Video summary
Dr. Rhonda Patrick and Andrew Huberman explore high-yield health protocols, emphasizing that short bursts of vigorous exercise—lasting one to three minutes performed with intent—can yield outsized benefits for longevity. Dr. Patrick shares her personal routine, which includes four days a week of roughly an hour combining strength training like deadlifts and squats with high-intensity interval training (HIIT) using rowing machines or assault bikes. She notes that even brief sessions, such as 10 minutes of vigorous activity, can significantly improve executive function by approximately 14% and increase plasma serotonin levels, thereby enhancing impulse control in an era dominated by digital distractions. This form of exercise is considered a non-negotiable part of her daily hygiene, comparable to brushing teeth, serving not only for cardiovascular health but also as a mechanism to clear cellular debris through autophagy when performed in a fasted state or after caloric restriction. The conversation delves into the concept of the "metabolic switch," where alternating between fed and fasted states allows the body to shift from anabolism (growth) to repair mode, activating processes like autophagy that clear damaged proteins and DNA fragments within cells. Dr. Patrick highlights research showing that while insulin sensitivity is highest in the morning, avoiding eating three hours before bedtime aligns with natural melatonin rhythms to prepare organs for rest. Crucially, she presents data indicating that regular exercise can negate some of the negative metabolic effects of sleep deprivation, such as acute insulin resistance and inflammation, though this should not become a habit if poor sleep persists over time. The goal is flexibility; individuals should find what works best for their specific schedules without feeling guilty about deviations like eating later due to social obligations or exercising fasted versus fed based on personal preference. Nutritional strategies discussed include the importance of broad micronutrient support, fiber intake, and managing glucose stability via continuous monitoring tools like those from Lingo by Abbott. Dr. Patrick addresses seed oils, advising caution primarily because heating polyunsaturated fats accelerates oxidation, which increases inflammatory markers; she prefers olive oil or avocado oil for cooking to avoid consuming oxidized lipids. Regarding microplastics, while acknowledging concerns about exposure, she notes that larger particles found in some glass water bottles are less likely to be absorbed by the gut compared to smaller plastic-derived fragments, though limiting overall intake remains prudent. She also touches on creatine supplementation, citing evidence of its safety and efficacy for improving agility even in young children under 16, while clarifying her stance against mixing bananas with blueberries due to an enzyme that degrades beneficial polyphenols needed for coordination. Dr. Patrick concludes by advocating for a holistic approach that integrates sauna use—typically five nights a week at around 180°F—or hot tubs outside under the stars—with resistance training and adequate sleep. She emphasizes looking at the totality of evidence rather than dismissing small studies, noting how aggregate data from animal models, clinical trials, and observational research builds a robust picture for interventions like sauna therapy that were initially debated due to sample sizes. Ultimately, her philosophy centers on designing health protocols that fit individual lives logically, prioritizing habits that foster repair and recovery alongside growth, ensuring that the pursuit of vitality does not come at the cost of happiness or sustainability in daily life.
Read the full video transcript
There's lots of data now showing that
people that are doing these like short
bursts at at least a minute long, but
[clears throat] up to 3 minutes. They're
moving faster with intent and it's
having outsize effects on on health
outcomes. So, for example, individuals
that do on the high end, so they're
doing, you know, 3 minutes of this short
burst of an unstructured type of
exercise snack, and they do it three
times a day. So, it's a total of 9
minutes a day. Okay? That's associated
with a 40% reduction in all-cause
mortality, 40% reduction in
cancer-related mortality, a 50%
reduction in cardiovascular-related
mortality.
>> Wow.
>> 9 minutes a day.
>> Welcome to the Huberman Lab Podcast,
where we discuss science and
science-based tools [music] for everyday
life.
I'm Andrew Huberman and I'm a professor
of neurobiology and ophthalmology at
Stanford School of Medicine. My guest
today is Dr. Rhonda Patrick, a
biomedical scientist and leading public
health educator. For over a decade,
Rhonda has been one of the most trusted
voices in building science-based health
protocols. Today, we discuss what the
latest and best research says we should
all be doing to improve our health and
vitality and avoid disease. Rhonda
shares with us her exact exercise,
nutrition, supplementation, and sauna
protocols, and we get really detailed
about the mechanisms and logic behind
each one. We also discuss the things
that science say you can do to
significantly reduce your cancer and
cardiovascular risk, including how to
reduce visceral fat and arterial plaque.
Today's discussion truly leaves no stone
unturned. We discuss how eating can
increase inflammation, believe it or
not, ways to support your gut health,
creatine, vitamin D, why broad vitamin
and mineral and fiber support is
crucial, as well as the different forms
of magnesium and each of their unique
effects. We also discuss omega-3s and
why prescription sources of omega-3s may
be the cleanest and most cost-efficient
way to obtain sufficient omega-3 intake.
We also discuss the importance of
prioritizing regular resistance training
and hit workouts over protein. You still
need protein, but emphasizing the
exercise component is crucial. And we
discuss fiber, micronutrients, and why
short-term fasting can be beneficial.
Dr. Rhonda Patrick is a true wealth of
knowledge, and today she generously
provides us a masterclass on how you can
design and adjust the exact health
protocols to meet your specific needs.
Before we begin, I'd like to emphasize
that 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 to consumer
information about science and
science-related tools to the general
public. In keeping with that theme,
today's episode does include sponsors.
And now for my discussion with Dr.
Rhonda Patrick. Welcome back, Dr. Rhonda
Patrick.
>> Excited to be here.
>> It's been a while. I'm so excited.
There's so much to go into.
And I'll start off the same way I
started last time because it's
even more true. Thank you for being
first person into this public science
health education business. I don't know
if everyone's aware of it, but you were
the first person in, which is why I
didn't say first man in, because the
first person in
was and is a woman, and you've done a
marvelous job of educating people on
science, how to parse papers and data,
health practices,
and um
you know, the rest of us are just trying
to
follow in your wake. So, thank you very
much. I just want to thank you for being
first.
>> Oh man, thank you so much for that. And
also thank you for doing what you do. I
mean, you really do a great service for
science communication,
um you know, education,
helping people love science and get
healthier.
>> Thank you. Well, uh
you're the pioneer. It's not always easy
being a pioneer, but we all benefit, so
let's jump in at exercise because um
lately you've actually been posting your
workouts, which is awesome. And uh
you're clearly very fit. I learned
before talking to you today that uh you
were a competitive athlete. You were a
long jumper or a triple jumper.
>> I was a long jumper, but I would say my
real competitive athleteness comes from
my jump roping.
>> Okay. [laughter]
All right.
>> I'm on a professional jump roping team.
>> Professional?
>> Yes. Yeah. It was It was we would
compete. So, I my friend and I started
the team when we were in second grade.
And it was called the San Diego Sand
Skippers. It was part of the
International Rope Skipping
Organization, which was actually started
by her uncle, but
there's jump rope teams all around the
world and you know, now I think there's
a new name, but like it got taken over
by the Universal Jump Rope Team or
something like that. I don't know
exactly what it is, but um so, I was on
a team and every year we would compete
in in Boulder, Colorado. There was
competitions for all kinds of you know,
jumping rope and um I would perform and
start jump rope teams around the school
around different schools in San Diego.
So, I I used to get out of school um you
know, get out of school free card and uh
my partner and I would go and and start
um
do workshops at other schools and help
them start jump rope teams. And the idea
was cardiovascular health, healthy
heart, and uh yeah. So, so that's really
I would say my my my roots with uh being
a competitive athlete.
>> Awesome. I love skipping rope. Is it
okay to say skipping rope or is it
jumping rope? Okay.
>> rope, jumping rope.
>> And actually, it's a great opportunity
for me to ask you what your thoughts are
about um
exercise that isn't just linear, right?
I know like real jump ropers can do
crossovers and um and these days I'm
seeing a lot more about rope flow. I
think it's David Weck and others online
or you know, stuff that's getting people
out of the standard, you know, curls,
bench presses, lunges, you know, and
getting movements that are more just for
lack of a better term, across the body.
Do you think there's something to that
in terms of
real physical benefits? I mean, I
imagine there is.
>> Sure. I mean, I wouldn't be the expert
to be able to give you a good answer on
that, but I do think that jumping rope
in general has unique benefits in
addition to obviously it's a great
cardiovascular exercise. You're getting
the weight-bearing aspects as well for
building bone density and I think that
earlier for me, you know, I was doing it
as a young girl. So important, right?
Cuz you're kind of banking that that
bone density early on, which is
important cuz at some point, you know,
menopause will hit and and estrogen goes
down and and so you start to lose more
bone.
But yeah, I'm sure there's a lot of
benefits to jumping rope beyond what I'm
describing as cardiovascular
someone else could answer.
>> [laughter]
>> I'm certainly going to get back to
jumping rope now that we
you know, resurrected it in this
conversation. And I have to say
uh bone density measurements aside, you
have awesome posture. I notice people's
posture. Yeah, I didn't didn't mean to
put you on the spot here, but yeah, when
I walked in I was like, if you've ever
interacted with Ronda in person, which I
I have, you have amazing posture. And
these days
good posture is rare, so you know, it's
maybe the things
are related. I imagine they probably
are, bone health and and posture and so
forth.
In terms of the sorts of exercise that
people are more familiar with, what's
your routine look like? And what sorts
of things in your routine are
non-negotiables?
And where's the place for
experimentation and kind of what you're
exploring now?
>> So for me, exercise is part of my
personal hygiene as you and I were
discussing. It it really is a
non-negotiable. I absolutely have to do
exercise just like I have to brush my
teeth. And
you know, I kind of got that from Dr.
Ben Levine, who is a
probably one of the world leading
cardiovascular exercise physiologist.
He's at UT Southwestern in Dallas. So I
want to shout out his name because I
really learned a lot from him, but the
non-negotiables for me really are
getting
cardiovascular exercise and getting my
my resistance training. So building
muscle, maintaining muscle strength as
well. So my routine for me, I work out
probably about 5 to 6 hours a week and
those workouts I largely am doing a
combination of
high-intensity interval training that's
not necessarily like the Norwegian 4 by
4 where I'm going as hard as I can for 1
minute or 4 minutes and then recovering
for 3 minutes and doing that four times.
It's really, you know, the Norwegian 4
by 4 is a hard workout. Um it's really
good for
improving your cardiorespiratory
fitness, which I think is one of the
best markers for longevity. We can talk
about that.
Um I do a lot of, you know, it's a it's
a mixture of
doing,
you know, rowing machine, getting on the
assault bike, and then doing mix it in
mixing it in with lifting weights, doing
some deadlifts, you know, doing squats.
Um so, it's really for me a
non-negotiable to to do my my
vigorous-intensity exercise is what I
would call it. So, you're really kind of
getting
your heart rate up to, you know, 80% max
heart rate at at points, not always, but
especially during the intervals. I would
say that's a non-negotiable for me.
>> How many days a week are you doing that?
>> I do my my longer hit workouts. So, I
have four days a week where I'm doing at
least an hour.
So, two of those two of those sessions
are more of a CrossFit type of training
where I'll do the first 30 minutes will
be strength training. So, I'll just be
lifting heavier with like, you know,
fewer reps.
>> What's the rest between sets? Sorry to
get granular, but people will wonder.
>> what's funny is I typically rest about 2
minutes between my sets. I I recover
pretty quick um and my I do it with a
coach and my coach usually tells me that
I'm spot-on. I'm like ready to go and
it's been about 2 minutes. So, I I
usually that's my recovery time.
And so, the first 30 minutes of strength
training and that'll be like deadlifts,
it'll be, you know, squats, I'll be
cleaning, I'll be doing front squats.
Sometimes I do the barbell or back
squats, right? Like it's a mixture of
different types of strength training.
And then the last 30 minutes is more of
a high-intensity interval training
session session. So, it'll be like
you know, where I'm I'm getting my heart
rate up. So, I'm mixing in the row
machine and then I have like maybe I'm
doing cleans, but they're lighter,
right? So, it's like more reps, but
lighter load, right? So, um that's I do
that twice a week and that each is an
hour session. And then I do also twice a
week about an hour and 20 minutes of
it's also more high intensity, but I
have more recovery time cuz I'm doing
with my girlfriends and we kind of
chit-chat a little bit and so,
um but it's a very similar. We do, you
know, rowing machine, assault bikes, we
do the skier, you know, Rogue has that
skier.
And then we mix it in with, you know,
chest presses and we do, you know,
assisted pull-ups and we do, you know,
lighter squats with like larger, you
know, more reps.
So, that's another, you know, 2 hours a
week. So, I have 4 hours a week of just
doing a lot of that sort of
CrossFit HIIT type of training and then
I mix that in with my more like runs
that I do, which I would say are
still they're still considered vigorous
intensity. They're just not quite as
high intensity. And I I do probably I
run in like
maybe 6 miles a week, so maybe maybe at
a at my max, but these days I'm mostly
running probably for like 4 miles a
week.
So, um those runs tend to be like
sometimes they're 2 miles, sometimes
they're 3 miles and, you know,
>> enjoy running?
>> I do. I do. And I think it's important
as well and sometimes I'll run with my
husband and we just kind of like chill
out and talk and, you know, it's it's a
nice
time for me as well just to kind of do
that with him.
Um
and then on weekends I'll probably do
like a hike with my family.
And sometimes we'll do like a sprint up
the hill and, you know, but it's more
just enjoyable time in nature.
Um still moving, but you know, it's it's
kind of family time, too.
>> Weight vests on the run or hike?
>> No, I don't not I I I'm kind of wanting
to experiment with that, but
not really. I'm just kind of sometimes
we bring our puppy and
you know, so it's it's more about the
experience, I think, than like I'm like
I get I get a lot of work out throughout
the week.
>> Sure.
>> But it's like you said, it's
non-negotiable for me. And and times
when I'm like like today, so I you know,
I had a long drive and so I I got on my
Peloton and I did a 10-minute
you know, I did a 10-minute Tabata
back-to-back. So it was like two
back-to-back Tabatas. Right? So it was
it ended up being 10 minutes. It was
like 30-second recovery in between the
two Tabata sessions.
Two to one ratio, 20 seconds on, 10
seconds off. But like I have to do
something every day. And if I'm
traveling or I have like an early
podcast or something, I'll I'll just
jump on the bike and I have to get that
blood flow. Sometimes I'm in my hotel
room and I don't want to go to the gym,
I don't have time, and I just in my
room, you know, I do I do the air
squats, I'll do high knees, jumping
jacks, and I either repeat for 10
minutes. I'm getting my heart rate up
and I'm you know, I've got sweat on my
brow. Like I'm not it's not like the
most intense workout, but it's so
important for me. You know, it there's
there's a variety of brain benefits that
have been shown with even just 10
minutes of with this vigorous type of
intensity of workout you do, you know,
where you're
I mean, you probably have seen this this
data where it's like just 10 minutes of
this vigorous type of exercise, you're
immediately increasing neuronal
connections. Um there's been studies
showing that you have an improvement in
executive function by like 14%, which is
pretty big. I think it was like a
50-millisecond improvement processing
speed or something which doesn't sound a
lot, but actually translates to a big
improvement in executive function. So my
brain works better, I feel better, you
know, better mood. Um there's even
studies that have compared
impulse control after various types of
intensity of workout. So like
there was one study that compared a more
low intensity
versus moderate intensity versus high
intensity. So you're talking about like
walking versus maybe, you know, jogging
slowly where you can still have a
conversation versus like you're doing a
hit workout, right? You're on. When
you're on, you're not really talking cuz
you're going as hard as you can during
that interval.
And it was the high intensity, you know,
vigorous intensity exercise that really
increased plasma serotonin, which has
been shown to associate with brain
serotonin. The studies have been done.
And serotonin is very important for, as
you know, for impulse control. I mean, a
lot of people think about serotonin with
respect to mood because we have these
selective serotonin reuptake inhibitors,
SSRIs, that are used to treat, you know,
depression, major depressive disorder.
But serotonin, as you know, does so much
more more than that. And impulse control
is one of the
the the big things that serotonin plays
a role in. And so the studies showed
that plasma serotonin increased in the
higher intensity group and that
correlated with improved impulse
control. So, of course, for us now in
the modern-day society that we live in,
we're constantly being bombarded with,
you know, social media and all these
things. And like, you have to be able to
kind of like
filter that out and not like just go
with the impulse. Like, check my social
media, check my, you know, and how many
likes did I get or whatever. You need to
just be able to focus. And so that, for
me, you know, serotonin is important.
And so I like to get that vigorous
intensity exercise as well.
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I love that you mentioned other other
functions of serotonin because as you
point out, it is so heavily associated
with this mood aspect and certainly has
a role there, but um the impulse control
piece is I think is a non-trivial aspect
to uh the effects of exercise and just
generally. I'm curious do you
bring your phone or feel compelled to
check your phone during workouts or are
you able to just say, "I'm
compartmentalizing now. This is the
workout." You might put on music or
maybe text here or there if you need to,
but are you able to compartmentalize or
do you struggle with the phone during
workouts?
>> Oh, I don't bring my phone to my workout
at all. Like I don't Now, I do have a
watch that I wear that you know, if
there's like an emergency I'll get a
text message. Often times I put it on
silent like I on no notifications
because I don't want to be bothered, but
I don't I don't really check my phone.
Um
I I I don't really like checking things
like social media. For me it's just a
distraction and
frankly, I think it's pretty terrible
for people's brains even though like you
know, my business kind of depends on it
somewhat. I think I think social media
is not really good for people to be
honest.
So, I don't really check my phone or
bring my phone to my workouts. My
workouts are I like to chat with my
friends when I'm working out with them
and that's fun. That's in real life.
>> Yes, that's in that's in that's in real
life as the kids say.
That's in real life and yeah, phones
phones for me are not something that I
bring to my workout.
>> Great. Yeah, I've been experimenting
with not allowing the phone in my gym
and just the workouts go so much better
and I find that the mental and physical
resetting aspect of working out just
seems to be enhanced, but sounds like
you were already there and I'm just
arriving. So, I have a couple other
specific about your workouts because for
my own interest and I know many people
will wonder for the dedicated weight
workouts,
are these whole body workouts? And you
said low reps. Maybe you could just tell
us what low reps is for you and then the
seems like the the ever present question
is to failure close to failure. I mean,
just to you know, round out that that
portion of the workout picture.
>> The workouts that I'm doing with my
strength training workouts with my
coach, you know, it it really depends.
Most of those workouts
are they're they're multi-joint
workouts. So, I am most of the time
doing,
you know, some either front squat, back
squat, or I'm cleaning it as well,
right? Which obviously the the weight
goes down if I'm doing if I'm cleaning
it cuz it's hard to clean. It's also the
hard like it's the thing that I hate
doing the most.
>> Cleans.
>> Oh, yeah. Cleans with front squat
because it's really hard.
And for me. I mean, for others who've
been doing it for years, I'm sure it's
like, you know, they love it. But for
me, it's very hard. I've only been doing
clean since, you know, February 2024.
So, I'm pretty new to it. And so, it's
mentally like I have to overcome that
challenge. Which by the way, once I
started doing all this sort of weight
training,
I've always been an endurance junkie.
Like I like I used to like go long runs
and, you know, races and stuff like
that. So, for me, that's like my safe
spot, right? That's what comes easy to
me.
Weight training and resistance training,
strength training, definitely not
something that I've done my whole life.
I'm so glad that I started doing it, but
very very challenging for me. And so,
I would say the biggest effect was on my
brain and the ability to handle stress
better. Where it was like unbelievable
cuz it was so hard. And I I just didn't
want to do these cleans, you know, and
and and these front squats. Um and then
the rest of my day was not as hard. And
that to me was like the biggest surprise
for this type of training. But anyway,
so um I do a variety of um if I'm doing
if I'm going heavier, then it, you know,
depends. Sometimes I'll start off as
like, "Okay, we start off. We do five
reps." And then we go down to four. And
then we go down to three. And then we go
down to one,
>> Are you doing singles?
>> We do. Mhm. I know Yeah. Yeah. And
that's the hardest. It's the hardest.
But then there's there's like my coach
will be like, "It's just one. It's just
one." You know, sometimes we'll do like
six, five, and then we do four twice,
and then we do three twice, right? And
so, it all depends, you know, also on
the day. There's some days where
I'm just like, you know, can we do lower
reps and like lighter weight, right?
Where I'm just like, it's this is the
day for me. I I'm I'm stressed. I'm not
I'm not here. Like
So, you kind of have to modify your
workout, right? According to how you
feel that day.
Um
but I would say that those the majority
of my strength training workouts are or
deadlifting, you know, I love deadlift
deadlifting. I think I'm pretty good at
at pulling that weight up, lifting that
weight up.
>> straight bar, hex bar?
>> I do straight bar.
>> there's so many variables, but
yeah.
>> bar, and um
it's the same deal with that. Like most
of the time with strength training we'll
do, you know, we start off at like five
or six, and then work our way down.
And then I I usually do a drop set
after,
you know, any of those sessions where
I'll do 10, and then it's like a lot
lighter, right?
So, those those are typically my
strength training sessions are
multi-joint. Sometimes I'll do accessory
sessions, you know, where I'm working I
do, you know, the dips
um or
the Bulgarian, you know, the Bulgarian
split squats. I mean, just the accessory
stuff that you're working the like
smaller stabilization muscles and stuff
like that.
>> I love that you call Bulgarian split
squats accessory smaller muscles. For a
lot of people, that's the compound work.
>> Which is just I have to say I I am
inside I'm just like so delighted
because I mean
obviously weight training is something
that's caught on broadly for men and
women now, but I don't know many women,
and I know they're out there, but I
don't know many women who are
uh working down to singles on
multi-joint, like real multi-joint,
like, you know,
deadlifts, cleans. I know they're out
there, but it's not that common to see
in gyms, and uh this is going to no
doubt spark a debate because you know,
some of the
older, slightly ornery, but very
credentialed strength training folks
have been online recently saying that as
people um pass 35, that they shouldn't
do
squats, that they shouldn't do
deadlifts, and certainly shouldn't do
them heavy because it it because of this
whole thing of, you know, you can do
higher reps and you can go to failure
and still get hypertrophy. But what I
love is that you're not necessarily
talking about hypertrophy, maybe some
hypertrophy, but this is about strength.
This is about building more strength.
And triples and doubles and singles,
that's awesome.
>> It's hard.
>> It's so hard, and it's the part that I
I'm like all about let's like the last
30 minutes when it's hit, and then
that's hard it's a different kind of
hard. But for me, the strength training
is the hardest, and there's definitely a
mental component, right? Where I do not
want to do it. It's like you talk about
with cold plunging, right? Like you you
just it's so unpleasant, and you don't
want to do it, and like you do it, and
it's like that mental toughness that
you're building, right? I that's what I
experience when I'm doing these, you
know, strength training exercises that
I'm doing. And and I don't know if it's
going to get easier, maybe it will.
It's hasn't yet. I still I still dread
it, but I do it, and I'm proud of myself
for doing it, but it is is definitely
hard, and I am getting stronger, I think
mentally and obviously physically as
well. But um
I have to add in the aerobic as well,
though. I think that's really important.
That's your base. Yeah, for sure. You
love it.
>> I love it, and I do think
cardiorespiratory fitness is very
important, you know, for for long-term
health as well as, you know, obviously
building muscle and strength.
>> Well, on the one hand, I want for you as
a friend to for you to hate the heavy
work less. On the other hand, I don't
because of this literature, I'm sure
you're familiar with it, but uh the
anterior midcingulate cortex is the
brain area that is hyperplastic
throughout the lifespan, which is rare
for a brain area, and it enlarges
um when we do things we don't want to
do. I mean, it's so clear. It's not just
about doing hard things. It's about It's
about doing the hard thing you hate.
>> [laughter]
>> And And for you, that sounds like the
heavy compound movements. For me, yeah,
I don't like the cold plunge, which is
why I do it. I don't think it's magic. I
just think it's a It's a sure fire
stimulus that I hate to make get
mentally stronger. And I think
having something that you really despise
that you know is good for you
seems to keep this anterior
mid-cingulate cortex volume either
increasing or the same. And that's
actually the thing in these so-called
super agers that is the strongest
anatomical correlate that we have. So,
on the one hand, I hope it gets easier.
