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Peptides: The Science, Uses & Safety | Dr. Abud Bakri

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Peptides: The Science, Uses & Safety | Dr. Abud Bakri

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5522 segments

0:00

People are now stacking their GLP-1 as

0:03

their insulin sensitivity tool, their

0:05

growth hormone or their GHR

0:07

>> and their androin modulation therapies

0:10

as this trinity stack

0:11

>> trinity stuff

0:12

>> to get very fit, very healthy quickly.

0:15

So a lot of these transformations you

0:16

see in CEOs and celebrities and stuff is

0:18

using a combination of those three

0:20

things. You know your TRT plus teptide

0:22

or retride whatever it may be and then

0:25

using a growth hormone modulation

0:27

whether if you can afford growth hormone

0:28

or testimon. And you're seeing people

0:30

lose a lot of fat gain a lot of muscle

0:33

in short amounts of time. Is that

0:34

healthy? We'll find out. But that is

0:37

like the celebrity protocol. Welcome to

0:39

the Huberman Lab podcast where we

0:41

discuss science and science-based tools

0:43

for everyday life.

0:47

I'm Andrew Huberman and I'm a professor

0:49

of neurobiology and opthalmology at

0:52

Stanford School of Medicine. My guest

0:54

today is Dr. Abu Bakri, an internal

0:57

medicine physician who is also extremely

0:59

knowledgeable on the science and use of

1:01

peptides. When I say peptides, I mean

1:04

both FDA approved peptides such as the

1:06

GLP agonist. You probably know these as

1:09

things like Ompic, Monaro, and

1:11

Retatrutide, as well as peptides such as

1:13

body protection compound 157 or BPC57,

1:18

which as you'll learn today has a very

1:20

long history of being used in humans for

1:22

gut health and tissue repair, and many

1:25

interesting studies in animals

1:27

supporting its potential use in humans,

1:29

but a minimum of formal studies in

1:31

humans, meaning one. We discuss BPC-157,

1:35

what it does and how, as well as things

1:38

like growth hormone secrets like

1:40

tessamarellin, MK677 and others. And we

1:43

talk about things like GHK copper, which

1:45

nowadays many people are using to

1:47

promote collagen synthesis and repair

1:49

for aesthetic reasons like improving

1:51

skin, hair, and so on. We also talk

1:54

about peptides that have been studied

1:55

for the purpose of DNA repair and

1:57

longevity like epithelen and pinealin

1:59

which also have been touted to improve

2:01

REM sleep and for improving cognitive

2:03

function. You'll also learn what is

2:05

known and what is not known about these

2:07

peptides both in terms of function and

2:09

safety. During today's episode, you will

2:11

come to appreciate that Dr. Bachri has

2:13

truly encyclopedic knowledge about these

2:15

peptides. He is also formerly trained as

2:18

a physician and as a consequence you

2:20

will learn how to think about peptides

2:22

based on whether or not they have known

2:23

receptors or not. That turns out to be

2:25

very important and what their real

2:27

safety profiles are as well as what

2:30

particular concerns you ought to have if

2:32

you are considering using peptides of

2:34

any kind. As a formerly trained

2:36

board-certified physician, he comes at

2:38

this topic through the lens of a

2:40

physician, but also somebody who is very

2:42

interested in the current status and

2:44

future of peptide medicine. Today's

2:46

discussion, thanks to Dr. Bacher, is a

2:48

true masterclass on peptides. By the end

2:51

of today's discussion, I promise you,

2:52

again, thanks to him, that you will be

2:55

among the most informed, doctor or

2:57

otherwise, about peptides from the GLPS

3:00

to BPC57 and all the others that I

3:02

mentioned, including some that I didn't

3:04

mention here in the introduction. So, it

3:06

is a real gift and honor to have this

3:08

knowledge presented to all of us. So,

3:10

buckle up. You're about to learn a lot

3:13

about peptides. Before we begin, I'd

3:15

like to emphasize that this podcast is

3:17

separate from my teaching and research

3:19

roles at Stanford. It is however part of

3:21

my desire and effort to bring zero cost

3:23

to consumer information about science

3:24

and science related tools to the general

3:26

public. In keeping with that theme,

3:28

today's episode does include sponsors.

3:30

And now for my discussion with Dr. Abu

3:33

Bakri. Dr. Abu Bakri, welcome. Good to

3:36

be here. Peptides, huge topic and huge

3:41

category of biology and medicine. So, we

3:44

should start off by breaking this into

3:46

categories so that people can wrap their

3:48

minds around it because that word

3:50

peptides has come to mean stuff people

3:53

buy and take and maybe should or

3:55

shouldn't buy and take. But there's a

3:57

lot of important and quite simple

4:00

biology to understand before anyone

4:03

should even be thinking about any of

4:05

that. So if I just push the word

4:08

peptides towards you, how do you carve

4:10

that up in terms of thinking about it as

4:12

an MD as a clinician and maybe also put

4:15

yourself into the mind of a interested

4:18

let's call it a peptide curious person

4:20

out there. So scientifically I would say

4:23

it's one of the languages of the human

4:24

body right so the body likes these

4:27

different languages to communicate

4:28

between cells going from DNA to RNA to

4:30

proteins which are can be broken down as

4:32

polyeptides and peptides and peptides

4:35

are one of these languages steroid

4:36

hormones are another language and then

4:38

peptides can be broken down further into

4:40

subcategories whether or not they have

4:42

receptors or they have no receptor

4:45

>> and that kind of changes the clinical

4:46

effects we'll see like the GLP1's which

4:47

have a very strong clinical effect

4:50

compared to these obscure peptides like

4:52

BBC57, TB500, TB4 that don't have a

4:55

clear target.

4:56

>> They have receptors but they just have

4:58

many of them or they don't even have

4:59

receptors.

4:59

>> We don't have a receptor identified for

5:01

BBC57 or TB4. Just stopping you right

5:03

there. There's a very interesting

5:04

distinction. I don't think anyone else

5:06

has described peptides this way.

5:08

>> Let's take BPC57 for the moment. We're

5:11

going to talk a lot about it today. If

5:12

it doesn't have a receptor, what are

5:15

some ways that it could impact cells and

5:17

organs and so forth? Or is it that there

5:21

are receptors, we just don't know what

5:23

they are?

5:23

>> It could be that the latter that maybe

5:25

the the receptor is still elusive or it

5:27

could be that it's modifying certain

5:29

proteins that already exist or linking

5:31

different pepi uh proteins together in a

5:33

more favorable fashion for gene

5:34

transcription. The Russian peptides are

5:36

all epigenetic modifiers that they bind

5:38

to the groove of the DNA in certain

5:39

spots that either open up or close the

5:41

chromatin to certain areas of genetic

5:43

expression. And they've modeled this out

5:44

>> like a steroid hormone. So steroid

5:46

hormones bind like they bind to a like

5:48

the andro receptor binds DHT or

5:50

testosterone goes into the nucleus turns

5:52

on all the androgenic genes.

5:53

>> Yeah. Like puberty is a good example of

5:55

that.

5:55

>> Yes. Exactly. Exactly. So like pinealon

5:57

that we've talked about uh shuttles uh

5:59

heat shock proteins with androen

6:01

receptors.

6:02

>> Got it. So if I just pause us for a

6:04

second, we should think about this word

6:07

peptides in two major categories at

6:09

least. Yep.

6:10

>> One is has known receptors

6:13

>> plural like the GLPS. Y

6:14

>> the other category would be does not

6:17

have known receptors might have

6:18

receptors but can definitely impact

6:21

biology in interesting ways or so say

6:23

the animal data.

6:24

>> Yep.

6:25

>> Okay.

6:25

>> A lot of animal data.

6:26

>> All right. I know a lot of people are

6:27

interested in GLPs and I want to go

6:29

there. But because I know most people

6:32

are probably listening to this foremost

6:34

because they want to hear about the

6:35

other stuff. Let's start with BPC57.

6:39

What is it? What do we know about it?

6:42

We'll explore safety and what is your

6:45

stance on it from the perspective of a

6:47

consumer and a clinician. So first of

6:49

all, what is BPC57?

6:51

>> The best way to look at it is, you know,

6:52

as humans, we've been looking for

6:54

medicines in plants for thousands of

6:56

years. And in the last, let's say 150

6:59

years, we've been looking for medicines

7:00

in cells. So animal derived versus plant

7:03

plant derived medicines is the way to

7:04

think about it. You think about aspirin,

7:06

you think about metformin, the statins,

7:07

those were all discovered in you know

7:10

plant tissues. um stats more so fungi

7:12

but you get the point. Now we've been

7:14

looking into animal tissues to find

7:17

cures, medicines, treatments. So a group

7:20

in Croatia in the '90s looks out for

7:24

this peptide called BPC that they they

7:26

and eventually named BPC. It's a $40,000

7:29

dolton giant peptide called BPC. BBC7 is

7:33

15 amino acids from that giant peptide.

7:35

We don't naturally make BPC157. That's

7:38

what you'll commonly hear online. We

7:39

make BBC the big uh protein. Did this

7:42

group go looking for body protection

7:46

compound? For those that aren't familiar

7:48

in the laboratory, you can take a

7:49

tissue, grind it up. You can do what's

7:51

called fractionation. You can start

7:52

separating basically cells and tissues

7:54

and liquids according to the size of

7:56

different proteins. Like different

7:58

filters will bring let just like certain

7:59

filters will let sand through or pebbles

8:01

through or boulders through. That's kind

8:02

of what you do. And then you figure out

8:04

what the sequences are and then you

8:05

throw them on cells or put them into

8:07

animals and you try and figure out what

8:08

they do. Why were they motivated to look

8:10

for what eventually became BPC? So

8:13

Pavlov, the famous uh scientist that

8:16

would do the dog the experiments on the

8:17

dogs with the bell and and making the

8:19

dogs salivate. The other work he did was

8:21

on gastric juices of dogs. What he'd do

8:23

is he'd put a hole in the dogs stomachs.

8:25

He would um feed them food and then get

8:27

the gastric juices and sell that as a

8:29

medicine.

8:29

>> That's how he made his money.

8:30

>> Yeah, that was part of his business.

8:31

>> So he got a Nobel Prize. He was also

8:33

kind of like what did he have a like a

8:35

um a call code? It was like like enter

8:38

pavlova for for discount at checkout.

8:40

Yeah. Amazing.

8:41

>> So this is BBC before BBC57 exists.

8:44

There's probably other peptides and

8:45

compounds in there, but they they found

8:46

that gastric juices had positive effects

8:49

on healing on people that had, you know,

8:51

gird and these kind of

8:52

>> Wait, so people were taking BPC in the

8:54

time of Pavlov?

8:55

>> They didn't know what BBC was. They were

8:56

taking gastric juices from dogs

8:57

>> for what?

8:58

>> GI distress, GI discomfort. Uh some

9:00

people were trying for wound healing.

9:02

There was a big push in this era for

9:03

like finding animal tissues and putting

9:06

them into humans. That science fizzled

9:07

out. At the same time, there's a

9:09

scientist Hansely that's coming up with

9:12

uh the stress adaptation theory and he

9:14

notices that animals are stressed out.

9:15

Three things happens to them. Their

9:16

adrenals get really big so they make

9:18

more cortisol. Their gastric lining gets

9:20

destroyed and then their thymus gland

9:22

and their lymphatics shrink down. And he

9:24

he has this published paper where you

9:26

have clear adrenal from a stressed

9:27

animal versus a non-stressed animal. A

9:29

thymus from an animal that's stressed

9:30

versus not. So this group is looking and

9:33

thinking hey Pavlov had this gastric

9:36

juice. Hansely said that there was

9:38

damage when during stress there must be

9:40

some kind of cytorotective or

9:41

organoprotective compound in the gut.

9:44

The stomach is a very rich endocrine uh

9:46

tissue. It makes ghrelin all these other

9:48

hormones. So they're like there must be

9:49

something else in the gut juice that

9:51

protects the gut lining from further

9:53

damage.

9:54

>> Were people drinking the gastric juices

9:55

of dogs? Were they injecting them?

9:58

>> Drinking was mo mostly what they did.

9:59

And it was supposed to be a medical

10:01

elixir presumably. It had many many

10:03

things in it, many peptides. Not

10:05

>> this pepsia and like upset stomach and

10:07

this kind of stuff is what people were

10:09

thinking.

10:09

>> Do the reports point to the fact that it

10:10

might have worked independent of what

10:12

was sold on uh Dr. Pavlov's non-existent

10:16

website.

10:16

>> This was in like the early 1900s. And

10:19

then uh Soia was what 1930s

10:22

>> I think. So yeah, 100 years ago.

10:24

>> Someone will correct us if we're wrong.

10:25

And this other group in Croatia

10:26

>> was 91.

10:28

>> 91. Okay,

10:30

>> their first paper talks about this like,

10:31

hey, there must be some kind of

10:33

compound. They they identified the big

10:34

40 Dalton protein BPC. And then they

10:37

they were like, what's what's causing

10:38

the actual biological effects? They

10:40

identified BPC57, the 15 amino acid

10:43

peptide that's causing all these

10:44

effects. There's actually more peptides

10:45

in gastric juices that some other

10:47

scientists may or may not have already

10:49

identified. This field of peptides going

10:50

to be very interesting because almost

10:52

every organ has a signature of peptides.

10:55

Like if you think back Dr. Vladimir

10:56

Vulvich in 1850s 1880s finds carnosine

11:01

and carnitine in muscle of cattle. So

11:03

you can think that the first peptides

11:05

that are found are carnosine and then

11:06

carnitine is the amino acid that's that

11:09

have positive effects on strength

11:10

training and performance and different

11:12

effects there. But that was the whole

11:14

idea is like hey there's muscle peptides

11:16

that may have muscle effects, right? Gut

11:18

peptides might have gut effects.

11:20

>> So this Croatian group um isolates this

11:22

15 amino acid kind of mini segment Yep.

11:25

of BPC. They and others start injecting

11:27

into mice inducing injuries to nerve to

11:30

tendon. Maybe describe a few of those

11:32

effects. I' I'm familiar with that

11:33

literature, but I can tell that you are

11:35

far more familiar with it. So, what are

11:36

some of the impressive effects that they

11:38

observed that led to where we are today?

11:42

So, they did all kinds of horrible

11:43

things to these mice. They would, you

11:45

know, sever tendons and then give them

11:47

BPC through oral or injectable

11:49

intraparitinal uh administrations and

11:51

they'd have faster healing times. They

11:53

would sever ACL of the mice. they would

11:55

uh do burn wounds. So when a patient has

11:57

a burn wound in like the ICU, they end

11:59

up having crazy gastric ulcers, but if

12:01

they were able to put BBC on topically

12:03

for the mouse, they would have no

12:04

gastric ulcers. They name it as this

12:06

anti-stress compound is how they they

12:08

they look at it. Now, when they do that

12:10

Achilles paper on the mice, that's what

12:12

explodes the bodybuilder interest and

12:14

leads us to today where we are like, oh,

12:16

MSK injuries must be BPC, tendons and

12:18

and and and muscle injuries. But the

12:21

original idea of BBC was to use it as a

12:23

gastric treatment, not to use it as a

12:25

muscoskeleletal.

12:27

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14:52

>> Let me pause you here. People are

14:53

probably saying, should I take it or

14:54

should I? Just hang in there, folks,

14:55

because this is really, really

14:57

important. What is so striking to me

14:59

about BPC and by the way that's not an

15:02

endorsement for BPC. Just what's so

15:03

striking to me because my lab worked for

15:05

a long time on optic nerve repair and

15:07

neural regeneration. Nerves don't like

15:08

to regenerate in the central nervous

15:10

system. Peripheral nervous system they

15:11

do it they do it slowly but they do it.

15:13

>> Yep.

15:13

>> Not in the central nervous system. Ask

15:15

anyone who's had a stroke or an optic

15:17

nerve injury. It's a tough road at best.

15:20

There are data that I've seen with my

15:23

own eyes that show that, you know, you

15:25

can accelerate

15:27

healing of tendon, of ligament, of nerve

15:31

pathways

15:32

>> in animals. Yes.

15:32

>> In animals. Yes. Thank you. And that it

15:35

just generally promotes quote unquote

15:38

repair.

15:39

>> Yep.

15:39

>> That's kind of weird.

15:40

>> It is weird,

15:41

>> right? Because I could spend the next 10

15:43

hours or more telling you about all the

15:45

ways that people have tried to get

15:46

nerves to regenerate and couldn't. And

15:48

as you point out, this thing doesn't

15:51

really have one specific at least known

15:52

receptor.

15:54

>> So the data on the gut make a lot of

15:56

sense. This is after all a gut peptide.

15:58

It makes sense that that gut peptide

16:00

could get lots of places in the body,

16:01

right?

16:02

>> But what is it doing mechanistically if

16:04

we know to support regeneration or

16:06

replenishment of all these different

16:08

tissue types? Because a neuron is a very

16:10

different cell type than, you know, a

16:13

fiberblast or one of the bits of

16:15

collagen that make up different

16:16

connective tissues. It's modulating a

16:19

lot of these growth and healing pathways

16:21

like in the models of damaging the

16:25

endothelial layer or the epithelial

16:27

layer of different tissues. You'll get

16:29

more veg f signaling. So that's the the

16:31

vascular endothelial growth factor. So

16:33

get more blood vessels andises being

16:34

formed which creates a lot of the

16:35

controversy around BBC safety. You'll

16:38

get cell migration especially when

16:40

coupled with TB500 and TB4. you'll get,

16:42

you know, more access of the healing

16:44

factors to the area through androgenic

16:46

pathways. On top of that, you'll get an

16:48

anti-stress effect. So, the other big

16:50

thing that they did was they'd give

16:51

corticosteroids with BPC57 to these

16:54

mice. And usually when you have a wound

16:56

and you you give corticosteroids, the

16:57

corticosteroids will slow or even stop

17:00

the wound healing from happening. When

17:01

BPC was administered, the the the

17:04

healing was either the same or even

17:05

better.

17:05

>> Is BPC considered anti-inflammatory?

17:08

Because based on what you just said, it

17:10

almost seems like it helps maintain some

17:12

of the pro-inflammatory response. Some

17:14

people might be thinking, why would you

17:16

want inflammation? What Dr. Bockery just

17:17

said is if you block inflammation with

17:20

cortosteroids,

17:21

>> you aren't going to call in the signals

17:23

to repair tissues. So lowering

17:25

inflammation is a dicey thing that maybe

17:27

we set aside for later in the

17:29

conversation if we have time. But is it

17:30

thought that BPC is lowering

17:32

inflammation or is just somehow hitting

17:34

the gas pedal on all these regenerative

17:36

restorative biological processes?

17:38

>> It's more putting the gas pedal on these

17:40

processes to bring in the immune system,

17:43

the healing factors. For example, in one

17:45

tendon model, they noticed that it

17:46

increased the amount of growth hormone

17:48

receptors on the tendon. So

17:50

theoretically, this would allow more

17:52

growth hormone to dock in and cause the

17:53

outgrowth of the tendon and the and the

17:55

regrowth of it. So there's that theory

17:57

there. downstream it'll modulate uh

17:59

nitric oxide synthesis. So that's a big

18:01

thing when it comes to wound healing

18:02

because you need to to dilate the blood

18:04

vessels, you need to call in different

18:05

cells. So it's really changing the way

18:07

cells behave at that level, but that's

18:09

only for like the tendon side of it.

18:11

They also did weird things on the

18:12

neurological side like they would make

18:15

these mice drunk, okay? And they would

18:18

then give them BBC and they'd get less

18:20

drunk and when they go through mazes.

18:21

>> Oh boy.

18:22

>> Okay.

18:23

>> We did not just recommend you take BBC

18:25

with alcohol. want to be very clear. Um,

18:28

but people are going, you know, we'll do

18:29

their own interpretation. So, I'm being

18:31

semi facicious, but very interesting.

18:33

>> And then also, they would give them get

18:34

the mice drunk and then have them

18:35

withdraw from alcohol and like

18:37

withdrawal is deadly. If we have a

18:38

patient in the hospital that

18:39

withdrawals, they could die during that

18:40

withdrawal if they're not given

18:41

benzoasipines. They got BPC and they

18:43

didn't have the withdrawal symptoms. I'm

18:45

like, what's going on here? This is a

18:47

very interesting compound. I think it

18:48

gets it gets all the hype for the MSK

18:50

stuff, but I think the neurological

18:52

neuroscychiatric, let's say, and then

18:53

gastric effects are way more interesting

18:55

when it comes to that because it's

18:56

modulating the gut brain access in an

18:58

interesting way. We'll have people come

18:59

to us and they're like, "My aderall is

19:01

not working since I've been taking oral

19:02

BPC." Are they happy with that effect?

19:04

>> No, they're not happy. They're very mad

19:05

because like it seems like it's blunting

19:07

their aderall.

19:08

>> So, it's doing something from dopanergic

19:10

signaling both on both sides, both

19:11

withdrawal uh when it comes to like the

19:13

gapurgic side, but also the the peak of

19:16

signaling. So if you like peruse Reddit,

19:18

which you should never do, um you'll

19:20

find all these anhidonia discussions

19:22

about BBC, people feel like depressed

19:24

and low energy.

19:25

>> Incredible seems to be

19:27

>> in terms of effects in animals and

19:29

anecdotal reports in humans because I

19:32

think both your and my excitement about

19:35

this might be occupying a substantial

19:38

amount of the force field here. Let's do

19:40

something that normally I would do in a

19:42

few minutes. I'm going to ask you some

19:43

very direct questions about this and you

19:45

and I don't hold you responsible as

19:47

being like BPC uh you know spokesperson

19:50

but here you are. Um that's Pavlov's

19:52

job. Um and he's dead.

19:56

Are there any known adverse events of

19:59

from people taking BPC known and

20:02

documented? Okay. adverse events where

20:06

it's unrelated to uh contamination or

20:09

something of that sort.

20:10

>> In the literature, when it comes to um

20:12

the animal data, they've injected

20:14

animals with, you know, a thousand times

20:15

the dose of BPC with no real adverse

20:18

effects. So there's we don't even know

20:19

the LD50 of BPC, which makes it hard for

20:21

it to become an FDA approved.

20:22

>> Maybe define LD50.

20:23

>> LD50 is is the dose of which would kill

20:25

50% of the animals if it was

20:26

administered to them. So we don't even

20:28

know what that is. And that's actually

20:29

an important number as as you know

20:31

barbaric as it sounds to determine for

20:33

any drug. What's the LD50 for caffeine?

20:35

What's the LD50 for aspirin? What's the

20:36

L? This is every drug you take folks on

20:39

or off the counter you know prescription

20:41

or non-prescription has gone through

20:42

LD50 testing in animals.

20:44

>> To be a clinician to prescribe this, we

20:45

need to know what that is which which

20:46

limits us. Now there was two very small

20:49

phase one and phase 2 trials on rectal

20:51

BPC enemas um in the early 2000s from

20:55

that same coration group. So that's the

20:56

big concern of BBC. all the data comes

20:58

from one group. So people can be

20:59

skeptical. There's a couple of Chinese

21:01

groups that have also replicated some of

21:02

their work. But uh those groups wanted

21:05

to try to treat ulcerative colitis. It's

21:07

a very you know miserable condition of

21:09

where the immune system attacks the

21:10

lining of the gut in multiple spots. Uh

21:12

and they use enemas of BPC up to like 80

21:14

milligrams which is much more than than

21:16

people would take.

21:17

>> Most people are injecting microgram.

21:19

Yes. 100 or 200 micrograms per day or

21:21

something. Maybe more but you're talking

21:24

about 80 milligrams.

21:26

>> Yeah. erectile enemas. They did a phase

21:27

one and phase two trial.

21:28

>> They're doing this daily or they do it

21:29

once.

21:30

>> They did it for a few weeks. Um and then

21:32

they reme-measured. They had it was

21:33

placebo controlled. The data is not

21:35

available. The abstracts are only

21:36

available. So that that's what also

21:37

gives us some pause when we're going to

21:39

you know push that forward especially

21:40

when the legal discussions are happening

21:42

here in the next few months uh on BPC. U

21:44

the first the phase one trial showed no

21:46

adverse effects. U they and they didn't

21:48

even have BPC in the systemic system

21:50

too. That's that's a key point to know

21:51

that orally administered or rectally

21:53

administered BPC doesn't seem to go

21:54

systemic. maybe define that a little bit

21:57

more specifically.

21:58

>> If you take aspirin and then you measure

22:00

blood aspirin levels, you'll notice the

22:01

levels go up. When they measured BBC

22:03

levels, BBC157 levels in these uh

22:05

individuals, they didn't find it in the

22:06

blood. So, either it was broken down

22:08

very quickly or it stayed locally to the

22:10

lining of the the gastric tissues.

22:11

>> That raises a question for me. Let's say

22:13

somebody doesn't quote unquote take any

22:15

BPC57 by enema or otherwise. If I were

22:18

to just draw your blood right now, uh

22:20

there's BPC57 in there in the bigger

22:23

protein,

22:23

>> the bigger the bigger BPC protein. I

22:25

don't you wouldn't find

22:25

>> is it circulating or is it or is it

22:27

contain or is it restricted to the gut?

22:28

>> We don't have that data.

22:29

>> Well, that's incredible, right? Because

22:30

we're talking about these effects all

22:32

over the body. We don't even know if it

22:33

leaves the gut.

22:34

>> No, but in well, the injectable is going

22:35

to go systemic.

22:36

>> And most people are going to take if

22:38

they're decide to do this, they're going

22:39

to take an oral or an injectable.

22:41

They're either going to inject local to

22:42

the injury if they can

22:44

>> or an interparitinial.

22:45

They found fragments of the 15. Like

22:47

there's there's a paper in 2024 that

22:49

looked at this and they could figure out

22:50

if somebody had BPC administered for

22:53

doping reasons cuz it's on the water

22:54

list now. So they could figure out if

22:56

someone had taken BPC.

22:57

>> Got it.

22:57

>> But there we don't know like we don't we

22:59

need to know the dynamics. We don't know

23:00

where it goes, how it goes,

23:01

>> and we don't know the results in terms

23:03

of what those 80 mgram enemas of BPC

23:08

did for the colitis.

23:09

>> In the phase one trial, it was just a

23:11

safety uh there was no adverse effects.

