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374 - The evolutionary biology of testosterone: male development & sex-based behavioral differences

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374 - The evolutionary biology of testosterone: male development & sex-based behavioral differences

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0:00

Hey everyone, welcome to the Drive

0:02

Podcast. I'm your host, Peter Aia.

0:11

Carol, thank you so much for coming out

0:12

to Austin. Great to great to meet you in

0:15

person.

0:15

>> Thank you so much for having me. I'm

0:17

thrilled to be here.

0:18

>> This is a topic that we we talk a lot

0:20

about on the podcast, but usually from a

0:23

pretty narrow lens, right, which is in

0:25

the form of replacement. Um, we talk

0:27

about hormones. um both in men and women

0:31

uh sex hormones and we talk about how

0:33

they they wax and wayne as a as an

0:35

individual ages. We obviously then talk

0:38

about you know sort of the medical use

0:40

of them but I don't think we've spent

0:41

any time understanding the more basic

0:44

fundamentals of these hormones, the role

0:46

they play in our evolution. Um, and

0:50

anecdotally,

0:51

you know, I I'll just share with you

0:53

kind of the observation that any parent

0:55

probably has uh if they have male and

0:59

female children, right? So my my first

1:02

child was a girl and

1:05

I we my wife and I very very stupidly

1:08

and arrogantly thought we were the

1:10

perfect parents because like she was so

1:12

well behaved and we were like what do

1:15

all of these other parents with their

1:17

boys running around misbehaving? Like

1:20

what are they doing wrong? And like how

1:22

could we teach them how to be as good as

1:25

we are? I mean, we didn't actually say

1:27

that, but there was undoubtedly an

1:30

annoying smuggness to us.

1:33

Um, and if you believe in a god, that

1:35

god smacked us into our place with two

1:38

boys that followed who were for all

1:41

intents and purposes treated the same

1:43

way, socialized the same way. And there

1:48

is a level of aggression in them, a fury

1:54

in them that I've never seen probably

1:57

unless I were to go back and hear

1:59

stories of what my mom said I was like.

2:00

How old are your boys now?

2:02

>> Uh, eight and almost 11.

2:06

And they're a diff they're not I

2:08

wouldn't say they're a different sex. I

2:10

would say they're a different species.

2:12

>> Yeah, I was just going to say that.

2:13

>> Yeah. So, all of that is to say

2:17

I don't I don't feel we did anything

2:19

different and yet they couldn't be more

2:22

different. And I I appreciate that

2:23

that's not going to be the case for

2:24

every parent. Um, but I also don't know

2:28

how much, well, what I hope to learn is

2:30

how much testosterone has to do with

2:32

that because I also am under the

2:34

impression that at this age the

2:37

testosterone levels wouldn't be that

2:38

much different. And I understand and

2:39

we'll probably talk about the

2:41

differences in testosterone levels

2:43

during the embryologic phase because

2:45

obviously that led to the differences.

2:48

But anyway, with that as backdrop,

2:50

>> yeah,

2:50

>> how did you get interested in this

2:52

topic?

2:52

>> Great. Okay. So, I want to make sure to

2:54

come back to everything that you just

2:57

said. Um,

3:00

so how did I get interested? I'm going

3:02

to start at the beginning, which is that

3:05

I grew up with three older brothers, and

3:10

I'm assuming that this had something to

3:12

do with my interest in testosterone. We

3:15

They were different than I was I am in

3:20

some in some consistent ways. I don't

3:22

think I thought much about that. And I

3:25

think that probably

3:28

made me really want to understand what

3:31

motivates um male behavior in general

3:34

and why it's different from female

3:36

behavior.

3:38

That wasn't sort of an idea that I had

3:40

when I was in college that I was going

3:42

to go study this, but I did become

3:45

intensely interested in the evolutionary

3:49

origins of human behavior in general and

3:52

what makes us different from other

3:55

animals. And that happened, I think,

3:57

because of traveling. I traveled

4:00

to a lot of different places in the

4:02

world mostly by myself uh during and

4:06

after college and there were such

4:08

extreme differences culturally. Egypt

4:11

with your family's Egyptian. That was

4:13

one of the places I went that really

4:16

freaked me out because I that really

4:19

shook me um because the cultural

4:22

differences

4:23

>> were so profound in terms of the

4:26

incredibly important role that sex plays

4:29

in social life and the segregation uh

4:33

and different rules that applied to

4:35

males and females. I was I was alone

4:38

traveling by myself as a young woman,

4:40

totally ignorant of what I was getting

4:42

into in Egypt. I was harassed endlessly.

4:46

Um, some of that was my fault for not

4:48

understanding the culture well enough

4:51

and what I was getting into. Uh

4:54

so this combination of

4:59

being immersed in not only different

5:02

societies that treated sex and sex roles

5:05

very differently but also different

5:07

ecologies. I spent some time um in

5:09

Africa and Kenya and Tanzania and got

5:12

really interested in all of the animal

5:15

behavior and why we are different from

5:17

other animals etc. So I had a whole

5:19

other career before graduate school and

5:21

I ended up leaving that career and

5:24

applying uh to Harvard to try to do a

5:27

graduate degree where I could um do more

5:31

to understand the evolutionary basis of

5:34

human behavior. I ended up uh getting

5:38

rejected and I just persisted and then

5:41

was offered this job out in Uganda

5:43

studying chimps for what was supposed to

5:45

be a year. And that is what really

5:48

triggered my interest in sex differences

5:50

and testosterone because

5:53

we I think to a certain extent are

5:56

indoctrinated uh to believe that most

6:00

human sex differences are cultural or if

6:03

you think that they're not it it's

6:05

better you don't say that out loud to

6:07

too many people are in the wrong place.

6:10

Uh, so when I spent time with the

6:11

chimps, I was really blown away by the

6:15

ways that the sex difference in the sex

6:17

differences in the chimps paralleled

6:20

human sex differences. Of course, not

6:22

exactly the same, but the very basic

6:24

things that you just described um, even

6:27

just in terms of energy and aggression

6:30

are present in the chimps in terms of

6:32

being higher in the males and lower in

6:35

the females. And I'm getting goosebumps

6:38

because the reasons for that are so

6:41

profound and far-reaching and start with

6:44

sperm and egg. And that's what sex

6:46

really is about is the um not just the

6:50

ability to produce sperm or eggs, but

6:53

kind of the way that the organism is

6:55

designed and the uh reproductive

6:58

phenotype including body and behavior.

7:01

And then that in humans plays out in

7:03

these really complex ways in terms of

7:05

social systems. So I thought I really I

7:09

got interested in testosterone because

7:12

this is one thing I could grab on to

7:14

that links very clearly humans,

7:17

chimpanzees and every other mammal in

7:20

terms of um males having much higher

7:23

levels than females. And it's not just

7:24

mammals. There are other forms um of

7:27

steroid hormones that uh other species

7:31

have but this is um pervasive and just a

7:35

very powerful way to understand

7:37

approximately that means what's

7:39

happening sort of here and now in the

7:41

organism why the sexes are different and

7:43

then there are these deep evolutionary

7:45

pressures that have to do with

7:46

reproductive strategies for organisms

7:49

that produce sperm versus organisms that

7:52

produce eggs and so then I ended

7:55

uh reapplying to Harvard and getting

7:56

into the grad program there and I did my

8:00

dissertation on testosterone and sex

8:03

differences in cognition

8:05

um and the way we think and process

8:07

information and I had men watch sexy

8:11

videos and also videos of dental surgery

8:14

and collected uh their saliva and

8:17

measured their testosterone in the lab

8:19

and uh and then I just stayed on at

8:21

Harvard uh mostly just teaching. So, I

8:25

want to go back to something you you you

8:26

sort of said a second ago, which is the

8:28

distinction between mammals and non-

8:29

mammals. Uh, and I never really thought

8:31

of it until you said this, but if if I

8:33

were to

8:35

look at a a male great white shark and a

8:38

female great white shark, first of all,

8:39

do they have testosterone in them as the

8:41

androgen or sex form?

8:42

>> Vertebrates, most vertebrates will have

8:44

testosterone or something very, very

8:46

close

8:47

>> to testosterone. Yep. Now, if you again

8:49

go back to the example of great white

8:50

sharks,

8:51

>> yeah,

8:52

>> typically the females are larger. I

8:54

would reckon they're just as aggressive

8:56

as the males. Is that reflected in

8:59

comparable levels of testosterone in

9:01

those species?

9:01

>> So, sharks I don't know about

9:04

specifically, but first of all, uh males

9:06

are not always bigger than females.

9:08

Males will do whatever they need to do

9:10

generally to compete for mates. And in

9:13

many species, it's not uh to be larger.

9:16

Also there are differences in the

9:17

ability to defend a territory or defend

9:20

mates in air and water and land and

9:22

that's really a interesting way to

9:25

understand some male competitive

9:27

strategies.

9:29

So, but generally when in the species if

9:33

the female is just as aggressive, often

9:35

it's uh maternal aggression and not

9:38

necessarily uh mate competition. And if

9:40

it's

9:42

>> uh maternal aggression tends to be

9:43

mediated more by estrogen than

9:45

testosterone, even in hyenas that uh

9:48

which are very difficult to tell apart,

9:51

the females are very difficult to tell

9:53

apart from the males. They have this

9:55

clitoris that looks exactly like a penis

9:57

and experts often can't even tell the

9:59

difference. They're highly aggressive.

10:02

Um, and that seems not to be mediated by

10:06

adult in the adult at least with uh by

10:09

comparable levels of testosterone. There

10:11

seems to be potentially something going

10:13

on in early development. But often I I

10:17

don't know of good evidence that

10:18

testosterone acts similarly in females

10:22

to mediate um say mate aggression that's

10:28

we'll say mating aggression.

10:29

>> So so just make sure I understand in the

10:31

hyenas if you took an adult male and an

10:33

adult female hyena would they have

10:36

similar levels of testosterone and

10:37

estrogen?

10:38

>> No the males would be higher.

10:40

>> The males would be higher. Um,

10:42

>> despite the fact that phenotypically

10:43

they look the same and they're both

10:45

equally aggressive.

10:46

>> I believe they're either just as a

10:48

aggressive if not more so. I think

10:49

they're I believe that they're dominant

10:51

to the males.

10:52

>> Got it.

10:52

>> Uh, and there's something going on with

10:55

potentially adrenal and like maternal

10:57

adrenal androgens when the fetus is

11:00

developing that becomes the aggressive

11:02

female. But I don't think it's uh

11:04

completely worked out. I haven't looked

11:06

at the literature on that in ages. So

11:08

the the

11:10

extent of my recollection from um from

11:14

medical school on this topic was that

11:19

and again we can come back and talk

11:21

about the edge cases but

11:24

99.9% of cases are either XX or XY

11:29

right in terms of humans humans. Yes.

11:31

>> Yeah. Right. So we can talk about

11:32

Turners and Klein filters and things

11:34

like that later, but in the 99.9% of

11:38

cases of XX and XY,

11:41

what are the steps

11:44

and um how do they involve sex hormones

11:48

that create the phenotypic differences

11:51

in the embryo?

11:52

>> Yes. So phenotypic um we'll just stick

11:56

to the body and then we can also talk

11:58

about the behavior.

12:00

>> Yes. Yes. Exactly. That's what I want. I

12:01

just want to start with let's get

12:03

through the first nine months

12:05

>> and then like let's help understand how

12:08

those those two options of chromosomes

12:11

lead to two different body types.

12:13

>> And I just want to say right at the

12:15

outset that we have a sex determination

12:18

system that relies on chromosomes, but

12:20

not every animal does. So chromosomes do

12:23

not equal sex. And birds have used

12:26

chromosomes, but they have a different

12:27

system where the female is the one that

12:30

has hetererozygotic um chromosomes. So

12:33

there's temperature dependent sex

12:35

determination. So people should not

12:37

confuse uh the sex hormones themselves

12:40

with the definition of sex. However,

12:43

>> the chromosomes are the sex hormones.

12:45

>> Sorry, sorry. Sorry. Did I say sex

12:47

hormones? Sex chromosomes. Sorry.

12:48

>> Yes.

12:49

>> Uh thank you. So se the in in mammals

12:54

the chromosomes determine sex but do not

12:57

define sex. Again across sexually re

13:00

almost all sexually reproducing

13:02

organisms it's the um gameamt type that

13:06

the organism is basically designed

13:08

around uh the re that the reproductive

13:10

system is designed around that defines

13:13

sex. So and also we can have other

13:16

organisms have um can be hemaphroditic

13:19

have uh produce both gameamt types at

13:22

the same time or they can be sequential

13:24

hermaphrodite. So I just want to

13:25

>> yep

13:26

>> get that out first. So in humans the uh

13:31

mom the mother's egg is always the the

13:35

sex chromosome is always going to be an

13:37

X that it donates um in its egg and it's

13:39

going to combine with a sperm. 50% of

13:42

the sperm are going to have a Y sex

13:44

chromosome and 50% of the sperm are

13:46

going to have a X chromos uh gonna have

13:49

an X in general. So those two uh combine

13:55

and the developing embryo is going to be

13:58

either XX and XY. So

14:02

let's just start with the XY.

14:05

Uh so you were an XY. I had a son who

14:08

was an exy, which is weird for women

14:11

because they h they will have a

14:13

something inside of them that has

14:14

testicles that's producing that produce

14:17

testosterone. Uh, which I think is

14:19

interesting. And so an XY fetus

14:24

around

14:26

uh five or six weeks.

14:29

I should just say that XX and XY are

14:32

both uh

14:35

almost completely they're almost

14:37

identical until that time.

14:39

>> And the Y chromosome has a gene on it

14:43

called the sex determining region of the

14:46

Y chromosome that produces a protein

14:49

called the SRY protein. And this is a

14:52

very important protein because it

14:55

triggers the differentiation of the

14:58

undifferentiated gonad. So what's really

15:02

cool and interesting is that before that

15:04

time we all have a gonad that can become

15:09

>> both

15:10

>> either one. It can become um testes or

15:13

it can become ovaries. And that's sort

15:16

of an amazing design. And that's

15:18

evolution's way of not wasting energy,

15:20

not have having to have two

15:22

>> two systems,

15:22

>> two different systems that one develops

15:24

and the other gets discarded at least in

15:27

terms of the gonads. So they come first.

15:30

And

15:32

so in terms of sexual differentiation

15:35

that means that for XY

15:38

um individuals the gonads are going to

15:41

develop along the testicle route and

15:45

without the SRY gene they will by

15:49

default when I say by default that

15:51

doesn't mean that nothing else has to

15:53

happen. other genes have to be expressed

15:56

and and that's an active process. It's

15:59

not a passive process. But without the

16:02

SRY gene, those undifferiated gonads

16:05

will differentiate in the female

16:07

direction to form ovaries. So, so I

16:10

remember my overly simplistic and this

16:13

is almost 30 years ago, but I could have

16:16

sworn I used to think about this in the

16:18

embryology class as by default we are

16:22

female and this gene had to turn on to

16:26

basically take the X-wise and make them

16:28

male phenotypically. But that's

16:30

obviously oversimplified.

16:31

>> Yes. So, in some ways that is true. Uh

16:38

I would not

16:40

put it that way be but

16:43

by default you the individual will

16:46

develop say female

16:48

>> because if you have an XY that is

16:49

missing that region you will be

16:52

phenotypically

16:54

female but chromosomally male.

16:58

>> So you will be uh chromosomally male.

17:03

Sure. um

17:06

you will not develop but you won't

17:08

develop functional ovaries. Correct. You

17:10

won't be able to reproduce that but you

17:12

would look for all intents and purposes

17:14

you would look female. Correct.

17:15

>> Yes. So your external genitalia would

17:19

appear to be female

17:21

>> and we we'll get into those cases. Again

17:23

these are kind of these edge cases.

17:24

>> Yeah. If you think about what the

17:27

genitalia look like in a early

17:31

developing fetus, it looks female. It

17:34

doesn't have to change that much. It

17:35

gets bigger. Y

17:36

>> but to if you take what looks like um

17:40

even adult female genitalia, basically

17:43

you modify the clitoris and and the

17:46

labia to get what looks like um typical

17:50

male genitalia. So that has to do a lot

17:52

of growing and changing. And it's like

17:54

that in in the embryo or sorry in the in

17:58

the fetus. So if we're going down the

18:00

the male route, you get the expression

18:02

of SRY. And what that does is it um

18:07

causes certain cells in this

18:10

undifferentiated gonad to develop into

18:14

first uh leig cells and then later

18:16

cerolely cells. So that's happening and

18:20

then later ovarian uh differentiation

18:23

takes place.

18:25

So two things happen. The lady cells

18:29

start producing testosterone

18:32

uh first. And

18:36

I'm going to go back and just talk about

18:38

the wolfian ducts and the malarian

18:41

ducts.

18:41

>> Oh my god, I have not heard that term

18:43

since medical school. I I what a blast

18:46

from the past. Okay, so this is du

18:50

cts, not duck like quack-quack. So these

18:53

are ducted systems. Yeah.

18:55

>> And so here's another kind of cool

18:57

thing. So we start out with this

19:00

>> um

19:02

two primordial or primitive gonads that

19:06

can become either

19:07

>> and they're high. I remember they're in

19:09

the almost in the chest. And so

19:12

obviously the males have to descend into

19:14

what becomes the scrotum and the females

19:17

just stay there.

19:19

Um and and that seems very sensible.

