Lowe has a point, but the FDA has painted itself into a corner by (a) forcing up the costs and the various bureaucratic demands associated with clinical trials, (b) allowing drug advertising , but then forcing those comical "may cause death" disclaimers, both of which have become totally ubiquitous, and (c) inconsistently following its own rules, and in some cases flouting its own rules.
At this point, broscience is considered no less valid than actual clinical trials, and the FDA should blame itself for this. Not "human nature being what it is in this fallen world" in a sort of general or abstract sense.
Another point I could raise is that telemedicine has turned the entire prescription system into nothing more than a parasitic middleman/gatekeeper.
FDA reform is very badly necessary. That ought to come before harsher enforcement, and I think that much of the populace already intuitively understands this.
It seems we are treating Peptides like drugs here. It's my opinion that amino acids regardless of how they are chained do not belong under and stricter regulation than food given I eat peptides every day from my food. Then again I do not believe in the concept of prescription drugs. Everything with a NDC code should be at the grocery store and I should be able to stock up on it without permission especially given how fragile global shipping is these days. Drugs risks do not enter into the picture given the fact I can buy ammonia and bleach along with a myriad of other dangerous compounds. Worse, I could crush up apple seeds from the veggie isle. One can also make just about anything using fourth thieves vinegar. Maybe put expensive high demand things like cocaine behind locked glass along with the underwear and condoms.
As a side note more dangerous than any drug is stopping a prescription drug cold turkey. Watch what happens when global trade to/from China and India are cut off for a year. Attitudes will change.
> My patient is refusing a drug studied in 170,000 people because of side effects that a 124,000-person analysis just confirmed do not exist — while injecting a compound studied in 14 humans, from unregulated sources, based on the recommendation of someone who profits from selling it. She’s probably not the only one. And those using it believe they are “doing their own research.”
Ok, and? At worst you waste a couple hundred dollars and deem the alternative therapy not worth it and go back to your doctor but I know dozens of people at my gym that used BPC 157 and TB 500 that fixed their chronic tendon/joint issues within weeks of starting the therapy that physios couldn't fix for years.
I used those two in combination to fix pain after 3x surgeries to repair a torn pec + infection. They work and helped me heal from being at a 3/10 constant pain down to baseline.
Not something I would do at any point for fun. But anecdotally, it's materially better than other alternatives offered/available.
With India getting generic GLP-1s, the tech to "print" peptides will probably see costs fall off a cliff, so we're probably only looking at the tip of the iceberg with the amount of damages the reddit biohacker bros will accomplish. Men especially are feeling a lot more lonely and image-conscious and there are peptides people claim make them taller[1] or muscular[2].
I tried retatrutide for 10 weeks, here are my results:
Before:
5'7, ~182lb
Bench 1rm: 315
Squat: 5x10 225
Deadlift: 5x5 315
After:
same height lol, 154lb
Bench 1rm: 285
Squat: 5x10 205
Deadlift: 5x5 275
Suffered some anhedonia towards the end but that went away ~1wk after stopping.
Overall pretty good, not any side effects. Definitely fixed my food craving problem. I didn't have a high intake of protein during the 10 weeks, so I suspect thats why I lost muscle mass :/
This is crazy. You lost 28 lbs (15% of your body weight) in 10 weeks. Why did your doctor to allow you to continue? By any common sense, that is an unhealthy pace to lose body weight.
The author is missing a massive segment of that gray market: people who buy FDA-approved weight loss drugs (e.g., semaglutide or tirzepatide) at 2–5% of the brand-name price. This route carries some risk, but there are ways to mitigate it, such as performing third-party testing. I assume most people who do this couldn't realistically afford the brand-name drug anyway, making this their only viable treatment.
Even if you test a batch once, do people who get testing done do testing on all batches?
The synthesis of peptides uses some NASTY chemicals. I would be worried about lax manufacturer policies leading to contamination, even if one batch passes. The costs of FDA certification are the effect of that protection.