23:13

in the phase two trial was very small

23:14

like 40 patients there was at least a

23:16

positive signal on on the ulcer colitis

23:18

>> and this was done in the United States

23:20

or this was in Croatia okay so to be

23:23

quite direct on the one hand you have

23:25

groups um who I think are mostly

23:27

well-intentioned saying hey 80 millig of

23:31

BPC by way of enema did not cause any

23:35

adverse events and that's the phase one

23:38

that you described

23:39

>> if we believe their data is right

23:40

>> on the opposite side many people

23:43

especially in the United States and you

23:45

know in Northern Europe where the

23:47

regulations tend to be similarish right

23:49

as compared to elsewhere in the world

23:51

would say well yeah but that study was

23:54

in Croatia now I have many Croatian

23:57

friends that's not a knock on Croatia

23:59

why would it be that the clinical trials

24:02

in Croatia would hold less weight this

24:05

is this is a dicey area but I think it's

24:07

important because you'll hear this oh

24:09

those are Chinese peptides those are

24:11

Russian studies

24:12

Yeah. And you know, I mean to me, you

24:15

know, the question is,

24:16

>> was it good science? Was it done

24:18

carefully? Would it pass muster for a

24:20

phase one in the United States?

24:22

>> That's a good question. The groups seem

24:24

to be very robust and they do really

24:25

good randomized control, double blind

24:27

placebo control trials. I think we're

24:29

very uh United Statescentric. We view

24:31

ourselves as the premier science and we

24:33

are the premier science. So people kind

24:35

of trust that more and there may be you

24:36

know perverse incentives when it comes

24:38

to different government bodies and like

24:40

you know Soviet era research that might

24:41

be you know pro fabrication when it

24:43

comes to certain compounds that makes

24:45

people hesitant because there's a lot of

24:46

like these Soviet era compounds that are

24:48

not peptides or some of them are

24:49

peptides they're fantastic they sound

24:51

they sound amazing but when they get

24:53

tested maybe they're not as potent as

24:55

the Soviet data would suggest. I always

24:56

thought that the Russian stuff was like

24:58

the really potent stuff that they didn't

24:59

want anyone else to know about that kind

25:01

of way goes the other way, right?

25:03

>> It could go both ways. I mean, but they

25:04

were they were more interested in

25:06

performance. They wanted better

25:07

astronauts, better Olympians, better

25:09

soldiers. We care more about, you know,

25:11

a profit drug model that gets people on

25:13

a subscription for with the monthly

25:14

drug, unfortunately.

25:15

>> Sometimes it heals people, but

25:17

>> So nowadays, is BPC57 legal in the

25:21

United States? Like if if I wanted to go

25:22

online and buy BPC7, I can do it, right?

25:25

legal legally for research purposes

25:27

only.

25:27

>> I thought now under the new regulations

25:29

uh recently passed that you can get it

25:31

from a compounding pharmacy or

25:33

>> technically not just yet.

25:34

>> Okay.

25:35

>> And it depends on on medical boards to

25:36

to break it down. BBC157 never got FDA

25:38

approved, right? So it gets into these

25:40

compounding pharmacy lists. There's a

25:42

category 1, two, and three. Category one

25:44

means the FDA thinks like, hey, this is

25:45

not an approved drug, but we're okay

25:47

with you compounding this and you're

25:48

okay to to push that forward. Category

25:50

2, it's like do not compound. In late

25:52

2024, BPC57 and and like 20 other

25:55

peptides got moved to this category 2

25:57

list. Since about 2017 to 2024, people

26:00

have been prescribing BPC and these

26:01

alternative medicine anti-aging

26:03

practices. It gets removed from that

26:04

list. Of course, you know,

26:05

compoundingies reabel it as PDA, pedeka

26:09

peptide arginate,

26:10

>> but it's the same thing.

26:10

>> It's the same exact thing.

26:11

>> Really?

26:12

>> Yes. One of them will be an acetate, one

26:13

of them will be an arginate, but the PDA

26:15

is is BBC57. Because there are many many

26:18

people selling compounded

26:20

pentadcaeptide.

26:21

>> Pentecate.

26:25

That's the

26:25

>> arginate. Okay. I think the acetate one

26:28

is the one that's on the the phase the

26:30

category 2 list. Now just in April of

26:33

this year it got removed from the

26:35

category 2 list and it's not yet on the

26:37

category 1 list which would allow

26:38

physicians to prescribe it

26:40

>> through compoundingies. Now but they can

26:44

prescribe the PDA version.

26:45

>> People are prescribing PDA. Yes.

26:47

>> Now, now state medical boards view that

26:49

very differently.

26:50

>> Like I got a letter from one of the

26:51

licensed in many states. One of these

26:53

states reached out to me. It's like you

26:54

cannot prescribe not me directly to the

26:56

general public of of people in that

26:58

state you cannot prescribe non-FDA

27:00

approved peptides no matter what.

27:02

>> So there's controversy there. Even if

27:03

the FDA says okay we're okay with you

27:05

prescribing it. Is your medical board in

27:07

that state going to be okay with it? So

27:08

it's state by state by state laws.

27:10

>> What about with tellahalth? So,

27:11

somebody's on the east coast in a state

27:13

that um allows them to write a script

27:16

for let's just call it BBC cuz it's

27:19

effectively what it is or this other

27:20

thing where they kind of wriggle through

27:21

the regulation. Can they send that to

27:23

California or to Wisconsin or or

27:26

someplace else if the patient is there?

27:27

>> The tele health laws go into effect

27:29

where the patient is.

27:31

>> So, if let's say in California it's not

27:33

allowed to have BPC according to the

27:34

state board of pharmacy or whoever uh

27:36

bans that. Even if you're a New York

27:38

doctor that's licensed in California

27:40

that would be against the California

27:41

Medical Board and they would ask you if

27:42

they found out to stand in front of

27:44

them. Now, are boards cracking down on

27:45

this? Not really. There's a couple

27:47

states that are cracking down on people

27:48

and people know to avoid those states,

27:50

but it's going to be very dicey over the

27:52

next few years.

27:53

>> Okay. Couple of questions. anecdata. We

27:56

don't want to place too much on it, but

27:57

the big kind of rumor out there that

28:01

pricked up my years a few years ago was

28:04

when I heard that some athlete before

28:07

the summer Olympics, this was two summer

28:08

Olympics ago, um, from Eastern Europe,

28:11

had a complete Achilles transsection.

28:14

Not just a tear or a pull, but when we

28:16

think about nerves and tendons, we think

28:18

like complete cut the whole way through.

28:20

And the rumor was they took BPC-157

28:23

locally injected

28:25

>> for a few months and they podiummed in

28:27

the Olympics. Yep. They still got a

28:28

medal.

28:29

>> Familiar with that story.

28:29

>> That was the that was the story that

28:31

kind of got out there that I feel

28:33

>> kind of catalyzed this movement of BPC

28:35

out of these niche communities and in

28:38

started it toward the the public

28:40

awareness that leads to you sitting here

28:41

today among other things. We also you

28:43

have a lot of other knowledge but we're

28:45

restricting to BPC now. So

28:47

>> do we have verification of that story?

28:49

>> No. No, I I think that story was uh

28:52

hearsay. I don't think they wanted to

28:53

reveal what they actually did. I don't

28:55

think they only did BPC57. They'd be

28:57

stupid if they did. They should have,

28:58

you know, all the best and latest

29:00

greatest treatments, whether exome, stem

29:01

cells, other peptides, anything that

29:03

wasn't banned. And by the way, I should

29:05

say BPC57 was not on the banned

29:07

substances list at that time. It was so

29:09

unknown. Just like there are compounds

29:11

right now that athletes

29:13

>> are using and not just in the enhanced

29:15

games in preparation for the Olympics.

29:17

I'm not saying they're all doping, but

29:18

there it's it's a common practice that

29:20

athletes will forage into things that

29:22

can help them that are not yet on the

29:24

band substances list.

29:25

>> And I mean, good luck proving that BBC

29:26

was injected, you know, a week ago

29:28

>> because by the time the peptides already

29:29

gone out of your system. So, or at least

29:31

we think based on the phmicamics that we

29:33

understand now.

29:33

>> U that story was run with from the

29:37

research community. They use it as a

29:39

marketing tool to sell more BPC157

29:41

because what what happened in the in the

29:42

field is the GOP ones come online, you

29:45

know, late 2021 and 2022 with Ozek and

29:47

WGO V, they get the FDA approval for

29:49

weight loss. There's not enough of a

29:51

supply from the traditional

29:52

pharmaceutical versions of the GLP1s.

29:55

So, people start looking elsewhere to

29:56

get their weight loss drugs. I know

29:58

people that would drive down to Mexico

29:59

to pick up pens because a pharmacy in

30:00

the United States would cost, you know,

30:02

$1,500 for an Osmic pen. Pharmacy in

30:04

Mexico, 1 hour drive.

30:06

>> Same drug.

30:06

>> Same exact drug. How much relative cost?

30:08

>> 150 versus 1500.

30:10

>> Wow.

30:10

>> So 10x.

30:11

>> And this is the thing that Trump has

30:12

been, you know, very vocal about like

30:14

that we that we're getting overcharged

30:15

for drugs here.

30:16

>> We we definitely are. And the Trump RX

30:19

has lowered a lot of these prices, by

30:20

the way, for for a lot of these drugs.

30:21

Now, that time there was a shortage of

30:23

semiglutide and then eventually

30:25

zepatide. So the compound pharmacy game

30:27

shifted into making these drugs,

30:29

compounded versions. So they're not the

30:30

FDA approved versions, but when there's

30:32

a shortage of a medication, the

30:34

compounders are allowed to make these

30:36

drugs to meet the shortage. And in fact,

30:37

the FDA was reaching out to these people

30:39

telling them to do it. Like Brigham was

30:41

talking to him last week at the Hands

30:42

Games. He's like, "Yeah, the FDA told us

30:43

to make this stuff and then they're

30:44

getting us in trouble."

30:44

>> This is Brigham Beller who runs ways to

30:47

Well, and

30:48

>> he ran a pharmacy for a long time,

30:49

right? Compounding pharmacy. Yeah. We've

30:50

never actually met in person. One of the

30:51

best ones.

30:52

>> It's not an ad fories. We have no I have

30:54

no business relationship to bring.

30:56

>> So if there's a shortage, compounding

30:58

can jump in the game.

30:59

>> Yes. And they did and they jumped in

31:00

very hard

31:01

>> on the GLPs.

31:02

>> Yes. And they made a lot of money off

31:03

the GLP ones. Like this was, you know,

31:05

billions of dollars being made.

31:06

>> Were they selling them for less than

31:08

standard pharma was selling?

31:09

>> They were less than the ozic pens.

31:11

Unfortunately, what would happen is the

31:13

provider had the discretion on the

31:15

price. So all these providers also were

31:16

making a lot of money.

31:17

>> Who's the quote unquote provider? The

31:18

physician.

31:19

>> The physician or the NP or the PA.

31:21

>> Uh

31:21

>> who takes the difference?

31:22

>> The clinician, which is I don't think is

31:24

legal in most states.

31:25

>> Wait a second. Maybe not even federal.

31:26

>> Wait a second. So, let's say I wanted to

31:28

take a Wiggoi. Yes.

31:29

>> And there's a shortage. I can't get it

31:31

from who's the the big manufacturer.

31:34

Nova Norris doesn't have enough.

31:35

>> My doctor says, "Listen, you need this."

31:37

Yes.

31:37

>> And I say, "How much is it?" And they

31:39

say, "Well, 1,500 um $1,500, but it

31:43

turns out the compounding pharmacy

31:45

>> through a different doctor, a more

31:47

benevolent doctor.

31:48

>> There you go.

31:49

>> Could have prescribed it to me for I

31:51

could get for maybe $300. In the case

31:53

where I'm paying 1,500, it's going to my

31:55

physician unbeknownst to me. I don't

31:57

it's I'm cloaked from the process.

31:58

>> If you're getting the the Nova Nordisk

32:00

pen, the physician is not involved.

32:02

>> No, I'm talking about if I'm if I'm

32:03

drifted towards a a compounded version.

32:05

So the the most of the times when it

32:07

comes to compoundies, which I don't

32:08

think is is a is a good practice, the

32:10

clinician gets a price from the

32:12

pharmacy. So the pharmacy will tell you,

32:13

hey, a vial of semiglutide costs 150

32:16

bucks.

32:17

>> This clinician can now sell that vial to

32:19

the patient sell. It's really they're

32:21

charging an administrative fee, right?

32:22

Right? It's not a sale cuz technically

32:23

you can't sell medications like that.

32:25

They will sell it to you for $200 or

32:29

$800. Okay. If I want to ask my

32:32

physician,

32:34

>> how much are you getting the drug for

32:36

from because I know which pharmacy it's

32:38

going to come from. It's going to come

32:39

in a vile says like Upstate or Tailor

32:41

Made or what's Brigham's pharmacy?

32:42

>> Revive.

32:43

>> Revive. It's coming from Revive. What

32:44

are you paying for this from Revive?

32:46

>> Yep.

32:47

>> And then what are you going to charge

32:48

me? And I can assume the difference is

32:49

going to my clinician.

32:50

>> It's going to the clinician all.

32:51

>> All right. Sorry clinicians, the game is

32:53

up. Patients are now going to ask and

32:55

you have every right to ask as far as

32:57

I'm concerned.

32:57

>> Yeah, cuz what's going to happen with

32:59

the BBC and all these other peptides

33:00

moving is there's going to be teleahalth

33:02

platforms on every on every corner now

33:04

that are going to be like, "Hey, BBC

33:06

199, BBC 299," and they're going to like

33:08

check out and there's going to be a

33:09

doctor somewhere in a room that's going

33:10

to stamp the prescription, but it's just

33:11

a, you know, e-commerce. It supplements

33:13

with a with a stamp of a doctor, which

33:15

is not good medical care at all.

33:17

>> Okay. To balance this a bit, the route

33:20

that many people have gone for about a

33:22

decade now, but primarily in the last

33:24

three to five years, was to go to these

33:26

for research purposes only, what we

33:28

would call gray market. Let's just name

33:30

names because they're out of business

33:31

now anyway. They've shuttered

33:32

themselves. Peptide sciences till a few

33:35

years ago, you could go on there, you

33:37

could buy pretty much any peptide. It

33:38

would say for research purposes only,

33:41

not for animal or human use.

33:42

>> Yes. And you sign that many times. And

33:44

when you paid them, you would have to

33:47

Venmo them.

33:48

>> Yeah.

33:48

>> Or you could do it through zel. Yes.

33:50

>> But they would ask that you not send it

33:52

to a Peptide Sciences account. It was

33:54

like some random name and the names kept

33:56

changing. So everyone knew they were in

33:58

on something like this. By the way, I I

34:00

I want to be very clear. I ended up

34:02

getting these things, right? I was too

34:05

frightened to take them later. I have

34:08

taken BPC. I've tried it. I don't take

34:10

it currently, but I've I've tried it

34:12

through a compounding pharmacy. So I

34:13

just want to be very clear what that

34:14

experience was about.

34:15

>> So eventually they actually got payment

34:16

processors like the this this market

34:18

evolved with the desire. Okay, there's

34:20

maybe I'd say 5 to10 billion dollars on

34:23

gray market peptides being spent in the

34:25

United States in 2025 and that's going

34:26

to grow this year.

34:27

>> So here's my question. Standard pharma

34:30

we know goes through of all the things

34:31

we're talking about the most stringent

34:32

process. You may hate pharma folks or

34:34

whatever. That's you're right. But the

34:37

the stuff that you get that's

34:39

non-generic from Novanoris, from Eli

34:42

Liy, you can be certain based on the

34:44

product packaging that it's as clean as

34:46

it gets, as pure as it gets.

34:48

>> That's right.

34:48

>> Compoundingies are a mix. It depends on

34:50

the compounding pharmacy.

34:52

>> Do we know that gray market peptides had

34:54

problems? Because there are people out

34:56

there right now who are certainly not

34:57

physicians. people like Robert Breedlove

34:59

who's best known for like his work in

35:01

crypto who's also now like very open

35:03

about the fact that he's taken all these

35:04

peptides and anabolics and things and I

35:06

heard him online the other day saying

35:08

literally that he's tested the gray

35:11

market for research purposes only

35:12

peptides and compared them to the

35:15

compounding pharmacy versions and

35:16

they're identical. Now he's not a

35:18

physician and I don't think he's lying

35:20

but many people are taking that sort of

35:22

evidence and saying oh I'll just get it

35:24

from gray market sources. As a

35:26

physician,

35:27

what is your stance on this?

35:29

>> So, the API for all these active

35:31

pharmaceutical ingredients comes from

35:34

China. There are no such thing as

35:35

Americanmade peptides. It gets finished

35:37

here. So, the API,

35:38

>> they're all from China.

35:39

>> Everything's from China. the raw

35:40

materials

35:41

>> the raw materials like the semiglutide

35:42

you're getting from a compounding

35:43

pharmacy or a research pep peptide

35:46

website ratide included comes from China

35:50

and then gets either the the raw

35:51

material gets you know packaged here

35:54

>> raw materials or or synthesized compound

35:56

because there's a big difference between

35:57

getting like the raw materials for

35:59

something and getting the thing

36:01

>> the synthesized semiglutide

36:03

>> gets made in China it'd be very

36:04

expensive to make it here there are

36:06

people starting to look at that cuz

36:07

that's that's the next you know thing in

36:08

the in the arms race to make American

36:10

peptides, right?

36:11

>> So, they're all Chinese peptides.

36:12

>> Everything's Chinese peptides.

36:13

>> There's no uh Guatemalan peptides.

36:15

There's no

36:16

>> China is the best at it at doing it.

36:18

Now, the compoundingies

36:21

vary in grading. Some of them are really

36:22

good. They do all the testing,

36:24

sterility. They have very good quality

36:25

control. So, you get a good product, but

36:27

they usually have to compound it with

36:28

something else to get by the regulations

36:30

like they'll add in a B12 or a B6 to say

36:32

like the patient had nausea from the

36:34

traditional semiglutide. we can compound

36:36

them with B12 or B6 to get around the

36:39

nausea and that's that that's meets the

36:41

patient rule because there's two ways to

36:42

get compounded medications. Either a

36:44

shortage or there's a unique need that

36:46

the patient has.

36:47

>> Do we know that compounding with

36:48

something else actually deals with the

36:50

nausea or is that just it slight? It

36:52

might help some people.

36:53

>> Got it.

36:54

>> Anecdotally, people will say that they

36:55

respond better to the pens like the

36:57

actual pharma pens than to the compared

36:59

to the compounded stuff. The research

37:01

stuff is all over the place. Like some

37:02

of it could be better than compounded

37:04

stuff. It could be the wrong substance.

37:06

Like there's a there's a guy went viral

37:07

on Twitter a few weeks ago. He got rid

37:09

of two tide started getting darker. He's

37:11

like, I don't think I'm injecting reat.

37:13

Got it.

37:13

>> Yes. He was melan. He was injecting

37:15

melan too.

37:16

>> And folks, I realize that we're we're

37:18

going places that not even I predicted

37:20

we would go, but this is super

37:22

informative. So all of the raw materials

37:23

are coming from the same source. Yes.

37:25

Then they're getting filtered into these

37:26

different let's just call them

37:28

>> stringency bins. Standard pharma, quote

37:32

unquote big pharma being the most

37:33

stringent.

37:34

>> Yeah, some of the raw materials are

37:35

overseas, like I think Lily's opening

37:36

some China factories. Some of it's here.

37:38

>> Okay. Some are going into compoundingies

37:41

and compoundingies, I think it's fair to

37:43

say, have varying levels of stringency.

37:46

Some are going to be excellent, some are

37:47

good, some are going to be lousy.

37:48

>> That's right.

37:48

>> Fair. Okay. the quoteunquote gray market

37:51

peptides, the ones where it's

37:53

quoteunquote for research purposes only,

37:55

but I made the joke on X a few weeks

37:57

ago, like how many of you are running

37:59

experiments in your home, not on

38:00

animals. Were you doing cell culture at

38:02

home? Like, come on.

38:04

I know what's involved in doing cell

38:05

culture. You're not. No one's doing this

38:07

at home.

38:08

>> So, those presumably also come in

38:12

anywhere from excellent to dreadful.

38:14

>> Yes.

38:14

>> Um, but we don't know which are which.

38:16

Nope.

38:16

>> We don't know that.

38:18

>> And batch to batch. That's the big

38:19

problem.

38:19

>> Gotcha. Okay. So, it is risky to get re

38:22

for research purposes. I mean, like

38:23

that's the majority of way people are

38:24

consuming peptides. Unfortunately, we

38:26

should just because of the the the move

38:28

in 2024 to get these from the category

38:30

one to the category 2 list and make them

38:32

banned quote unquote. That opened up

38:35

this gray market zone. Like the gray

38:36

market existed for the last 15, 20

38:38

years. Bodybuilders would, you know,

38:40

have anecdotes about BPC157. They'd

38:42

inject it post, you know, post squats

38:43

for different injuries. Nobody really

38:45

cared about it. It was with the GLP-1s

38:47

and then the banning of the peptides

38:49

plus this, you know, anti- medicine kick

38:52

that's been happening over the last five

38:53

years

38:53

>> since the pandemic.

38:54

>> Yes. Since the pandemic that people are

38:55

like, you know what, I want to inject

38:56

this because it gives them a sense of

38:58

autonomy or they feel like their bro

39:00

recommended it. Like I said, the best

39:02

job in 2025 was to be a peptide

39:04

affiliate. Like people made my yearly

39:06

salary in in a month selling peptides

39:08

illegally on TikTok.

39:09

>> And I will say because for people that

39:11

think it's just bro science, it's also

39:13

gal science. I will tell you, I don't

39:15

even know this a term. Um, someone needs

39:17

to come up with a better term. Um, my

39:19

understanding and not from Reddit is

39:22

that more than half of the peptide

39:24

market is female.

39:26

>> Oh, that's right.

39:27

>> You know, there's this perception that

39:28

it's like, you know, only guys who like

39:30

to lift weights and want to be jacked

39:31

and, you know, jacked and tan or

39:33

whatever, they say, you know, no. No.

39:34

Especially when we start getting into

39:36

things like GHKU copper and we start

39:38

talking about things for collagen and

39:40

skin rejuvenation. There's a big peptide

39:42

market in towards women. I actually

39:44

think in the long run it's going to

39:45

exceed at least financially peptide

39:47

market in men.

39:48

>> I think it already has because like

39:50

soccer moms have become like affiliates

39:52

like like you know Amway and Herbal Life

39:53

was the big thing 20 years ago. Now

39:55

soccer moms just do peptide affiliation.

39:56

>> Where are they getting their peptides?

39:57

>> Research research grade websites. The

39:59

>> gray market. Okay. We already know that

40:01

they're not uh recommended, but what

40:03

what about black market? What what what

40:05

would be considered black market?

40:06

>> Black market is like if you bought it

40:07

directly from China like like it's very

40:09

cheap. Like a vial of BPC costs five

40:11

bucks to make. Like now someone will

40:13

sell it to you for $1.99 plus depending

40:14

on where. But black market is either

40:16

like you know your friend in China on

40:18

WhatsApp sent you a vial of BPC. Do not

40:20

do this or someone synthesize claims

40:22

they synthesize it in their bathtub.

40:24

Like just like the underground gear like

40:26

all the steroids that were in the '9s

40:28

and the 2000s. It's like, who knows what

40:29

that is.

40:30

>> What's so interesting to me is with

40:33

steroids, it went from bodybuilding

40:35

community to eventually hormone

40:38

replacement. It was like TRT or what I

40:39

call TRT plus cuz a lot of guys are

40:41

taking a lot more than that. Some are

40:42

taking less, some are most are taking

40:44

more, some are taking what they're

40:45

prescribed. And then HRT be has become

40:48

very popular in women. So now HRT is

40:50

kind of like a thing that it's not like,

40:52

oh my goodness, like so and so is taking

40:54

estrogen replacement or testo. It's not

40:55

not a big deal. Peptides is different

40:57

because it came, you know, the big

41:00

explosion in this came through the GLPs.

41:02

And I would argue, I'd love your opinion

41:03

on this, why so many people are now

41:05

peptide curious is because people

41:08

because of the GLPs are now also very

41:10

comfortable

41:12

>> injecting themselves. Like like 5 years

41:14

ago, if you're like, you're going to

41:15

inject yourself, people like, oh my god.

41:16

Then they realize it's like this little

41:17

tiny pin. It hurts less than a, you

41:19

know, Texan mosquikito bite. People are

41:20

doing it on their skin and like, you

41:22

know, and somebody's, you know, your

41:23

girlfriend or wife is doing it as if

41:24

it's nothing. And, you know, like heroin

41:26

addicts or diabetics,

41:27

>> right? You're not going introvenous. So,

41:29

that changed everything that

41:31

dstigmatized it. Now,

41:32

>> to be fair, I I want to touch on

41:35

>> the the question about adverse events.

41:37

Again,

41:37

>> y

41:37

>> we're going to spend a couple minutes

41:38

talking about some incredible things

41:40

that we've seen and heard about BPC57 in

41:42

terms of its positive effects.

41:44

>> Y

41:44

>> the concern I've always had was the

41:46

angioenesis, the growth of vasculature.

41:49

If somebody happens to have a little

41:50

tumor or what will eventually become a

41:52

tumor sitting on their liver or in their

41:54

gut or in their pancreas, in theory, it

41:56

could vascularize that tumor and cause

42:00

it to grow more quickly. Is there any

42:02

evidence that that's actually happened?

42:03

I want to be very clear. I'm not loading

42:05

this question because it sounds like I'm

42:06

kind of like leading the witness when I

42:07

say that. I want to know. Y

42:09

>> I'm not currently taking BPC57. I'm

42:11

fortunately I don't have an injury at

42:13

the moment. So that would be the only

42:14

condition which I'd take it unless you

42:15

told me there are other reasons. But I

42:17

don't want to give myself that risk

42:19

>> that risk. And I think most people don't

42:20

want to give themselves that risk. So

42:21

what is the the realistic risk based on

42:24

observations in humans or animals? Have

42:26

we ever seen tumors grow more quickly?

42:28

>> No. Like for example, most compounds if

42:30

they're, you know, carcinogenic, we will

42:32

see that signature in the animals like

42:34

you know with cardarine GW uh was a drug

42:36

that was very was very promising because

42:38

it had you know diabetic implications

42:39

for metabolism and now it's a

42:41

bodybuilder drug that they use for more

42:42

cardio. What is this?