19:21

>> You you know we still don't completely

19:23

understand why males take all this

19:26

valuable

19:27

>> stuff and keep it outside of their body.

19:29

That's a whole other

19:30

>> maybe temperature regulation.

19:31

>> Yeah. I wrote about this in my book and

19:33

I researched it um

19:36

pretty thoroughly and came up with no

19:39

answer because elephants uh have their

19:42

testicle elephants and whales and um but

19:46

I think elephants might there's oh one

19:47

other vo or something that has their

19:50

testes inside but all other mammals it's

19:52

outside and yes it's there certainly is

19:54

temperature regulation uh but then why

19:57

don't we have the system however it is

20:00

that the elephants can get

20:02

genetic.

20:03

>> I'm just going to take you down a stupid

20:06

detour for your next book.

20:08

>> Um, we were at my younger son's uh

20:11

baseball party at the end of the season.

20:13

And so now picture at the, you know, at

20:15

the time a bunch of, I don't know, 27y

20:18

old boys running around the pool playing

20:21

baseball, playing football, goofing off.

20:23

And me and the dads were sitting there

20:26

hanging out and we were observing their

20:29

behavior and and I came up with this

20:31

observation which is

20:35

there's estimated to be about 110

20:38

billion humans that have lived right

20:40

over the past 250,000 years inclusive of

20:43

of course the eight or so billion that

20:44

are alive today. And just watching this

20:47

small group of 20, you could already see

20:49

the number of times one boy would walk

20:51

up to the other and sort of flick him in

20:52

the nuts. Okay. And I was like, "All

20:55

right, to the dads."

20:58

>> How many times How many times in the

21:01

history of 250,000 years has one male

21:04

gone up to another male to flick him in

21:05

the nuts? How what's that number?

21:07

>> So it go it's goes back. So the chimps

21:09

did this.

21:09

>> Well, so but let finish the punch line.

21:11

The punch line is whatever that number

21:14

is, it's enormous.

21:16

>> Yeah.

21:17

>> Now, what's the number of females that

21:20

have gone up to another female and gone

21:22

and tried to flick them in the clitoris?

21:23

Like zero.

21:25

>> There is sometimes a little breast play,

21:28

I guess, teenagers, but nothing like

21:31

what boys.

21:31

>> Is this like what it's you're talking

21:33

about a ratio of 0 to 87 bill432

21:38

million.

21:39

>> All right. Give me your hypothesis about

21:40

why this happens.

21:42

>> I mean, my only hypothesis is that boy,

21:46

males are idiots. Like, it's such an

21:48

evolutionary stupid thing to do to like

21:51

that's a very precious part of real

21:53

estate.

21:54

>> That's the point. So, why would they do

21:55

that?

21:55

>> So, maybe it's threaten. It's like

21:56

basically I'm going to make sure you

21:57

can't reproduce. Like, I'm going to be

21:59

dominant. I'm going to I'm going to

22:00

reduce your probability of reproduction.

22:03

>> So, these are kids who are good friends

22:04

usually, right?

22:05

>> Yes.

22:06

>> And only a good friend could do it.

22:08

>> Yeah. Well, only a good friend will get

22:09

away with it.

22:10

>> Like if a stranger did it, then you're

22:12

going to come across.

22:13

>> Okay, so that so that's the point, I

22:16

think. Um,

22:18

>> so male intimacy involves insults.

22:23

Uh, the the the harsher the insult

22:26

somehow the more intimate unless it's

22:28

rejected like you just described with

22:30

the flick. So chimps,

22:33

>> and this was amazing to see because I

22:35

didn't know about it. uh when they're in

22:37

a high stress or or conflict situation

22:40

or there has been a conflict, they will

22:43

uh the subordinate will cup the balls of

22:48

the dominant one and and and they also

22:52

sort of play sex from behind kind of,

22:56

but it's this intimate trusting weird

22:59

situation where I think it really is

23:02

saying I'm down for you. I'm not gonna

23:05

hurt you. I'm holding your testicles and

23:08

you can trust me. I think, you know, I I

23:11

don't know, but uh that's that's

23:14

interesting.

23:14

>> It it just blows my mind because again,

23:16

the dads, we sat around and we laughed

23:18

hysterically at this because most of us

23:19

have daughters and we're like our our

23:21

girls have never once behaved in this

23:24

way.

23:24

>> Yeah.

23:25

>> Anyway, sorry, carry on. I apologize. So

23:27

I'm going to be

23:27

>> So there's all these things we don't

23:28

understand and one of them is why would

23:30

you leave this precious real estate

23:32

outside your body if you could

23:34

potentially thermmore regulate inside

23:36

the body.

23:36

>> I mean maybe there's an answer now and I

23:38

haven't found it and someone will you

23:40

know write in

23:41

>> we'll hear about it in the comment

23:42

section. Yeah.

23:43

>> Um so I'm just going to go through the

23:46

ducts a little more quickly. That's

23:49

there's two different systems. So the

23:51

wolfian ducks become what I'll just say

23:53

is the male internal plumbing and

23:55

thearian malarian ducts become what is

23:58

the female internal plumbing.

24:02

>> So what's what's important is that the

24:05

lady cells produce testosterone which

24:08

stabilizes the development of the

24:11

wolfian ducts. The testicles have to

24:13

produce uh two hormones. Lady cells

24:16

produce testosterone to stabilize the

24:18

wolfen ducts to connect the um sperm

24:23

producing organ to the delivery system

24:27

ultimately which is the penis and they

24:29

have to cause the degeneration of the

24:34

malarian duct. So that's antimmalarian

24:36

hormone and testosterone. So healthy

24:39

testes and this is important when we

24:41

talk about uh the disorders or

24:44

differences of sexual development.

24:46

Healthy testes will have those effects.

24:49

And you can also think about well what

24:51

happens if they can't produce

24:52

antimmalarian hormone or what happens if

24:55

there's no receptor for testosterone or

24:57

no no receptor for malarian hormone.

24:59

>> And by the way is there at any point is

25:01

any of this testosterone being converted

25:03

to DHEA in any meaningful amount? Not

25:06

that I know of. DHT for sure. Yep.

25:10

That's extremely important and that

25:12

comes next. Uh so I would like to

25:16

>> Sorry, I meant DHT. I'm sorry. I'm

25:18

sorry. Yeah. Yeah. So I I want to make

25:20

sure I can just talk about it a little

25:24

bit now. Uh so so that conversion is via

25:27

the enzyme five alpha reductase that's

25:29

present that's present in uh high

25:32

concentrations in the genital tissue. So

25:35

what's interesting about this is that

25:38

you have a mechanism to achieve high

25:40

concentrations of a more potent androgen

25:43

without that uh having to circulate

25:46

through the general circulation which

25:47

you do not want in a developing fetus.

25:51

You want to be able to control um the

25:55

development of the penis say which is

25:58

one of the things that DHT does. It

26:01

takes the uh so this so so the genital

26:04

tubrical can become the clitoris or the

26:06

penis essentially in the presence of

26:08

testosterone and functional uh five

26:11

alpha reductase it becomes a penis the

26:14

labia grow and then fuse to become the

26:17

scrotum uh and that and also the

26:20

prostate the uh DHT is necessary for

26:23

full prostate development and can later

26:26

uh sustain the function of the prostate

26:29

so what's it it is interesting because

26:32

it is this solution to in to providing

26:37

very strong androgenic signals in the

26:40

tissues that need it without wasting

26:42

energy on uh strong androgenic signals.

26:46

>> I've never actually unders I've never

26:48

thought about this until now. Is that

26:50

why DHT has such a high affinity for the

26:54

androgen receptor? You think? Yes. Is so

26:56

that you could permit it to only have a

26:58

local effect? Yes.

26:59

>> During embryologic development because

27:01

otherwise I don't know that it would

27:02

matter as much in me at this old age

27:06

that DHT is that much more potent than

27:08

testosterone. Right. So, I don't think

27:10

it would matter as much uh

27:13

>> because I'm I'm okay to be exposed to

27:15

circulating

27:17

androgens in a way that the fetus

27:19

presumably you wouldn't want.

27:20

>> I think that DHT is something like two

27:24

to five times more potent. So, and I

27:26

just

27:27

>> I thought it was even more than that.

27:28

>> It could be more. But what this means is

27:30

that it binds the receptor more tightly

27:33

and it stays on for longer, which means

27:35

that it um produces more of whatever the

27:39

protein is that it's um upregulating

27:42

because it's a steroid. Testosterone is

27:44

a steroid. Estrogen is a steroid. And

27:47

steroids, this is the way that they

27:49

typically act is by either inhibiting

27:51

but generally upregulating um androgenic

27:55

genes. So

27:57

yeah, I think that's super interesting.

28:00

And of course, there's a disorder five

28:02

alpha reductase uh deficiency where

28:06

individuals are

28:08

basically just typical males, but they

28:11

happen not to be able to produce DHT,

28:14

which seems not to, we can talk about

28:16

this later, but it seems not to have any

28:18

DHT is not what masculineizes the brain,

28:21

but it does masculineize external um

28:24

genitalia. So without that, you're going

28:25

to have what look like female genitalia

28:27

in a male. Yeah.

28:29

>> Whose otherwise typical male because the

28:31

testosterone works and the androgen

28:33

receptors are present.

28:34

>> Unfortunately, these

28:36

>> these are really really rare conditions

28:38

because that's

28:40

>> I mean these are Yeah, I I sort of It's

28:42

funny in medical school you you come

28:44

away thinking these things occur all the

28:46

time because of how much time you spend

28:47

studying these these very very rare uh

28:50

disorders. Um but but again fortunately

28:53

they're not common

28:54

>> but they do help I I used to teach a lot

28:56

about these cases because

29:00

uh yes they really help to understand

29:03

the typical pathway but also how

29:06

powerful even tiny little mutations in

29:12

little genes how powerful those

29:14

mutations can be and

29:17

uh I think it increases compassion when

29:20

we understand what the pathway is that

29:23

leads to these differences or disorders

29:26

how you know

29:27

>> because going back to that specific case

29:31

>> you have an individual that is born that

29:34

I assume at birth looks female

29:37

>> it depends where they're born if they're

29:39

born and this will become relevant if we

29:41

talk about this later in terms of sports

29:42

if they're born in places without a sort

29:45

of modern medical care often they are

29:48

sexed as uh female

29:50

But I think it becomes apparent quick

29:55

pretty quickly in childhood that that um

29:58

they're actually male. That's a whole

30:00

complicated,

30:01

>> right? Because they look male everywhere

30:03

else, right?

30:04

>> Uh

30:06

yeah, we should probably talk about that

30:08

later. But they the body the body will

30:12

look male once puberty hits. But there

30:15

is a lack of facial hair and other body

30:18

hair

30:19

>> and that do they have ovaries?

30:22

>> No no no testes. No ovaries.

30:24

>> No they have testes

30:25

>> but they haven't descended.

30:26

>> Uh they may or may not have generally.

30:29

So the the ones that really do appear to

30:32

be female and can even be uh yeah people

30:36

may believe that they're female until

30:38

puberty when they start developing male

30:40

musculature

30:42

>> uh

30:42

>> because then they're producing totally

30:44

normal testosterone levels. Yes. Just

30:46

not DHT.

30:47

>> That's right.

30:48

>> Which Yeah. The testosterone at this

30:50

point is the determining factor.

30:53

>> Um determining what?

30:55

>> Muscle mass, body hair, things like

30:57

that. Well, it can. If you don't make

31:00

DHT, some body hair will won't be

31:03

produced. You won't have full uh male

31:06

typical levels. You certainly won't have

31:08

any facial hair.

31:09

>> You won't have uh male generally, I

31:12

don't think you have male pattern

31:14

baldness.

31:15

>> Uh so the and and

31:18

the so the lack of facial hair really

31:20

makes a huge difference.

31:22

>> Yeah, that's so interesting.

31:23

>> Um because it gives a sort of more

31:24

feminine appearance to the facial skin.

31:28

So DHT is important. Um and and the the

31:32

reason part of why five alpha reductase

31:35

deficiency is relevant now is because uh

31:40

there are people who are sexed as female

31:42

and are legally female who are coming

31:44

from say a rural town in South Africa

31:48

because they've been running uh as a

31:52

female on female sports teams and then

31:55

or boxing for instance.

31:57

>> This is obviously the case we're all

31:58

familiar with. brings up complicated

32:01

social issues about what to do and that

32:04

really that means that we really do need

32:06

to understand the science there. And the

32:08

important thing from my point of view is

32:10

that um DHT has been clearly as I think

32:15

pretty clearly shown not to be uh

32:18

necessary for male typical patterns of

32:21

musculature and and other um physical

32:24

features that would give men an

32:26

advantage over women which is difficult

32:29

because sometimes these people have you

32:30

know been in a female social role

32:32

depending on where they

32:33

>> although that's also an easy experiment

32:35

to do. You could imagine giving a male a

32:38

five alpha reductase inhibitor from

32:40

birth.

32:41

>> Oh, from birth.

32:42

>> Like as a thought experiment, right? If

32:43

you took if you took a normal

32:45

chromosomally phenotypically normal male

32:48

and from the time they were call it 5

32:50

years old, you just gave them five alpha

32:52

reductase inhibitor.

32:53

>> Yeah.

32:54

>> All you're doing is turning their DHT

32:56

down to zero and doing nothing else.

32:58

You're basically asking the question,

33:00

will they develop normal musculature?

33:02

>> Yes. So Bessine Challenger Bessine and

33:05

at all have done that experiment and

33:10

there's no difference between uh this

33:13

animal and no they did it in humans.

33:16

>> How did they get an IRB for that?

33:18

>> I Yeah. Well, you know, I'm you know I

33:20

think you know his work. They've gotten

33:22

an IRB for a lot of um incredible

33:26

studies that are

33:27

>> would never be done today.

33:28

>> Super rigorous and gold standard and

33:31

>> Yeah. Interesting. Okay.

33:33

>> So, all right. You and I are probably

33:36

the only ones at this point this excited

33:37

about this discussion because we're now

33:39

so far down the weeds of embryology.

33:41

But, um, sort of bringing it back to the

33:43

surface, the takeaway here is that

33:49

XXXY start out for about 5 weeks

33:52

indistinguishable.

33:53

At about that fivew week mark, a gene on

33:56

the Y chromosome specifically begins to

33:59

trigger the differentiation pattern.

34:02

That differentiation pattern triggers

34:05

the transcription of hormones that then

34:07

transcribe

34:08

>> transcription of genes.

34:09

>> Transcription of genes that turn on

34:11

hormones that are going to

34:13

>> further activate and drive sex

34:15

differentiation.

34:16

>> So yes, thank you for that last piece.

34:19

Uh that's very important. So the

34:20

production of testosterone

34:23

in the testes,

34:25

this is really important and just

34:27

fundamental to understanding sex

34:28

differences. It's not that we have so

34:31

many different genes. So at the same

34:32

time, I should say there is we're

34:34

learning more about the role of the 70

34:38

to 100 genes on the Y chromosome, many

34:41

of which are crucial for uh typical

34:44

development of male uh reproduction and

34:47

and reproductive function.

34:50

uh but also it appears that there's some

34:52

role even prior to the production and

34:55

action of testosterone on the body and

34:58

brain. The there may be early expression

35:01

of genes on the Y chromosome that act in

35:05

the brain to shape later patterns of

35:07

behavior. Uh so that there's a lot of

35:10

work going on there to understand that.

35:12

Excuse me.

35:14

Um, so there are genetic differences and

35:17

I also want to say that the genetic

35:20

differences don't just stop at the

35:23

differences with those genes on the Y.

35:26

Uh, all the other genes are the same

35:28

except for the sex chromosomes, but

35:29

having one X versus two X's makes a huge

35:34

difference. It's extremely important. Uh

35:38

so typically so people think that the

35:42

that females completely silence one of

35:45

their X chromosomes

35:47

uh in each cell which is something that

35:49

basically does happen so that we don't

35:52

have a double dose of X chromosome genes

35:54

compared to males. So that's something

35:56

called a bar body.

35:58

>> But if that were true then wouldn't it

36:00

must be more complicated or else you

36:02

wouldn't have Turner syndrome.

36:03

>> It is so yes. So what happens is and

36:07

that's right and we can talk about

36:09

Turner syndrome but uh something like

36:14

20% and here someone might correct me

36:16

but I think around 20% of the genes on

36:20

the silenced X escape inactivation and

36:24

that turns out to be important that

36:26

there are some genes in females that

36:28

need where where the female needs the

36:31

double dose of those genes and if she

36:33

doesn't have the double dose

36:35

as in uh Turner syndrome. That's a

36:38

>> which we can define for folks as single

36:40

X chromosome

36:42

>> which presumably they got from mom and

36:44

then they didn't get a chromosome from

36:46

dad or do we know that

36:47

>> they can get it from mom or dad and

36:49

that's another rabbit hole we could go

36:51

down. There are imprinted genes um

36:55

depending on the the parental origin,

36:59

meaning certain genes are preferentially

37:01

expressed or suppressed in the mom's ex

37:04

versus the dad's for interesting

37:06

evolutionary reasons because the mom and

37:08

dad have

37:09

>> uh competing interests in what happens

37:12

to the kid.

37:13

>> And phenotypically, a woman with Turner

37:16

syndrome does appear phenotypically

37:19

female. Yes. But I believe she's not

37:21

able to reproduce.

