The Ultimate Human with Gary Brecka

229. Dr. Marty Makary: Vaccines, Chronic Disease, Drug Prices & Hormone Therapy

Dec 23, 2025
Dr. Marty Makary, a surgeon and public health researcher, dives into crucial reforms at the FDA aimed at enhancing medical transparency and food safety. He discusses the need for a shift towards prevention rather than symptom management and critiques traditional medical training. The conversation touches on simplifying hormone therapy guidelines, improving vaccine data transparency, and lowering drug prices. Makary emphasizes the importance of empowering patients and using real-world data to inform healthcare practices, while also advocating for the future of functional medicine.
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INSIGHT

Mission-Driven FDA Reform

  • The FDA's mission is to deliver more cures and healthier food for children while challenging long-standing dogma.
  • Marty Makary emphasizes mission-driven hiring, transparency, and quicker decisions to improve public health.
ADVICE

Rewrite The Food Pyramid Now

  • Reevaluate dietary guidelines to prioritize protein, whole foods, and fiber over refined grains and ultra-processed foods.
  • The FDA will end the 50-year war on natural saturated fat and highlight protein's role in preventing frailty.
INSIGHT

HRT Misconceptions Harmed Women

  • The Women's Health Initiative was misrepresented, producing harmful dogma about hormone therapy.
  • Makary argues estrogen within ten years of menopause reduces heart attack risk and prevents osteoporosis.
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