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In this episode, Peter sits down with Dr. Linus Abrams, a psychiatrist with nearly 35 years of clinical experience specializing in mood disorders and psychopharmacology, to explore how our understanding of mental health is evolving beyond the traditional neurotransmitter model. After decades in practice, Linus began questioning many of the assumptions underlying modern psychiatry, leading him to investigate how hormones, metabolism, inflammation, circadian biology, and the endocrine system shape mood and cognition. Together, Peter and Linus examine why psychiatric care should aim not only to reduce symptoms but also to restore the full human experience. They discuss how psychiatric medications work, where they fall short, and why distinguishing bipolar disorder from unipolar depression is essential for effective treatment. The conversation also explores the growing mental health burden of social isolationn associated with digital devices and social media, along with the biological factors—nutrition, exercise, sleep, and chronic stress—that influence resilience and distress tolerance. Linus explains the powerful roles of estrogen, progesterone, testosterone, and thyroid hormone in regulating mood and cognition across the lifespan. Finally, Peter and Linus review the promise and limitations of ketamine and psychedelic therapies, and why the future of psychiatry may lie in integrating neuroscience, endocrinology, and whole-body physiology to better understand, diagnose, and treat mental illness.
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In this episode, Peter returns to the topic of peptides, offering a clear and accessible guide to a field surrounded by both genuine scientific promise and widespread misinformation. Peptides are increasingly marketed for everything from injury recovery and muscle growth to longevity and improved appearance, often with claims that extend far beyond the available evidence. Rather than promoting or dismissing peptides as a category, Peter presents a practical framework for evaluating any peptide: what it is, how it is supposed to work, and where the science is strong, weak, or simply absent. He then applies this framework to a specific example before examining the risks of gray-market products, concerns about sourcing and quality, and where the field may be headed—ultimately helping listeners distinguish legitimate therapies from hope that has been packaged and sold without sufficient evidence.
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People are told their whole lives how important it is to find their purpose. But many find the search frustrating. They feel there's one true calling or one grand goal they're supposed to be pursuing, but they can't seem to discern what it is.
My guest, Jordan Grumet, author of The Purpose Code, says that searching for what he calls your big P purpose can be fruitless and even harmful, and that a better path is to embrace a life of little p purposes. Today on the show, Jordan explains the difference between big P and little p purposes and argues that the former can lead to anxiety while embracing the latter can be the path to meaning, satisfaction, connection, and even the legacy you were looking for in the first place. We discuss how Jordan found his way to this philosophy after burning out as a doctor, practical ways to discover your own little p purposes, what he thinks we get wrong in making family our purpose, and what his work in hospice has taught him about living a life without regret.
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00:00 Intro & Show Overview
0:41 Meet Jordan Grumet
1:46 From Doctor to Purpose Writer
5:00 Big P vs Little P Purpose
8:32 Why Purpose Talk Makes People Anxious
11:15 What the Research Says
13:42 Burnout and Big P Purpose
16:18 The Podcasting Example: Process vs Goals
19:42 Legacy Through Little P Purpose
28:24 Finding Your Purpose Anchors
38:01 The Climb: Building Your Purpose
43:14 Family, Regrets, and Final Thoughts
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