But whatever, this is the same attitude that people have against owning insurance. It is hard to recognize the cost of risk.
I know a couple of people that should know better (phds in biosciences but now doing corporate management) taking expensive weird Chinese peptides that would probably be better off if they did some cardio a few days per week and ate better.
I take a small issue with the claim that we don't test peptides. Some of us test them extensively before injecting. Granted, probably the same people who also understand how little science there is backing up most of the popular peptides today. I enjoy being able to buy my own GLP1s, however, at least those which have made it through phase III trials succesfully. As tempting as the claims are about things like BPC-157 and such ... no thanks, that is past my comfort level a good bit.
Peptides are a revolution and you don't need to know how they work to know that they work (for various people for various conditions). There is a tension between empiricism and fundamentalism with much of medical science focusing on fundamentalism. Now with the ability to collect and search large amounts of empirical data and communicate it peer-to-peer people are picking up on a lot of things that work without knowing why they work. I think people are just going to circumvent the fundamentalist and chase after whatever works.
I owe my health to early adoption of experimental peptides, I have life long ME/CFS and there is no known treatment for this nor is there any on the horizon. At least they finally have a diagnostic test and know it's not psychosomatic but I could have told them that from day 1. Most doctors are not researchers and have little understanding on statistics instead preferring to rely on discrete classifications and simple decision tress. As someone with hEDS from TNXB I am a walking bag of symptoms and yet not a single doctor could figure it out. I had to research it myself which involved post-doc level textbooks and research journals. I came across the work done by Prof. Khavinson (USSR) and it did appear to me that peptides were incredibly under-explored. Given the poor quality of life with ME/CFS I was willing to take serious risks so previous trials were helpful to give an idea on dosing and lethality, I went through most of the research peptides one by one. I actually waited on semaglutide a bit because I suspected there was a small minority who would have hyper sensitivity and I both expected that to appear in the data, which it did, and I expected to have hypersensitivity, which I did. Others who were less careful ended up with pretty bad gastroenteritis. Semaglutide has been the most effective and with it and a few others I am largely able to lead a normal life. I was getting gray market from the US but now I get it direct from China.
I'm pretty sure there is no diagnostic test for ME/CFS. What are you referring to?
Also I don't understand how semaglutide did help you while you're at the same time part of a minority risk group with a hypersensitivity to it. Isn't that a contradiction?
Non blinded self experimentation is not a useful branch of empiricism.
I had an ME/CFS patient that had tried 100s of things and documented the effects thoroughly. She had a quite impressive list. Roughly 30% had had an effect to begin with, but the trend she observed was that it lasted for around a month at most. Placebo was her overall conclusion, but she occasionally got relief anyways so we both agreed that there was no harm in continuing. I'm sure several "peptides" is on her list by now.
There is nothing new under the sun, and fad cures for diffuse conditions have come and gone many times before. This is especially the case for conditions involving pain or tiredness, which are extremely sensitive to both placebo and nocebo.
What would be revolutionary would be 2-3 double blinded RCTs showing a lasting effect. Which would be great if someone did! But you have to actually bother to do it. And personally I would put money on the outcome being "no effect".
Clinical trials are not looking for fundamental mechanisms, they are there to ensure an effect is strong enough to say a product should be sold for that purpose. Otherwise you end up with snake oil salesmen. Because how can you be sure you are even injecting the thing the sellers claim it is?
I would encourage everyone interested in peptides to read about the state of medical science before the establishment of the Pure Food and Drug Act of 1906.
Im sorry for your quality of life problems but calling doctors bad at statistics and then giving anecdotal evidence as proof has to start ringing some logical bells right? You dont even have to take our word. Use an LLM as judge. Paste your comment into chatgpt and see what it says.
> There is a tension between empiricism and fundamentalism with much of medical science focusing on fundamentalism.