On the other hand, for your sake, I hope
it doesn't get it easier well, cuz it's
still It's going to be so much more
beneficial.
>> a coach who can tell when it's getting
easier, and she will definitely up the
weight.
>> Mhm.
>> I I I mean, it keeps I mean, it keeps
going up. And so, it doesn't It It gets
easier in a sense, but it doesn't,
right? So, I mean, I think that's that's
the whole point is you're building
strength, and you keep
making it heavier, and it becomes harder
again because now it's heavier.
>> Awesome.
>> But, um and I haven't gotten injured, so
that's also, you know, knock on wood.
>> Yeah. [laughter] Yeah, knock on wood. I
Thank you for rounding out that picture.
It's super inspiring for men and women,
you know, so
>> It's not easy to post on social media
because obviously I'm a newbie. So, I
have all sorts of,
you know, things that I can ways I can
improve. But, I'm posting it, you know.
>> Well, and the fact that you're working
down into triples, doubles, and singles,
I think is something that I'm trying to
do more of, and I think
this notion that you can get hypertrophy
with higher reps if you take it to
failure. Sure, I I totally agree. Read
the studies. Totally agree with the
data. But, not everything is about
hypertrophy. I think that's what people
forget. It's not all about growing
muscle. Um and VO2 max, which is great,
but it's just It's not all about um
the top contour. And I What I love about
the way you approach everything is
you're you go through multiple layers of
of the the health stratus, as it were.
This is probably a good opportunity to
talk about protein, because I have a
very specific question about protein. We
all hear 1 g of quality protein per
pound of body weight or lean body
weight. That's sort of what we're kind
of what's thrown at us.
By doing the heavier weight training, do
you notice that your protein appetite
has increased? Like appetite
specifically for protein foods.
>> I don't know that I have. You know, I
interestingly have been doing a little
bit more
intermittent fasting,
in which, you know, people think about
intermittent fasting, they think about
it as just one thing, one intervention.
I think it's two. There's a behavioral
aspect to it, where it's a tool to sort
of lower the amount of calories you're
taking in. The other one would be this
metabolic switch, but so I've actually
since I don't know, September, maybe
last September of 2025, been been doing
more intermittent fasting, and what I
mean by this is really just eating less.
And the reason for that is because
I noticed that
everything that I was doing, which was,
you know, I mean, I eat healthy, I
exercise a lot, and yet I was sort of
gaining more fat in the the belly
section, right? The visceral fat. And
the only thing that really helped me
stop that, put the put the brakes on,
was getting more in a caloric deficit.
Um,
so
maybe my drive to do that kind of is
skewing whether or not my appetite for
protein would go up.
But I personally am on the scale of 1.2
to 1.6 g per kilogram body weight, which
>> Per kilogram?
>> Per kilogram, which is probably a little
bit less than the pound.
>> You know, it's it's a kind of a
throwaway statement, a gram of quality
protein,
um,
as defined as something with, you know,
lots of the essential amino acids and uh
uh
so forth uh per pound or per lean pound
of body mass.
>> Yeah, so
>> Which is something I think I and many
other people shoot for, but I'm curious
how religious you are about the, you
know, getting a certain protein amount
or per meal.
>> Basically, it wasn't working for me in
terms of like I was really trying to get
aim for like the higher end of the for
me, you know, 1.6 g per kilogram body
weight or even a little bit above that.
And what I found what was happening is
that I was actually gaining gaining more
weight because I think I was consuming
more calories at the same time. If if if
you're getting it from whole foods,
right? Like that's just kind of
naturally going to happen.
Uh and so I had to slide down. Um, but
I'm still I'm still like I said, I'm
still getting within that range of like
probably on average maybe 1.3, 1.4 g per
kilogram body weight. And it's really
it's really worked well for me, but like
people are different and you have
different goals, right? You know, like
I'm gaining muscle mass and I feel like
all my training is like the most
important thing and I think that we need
generally speaking, I think people
should become more obsessed with
training and less obsessed with protein.
Like the protein will complement the
training and as you mentioned, if you're
training, perhaps your appetite for
protein will increase and so you'll
start to eat, you know, more protein and
less refined carbohydrates. I already
wasn't eating a lot of refined
ultra-processed foods in the first
place.
Probably not the answer you were
expecting, but
it's it's really um for me like I I just
focusing on getting more protein was was
not working for my body um in terms of
but then again, I'm 47 years old, you
know, that perimenopause phase
very different than someone who's 37,
maybe.
>> I don't know the answer to that. I I um
I do know that I hear from more and more
people these days that they are having a
hard time getting that 1 g of protein
per pound of body weight. It it like a
lot to them is what they're saying. They
feel like they're kind of forcing
themselves to do it.
>> feel that way.
>> Exactly. So, I'm actually really pleased
with your answer not because I have an
agenda here, but because I and many
other people seem to feel like unless
there's a lot of resistance training or
tremendous demands like hiking, you
know, while backpacking where you burn
tons of calories. You're carrying you're
basically walking like 9 hours a day,
right?
>> Right.
>> That um
they have a hard time getting that much
protein down. Um and I think it that's
also the case if people are eating
starches. Like I eat rice and oatmeal
and breads and things like that. Not a
lot of bread, but you know, it sounds
like you eat starches.
>> I do eat oatmeal, too. It does satiate
you. These days because I really kind of
more focused a little bit on I did want
to to calorically restrict somewhat
without, you know, being unhealthy.
Obviously, you can take every stressor
to a bad unhealthy place, right? You
don't want to starve yourself. You don't
want to like not eat enough food. But um
my my meals are mostly like healthy
protein. So, I have homemade turkey
burgers. I eat a lot of I eat a lot of
those. And then I eat chicken. You know,
I pasture-raised chicken. I do I do
still eat wild Alaskan salmon. And then
I'll um also mix in some like filet
mignon. Like I like grass-fed steak as
well.
>> Yum.
>> Those are my protein sources. And always
I pair it with greens. So, or like some
sort of
vegetable. Most of the times it's it's
greens cuz they're the most most
micronutrient dense. And so, these days
I'm eating a lot of sauteed collard
greens that are like pre-prepared. It
has garlic and onion. And I'll put that,
you know, have that with my meal or I'll
have some, you know, sauteed kale.
Sometimes I'll have a salad with it. But
the portions are smaller and like I
said, I I also do a little bit of
intermittent fasting. We can talk about
that as well, but that's kind of these
days what I'm doing for my meals. I
haven't
eaten as much. Sometimes I'll eat the
high protein oats. They have this high
protein oats that Have you Have you seen
those? They're pretty good.
>> but I I like protein foods, I like
vegetables, I like fruit. I feel very
lucky to like those foods mainly.
>> Yeah.
>> And then the starch for me has to be
very clean. I like oatmeal, rice,
homemade pastas I'll eat. Like if I go
out, I'll have Sometimes I'll have some
homemade pasta or or a sourdough bread
or something, but I find that most
starches that are out there in the world
have a bunch other junk in them. And I
just feel lousy. Get kind of sleepy
afterwards. I just So I
Uh so it sounds like we eat pretty
similarly, although I probably eat more
starches than you do.
>> It's the more processed types of
carbohydrates that as you mentioned,
it's like you typically you don't feel
good after you eat them. And you know,
part of that's the postprandial
inflammatory response cuz some of those
foods are a little more inflammatory. I
mean, a lot of additives and stuff that
are affecting the gut, gut
permeabilization, you're leaking
lipopolysaccharide into the bloodstream,
right? That's activating the immune
system.
>> We used to inject I don't do any animal
experiments anymore, and I'm actually
grateful to not do them. So I didn't
like working on animals, but it was what
we did until I decided to work on
humans. But we used to inject LPS
um
to stimulate an inflammatory response to
kind of prime a regeneration response
that you could get through macrophages
and things like that. And so LPS is a
very potent way to generate local or
even systemic inflammation. I think um
hearing that some starches will
stimulate LPS, that's uh interesting.
>> Well, let me clarify. Let me clarify.
>> challenging. No, no, no, I'm I'm not
challenging. It squares with my
experiences. I'm one of these I never
get stomach aches, I never get
headaches. If I do, something's badly
wrong with my stomach or my head. But if
I eat certain starches, I'll be like,
"Oh, like I feel lousy." And I'm
wondering if it's this.
>> So we have about a gram of LPS in our
gut.
>> Mhm.
>> Like that's on average cuz you know,
lipopolysaccharide is the outer
component of a cell membrane of
gram-negative bacteria, right?
>> Yeah.
>> We have a lot of bacteria in our gut,
gram-negative bacteria, right? Trillions
of bacteria in our gut. So um when when
we eat food, typically like our gut
epithelial cells, they have we have a
tight junction that's holding them
together. When we eat food, they
transiently open and then close. Like
it's kind of a normal response, right?
Um, the the I would say the opposite end
of the spectrum of that would be like
celiac where they eat gluten or
something, it opens up and stays open
and so you get like a ton of LPS leakage
into the system which causes massive
inflammation.
It just happens with meals in general.
You do get somewhat of a LPS response
from a meal. Now, the type of meal does
matter. So, when I when I say
refined carbohydrates, it's not
necessarily like healthy,
you know, carbohydrates like vegetables.
It's like you're eating something that
is refined sugar typically with
saturated fat.
So, those types of foods really cause
like LPS response.
You know, it's it's it's inflammation.
It's bad it's hard on the gut.
But, the postprandial inflammatory
response essentially is that LPS getting
into the system, activating the immune
system which draws the energy. I mean,
it's like it's very energy consuming to
activate your immune system, right?
Which is why That's why when you're
sick, you're so sleepy, too, right?
Well, there's also cytokines that are
somnogenic and promoting sleep, but like
activating your immune system requires a
ton of energy. And so, when you're
constantly activating the immune system,
you know, that's an energy sink, right?
And so, you do feel tired and that's why
a lot of times after a meal, you're
feeling kind of lethargic.
>> Do protein foods of the sort that you
listed off before,
um,
do they cause less opening of the tight
junctions of the gut?
>> I think that the the big deal with the
the opening of the tight junctions in
the gut is, you know, I mean, eating
eating a big meal will do it. Eating a
very like ultra-processed food meal will
do it.
Interestingly enough, just eating a
bunch of saturated fat without a fiber
matrix, so like like butter. You're just
like eating butter. Don't ever do that,
but like if you just eat butter
>> Got [laughter] it.
>> It that's been shown.
>> My niece when she was little, now she's
all grown up, but when she was little I
taught her how to eat like a little bit
of Kerrygold butter and she loved it. So
then we would do this thing where we'd
we'd we'd do that. Um we won't do that,
I mean.
>> I mean a little bit's fine, but like I'm
I mean there's there's studies showing
that it does like saturated fat is hard
on the gut.
>> Yeah.
>> Like I said, it's a sliding scale. Like
meals in general do it, but it's like
you would it's it's like you would
think. The healthier foods that you're
eating like whole foods, you're getting
less of that LPS response. And then of
course there's gluten and that
complicates the whole story, especially
for people that are celiac, right? Cuz
that's
>> Which is a small percentage of people
that are actually celiac, right? But a
lot of people seem to believe and I
believe them that when they eat gluten
they feel worse than when they don't eat
gluten.
>> I'm sure there's some people that are
sensitive to gluten that do feel worse.
And then I'm sure some of that's the
nocebo effect, right? That's been shown
with gluten in in particular. Did you
have you seen that study? Where people
there's been so so there were people
that
think they're you know, glu- gluten
sensitive and so
they were enrolled in a study and um
these individuals were separated into
two groups. One group was getting given
the gluten bread with gluten and the
other group was given the bread without
gluten and the people that were given
the bread without gluten had a terrible
you know, abdominal res- like they were
bloated, they felt terrible. I mean it
was all and there was no gluten in the
actual bread, but they thought there
was. So it was thought that this is a
nocebo effect where it's like the
opposite of a placebo effect where you
just you're you're you're you've got
that phenotype where you think things
negative are going to happen and you can
make them happen. You can change your
immune system, you can change your brain
signaling and you know, so probably a
combination of both with that regard. In
addition to like the lethargy, so we're
talk- I was talking about in the
context. That's why it my, you know,
interest is like you were talking about
feeling tired after a meal. And I do
think that is part of that reason for
feeling sleepy, but you know, what's
interesting about LPS, you talked about
injecting it to mice and I've also done
experiments injecting LPS into mice.
There have been studies where
people have been injected with an amount
of LPS that is, you know, similar to
what you would find your gut releasing
into your bloodstream
or a placebo control, which in this case
was saline. And individuals that were
injected with the LPS, high amounts of
inflammatory markers like TNF-alpha. I
mean, we're talking like up to a 50%
increase.
>> Ooh.
>> If over baseline, right? So, high
amounts of inflammation, which makes
sense. LPS is activating the immune your
immune system is like there's a foreign
invader, right? It's not a foreign
invader, it's just the food you ate that
caused transient gut permeability.
>> [snorts]
>> And those individuals also feel
depressive symptoms and feelings of like
social withdrawal. So, the inflammation
is affecting the brain, right? These
inflammatory factors are getting in the
brain, crossing the blood-brain barrier,
and affecting the way we feel. We know
now that inflammation plays a big role
in major depressive disorder and
depression. Not in all cases, but
there's a subset, right? Where it's
really like it does it seems to play a
big role. In fact, interestingly,
there's been some studies showing that
people that are that don't respond to
SSRIs are have very high amounts of
C-reactive protein. So, this was the
biomarker for a classical biomarker for
inflammation. I would argue it's not
that sensitive, but nonetheless, it is a
biomarker for inflammation. And so,
people that um don't respond to SSRIs
have high amounts of inflammation, which
kind of raises this question of is there
like this subset of depression that's
really inflammatory driven, right? Um
interesting. So, so the LPS is affecting
not only our our energy levels, but also
our mood. And then, you know, there's
there's also evidence that
so, we know that LPS
binds to LDL particles through
lipid-lipid interactions. And in fact,
it's kind of part of the adaptive
response. It's why you don't want to
ever go get your cholesterol measured
like after right after you're sick or
had a very stressful event, something
that causes inflammation cuz you will
increase VLDL production increases and
LDL production increases and it's sort
of an adaptive response to bind that LPS
to prevent it from, you know, causing
more damage. And so it actually binds to
LDL particles on the apoB protein. So
apoB is a protein that is on these
lipoproteins and it's a a very important
protein because that is what's used by
the LDL receptors present on our liver
to recycle LDL particles. And so what
happens is these these LPS particles are
now bound to
you know, our our lipoproteins and our
lipoproteins are still doing their
function, right? They're going around
and they're they're they're giving, you
know, triglycerides and and fatty acids
and to some degree cholesterol to our
cells that need it, right? We're
constantly making new cells and
repairing and we our cells need that.
As they donate triglycerides and fatty
acids, they get smaller in size.
The lipoproteins, you've probably heard
of small dense LDL, right? Like that's a
very dangerous type of LDL particle.
And that's one that's kind of been
donating along, getting rid of tiger
triglycerides and um whatever. If you
think about a train with cargo, it's
donating the, you know, dropping off the
cargo.
And so um when it's time to get recycled
back into the liver, what do you know?
The apoB protein's obscured by that LPS
and it's not recycled.
And so it gets lodged into the arterial
wall.
And because there's an LPS bound to
this, you know, small dense LDL
particle, macrophages, which are, as you
mentioned, it's like the first line of
defense against something like a
bacterial invader, right? Comes and
chews it up, right? Gets rid of the
problem. So macrophages come in cuz
they're seeing this signal of LPS and
think it's a foreign invader when it's
actually just a small dense LDL particle
bound to LPS that came from the gut,
tries to engulf it, but it can't cuz
it's not bacteria, and you get the
macrophage stuck to that
lipoprotein LPS, you know, complex and
you get the formation of a foam cell.
You probably heard of a foam cell. It's
the beginning of atherosclerosis. And
so,
this is
where gut health and the food we eat is
sort of it's linked to cardiovascular
health, right? Gut permeability, getting
that LPS into our circulation is
actually not a very good thing because
you're you're basically, you know, slow
dripping in that infla- inflammation,
that inflammatory signal, and it's
wreaking havoc in our arteries, on our
brain.
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>> Thank you for explaining that so clearly
because I don't think anyone has ever
explained how exactly gut health is
signaling cardiovascular health or
pushing or pulling down on or raising
cardiovascular health. As a neuro guy, I
think about the vagus nerve as the
primary conduit between gut and brain
and it I was recalling that LPS injected
into the gut is how you actually
experimentally induce a fever because
the and if you cut the vagus, no fever.
So there's this there seems to be
something about the way that the gut
communicates with with the brain and
other organs that is critically
dependent on the some threshold level of
of of LPS. And thank you also for
reminding us that LPS is present in the
gut cuz we have yeast in our gut, some
amount of of yeast. You mentioned tight
junctions and the way I think about
tight junctions, please correct me cuz
I'm going to get some or all of this
wrong, is that essentially they form
like a a cellular fence in the gut and
that transient opening or partial
opening of these is a normal process,
but it sounds like after a meal some
bacteria, when you say leaks out into
our system, it's literally going into
the bloodstream. So now we're have
bacteria circulating and if some of that
is small enough to get across the
blood-brain barrier, that's
another way that bacteria can start to
cause inflammation at the at the brain
level.
>> It's LPS, which is like the outer
component of bacteria that have died.
>> Mhm.
>> Actual live bacteria getting in, I don't
know as much about that perhaps as well,
but I know that the LPS is getting in
and I do know that the LPS, you know,
activating the immune system and stuff
in the resident glial glial cells and
stuff in the in the brain um does break
down the blood-brain barrier. It's like
the early like we know neuroinflammation
is really some of the early parts of
breaking down of the blood brain
barrier, which is the early stages of
neurodegenerative disease. It is how the
gut is gut health is linked to the brain
and to neurodegenerative disease as
well.
So, it's the inflammation I think that's
really
um
it's it's really powerful in terms of
it's it's a driver of the aging process
in general. Like this
inflammation, inflammaging, you've heard
you've heard of inflammaging. You know,
I think I think now it's pretty clear to
me that is
if you're thinking about the molecular
events that are leading to these
hallmarks of aging which lead to the
phenotypes and you know, frailty and the
diseases, right? Like type 2 diabetes,
cancer, Alzheimer's disease, like
go upstream of that and the inflammation
is at the core of it. And so, we hear
this word inflammation a lot and it's
like, what does it mean? You know, and
it's a lot it means a lot of things.
It's not just the gut. The gut is a a
component of it, but there's other
things as well, right? I mean, you can
have stress,
you know, any emotional stress, like
that can lead to inflammation,
not getting enough sleep, right? There's
a lot of things that can that can lead
to inflammation. And so, it is kind of
an important point to think about is is
really like
trying to have your inflammation low,
right? And how do you do that?
>> I'm going to take three different
jumping off points here all related to
what you said. So, don't think I'm a
random subject generator here. We will
get back to fasting, I promise.
Lately, you've posted a bit about
glutamine as a potential tool to
perhaps buffer the immune system under
times of stress. I've also been
interested in L-glutamine as a way to
reinforce tight junctions in the gut. I
don't know if that literature is robust
or not. I have to say I started taking
L-glutamine years ago in times when I
was working a lot and not sleeping
enough because someone told me it would
help me not get sick. And indeed, I
didn't get sick as much as the imaginary
control experiment that I never got to
do. Meaning, I don't know if it helped
or not, but I continued to take
L-glutamine when I'm feeling run down. I
take a couple of other things, too. But
could you tell us about how or if or how
L-glutamine is important for gut health
and if and how L-glutamine might be
helpful for reinforcing the immune
system?
>> There's not a ton of evidence in terms
of like what's in the scientific
literature supporting
these statements, but there is some, you
know, and it's enough to kind of go,
well, I'm going to try to maybe
experiment with it. So, you know, I
first became interested in in glutamine
because when I was doing my graduate
research, I was doing a lot of cancer
metabolism studies and I would do
nutrient withdrawal and I would, you
know, remove glucose from cancer cells
and see what would happen.
And it's like, okay, well, I would get I
would remove glucose from from, you
know, lymphoma cancer cells in the Petri
dish and a lot of them would die, but
they wouldn't all die. And I was like,
why aren't they all dying? Turns out,
oh, they had glutamine there. So,
glutamine was enough to sustain them.
Um and and so, glutamine can be
converted into many things. So,
glutamine can be an amino acid, right?
It's an amino acid. Glutamine can be
converted into the
the Krebs cycle, so it can be converted
into intermediates that are used to make
energy by the mitochondria. And
glutamine can be converted into
glutamate, right? Neurotransmitter,
right? So, there's a lot of pathways and
different fates for glutamine. So, I
became interested in in that because it
was like, oh, glutamine's important for
the survival of these cancer cells.
Then I was doing a lot of activating
immune cells studies as, you know, all
my my graduate advisor is an
immunologist by training, and so I was
also doing that. Turns out glutamine was
essential for the activation of immune
cells.
So, that was kind of always in the back
of my mind.
And then in my postdoc, I
did my postdoc with Dr. Bruce Ames and
my colleague Dr. Mark Shigenaga was
doing a lot of gut work and this is why
I know a lot about the LPS in the gut
like it's from him. Like brilliant guy.
He's now a photographer like not in
science at all but brilliant guy and did
a lot of really amazing experiments
looking at, you know, gut permeability
and things that can help buffer, you
know, gut permeability and one of those
things were glutamine. So, glutamine can
get converted into these intermediates
that are used by mitochondria in the gut
epithelial cells and so this is like an
easy source of energy as well for the
gut. Now, these are all animal studies,
right? So, take it with a grain of salt,
right? Like cuz
at some point, you know,
in my in my opinion animal studies are
really important for understanding the
mechanism behind why things work and we
need human studies, you know, as well.
Looking at the totality of evidence is
important.
It's the human studies that were
lacking. There's not a ton of them
there.
The ones that I have found more
compelling, um, not necessarily I mean
with the gut health it's it's, you know,
it's sparse with humans.
Um,
I found more compelling with respect to
you glutamine in human studies was the
immune system and this is where I
started putting connecting the dots,
right? Where I started coming across
this literature of these endurance
athletes who do get a higher amount of
respiratory tract infections, you know,
like when I mean endurance athletes I
mean these guys that are like outrunning
marathons all year. Like they're just
constantly training for a marathon,
right? And so they're really like
they're putting a lot of demand, right?
Energetic expenditure is happening at a
really high rate. So,
um, they're they're more prone to
respiratory infections and there's a few
studies out there showing that if these
athletes take a higher dose of
glutamine, I think it's like 30 g or
something high like that, that they had
a lower incidence of respiratory tract
infections than the ones that weren't
doing it. And then I went back to my oh,
I know that glutamine is really
important for T-cell activation and I
was like I'm going to take this because
being being a being a mom and having a
child that's bringing everything home
like a vector, you know, you're like
desperate.
>> You're the experiment.
>> exactly. And and I never used to get
sick, ever. Like I would never get sick.
And then all of a sudden I was getting
sick like three times a year. And I was
like, do I have cancer? Like what's
going on? Like I I literally was like
worried. Um and and then I started
taking glutamine. Now, I take it just I
only take 5 g on a daily basis, but if
if my son's sick, if there's any
exposure, if it's like during the
season, if I'm traveling, I go up to 15,
I go up to 20.
>> Cuz it can be a little hard on the gut,
right?
>> all at once.
Not all at once. I usually do it like in
fives. So, I do 5 g, 5 g, 5 g. And you
know, I have to with the caveat of I do
that, but I also take a lot of creatine
as well. And so, I don't know which one
or both, but like I really don't get
sick.
I'm not getting sick. And even even if
it's brought home in my house, I'm not
getting sick. And maybe it's a placebo.
