Latest / The Peptide Research Podcast / Episode 92 - Two Types of Fat - How Tesamorelin Helps

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Episode 92 - Two Types of Fat - How Tesamorelin Helps · The Peptide Research Podcast

• 0:45
  SPEAKER_02: Todd.
• 0:46
  SPEAKER_02: I ruined a white chair with red wine about four years ago.
• 0:51
  SPEAKER_02: Same night, I knocked a splash of the exact same wine into a full pitcher of sangria, and nobody could tell.
• 0:58
  SPEAKER_02: Same splash.
• 1:00
  SPEAKER_02: One of them had somewhere to disappear into, and one of them didn't.
• 1:04
  SPEAKER_01: And that chair is still pink.
• 1:07
  SPEAKER_02: That chair is still pink.
• 1:09
  SPEAKER_02: And that's most of what people are describing when they say the deep belly fat is the one that counts.
• 1:14
  SPEAKER_02: They just never say the plumbing part out loud.
• 1:17
  SPEAKER_01: So quick favor before we dive in, tap follow so you don't miss what's coming this week.
• 1:23
  SPEAKER_01: Done?
• 1:24
  SPEAKER_01: Let's go.
• 1:26
  SPEAKER_02: I'm Amy Andrews.
• 1:27
  SPEAKER_02: That's Todd Collins.
• 1:29
  SPEAKER_02: This is the podcast from peptideresearch.us, and today there's exactly one compound on the table: tesamorelin.
• 1:37
  SPEAKER_02: One name to keep track of.
• 1:39
  SPEAKER_02: Todd, what is it in plain words?
• 1:42
  SPEAKER_01: It's a peptide.
• 1:43
  SPEAKER_01: And a peptide is just a short chain of amino acids, the little building blocks your body makes all its proteins out of.
• 1:50
  SPEAKER_01: Tesimerelin is a lab-made copy of one of your body's own instructions.
• 1:55
  SPEAKER_01: Today, though, is about the question its whole research literature sits on top of.
• 1:59
  SPEAKER_01: Why researchers care where fat is parked more than how much of it there is.
• 2:04
  SPEAKER_01: By the end, you'll have the physical reason, and it's a piece of plumbing almost nobody mentions.
• 2:09
  SPEAKER_01: All peptides discussed in this podcast relate to research use only.
• 2:13
  SPEAKER_01: Any references to data from animals, cells, or human studies relate exclusively to scientific literature and not to products from NRG biolabs.
• 2:22
  SPEAKER_01: These compounds are not approved drugs or dietary supplements and are not for human consumption.
• 2:27
  SPEAKER_01: Nothing in this podcast is medical advice.
• 2:30
  SPEAKER_02: Everybody has heard that the deep stuff around your middle is the one that matters.
• 2:34
  SPEAKER_01: Yep.
• 2:34
  SPEAKER_02: Nobody ever told me why.
• 2:36
  SPEAKER_01: The usual answer is that it's metabolically active.
• 2:39
  SPEAKER_01: True, and almost useless, because it never says what active means.
• 2:44
  SPEAKER_01: Here's the simple version.
• 2:45
  SPEAKER_01: A fat cell isn't a box.
• 2:47
  SPEAKER_01: It's constantly breaking a little of its contents apart and shipping the pieces out into your blood.
• 2:52
  SPEAKER_01: Those pieces have a name: free fatty acids.
• 2:55
  SPEAKER_01: Fat broken small enough to travel.
• 2:57
  SPEAKER_01: So it's always sending.
• 2:59
  SPEAKER_01: Exactly.
• 3:00
  SPEAKER_01: Always sending.
• 3:01
  SPEAKER_01: Yeah.
• 3:01
  SPEAKER_01: Always sending.
• 3:02
  SPEAKER_01: Every fat cell you've got all day.
• 3:04
  SPEAKER_01: All day.
• 3:05
  SPEAKER_01: Which means the interesting question was never how big the pile is, it's where the pile empties to.
• 3:11
  SPEAKER_02: Wait, they don't all empty to the same place?
• 3:14
  SPEAKER_01: Nope.
• 3:15
  SPEAKER_01: And that's the whole episode.
• 3:17
  SPEAKER_01: No.
• 3:18
  SPEAKER_01: And I learned it from completely the wrong room.
• 3:20
  SPEAKER_01: Go, go, go, go, go.
• 3:21
  SPEAKER_01: Okay.
• 3:22
  SPEAKER_01: So I had spent years reading this literature as like numbers, right?
• 3:26
  SPEAKER_01: Like one figure per subject, you know, like fat mass, like up or down.
