Peptides: The Ultimate Body Hack?

4 Jun 2026 · 38 min · 12 chapters

Ask about this episode

Ask anything about it. ChatGPT or Claude reads this page and answers with the times it was said.

Connect VO and ask about every podcast you hear, including the moments you saved. Add to ChatGPT · Add to Claude

In short

Whether popular “body-hack” peptides (especially MOTC and BPC-157) actually work, and what risks come with buying/injecting them online.

Guests/backgrounds

Hasi Cohen, USC professor of gerontology, studies mitochondrial peptides and links them (in animals/labs) to disease risk and metabolism. Keith Barr, UC Davis molecular exercise physiology professor, tests BPC-157 on engineered human tendon/ligament models. Dr. Drav Kula, Weill Cornell physician/health policy researcher, tested online peptides for purity/dose. Dr. Corey Mayfield, USC Keck School of Medicine resident and author of a review finding little/no human evidence for many popular peptides.

Key claims

MOTC showed strong effects in mice (prevented high-fat liver fat; improved longevity/performance), but a small human trial showed only non-significant weight/liver fat changes; BPC-157 has mostly animal/petri-dish evidence; tendon studies found no effect in vitro.

Notable examples

“Wolverine stack” (BPC-157 + others); 2015 BPC-157 ulcerative colitis enema study with mostly non-significant results; online anecdotes of knee pain improvement; online peptide testing found endotoxins, under-dosing, and even lead in at least one vial; cancer risk concern via angiogenesis (new blood vessel growth).

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

Tap a time to open that second in VO

The Rise of Peptides

0:45 to 3:31

Exploration of the popularity and perceived benefits of peptides, especially BPC-157 and MOTC.

“I have never been this confident, felt this good, looked this good.”

The Rise of Peptides

3:42 to 4:12

Exploration of the popularity and perceived benefits of peptides, especially BPC-157 and MOTC.

“Peptides is coming up just after the break.”

Understanding Peptides in Medicine

4:50 to 10:43

Discussion with Hasi Cohen on peptides, their origins, and their potential in medicine.

“Today on the show, science versus peptides.”

MOTC: The Game-Changing Peptide

10:43 to 14:00

Examining the effects of MOTC in trials and its potential as a medication.

“He thought it's more like 20 ,000, maybe 30 ,000.”

Clinical Insights on MOTC and Hype

14:00 to 18:12

Learn about the MOTC peptide's effects, competition, and underground use.

“Would they lose some of the fat around their liver?”

Clinical Insights on MOTC and Hype

18:18 to 19:46

Learn about the MOTC peptide's effects, competition, and underground use.

“ZetBound is approved as a 2.5, 5, 7.5, 10, 12.5, or 15 milligram injection.”

Exploring BPC-157: The Wolverine Peptide

19:52 to 28:03

Discover BPC-157, its origins, testing, and claims regarding its efficacy.

“Now let's get into one of the most popular peptides on the market, BPC-157.”

Investigating BPC-157 and Its Effects

28:03 to 30:02

Explore the research on BPC-157 and its implications for healing.

“It's the lab that first discovered the peptide in Croatia.”

Potential Risks of Using Peptides

30:02 to 31:02

Learn about the health risks and complications related to peptide injections.

“Online, you are going to read and see these amazing stories of people juicing up with peptides and feeling so great and healing so quickly and popping with muscles.”

Quality Control Issues in Peptide Purchases

31:02 to 33:12

Understand the challenges of purchasing peptides online and their safety.

“and then some body parts swelling up like mad and needing antibiotics.”
Show all 12 chapters

The Cancer Risk Associated with Peptides

33:12 to 35:39

Discuss the potential risks peptides pose for cancer development.

“But what we do have are studies on a similar illicit market, anabolic steroids.”

Experts Weigh In on Peptides and Ethics

35:39 to 38:00

Hear from medical professionals about their views on peptide use.

“So GLP-1s, for example, they work really well.”
Hear the part that matters, and keep it.Open this episode in VO. Double tap your headphones to save a moment as you listen.
Get VO free

Transcript

Automatic transcript. May contain errors.

0:00Hi, I'm Wendy Zukerman and this is Science Versus, the show that pits facts against internet phenomena. Today on the show, peptides.