And you know what? I am A-OK with that
because placebo effect is real. As long
as I'm not getting sick. Um so, I do
think I think with the glutamine, you
know, it's not something that I would
feel comfortable saying that it's
there's a lot of evidence, it's
overwhelming and with confidence that
it's improving gut health and it's
improving, you mean you know, it's going
to help give your immune cells energy,
particularly if they need to be
activated, you know, upon exposure to
any pathogen. But I feel like it's worth
experimenting with. Um perhaps maybe if
someone has colon cancer, that would be
more of a concern cuz I did mention that
cancer cells Cancer cells love
everything, anything that's good for
you. Right? Folate, I mean, if you don't
have enough folate, you can cause double
stranded breaks to your DNA, which lead
to mutations that lead to cancer. But if
you have cancer and you take a bunch of
folate, you need folate to make new DNA.
And so, they like the folate, right? So,
it's like
>> It's an abnormal growth. So, anything
that's associated with drugs, mTOR. I
saw the recent study on taurine, which
scared a lot of people cuz taurine's in
a lot of energy drinks, but that was an
in vitro study. Um Um, yes, I was going
to ask, you know, um, is
is there increased cancer risk if you're
supplementing with glutamine because
cancer cells like glutamine?
>> my personal opinion, I'm obviously not a
medical physician. This is not a
prescription. It's just my opinion.
I I personally am not scared of getting
cancer from taking glutamine.
If I had a colon tumor in a tumor in my
colon, the the first site that the
glutamine is seeing, maybe the liver as
well, since that's also the next step,
but uh barring like having a tumor
already in my liver or in my colon,
those would be the only, you know, types
of situations that I would be worried
about taking glutamine. I don't think
it's going to cause cancer, right? Now,
I guess the question is like what if you
don't know you have
>> Well, hopefully the cost will come down
on whole body MRIs. Actually, the cost
is coming down on whole body MRIs.
Hopefully, more people are able to get
those. It's not just such a high-end
exclusive thing in the near future. Kind
of like blood draws. Used to be like
like panels of blood testing, you only
got them if you really needed them. Now,
the cost of blood draws is really low.
>> Right.
>> So, hopefully, people will be more
aware. Yeah, I I
will take a tablespoon of glutamine once
or twice or three times a day if I'm
feeling run down. You mentioned being
exposed to pathogens from vectors of
different sorts. Before we went on mic,
we were talking about NAC,
N-acetylcysteine.
Um,
I take it once a day
uh consistently, but I'll take it three
times a day if I'm traveling a lot and
because I'm around sick people when I
travel, especially in winter. Um, or if
I feel like I'm getting run down. And
there the data are pretty interesting.
There's at least one study uh showing
that it reduced flu transmission
um where people were deliberately
exposed to flu. I think it took the
number of people that contracted flu
compared to the placebo group somewhere
from the high 70%
area. I don't remember the exact number
now. We'll put a link to the study down
to maybe high 20s, which is pretty
impressive. And then ER doc came on this
podcast
uh Roger Schwell, who um and said he was
a big proponent of
NAC system for people that are around
sick people. Do you take NAC?
>> So my only concern with taking on a
daily basis is it is a pretty powerful
antioxidant and you know
I think that we need to understand like
antioxidants and the opposite we should
be generating oxidation right? Like It's
not it's not like oxidation is bad. It's
bad when it's constant slow drip
oxidation that's damaging you know other
parts of our body DNA proteins lipids.
Some oxidation you want like if you're
exercising right? There's a burst of
oxidation.
>> the adaptation.
>> the adaptations. And so my concern would
be for one maybe timing it around your
exercise so not taking it close to when
you're exercising and these studies come
out of you know studies that have been
done with high dose vitamin E plus
vitamin C.
I haven't seen a lot of vitamin C
studies
alone that are blunting exercise
adaptations. There's maybe one at a high
dose. Most of the time it's vitamin C
and vitamin E vitamin E alpha
tocopherol. When I say high dose usually
it's 400 IUs just to give you a
reference point the RDA is like 24 IUs
or something. So we're talking high
dose.
>> supplement can be 200 to 800. So it
wouldn't be hard to blunt that exercise
effect but accidentally. Yeah, I don't
take vitamin E. It spiked my prostate
specific antigen which I was told is a
is a known effect among urologists.
>> trial was done. So the select trial was
um was looking at selenium and vitamin E
and if it could slow the progression of
prostate cancer and it turned out that
um the opposite was found and it was
really kind of due to this high dose of
alpha tocopherol which also has other
effects of um
lowering another type of vitamin E in
the body called gamma tocopherol which
is anti-inflammatory
and I think that has something to do
with inflammation actually can increase
the PSA right? So anyways um the point
here is that with NAC,
my only concern would be, you know,
blunting the the oxidation that you're
getting from beneficial cuz I know
you're highly active.
>> I'm training hard. I don't want my
training to be short-circuited from NAC.
I'm perfectly happy to only take NAC if
I'm feeling run down or exposed to
um illnesses around me, or I feel like
maybe I'm coming down with something.
>> I take it, but it's mostly because of I
wasn't familiar with the flu influenza
data that's interesting. I was just It's
good for lung health, too. Like so,
although if smokers take it, I think it
has the opposite effect where again,
it's like the can't the the precancerous
cells are using it to their benefit. You
know, we used to think antioxidants, oh,
it's so good, you know, just more more
more, and it turns out it's not the
case, right? Like and that's why a lot
of these other types of hormetic
stressors or plant phytochemicals,
they're actually generating an
antioxidant response endogenously
in our body by activating these
antioxidant pathways, which are so much
more powerful than what you would get
from an antioxidant, right? And so,
that's kind of And it's not like you
don't want some antioxidants. It's just
like you don't want to overdose on
taking too much NAC and too much vitamin
C and too much vitamin E because there's
also something called reductive stress.
So, we know about oxidative stress.
Oxidative stress is when you're you
know, you're you're again, you're you're
causing these these reactive oxygen
species to damage things like your DNA,
for example, and over time, eventually
that happens in a part of the gene that
can be oncogenic, lead to cancer. Well,
reductive stress is is like the opposite
of that. So, it's like too much of the
um reducing equivalents, like the, you
know, the NADH, the NADPH, the you know,
so and it also has negative effects. So,
you kind of don't want to go too far on
either ends of the of the spectrum. But
also, you want to instead of having this
like
slow leaking effect of these
pro-oxidants where that are happening
from eating a bad diet, from you know,
inflammation, things like that. You want
it to be a short burst where you switch
it on, you have the adaptation, it's
off, right? And the adaptation, the
adaptation happens in the recovery
period, right? When you're For example,
if you exercise, it's a big burst of
reactive oxygen species that is
beneficial and you want it, right? And
you don't want to blunt those
adaptations and
So, that's that's kind of my concern
with daily dosing of NAC.
>> Great. I don't cold plunge in the 68
hours after resistance training for
exactly the reason you're talking about.
Yeah, I want the inflammation. I want
the increased blood flow. I don't want
to short-circuit that. I'm perfectly
happy to only take NAC under conditions
where I'm run down and
and that's also when I'll take
glutamine. If you take L-glutamine
regularly, I I personally observe that I
get stronger
um at a steady state of of starch
intake. And I don't like dropping
starches too low cuz I get weak.
>> Yeah.
>> And I also can't sleep as well if my
starches are too low.
I just I'm too wired.
>> Yeah. There's a There was a new study on
on eating starches and improving sleep.
>> Yeah, and I'm so grateful for that
because for several years I talked about
that on the podcast and people said,
"Oh, you know, he's gorging himself with
pasta and then passing out and that's
the worst time." I wasn't saying that.
I'm saying that if you're not
If you're
running like crazy, I'll hear from
marathoners and ultra people and people
who are doing a million things. They'll
say, "I'm not sleeping well." And
they're exercising like crazy. It's
like, "Well, when was the last time you
had a bowl of pasta?" Like, "Oh, no, I
don't eat pasta." And like, and then
they'll have some rice or some pasta.
Like, "Oh, I slept like a baby." And
they were having it at lunch. And I just
think that that the brain doesn't shut
down well when you have high levels of
cortisol. And the cortisol-starch thing
is an interesting one.
>> I'm so glad you brought this up because
I think um this is something I did want
to talk about really and it has to do
with stop eating 3 hours before bed for
that very reason. So, there was a new
even a new study but there's been
several studies now really showing that
this is important for that
cardiovascular reset, right? Your
parasympathetic activity is supposed to
go higher. You're in your rest and
recovery phase, right? When you're
eating food, that's the sympathetic
activity, right? You're
that's activating the sympathetic
nervous system.
>> As you're eating, yeah.
>> Yeah.
>> And even as you're digesting. So, you
have to think about it. Like, you digest
it, what it takes like 5 or so hours to
fully finish about
>> Yeah, depending on the meal, yeah.
>> Depending on the meal, right. So, if
you're eating, you know, right before
you go to bed, you are you are you are
not in that parasym- sympathetic
activity, you know, part of the part of
the, you know, the cycle that you want
to be in. So, um there was a new even a
new study that I shared like, I don't
know, couple days ago even, showing that
if you stop eating 3 hours before bed,
so these people were actually um this
interesting they're they had their blood
pressure measured for starting in the
mid-afternoon all the way throughout the
night. This is the first study that
really not just one endpoint looking at
blood pressure, but just measuring it
continuously. I don't know if it was
every 15 minutes or something like that.
But, um it was found that there during
sleep, if they had stopped eating 3
hours before bed versus the group that
did not stop eating 3 hours before bed,
their blood pressure dipped like lower.
So, you get that you get that barrel
reflex dipping, right? So, this is like
part of the parasympathetic activation.
As you know, very important for you
know, the blood pressure to go down,
heart rate went down like, you know,
much much lower. And that reset is so so
important for cardiovascular health. I
think what was found was it was
something like um translated to like 20%
lower risk of cardiovascular events,
like heart attacks. So, it's really
pretty significant. Yeah. And it really
is an easy thing to do to think about
stopping eating, you know, 3 hours
before you go to bed. Like, that's
that's something I think that is not
that hard to implement. And it will
improve your sleep as well as your
cardiovascular health. Although, I think
in that study, I don't know that sleep
was really it was subjective and I don't
think it really wasn't improved more,
but other studies have found that as
well. That sleep does improve. I know
Sachin Panda, he's been on my podcast,
your podcast. He's had studies showing
that it seemed like stop stop eating 3
hours before bed really does seem to
improve sleep.
But this parasympathetic activation, you
know, you don't want to have a meal
right before you bed because you want
you want to be in the rest and recovery
part, right?
So.
>> Yeah, I think people hear
uh and I understand why the nomenclature
and the buzzwords of, you know, fight or
flight for sympathetic and rest and
digest for parasympathetic. But yeah,
the evidence shows eating stimulates the
sympathetic nervous system. It's not a
stress event, but it it's a it requires
energy. Anything that requires energy
raises body temperature and your body's
doing work.
>> It's an awake event, right? It's an
awake you don't eat
while you're sleeping.
>> Yeah, and that's why these phrases,
while I don't demonize anyone for
creating the, you know, fight or flight
and well, I mean, there's ways that you
want your sympathetic nervous system
activated that are not about fight or
flight. Like I actually think that
people just got the first hour of their
day more active and energized bright
light, exercise, caffeine if you're me
and Lord knows I'm grateful that
caffeine exists in the first hour of the
day or first hours if you can't manage
that because of schedule. And then the
last hour of the day was strongly
parasympathetic. I mean, everything
would get better without having to think
a ton about
exactly how you're doing that cuz on a
given day you just do what you can.
>> And that's what you want, right? I mean,
so cortisol is circadian dependent as
you know. I mean, in the like early
morning of early hours of the morning,
that's when you want it to peak, right?
The part of the awakening response. Like
you want it to go up. And it's it's
interesting. I I
the reason I'm going on this is cuz it's
a little bit of a um soapbox for me, but
so with with the with the cortisol
activation um
people don't realize this, you know,
obviously it's a hormone and it's
binding to two different receptors.
There's the glucocorticoid receptor and
then there's the mineralocorticoid
receptor and both of those
um when cortisol binds to it, they go
into the nucleus of the cell, and
they're changing the expression. So,
they're activating genes and
deactivating genes, like 20% of the
human genome. It's a large percentage,
right? And this is on multiple different
organs. So, it's it Cortisol has a very
important role, and you want that peak.
You want that spike, right? That's what
you want, and then you want it to shut
off. And there things that can activate
it, obviously, like in the morning,
going out, bright light exposure, as you
mentioned. Like that's very important
for that cortisol awakening response.
But you can also, actually, like like
intensity intense exercise can switch it
on.
Um but what's interesting, and so can
intermittent fasting,
that it What's interesting is there's
studies from Mark Mattson's lab showing
that, you know,
the types of of of stressors that are
beneficial, these hormetic stressors,
like exercise, like, you know,
intermittent fasting, um perhaps even
cold exposure, like these types of
exposures change the receptor density of
the receptors. So, if you If you look at
what activates cortisol in a negative
way, chronic stress, let's say
emotional, financial, psychological, um
chronic sleep deprivation, like that bad
type of stress, you're getting a You're
not getting a big spike, you're getting
a slow drip of it. And so, what happens
is when you have that type of stress,
you're increasing the glucocorticoid
receptors, and you're decreasing the
mineralocorticoid receptors. There's a
different biological response in the
brain, in the hypothalamus, but also in
you know, other organs as well, when
you're when you're activating cortisol
through a beneficial type of stress, the
hormetic stressors, like like
intermittent fasting, like exercise. Um
I believe probably deliberate cold
exposure as well. Where um it's a
different biological response, and also,
if you think about it,
you know, you actually want cortisol to
do its, you know, function. You want it
to change the expression of this. That's
what it's supposed to do, right? The
problem is is when you have that slow
drip, then, you know, not only are your
your increasing They're changing the
receptor, you know, activation, but also
they become resistant to the cortisol.
And so you're not getting the benefits.
You You know, cortisol represses
inflammation, right? It's It suppresses
the immune system. But like So you're
not getting that anti-inflammatory
effect from cortisol. It's being
dysregulated. And that's what you don't
want. You don't want cortisol to be
dysregulated in terms of like the genes
that it's supposed to activate or
deactivate. You want it to be doing what
it's supposed to. It's supposed to
regulate. We're supposed to have the
cortisol, you know, activation response.
So, um, anyway, I that's something that
I kind of want to clear in people's
minds cuz I feel like a lot of people
get worried about oh my gosh, I'm doing,
you know, hit and it's activating my
cortisol. Well, that's fine. It's like,
you know, I mean, I guess if you do too
much hit, right? You could always take
something to the extreme. Okay, with
that caveat, obviously I'm not talking
about that. But with that caveat, like
you do you you want your body to be able
to turn it on and then turn it off and
have the adaptation, have the response,
right? And like I said, it's a different
biological response than than the
chronic type of cortisol activation that
you get with the bad types of stress.
>> Yeah, I guess same goes for intermittent
fasting. And maybe you could share with
us what your intermittent fasting
protocol is. I know that recently
cortisol has been like increasingly
demonized as the stress hormone, stress
hormone, and people saw pictures of
people with Cushing's disease, which is,
you know, a drastically elevated
cortisol and the moon face and the
excessive visceral fat and and this this
sort of um,
fear-mongering around cortisol was
particularly directed toward women. And
this entered the health fitness space
because I think in an appropriate way,
I'll just be very direct here. I don't
like I no longer tap dance around who
said, you know, what In a very
appropriate way, um,
that I appreciate, uh, Dr. Stacy Sims
came on the podcast and she said,
"Listen, some women shouldn't train
fasted because they don't feel well when
they train fasted and their cortisol is
too high and so forth." That captured a
lot of people's experience. a lot of
women in particular, but some men
certainly were like, "Yes. Oh my god,
thank you. Thank you. Thank you. Thank
you."
But then the they the message got
contorted, right? As it does, right? And
then it became women shouldn't train
fasted. And then we had a Lauren Clenso
Simple on this podcast who's a, you
know, trained as a PhD, she has a
background in nutrition, physiology,
strength training coach, etc. And she
said, "No, listen, you can train fasted
or not fasted as a woman or a man, it's
a kind of your preference. But that we
don't need to fear these cortisol
spikes. And forgive me for going long
here, but I think it is important that
people hear this, um, again, which is
there's also this idea that deliberate
cold exposure increases cortisol, but
when you look at the data, it definitely
increases adrenaline and peripheral
dopamine and probably, I'll go on
record, it probably central dopamine,
although we don't have as good evidence
for that yet. But
their evidence points to the fact that
deliberate cold exposure lowers
cortisol. So this then, you know,
because and I again I think Stacy
appropriately said a lot of women who
want to use cold shouldn't go as cold,
but the message got contorted
and it became women shouldn't do
deliberate cold exposure because of the
cortisol increase. And so part of the
reason I'm going long here is I'm trying
to correct the narrative on her behalf.
She said, "Do what works for you."
Right? And that's what Lauren's saying
and I'm guessing, um, that's what you'll
say as well. Um, but I just need to get
that out there because the message has
gotten totally pretzel twisted up and
cortisol is neither good nor bad. You
want it high in the morning, you want it
low at night, um, in general. Um, it
sounds like you train fasted.
>> I listen to how I feel. That's exactly
what I do. So what what your podcast
guests and and the researchers are
talking about is exactly. There are
times when I wake up in the morning and
I'm like, I need to eat something before
I work out. And I do. Um, but I
oftentimes do train fasted one because I
am practicing intermittent fasting
again, but I do it I'm not like starving
myself and like I said, the reason
there's multiple reasons I do it. One
reason is because it really did help me
lose the belly fat, which is a visceral
fat, which is like the worst kind of fat
you can have. And we can talk more about
that. But the second reason is I love
the cognitive benefits I have in the
morning with it. And it's the main
reason I do it. And so there are many
times when I do train fasted, but I am
not out running 15 miles. Most of my my
like I said, my sessions are about an
hour long. And am I taking a little bit
of a performance hit with the high
intensity? Probably. Probably yes, but
it's not much to matter for me. And you
do burn a little bit more fat if you
train fasted. I mean, that's known.
You will if it is a longer session, you
will take an a performance enhancement
hit. That is also known, right? So I
think it really does come down to like
what is your goal? How do you feel? And
and then you kind of go with that. And I
I completely agree. Like there are times
when you know, I'm on my cycle and I
feel fine and I'm working out just fine.
And there are other times that I'm like
I don't feel good. Like I'm going to I'm
going to take it easier. I still train,
I just you listen to your body. And I
that's a pretty easy, I think, rule of
thumb. Sometimes people like to
complicate things, you know, I don't
there's lots of reasons why I don't we
need to get into that.
>> I have theories, yeah, I have theories,
but they're not important right now.
>> No, it's not important, yeah. So so
yeah, I do I do train fasted and it is
for me it is is helped me tremendously
change my body composition. Like I said,
I'm in a different part of my life than
perhaps a 30-year-old woman is, right?
So when I was 30, I mean, like I I
didn't have to train fasted. It was it
was it was easy to keep, you know, the
the belly fat, the visceral fat lower.
Hormonal changes are do play a role in
the way your body so estrogen plays a
role in telling your body how to store
fat. So subcutaneous fat would be the
kind of fat that you can just like
pinch, right? The the fat that we see,
the visceral fat, that's that deep fat
that's lining your organs. It's often
belly fat, you know, and it's lining the
intestines, the liver, you know, it's
it's it's it's it's almost like an
endocrine organ. I mean, cuz it is
secreting hormones. It's secreting
inflammatory factors. It's metabolically
active. It's constantly breaking down
triglycerides. It's associated with
double the increased risk double the
risk of early death. Um people that have
high visceral fat have 44% higher chance
of having cancer, many different types
of cancers.
>> Wow.
>> It's huge. It's huge. You know, and and
and of course insulin resistance is the
number one problem with visceral fat,
right? And I'd love to to talk about
that, but um if you want, I mean, we can
we can get into that. Yeah, it's it's so
with the visceral fat and like I said,
you know, visceral fat is something if
you really directly want to measure it,
you do a DEXA scan. But, you know, for
the average person that isn't going to
go out and do a DEXA scan,
waist circumference is a proxy. It's
used in a lot of studies. So, women that
have a waist circumference of 35 in or
above are considered to have a higher
amount of visceral fat.
Men that have a waist circumference of
40 in or above are considered to have
higher amount of visceral fat. It's also
that belly fat. Like you can you can you
just know, right? Um interestingly, like
70% of women over the age of 50 have
high visceral fat. 50% of men over the
age of 50, too. You know, again, it
coming down to women go through
menopause.
Estrogen plays an important role in
telling the body, you know, to store the
fat subcutaneously rather than
viscerally deep around organs. And so,
as women transition to perimenopause,
you know, that the years before
menopause and menopause,
it it their their estrogen goes down,
and that does change the way the body
stores fat. And any woman that's going
through either of those stages knows it.
And it's also why you see often women
over the age of 50 with more belly fat,
right? I mean, that's something that I
think is it's hard to deny. But, um
it's it's one of the reasons why I kind
of went back to practicing intermittent
fasting because
there's a there's a couple of ways that
you can really powerfully lose visceral
fat, and one of them is doing aerobic
exercise, high-intensity interval
training also really powerfully can do
it, but also being in a caloric deficit.
And I think when you start to get the
combination of both, that's what really
worked for me.
It's crazy how quickly you can gain it
based on your diet as well.
So, it is different from the
subcutaneous fat in many ways.
I mentioned it's secreting these
inflammatory molecules. It's, you know,
hormones, but it's also constantly
breaking down triglycerides into free
fatty acids. And the location of it is
very dangerous because it's right
surrounding the liver, right? It's this
deep organ fat. And that's very close to
the portal vein. And so, you're
constantly getting this sort of
mainlining free fatty acids to the
liver.
And visceral fat is very different from
subcutaneous fat because it doesn't
respond to insulin like subcutaneous fat
does. In other words, when you have a
meal, you eat a carbohydrate meal, and
you basically your body increases
insulin to help take it up glucose into
your liver,
muscle, adipose tissue, lipolysis shuts
down, right? So, okay, no longer am I
going to break down these fats, it's
time to use this energy, right?
Visceral fat doesn't respond to insulin,
so it just keeps going, right? And these
free fatty acids, because they're going
right to the liver,
uh it's it's essentially antagonizing
the insulin receptors. So, it causes
insulin receptors to become more
resistant to insulin.
And this is part of why people with high
visceral fat, by the way, you can gain
visceral fat without gaining a pound.
And we can talk about those studies.
Like, people people are skinny
and can have high amounts of visceral
fat. You've You've heard of like lean
metabolically unhealthy but lean
individuals.
Those people exist and so you can have a
high amount of visceral fat but not
really look like you do.
So, when you know, obviously the insulin
resistance is a problem for many
reasons, but it also plays a role in
those energy crashes that you
experience, right? And that's kind of
like some of the first signs of insulin
resistance actually have to do with what
you're feeling. So, we talked about
lethargy, right? So, you know, the the
inflammation that's being generated from
these this visceral fat constantly
making these, you know, pro-inflammatory
compounds are and it's an energy sink,
right? So, you do constantly feel tired,
but also because your cells are becoming
insulin resistant,
when you have a high glucose meal
and you're not responding, the body kind
of overcompensates and produces more
insulin. So, it's like I we got to get
this blood glucose out of our system,
right? It can cause a lot of damage if
it sits around there. And so, you make
more insulin and then what happens is
you your blood glucose goes way low cuz
it was like this overcompensation,
right?
And then you feel a crash. You feel like
this crash and that signals to the, you
know, hypothalamus part of the brain,
I need energy, right? So, then you you
sort of crave you get those cravings for
those calorically energetic dense foods.
What I'm talking about is like the
experience of like
you know, insulin resistance. And what's
interesting is that you can cause
someone to gain visceral fat and and
their brain could become insulin
resistant. So, we think a lot about
insulin resistance in the muscle, liver,
your brain also can become insulin
resistant quite quickly actually. So, um
insulin's very important in the brain
for a lot of reasons as you know, but
you know, a couple of the things
relative to what we're or relevant to
what we're talking about would be one is
it does act on the hypothalamus and
help, you know, tell it to basically
um
stop eating. Be satiated. Like I took a
meal in, okay, like I'm going to be
satiated. But it also plays a role in
energy storage and telling the the body
how to store the energy. And so when
your brain becomes insulin resistant,
it's not doing that. And so you're not
being satiated, so you eat more, and
you're storing the fat more viscerally.