37:22

>> That's correct. As far as I understand,

37:24

I think that there's some evidence that

37:27

there's technology now where where they

37:30

could

37:30

>> reprod but she's sterile and maybe

37:33

natural.

37:34

>> I think in some rare cases that can

37:36

happen, but generally the ovaries don't

37:38

uh

37:38

>> but her stature is distinctive, right?

37:41

She's going to be shorter

37:42

>> and there's a sort of

37:43

>> there's a sort of wider neck and a few

37:44

other uh characteristics,

37:46

>> but generally they're uh not Yeah. Yeah.

37:50

And and so um something about these 20%

37:55

or thereabouts of genes on the

37:58

supposedly silenced X chromosome are

38:01

clearly making the difference because

38:02

that would be the biggest difference you

38:04

would notice.

38:04

>> I don't know if that's the total uh

38:06

complete difference. I don't I don't

38:08

know enough about Turner but Turner's

38:10

but they turn out to to yes be important

38:14

and I don't even know if it's well

38:15

unders I think there is actually some

38:17

research on exactly which genes are

38:20

typically uh escaping but

38:22

>> and is it always the same genes

38:25

>> yeah

38:26

I don't know I don't know

38:28

>> okay

38:29

>> but so I just wanted to make the point

38:30

that in terms of the test so at this

38:34

point we have a high level of

38:39

testosterone in the fetus that is

38:41

approaching concentrations that uh in

38:44

male puberty. So this is not happening

38:48

in the female. This is a huge difference

38:51

and the reason it matters is because

38:54

testosterone

38:55

as a steroid is then going around and

38:58

acting as a transcription factor when it

39:01

uh binds with this receptor to alter

39:05

gene transcription on thousands of

39:08

genes. So uh that is happening in males

39:12

and not in females.

39:14

>> At about what stage of development? How

39:15

many months or weeks

39:17

>> we're talking? So I think around 8 weeks

39:21

it begins peaking around

39:25

15 to 20 weeks and then of course after

39:28

birth

39:29

>> it goes back down.

39:30

>> It well it goes down at birth but then

39:32

it goes up for uh peaking at 3 months

39:36

after birth and that's called mini

39:38

puberty. So this

39:39

>> I don't I don't even remember this.

39:41

>> Okay. So let because it's new you

39:43

probably didn't learn about it in

39:44

medical school. Now it's getting a lot

39:46

of attention.

39:46

>> But the point is somewhere in the second

39:48

early second trimester

39:50

that level of testosterone in a male

39:53

fetus is comparable to what it

39:55

>> it's lower. It's a it's not exactly as

39:58

high but it's very high.

39:59

>> But it's if a male in puberty is at

40:01

1,200 nanogs per deciliter this could be

40:04

600 nanogs per deciliter.

40:06

>> Maybe 400.

40:07

>> Okay.

40:08

>> Uh if I remember correctly

40:10

>> but still screaming high

40:11

>> but it's very high. And the point is

40:13

that this is affecting the development

40:16

of the brain. So I'm really interested

40:18

in behavior and from an evolutionary

40:23

point of view, what is going on

40:26

in this

40:28

early environment is extremely

40:31

important. The body is realizing, the

40:34

male body is realizing that it's going

40:37

to be a sperm producing animal. So the

40:40

brain is and we have very firm evidence.

40:45

We can't do these experiments in humans.

40:48

So people don't like it when all the

40:49

evidence comes from non-human animals,

40:51

but most of it does. And that's just

40:52

because we can't manipulate genes and

40:54

hormones and developing fetuses and see

40:56

to see what happens. We have some quote

40:58

natural experiments, but all the

41:01

evidence shows that testosterone is a

41:04

potent regulator of neural development

41:07

and differentiation from females, which

41:10

is why boys and girls aren't the same.

41:13

That is why it is 100% the reason and it

41:18

is 100% in my view uh this you know

41:23

>> this explains the birthday party

41:24

phenomenon.

41:25

>> Yes. If there could be new evidence that

41:27

comes out in humans, but all the

41:29

evidence we have points to testosterone,

41:33

>> socialization matters, right? If you

41:36

punish your kid for not playing mas,

41:40

being masculine enough, or being too

41:42

masculine, which happens because now

41:44

toxic masculinity and rough and tumble

41:46

play is supposed to be toxic. It's not.

41:49

It's healthy. It's necessary.

41:50

>> I didn't know that. I didn't even I I

41:52

missed that memo, fortunately.

41:53

>> Sorry. I get worked up about this

41:55

because there's lots of evidence showing

41:57

that first of all it is testosterone.

42:01

So even in I'll just go back to the

42:03

chimps. The males play more roughly than

42:05

the females. In many mammals where there

42:08

is a sex difference in play, the males

42:10

are playing more roughly. There's a

42:12

reason.

42:13

>> And and just to make sure people are

42:15

following this logic because I there's

42:17

one part of the swing we didn't finish.

42:19

Okay? Because it's because I keep

42:20

interrupting you. So, it's my fault, but

42:22

I'm going to do my best to synthesize

42:24

this.

42:24

>> Bring us back.

42:25

>> So,

42:26

>> testosterone, you have this real peak

42:29

difference in testosterone during a

42:31

critical window of development when the

42:33

brain is developing. And so, you have a

42:36

female brain that is developing in the

42:38

absence of testosterone. And you have

42:40

>> I wouldn't I just got to pause. We got I

42:42

I wouldn't necessarily call it Yeah, I

42:45

guess u a female brain because you've

42:48

got the the genes. You've also got XY in

42:50

every

42:51

>> When I say female, I'm just meaning

42:52

>> more female t you got a feminized. It's

42:54

it's more the XX brain is developing in

42:57

the absence of testosterone. The XY

42:59

brain is developing in the presence of

43:02

high amounts of testosterone.

43:03

Testosterone then falls. By the time

43:05

these two babies are born, they both

43:07

have really low testosterone.

43:10

Then it sounds like you're saying

43:12

unbeknownst to me until a few minutes

43:14

ago, you have this little mini puberty

43:17

that comes three months later. How how

43:19

high does testosterone get there and

43:21

what are the

43:22

>> Okay, I want to go back to the critical

43:25

period. This is also extremely important

43:27

and it's been shown

43:30

uh in non-human animals. So there are

43:32

the critical period in development.

43:35

You've got the period where testosterone

43:38

is being produced. um in the fetus and

43:41

within that there are

43:44

certain developmental periods where

43:47

different parts of the brain and body

43:49

are receptive to testosterone's actions.

43:53

And this is um there are different we

43:56

know from um non-human primates that

43:59

there are different per critical periods

44:02

for say development of the genitalia

44:05

other parts of the reproductive system

44:07

and potentially for sexual and

44:10

aggressive behavior separately. So,

44:16

uh that's interesting because

44:19

when we want to understand certain

44:22

aspects of male behavior or differences

44:24

in male behavior, uh it's helpful to

44:27

know that possibly

44:30

uh aggressive and sexual behavior may

44:32

have different thresholds for male

44:34

typical versus female typical

44:37

>> and that there may be different um

44:40

critical periods. So that we don't

44:42

really know in humans. Also in males

44:45

once you hit your sort of male typical

44:48

level of testosterone, we're just

44:50

talking about male versus female typical

44:54

patterns of behavior. In males there,

44:56

it's not really in adulthood at any

44:59

stage. There isn't really a dose

45:01

response relationship. It's more you're

45:04

at a level that's like 10 to 20 times

45:06

more than females. female have some

45:08

testosterone exposure in uterero and and

45:11

some females have more than uh would be

45:14

typical and we should talk about that

45:16

there there is a dose response

45:18

relationship because our levels are so

45:20

low and we're extremely sensitive to

45:22

differences but males have so much more

45:25

those um differences don't seem to make

45:29

uh a difference

45:30

>> once you cross this threshold.

45:32

>> Yes. Yes. Thank you. But I think the

45:34

main thing I'm hearing you say, Carol,

45:35

is that when you observe

45:39

5-year-old boys and 5-year-old girls

45:42

behaving completely differently,

45:45

the most obvious explanation for the why

45:48

is a behavioral difference, not a diff

45:51

and the behavioral difference is driven

45:53

by potentially the way their brains

45:55

developed during that critical window of

45:57

being bathed in testosterone as opposed

46:00

to the differences in testosterone. one

46:03

in a 5-year-old boy versus a 5-year-old

46:05

girl, which are dimminimous.

46:07

>> Okay, thank you so much.

46:08

>> Is that correct?

46:09

>> Yes. And thank you for saying it so

46:11

clearly because there are some really

46:13

important points here.

46:16

>> People and and I think what you just

46:19

said and what we're going to talk about

46:21

in terms of childhood shows that you

46:26

cannot judge anyone by their current

46:29

testosterone levels. You can't predict

46:30

that much.

46:32

You can't attribute

46:35

uh all variation in behavior and

46:37

individual differences in behavior

46:39

necessarily to current testosterone

46:41

levels. And even within that, if you do

46:44

have current levels, um often, yeah, you

46:48

can't predict much in terms of say

46:50

sexual behavior or aggressive behavior.

46:52

You certainly can't with kids because

46:54

they don't have any differences. They

46:56

hardly have any testosterone at all.

46:58

What they do have is on average I I

47:01

should have said this before but all of

47:02

this is on average there is tremendous

47:04

variation. The only thing that

47:06

differentiates the sexes cleanly and

47:09

essentially is the gameamt the gameamt

47:12

production.

47:13

>> Define that again because I I want to

47:15

make sure the listener understands when

47:17

you're referring to gameamt what you're

47:19

talking about and the production of them

47:20

>> sperm and eggs. So, what road are what

47:24

does evolution what has evolution

47:27

designed you for? If you're XY and

47:30

you're going to be making sperm and that

47:32

uh there's going to be a suite of

47:35

characteristics

47:37

generally that are going to be different

47:38

from the suite of characteristics that a

47:41

female who has egg who's has ovaries and

47:43

eggs will need to maximize reproduction.

47:46

So all evolution cares about is how many

47:50

uh what portion of your genes are making

47:51

it into future generations. So the

47:54

design here is about reproductive

47:57

strategies that coordinate how your body

47:59

grows, what your body is like, what

48:02

physical features you develop,

48:04

coordinates uh the hormones coordinate

48:07

that with certain um patterns of

48:10

behavior on average. every all of the

48:14

the bodies and the behavior can vary

48:16

across XX and XY, but what we're talking

48:19

about is these broad patterns mostly to

48:22

do with sex and aggression that tend to

48:25

differ between males and females. So,

48:27

it's really all and this is across

48:29

sexually reproducing organisms for the

48:31

most part. So, all the other stuff can

48:34

vary. It's not that like all XY people

48:38

are going to have a higher sex drive and

48:41

be some more aggressive. That's just not

48:42

the case. It's bodies vary, behavior

48:45

varies.

48:46

>> I know you weren't consulted during the

48:48

design phase, but do you have a sense of

48:51

why the female gameamtes are all

48:54

produced up front?

48:55

>> Oh god.

48:56

>> And you you basically get your lot at

48:58

birth and then you that's it. It's a

49:00

rate of attrition versus why the male

49:03

gameamt is just produced on demand.

49:05

>> I mean, again, I'm being a bit

49:07

facicious. Of course, we don't know

49:08

this, but do you do you have an insight

49:10

into why that's the case? I

49:13

I'm sure there's a better answer, but

49:15

here's what I think. And I um

49:19

and I hope people will write in with the

49:22

better answers.

49:25

Making eggs is expensive calorically

49:28

and in terms of time and calories, it

49:31

they're expensive

49:33

and organisms.

49:35

So, what we are designed to do is

49:37

convert energy into offspring. That's

49:40

basically what evolution uh put us here

49:42

to do. And you want to do that as

49:43

efficiently as possible.

49:46

>> So eggs are energetically expensive.

49:51

Sperm is less energy energetically

49:54

expensive. And I don't know what happens

49:58

in terms of how the eggs that go atic.

50:01

So we start out with what is it

50:04

10 million? I know you just had

50:06

>> I know I just talked about this with

50:07

Paula. the numbers are sort of

50:09

staggering how much attrition there is

50:11

between birth and uh

50:12

>> so and then you end up at birth you have

50:14

1 million and something like that okay

50:16

I'm not 100 right yeah

50:20

>> but most of them just die so maybe

50:23

there's some selection process there

50:25

there's an over production and then

50:27

because

50:28

>> for females there's so much that goes

50:30

into the production of each egg and time

50:33

and energy and each egg um that you

50:37

produce produce is going to limit your

50:39

ability. If it takes a long time, that

50:41

means you can only have like eight or 10

50:43

or however many kids over a lifetime.

50:46

Um,

50:48

so they're very valuable. So, we're

50:51

talking about testes and sperm being

50:55

uh testes sort of being not so well

50:58

protected, but the eggs are

51:00

extraordinarily

51:02

well protected if they're um made early

51:06

and then just stored.

51:07

>> Yeah,

51:08

>> I I think and uh that they resume

51:12

meiosis of course when when they are

51:14

ovulated.

51:17

So maybe there's this store and then

51:18

there's a selection process that goes on

51:20

throughout.

51:21

>> That's interesting. I that's a very

51:23

interesting idea, right? Which is maybe

51:25

you make and let's just pretend we got

51:27

these numbers right, but directionally

51:28

let's say you make a million, you have

51:31

the first 18 years of life or whatever

51:33

it is or 16 years of life to select the

51:36

best of those. And so it's not a

51:39

stochastic process that takes you from

51:41

the million to the 10,000 or whatever

51:43

the number is. It's truly a winnowing

51:46

down of the best of the best of the

51:48

best.

51:48

>> It could be.

51:49

>> Again, this is a teologic BS discussion,

51:51

but

51:51

>> it is a super interesting question and I

51:54

should know uh more about it, but it

51:57

does,

51:58

>> I think, illustrate the the you know,

52:02

the reason why we have different

52:05

strategies. It's because

52:09

the uh time and energy that females

52:12

have to put into reproduction. If say

52:15

imagine we're living as hunter

52:16

gatherers, there's no birth control.

52:18

We're not going through life getting our

52:20

periods over and over and going to Whole

52:22

Foods and having a job. We're having kid

52:25

after kid after kid. We're nursing.

52:28

We're, you know, producing the milk with

52:30

our own bodies. We have to grow the baby

52:32

in an energy relatively energy

52:35

restricted environment. The burden for

52:37

female mammals, the energetic and time

52:40

burden for female mammals is enormous to

52:43

produce each offspring. And if you don't

52:45

have the right egg or the right sperm,

52:48

you you should care about where you're

52:49

getting the sperm, then you've lost, you

52:52

know, a huge chunk of your potential

52:54

reproductive output. Men don't lose a

52:57

big chunk of their that just doesn't

52:59

happen to them. And this is the you know

53:01

sex difference in parental investment

53:03

that shapes that's why eggs and sperm

53:06

matter in terms of our bodies and our

53:08

behaviors because we have to do very

53:10

different things and live in different

53:12

ways to maximize our reproduction. Okay.

53:15

So I wanted to I don't want to get I

53:17

want to come back to what you said um

53:20

about mini puberty and uh the

53:23

differences in hormones. So, I do think

53:26

it's the differences in in the increase

53:29

in testosterone that males have that

53:32

explain

53:34

uh why they're more likely to have rough

53:36

and tumble play, more energy.

53:38

>> And by the way, how high a peak is this

53:40

mini puberty and how long does it last?

53:42

>> It starts uh within a month after birth,

53:46

but then peaks around three months and I

53:49

think then goes down until something

53:52

like six months. uh

53:55

and it appears that it has important

53:58

effects on brain development and on the

54:01

putting the like lengthening the penis.

54:05

So it seems to be an important and

54:08

>> but does the female do it as well? In

54:10

other words, does the female experience

54:11

a rise in estrogen? Yes, there's a a

54:14

lower postnatal peak, but the mini

54:18

puberty in boys appears to

54:22

also be associated with activity levels

54:26

in the boys and growth even growth

54:28

trajectories. So,

54:32

and so that's interesting. Um, but

54:36

>> there's a very narrow window of time,

54:38

right? Three to six months.

54:39

>> Yes. Yes. So in terms of the activity

54:42

levels uh you know it could be that that

54:45

post-natal

54:47

time that that the play in boys is has

54:50

something to do with differences in

54:52

activity levels, differences in novelty

54:54

seeking, different temperament, less uh

54:57

fear also. And but if you think about it

55:01

from an evolutionary point of view in

55:04

male mammals that have to compete for

55:06

status and uh operate in a dominance

55:10

hierarchy, there's a a lot of male

55:12

mammals have dominance hierarchies which

55:14

tend to function to reduce aggression

55:17

overall because instead of duking it out

55:19

every time there's a fertile female or a

55:22

delicious piece of fruit in a tree, you

55:25

just signal, I'm not going to take your

55:27

fruit. I'm subordinate to you. Uh so you

55:30

can get along kind of as a group. Yes,

55:32

there's there's infighting just like

55:34

humans have, but humans have dominance

55:36

hierarchies also. And if you don't learn

55:39

how to compete physically with other

55:41

males as a kid, this has been shown in

55:44

in non-human animals and there's some

55:46

evidence for this in humans

55:48

that uh you have more trouble.

55:52

Sorry, it just occurred to me that this

55:53

is obviously happening with social

55:55

media. People are using their iPhones to

55:58

compete instead of getting out in the

56:00

yard and play fighting or fighting with

56:02

other boys. That's actually healthy

56:04

because it ends up reducing aggression.

