Video summary
In this episode of Huberman Lab Essentials, Professor Andrew Huberman explores the complex interplay between hormones and the nervous system in regulating hunger, eating behavior, and satiety. He identifies two critical brain regions involved in these processes: the ventromedial hypothalamus, which contains neurons that can paradoxically promote or inhibit feeding depending on specific lesions, and the insular cortex, which integrates tactile input from the mouth to determine enjoyment of food and signals for fullness. Huberman explains that while neural control is significant, hormonal signals circulating in the blood play an equally vital role. He references a classic parabiosis experiment where two rats were surgically linked so they shared a bloodstream but had separate brains; when one rat's ventromedial hypothalamus was damaged to induce obesity, its partner remained thin because it received normal satiety hormones from the obese rat via their connected blood supply. This demonstrated that endocrine signals are essential for regulating appetite and body weight independently of direct neural damage in a specific area. The discussion then shifts to specific hormonal mechanisms within the arcuate nucleus of the brain, focusing on two opposing systems: proopiomelanocortin (POMC) neurons release alpha-MSH, which acts as an accelerator to reduce appetite, while agouti-related peptide (AGRP) neurons stimulate eating and are activated when glucose levels drop or food is scarce. Another key hormone, ghrelin, released by the gastrointestinal tract in response to low blood sugar, functions like a hormonal clock that creates anticipatory hunger signals at regular meal times. Huberman emphasizes that maintaining consistent eating schedules helps regulate ghrelin secretion, preventing erratic spikes in appetite. Conversely, cholecystokinin (CCK) serves as a potent brake on hunger by signaling satiety once the gut has ingested sufficient nutrients. CCK release is stimulated by specific dietary components such as omega-3 fatty acids, conjugated linoleic acid (CLA), and amino acids, which help clamp appetite down to healthy levels. Huberman warns against highly processed foods due to their content of emulsifiers, which strip away the gut's mucosal lining and cause sensory neurons to retract deeper into the tissue. This structural damage prevents the deployment of crucial satiety signals like CCK and disrupts vagus nerve pathways that detect sugar intake, leading to overconsumption despite feeling full or unaware of nutrient sufficiency. He also addresses insulin and glucagon as a push-pull system for managing blood glucose; high levels of glucose can be neurotoxic if not managed by insulin, while glucagon mobilizes energy stores from the liver during fasting periods. The order in which macronutrients are consumed significantly impacts this regulation; eating fibrous vegetables first blunts the rapid rise in blood sugar caused by carbohydrates and proteins eaten subsequently, leading to more stable glucose levels and earlier satiety compared to consuming all foods simultaneously or starting with high-carbohydrate items. To further optimize metabolic health, Huberman highlights the profound impact of movement on blood glucose regulation. Both zone two cardio exercise, which improves insulin sensitivity allowing for better management of sugar intake even after indulgence, and resistance training, which stimulates glycogen repackaging in muscles, are effective strategies to keep blood sugar stable. He also discusses prescription drugs like metformin, which lowers blood glucose by altering mitochondrial action in the liver via the AMPK pathway, increasing insulin sensitivity without being a direct treatment for non-diabetics unless necessary. Additionally, he introduces yerba mate as a beneficial beverage that contains caffeine and electrolytes while stimulating the release of glucagon-like peptide-1 (GLP-1) and leptin. These compounds help suppress appetite and regulate blood sugar effectively, making it an attractive alternative to coffee for extending fasting windows and maintaining alertness without disrupting metabolic balance. The episode concludes by reflecting on historical medical advancements, noting that diabetes was identified as early as 1500 BC through the observation of ants consuming sweet urine, a method used until the late 17th century before modern measurement techniques emerged. Huberman stresses that while he is not a physician and does not prescribe treatments, understanding these biological mechanisms empowers individuals to make informed decisions about diet and lifestyle. He advocates for whole foods over processed options to preserve gut integrity and ensure proper signaling of hunger and fullness. By combining regular meal timing, strategic food ordering, physical activity, and mindful consumption of nutrients like amino acids and healthy fats, one can harness the body's natural hormonal systems to control weight and maintain metabolic health effectively.