And there was a study that was published
actually quite recently. I covered this
in a in a recent newsletter. It was a
really interesting study cuz it was
healthy young men,
and researchers put them on a
little bit of a calorically dense, so it
was like they were eating 1,200 to 1,500
more calories a day, and it was
high saturated fat, high sugar. So it
was a processed foods, ultra-processed
foods, like, you know, ultimate, right?
>> That's a lot of extra calories.
>> extra calories for 5 days. It is.
But what happened was their they did
cause their brains to become insulin
resistant, and they didn't gain weight,
but they gained visceral fat. And they
started gaining fat around their liver.
And that's something that happens as
well because visceral fat is surrounding
liver, you're getting a lot of free
fatty acids, and they're going right to
the liver, so the liver has to store it,
right? So you get this non-alcoholic,
you know, fatty fatty liver.
But and that happened after 5 days. I
mean, without gaining
>> young, healthy
>> Yeah. But, you know, they were eating a
lot of calories, extra calories.
>> Yeah, that's like an a 1,200 That's like
a half a pizza
uh extra above your
maintenance calories per night.
>> what they were doing. They were eating
lots of Well, they were eating like
saturated fat and refined sugar, so it
>> Doritos and french fries.
>> Yeah, I mean, obviously if you're going
to do the study, you want to kind of do
it to a degree where you're going to see
some change, right? So so maybe like
maybe it's not going to happen in 5 days
if you're if you're only eating 500 more
calories a day, but over time you will
be gaining visceral fat, right? So it's
not going to be the same degree.
It's something to be concerned about,
it's something to think about, and also
because you can gain it and not really
even know it, like, you know, without
gaining a pound. And there are other
things that cause it, not just, you
know, eating too many calories or diet
composition. I mean, you mentioned
cortisol. I mean, chronic elevated
cortisol makes you store the fat around
around, you know, visceral fat. Sleep
loss. I mean, there's also studies
showing that you take healthy men, sleep
deprive them for a couple of weeks, I
think 4 hours, they're getting 4 hours
of sleep at night, they can start
gaining visceral fat, I mean, pretty
rapidly with only like a pound gaining a
pound of weight. So again, it's like not
necessarily something that you're going
to see on the scale, but it's happening.
Right? And it's affecting your
short-term mood, I mean, how you feel,
your energy. It's affecting, you know,
the way you're eating. It's a vicious
cycle cuz you start to eat more
calories, right? And then it just
becomes this vicious cycle of that you
start to gain more visceral fat.
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>> Such an important point that you can
either not be gaining much or not
gaining any total body weight, but
gaining visceral fat. I think that's
first time I've heard that and it's a
vital message for people to hear because
this visceral fat sounds like one of the
major health hazards we need to worry
about. You mentioned elevated
chronically elevated cortisol, sleep
deprivation will increase visceral fat.
Once again, I know I'm beating a drum
here
almost to death, but
having high cortisol early in the day
and low cortisol in the evening is the
definition of not
chronically high cortisol. The
definition of chronically high cortisol
is
somewhat elevated or elevated cortisol
in the morning, but especially in the
hours before sleep and I I actually have
a theory that is not a stretch that one
of the main reasons why it's so
detrimental to our mental and physical
health in the short and long term is
because of the ways it's disrupt sleep.
And so and we can't tease those apart.
You can't do a study where you spike
cortisol late in the day, even if you
can fall asleep just fine after the end
of a really stressful day,
the sleep is different. And people say,
"Well, life has stress." And I totally
agree. I mean, Lord knows I've
experienced life has stress, but getting
that last hour of the day doing things
to push down on cortisol, push down on
stress, lower heart rate, not eating in
that certainly that last hour before
sleep, ideally three,
I feel like that small change can make a
an outsize positive difference.
>> That's interesting like the the the
correlation between the high cortisol
affecting your sleep and maybe that's
also like they're they're related and so
the sleep loss really does make you We
know. We know from, you know, you
probably know who the researchers are
that have done those studies on sleep
loss and it affecting appetite, right? I
mean,
>> Oh, everything gets disregulated. I know
I don't want to take us off course, but
I think you might find it interesting
that there's a beautiful study where
they look measured metabolism during
sleep. They basically had people breathe
into a tube
during sleep. They had a mask on and it
turns out that the brain cycles through
all the different forms of metabolism
during sleep. There's a phase of sleep
where you're essentially running on
sugar. There's a you're then you're like
a almost looks like somebody's ketogenic
at one. Basically that the middle of the
night when we're so well should be at
night. When you're sleeping is a is kind
of a test run of all the systems but
they get recalibrated and it's so
important. think you know most of the
negative effects of alcohol that people
talk about. Yes, it's a poison. It's a
class one carcinogen
as classified by the World Health
Organization on a I think most of the
negative effects of drinking are because
of the negative effects of alcohol on
sleep.
I'm not telling people to drink in the
morning but you know
and so I I think that if you get your
sleep right, you're not 90% of the way
there but you're halfway there.
>> Yeah.
>> I really do believe that. And then
getting your sleep right makes you do a
bunch of other things.
>> Right. You're more you're more more
motivated to exercise for one.
>> [laughter]
>> More motivated to exercise. Your food
choices I mean and on and on. The the
problem with talking about sleep is so
important is people will get sleep
anxiety. So we tap dance around this
like we don't want people stress learn
how to fall asleep, learn how to fall
back asleep. These no one gets it
perfect. Yes, you'll survive like it
without one poor night's sleep or an
all-nighter you're not going to die.
Like you know just get good at it on
average, right? That's what I'd say.
Could you tell us what the structure of
the intermittent fasting is for you?
Does that mean skipping breakfast,
skipping lunch, skipping dinner? Because
I know a number of people are So we're
getting drawn back to intermittent
fasting after a couple years of it
getting beat up on is like not the best
way to lose fat or is a
I think it's a terrific way to do the
sorts of things that you're describing
and I'm learning
today more about the positive things it
can do
for insulin sensitivity and so forth.
If you're on a bout of intermittent
fasting, are you doing it by the clock?
Are you doing it by feel? What does it
look like?
>> For me it it it really does depend on
the day and I really do try to stop
eating 3 hours before I go to bed. It
doesn't always happen, you know, with
family obligations, social obligations,
but it's the habit that's important,
right?
So, intermittent fasting, you know, it's
more than just one intervention as I
mentioned. It's a behavioral tool that
you can use to limit your calorie intake
with actually without actually having to
count all the calories, which some
people like to do, some people don't,
right? So, it's a tool, but also it's
really important for a metabolic switch.
As you mentioned, insulin sensitivity.
And the metabolic switch is something
that Dr. Mark Mattson coined and I love
it because I feel like, you know,
thinking about intermittent fasting in
that way makes it a little more clear as
to the benefits of it. It depends on the
meal you have and how much exercise you
do, right? But on average, let's say
11-12 hours to deplete your liver
glycogen levels. And once that happens,
you do start to burn fat and use fatty
acids as fuel and make ketone bodies, so
you go into ketogenesis, right?
And that's a metabolic switch, metabolic
flexibility. You're not You're going
from using carbohydrates as fuel to
using fatty acids and making ketone
bodies as fuel. And that's something
that, you know, throughout human
evolution was ingrained, right? Like we
didn't always have access to Uber Eats
and Instacart and you just at a swipe
you get food, right? I mean, there were
many times when, you know, people had to
not eat because they couldn't forage
their foods, maybe the time of year or
they couldn't hunt their food because
they didn't
get a win or whatever. I don't know. So,
this metabolic flexibility is something
that's really ingrained in in our in our
our DNA in a sense, right? I mean, one
of the reasons I like to do that is the
ketone production. And why is that, you
know, ketones are really clean They're
clean a clean way to burn energy. So,
they generate less oxidative stress,
less oxidative products,
but they also are energetically
favorable in that it takes less energy
to use them to make energy than glucose
does. So, it takes more energy to use
glucose as energy than it does ketones.
But, [snorts] they're also a signaling
molecule. So, it's a way for the body,
you know, to signal to other parts of
the body like, "Hey,
this is a stressful time. There's no
food. I'm, you know, burning I'm I'm in
in ketosis.
Um let's let's make you stronger,
right?" Cuz that's kind of what
evolution wants. Like, if you're not
able to find or eat food, you have to be
stronger to be able to do it, right? And
so, that's that's kind of at the I say
core of of this metabolic switch and why
it's important. And I think that I
really like Mark Mattson being the
pioneer in this. And as a neuroscientist
really looking at the benefits in the
brain as well, you know, these ketones
like beta-hydroxybutyrate are
activating, you know, growth factors
like brain-derived neurotrophic factor
in the brain. As you know, it's very
important for, you know, learning,
memory, you know, re- synap- synapse
formation and stuff. This hugely
important for syn- um
neuroplasticity. So, it's activating
beneficial compounds like that. And
again, um it it it it's not going to
happen if you're never going into this
metabolic switch. And there's other ways
to get there, right? So, you can limit
your your food, go into this ketosis,
right? Where you're basically depleting
your liver glycogen.
Or, you can exercise a lot, right? So,
your energy expenditure goes up. So,
there's there's different ways to get to
this metabolic switch. It doesn't
necessarily have to be intermittent
fasting. God. And then, I'm telling you
this because you
I want to tell you why I'm I'm sort of
back back on the intermittent fasting.
And by the way, it's not for everyone.
Like I said, I mean, I think that you
can find other ways to get this
metabolic switch. And um for me,
intermittent fasting works. And so, what
I do typically is I will do most of the
time my fast my workouts will be fasted.
Not all the time. It it does depend on
how I feel.
>> What time do you typically wake up?
>> So, I wake up like s- between 6:00 and
7:00.
And if I didn't have a family, like, you
know, getting my son ready and I would
probably work out right away. But I
don't end up working out until like
8:30.
So I'm, you know, and I still pretty
early. What time do you go to sleep if
you don't mind me asking? I'm I'm asleep
like I'm asleep by 10. I'm usually in
bed at 9. Takes an an hour of just like,
you know, hanging out and yeah. So so um
or 9:30 sometimes, but yeah, usually
10:00 is when I'm sleeping. That's my my
bedtime. And uh so I do stop eating. I
try to stop eating by 7:00 p.m.
But typically my first meal on it
depends on the day, but it'll usually be
like around 11, maybe sometimes 12. If
I'm doing a podcast, it'll be later.
And um I do like to be fasted in the
morning because the cognitive benefits
is is really what I'm interested in with
that metabolic switch and it does come
down to ketones and I know that um Mark
Mattson's talked a lot about this. I had
him on my podcast a couple year a few
years ago actually. I learned so much.
But the ketones like beta
hydroxybutyrate are increasing GABA.
They're like balancing the glutamate,
the you know, excitatory
neurotransmitter with the inhibitory
one, GABA.
And I think that increasing GABA is what
helps me and what I love the most
because it does help, I think, quiet
down some of the other
I don't know, chitter-chatter in my
brain and help me focus because it's
like somehow the GABA is calming in a
way. I don't I don't know exactly. You
could probably describe it better than I
can. All I know is that I really like
it. And so in the mornings, I like to
be, you know, I like to be fasted. I
like to be cognitively aware. It's when
I get most of my productive work done.
And I feel smarter. So I'm doing it. And
that's why I typically like to shift my
breakfast to later. Now, I do I would
say some days I do only eat two meals
where I am on on honestly, I'm skipping
the quote-unquote breakfast. But uh Uh,
some days I do have
three meals and, you know, oftentimes
they're like different size meals,
right? And usually my if I do have three
meals, the the the third one will be the
in-between the first meal and the second
meal will be like a very like a half of
or 3/4 of a turkey burger or something.
So, it's it's mostly protein and it's
not heavy.
But, so I would say I'm, you know,
usually 11:00 to 7:00 probably is when
I'm eating my meals most most days. Some
days it's, you know, I I fast for a
shorter period of time. Some days I wake
up in the morning because I I did too
early of of like I, you know, I'd
stopped eating like like 4 or 5 hours
before bed and I'm like, I need to eat.
And I guess what? I eat and then I work
out and it's like that's, you know, you
kind of just listen to the to what your
body's doing. Actually, Mark Mattson
just published a study very very
recently showing that
he did a I think he was doing a 5:2
intermittent fasting protocol where it's
like 2 days you're getting pretty severe
caloric restriction. Like you're eating
one meal, but it's like 500 calories,
you know,
for that for the day. And it's twice 2
days 2 days out of the week. The other 5
days you're eating normal and compared
that to calorie like eating eating like
a healthy diet and they were somewhat
calorie restricted but not quite as much
as the people that were doing the
fasting and they had the fasting group
had massive cognitive benefits like 20%
improvement in a battery of tests that
were done.
>> He attributes that to the ketones and
the effect of ketones on GABA.
>> attributes it to the ketones and like
can you get that to some degree with
caloric restriction? Probably,
especially the more severe caloric
restriction you do. You can, if we're
talking about weight loss,
caloric restriction's key, right? You
have to have that. If we're talking
about the cardiovascular reset, like
caloric restriction, if you're eating
meals right before bed, you're not going
to get that. Like that those studies
have been done. I think, you know,
Courtney Peterson was some of the one of
the first ones to really show that
effect on blood pressure, you know, like
really significant. In fact, if you if
you do early time restricted eating and
stop eating, you know, I don't know how
early in the day it was, maybe 6:00
Maybe it was 8:00 p.m. but you know,
there was like a blood pressure drop
that was like 10, you know, 10 I think
was um
uh
points or something millimeters of
mercury.
>> Significant.
>> Is it
>> Yeah. Yep.
>> Yeah.
>> Yep.
>> So, I mean that's very significant. I
saw it's on magnitude of what you'd see
with like some of the first line, you
know,
drugs that are used to treat
hypertension. I would never say for
someone to do that, but I'm just saying
it's significant. And that's not
something that you typically see if
you're eating you know, fewer calories
but you're eating constantly throughout
the day. So, I do think there are
special benefits that can be had, but
again, it's also a tool that people use.
I use it as a tool as well. I don't like
to count calories. Like I don't, you
know, some people do and that's fine.
Then, you know, that's that's the way
you can you can do it. But, I like it
for the metabolic switch as well.
>> Definitely.
>> Um if I were an endurance athlete
running, you know, 10 14 miles a day, I
wouldn't have to do [clears throat]
this. That would be my metabolic switch.
And it's not that I'm not metabolically
flexible. I mean, I do I think you can
just training itself, you know, does to
some degree help with metabolic
flexibility, right? The ability to
switch between
burning glucose and carbohydrates and
and then burning burn using fat fat and
fatty acids as your energy source. It's
that
I really I want that I want that real
switch to be on and I want it to be on
for a little bit of of time and then I
want to turn it off by eating. You know,
I'm not
starving myself and I think you can go
too far with exercise and with your
fasting. The problems with fasting and
the people that are like, oh fasting's
terrible for you. I mean, it comes down
to one,
they were all about it's like the weight
loss is not just due to intermittent
fasting itself, it's due to calorie
restriction. Guess what? They were
right. They were right. Number two,
they're afraid of losing muscle. And I
think we have enough data now that it's
like if you're training, if you're doing
resistance training, you're not going to
be losing muscle. Now, maybe you won't
gain as much as if you were
eating more protein. But, um you could
you could just eat more protein um
within the window that you're eating and
be fine, right? So, I think that's the
other thing that people are worried
about is muscle loss, including myself.
And I train so much now, and it just
works well for me, and I feel good, and
I it's like this clean feeling. You feel
cognitively sharp. And it works. And I
think that the metabolic switch is
something to not be scared of as long as
you're not, again, going to the extreme,
right? And if you don't want to train
while you're fasted, don't train while
you're fasted. You don't have to, you
know? I I think there's a little bit of
an added benefit that works for me in
terms of burning fat, which is what I,
you know, particularly visceral fat. And
to me that that's that's what works
well. But, um you can obviously, like if
you're training hard and a lot and
really fasting, maybe that's too much.
It's too much of a stress. So, you have
to kind of figure it out for yourself.
>> Yeah, I think the uh
the known increase in adrenaline from
being slightly fasted is awesome for
cognitive function. Um I think it allows
people to
ingest fewer stimulants in the form of
caffeine. You can, you know, you don't
need as much caffeine when you're doing
some fasting. I What you describe is um
similar to what I do, although I notice
these days I'm waking up hungrier and
hungrier, and I attribute that actually
to my last bite of food
you know, coming a little bit earlier in
the day and further from sleep. And also
that thermogenic effect of eating raises
core body temperature, and and you know,
to fall asleep, you want your body
temperature dropping. So, it all starts
to What You know what I think is kind of
uh is very exciting to me is that for a
few years there, it seemed like there
were just so many things, so many
protocols, so many studies. But, I when
I think about cortisol high in the
morning, low in the evening, bracketing
the day, that what works best for sleep,
but what you're describing, certainly
today you really, in addition to many
other things, really clarified the
relationship between gut and
inflammation and and brain and other
tissues.
Things start to fall into bins that
it's, you know,
like all of biology so beautifully
organized that it doesn't mean long list
of things for people to do. I love the
idea that while it sounds like you're
just saying, "Oh, if I wake up and I'm
hungry, I eat. And if I'm not and I
think I can train faster, I like to
train faster." That might seem like a
like an obvious thing to some, but I
think it's so critical because the
mechanism that you're chasing in both
cases is the same. You're trying to get
great sleep, great great workouts, but
you're not trying to optimize the
workout to the point where, you know,
you disrupt your sleep or you insist on
doing something like eating or fasting,
whatever it is. So, the find out what
works for you thing is is is so crucial
because it's about feel that fits into a
logic.
And I have to say
that's initially what drew me to your
work is there's a logic You're not just
saying, "Okay, this study said this, so
I'm going to do this." It fits into a
broader logic that comes from your
training. So, I just That's a just a
point of gratitude and I hope it will
frame in people's minds that yes, do
what you feel, do what works for you,
but try and frame it in a certain logic.
And that will cuz that's actually what
gives you flexibility over time. Like,
"Oh, you're traveling, you have to eat a
little later. Okay, the next morning
maybe train fasted." Or vice versa.
>> about the habit. Exactly, it's about the
habit. And there are days when I just
like I can't train fasted or there are
days when I wake up and I have to eat.
Exactly, where you you, you know. And
there are days when I nights when I have
when I'm eating later because of social
obligations and I don't freak out about
it because it's about the habit.
>> I like the idea of one metabolic switch
per day. You know, you said you could
get it from exercise and I thought, you
know, I can really imagine that in 5
years a concept of of health that
hopefully everyone understands out there
is that find a way to generate the
metabolic switch once per day. Maybe you
fast and exercise. Maybe you just
exercise. Maybe you just fast cuz you
can't exercise because people's
schedules are constrained, but the
notion of the metabolic switch is being
Here's where it fits in exactly. The
logic is you want the metabolic switch.
>> You do. And it's not just, you know,
there's other components this metabolic
switch that we haven't even discussed,
which is like when you're in that fasted
state, when you're in the ketosis, like
that's also repair mode for your body,
right? So, there's the fed state, the
grow, anabolic, and of course that we're
all obsessed with anabolic now because
it's associated with muscle growth,
right? But there's also the repair and
recovery state, right? And so, you don't
always want the growth on, right? You
want to repair damage, and repairing
damage can be damage to DNA. A lot of
these genes are activated, you know,
when when you're in a nutrient deprived
deprived state, right? When you're in
that metabolic switch. And autophagy,
and that's another one that people some
It's a buzz It's a buzzword now, but it
is something that is activated. It's
First of all, we have basal amount of
autophagy going on at any point, right?
Like that's happening. Like
>> Yeah, you don't have to fast.
>> to fast. Exactly.
>> deficit, which will also exacerbate it.
Yeah.
>> do have fasted activated autophagy, and
certain tissues are more sensitive, like
the liver and the brain, actually. And
so, you know, we don't have a lot of
human data on that in terms of like
fasting Exercise also activates it. We
don't have a a lot of great quality
human data, and that's for a lot of
reasons. One is
the tissues that are most responsive to
fasting-induced autophagy are not blood
cells. In fact, like blood cells are
pretty restricted in their response to
fasted-induced autophagy, but that's the
easiest cell to act, you know, to access
if you're going to measure autophagy in
humans, right? Muscle biopsies have been
done. That's The muscle's also response
responsive to to fasting-induced
autophagy. It's responsive to
exercise-induced autophagy. By the way,
the exercise again, it's increasing
energy expenditure, so at the end of the
day, you're you're getting into that
sort of ketosis, right? state.
The metabolic switch.
So, um there are studies showing that
there's a signal there,
uh but, you know, for some people it's
not enough. Well, it's not enough, we
don't really know, and you can't go off
the animal data, and, you know, I think
to some degree
it's going to be hard to go get a liver.
I mean, maybe we'll have some tools soon
that we can easily access a, you know,
liver biopsy, and that'd be great for
many reasons, right? Not just looking at
autophagy. But, I think that it to some
degree you kind of just have to know
that, okay,
autophagy's happening right now in our
in our cells. Like, so we know that it's
activated by
like fasting, by exercise, by these
types of stress, and so why wouldn't it
be increased somewhat? And And when I
say autophagy, I'm talking about
clearing out gunk that's built up in
your cell, you know, throughout the day.
We're talking about pieces of DNA,
fragments of DNA, we're talking about
protein aggregates that didn't get
They're either properly, like, not
properly folding, or they're not being
degraded, right? All sorts of stuff,
right? And it's important. This is a
cleanup process. It's important. And so,
again, that's another part of the
metabolic switch that I think is it's
important to think about because we are
really obsessed with anabolic, anabolic,
is it anabolic? It's great. You do want
to You definitely want to grow muscle,
right? You do You do want to grow new
brain cells and stuff, too, but But, you
also want to repair, and you want to
have recovery, and and that's that's
another,
you know, it's like the yin and the
yang, right? You kind of want both. So,
I think that's important to think about
as well. Um and fasting, intermittent
fasting, I do I like the daily metabolic
switch. It may not be for everyone, you
know? I mean, like I said, it's not I do
think that you can find other ways to
get there, exercise being the big one.
Some people do caloric restriction. Some
people don't need to. Caloric
restriction is something that helps if
you're trying to lose weight, right? Um
it helps if you're trying to lose
visceral fat. It's one of the main ways
you can do it. Intermittent fasting,
caloric restriction, exercise, aerobic
exercise that helps lose visceral fat.
But, I mean, obviously, we don't want
always want to be in caloric deficit,
but we always don't want to be
constantly eating either.
And that's why it comes down to, I
think, the simple rule for people, like
if they're going to do some sort of
metabolic switch, some sort of
intermittent fast, it would be like,
"Okay, let's try to at least stop eating
3 hours before bed." Because then you're
at least going to be extending that fast
somewhat by 3 hours, right?
So, I think that's And then plus you're
getting that the cardiovascular benefits
that are really they seem to be
important. And then not eating at night,
so there's all these studies that have
come out of Israel.
I think it's Is it Jakubowicz,
Jakubowicz and Freud? They're two
researchers.
Um I mean, Satchin Panda, I remember
years ago showed me one of the studies
that was like published in Science
showing that if you have the same exact
meal, same calorie intake, same
composition, macronutrient composition,
in the morning, the afternoon, and the
evening, the insulin response is like is
different. Like you're the most insulin
sensitive early in the morning. As you
start to go towards the evening, and
particularly 3 hours before your natural
bedtime, you your mel- your melatonin
levels naturally rise, right? And as you
know, you know, melatonin is important
for the onset of sleep and and preparing
the body for sleep, but it's also
preparing the other organs for rest and
recovery, including the pancreas, which
is making insulin. And so, you're not
making as much insulin when it's closer
to your natural bedtime because of the
melatonin levels that are rising. And
so, you don't want to be eating a
particularly a carbohydrate-rich meal,
but a meal, you're not going to be as as
insulin sensitive.
>> In the last 3 hours before sleep.
>> Yeah, when you're starting to get into
that melatonin rising phase of, you
know, of your cycle.
