Dr Rehan Muttalib

Southern California based physician specializing in primary care. BJJ Black Belt. Passionate about health, peptides and optimization

[Dr Rehan Muttalib @AskDrRehan]

My goal now is freedom.

Win or lose, my life is no different. Some of my friends have paychecks riding on the result. That was me once. Not anymore.

I want competition day to feel like a training day. That is when my best jiu jitsu shows up.

New episode out now.

[Dr Rehan Muttalib @AskDrRehan]

Not many doctors will say this: what's worse, a peptide or living with diabetes, high blood pressure, and bad biomarkers?

Every medication has risk. So does doing nothing.

[Dr Rehan Muttalib @AskDrRehan]

I grew up believing if you don't win, you're a failure.

I lost in the third round at Master Worlds, and I didn't stick to my game plan. I still don't do well with losses.

Milan and I got into all of it on the new Longevity University episode. Out now on YouTube and Spotify.

[Dr Rehan Muttalib @AskDrRehan]

D1 football and black belt jiu jitsu are two completely different kinds of nervous.

Filmed this the day before Worlds. Lost in the R16.

#jiujitsu #bjj #ibjjf #blackbelt #worldmasters #collegefootball #d1 #grappling

[Dr Rehan Muttalib @AskDrRehan]

Not the result we wanted at @ibjjf World Masters but hit a mounted triangle in competition for the first time in years. Onward.

[Dr Rehan Muttalib @AskDrRehan]

.@ibjjf World Masters today!

[Dr Rehan Muttalib @AskDrRehan]

Nobody warns you that making friends gets hard in your 30s. My wife and I moved back to California after residency and struggled with it. Jiu-jitsu gave me a built-in community. Isolation is a health risk, and we're only starting to understand how big.

[Dr Rehan Muttalib @AskDrRehan]

@Lucas0820202 Thanks Matthew! Check out the full episode for more info: https://t.co/QfTYsi1Du3

[Dr Rehan Muttalib @AskDrRehan]

An FDA advisory committee voted on seven peptides at the end of July and recommended six for compounding at 503 pharmacies.

New Longevity University episode: I walk through each one, what it was reviewed for, the one that got voted down, and my personal pick.

[Dr Rehan Muttalib @AskDrRehan]

@ChrisKlemmer Congrats Klemmer!

[Dr Rehan Muttalib @AskDrRehan]

@shea_bae22 @DoubleVodkaDon If you do decide to get on a GLP-1 go Tirzepatide (Mounjaro, Zepbound) over Semaglutide (Ozempic, Wegovy)

[Dr Rehan Muttalib @AskDrRehan]

I'm big on treating the patient, not the numbers.

That gets me some funny looks, so let me explain what I actually mean.

A lab result is a snapshot. It tells me what your blood was doing on one morning, after one week, following one version of your diet. It does not tell me how you slept last month, whether you've been able to train, what your energy is like at 3pm, or whether you feel like yourself.

I need both. If I only chase the number, I can put you on a medication that makes your chart look beautiful while your workouts fall apart and your sleep goes to hell. Now your paper is perfect and your life is worse. That's not a win.

So I ask what you've been doing, how you've been feeling, what's changed. Then I look at the labs. Together those tell me the story. One without the other is a guess.

Just went through this on the newest episode of Longevity University, where Milan let me open his bloodwork and DEXA scan live, with no idea what was coming. Some numbers moved up, one moved the wrong way, and we talked through what to actually do about it.

Full episode is out now on YouTube and Spotify.

#menshealth #longevity #bloodwork #testosterone #primarycare #preventativemedicine #healthoptimization #peptides #labwork #doctorsofinstagram

[Dr Rehan Muttalib @AskDrRehan]

I'm going to get flak for this. I don't think the chicken quality in America is great, and that's my own opinion, not a guideline.

Here's the logic. Eggs give you choline, which is hard to get anywhere else. Salmon gives you omega 3s, also hard to get elsewhere. Red meat brings a long list of micronutrients along with the protein. Chicken gives you protein, and not much beyond it.

If you can get really high quality chicken, it's fine in the diet. Turkey, from what I've seen, is better. But if you're an athlete or someone who thinks of themselves as a high performer, your food should be doing more than one job. And if you're eating in a calorie deficit, every calorie counts double. Why fill them with chicken?

Say this out loud in my friend group and everyone looks at me like I'm crazy. There's still logic behind it.

[Dr Rehan Muttalib @AskDrRehan]

Active patient, good labs, cholesterol borderline. Guidelines say statin. I say shared decision. Myalgia is a common side effect, and if cramps stop you training, the number improved while your health got worse. Some patients need statins. It should be a discussion, not a reflex.

[Dr Rehan Muttalib @AskDrRehan]

The scale can't tell you if you lost fat or muscle. A DEXA scan can, and it shows visceral fat too. I used to order DEXAs only to screen for osteoporosis. Now they're how I track patients on GLP-1s and peptides. Full episode on the Longevity University YouTube channel.

[Dr Rehan Muttalib @AskDrRehan]

He asked me to hide his own lab results until we hit record. February: 660. Six months later, at 46, no TRT, the new number made me say wow. Full reveal on the Longevity University YouTube channel now.

#testosterone #longevity #menshealth

[Dr Rehan Muttalib @AskDrRehan]

Patients hesitate to start GLP-1s because they think food stops being enjoyable. Milan's version: the vice craving faded, and now he looks forward to how good he feels after a well prepared meal. Still delicious. This week we go over his bloodwork on the show.

[Dr Rehan Muttalib @AskDrRehan]

Do you have to stay on peptides forever, like TRT?

TRT introduces an outside hormone. Your body can shut down its own production.

Most peptides encourage pathways your body already runs. Cycle them, stop them, and the benefits often hold.

Full episode: Longevity University.