This is a deeply unfair statement, and also a false dichotomy. Medical science is of course empiric. What you call "fundamentalism" is that compounds need to undergo a rigorous regiment of empiric testing before they are given to potentially millions of people. And no, it's not just because of Thalidomide. Many, many compounds fail clinical trials because of severe side effects, like liver toxicity, severe immune reactions or heart problems. Then there's of course increased risk of cancer, which can take many years to manifest itself empirically. You argue that you prefer living with these uncertainties rather than ME/CFS, and that's of course entirely understandable, but disparaging the field of medical science as focused on "fundamentalism" because we do not give large patient cohorts untested compounds is polemic. I understand where you are coming from, and I'm sorry that you suffer from this terrible condition, but likewise, you should try to understand the other side.
That is so dangerous, buying grey market replicas of pharmaceuticals.
Unless you have a research lab built out in your house, you have zero way of knowing what it is that you're actually getting. Whether the dosing matches the claimed dose. Whether there are bacterial growth, or other manufacturing chemical left in by bottom-of-the-barrel chinese manufacturer.
I understand your risk profile may be different than others, but when you can get the real thing officially, I'm not sure why anyone would risk this.
Cut and paste from New Yorker:
The human body produces thousands of peptides. Many are portions of proteins which send messages or regulate systems in the body, often in ways that scientists don’t fully understand. Researchers have known about some peptides for decades, and dozens have been turned into safe and effective drugs. The hormone insulin is a peptide that moves sugar from the bloodstream into cells; GLP-1, or glucagon-like peptide-1, spurs the pancreas to release insulin and slows the passage of food through the gut. (Peptides are usually defined as having about fifty amino acids or fewer; more than that and they’re proteins.)
> a patient who is discontinuing her statin therapy - very inadvisably, given the clinical presentation described - but is enthusiastic about “BPC-157”
This feels new. I thought the methylene-blue-for-cancer types continued their medicine while taking other things as extras.
Personally, I've swung over to the laissez-faire side of medicine. At the end of the day, if you're an adult, it's your body. You should be given the chance to educate yourself. But if you want to inject yourself with a prion, like, go for it. Maybe you won't fuck up your own research.
(Marketing should be tightly regulated, possibly banned.)
I'm not inclined to be a guinea pig for these. I suspect maybe later in my child's life they will have been proven long-term safe (or not). I'll be old or dead at that point. I'm really wary of putting anything not known to be standard food or medicine into my body.
> For a chemist, “peptide” has a pretty clear definition: any relatively short chain of amino acids, and when they get longer we go ahead and call them “proteins”, although the dividing line is a matter of personal opinion.
So, it is not just chemist but molecular biologist too. And the above is also not entirely correct. Yes, the author refers to size as threshold, before something is called a "protein". But the term protein has additional meanings that a peptide does not automatically have. For instance, a protein typically has a specific 3D conformation. It may be "sticky" after degradation or unfolding, but for the most part a protein is something with a 3D structure. A peptide does not necessarily imply the same. A protein may also have several polypeptide chains - insulin is a simple example for that: https://en.wikipedia.org/wiki/Insulin#Structure (A and B chain)
> So the number of different possible peptides is just ridiculously huge.
That's no surprise either - that's due to the code used. You add to the code, so of course length plays a role, as does the variety. There is a DNA->aminoacid mapping. The first has four possibilities per slot; the latter 20 (or more if you include e. g. selenocystein or pyrrolysine; and you have various post-translational modifications too, so you have more variety per slot).
> For comparison, it has been about ten trillion seconds since Homo sapiens emerged as a separate species.
The whole species concept is IMO outdated. It was created before people knew that DNA codes for the complexity in pretty much any species (excluding RNA viruses but they have reverse transcriptase, at the least some viruses, so ultimately RNA->DNA).
> The other one (by Sarah Hood) relates all this to RFJ Jr.’s advocacy. The flip side of “the government shouldn’t be able to force me to vaccinate my kids” is “I should have the right to take whatever medicines I want to without the government getting in my way”.