56:07

It it helps especially young boys and

56:10

young men learn their place in the

56:13

hierarchy, what they're capable of

56:15

physically, how to be threatening and

56:18

when to be threatening, uh when to

56:20

signal that they're submitting. you

56:23

know, all of that happens and it's fun.

56:25

So, they're driven to do it because it's

56:27

adaptive for them evolutionarily. So, I

56:29

just wanted to throw that in. And

56:31

females tend to have more nurturing

56:34

play. I had three older brothers. I was

56:37

climbing trees. I was wrestling with

56:38

them. But the girls almost never play by

56:41

choice just uh with each other. Like,

56:44

they don't have a play date where they

56:46

just tackling each they're tackling each

56:47

other. My son is 16 now. he's still

56:50

doing it and he's six feet and his

56:52

friends are like one of them is like 62

56:55

and it makes me very very nervous. Um

56:58

because they can really hurt each other

56:59

now. But yeah, they're still doing it.

57:02

But

57:03

>> yeah, it's it's it's

57:05

so it's such a beautiful thing to watch

57:07

if you if you just stop judging it for a

57:10

moment and just ask yourself the why

57:12

question like what is driving this

57:14

behavior? Right? Again, for whatever

57:17

reasons that are tragic, this has become

57:19

a political discussion, but it's really

57:21

not. It's simply a discussion of

57:23

biology, and it's endlessly fascinating,

57:25

right? Like, why is it that when I walk

57:28

into the pantry and I see a candy bar

57:33

versus a cheese stick or something, I

57:36

want to eat the candy bar? Well, that's

57:38

evolution. Like I can't I can make a

57:42

choice not to do it, but it would be

57:44

silly for me not to appreciate how much

57:47

my brain looks at the candy bar and sees

57:51

the sweetness, the energy density, the

57:53

fat, the sugar, and it's like, yeah,

57:55

that's what I want. Versus like, you

57:58

know, whatever, pick the bland,

58:00

healthier option.

58:01

>> And similarly, when we watch kids play,

58:05

um I find it very interesting. I wasn't

58:08

obviously aware of half of what you're

58:09

saying, but this idea that um if you let

58:15

boys kind of duke it out the way we all

58:18

did um

58:21

that ultimately it settles them down

58:23

again because it's probably too soon to

58:25

tell what the results are of the natural

58:28

experiment where kids play less. I mean,

58:32

we there's certainly no shortage of

58:34

discussion about what happens when kids

58:36

are all the anxiety and things that come

58:39

from endless social media, but this is

58:42

kind of a deeper uh and more interesting

58:44

question, which is what does it teach us

58:47

about aggression uh or lack thereof? And

58:50

um I'm I'm curious, have have people

58:53

been studying that as closely as they've

58:54

been studying the effects of social

58:56

media on anxiety and some of

58:58

>> I know that there are I'm not sure. um

59:02

what the

59:04

current literature is on how social

59:07

media is affecting play other than it's

59:09

not happening as much.

59:11

>> Yeah.

59:11

>> Which I think is obviously bad. Uh

59:15

you're out there, you're being physical,

59:16

you're learning about your body, you're

59:19

uh

59:21

developing relationships with other boys

59:23

in particular that are trusting but in

59:26

can involve physical aggression. And you

59:30

mentioned something about there about um

59:33

wanting to have what did you say the

59:35

chocolate bar? What was it?

59:36

>> Yeah. Yeah. Just like your knee-jerk

59:39

reaction is to always eat something

59:41

that's sweeter, more calorie dense. Yes.

59:43

You know, it's it's

59:44

>> okay. So, that's a mis we have a

59:46

mismatch. We're designed to be motivated

59:48

to seek out these foods and we have to

59:50

expend energy to get high calorie foods.

59:53

say like we would have maybe gotten

59:54

honey and that would have been super

59:56

rewarding and we only would have had a

59:58

little bit and then we would have ran

60:00

around and spent those calories and now

60:02

we have you know you can just get your

60:05

chocolate bar. So that's a mismatch

60:08

situation that's maladaptive.

60:10

And

60:12

what's interesting is that we've figured

60:14

out what to do to some degree with the

60:17

male uh any women watching this who are

60:21

super competitive and aggressive. That's

60:24

a thing, too. It's not that women are

60:26

not this way. They certainly are. And I

60:28

see more and more examples on my iPhone

60:30

from like basketball games and stuff

60:32

recently. Um but they're not they tend

60:36

to be less physically competitive than

60:38

men

60:39

>> on average

60:40

>> on average. So we have sports that

60:43

ritualize this um

60:47

motivation or this you know this desire

60:49

especially on the part of men and we

60:51

have a lot more men who are interested

60:53

in watching sports because they're kind

60:54

of getting that need met vicariously.

60:56

They're like jumping out of their

60:57

chairs. often their testosterone is uh

61:01

responding also to even the vicarious

61:03

participation in sport.

61:05

>> Given that we want to um

61:08

for the males to get this aggression out

61:11

physically,

61:13

what do we say about boys that play a

61:16

ton of video games and get their

61:18

aggression out there? So, you could

61:20

argue, well, you know, if they're

61:21

playing with their other friends,

61:23

they're also, you know, I don't I don't

61:24

I don't know enough about video games,

61:25

so I'm gonna embarrass myself, but like

61:27

I I'm sure there are super aggressive

61:29

video games where you're killing each

61:30

other and doing something in a virtual

61:32

world that you would do if you were, you

61:34

know, wrestling. Um, is there a positive

61:38

to that? Is there aside from the fact

61:40

that they're not getting exercise of

61:41

course and not being physically active?

61:43

Do we know if that serves as even a

61:44

reasonable proxy? I as far as I know

61:47

there isn't any getting your aggression

61:49

out um getting that need met if it is a

61:53

need you know some people don't have

61:55

that and in fact most men are not

61:58

terribly physically uh aggressive

62:01

there's a competitive

62:04

uh yeah this is a good question I think

62:07

you could sort of compare it to

62:10

pornography and ask are men getting out

62:14

their sexual need I there's more

62:17

evidence that maybe they are getting

62:20

some need met there. Uh but in terms of

62:24

aggression, I'm not sure

62:27

that that it works the same way.

62:29

>> So if a parent is listening to this,

62:32

is there anything that they should be

62:35

concerned about? Um in other words, we

62:37

know that all siblings are a little bit

62:39

different. So even my two boys are

62:41

different. So they're clearly both a

62:43

step function more aggressive and

62:45

physical than their sister was at a

62:47

comparable age, but they're quite

62:50

different themselves. The younger one is

62:53

a still a step ahead in aggression of

62:55

the middle one. That meaning of

62:57

>> the younger boy is more aggressive than

63:00

the older boy.

63:01

>> Can you say what you mean when you say

63:03

aggressive?

63:04

>> So there's three years between them.

63:06

>> Yeah. And

63:08

and the obviously the older one is

63:10

larger,

63:13

the younger one will instigate

63:15

physically more.

63:17

>> Okay.

63:18

>> Right. So if if if if he's unhappy,

63:22

>> Yeah. he will attack the the larger

63:26

older boy

63:27

>> and he doesn't have that same he doesn't

63:29

respond maybe even

63:32

uh aggressively or

63:33

>> well it's you know the the the he he's

63:35

just um he just hits not like he'll hit

63:38

anything and anyone that stands in his

63:40

way whereas the middle one is you know

63:42

he's not quite that bad I feel horrible

63:45

saying all this stuff my wife's going to

63:46

kill me she's like you make them sound

63:47

like monsters they're not monsters but

63:49

it's like they're just they're boys and

63:51

this is boys,

63:53

>> but like with with other kids, they're

63:56

pretty they're they're more in control,

63:58

but with each other, they're they're at

64:00

their worst. And which of course I think

64:01

is normal for for male siblings. But my

64:03

point being is just even between them,

64:05

there's quite a difference in

64:06

aggression. And maybe it's birth order,

64:08

right? Maybe when you're the younger

64:09

one, you have to you have to stand your

64:11

ground even more.

64:12

>> He used to hit my uh older my older

64:15

brother, so I was kind of a big hitter

64:17

myself. So, so is there anything that I

64:22

guess my point is should a parent just

64:23

say, "Look, I'm just going to let these

64:24

kids do what they're going to do and

64:25

understand that there are differences.

64:27

Some boys are going to be aggressive,

64:29

some are going to be less aggressive,

64:31

some are going to play rough, some are

64:33

not going to play that rough." Like, are

64:35

we is is the best thing you can do as a

64:37

parent from from any available evidence

64:39

just let them do their thing?

64:41

>> So, this is an interesting question. I

64:43

hadn't thought about it in this way. So,

64:46

I would say the rough play generally if

64:50

they're having fun, if they're smiling

64:51

and laughing, let them go for it and

64:55

don't they need to learn to work their

64:57

stuff out and I think the more play the

65:00

better and we are designed to play boys

65:03

and girls in different ways and it helps

65:06

us learn how to be social and have

65:10

social relationships and respond

65:13

physically and all of that is so

65:15

important. important and if we're not

65:16

doing that then I think we're going to

65:18

have more trouble as adults but when it

65:22

gets

65:24

uh where it's not so much fun and people

65:26

are getting hurt yeah then I think that

65:28

the parent has you know

65:30

>> so let me let me give you let them work

65:32

that out too let me give you a specific

65:34

example are boys more likely to bully

65:37

than girls

65:38

>> I don't think so uh so here's

65:42

there there's this difference where boys

65:45

will say to your face, you fat f uh you

65:50

know, they'll insult you to your face

65:53

and bully to your face. Girls are very

65:56

aggressive also, but what's interesting

66:00

is that they tend not to do it in a

66:02

direct confrontational way where they're

66:05

exposing themselves as the perpetrator.

66:07

Yeah. So they can hide from physical

66:09

harm and they c which is adapt more

66:12

adaptive but they can denigrate the

66:15

reputation say of other girls which they

66:17

do because they're their competition in

66:20

terms of um mating competition for say

66:23

high status males. So they can denigrate

66:26

the appearance or behavior especially

66:28

sexual behavior and it's cruel. It's

66:31

extremely cruel the way that um this

66:34

sort of feminine aggression and they

66:38

don't have the uh it

66:41

>> do we see that kind of behavior amongst

66:44

other mammals?

66:47

>> Oh, that's a great question.

66:50

Well, we certainly see more face-to-face

66:52

aggression among male mammals. We do

66:56

what? Sorry. What we do see in female

66:58

hierarchies sometimes is that there's

67:00

harassment

67:02

say in um some monkeys there's

67:05

harassment of a subordinate female by

67:09

the dominant so much so that cortisol

67:11

goes up in the one who is being harassed

67:14

and the and it interferes with her

67:17

capacity to reproduce. So that is uh not

67:21

a physical

67:23

necessarily confrontation. It's just

67:25

harassment. But the uh sex difference in

67:30

human aggression with fe with females

67:32

doing more of this passive aggression. I

67:34

think part of that is that females have

67:38

not evolved the same skills to resolve

67:41

conflicts so that the hierarchy can sort

67:44

of be reinstated. Males can get onto the

67:47

basketball, you know, have a pickup game

67:48

on the basketball court. It can get

67:51

rough. They can insult each other, but

67:53

by the end they've sort of worked it

67:54

out. Maybe there's a change in the

67:56

status hierarchy, but they've worked it

67:57

out. It's over. It doesn't go on for

67:59

weeks. You don't have to talk about it

68:01

endlessly. Females do not have the same

68:04

ability to resolve those kinds of

68:05

complex social what for us would be very

68:08

complex social conflicts. That that is

68:11

such an obvious statement the way you

68:14

make it for from I mean I I I don't

68:16

think of it that way but you I

68:18

completely noticed that even thinking

68:20

back to high school.

68:21

>> Yeah.

68:21

>> Like we would as boys get into huge

68:24

fights and it would be over by the end

68:28

of the day. But there's something

68:32

that feels fair about that and to sort

68:35

of backstab and not give somebody the

68:37

opportunity to and not to be able to

68:39

work it out and to gossip about behind

68:42

people's backs. So I don't think men

68:46

deserve yes more you know out of there's

68:49

murder and rape and men are over

68:52

represented in those in in horrible

68:55

crimes but we shouldn't

68:58

glorify you know feminine ways of

69:01

interacting necessarily and and try to

69:04

get men to be more feminine because

69:06

there's a lot of issues also with

69:09

typical feminine behavior.

69:10

>> So let's talk a little bit about the

69:12

pathology though. You just alluded to

69:13

it, right? There aren't too many female

69:15

murderers and rapists and the the

69:18

disproportionate representation of men

69:20

in violent crime is, you know, you don't

69:23

need statistics to understand that

69:24

>> but we definitely do have the statistics

69:26

like 95% of murders everywhere are

69:29

>> okay

69:30

>> male and obviously sexual assault is you

69:33

know 98% or something.

69:35

>> So what what do what role does

69:40

testosterone play in that? So here

69:42

again, I think just like with play, uh

69:46

people aren't going to like this, but I

69:48

want to make sure I so I want to make

69:50

sure I I say it clearly. I do think that

69:53

the difference, this broad pattern is

69:56

similar to what we see in nonhuman

69:58

animals where the males are much more

70:00

likely to kill each other than the

70:03

females. There's many more violent or

70:05

aggressive

70:07

interactions. So, we have the same like

70:10

if you look at both of us, we have

70:12

different bodies. You are bigger and

70:14

stronger. I started lifting weights

70:16

because of you a year ago, so I'm I'm

70:18

getting there, but I'll never get to

70:20

where you are. Also, I'm older, but um

70:25

so physically, men are developed for

70:29

competition for ma essentially malemale

70:32

competition for mates.

70:34

this plays out in this destructive way

70:37

in in society. Um, and so I'm I I

70:43

believe that the ultimate reason for the

70:46

difference is testosterone.

70:50

Uh,

70:51

however,

70:54

the uh crime say the murder rates in

70:57

Canada,

70:58

men are committing, you know, fewer

71:00

murders in Canada than they are in the

71:02

US. We can't attribute that to

71:03

testosterone levels.

71:04

>> So that's not because of differences in

71:06

testosterone level.

71:08

>> It is because socialization and culture,

71:14

religion, the laws uh you know all have

71:19

a huge impact on what the values are in

71:23

any particular society, what is

71:25

tolerated, what is encouraged. Some

71:26

societies basically allow men to beat

71:30

and rape their wives, right? So it's so

71:33

you have higher rates of those male

71:35

behaviors where it's not tolerated and

71:37

the culture is totally different. You

71:39

have lower rates of those behaviors, but

71:41

everywhere

71:43

>> you're you will have the sex difference

71:45

with all of these behaviors higher in

71:47

men. Uh, so

71:51

I'm glad you asked this because the re I

71:53

think the main reason people don't like

71:56

biological explanations for sex

71:58

differences is is because they

72:00

misinterpret

72:02

uh a tendency or a predisposition

72:05

for a behavior or um

72:08

or a biological explanation as

72:12

suggesting that it's impossible to

72:16

change behavior. It's not uh you know

72:20

that there's no variation across the

72:22

sexes in behavior. there is and just

72:25

because there might be a biological

72:27

explanation or even a a genetic

72:30

explanation

72:32

uh

72:33

the important thing to remember is that

72:36

we develop within an environment every

72:40

you know it's gene environment

72:41

interactions we develop within a society

72:44

and how we develop

72:47

and even how our hormones say respond to

72:49

different kinds of interactions is

72:51

impacted by the social system and and by

72:55

the ecology and everything else. So it's

72:57

complicated. Um but yeah, I think that

73:01

the re the ultimate reason is is because

73:03

of gen the genetic difference which is

73:05

the Y chromosome and the hormones that

73:08

it hormonal differences that it leads

73:10

to. And I, you know, we haven't talked

73:12

about female behavior, but of course,

73:13

nurturing, if you're going to be growing

73:16

and producing and holding and feeding

73:18

and caring for a baby, and you're the

73:21

one who absolutely has to do it, and

73:22

that's the female. Of course, we get

73:24

help from men. Um, and sometimes men

73:27

even take over as the uh primary

73:29

caregivers, which is extremely unusual

73:31

in animals uh in mammals. But so men are

73:36

capable of all of that nurturing if the

73:38

society values it because some societies

73:41

don't value that and then they're still

73:43

capable but they're not apt to do that.

73:45

Uh but so for females it just doesn't

73:48

pay reproductively

73:51

in general to be super aggressive. We

73:54

need our bodies to be healthy and we

73:57

have to live a long life. So the longer

74:00

our lives, the longer our reproductive

74:02

output. Men can live short uh you know

74:05

die young and have great reproductive

74:08

success. Yes. If they take risks and

74:11

physical risks and that just doesn't

74:13

have the same payoff for females. There

74:15

are some uh primates for instance where

74:18

the females are you know relatively

74:20

aggressive but it's almost never to the

74:22

same extent um as males. It's so

74:25

interesting when you think about

74:28

how as humans, right, like we we hold

74:31

ourselves to a higher standard than we

74:32

would hold animals, right? And and and

74:35

look, but I'll give you I'll give you a

74:36

very concrete example. Okay? So,

74:39

>> if we go back in time 500 years, first

74:43

of all, neither of us would be alive.

74:44

So, let's forget that part of the

74:46

discussion. But let's just say 500 years

74:48

ago, if you had a male that was 25 years

74:52

old, he would readily reproduce with a

74:57

14year-old female, right? That would be

74:59

completely normal and evolutionary

75:01

evolutionarily wise.