0:14Here are the top five peptides I'd recommend to glow up before summer and flex on your ex respectfully. Well then, you know that peptides are everywhere right now. Peptides. You want to know more about peptides? Look at my stash. I'm really into peptides. Peptides are huge right now. No matter what you're struggling with, an injury that won't heal, belly fat that's pissing you off, low energy, gut issues, there is a peptide for you. People are buying this stuff off the internet, injecting themselves with it, and saying that it's life-changing. I have never been this confident, felt this good, looked this good.

0:50You wouldn't be on these. For the uninitiated, there are many different peptides out there that people are injecting. But one of the biggest and most popular is called BPC-157. It's a fan favorite of Joe Rogan's. Andrew Huberman has injected it into his back. People often take it alongside another peptide in what's known as the Wolverine stack. Not so much because it makes you hairy, I wish, but because it's supposed to help heal injuries fast. There's one peptide that seems to be good for everything, and that's BPC-157. BPC-157 is primarily known for healing, but it has a massive ability to heal your gut as well.

1:32It's so effective. I mean, I can't even begin to tell you. Another popular peptide out there is called MOTC. Folks on it are saying they're losing weight, getting energy, and they reckon it's even going to make them live longer. There is a peptide that works like a workout you never actually did, and it's called MOTC. You are leaner, you are more vascular, and your muscle definition is better. My eyes are like open, wide. My brain is fiery. I am so clear. Guys, it's like you have unlimited energy. But not everyone is so excited about peptides. There are the peptide heretics out there that say, You are injecting what now?

2:22This is a bad and potentially dangerous idea that could apparently even increase your risk of cancer. Those pet pies are going to kill you. Those pet pies are going to kill you. What are you even doing and where did this come from? And who told you this was a good idea? Every time I log in, there's another influencer in my feed raving about some compound they probably heard about on a podcast three weeks ago. A podcast? Who, me? Today on the show, can peptides heal you? Will they really put a peptide in your step? And the truth is that away from the internet hype, there is actually a potential revolution happening in medicine around peptides.

3:05So today on the show, we are going to find out what scientists are excited about here. We're going to look deeply at the science behind these two massive peptides, BPC-157 and MOTC. and I know there are a bunch of other peptides out there so if you want to know the science on those, just let us know in the comments. And finally, we're going to look at what are the risks here. Are those peptides going to kill you? When it comes to peptides, there's a lot of... It's so effective. But then there's science.

3:41Science vs. Peptides is coming up just after the break.

3:51Ready to soundtrack your summer? With Red Bull Summer All Day Play, you choose a playlist that fits your summer vibe the best. Are you a festival fanatic, a deep end DJ, a road dog, or a trail mixer? Just add a song to your chosen playlist and put your summer on track. Red Bull Summer All Day Play. Red Bull gives you wings. Visit redbull.com slash bright summer ahead to learn more. See you this summer. so good so good so good everything you want for summer is at nordstrom rack stores now and up to 60 off stock up and save on the brands you love like vince sam edelman frame and free people join the nordic club to unlock exclusive discounts shop new arrivals first and more plus buy online and pick up at your favorite rack store for free great brands great prices that's why you rack

4:50Welcome back. Today on the show, science versus peptides. And the first thing you have to know is what on earth peptides are. So peptides are short chains of amino acids strung together, and you can think of them as small proteins. In fact, some scientists even call them micro proteins. There's thousands of peptides swimming in your body, and some do very important things, like insulin. That is a peptide. Another peptide?

5:23GOP1s. The blockbuster weight loss drugs. They mimic an important peptide in our bodies that regulates blood sugar and helps make us feel full. So peptides are real things in science. But to know more about the current hype and what scientists are pumped about here. We need to meet this guy. Hey there. Hi. My name is Hasi Cohen. Hasi Cohen is a professor of gerontology at the University of Southern California. And he thinks we are at the cusp of a revolution when it comes to peptides. And to understand why, we need to go back to a time when perhaps you felt like you were personally victimized by Regina George.