42:44

>> Cardarine GW. Mhm. Uh you might have

42:46

seen on on the Reddits and those forums,

42:48

but people use it for I stay out of

42:49

Reddit.

42:50

>> Yeah. Good. Uh increases your cardio um

42:52

capacity. Got so banned on on the water

42:54

list of course, but it was it had

42:56

promise for treating diabetics because

42:57

it changed metabolism in the liver. It

42:59

had a signal of cancer in animal data.

43:02

So that whole thing was scrapped.

43:03

>> There's no signal from the animal

43:05

literature on BPC57 for for you know

43:08

cancers. Now that all that literature

43:10

comes from one group. So we have to be

43:12

very careful. that one creation group

43:14

that tells you that that's it's the

43:15

safest thing in the world.

43:16

>> All the animal data come from one group.

43:17

>> Almost all of it.

43:18

>> Interesting.

43:18

>> Almost all of it. Very few. Like there's

43:20

a couple of Chinese studies on on BBC57.

43:22

Now there's starting to become more

43:24

interest here. Like I think it's a phase

43:25

two trial on hamstrings happening here

43:27

in the United States.

43:28

>> Really? Yeah. Humans. Yes. Phase two.

43:30

>> Yes. Uh we talked to a group, an

43:31

orthopedic group somewhere on the East

43:32

Coast. They they wanted to do a BBC

43:34

trial. So we consulted with them to kind

43:35

of Great.

43:36

>> Yeah. So it's it's going to happen.

43:37

Especially if it moves to this category

43:39

one list and people can be prescribed

43:40

it. At least we can get like a phase 4

43:42

trial where it's being prescribed and we

43:44

can see what's happening to the people

43:45

as they're getting it

43:46

>> and we can, you know, aggregate all this

43:47

anecdata into one place ideally and

43:50

report on it. So that's something we're

43:51

working on in the in the background.

43:52

>> Is that something you personally working

43:54

on on aggregating all this all this data

43:56

together into a anyone nest study to put

43:59

it all all together because all the ane

44:01

data exists but like put it together

44:03

somewhere at least we can see what the

44:04

signals are. For example, on Reddit,

44:05

you'll find signals of hematomas getting

44:08

worse, which makes sense with the with

44:09

the VEGF pathway.

44:10

>> I've heard this. So, a friend and

44:13

physician who is, I would say, peptide

44:16

curious/positive

44:18

told me that when he takes BPC-157 for,

44:21

you know, a shoulder or knee or

44:22

whatever, that angiomas on his face, um,

44:25

the sort of spiderweb angiomas, not the

44:27

formal term, forgive me, derms, but, um,

44:29

get worse. That's his his personal

44:31

observation. I think a lot of people

44:33

don't want that. It makes sense though

44:34

if it's promoting angioenesis

44:35

>> based on the the mechanism it does make

44:37

sense. Now BBC157 is not a uniform

44:39

androgenis um upregulator. In some

44:42

models it decreases vef in a melanoma

44:45

model a cell line.

44:46

>> So it might be potentially anti-cancer

44:48

but we need to test it.

44:49

>> We don't know and which is what's really

44:50

unfortunate about this compound. It's

44:52

very promising. It has all this cool

44:53

literature in animals and we just don't

44:56

know when it comes to the one.

44:58

>> Yeah. Yeah. Exactly. And and we'd love

45:00

to know because like if it does work

45:02

like I could see a million use cases in

45:03

the ICU that we could use, you know,

45:05

BBC157 to really help people out

45:06

especially during the critical illness

45:08

because like in ICU people get gastric

45:10

ulcers. Like if if we knew that it would

45:12

work, I would love to give them an

45:13

infusion of BBC157 and that's the future

45:15

I could see happening. But we need data.

45:17

As many of you know, I've been taking

45:19

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45:22

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45:24

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45:26

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45:29

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45:30

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46:20

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to get a week supply of AGZ and a bottle

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of D3K2 with your subscription. When is

47:02

there going to be a formal randomized

47:04

control trial on BPC and who holds the

47:06

patent?

47:07

>> There's multiple patents on BPC 157

47:09

depending on which salt they're in. The

47:11

patent has been passed around a couple

47:13

of times to through different places.

47:14

Unfortunately, the company that had the

47:16

patent under the pled got acquired by

47:19

TAVA. TA is this generic pharmaceutical

47:22

company and they don't they make, you

47:23

know, Aderall. So, they they have

47:24

they're making tons of money making

47:25

Aderal. They don't really care about

47:26

PPC157. So, they have one of the

47:28

patents. The other patent expires in

47:30

like 10 years. I think Cric still has

47:31

it. Dr. Crick is is the guy behind

47:33

BBC157. He's

47:34

>> he's in Croatia.

47:35

>> He's in Croatia. Yeah.

47:36

>> Would Tava um sell the patent?

47:38

>> I'm sure they would if someone made an

47:39

offer. The the problem is I don't I

47:41

don't see the purpose of even having the

47:42

patent because you can add on one chain

47:44

to the amino acid. This is the problem

47:45

with with peptides. This is what Luli

47:47

Eli Liy is coming into when it comes to

47:50

making rea is that patent laws for

47:52

peptides kind of suck because you can

47:53

add on one amino acid. You can modify

47:55

one thing on it and suddenly it's a

47:56

different compound.

47:57

>> This is true for other pharmaceuticals.

47:59

Like I'm familiar with some of the

48:00

ketamine and ibeane trials and there's a

48:03

company that took ibagane and basically

48:05

added a magnesium component to it and

48:07

you can make that a completely new drug.

48:09

I'm not saying that doesn't work. I

48:10

think they have a good rationale for

48:11

doing that. But so this game of sort of

48:14

protecting patents rough and plus

48:16

millions of people have already used

48:17

BPC157 through research use only

48:20

websites. So I think millions is fair.

48:23

But now how do you reel that back? Like

48:25

it's already the cat's out of the bag.

48:27

So like there's no financial incentive

48:28

to run the giant study

48:30

>> unless like we we crowdfund it as as you

48:32

know peptide curious people

48:34

>> within the category of um interesting uh

48:37

anecdotal data. Y

48:39

>> and in your role as a physician, I

48:40

realize you're not suggesting these

48:42

things, but you you have a different

48:43

picture of this stuff at the level of

48:45

mechanism and you're a clinician that

48:46

works with, you know, truly FDA approved

48:49

drugs and you're you're I want you to

48:51

share with folks. I said it in the

48:53

introduction, but internal medicine

48:54

means that you spend your days what

48:56

>> I'm on the on the wards of the hospital

48:58

admitting patients from the ER to the

48:59

floor to the ICU, managing very complex

49:01

disease ranging from, you know, a simple

49:03

pneumonia to a coronary artery bypass

49:06

patient. So, yeah,

49:07

>> that whole spectrum.

49:07

>> Okay. So that lens applied to this as

49:10

much as one can would you say that like

49:13

of the the reports that you've heard

49:15

directly from people you trust and from

49:17

people that who are not incentivized to

49:19

say these things like oh you know it

49:21

made me happier you know their skin

49:23

looked better all the things that one

49:25

can find in it with an affiliate code

49:26

attached to it of those what do you

49:29

think are the most interesting

49:32

potentially valid claims

49:36

and I asked that because If we were

49:38

going to fund a clinical trial, we need

49:40

to pick an end point or a couple of end

49:42

points. Is it going to be recovery from

49:43

injury? If so, what kinds of injuries?

49:45

Is it going to be the gastric stuff? Is

49:47

it mood interaction with dopamine

49:48

receptors? I mean, I've heard so many

49:50

different things. If we had a chunk of

49:51

money and we're going to we're going to

49:52

design a study and have someone else do

49:54

it so it's truly independent. Like what

49:56

are the top three to five outcomes that

49:58

you've heard that you have a good

50:00

feeling there's quote unquote something

50:01

there?

50:02

>> Yep.

50:02

>> And then we narrow it down to maybe one

50:04

or two for sake of the study. What What

50:05

are those five? I would say to complete

50:08

the phase one, phase two on the ulcer of

50:09

colitis, do that phase three trial on

50:11

proven that it has benefits for

50:12

ulcerative colitis. And I don't think we

50:14

need to use enema. We could probably

50:15

have an encapsulated version that

50:16

releases deeper into the intestines.

50:18

>> So fix the gut, fix the ulcered gut.

50:21

>> Yes. In conjunction with that, you could

50:22

do a trial on like, you know, gird.

50:24

That's a simple condition. A lot of

50:25

people have it randomized to BPC157 oral

50:29

capsules versus pentopresol.

50:31

>> Okay. And you're basing this on the fact

50:32

that you've seen and heard that people

50:33

who have gird get better, feel better

50:36

when they take it. Okay. And it could be

50:37

placebo.

50:38

>> Yes. I mean, anecdotally, when when I

50:40

travel, I I have a bottle of BPC orally.

50:42

>> Why is that?

50:43

>> I don't get, you know, travelers

50:45

diarrhea or or, you know,

50:47

>> when I, you know, eat exotic foods on in

50:48

random places. My friends all get sick

50:50

and I I happen not to. Anecdote, right?

50:52

But that's interesting. There seems to

50:53

be some kind of gut protective effect.

50:55

And that's what they noticed in the the

50:56

mice literature. they would have an

50:58

offending agent into the gut and they'd

50:59

notice that there would be protection

51:01

deeper down in the in the gastric tract

51:03

from that offending agent because if you

51:04

think about it the gut is the most

51:05

vulnerable part of the body like it's

51:07

open to the outside world it's a tube

51:09

that runs through you can eat something

51:10

and it could completely destroy you so

51:12

you have to have some kind of mechanisms

51:13

the prostaglandins uh the you know all

51:15

these different hormones that are made

51:17

potentially BPC17 is part of this robust

51:19

armory that the gut has to protect

51:20

itself from further injuries. Mhm. What

51:23

are some things outside the gut or

51:25

indirect from the gut that are also

51:27

compelling?

51:28

>> So, I would love to see some

51:29

neuroscychiatric um BBC studies when it

51:32

comes to um addictions. There's enough

51:34

anecdot about people talking about

51:36

addictions and and like hey I don't need

51:37

to crave insert drug here not

51:39

recommending that anyone tries that out

51:40

but for alcohol or whatever it may be.

51:42

Do you think that is likely due to the

51:45

we're speculating but likely due to a um

51:49

interference with the reinforcing

51:50

properties just like earlier you said

51:52

people are getting less drunk so people

51:53

are getting less high becomes less

51:55

reinforcing or is it somehow touching

51:57

the craving mechanisms themselves?

51:59

>> It's probably touching the craving

52:00

mechanism through the gutb brain access

52:01

because I don't think it's going

52:02

systemic either. I think it's it's

52:04

locally in the gut shutting down the

52:06

neurons from from from if you think

52:07

about it if BBC is what they claim it is

52:09

right and that's a big if that if you

52:11

have a noxious agent going into your gut

52:14

your body has to have a mechanism to

52:16

lock down you know protect your your

52:17

vital organs right so is BPC part of

52:19

this giant transduction pathway to

52:21

protect your vital organs your brain

52:22

your heart your kidneys from further

52:24

damage we had uh Dr. Diego Borquez, I

52:26

can never pronounce his last name,

52:27

forgive me, Diego, who's out at Duke,

52:29

who's really the world expert on these

52:30

neuropod cells in the gut that signal

52:32

through the noto's gangling up the Vegas

52:34

noto's ganglion to either promote or

52:36

suppress release of dopamine to make you

52:38

either approach or avoid certain foods.

52:40

Very, very interesting. I would be more

52:43

than happy to

52:44

>> encourage his lab, even if get funds for

52:47

his lab, to do something on this. What

52:49

are some other categories of interesting

52:51

effects that deserve

52:53

>> careful study?

52:54

>> Yep. So we need to see what BBC does on

52:56

the muscular skeletal system. Like

52:57

that's what the hype is. That's where

52:58

everybody's is is going. So as I look

53:00

through like what model I would look

53:02

for, you want something that's not very

53:05

vascularized but could be improved if

53:07

the blood flow was good like a tendon

53:10

injury. So perhaps you know a bicep

53:12

tricep tendon type of uh postsurgical

53:15

outcome. So like you get your bicep

53:16

tendon um torn, you get a repair, you

53:18

get BBC either inoperatively or

53:20

postoperatively and you see if if that

53:23

person heals faster because idea is not

53:25

to use BBC. It's not going to magically

53:26

reattach an ACL that's torn, right? But

53:29

can it further accelerate the healing

53:31

from an ACL surgery so you come back in

53:33

6 months rather than 12 months? That's

53:34

the big question

53:36

>> and that's what like a lot of athletes

53:37

are are using BBC157 for that use.

53:39

>> Has ever anyone ever done the one limb

53:42

versus opposite limb control experiment?

53:43

I mean I know that people take it orally

53:45

or inject it systemically like under the

53:47

skin or into the muscle goes

53:48

systemically in the bloodstream if you

53:49

apply it that way. Um if you can get to

53:52

the injury site sometimes people will

53:53

inject locally

53:55

>> but it seems that the challenge is that

53:58

let's say you have you know uh you know

53:59

tendonitis in one elbow and tendonitis

54:01

in the other elbow you could inject into

54:03

your left elbow not and not your right

54:05

but there's going to be systemic

54:06

transfer so it's hard to do that

54:08

internal control experiment. Yeah, I

54:09

know. I've had I've used BBC for one

54:11

injury and I've had results on a

54:13

different injury.

54:14

>> Positive results.

54:14

>> I had positive results. I'm like, "Oh,

54:16

interesting that like that that my

54:17

shoulder feels better even though I was

54:18

doing it from my elbow or whatever it

54:19

may be." This would be a good time for

54:20

us to, you know, bracket what we're

54:23

about to say by saying this is purely

54:24

anecdotal, but filtered through I

54:27

consider myself a skeptic on many, many

54:29

things, especially things I would put

54:30

into my body. I'll tell a a story.

54:32

What's your favorite personal BPC story

54:35

involving you and your body? Yeah,

54:38

>> I tore my tricep a few months ago. Tore.

54:40

Yeah, tore triceps lifting with people I

54:42

should have been lifting with. They're

54:43

much stronger than I was. Purple from

54:44

here to here.

54:46

>> Like the pictures I posted on on X. It's

54:48

it's brutal. I'm like, I'm going to have

54:49

to have surgery. This sucks. I I don't

54:51

have time to have surgery cuz you're

54:53

you're in a brace for like 3 months. And

54:54

I put BBC in locally. Don't try this at

54:57

home. Not medical advice, but locally in

54:59

the tissue spot with a couple of other

55:00

peptides. And within 3 weeks, my my PT

55:03

is like, "What the hell are you doing?

55:04

Like, this is healing so fast." Would I

55:06

have healed that fast anyways? I don't

55:08

know. But that's typically a grade two

55:10

tricep tear with with purple arm from

55:12

from top to bottom. It wasn't grade

55:13

three. Uh cuz I could still extend my my

55:15

elbow. That's usually a 3-month

55:17

recovery. And to be back in 3 to 4 weeks

55:19

was was fantastic for me, which is why

55:21

I'm so excited.

55:22

>> What dosage were you injecting?

55:23

>> Uh a larger dose than people would uh

55:26

>> not micrograms. No,

55:27

>> you were up in the grams.

55:28

>> Yeah. Yeah. A lot higher. I I think um

55:31

personally and in some of our our our

55:32

people, we've used bigger dosages. I

55:34

think that's the problem. the low

55:35

dosages even though that translates well

55:38

from the mice data for humans I think

55:40

the dose is way higher

55:41

>> but people just go based on the dosage

55:43

that would fit in the pile through a you

55:45

know peptide sciences website rather

55:46

than what actually we don't know what

55:47

what the human dose is for BBC157 so

55:50

there's a lot of work to do just to

55:52

figure that out like when we spoke to

55:53

the to the orthopedic group like yeah

55:54

we're going to start with you know 250

55:55

micrograms I'm like I don't know if

55:57

you're going to see an effect at that

55:58

low of a dose you might need to to raise

56:00

it up like that that's what people do

56:01

online

56:02

>> I'm like yeah but that's just because

56:03

someone's peptide website says to do

56:05

that. There's no data there, but you

56:07

know, tricep was back to normal.

56:09

>> Amazing.

56:09

>> That was a an interesting BPC case. I'

56:12

I've seen other injuries where BBC

56:13

didn't really help

56:14

>> much. I can't match your story. That's

56:16

that's a a bigger result. I can just say

56:19

that I had a bad trap neck pull where I

56:21

couldn't turn my head and I was like,

56:23

"Oh, one of those." and you know had

56:24

some BPC so it was only I think only 200

56:27

micrograms and just pinned it right into

56:29

the that's street talk for injected um

56:32

right into the kind of like upper

56:35

trapish area 2 days later completely

56:37

gone of course

56:39

>> I don't know what would have happened

56:40

had I just waited

56:41

>> but it seemed um eerily fast and then I

56:44

stopped taking it y

56:45

>> so this is a guy that you know and and

56:47

by the way that was um not gray market

56:49

it was obtained through a doctor's

56:50

prescription from a compounding pharmacy

56:52

labeled BPC1 57 not PDA PDA okay those

56:56

are anecdotes I've also read just to be

56:58

fair we should balance this out

57:00

certainly on X you know people can say

57:01

anything they want people saying oh you

57:02

know I didn't feel well I stopped taking

57:04

it okay could be due to what it was

57:07

dissolved in could be due to their own

57:10

unique you know response could be due to

57:12

bad sourcing you know contamination so

57:15

we don't know but not everyone has a

57:16

great result and some people have no

57:18

result right but many many people report

57:20

what can only be described as pretty

57:22

astonishing ing positive results

57:25

>> that cannot be directly ascribed to the

57:27

BPC because of the placebo effect etc.

57:29

And I'm not saying that to protect

57:30

myself. I'm saying that so that people

57:31

can couch this in that like how we got

57:34

here y

57:35

>> is because of stories like this.

57:36

>> Well, there's two possibilities. Either

57:37

BBC is as amazing as we think it is and

57:39

it's unfortunate that millions of people

57:41

don't have access to it

57:43

>> or BBC is actually either ineffective or

57:46

harmful to people and millions of people

57:47

are injecting it right now by buying it

57:49

through online sources. Both cases are

57:51

very bad endpoints. one's worse than the

57:53

other. You can argue which one, but

57:55

that's why we need this data. We need

57:56

people to push this forward to figure

57:57

this out because we don't want these end

57:59

points because if if in 20 years we find

58:00

out BPC is as good as, you know, Secrets

58:03

Lab says it is, then man, people are

58:05

pissed off all the, you know, joint

58:07

replacements and injuries didn't heal

58:09

and all the athletes that maybe could

58:10

have had a longer career, that would be

58:12

very unfortunate. But if it's the

58:13

opposite and like, you know, every

58:14

18-year-old kid in the in the gym will

58:15

come up to me and like, I'm going to

58:16

inject inject BPC. Like, where do you

58:17

get it from?

58:18

>> I'm like, dude, you're 18. you have all

58:20

the peptides you need in you like the

58:22

parabiosis studies that these are young

58:24

animals like you actually take your

58:25

blood and

58:27

>> we had Tony Weiss Corey on the podcast

58:28

that was you know young blood is rich

58:30

with these things and no we're not

58:31

talking about harvesting blood from

58:33

babies check out the Tony Weiss Corey

58:35

episode we'll provide a link

58:37

>> I mean what you just said about young

58:39

guys coming up to you in the gym and

58:40

saying should I be taking or I'm already

58:42

taking BBC is you know we could have a

58:44

whole other conversation maybe another

58:45

time we will talk about testosterone and

58:47

synthetics and things like that I see a

58:48

lot of young guys taking everyone.

58:50

>> I don't know if it's everyone. I don't

58:51

know if it's everyone. I see a lot of

58:54

many many people are taking testosterone

58:56

exogenously who truly don't need it and

59:00

potentially permanently shutting down

59:01

their fertility or causing other issues.

59:03

>> With the looks maxing trend, too,

59:04

>> with the looks maxing trend, you know,

59:06

they're walking around with hammers,

59:07

sledging on their face, this kind of

59:08

thing. You know, I'm sure when I was in

59:11

my 20s, you know, people in their 50s

59:13

were probably like, "What are these kids

59:14

doing?" You know, and it wasn't in

59:16

anything like this, but who knows? It

59:18

was like baggy pants and like you know

59:20

and like there was weird stuff going on

59:21

like hacky sacks and stuff. So not me,

59:23

not me. But I'm confident that thanks to

59:26

you we've framed the history of this

59:28

which by the way is fascinating

59:29

>> and kind of where we are now very very

59:32

well. So thank you. Thank you. Thank

59:34

you. Thank you.

59:35

>> I have two questions. Um well one

59:37

comment and one question. The comment is

59:38

I think there's a third category of

59:41

problematic outcome. One you said is

59:43

this thing works spectacularly well for

59:45

a number of important problems to solve

59:47

important problems and we don't find out

59:49

about it because it wasn't looked at

59:50

carefully. The other is it's

59:51

detrimental. There's the other one which

59:54

is we start hearing about adverse events

59:56

y

59:57

>> and it goes kind of the way of the dodo

59:59

or it kind of drifts back into who you

60:02

know and is it the good stuff or not the

60:04

good stuff because we don't actually

60:06

know whether or not the the adverse

60:08

outcome was due to BPC itself to misuse

60:11

of BPC

60:12

>> or to like you know like the factors

60:14

that it's it's dissolved in or something

60:16

like that and I think that's the most

60:18

likely outcome unless we get our arms

60:20

around this and that's where you could

60:22

say like the hormone replacement therapy

60:24

field has actually enjoyed the fact that

60:25

if a woman decides she's going to take

60:27

progesterone or estrogen replacement

60:28

therapy permenopausal or or menopausal

60:31

or something for PCOS or whatever that

60:33

wouldn't be what to take for PCOS but

60:34

you get the idea or a guy decides in his

60:37

you know 40s or 50s or whatever it is

60:39

okay he's going to go on TRT he can do

60:41

it carefully she can do it carefully

60:43

>> and knows what adverse outcomes to look

60:46

for no one's thinking oh my god the

60:47

sesame oil that's dissolved in is

60:50

possibly causing these problems

60:51

>> well some people will will be very

60:53

particular on which oil their

60:55

testosterone comes in.

60:56

>> That's in the gym community. Yeah. Yeah.

60:57

Totally with you. And where to inject

60:58

and so forth. But that aside, my concern

61:01

is that it is kind of wild westish.

61:04

>> Yes, it is.

61:05

>> And I'm not so concerned I'll get in

61:07

trouble for this, but whatever.

61:08

>> I'm not so concerned that these actual

61:10

compounds are necessarily harming

61:12

people. I worry that the way they're

61:13

arriving to people is harming them, and

61:16

we're going to miss out on that first

61:18

possibility that these are very useful.

61:19

And of course, I don't want anyone

61:21

getting hurt.

61:22

>> So, here comes the question. As a

61:24

physician, I realize that you are more

61:26

than peptide curious. You're very

61:27

peptide friendly in your own life. You

61:29

know, if you have a patient who has, you

61:33

know, just their gut is a mess or

61:35

they're dealing with, you know,

61:36

postsurgical issues and you know that

61:39

BPC from the right source is either

61:42

going to be benign or could potentially

61:45

help them. What kind of position does

61:47

that put you in? Yep.

61:48

>> As an American board-certified

61:50

physician,

61:50

>> very uncomfortable position because if

61:52

I'm, you know, rounding on a patient in

61:54

the wards of a hospital and like, hey,

61:56

you should take BPC instead of your

61:57

pentopol, I'll probably get my license

61:59

revoked. So, not a good idea. Don't do

62:00

that.

62:01

>> What about in addition to

62:02

>> in addition to so like if they come see

62:03

me in clinic, that might be a place

62:05

where we can have that discussion. We're

62:06

going to see very shortly here what the

62:08

FDA is going to tell us about BPC and

62:10

all these other peptides and the

62:11

legality of them. if they get moved to

62:14

the category one list and then the

62:15

states say like hey the FDA said so

62:17

we're not going to look we're not going

62:18

to care about this you can do what you

62:19

want to do as a physician and you

62:21

counsel the patient like you have an

62:22

honest discussion with the patient I

62:24

think that's what it should be it should

62:24

be between the physician and the patient

62:26

like hey there's this promising compound

62:28

it's not FDA approved we have minimal to

62:30

no human data but we have anecdata are

62:34

you willing to try this on yourself and

62:37

we'll monitor you we'll have clear

62:39

endpoints for that should be what this

62:41

looks like frank discussion between a

62:43

physician and a patient. Now, if that

62:45

patient has an adverse effect, they can

62:46

go to a medical board and say like,

62:47

"Hey, Dr. so and so gave me BP157 and I

62:50

had a bad effect and I would be like,

62:52

"Hey, you gave them a non-FDA approved

62:53

compound." A for injectable. B, the

62:56

problem is there's orals that are being

62:58

sold as supplements now, like BBC 57 as

63:00

an oral available supplement because

63:02

it's not a medication. It's never been

63:04

uh approved as a medication in the

63:05

United States. So, what is BBC's legal

63:08

status? Is it dietary available?

63:10

Therefore, cuz if you, you know, cut up

63:12

an animal and ate its stomach, you'd

63:14

probably get some BBC in.

63:15

>> Well, I can buy desicated liver t.

63:17

>> I'm eating livers.

63:18

>> There there's tons of

63:18

>> You can go buy liver at the this like

63:20

one Michelin star restaurant, not down

63:22

this road, but a different road. Yeah.

63:24

>> Yeah. I mean, like Dr. Cavson identified

63:25

many peptides in livers like ligen

63:27

ovagen that you'd find in your

63:28

desiccated liver supplement that you're

63:29

eat. It's like the the biggest

63:30

distributors of peptides have been these

63:32

organ meat companies because each organ

63:34

has a signature peptide that comes out

63:36

of it.

63:36

>> Do they get absorbed?

63:37

>> Yes.

63:38

>> Are they bioavailable active?

63:39

>> Dr. Dr. Cavins's work suggests that it

63:41

is. Dr. Vladimir McCavson is this

63:43

Russian Soviet scientist that gives us

63:45

epital and thyolin and pinealon and all

63:48

these Russian peptides. Die and

63:49

tripeptides can be orally available if

63:52

they're the right shape and size.

