Longevity Medicine

Moderate Evidence

Hormone Optimization

Testosterone, thyroid, growth hormone, and estrogen optimization for healthspan.

38 articles · 389 min total
01

GHRP-2 (Pralmorelin): Potent GH Release, Thin Outcome Data

GHRP-2 is a ghrelin-receptor agonist that raises growth hormone strongly and is a licensed diagnostic agent in Japan. Evidence, protocols, safety, legal status.

GHRP-2 (Pralmorelin): Potent GH Release, Thin Outcome Data
02

GHRP-6: The Original GH-Releasing Peptide, Hunger Included

GHRP-6 is the first well-characterised ghrelin-receptor agonist. What the human pharmacology shows, the cytoprotection research, dosing and legal status.

GHRP-6: The Original GH-Releasing Peptide, Hunger Included
03

Gonadorelin: GnRH, Pulse Timing, and the hCG Substitution Problem

Gonadorelin is native GnRH with a 2 to 20 minute half-life. Why pulse frequency decides whether it stimulates or suppresses, plus trials, dosing and law.

Gonadorelin: GnRH, Pulse Timing, and the hCG Substitution Problem
04

Hexarelin: The Most Potent GHRP, and Why It Fades

Hexarelin releases more growth hormone than any common GHRP, binds CD36 in the heart, and blunts its own response within weeks. Evidence, dosing, safety, law.

Hexarelin: The Most Potent GHRP, and Why It Fades
05

HGH Fragment 176-191: The Unmodified Fragment vs AOD-9604

HGH Fragment 176-191 is sold as a fat-loss peptide and is not the same molecule as AOD-9604. What the 1978–2001 rodent work showed, the protocols people use, and the honest verdict.

HGH Fragment 176-191: The Unmodified Fragment vs AOD-9604
06

Tesamorelin: Visceral Fat, Liver Fat and the Trials Behind It

Tesamorelin is the only GHRH analogue with phase 3 trials and an FDA approval. What it does to visceral and liver fat, plus dosing, safety and off-label use.

Tesamorelin: Visceral Fat, Liver Fat and the Trials Behind It
07

Testagen (KEDG): Sold for the Testes, Studied in Chickens

Testagen (Lys-Glu-Asp-Gly) is sold as a testicular bioregulator, but its PubMed studies describe a pituitary-derived peptide tested in chickens. The evidence.

Testagen (KEDG): Sold for the Testes, Studied in Chickens
08

Tesamorelin and the Aging Brain: One Trial, Many Questions

A 2012 RCT linked the GHRH analogue tesamorelin to better executive function in older adults. Why one trial is not enough, plus safety and legal status.

Tesamorelin and the Aging Brain: One Trial, Many Questions
09

How to Interpret a DUTCH Complete Hormone Panel: A Physician's Guide

Learn to read a DUTCH Complete hormone test — cortisol patterns, estrogen metabolism, DHEA, and OAT markers — with clinical interpretation guidance from Dr. med. univ. Julian Douwes.

How to Interpret a DUTCH Complete Hormone Panel: A Physician's Guide
10

Fadogia Agrestis: Testosterone Support, Dosage, and Safety Concerns

Fadogia Agrestis has gained popularity as a natural testosterone booster, but the evidence is thin and safety signals warrant caution. A physician's honest review.

Fadogia Agrestis: Testosterone Support, Dosage, and Safety Concerns
11

Rapamycin for Women: Dosing, Fertility, Hormonal Interactions, and Clinical Considerations

A physician's guide to rapamycin use in women — how mTOR signaling differs by sex, fertility implications, cycling strategies, and what the evidence actually shows.

Rapamycin for Women: Dosing, Fertility, Hormonal Interactions, and Clinical Considerations
12

Kisspeptin: The Master Hormone Peptide for LH, Testosterone, and Fertility

Clinical guide to kisspeptin peptide therapy — how it stimulates LH and FSH, restores testosterone, supports fertility, and compares to HCG and enclomiphene.

