TESTOSTERONE and XY chromosomes are NOT enough to make someone a "normal" man

You need:

- XY chromosomes
- SRY gene
- sensitive androgen receptors
- functioning LH receptors
- 5 alpha reductase
- normal aromatase
- 17β-Hydroxysteroid dehydrogenase III
+ more

Anything missing can lead to DSD (differences in sex development)

Let’s examine the step by step process and what happens when things go off course 👇🧵
disclaimer: this is not a commentary on who is or isn't a man

This is just a step by step journey of all the things that need to go right for "normal" masculine development, from conception to birth to puberty

the concept of intersex is complex, and researching this blew my mind

DSD, sometimes referred to as intersex is often distinctly different than transgender

ok lets begin 👇

The FDA dropped the hammer on peptides a few weeks ago 💉

But they left 𝒐𝒏𝒆 peptide off the kill list 🧪

And it happens to be the peptide I’m most excited about 👨‍🔬

It’s about to be ̶G̶o̶l̶d̶ COPPER Rush 🥉

This is the ULTIMATE thread on GHK - Copper peptide 👇 Disclaimer ⚠️

As always, this isn’t medical advice

I’m not your doctor. This is just a summary of my research and experience

And I don’t benefit financially from any of the copper peptides listed here

Proceed at your own risk

Let’s dive in

Gene therapy i̶s̶ ̶c̶o̶m̶i̶n̶g̶ is here 🧬

The first genetically modified humans are already walking among us

Building more muscle, losing fat, and de-aging 💪

For $25,000, you too can get gene therapy 💉

What's the catch?

This is the ultimate gene therapy thread 🧵👇
Before we dive in, the usual:

This is not medical advice

I am not affiliated with these gene therapy people

Learning about it just like you guys are

They make lofty claims, we will see if their claims hold true

All I know is this is exciting!

This is the thread 🧵 I never thought I’d have to write

But with so many people cheering on for WW3 and our politicians treating human blood so cheaply

☢️HOW TO SURIVE NUCLEAR FALLOUT ☢️

(You’re going to want to bookmark 🔖 and PRINT 🖨️ this out in case the internet goes away)👇
Disclaimer: I'm not a nuclear expert. Just a doctor doing research.

Went through all the FEMA, WHO, US Gov and research papers to see what the guidelines are and what was tried in the past

This is what I'm going to do to try and save my family

General information. NOT MEDICAL ADVICE

Nuclear war is terrible and I pray we never have to see this

Any approach for young male mental health (18-45) that doesn’t involve TESTOSTERONE is short sighted

T levels and pulsatile release is CRUCIAL for male mental health

This is deeper than checking a lab test 🧪

A therapist must understand what lifestyle events trigger T release👇
Sure, higher testosterone levels in man are important but this is not just a simple algorithmic check of a value

Why is testosterone released? What purpose does that serve?

How does testosterone help a man maintain his social standing?

Just took the biggest exam of my life 📝

Final board exam

9 HOURS 🕐

Culmination of 12 years of work 👶👴

Here's what I took/did to prepare for exam day 👇🧵 Usual disclaimer: Ain't medical advice

If you take all of the things I took and go into an arrhythmia I'm not responsible

I have a high caffeine tolerance and am a master of caffeination

I've taken 5+ such exams and have my flow down now

I have been seeing a LOT of CANCER in younger and younger patients 🦀

Some even in their early 30s 😪

And I’m not the only one noticing it 👀

Here’s what I think is causing a dramatic rise in YOUNG cancer cases 👇🧵 Disclaimer first: I’m a doctor but I’m not YOUR doctor. None of this is medical advice

I also am not a oncologist. This is just what I’ve been noticing in my young career and connections I’ve made

If I knew the absolute answer, I’d win a noble prize

There will be other… twitter.com/i/web/status/1…

Just finished a grueling medical residency 🏥

Supposed to be the hardest years of your life. You age quite a bit (pics day 1 vs graduation)👴

But there are biological and psychological tricks to make it much smoother 🧑‍🔬

This is how I played residency on EASY mode 👇

🧵

1. Understand and Master Circadian Biology🌞🌚

Residency involves:
- constant day/night shifting
- inconsistent schedules
- 24+ hr shifts