I don't see why that would be questionable. Would people do as Trump tells them to do? I would not. If you see Trump as a lobbyist, how many private interests may his government have? If they have a commercial interest then their statements may be biased.
> You don’t have an LC/MS or an NMR machine in your garage, so you can’t be sure what it is you’re really injecting
Right, so the whole system depends on trust. This is already a problem because you have to trust not only the government but ALL who were involved in scientific publishing. There were lies told in science too: https://en.wikipedia.org/wiki/Retraction_in_academic_publish...
The first is collagen: I'd love to see Lowe's take on recent peer review which says boosting oral collagen does appear to show signs of improved joint pain and skin resilience. Obviously modulated through how protein deprived you are, but for older people, eating enough protein can be an issue: it's not rapidly absorbed so you need 3 squares a day to get to the higher numbers. Collagen powders and vitamin C (oj) at breakfast might kick start this.
The second contradictory point is that this entire thread makes me want to shout GELL MAN AMNESIA because it's an exercise in otherwise intelligent people who can distinguish between anecdata, their personal experience and some cold hard facts in their core field, but not when it's self injecting unknown chemicals from China bought off-script.
I think it's disingenuous to frame this exclusively in terms of the people who are turning down medically approved options for unknown supplements.
Dealing with doctors is kind of a pain in the ass. I was very sick a month ago and my doctor is pretty "anti antibiotics", he wanted me to go over for an in person check-in. This was after 10 days of having symptoms that I did everything reasonable to take care of. I got on a call with another doctor (at a perfectly reputable hospital) who immediately prescribed antibiotics. It took 5 days of antibiotics just to feel somewhat better - all while using saline rinses, showering, sleeping, eating properly, etc. I still have a lingering cough. I am very reluctant to take antibiotics unless it really feels necessary, this was easily the worst sinus infection of my adult life.
My friend wanted to try out a weight loss medication. Their doctor refused because they felt that my friend hadn't tried hard enough without it. So they got some from another friend who hadn't ended their prescription because they also were worried of being cut off. They've lost weight, which has motivated them to exercise more, eat better, and are generally happier and healthier.
From the article,
> Unfortunately, point two is that we barely have any of these effects worked out - at least not to the degree that you would want before you start injecting them into your leg.
This is what was said to a friend whose doctor took them off of one of those GLP medications, basically. They didn't have enough evidence to know the risks of continued use, even at lower doses.
The reality is simply that there's a big gap right now between what people want and what people have access to. The supplement industry exists to fill that gap.
Medical professionals can complain about users taking these peptides, but plenty of people are not "anti medicine" while still feeling underserved. If doctors aren't in a position to have these conversations, people will go to Youtube or wherever else to look for answers.
Personally, I have mixed feelings about a number of medications requiring a prescription. I frankly do not see why my doctor is involved in me taking a drug unless it would be negligent to allow me to or if it would have community health impacts (ie: antibiotic resistant strains etc). I'm an adult, if I've been properly informed of risks, etc, then I'm inclined to say that it should be up to me to pay full price for some medication or not.
I know plenty of people getting their GLP1 from compound pharmacies. None of them went their first, their doctors wouldn't give them the medication (sometimes they were just a pound under the BMI limit, often because they had been slowly losing weight) so they went elsewhere. These aren't anti-vaxxers who won't take their medication, they're people who want help and there's a gap that companies are taking advantage of. The medical establishment needs to find a way to address that. Right now the answer appears to be compound pharmacies and nurse practitioners.
> In my own view (and it ain’t just me) you also have regulatory agencies to force people to show that their drugs actually have some benefit before they can sell them, too. But that’s going further and further out of fashion. Can’t get ahold of the New Hotness to inject into your upper thigh if there are a bunch of stick-in-the-mud folks asking for human data, infringing on your freedom and all.
