The honest weekly read on peptides, hormones, and midlife. No hype, no fear-mongering — just what the evidence actually supports.
The evidence gap the hype hides, what "off-label" means, and the Mayo study showing hormone therapy boosts GLP-1 weight loss by 35% — hormones-first, proven again.
Industry cheers and RFK Jr.'s fast-track wildcard, the $328M gray market the vote doesn't touch, the real documented harms, and what "Chinese peptides" actually means.
The final FDA scorecard, the committee overruling its own scientists, the three legal events being collapsed into one, and why the evidence didn't change — the vote did.
BPC-157 and KPV pass 8–6, against the FDA's own staff review. What the votes mean, what they don't, and why the evidence didn't change — the room did.
What "compounding" really means, the tension inside tomorrow's vote, a new GLP-1 already sold illegally, and the one peptide on the docket that's actually about midlife.
The FDA's briefing documents propose rejecting all seven peptides, what the collagen-peptide evidence really shows, and why the hyped compounds are the least proven.
The agency's reviewers break ranks before the hearing, a former Surgeon General proposes the honest middle, the GLP-1 muscle question, and an HRT correction.
The committee that rejected every peptide in 2024 has quietly shrunk, the HRT pendulum swings back, and why the timing window matters more than the headline.
The July hearing that's being oversold, a second review that's relevant to midlife skin, and why the order matters more than the molecule.
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