75:04

But we've made a decision, at least in

75:05

our society, that that's unacceptable.

75:08

>> And I think most people think that

75:11

that's a good decision, right?

75:12

>> Yeah. So that's an example of we have

75:16

made a societal norm that says it's

75:21

unacceptable for a 14-year-old girl to

75:25

be reproducing um certainly at the hands

75:28

of an older man. So if she gets pregnant

75:30

from her 14-year-old boyfriend, we

75:31

that's a different discussion and we can

75:33

help them both out. But

75:34

>> in this country anyway. Yeah. My point

75:36

of the story is we've made a decision

75:39

that this is no longer acceptable. Just

75:41

as we've made a decision that a husband

75:44

can't rape his wife, we have just

75:46

decided that that's not, you know, maybe

75:48

that was cool 200 years ago, it's not

75:50

cool today.

75:51

>> Yeah.

75:51

>> So to play the other side of some of

75:54

these arguments, right? Is there someone

75:57

watching us who's saying, "Peter, Carol,

76:00

you guys are talking about all this

76:01

aggression stuff, but we're humans

76:04

living in the 21st century, like we have

76:07

to change. We have to evolve as a

76:09

species. Is there a case to be made that

76:12

men should be less aggressive because

76:15

all of these evolutionary reasons that

76:17

you described aren't as necessary? Women

76:20

and men are going to live through their

76:22

evolutionary uh pardon me, their

76:24

reproductive lives. We don't have this

76:26

urgency. We don't need this competition.

76:28

Again, I'm not saying I agree with that

76:29

or anything, but I'm just saying like

76:31

there there's a steel man for the other

76:33

side of this, just as in those extreme

76:35

examples of we don't have sex with 14y

76:37

olds and we don't rape our wives.

76:41

>> So, what would it take for you to not

76:43

eat that chocolate?

76:46

>> Well, it's interesting, right? Food is a

76:48

really tough one, isn't it? Um, it can

76:51

be done. It just takes a ton of

76:53

willpower. That's the truth. I think it

76:54

can be. So the food is a great way to

76:57

think about it. There's food and sex. Uh

77:00

and aggression is for ultimately in a

77:03

way for sex.

77:04

>> Yeah. Well, I mean for both Yes. But

77:06

people will

77:08

>> Yes. Yeah.

77:08

>> Um so for men more than women,

77:10

aggression is certainly more about

77:13

>> but like to to play off that I don't

77:16

need to be an alpha male to get as much

77:17

food as I need today. Like,

77:20

>> but you are an alpha male and you have a

77:22

lot of food and you have like you

77:26

>> but I don't need we don't need to be an

77:28

alpha male to get food.

77:30

>> No, that's right.

77:31

>> That's my point. Today I don't

77:33

>> So you're saying we should get rid of

77:36

the drive. Okay. I'm not saying I I'm

77:39

just exploring this idea exploring

77:41

because I think so there's physical

77:44

competition which we certainly do not

77:46

need

77:47

>> but think about what we get from the

77:50

male. So there is a sex difference in

77:54

certain drives. Uh men tend to be more

77:58

sort of

78:01

driven to achieve specific and more

78:03

narrow goals and like hyperfocused on

78:06

certain goals and to achieve via you

78:09

know um

78:11

to be the top of the heap in in one

78:14

thing like chess. I wrote some article

78:15

on sex differences in chess and learned

78:17

a lot about, you know, cuz I was like,

78:20

what? Why are men consistently better at

78:23

chess than women? And they are.

78:25

>> No, no, I'm only laughing. If you only

78:27

knew of the of the rabbit hole, we could

78:30

go down on that front, but I'm going to

78:31

refrain.

78:32

>> So, I'm really interested in that. and

78:33

what and I had what I suspected was not

78:37

uh appears not to be the case in terms

78:40

of it's not doesn't seem to be explained

78:44

by differences in cognition at least

78:46

that's not necessarily the driving force

78:49

what is the I think the driving force is

78:51

that men boys and men are much more

78:53

willing to spend countless hours

78:57

studying the moves and practicing and

79:00

seeing their coach and you know trying

79:02

to beat their competition. And for

79:07

women, like there are other things to do

79:10

that matter in their lives more. They're

79:14

just certainly there are some women who

79:16

do who do that kind of focus, but there

79:19

are way more men. And I'm saying this

79:22

because

79:24

there's that competitive drive. chess. I

79:28

don't know what we're like getting out

79:29

of that, but uh

79:32

>> You haven't played, have you?

79:33

>> No, I have.

79:34

>> You have? Okay. All right.

79:35

>> And not super seriously, but my son was

79:37

really into it for a while. My my

79:39

brother I I know a lot of people who are

79:42

>> obsessed with it. Um but when I say what

79:44

we're getting, I mean so socially. So

79:48

competitive men super and people I'm not

79:51

again I want to I'm not saying that

79:54

women are not competitive or haven't

79:56

made incredible adv you know social

79:58

advances in all kinds of domains but

80:01

what I am saying is that if we want to

80:05

interfere with the male desire to

80:08

compete we are also interfering with

80:10

whatever products we get or advances we

80:14

get from that intense drive in Being in

80:17

academia as I was you know for 25 years

80:24

there's a lot that's that is produced

80:27

because people want to be first. They

80:30

want to nail finding this gene or be the

80:33

f you know be the first to make a

80:35

certain discovery. There's a it's

80:37

tremendously productive often that

80:40

insane drive that men have and I think

80:43

women have less of it because we have

80:46

kids. We are designed to have the kids.

80:49

We don't we don't have the same I must

80:51

do something else, you know, have to

80:54

produce this other thing with the same

80:57

drive. Again, there's tons of variation

81:00

here. There's tons of crossover. This is

81:02

just a pattern. I think men have more of

81:04

that potentially because they're not

81:07

designed to have kids to produce them

81:09

with their own bodies.

81:10

>> So, so let me play back to you what I

81:13

think I'm hearing and with a little bit

81:15

I'm in

81:15

>> trouble. I hope no with just a little

81:17

bit of inference looped into it. Right.

81:19

So, what what I think you're saying is

81:20

look,

81:21

>> um, for most of 250,000 years, male

81:25

aggression was absolutely essential for

81:28

males to reproduce and find and forage

81:30

for food and protect.

81:31

>> More so, certainly.

81:32

>> Yep. Yep. Okay.

81:34

The past 100 years or so has largely

81:37

done away with that, right? Meaning a

81:39

couple things have become true, right?

81:40

We basically have domesticated crops in

81:43

agriculture and livestock and we're no

81:45

longer in a food scarce environment

81:47

certainly for the last 50 or 60 years.

81:49

>> Uh lifespans have extended enough that

81:52

there isn't a race to reproduce. You can

81:55

actually live through your reproductive

81:58

years. So, it's not like you have to get

82:01

this done before you die at the hands of

82:04

a saber-tooth tiger. Uh, third, um,

82:08

infant mortality and maternal mortality

82:10

rates have plummeted. So the success of

82:15

your offspring skyrockets

82:19

and basically

82:21

all of the other reasons that we used to

82:23

need to be hyperaggressive with each

82:25

other to compete for mates again food

82:28

and all these other things have largely

82:30

dwindled.

82:31

But that's a fire that's been burning

82:34

for millennia.

82:36

So we have to channel into something

82:38

else. And so in many cases in the in the

82:42

most polished cor corridors of society,

82:46

we've channeled that into professional

82:50

excellence or things that would have

82:51

been sports are totally unnecessary and

82:54

superfluous hundreds of years ago that

82:56

don't even like again nobody thought of

82:59

discovering jeans or you know trying to

83:02

be the you know leading scorer in the

83:05

you know pick your favorite sport. Um,

83:08

and so it's been a easier

83:12

or maybe more logical transition of

83:15

aggression from evolutionary needs into

83:19

gratuitous needs, making more money,

83:22

being more successful, being more

83:24

famous, being being more respected in

83:27

some way. Um,

83:31

and the maternal need

83:35

of

83:36

caring for the offspring hasn't,

83:40

again, as it's coming out of my mouth,

83:42

I'm sure I'm just butchering this, but

83:45

it hasn't evolved as much in the sense

83:47

away from its original goal, which was

83:51

making sure the offspring were perfectly

83:53

protected.

83:55

>> So, there's an asymmetry in this

83:56

evolution of evolution. is that that's

83:58

what you um yeah I think I agree with

84:02

the general

84:04

>> thrust um

84:08

>> I mean what's interesting is thinking

84:09

about how say nurturing we still need to

84:13

n we basically still you can we still

84:15

need to nurture there are you know we

84:17

you can I I my my baby

84:21

was not always you know with me when I

84:23

was working uh so there are solutions to

84:27

that but I think that nurturing drive is

84:30

still super strong and valuable and that

84:33

that

84:34

uh is probably best for the kid if we

84:37

indulge indulge that

84:39

>> and and now paternal attention can be

84:41

given much more to kids.

84:43

>> Yes. Well, I think it h there's it's

84:46

interesting because even in hunter

84:47

gatherers there's very different

84:49

traditions across huntergatherer

84:51

societies in terms of um expectations

84:54

for paternal involvement. And when

84:57

there's high involvement, there's lower

84:59

testosterone in those males. That

85:02

applies to humans and

85:03

>> sorry in the in the father or in the

85:05

child.

85:06

>> In the father. So for fathers to be very

85:09

attentive. Yes.

85:10

>> The testosterone generally is suppressed

85:13

and that's true in birds where the males

85:15

are contributing. If you raise it, they

85:17

neglect their kids. So there is a

85:19

hormonal

85:20

>> uh support there for parenting. So

85:24

that's something that you know men can

85:25

do to increase their reproductive

85:27

success. So I just want to say that I

85:28

think that's something that has

85:29

>> So we don't want the lesson here to be

85:32

if you're if you're a man out there

85:33

listening with low tea, ignore your

85:35

kids.

85:37

>> With low tea.

85:38

>> If your if your tea is low, you should

85:40

ignore your kids to raise your tea. Is

85:41

that the implication?

85:42

>> Right. Right. Um it doesn't drop by that

85:45

that much. And what matters is that

85:48

you're in an environment where you see

85:50

your little kids. Like if you're a guy

85:51

and you're mated and you have a partner

85:54

and you're around your baby and you're

85:56

interacting with your baby, your te's

85:57

going to drop a little bit and that's a

85:59

good thing. And this is one of the

86:01

reasons that supplementing with

86:03

exogenous testosterone, there are so

86:05

many different ways that testosterone,

86:08

male testosterone rep responds and in to

86:11

influences social dynamics. And this is

86:14

one of them that's really important.

86:16

you're a better uh dad potentially if

86:19

your testosterone does drop. You're

86:21

potentially a better husband and uh you

86:24

know more attentive to your wife and

86:26

your kids there. This is seems uh I

86:30

don't know that there's the experiment.

86:31

>> Do we know that there's causality here?

86:33

I mean this is a pretty bold statement.

86:35

>> We do. I would say yeah we do know.

86:37

>> So what what by what magnitude are we

86:39

talking about here? Yeah, that's a good

86:41

question and I don't I should have had

86:42

the data and I don't have the answer,

86:44

but it's shown across lots of different

86:47

populations in humans and non-human

86:49

animals. Uh

86:52

that fatherhood, first of all, mating

86:55

being in a a pair bond, this like it's

86:57

like what birds do when they finally

86:59

they're very aggressive when they're

87:01

setting up their territory. Their

87:02

testosterone is high in in the males.

87:04

when they find the female and establish

87:07

a territory with her, the testosterone

87:09

tends to drop because it's not adaptive

87:11

to have high testosterone all the time.

87:14

>> And that's why animals have mating

87:16

seasons, etc.

87:17

>> Sorry.

87:19

>> It would make us go out and look for

87:21

other mates when we don't need to.

87:22

>> You're aggressing and fighting for

87:24

status and singing or flexing your

87:27

muscles or ignoring your kids or being

87:30

an [ __ ] to your wife. I mean, all of

87:33

these um

87:36

you're also not

87:39

uh reinforcing adaptive behaviors with a

87:43

bit of a testosterone spike. Like if

87:45

you're around a attractive woman and

87:48

you're trying to seduce her, there

87:49

there's very possibly going to be a

87:51

testosterone increase which stimulates a

87:54

dopamine surge and reinforces a behavior

87:58

if you're successful.

88:00

>> How much can that happen? I'm just

88:02

saying when you shut all that off, it's

88:05

like when women go on birth control and

88:07

and they don't um respond to men

88:11

necessarily in the same way that they

88:13

would have because they have just

88:15

screwed up that entire hormonal birth

88:18

control. system. There's a system in

88:21

women and in men uh where those sex

88:24

hormones are giving you signals about

88:27

what's happening in the environment and

88:29

what your role is in your potential.

88:31

>> Wait, there's a lot for me to unpack.

88:33

That's a whole other thing.

88:33

>> No, no, no, but but I want to I want to

88:35

talk about this because I didn't

88:36

Everything you're saying is totally new

88:37

to me. So, I want to make sure I'm here.

88:39

But I don't want to get away from the

88:40

fatherhood because that's this is very

88:41

well established this drop uh and it h

88:45

it it happens not just in humans but in

88:48

other uh males where paternal investment

88:52

increases survival of the offspring

88:54

which it does.

88:55

>> Okay. So let's talk about that first but

88:56

then I want to go back to the the birth

88:57

control and stuff like that. So um if if

89:02

a male

89:04

has a ch so so you know man and wife

89:07

have baby

89:09

man decides

89:11

uh after you know a few years I'm going

89:14

to stay home more and spend more time

89:17

with my child and uh you know forego

89:22

whatever else I was doing. Right. So I

89:23

used to be working 80 hours a week. I'm

89:25

now going to work 30 hours a week.

89:26

>> Oh no. He'll keep working 80. No, men

89:29

work harder when they and make more

89:30

money. Tend to do that.

89:32

>> But but in this experiment, Yes.

89:33

>> this guy,

89:35

>> okay,

89:35

>> decides to stay home half the time now.

89:38

>> Okay.

89:38

>> His testosterone will drop.

89:40

>> No,

89:42

because he the kid's too old

89:45

>> because the kid's five.

89:46

>> Then he's going to get then he'll start

89:48

his he's going to start looking for

89:50

other females. like there's serial mon

89:52

you know there's serial monogamy where

89:54

the man the man is more likely to stay

89:56

around during the early years and that's

89:58

when maybe a critical period um I'm not

90:01

sure for this effect it's really when

90:03

the the offspring is dependent and young

90:06

and the mother is very the mother needs

90:08

to be supplemented uh you know again in

90:11

a huntergather situation the woman is

90:13

not just going to have one kid she's

90:15

going to have several and she's going to

90:17

be nursing or weaning and or andor are,

90:20

you know, about to get pregnant and um

90:23

so she's in a situation where she can

90:26

really benefit from investment from a

90:28

male and he benefits reproductively.

90:30

>> He benefits reproductively because

90:32

that's a critical window in which his

90:34

protection is producing his survival.

90:37

>> Protection. Yeah. So I just want to

90:39

pause here and I want to get back to

90:41

everything else you said. Um there are

90:44

different strategies that different men

90:46

can use to maximize their output say in

90:49

a natural fertility society. One is pair

90:52

up forever with one woman. Mateguard

90:55

her. Be good to her. I'm going to like

90:58

getting teareyed for some reason.

91:02

Invest in her. Oh my god. I have no idea

91:05

what this is about. Um I it's just I

91:07

have estrogen and estrogen increases

91:09

crying. Um which it actually does.

91:11

testosterone inhibits it. Although I

91:13

also put on my testosterone gel this

91:14

morning. Anyway, um so that's one

91:19

strategy. And he had to compete and have

91:22

certain status to get that woman, right?

91:24

You want a high quality female. You want

91:26

to keep her. You can do very well

91:28

reproductively from for your lifetime

91:31

output and you're not out on the mating

91:33

market constantly being vigilant,

91:36

constantly trying to take down other

91:37

males, constantly fighting for status.

91:39

You can have sex with a lot of women,

91:41

which is what you want. You're designed

91:43

to want sex with, you know, more

91:46

partners than females are designed to

91:48

want sex with, but who knows how many of

91:50

them are going to get pregnant and who

91:53

knows how many of those babies are going

91:54

to survive. But that is one strategy

91:56

where if you're a high status man, you

91:59

can be very successful. You can have way

92:01

more than eight kids, right? But that's

92:05

a high risk strategy. A lot of men are

92:08

going to fail and they won't have the

92:10

sure thing of the one female where they

92:13

can invest in her. That seems to be not

92:17

a lower testosterone man strategy, but

92:20

it does seem that we we know that when

92:23

the kid is young, if the guy is

92:26

physically involved with the uh a small

92:29

dependent offspring that there will be

92:32

suppression in testosterone and that is

92:34

a good thing. It doesn't mean that your

92:37

muscles are will be smaller necessarily

92:39

as far as I know. I'm not sure how big

92:41

the drop is, but it does facilitate

92:44

potentially more contentment with that

92:47

life. If you have higher testosterone,

92:50

what has been shown in non-human models

92:53

is that the attention to the mate and

92:55

the offspring is reduced. There's more

92:58

attention to status seeking

93:00

um you know, aggression, getting sex

93:04

from other partners. etc. Like, so I

93:08

think it's worth trying to understand

93:10

what the um exogenous testosterone,

93:14

which shuts down that system, does in

93:17

men who, you know, I think there are

93:19

potentially some very important

93:21

behavioral and social effects that

93:24

people don't think about because they're

93:26

so psyched to get jacked and have more

93:29

social status and have the dopamine hit.