Read the full video transcript
Welcome to Huberman Lab Essentials,
where we revisit past episodes for the
most potent and actionable science-based
tools for mental health, physical
health, and performance.
I'm Andrew Huberman, and I'm a professor
of neurobiology and ophthalmology at
Stanford School of Medicine. This
podcast is separate from my teaching and
research roles at Stanford. It is,
however, part of my desire and effort to
bring zero-cost consumer information
about science and science-related tools
to the general public. Today, we're
going to talk about how hormones impact
feeding and hunger,
as well as satiety, the feeling that you
don't want to eat or that you've eaten
enough.
Now, it's important to understand that
hormones don't work alone in this
context. Today, I'm going to describe
some hormones that have powerful effects
on whether or not you want to eat more
or less or stop eating altogether.
But, they don't do that on their own.
They do that in cooperation with the
nervous system. The first thing that you
need to know about the nervous system
side, the neural control over feeding
and hunger, is that there's an area of
your brain called the hypothalamus. Now,
the hypothalamus contains lots of
different kinds of neurons doing lots of
different kinds of things. There's a
particular area of the hypothalamus
called the ventromedial hypothalamus.
And it's one that researchers have been
interested for a long time now in terms
of its relationship to hunger and
feeding. And the reason is
it creates these paradoxical effects.
What do I mean by that? What they found
was that sometimes lesioning or
disrupting the neurons in the
ventromedial hypothalamus would make
animals or people hyperphagic. They
would want to eat like crazy.
And
other lesions in other individuals or
animals would make them anorexic. It
would make them not want to eat at all.
It would make food aversive. So, that
means that the ventromedial hypothalamus
is definitely an interesting control
station for hunger and feeding and
satiety, but it doesn't really tell you
what's going on at a deeper level. In
fact, it's a little bit confusing or
paradoxical.
Turns out that there are multiple
populations of neurons in there. Some
are promoting feeding and some are
promoting not feeding or not eating.
Now, the other neural component of all
this that you need to know about
actually has to do with your mouth. So,
there's an area of your cortex, so
that's a little bit further up in your
brain,
called the insular cortex, and it
processes a lot of different kinds of
information, mostly information about
what's going on inside you, so-called
interoception.
The insular cortex has neurons that get
input from your mouth, from the touch
receptors in your mouth. And insular
cortex has powerful control over whether
or not you are enjoying what you're
eating, whether or not you want to avoid
what you're eating, whether or not
you've had enough, or whether or not you
want to continue eating more.
And that has to do, believe it or not,
with the touch or sensation of eating.
But the key point right now is to know
you got these two brain areas, the
ventromedial hypothalamus, that's
involved in hunger and lack of hunger,
and you have this insular cortex that
gets input from your mouth and cares
about chewing and the consistency of
foods, and all sorts of interesting
things that are just very tactile. And I
think most people think about the touch
receptors on Excuse me, the taste
receptors on the tongue, but we often
don't think about the touch or tactile
essence of food. Now, let's get back to
the ventromedial hypothalamus. Sometimes
it makes animals or people want to eat
more, sometimes less. So, what's going
on there? There's a classic experiment
that was done in which researchers took
two rats
and so-called parabiosed them to each
other. What that meant is that they did
a little surgery and they linked their
blood supply so that they were forever
physically linked to one another and
could exchange factors in the blood, but
their brains were separate, their mouths
were separate, and they essentially did
everything
uh separately except that they were
linked to one another. So, they had to
walk together and go to the same places
in order to do it.
This parabiosis experiment revealed
something really important. When they
lesioned the ventromedial hypothalamus
in one of the rats that was connected to
the other rat, that rat got very, very
fat. It's just really obese. The other
one, however, got very thin. It actually
lost weight. So, what does this tell us?
This tells us that there's something in
the blood that's being exchanged between
the two animals because it was their
blood supply that was linked,
and that tells us that there's hormone
or endocrine signals that are involved
in the desire to eat and hunger and
appetite. And so, next we're going to
talk about what those endocrine signals
are, and then I'm going to immediately
point to some entry points that you can
use and
you can use these even if you're not
parabiost to anything,
and that can allow you to time your meal
frequency and predict when you're going
to be hungry or not. So, let's talk
about the endocrine factors that
regulate feeding, hunger, and satiety.