63:54

>> They're not very well uh available, but

63:56

they can be available. So, you won't

63:57

necessarily get it from the organ uh

64:00

isolate or from the or eating the organ

64:02

like like if you eat heart probably very

64:05

rich in lcarnitine. Can my body make

64:07

good use of that? I mean, there's

64:09

cardiogen, which is one of the the heart

64:10

peptides that that was scantly studied

64:13

uh in the late 2000s that may be orally

64:14

bioavailable. The problem is no one's

64:16

doing the work to figure that out. You

64:17

painted this picture where not you

64:20

perhaps, but let's just say um another

64:22

physician has the awareness that BPC57

64:26

might be useful to a patient of theirs

64:27

that's dealing with a they had like an

64:29

ACL tear. They're not recovering very

64:32

quickly. Doctor says, "Listen, you're

64:34

doing everything correctly. there's this

64:36

new category of stuff. We don't have a

64:39

lot of data on it. I'm not aware that

64:41

there are any severe risks, but they

64:42

they could be there. So, if you're

64:43

willing to embrace those unknowns, you

64:46

could take x number of micrograms or

64:48

milligrams per day for 2 weeks and see

64:50

how you feel. Patient says, "Okay, I'm

64:52

willing to do that." The physician says,

64:55

"Okay, you want to make sure that it's

64:57

real and you want to make sure that it's

64:58

clean, there's not no contaminants." Y

65:00

>> if that physician says, you know, I can

65:03

write you a script for it and this

65:05

compounding pharmacy will send it to you

65:08

and they're making money on it. A lot of

65:10

people, well, the moment they hear that,

65:12

they think, oh, well, they're totally

65:13

incentivized to do this cuz they're

65:14

going to get a cut. But if we go back to

65:16

the original pharma model, it is a

65:19

little bit of a different situation,

65:21

right? Because let's say Lily charges

65:24

$1,500 for a pen of some sort of GLP.

65:27

the physician who prescribes that are

65:29

they getting a cut of that 1500?

65:31

>> They don't. They don't.

65:32

>> But there are kickbacks and, you know,

65:33

pharmaceutical incentives and pharma

65:35

deals. Those are real.

65:36

>> It's flights to Hawaii for a conference.

65:38

>> Really? So, there are real incentives

65:39

even though they're not getting paid

65:41

directly.

65:41

>> Yeah. There's there's always incentives

65:42

in in any kind of business, especially a

65:45

business as big as pharmaceutical.

65:46

>> Well, physicians are already getting

65:47

paid. So, I'm not saying that. I mean,

65:48

these are these are peripheral

65:50

incentives. Well, the the farmers also

65:51

lobby a lot of the medical schools and

65:53

they, you know, got there's a lot.

65:54

>> So, there's a relationship there, but

65:55

it's not cold hard cash.

65:56

>> Sorry, as direct as the compound,

65:58

>> but in a compounding pharmacy now, this

65:59

physician, hypothetical physician, could

66:01

say, "Hey, you know what? You can get it

66:02

from this compounding pharmacy and it's

66:04

going to be 500 bucks." The patient,

66:06

we've now established because they've

66:07

heard this podcast, has a right to say,

66:08

"What are you paying for it versus what

66:10

you're charging me?" They might lie.

66:11

They might tell you the truth. Or the

66:13

physician could say, "You know what? I'm

66:14

not making a dime on this. It's just I

66:16

think it might be useful to you." that

66:17

physician is protected or not protected

66:20

if something negative happens to the

66:21

patient. Something happens to they is

66:23

somebody suing a compounding pharmacy or

66:24

they're suing their physician.

66:25

>> They're suing all three. They're suing

66:26

the physician, the compounded pharmacy

66:28

and and anyone who recommended it. So

66:29

>> that's pretty scary.

66:30

>> No malpractice provider is going to give

66:32

you coverage for peptides, especially

66:34

non FDA approved peptides unless

66:36

there's, you know, high risk malpractice

66:37

providers that that will cover you for

66:38

that. Let's say somebody gets hurt

66:40

taking uh one of the prescribed pharma

66:43

GLPS and they they're pissed and they

66:45

and they sue they sue their doctor or

66:46

they sue the pharma company depending on

66:48

who who had the liability. So if the

66:50

doctor didn't warn you that you know

66:51

injecting 10 times a dose might cause

66:53

pancreatitis and you had pancreatitis

66:54

they can claim the doctor is at fault.

66:56

If someone has deep pockets they can go

66:57

at Lily and say like hey Lily you didn't

66:59

disclose this risk. I think now people

67:01

thanks to you are armed with enough

67:03

information to be able to make really

67:05

good decisions about whether or not to

67:07

say eh waiting for those clinical trial

67:09

results or I'll stick my toe in the pond

67:12

or I'm going to continue to learn more

67:14

but I'm going to now learn more thanks

67:15

to you genuinely with a lot more

67:18

understanding about how this stuff flows

67:22

from website or from doctor to patient.

67:25

>> Let's talk about pinealon.

67:27

>> Yeah,

67:27

>> pinealon is one that most people

67:29

probably haven't heard of. Mhm.

67:30

>> I'll just go on record saying I've tried

67:32

it a few times or more. I don't take it

67:34

regularly, but I tried it before sleep.

67:36

Yep.

67:36

>> If I take it at the beginning of the

67:38

night, it reduces my deep slowwave sleep

67:41

and gives me far more REM across the

67:43

night. Not a great situation.

67:45

>> Y

67:46

>> great situation is if I go to sleep, get

67:48

my usual ration of deep sleep. If I

67:50

happen to wake up in the middle of the

67:52

night to use the restroom once or so,

67:54

not uncommon, if I do a very small

67:56

injection of pinealon at that point, the

67:59

one and a half hours of REM that I would

68:01

get in the final hours of my sleep, now

68:03

I'm getting 3 hours in the same amount

68:05

of sleep. It's just a higher fraction of

68:07

REM. Y

68:08

>> sometimes wake up feeling a little

68:09

groggy, but it is a whole other life to

68:13

get that much REM. I don't do it

68:14

regularly. It's not, you know, I would

68:16

say maybe three times a month, but

68:18

here's the interesting thing. It

68:19

improves my percentage of REM on all the

68:23

other nights in between those three

68:25

injections.

68:26

>> So I'm coming clean here.

68:27

>> Lingering effects.

68:28

>> Very cool. You're interested in

68:30

pinealone for a whole other set of

68:31

reasons. But first of all, what is

68:32

pinealone and where does it act? Does it

68:34

have a known receptor?

68:35

>> No known receptor. So pinealon is a

68:36

tripeptide edr discovered by the

68:39

mentioned of Dr. Vladimir Cavinson. He's

68:41

a Soviet researcher that comes out of

68:43

this Soviet era research to make

68:46

soldiers, astronauts, and pilots uh

68:49

better. There's concern that the US

68:50

might be using lasers to to shoot at

68:52

soldiers. So, the Soviet Union um tasks

68:55

him with identifying peptides to defend

68:57

soldiers, their eyes, and then they're

68:59

aging because what would happen is

69:01

they'd be in a submarine for a few

69:02

months, there'd be a nuclear sub, and

69:04

they'd they'd come back to shore and

69:06

they'd be like, you know, these

69:07

submariners, let's call them, would look

69:09

10, 20 years older. also happens to

69:10

astronauts.

69:11

>> Yes. So then the same the same thing as

69:13

astronauts are coming back they're

69:14

they're aged. So Vladimir Cavson is

69:16

looking at this and he's like hey

69:16

there's there's got to be a solution for

69:18

this. There's been literature about

69:20

using extracts of other tissues notably

69:23

the pineal gland and the thymus from you

69:26

know late 1800s till this this 1970s uh

69:29

point that we're you know starting our

69:31

story. And he starts grounding up these

69:34

um extracts and injecting it into these

69:36

people and then undoing a lot of this

69:37

aging effects through pineal extracts

69:40

and thymus extracts because these what

69:42

do these soldiers have? They had very

69:44

bad circadian rhythmicity. So they they

69:46

can't couldn't sleep properly. They had

69:47

terrible immunity. They'd get sick

69:49

often. They'd be uh have autoimmune

69:51

problems. All these conditions that come

69:53

with it. And then they were able to undo

69:55

this using these organ extracts. So

69:57

Vladimir Cavson takes it a step further.

70:00

He looks like, hey, what's causing this

70:01

effect in these in these tissues? Like

70:03

people have been injecting pineal glands

70:05

in different research models or taking

70:06

out pineal glands from rats from the

70:08

1800s onwards. He finds peptides in

70:10

these extracts. He's like, "Huh, I

70:12

wonder if these effects are from the

70:14

peptides, not from this the gland

70:15

itself." So then he sequences from the

70:18

pineal gland epialon and from the thymus

70:22

gland a couple different peptides vyon

70:24

thyogen cristaggen that you'll be

70:26

hearing about in the next few years that

70:28

on their own do a lot of the effects

70:29

that the whole extract would would do.

70:31

Now you're talking about epialon but

70:33

pinealon and epon

70:34

>> is not from the pineal gland

70:35

>> is not from the pineal gland

70:36

>> even though everyone

70:38

>> no I think it's called that because

70:39

there's there's as far as I understand

70:40

please correct me if I'm wrong there are

70:42

animal data suggesting that pinealon can

70:45

help either regenerate or enhance the

70:48

the general functioning of pinealytes.

70:50

So it's having an effect on the pineal

70:52

when cult like you take cultured pineal

70:53

glands like little PI gland you put it

70:55

in a dish and you dissociate the cells

70:57

or keep it you know as a little P-siz

70:58

thing and then you give it pinealon and

71:00

seems to improve the timing and perhaps

71:03

even the amount of melatonin output from

71:05

the pineal these kinds of

71:06

>> epialon does that so that's a big

71:08

confusion I don't know why he named them

71:10

the way he named them if anyone knows

71:11

please let us know but epalon is from

71:13

the pineal gland pinealon comes from a

71:16

groundup brain extract called cortexin

71:19

>> and brain has a pineal in it.

71:21

>> Yeah. But it was the cortex

71:22

specifically, not not the subcortical

71:24

regions. So he specifically not the

71:26

subcortical regions. So flavon

71:29

identifies he makes a drug in Russia.

71:30

It's called epialamine which is the

71:32

pineal gland extract and had great

71:33

effect on circadian rhythmicity and it's

71:36

rich with melatonin basically giving

71:38

people melatonin

71:39

>> but also you up with enzyme that creates

71:41

melatonin from from serotonin to an

71:42

acetyl serotonin to melatonin. So like

71:44

um when he gave it to young monkeys, the

71:47

monkeys had no effect, but he gave it to

71:49

age monkeys that have decreased

71:50

melatonin and you know from puberty

71:52

onwards your melatonin levels

71:53

dramatically decrease. He was able to

71:55

restore melatonin production in these

71:57

aged animals and eventually replicated

71:58

it on humans.

71:59

>> I want to talk about thymus because it's

72:01

fascinating and you are truly aversed in

72:04

this. But before we do that,

72:06

>> so pineal comes from the cortex, not the

72:08

pineal. That's annoying.

72:10

>> Yes, very annoying.

72:10

>> Um maybe we just rename it today. I'll

72:12

let you do the renaming. We'll call it

72:13

EDR.

72:14

>> EDR.

72:15

>> That's the three amino acid sequence.

72:16

>> Great. We'll call it EDR so people don't

72:18

get confused. What are some of the known

72:20

effects? Or am I just imagining this REM

72:22

increase? Because I can't change what's

72:25

happening to me during sleep. Y that

72:27

would be an amazing placebo effect. And

72:29

the reason I say amazing is there are

72:31

many things that one can do to improve

72:33

the amount of slowwave deep sleep. Not

72:35

eating too close to bedtime, doing some

72:36

exercise early in the day, etc., etc.

72:38

very hard to increase REM except by

72:40

heating your sleep environment in the

72:42

last third of your night and maybe some

72:44

alpha GPC in the late day can bump it up

72:47

a bit or you can REM deprive yourself or

72:49

you can smoke cannabis for 10 years then

72:51

quit and then you'll get a lot of REM

72:52

because you got no REM for 10 years do

72:53

not recommend that protocol but

72:56

>> for me it was just striking so why would

72:58

EDR

72:59

>> tripeptide with no receptor

73:00

>> right previously called pinealon but

73:03

from here uh here forward EDR why would

73:06

that have this effect on on REM sleep.

73:09

>> Yep. And and I actually searched through

73:11

all of the literature from Cavson. He

73:12

never mentions REM sleep once in his

73:14

studies. He studied pinealon quite

73:16

extensively on different neuronal tissue

73:17

extracts, animal studies, even in in

73:19

athletes and never mentions the REM

73:21

sleep. They weren't having they didn't

73:22

have Whoops in the 1970s in the Soviet

73:24

Union. They didn't have an eight sleep.

73:25

You're kidding me. No.

73:27

>> So they didn't have, you know, sleep

73:28

trackers in the 1970s uh when it came to

73:30

to these. So there was no reports on on

73:33

that. But what seems to be happening,

73:34

let's see, what is this on this edr?

73:37

It's a tripeptide that um meets the

73:40

groove of the DNA of different key

73:42

regions and helps the promoter region be

73:44

exposed. So then that DNA transduction

73:46

can happen uh translation transcription.

73:49

So you get

73:49

>> it's turning on genetic programs.

73:51

>> Yes.

73:51

>> It's acting a little bit like a

73:53

transcription factor.

73:54

>> Yeah. Yeah. Almost like that or maybe

73:55

assisting transcription factors in

73:57

accessing the DNA in the right places.

73:59

So pinealon in in one sentence it's

74:01

leading to better brain metabolism

74:04

through modulating all these different

74:05

pathways. for example GDF11 sod one sod

74:08

2 uh iris PPR alpha PPR gamma so what

74:11

seems to be happening so he made

74:13

pinealon as a anti-stress um cognitive

74:16

performance compound

74:18

>> uh and it was available orally in like

74:20

Kazakhstan to

74:21

>> that I'm taking before sleep I should be

74:23

taking in the morning

74:24

>> yes so if you take a high enough dose

74:25

there is sedation from it but if you

74:27

take it in the morning or prehit workout

74:29

you get quite an interesting effect so

74:31

he studied this um compound on athletes

74:33

and he would uh do have them do their

74:35

training session, go to exhaustion and

74:37

then do a test afterwards. And there's

74:39

two groups, pinealon and the placebo.

74:41

The pinealon group could keep their

74:42

performance up despite uh being

74:45

maximally exhausted from their training.

74:46

>> I feel like such a dummy. Here I am

74:48

having like these elaborate dreams I

74:49

don't really remember or care about when

74:51

I could be actually thinking better

74:53

during the daytime.

74:54

>> Yeah. So, a lot of people report less

74:55

brain fog, you know, better thinking. Uh

74:58

a friend that has a a you know, nine

74:59

figure company has all of his employees

75:01

on pineal on. They're taking it in the

75:02

morning.

75:03

>> In the morning, uh, or at night,

75:04

depending on,

75:04

>> do you know the dosages? Not that we're

75:06

recommending it.

75:07

>> Orally, people will take anywhere

75:08

between, you know, half a milligram up

75:10

to three milligrams is what where people

75:13

um, settle in. Um, the Cavson ones that

75:15

that come from Russia are like 200

75:17

micrograms.

75:18

>> Some people are injecting it.

75:19

>> Some people are injecting it.

75:20

>> It goes systemic.

75:21

>> Ego systemic. It's orally available

75:22

through these uh, Latin pep

75:24

transporters.

75:25

>> Crosses the bloodb brain barrier

75:26

>> most likely. Yes.

75:27

>> Okay. Okay. Cuz it's coming from cortex,

75:28

but otherwise we're the way you're

75:30

describing it, we're putting no one's

75:31

infusing into the brain.

75:32

>> No one's so we're assuming it's small

75:34

enough. It's trieptide to cross the the

75:36

bloodb brain barrier.

75:37

>> Have you tried it?

75:37

>> I mean, I took some last night, but

75:39

>> Okay. At night.

75:40

>> Yeah. So, I I will take larger dosages

75:42

uh if I want to get good sleep. I'll

75:44

describe as 8K. Some people it will

75:47

cause them to have a little bit of

75:48

awakening um at first. That may be why

75:50

your deep sleep was going away. I'll say

75:52

this.

75:53

>> If I take half of what was recommended,

75:56

I'm great. But I'm very sensitive to

75:58

everything. Just sensitive. If I take

76:00

what was recommended, I fall very deeply

76:02

asleep. I have elaborate dreams and I

76:04

wake up. Yeah. And I couldn't tell if

76:06

that was a disruption in sleep

76:07

architecture.

76:09

I just found and and granted I'm only

76:11

doing this three times per month

76:12

maximum. And I often forget and then I

76:14

go months and months and I was like, oh,

76:15

maybe I'll take a little pineal. Whoa,

76:18

this is wild. and then I'd stop taking

76:20

it because because I don't know enough

76:21

about it. Now, I know it's cleanly

76:23

sourced because I trust the compounding

76:25

pharmacy it's coming from, but I should

76:26

ask, are there any known risks of EDR?

76:29

>> So far, nothing in the Russian

76:31

literature. So, big caveat, it's Russian

76:33

literature. It's not gold standard

76:34

American research that we love here. Um,

76:36

so there's nothing that's come up as a,

76:38

you know, clear sign because what what

76:40

it seems the big theory of Cavson is

76:42

that as you're when you're younger, you

76:44

make a lot of these peptides naturally.

76:46

these tri die tri and tetropeptides and

76:50

as you age they go down in function and

76:52

quantity and by replenishing these

76:54

peptides you're restoring some aspect of

76:56

youthfulness

76:57

>> something similar happens in America

76:58

with GHK copper which is another

76:59

tripeptide that's technically like the

77:01

collagen regulator so the brain

77:04

regulator and GHK copper is the collagen

77:06

regulator but so far the the side

77:08

effects we've noticed we have the

77:10

probably the biggest anecdotal

77:12

compilation of N equals 1 every every

77:13

day I wake up someone texts me be like

77:15

hey Pineelon did this to me some will

77:16

have a little drop in blood sugar

77:18

because it activates PPR alpha PPR

77:20

gamma. So it'll have positive metabolic

77:22

effects. So that's something to keep an

77:24

eye out. And in some people even had

77:25

their A1C's drop. So

77:28

>> hypoglycemics and other people blood

77:29

sugar issues take extra caution.

77:31

>> And then very vivid dreams for some

77:33

people that could be disheartening if if

77:35

they have like you know nightmares or

77:36

something like that. But very very vivid

77:39

dreams uh as a result of a pinealon

77:41

especially like the the color and the

77:43

the quality of the dreams is very

77:45

different than you'd normally expect.

77:47

What seems to be happening

77:49

>> is like just like you know psychedelics

77:51

change the redux state of the brain.

77:53

Pinealon is doing something similar

77:55

where you're getting more alertness

77:57

during the day

77:58

>> like you don't wake up with as much

77:59

brain fog uh at least anecdotally. Uh

78:01

you get better performance during like

78:03

high-intensity interval training and

78:05

then you get more REM sleep at night. um

78:07

because the neurons are in a better

78:09

oxidative state thanks to the PPR alpha

78:11

PPR gamma iris and all these different

78:12

pathways that it's modulating

78:14

>> um with no clear one you know receptor

78:16

that it's doing it through.

78:18

>> I'd like to take a quick break and

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79:55

>> What about epital, which turns out comes

79:57

from the pineal? I'd love your thoughts

79:59

on this. I've heard and I thought it was

80:01

complete nonsense when I first heard it

80:03

that the pineal becomes calcified as

80:06

people age. The reason I thought it was

80:08

nonsense is I used to co-e neuro anatomy

80:10

when I was at UCSD before moving my lab

80:12

to Stanford with a guy named Harvey

80:13

Carton. You guys can look him up.

80:15

Unfortunately, he passed away. He was in

80:16

his late 80s and he had this incredible

80:18

career as a I think one of the greatest

80:21

neuroanatomists of the last hundred

80:23

years. It's a that's a good category to

80:26

be in because we have like Kahal who's

80:27

like discovered everything basically and

80:29

then the rest of neuroscientists are

80:30

just kind of tinkering around with what

80:32

he predicted and then a few other neuro

80:34

anatomists like Ted Jones is there but

80:35

he's like the neuroanatomist of my

80:37

generation and I asked him about this

80:40

calcification thing cuz he had looked at

80:43

the brains of so many different species

80:44

including humans. He was also an MD by

80:46

the way and he goes, "Yeah, I don't know

80:48

whether or not this calcification thing

80:50

is real." M

80:51

>> and he kind of brushed it aside and I

80:52

thought well Harvey doesn't take it

80:53

seriously so I'm not going to take it

80:54

seriously but even though he was

80:57

absolutely right about many many things

80:59

I think he might have missed that one

81:01

because when I go to the literature now

81:03

it's a little bit tough because the

81:04

cadaavvers that you looked at in medical

81:06

school and not all of them are processed

81:08

on the same timeline right it's not

81:09

thankfully it's not a controlled science

81:11

right these are people that generously

81:13

donate their bodies to science right

81:16

>> does our pineal calcify and even if it

81:18

does does that somehow inhibit its

81:21

ability to communicate with our other

81:22

tissues.

81:23

>> It's it's a big kind of debatable thing

81:25

in in the pineal research. If you look

81:27

at the pineal gland Wikipedia, it's very

81:29

under uh developed, let's say, because

81:31

it's kind of woowoo. Like when you think

81:32

of pineal gland, you think of someone

81:34

who's going to sell you

81:34

>> a neuroscientist chooses to work on the

81:36

pineal.

81:36

>> They should, but it's not a very sexy.

81:38

>> It sounds like someone's going to sell

81:39

you crystals or something about your

81:40

>> It's not very sexy. Yeah.

81:42

>> But I think it's it's a key aspect of

81:44

aging and longevity. So that's that's

81:45

what gives us, you know, our interest in

81:47

it. the pineal gland. Um it seems from

81:50

Caven's work that the decrease in pineal

81:53

gland function with aging is more of a

81:54

physiologic than a anatomic problem. Now

81:57

I will see some calcification on MRI is

81:59

when we have a patient come in for like

82:00

a stroke or you know TBI will look at

82:02

their MRI and I'm like hey there's that

82:03

looks like a little bit calcification

82:04

there. uh maybe my neurology colleagues

82:07

will disagree but that seems to happen

82:10

but the question is what is actually

82:11

leading to the deterioration of

82:12

melatonin synthesis because it decreases

82:14

quite dramatically and some people even

82:16

think that might start puberty like if

82:18

you have a pineal pineal cyst you can

82:20

have precocious puberty like eight or

82:22

nine years old

82:22

>> the rhythmicity in melatonin because a

82:24

young baby very young baby their

82:27

melatonin secretion is not very rhythmic

82:29

but they're in REM like a lot a lot of

82:32

their sleep is REM it's a beautiful

82:34

thing Right. With time it becomes more

82:36

rhythmic. And of course in today's day

82:38

and age with all the artificial lighting

82:39

and the lack of sunlight exposure things

82:41

that you and I care a lot about. Um

82:42

people are making themselves somewhat

82:44

arythmic or phase shifted.

82:48

>> But epialen is somehow restoring

82:50

pinealytes is somehow enhancing function

82:53

of the pineal and other tissues.

82:55

>> Yep. So uh in in cabin's work he's found

82:57

that it will increase the expression of

83:00

the different clock genes. So in like

83:02

you know lymphosytes that he'll measure

83:03

in peripheral tissues he'll notice that

83:05

the clock genes actually change. So in a

83:07

more rhythmic pattern he'll notice that

83:09

morning cortisol is higher. Great. Which

83:12

by the way folks I've said this in the

83:14

cortisol episode. You want your morning

83:16

cortisol super super high. You want your

83:17

evening and nighttime cortisol low. If

83:19

you're a resident in medical school just

83:21

listen to what your superiors say. They

83:22

don't give a [ __ ] about your cortisol

83:24

levels. You got to do the hard work and

83:25

then uh later you get to later you get

83:28

to go to bed. It's a little weird that

83:30

the medical profession tortures their

83:31

own by disrupting one of the one of the

83:34

primary anchors of health. Yep.

83:36

>> And and cognitive function, right? I

83:38

mean, I've had 28 hour shifts and that's

83:40

what got me interested in security.

83:41

>> You're young. You're good. You're good.

83:43

But yeah, the idea was it was restoring

83:45

a more um circadian appropriate hormonal

83:48

profile through you know HTH cortisol

83:51

>> taken when

83:52

>> anytime because the idea with these bio

83:54

regulators unlike you know a GLP-1 drug

83:56

that you take today and have the effect

83:58

for the next week the idea from the

84:00

cavonin model is that you take these and

84:02

then you acrewue benefits when you're

84:04

off of them like you notice with

84:05

pinealon you took pinealon for a day or

84:08

two or three days a month and you had

84:09

effects until you took the next dose. So

84:11

the idea is can you acrue benefits from

84:14

these compounds as they upregulate or

84:16

downregulate certain genetic pathways in

84:18

a more favorable state and then keep

84:19

those effects later on. So in the cavson

84:22

seminal work was this 15y year um

84:24

longevity study he got people in nursing

84:26

homes two groups one them got echalon in

84:30

the form of epathalamine which is the

84:32

whole pineal gland extract and then a

84:33

thymus peptide called thyolin not

84:36

thyulin there's two different peptides a

84:38

lot of people confuse them every peptide

84:39

website confuses them but I inject them

84:42

for 15 years like a 10 or 20 day course

84:45

per year just just uh beginning of the

84:47

year middle of the year and that's it

84:48

and they had a significant lower

84:50

mortality when it came to cardiovascular

84:52

disease, uh, infectious risk and for,

84:54

um, cancers. So, Russian study, caveat,

84:58

but that would would be the most

85:00

interesting longevity study I've seen

85:02

done if accurate, if true, uh, because

85:04

he was able to take nursing home

85:05

patients, give them peptides for, you

85:07

know, very small amount of the year, and

85:09

yet they accred benefits the rest of the

85:10

year.