>> Yeah, it's interesting. I I think when
people hear, "Okay, you're most insulin
sensitive in the morning, that would be
the time to eat your biggest meal." Then
people say, "Wait, but then I'm trying
to fast before and I'm trying to
exercise and like how do I do this?" I
think that's where for them the
confusion comes in and it to me it's
very simple. Uh just because your
insulin sensitivity is highest first
thing in the morning, doesn't mean you
have to eat right away. I mean, it just
means
avoid eating too close to bedtime,
right? Sometime during the day. And
also, if you exercise fasted or after a
small snack, it's kind of interesting
what Stacy Sims said, not everyone
should exercise fasted. She said
especially a lot of women don't like to
do that. She didn't say eat a meal. She
said like have a scoop of whey protein
with some I think she said with like
some almond milk in it. And it and you
couldn't believe the response on the
internet. It was like vindication,
right? And I get it. It was like it
vindicated people's experience like,
"Oh, thank you. Thank you." And
it told me something really important
about the kind of sociology of what we
do, which is when something validates
people's experience,
they
they love it.
But it doesn't mean that the things that
work for other people don't work.
And I think that that's the the part
that gets lost. And so, if a study shows
that insulin sensitivity is highest in
the morning,
but you can only exercise first thing in
the morning, what do you do? You know,
so
um you do the best you can. All right.
All right. I think that's where it comes
down to. In fact, I meant to ask you
earlier and it is a good time to um
to talk about this. Uh you've described
that if you are slightly sleep deprived,
so not for 4 hours per night or an
all-nighter, but if you've only slept 5
or let's say you're getting an hour or
two less than your normal ration of
sleep, there's some pretty significant
inflammation that's that occurs. That's
not good. But I've heard you cover that
exercising can actually offset some of
that inflammation. This answers a
a an important and common question,
which is if I have to pick between sleep
and exercise, what do I do? Um and it
sounds like if it's one night poor
sleep, exercise. But you but you don't
want to make it a habit. That's Do I
have that right?
>> I mean, so this this data, a lot of it
actually comes from you can cause even
acute insulin resistance after like a
night of of sleep deprivation, certainly
after two to three nights of sleep
deprivation. And you know, again, a lot
of that's coming down to some of the
things we've already talked about.
And but exercise can help basically
negate a lot of that. And I learned that
first hand through experience when I was
wearing a continuous glucose monitor. I
when I was a new parent, of course
you're not getting enough sleep. And so
that's I learned it before I actually
dove into the science about it. I I
learned about it through my own data.
Where I was, you know, I wasn't
exercising as much and particularly in
the first month you really like you're
kind of in a cave as a new mom. You
don't really you're not really
exercising much at all.
>> Evolution wants the baby to survive.
>> You're recovering too. I mean,
childbirth is a very it's a very
traumatic process on your body. And so I
noticed that my my glucose response was
like it was like pre-diabetic and I was
like what is going on?
And um
and that's when I started looking into
the literature and happened to be around
the same time when I was then starting
up my at the time I was doing spin
classes and then it was very clear to
me. It was like I do these high
intensity interval training classes
even just twice a week and it was like
almost completely negating what I had
seen previously of my my glucose being
my fasting glucose being really high and
also my postprandial glucose being
higher than than usual. And so I looked
into the studies and there's now you can
you can find many studies out there and
it really I mean obviously exercise is
one of the best thing you can do to
improve insulin sensitivity and to also
bring glucose into your cells, right?
And so that's part of what you were
talking about with oh you're more
insulin sensitive during morning least
during the evening and I also mentioned
that. But guess what? There's levers you
can pull that like change the equation.
And exercise is a big one, right? If
you're if you're exercising you're
becoming more insulin sensitive. You're
increasing more glucose transporters on
your muscle. That's causing glucose to
go in easier, right? There's so there's
lots of
ways around some of these rules that we
hear about. But with the with the sleep
loss it really is it's it's interesting
because people like when they don't get
sleep, the last thing they want to do is
work out. And obviously like you don't
want to do like the hardest thing,
especially if you're really like sleep
deprived a lot. But it really does help
negate the inflammation and the insulin
insensitivity that can happen after even
just a single night of sleep and there's
studies out there showing that. And then
there's also these longitudinal studies
that have been done looking at
you know, people. So obviously poor
sleep is a problem you know, in the
United States. I mean a lot of people
are are sleeping fewer than 7 hours a
night. And um but there's studies out
there that have looked at people that
sleep either shorter, so fewer than 7
hours a night or they're sleeping more
than 10, right? So you don't want to be
on either end of the spectrum and
usually like sleeping long, there's like
other disease states associated with it,
right? But um so people that are
sleeping, you know, not getting enough
sleep, they have a higher all cause
mortality than people that are getting
at least 7 to 9 hours of sleep. And the
same for like more than 10. They have a
higher all cause mortality than people
getting between 7 and and 9. But if
people exercise, if they're meeting the
physical activity guidelines right now,
which is 75 minutes of vigorous
intensity exercise and 150 minutes a
week of moderate intensity exercise.
>> Right. Well, cuz the guidelines are
helpful, but they're just guidelines
because I mean, doing the sort of
workout that you're doing, working up to
doubles and triples and singles on
compound lifts and then doing
uh cardio, like getting your heart rate
elevated and then doing addition of that
and then you're hiking. I mean, that
it's just uh
I think the guidelines are a good
jumping off place for people to think
about.
>> Well, we can talk about that because
there's a new study that
kind of throws
>> Yeah, you only
>> that on the head. But but the point is
is that if they were if people were
exercising within the guideline range,
that they basically if they weren't
getting enough sleep, if they were
getting fewer than 7 hours of sleep per
night, that they they basically had the
same mortality rate as people that were
getting enough sleep. So it's offsetting
some of that unhealthy stuff, the
insulin resistance, you know, the
inflammation that we know, you know, can
lead to diseases and early mortality.
>> So, find the time to exercise, folks.
But, of course,
periods of time like after a new child
or new job or particularly stressful
time,
I don't know any human being, I don't
care how driven,
um okay, there's probably
Goggins and Cam Hanes being probably
exceptions and a few others, you know,
I don't know if you can ride out in a
few others, but people who everybody
else seems to have periods of time where
they need to just back off a bit.
>> Mhm.
>> I know I certainly do. And I feel like
I'm doing pretty well for myself
despite, you know, and and I think that
it it's important that people
not hold themselves to a standard that
is going to make them sick or injured or
miserable beyond Yeah, you also want to
continue to enjoy
health-promoting activities, right?
>> Right. I mean, you got to say like
what's your goal? Like, your goal is to
be healthy, to be happy. If you're
taking it to this extreme where you're
trying to just go to the extreme like go
hard, go home, and it's
you're sacrificing your happiness, too.
I mean, then that's a problem, right?
Cuz that's part of the equation.
Happiness is part of that healthy
equation.
>> Health is a daily and lifelong thing,
but sometimes it means taking a day off.
I think that's what people don't say, um
and I think it's in a time when perhaps
a lot of people aren't exercising
enough. So, promoting the no days off
thing can be helpful, but for those that
are already
you know, you know, forward center of
mass, you know, coming off the
accelerator can be really useful.
>> I also want to just mention because, you
know, we we talked about my, you know, I
I work out a lot and I'm sort of
addicted to it, but like not everyone
has the time and motivation to to go
spend an hour block of time working out.
And this is where I think that people
can sigh a sigh of relief because
there's now so much emerging data that
have been coming out you know, over the
last decade on these short burst of
physical activity that add up. They add
up and people aren't really thinking
about them and you know, counting
towards adding up to to their
physical activity, you know,
requirements for the for the week. And
so there's these there's a lot of
studies now there's on something called
um vigorous intermittent lifestyle
physical activity Vilpa studies. Have
you heard of those?
>> Are these the exercise snacks?
>> They're unstructured. They're
unstructured and not everyone likes the
word exercise snacks. I mean, I I kind
of like it, but the unstructured
exercise they're they're the they're the
they're the moments in your life where
you're taking advantage of everyday
situations to get your heart rate up to
move. And so that could be I'm playing
with my new puppy and I'm sprinting
around with my new puppy. I'm, you know,
chasing my grandkid around and playing
tag or my child. I'm sprinting up the
stairs to get to my office. I'm running
to catch the bus. I'm moving, right? And
so um researchers and there have been
several studies on this now. Researchers
use accelerometers rather than just
relying on these questionnaires which
are, as you know, you know, extremely
unreliable. I mean, it's very hard for
people to remember how much exercise you
I'm sitting here asking me about my
exercise. I mean, there's only so much,
you know, that you can be accurate with
when you're trying to recall that. So
these accelerometers are are worn on
people's wrists and they're and they're
measuring like fast movement, the
movement, right?
And so
thousands and thousands like hundreds of
thousands of participants. There's lots
of data now showing that people that are
doing these like short burst at least a
minute long, but up to 3 minutes, right?
Where they're getting their they're
moving. I'm saying they're getting their
heart rate up. They're actually not
measuring the heart rate in these days.
They're moving faster with intent,
right? They're they're jogging or
they're um you know, they're not of
course there's the cases where they're
actually exercising, but but the short
burst of it um they're doing the things
that I just mentioned and it's having
outsized effects on on health outcomes.
So, for example, individuals that do on
the high end, so they're doing, you
know, 3 minutes of this short burst of
an unstructured type of exercise snack
and they do it three times a day. So,
it's a total of 9 minutes a day. Okay,
this type of activity, and it's
considered more vigorous because you're
the intent to move, right? That's more
vigorous even though they're not
measuring heart rate. That's associated
with a 40% reduction in all-cause
mortality, 40% reduction in
cancer-related mortality, a 50%
reduction in cardiovascular-related
mortality.
>> Wow.
>> 9 minutes a day. And this is even in
people that don't identify as
exercisers, so they're not the kind of
people like you and I that go and
intentionally [clears throat]
set out time to go to the gym. They're
people that just they're just take their
they're doing those things, right?
They're playing with their grandkids or
their kids or their puppies or whatever.
And so, um, these moments they add up.
And I'm I'm citing one study, but, you
know, there was a dose-dependent effect
even doing 3 minutes a day, you know,
there's a study in women showing, you
know, 3 and 1/2 minutes a day. I mean,
they were having pretty profound
benefits on all-cause mortality and
cancer-related mortality as well.
And multiple studies now have shown
this. I mean, this is like one study
after another after another. I mean, it
is is undeniable that these short
moments of, you know, getting physically
active active do add up and
structured exercise snacks can be part
of that. Like, maybe
you don't have a puppy, maybe you don't
have a kid yet, maybe you work from home
and you're not taking the stairs. You
know, maybe your situation's different
than what I described, but you can take
these moments to do exercise snacks and
that can be a minute long and it can be
like there was there's studies showing
that
two two studies, and I'll talk about
one, showing that getting up and doing
10 bodyweight squats
every 45 minutes over a 7 and 1/2 hour
work day
is better at regulating blood glucose
levels than a 30-minute walk, right? So,
you get up and you do 10 bodyweight
squats. Pretty easy. I mean, it's also
very good to break up that sedentary
time. So, being sedentary means like
you're not moving. That also is an
independent risk factor, even if you do
exercise for things like cancer being a
big one. Although, I would say if you're
doing a lot of exercise, you're doing
pretty good, but I just like to mention
that as well. I would say being
sedentary is a disease, actually. That's
That's something I mean, people aren't
thinking about it, but
>> Even in the absence of what Layne Norton
calls energy toxicity, like even if
somebody is
at maintenance or below maintenance
calories, if they're sedentary, that's
that's problematic.
>> We do have data for one measuring cardio
cardiorespiratory fitness, which is a
marker of
cardiovascular health. Being physically
fit, right? Obviously, the gold standard
of that would be measuring VO2 max, your
maximal oxygen uptake during maximal
exercise. A lot of studies do not
actually directly measure VO2 max.
They'll do, you know, maybe sub a
submaximal treadmill test, or they'll
estimate it, right? There's a
calculation out there you can do kind of
what your If you wear like an Apple
Watch or some sort of fitness tracker,
what they do is which is, you know, it's
looking at the distance that you run and
the amount of time it takes, right? So,
like a 12-minute
run would be an example. People do that.
You You run as fast as you can and
maintain that pace for 12 minutes.
You're not going all out, obviously.
>> You see how far you can go.
>> Yeah. Yeah. And then And there's a
calculation out there that's done to
kind of estimate your VO2 max. And so,
some studies are a lot of studies are
actually doing sort of an estimation of
cardiorespiratory fitness. So,
cardiorespiratory fitness
is really important, I think, for,
you know, marking your health and
longevity. And, [snorts] you know, if
you have a low cardiorespiratory
fitness, most of the times you are not
physically active, right? And there's
studies showing that if you don't have
any, you know, diagnosable diseases, so
you're not insulin resistant, you don't
have cardiovascular disease, you don't
have cancer, all that stuff, right?
You're not
um obese, but you have a low
cardiorespiratory fitness, it is
as bad or worse in terms of your
all-cause mortality, your you know,
predicting mortality, than
having cardiovascular disease or smoking
or having hypertension or these things
that we know that are really bad for
health, right? So, being sedentary,
as I'm saying, it's a low
cardiorespiratory fitness, I guess it's
not exactly correct. It's a little bit
of I'm I'm stretching it a little bit,
but cardiorespiratory fitness is a
marker of, I would say, fitness. And so,
[snorts] um that's why I think being
sedentary is a is a disease. And people
with a low cardiorespiratory fitness, I
mean, if you go anywhere above that,
you know, from low to like low normal,
that's associated with a 2-year increase
in life expectancy. If you go from low
to um high normal, you know, that's like
almost a 3-year increase in life
expectancy. And if you go up to high,
then you're talking about a 5-year
increase in life expectancy compared to
where you were at below. But again, I'm
I'm not talking about your VO2 max, I'm
talking about cardiorespiratory fitness.
And it's it's really important. Here's
another reason why I think that it's
it's really bad. So, these these studies
were done
By the way, cardiorespiratory fitness is
improved by aerobic exercise
in general. That's great. And then, you
know, if you if you add in
high-intensity interval training in
there, mix that also really helps
because there are some people that don't
respond necessarily to
just doing cardiovascular
Yeah, about 40% of people don't respond.
So, mixing in the high-intensity is
good. If you're physically active and
doing that, that's great. If you're
doing these short bursts of physical
activity, also good because it's a
little bit of a high-intensity,
you know, exercise, right? A min- a
minute running around chasing your your
grandchild or your puppy or your child.
You know, that's that's that's a hit
session.
>> is amazing. I was traveling with
>> Sprinting up the stairs.
>> Uh sprinting up the stairs or if you're
carrying a lot of luggage in the
airport, like going up the stairs or
down the stairs. It's wild when you go
to the airport, uh I I like to notice
this. Um
nobody takes the stairs.
>> Yeah.
>> Down or up. Like the escalators are
there and I'm always like, "Oh, this is
a great opportunity to get some extra
steps and some extra work." But I
realize that's me. Um but it's just it's
striking.
Um and if you're in DC ever, you know,
they've used the long stairwells that go
um up from the from the public transport
and that's a workout, you know?
>> Carrying your luggage.
>> And I'm always like, "Oh, free workout."
Like you know, like get it in my day. I
mean, it sucks to arrive a little bit
more sweaty than you would otherwise,
but I just think if this were an
experiment and we were looking at mice
and we were videotaping from above, I
would think to myself like which mouse
am I going to be? All the mice are going
up the automatic elevator. It makes
sense. And then
why they would want to do that. But
these opportunities for exercise are
clearly there. I I feel like this is
also I I would be remiss if I didn't do
a quick shout out to Steve Magnus. Do
you follow ever see his content?
>> interacted with him, yeah.
>> Yeah. I've never met him, but um people
should
>> I've interacted with him on X.
>> Yeah. Uh people should um I think give
him a follow. He's a very accomplished
runner uh in his past, a running coach,
I believe, as well, and um and a
scientist. And I think has the best take
on sort of measuring VO2 max. It's kind
of interesting, you know, he has a
theory which I think is strongly backed
that most measures of VO2 max are not
measures of VO2 max at all, but one of
the best measures of cardiorespiratory
fitness is how fast can you run a mile?
>> Mhm.
>> And he says people are generally
surprised how easy the easy stuff should
feel and how hard the hard stuff should
feel. So I want just want to credit
Steve for saying that. So I try and keep
that in mind around my cardio and do
some high I do
uh less of what you do, I I confess. Um
some high-intensity interval training,
Tabata type stuff, and then some a lot
of walks, a lot of hikes.
>> Yeah.
>> And I haven't formally measured my VO2
max in a while, but I think he just
nails it with that. Because I think
people think the 30-minute jog on the
treadmill where you get sweaty and
you're like, "Ah." Like that's
accomplishing what you want, but
actually there's a much easier path to
better health, which is what you do and
more or less what Steve is describing as
well.
Yeah.
>> Does that square with your your
experience?
>> Yeah, I think so. I mean, I do I do mix
in quite a bit of probably more more
high-intensity interval training, but um
you know, I don't feel like if I felt
like it was like if I didn't feel good,
I would I would toggle down the the
paddle, all right? I wouldn't keep keep
going on it. So, I think you have to
again just listen to your body. You
know, you don't want to overdo things.
And I am I mean, there are people out
there that are really like endurance
athletes that are you know, like that's
not me. I'm a committed exerciser. I'm
not an I'm not necessarily an athlete.
Um but but yeah, so that would that's
there's different I think levels here,
and Steve is obviously athlete.
>> Anyway, I've I've learned from him
around this topic. It's been It's been
helpful.
I'd like to take a quick break and
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I want to ask you about creatine.
>> Yeah.
>> [laughter]
>> I'm 50. I started taking weight training
and running when I was like 16, maybe.
>> Yeah.
>> And I started taking creatine cuz back
then I was skinny, I wanted to put on
muscle. I think creatine was sort of
first discussed or released back then
when I was maybe 18 or something like
that. Something like that. 18, 19. Um so
I've been taking it a long, long time.
>> Yeah.
>> 5 to 10 g, but the original protocol,
which you nobody does anymore, but I
confess I still do it cuz I enjoy it,
was to take 5 g three to five times per
day. There was this loading phase.
And you would mix it with a little bit
of grape juice cuz the idea was you were
supposed to spike your insulin and then
you get more into the muscles. And then
you had a a maintenance dose, which was
5 g per day.
Um and the idea back then was that you
need to do a washout every 20 weeks or
so, where you just stop taking it, you
urinate out a bunch of water, and then
you re- reload. And I confess, I've
continued to do this minus the grape
juice, but occasionally I'll do the
grape juice thing.
I don't think there's any real merit to
the loading phase,
maintenance phase idea,
but back then and still now, I feel like
creatine has made me feel great.
Um stronger. Um I did I wasn't aware of
the cognitive benefits.
>> They weren't being studied back then.
But, what are your thoughts on why
creatine suddenly has become this like
banner supplement? Like, supplement of
the year. We should start a supplement
of the year thing, right? For a while, I
think vitamin D and melatonin came
first. Um, we'll have to figure out what
years those were. Then,
uh, I feel like creatine got supplement
of the year for 2026 is unless something
else comes along. So, creatine,
supplement of the year 2026, even though
it's been around for a long, long time.
What do you think happened?
>> Well, so first I want to talk about your
loading phase. And I like that was
really for the studies that were being
done, right? Because if you're taking 5
g a day of creatine, it takes about 3 to
4 weeks for your crea- for your muscle
creatine stores to become saturated. And
researchers aren't going to do a study
where they wait that long. So, the
loading phase really was just
>> what inspired it.
>> Yeah, it was it's in this isolated
bubble of in the experimental protocol,
but like in the real world, you have 3
weeks. Or if you're like an athlete and
you hadn't, you know, taken the
creatine, you don't have your creatine
stores up and you have to quickly,
rapidly
>> Got it. I was just amazed at how quickly
it worked. I I might be a hyper
responder, but I legitimately put on I
realized some of it was water or most of
it was water, but somewhere between
probably 4 and 8 lb of
of water in the muscle mass. I don't
want to call it lean mass because it's,
you know, it's water in the muscle.
Um,
but I I just was I was like, "Oh my
goodness, this is crazy." You know? And,
um, and then people thought maybe it was
a steroid. It's not a steroid. Maybe
it's bad for your kidneys. Turns out
safe for your kidneys in most everyone.
Um,
pretty remarkable molecule.
>> Yeah, I mean, obviously creatine is
stored as creatine phosphate in our in
our cells. We make to some degree, you
know, between 1 to 3 g of creatine a
day. Our liver, our brain also makes it.
It's used to make energy. And so,
your muscles, if you're working out,
you're really consuming a lot of energy,
right? It's very energetically
demanding. So, having the creatine
stores higher in your muscle is
beneficial because one, you're going to
be able to increase your training
volume, right? So, it's not like
creatine is anabolic in the sense that
protein or amino acids are, right? It's
not like directly affecting muscle
protein synthesis. It's just helping you
train more, getting more reps in, you
know, whatever it is, training your
training volume's going up. And because
your training volume's going up, then
you're obviously putting more stress on
your muscles, which is going to lead to
increased muscle protein synthesis and,
you know, obviously there's water
probably as well. That said, you know,
you asked me, you know, what happened.
So, I got interested in creatine back in
20 when I started basically weight
training. I've obviously had heard about
it forever, never tried it. And um
as I started to get into resistance
training, I was like, I better start
taking this. This is I'm I'm in this in
this world now and started doing some
research on taking it. So, I was taking
the 5 g a day cuz that's really what
most of the studies show creatine
monohydrate. That's the most
well-researched form of creatine. And I
was taking 5 g a day
because I was interested in improving my
my training volume and and getting the
the the benefits of it, right?
Um and then
I had Darren Candow on the podcast. Uh
that was in 2024, I think it was.
And um
once I'd started getting into the
creatine
research, I the brain stuff started has
been coming out over the past, you know,
few years.
And that's for me become very
interesting. I remember the first time I
heard about it years ago, I was like,
oh, it's it's helping improve cognitive
function in older older, you know,
people.
>> Yeah, the phosphocreatine system seems
to be somewhat
um
biased towards forebrain structures. You
know, I mean, obviously it's in lots of
brain areas, but that there might be a
reliance on it for
brain areas that are associated with
strategic planning and you know, working
memory and yeah. If you if you were to
sort of just map the the the sort of
density of usage of the phosphocreatine
system, you'd you'd see a frontal bias
for sure.
>> Okay.
>> Yeah.
>> Um well, anyways, that's kind of where
my interest in in you know, kind of
diving deeper. Anything that's helping
the brain is interesting to me as I know
it is to you as well. And um and so I
learned a lot from this podcast I did
with Darren Candow. He you know,
researches creatine and collaborates
with a lot of different researchers that
are doing
you know, research on the brain and
muscle and you know, lots of the bone.
Turns out it's beneficial for the bone
as well. But the brain, it's interesting
that we also make creatine in the brain,
but um it's not like
so it's kind of like the muscle, right?
You're not just going to if you take
creatine and you don't work out, you're
not going to you're not going to get any
increase in lean mass, right? It's not
going to do much of anything because
you're not putting in the work.
I think the same goes with the brain as
well, where it's like you researchers
started to find out that well, you can't
just take creatine and it's going to
enhance cognitive function. It's in the
background of stressing the brain,
right? You're stressing your muscles by
workout. Same goes for the brain. It's
like in these situations of stress,
whether that's sleep deprivation,
whether it's, you know, a traumatic
brain injury. I mean, I would argue, you
know, there's a lot of
psychological stress, depression,
constantly using your brain like you and
I right now in this conversation. We're
we're learning, we're thinking. I mean,
it is stressful on the brain, right? So,
I mean, I'm obviously speculating here
and taking taking I'm extrapolating,
right? I'm I'm not saying that there's
studies showing that, but it does seem
as though that that's when creatine
seems to shine in the brain. And
you might go, well, your brain makes it
and it's true. Your brain does make, you
know, again, it's like think between 1
to 3 g or something. I'm not exactly
sure how much, but it makes its own
creatine and it's kind of resistant to
taking up the creatine that you're
supplementing with. Um particularly
because for one, the muscle is very
greedy. So, when you're getting to that
5 g range, muscles are really consuming
it if you're working out in in
particular, right? Your muscles are kind
of consuming that because that's they're
very greedy for it, right?