One of the really exciting things to
emerge in the science of feeding and
appetite in the last 20 years is the
discovery of another brain area, not
just the ventromedial hypothalamus, but
it's an area of the brain called the
arcuate nucleus. And the arcuate nucleus
has some really fascinating sets of
neurons that release even more
incredible molecules and chemicals into
the blood.
And these chemicals act as accelerators
on feeding and appetite or brakes.
So, first of all, there are a set of
neurons in this arcuate nucleus. It's
the proopiomelanocortin system.
Now, the POMC neurons
make something called alpha-MSH.
Melanocyte-stimulating
hormone. Alpha-melanocyte-stimulating
hormone.
MSH reduces appetite.
And it's a powerful molecule. All right,
so just put that on the shelf. MSH
reduces appetite. Now, there's another
population of neurons in the arcuate
nucleus called the AGRP neurons. The
AGRP neurons
stimulate eating. The activity in these
AGRP neurons goes way up when animals or
people haven't eaten for a while. And
the activity of MSH, the release of MSH,
goes up when we've eaten. Next, let's
talk about a hormone peptide that
activates hunger.
And this is a really interesting one
because it relates to when you get
hungry, in addition to the fact that you
get hungry at all.
And it's called ghrelin. It's spelled g
h r e l i n.
Ghrelin is released actually from the GI
tract.
And
its main role is to increase your desire
to eat. And it does that through a
variety of mechanisms.
Part of that is to stimulate some of the
brain areas, the actual neurons, that
make you want to eat.
In addition, it creates food
anticipatory signals within your nervous
system. So, you start thinking about the
things that you happen to like to eat at
that particular time of day. This is
fascinating. Ghrelin is sort of like a
clock,
a hormonal clock that makes you want to
eat at particular times. Now, the signal
for ghrelin is reduced glucose levels in
the blood. If it drops too low, ghrelin
is is secreted from your gut. It
activates neurons in your brain at
various locations. And we all know about
the famous Pavlovian
experiments of Pavlov's dogs. You know,
they start salivating to the bell after
the bell was presented with food. You
remove the food, and then just the bell
can stimulate the the salivation. We
become Pavlovian at times. But
rarely is it ever discussed what the
neural pathways for that are. And it
turns out that these hormones that are
secreted from the gut can stimulate the
neurons to create a sensation and a
desire for certain foods at certain
times of day.
You've done this experiment. If you are
somebody who eats breakfast at more or
less the same time each day, let's say
8:00 a.m., your ghrelin secretion will
start to match when you typically eat.
And it's able to override the low levels
of glucose in your bloodstream because
the ghrelin system also gets input from
a clock in your liver
that is linked to the clock in your
hypothalamus in your brain. And what
this means is if you eat at regular meal
times, you will start to get hungry a
few minutes before those meals times. If
you've ever wondered why your stomach
kind of starts to growl
because it's a particular time of day,
and you're like, "Oh, it's I must want
to eat." Well, that's ghrelin. So,
ghrelin is secreted as a kind of food
anticipatory signal
to get you motivated to go eat at
regular times. But,
what that means is that if you suddenly
go from eating on a very regular
schedule to skipping a meal or pushing
your meal timing out or shifting it all,
you're going to have ghrelin in your
system, and that ghrelin is going to
stimulate the desire to eat by acting at
the level of your brain. So, ghrelin
stimulates the AgRP neurons, which makes
you want to eat. Regularity of eating
equals regularity of ghrelin secretion
equals regularity of activity of these
AgRP neurons, meaning you'll be hungry
at very regular intervals. So, if MSH
inhibits feeding, makes us want to eat
less, and ghrelin makes us want to eat
more,
there's another hormone called CCK,
cholecystokinin,
that is potent in reducing our levels of
hunger.
Now, CCK
is in the GI tract. It's released from
the GI tract. And its release is
governed by two things. One is a subset
of very specialized neurons that detect
what's in the gut, the specific contents
of the gut.
And by certain elements of the mucosa,
of the mucus lining of the gut and the
gut microbiome.