Kisspeptin: The Master Hormone Peptide for LH, Testosterone, and Fertility
13

Sermorelin Dosage & Protocol Guide: Titration, Timing, and Lab Monitoring

Physician-authored sermorelin dosage guide covering starting doses, titration, bedtime timing, cycle structure, IGF-1 monitoring, and age-specific adjustments.

Sermorelin Dosage & Protocol Guide: Titration, Timing, and Lab Monitoring
14

Zinc and Testosterone: How Zinc Deficiency Tanks Male Hormones

Zinc directly supports testosterone synthesis, Leydig cell function, and aromatase regulation. Learn optimal dosage, best forms, and lab markers to guide supplementation.

Zinc and Testosterone: How Zinc Deficiency Tanks Male Hormones
15

Creatine for Women: Dosage, Hormonal Effects & Clinical Evidence

A physician's guide to creatine supplementation for women — hormone interactions, optimal dosage by cycle phase, menopause benefits, and what the evidence actually shows.

Creatine for Women: Dosage, Hormonal Effects & Clinical Evidence
16

Berberine for PCOS: Clinical Evidence, Dosage Protocol, and Integrative Management

How berberine addresses insulin resistance, androgen excess, and anovulation in PCOS — clinical evidence, dosing, and what to combine it with.

Berberine for PCOS: Clinical Evidence, Dosage Protocol, and Integrative Management
17

Ibutamoren (MK-677): A Physician's Guide to the Oral Growth Hormone Secretagogue

Dr. Douwes breaks down MK-677 (ibutamoren): mechanism, dosing, human trial evidence, safety signals, regulatory status, and how it compares to injectable GH peptides.

Ibutamoren (MK-677): A Physician's Guide to the Oral Growth Hormone Secretagogue
18

Sarcopenia Prevention: A Physician's Guide to Preserving Muscle Mass After 40

Evidence-based strategies for sarcopenia prevention — from resistance training and protein dosing to peptide protocols and hormonal optimization for healthy aging.

Sarcopenia Prevention: A Physician's Guide to Preserving Muscle Mass After 40
19

Pregnenolone: The Neurosteroid That Powers Memory, Mood, and Stress Resilience

Pregnenolone is the master precursor to all steroid hormones. Learn how declining levels affect cognition, stress response, and how to supplement safely under clinical guidance.

Pregnenolone: The Neurosteroid That Powers Memory, Mood, and Stress Resilience
20

Myo-Inositol & D-Chiro-Inositol: A Physician's Evidence-Based Guide

Dr. Douwes reviews myo-inositol and D-chiro-inositol for PCOS, insulin resistance, egg quality, and anxiety — with dosing, ratios, and clinical evidence.

Myo-Inositol & D-Chiro-Inositol: A Physician's Evidence-Based Guide
21

Tongkat Ali: A Physician's Evidence-Based Guide to Dosage, Benefits, and Safety

Dr. Douwes reviews tongkat ali (Eurycoma longifolia) for testosterone, cortisol, and fatigue—covering clinical evidence, optimal dosing, and who actually benefits.

Tongkat Ali: A Physician's Evidence-Based Guide to Dosage, Benefits, and Safety
22

AOD 9604 Peptide: The hGH Fragment for Fat Loss and Tissue Repair

AOD 9604 is a modified fragment of human growth hormone that targets fat metabolism without raising IGF-1. A physician's guide to dosing, evidence, and safety.

AOD 9604 Peptide: The hGH Fragment for Fat Loss and Tissue Repair
23

Sermorelin vs CJC-1295: Which Growth Hormone Peptide Is Right for You?

Sermorelin and CJC-1295 both stimulate growth hormone release, but differ in half-life, pulsatility, and clinical use. A physician's comparison of both peptides.

Sermorelin vs CJC-1295: Which Growth Hormone Peptide Is Right for You?
24

Zinc Supplement Guide: Immune Function, Testosterone & Wound Healing

A physician's evidence-based guide to zinc supplementation — covering dosing, forms, immune support, testosterone, wound healing, and who actually needs it.