This is constant jet lag without travel ✈️

Rough on the body

Becomes WAY easier if you know how to shift your circadian clock at will

Everyone is talking about RFK Jr's steroid stack 💉💊

What’s way more interesting is the WILD stack of PRESIDENT JFK 🦅 🇺🇸

Spoiler: A LOT OF DRUGS 💊, including Testosterone 🐂

Let’s dive in 👇

This is the crazy story of the intersection of medicine, politics and history 🏥

Buckle up 💺

This is the closest we ever came to NUCLEAR war and a doctors had the president on so many psychotropic medications 💥

Most people DO NOT hydrate properly during #Ramadan 🌙

End up drinking a ton of water at suhoor, then urinating like a horse for the next few hours 🐎

End up thirsty and lightheaded

We aren’t camels, we are humans 🐫⏩️ 👤

Here’s the Ultimate Ramadan Hydration Guide 👇 In order to improve hydration, we want to increase the amount of water we absorb into our blood and cells

If you just drink 4 cups of water alone, very little of that is going to get absorbed

But there are some tricks we can leverage 👇

One of the SCAMs of modern medicine is that we tell patients generics are just as good

That might have been true before

It clearly is not now

I have experienced this myself with certain medications

yahoo.com/news/people-ad… There have been scandals of certain generic drug manufacturers overseas gaming the system and producing empty drugs at best, or drugs with several impurities at worst

The brand name meds are going to work better… but sometimes those are prohibitively expensive

Is it ethical to prescribe a patient a placebo 💊 pill, knowing they will likely improve on their own? Even if patients KNOW it’s a placebo, sometimes the empty pill still works

ncbi.nlm.nih.gov/pmc/articles/P…

Damn just heard that one of the guys at our BJJ gym and 4 friends OD’d on fentanyl after doing lines of cocaine 😢 . 4 deaths….

1. Stay away from recreation drugs, if not for the harms of cocaine itself, but for for the fentanyl adulteration

2. WHY IS FENTANYL IN COCAINE? Who… twitter.com/i/web/status/1… Opioid epidemic is costing so many lives…

The history of such an epidemic has blood hands from both the medical establishment, government policy and drug cartels. It’s a perfect storm

We need to aggressively treat and eliminate MOSH 🫃

Male obesity-related secondary hypogonadism

This is one of the biggest drivers of the Low T epidemic

Forget the “testosterone supplements” 💊 So many avenues for obesity to destroys testosterone, including

- HPG suppression through aromatization
- HPG suppression through adipocytokines
- OSA
- leptin resistance
- insulin resistance/SHBG decrease

Worried about endocrine disrupting chemicals (EDC)?

Many of these are lipophilic

This means they are stored in the adipose (fat) tissue

Another reason to keep body fat% ⬇️⬇️⬇️

⬆️ body fat = ⬆️ ability to accumulate these chemicals and have them slowly leak into your 🩸 For men, extra adipose tissue is a DISASTER

- lowers HPG production = less testosterone
- secrete adipocytokines = more inflammation
- store EDCs

Extra adipose tissue is EVIL

New SLEEP APNEA treatment 😴

No Bane 😷 needed

Electronic stimulator inserted surgically 🔪 to move your tongue based on breathing pattern👅

Keeps airway 🫁 open

Connects to hypoglossal nerve in 🧠 stem

For people BMI <32

Called INSPIRE (excellent branding) Taking advantage of the fact no one wants to wear a mask

This is a secret military trick I use

Fast for 24 hours before changing time zones

Flight food sucks anyways

Your liver, intestines, stomach also have a circadian clock

Meal timing can help reset their clock as well

https://twitter.com/Thomashornall/status/1606036684512014336

You will get hungry at the old time zone. When I go night shift/travel I use this to my advantage

Fast 24 hours. Then eat "breakfast" at the new time to tell my liver it's DAY TIME WAKE UP

Getting brain and digestion on new time zone is biohacking

Prolonged FASTING is/has been very popular

Most people have no idea what their doing during the fast

But even worse, they have no idea how to break it properly

As promised, this is how I break a long fast 👇 “Any fool can fast, but it takes a wise person to break a fast”

The hardest part is not the avoidance of food for multiple days, it's not refeeding properly

I have broken the fast like a fool and a wise person, and the difference is astronomical

CARNITINE 🥩is becoming an ESSENTIAL supplement 💊 for men

The more I look at it, the more confident I become of this

People are concerned about testicular health? The one thing that seems to be protective of testicular health/sperm even in the face of CHEMOTHERAPY??

Carnitine Improve fertility for both men AND women?

Carnitine!

Comparable effect to fertility drug Clomiphene

Men: onlinelibrary.wiley.com/doi/full/10.11…

Women: ncbi.nlm.nih.gov/pmc/articles/P…