So,
what's really interesting is that CCK
is stimulated by fatty acids,
amino acids,
and particular amino acids that we'll
talk about, as well as by sugar. So,
which fatty acids in the gut stimulate
the release of CCK? Omega-3 fatty acids
and conjugated linoleic acid, CLA,
either from food or from supplements,
stimulate the release of CCK, which then
reduces or at least blunts appetite. The
other thing that stimulates CCK that I
mentioned are amino acids. So, when we
eat, we have the ability to break down
different macronutrients,
you know, carbohydrates,
fats, or proteins into
sugars and glucose that then we can
convert to ATP and all that stuff from
the Krebs cycle from high school. We're
not going to go into that today, that's
for a future episode. Amino acids both
can be used as energy
through a process called gluconeogenesis
of converting proteins into energy, or
those amino acids can be broken down and
then rebuilt into things like repairing
muscle tissue, as well as other forms of
cellular repair. They're involved in all
sorts of things related to protein
synthesis.
What does this mean?
If we eat the proper amino acids at the
proper levels, if we ingest omega-3s and
CLAs, conjugated linoleic acids, at the
proper levels, or get them from
supplements,
there is a blunting of appetite.
Appetite is kept clamped and we don't
become hyperphagic. We don't overeat. We
tend to eat within healthy or normal
ranges.
So, this is very important because
most people don't understand that when
we're eating, we are basically fat
foraging and amino acid foraging.
In other words, even if it's not
conscious, we are eating until we
trigger the activation of CCK. Now,
there are other reasons why we shut down
eating, too. The volume of food in our
gut can be large and we can feel very
distended. That's the physical reason,
obviously, but
at a subconscious level, the gut is
informing the brain via CCK and other
mechanisms when we've ingested enough of
what we need. So, as you can see,
feeding is an interplay between brain
and body and it's some of the
micronutrients and even the breakdown of
particular nutrients that's putting the
accelerator or the brake on the feeding
process. You are essentially trying to
eat to get these nutrients and then a
signal can be deployed up to your brain
that you're not really interested in
eating that much more. There's one
particular aspect of food that can
powerfully impact CCK and I think most
people, I'm guessing 99.9% of people out
there are not aware of this.
And it has to do with highly processed
foods. There's a lot of reasons why one
would want to avoid highly processed
foods.
In fact, if you're interested in that
topic and the history of whole foods
transitioning to highly processed foods
in this country, I highly recommend you
listen to a YouTube video by Dr. Robert
Lustig. He's at University of
California, San Francisco. It gives a a
beautiful description of the history of
this and why the food industry started
packing in additional sugars and salts
and turning foods into commodities. It's
really fascinating. It has no conspiracy
theory. It's just all scientific facts.
It's really a wonderful lecture. It has
millions of views. Should be very easy
to find. There's another reason to avoid
highly processed foods, however.
And that has to do with what's called
emulsifiers.
Now, many of you are familiar with
emulsifiers even though you don't know
it. When you put detergent in the
laundry,
that is in a contains emulsifiers. The
The goal of that detergent is to bring
together fatty molecules with water
molecules and be able to dissociate them
and break them up to get the stains out
of clothes and things of that sort.
There are a lot of emulsifiers put into
processed foods.
And those emulsifiers allow certain
chemical reactions to occur that extends
the shelf life of those foods. Why are
emulsifiers bad? Okay, there are a lot
of reasons why they're bad, but the
reason why they're bad for the
mechanisms that we've been talking about
today is that when you ingest those
foods, you're bringing those emulsifiers
into your gut. And those emulsifiers
strip away the mucosal lining of the gut
and they actually cause the neurons that
innervate the gut, that extend those
little processes we call axons into the
gut, to retract deeper into the gut.
And as a consequence, you're ingesting a
bunch of food and the signals like CCK
never get deployed. The signals that
actually shut down hunger are never
actually triggered. And so as a
consequence, you want to eat far more of
these highly processed foods. In
addition, if you then go from eating a
highly processed food to to non-highly
processed foods, you're not able to
measure the amounts of amino acid sugars
and fatty acids in those foods as
accurately. You've actually done
structural damage at a micro level, but
structural level damage, excuse me, to
the mucosal lining of the gut. Now, this
can all be repaired if you stay away
from highly processed foods for some
period of time. But the negative effects
of these emulsifiers are quite real. So,
to make it really clean and simple,
emulsifiers from highly processed foods
are limiting your gut's ability to
detect what's in the foods you eat and
therefore to deploy the satiety signals,
the signals that shut down hunger. In
addition to that, there's a parallel
mechanism at play that I talked about in
a previous episode, but I'll remind you
again that you have neurons in your gut
that are sensing sugar
and are sending a subconscious signal up
to the brain via the vagus nerve.