Uh and and there have now been I think a
handful of studies showing that when you
start to get above that, there's a study
out of Germany showing this. And it's a
small study. This needs to be
replicated. Like this is all new,
you know, emerging data. But, that study
showed that once you start to get to,
you know, 10 g, then if you look by MRI,
you can start to see that creatine
levels are increasing in certain brain
regions and perhaps in the brain regions
that you were talking about. And they're
going higher than than what you would
get from just your brain normally making
its own creatine.
So, the 10 g of creatine a day, which is
now what my baseline is, is based off of
that. But, there's studies now showing
that um if you are in this sort of
stressed state, your brain is stressed
like for sleep sleep deprivation, for
example,
you're sleep deprived for 21 hours and
your brain's not working very good after
not sleeping for 21 hours, right? I
mean, that's obviously when I have a
when I travel internationally, I never
really sleep good on a an international
flight. And so, I'm like not If you were
to come find me after that flight, I'd
be like not working very good, right?
Cognitively.
>> else.
>> Right.
>> Yeah.
>> Well, some people can sleep great on a
plane, but I'm not one of those people.
So, um there have now been at least one
study showing that if you give someone
it's like something like .35
g per kilogram body weight of creatine,
which comes out to a lot. I mean, it's
like 20 25 depends on your body weight,
right? Like you 20 25 g, perhaps even
more. I mean,
>> I mean, I'm 100 kg. That's a lot of
creatine.
>> So, for me, it's more like 20 25 grams,
right? But if you give individuals that
high dose in that, you know, sleep
deprived state, that they're cognitively
not only performing
normal, but they're performing better
than their baseline.
And that, of course, generated a lot of
interest. There've been studies coming
out since then showing that, okay, if
you give older adults with mild
cognitive impairment, perhaps mild, you
know, early stage Alzheimer's disease,
again, 20 grams, you're giving them in
the 20 g range of creatine, it's
improving their cognitive function.
Why is that? Well, creatine is important
to make energy. And when your brain
cells are stressed out, right? I mean,
like energy energetic demand goes up,
and if you have more creatine, it's
going to make things easier. There's
also some inflammation that's being
generated in that stressed state, and it
seems as though creatine is also having
both an indirect and direct effect on
inflammatory processes as well.
This is all early early data. Like like
more needs to be done,
but I think there's enough safety data
out there now where it's like, well,
it's really
not harmful to take 10 g a day. I take
10 g a day every day.
>> You spread it out?
>> I do it in two doses. I mean, some
people are very sensitive to a 10 g dose
where they might like get a GI
irritation effect.
>> It can give some people um diarrhea.
>> Diarrhea, exactly. Yeah. So, the very
scientific way of putting it.
But I mean, that So, I I do spread it
out, and I take it I don't take it at
night. I like to take mine in the
morning.
And I don't know, Andrew, this might be
a placebo. I feel like
I'm constantly in a stressed I'm
constantly in a my brain is under a lot
of stress. I'm constantly learning, I'm
reading papers. And like I said, I'm I'm
extrapolating here. This isn't sleep
deprivation, that's obviously a much
more extreme type of stress.
But
I have noticed that taking my 10 g,
going from 5 to 10, really does seem to
affect
my brain functioning like later in the
day, where I seem to keep keep going
better where I just I'm not getting as
tired. And I could be placebo which is
fine. Like I said, I am fine with
placebo effects as long as what I'm
ingesting is not actually bad for you.
Placebo's fine with me.
But it is working for me. When I travel
I do when I'm going to the East Coast. I
mean, I'm on the West Coast so when I go
anywhere and I have to give a talk early
in the morning and I never sleep good in
a hotel. I I'm always sleep deprived. I
mean, I don't know that a time that I
haven't been traveling
and I'm going to start traveling with my
pill like you do cuz that's brilliant
cuz that's like one of my that's one of
my problems. But there's many problems
in hotel rooms that lead to me not
sleeping as good, right? So I take 20
sometimes 25 g of creatine in those
situations and they're it's like, you
know, it's not all the time.
But
it seems to help me again and like I
said, I'm okay with placebo which is
fine. But we do have some evidence that
it might.
And I think this is kind of where people
are already interested in creatine and
so when you start to go, well, maybe
it's going to be beneficial for the
brain. If it's going to improve
cognitive function, that's really
something that people are interested in.
Now again, I don't know that it's like
if you're just some young healthy person
that gets all their you're getting your
sleeping well, you're exercising,
everything's great. You know, and I
mostly sleep well and exercise great.
I'm extrapolating here but like, you
know, Alzheimer's disease on the extreme
end, TBI also on the extreme end. That's
real time aging, right? And there's some
evidence it may be helpful for that as
well. There's been some studies with
children looking at creatine
supplementation after
a a TBI and it seems to help with their
their recovery.
Um
I am probably experiencing brain aging.
So I'm just kind [clears throat] of
>> I'm going to interrupt there. I don't
think so. I'm not trying to just be
complimentary. You know, I
paid close attention to the data and it
seems like in certain fields like math
and physics people tend to
peak with their contributions early.
There's a reason why the Fields Medal is
only given to people, you know, like I
think it's 40 or younger. My dad's a
physicist, so he can check me on this
one, but biologists, at least the ones I
know that took good care of themselves,
they're known to make great discoveries,
be cognitively sharp, intellectually
strong well into their 70s and 80s. I
mean, Torsten Wiesel, who
co-recipient of the Nobel Prize for
brain plasticity and vision, he's still
alive and he he was I think he still
runs. He's in his late 90s.
And he paints and he's and he's sharp.
So, I just I I I made a point to only
interrupt here. People are going to
check the the data on the previous
portions of the podcast, but and just
say, I actually think that cognitively
I'm using biologists as an example. It's
possible in
aspects of life where you're
where you're building a base of data to
pull from, which is what biology really
is, it's just an example here, that to
get cognitively stronger and stronger
with age.
>> Right.
>> I It is a theory, but I see you as that.
And I'm again, I'm not just saying it to
be complimentary, although it is a
compliment. I It seems like you're
you're picking up steam, you're thinking
about things, you're not forgetting
things from way back when, you're
building on the the concepts and
knowledge from way back when. So, I I
find it reassuring that you
biologists in particular seem to have
this, you know, up and to the right
trajectory for cognition.
>> It's interesting. My my late mentor, Dr.
Bruce Ames, was every bit of that. I
mean, you know, he passed away a little
over a year ago. He's 96, but you know,
some of his most He claims some of his
best work was done, you know, in his
late 80s.
>> Right.
>> you don't see that in math or physics.
>> Yeah. So, that's interesting. And and
you know, I don't know exactly the
difference. I mean, I don't know how
much
learning goes into math and physics as
you're as you're Like I I I just don't
know, but like with biology, and I mean,
we're constantly learning new things and
and reading new papers and then I think
even just the novelty of learning new
things, I mean, that's brain-derived
neurotrophic factor, right? Like that's
like you're you're you're increasing
synaptic connections and neuroplasticity
and you're keeping your brain younger in
that way, too, right? So,
uh I I think the learning process is is
super important, whether it's biology or
whatever you're passionate about, right?
Like you learn new languages, whatever.
Like the learning process itself is
something that is so important for for
brain aging as well.
Um and yeah, so I I I would agree with
you that but brain aging in general,
yeah, I'm obviously chronologically
aging and there is some degree of aging
going on in my brain. But, you know, so
that's that's I think where the creatine
craze has come from is the interest in
and I and I've definitely played a role
in some of this, you know, by
>> Yeah.
>> by
>> Yeah.
>> you know, talking talking about my
experience and and and being super
interested in it because it's like it's
felt good for me and I've noticed this
experience and this is completely
anecdota again.
But, in addition with the small studies
and they are small. Like, I don't know
if you've looked at them, but they're
they're you can you can
>> Subject numbers are not
>> Yeah, they're small and you can poke
holes in them and you would be
completely, you know, okay poking holes
because it's they're small, you know,
sample sizes. But, it is kind of a
consistent trend line where we're seeing
more studies come out and show the same
thing, same thing. It's like, okay, you
know, to a certain point, um
maybe there's something here. I think
that more research is going to come out
on it. And I feel great doing it. So, I
mean, and even to the point where
if I don't have my 10 g and it's only
five, like I'll notice.
>> Oh, yeah.
>> Yeah, but again, it could be that
you know, placebo nocebo thing where who
knows? Who knows? But, you know, let's
just say it is real, you know, for me.
I got to have I got to have my my 10 g
of creatine for my brain. Um you know,
who knows? I may in 5 years be like, I
was wrong. We'll see new data come out,
but I don't think so. I think I think
we're going to have I think this is like
the next a lot of people doing creatine
research.
It's it's the new thing. They're really
cuz there's been a lot of work on
exercise physiology and
>> Yeah, but the safety data are there, so
it's not like you have to get a lot of
>> The safety data is there. The safety
data is I mean it's the most
well-studied, you know, one of the most
well-studied supplements out there, like
you said. I mean you were taking it
when you were 18 and they were studied
back then. Yeah, and it's just been
studied the, you know, for all the years
that that you've been taking it. So, I
mean if it was unsafe, like we really
would know. And again, I don't want to
get into all the data on
the safety, but I think that it's pretty
pretty solid that it's Now, of course,
like if you're going to go like mainline
50 g a day, I mean I don't know, that's
a little much, but
>> Someone on the internet will do that.
They will dry What do they dry scoop? I
mean people have died dry scooping
energy drinks. I mean there's always a
[ __ ] or two out there that are going to
take things to the extreme and harm
themselves doing something that no one
else is dumb enough to do, but I think
we look at the center of mass
for things. You know what, as we're
talking about creatine,
I want to talk about some other
supplements. Um,
but it occurs to me that
if there's some
data,
ideally from animal studies and humans,
and
something is safe, I think the question
nowadays, because of how broadly health
and supplement and other kinds of
information goes in the world, I think
the question that everyone should ask
themselves is
okay, do I want to be in the
experimental or the control group?
That's how I think about it. So, like if
there's a study about creatine
or or some new molecule, I'm going to
ask you about magnesium in a moment,
right? I look at the safety margins on
magnesium, okay. But I'm comfortable
with those safety margins, so that
should always be question number one.
And then it's do I want to be in the
experimental or the control group? And I
think that these days people are who are
against supplements or against
something, they'll say, "Well, the
effect isn't nearly as big as you get
from exercise." Totally, absolutely. But
that's not really what we're talking
about. People love this in the cannabis
and alcohol thing whenever I make a
point about alcohol or cannabis, they'll
say, "Well, alcohol is worse." Like,
yeah, I like and you know, I mean, these
are two separate entities. So, I think
that people should just ask themselves,
are you comfortable with the safety
margins?
And do you want to be in the
experimental or the control group? And
then, of course, there's the do can I
afford to be in the experimental group
if I do something. But, that those are
the really the only questions. There's
no one saying that that creatine's
better than anything else or worse than
anything else.
>> Right.
>> But, somehow the messaging gets all
messed up. And then, all these news
articles get generated about what
creatine is and it isn't. And
I find it like um
kind of frustrating because that's that
the issue is not whether or not creatine
is better than exercise and good sleep.
Question is, do you want to be in the
experimental or or the control group and
can you afford to be in the experimental
group?
>> Right. I I like that. I like that
framework especially if it's like, well,
we know it's safe. Okay, so I can
potentially be in the experimental group
cuz that's question number one. You have
to have that answer first, right? At
least in my book. But, yeah, I mean,
there's flaws with all sorts of studies
and creatine studies included, right?
And people make all sorts of claims
about it and you know, you got to tone
it down a little bit. I mean, it's not
like
like the best performance enhancer ever.
>> Right.
>> But, it it seems pretty pretty good at,
you know, improving exercise volume
recovery as well. I mean, that's like
also something that's been shown and
then helping with the stressed-out
brain.
>> On the basis of our last conversation
some years ago on this podcast, I um
started taking Lovaza,
which is a as you know, a a prescription
omega-3, so very high concentration
omega-3 cuz I was getting it from, you
know, standard sources and I thought,
well, I'm hitting 50 and you know, up my
omega-3 and I want clean omega-3. I
don't I don't want it contaminated with
mercury and other things. So,
I'll take
um
omega-3s in the form of Lovaza. It's
available in generic form now, so it's
pretty inexpensive. And I have to say my
my blood profiles were pretty good, but
they improved pretty dramatically when I
started taking Lovaza. So, I'm grateful
to you for
encouraging the omega-3
uh
you know, take the omega-3 path.
>> Have you ever had an omega-3 index test
done?
>> No.
>> To measure the
>> Oh, oh, if it's on the function test,
then then it would be in
it's in normal range. I know it wasn't
flagged, but I don't recall what the
what the level was.
>> Yeah. You want to be in the high index,
not the low, right? Well, obviously if
you're taking it, you're not going to be
in the low.
>> Yeah.
>> Usually it's around 2 g a day to get you
from low to high.
And I and I do think that's one of the
low-hanging fruits in terms of like
something powerful in having an outsize
effect on your health that people can do
that's not that much effort. It's not
like exercise and exercise effort and
>> or eating salmon. I don't like fish.
>> Yeah, and and you know, a lot of people
don't like fish. And also, there's now
microplastic contamination in in our in
our, you know, seafood sources. There's
the heavy metals, PCBs, contaminants. I
mean, I still eat salmon, but like you
know, it's it's
not like it used to be. So, there there
are other there are other cleaner ways
to get your omega-3 levels higher. And
omega-3 is very important for cardiovas-
It's one of the most important
I would I would say the most powerful
naturally occurring dietary compounds
for suppressing inflammation and
resolving inflammation would be a better
way of putting it, right? I mean, and
that's again at the core of aging. And
if you look at any sort of measure of
aging, whether it's even these
epigenetic aging clocks, they're very
sensitive to inflammation. And that's
why there's so many studies coming out
now showing omega-3 can slow this, you
know, biological aging as measured by
these epigenetic aging clocks. And
that's I think even in randomized
controlled trials showing this that it's
it's doing that. And that leads to
functional
outcomes as well. So, like even
if you're only slowing the clock, let's
say, by 3 months,
um you're still having outcomes like
where, for example, three three months
slowing the epigenetic aging clock by
omega-3 only
is going to get you like, you know, 16%
lower pre-frailty. Or if you add in
vitamin D and resistance training, cuz
the study showed it a synergy between
the three, then you're talking about
like lowering the chance of invasive
cancer by 66%. Even
>> No, you're only getting
>> 66. Yeah. Even though you're only
getting
>> D, resistance training, and
>> and omega-3.
>> Yeah. And this was this was um
the the the trial was actually out of
Switzerland, I believe. And it looked at
omega-3,
vitamin D alone, or resistance training
alone. And the only thing that actually
slowed the vi- the uh aging of the
clocks was by was omega-3. Now, I'll say
that with a caveat, okay? The baseline
exercise
in this Switzerland group,
88% of these people are physically
active, like doing exercise. So, adding,
you know, 30 minutes three times a a
week of resistance training on top of
that didn't slow the clock more. And I
wouldn't expect it to, to be honest,
when you're already physically active
and that's your baseline. Um clearly
[snorts] they weren't eating enough
omega-3, because that did slow the
epigenetic aging clock. Other studies
have shown if you're vitamin D
deficient, severely vitamin D deficient,
like African-Americans, for example, who
are obese or overweight, if they add in
vitamin D and supplement with 4,000 IUs
a day for six um six weeks, they can
actually slow their
reverse their epigenetic aging as well.
So, I think it again, it's all like
where you're starting from. But the
point is that the omega-3 alone did slow
the aging of these clocks. Um and you
add in the resistance training and
vitamin D, those alone didn't do it, but
when you add it with the omega-3, there
was synergy, so it kept going down.
And when the three combined, it slowed
the epigenetic aging by like 3.8 months.
but that translated to like 66%
less likely to get invasive cancer.
And then the pre-frailty was the omega-3
alone and there was another marker I
can't remember. I covered this in the
newsletter a while back, but like you
know, this and this is like this isn't
the first study to show this with
omega-3. Omega-3s are really I'm
I'm went on this tangent. I'm sorry
Andrew, you got me on one of my favorite
topics.
>> excited cuz I take Lovaza, I take
vitamin D,
D3.
I take a lot. I take 5 to 8,000 I use
per day and I get sunlight. People
actually ask me this is just a a quick
window into the messaging around
sunlight. Some people will say if I take
vitamin D, do I still need sunlight? And
you know, a big part of my messaging is
trying to tell people sunlight does a
bunch of other things, but I take
vitamin D at that level, I take the
Lovaza and of course I resistance train
and the Lovaza move and actually
increasing the vitamin D was on the
basis of yes blood work, but also our
prior conversation. I feel much better.
>> Yeah.
>> Much better with the
>> about 5,000 I use a day as well and I do
get sunlight and I know I agree with you
sunlight's important for sunlight's not
and vitamin D production is not the only
thing that sunlight is doing. Obviously,
you've talked in great, you know, depth
depth about that.
>> to go into the grave. I actually want a
little window over my grave. It'll be a
little morbid so I can get morning
sunlight. I'm just kidding, folks. And
when I'm in the ground, I'm in the
ground.
Um no, I think the omega-3 literature
has been greatly assisted by your
messaging around it because it got
pretty confusing out there for a while.
There was the the usual pushback that
comes after supplement to the year is
released. It's a joke, folks. Is the oh
no, it's actually bad for us. You know,
there's always a few of those and then
we eventually arrive at sanity again and
you go, no, the bulk of studies point in
the direction of this being healthy.
>> control trials showing it improves
cardiovascular health, lowers the
incidence of, you know, cardiovascular
events including heart attacks and
strokes, right? These are the gold
standard. We've got the observational
data. We have now looking at the
molecular events. We like you know,
epigenetic aging. We know that it's
really good at resolving inflammation
cuz you want your immune system to be
active, but you don't want it to be
overactive. You want it to be active and
then
turn off, right? And so the omega-3
fatty acids like DHA and EPA which are
in Lovaza or Lavaza are what the meta
[clears throat] they're when they're
metabolized they're forming these
molecules, resolvins, protectins. These
things are resolving inflammation. And
so I think that
um it's just it's one of the easiest
ways that you can you can increase your
anti-inflammatory response and exercise
obviously being another very powerful
one. But the omega-3s it's always easier
to take a supplement. So like I have my
parents taking it. You know, anyone that
I care about it's like you know, easy
easy done. You know, take your 2 g a
day. I say 2 g a day because you know,
Lovaza is prescribed at 4 g a day. You
know, so 2 g is pretty on the
conservative side and that's really
what's been shown by um Dr. Bill Harris
and some of his colleagues that can
basically you can take someone from a
low omega-3 index of 4% up to a high
omega-3 index of 8% by supplementing
with about 2 g a day. So um and by the
way
there's all sorts of data on that front
with the omega-3 index and I think we
talked about this last last time, but
you know, 5-year increased life
expectancy if you're on the high end. Um
you're talking about 90% reduction in
sudden cardiac death.
>> Brain weight in children if pregnant
women are taking. Yeah.
>> Yeah, I mean it's important throughout
the lifespan. It's you know, from in
utero development throughout childhood
all the way through adult life and into
old age. You know, these omega-3 fatty
acids are
I'm talking about the resolving
inflammation, but they're also very
important for
they're incorporated into our cell
membranes DHA and to some degree EPA.
And that has a very important role in
the fluidity of our our cell membranes.
And this is important for if you think
about our endothelial cells lining our
our vascular system, our arteries
you want them to be fluid and more
flexible, right? That's very important
for being able to respond to a stressful
situation. In fact, the stiffening of
our heart with age, you know, the the
the collagen that surrounds our
pericardium or that's surrounding our
heart pericardium and our myocardium,
like that's that's increases the risk of
a heart attack, you know, a
cardiovascular event. Um you want your
cells to be more flexible. So, that's
what, you know, these omega-3s are also
doing and that's why they're also really
important for cardiovascular health in
addition. And in the brain as well. I
mean, these all of our transporters, all
of our our receptors, right? They're
embedded in the cell membrane and the
the fluidity of that membrane is
important for the structure and function
of these things. And that's why omega-3
affects dopamine, serotonin, right? It's
why it's affecting It's not the only
reason. Inflammation is also, but part
of the reason is is is because it's it's
changing the way our cell is like, you
know, structurally composed. And if you
think about trans fats, like that's they
do the opposite, right? They stiffen the
cell membranes and that's why it's like
the worst thing you could do for your
cardio One of the worst things you could
do for your cardiovascular health is eat
a bunch of trans fats. Smoking is
another one. Smoking's terrible for your
cardiovascular health.
>> Do people still eat trans fats?
>> No.
>> I feel like trans fats got executed in
When when was it that trans fats got
executed?
>> became I think it was 2018. I mean,
something when they're all like
>> Yeah, they were sentenced to death.
Yeah.
>> No, it's the the point is that we all
know trans fats are bad for for our
heart, but we don't think about why. And
they they they stiffen I mean, the
research is doing it know. I mean, it's
stiffen it's stiffening your cell, your
endothelial cells.
>> Well, donuts, right? As in like if you
go get a donut, isn't a donut have a
bunch
Fried foods, fried foods.
>> some amount of trans fat that's like
below that's threshold of being
>> only bad food I miss.
>> Yeah.
>> The late night donut, right?
>> I had so much margarine
as a kid. My mom used to buy it by the
tub. I I remember it as like this She
used go to Costco and get like this big
yellow tub of margarine
and everything was cooked in it and I
mean it was like on our toast and
>> This was a battle in my home. Actually,
I'm going to I'm going to re- I'm going
to resurrect some some family battles of
the butter the butter margarine battle
was a battle.
>> Yeah.
>> Butter won.
>> Yeah, it doesn't taste the same.
But, you know, that was that was the
craze. It was the loaf like the fat was
bad and butter was bad and margarine was
good and it turns out nope.
Trans fats are really bad. Um but the
point I was trying to make was to help
contrast for people to understand.
Sometimes when I talk self fluidity
people are like What?
>> good that people I mean, I think it's
very important that people understand
some of the cellular molecular
underpinnings of protocols because
I strongly believe that understanding
mechanism even just a little bit or
striving to understand it embeds the
information for people makes it more
likely that they'll do the behaviors
and gives them a logic to work from when
they have to make choices because life
isn't perfect.
>> Right.
>> That's I know that to be certain.
>> I I completely agree with you. I it's
certainly for me, but I that that is
also my hope. I think that if people
kind of understand somewhat of the why
it's it's motivating to try to adopt the
the healthy habit. But also, I think it
helps them remember like why it's
important, right?
>> it's how the brain learns. It's a it's
the
the secret is context. The way to
remember something is context. People
always say it's story. No, it's context
and anyway, you and I know that to be
true from our our background. If I may,
I'd like to ask about magnesium. I'm
very bullish on magnesium in particular
magnesium 3 and 8 before sleep. For
sleep, I take AG1 cuz I helped them
build it. It just has a bunch of things
like magnesium 3 and 8 and saffron and
tart cherry. The things that
have either been shown or are you know,
gradually there's amassing of uh
research data to
uh other people um studies out there to
support that it can facilitate either
transition to sleep or sleep or but
magnesium threonate and magnesium
bisglycinate to me are interchangeable
uh with respect to sleep. But magnesium
threonate I'm aware there are some
studies that there may be some cognitive
benefits. So magnesium obviously could
be split into a number of things but
maybe we just start there with threonate
bisglycinate. I have a feeling that
you're aware of some additional
differences between them and I'd like to
know what you prefer for sleep or for
cognitive benefits and then maybe we get
into the other magnesiums.
>> Yeah, I think so if we if we're
comparing mis- magnesium bisglycinate or
magnesium glycinate depending on how
many molecules of glycine are attached
to the magnesium compared to magnesium
L-threonate
the the main difference here and this is
based on very limited amount of data a
lot of it animal data with respect to
the magnesium threonate is that that
form of magnesium is supposed to get
into and cross the blood brain barrier
more readily and get into the brain
better and then in the brain it's you
know helping facilitate
neurotransmission etc. right helping
improve cognitive function.