Many of us will be dead before there's a medically approved treatment for something. Hell, I got eye surgery before it was FDA approved - I'd probably be blind (or at least far worse off) if I'd waited the years it took.
How many people taking supplements are "naturopaths" who reject modern medicine as opposed to just people who want to be healthier? I really wonder that.
A lot of people are left alone with their health-issues, if you live in Canada and can only see a doctor if you are about to die, people try to change their health situation outside the "regulatory" system. These aren't health worriers, they are desperate to get their lifes back in order. Are there risks? For sure, but similarly untreated pain can damage more, especially mentally.
Wouldn't it be better to use verified medicine? Even if a patient could see a doctor at any time, the doctor would not prescribe such unverified peptides to the patient
I used retatrutide for weight loss and went from 199.3 lbs to just under 175 lbs. I kept daily notes through the process. Here's a quick AI one-paragraph summary if you're curious: https://pastebin.com/XACNYKvs
Overall I'm quite pleased with the effects and many of the properties of this treatment that people dislike are actually properties I was looking for. Essentially, for pharmacological interventions I want impermanent effects with a clear dose-response relationship and ideally minimal or no adaptation.
So the fact that people gain weight when they go off it and then lose weight again when they go on it was good. That meant it's fairly easily undoable. The fact that the more you take the more you lose also was pretty good to know though for the majority of the time I took less than any tested dose (and the effects were quite strong on those).
I did experience quite a bit of adaptation so I needed to up the dose until I was in the range tested by the end. I've been off it for a month now and been pretty much flat, but we've been traveling since I stopped and so a lot has changed (no more lifting, lots more eating, lots more walking).
I think we are sort of in the worst of both worlds right now re: medicines/supplements/gray market.
FDA approval is expensive slow process. Doctors train for a long time and then work 40+ years entire careers, some without a ton of continuing education.
But then we have an entire gray market because enough legal and practical loopholes to drive a freight train through, such that people are self medicating with dubious substances of dubious origin of dubious purity sourced via dubious means.
Even if peptides work, you have no idea what side effects they have, or if the ones you are taking are even real, not contaminated/tainted in some manner, etc. Given a lot of the hype comes from social media for otherwise healthy people to take them for lifestyle / augmentation reasons.. to me the risks still outweigh the rewards.
Real solutions like regulatory reforms to find ways to bring down testing costs seem more important than reforms to make it easier to slap anything on the shelf at GNC as a completely untested “supplement”.
Reminds me of some family members, all about organic, no seed oils, no plastics, no using 5G, no EMF, no fillers, no preservatives, no stabilizers, no emulsifiers, etc.
And yet they use unhealthy amounts of avocado oil, consume unhealthy amounts of “good fats.” They discount caloric intake and solely focus on eating loads of what they consider to be good food.
56 comments
[ 2.8 ms ] story [ 99.1 ms ] threadAt this point, broscience is considered no less valid than actual clinical trials, and the FDA should blame itself for this. Not "human nature being what it is in this fallen world" in a sort of general or abstract sense.
Another point I could raise is that telemedicine has turned the entire prescription system into nothing more than a parasitic middleman/gatekeeper.
FDA reform is very badly necessary. That ought to come before harsher enforcement, and I think that much of the populace already intuitively understands this.
Agree. Unless it's addictive or in short supply, you should be able to buy it OTC.
As a side note more dangerous than any drug is stopping a prescription drug cold turkey. Watch what happens when global trade to/from China and India are cut off for a year. Attitudes will change.
Ok, and? At worst you waste a couple hundred dollars and deem the alternative therapy not worth it and go back to your doctor but I know dozens of people at my gym that used BPC 157 and TB 500 that fixed their chronic tendon/joint issues within weeks of starting the therapy that physios couldn't fix for years.
At worst you inject unknown substances into your bloodstream that could do more or less anything.
Not something I would do at any point for fun. But anecdotally, it's materially better than other alternatives offered/available.
1: https://www.reddit.com/r/endocrinology/comments/1jb2cce/grow...