85:10

>> Impressive. Uh, one of the things that

85:12

really got me excited about epalon, is

85:15

italon or talon? The Russians say epylon

85:17

is the the way they say it, but it's

85:19

spelled with a th Okay. So, I'll say

85:21

epal whoever wants, you know, we're

85:23

making the rules today. So,

85:24

>> okay, epitoon is also a a DG. That's

85:26

that's the amino acid for amino acid.

85:28

>> I'll say epialin because it's uh easiest

85:30

for me and forgive me if anyone takes

85:32

offense. I took interest because uh in

85:35

my former life running a lab focused on

85:38

among other things uh visual pathway

85:41

repair y um to reverse blindness or

85:44

impending blindness. Um there's some

85:46

interesting papers and there I can

85:48

really gauge the data even though

85:49

they're in mice. I can say this is a

85:50

real effect or like a me effect or like

85:52

a wo effect using epialin to combat some

85:56

of the neurodeeneration in things like

85:58

uh retinitis pigmentotosa downstream

86:00

neurodeeneration in RP uh which is a

86:02

very common unfortunately blinding

86:04

disease or even in glaucoma. Y

86:07

>> I should mention that BPC57 to my

86:09

knowledge hasn't been looked at

86:10

extensively in terms of optic nerve

86:12

repair but it absolutely should be. If

86:13

if someone knows those papers, please

86:15

put them in the comments. So, I was

86:17

intrigued. Yep. Like, there's this

86:18

molecule that's somehow involved in DNA

86:20

repair,

86:21

>> and it's uh either maintaining or

86:24

restoring some of the machinery that

86:25

would otherwise definitely be lost in

86:27

one of these optic nerve damage

86:28

conditions that models things like

86:30

glaucoma, retinitis, pigmentotosa,

86:32

stroke, uh traumatic head injury. It's a

86:34

big deal. Yep. Vision and movement are

86:35

kind of the biggies. I mean there are

86:36

other things too but like you know you

86:38

don't want to lose those and if you do

86:39

you can get by but it you need

86:41

additional support obviously. So the

86:45

reason it's so interesting to me is that

86:46

it's getting to DNA repair as opposed to

86:49

these downstream

86:51

um you know working on any number of

86:53

vague receptorish maybe no receptor

86:56

things like and this is what gene

86:57

therapy is about.

86:58

>> Yep. So do you think of epien as kind of

87:00

a gene therapy of sorts or do you think

87:02

about it more as support for genetic

87:04

machinery that has lots of downstream

87:06

targets?

87:07

>> Yes, I think it it supports this genetic

87:09

machinery. Um when it comes to the eyes,

87:12

it seems to be repairing some of the

87:14

photo receptors that might get damaged

87:16

in a red pigmentotosa. Melanopsin wasn't

87:18

discovered when when Cavson was was

87:20

kicking it around. But I would my my

87:23

theory is that epiphylon is working on

87:25

melanopsin.

87:26

>> Interesting. and that it may be

87:27

upregulating melanopsin levels and then

87:29

making that morning sunlight that

87:30

everyone likes

87:31

>> to be more effective because the big

87:33

problem is a lot of people will tell me

87:35

doc I did morning sunlight didn't I

87:36

didn't feel the effects I'm like have

87:38

you had enough darkness to regenerate

87:39

melanopsin levels because we know that

87:42

uh in animal studies 5 days of pure

87:44

darkness dramatically increases the

87:45

amount of melanopsin in the redness

87:47

>> this is interesting and I certainly have

87:48

a lot of close close friends that are in

87:51

a position to do these studies um and

87:53

you know the podcast is obviously

87:54

available free to everyone but we have a

87:56

premium channel that funds research. We

87:59

don't talk a lot about it, but we we've

88:00

given a lot of money away to excellent

88:02

laboratories where they're free to

88:03

explore these things. I'd love to see

88:04

some of the studies that we're talking

88:05

about today supported. And by the way,

88:07

that's done in collaboration with donors

88:09

that do a match. So, we could get the

88:11

right people to do the right studies

88:13

with no bias toward what the preferred

88:16

outcome is. In fact, the scientists that

88:19

we both know, the right ones, would try

88:21

and disprove the hypothesis that any of

88:23

this stuff was real. And if some makes

88:26

it through that filter, then they would

88:27

conclude it's real. Otherwise, they're

88:29

trying to essentially knock down the the

88:31

the quoteunquote positive outcome. Yep.

88:33

I mean, and I think as a clinician, one

88:35

of the key things to pe for people to

88:37

remember is that we've screwed up a lot

88:39

of times as clinicians through different

88:41

grotesque abuses of our, you know,

88:43

trust. We've done, you know,

88:45

interventions or drugs that weren't the

88:47

most efficacious. For example, like in

88:49

the 1910s to 1940s, we irradiated the

88:53

thymuses of young kids to prevent SIDS.

88:56

This was considered gold standard

88:57

medicine. Like

88:58

>> does it have anything to do with SIDS?

88:59

>> No, they thought that sudden infant

89:01

death.

89:01

>> They thought that the thymus was too big

89:02

and was sitting on the heart and that

89:03

might be the cause. So tons of these

89:05

kids, you know, I think at least 10,000

89:06

died from cancers. No, I think the only

89:08

person that's talked about it is he has

89:10

a video talking about this. So we've had

89:12

a lot of issues as a as a as a field. We

89:14

have to be very cognizant of that and

89:16

know the history of where we've been

89:17

like like Verkow of the famous Verkow

89:19

triad. He was like pro this therapy

89:22

>> and we all know learn about it in

89:24

medical school but no one talks about

89:25

this aspect. So there's a lot of

89:26

grotesque abuses of medical power. Let's

89:29

say we have to be very careful in which

89:30

interventions we give people and the

89:32

first things like do no harm. So while

89:34

we are you know excited about these

89:36

therapies we have to be kind of careful

89:37

in where we're taking people.

89:38

>> Appreciate that. I wasn't aware of that

89:40

study. Perfect um tea up for uh no pun

89:44

for the thymus. Tell me about the

89:45

thymus. Um super interesting organ.

89:48

>> Yep.

89:49

>> We gland.

89:50

>> Yep.

89:50

>> We all have one when we're born.

89:52

>> Yep.

89:52

>> By the time we're what age is it mostly

89:54

gone?

89:55

>> So the thymus is grown under the

89:57

influence of a lot of these youthful

89:59

hormones, melatonin, growth hormone, um

90:01

DHEA, um and then is shrunk at the

90:04

moment you hit puberty. So until from

90:06

your the day of birth until puberty, you

90:09

grow this massive thymus.

90:10

>> Where does it sit?

90:11

>> It's right above your heart. Right

90:12

behind this the collar bone.

90:13

>> How big is it?

90:14

>> It's a in in a baby, it could be quite

90:17

large on on the chest as a baseball.

90:19

>> Like maybe the size of half the heart,

90:22

let's say. Maybe bigger. Depends on on

90:23

on on the size. Right now in our bodies,

90:26

it's going to be a bunch of fat with a

90:28

couple of different globules of thyic

90:30

residue.

90:30

>> Tiny tiny.

90:31

>> Very tiny. In fact, most surgeons will

90:33

just remove it um when they do surgery

90:35

nowadays for like open heart. U but

90:37

there's, you know, good data from New

90:39

England Journal of Medicine that

90:40

removing the thymus tissue, residue

90:42

tissue leads to uh a mortality signal

90:44

within the first 5 years after those

90:46

surgeries.

90:46

>> So people have died because of thymus

90:48

removed.

90:48

>> They'll have like either higher rates of

90:50

cancers or, you know, higher rates of

90:52

autoimmune diseases if they have their

90:53

their thymuses removed. Now there are

90:55

thyomomas where people have to have

90:57

their thymus removed but we're talking

90:58

about people that you know the surgeon

90:59

is going in to do a coronary artery

91:01

bypass surgery.

91:02

>> Is the thymus neurally innervated?

91:04

>> Yes.

91:04

>> So it's getting signals from from brain

91:07

>> Vegas nerve. Yep.

91:08

>> So it's getting sorry to get technical

91:10

here but I since I did the episode in

91:12

the Vegas some people might remember

91:13

there's a lot of ascending sensory

91:15

information from the Vegas going up to

91:17

the brain. There's also motor control

91:18

from the brain going down through the

91:20

Vegas. So it's two two-way street mostly

91:22

up some down. Is the thymus controlled

91:26

by the descending is like in other words

91:28

is something going on in our brain like

91:30

stress level or or sleep controlling our

91:33

thymic?

91:33

>> There's sympathetic and parasympathetic

91:35

intervations for thymus

91:36

>> um that dictates its hormonal output

91:38

because the thymus what what is the

91:40

thymus?

91:41

>> Yeah, it's it's a gland that both

91:43

secretes hormones

91:45

>> and develops the tea cells. So your your

91:47

lymphatic cells are found in your bone

91:49

marrow that's where they're made. the

91:50

tea cells will travel up to the thymus

91:52

and get trained so they don't kill you

91:54

and they don't attack your own tissue

91:56

but attack a foreign invader or a cancer

91:58

or whatever it may be that process is

92:01

very good in youth and as you age you

92:03

get more autoimmunity more cancers etc

92:05

etc because the immune system is not as

92:06

robust

92:07

>> both because the thymus makes less of

92:09

the hormones that train the immune cells

92:11

and makes less of these immune cells

92:12

themselves so when you're you know 15

92:15

you're making uh 10 to the eth magnitude

92:17

of these cells every single day they're

92:19

called naive T cells, they will

92:20

eventually become your CD4 and CD8 T-

92:22

cells. Uh, as you age, this number

92:24

dramatically decreases. And those cells

92:28

will live somewhere between 10 and 15

92:30

years. And that can kind of gauge when

92:32

the mortality window kicks in for a lot

92:34

of these different disorders. When your

92:35

thymus reaches a, you know, minimum

92:37

level of output, you get a lot of these

92:39

disorders like cancers, uh, heart

92:41

disease, autoimmunity. If you put almost

92:43

any disease and look at the thymus um

92:46

risk associated with it, it increases as

92:48

the thymus um function uh decreases.

92:51

There's a nature paper uh 2026 just came

92:54

out that looked at cardiovascular

92:56

disease and cancer mortality and all

92:58

these different metrics that they did

93:00

MRIs of people and and the people that

93:02

had the higher thymic scores had less

93:04

mortality across every single one of

93:06

these conditions. But you said, not

93:08

challenging this, but what's surprising

93:10

about that very interesting result is

93:12

that you said that by the time you reach

93:13

your you're in your 30s, I'm in my 50s,

93:16

those ages, our ages, you there, you've

93:18

got just a bit of residual tissue there.

93:20

It's just a few cells and yet it's

93:22

somehow maintaining function. The rate

93:24

of decrease varies dramatically from

93:26

person to person. So we call this thymic

93:28

involution. So from the moment puberty

93:29

starts till um you die, your thymus is

93:33

slowly shrinking. That really happens in

93:34

your 20s and 30s. the majority of that

93:36

under the the pressure of androgens,

93:39

estrogens, progesterines and

93:40

corticosteroids. Those are driving a lot

93:42

of the shrinkage.

93:43

>> So the hormones that everyone seems to

93:45

want to increase the rest of their life

93:46

and that uh become you know active a lot

93:50

during puberty actually cause thyic

93:52

involution.

93:53

>> Yes. So like u castration will undo some

93:56

of the thyic involution. Um, pregnancy

93:59

is a great time to involute your thymus,

94:00

which makes sense because you don't want

94:02

to be having an autoimmune attack

94:03

against the baby or an immune attack

94:05

against the baby.

94:05

>> Do women's thymus disappear after

94:08

pregnancy?

94:09

>> They they involute and then will regrow

94:11

during the breastfeeding period under

94:13

the influences of growth hormone and

94:14

prolactin. So, hibernating animals will

94:16

have a dramatic shrinkage of the thymus

94:18

during hibernation and then a regrowth

94:20

um during the feeding window. Is there

94:22

any benefit to doing or taking something

94:25

to either maintain or regenerate thyic

94:28

size? So there was

94:29

>> as an as a let's just say somebody 25 or

94:32

older.

94:32

>> Yeah. There's a um interesting study

94:34

trim trial from Dr. Greg Fahhee. He's

94:37

doing a study where he's giving a

94:39

cocktail of growth hormone, metformin,

94:41

and DHEA. Uh gave that for 12 months and

94:44

had the thymic size increase on imaging.

94:46

The amount of CD4 or CD8 T cells

94:48

increase and the ratio of which

94:50

improved. uh and then some of the

94:51

markers that would show like immune cell

94:53

exhaustion like PD1 and all these

94:55

different aspects of T- cell um dynamics

94:57

also improve. So they're they're trying

94:59

to use growth hormone to regrow the

95:00

thymus.

95:01

>> Getting us directly to peptides. Many

95:04

people who are peptide curious start

95:07

asking about thymus and alpha. Is thymus

95:09

and alpha a peptide that comes from the

95:11

thymus? Thankfully they named it

95:13

appropriately this time. Uh great uh for

95:16

that. What does thymus alpha do

95:18

endogenously when you're not injecting

95:19

it or taking it? What's its normal

95:21

function?

95:22

>> So thyosin alpha 1 is part of this

95:24

thymic family of hormones that gets

95:26

secreted. It's like at least 21 amino

95:27

acids. It uh increases T- cell

95:29

development in the thymus, increases TE-

95:31

cell perforation outside the thymus and

95:33

makes the T- cells more likely to

95:35

properly attack a pathogen. Um like it's

95:38

like a you know jet fuel for the for the

95:40

tea cells.

95:40

>> So it's like proimmune. Yes. I've heard

95:42

of people taking it when they feel run

95:45

down, if they're traveling, they're

95:46

sleeping less than usual, they're a new

95:48

parent. So, obviously that's kind of,

95:51

you know, uh, peptide wild west kind of

95:53

indications.

95:54

>> It was FDA approved as Zidaxin, um, for

95:57

kids that were born without a thymus or

95:58

a malfunction thymus like Dor syndrome,

96:00

these different kind of genetic

96:02

abnormalities um, to be used for these

96:05

kids to help develop the T- cells that

96:06

they had that weren't um, in the thymus

96:08

because they'd have like bone marrow tea

96:09

cells that weren't properly developed.

96:11

So there was good support from thyopaf 1

96:13

for these kids. I don't think that FDA

96:15

approval still exists. So the people are

96:17

trying to you know grandfather thyop one

96:19

into these this peptide conversation. Um

96:21

in other countries it's approved for a

96:24

ad aguant therapy for like hepatitis B,

96:25

hepatitis C and and in different

96:27

cancers. So far the sepsis literature

96:30

and the infectious literature is not

96:31

that promising. It might be like if you

96:33

take antibiotics with thy one you might

96:36

have a quicker bounce around. What what

96:38

I would be interested to see is like if

96:39

you you know went to nursing homes

96:40

injected everybody with thousand thyin

96:42

alpha 1 in November and December would

96:44

you have less flu in January and

96:45

February? That'd be like the interesting

96:47

thought experiment. Both thyus alpha 1

96:49

and thymus and beta 4 come out of the

96:50

Goldstein lab. That's the very famous

96:53

lab that studied the thymus in the 70s '

96:54

80s and 90s. Um but thyic research kind

96:57

of fell out of favor the last few

96:58

decades but now

96:59

>> also sexy as the pineal. I say that sort

97:02

of tongue and cheek because I mean I

97:03

think these are fascinating glands and

97:05

um the reason I ask if they're neurally

97:06

innovated is that you know nowadays

97:08

there's a there are a lot of reasons why

97:10

people choose to study one thing or the

97:11

other. But these um underststudied

97:14

glands if neurally innovated then open

97:16

up a lot of interesting questions about

97:18

brain control, behavioral stress control

97:21

and the and the experiments kind of

97:23

write themselves. doing them still takes

97:24

a lot of work. Interpreting them is no

97:26

easy task either. But um I think there

97:28

should certainly be more work on um on

97:30

the pineal and on on the thymus. So I

97:32

want to make that clear that have you

97:35

taken thy alpha? Oh yeah, I' I've used

97:37

thumbs off one when uh when I travel to

97:39

to avoid the uh cesspool of planes and

97:43

hotels and all these places which uh

97:45

like I would say traveling and then this

97:47

year on the wards the first time I don't

97:49

get flu, cold, whatever kind of

97:51

infection I do one throughout and I

97:53

didn't get sick a single time.

97:54

>> What time of day or night are you

97:56

injecting?

97:56

>> Uh twice a week uh time agnostic. Uh

97:59

we're talking about you know 2.5

98:01

milligrams uh as a prophylactic. that's

98:04

not FDA approved or Yeah.

98:05

>> or this is just you doing your thing.

98:07

>> I'm I'm curious and see if it would it

98:08

would work.

98:09

>> You're trying to stay healthy so you can

98:10

uh take care of patients. Exactly. So

98:12

you're willing to be your own

98:13

experiment. When we hear about thyosin

98:14

alpha, we usually hear about TB500 also.

98:17

What's TB500 and how are the are the two

98:19

related if at all?

98:20

>> So while Cavinson's finding thyolin and

98:22

he's injecting that into people, the

98:23

Goldstein lab finds thyin fraction 5

98:25

which is this giant uh protein that has

98:28

many different peptides in it. Thy alpha

98:30

1 being one of them and then thymusin

98:32

beta 4 being the other one. Thyself

98:33

alpha 1, thyus beta 4 were discovered in

98:35

the thymus but they're not exclusive to

98:36

the thymus gland. They're also made in

98:38

other tissues. Thysin beta 4 seems to be

98:40

uh this 43 amino acid peptide that helps

98:44

in the actin cytokeleton of cells. So if

98:46

you think about it, immune cells have to

98:47

move a lot. So they have to re

98:48

reorganize their actin cytokeleton quite

98:50

quickly. So it seems to upregulate that

98:52

movement

98:53

>> which you know the horse community for

98:55

doping uh and other athletes have found

98:57

a niche for thy beta 4 to use it as a

99:00

>> the horse community.

99:00

>> Yeah. The horse races. Thus made 4 is a

99:03

very common doping agent

99:04

>> for the riders or for the for the

99:05

horses.

99:06

>> For the horses.

99:06

>> Yes.

99:07

>> Do they test the horses for?

99:08

>> Yeah. No there's like a big doping

99:10

scandal when it comes to to horses and

99:12

uh I don't know if they test them or

99:13

they like

99:14

>> you know what's funny this is a very

99:16

relevant tangent. Occasionally someone

99:18

will say, "Hey, does all this morning

99:19

sunlight stuff, does that work on like

99:21

dogs?" And I go, "Listen, I hate to tell

99:22

you this, but like a lot of the

99:24

literature came from animals, not

99:25

necessarily dogs, and they have

99:27

melanopsin, ganglen cells, they have

99:29

super kaismatic like yes, yes, and yes,

99:31

same physiology."

99:31

>> And then recently, won't say who, wasn't

99:34

me. Um, truly, I have a friend whose uh

99:36

dog was injured. And the question

99:37

becomes like, would BPC work? And you

99:39

can actually say, well, there's a lot

99:40

more animal data than uh human data.

99:43

talked to a couple vets and vets will

99:46

they're a lot more adventurous than we

99:48

might think and I thought well listen

99:50

you know now of course these are pets

99:52

they're I love my dog you know not the

99:54

same as a human I am a bit of a species

99:56

but love them tremendously um

99:59

>> and I think the

100:00

>> pet peptide industry is going to be

100:03

enormous already

100:04

>> so here's the question and then we'll go

100:05

right back to what we were saying before

100:08

>> there's been so much interest in NAD NMN

100:10

and NR to upregulate NAD what NAD is a

100:14

prolongevity NAD for you know one of

100:16

these things that drops over uh over the

100:18

lifespan

100:19

>> although the paper last week says that

100:20

it doesn't drop in blood the landmark

100:22

paper

100:22

>> I will say which

100:23

>> is the news stories on that claim that I

100:26

called it a longevity drug I've always

100:28

said that NAD I I do augment NAD using

100:31

NMN it gives me more uh morning energy I

100:35

will say it does make my nails really

100:36

thick and my hair grow fast two effects

100:37

I was not looking for but I like the

100:39

energy effect I've never said it

100:41

increases lifespan ever. So, um, this

100:44

was mentioned in the New York Times and

100:45

elsewhere, and it's absolutely false

100:47

that my name is included in that

100:48

statement. So, their fact checkers need

100:50

factchecking. NAD has been kind of the

100:53

thing for a lot of people who want to go

100:55

beyond supplements, right? They kind

100:57

beyond creatine, beyond magnesium,

100:59

beyond what they can get, you know, just

101:00

on Amazon or whatever, but

101:02

>> they don't want to go all the way to,

101:04

you know, like blood cleansing and all

101:06

this other stuff, which I I certainly

101:08

don't do myself, and I think that's too

101:10

extreme, at least for me.

101:11

When I hear about thy alpha, TB500, BPC,

101:14

it occupies this kind of middle ground,

101:17

right? And so I think this is why a lot

101:19

of people are saying, "Hey, Alison, I

101:21

love my dog. I love my cat." I don't

101:23

know if NAD is going to do anything for

101:25

their longevity. It doesn't look like it

101:26

may or may not. I don't know. But I

101:28

think a lot of people are starting to

101:29

think, oh, you know, like,

101:31

>> and here we go, Pavlov and his dogs. So,

101:34

I do think this is another category of

101:35

interest. And of course, we're the

101:37

curators. They don't get a vote. They

101:38

can't consent. Right.

101:39

>> Right. So, we have to be very thoughtful

101:40

there, too. Yep.

101:41

>> If I ask you, let's say I had an aged

101:44

dog and I come to you and I go, "Listen,

101:46

I know you're a human physician, but

101:47

he's getting sick a lot. I don't know,

101:49

maybe getting some thyus and alpha. He's

101:51

kind of creaky joints, some BPC. He's

101:53

probably got a couple years to go and

101:55

that's it." Would you say like,

101:57

>> "Well,

101:58

>> I know you're not a vet.

101:59

>> The veterary board is going to sue me

102:00

now, but

102:00

>> No, they're not. Actually, I have

102:02

relatives who are vets. They are very

102:03

open.

102:04

>> Interesting.

102:04

>> Very open. The veterary community has

102:06

been very open. I injected my previous

102:08

dog. Yeah,

102:09

>> with testosterone later in life. And I

102:11

expected the vets to come after me with

102:12

pitchforks. And I got calls that we

102:14

would love to prescribe this. In fact,

102:15

we wish we could just do vasectomies on

102:17

male dogs. Let them keep their

102:18

testosterone and then you don't have to

102:19

worry about this breeding problem. And

102:21

you let people train them not to hump.

102:22

>> Yep. No, my my sister was at a

102:24

compending pharmacy here locally that

102:25

would give dogs their testosterone. And

102:28

it made him so much healthier and

102:30

happier. I have zero regrets.

102:32

>> I'm propeptid for pets. Let's say let's

102:34

say I think there would be beneficial

102:36

effects. We know dogs when they vomit

102:37

they end up licking some of the vomit.

102:39

You've seen this before.

102:40

>> Yes.

102:40

>> Unfort is he trying to get peptides back

102:43

from the gastric tract like the first

102:46

from a pavlovian dog

102:47

>> being kind to dogs.

102:48

>> So I'm like but I mean intuitively

102:49

instinctively there might be something

102:50

there like they might be trying to get

102:52

BPC out of that. Who knows? But um I

102:55

think there would be less hesitation for

102:59

people to use these on animals. They

103:00

come from animal literature. Like you

103:02

said we don't want to be harming these

103:03

pets, right? But a lot of I think a lot

103:07

of the the positive signals are going to

103:08

come out of people giving them to their

103:09

pets. Unfortunately, there's so many

103:10

brands now that are popping up every day

103:12

giving uh their pets peptides.

103:15

>> Um because BPC, is it going to be

103:18

treated as a supplement when it comes to

103:19

oral capsules or is it going to be

103:20

treated as a med? Like we haven't got

103:22

got that answer from the FDA. RFK

103:24

himself has kind of said like these are

103:25

supplements. They're not they're not

103:26

medications. So FDA said that he said

103:28

that we're not going to regulate them as

103:30

meds because they're not meds which I

103:31

don't know if the agency themselves is

103:33

going to be too happy with that. I mean

103:34

there's a big well McCary just McCiri I

103:37

don't ever know how to pronounce his

103:38

last name um recently left so that there

103:40

was a from what I understand a kind of a

103:42

split I don't think he left because of

103:43

peptide anything I think it was related

103:45

to other things that I'm not aware of

103:47

but I do think the question that you're

103:49

raising is one of the most important

103:51

questions

103:51

>> is BPC going to be taken seriously as a

103:54

drug

103:54

>> y

103:55

>> or is it more creatineish

103:57

>> yep I mean for example I could give you

103:59

a B12 supplement you could buy that on

104:00

Amazon or I could prescribe that to you

104:02

but if I was to give you an injectable

104:03

B12 shot, you would need a prescription

104:05

for that.

104:06

>> So, is that distinction going to apply

104:07

to peptides also is the big question

104:09

that no one's answered. And is a, you

104:11

know, pinealon is a supplement you can

104:13

find in Kazakhstan and Russia and

104:15

Ukraine wherever all these different

104:16

countries over the counter in

104:17

differenties.

104:18

>> Is pinealon available as a capsule?

104:20

>> It's available as a caps.

104:21

>> Does it work as well as a capsule in a

104:23

capsule?

104:23

>> Higher doses as needed, but it still

104:25

works.

104:25

>> What are the doses dosages excuse me

104:28

that people are injecting versus taking

104:29

orally? So when it comes to the bio

104:31

regulators the epitalon pineelion the

104:33

cavon literature looks at like microgram

104:35

dosages from 10 to 100 micrograms of um

104:38

of the actual raw peptides of the

104:41

peptide mixes we're talking about 10

104:43

milligs. So 10 milligs of you know

104:45

desiccated cow brain that might give you

104:47

a few hundred micrograms of pineon. Oh

104:49

man, desiccated cow brain makes me think

104:51

of crutzville yakob aka mad cow pry

104:55

first patient I had on on wards in third

104:56

year of medical school

104:57

>> had degenerative brain from crutzville

104:59

>> yak there was yeah it was a bad bad case

105:02

on neurology

105:03

>> wards yeah please folks do not be

105:05

consuming brains I know there's some

105:08

people like oh he's got all this stuff

105:09

that can help you like please please

105:11

please like these these uh these pron

105:14

things are really serious

105:16

>> yeah scary

105:17

>> it's really scary it's really really

105:19

scary and not just from wild game, but

105:21

it's it's really scary.

