Diabetes, Obesity & Cancer: Dr. Charles Brenner Reveals the Metabolic Breakthroughs Transforming Men’s Health, Fatty Liver & GLP‑1 Therapy

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In this episode of On the Edge of Breakthrough, host Dr. Monty Pal sits down with Dr. Charles Brenner, an internationally recognized expert in metabolism and the founding Chair of the Department of Diabetes & Cancer Metabolism at City of Hope. Together, they explore the metabolic links between diabetes, obesity, and cancer, and how understanding those connections could lead to new ways to prevent and treat multiple diseases.

Dr. Brenner shares insights from his research into lean fatty liver disease (otherwise known as metabolic dysfunction-associated steatotic liver disease or MASLD), and how certain genetic factors may be quietly driving both metabolic dysfunction and cancer risk. They also discuss the rise of GLP-1 therapies and how a new class of compounds targeting FGF21 might offer a potential new therapeutic option that could help curb sugar cravings and support liver health.

This episode takes listeners deep into the science of energy balance, NAD metabolism, fatty liver disease, and what it truly means to be on the edge of a breakthrough.









 
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

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The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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