2: https://r2medicalclinic.com/best-muscle-growth-peptides
Bench 1rm: 315
Squat: 5x10 225
Deadlift: 5x5 315
After: same height lol, 154lb
Bench 1rm: 285
Squat: 5x10 205
Deadlift: 5x5 275
Suffered some anhedonia towards the end but that went away ~1wk after stopping. Overall pretty good, not any side effects. Definitely fixed my food craving problem. I didn't have a high intake of protein during the 10 weeks, so I suspect thats why I lost muscle mass :/
How did you actually feel? Disinterested in stuff, ennui, or other?
The synthesis of peptides uses some NASTY chemicals. I would be worried about lax manufacturer policies leading to contamination, even if one batch passes. The costs of FDA certification are the effect of that protection.
But whatever, this is the same attitude that people have against owning insurance. It is hard to recognize the cost of risk.
I owe my health to early adoption of experimental peptides, I have life long ME/CFS and there is no known treatment for this nor is there any on the horizon. At least they finally have a diagnostic test and know it's not psychosomatic but I could have told them that from day 1. Most doctors are not researchers and have little understanding on statistics instead preferring to rely on discrete classifications and simple decision tress. As someone with hEDS from TNXB I am a walking bag of symptoms and yet not a single doctor could figure it out. I had to research it myself which involved post-doc level textbooks and research journals. I came across the work done by Prof. Khavinson (USSR) and it did appear to me that peptides were incredibly under-explored. Given the poor quality of life with ME/CFS I was willing to take serious risks so previous trials were helpful to give an idea on dosing and lethality, I went through most of the research peptides one by one. I actually waited on semaglutide a bit because I suspected there was a small minority who would have hyper sensitivity and I both expected that to appear in the data, which it did, and I expected to have hypersensitivity, which I did. Others who were less careful ended up with pretty bad gastroenteritis. Semaglutide has been the most effective and with it and a few others I am largely able to lead a normal life. I was getting gray market from the US but now I get it direct from China.
Also I don't understand how semaglutide did help you while you're at the same time part of a minority risk group with a hypersensitivity to it. Isn't that a contradiction?
Welcome to the powerful world of the placebo
Crack is really moreish.
I had an ME/CFS patient that had tried 100s of things and documented the effects thoroughly. She had a quite impressive list. Roughly 30% had had an effect to begin with, but the trend she observed was that it lasted for around a month at most. Placebo was her overall conclusion, but she occasionally got relief anyways so we both agreed that there was no harm in continuing. I'm sure several "peptides" is on her list by now.
There is nothing new under the sun, and fad cures for diffuse conditions have come and gone many times before. This is especially the case for conditions involving pain or tiredness, which are extremely sensitive to both placebo and nocebo.
What would be revolutionary would be 2-3 double blinded RCTs showing a lasting effect. Which would be great if someone did! But you have to actually bother to do it. And personally I would put money on the outcome being "no effect".
I would encourage everyone interested in peptides to read about the state of medical science before the establishment of the Pure Food and Drug Act of 1906.
This is a deeply unfair statement, and also a false dichotomy. Medical science is of course empiric. What you call "fundamentalism" is that compounds need to undergo a rigorous regiment of empiric testing before they are given to potentially millions of people. And no, it's not just because of Thalidomide. Many, many compounds fail clinical trials because of severe side effects, like liver toxicity, severe immune reactions or heart problems. Then there's of course increased risk of cancer, which can take many years to manifest itself empirically. You argue that you prefer living with these uncertainties rather than ME/CFS, and that's of course entirely understandable, but disparaging the field of medical science as focused on "fundamentalism" because we do not give large patient cohorts untested compounds is polemic. I understand where you are coming from, and I'm sorry that you suffer from this terrible condition, but likewise, you should try to understand the other side.