93:32

You know, it feels good. Um,

93:37

I don't know. Uh, it's I think it's

93:39

worth looking into.

93:42

I mean, there's so much to unpack there,

93:44

and it's it's it's such a again, these

93:47

evolutionary discussions are so

93:49

interesting because

93:51

I I have to imagine that most

93:55

guys who have chosen the path on your uh

93:59

right uh which is I'm going to have as

94:03

many partners as possible are not doing

94:07

that because of reproductive fitness.

94:10

they are often choosing not to have

94:12

kids.

94:13

>> So,

94:15

how do we reconcile that right from an

94:17

evolutionary perspective? I get it. The

94:19

desire to have as many partners as

94:20

possible increases your probability.

94:22

>> Even just, you know, serial monogamy

94:24

where you're in a relationship and then

94:26

you sort of move on or you divorce your

94:28

wife and get a younger partner and then

94:29

divorce your wife again and get a

94:31

younger partner. And is that rooted in

94:32

evolution of reproduction or is that

94:35

rooted in the evolution of status in a

94:38

way that is distinct from reproduction?

94:40

You say

94:40

>> so do you mean so I don't think status

94:42

is distinct from reproduction. Do you

94:44

mean psychologically what is the driver?

94:47

It's not reproduction. It's sex.

94:50

>> It is sex.

94:51

>> Which is interesting. So this is the

94:52

first time we're basically talking about

94:53

sex independent of reproduction.

94:57

>> Yeah. I it's um

95:01

ultimately

95:03

I think it is uh of course we have love

95:06

and we have relationships and all of

95:08

that but that is for reproduction. That

95:12

whole love thing is just to get the gene

95:15

the kid's genes into the your genes into

95:17

the next generation via the the kid and

95:20

the love of the wife is to have is to

95:23

ensure that you know maximize the

95:26

chances of that happening. So

95:28

>> but are we are we is there any other

95:30

species that does what we do as humans

95:33

which is so you and your husband have a

95:36

16-year-old and

95:37

>> that's it.

95:38

>> Okay. So in two years or three years

95:40

when he's off in college I know I know

95:43

it's terrible right? So um you guys will

95:46

have done your job as parents but and

95:48

>> no we're going to keep doing it until

95:51

Okay but my point is

95:52

>> um the the love you will have for each

95:55

other the the support you will have for

95:57

each other is really not in the service

95:59

of making sure your genes survive

96:01

anymore. So, is there another are there

96:04

other examples of animals that continue

96:06

in that behavior, which is when they're

96:07

past their reproductive age, when their

96:09

offspring are gone, they stay together?

96:12

>> Well, there aren't really uh too many

96:14

other animals that are past that get

96:16

past their reproductive age. Uh

96:19

>> so, elephants and all these other

96:20

longived mammals can

96:22

>> menopause, you mean who has menopause?

96:24

Yeah. So, um some whales, maybe captive

96:29

chimp, or maybe there's some wild chimps

96:31

who have had menopause. It's just very

96:32

rare. I

96:32

>> But this is kind of another human

96:34

socialization.

96:36

>> So, but grandmothers make a massive

96:39

contribution to their daughters and

96:42

their daughter's kids in terms of

96:44

knowledge and support.

96:46

>> So, I'm not So, someone who is no longer

96:50

capable of reproducing, that's valuable.

96:54

You don't want to be reproducing in your

96:56

80s because it's a total waste of energy

96:59

and you're likely to die. potentially

97:02

from trying. You can invest in your

97:05

genes that are in your uh daughter and

97:09

her kids. So, that makes a big um

97:12

difference,

97:16

but I I think I'm still not sure what

97:18

question you're asking exactly. I think

97:20

you were saying

97:21

>> no, it's just it's

97:22

>> why don't we have more why do we stay

97:25

together in a bond? Is there an

97:27

evolutionary reason for why

97:30

>> um

97:32

humans specifically stay monogamous even

97:36

after it's not necessary for the

97:38

survival of their offspring?

97:40

>> Yeah, I think increases the survival of

97:43

their offspring. So that trust and

97:46

commitment

97:48

>> uh is even if you don't have kids, you

97:51

still have you behave as though you do

97:54

because you would have. there's no way

97:56

you wouldn't have kids. So, any couple

97:59

that's having sex would have been having

98:01

kids uh when there's

98:04

>> still acting that way. There's these the

98:06

same genes are being transcribed as

98:08

though they had kids.

98:09

>> So, so if even though we only have the

98:11

one kid, it's as though you know he

98:14

could he's 16, he might have had a kid

98:16

already. So the two of us together with

98:19

our bond and we're our experience and

98:21

our relationship with our kid, we're

98:23

going to help increase the survival of

98:25

the um our grandkids. So our genes are

98:28

really going to potentially do much

98:31

better if we stay together.

98:34

>> Yeah.

98:34

>> But we are liberated from that and

98:37

people, you know, get divorced and find

98:39

other partners.

98:42

you mentioned. So again going back to

98:44

kind of testosterone and estrogen. I

98:46

want to talk a little bit about estrogen

98:48

now. So um obviously estrogen is a very

98:52

important hormone for men and women.

98:54

It's appreciated more I think in women

98:56

than men. But um

98:59

you know to cite one study that I've

99:01

talked about many times in the past.

99:03

It's about a 13-year-old study that took

99:05

men

99:07

uh took a large group of men, chemically

99:08

castrated them all, and then re, you

99:11

know, made them replete with different

99:14

doses of testosterone. Yeah. With and

99:16

without an astral.

99:17

>> So, oh, right.

99:18

>> So, this study basically

99:21

gave men, you know, I think there were

99:24

five groups of testosterone and with and

99:26

without an astral. So for folks

99:28

listening an estraol would inhibit the

99:30

conversion of testosterone to estradiol.

99:32

So you

99:33

>> so it just inhibits aromatase.

99:34

>> That's right. It's aromatase inhibitor.

99:35

So you have

99:37

>> you know from low to high five levels of

99:40

tea with and without estrogen.

99:43

>> Okay.

99:43

>> So it's a pretty elegant study, right?

99:45

Do you know

99:45

>> it was in the New England Journal of

99:46

Medicine. I don't remember who who

99:47

published this. We'll link to it in the

99:48

show notes. Now um the question was what

99:52

did these 10 groups how did they differ

99:55

>> um with respect to uh body composition

100:00

uh mood affect sexual desire all these

100:02

sorts of things I don't remember if bone

100:03

density was studied

100:05

>> um it might not have been a long enough

100:06

study I I did it's been so long since

100:08

I've looked at it okay

100:09

>> but here was the big takeaway that the

100:11

TLDDR was by far the best producing

100:15

outcome was the highest tea with high

100:18

estrogen

100:19

producing outcome for

100:21

>> everything for body composition, mood,

100:22

you name it. So in other learning to me,

100:26

it wasn't surprising that higher

100:27

testosterone was better than lower

100:29

testosterone for all the metrics that

100:30

were measured.

100:31

>> The surprising insight at the time,

100:34

again, it's we now I think understand

100:36

this much more, but for me at the time,

100:38

the surprising insight was more estrogen

100:41

was better than less for men.

100:43

>> Not just with respect to how they felt,

100:46

but even body composition. And this was

100:49

a wakeup call because I think there were

100:50

a lot of doctors out there who were

100:52

prescribing aromatase inhibitors to keep

100:55

estrogen as low as possible in men,

100:58

>> you know,

100:58

>> in men who were

100:59

>> who were taking testosterone,

101:01

>> who were taking it.

101:02

>> Yeah.

101:04

>> In within uh

101:05

>> within physiologic norms. Yeah. Okay. So

101:08

again, yeah, putting aside bodybuilders

101:09

who were taking

101:10

>> Yeah.

101:11

>> you know, a thousand milligrams of

101:13

testosterone where you do have to block

101:15

some of the aromatization. Uh but if you

101:17

have a guy who's taking, you know, 100

101:19

or 150 milligrams of testosterone a

101:21

week, which would put him to a

101:22

physiologic upper limit of normal, um

101:26

really it seems to me you ought to let

101:28

estrogen go as high as necessary or as

101:30

high as it goes naturally shy of

101:32

producing a symptom.

101:33

>> Yeah.

101:34

>> Um and so let's let's just spend a

101:37

minute now talking about the role of

101:38

estrogen and what its role in the brain.

101:42

I mean, what what what do we know about

101:43

this? And do we know

101:46

about for example why at at a minimum in

101:49

some of these studies and even

101:51

anecdotally if a male's estrogen level

101:53

is too low it has a negative impact on

101:56

his mood.

101:58

>> Do you know what the specific outcomes

102:00

were? Was it like libido or

102:03

>> libido was definitely one. I don't

102:05

recall. Gosh, I wish I'd looked at the

102:07

paper recently because I could have

102:08

spoke.

102:08

>> Let's just say libido. Yeah.

102:10

>> Okay. So this is interesting and I don't

102:12

know the paper. Um

102:17

what I will say first of all is that as

102:21

far as estrogen in males in rodents for

102:24

example just what just talking about uh

102:28

masculineization very in very early

102:31

development. Masculineization in rodents

102:34

clearly occurs via conversion of

102:37

testosterone. Once that gets into the

102:40

brain uh via aromatase. So it

102:44

testosterone if you block aromatase you

102:47

get essentially female uh female rodent

102:50

brain. So

102:52

>> does that mean that you need aromatase

102:53

to get testosterone in the brain or does

102:55

it need mean that you need the

102:56

testosterone to become estrogen to go

102:59

into the brain?

103:00

>> No, the testosterone

103:02

only the testosterone gets into the

103:04

brain. Estrogen is actually prevented

103:06

the um

103:09

peripheral testosterone is prevented by

103:12

a protein called alpha feta protein in

103:15

rodents and it's so maternal estrogen is

103:18

bound

103:19

>> uh so that females are not

103:22

masculineized. So tea enters the brain

103:26

and is aromatized

103:27

produced the te the testosterone from

103:30

the male testicles

103:32

>> is high that gets into the brain once it

103:34

gets passes the blood well it's yes gets

103:37

in there

103:38

>> once it gets past because it doesn't

103:39

have the alpha protein that's a pretty

103:40

elegant solution

103:41

>> it is an elegant solution so it is uh

103:44

clear that it's um estrogen acting via

103:48

estrogen receptors that are

103:50

masculineizing sexual and aggressive

103:52

behavior which is just very clear in

103:54

rodents because you have lordosis in

103:56

females and mounting in males and you

103:59

have higher rates of male aggression

104:01

etc. So um that's via

104:04

>> but this doesn't happen in humans.

104:05

>> This does not happen in humans and I've

104:08

uh I know that there's misunderstanding

104:11

about that. A lot of people just think

104:13

of course that applies also to humans

104:15

but it can't apply to humans because our

104:18

alpha protein does not effectively bind

104:21

estrogen. We also have um men who have

104:27

uh can't produce aromatase and don't

104:29

have estrogen and they are fully t

104:32

they're typically masculine in their

104:35

behavior. they have other issues like

104:36

with bone. Um and we also have

104:41

congenital uh sorry we also have

104:44

complete androgen insensitivity syndrome

104:46

where you have XY individuals who have

104:50

testicles but have a defective androgen

104:53

receptor and essentially develop as full

104:56

um they have testicles and XY sex

104:58

chromosomes and high testosterone but

105:00

they develop as females because their

105:04

testosterone is converted into estrogen.

105:07

Uh, so they have no testosterone

105:08

whatsoever, yet they do have estrogen.

105:10

They're exposed to maternal estrogens.

105:12

They're very feminine.

105:13

>> Wow, what an interesting phenotype. They

105:16

must have sky high estrogen given that

105:20

all of their testosterone, male levels

105:22

of testosterone are being converted to

105:24

estradile.

105:24

>> They have. So they go through female

105:26

essentially female puberty and discover

105:30

many of them will discover that they

105:33

have testes and XY sex chromosomes. um

105:36

when they don't get their period. So,

105:37

they're like very feminine and um but

105:41

the point here is that so we know for

105:45

sure that and this seems this is the

105:47

case in um

105:48

>> and by the way human primates do they

105:51

develop with a male pattern of

105:53

aggression or a female pattern of

105:55

nurturing?

105:56

>> Totally feminine. Totally feminine. So

105:58

without so this is interesting because

106:00

in the brain point mutation in the

106:02

androgen receptor gene

106:05

one small mutation everything else is

106:08

just typical male. You just get the one

106:11

mutation in the androgen receptor that

106:13

is disabling it and you take what would

106:16

have been a typical male and you have

106:19

someone with testes and XY sex

106:21

chromosomes. So you still have you don't

106:23

have the double X, you have all the

106:25

genes on the Y, but you have a totally

106:27

typical for all intents of purposes uh

106:31

girl and then a woman.

106:33

>> So outside of the sterility, I assume

106:35

this individual, she go on to be a

106:38

completely normal woman.

106:39

>> Totally more like more feminine I would

106:41

say than

106:42

>> that's incredible.

106:43

>> Other women who have

106:44

>> So really not a pathologic condition

106:46

outside of the sterility.

106:47

>> No, I mean no.

106:49

>> Wow. never even heard of this.

106:52

>> Okay, so it there's like

106:54

incontrovertible evidence that um

106:58

est that estrogen is not the

107:01

masculinizing hormone

107:04

acting via the estrogen receptor in

107:06

early development in humans. Okay. But

107:10

then you're raising all these questions

107:12

about the role of estrogen in adulthood.

107:16

And I think so this one study is

107:19

interesting and I think we I think it is

107:22

important but I couldn't say like with

107:25

authority exactly how um it's important

107:28

for bone you know it's important for the

107:29

body but in terms of behavior

107:32

I believe it's important for se for

107:35

sexual behavior but we do have these

107:37

guys who don't make estrogen who seem to

107:41

be normal and I should also

107:43

>> meaning they don't they don't have the

107:44

aromatase capac capacity.

107:46

>> Sorry that yes. Um and I should mention

107:48

also that in these women

107:52

uh who have complete androgen

107:54

insensitivity syndrome,

107:57

they seem to be sexually normal. They

108:01

have uh there's no differences in sex

108:04

drive and orgasmic capacity even though

108:07

they have zero testosterone.

108:09

Um, so that's interesting and there's

108:12

limited data I should say but because

108:15

it's a rare condition but what we do

108:17

have suggests that they have estrogen

108:20

and that the estrogen somehow

108:22

>> and they have the same libido

108:25

>> from everything from the studies that I

108:27

have seen. Yes. Um I don't know if you

108:31

know maybe the peak isn't as high in

108:33

puberty or something like that. Maybe

108:34

there are differences there, but I don't

108:37

see that in the literature.

108:39

>> And they have presumably they must have

108:42

a little more difficulty putting on

108:44

muscle mass.

108:45

>> Well, I um

108:47

>> Do they shave their tried to? They don't

108:49

have to.

108:49

>> Yeah,

108:50

>> they have no acne. Yeah.

108:52

>> Uh they don't have to shave. I I worked

108:55

with a student very closely who had this

108:57

condition and um

109:02

>> Yeah.

109:02

>> Yeah. It's a difficult condition when

109:05

you're a normal teenager and you learn,

109:08

you know, that's a difficult

109:11

situation. A lot of these are very

109:12

challenging and

109:14

>> and and I to me the most interesting

109:15

outcome of the study was not to my

109:18

recollection that the men with higher

109:21

testosterone felt better.

109:23

>> Yeah.

109:23

>> Um it was that they actually put on more

109:25

muscle mass as well.

109:27

>> You mean with the more with the

109:28

estrogen?

109:28

>> Yeah. With the higher estrogen level.

109:29

>> Yes. No, that is my understanding. And I

109:31

don't um know enough about exactly why

109:35

that is and how it works. I'm not

109:37

surprised. I think estrogen is very

109:39

important in men, in adults. Um

109:43

it may be important in early development

109:45

in some ways that we don't yet

109:47

understand.

109:48

>> So what do you think all of this teaches

109:50

us about the role of testosterone

109:53

replacement therapy in both men and

109:55

women? Right. So let's go back

109:57

>> to something you said some time ago. So,

110:02

if we didn't muck around with nature,

110:05

men would experience a pretty steady

110:09

decline in testosterone from puberty on

110:12

down. It never really

110:14

>> in western populations because we don't

110:16

hunter gatherers tend not to have that.

110:18

>> Oh, okay. We'll say more about that.

110:19

>> Yeah. Um, well, they start out with

110:21

lower testosterone because again,

110:24

testosterone is expens high testosterone

110:27

is expensive to maintain. Most animals

110:29

keep it low and only raise it when

110:31

females are fertile and they need to

110:32

compete. So that's why

110:34

>> So that's the rut. Like we're animals

110:36

like like the red deer, you know, grow

110:38

their their testicles grow. They grow

110:40

weapons on their head. They become

110:42

horny. They become aggressive when the

110:44

females are fertile. If the females

110:46

aren't fertile, all that stuff goes

110:47

away. Testosterone drops. Okay? So

110:50

humans are also designed to keep

110:52

testosterone low which is why if there's

110:55

a situation

110:57

uh a competitive situation say

111:00

testosterone might go up but generally

111:02

it's going to be kept low when it can be

111:05

but we are overnourished in western

111:07

populations. We don't have to worry we

111:09

have enough calories to run our immune

111:11

system and to do everything else we need

111:13

to do. We have the luxury of being able

111:15

to elevate testosterone over what it

111:17

would be naturally.