And those neurons trigger the release of
dopamine, which makes you crave more of
that food. So, now you've got parallel
signals
making you want to eat more sugar,
making you unaware of how much sugar
you've eaten, and that are disrupting
the inputs to the nervous system that
signal to the rest of your brain and
body that you've obtained enough fatty
acids and you've obtained enough amino
acids. So, these highly processed foods
are really terrible. And, you know, I'm
not out here to say, you know, never
enjoy a processed food of any kind. I'd
be a hypocrite cuz I do eat processed
foods from time to time, although the
ones that I tend to eat, I try and make
of the healthier variety. But, eating
whole foods has tremendous value, and
eating highly processed food has
tremendous negative impact on the gut
and on the gut-brain axis. The bottom
line is that highly processed foods are
just bad for you. They increase weight
gain, they disrupt the lining of your
gut in a way that disrupts things like
CCK and proper satiety signals. So,
there's just so many reasons why these
highly processed foods are terrible, and
they can explain a lot of the ill-health
effects that we've seen in the last 50
years, not just in the United States,
but all over the world. The enormous
increase in diabetes, juvenile diabetes.
It's just remarkable how far down the
path of bad we've gone, and it's clear
it's almost a smoking gun what the cause
of this is. If you'd like to learn more
about that, please please refer to the
Lustig lecture. He also spells out why
non-processed foods is far more
economical in terms of
just at the level of the household or
individual, as well as at the societal
level. Really interesting stuff. I
highly recommend you check it out. So,
now let's move on to some other hormones
that regulate hunger and satiety. In
particular, insulin.
Now, you've probably heard of insulin
before. Insulin is the thing that's
lacking in type 1 diabetics. That's why
they have to inject insulin whenever
they eat. The reason they have to do
that is because when they eat, their
foods are broken down into glucose, and
in order to shuttle glucose to the
appropriate tissues in the body, and
also to keep glucose levels in check,
you need insulin. So, the simplest way
to think about insulin and glucose is
that
when you eat, that food is broken down
into sugars.
That's true whether or not it's fats or
it's sugars or eventually if it's
proteins.
They're oxidized into fuels as we say.
Your blood sugar needs to be kept in a
particular range. Hypoglycemic means too
low, hyperglycemic means too high, and
what they call euglycemic, E U glycemic,
is the healthy range.
Now, what those healthy ranges are,
in general, the healthy range, the
euglycemic range is about 70 to 100
nanograms per deciliter. Why is it
important that glucose be kept at a
particular level? Once you understand
that,
keeping glucose in check starts to have
a rationale behind it, and the ways to
do that start to make a lot more sense.
So, the the reason is
if glucose levels get too high because
of the way that our cells, in particular
neurons, interact with glucose,
high levels of glucose can damage
neurons. It can actually kill them. You
can start getting what are called
periperal peripheral, excuse me,
neuropathies. One of the symptoms of
some forms of diabetes is that people
start losing the sensation of touch in
their fingers or their hands or their
feet, and they can start going blind.
There's diabetic retinopathies.
So, it's very important that insulin
manage your glucose levels.
Now, there's also type 2 diabetes where
there's insulin
secreted from the pancreas, but people
are insulin insensitive. There's a
disruption in the receptors, and insulin
insensitivity
isn't quite the same as having no
insulin at all, but it parallels some of
the same mechanisms. Now, type 1
diabetes is often picked up because
someone has a sudden
weight loss because they're not
processing blood sugar the same way they
were before. Type 2 diabetes is often,
although not always, associated with
being overweight and with obesity.
Both of them are are challenging
conditions. Type 2 diabetes almost
always can be managed by
managing one's weight.