Zinc Supplement Guide: Immune Function, Testosterone & Wound Healing
25

DHEA Supplementation: Evidence-Based Guide to Anti-Aging and Hormone Health

DHEA declines 80% by age 70. A physician-written guide covering dosing, benefits for cognition, immunity, and bone density, and who should consider it.

DHEA Supplementation: Evidence-Based Guide to Anti-Aging and Hormone Health
26

Boron: The Overlooked Mineral for Testosterone, Bone Density, and Inflammation

Dr. med. univ. Julian Douwes reviews why boron belongs in a serious longevity stack — from free testosterone elevation and bone protection to vitamin D activation and CRP reduction.

Boron: The Overlooked Mineral for Testosterone, Bone Density, and Inflammation
27

Sermorelin Peptide: A Physician's Guide to Growth Hormone Optimization

Dr. med. univ. Julian Douwes reviews sermorelin dosing, clinical uses, how it compares to CJC-1295 and ipamorelin, and what patients realistically gain from GH peptide therapy.

Sermorelin Peptide: A Physician's Guide to Growth Hormone Optimization
28

Ipamorelin: A Physician's Guide to Dosage, Benefits, and Clinical Use

Ipamorelin selectively amplifies GH pulses without raising cortisol or prolactin. Physician guide to dosing, stacking with CJC-1295, and candidacy.

Ipamorelin: A Physician's Guide to Dosage, Benefits, and Clinical Use
29

Shilajit: Fulvic Acid, Mitochondrial Energy, and Testosterone Support

A physician's clinical guide to shilajit — how fulvic acid drives mitochondrial energy, supports testosterone, and offers neuroprotective effects. Dosing, forms, and safety.

Shilajit: Fulvic Acid, Mitochondrial Energy, and Testosterone Support
30

Peptide Therapy for Women: What the Clinical Evidence Actually Shows

A physician's evidence-based guide to peptide therapy for women — covering hormonal interactions, key peptides, dosing considerations, and who is a suitable candidate.

Peptide Therapy for Women: What the Clinical Evidence Actually Shows
31

Peptides for Muscle Growth: What the Evidence Actually Supports

Evidence-based review of peptides for muscle growth. GH secretagogues, BPC-157 for recovery, safety risks, and where the human evidence stops.

Peptides for Muscle Growth: What the Evidence Actually Supports
32

CJC-1295/Ipamorelin vs Tesamorelin: Growth Hormone Secretagogues Compared

A physician's comparison of CJC-1295/Ipamorelin and tesamorelin — mechanisms, evidence, body composition effects, and which GH secretagogue suits which patient.

CJC-1295/Ipamorelin vs Tesamorelin: Growth Hormone Secretagogues Compared
33

CJC-1295/Ipamorelin Dosage: Growth Hormone Protocol

CJC-1295/Ipamorelin dosing guide by Dr. med. univ. Julian Douwes: nightly subcutaneous protocol, DAC vs no-DAC, cycling, monitoring, FDA safety notes and WADA status.

CJC-1295/Ipamorelin Dosage: Growth Hormone Protocol
34

Hormone Optimization for Women

Estrogen, progesterone, thyroid, and DHEA in aging women. Evidence-based approach to female hormonal health across perimenopause and beyond.

Hormone Optimization for Women
35

Hormone Optimization for Men

Testosterone, DHEA, thyroid, and growth hormone in aging men. Evidence-based approach to male hormonal health and longevity.

Hormone Optimization for Men
36

The Complete Thyroid Panel: What to Test and Why

TSH alone is not enough. A complete thyroid panel includes free T3, free T4, reverse T3, TPO and TG antibodies. How to interpret results and screen for Hashimoto's.

The Complete Thyroid Panel: What to Test and Why
37

Hormone Panels: What to Test and When

Which hormones to test, when to test them, and how to interpret results using optimal ranges rather than just reference ranges.

Hormone Panels: What to Test and When
38

Testosterone After 40: What Every Man Should Know

Evidence-based guide to testosterone optimization after 40. Testing, natural decline, the optimization ladder from lifestyle to TRT, risks, benefits, and monitoring — from a physician who treats it daily.

Testosterone After 40: What Every Man Should Know
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