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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.

So if you ask me what excites me about the field, I would say as the author of the biomarker concept early in my career, I would say I'm really happy that we're scaring couples to realize that their fertility is a measure of their health. And now we have our foot in the door. If we can get a sperm count and get them in the office, we can actually tell them a little bit about their trajectory.

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 ask me what excites me about the field, I would say as the author of the biomarker concept early in my career, I would say I'm really happy that we're scaring couples to realize that their fertility is a measure of their health. And now we have our foot in the door. If we can get a sperm count and get them in the office, we can actually tell them a little bit about their trajectory.

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

And it's becoming more and more every day. And we've never had a chance to do preventative medicine with young men. So it's a men's health play in a big way because their partners are bringing them in, but who cares? They're in the office. Your father had prostate cancer when he was 50. Someone had colon cancer. So I have now an NP, Molly Jessup, who is medical.

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

And it's becoming more and more every day. And we've never had a chance to do preventative medicine with young men. So it's a men's health play in a big way because their partners are bringing them in, but who cares? They're in the office. Your father had prostate cancer when he was 50. Someone had colon cancer. So I have now an NP, Molly Jessup, who is medical.

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

And it's like, okay, there's metabolic stuff and you can pick up diabetes. And we have an opportunity here we've never had ever. is to get men at younger ages. And I was a professor at UCSF for 15 years, endowed chair. I left. And I went to Yousan University, traditional Chinese medicine. I lecture there now. We had a conference last 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 it's like, okay, there's metabolic stuff and you can pick up diabetes. And we have an opportunity here we've never had ever. is to get men at younger ages. And I was a professor at UCSF for 15 years, endowed chair. I left. And I went to Yousan University, traditional Chinese medicine. I lecture there now. We had a conference last 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 I lectured and I liked it because I thought Western medicine, maybe your view too, is too reactive. They're always trying to get men out of trouble or get patients out of trouble, but we're not thinking about getting them from unhealthy to healthy, which is the preventative aspect. We're just never good at it.

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

And I lectured and I liked it because I thought Western medicine, maybe your view too, is too reactive. They're always trying to get men out of trouble or get patients out of trouble, but we're not thinking about getting them from unhealthy to healthy, which is the preventative aspect. We're just never good at it.

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

your general surgery, every example you give is a guy who did something bad, you get him back, whatever. But you got to think next step, like kidney stones. Great. Urologists, we treat them all day. It's fun. It's endoscopic. It's lasers. It's shock waves. But what are we doing about that stone? I mean, how come we're not preventing these more? It's not on the radar.

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

your general surgery, every example you give is a guy who did something bad, you get him back, whatever. But you got to think next step, like kidney stones. Great. Urologists, we treat them all day. It's fun. It's endoscopic. It's lasers. It's shock waves. But what are we doing about that stone? I mean, how come we're not preventing these more? It's not on the radar.

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

I go to Yosan University in traditional Chinese medicine, fabulous place, and it's all holistic. So I see patients who get referred by acupuncturists and they come in, their diet's under control, their stress is under control, they're doing acupuncture, they're sorted out. And what do I find? Varicoceles, because they don't find those.

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

I go to Yosan University in traditional Chinese medicine, fabulous place, and it's all holistic. So I see patients who get referred by acupuncturists and they come in, their diet's under control, their stress is under control, they're doing acupuncture, they're sorted out. And what do I find? Varicoceles, because they don't find those.

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 phenotype is totally different than the Western referral. I've loved that because that's 3.0. That's medicine 3.0, which they're doing. They've been doing it for 4,000 years. It's interesting how we don't give a lot of street cred to it, but in my view, a much of we don't understand about fertility, certainly men, possibly women, is epigenetic.

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 phenotype is totally different than the Western referral. I've loved that because that's 3.0. That's medicine 3.0, which they're doing. They've been doing it for 4,000 years. It's interesting how we don't give a lot of street cred to it, but in my view, a much of we don't understand about fertility, certainly men, possibly women, is epigenetic.

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

And the drivers of epigenetics, which are marks on the DNA, not DNA mutations, 50 DNA mutations a generation doesn't explain it. There's other stuff going on. Epigenetics is all lifestyle and diet driven. It's all lifestyle and diet driven.

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

And the drivers of epigenetics, which are marks on the DNA, not DNA mutations, 50 DNA mutations a generation doesn't explain it. There's other stuff going on. Epigenetics is all lifestyle and diet driven. It's all lifestyle and diet driven.

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