Peptides are being sold online as miracle fixes for energy, healing, and longevity—but what if the science behind them is shaky, or even dangerous?

In this episode, Therese Markow and Dr. Leigh Baxt pull back the curtain on the peptide craze, revealing what we really know (and don't know) about these heavily marketed "biohacks." They discuss the complexities and risks of unapproved peptides, which are often marketed for health enhancement. Dr. Baxt explains what peptides are and speaks to those drugs that are FDA-approved, like GLP-1 agonists and insulin, but also highlights the safety concerns of unapproved peptides, such as BPC-157 and TB-500, which lack appropriate clinical trial data and are often synthesized in unregulated labs. Dr. Baxt emphasizes the importance of proper clinical trial processes and regulatory oversight to ensure drug safety and efficacy.

Key Takeaways:

• A peptide is just a short chain of amino acids. They can be created synthetically, they can be isolated, and they are natural. The body doesn't care whether a peptide is "natural" or synthetic; what matters is its exact molecular structure.

• FDA-approved peptide drugs go through years of rigorous testing in animals and humans to prove both safety and effectiveness before reaching the market.

• Calling something "scientifically proven" can be misleading when the underlying evidence is weak, preliminary, or based only on rat studies. Especially as much of the "science" cited on peptide marketing sites comes from small, limited animal, or cell studies, not large, controlled human trials.

• Just because a product is available online or from a compounding pharmacy does not mean it is FDA-approved, well-studied, or safe; consumers must look beyond hype and ask what evidence truly exists.

• A naturally occurring peptide is generally not going to be suitable for use therapeutically.

"You can say that something is scientifically demonstrated because it showed something interesting in a rat. The key is that the people may not ask that, because a lot of times people hear 'scientific terminology' and it makes something sound really legitimate, but it doesn't mean that there's solid data." — Dr. Leigh Baxt

Evaluation of Research Grade Peptides Marketed Directly to Consumers Reveals Extensive Variability in Purity and Measured Abundance: https://www.preprints.org/manuscript/202604.1748

Connect with Dr. Leigh Baxt:

Professional Bio: https://www.mskcc.org/profile/leigh-baxt

LinkedIn: https://www.linkedin.com/in/leigh-baxt-314b877

Connect with Therese:

Website: www.criticallyspeaking.net

Bluesky: @CriticallySpeaking.bsky.social

Instagram: @criticallyspeakingpodcast

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

Dr. Kate Mangino exposes the hidden burden of cognitive and emotional labor at home and explains how "benevolent sexism" and unequal household roles quietly push women to the breaking point.

In this episode, Therese Markow and Dr. Kate Mangino discuss gender inequality in household responsibilities. Kate differentiates between structural and social inequalities, noting that societal norms perpetuate these "male" and "female" roles. She also emphasizes the importance of cognitive labor, which often falls on women, and addresses the emotional impact of household tasks on whichever partner carries the burden of the larger load. Dr. Mangino also encourages intentional conversations about division of labor in relationships from the time you're dating, rather than after marriage. Finally, she advocates for challenging traditional gender roles and promoting equal partnerships to improve overall well-being.

Key Takeaways:

• While there have been some improvements in the structural and social components of inequality, we are at a milestone point, not an end point. There is still a lot of work to be done.

• Cognitive labor is the project management work that happens in households - it is all about planning in your head, which is oftentimes more cumbersome than the actual physical work. It's the anticipation, research, decision-making, and evaluation of every decision within the home.

• If you're trying to push back on social norms, you may need to reconsider who our role models are, and maybe pick some new ones who are closer to where you want to be or where your family wants to be.

• We need to be better at preparing young people of all genders to match their dating habits a little bit more closely with the person they want to end up with. The more intentional that we can be about gender roles and what we're looking for in a partner, the better.

"Broadly speaking, women do more and men do less. Broadly speaking, but you can find representations of all different kinds of families, and I think what it comes down to is, regardless of gender, the person who is doing more feels burdened, feels bitter, resentful, tired, frustrated." — Dr. Kate Mangino

Connect with Dr. Kate Mangino:

Website: https://www.katemangino.com/

LinkedIn: https://www.linkedin.com/in/katemangino

Book: Equal Partners: Improving Gender Equality at Home - https://read.macmillan.com/lp/equal-partners/

Connect with Therese:

Website: www.criticallyspeaking.net

Bluesky: @CriticallySpeaking.bsky.social

Instagram: @criticallyspeakingpodcast

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.