And of course, there are prescription
drugs and supplements that can help
manage those. We're going to talk about
all of that. But for most people that
don't have diabetes, the important thing
is to manage glucose, to keep it in that
euglycemic range.
And there are a number of different ways
to do that. Some of them are behavioral,
some of them are diet-based, and some of
them are based on supplements or
prescription drugs. So, let's talk about
those now. So, if you eat, and in
particular if you eat carbohydrates,
blood glucose goes up. If you eat fats,
blood glucose goes up to a far less
degree. And if you eat proteins,
depending on the protein, it'll
eventually be broken down for fuel or
assembled into amino acid chains for
protein synthesis and repair of other
tissues and bodily functions,
but
glucose goes up and then is kept in
range.
When you are hungry,
you secrete a different hormone, and
that's called glucagon. And glucagon's
main role
is to pull
stores of energy out of the liver
and the muscles, and once those are
depleted,
you'll eventually tap into body fat. So,
the two kind of push and pull systems
that we're going to think about now to
keep this simple is that you have the
insulin system managing glucose,
and you've got the glucagon system
pulling energy out of your liver and
muscles for immediate fuel,
and eventually
you'll pull fuel out of body fat if
you've been active for a very long time
and all your glycogen stores are
depleted or close to depleted.
So, what does this all mean? Let's say
you had a meal and that meal consisted
of rice, a carbohydrate,
some meat or fish, let's say a piece of
salmon,
and some vegetable, some fibrous
vegetable like asparagus or cabbage or
something like that.
If you were to
eat all of that at once, you know, you
take a bite of one, a bite of the other,
you know, you kind of mix it up, then
you will experience an increase in
insulin and increase in blood glucose
that's
moderately fast. It's going to increase
pretty quickly.
What's remarkable is that the order that
you
consume each macronutrient has a pretty
profound influence on the rate of
insulin
and glucose secretion into the blood and
how quickly those levels rise. If you
were to eat the fibrous thing first, so
a lot of chewing but not a big rise in
blood glucose, that will actually blunt
the release of glucose until you eat the
fish and the rice, but believe it not,
it will actually blunt the glucose
increase that the rice would cause. Now,
I'm not talking about neurotically
eating each macronutrient separately in
sequence. I'm just trying to give you a
picture of what's happening ordinarily.
So,
what does this all mean? It means that
if you want a steep increase in glucose,
you are very, very hungry, then you
should eat the the carbohydrate laden
food first or you should eat a bunch of
macronutrients combined. So, that would
be like the hamburger or the sandwich,
the the bread, the whatever's in that
sandwich all together. Usually, that's
protein and and, you know, vegetables as
well.
If you want to have a kind of more
modest increase in glucose, so you want
to blunt the increase in glucose, then
have the
at least some of the fibrous thing
first, and then the protein, and then
the carbohydrate. You will notice that
your blood glucose will rise more
steadily
and that you'll achieve satiety earlier
in the meal. Basically, what you're
trying to avoid are steep increases in
blood sugar, and the order that you eat
foods has an enormous impact on that.
The other thing that has an enormous
impact on how long and shallow or how
steep that
curve of glucose is
depends on whether or not you recently
were moving, are moving, or start moving
after you eat. So, it turns out that
your blood glucose levels can be
modulated very, very powerfully by
movement. If you did any kind of intense
exercise or even just walking or jogging
or cycling, anything before you eat,
your blood glucose levels will be
dampened somewhat. And even just moving
after a meal, even just a a calm, easy
walk, can really adjust the ways in
which blood sugar regulated for the
better.
The other thing I'd like to address for
a moment is this notion of stable blood
sugar versus labile blood sugar or
unstable blood sugar. Some people just
have stable blood sugar. They can go
long periods of time without eating and
feel fine. Other people get really
shaky, really jittery,
and or when they do eat, they feel
really keyed up. Sometimes they'll even
sweat. But, whether or not your blood
sugar is all over the place or whether
or not stable,
can be impacted by a number of things.