Unless you have a research lab built out in your house, you have zero way of knowing what it is that you're actually getting. Whether the dosing matches the claimed dose. Whether there are bacterial growth, or other manufacturing chemical left in by bottom-of-the-barrel chinese manufacturer.
I understand your risk profile may be different than others, but when you can get the real thing officially, I'm not sure why anyone would risk this.
https://www.newyorker.com/magazine/2026/04/13/why-are-people...
This feels new. I thought the methylene-blue-for-cancer types continued their medicine while taking other things as extras.
Personally, I've swung over to the laissez-faire side of medicine. At the end of the day, if you're an adult, it's your body. You should be given the chance to educate yourself. But if you want to inject yourself with a prion, like, go for it. Maybe you won't fuck up your own research.
(Marketing should be tightly regulated, possibly banned.)
So, it is not just chemist but molecular biologist too. And the above is also not entirely correct. Yes, the author refers to size as threshold, before something is called a "protein". But the term protein has additional meanings that a peptide does not automatically have. For instance, a protein typically has a specific 3D conformation. It may be "sticky" after degradation or unfolding, but for the most part a protein is something with a 3D structure. A peptide does not necessarily imply the same. A protein may also have several polypeptide chains - insulin is a simple example for that: https://en.wikipedia.org/wiki/Insulin#Structure (A and B chain)
> So the number of different possible peptides is just ridiculously huge.
That's no surprise either - that's due to the code used. You add to the code, so of course length plays a role, as does the variety. There is a DNA->aminoacid mapping. The first has four possibilities per slot; the latter 20 (or more if you include e. g. selenocystein or pyrrolysine; and you have various post-translational modifications too, so you have more variety per slot).
> For comparison, it has been about ten trillion seconds since Homo sapiens emerged as a separate species.
The whole species concept is IMO outdated. It was created before people knew that DNA codes for the complexity in pretty much any species (excluding RNA viruses but they have reverse transcriptase, at the least some viruses, so ultimately RNA->DNA).
> The other one (by Sarah Hood) relates all this to RFJ Jr.’s advocacy. The flip side of “the government shouldn’t be able to force me to vaccinate my kids” is “I should have the right to take whatever medicines I want to without the government getting in my way”.
I don't see why that would be questionable. Would people do as Trump tells them to do? I would not. If you see Trump as a lobbyist, how many private interests may his government have? If they have a commercial interest then their statements may be biased.
> You don’t have an LC/MS or an NMR machine in your garage, so you can’t be sure what it is you’re really injecting
Right, so the whole system depends on trust. This is already a problem because you have to trust not only the government but ALL who were involved in scientific publishing. There were lies told in science too: https://en.wikipedia.org/wiki/Retraction_in_academic_publish...
The first is collagen: I'd love to see Lowe's take on recent peer review which says boosting oral collagen does appear to show signs of improved joint pain and skin resilience. Obviously modulated through how protein deprived you are, but for older people, eating enough protein can be an issue: it's not rapidly absorbed so you need 3 squares a day to get to the higher numbers. Collagen powders and vitamin C (oj) at breakfast might kick start this.
The second contradictory point is that this entire thread makes me want to shout GELL MAN AMNESIA because it's an exercise in otherwise intelligent people who can distinguish between anecdata, their personal experience and some cold hard facts in their core field, but not when it's self injecting unknown chemicals from China bought off-script.
Dealing with doctors is kind of a pain in the ass. I was very sick a month ago and my doctor is pretty "anti antibiotics", he wanted me to go over for an in person check-in. This was after 10 days of having symptoms that I did everything reasonable to take care of. I got on a call with another doctor (at a perfectly reputable hospital) who immediately prescribed antibiotics. It took 5 days of antibiotics just to feel somewhat better - all while using saline rinses, showering, sleeping, eating properly, etc. I still have a lingering cough. I am very reluctant to take antibiotics unless it really feels necessary, this was easily the worst sinus infection of my adult life.