>> [clears throat]
>> And so
whereas magnesium glycinate or
bisglycinate you're having the magnesium
attached to the glycine
um glycine also is great to take for
sleep so I like to take magnesium
bisglycinate or glycinate for sleep
and um
so that I would say if you're if you're
interested in more the cognition aspect
>> Well the studies I think you're
referring to the the Guosong Liu's data
um you know show some in mice some
cognitive enhancement or at least some
offsetting of cognitive decline. Those
are different but related obviously. In
anticipation of today's discussion I was
able to find one study
seems okay it's not not a huge sample
size showing a um um positive reports on
sleep quality after magnesium
L-threonine. So, the studies are
starting to show up.
>> to show up.
>> But, there aren't a lot of studies on
magnesium for specific outcomes in
humans. And I think it's because it hits
like what? 3,000 plus pathways. You
know, yeah.
>> Yeah, it's a cofactor for many enzymes.
>> So, if you're taking bisglycinate before
sleep, are you taking it a half hour or
60 minutes before sleep?
>> I'm usually taking it, I would say like
couple hours before before bed. You
know, sometimes I add a little bit more
magnesium in the in the mix. Depends on
the day and if I exercise more
because you do sweat out magnesium. And
so, if you're pretty athletic, your
requirements can go up by even as much
as 20%.
>> [snorts]
>> Uh but yeah, the magnesium L-threonine,
it's interesting. I very recently got
interested in experimenting with it. You
know, there's a little bit of human
evidence as well that it improves
cognition. Not Not strong, but again,
it's that you know, we just don't have a
lot of people researching it. And we
have the animal data. The animal data is
a little stronger.
Don't have a lot of human data, but it
seems to signal it might be important.
It might help with cognition, right? And
so, I kind of got interested in in
experimenting with the magnesium
L-threonine, which I haven't use it's
it's a new thing for me. I've been doing
magnesium glycinate for a while.
>> I think the study actually looked at the
Magtein version. I have no financial
relationship to Magtein. You know, we
want to be very clear. I just mentioned
that cuz that's a common one out there.
And as far as I know, I'll double check,
but they weren't paid by Magtein, but
>> I think Magtein did fund the study.
>> Oh, they did?
>> So, yeah.
>> Okay. All right. We'll We'll put a link
to it.
>> Doesn't discredit it unless unless
there's some, you know, bad things going
on, which I like to think not. I mean,
you know,
>> It's supposed to be done independently.
I mean, when they pay for a group to do
I mean, by law, they're supposed to
blind the data and not bias the
outcomes. One hopes that's what they do.
>> Yeah. And I think to the most part,
you're for the most part, you're
probably okay. But, it is something to
consider if there is a potential COI,
right?
Um, but yeah, so I don't know so that
was the first part of your question was
the difference between
>> Yeah.
>> the the glycinate and the threonate. And
then then and then the the concern that
I might have which might be something
you're not thinking about is okay, well,
I need to fulfill my magnesium
requirements, right? And so our daily
magnesium requirements again based on
our gender and our physical activity
it's a range. It's a sliding scale. So,
you know, women 300 350 milligrams a day
men 350 400 milligrams a day really
depending on how physically active you
are.
And this is just
you know, your daily requirements to
have enough magnesium to run
you know, repairing DNA damage to run
you need magnesium to make energy to
utilize energy. You need it for
neurotransmission. Like it's there's so
many different, you know,
important functions in our body that
require magnesium to work to make
vitamin to convert vitamin D3 into the
active steroid hormone. And this this to
me is like to some degree
vindicating but also I'm super annoyed
by it because you know, we have all
these different
um, studies out there on vitamin D
supplementation and does it is it
important? And I mean there's so many
negative data out there. Well, it
doesn't do what we thought. It's not
doing anything.
Um, but half half the US population
doesn't get enough magnesium and so
those enzymes [clears throat] that are
important for converting the D3 that
you're taking into the active steroid
hormone are not working properly. Um, so
anyways, I'm I'm not going to go on that
tangent but I'm just saying magnesium is
doing a lot of things. So, um, if you
are taking the magnesium threonate and
let's say it is getting it's going into
the blood, you know, more
sorry, the brain more readily
then the concern would be well, that not
enough of it is around for, you know,
DNA repair in other organs and stuff and
so you might want to get another source
of magnesium. It's all theoretical,
[snorts] right? And like that's not I
would there's no data on that. So, just
mostly because no one's looking at it.
No one's
>> Yeah. There's not a lot of incentive.
It's funny when people will always say,
"Well, there's no incentive cuz the drug
companies can't make a lot of money on
it." And I sometimes that's true, but I
have to chuckle cuz as scientists, I
will tell you folks
and
like I wish I could just like paint this
across the sky, but then I get accused
of being like a chem trail person or
something.
Um
the reason there's no studies on
BPC-157, the reason there's no like RCTs
on a randomized control on different
forms of magnesium and large sample
sizes because we barely have enough
money to fund the current research.
Like I I I'm not trying to get make this
political. Like we just had a 1%
increase in the NIH budget, but like
there isn't an infinite amount of money
to run studies. And so, scientists are
if they already work on magnesium or or
becomes interesting to them because it
came up in a screen of pathways, people
aren't they're not a lot of scientists
sitting around going, "Oh, like maybe I
should study compare magnesium malate
bisglycinate 3 and 8 in sleep in 2,000
subjects, male, female, like pregnant
and perimenopausal." Like no. No,
there's no money to do it. Like So,
that's where I get back to
is it safe?
Do you want to be in the experimental or
the control group? Can you afford to be
in the experimental or the control
group?
>> Yeah.
>> I feel like that's the that's like all
we've got. And I'm only I'm chuckling
out out of it's a it's sort of like a
laughter of pain because I get where
people are coming from, but the drug
companies are not like avoiding studying
magnesium because there's no money to
make. It's because I don't know what
would that even look like. What
endpoint? What disease? What like Yeah.
Anyway, forgive me for editorializing,
but
>> You're not going to cure
you know, cardiovascular disease or
cancer by taking a magnesium supplement.
I mean, that these these nutraceuticals,
these vitamins and minerals, they're
they're about prevention, really. And
and and giving your body the right
nutrients that it needs to do and
function properly, you know, whether
that is, you know, getting enough sleep.
You know, when you're when you're
stressed, when your cortisol goes up,
you know, chronically, you're depleting
magnesium. You know, it's it's it's it's
very like magnesium is being used to
deal with that stress, right? So,
there there's a reason that we need
things like magnesium and, you know,
vitamin D. It's just it gets converted
into steroid hormone changing 5% of our,
you know, our our genome. So,
it yeah, it's different. It's not like a
pharmaceutical where you're you don't
need this, you know, to function
optimally, but it might It's it's the
whole like, okay, I'm sick
and now I need this, you know, or I'm or
I'm overweight, right? We got the
GLP-1s, right? I'm fat I'm obese
um and I need to, you know, help fix
that. And so, that's kind of a different
paradigm.
>> Specific endpoint type stuff.
>> Yeah, exactly.
>> Yeah, I think that's super important for
people to hear that. Oh, by the way, I I
should just say um for your for your
sake um and for the listeners, I divide
supplements into basically four
categories like
um food replacement like whey protein or
a protein bar or you know, obvious sort
of general support, specific effects,
and then experimental maybe.
>> Yeah, yeah. [laughter]
>> Um and so, I think what we're talking
about here with magnesium is kind of
combination of maybe helps with sleep,
um some specific effects that you're
aware of like required and you're trying
to top off, you're trying to make sure
that you're covering a deficiency.
>> Yes.
>> Okay.
>> Yes, you're trying to make sure you're
getting enough of the magnesium,
exactly.
>> Are there any other things that you take
that are just trying to make sure that
you're not
deficient anywhere um or for specific
reasons. We've talked about a few along
the way here, glutamine, vitamin D, uh
omega-3s, creatine.
>> I take a multivitamin
and that is to cover my bases because,
you know, there's there's a lot of
things in a multivitamin. You have to
find a obviously a good quality one, but
um and
anyone that tells you that multivitamins
are useless, they're wrong. I'm going to
tell you that. They're wrong because I
think now we have
pretty strong data. Three very large
randomized control trials, part of the
COSMOS trials. Have you heard of these
studies?
>> Mhm.
>> And it's really I think pretty clear
that in these studies older adults, so
we're talking 65 years and older that
are taking a multivitamin supplement for
you know, what was it a year? I think it
was.
Um it could be two, but I think it was a
year. And it was by the way Centrum
Silver. It was like your standard, you
know, anyone could afford it get in get
it at Walmart type of vitamin. Um and
after a year of taking this multivitamin
it globally reduced brain aging by about
2.1 years from like three trials.
Globally reduced brain aging by 2.1
years. Battery of tests that are done,
right? I mean it's you know,
I'm just talking about general here. And
it also reduced episodic brain aging by
4.9 years.
>> Wow.
>> So that would be, you know, as people
probably already familiar with that
listen to this podcast, you know,
episodic memory, that's the part of
memory that's involved in like like
remembering events and and people and
like experiences. Am I right? I mean
it's sort of like not not as much as
that.
>> Yeah, sequence of things.
>> Sequence of things, yeah. And so, you
know, that's a big effect for just a
daily multivitamin, you know? And so uh
for that reason, you know, I mean I've
been taking it before this these studies
came out, but that my parents, you know,
that
anyone that's older adult should be
taking a multivitamin. So that's another
one that I take.
Um and I take it to cover my bases as
well. I'm obviously not an older adult
and who knows, it might not have the
same effect on me, but um you know, it's
one of those that it's it's not harmful.
>> Mhm.
>> Um if I'm, you know, it's a little bit
of an expensive urine, fine, but I mean
there are it is covering some of my
bases in terms of some of the
micronutrients in it, right?
The other ones that I take in besides
the one that you mentioned, which is
vitamin D, omega-3, I do creatine,
magnesium. I do I do magnesium
glycinate. I should look into the bis
glycinate cuz I definitely would like
another molecule of glycine I like for
my sleep.
>> Mhm.
>> But I also sometimes take another form
of magnesium, which is it's like a
mixture of magnesium malate and uh
taurate, I think, are the and and
glycinate is is also in that, but
sometimes I take that for sleep.
And then I take ubiquinol
um for mitochondrial health.
>> You like You like the data on that,
obviously, if you're taking it.
>> there's stronger data, I think, on
ubiquinone, which is the oxidized form.
It's more stable.
>> Mhm.
>> There's just When I say stronger, I mean
more data.
>> Do you take coenzyme Q10?
>> So co- co-Q10 is Yeah, co-Q10 is
ubiquinol.
>> Okay.
>> Yeah. And so and so I'm taking the
reduced form of it, which is ubiquinol.
The The more stable form would be
ubiquinone.
>> Are those trademark names? Cuz I take
coenzyme Q10.
>> Yeah, you're taking
>> if I took a closer look at the bottle,
I'd see that you ubiquinone.
>> It's ubiquinol, yeah.
>> Ubiquinol.
>> The ubiquinol [clears throat] is a
little bit more bioavailable, but yeah.
So I I'm I'm pretty convinced that that
helps with mitochondrial function.
Um
you know, it's not like you could always
have more data, right? So we'll just
leave it at that. The other one I take
is Now I'm taking urolithin A
>> Mhm.
>> in the form of I'm taking MitoPure, by
the way. I have nothing to do with these
companies.
But there's now I've just been over the
years increasingly interested. And so
urolithin A is something that is formed
from a type of polyphenol that's found
in some
fruits, uh like pomegranate being the
main one, I think.
And raspberries may also have some. I
think walnuts also, but it's
ellagitannin is the polyphenol, and
these ellagitannins get metabolized by
the gut microbiome, and the metabolites
that are formed, one of them is called
urolithin A.
And so urolithin A is a compound that
seems to stimulate the process of
mitophagy, which is a very specific form
of autophagy that's that's only for
mitochondria. And you know, that's been
shown in there have been randomized
control trials showing this in humans.
It does stimulate mitophagy um
blood cells as well as muscle biopsy,
but that's an important cleanup process
for for how our mitochondria repair
themselves. There's no repair enzymes,
right? Like they're you know, part of
that repair process is mitophagy where
they're getting rid of selectively can
get rid of parts of mitochondria that
are damaged. So, it's really a
rejuvenation and and some of this the
clinical data, I would say is emerging.
More needs to be done, but it seems to
in some cases improve endurance
performance, which makes sense cuz they
rely heavily on mitochondria. But even
also um help with the immune system and
and this whole inflammaging. So, it
helps keep immune cells It seems like
it's helping keeping immune cells
{quote} {unquote} younger.
So, again, emerging data, but it's I'm
in that I'm like I'm the experiment
group. It seems to be safe and I'm not
taking too high of a dose. So, that's
another one of that I'm supplementing
with.
The other one that I'm taking also is uh
a very a form of I would say I'm going
to call it sulforaphane, but it's not
sulforaphane. It's the precursor to
sulforaphane, glucoraphanin.
Cuz that's more stable. And so, I take
something called Avmacol
um which
the reason I take that one is because
there's
oh, it's 13 now. And new stages came
out. 13 studies using that that form. Um
and sulforaphane is also one of those
plant phytochemicals. It's formed It's
found in cruciferous vegetables. As you
know, we've talked about this before, so
I'll I'll try to leave make it brief.
But um so, glucoraphanin is in in these
cruciferous vegetables like broccoli.
Broccoli sprouts are really really great
source of it. And when the plant is
crushed, you know, like when you eat it
eat broccoli or chew it, whatever,
the an enzyme is activated that converts
glucoraphanin into sulforaphane. The
reason I take it is because I've been
now convinced by I would say the limited
number of human studies, clinical
studies, but also the totality of
evidence looking at cruciferous
vegetables in general, and then also
animal data that it's really important.
It's probably the the best
naturally occurring dietary activator of
a stress response pathway that is
important for detoxification. And that
that pathway is the NRF2 pathway. I'm
sure you've heard of that pathway.
Sulforaphane is a very, very powerful
activator of that pathway. And what I
mean by pathway is that gene is turning
on and turning off many, many other
genes. What we know about it is that
it's very important for activating the
the detoxification
genes that are involved in detoxifying
things that are that are harmful to us.
And so the classic studies that have
been done, some of them most of them in
China where air pollution is very high,
is that if you take, you know, this
broccoli sprout sulforaphane extract,
you can start to excrete compounds that
are found in air pollution like benzene
that are carcinogenic, right? And you
can start to excrete it after 24 hours
by like 60%
>> Great. What about plastics?
>> So that's that's my that's my thing.
That's why I'm taking it, my whole
family. Because the same enzymes that
are activated by um by the the
sulforaphane
that detoxify
benzene. So basically you're you're
detoxifying it. What I mean is you're
basically making it water soluble so you
can excrete it through urine.
>> Mhm.
>> Okay.
The same ones That's exactly what BP
those enzymes do to BPA. They make it
water soluble and help you excrete it
through urine. There's no human data
showing this yet. I want someone to do
the study. But we do have animal
evidence where you know, animals are
given a high dose of BPA and
sulforaphane and it protects against the
toxicity.
I basically think that if someone's
going to show it and it's going to be
clear because the the enzymes that are,
you know, involved are activated by this
you know, by sulforaphane and that's
been shown with benzene and acrolein
excretion, right? So, why wouldn't it be
BPA?
>> Yeah, the mechanistic logic is there.
>> exactly, exactly. So, that's another
reason why also it increases um it's
been shown in human studies to very
powerfully increase glutathione in both
the plasma and the brain and that's also
through the NRF2 pathway. It activates
the powerful antioxidant pathway. It
also deactivates phase one
biotransformation enzymes that are
involved in um turning a procarcinogen
into a carcinogen. So, those are things
like you're eating, you know, you're
you're grilling your meat at a high
temperature and you're getting
heterocyclic amines, right? I mean,
these these things can be harmful and
>> Uh we had
>> But our body can deal with it.
>> had a cancer doc on here recently and I
was scared to ask him the question cuz I
didn't want the answer but I did want
the answer but, you know, the the char
on meat. And he's like it's pretty
pretty serious carcinogen. That's real.
I mean, the occasional thing isn't going
to be a problem. You'll be relieved to
know and this is not a promotional that
they can that you're drinking out of
these are intentionally BPA, BPS, and
PFAS free. We got that we tested them.
I'd be happy to send you the results.
>> I already know. I already knew about
that.
>> I know that you and I are both I I am
wary of of the the BPAs and um and and
the rest. I think it's wild that 10
years ago people like Charles Poliquin
were saying don't handle receipts and
you know, and everyone was like this is
really kooky. Or actually back then no
one even heard what he was saying. It
was a such a niche thing. Then people
were very I think disparaging of people
saying be wary of receipts. Now, I think
the microplastics um
and the BPA, BPS, uh PFAS
concern is is really taking hold more
broadly and I think that, you know,
the the tables have turned.
>> Yeah, and really obviously you can't
eliminate them completely. It's
impossible. They're everywhere. They're
everywhere. I mean, we're we're
>> Clothing I heard is the main
>> It's the main source of microplastics in
the ocean, right? Because they're washed
We're washing our clothes and there's
They're every this cute shirt that I'm
wearing, I mean, it's it's got
microplastics in it for sure. Um and and
so every time you're washing your
clothes, your all the microplastics are
coming out and and getting into the
ocean. And also then when you put your
clothes in the dryer, and if your dryer
is ventilating anywhere in your house,
the microplastic You're breathing those
in, the microplastics.
>> these traps. When I did the episode on
microplastics, I found out that they're
online and you can I think it costs It's
not It's not cheap cheap, but it's like
considering they last a while, I think
they're somewhere with refill somewhere
in the neighborhood of I want to say
something like $70, but it traps
supposedly traps the microplastics.
>> In the wash In the washing machine.
>> washing machine. And in Europe, I think
this is actually built in or is required
in a in a number of countries. Like
they're they're way ahead of us.
They're way ahead of us on a number of
things. I mean, on a few things they're
really they're far behind, I must say,
uh with respect to health, but on on
many things they are way ahead of us.
>> Yeah, well, clearly with the Switzerland
People in Switzerland being 80% Like 88%
of them being physically active, they're
way ahead of us on that.
>> I'm excited to share with you that
Mateena, the yerba mate drink that I
helped create, is now available at
Sprouts Market nationwide. Longtime
listeners of the Huberman Lab Podcast
know that yerba mate is my preferred
caffeine source. It provides a smooth
energy lift without giving you the
jitters, and it has many other benefits
such as helping regulate blood sugar,
improving digestion, mild appetite
suppression, and more. Mateena is my
absolute favorite of all the yerba mate
brands out there, and believe me, I've
tried them all. The flavors are
fantastic. I drink at least three cans
of Mateena every single day. You'll
often see them on the table during our
podcast recordings. I absolutely love
the product, and I'm proud to now have
it sold at Sprouts Market. Also, there's
a great new offer. They are giving away
a free can of Mateena to anyone who buys
it at Sprouts and sends in a photo of
their receipt. To To more about how you
can get a free can of Matina, go to
drinkmatina.com/offer.
Again, that's drinkmatina.com/offer
to get a can of Matina for free at your
local Sprouts Market. What is your
threshold for you?
And what do you think is kind of
reasonable levels of what's actionable
for you? Like how do you set that? I
think it will help people kind of
understand how you're approaching stuff.
>> What's actionable in terms of improving
what I'm interested in improving my
health?
>> Like
>> Yeah, like I mean without picking any
specific example, like when you look at
the literature and you see, let's say
let's take BPC 157. It's kind of a fun
one because everyone's excited about
this now except the physicians um who
don't like working with peptides besides
GLPs or other FDA approved peptides.
They're like freaking out online.
>> Okay.
>> from them all the time. Compounding
pharmacies just got the green light that
they're going to be able to do basically
whatever except except sell retatrutide,
which is under patent. Um
so
there are many, many animal studies on
BPC 157 showing
accelerated cartilage growth, nerve
growth after injury, and on and on and
on and on. And angio- angiogenesis. So
there's some potential cancer risk
there, right? But basically zero human
data.
There's one study, weak study,
self-report. There's actually a clinical
trial where they I'm not making this up,
folks. It's BPC enemas. Very high dose
it for for a
for some sort of bowel disease or bowel
inflammation. And the study was like I
don't think the study was completed or
something like that. Don't ask me why.
No, I'm not making this up. Um but
that's pretty much the only human data
that I'm aware of.
Um
but tons of people injecting and
swallowing BPC
and saying, "Yeah, it helped me recover,
you know, heal more quickly." How do you
think about something like that?
Like that current condition.
>> First of all, if you're not doing it,
you're not going to be doing this every
day forever, right? Like this is a short
defined period of time where you're
going to do your injections. Okay,
really? Okay.
>> I know I know I you I mean I don't know
what people do. Unfortunately, I think
some people like to take it everyday,
but let's assume for
let's assume two months maximum to work
around an injury or through an injury.
>> Yeah, I like for the people that I know
that have experimented with it, it's
been like 3 months.
And a period of time and they did have
improvements and they could have been
through placebo which I will, you know,
say is possible, but for me it really
comes down to like is it safe?
Is it safe? Okay, if it's safe
you obviously have to get the good
source because if it's all these
pharmacies now, I mean that's a problem
because we do know that that's a big
area of I would say concern with any
sort of nutraceutical
you know, sort of thing and I would put
this into that category
is that, you know, people are putting
things in the products that are not
necessarily what's supposed to be in
there and they're not really paying
attention to quality because it's not
regulated, right? So,
so if you can get a good source of it
and you trust the source of it
and you have maybe someone who is
qualified to prescribe it to you cuz
there are, you know, naturopaths and
stuff like that, functional medicine
practitioners. There are people that are
prescribing them.
>> And some MDs, some board certified board
certified did their residency, did all
the thing. I know because I'm friends
with some of them and a lot of doctors
are happy to prescribe peptides off
sort of off label like sermorelin for
purposes other than what it was FDA
approved for. I mean I'm not taking it,
you know, as I mentioned earlier, but
>> But you've tried it.
>> It very quickly spiked my PSA and nuked
my REM sleep
and increased my deep sleep. So I was
like I don't want to I don't I'm not
interested in those effects and and I do
worry about tickling the growth hormone
pathway
too much or too long because of you
know, I don't you know, hopefully I
don't have any tumors sitting around,
but if I do, I don't want to vascularize
them or grow them.
>> Right.
Yeah, so for me, I mean, I'm always more
on the cautious side, to be honest. And
so, for me, the safety thing has to be
checked first. And then, at that point,
if I can check the safety thing, then
it's like you said. I mean, I can't I'll
I'll I'll try it. Like, I mean, I'm
doing like some of these supplements
that I like MitoPure for one, like the
urolithin A. I mean, there's not like
tons and tons of data on it, but it
seems to be safe. And, you know, I'm
experimenting with it.
I'm also experiencing [clears throat]
experimenting with a lot of other
things. So, I have It's hard to know
what's working.
>> Sure.
>> Nicotinamide riboside is another one I
take. Um back on to the what I what I
take cuz I was
>> for a longevity effect? I mean, I take
it a sublingual NMN. No No relationship
to any company that sells NMN. At least
the one I take is from They hate it when
I do this, but from Renew by Science.
It's the cheapest version. That's not
why I take it. I just like the powder,
put it under my tongue. I like the
energy effect. I will say this, and I've
done the control experiment on myself,
and I family members have done it, too.
It makes my hair grow crazy fast, and my
nails grow crazy fast. I know it's cuz
if I stop, that that halts. Those aren't
really effects I'm looking for, and it
worries me a little bit cuz what else is
it making grow crazy fast?
Again, I don't think I have a tumor, but
what else is it, you know, if I have
like a polyp or something, is it making
that grow crazy fast? I don't know.
>> I I asked that question to uh Dr.
Charles Brenner when I had him on
podcast because I There was a study on
NMN in mice that they had The mice had
tumors, and then they you know, gave
them I think they injected them with NMN
or maybe it was oral gavage. I don't
remember which which way it was, but it
accelerated the growth of those rare
type of pancreatic cancer cells. And so,
I was, you know, obviously, energy, yes.
Cancer cells have energy, too, right?
>> like NMN? And I will take NR sometimes.