One of those things is exercise. So,
these days there's a lot of interest in
what they call zone two cardio, which is
that kind of steady state cardio where
you can just nasal breathe even at
pretty high output, um where you could
maybe have a conversation. Zone two
cardio
that last anywhere from 30 minutes to an
hour or sometimes more for you endurance
athletes
can create positive effects on blood
sugar regulation such that
you, people can sit down and enjoy
whatever it is, the hot fudge sundae, or
whatever the high sugar content food is,
and blood glucose management is so good,
your insulin sensitivity is so high,
which is a good thing, that you can
manage that blood glucose to the point
where
it doesn't really make you shaky, it uh
doesn't disrupt you. Basically, doing
zone two cardio for 30 to 60 minutes
three to four times a week makes your
blood sugar really stable, and that's an
attractive thing for a variety of
reasons. On the flip side,
high-intensity interval training or
resistance training, aka weight
training, are very good at stimulating
the various molecules that promote
repackaging of glycogen. So, sprints,
heavy weight lifting, circuit type
weight lifting, provided there is some
reasonable degree of resistance, those
are going to trigger all sorts of
mechanisms that are going to
encourage the body to shuttle glucose
back into glycogen, convert it into
glycogen into muscle tissue, restock the
liver, etc. And I should mention that
one of the advantages of high-intensity
interval training
or weightlifting
of various kinds is that it also it
causes long-standing increases in basal
metabolic rate. Now, I'd like to turn to
prescription drugs that regulate the
hormone systems
controlling feeding and satiety.
There's a prescription drug metformin,
which was developed as a treatment for
diabetes, and it works potently to
reduce blood glucose. It has dramatic
effects in lowering blood glucose.
Metformin
involves
changes to mitochondrial action in the
liver. That's its main way of
depleting or reducing blood glucose, and
it does so through the so-called AMPK
pathway,
and it increases insulin sensitivity
overall.
Metformin is a powerful drug. In fact,
I'm surprised that so many people have
sought it out given that most of the
people that I'm aware of that sought it
out are not diabetic. I do want to
mention, because I'm sure some of you
out there are curious about the
ketogenic diet, I'm going to do an
entire episode about ketosis and the
brain and the body, but the The
diet has been shown in 22 studies to
have a notable decrease on blood
glucose, and that is not surprising
because you're the the essence of the of
the ketogenic diet is that you're
consuming very little or zero of the
foods that promote big spikes in insulin
and glucose.
If you consume enough protein, some of
that protein can be converted into
glucose, of course, through
gluconeogenesis, but the ketogenic diet
has very strong support as
for its role in regulating blood sugar,
which is glucose.
But, the specific effects of the
ketogenic diet
and one particular effect that I'll
address later, but I'll mention now,
which is the ability of the the
ketogenic diet to
adjust thyroid hormone levels in ways
that make it such that if you return to
eating carbohydrates after being in
ketosis for too long, you don't manage
thyroid and carbohydrates as well. That
has been shown as well. So, we're going
to dive deep into ketosis in a future
episode. So, for you keto nistas out
there, don't worry. I certainly have
nothing against ketogenic diet. I
actually don't have anything for or
against any particular nutrition plan. I
know what works for me, at least at this
stage of my life, and I'll update it if
I need to. I'm simply trying to get you
as much information as I possibly can so
that you can navigate through that
landscape in a way that's
in keeping with your particular goals.
So, now you understand a lot about blood
sugar and how it's managed and the ways
that you can manage it better depending
on your particular needs.
This is also a good opportunity for us
to look back at some of the medical
literature because it really points to
just how far we've come in terms of
understanding these important
mechanisms, and it points us in the
direction of some actionable protocols.
So, diabetes, which is these huge
increases in blood glucose
because there's no insulin
was known about as early as 1500 BC,
which is just incredible.
And the way
physicians then understood
that certain people had high blood
glucose without actually knowing what
blood glucose was is that they would
take the urine of particular patients
and they'd find that ants preferably
move toward and consume the urine of
certain patients and not others.
And they understood that there was
something in that urine that was
correlated with the sudden weight loss
and some of the other probably very
unfortunate health
you know, symptoms that these people
were experiencing. So, they knew that
there was something in blood and
and urine. Now, this business of
measuring blood sugar
from the urine
has been something that lasted way
beyond these early stages of you know,
1500 BC.
Turns out that as late as 1674
physicians at Oxford University were
figuring out who had pathologically high
levels of blood glucose
by analyzing their urine. And again,
they were measuring the sweetness of
their urine. But and this is medical
fact, they would do this by taking urine
samples from different patients and
tasting them.
