Muscle Is the Currency of Aging

Somewhere around 40, the workouts that always worked stop working. The belly shows up, the energy drops, and the instinct is to do more. Dr. Terri sits down with Dr. Eric Fete to hear his case for the opposite: lift a little, walk a lot, eat enough, and build muscle. Dr. Fete, DO, is a former emergency physician and the founder of Prime-X in Zanesville, Ohio. He trained at the Chicago College of Osteopathic Medicine, is certified in Age Management Medicine, and now sees patients in person and by telemedicine. He calls his approach muscle medicine.

Together they get into what myokines are and why he treats muscle as more than looks. They cover the simple routine he starts most patients on, how he talks to women about testosterone, and why he puts sleep and stress ahead of peptides and other add-ons. They also talk about the difference between sex drive and erectile function, and why touch and oxytocin belong in the conversation.

What you'll discover:

How a career in the ER pushed him toward prevention, 10:44

Why he treats muscle as an organ of longevity, 13:36

What myokines are and what he says they do, 20:01

A starter routine: short strength sessions plus daily walking, 23:10

How he explains testosterone to women who worry about how it will change them, 31:16

Why lifestyle is the foundation and peptides come last, 35:02

The "double red S": sleep and stress, 43:30

Why sleep medication is not the same as restorative sleep, 45:33

How cystatin C can add context when creatinine looks high, 48:56

Fertility questions to settle before starting testosterone, 51:01

Sex drive, erectile function, and the oxytocin piece, 54:27

Less heroic training, more sleep, and a foundation worth building on.