafting and it's fabulous.

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 test that says outside the body, it's three degrees cooler than the rest of the body. So 95 versus 98 degrees Fahrenheit. And then there's a reason for that unknown. We had that conversation. We don't really know why, but it may be that it's an immunologic sanctuary and that's the only way to do it and that God or Darwin could figure out.

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 test that says outside the body, it's three degrees cooler than the rest of the body. So 95 versus 98 degrees Fahrenheit. And then there's a reason for that unknown. We had that conversation. We don't really know why, but it may be that it's an immunologic sanctuary and that's the only way to do it and that God or Darwin could figure out.