111:19

>> But but sorry Carol to interrupt.

111:22

>> In the case of the deer,

111:24

>> yes,

111:24

>> all of the females go through estrace at

111:26

the same time. So it's easier for the

111:30

bucks to say for these nine months.

111:33

Great point. I don't need testosterone

111:35

because all of the doese's are

111:37

infertile. And then bingo, now they're

111:40

going through S trace. We're going to go

111:41

through the rut and it's a party. But

111:43

with humans, I understand there's some

111:45

literature that says the more women that

111:47

are together, the more their cycle

111:49

sinks. But that's got to be weak.

111:50

>> It is.

111:51

>> And and by the way, women are ovulating

111:53

every month.

111:54

>> I'm so glad you brought this up. Um this

111:58

is why you have per you guys are the

112:01

hormonal ones. Let's say that. So

112:03

everyone says women are hormonal. You're

112:05

the hormonal one, right? You have this

112:07

high testosterone all the time. We just

112:09

don't notice that you're hormonal

112:10

because it starts in uterero and you're

112:13

permanently hormonal basically. So,

112:16

let's just get that out there. But you

112:18

are hormonal because there's always

112:22

going to be fertile females around. So,

112:25

that's just an interesting point. Um so

112:28

but given you have to maintain high

112:31

testosterone levels throughout your

112:33

entire life. We h we only maintain our

112:36

you know high estrogen through a fixed

112:38

time our reproductive career which is um

112:41

when we're most attractive. If you look

112:43

at hunter gatherers they have like a

112:45

high a high pathogen load. They have

112:47

fewer uh calories coming in. They have

112:50

high energy expenditure. They have other

112:53

um stress stressful energetically

112:57

stressful situations to deal with that

112:59

we don't necessarily. So they keep their

113:02

testosterone levels lower. The peak is

113:04

significantly lower. I think it's like

113:07

at least a third lower

113:09

>> and then there's no real drop off. So

113:12

they're uh and they stay active and

113:15

healthy uh relatively healthy uh

113:18

throughout the rest of their lives. in

113:20

the testosterone, they don't have that

113:22

1%

113:23

uh loss say per year. And there's no

113:26

problem with fertility even though their

113:28

levels are much much lower than ours.

113:32

And which makes me skeptical about some

113:35

of the explanations for the um trend

113:40

that we see of a a drop in testosterone

113:43

levels in men and a drop in fertility.

113:46

uh because it's definitely if you look

113:49

at these natural fertility populations

113:52

you see that we are starting out really

113:54

high and we should be able to um men

113:57

should not have I wouldn't I don't

114:00

really see why there would be a

114:01

reduction in fertility per se that isn't

114:05

caused by other health issues for

114:08

instance

114:09

>> in other words you're saying it's hard

114:10

for us to blame fertility in the western

114:14

world on declining testosterone

114:15

>> just the testoster because I think the

114:17

testosterone must be declining because

114:19

of all these other things that are

114:20

affecting

114:21

>> Yeah. It could be the inflammation that

114:23

arises from the metabolic dysfunction

114:25

the

114:26

>> belly exactly what other Yeah. Exactly.

114:29

Um okay so let's going back to to kind

114:32

of western society. So we see this

114:35

>> roughly 1% per year drop in

114:37

testosterone. And so a guy in his 50s

114:40

now has I mean hell a guy in his 30s

114:43

today has a lower testosterone than a

114:45

guy in his 50s did 40 years ago. So a

114:49

guy in his 50s today has pretty low

114:51

testosterone

114:53

>> and we certainly know that medically

114:57

it's a completely safe thing to replace.

115:00

Um and we know that there are great

115:02

outcomes with respect to bone health uh

115:04

with respect to uh frailty and

115:07

subjective many subjective findings,

115:10

right? And we know that it's not

115:11

increasing the risk of prostate cancer

115:12

and heart disease and all the things we

115:13

used to worry about outside of the edge

115:15

case of hypertension which can be

115:16

managed. But all of that said, is there

115:20

a case to be made that we should not be

115:22

replacing testosterone in men because

115:27

um

115:28

it turns us backwards in terms of this

115:31

aggression and it's more likely to make

115:34

that 55year-old guy want to find himself

115:37

the 14, you know, the the 20year-old

115:40

girlfriend.

115:41

>> I don't know that that's been shown. But

115:43

so you're saying,

115:45

look,

115:46

>> is there a downside?

115:48

>> Testosterone is great. Why shouldn't we

115:49

give it to people?

115:51

>> No, no. I'm asking the opposite

115:53

question. I'm saying given

115:55

>> everything we've just learned about

115:56

testosterone,

115:58

>> is there a reason, is there a negative

116:00

consequence to taking a 55year-old guy

116:03

and restoring his testosterone to what

116:05

it was when he was 18?

116:07

>> Why do you think he say make the

116:09

argument for why that should happen? why

116:11

you should restore it back to when he's

116:13

18. Yes.

116:14

>> Um, so

116:15

>> do do you think that should happen?

116:17

>> I think it it totally depends on the

116:19

symptoms would be my take, right? So if

116:21

a guy is having difficulty putting on

116:22

muscle mass, if he's complaining of

116:24

something, see, again, there are some

116:27

guys who say, "I'd like to have sex once

116:29

a week and my wife would like to have

116:31

sex once a week and that's what we do

116:33

and that's fine." Conversely, there are

116:35

other guys who say, "My wife wants to

116:37

have sex every day and I want to have

116:38

sex once a month." Yeah,

116:40

>> this is now this is a problem. But if my

116:43

testosterone is what it was when I was

116:44

18, I'd like to have sex every day. My

116:47

wife would like to have sex every day.

116:48

Now we're happy, right? So So again,

116:50

it's there isn't a formula here, but

116:51

that's one example of how you're trying

116:53

to

116:54

>> match the symptoms and and what the

116:56

patient is saying to what you can do,

116:59

right? There are some guys who have no

117:00

difficulty putting on muscle mass

117:02

despite having a testosterone at the

117:03

20th percentile. It might be that they

117:06

had, you know, their genetics are such

117:08

that that was the case or they put on a

117:10

lot of muscle mass when they were

117:11

younger and it's just easier to maintain

117:12

it. Um there's certainly evidence that

117:14

insulin resistance can be ameliorated by

117:17

um by correcting hypogonatism. Um so

117:22

anyway, there are there are reasons to

117:23

consider doing it. What I'm trying to

117:25

get at is are there negative

117:26

consequences of doing it from a

117:28

behavioral standpoint? And I'm not

117:30

talking about roid rage and things like

117:32

that which has largely been sort of

117:34

debunked um outside of again these edge

117:36

cases where people are taking sort of

117:38

super physiologic doses. Um but in terms

117:42

of being a productive non-assolic member

117:45

of society uh and and not being overly

117:49

aggressive or being you know engaging in

117:52

harmful behavior, risky behavior,

117:55

>> you know, what's what's the pro and con

117:56

case for that in your mind?

117:58

>> Yeah. So I imagine that the doses that

118:02

you're giving I mean it's I think been

118:04

shown pretty clearly that if men are

118:07

within the typical range even at the low

118:10

end you don't see a lot you don't see

118:13

changes in sexual or aggressive behavior

118:16

within the normal range right you see

118:18

muscle m you see differences in physical

118:20

parameters but not

118:21

>> yeah the most complicating thing that if

118:23

if I could if I could wave a magic wand

118:26

wave one magic wand in medicine right

118:28

Now what would I have? I would have a

118:31

PSA equivalent for breast cancer. Come

118:34

back to why that would be a gamechanging

118:36

solution down the line. The second thing

118:39

which would not be nearly as important

118:41

would be I would love to have an assay

118:43

to measure androgen receptor density.

118:45

>> Oh, thank you for bringing that up

118:47

>> because what we can't

118:49

>> and what we we tell all our patients

118:51

this and it's they look at us like

118:53

>> just measure it and I'm like no no you

118:55

don't understand. we don't have a test

118:56

for it and they're like how do you not

118:59

have a test for this?

119:00

>> Can you do the KAG repeat?

119:01

>> Um I mean I guess you could that would

119:04

be that Yeah. I mean it's just is there

119:06

a commercial test for that? I mean and

119:07

you can do that in the lab but

119:10

>> yeah I don't know if there's a

119:12

commercial test.

119:12

>> Yeah. Like I would like someone should

119:15

develop a clea approved assay for this

119:17

because

119:17

>> does everybody know what the

119:18

>> No, they don't. But but I think the

119:20

point I really want to make is we don't

119:23

know like why is it that one guy can

119:25

have a testosterone of 400 and feel

119:27

totally fine and another guy can have a

119:29

testosterone of 400 and feel totally

119:31

depleted and if you took both of those

119:34

guys up to a thousand the first guy

119:36

would be like I don't feel any better

119:38

and the second guy would be like you've

119:40

changed my life.

119:41

>> Can I ask you a question about that

119:42

because you know a lot more about this I

119:44

think than I do. If you have the guy who

119:47

feels bad on 400,

119:51

do you

119:54

eliminate all the other things that

119:57

could possibly how like how can you

119:59

eliminate all the other things that

120:01

could be causing him

120:02

>> that are going on in his world?

120:04

>> No, you can't. But you can just change

120:06

one variable at a time. But if you

120:07

change that one variable, is that

120:10

overriding

120:12

the negative potentially negative

120:14

effects of inflammation or or depressing

120:18

situation in his social life or whatever

120:20

it is to

120:21

>> you know typically tea won't fix a lot

120:22

of those things, right? So so you know

120:25

the most obvious thing you try to sleep

120:27

you try to sleep the most obvious things

120:29

you try to fix are sleep, nutrition, and

120:30

exercise, right? So, if a guy's

120:33

regardless of what his testosterone

120:34

level is, if it's 400, which is very

120:36

low, um especially if his free

120:39

testosterone is is equivalently low,

120:42

>> um

120:43

>> and he's got sort of these vague

120:45

symptoms, it's like, well, look, if

120:46

you're not sleeping well, eating well,

120:47

and exercising well,

120:49

>> like let's fix those first.

120:50

>> Or obesity, do you have to?

120:52

>> Yeah, sure. Absolutely. Right. But you

120:55

can't always fix those things to the nth

120:57

degree without wanting to at least

120:59

experiment, especially when it comes to

121:00

body composition stuff or energy levels.

121:03

So,

121:05

um, by making the one variable change at

121:09

a time, you can sort of say, look, let's

121:10

do the experiment, right? If your T is

121:12

now 900

121:14

um and we haven't made a change during

121:18

that period of time other than that T

121:20

and you're telling me I don't really

121:22

feel that much different. My hypothesis

121:24

is you have a pretty low density of

121:26

androgen receptors and they're largely

121:27

saturated at 400

121:29

>> and interesting and therefore this isn't

121:31

really the fix. There's something else

121:33

we need to be looking at. Um,

121:35

>> yeah. I just I'm glad you brought up the

121:37

androgen receptors because I think

121:39

people don't appreciate the the fact

121:42

that uh one person's 400 is not another

121:46

person's 400 because and I I know you

121:49

talk about this a lot about carrier

121:51

proteins, but also there's the the um

121:55

genetic differences in the receptor

121:58

itself, which is the KAG repeat, which

122:00

predict

122:00

>> the binding

122:01

>> the the efficiency of its ability to

122:06

transcribe um the androgen responsive

122:09

proteins and just the overall

122:12

concentration. How where are the and

122:14

where are your androgen receptors and

122:17

how uh highly concentrated are there? Of

122:20

course, there's different it's going to

122:21

be different in different parts of your

122:23

brain and body. So, all of that really

122:26

makes much more complex the

122:27

interpretation of a single measurement.

122:31

So that being said, yeah, I don't know.

122:34

I don't know. I'm coming from a place of

122:36

thinking about how this all works

122:38

naturally to promote

122:41

uh especially behaviors that are

122:43

adaptive. I'm on progesterone,

122:46

testosterone, and estrogen. I'm 59. I'm

122:50

definitely And I had my ovaries out a

122:53

couple years ago. And I have to say, I

122:54

just want to say when that happened, I

122:56

was 57.

122:59

So, I was already in menopause pretty

123:02

much and uh everything changed after

123:05

that. Like it made a huge difference. My

123:07

hair started falling out. My sex drive

123:09

plummeted.

123:10

>> Sorry, just to be clear, you were on

123:11

hormone replacement therapy prior to No.

123:13

>> No. Okay.

123:14

>> And I had my I just was I just want to

123:16

throw that out there because even I'm

123:18

supposed to be an expert in hormones and

123:22

>> I had my ovaries out at 57 and it was a

123:26

huge had a huge impact. even though you

123:28

were already in menopause.

123:29

>> Yeah, I mean I guess I wasn't we found

123:31

out I wasn't actually I had some fresh

123:33

corpus ludium in my ovaries. So they

123:36

said I wasn't actually in menopause but

123:38

uh

123:40

>> yeah it's just amazing even when they're

123:42

pumping out low levels of hormones I

123:44

think still pretty impactful. So yeah,

123:47

I'm on

123:48

>> So why did you decide to only go on

123:51

hormone replacement therapy at the age

123:53

of 57 when presumably you believed you

123:55

were uh in menopause prior and didn't go

123:58

on HRT?

123:59

>> That's a good question. I guess cuz I

124:01

felt fine and it wasn't until

124:03

>> it was gradual.

124:03

>> It was gradual. Yeah. And and but that's

124:06

a great question. Um I think especially

124:10

the I I because of you I started lifting

124:14

weights a year ago. it total total.

124:17

>> You look like you you look like you've

124:18

been at it for years.

124:19

>> Oh, thank you. No, I was just a runner

124:21

and you know, Pelaton and biker and all

124:23

that. And uh it's made a huge

124:25

difference. I just want to say to to um

124:28

get into lifting. Now I'm addicted to

124:30

that and now I have a back injury um

124:32

which you'll have to help me with later.

124:34

So um I think the testosterone must be

124:37

helping there in terms of my like really

124:40

getting into the workouts and how much I

124:42

can lift potentially. Um, I can't even

124:46

remember what you asked me now, but Oh,

124:48

I guess I'm saying I myself am on these

124:51

hormones

124:51

>> and it sounds like you feel better as a

124:53

result of it.

124:54

>> Yeah, I think so. I think I feel better,

124:56

but I definitely feel better when I'm

124:58

working out and the drive to, but I

125:00

maybe I would have done that anyway. But

125:02

I have no issue with people doing what

125:05

they need to feel better. I just think

125:08

people don't consider that especially

125:12

testosterone and I think also estrogen.

125:14

These are hormones that give us signals

125:17

not about I mean about what's going on

125:19

in our own bodies uh like are we making

125:22

eggs? Are we making sperm? Are we

125:25

healthy? Are we sick? You know, all of

125:26

that is communicated like if you're

125:28

sick, your uh those systems are

125:32

suppressed and your hormone levels are

125:33

going to be lower, which is adaptive and

125:35

it it will help you, you know, and that

125:37

won't happen if you're taking it all

125:39

exogenously and there's a lot of social

125:42

signaling.

125:44

Uh so all of that goes away, but

125:48

yeah, I think that's for each individual

125:50

to decide. I I do think there should be

125:53

some regulation around testosterone

125:55

because from what I understand it really

125:56

is addictive and also can uh permanently

126:01

cause someone to you know cause someone

126:03

to become infertile. Uh that's something

126:06

obvious that I don't know that people

126:08

young people in particular really

126:10

understand. So I think it's different uh

126:12

when people are you know after the age

126:15

of 40 or 50 is a different situation

126:17

from someone who's young and healthy and

126:19

is doing it

126:20

>> and is getting addicted. I think at the

126:22

at

126:23

>> younger ages I think we should be much

126:26

more careful.

126:27

>> Yeah that's an interesting point is um

126:29

because as as you know but maybe some of

126:32

the listeners don't um testosterone is a

126:35

regulated scheduled drug uh hormone

126:38

whereas estrogen is not. So, um,

126:41

estrogen can be prescribed without any

126:44

sort of DHEA scheduling. Testosterone is

126:46

a schedule. I believe it's a schedule 4.

126:49

Um, and that's a real big DHEA

126:52

scheduling.

126:53

>> Did I say DHEA instead of DH? You did.

126:55

It's what is it?

126:57

>> Uh, the DEA.

126:59

>> What is wrong with me today? Oh my god.

127:03

Let's come up with an acronym for drug

127:04

enforcement agency. That is DHEA. um the

127:07

the Drug Health Enforcement Agency. Um

127:10

so, but that's an interesting point that

127:12

you raised, right, which is it's

127:15

>> one reason to consider scheduling it is

127:17

the potential for abuse is much more

127:19

significant in younger men which might

127:22

who might not realize and and sadly a

127:24

number of them don't realize

127:27

um hey, if I take this stuff for three

127:29

years in my 20s, it could significantly

127:32

and potentially permanently affect my

127:34

fertility.

127:34

>> Yeah. And it's hard to come off, right?

127:37

I mean, from what I understand, it's

127:39

very hard to h tolerate the transition

127:43

and and the withdrawal where you now you

127:45

can't get an erection. Your libido

127:48

tanks, right?