105:22

>> By the way, I think this set back all

105:24

that research in the when when the you

105:26

know the PON stuff happened in the early

105:27

2000s that set back a lot of these

105:29

animal derived peptide research

105:31

dramatically cuz people like oh we don't

105:32

want to touch these extracts anymore.

105:34

Makes sense

105:34

>> because there was thymus extracts. There

105:35

were like there was about you know 10

105:37

different groups in Eastern Europe that

105:38

came up with their own thymus peptide

105:40

drug

105:41

>> which was a polyeptide fragment with you

105:43

know thyusphan thus beta 4 vylon thyogen

105:45

crystal like all these different

105:46

peptides that you'd get together. The

105:48

the Eastern Europeans went down like

105:50

this mix of just mixing up young thyuses

105:52

because you don't want an old thyus from

105:53

a cow. You want a six-month old cow that

105:55

has the giant juicy big thymus with all

105:57

the healthy hormones in there. uh they'd

105:59

grind that up and inject that into into

106:01

humans with positive effects like you

106:02

know hundreds of papers on that. The

106:04

American side, the Goldstein um group

106:07

came up with thyin fraction 5 which has

106:09

thy one and thyin beta 4 in it. Also

106:11

thyin beta 10, thyin beta 9, a bunch of

106:13

different thyosins but studied these two

106:15

dramatically thy 1 and thyin beta 4. The

106:18

French came up with the actual main

106:20

thymus hormone which is thyulin not

106:22

thyolin. Thyolin is the Russian

106:24

polyeptide mix. Thymulin is a nine amino

106:26

acid uh peptide that is the marker of

106:30

thymus function. It also has very

106:32

interesting neurological effects which I

106:33

think you'll you'll find interesting

106:35

because it modulates the what we're

106:38

calling the thymus pituitary adrenal

106:40

axis thymus pituitary gonatal axis.

106:42

Thyulin is this peptide that's secreted

106:45

by thymus dramatically decreases with

106:47

age um as zinc dependent. So biology

106:51

likes to use metals with different amino

106:52

acid structures. Hemoglobin with iron,

106:54

GHK copper with copper. Thyuin is zinc

106:57

dependent. So it's a nine amino acid

106:58

peptide with zinc inside inside of it to

107:00

do its effects. That will develop NK

107:02

cells and T- cells um stimulate the

107:04

immune response. But also in the animal

107:07

models, not replicated in humans yet,

107:09

when they take out the pituitary and

107:11

then inject, you know, act or ACG, the

107:14

amount of thyline sensitizes the end

107:16

organ to production of the targeted

107:18

hormone. For example, if you were just

107:20

to give ACG alone to the animal,

107:22

>> hCG, synthetic glutinizing hormone.

107:25

>> Yes. Yes. Yes. ACG is is binding to the

107:27

it's called the ACG LH receptor. So they

107:30

would get more testosterone produced

107:32

when they got ACG with thyulin

107:35

>> versus ACG alone.

107:37

>> So what you're saying is that thymus and

107:39

alpha potentially or TB500 or other

107:43

thyic hormones,

107:44

>> thy thyulin specifically.

107:46

>> Okay. Thyulin specifically. Okay. The

107:47

other ones do different effects on the

107:49

on the pituitary axis.

107:50

>> So thulin specifically can augment Yes.

107:53

>> the effects of indogenous and perhaps

107:56

also exogenous hormones.

107:57

>> Yep.

107:58

>> Interesting.

107:58

>> And it makes sense because if you're not

108:00

robust when it comes to immune status

108:03

because you you can think of your

108:04

thyulin as high in youth, low in aged,

108:07

>> you have no business investing in

108:08

reproduction. You have no business in

108:11

creating a lot of cortical steroids

108:12

because that gives you that, you know,

108:13

youthful energy in the morning. But if

108:15

you're making a lot of coral steroids,

108:16

you're shrinking your thymus. So it

108:17

creates kind of a feedback loop,

108:19

negative feedback loop to prevent you

108:20

from overrunning your system. A lot of

108:22

young guys will be like, "Oh, my immune

108:24

system sucks and my testosterone is

108:25

low." Like, is there a thymus link?

108:27

There is the question.

108:27

>> Interesting. And I I'm sure that you're

108:29

the first person in the last 20 years to

108:32

be talking about this publicly. Um, and

108:34

I really appreciate that you are because

108:35

of course you knew what the thymus was.

108:37

don't know a lot about the biology but

108:39

you've really um opened people's eyes to

108:41

and um what it is that it goes away over

108:44

time. People taking thyosin alpha TB500

108:47

and um thymulin.

108:48

>> Yep.

108:48

>> Is this something that people would

108:50

cocktail or is taking thyulin something

108:52

that generally could be a good idea

108:54

under certain circumstances?

108:56

>> Thyulin itself has a very short

108:58

half-life. The goal would be to increase

109:00

endogenous production of the thymulin

109:02

itself.

109:02

>> How would you do that?

109:03

>> So sufficient zinc status is necessary

109:05

to make thyulin. The first sign of zinc

109:07

depletion before RBC zinc or serum zinc

109:10

decrease is your thyuline levels tank.

109:13

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to claim a free sample pack. GHKU

110:35

copper.

110:36

>> Yeah, most of the questions I get about

110:38

it are from women.

110:39

>> Yep.

110:40

>> I sent out a little informal poll to the

110:43

uh be careful how I say this. women in

110:44

my life um including siblings and things

110:47

like that and and almost all the women

110:49

said, "What about GHQ copper? I hear it

110:52

can be good for my skin. Should I use it

110:54

topically, take it orally, or inject it?

110:55

If I inject it, should I inject it

110:56

locally?" I'm like, "Please don't inject

110:57

it in your face cuz I don't as much as

111:00

I'm comfortable with people giving

111:01

themselves like a little, you know,

111:02

sterile injection and you know, belly or

111:04

something like I get worried about

111:06

non-experts injecting themselves in the

111:07

face and other other tissues. So, a lot

111:10

of interest in this.

111:12

>> What is it? Why has it made it into this

111:14

kind of um aesthetic category?

111:18

Because I'm guessing it has a lot of

111:19

other effects too. But it's kind of

111:20

funny how things kind of land in one

111:22

region. Like creatine was like the

111:23

muscle thing for a long time. Then it

111:24

got some kind of like maybe it's good

111:26

for cognition, maybe for people with

111:28

Alzheimer's. Maybe women should take it

111:29

too for all those reasons and more. And

111:31

it kind of reverted back to like the

111:32

muscle thing. GHKCU is a tripeptide um

111:36

with a copper uh ion in the in the

111:38

middle. It's glycine histadine and

111:40

lysine. Um it's actually found in type

111:43

one collagen fibers. So

111:45

>> it's only where type one collagen fibers

111:46

are

111:47

>> all over your skin and hair and

111:49

connective tissue. So

111:51

>> uh just like Vladimir Cavson discovers

111:53

these 40 different peptides, liver

111:55

peptides, brain peptides, pineal

111:56

peptides, whatever it may be, there's a

111:58

American researcher Lauren Pikart, Dr.

112:00

Lauren Pickard uh who's passed now he

112:02

discovers GHKCU

112:04

uh in the collagen tissue and he's like

112:06

hey this might be the the factor that

112:08

controls collagen synthesis and also

112:10

collagen breakdown. So he does a bunch

112:11

of studies his work is all about this.

112:13

So almost all the the literature comes

112:15

from this one lab a common theme in

112:17

peptides unfortunately um he discovers

112:19

it in maybe the mid70s it's um found to

112:23

be very high in youth in in serum

112:24

levels. So you'll find this in the blood

112:26

of of anyone that we test um up to like

112:28

200 I think nanogs whatever the the unit

112:31

was and then gets down to like in the

112:32

levels of the 60s by the age of 65. So

112:35

dramatically decreases with age. It's

112:36

thought to be maybe what leads to the

112:38

youthful appearance of young skin and

112:40

with age you lose that effect. So he did

112:43

a bunch of trials both topically for

112:45

skin for hair. Um there's now injectable

112:48

work being done. So, similar to the BPC,

112:51

they would, you know, cut rats open,

112:53

inject GHK copper, uh, in a different

112:55

site, and they'd get faster wound

112:57

repair, uh, of the the skin tissue from

113:00

injecting this. So, that's, you know,

113:02

it's become synonymous with BBC157,

113:05

TB500, Wolverine stack, which is someone

113:08

online just made up. And

113:09

>> that's that's the Wolverine stack.

113:10

>> It's those two. Yes.

113:11

>> TB500 and and alpha.

113:13

>> No, the T500 and BBC157.

113:15

>> BBC157. Okay. Now people will add on GHK

113:17

copper and call it the glow stack.

113:19

>> The glow stack.

113:20

>> Oh, interesting. Okay.

113:22

>> Someone has made it up in a research

113:23

chemical.

113:24

>> Like a glow Wolverine. Yeah.

113:25

>> Yeah. There's there's a big debate about

113:27

whether or not if mixing those together

113:28

causes, you know, denaturing of

113:29

different peptides. That's beyond this

113:32

discussion. Point is GHA copper. It both

113:34

upregulates the synthesis side of

113:36

collagen and the breakdown side of

113:37

collagen. So, because when you're you're

113:39

remodeling tissue, if you're just

113:40

rebuilding it, you're you're going to

113:42

get like very pathogenic uh structures.

113:44

And if you're just breaking down, you're

113:45

getting bad structures. So you're doing

113:46

both. So the idea is does it number one

113:49

have a skin effect, which it seems to

113:50

be. The pickards, you know, compared it

113:52

to to retinol and vitamin C creams and

113:55

all these things with positive effects

113:56

and people anecdotally talk about like,

113:58

you know, their crows feet going away

113:59

and topically it does good for them.

114:01

There was a study on hair that didn't

114:02

seem too promising. So it's not going to

114:04

the peptide sites try to tell you like

114:06

this is better than minoxidil. Not

114:08

really. Maybe it could be an adjunct and

114:10

a lot of patients will will have that

114:12

success using that with some of their

114:13

other topical um hair hair loss agents

114:16

and now there's a Chinese group studying

114:18

it for um lung regeneration because

114:20

there's a lot of connective tissue in

114:21

the lungs uh between the different

114:23

alvoli and there's some you know hype

114:26

there of using um GH copper as a

114:28

regenerative from that side. How many

114:30

people are trying to regenerate their

114:31

lungs is for like COPD

114:32

>> COPD and and smokers it's a big big

114:35

issue.

114:35

>> Maybe long lung CO from what I hear is a

114:37

real thing. Lung damage from COVID. Y I

114:40

know some people debate it but it seems

114:41

like there are enough people walking

114:42

around

114:43

>> who were vaccinated and nonvaccinated

114:44

who claim that they have

114:46

>> symptoms postcoid that have last a long

114:49

time aka long co. So that might be an

114:51

interesting place for them to remain

114:53

peptide curious.

114:54

>> Yeah. And enthyic atrophy is a big part

114:56

of the I suspect

114:58

>> postco. Yeah, because any infection

115:00

actually leads to we talk about the

115:01

thymic involution that happens with age.

115:03

There's thymic atrophy that happens

115:04

after every infection the thymus kind of

115:06

shrinks down and then the idea is that

115:08

you you know recover you convoles we

115:11

just have convolescent homes for for

115:12

sick patients and then you regenerate

115:13

your thymus in the state of health. I

115:15

think the problem in modern day people

115:16

are stressed out they're at work they

115:18

get sick and they get keep getting sick.

115:20

So they never get this this chance for

115:21

that thymus rejuvenation. So then

115:23

they're constantly getting hit down and

115:24

they're ending up with these diseases of

115:26

aging that could have maybe been

115:27

augmented, amilarated, maybe pushed down

115:29

had their thymus function been better in

115:31

youth. Raise my hand, Professor Bachery.

115:34

Um, I'm only half. I really feel like

115:36

I'm in school. This is so cool for me. I

115:37

I'm truly in heaven right now. If you

115:39

look back at the literature on

115:41

convolesing, how long were people uh

115:44

recommended to take some time off after

115:46

a cold or a flu or some other That's a

115:48

good question. because I think this

115:50

would tell us like are we just like with

115:52

um sort of uh how long um maternity

115:55

leave type things like you know the idea

115:57

now is people are being forced to go

115:58

back too quickly in countries like in

116:00

Scandinavia perhaps where they get more

116:01

time positive outcomes for baby and mom

116:04

like I think it's an interesting and

116:05

important question because our biology

116:07

hasn't changed that much no in the last

116:10

you know couple thousand years at least

116:12

like after one has a cold typically

116:14

people go back as soon as they deem

116:16

themselves non-infectious which really

116:18

worries

116:18

Um, but do you think people are getting

116:20

back to work too quickly? I mean, I

116:22

understand the reasons why, but do you

116:24

think that adding a stage of of really

116:27

getting back to full functioning without

116:29

getting into the, you know, back to the

116:31

gym, back to work, back to everything is

116:33

could be beneficial for these longevity

116:35

effects,

116:35

>> right? Right. Well, I mean, if you think

116:37

about it, nothing that they do once they

116:40

come back is is, you know, additive to

116:42

healing. Their their circadian rhythms

116:44

are are thrown off. They're under

116:45

malilluminative lights all day. Okay,

116:47

they're not getting sunlight. They're

116:48

not their vitamin D levels are

116:49

atrocious. Their blue light exposure at

116:51

night is is high. Their stress levels

116:52

are very high. Their guts are inflamed

116:54

from from eating processed

116:56

hyperprocessed hyper palatable foods.

116:58

They have obesity or they're

116:59

pre-diabetic. So all these things now

117:01

lead to this inflammatory state and they

117:03

just got sick and their thymus didn't

117:04

bounce back. So then they get sick the

117:06

next time in two or three weeks. Like

117:08

post pandemic a lot of my colleagues

117:10

were like dude I get sick three four

117:11

times a winter now before I'd get sick

117:13

you know once a winter. So this is where

117:15

the interest in thyic peptides is very

117:18

elusive. We have to figure out if the

117:19

STPs or the PTE are the the the more

117:22

interesting ones. There's synthetic

117:23

thyic peptides thyself one thus beta 4in

117:26

and there's purified thyic extracts.

117:28

There's the the two different research

117:30

committees that exist when it comes to

117:31

the thymus. Which one will be more

117:33

advantageous? Vladimir cabin came up

117:35

with the thyimolin inject injectable and

117:37

oral versions of that. and he had

117:39

positive uh immune markers and he showed

117:41

like CD4 cells come up and CD8 cells

117:43

improve and all all his um immune

117:46

markers become a more youthful state

117:48

let's say

117:49

>> but unfortunately what's happening here

117:51

is we don't have thymologists like we

117:53

don't have a branch of medicine that's

117:55

dedicated to this aspect of immunity

117:57

like there's you know allergy allergy

117:59

and immun immunologists

118:02

but they focus more on you know

118:04

allergies to different agents or very

118:07

severe immune diseases is they're not

118:09

really addressing the immunity of the

118:11

general public and how you can boost

118:13

that. And I think post pandemic a lot of

118:14

people started to ask hey how can I have

118:16

better immunity for myself. Uh and now

118:19

finally people are starting to talk

118:20

about the thymus. Unfortunately it's

118:21

been too little too late. That would

118:22

have been great during the pandemic. uh

118:24

because we could have used these thyic

118:29

you know focused interventions whether

118:30

it be zinc or you know uh thyic peptides

118:34

or your purified thymic extracts to

118:36

augment immunity of the population as a

118:38

whole especially because Dr.

118:40

was doing this in the 70s in Russia.

118:42

Even in Russia, they don't really look

118:44

kindly to this research. Um, the Soviet

118:46

era research has been kind of pushed

118:47

aside and it's like more big farmer

118:49

style because it's more profitable

118:50

because how many thymuses are you going

118:51

to inject into people and how many

118:53

thymuses exist on the planet to make

118:55

these different peptides from

118:56

>> but you could inject a lot of synthetic

118:58

thymus and alpha TB500. Yes.

119:00

>> Um, and maybe BPC so Wolverine stack

119:04

plus you know.

119:05

>> Yeah. So it'd be very interesting if if

119:06

we can get that cuz now that everyone's

119:07

getting like these puno scans and

119:09

different full body MRIs, we can see the

119:11

thymus size.

119:12

>> I was going to ask you can can I get

119:13

some sense of my thymic size and output

119:16

from a blood draw or do I have to do

119:17

whole body imaging? I've done whole body

119:18

imaging. It is somewhat costly and

119:20

that's that's a prohibitive barrier for

119:22

for people. But if people can afford it,

119:24

I actually think it can be useful. I

119:26

have a number of friends including a

119:27

neurosurgeon friend who said that he's

119:29

um some people are still alive now

119:31

because they got that scan. A lot of

119:33

people get scared about what they see.

119:35

Wouldn't you rather be scared about what

119:36

you see and be told that it's okay than

119:39

not know it's there and then have a

119:41

catastrophic event?

119:42

>> We always have a patient that comes in,

119:44

you know, car accident, young 45year-old

119:46

car accident, comes in, has a pancreatic

119:48

mass that they would have never known

119:50

about had they not had that accident.

119:51

They get a CT scan just to check for any

119:53

kind of internal bleeding. They find the

119:54

pancreatic mass that gets removed. It

119:56

ends up being a malignant mass that had

119:57

they waited six months, they would have,

119:59

you know, had stage four pancreatic

120:00

cancer and passed away. So that's that's

120:02

a theory. There is a concern about false

120:03

positives and false negatives when it

120:05

comes to these screening modalities.

120:06

Like any screening modality is not

120:08

perfect. So there's a big debate on

120:09

whether or not to do do these that will

120:11

leave to people and their physicians.

120:12

But I'm I've been trying to lobby them

120:14

to give the thymic score to everybody

120:16

who gets one of these scans because they

120:18

could see like, hey, can can you see

120:19

where the thymus is at

120:20

>> because, you know, someone might come

120:21

in, you know, for five different scans

120:23

over 5 years, they did a TRT protocol or

120:26

a GH protocol or whatever it may be. And

120:27

we could see did that improve uh thymics

120:30

status or or make it worse or different

120:32

infections, different interventions.

120:34

That'd be very interesting to to kind of

120:35

tease out on blood tests. We we've been

120:37

trying to work with a couple different

120:38

labs to figure out a thymic score. M the

120:40

most commercially available is going to

120:42

be a a lymphosy count which look at CD4

120:44

to CD8. There's an ideal CD4 to CD8

120:47

ratio that's more youthful. You don't

120:48

want to have more CD8 cells than CD4

120:51

cells. You don't want to have too few of

120:52

either of them. That goes more into like

120:54

the HIV literature. But the the most

120:57

simple thing that almost every single

120:58

person has gotten done but no one's

121:00

looked at is their lymphosy to monocy

121:02

ratio on their CBC. So almost

121:04

everybody's gone to CBC with diff. It's

121:05

a $3 lab test. If you type in any

121:09

disorder, cardiovascular disease,

121:10

cancer, uh diabetes and put lymphosytes

121:13

to monocyt ratio, there's a study that

121:14

will talk about how like low lymphosy to

121:17

monocy ratio is associated with poor

121:19

outcomes when it comes to that disease

121:21

state. So it gives you kind of a general

121:24

gestalt of what's going on with immunity

121:25

because you want a high absolute

121:27

lymphosy count not too high because it's

121:28

associated with like lymphas but

121:30

somewhere the hazard when you look at

121:32

the charts around 1,000 total

121:35

lymphosytes is um where the hazard of

121:38

different cancer sites starts to

121:40

increase a young healthy person will be

121:42

between you know 1500 and 33,000 total

121:45

lymphosytes and you want the ratio to

121:47

the monocytes. Monocytes are different

121:48

types of uh immune cells that are more

121:50

inflammatory. So if you have a robust

121:52

amount of lymphosytes with low amount of

121:53

monocytes that suggests you have a more

121:55

let's say ready and robust immune state.

121:58

>> So $3 lab test that everybody gets

122:00

almost every lab testing company now

122:01

checks it and no one really do reports

122:03

on it. But you can kind of u stratify

122:05

people into disease risk based on that

122:07

score.

122:08

>> Out of a hundred randomly pulled um

122:11

physicians who receive their license in

122:14

the United States, how many of them

122:15

probably know what you just described?

122:17

>> Uh zero.

122:18

>> Why not? It it's like rabbit holes that

122:20

you kind of go down and find out. Like I

122:22

I've been lobbing everyone in the

122:23

hospital to look at this.

122:24

>> But it's very easy, right? The data are

122:25

there.

122:25

>> No, I look

122:26

>> It's not like you're saying, "Oh, you

122:27

got to do all this additional work. You

122:28

got to build insurance. I mean, it's

122:30

there."

122:30

>> Like I I I started to care about the

122:32

thymus uh post pandemic because I

122:33

noticed people's lymph counts were

122:35

lower.

122:35

>> And I I could notice that, you know,

122:37

anecdotally or looking at, you know,

122:39

small data sets like, "Hey, people had

122:40

lower lymphosy counts had worse disease

122:42

or like earlier like people that had

122:44

cancers in their late 30s, early 40s."

122:46

I'm like, "Huh, they all had like lower

122:47

lymphosy counts." So I started to like

122:49

dig into the literature and I'm lobbying

122:51

a lot of the hematologists and

122:52

infectious disease doctors in my

122:53

hospital to start to look at this.

122:54

Unfortunately they they kind of are

122:56

textbook. It's not part of the

122:57

guidelines. It's it's in a space that's

123:00

not p pathology. So it's not clear like

123:03

hey if I check your lymph site to

123:04

monocite count right now is it going to

123:05

change my management of you in the

123:06

hospital today? Not really. It's more of

123:08

a long-term look. So that's where all

123:10

these direct to health uh direct to

123:11

consumer um companies have an

123:13

opportunity to kind of modulate the way

123:15

medicine is practiced in the United

123:16

States. But if if we have this metric

123:19

that we can study, why not use it and

123:21

then like try different interventions

123:22

and see what actually helps people like

123:25

we've gotten sometimes peptides. We've

123:26

had people go from like a 4:1 lymph to

123:28

monocy ratio to an 8 to1 ratio. Now is

123:31

that significant? That seems to be

123:33

significant. Um but no one's really kind

123:35

of discussing it unfortunately.

123:36

>> I know who I'm putting my vote in for

123:38

surgeon general and uh if ever there's a

123:40

turnover. I don't haven't explored the

123:42

most recent person. So that's not a

123:44

comment on her. It's um I know they

123:46

elected to not uh vote Casey in. Um but

123:49

uh so that's not truly not a mention. I

123:51

haven't done but I I think uh your voice

123:54

should be heard uh far and wide on these

123:56

things that I mean like more data is

123:57

good. The scientist in me just says you

123:59

got the data. Data could be informative.

124:01

Take a look.

124:02

>> There's a category of peptides such as

124:04

growth hormone secret testin MK677 that

124:07

we could we could do the deep dive on

124:09

all those but I'll just batch those and

124:11

and maybe we parse them a little bit.

124:13

and things like melanotans. Um these are

124:16

>> to my understanding FDA approved for

124:19

certain indications. So they've gone

124:20

through the randomized control trials

124:22

for like uh growth hormone secret dogs

124:25

for uh small stature in kids. They might

124:27

use it for that or for um postsurgical

124:31

uh burn uh recovery. I think some HIV

124:35

HIV HIV. So the idea here, the sort of

124:38

framework that I'm I'm teeing up is that

124:41

that these molecules are have been

124:44

explored.

124:45

>> Yep.

124:46

>> For their known biological function in

124:48

animals. It's established these

124:50

molecules lead to an increase in growth

124:52

hormone above what would normally be

124:54

secreted. They do it indirectly by so

124:56

they're sort of the gas pedal on that

124:57

system. Growth hormone secret cause more

125:00

growth hormone to be secreted, not

125:01

actual growth hormone. They vary in

125:03

terms of how much they stimulate hunger

125:04

or don't stimulate hunger. Yep.

125:06

>> And on on you should take them if you're

125:08

going to take them before sleep, but not

125:11

having eaten in the last two or three

125:12

hours. All all that stuff. We can save

125:14

ourselves some time here.

125:15

>> Y

125:16

>> most people who are taking these things,

125:17

whether they get it from pharma or

125:20

compounding pharmacy or gray market,

125:22

research purposes only, um

125:25

>> or black market, god forbid, they're

125:27

doing this because they want to lose

125:29

fat, gain muscle, recover from exercise

125:31

more quickly, and look more youthful.

125:33

>> Yep. Can we assume that those effects

125:35

are real given that they were FDA

125:37

approved for other things?

125:39

>> Yeah. So when it comes to let's parse

125:41

out the effects and and the different

125:42

types of of compounds that exist in this

125:44

category. So there's the grein side the

125:46

grelin agonist like MK67 not FDA

125:48

approved orally available pill that you

125:50

makes you bleed out uh growth hormone

125:52

like you make so much growth hormone in

125:53

response to that and in non-pulsatile

125:54

fashion. Growth hormone is a very

125:56

circadian hormone that gets released in

125:58

the first you know 90 minutes of a

125:59

slowwave sleep. Um, and if you miss that

126:02

big pulse, you're going to get small

126:03

pulses throughout the day. The question

126:05

is, is that big pulse better than small

126:06

little, you know, u mini pulses

126:09

throughout the day. The secrets will uh

126:12

address the the broader category of

126:14

something called somatopause. So, you've

126:16

heard of menopause, you've heard of

126:17

maybe andropause. Somatopause is this

126:20

event that happens somewhere in the 30s

126:22

where growth hormone production

126:23

dramatically decreases. So if we kind of

126:25

paint a picture, your pineal glands

126:26

aging before puberty, your thymus right

126:29

after puberty, you know, in your 20s,

126:31

and in your 30s, you're having

126:32

somatopause. That's where your growth

126:34

hormone production is decreasing. You're

126:35

having they call it adrenopause where

126:37

your adrenals stop making as much DHEA

126:39

and the different ratio of cortisol. And

126:41

then you're having menopause, andropause

126:42

and all the other chronic conditions. So

126:44

it's like your first 50 years of your

126:45

life, that's what you have to expect.