• 3:30
  SPEAKER_01: Then a surgeon gets up at a seminar.
• 3:33
  SPEAKER_02: A surgeon.
• 3:34
  SPEAKER_01: Not not a metabolism person, a surgeon.
• 3:36
  SPEAKER_02: Okay.
• 3:36
  SPEAKER_01: Right.
• 3:36
  SPEAKER_01: Uh-huh.
• 3:37
  SPEAKER_01: And she puts up a photograph like from an actual operation and says, these are two different tissues.
• 3:43
  SPEAKER_01: They don't look alike and they don't drain to the same place.
• 3:46
  SPEAKER_01: Oh my gosh.
• 3:47
  SPEAKER_01: Right?
• 3:48
  SPEAKER_01: So, like my whole field had been measuring the thing, right?
• 3:51
  SPEAKER_01: Hers had been looking at it.
• 3:53
  SPEAKER_01: So where do they drain?
• 3:55
  SPEAKER_01: Fat under your skin empties into your general circulation, you know, the big return system that goes everywhere.
• 4:01
  SPEAKER_01: The fat parked deep behind your abdominal wall, you know, wrapped around the organs, that's visceral fat, empties somewhere far more specific.
• 4:10
  SPEAKER_01: A dedicated vein that runs straight to the liver before it goes anywhere else.
• 4:15
  SPEAKER_02: Oh.
• 4:16
  SPEAKER_01: Researchers call that the portal vein.
• 4:18
  SPEAKER_02: Straight to the liver.
• 4:20
  SPEAKER_01: Straight to the liver.
• 4:21
  SPEAKER_02: Not around the body first.
• 4:22
  SPEAKER_01: Not around the body first.
• 4:24
  SPEAKER_01: So whatever that deep compartment sends out reaches one organ at full strength.
• 4:29
  SPEAKER_02: Oh.
• 4:29
  SPEAKER_01: You know, before anything can can dilute it.
• 4:32
  SPEAKER_02: Oh.
• 4:33
  SPEAKER_02: Oh, that's my chair.
• 4:34
  SPEAKER_01: Yeah.
• 4:35
  SPEAKER_02: That's my chair.
• 4:36
  SPEAKER_01: That's your chair.
• 4:37
  SPEAKER_02: Yeah.
• 4:37
  SPEAKER_02: The sangria had a whole pitcher to vanish into.
• 4:40
  SPEAKER_02: The chairarm took the whole splash at once.
• 4:43
  SPEAKER_02: Same wine.
• 4:44
  SPEAKER_02: The difference was what it landed in.
• 4:46
  SPEAKER_01: And that is the difference the word active has been hiding this whole time.
• 4:49
  SPEAKER_02: Let me put one more on it.
• 4:51
  SPEAKER_02: It's a campfire.
• 4:52
  SPEAKER_02: Everybody at the cookout is in the same smoke.
• 4:55
  SPEAKER_02: The person who sat closest goes home smelling like it, and the person across the yard doesn't.
• 5:00
  SPEAKER_02: Nobody made more smoke.
• 5:02
  SPEAKER_00: I'm stealing that.
• 5:04
  SPEAKER_02: Second question then.
• 5:05
  SPEAKER_02: How would anybody show this?
• 5:07
  SPEAKER_02: It sounds like something you'd have to take somebody apart to see.
• 5:11
  SPEAKER_01: It's a lovely experiment.
• 5:12
  SPEAKER_01: Mostly animal work.
• 5:14
  SPEAKER_01: You sample blood in two places at the same moment, the liver side of that vein and an ordinary vein out in the limb.
• 5:20
  SPEAKER_01: With a large deep compartment, the liver side sample comes back noticeably richer in those traveling pieces.
• 5:26
  SPEAKER_01: The limb sample looks unremarkable.
• 5:28
  SPEAKER_01: Shrink the compartment, and the two readings move toward each other.
• 5:31
  SPEAKER_01: The gap between the needles is the measurement.
• 5:36
  SPEAKER_02: So one blood draw would have told you nothing.
• 5:38
  SPEAKER_01: Precisely.
• 5:39
  SPEAKER_01: One draw tells you about the pitcher, two tell you about the chair.
• 5:43
  SPEAKER_02: Then this explains something that always bugged me.
• 5:45
  SPEAKER_02: Nobody in this research cares about the scale.
• 5:49
  SPEAKER_01: That's because the scale answers a different question.
• 5:52
  SPEAKER_01: One total for a whole person when the thing under discussion is one compartment inside them.
