Unlocking Vitality: Navigating Hormone Replacement Therapy & Peptides with Justin Spzilka
Summary In this episode, Mike Stella interviews Justin Spilka from Coastal MD Integrative Wellness about hormone replacement therapy and peptides. They discuss the criteria for testosterone replacement therapy, the causes of low testosterone, and the impact of body fat percentage on testosterone levels. They also explore the importance of in-person care and the commitment required for testosterone therapy. Additionally, they touch on the controversy and efficacy of peptides and discuss the future of peptides in the medical field. This part of the conversation discusses the regulations and reclassification of peptides, the benefits and personal experience with BPC 157, the concerns about quality and safety, the integration of conventional and alternative medicine, and the implementation of peptides for performance and longevity. It also touches on the use of blood flow restriction training and the importance of in-person care and empathy in the healthcare setting. In this conversation, Mike commends the host for building something remarkable and providing access to valuable information. They discuss the importance of building a network of providers and the value of education in individualized treatment. They also emphasize the need to tailor therapies to individual needs and the importance of men's health. The conversation concludes with plans for future conversations and encouragement to seek help.
Takeaways
Testosterone replacement therapy should be tailored to the individual's symptoms and blood work results.
Obesity, type 2 diabetes, and opioid use are known factors that lower testosterone levels.
The reference range for testosterone levels can vary depending on the lab, but a range of 550-850 is generally considered a sweet spot.
Testosterone therapy requires a lifelong commitment and regular monitoring of blood work.
Peptides have shown promising results, but their use is currently controversial and undergoing further study. Building a network of providers is crucial for comprehensive and individualized treatment.
Education is key in understanding the utility and implementation of different therapies.
Tailoring therapies to individual needs and goals is essential for optimal results.
Men's health is an important topic that deserves more attention and discussion.
Chapters
00:00 Introduction and Background
02:04 Transition to Integrative Wellness
03:27 Peptides and Hormone Replacement Therapy
06:32 Criteria for Testosterone Replacement Therapy
08:48 Causes of Low Testosterone
10:57 The Impact of Body Fat Percentage on Testosterone Levels
13:34 Determining the Right Testosterone Dosage
15:25 The Importance of In-Person Care for Testosterone Therapy
18:11 Interpreting Testosterone Reference Ranges
20:22 Lifestyle Factors and Testosterone Levels
24:00 The Commitment to Testosterone Therapy
27:33 The Controversy and Efficacy of Peptides
39:26 The Future of Peptides
42:16 Peptides and FDA Regulations
43:00 Recent Changes in Peptide Regulations
43:54 Personal Experience with BPC 157
45:14 Benefits of BPC 157
47:40 Research Chemicals and Compounding Pharmacies
49:18 Reclassification of Peptides
50:30 Different Forms of Peptides
52:17 Concerns about Quality and Safety
53:10 Peptides and Profitability
54:31 Integrative Medicine and Individualized Care
56:46 Collaborative Approach in Medicine
58:31 Longevity and Neuroprotective Peptides
01:10:03 Benefits of Somatropin
01:12:53 Implementation of Peptides for Performance
01:19:26 Blood Flow Restriction Training
01:21:04 Stacking Therapies and Modalities
01:22:55 Empathy and In-Person Care
01:24:19 Commendation and Access to Information
01:25:17 Building a Network of Providers
01:26:13 Education and Individualized Treatment
01:27:09 Tailoring Therapies to Individual Needs
01:28:04 Realizing a Vision
01:28:25 Future Conversations and Contact Information
01:29:18 Importance of Men's Health
01:29:46 Encouragement to Seek Help and Live Q&A