6:06Lose My Breath by Destiny's Child is playing on your MySpace page, Maroon 5 isn't quite so irritating. And the human genome has just been decoded. That's right. It's 2004. An international team of researchers announces that after 13 years, they've found all the genes hidden in our DNA. And if you need some Biology 101, genes are instructions that tell your body to make proteins. proteins like hemoglobin or collagen. And Hasey remembers finding out just how many genes there are in the human body. People said there are 20 ,000 genes. That's it. And they do everything. Which I always found to be a little bit mysterious.

6:58I didn't really think this could be true. Hasey figured that humans are so complicated. Some 20 ,000 genes to make everything in your muscles, bones, brain, eyeballs, sphincters. Even at the time, one headline said this was unexpectedly low. And back then, there were clues that there's more to us than that. So when you look at our entire DNA, you roll it out like toilet paper. Those 20 ,000 genes are a tiny fraction of the roll. They're 3 % of the DNA. 97 % of the DNA, until 20 years ago, they used to refer to as junk DNA. Ah, that's where these peptides are coming from, the so-called junk DNA.

7:48Many of them. That's so cool, because some of the famous peptides that people know about are thinking insulin, DLP1, they're not coming from junk DNA. Right. But where we're discovering these sort of cool new peptides, this, some of those, are from junk DNA. Yes, yes. For years, that so-called junk DNA, and more generally the parts of our DNA that didn't code for proteins, it was like a cipher that many scientists, including Hussie, were trying to decode. And over the years, they worked out that these mysterious chunks of DNA do loads of important stuff, including, get this, coding for not big, complicated proteins, but little baby proteins.

8:38Peptides. Nobody expected a small protein to come out of that. But fast forward to today, and Hasi's team has found a bunch of peptides hanging out in weird parts of our DNA. His lab likes to give them Yiddish names. Please tell me there's one called chutzpah. We don't have Chutzpah yet, but we have mensch. We have mensch. Mensch. Schlepp. Schmooze. Called mazel, like mazel doth. Puts. We're just having fun. Hasse's lab has found these peptides in what's called our mitochondrial DNA. Mitochondria are known as the powerhouses of our cells. They kind of look like carpet beetle larvae, but what they do is pump out fuel for our body to use for energy.

9:25And in humans, different versions of Hasse's mitochondrial peptides have been linked to lowering our risk of various diseases. Alzheimer's, Parkinson's, diabetes, obesity, cancer. In lab and animal studies, these peptides can affect muscle growth, metabolism, oxidative stress, insulin sensitivity, and cognition. And we just keep finding more peptides. A study published in May this year found more than 3 ,000 peptides hiding in the mysterious chunks of our DNA. And we're not sure what many of them even do. Hasey is excited that there is this whole world of tiny proteins, actors in the human body that we didn't even know existed.

10:11And he reckons it could change the way that we understand some diseases, possibly opening the door to different kinds of medicine. And what this micropotein revolution really embodies is the fact that instead of 20 ,000 genes, we probably have a million genes. Wow! Expanding the human genome by two orders of magnitude, that is the revolution. Yeah, wow. That is the transformative change. Another researcher told me that maybe we're not going to find that many peptides. He thought it's more like 20 ,000, maybe 30 ,000. but still that's a lot of peptides and one of the peptides that hasi's team has discovered completely bolted into internet fame mot c that's right the peptide from the start of the show that people are going bananas for saying that it's helping them lose weight and get energy it is one of the top five peptides that you should try to glow up for summer and flex on your ex Respectfully, it's Hasi's baby.

11:17Motsi is having a moment. Motsi is having a big moment. Over the last few months, I realized this is not just kind of a curiosity. Tens of thousands of people are taking Motsi. Now, if you are racking your Yiddish trying to work out this one, it actually comes from a Hebrew prayer. You say, Get it? Motsi. So let's get into the science and find out if maybe you should start taking it. So when Hasey's team first discovered this little peptide, just 16 amino acids all strung together. We had no idea what it did. And the postdoc who was working on it just started putting it on things and injecting it into mice and, you know, let's see what happens kind of thing.

12:05And one of the things that they did is put some mice on a high-fat diet, which would usually make them put on weight. Then they injected some MOTC into them. Lo and behold, they did not gain any weight. Instead of gaining weight like they should on a high-fat diet, they didn't gain any weight. And MOTC completely prevented 100 % accumulation of fat in the liver of those mice. Whoa! That was a big deal. Fat in the liver can be dangerous. It can muck up the liver itself, but it can also lead to things like stroke. So the idea that this peptide could prevent that from happening, even when the mice were eating all these calories, that was potentially big.