126:47

The question has been, and it's a big

126:48

debate in the medical community, is

126:51

replacing growth hormone and addressing

126:54

somatopause useful because you can

126:55

measure if we had your IGF-1 when you're

126:57

18 and your IGF-1 when you're 30 and 50,

126:59

it's going to be a dramatic decrease in

127:00

that. Should we now replenish this

127:03

IGF-1? The proponents will say IGF-1 is

127:05

important for skin and and good quality

127:07

sleep and for muscle recovery and joints

127:10

and all these things and those are true.

127:12

We know growth hormone has all these

127:13

beneficial effects on that. We also know

127:15

growth hormone is thymore regenerative

127:17

because it stimulates the regrowth of an

127:20

aged involuted thymus gland. Based on

127:22

Dr. Fee's work, the question is, is

127:24

there an ankcogenic signal when it comes

127:26

to growth hormone?

127:27

>> Does it cause cancer?

127:28

>> Yes.

127:28

>> Can it sorry, can it promote more rapid

127:31

growth of other of existing cancer? I

127:35

don't think anyone thinks it causes

127:36

canc. And this is the big debate when

127:37

people are like BBC causes cancer.

127:39

There's no muten effect from BP is BPC

127:42

like smoking a cigarette. Smoking a

127:44

cigarette. you get carcinogenic damage

127:45

to the lung tissue that causes a cancer

127:47

later on. There's no direct mechanism

127:49

that would link any of these peptides to

127:50

a carcinogen carcinogenic effect. But is

127:53

it you know a growth factor that could

127:56

grow a cancer potentially? There isn't

127:58

good data showing that the the debate

128:00

may be like hey by boosting thymic

128:02

function from growth hormone are you

128:03

increasing immunity and then immune

128:04

surveillance of different tumors right

128:06

and therefore decreasing and then

128:08

causing the scale. There's a big debate

128:09

of of whether growth hormone is even

128:11

beneficial when it comes to aging

128:12

because growth hormone does grow certain

128:14

tissues. There's models where people are

128:16

growth hormone deficient and they live a

128:17

lot longer

128:18

>> and growth hormone is not positive when

128:20

it comes to a cardio metabolic

128:21

perspective.

128:22

>> And in species like dogs where there's

128:23

tremendous variation in the amount of

128:25

IGF-1 that's made between say a

128:27

chihuahua and a great dane. The breed

128:30

that makes more IGF-1 downstream of

128:32

growth hormone of course lives a lot

128:34

shorter lives than smaller versions of

128:36

the same species. So, you want a dog

128:38

around for a long time, get a Chihuahua.

128:40

You want a real dog, get a excuse me,

128:41

you want a dog that lives a long time,

128:43

get a great Dana or a bulldog. There's

128:44

that whole discussion of what's better.

128:46

And then you get into antagonistic

128:48

pleotropy. Is this something that's good

128:49

in youth but detrimental for longevity

128:51

or is it prolongevity? And that's big

128:53

the big debate in the longevity field,

128:55

whatever that, you know, field is of

128:57

whether or not to use growth hormone.

128:58

So, now growth hormone has become very

129:00

difficult to acquire through clinical

129:01

prescriptions after the whole anabolic

129:03

steroids act and buried bonds and all

129:05

all that stuff. So people have now

129:06

shifted to using secrets in lie of

129:08

growth hormone.

129:09

>> Also growth hormone is very expensive.

129:11

>> Very expensive. Yeah. Like Fizer's pens

129:13

are are in the thousands of dollars. So

129:15

like if you want if you're rich you can

129:16

afford to you know have a growth hormone

129:18

have it but otherwise a security go cost

129:20

you know less than 100 bucks.

129:21

>> I'm told that growth hormone uh doesn't

129:24

shut down one's own production.

129:25

>> Yeah. It's not it's not a a uh strong

129:28

shutdown like the uh testicular axis.

129:32

I'm also told that when people take it,

129:34

they feel awesome,

129:36

>> which is scary to say on a podcast

129:37

because you're like, "Oh, no. I don't

129:38

want everyone running out." And, you

129:39

know, young people are already making

129:41

tons of it. But, I mean,

129:42

>> that combination of looking younger,

129:44

feeling great, cognitively feeling

129:46

great. I mean, I have some friends

129:47

who've taken like an IU a night or even

129:50

two IUs a night, you know, five nights a

129:51

week for for years. And

129:54

>> you go, "Hey, like, are you worried

129:55

about some of the tumor effects?" And

129:56

they're like, you just function at a

129:59

whole other level. and then you go, "Oh

130:01

god, that's really enticing." But, you

130:03

know, even with great imaging, you don't

130:05

know if you've got tumors that you're

130:06

accelerating in that case. So, it's kind

130:08

of scary.

130:08

>> Yeah. And and we don't have a data set

130:09

that would show that. Like, where's the

130:11

body count from from growth hormone? Uh

130:13

like the bodybuilder body counts are

130:14

from other compounds, not doing

130:16

everything.

130:17

>> Yeah. Exactly. I mean, when you go into

130:18

a gym, you can tell who's who's doing

130:20

growth hormone versus not based on their

130:21

skin shining. like you see a 45-year-old

130:23

dude that's through sematopause but has

130:25

perfect young skin and

130:26

>> you know there's Botox and all other

130:27

things involved but you can tell there's

130:28

that growth hormone look the hair looks

130:30

a little bit healthier

130:31

>> because growth hormone favors the

130:32

conversion of T4 to T3 so it changes the

130:34

thyroid dynamics it can have

130:36

protesticular effects as well from the

130:38

IGF-1 perspective so there's a lot of

130:41

you know youthful effects to it the

130:43

question is is that been a good idea to

130:45

replace it traditionally like the

130:47

medical field's kind of anti um using

130:49

these secrets to augment sematopause but

130:53

I think there's going to be a role for

130:54

it perhaps cyclally because I don't

130:56

think anything in nature is is year

130:57

round so what if you did a cyclical

130:59

cycle of and this is not medical advice

131:01

but theoretical cyclical cycle of

131:03

tesmoral for uh a certain amount of time

131:06

got your IGF-1 to a certain level under

131:07

clinician guidance measured your your

131:10

thymus on an MRI before and after and

131:11

then you saw that the thymus grew and

131:12

you had you know higher CD4CA count that

131:15

would be pretty interesting

131:16

>> be interesting a few years back and I've

131:18

told this story publicly before I tried

131:20

um smearin Yeah,

131:21

>> it's different than obviously than

131:22

testom but similar in the sense the end

131:25

point is you're seeking is more uh

131:27

growth hormone IGF-1 and it dramatically

131:30

increased my deep sleep and like nuked

131:33

my REM sleep. It's like the opposite of

131:35

pinealon together.

131:36

>> Yeah. So well didn't try that. The other

131:38

thing that it did and the reason I

131:40

halted it almost right away because I

131:41

was really just running it as an

131:42

experiment on myself was that it spiked

131:46

my PSA, my prostate specific antigen. It

131:49

had always been in range and and

131:51

relatively low. Boom. Spiked it and I

131:53

was like, "Wo, that's wild." And I don't

131:55

want that. Off it.

131:57

>> Yeah.

131:57

>> It reverted to a low level. So that was

132:00

pretty striking. So obviously, you know,

132:02

hyper respponsive prostate to smearin.

132:05

Maybe it wouldn't have been to testo,

132:07

etc. But but those are the kinds of

132:08

things the growth hormone itself that

132:11

growth hormone secretion. That's a good

132:12

point. As you age, your prostate gets

132:13

bigger. The bane of every man is going

132:14

to be BPH. like that's going to be the

132:16

reason that you hate your life when

132:17

you're in your 60s and 70s because you

132:19

have to wake up at night to to to pee

132:21

>> and then when you're at, you know, an

132:22

amusement park, you're going to have to

132:23

find the nearest bathroom very

132:24

frequently because your bladder size is

132:26

>> it'll go it out. There's there's some

132:27

prostate peptides we're looking at. So,

132:30

>> there's a young guy old guy like

132:31

taunting like, you know, you got 10 more

132:33

years before you're miserable. Thanks.

132:34

>> There's prostate peptides that uh

132:35

Cington looked at that we're trying to

132:37

translate some of that literature.

132:38

>> You'll save me.

132:39

>> No, there's there's people uh this guy

132:40

named Brennan Henry who's translated

132:42

like thousands of these papers from

132:44

Russian to English. So shout out to

132:45

Amnoiliation, but he's translated a lot

132:46

of this Russian literature and helped us

132:48

from that. So that's great. But the

132:50

prostate is growing with age under the

132:52

control of DHT and estrogen and then

132:54

probably growth hormone. So the question

132:55

is, do you want to be messing with that

132:56

and increasing the size of that? There's

132:58

there's concerns about, you know,

132:59

cardiac growth, liver growth. So there's

133:01

all these things, but also growth

133:03

hormone and and the secrets have a

133:06

negative effect on on insulin

133:07

sensitivity,

133:08

>> right?

133:08

>> So people's A1C's will usually jump.

133:11

Like the the joke in the bodybuilding

133:12

community is you have to get lean enough

133:13

and healthy enough to be able to take

133:14

growth hormone.

133:15

>> Oh, what's happening?

133:16

>> Growth hormone or the secretogs.

133:17

>> The growth hormone more so the

133:19

>> it can make you insulin insensitive.

133:21

>> Yes. Uh especially with more like

133:22

tesmlin especially when combined with

133:24

epomorlin. Ceremorine is kind of a

133:25

weaker um GHR. Tesmorine especially when

133:28

combined with eporin. Tesmor is FDA

133:30

approved. Eporin is not. The the GHR

133:33

versus GHRP kind of in the weeds there.

133:34

Those two together can create a giant

133:37

growth hormone response where your IGF-1

133:38

is in the 380s, 390s. Um, so that's

133:41

that's that's quite high like puberty

133:43

levels of IGF-1

133:44

>> and you're hungry all the time.

133:45

>> Yeah. Yeah. With MK for sure with with

133:48

tessimorin. So tesmorland has more

133:50

fidelity uh less grein effects

133:52

especially um because you can have grein

133:55

effects, prolactin effects and cortisol

133:57

effects from whenever you're mucking

133:58

around with the pituitary because

133:59

they're all in that in that same area.

134:01

Um, I think MK bleeds out the worst when

134:04

it comes to having the other effects. MK

134:06

is not a peptide. It's a a non-eptide

134:09

GHRP.

134:10

>> What's happened now is people are now

134:12

stacking their GLP-1 as their insulin

134:15

sensitivity tool, their growth hormone

134:18

or their GHR

134:19

>> and their androen modulation therapies

134:22

as this trinity stack.

134:23

>> Trinity stack

134:24

>> to get very fit, very healthy quickly.

134:27

So a lot of these transformations you

134:28

see in CEOs and celebrities and stuff is

134:30

using a combination of those three

134:32

things. You know your TRT plus maybe

134:34

anavar with tzeptide or retrruide

134:37

whatever it may be and then using a

134:39

growth hormone modulation with your if

134:41

you can afford growth hormone or that's

134:42

more epor and you're seeing people lose

134:44

a lot of fat gain a lot of muscle in

134:47

short amounts of time. Is that healthy?

134:48

We'll find out. But that is like the

134:51

celebrity protocol.

134:52

>> Very interesting. And I'm guessing that

134:54

for women the it's the combination of

134:57

growth hormone secret plus um something

135:00

like and we'll talk about these now uh

135:02

reatride or um one of the other GLPs.

135:05

I'm going to acknowledge because people

135:06

are going to start like dart throwing

135:08

darts at me about this. Yes, reatride is

135:10

hitting things other than the GLP

135:11

pathway. It's also GIP and glucagon

135:13

pathway but most people put it under the

135:15

category of GLP. So you are an

135:18

encyclopedic my friend. I I really

135:20

really appreciate the clarity and the

135:22

thoughtfulness of your answers on these.

135:24

And as people are probably becoming

135:26

aware, we could spend 50 hours talking

135:29

about salank about cerebral ly. I think

135:31

we we will have to have you back to

135:32

explore those other ones. There are a

135:33

few other things I'd like to talk about

135:34

if you're willing to give us the time.

135:36

We should close the hatch on

135:38

>> GHKCU. I misspoke and I saw it in your

135:42

eyes. You're like, he said it wrong. Do

135:43

I correct him? Yes, correct me. Everyone

135:45

else does. Um GHKCU for the collagen

135:48

effects. It's available in a lot of

135:50

creams, assuming it's real, assuming

135:51

people are doing this medically

135:53

supervised. Um, is there any benefit to

135:55

putting it directly on crow's feet or

135:58

other wrinkles or face versus injecting

135:59

it for it to go systemically?

136:01

>> Yeah, I think if you have a well-

136:02

formulated topical that's actually not

136:04

broken down because a lot of these, you

136:06

know, from these research chemites, they

136:07

sell topicals now because everyone's in

136:08

skincare. Uh, they're, you know, poor

136:10

quality. They're not even blue. Like the

136:12

GHK should be blue, but that that is

136:14

blue

136:14

>> from the copper. Yeah.

136:15

>> Okay, that makes sense. My copper pills

136:17

are blue. Yeah, that makes sense. Yeah.

136:18

Okay.

136:19

>> But that doesn't mean that it's real.

136:20

Could be copper that's fallen out of the

136:22

G the complex of the GHK. So yeah, you

136:24

want a well formulated like a good

136:25

skinare brand that knows how to

136:26

formulate these uh and deliver them into

136:28

the skin cuz that's that's another

136:29

thing. So like you know every skincare

136:31

brand has their now GHK formulation cuz

136:33

people are demanding it but it's been

136:34

around for 30 40 years on topical. The

136:37

injectable is not FDA approved of

136:39

course. I think it's going to be on the

136:40

second round of discussions when it

136:41

comes to the peptides coming back to

136:43

category one. The first round is going

136:44

to have these seven peptides BPC, TB,

136:46

etc. I think the second round is going

136:48

to look at GHK. I don't imagine that

136:49

that makes that there's no good human

136:51

data on that. But topically, there's

136:53

great human data on like different

136:55

aesthetic outcomes, especially when

136:56

coupled with red light therapy um

136:58

because it seems that the the blue

137:00

pigment and and the red light seem to be

137:02

synergistic in that effect. There's also

137:04

some some uh literature when it comes to

137:06

GHKU um for post um UV damage. So people

137:10

that are, you know, sun friendly um can

137:13

use GHKCU topically to alleviate some of

137:16

the the photo damage. Of course,

137:17

dermatologists are going to get mad at

137:18

us and say like you you just use

137:20

sunscreen and don't get the damage in

137:21

the first place. But for people that you

137:23

know aren't as responsible, you can use

137:24

GHKCU as a you know, post sunscreen.

137:26

Listen to the derms who are slightly

137:29

more sun positive like especially low

137:31

low UV index sun when the sun is low in

137:34

the sky.

137:35

>> Yep.

137:35

>> Uh Dr. Abud Bakri is is perhaps the only

137:38

other person on the planet besides um my

137:41

friend Samra Hatar who's been on this

137:43

podcast who's as excited about circadian

137:45

biology as an organizing feature uh as I

137:48

am. There are a couple others out there

137:49

but in terms of people who are like

137:50

really grounded in what's real that he's

137:52

um he I put him in that category whether

137:54

he likes it or not. So people are taking

137:57

GHKCU

137:58

cream putting it on and then doing red

138:00

light therapy and there are human data

138:01

that that perhaps can augment some of

138:03

the collagen repairative effects. the

138:06

photoagging effects, some of the the

138:07

effects of aging when compared to like

138:09

different retinols and stuff like that.

138:11

I think the the consensus in the field

138:13

now is to use it with the rest of your

138:14

skincare routine, not in place of it.

138:16

>> Um, but a lot of people, especially bros

138:19

that have never been into skincare, are

138:20

now into skincare because of

138:21

>> Oh my goodness.

138:22

>> Yeah. So, there's that, but it's

138:24

promising.

138:24

>> Bros are into skinincare.

138:27

>> Be a documentary before long like what

138:28

do you call that? The manosphere. It's

138:30

like the skinosphere.

138:31

>> Well, with with looks maxing, that's

138:32

it's it's the looks maxing peptide now.

138:34

GHK because all these guys that are into

138:37

looks maxing will use GHK.

138:38

>> They're dipping their hammer in GHK CU

138:41

and and tapping themselves. And by the

138:43

way, if you want great longwavelength

138:45

red near infrared and infrared light to

138:48

augment your GHK CU uh peptide, by the

138:51

way, I'm not suggesting that. There's

138:52

this thing called sunlight that provides

138:54

that. You just have to be careful not to

138:56

get too much UV in the process. So

138:57

before before uh people start thinking

138:59

they absolutely need a red light device.

139:01

>> Full spectrum, too. full spectrum,

139:03

balanced, great article in Nature we can

139:05

link to recently that describes the

139:06

different uh spectrums coming out of

139:08

different devices and that thing that we

139:09

call the sun which is the best source of

139:10

all of that

139:11

>> and better blue light too

139:12

>> and better

139:13

>> because we're deprived of 480 nmters in

139:16

this setup that you have full spectrum

139:17

lighting that that we don't know about.

139:19

>> I don't get paid to say what I'm about

139:20

to say but I'm really excited about

139:22

something. For a long time, I've used

139:23

Bon Chargar's bulbs cuz they have these

139:26

bulbs that switch from full spectrum in

139:28

the day. Then you, you know, flip the

139:29

same switch and it goes to yellow and

139:31

then flip flip the switch again and it

139:32

goes to red. I find the red to be kind

139:34

of difficult to navigate at night. Raw

139:36

optics.

139:37

>> Yep. Then you want

139:38

>> made one that goes from like a morning

139:41

really bright light full spectrum with a

139:43

with some a lot of blue in there on

139:44

purpose to wake you, you know, part of

139:46

the way

139:46

>> and the right blue. The 480 cyan blue

139:49

>> switch the same switch. Don't have to

139:50

change the bulb. goes to kind of a late

139:52

morning mode to afternoon mode and then

139:54

goes to candle light mode in the

139:56

evening. And here's the cool thing. Not

139:57

only did they get the spectrum and the

139:59

balance right, but it doesn't flicker.

140:02

They got rid of the flicker that you get

140:03

from LEDs and yet it's an LED, so it's

140:06

>> energy efficient. Yep. Infrared and

140:08

>> Yeah. And I have no affiliation to them

140:10

whatsoever. I pay full price for these

140:11

things. And I have to say, I really,

140:13

really like them. Even my bulldog puppy

140:15

has a little one. I have this little

140:16

monkey holding a lamp and I say, "When

140:18

the monkey goes to candle light, you're

140:19

going to sleep." and he knows he's

140:21

learning when it goes to Cantalite. Now

140:22

he's sorry he's a dromat not a tri

140:24

chromat but that's a different podcast.

140:25

All right GLPS yep now we can

140:29

comfortably exhale into your colleagues

140:32

can you can feel completely comfortable

140:34

about anything that uh that they might

140:37

think or say because the GLPs are the

140:40

reason why people are comfortable

140:42

injecting themselves. It's why this

140:43

whole thing of peptides has really taken

140:45

off. BPC kind of rode in on the GLPs in

140:48

my opinion even though it's been around

140:50

for a long time and so have all the

140:51

other peptides we've been talking about.

140:53

>> So what are your thoughts? I've never

140:55

taken one of these. Um first things

140:58

first, we're hearing that some people I

141:02

think Sam Alman actually talked about

141:03

this publicly um overdose with with Cara

141:05

Swisser about what he thought yeah where

141:07

he overdosed actually a compound

141:09

pharmacy issue he thought was what did

141:11

it. I trust him to do the right

141:12

calculation. And so it does sound like

141:13

that was a compounding pharmacy issue.

141:14

>> Could afford it? Is the buy the farmer a

141:16

great option?

141:16

>> I think back then people were just

141:17

getting them where they can. I I didn't

141:19

ask him why uh why that happened, but

141:22

nonetheless, get the dosage right. Make

141:24

sure you're getting the right stuff

141:25

clean. But he talked about the kind of

141:28

lack of uh motivation, which many people

141:31

have described anecdotally um like,

141:34

okay, lowered their food drive, but

141:36

lowered their drive period.

141:38

>> Yep.

141:38

>> Makes sense,

141:40

>> you know, depending on which pathways

141:41

are being affected. But do you think

141:43

that's a real effect? Is that something

141:44

that people need to be concerned about?

141:45

Do you think people can micro dose this

141:47

stuff? Because a lot of people are micro

141:48

doing it regardless of what their source

141:50

is. They're taking a lot less than the

141:52

kind of standard clinical trials will

141:53

be. And we're leaving out red tide for

141:55

now because it's so new. We're going to

141:56

talk about it, but I'm talking about the

141:59

>> standard ifide.

142:01

Yeah. I'll tell you that you have your

142:02

you know semiglutide which is obey and

142:04

uh the wgov is the FDA approved version

142:06

for the weight loss. For teptide you

142:08

have zeppbound and moner. Zapbound being

142:10

the FDA approved version for weight loss

142:12

that allows them to keep their patents

142:13

for longer. um these medications are

142:16

good kind of transforming medicine

142:18

especially where where I practice right

142:20

if you if we kind of zoom out our

142:22

medical system if we didn't have these

142:24

interventions was going to collapse on

142:25

itself thanks to the obesity

142:27

pre-diabetes diabetes epidemics because

142:30

we don't have enough clinicians or

142:32

finances to get everybody who was

142:34

pre-diabetic in the in the last you know

142:36

20 years and they all transitioned to

142:37

diabetes and ended up with you know

142:39

diabetic medications and dialysis and

142:41

eventually cardiovascular disease and

142:43

all these things we don't have the

142:44

resources to take care of all these

142:45

people like our medical system was going

142:47

to collapse and there wasn't enough

142:49

finances to take care of it. Now these

142:50

GLP1s are coming in and kind of

142:52

transforming that phase of medicine

142:54

because now we have a chance to

142:56

dramatically change the rate of obesity

142:59

uh diabetes pre-diabetes and all these

143:01

cardio metabolic disorders. So where do

143:04

we stand? We needed something to happen.

143:06

I mean, ideally, everybody, you know,

143:07

would get morning sunlight and eat only

143:09

healthy foods, unprocessed foods, and

143:10

have low stress and sleep great at night

143:12

and maybe no one would develop to become

143:13

obese. But the reality is people become

143:16

overweight, obese. They get stuck in

143:18

that hole. And if you just try to step

143:20

out of the hole the way you came in,

143:22

sometimes that doesn't work. You need a

143:23

different path out of that problem. And

143:26

that that's been, you know, the diet and

143:28

exercise literature for the last 40

143:29

years. Millions of books have been sold

143:31

on how to get people leaner. We now have

143:34

interventions medically that can

143:35

dramatically change people's weights for

143:37

the first time. We've had drugs in the

143:38

past that you know 5 10% of body weight.

143:41

Now with the GLP1s we're getting 10 20

143:43

even 30% of body weight being shaved off

143:46

of people especially with the new

143:47

reduced data. Is there a free lunch?

143:50

That's the big question. Like like we

143:52

kind of talked about earlier there's

143:53

always been these medical mishaps that

143:54

have happened. So far the data is very

143:57

promising when it comes to GLP1s and

143:59

that we are now reversing this rate of

144:01

chronic disease. Is it going to stay

144:03

that way? That's a good question. I'm

144:04

I'm cautiously uh optimistic when it

144:06

comes to these medications. I've been

144:09

prescribing them since I was a resident.

144:10

Uh in my VA clinic, I was putting all

144:13

these vets that are, you know, 300 lb on

144:15

GLV1s, they were losing 50, 100 lb.

144:18

Before it was FDA approved for weight

144:20

loss. We knew that that if you put

144:21

diabetics on this drug, they would lose

144:23

weight thanks to a lot of the

144:24

bodybuilders um that kind of pioneered

144:26

that.

144:27

>> When did the bodybuilders first start

144:28

using GLPS?

144:29

>> Uh late 20110s. Wow.

144:32

>> And then the signal I don't I don't

144:35

think Norvo or Lily wanted to make these

144:36

for obesity. They were focused on making

144:38

diabetes drugs because like if we zoom

144:40

out even further, this is another animal

144:42

derived compound, right? It's found in

144:44

the the saliva of the Hila monsters.

144:48

GLP1 was discovered. It's too um short

144:51

acting to have worked on its own. Then

144:53

pharmaceutical companies, this is where

144:54

you got to give pharma their credit.

144:55

they developed these drugs into more

144:56

functioning versions that had you know

144:58

longer half- lives and could stick

145:00

around in the serum for longer to have

145:01

the clinical effect. So then we started

145:03

noticing that diabetics like my my

145:04

grandma got uh Betta which was one of

145:07

these first uh GOP one drugs like 25

145:09

years ago. It was the out of all the

145:10

drugs she was on the reason I went into

145:12

medicine that was the drug that changed

145:14

her her whole trajectory because she had

145:17

less insulin needs and she was losing

145:18

weight and more energetic. So we had

145:20

seen the effects on diabetics and then

145:22

you get luraglutide dlutide and then

145:24

eventually semiglutide was the is the

145:26

blockbuster but you get all these

145:28

positive effects coming from these drugs

145:30

on diabetics. It gets translated into

145:32

obese people and overweight patients.

145:34

The question is what is the long-term

145:37

effect of this? Do you have to stay on

145:38

this drug forever? Um can you titer it

145:40

off? The the pharmaceutical companies

145:41

have not given us good guidelines on

145:42

that. They've shown us what happens if

145:43

you stop the drug. You can max out on

145:45

maximum dose. Pull the brakes on. People

145:48

tend to sometimes gain the weight. Some

145:50

people don't, but some people will

145:51

regain back to baseline. Because if you

145:53

think about it, the better way to think

145:55

about weight loss, it's a calculation

145:57

your brain does every single day with

145:58

all the different hormones and and

146:00

peptides that are made from the gut, the

146:02

GIP, GLP, glucagon, insulin,

146:05

testosterone, estrogen, all these things

146:06

kind of modulate. And there's this thing

146:08

called a set point theory or settling

146:10

points and they integrate. Should I eat

146:12

or not eat, right? So the GP1 is a giant

146:15

signal to the brain of don't eat. So

146:17

we're we're modulating this pathway.

146:20

What happens to all these young kids

146:21

that are 18 19 years old on 5 milligrams

146:24

of ratutide uh that have lost 30 40

146:26

pounds? Are they going to have to be on

146:27

that for life now to maintain that

146:29

weight?

