The Genius Life

494: How Exercise and Creatine Work Together to Fight Depression | Nicholas Fabiano, MD

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Jun 4, 2025
Dr. Nicholas Fabiano, a psychiatry resident and researcher, uncovers the impactful link between exercise, nutrition, and mental health. He discusses the dual benefits of creatine for both muscle and cognitive function, urging a holistic approach to depression treatment that combines physical activity, therapy, and diet. Fabiano also challenges traditional views on serotonin's role in mental health, advocating for personalized strategies and highlighting the importance of brain-derived neurotrophic factor (BDNF) in alleviating mood disorders.
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ANECDOTE

Personal Injury Sparks Research Interest

  • Dr. Fabiano fractured his humerus arm wrestling and experienced mental health decline during recovery.
  • His own rehab journey sparked his interest in exercise's role in mental health treatment.
INSIGHT

Exercise Matches Antidepressants' Effectiveness

  • Exercise shows antidepressant effects roughly equivalent to medications and therapy for mild to moderate depression.
  • Media exaggerations claiming exercise is superior to medication should be interpreted cautiously.
INSIGHT

Exercise As Complementary Depression Treatment

  • Depression varies widely; exercise benefits mild to moderate cases but may feel dismissive for severe depression.
  • Exercise complements medications and therapy rather than replacing them, improving outcomes when combined.
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