12:47The team kept testing it. They gave older mice MOTC, and they lived longer than mice on a placebo. You give mice MOTC, and you put them on a treadmill, they can run a lot longer. Hussie's team worked out that MOTC might protect muscle by blocking the activity of a molecule that can break down muscle. One study found that in men, having a mutated form of MOTC increased their risk of type 2 diabetes and having more visceral fat. Another study found that type 2 diabetics with low MOTC had a higher risk of having a life-threatening cardiac event. Hussie thought, this MOTC, There really could be something here.

13:32So he started a company with a friend, and they raised$80 million and ran a small clinical trial of MOTC. They got people with a high BMI and quite a bit of fat around their liver, had them come into a lab. Four weeks, 20 people, you get injected, typically in your tummy subcutaneously, for 30 days. The people were injected with either MOTC or a placebo. And Hussey basically wanted to know, would those getting MOTC lose more weight? Would they lose some of the fat around their liver? And here's what happened. When it came to weight loss and fat around the liver, the MOTC group did maybe a little better, but it wasn't statistically significant.

14:17They did see some more exciting stuff, though. There are these liver enzymes that tend to go up in people with fatty liver. Those went down. Blood sugar went down, which is great. And it was pretty safe. The biggest issue is that some people had a bit of skin irritation around the site of injection. Which is not a complete deal breaker, but it was a little bit annoying for the people who used it. So things were going OK, and Hase thought that maybe this really would be a drug. In fact, he was starting to dream of larger trials with more people. But soon, a rival peptide entered the field. Ozempic became the most successful drug in history.

15:04It was a weekly drug. And our version of Motsi at the time was a daily injection. Investors told Hasi, This is not going to make money. And ultimately, the company folded. But since then, Motsi has taken on a life of its own. You can buy it online, supposedly just for research purposes, and inject yourself with it. And people are going bonkers. Just off the back of a bunch of mouse studies, one small clinical trial, and a whole lot of hype. That created this crazy black market use of MOTC. And I've spoken to some people who swear that they see their athletic performance improve on Motsi. Is that surreal for you?

15:55Is it so strange? It is. It is surreal. It is surreal. And like I mentioned, now people are saying that they're losing fat and building muscle and amping up their energy on Motsi. And Hussey says, you know, if you look at his mouse studies, maybe you could make a case for some of these claims. I mean, after all, the mice did run longer on a treadmill, but up against the hype. The research cupboard is pretty bare. After the break, we go further down the peptide rabbit hole as we dive into the science on BPC-157. Plus, could peptides really give you cancer? Coming up.

17:15We'll see you next time. 5, 7.5, 10, 12.5, or 15 milligram injection. ZetBound contains terzepatide and should not be used with other terzepatide-containing products or any GLP-1 receptor agonist medicines. It is not known if ZetBound is safe and effective for use in children. Don't share needles or pins or reuse needles. Don't take if allergic to it or if you or someone in your family had medullary thyroid cancer or if you've had multiple endocrine neoplasia syndrome type 2. Tell your doctor if you get a lump or swelling in your neck. Stop ZipBound and call your doctor if you have severe stomach pain or a serious allergic reaction.

17:49Severe side effects may include inflamed pancreas or gallbladder problems. Tell your doctor if you experienced vision changes before scheduled procedures with anesthesia, if you're nursing, pregnant, plan to be, or taking birth control pills. Taking ZipBound with a sulfonylurea or insulin may cause low blood sugar. Side effects include nausea, diarrhea, and vomiting, which can cause dehydration and worsen kidney problems. Talk to your doctor. Call 1-800-545-5979 or visit ZepBound.lily.com.

18:40OSA, and obesity to improve their OSA. ZetBound is approved as a 2.5, 5, 7.5, 10, 12.5, or 15 milligram injection. ZetBound contains terzepatide and should not be used with other terzepatide-containing products or any GLP-1 receptor agonist medicines. It is not known if ZetBound is safe and effective for use in children. Don't share needles or pins or reuse needles. Don't take if allergic to it or if you or someone in your family had medullary thyroid cancer or if you've had multiple endocrine neoplasia syndrome type 2. Tell your doctor if you get a lump or swelling in your neck. Stop ZipBound and call your doctor if you have severe stomach pain or a serious allergic reaction.