• 5:58
  SPEAKER_01: Two people at identical weight can carry very different amounts behind that wall.
• 6:02
  SPEAKER_01: So the one number everybody has at home is the number that can't see the variable, which is why these studies use imaging and long windows.
• 6:11
  SPEAKER_01: That compartment shifts slowly, so you need months rather than weeks to watch it move at all.
• 6:16
  SPEAKER_02: Worth pausing there because a study running for months has a problem a short one doesn't.
• 6:21
  SPEAKER_02: The material has to still be the same material in month six that it was in week one, which is where NRG BioLabs sits underneath this show as our foundational partner and provider of standards: certificates of analysis, third-party testing, batch documentation.
• 6:35
  SPEAKER_02: You can see the COAs and how the lab standards are built at peptidesearch.us.
• 6:40
  SPEAKER_01: In a short experiment, you only need to know what you started with.
• 6:44
  SPEAKER_01: In a long one, you need to know it didn't change.
• 6:47
  SPEAKER_02: But I can feel you holding something back.
• 6:49
  SPEAKER_02: Is the plumbing story just true then?
• 6:51
  SPEAKER_02: Settled?
• 6:52
  SPEAKER_01: No, and this is the part I'd want you to walk out with.
• 6:56
  SPEAKER_01: Researchers tested it the hard way in animals, physically moving fat tissue from under the skin into the deep cavity, and the other direction, too.
• 7:04
  SPEAKER_01: If the address is the whole story, relocated tissue should start behaving like its new neighborhood.
• 7:10
  SPEAKER_01: And it didn't?
• 7:12
  SPEAKER_01: No.
• 7:13
  SPEAKER_01: No, not cleanly.
• 7:15
  SPEAKER_01: What gets reported is that the tissue carries a good deal of its own character with it.
• 7:19
  SPEAKER_01: So the address matters.
• 7:21
  SPEAKER_01: The tissue is also carrying something, and nobody has separated the two.
• 7:26
  SPEAKER_01: That's a restaurant moving to a new street and keeping the same menu.
• 7:30
  SPEAKER_01: Yep.
• 7:32
  SPEAKER_01: New address, same kitchen.
• 7:34
  SPEAKER_02: Right.
• 7:35
  SPEAKER_02: So where does Tessamorelin land in all this?
• 7:38
  SPEAKER_01: Well, okay, right in the middle of the measurement problem.
• 7:41
  SPEAKER_01: It's a stabilized copy of one of the body's own upstream instructions.
• 7:46
  SPEAKER_01: And what made its literature distinctive is that the reported changes turned up preferentially in that deep compartment rather than across the whole person, which is exactly why those studies are built the way they are.
• 7:57
  SPEAKER_01: Imaging, compartments, months.
• 7:59
  SPEAKER_01: Whether a change in that compartment drives anything downstream or simply reports it is argued, not settled.
• 8:06
  SPEAKER_02: Let me pull it together.
• 8:08
  SPEAKER_02: Fat cells constantly release small traveling pieces of their contents into the blood.
• 8:13
  SPEAKER_02: Fat under the skin empties into the general circulation.
• 8:16
  SPEAKER_02: The deep compartment behind the abdominal wall drains through a dedicated vein into the liver first, so the liver meets that output at full strength.
• 8:25
  SPEAKER_00: And that's the physical meaning sitting underneath the phrase metabolically active.
• 8:30
  SPEAKER_02: Then researchers show it by sampling two places at once, measure it with imaging over months instead of a scale.
• 8:36
  SPEAKER_02: And the relocation work says the address isn't the only thing going on.
• 8:41
  SPEAKER_01: Oh, and one last thing that's easy to overlook.
• 8:43
  SPEAKER_01: When somebody lays out a process, everybody argues about the first step and the last.
• 8:48
  SPEAKER_01: The middle gets listed and skipped.
• 8:50
  SPEAKER_01: In this corner, the middle step is just called transport, where the stuff goes once it leaves.
• 8:55
  SPEAKER_01: And that's where the whole question was sitting.
• 8:57
  SPEAKER_01: Worth remembering next time a chain gets explained to you quickly.
• 9:00
  SPEAKER_02: The step nobody stops on.
• 9:02
  SPEAKER_02: If that got you curious, there's a whole library at peptidesearch.us.
• 9:07
  SPEAKER_02: Go read one and learn something new.
• 9:09
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• 9:11
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• 9:16
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• 9:26
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• 9:30
  SPEAKER_02: Thanks for hanging out with us.
• 9:32
  SPEAKER_02: See you next time.