I do take True Niagen.
>> it doesn't I mean, either way. So, it's
the same end point here. We're
increasing NAD, right? So, the question
is then, okay, well, should I be worried
about cancer? And um he pointed me to
some study out of Australia where I
think it was maybe might have been
nicotinamide
that basically prevented some kind of it
wasn't melanoma but it was another type
of of skin cancer. And so it was like
okay well that seems sort of
>> Yeah.
>> the point here. I am experimenting with
it. Why? First of all I became
interested in it because the effects on
mitochondrial health. There is effects
on fertility
you know energy recovery when I started
it just you know and then again you can
find a couple of studies where like
maybe
you know you're not as insulin sensitive
and who knows like it's not there's not
enough data there so I would say caution
I'm cautiously experimenting with it.
But um so far I love it and I don't
again you never know what what's placebo
here.
>> So I
do take
they don't pay me I buy it I do take
True Niagen NR.
>> That's what I take.
>> NR and on the data sheet they include
some human studies. I have a family
member I'll just say my sister take it
she like loves it. She's convinced. Now
that could be placebo but she is so
convinced she texts me about it. I feel
so much better I have so much energy. I
have no idea she has no idea if it's
placebo but Brenner is a very good
scientist I will say he's he's a he's
you know what we call in our business
you and me a serious scientist. I just
don't think any of that's going to make
me have a direct effect on living
longer.
>> I don't know that it is. I don't know
that it's the it's not one of my like if
if I had to like
you know shrink down to my core
supplements like it wouldn't be in there
and you know there's many other things
that are important I think before
>> So if you were budget limited it
wouldn't get above the above threshold.
Like if someone out there had like just
like
a hundred bucks or two hundred bucks to
to spend on supplements they which is a
lot for a lot of people.
>> I don't know that it's going to help you
live longer either. Now it might help
with your exercise recovery a bit right
it might it might help improve
mitochondrial function. I mean maybe
it's going to help with repleting some
of the NAD stores. I mean if you can
improve mitochondrial health and
you know, you're improving things like
on a small scale, right? So,
mitochondrial health is at the core of
everything. So, that that's something to
consider, but yeah, I'm not convinced
it's the end all be all either, but I do
take it. And it is something I'm
experimenting with. I think it is seems
to be safe and there's a lot of emerging
data that got caught my interest. But,
um,
omega-3s is the top, right? Like that's
that's there's nothing NAD, the
nicotinamide riboside or NMN, if you can
find a good source of it that's not
not comparable in my books.
>> Have you experimented with, um,
L-carnitine because of the mitochondrial
effects? Cuz I was able to find some
good studies on
sperm and egg quality on my which are
thought to be downstream of
mitochondrial health.
>> Right. It sounds right. If you can
improve mitochondrial health, fertility,
which is why NR is now involved with
fertility. It seems to be improving
fertility. It's right. If you can
improve mitochondrial health, then
you're going to improve fertility, sperm
health, right? Egg health, right? Um,
[snorts] yeah, carnitine a lot of those
studies came out of my mentor's lab,
Bruce Ames. So, he was he looked at the
combination of L-carnitine and
alpha-lipoic acid improving
mitochondrial health. And came up with
the supplement that it's it's called
Juvenon now, but it's L-carnitine with
alpha-lipoic acid.
>> It's a pill.
>> It's a supplement, yeah.
>> Yeah.
>> And, um, so yes, I have experimented
with that. And in fact, my husband takes
it. But, I mean, I
just can't take so many supplements.
>> Right.
>> [laughter]
>> Yeah.
>> You know, so we
>> just I was just curious.
>> We have our Yeah, but I it is you know,
you can find you can find evidence that
it improves
uh, mitochondrial health. So, you know,
it's just a matter of again,
like what what are what are what are you
looking for? I I feel like
I'm doing a lot of high-intensity
interval training, too, and I'm taking
the urolithin A.
That's a lot, you know, I'm doing a lot
of stuff to optimize mitochondrial
health. I mean, at some at some point
you have to like not you can't do
everything there is.
>> Sure. No, of course not.
>> Yeah, L-carnitine
>> And then it's budget limited, too.
>> But, maybe, you know, maybe I should add
the L-carnitine in. I mean, it's
possible, right? You know.
>> I I've started experimenting with it,
but I take it in an injectable form.
>> Really?
>> to shock some people. You can get away
with taking much lower milligram count.
Otherwise, you have to take a lot of it
because a lot of it just isn't absorbed
if you take it orally. And then I was
told that if you take it orally, you
also have to do something to offset the
increase in in TMAO.
And that worried me, so I figured
needles don't scare me. I'll just inject
it.
>> Interesting. Yeah. Yeah, the TMAO thing.
I mean, so not It depends on your gut
bacteria whether or not your
metabolizing the L-carnitine into TMAO.
There's actually a lot of complexity
involved in that whole thing, but you
can get your TMAO measured. So, if
you're supplementing with it, I mean,
the same goes for choline, you know,
like if you're worried like choline can
be converted into TMAO.
>> take alpha GPC before a workout
sometimes or if I need to
If I ever need to focus late in the day,
I don't want caffeine cuz it impedes my
sleep, but I'll take alpha GPC cuz this
is kind of a cool effect. Alpha GPC
[clears throat] actually will improve
your REM sleep. It's not a huge effect,
but you'll notice you'll get more REM
sleep. So, it's one of the few things I
found that can increase energy late in
the day, do a workout or or work if I
have to work later into the day, still
sleep just fine, and actually sleep
better.
>> What does work later into the day mean
for you? Like working until like 8:00,
9:00?
>> Yeah, well, I do that often, but but I
don't like to work out after
2:00 p.m. because I like caffeine before
I work out. So, but I'll I'll do some
cardio in the afternoon or something.
But if I really have to push, push,
push, or if I've traveled and I really
need exercise and I want to get that
6:00 p.m. workout, but I also want to
fall asleep at 10:30,
I'll take some alpha GPC.
>> I used to take that like I don't know,
it's been maybe like 10 years.
>> Mhm.
>> But um it's interesting. I might try
experimenting with that again. I'm
always looking for things that I find a
little bit safer. Like I don't do the
nicotine, as you know, like
>> It is shocking how many young people are
taking nicotine now.
>> Oh, I know. I've never tried it.
>> First of all, it's highly addictive.
Forget the blood pressure and the
vasoconstriction. That's all bad, you
know. I think the the big issue is that
if I take it,
I start getting the spasm in my throat
when I don't take it. And that's cuz of
it's I have a friend who works on these
pathways and it's because of the
activation of the muscarinic receptors.
So So on smooth muscle, you start
getting a tick and kind of
clearing [clears throat] of your throat
and then you take more nicotine, you
feel fine. So I didn't want to become
dependent on it. And
I don't I don't like it. I think it I
think it's a I think it's a bad habit
that a lot of people are going to be
seeking to quit later.
>> A lot of young people.
>> Older people might benefit from it
because of the cognitive enhancement,
but that's a whole other story.
>> the alpha GPC and the creatine
>> Yeah.
>> Um magnesium L-threonate.
>> Yeah. Alpha GPC is is very is very
helpful for if you need to really lock
in for a few hours and do something
physically or cognitively. I take 600
mg. You can take up to 900, but I do
just fine on 600. So I think I'll just
take it in pure form and
>> Okay.
>> you know, in a capsule.
>> Yeah.
>> Any of them out there that come from a
reputable brand is like going to work.
>> What about like before a podcast or
something like that? Does that Does it
have any effect or why?
>> Yeah, it'll put you into a you know, I
mean, if you feel like you want to be
heightened focus, but I rely on water,
caffeine, electrolytes, and good good
sleep. There's this wild study. We don't
want to I don't want to take us too
too far off track here.
Um but there's a study for out of WashU
recently, really really talented
researcher. I want to bring him on this
podcast. Does brain imaging and he
compared
um
essentially the effects of
drugs for ADHD versus a good night's
sleep. And basically found that there's
no focus enhancement of Adderall,
Vyvanse, Ritalin type drugs. They mainly
looked at Ritalin. All it's doing is
increasing alertness to the level that
you would get after after a good night's
sleep. It may be that these drugs just
increase alertness, which allows you to
dial in focus. But if you're sleeping
well and enough, you make up the gap.
And people with ADHD might just be
having some serious sleep defects.
>> Right.
>> So, you know, it it it speaks to this
thing like I don't know that there's a
single drug that can actually increase
cognition and focus. Most of them
probably just get you in the plane of
alertness that allows you to dial in
your focus. Some people be like, "That's
BS." They take modafinil, but this is
just another form of increasing
alertness.
>> Or reducing anxiety, I think things that
are anxiolytic help with that as well.
And I think I was talking about I don't
know if I was telling you or someone
else before the podcast. One of the
reasons why I also like that metabolic
switch with the ketosis and the
beta-hydroxybutyrate, and sometimes I'll
take exogenous ketones, too.
Although, if you take them in a fasted
state, it kind of shuts down the
lipolysis. But anyways, it's because it
increases GABA.
The beta-hydroxybutyrate increases GABA.
And for me, it's beneficial because I am
the phenotype where I like, you know, I
can have other things going on in my
mind that it's I don't want to It's not
anxiety, but it's more of that anxious
phenotype, if that makes sense. And so,
the the increasing GABA really does
um help me with focus because it's
quieting down
>> I think.
>> I actually think that a lot of people
who are very intellectually engaged,
which clearly you are over many, many
years, and very physically active and
healthy,
there's a lot of capacity there. And
unless there's something to really
absorb all that capacity, you can get
multiple tracks going. And we sometimes
think of that as anxiety or even AD Some
people will say it's ADHD. I don't I
don't necessarily think it's that, but
it's an uncomfortable state to be in.
>> Right.
>> And so, pleasurable to be like where all
one's resources, physical or cognitive
or both, are are harnessed. It's a It's
a very pleasant state. Earlier you were
saying the GABA increase from the
ketosis,
>> Yeah.
>> I think more and more we're just
realizing that people have differing
levels of excitatory to inhibitory
balance in the brain. And so, some
people like things that bring GABA up.
Some people like things that bring
glutamate up, broadly speaking. And
finding that sweet spot is where you go,
oh, like I'm alert but calm.
>> Right.
>> what That's what we want.
>> for me. Alert but calm.
>> Great.
>> And for me, I'm like and I I noticed
that there was a few years ago I really
experimented with the ketogenic diet. I
I just can't do that type of diet, but I
did experiment with it. And that was the
one of the main things that I noticed is
like, I'm alert but calm. And it's like,
I liked it.
>> Mhm. Well, then don't take nicotine
because the reason people like nicotine
is it's a stimulant that calms you down.
So, I do think that one of the reasons
it's so habit-forming is because I know
of nothing else that puts you in that
plane of focus of alert but calm that is
reasonably low cost, that is legal. I've
never I'll do I'm I'm clearly I've never
done amphetamine or cocaine, so I'm not
I wouldn't want to and clearly that's a
path to destruction. So,
the reason so many young people are
taking it is because it gets them right
in that plane of alert but calm, but it
has all these negative effects that go
with it.
>> Yeah, and that's why I have stayed away
from it because I know I'd probably love
it.
>> I've asked some young folks who ask me
about nicotine, how many milligrams are
you taking? They'll say 9 milligrams.
I'll say, how many times per day?
They'll say, eight times per day.
I'm like, oh my god. Like that's crazy.
>> start there. Do you have
>> just quickly get there.
>> Yeah, so I I
you know, I I don't want to sound like
that curmudgeon that's like, don't drink
and don't take nicotine and this kind of
thing, but it's a it's a slippery slope.
>> Right. Yeah, I mean there's there's
other things that you can
do that maybe it's not going to be as
potent, but
>> Alpha GPC.
>> Alpha GPC, for me I like doing I like my
my metabolic switch and and my ketones
and
>> Nice. I'll be curious to to hear how you
feel on the Alpha GPC.
>> I remember liking it. I I don't know why
I think I stopped taking it because I
got pregnant. It's probably what it was.
And then I just It's one of those things
where you just
>> Yeah.
>> forget.
>> Yeah. [laughter]
>> You go back to the basics and then like
the
>> experiment.
>> Yeah.
>> Before I came on here, I did put out a
call for some questions to the world.
>> Okay.
>> Rapid-fire Q&A from
the land of X and Instagram. Oh
This is this these are the students of
the class of your class. And this way I
think about it. Actually, I wanted to
ask about this. So, I'm so grateful that
this person asked about nattokinase for
improving blood lipid profiles. Is Is it
something you're interested in or have
experimented with?
>> It's not something that I've
experimented with and I've been more
interested in
natto than nattokinase. I know some I I
really would have to say I don't have
enough data to really have an opinion on
it. Okay.
>> Well, I don't have enough data to have
an opinion on it, but I take it anyway.
A lot of questions about things we
already talked about. So, cold plunge,
um etc. But an exceptional number of
questions about microplastics. And I
know we touched into it, but on a scale
of 1 to 10, 10 being like you're really
concerned, how concerned are you about
microplastics for mental and physical
health, longevity, just broadly
speaking?
>> I would say I am less concerned about
microplastics than I am about not
getting
the right nutrients and micronutrients
from our from our foods cuz our body can
detoxify at least some of the chemicals
associated with them. The microplastics
themselves, I mean, I guess it's not we
don't really know what they're going to
do long-term, but I'm I'm concerned
enough to try to avoid uh to sorry,
limit my exposure to them as much as
possible.
>> Mhm. So, you don't drink out of plastic
water bottles?
>> I mean, I try not to as much as
possible. I mean, you know, I I
definitely
>> Sure.
>> have to at some points, but um I I try
not to. Yes. And when I do, I just
realize it's the habit and you kind of
have to let go. I mean, I know some
people that like don't drink. And like
they're they're like they're going to
get their water from their food, their
fruits while they're traveling. Pretty
extreme.
>> Yeah, that's
>> Yeah. But I think mental health is
important. So, I mean, it's like is the
stress of avoiding the microplastics
worse than the actual little bit of
microplastics you're being exposed to?
It might be.
>> TSA is going to hate me, but I lost a
bet 2 days ago to a member of our
podcast team. He bet me, we bet that I
said one couldn't bring a Mountain
Valley Spring Water
bottle through security at the airport
and he said it that you absolutely can.
And I said there's no way. So I made him
a bet and I lost. He brought it through.
>> Full of water?
>> Full of water. You tell them it's for
medical reasons.
You don't have to state what they are.
They open the cap.
They take a sample out. They test it. So
there's a time constraint and it's going
to
create more jobs for TSA.
Uh sorry, that was sort of a joke, sort
of not a joke. TSA has been
you know, in tricky circumstances
lately. And he showed up at the at the
gate with it and was like, here's your
water. You absolutely can bring water
through in glass vessels or whatever
vessel, but they're going to test it and
it helps if it's a commercial vessel.
It's not like your own glass water
bottle.
>> Can I pause for a minute because you
mentioned a specific brand which I also
when I when I when
>> Oh yeah, I know. I don't make money from
them. Yeah.
>> Right. Same. I I I drink when I'm
traveling, that's that's the brand that
I go to. And there are there was a study
that came out showing that there's
actually a larger volume of
microplastics in within the study in
from glass bottles versus plastic
bottles, which was a very shocking
finding. Um so there's more mice
microplastic number
coming from the the glass bottles. It
turns out this was a study out of
France. There was a study out of France
and also in the US. It's the paint on
the lids. You mentioned the lid and and
so it's the paint on the lid that's
contaminating getting contaminated in
the bottling of the the whole bottling
of this, you know, water
that is getting into the water, but I do
want to mention that the size was was
shown to be larger from the glass
bottles versus the plastic. So the
microplastic size was larger. And as you
probably know, larger microplastics are
not well absorbed through the gut
epithelial cells. So when you're, you
know, taking them in in the gut, they're
coming out, they're being excreted
through your your feces.
>> Mhm.
>> And less likely to be taken up into your
gut and then get into your body. And
that's actually well known. And so, I'm
actually more concerned about the size
of microplastics.
>> Mhm.
>> Um and it wasn't like the huge orders of
magnitude difference between the the
water from glass versus the plastic. It
It's so counterintuitive. You think,
"Wait, what? Why is it?" So, it's it's
the paint that's
>> Interesting.
>> But anyways, I just want to mention that
I still drink when I'm traveling. I
still go for the glass, not the plastic,
because of the size of the microplastics
and knowing because the size was much
bigger, um that it's very, I would say,
more data is going to come out on this,
but I would be surprised if you're
absorbing more of the larger particles
cuz it's known that you absorb the
smaller ones.
>> Thank you for that. And if you want, you
can now take your glass bottle through
security full. Seed oils, the dreaded
seed oil debate. Where do you land on
this?
>> I try to avoid them. Um
mostly because one, if you're avoiding
seed oils, you're going to avoid a lot
of the processed packaged foods that
they come in, which I know are terrible
for you.
Two, because
I think that cooking them or heating
them, I mean, is more of my concern
because they are,
you know, polyunsaturated fatty acids,
which are very prone to oxidation. And
when you're heating something that's
prone to oxidation, you're accelerating
that whole process. I don't want to
consume oxidized lipids. I've seen I've
looked into that literature. And the
last time I looked into it was, I think,
2024.
At [snorts] that time, I was pretty
convinced that if you are heating and
reheating, you know, oils like they do
in fast food, for sure, you're
increasing inflammatory markers. That's
been shown.
And I think also when you're really
having a higher level of, you know,
omega-6s and stuff around, I'm not as
concerned cuz I'm getting a lot of
omega-3, but it does also increase your
vitamin E requirements as well because
of the oxidation of these
polyunsaturated fatty acids. So,
do I think it's like like the worst
ever? I mean, you can find all this data
out there showing that,
you know, if you replace, you know,
saturated fat with
>> [snorts]
>> some of these seed oils, there's
improvements in lipid profiles. But, at
the end of the day, the question is
really what if like you had olive oil
instead or avocado oil instead? Would it
be even better?
I think possibly. So, if you're really
trying to go for the optimal I avoid
them as much as I can for that reason.
But, I think there's a little bit more
hype when it comes to the seed oil.
>> Mhm.
>> But, if that makes sense, you know, I'm
kind of that's my that's my take.
>> Makes sense to me. For what it's worth,
I
stick to olive oil and small amounts of
butter and
that's because I also think seed oils
taste terrible. How come no one talks
about that? But, anyway, and olive oil
and butter are delicious.
>> like I mean,
had the, you know, seed oil, but yeah.
>> You know, and no one can convince me
that they don't taste bad to me. So,
then the debate just kind of falls away.
How often are you
doing the sauna nowadays and what does
the top contour of that protocol look
like?
>> So, I've taken a little pause on the
sauna right now, but typically I'm doing
I was doing it like I would say five
nights a week. And I say nights cuz I
was usually doing them in the night. And
it was mixed a mixture between either
getting in the sauna or hot
tub. So, I like I like getting in the
hot tub head out under the stars there
with my husband. It's like our time.
Um so, yeah, usually it's like 20
minutes and temperature-wise, you know,
I don't go that hot. I honestly I'm like
180.
>> Five nights a week is great. Gosh, I I
need to get back on a five-night-a-week
sauna or hot tub protocol.
>> I do like the hot tub especially. I
don't know, there's something about
being outside and I think now there's
just there's evidence that the the
benefits are really like the same. It's
the deliberate heat exposure, right?
You're getting that You're getting that
through the hot tub or through the
sauna.
>> Creatine for kids, like young kids, like
younger than 16.
Um any data and or ideas about this,
good or bad?
>> Yeah, so there is data in the literature
showing that if you give younger younger
children that are doing like, for
example, sports like soccer,
it does seem to improve their agility.
And it seems to be safe. I do give my
son
2 and 1/2 g of creatine, so. A day.
>> Cool.
>> So that's how I feel.
>> There's no better
indication of how you of how one feels
and what they're willing to deliberately
give their kids.
I don't know where this stems from and
we can cut it if you want, but there's
someone asked why did you
single-handedly ruin bananas?
>> Oh.
>> For this person.
>> Yes.
>> Uh did you did you ruin bananas?
>> So I used to put bananas in my smoothies
and there's an there's an enzyme that is
produced in bananas that break down
polyphenols, particularly ones that are
found in blueberries. And the reason I
was getting my smoothies was one for the
greens, but two for the blueberries
because the polyphenols have been shown
to improve coordination. Love
blueberries. So, um sorry sorry, don't
mix the blueberry with the banana
smoothie because it it has been shown to
decrease the the polyphenols, which are
important.
>> Yeah. Yeah. Well, the alcohol industry
will come for me someday and the banana
industry will come for you. And uh I
think we're safe for a while. Um
Should we ignore studies that have less
than
X number of subjects? I think that's a
really good question. Like obviously it
depends, but when we're talking about
human studies, where's the the line for
small study versus large meaningful
study for you? Obviously how strongly
it's powered, but how do you think about
that?
>> Well, I'll tell you when I was first
looking at the sauna literature,
all the studies that I were looking at
were like
N of 10 or smaller.
And it's really the aggregate of those
studies and then looking at like
animal data and then you start to you
know you start to look at
observational data and the totality of
evidence and you put together this
picture. I don't think you should ignore
studies that are small. I think that
it's part of the story. I think we're
getting a little too caught up and it's
got to be the randomized placebo
controlled trial. It's got to have lot
lots of participants and I mean that's
great if we have that data, but we don't
always have that data and I don't know
that we will always have that data with
everything that we're interested in in
understanding, right? So, the way I look
at it is if it's like just one study
with an N of 10, okay, interesting. Um
like with the creatine, right? Like I
mean these studies have been small
sample sizes. Now there's more than one,
but you know at the end of the day it's
still very I would say in this
you know pilot study phase, right? Where
you have just small studies. So, I I do
not ignore them, but I also don't hedge
all my bets on them either. I do know
that there were a lot of people that
were criticizing me on my sauna. I mean
back in I you know 2014 published an
article on Tim Ferriss's blog,
went on [snorts] Joe Rogan's podcast and
talked about you know the benefits of
sauna and and I had people that were
going your studies your sample sizes are
too small. And now we have so much data
that has come out since then really kind
of validating everything and and showing
even more benefits. You kind of have to
look at the totality of evidence and and
what is it you're what end points are
you looking at and how can you gather
you know data from different sources,
whether it's clinical studies or
observational studies or animal studies
and and try to come up with the bigger
picture, right? But then also don't be
too confident in your statements.
>> I'm very gratified
to know that pretty much every other
question you addressed the answer to in
route to where we are now in the podcast
truly and I'll leave them up so you can
see them later if you choose. Cold
plunges
uh notwithstanding um vitamin D
um
exercise in all its contour,
specificity, fasting, uh magnesium,
lots of questions about supplements,
which we covered, creatine, lots of
questions about inflammation, longevity.
And so, I just have to say, first of
all, on behalf of everybody, thank you
so much. This was really an incredible
tutorial, and so much of it is
actionable, and as you are known for, it
was incredibly thorough in terms of
setting the context within mechanisms of
what we know, what we still don't know,
and uh I also personally want to thank
you because when you speak, I learn, and
when you speak, I also learn things that
change my behavior, and that's a a whole
other level. Uh since our last
conversation, I can think of at least
four, and probably as many as a dozen
things that I do on a daily basis as a
consequence of that conversation, and
just the
gut inflammation health brain body axis
uh conversation that uh we had earlier,
I'm going to listen to this again and
take notes because um there's just so
much there. Uh and the the metabolic
flexibility thing as an input that can
come from multiple sources, it's just on
and on.
So, thank you for doing what you do.
Thank you for being you, for being first
in and still going and doing things with
such rigor, and and really so much
grace. It's It's just awesome. People
love you.
Um I certainly do and appreciate you,
and and it's just um it it's a wonderful
thing for me to have a colleague like
you, and you really set the standard.
So, thank you so much for coming here
and doing this marathon, and uh can't
wait to do it again.
>> Thank you so much, Andrew. It's It's
really been great. I learned so much
from you as well, and appreciate
everything.
>> Thank you.
Thank you for joining me for today's
discussion with Dr. Rhonda Patrick. To
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>> thank you for your interest in science.