19:20Severe side effects may include inflamed pancreas or gallbladder problems. Tell your doctor if you experienced vision changes before scheduled procedures with anesthesia. If you're nursing, pregnant, plan to be, or taking birth control pills. Taking ZipBound with a sulfonylurea or insulin may cause low blood sugar. Side effects include nausea, diarrhea, and vomiting, which can cause dehydration and worsen kidney problems. Talk to your doctor. Call 1-800-545-5979 or visit zetbound.lily.com.

19:51Welcome back. Now let's get into one of the most popular peptides on the market, BPC-157. This is the so-called Wolverine peptide, but people say it can help you recover from injuries fast. So where does it come from and should you try it? BBC 157 stands for Body Protective Compound 157. So you know immediately that it was not discovered by Hassie's team. It was isolated from gastric juice in the early 1990s by a Croatian lab. And what's curious is that humans don't actually make BPC-157. You can't find it in our DNA. So the going theory is that maybe a gut bug makes it? We don't know. But the big question is, can it heal you?

20:46For this, I called up Keith Barr, a professor of molecular exercise physiology at University of California, Davis. And he told me that recently... So I started getting a lot of emails from people asking me, so I, you know, I inject BPC-157 into my tendons and they're feeling better. You know, this is a magical thing. And I'm like, oh, that's really cool. So let's go test it. Yeah. He wanted to see if BPC-157 can really heal tendons and ligaments, which can be very difficult injuries to treat. So it would be great if all you needed was one cheeky injection and off you go. and here's how Keith tested it.

21:27His first step is basically building a little tendon in a dish. We take cells from people who basically rupture their Achilles. They come to our medical center to get their Achilles tendon repaired and what we do is we take the little broken piece. Keith's team takes the roughed up cells of the human tendon, embeds them in a gel, puts it all on a tiny bone-like scaffolding and then yada yada yada, the cells will start to replicate. They make more cells. And so from that one ACL, that one ruptured ACL, I can make about a thousand little engineered human ligaments. Wow, that's so cool. The model will grow to about the size of a toothpick and then he's ready to test it.

22:13So the team exposes the tendon to, say, different peptides and basically sees what happens. And he told me that often it's pretty obvious if it's doing something. If you wiggle it, normally you'll see it move a little bit. If it's stronger, it'll stay nice and stiff. If it's really weak, it'll flop around. So you can see that these drugs or these treatments are really either having an effect on the tissue or they're not. And they've seen this with another peptide called insulin-like growth factor 1. Some people, in particular bodybuilders, use IGF-1 to get stronger. And in high doses, it's not safe.

22:52It can increase your risk of heart disease and cancer. But it's been studied for a long time, and it can help you build a bit of muscle and make you bigger. In fact, not just you. So IGF-1, that's the difference between, say, a Great Dane and a Chihuahua. Wait, so if you gave a Chihuahua insulin growth factor 1 at a critical point in development... When it's very, very young and in developing still, it will get bigger and it will become a big chihuahua. Yeah. Okay, but away from the chihuahua, what happened when Keith put these peptides on his lab-grown tendons? And so when we treat with IGF-1, they get stronger.

23:33But when we did the exact same thing with BPC-157, it had absolutely no effect. No effect. It wasn't better, but it wasn't worse. Keith's team tested BPC-157 a different way, bathing some human cells in it to see if they replicated faster. And again, it didn't really do anything. Now, this doesn't totally put the kibosh on BPC-157. Keith has just started studying this. He hasn't even published the data yet. He wants to keep running tests. And he says that just because BPC-157 might not do anything to his tendon in a dish doesn't mean that it doesn't do something when you put it into a body. So, for example, other researchers have found evidence in rats and basically petri dish studies that BPC-157 might promote something called angiogenesis.

24:28Or the production or the making of new blood vessels supposed to increase the ability to get blood flow to whatever tissue that you're trying to regenerate. And Keith says you wouldn't see new blood vessels popping up on what's basically a disembodied tendon in a dish. So to find out if this peptide really does increase angiogenesis and more broadly helps you heal from injuries, we really need to test it in a human body, right? Not just human flesh. So what studies do we have here? Let me tell you. So in 2015, a placebo-controlled safety trial for BPC-157 was registered on the US government's website for clinical trials.