146:29

>> Can I ask you about that? Because when

146:31

people say

146:33

perhaps you have to be on a drug for the

146:34

rest of your life, I think okay, what's

146:36

the availability? What's the cost?

146:38

>> What's the real world cost of taking six

146:40

months off because you can't access it?

146:42

Y there's a shortage and maybe better

146:44

drugs will come along. Like I don't

146:45

necessarily have a problem with it.

146:47

Although if you talk to type 1 diabetics

146:49

in the old days, they weren't crazy

146:50

about the idea that they had to

146:51

constantly inject themselves with

146:53

insulin. Now there are better better

146:54

delivery devices. I kind of feel like

146:56

eventually there'll be some slowrelease

146:58

um polymer that will just kind of give

147:01

you a micro dose of it. You could dial

147:02

it up if you want.

147:03

>> Those are all pills. Now

147:04

>> personally I don't worry so much about

147:06

like for the rest of your life. I worry

147:07

more about the much shorter life if

147:09

people are obese. But what about these

147:12

brain effects? I I do worry about a

147:14

brain that's developing in the context

147:16

of of a you know thousandfold or more

147:19

increase in these GLPs because when we

147:21

had um Zach Knight on the podcast, he's

147:23

not a clinician, he's a scientist up at

147:24

UCSF, Howard Hughes investigator, which

147:26

means he's like a superstar and deserves

147:28

to be in that category. He described

147:30

that the diabetic drugs would increase

147:32

GLP by like like double, quadruple, but

147:36

the weight loss effects weren't really

147:37

there. But the drugs that you rattled

147:40

off a few minutes ago, Monaro, Zmpic,

147:42

etc. And certainly Red True Tide. We're

147:44

talking about thousandfold increases in

147:46

GPS, we don't know what the long-term

147:47

effects of those are on like

147:48

neuroplasticity and learning. Could be

147:50

great. Yes.

147:51

>> Could be positive. We shouldn't always

147:52

assume those effects are bad.

147:53

>> Yeah. Like the effects for like let's

147:55

say a 60-year-old pre-diabetic diabetic

147:57

on Alzheimer's disease seems to be

148:00

potentially positive. I think the the

148:01

study last year didn't show a good

148:03

signal on our Alzheimer's prevention,

148:04

but we know diabetes and cardio

148:06

metabolic disease speeds up that

148:08

transition. So controlling insulin

148:10

dynamics might be beneficial there and

148:12

the obesity is not great for for

148:13

Alzheimer's risk. The question is what

148:15

about for like these cognitive effects?

148:16

Is the effect happening from the drug

148:18

itself? Is it from misuse of the drug?

148:20

Too too high of a dose. You're not

148:22

getting enough electrolytes. You're not

148:23

getting enough micronutrients,

148:25

macronutrients. You know, your blood

148:26

sugar is low. Because a lot of these

148:28

patients, the way we we approach it is

148:31

training wheel effect when it comes to

148:32

GLP-p1s. Like, hey, you come to us,

148:34

you're a patient, you want to use GLP1s,

148:35

we'll give you a lowest dose as possible

148:37

that has an effect for you, GLP-1 in

148:39

conjunction with lifestyle modification,

148:41

dietary advice, exercise programs, etc.,

148:44

etc., and then hopefully peel away those

148:46

those training wheels or keep them on if

148:48

you need them until we get to the end

148:50

point that we want. Now, when people do

148:52

it that way, I don't hear a lot of these

148:54

effects anecdotally from from Brookley

148:56

patients that we hear about online where

148:58

people are like, "Oh, I'm depressed. I

148:59

hate my life from from these drugs." And

149:02

the question is, are they just, you

149:03

know, a lot of people have low blood

149:04

pressure from from these drugs because

149:06

they're not, you know, consuming enough

149:07

electrolytes or enough food period?

149:09

>> Cuz like some people will take a mega

149:11

dose of these drugs and end up not

149:13

eating like a day goes by, they've eaten

149:17

one meal. That's not conducive to to

149:19

good feeling good. everyone, you know,

149:20

the reason people are eating in the

149:21

first place is because eating is is such

149:22

a pleasurable experience for humans and

149:24

a social experience, etc., etc. The

149:26

other thing is if you're not eating with

149:27

people on the same table, are you having

149:28

less of that socialization aspect? A lot

149:30

of times you meet up to eat or drink or

149:32

whatever it may be. So I'm very curious

149:35

when it comes to the cognitive effects,

149:36

is it from the drug directly interacting

149:38

with receptors in the brain when we

149:40

we've seen that the right amount of dose

149:41

decreases inflammation in the brain or

149:43

is it because of the social aspects of

149:45

the drug changing the way you behave and

149:47

therefore leading to negative out? dare

149:49

you think of confounding variables. It's

149:51

like, no, it's so cool cuz you're

149:52

willing to go outside the box and say,

149:54

"Hey, listen, this might be due to some

149:56

of the um downstream consequences of of

149:59

reduced appetite."

150:00

>> Yeah. And we know the literature shows

150:01

that people now are having less alcohol

150:03

cravings from this. It might be changing

150:05

the way the dopanergic signaling is

150:06

happening in the brain, which is

150:08

concerning, right? Because a lot of

150:09

people will be stacking this with, you

150:11

know, ADHD medications. Uh they might be

150:13

using some of these peptide stimulants,

150:15

um smax link, whatever it may be. So the

150:17

question because what happens is people

150:18

go to these websites, they they buy one

150:19

more peptide and they got a great result

150:21

and they'll be like, you know, let me

150:22

add three more peptides on peptides.

150:23

>> Yes, it's a increasing AOV problem. So

150:26

the average sale value goes up

150:28

>> from these research sites.

150:30

>> We'll see where where GLP ones go. The

150:32

the the reality is it's here. There

150:34

there is no pre GLP1 world for us as

150:36

clinicians, as health enthusiasts. We're

150:38

in a postg world and everything kind of

150:41

dictates downstream from that. The

150:43

people I know who've taken um these and

150:45

I don't know exactly which are taking

150:47

much lower dosages than were prescribed

150:48

to them and they are indeed sharing them

150:51

with getting the prescription than

150:53

people are sharing them. People are cost

150:54

sharing now people are trying to get

150:56

them from other sources. Several of

150:58

those people say they they feel like

151:00

they can think better. But I told them,

151:01

well yeah, if your insulin sensitivity

151:03

is improved, if you're carrying less

151:05

body fat, body fat's an endocrine organ.

151:07

It's you know you need some body fat.

151:09

But

151:10

>> there could be a number of reasons for

151:11

that. I don't know if these are direct

151:12

effects on the brain.

151:13

>> Yeah. Well, I mean leptin sensitivity

151:14

increases as you decrease the body fat

151:16

mass. There's there's GP1 receptors on

151:18

the palm neurons in the brain and no

151:20

one's kind of examined what that means

151:21

downstream for the leptin melano uh

151:23

leptin melanocortin pathway and what

151:25

that means for energy status you know

151:27

thyroid hormone production reproductive

151:29

status. We know a lot of people are oyic

151:31

babies in that a lady will will be

151:33

subfertile or infertile start a weight

151:36

loss drug and then find out by accident

151:38

she's pregnant.

151:39

>> Was she obese before? Yeah, there's

151:41

these are overweight obese women that

151:43

are having um their fertility improve as

151:45

a result of losing the weight because we

151:46

know

151:47

>> uh your leptin status is a key driver of

151:49

fertility because if if you're having

151:50

low leptin levels, you're starving. You

151:52

shouldn't be fertile. If you have too

151:53

much leptin and you're at leptin

151:55

resistant, you shouldn't be having kids

151:56

either. So, both of those those things

151:59

kind of get modulated by these drugs as

152:01

well.

152:01

>> There was a science paper some years ago

152:03

that leptin hitting a certain threshold

152:05

is actually what signals the onset of

152:06

puberty in females. Is that still

152:08

considered true? I think that's that's

152:10

that's part of it

152:11

>> makes sense like enough body fat to

152:12

signal that there are enough resources

152:14

and then um animals or that was an

152:16

animal study or the idea was that people

152:18

perhaps also become females become

152:20

reproductively competent at the point

152:21

where there's enough energetic resources

152:23

that

152:24

>> interesting. Have you ever taken one of

152:25

these?

152:25

>> Oh wow. Yes. I uh I uh had a family

152:30

member with a GLP1 pen uh from four

152:33

years ago that um said it wasn't

152:36

working. So I'm like okay let's see

152:37

what's going on here. I got a pen. Don't

152:40

do Don't do this at home. And I was

152:41

like, "Yeah, it's not working. Like,

152:42

it's bunked. They got it from overseas.

152:43

It was a a brand name Ozamic pen, but

152:46

gotten from overseas." Got the pen. I

152:48

was like, "You know what? If it's bunk,

152:49

let's see what it is. Don't do this at

152:50

home." Biohackers in me came out and

152:52

tried it. I injected a I think it was a

152:55

milligram of ombic.

152:56

>> What's a standard dose?

152:57

>> You start at 0.25 and escalate to 0.5.

153:00

>> You went straight to a milligram.

153:01

>> Yeah. Cuz I was like, "Ah." They're

153:02

like, "It doesn't work. I'm I'm eating

153:03

so much." I'm like, "Okay, whatever."

153:04

You got bunk bunk pen from overseas. I

153:07

go to do a shift. I was on a night shift

153:09

that day and I've never had Charizard

153:12

like projectile vomiting

153:15

>> and low blood sugar presumably.

153:16

>> The blood sugar effect for for

153:17

non-diabetics don't get that low, but it

153:19

was just miserable. Like I would I would

153:21

go admit a patient, go upstairs, vomit

153:24

in the in the call room.

153:25

>> You just gave a really good reason why

153:27

people shouldn't just do what you just

153:28

described.

153:29

>> No, they shouldn't do that. Uh then go

153:31

back to back to the ER, admit a patient,

153:33

and then it was it was the most

153:34

miserable night of my life. Uh so be

153:37

very careful how you use these drugs.

153:39

That's why titrate very slowly. Um

153:41

luckily with the newer ones the effects

153:43

are much less like people who report and

153:45

retroide even have less of these

153:47

gastrointestinal effects

153:49

>> but um that's a peptide gone wrong

153:51

story.

153:52

>> Peptide gone wrong. Um reatride. Yep.

153:55

>> I put out a post on X. I thought and I

153:58

do still think that it that Red True

154:00

Tide is going to be a trillion dollar

154:01

industry. Not because so many people are

154:04

necessarily going to use it for weight

154:05

loss,

154:06

>> but because many people will use it for

154:08

weight loss. Many people will use it for

154:10

other things because you can be sure,

154:12

absolutely sure that Lily is going to

154:15

find other

154:16

>> ways to market it. And you can protect a

154:19

patent by finding additional uses for

154:21

things. I mean, a lot of the the

154:22

blockbuster drugs for eye diseases, um,

154:25

the patents to prevent generic forms um,

154:29

were continued by Here's the deal,

154:30

folks. companies are really incentivized

154:32

to take the hundreds of millions of

154:34

dollars that they spent on clinical

154:35

trials and research and development and

154:36

not have to do it again. So, if you can

154:38

find another valid use for a drug, you

154:41

don't have to run all the safety stuff,

154:42

you don't have to do a lot of stuff, you

154:44

just have to show efficacy and a few

154:46

other things, but that's the way that

154:48

drug companies continue to play the game

154:51

um to protect their their investment,

154:53

right? I mean, it's you can understand

154:54

why they do it. If you like or not,

154:56

that's that's your business. But um so

154:58

I'm guessing that Reddit True Tide is

155:00

going we're going to discover that it's

155:02

um useful for a number of things and

155:04

from the clinical trials there's a

155:05

reason to believe that's going to be the

155:06

case.

155:07

>> And the big thing they're trying to do

155:08

now is classify as a biologic. So

155:09

Retroide has 39 amino acids. Uh to be a

155:11

biologic you have to be above 40 amino

155:13

acids.

155:13

>> And once you get to above 40 amino

155:15

acids, if you are a biologic, then the

155:17

patent lasts

155:18

>> way longer. I don't know the exact

155:19

number.

155:20

>> It's like 15 years.

155:21

>> Yeah. Much much longer. If it's a if

155:22

it's 40 or below amino acids, then it's

155:25

something like five five to seven years.

155:27

>> Someone in law will have that.

155:28

>> So, we're talking like hundreds of

155:29

hundreds of millions of dollars, maybe

155:31

billions of dollars. If it's a if you

155:33

and you can tinker with this, you can

155:35

amino acids

155:35

>> and more importantly, no one can

155:36

compound it if it's a biologic or if

155:38

it's very difficult to compound like the

155:40

right right certificates. Something

155:41

similar happened with ACG where it was

155:42

taken out of the compounders um

155:44

recently.

155:45

>> Really? Yeah. Yeah. So ACG um

155:47

>> human coriotic ginatotropin this is

155:48

commonly prescribed for trying to

155:50

restore fertility to uh to men but it's

155:53

main mostly being given in IVF cycles to

155:56

women.

155:56

>> Yep. Yeah,

155:57

>> there's a big controversy about ACG

155:59

compounders and who can compound and who

156:00

can't that's that's beyond this. But uh

156:03

this is a very important thing cuz if

156:05

Lily gets rea

156:09

then the compounders are out of luck

156:10

because the compounders all have the

156:11

formula for reetta they're ready to make

156:13

it like they can get the API from China

156:14

and and and start compounding it as soon

156:17

as it's available. It'll it will make

156:18

them all billions of dollars but if Lily

156:20

is able to do this they'll be able to

156:21

protect themselves from what was going

156:23

to happen. You see the Trump

156:24

administration now is trying to get with

156:25

Trump RX Lily and Novaist to drop their

156:28

prices to make it more available which

156:30

has happened like now I think you can

156:32

get a you know $300 monthly dose of

156:34

Tresepite available through these

156:36

websites

156:36

>> used to be 1 1500

156:37

>> yeah 1 without insurance some insurance

156:39

will cover it some some wouldn't you'd

156:40

have to get you know savvy clinician

156:42

that will advocate on your on your

156:44

behalf to get these covered but cash pay

156:46

between you know even some of the the

156:48

pills I think you can pay 150 bucks a

156:49

month for the oroplon which is not a

156:51

peptide but still GLP1 agonist um which

156:53

kind of gets to the point like it

156:54

doesn't matter if it's a peptide or not.

156:56

What matters is where where it touches,

156:57

what receptor it touches because orupon

156:59

is more similar to semiglutide. Both of

157:02

them are GLP-1 drugs. One's a peptide,

157:04

one's not. Then BBC is to semiglutide.

157:06

So like everyone online talk about

157:07

peptides are good or peptides are bad.

157:09

There's no actual scientific category of

157:12

peptides that gives you a functional

157:13

definition that's discussable between

157:15

two people because what do you mean by

157:16

peptide? Do you mean carnosine or do you

157:19

mean ratitude?

157:21

>> Excellent point. uh speaks to a lot of

157:23

the confusion. Um you are a beam of

157:26

clarifying information uh on this. I

157:30

actually am going to put in a vote um

157:32

publicly right here and now, but also uh

157:35

I'm going to do what I can to contact

157:37

folks that are relevant. I think you

157:39

should, no joke, I think you should be

157:41

in charge of a nomenclature committee. I

157:44

think for in in the world of genetics

157:45

for a long time that people would just

157:47

name genes Sonic Hedgehog or you know

157:49

you know sink one or people name it

157:51

after their cousin or what and it was a

157:52

mess and so what ends up happening is

157:54

you find similarity between genes across

157:56

different laboratories and eventually

157:58

you have a meeting and you come up with

158:00

a you have a nomenclature committee and

158:02

then you say this is you know ephrine 1

158:04

2 3 4 5 6 these are the sequences the

158:07

general public doesn't think about

158:08

molecules in that way no but the general

158:11

public are diving right into this they

158:13

are the experiment and so what I think

158:15

would be very very useful would be a um

158:19

clear and accessible nomenclature to

158:22

divide up what we've talked about today

158:24

you know BPC-157

158:26

um you know peptides with and without

158:28

known receptors the regenerative

158:30

peptides as you've called them like

158:32

thymus and alpha TB500 which are

158:33

amunogenic peptides I think

158:35

>> the word peptides is just too general

158:37

too general

158:38

>> I'm putting my vote in for you not that

158:39

you don't already have enough to do to

158:41

um come up with some nomen clature that

158:43

maybe I can help propagate and some of

158:45

the other people in the podcast

158:46

community. We'll even contact our our

158:47

our close close friends in in um legacy

158:50

media and explain to them how this works

158:52

and maybe they can help propagate just

158:54

for sake of clarity. Yep.

158:56

>> Right. We're not taking the stance these

158:57

are good or bad but just for sake of

158:59

clarity as given that there's so many

159:01

people that are peptide curious. Okay.

159:03

So before we wrap

159:05

>> I solicited X and Instagram for

159:07

questions about peptides. I did not

159:09

reveal exactly who you are, but I gave

159:11

some of your credentials and got back

159:14

many, many excellent questions. Most of

159:17

which, thanks to you, were answered

159:19

during the course of our conversation up

159:20

until now. But there are a couple of

159:22

them that many people asked, we didn't

159:24

touch on, at least not directly. One

159:26

thing that's come up several times is

159:28

the question about for women who have

159:30

endometriosis or fibroids or other

159:33

things related to reproductive health

159:35

and potential. Can things like BPC57

159:38

help and or hurt those circumstances

159:40

given their potential role in

159:42

angioenesis and the other things you

159:43

described?

159:44

>> No literature exists on either animal or

159:46

human data that that relates to those

159:48

peptides. I'd say those are more

159:50

hormonal/ metabolic issues that that a

159:53

good obgine should should take care of.

159:54

They're very difficult to treat

159:56

conditions and very miserable to have

159:57

for people and they have fertility

159:58

implications. But those are more on the

160:00

hormonal side. I think the hormonal

160:01

lever is way stronger than a peptide

160:03

level like BBC or any of those. And as

160:06

far as I'm concerned, there's no case

160:07

reports or studies that would suggest

160:09

positive or negative. CNS effects

160:12

central nervous system, excuse me, of

160:14

BPC57 or other peptides that we've

160:17

talked about that are don't fall under

160:19

the, you know, typical um umbrella that

160:22

people, you know, go to when they think

160:24

about BPC57. Now, you talked about some

160:26

of the uh stuff related to alcohol and

160:28

perhaps other things like aderall, but

160:31

anything known about, you know, people

160:33

feeling better or worse on different

160:35

peptides just psychologically,

160:36

neurologically?

160:37

>> TBI, I'll throw TBI in there for myself.

160:39

I I don't have TBI fortunately, but I

160:41

know many people that do. They reach out

160:43

to me. Could it be beneficial in those

160:44

cases?

160:45

>> Yeah, there were studies in Russia on

160:46

TBI when it comes to cortexin and

160:48

cerebralin, which would probably never

160:50

be available in the United States. So,

160:51

we'll we'll we'll skip those. Uh there's

160:53

no good data on BBC TBI. They

160:55

theoretically could be useful from a

160:57

from anti-stress perspective. That would

160:58

be interesting to explore that. BBC's

161:01

neurological effects are very

161:03

homeostatic in nature. They don't let

161:04

you get too high in the in the mice data

161:07

at least. the mice can't get too drunk

161:08

and they can't withdraw from malcol.

161:09

They can't get too high on on the mice

161:11

methamphetamines and they can't get too

161:13

high on the methamphetamines and they

161:14

don't withdraw either. So there's a

161:16

homeostatic mechanism that might explain

161:18

some of these anhidonia uh side effects

161:19

that people are reporting where BBC

161:21

modulates the gut brain access in a way

161:23

which we do not understand. It's kind of

161:25

woowoo that makes it so that your brain

161:27

can't go too far in one direction. Maybe

161:29

in putting if we think of a just just so

161:32

story it's putting you into a rest and

161:34

digest state to heal whatever problem

161:36

you have. If that's why BBC exists as a

161:38

big parent compound that might be part

161:41

of the fact that if you secrete BBC your

161:42

body goes into like a convolescent mode

161:44

because it will it will take away

161:45

stimulants it will take away sedatives

161:47

um don't try this of course but there

161:50

seems to be a homeostatic mechanism in

161:51

BPC that needs to be explored further

161:53

with good data very interesting thank

161:56

you the major question was what should

161:58

people do if they are actually

162:01

interested in obtaining peptides let's

162:04

just set the GLPs aside because it's

162:06

kind of a separate category and they

162:08

want to explore their use and they want

162:10

to be as safe as possible. Where

162:12

shouldn't they look?

162:14

>> Yeah.

162:14

>> Is how I'll phrase the question. Um

162:16

where should they look? Who should they

162:18

talk to? At what point do they can they

162:20

be confident that what they're taking is

162:22

what you know the bottle claims and and

162:24

that it's you know free of contaminants

162:27

um and so on. I many many questions but

162:29

I think this is like kind of the

162:30

question.

162:30

>> Yep. It's it's the most difficult

162:31

question to answer because uh the

162:33

majority of people are getting their

162:34

peptides from research only websites. Uh

162:36

unfortunately those are not reliable. We

162:38

don't know what's in them. They they

162:39

could be good, could be bad, could be as

162:41

good as a compound pharmacy, could be

162:42

much worse, could be the wrong peptide

162:44

in in the vial. So we don't know what's

162:46

in there. What should happen over the

162:47

next 6 12 24 months is there will be a

162:50

lot of physicianled options for patients

162:53

to get peptides. Number one, you should

162:54

encourage your physician if you don't

162:55

have one. Uh, get one and get a good

162:57

relationship with one because having a

162:58

good relationship with your physician is

162:59

a key aspect of driving good health. But

163:01

having a physician that's educated on

163:03

peptides to my doctor friends, all of

163:04

you guys are now live in a peptide era.

163:06

You have no choice but to get educated.

163:07

So get educated. We should create

163:09

resources for that. There will be a lot

163:10

of telemet options opening up soon uh

163:13

through various companies that will

163:14

offer these peptides and it will be good

163:16

for the consumer because it'll be a race

163:17

down in price and then we'll know which

163:19

which compoundingies are better which

163:20

ones are worse so you can get a better

163:22

source peptides but you should get them

163:24

from clinicians. The question that's

163:26

going to happen is there's going to be a

163:26

lot of these orally available peptides

163:28

and they're going to be all over

163:29

supplement websites like you you'll find

163:31

them with your magnesium and your

163:32

creatine and then your pinealon or your

163:33

BPC157. The question is what is that

163:36

going to look like? So we'd like, you

163:37

know, our FDA overlords to give give us

163:39

some guidance there on what can and

163:41

cannot be sold and bought. But it should

163:43

be physician le. You should be doing

163:44

this under the guidance of a physician

163:45

that's monitoring you. You know, you

163:47

shouldn't be taking testes in without

163:48

checking IGF-1 levels. Uh a GLP1 even

163:51

should be monitored with the physicians

163:52

that can counsel you on on too much

163:53

weight loss. Like some of these some of

163:54

these celebrities should have had better

163:55

clinicians monitoring their GLP1

163:57

journeys cuz they lost way too much

163:58

weight. That doesn't look healthy at

164:00

all. Unless someone's first of all

164:02

someone's not having the basics in place

164:03

there's no I point in putting all these

164:05

peptides in like

164:06

>> morning sunlight sleep darkness at night

164:08

yes good diet minimally processed food

164:11

>> yes the next phase of peptide curious

164:13

and peptide driven discussions is going

164:15

to be like how do you incorporate it

164:16

into a giant health system like you do

164:19

morning sunlight blue light blockers and

164:20

epitalon you do you know BPC and you

164:23

work out in the gym or whatever it may

164:24

be there's going to be you know

164:25

protocols that that develop but I think

164:28

within six months there'll be very good

164:29

physician options for everybody Abud,

164:32

amazing. Thank you so much for coming

164:35

here today and again shedding so much

164:37

light on what all of these things are.

164:39

You have an clearly a virtuoso level um

164:43

understanding and ability to communicate

164:44

about the history of these things, what

164:46

they are, what they aren't, what we

164:47

know, what we still don't know, um the

164:49

potential upsides, the potential

164:51

hazards, the uh the regulation, and on

164:53

and on. Um there are 50 other topics

164:56

that you and I must talk about at some

164:58

point. your knowledge of hormones in men

165:01

and women, pregnancy and women's

165:03

hormones affecting the fetus, how

165:04

progesterone impacts DHT and male

165:06

offspring. Incredible. Absolutely want

165:09

to have you back to have that

165:10

discussion, but we'll let people digest

165:11

this in the meantime. We'll put links to

165:13

where people can find you. And I just

165:15

want to say thank you for doing what you

165:16

do. And if you don't mind me sharing,

165:18

you're you're 33 years old.

165:19

>> That's right.

165:20

>> I love that you're a clinician and

165:22

you're practicing medicine, but please

165:24

please please keep wherever you can keep

165:26

up your efforts as a public educator.

165:27

come back and talk to us again. Uh

165:29

you're a gift to us all and um thank you

165:31

so much.

165:32

>> Thank you. It's a pleasure to be here

165:33

and thank you for the kind words.

165:35

>> Thank you for joining me for today's

165:36

discussion with Dr. Abud Bachri. To

165:38

learn more about his work and to find

165:40

links to the various things we

165:41

discussed, please see the show note

165:43

captions. I should also mention that Dr.

165:45

Bachri has just released a new app which

165:47

is focused on circadian biology which we

165:49

didn't talk about today, but he's a true

165:51

expert there as well. You can also find

165:53

a link to that app in the show notes

165:55

caption. If you're learning from and or

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166:29

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166:31

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168:10

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Interactive Summary

In this episode, Dr. Andrew Huberman and internal medicine physician Dr. Abu Bakri conduct an extensive masterclass on peptides. They explore the categorization of peptides—those with known receptors (like GLP-1 agonists) versus those without (like BPC-157)—and discuss their clinical use, safety profiles, and current legal status. The conversation covers the mechanism and anecdotal uses of popular peptides such as BPC-157, pinealon (EDR), thymus-related peptides (thymosin alpha-1, TB-500, thymulin), and GHK-Cu, emphasizing the necessity for better nomenclature, physician-led guidance, and the importance of clinical data over gray-market experimentation.

Suggested questions

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