127:49

>> Again, I don't have I just don't have

127:51

experience with it because it's just

127:53

it's simply not our patient population.

127:55

So, I can't speak to that at all. And my

127:56

guess is everything you're describing

127:58

would be

128:00

>> more the result of abuse. Yeah. Yeah.

128:02

And I I I I don't like sort of um uh

128:06

using a judgy term like that, but I I

128:09

reserve that term for kind of

128:10

non-medical use that is

128:13

hyperphysiologic.

128:14

>> So you Sorry. So educate me on this. So,

128:18

um, if you have a or if there is a

128:21

25year-old

128:23

who's just supplementing to get to the

128:26

high end of normal range, he's still

128:28

going to shut down his

128:29

>> He's going to shut his HPA down

128:30

>> and then he will have

128:31

>> but but here's the thing. I I I have a

128:33

really hard time believing that a

128:35

25-year-old should ever be on exogenous

128:38

testosterone,

128:39

>> right? So, in other So, so to be clear,

128:40

>> they are, right? It's really increasing

128:42

at these

128:42

>> I assume. So, I I have to plead

128:44

ignorance here. I really have no sense

128:46

of how widely Yeah. Yeah. But to be

128:50

clear, um, when I was

128:54

>> 28

128:56

2930, so when I was in my residency, my

129:00

testosterone level was 220 Nanog saying

129:04

this on another show. So I was like,

129:05

>> so you were not sleeping totally the

129:08

level of a woman instead of 10x or, you

129:10

know, 5x or whatever. Right. Yeah. So,

129:13

um, but did that mean that I should have

129:15

been on TRT when I was 30?

129:17

>> Definitely not.

129:18

>> No, it meant that I needed to get the

129:20

hell out of residency and actually start

129:21

sleeping at night.

129:22

>> And that's what you did, right?

129:23

>> Yeah. And then whatever, like, you know,

129:25

four years later, 5 years later, I had

129:27

normal testosterone. So, um,

129:30

>> Wow.

129:31

So, so again, if if if a 25year-old is

129:34

walking around with a testosterone of

129:36

three to 400,

129:38

I would be much more inquisitive about

129:40

fixing a whole bunch of things uh and

129:44

much slower to move towards replacement.

129:47

And by the way, even if I was going to

129:48

replace it, I would not be using

129:49

testosterone. I'd be using hCG.

129:51

>> Right.

129:52

>> Right. I'd be preserving gonatal

129:53

function as opposed to completely

129:55

suppressing it.

129:56

>> I see. Um whereas if a guy's 60

130:01

if if he's fine with testicular

130:02

shrinkage which would be the fundamental

130:05

difference in that in in using exogenous

130:07

tea when you suppress his HPA access um

130:11

then um you know I think it's less of an

130:13

issue. Um so but again I I don't I don't

130:16

want to speak for any authority on

130:17

treating young people. I simply don't

130:19

have that experience and I don't I don't

130:20

have even a sense of how widely used it

130:23

is. Uh but but I guess it is a good

130:27

additional hurdle to have it be uh DEA

130:30

mandated, regulated, scheduled. So

130:34

>> um

130:36

so

130:38

what are you up to right now?

130:40

>> So I um am trying to finish a book

130:44

proposal. I'm spending a little more

130:46

time with my son, which is nice that I'm

130:49

home when he gets home from school. and

130:53

I have a part-time job at a DC think

130:56

tank which I'm really enjoying. Um, and

130:59

I do some writing. Um, and

131:03

uh, yeah, that's about I mean I have

131:05

other things that I do, but

131:06

>> yeah,

131:07

>> those are the relevant things.

131:09

>> So,

131:10

I don't want to go too far down the

131:12

rabbit hole of what many people if they

131:14

Google you are going to learn about the

131:16

horrific experiences you had, but how

131:19

long ago was all of that? That was about

131:20

three years ago. So that was happened

131:23

started in 2021. Yeah.

131:25

>> So four years ago. So

131:28

how how has this experience been for

131:30

you? You're four years on the other side

131:32

of

131:34

I think what any reasonable person would

131:36

would look at and say is just a complete

131:38

and total injustice. uh a lot of

131:41

incredibly cowardly people that I'm sure

131:45

at one point you felt were friends and

131:46

colleagues that you know completely sat

131:48

by silently as a as a as a as a minority

131:51

mob went after you. Um how are how are

131:55

you recovering from that experience?

131:57

It's been really difficult because

132:01

uh I was just reading

132:04

my acknowledgements in my um book on

132:07

testosterone and

132:10

I wrote you know I have a great job. I

132:12

have the privilege of interacting with

132:14

these amazing young people and it's it

132:17

was teaching and advising

132:21

undergraduates

132:23

uh is hard you know it's hard I I teach

132:28

about some really controversial and

132:31

detailed and intricate uh topics and I

132:34

loved that I love putting in the effort

132:37

and feeling the reward you know every

132:39

day and I loved have the relationships

132:43

and changing people's lives and having

132:45

them change mine. And it's a big, you

132:47

know, that's work that is challenging

132:50

and so deeply rewarding and it helps to

132:54

provide a sense of meaning in life and a

132:56

sense of accomplishment and all these

132:58

things. So not having that

133:01

um is hard and it's hard coping with the

133:04

reason I don't have that and all the

133:06

people and the institution I trusted and

133:09

gave so much to and feel yeah I feel

133:11

that I was treated pretty horrifically.

133:14

So it's hard. It's a transition. I know

133:17

that it's a transition. I've had

133:18

transitions before. Uh but this is a big

133:21

one. I thought I'd be in that job

133:23

forever.

133:25

Um, but what it has done for me is made

133:30

me much more committed to doing

133:34

something like what you do, which is why

133:36

I'm a hu part of why I'm a huge fan of

133:38

yours. And I'll probably start to cry

133:40

again. Um, and I think it's very rare

133:44

that there that people get so into the

133:46

scientific weeds with I don't detect any

133:50

bias on your part. I detect your very

133:53

open and honest struggle to understand

133:56

the evidence and to talk about the

133:58

evidence and where it points. And that's

134:00

what I've always tried to do. And I

134:03

think it is so important not just for

134:05

science, but for people to be able to

134:07

communicate with each other and share

134:09

facts. Maybe we disagree about the

134:10

implications of the facts. Uh but it's

134:13

so important to take ideology and bias

134:17

out of our understanding of reality.

134:19

reality is there whether we like it or

134:21

not. It's always to our benefit to

134:23

understand it and to try to figure out

134:26

then to use like democratic processes to

134:28

figure out what to do with reality or or

134:32

how to improve human health or whatever

134:33

the issue is. So I guess that experience

134:36

has just made me much more committed to

134:40

doing that and to advocate for that. um

134:44

which isn't always easy and it you know

134:47

some of the things I said today are

134:49

controversial but you know I'd love for

134:52

to hear what um if people disagree why

134:55

and then that's how we learn is by

134:57

having our views and interpretation of

135:00

evidence challenged. So given how in

135:04

many ways successful you were as a

135:06

professor, how much your undergraduate

135:08

students loved you, um it's certainly

135:12

one vehicle through which you can

135:13

communicate this passion. Do you see

135:16

yourself going back to that situation?

135:18

Do you see yourself winding up back at a

135:20

different university one day or do you

135:22

feel like, you know, the scars are

135:26

sufficient that you don't feel like

135:27

being in that arena again?

135:29

>> So yeah, we didn't say what happened.

135:31

I'll just say that I wrote a a book tea,

135:34

the story of testosterone, the hormone

135:36

that dominates and divides us. And I

135:38

went on Fox News and um said that there

135:42

are two sexes, male and female. and

135:45

someone who was representing themselves

135:47

as uh speaking on behalf of Harvard in

135:49

my department accused me of transphobia.

135:52

And then there was there were other bad

135:54

things that happened and it resulted in

135:57

me feeling I had no choice but to leave

135:59

my job that I'd been in for over 20

136:02

years and and loved.

136:04

Um and now I forgot your question.

136:07

>> Would you see yourself back? Yeah. So no

136:11

because I'm so traum I was traumatized.

136:15

I was in shock. I could not believe how

136:18

people were behaving. And I learned a

136:21

lot. And one of the things I learned is

136:22

that I was way too trusting.

136:26

And whatever I do, I want to throw

136:28

myself into it. And I threw myself into

136:31

that job. And that's why it hurt so much

136:34

because that was me. That was like all

136:35

of me. I mean, I kept some of me uh for

136:39

for other parts of my life, but I really

136:40

threw myself into it and they everyone

136:42

who worked with me knows that and so it

136:46

feels way too risky. I don't I won't

136:48

trust an institution like that again. Um

136:51

or I don't know. I'll have trouble

136:55

Yeah. Academia for me right now, not a

136:57

fan. So

136:59

>> I think I'm sure a lot of people can

137:01

relate to that because anybody who's put

137:03

every bit of themselves take an example

137:05

like your first love, right? The first

137:08

person you fall in love with, if they

137:10

break your heart,

137:11

>> you're going to sit there and say

137:13

>> that wasn't worth it. Like I'm not I'm

137:14

not doing that again. The the the bliss

137:16

of that experience wasn't worth the pain

137:18

I'm experiencing today. Um,

137:22

and I'm not going to sit here and

137:23

suggest that you have to do it again

137:26

because of, you know, look, look at all

137:28

the students you were able to help

137:29

because there's other ways to do it and

137:31

you're obviously writing another book.

137:32

And so, um, you know, the truth of the

137:35

matter is being on a podcast probably

137:37

reaches more people than you would reach

137:38

in 10 years of teaching, right?

137:40

>> Um, what is what is your next book about

137:43

if you're are you comfortable talking

137:44

about what the subject is?

137:45

>> Totally. I'm really excited. It's about

137:49

what's happening with masculinity and

137:52

I'm really interested in the cultural

137:54

narrative. Here's why I also cry and

137:56

that's how I knew I needed to write a

137:58

book because why am I crying about

138:00

masculinity and men being denigrated uh

138:03

which I get very upset about that. uh

138:07

and I wanted to really understand what

138:09

was happening culturally, why we are in

138:12

a place where masculinity is um

138:17

not valued and also to explore the

138:20

interaction between

138:23

biology and genes and hormones and

138:25

what's happening culturally. Why is it

138:27

that these cultural changes that we've

138:30

had are affecting men in the ways that

138:32

are different from how they're affecting

138:34

women? Like economic changes um

138:39

uh you know men are falling behind in

138:41

education for instance and why is why

138:45

what's happening in schools and why are

138:47

schools maybe less hospitable to typical

138:50

male ways of behaving than typical

138:52

females. So, I really want to dive into

138:56

that intersection

138:58

um and to explore some of the questions

139:02

that we you were asking today about

139:05

aggression and sort of men's we were

139:07

talking about men's need um to compete

139:10

and how it's different from women and

139:12

how that plays out socially. So I want

139:13

to explore those issues really with an

139:17

eye to understanding what's called the

139:18

masculinity crisis and what I think has

139:22

been um that there's a kind of backlash

139:24

going on right now which I think is

139:26

interesting

139:28

um in that men and their needs and their

139:31

right to be masculine I think has been

139:34

under attack and now I think there's a

139:37

bit of yeah uh

139:40

some men are feeling freer to be more

139:42

masculine I say today what I want to

139:45

explore is the denial of sex differences

139:48

and how that plays out socially because

139:50

if you believe that men and women are

139:53

equally interested in engineering then

139:55

you don't believe in sex differences.

139:57

You don't believe there are you

139:59

important meaningful differences between

140:02

the sexes that play out in society that

140:05

are not all the result of the patriarchy

140:08

say. Certainly there are social

140:11

influences it and and that all matters

140:14

but there's this denial of that of of

140:17

real differences um that we need to

140:20

grapple with socially. And if it's if

140:23

you um

140:27

believe that all the differences are the

140:29

result of society, then you're justified

140:31

>> yes

140:32

>> in uh say

140:35

>> potentially you're more justified in

140:37

trying to create equal outcomes,

140:40

>> right? But if you deny biological

140:43

differences, um then you have more of a

140:46

reason to do that. But if you appreciate

140:48

that they're real and that we have to

140:50

grapple with them socially, then it's

140:52

going to be more complicated, right?

140:54

>> Yeah. I I mean, I I completely agree. I

140:56

mean, I I joke about this with my wife

140:57

all the time, right? Like

141:00

the the reaction she has to a naturally

141:03

aspirated V8 engine screaming at 10,000

141:07

RPM versus my reaction.

141:09

>> So, you go towards, she goes away,

141:10

basically.

141:11

>> I mean, like, it's the greatest sound

141:13

I've ever heard. and she is like, "What

141:17

is that awful noise?"

141:19

>> And there's no socialization that

141:22

creates that difference. Like

141:24

>> on average, cuz we we can only talk

141:26

averages here, men are way more

141:28

hardwired to love that sound. Like, and

141:32

and I there are incred.

141:35

>> Sure. Sure. But there are incredible

141:37

YouTube videos where you can literally

141:40

listen to every engine.

141:41

>> Oh, and it's like ASMR for you.

141:44

>> Yeah. the V8 and V10 naturally aspirated

141:47

engines screaming is the greatest sound

141:48

I've ever

141:49

>> I don't know what naturally aspirated

141:51

just mean it's that you don't have

141:52

forced induction of air so it revs very

141:54

high and but but yes like if I if I had

141:57

my wife listen to that she would she

141:59

first of all she wouldn't hear the

142:00

difference between any of them and she

142:02

would think they all sound awful they're

142:03

too loud

142:04

>> and can we just remind your listeners

142:05

that we are definitely not saying that

142:08

there are no women interested in cars or

142:10

that they're plenty of them but on

142:12

average what we're talking about is

142:15

differences on average, especially those

142:18

not with the cars, but a lot of what

142:20

we've been talking about are differences

142:21

on average that persist throughout

142:24

history around the globe and that are

142:27

shared with non-human animals and for

142:29

which we have a mechanism which makes

142:31

sense um and that is differences in sex

142:34

hormones. So, how do you think as you

142:38

write this book, you will be able to do

142:41

the seemingly impossible task, which is

142:46

to write about this in a manner that is

142:49

scientifically objective

142:52

without getting dragged into an

142:55

ideologic

142:56

>> political mud pit.

142:59

>> Yeah. I mean, I think I did it with my

143:01

last book. like I pulled that off in the

143:04

writing in the book. It was being in

143:08

academia and talking about it in a way

143:11

just saying that male and female are

143:13

real that was taken as undermining

143:17

undermining the rights of a certain

143:20

group essentially and there's just

143:21

nothing that you can do about that. I

143:24

think the way to respond is to encourage

143:27

people to engage with arguments instead

143:29

of assassinate character. So, you know,

143:32

that's part of what is very important to

143:35

me is encouraging that and teaching

143:36

people how to do that. And that's what I

143:38

did in my teaching in my classroom. And

143:40

it was great. There was like really

143:42

never an issue in my own classes even

143:44

though we got into the most

143:45

controversial

143:46

>> subjects. So,

143:49

I'll just keep doing, you know, trying

143:51

to stick to the evidence and being

143:53

always remembering these are people's

143:55

lives, you know, and being compassionate

143:57

and uh emphasizing that biology is not

144:01

destiny. There's a huge amount of

144:03

variation and it's perfectly normal to

144:06

be a little boy who wants to play with

144:08

dolls like that. It's even hard for me

144:10

to talk about because it's heartbreaking

144:11

that um you know people feel stigmatized

144:15

for not being sex typical. But that's

144:18

something where if you understand the

144:20

science, you understand variation and

144:23

you understand what is normal and

144:24

there's there is a spectrum, a huge

144:27

spectrum of behavior across the sexes.

144:30

There's just not there's just only two

144:32

sexes and we should learn to deal with

144:35

that, you know, kind of reality. Well,

144:37

Carol, really appreciate this

144:39

discussion. Um, and appreciate, you

144:42

know, uh, without, you know, having

144:46

experienced it personally, what you've

144:47

been through, which, which I think is,

144:49

uh, it's it's heartbreaking. Um, I know

144:51

I know several others who I'm close to

144:54

who have been, um, similarly, uh, just,

144:58

you know, decimated by, um,

145:01

you know, individuals who, yeah, the

145:03

mob, the the the the angry mob. So, um

145:08

the I think the good news is you've

145:09

you've you know

145:12

virtually all reasonable people um can

145:14

agree on a set of facts and and but you

145:16

can't please everybody and and there's

145:18

going to be certain individuals who who

145:19

are going to have their their points of

145:21

view.

145:22

>> Um excited to hear you're working on

145:23

another book.

145:24

>> Um and excited that you've got more time

145:27

at home to to do so.

145:29

>> Thank you so much for having me. It was

145:30

great.

Interactive Summary

This podcast episode features a discussion between Peter Aia and Dr. Carol, exploring the biological and evolutionary basis of sex differences, primarily focusing on testosterone and its effects on behavior and development. They delve into how chromosomes, hormones, and genetics shape individuals from conception, discussing the roles of testosterone in early development, aggression, and cognitive functions. The conversation also touches upon the complexities of sex determination beyond XX/XY chromosomes, the impact of hormones on behavior in both humans and animals, and the societal implications of these biological differences. Dr. Carol shares her personal experiences and research, highlighting the importance of understanding the scientific basis of sex differences while acknowledging the influence of culture and environment.

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