25:13But the results were never published. Another study from 20 years ago of 46 people with ulcerative colitis either got a BPC-157 enema or a placebo each day for two weeks. and it looked like maybe the BPC-157 group did better overall. But the thing is, most of the findings weren't significant. And then there's a doctor who, by the way, wrote a book called The Fountain of Youth with Peptides and he has a clinic in Florida where he injects people with peptides. And he gathered up 12 of his patients who he'd injected with BPC-157 because they had knee pain and asked them basically, do you remember how bad your pain was?

26:01Is it better now? Nine out of the 12, so 75%, said that three months to a year later, yeah, the pain was better. Now, we have no idea if the peptide was the thing that improved their knees or the passing of time, which, you know, is supposed to heal all wounds, or perhaps it was the placebo effect. I talked about this with Dr. Drav Kula, a physician and health policy researcher at Weill Cornell Medicine in New York. And he told me that the placebo effect can be huge, particularly when it comes to knee pain. We know placebo effects are very powerful. People who have a fake knee surgery, they have better outcomes.

26:47Yeah, there are literally studies where doctors give someone an anesthetic, slice them open, basically stare at the ceiling for a bit and then sew them back up. And those patients felt better to the same degree as if they'd gotten real surgery. There are studies that suggest that the more expensive you think a drug is, even if it's a placebo, the more effective it seems to be for you. And that's true for things like Parkinson's, which you wouldn't expect. In this case, you're going through the trouble of ordering something online. There's a bunch of syringes. It's kind of scary. you inject yourself, it's expensive, it's painful, you really want this to work.

27:25So if all we've got are some uninspiring studies in people, why are folks online going through all this trouble for BPC 157? Where are all these exciting claims coming from that it'll heal your tendons and ligaments, that you'll become Wolverine? well bpc157 has been used by folks in certain online spaces for a while now so there is a lot of lived experience or anecdote whatever you want to call it but if you're looking for science for all those claims about bpc157 what we have are studies in rats and the vast majority of those studies actually come from one particular lab. It's the lab that first discovered the peptide in Croatia.

28:16It's the same lab that's linked to that study in people, the clinical trial from 2015 that never published those results. But for three decades, what this lab has published are scores of studies where they'll get a rat, cut its quadricep or ligament, slice its cornea, damage its nerve, you get the picture. And then they give one group of rats a placebo while the other gets BPC-157. And over and over and over again, the team finds that the rats injected with BPC-157 do better. I called up the professor that heads up that lab. But he wouldn't go on the record to talk. And once I started asking, why didn't he publish that clinical trial from 2015?

29:07He ghosted me completely. Koriznik trenutno nije u mogućnosti prihvatiti poziv. Molimo, pokušajte ponovno kasnije. So that's BPC-157. And like I mentioned, there are other peptides out there that are supposed to help you hulk up and recover faster. But a review paper looking into some of the most popular ones basically concluded, there's pretty much no evidence in humans for this. I spoke to one of the authors of that paper, Dr. Corey Mayfield, a resident at Keck School of Medicine, USC. It was more shocking on that front than to learn how little research there had actually been. Going in, what did you think you were going to find?

Read the full transcript

29:49We had thought there would probably be more, at least evidence supporting the use of these. I don't think there's really any other therapy that we see that has less evidence that's more used. So here's where we're at. Online, you are going to read and see these amazing stories of people juicing up with peptides and feeling so great and healing so quickly and popping with muscles. But if you are looking for scientific evidence that peptides are doing that magic and not the placebo or something else, you are going to be bitterly disappointed. As I kind of was. But this takes us to the last question of the episode.

30:32What are the risks? If you've got a knee injury that just won't heal or you want to build extra muscle fast and you want to give this stuff a go, are there any downsides? Well, if you try this, you will be injecting yourself. So you need to be careful because you could get a nasty infection. And there is the odd case report of bodybuilders using unclean needles to inject steroids and then getting infected with hepatitis C or HIV. And on Reddit, you will see people injecting themselves with peptides and then some body parts swelling up like mad and needing antibiotics. Also, if you're giving yourself repeated injections, you need to worry about lipohypertrophy, which is a buildup of fatty, rubbery lumps under the skin.