My friend wanted to try out a weight loss medication. Their doctor refused because they felt that my friend hadn't tried hard enough without it. So they got some from another friend who hadn't ended their prescription because they also were worried of being cut off. They've lost weight, which has motivated them to exercise more, eat better, and are generally happier and healthier.
From the article,
> Unfortunately, point two is that we barely have any of these effects worked out - at least not to the degree that you would want before you start injecting them into your leg.
This is what was said to a friend whose doctor took them off of one of those GLP medications, basically. They didn't have enough evidence to know the risks of continued use, even at lower doses.
The reality is simply that there's a big gap right now between what people want and what people have access to. The supplement industry exists to fill that gap.
Medical professionals can complain about users taking these peptides, but plenty of people are not "anti medicine" while still feeling underserved. If doctors aren't in a position to have these conversations, people will go to Youtube or wherever else to look for answers.
Personally, I have mixed feelings about a number of medications requiring a prescription. I frankly do not see why my doctor is involved in me taking a drug unless it would be negligent to allow me to or if it would have community health impacts (ie: antibiotic resistant strains etc). I'm an adult, if I've been properly informed of risks, etc, then I'm inclined to say that it should be up to me to pay full price for some medication or not.
I know plenty of people getting their GLP1 from compound pharmacies. None of them went their first, their doctors wouldn't give them the medication (sometimes they were just a pound under the BMI limit, often because they had been slowly losing weight) so they went elsewhere. These aren't anti-vaxxers who won't take their medication, they're people who want help and there's a gap that companies are taking advantage of. The medical establishment needs to find a way to address that. Right now the answer appears to be compound pharmacies and nurse practitioners.
> In my own view (and it ain’t just me) you also have regulatory agencies to force people to show that their drugs actually have some benefit before they can sell them, too. But that’s going further and further out of fashion. Can’t get ahold of the New Hotness to inject into your upper thigh if there are a bunch of stick-in-the-mud folks asking for human data, infringing on your freedom and all.
Many of us will be dead before there's a medically approved treatment for something. Hell, I got eye surgery before it was FDA approved - I'd probably be blind (or at least far worse off) if I'd waited the years it took.
How many people taking supplements are "naturopaths" who reject modern medicine as opposed to just people who want to be healthier? I really wonder that.
Overall I'm quite pleased with the effects and many of the properties of this treatment that people dislike are actually properties I was looking for. Essentially, for pharmacological interventions I want impermanent effects with a clear dose-response relationship and ideally minimal or no adaptation.
So the fact that people gain weight when they go off it and then lose weight again when they go on it was good. That meant it's fairly easily undoable. The fact that the more you take the more you lose also was pretty good to know though for the majority of the time I took less than any tested dose (and the effects were quite strong on those).
I did experience quite a bit of adaptation so I needed to up the dose until I was in the range tested by the end. I've been off it for a month now and been pretty much flat, but we've been traveling since I stopped and so a lot has changed (no more lifting, lots more eating, lots more walking).
Rough cost for the retatrutide is $1.25/mg.
FDA approval is expensive slow process. Doctors train for a long time and then work 40+ years entire careers, some without a ton of continuing education.
But then we have an entire gray market because enough legal and practical loopholes to drive a freight train through, such that people are self medicating with dubious substances of dubious origin of dubious purity sourced via dubious means.
Even if peptides work, you have no idea what side effects they have, or if the ones you are taking are even real, not contaminated/tainted in some manner, etc. Given a lot of the hype comes from social media for otherwise healthy people to take them for lifestyle / augmentation reasons.. to me the risks still outweigh the rewards.
Real solutions like regulatory reforms to find ways to bring down testing costs seem more important than reforms to make it easier to slap anything on the shelf at GNC as a completely untested “supplement”.
https://en.wikipedia.org/wiki/Patent_medicine
And yet they use unhealthy amounts of avocado oil, consume unhealthy amounts of “good fats.” They discount caloric intake and solely focus on eating loads of what they consider to be good food.