My guest is Dr. Nirao Shah, MD, PhD, a professor of psychiatry, behavioral sciences and neurobiology at Stanford University School of Medicine. We discuss how the brains of males and females differ and how those differences arise from different genes and hormones during fetal development, in childhood and adulthood. We discuss what drives male- versus female-specific behaviors and how hormonal fluctuations across the lifespan, including puberty, the menstrual cycle, menopause and aging – affect behavior, cognition and health. Additionally, we discuss how biology relates to gender identity and the impact of hormone therapies on brain circuits that regulate mating, parenting and social bonding.
Read the episode show notes at hubermanlab.com.
Thank you to our sponsors
AG1: https://drinkag1.com/huberman
Maui Nui: https://mauinuivenison.com/huberman
Eight Sleep: https://eightsleep.com/huberman
LMNT: https://drinklmnt.com/huberman
Function: https://functionhealth.com/huberman
Timestamps
00:00:00 Nirao Shah
00:02:11 Mice, Humans & Brain, Biological Conservation
00:05:25 Hormones, Nature vs Nurture
00:07:13 Biological Sex Differences, Chromosomes & SRY Gene, Hormones
00:16:01 Sponsors: Maui Nui & Eight Sleep
00:19:09 Androgen Mutations, Feminization & Masculinization
00:22:04 SRY Gene; Animals & Sexual Trans-Differentiation
00:27:49 Hormones & Biological Brain Differentiation
00:31:22 Congenital Adrenal Hyperplasia, Androstenedione; Stress & Pregnancy
00:35:56 Genes, Brain Differentiation & Sexual Identity; Congenital Adrenal Hyperplasia
00:43:37 Testosterone, Estrogen & Brain Circuits
00:47:27 Sponsors: AG1 & LMNT
00:50:36 Intersex Individuals, Castration
00:52:23 Female Sexual Behavior, Brain, Testosterone & Pheromones
00:57:58 Identify as Heterosexual or Homosexual, Difference in Hormone Levels?
01:00:42 Gender, Sexual Orientation & Hormones; Hormone Replacement Therapy
01:10:21 Aromatization; Steroid Hormones & Gene Expression
01:15:00 Kids & Changing Gender Identity
01:19:05 Sexual Behavior, Refractory Period & Male Brain, Tacr1 Cells
01:21:31 Sponsor: Function
01:23:19 Hypothalamus, Dopamine, Prolactin, Cabergoline, Libido, Dopamine
01:27:05 Brain Circuits, Aggression & Sexual Behavior
01:32:40 Refractory Period; Age, Testosterone & Libido
01:36:07 Tacr1 Cells in Females, Periaqueductal Gray & Innate Behaviors
01:40:00 Parenting Behaviors & Brain Circuits; Pet Dogs
01:43:12 Oxytocin, Pair Bonding, Vasopressin; Biological Redundancy
01:47:22 Libido, Melanocortin, Tacr1 Neurons; GLP-1 Agonists, Clinical Trials; Kisspeptin
01:56:43 Female Brain Changes, Menstrual Cycle, Pregnancy, Menopause; Estrogen; Men & Hormone Fluctuation?
02:04:10 Life Experience Male vs Female, Sex Recognition, Behaviors & Context
02:16:05 Pain Management; Endocrine Disrupters, Gender Identity
02:21:03 Future Projects
02:24:29 Zero-Cost Support, YouTube, Spotify & Apple Follow & Reviews, Sponsors, YouTube Feedback, Protocols Book, Social Media, Neural Network Newsletter
Learn more about your ad choices. Visit megaphone.fm/adchoices

How to Lose Fat with Science-Based Tools
This episode I describe the science of fat loss, including how fat is mobilized and oxidized (burned) and how to increase fat burning by leveraging the nervous system. Most people don’t realize it, but our…
How to Learn Skills Faster
This episode I discuss the science and practice of learning physical skills: what it involves at a biological level, and what to focus on during skill learning at each stage to maximize learning speed and…
Supercharge Exercise Performance & Recovery with Cooling
This episode I explain the science of heating and cooling the body, a process called thermoregulation– and how to apply that knowledge to significantly improve physical performance. I describe the three areas of our body…
Boost Your Energy & Immune System with Cortisol & Adrenaline
This episode I describe the biology of two essential hormones we all make: cortisol and adrenaline (also called epinephrine). Cortisol and adrenaline powerfully regulate our levels of energy, focus and immune system function. I describe…
How to Control Your Metabolism by Thyroid & Growth Hormone
This episode discusses metabolism and how our thyroid hormone and growth hormone control our metabolism. I also clarify that metabolism isn’t just about burning energy, it’s about converting energy from different sources into fuels for…
How Hormones Control Hunger, Eating & Satiety
This episode I discuss how hormones from our gut, liver, pancreas and brain control our appetite–and the specific tools we can use to adjust those hormones in order to achieve specific goals. I explain the…
How to Optimize Testosterone & Estrogen
In this episode, I discuss testosterone and estrogen hormones and how they impact the brain, body, and behavior after puberty. I also discuss how various behaviors such as exercise (resistance and endurance training) and sex…
The Science of Sexual Development
In this episode, I discuss how hormones such as testosterone and estrogen and their derivatives impact the early development of the brain and body and their maturation. I review published data on environmental factors shown…
The Science of Emotions & Relationships
In this episode, I discuss the biology of emotions and moods in the context of relationships. I focus on the science of how early infant-caregiver attachment, combined with adolescence and puberty shape our adult patterns…
How To Increase Motivation & Drive
This episode explains the science of motivation and drive. I describe how dopamine– a chemical we all make in our brain, underlies our desire for and pursuit of our goals, as well as our capacity…