31:19Away from the needles, another issue is, how do you know what's in the vial? Right now, in the US, you can't buy a lot of these peptides at a pharmacy. You get them online, right? and Dr. Drav Kula, the physician at Weill Cornell Medicine in New York, recently bought some peptides to find out exactly what was in them. It was for an article that he wrote for The New Yorker. Oddly, just as an aside, on one of the websites, they gave him a little bonus. And when I was checking out, they just added 30 capsules of this synthetic hormone called demoxytocin for no reason, which doctors usually use for inducing labor or treating postpartum bleeding.

32:00What? Just like, hey, are you... Is there some other drugs you might like, I guess? No matter. Within a week, the peptides started arriving. What did it look like when it arrived? Oh, it was just... It's usually just a white powder, you know? It looks maybe like some flour or cocaine. Okay. You know, depending on what you're most familiar with. Yeah. Trev, I didn't know you'd make that joke. I was ready to make it, but you got in there out in front of me. All right. He took these peptides into a lab that tested what was inside. And the results found that one of the vials had the right peptide at the right dose.

32:36Another vial contained endotoxins, which are bits of bacteria, possibly from contaminated water in the manufacturing process. Another vial had less than half the advertised dose. And? I got one vial that had lead in it. I prefer my medications without lead. Yes, lead. And then people would be injecting it into themselves. Not great. Now, this is, of course, just Drub's experience. Maybe he got unlucky. We don't have studies analysing what's contained in the peptides that people are buying online. Researchers are on the case, though. But what we do have are studies on a similar illicit market, anabolic steroids.

33:21One Australian study of more than 100 samples found that 22%, so one in five, were mislabeled. And they could also be contaminated with heavy metals from lead to arsenic. I asked Drav what the lab he tested his peptides at was seeing. Broadly, what did they tell you about how many of the peptide samples that they test have issues with them? They estimated somewhere between 10 % and 20 % of the samples that they receive have significant issues, whether of dosing or purity. When you're ordering these unapproved drugs online, you don't really know what you're getting. It's just like a box of chocolates.

33:59Exactly, exactly. Basically, in this unregulated market, these peptides are coming from factories where the quality control is not up to snuff. Now, this may change in the U.S. soon. The FDA is meeting in July to talk about letting compounding U.S. pharmacies make a handful of peptides, including MOTC and BPC-157 and then sell them directly to the public. Of course, that's not going to make them effective, just less likely to have lead in them. But there is one more risk that we need to talk about, and that is around cancer. Like I mentioned, some peptides are supposed to work by encouraging blood vessels to grow.

34:42And this, in theory, could increase your risk of cancer because giving cancer cells a blood supply gives them the nutrients to survive and spread. I talked about this with Dr. Corey Mayfield. I know anyone who would have had a scan for some weird thing in their body. One of the tests for is that weird thing cancerous is are there blood vessels around it or not? Correct. Yeah, that's the main thing we look for is, you know, is it getting blood? Is it new blood? Is it pulling in its own blood supply? And that's what we worry about. We don't know for sure if this is a risk or even if some of these peptides increase angiogenesis in the first place.

35:23But the thing is that if peptides actually do what people are saying they can, if they are modulating your body in all of these different and exciting ways, they probably will have some side effects. I mean, think about the peptides that we have good research on. So GLP-1s, for example, they work really well. But if you're losing a ton of weight, you need to worry about muscle loss. They can also cause nausea and diarrhea and rarely gut paralysis. IGF-1, like I mentioned, can increase your risk of cancer and heart disease. None of the doctors and researchers that you heard from in this episode, Drav, Corey, Keith and Hasey, inject themselves with peptides.

36:08I talked to Hasey about why he's not injecting MOTC. And let me say that I am coming of age and I'm very worried about my muscle loss, my sarcopenia. I'm worried about this. If MOTSI was approved, I would take it right now. Will I ever take it? I don't know. At the moment, I'm not taking it. Why not? Because I don't trust. I don't trust the stuff that people are taking out there. I don't know where they're getting it, how it's mixed, how it's prepared. But you're one of the few people out there that could actually get MOTC and know you're getting MOTC, but you still don't take it. It's true. It's true.