And they developed an intuitive sense of
what
excessively sweet
urine was relative to the other urines
that they had tasted. So, for those of
you that are in the medical profession
or those of you that are seeking out the
medical profession do you understand
this is not done anymore.
And you can also just reflect on how far
we've come in terms of the medical
profession itself in our ability to
measure things from the blood and
measure things from urine without having
to ask ants
which urine is sweeter or ask oneself
which urine is sweeter. So, indeed we
are making progress as a species. Before
we close out today, I want to talk about
one one tool that many of you will
probably find useful.
I certainly have. I'm a big consumer of
caffeine, although I don't consume a ton
of it, I consume it very consistently.
So, I'm big on consuming mate,
which is a strong caffeinated tea, and I
generally do that early in the day.
Although I do delay about 2 hours after
I wake up for reasons I've talked about
in previous episode to maintain that
nice arc of alertness and focus. Mate,
also called yerba mate,
is an interesting compound because
unlike coffee, it has been shown to
increase something called glucagon-like
peptide, GLP-1,
and increase leptin levels. Now, we
didn't talk a lot about glucagon today.
Glucagon is really elevated in the
fasting state. I mentioned that it's
sort of the opposite of insulin in kind
of rough terms, that's
one way to think about it. But,
GLP-1, or glucagon-like peptide 1, is
increased by ingesting mate, and it acts
as a pretty nice
appetite suppressant. Now, I'm not
trying to suppress my appetite. I like
to eat, as I mentioned before, but it
works really well to stimulate the brain
and to give you a level of alertness and
to do a lot of the things that coffee
does. It also contains electrolytes, so
we,
meaning our neurons and our brain, run
on a variety of factors, electrical
activity and chemical transmission,
etc., but they require adequate levels
of sodium, potassium, and magnesium.
So, if you were to learn the biology or
the physiology of the action potential,
the firing of a neuron, something we
teach every first-year neuroscience
student, and I'd be happy to teach you
if you're interested,
you'll hear about sodium rushing into
cells and potassium
entering and leaving cells in order to
allow neurons to communicate.
Electrolytes are critically important
for the function of the nervous system.
And many things that act as diuretics
that promote excretion of water, like
caffeine,
can also take electrolytes out along
with them, in particular sodium. And
sometimes the lightheadedness or the
brain fog that people experience isn't
just because electrolytes are low, but
because they're kind of out of balance.
So, I like mate because it has
electrolytes, it has caffeine, it
stimulates the release of this
glucagon-like peptide GLP-1, and it's
been a big help to me in extending that
early morning fasting window out to
about noon or so when I eat my first
meal. It also just tastes really good.
And the fact that glucagon-like peptide
1
is enriched or is released more when you
drink mate, and the fact that GLP-1 can
regulate blood sugar in ways that keep
your blood sugar in that um
we call it euglycemic, not too high, not
too low, mode is one reason why
ingesting mate is attractive to me. So,
yerba mate GLP-1
can manage in healthy ways leptin
levels, glucose levels, and glucagon
levels in ways that if it serves you,
you might want to try.
So, once again, we covered an enormous
amount of material
focused on how hormones regulate
feeding, hunger, and when one feels they
don't need to eat, so-called satiety,
that you've had enough. We've just
focused today mainly on things like
ghrelin, on things like
melanocyte-stimulating hormone,
incredible, powerful hormone that can
suppress appetite, on things like
cholecystokinin that comes from the gut
and can suppress appetite, on things
like food emulsifiers, on the fact that
when you're eating you are amino acid
seeking even though you might not
realize it, that you are also seeking
out particular fatty acids. I tried to
give you a number of actionable tools.
Again, always do what's best for your
health and do that in company with a
health care professional. I'm not a
physician. I don't prescribe anything.
I'm a professor.
I profess a lot of things. If you know
anyone that's interested in this topic
or you think that someone could benefit
from it, please suggest the podcast to
them as well. And most of all, thank you
for your interest in science.