36:46Why not? Because I'm an old-fashioned traditional guy. And, you know, when you're raised with values as a physician scientist, you know, all the supplement universe is something that you really disrespect. And the majority of supplements is a multi-billion dollar business. Almost all of them don't work. And I've always said to myself, why are people doing it? They don't know. There's no evidence. So I come from a place of a traditional, old-fashioned physician scientist who believes there's a right way to do it and a wrong way to do it. And while I get the impulse to want to be your best self, and I know how frustrating it is when injuries take a long time to heal, And I also think that the potential peptide revolution happening in science land, it could be super cool.

37:42But at the same time, injecting yourself with stuff that some influencer, or worse, podcaster, is selling you online, as Hassy would say, it's the wrong way to do it. I guess I'm old-fashioned like that too. That's science versus. This episode has 73 citations in it, and if you want to see them in all of their glory, then you can look at the show notes and link to our transcript. It is a fully cited transcript, so if I said anything and you think, wait a second, go check it out for yourself.

38:30This episode was produced by me, Wendy Zuckerman, with help from Rose Rimler, Aketi Foster-Keys, Meryl Horne and Michelle Dang. We're edited by Blythe Terrell, fact-checking by Diane Kelly, video editing and sound mix by Bobby Lord, music written by Bumi Hidaka, Peter Leonard, Emma Munger and Bobby Lord. Thanks to the researchers that I spoke to for this episode, including Dr. Dana Liss, Dr. Puyo Faridi and Dr. Timothy Piotrkowski, as well as the Australian Science Media Centre. Thanks for all the papers. A big thanks to Joseph Lavelle Wilson and the Zuckerman family. Science Versus is a Spotify Studios original.

39:03We are also now on YouTube. Yeah, you can find us at Science VS Podcast. Come and say hello. We have no idea how YouTube works. We're podcasters, OG podcasters. Still, you can listen to us for free on Spotify, YouTube, wherever you get your podcasts. Follow us, like and subscribe. I don't know. I'm Wendy Zuckerman back to you next time

From the publisher

Peptides are huge right now. Influencers are telling us they can work wonders for all sorts of stuff. Struggling with an annoying injury that won't heal?? Belly fat that's pissing you off? Low energy? Gut issues?? There’s a peptide out there for you. People are buying peptides off the internet and injecting themselves with them, saying it's life changing. But away from the internet hype, there is actually a potential revolution happening in medicine around peptides. So we’re finding out what scientists are excited about here, and we look deeply at the science behind two massive peptides: BPC-157 and MOTS-c. And we’ll also look at the risks: Could peptides give you cancer? On this episode we talk to Dr. Hassy Cohen, Dr. Keith Baar, Dr. Dhruv Khullar and Dr. Cory Mayfield to get to the bottom of this.

Find us on Youtube! We're at https://www.youtube.com/@ScienceVsPodcast 

Find our transcript here:https://tinyurl.com/ScienceVsPeptides

In this episode, we cover:

(00:00) Peptides are everywhere right now

(03:56 ) What are peptides?

(04:39 ) The peptide revolution in medicine

(09:56) MOTS-c: Should you take it?

(15:56 ) BPC-157: Can it heal you?

(26:33) What are the risks?

This episode was produced by Wendy Zukerman, with help from, Rose Rimler, Ekedi Fausther-Keeys, Meryl Horn and Michelle Dang. We’re edited by Blythe Terrell. Fact checking by Diane Kelly. Video editing and sound mix by Bobby Lord. Music written by Bumi Hidaka, Peter Leonard, Emma Munger and Bobby Lord. Thanks to the researchers we spoke to for this episode including Dr. Dana Lis, Dr. Pouya Faridi and Dr. Timothy Piatkowski, as well as the Australian Science Media Centre. A big thanks to Joseph Lavelle Wilson and the Zukerman family. 

Science Vs is a Spotify Studios Original. Listen for free on Spotify or wherever you get your podcasts. Follow us and tap the bell for episode notifications.
Learn more about your ad choices. Visit podcastchoices.com/adchoices

More from Science Vs

All 49 episodes
Peptides: The Ultimate Body Hack?Science Vs · 38 min
Listen in VO