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How Foods and Nutrients Control Our Moods | Huberman Lab Podcast #11



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Welcome to the Huberman Lab Podcast,
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where we discuss science and science-based tools
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for everyday life.
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My name is Andrew Huberman,
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and I'm a professor of neurobiology and ophthalmology
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at Stanford School of Medicine.
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This podcast is separate from my teaching
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and research roles at Stanford.
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It is, however, part of my desire and effort
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to bring zero cost to consumer information
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about science and science-related tools
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to the general public.
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In keeping with that theme,
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I'd like to thank the sponsors of today's podcast.
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Our first sponsor today is Theragun.
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Theragun is a handheld percussive therapy device
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that releases deep muscle tension.
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I was first introduced to Theragun in 2017
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while on a laboratory expedition.
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We were in the middle of the Pacific Ocean
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filming great white sharks for my laboratory studies
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on fear using virtual reality.
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We were working very hard around the clock,
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and I and other people on the trip
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were picking up a lot of aches and pains,
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and just kind of chronic soreness.
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A couple of people had injuries that were flaring up
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because of all the hard work and lack of sleep.
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Someone had a Theragun,
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and pretty soon it was getting passed around.
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It became the most coveted device on board.
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Everyone was using it to work
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on these different sites of soreness.
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And I really fell in love with the thing,
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so much so that when I got back,
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I immediately purchased one,
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and I've used it almost daily ever since.
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I use it on muscles that are sore.
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I use it on areas that I'm really working on
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to release tension and improve tissue quality, and so forth.
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The great thing about Theragun is it's really quiet,
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so you can use it while you're in a conversation
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or while you're watching a movie,
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and it doesn't disrupt those activities at all.
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If you want to try Theragun,
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you can try Theragun by going to theragun.com slash Huberman
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to get your Gen 4 Theragun.
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They start at $199,
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but if you think about it,
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a massage, which is an hour long or 90 minutes long,
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is typically in that range of cost.
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And this is something you can use every day
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whenever you want,
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and even while enjoying other activities.
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So that's theragun.com slash Huberman.
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The second sponsor of today's podcast is Inside Tracker.
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Inside Tracker is a personalized nutrition platform
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that analyzes data from your blood and DNA
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to help you better understand your body
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and help you reach your health goals.
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The great thing about Inside Tracker
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is that it gives you data that you can make sense of.
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I've long been a believer in getting blood samples taken,
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and more recently,
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I've become a believer in getting DNA samples taken.
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In order to understand what's going on at the level
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of hormones, metabolic factors,
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and other things that profoundly influence
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our immediate and long-term health.
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The problem always has been getting those samples taken
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and making sense of those samples.
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Inside Tracker makes all of that really easy.
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They'll even come to your home to take the samples.
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Then you get the information back,
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and while typically, after getting information back,
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there's these long list of numbers
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and nobody knows what to do with them,
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Inside Tracker makes it really easy
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to interpret what those numbers mean,
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and it points to things in terms of lifestyle,
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exercise, nutrition, and so forth
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that can help you adjust some of the numbers
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that you might need to bring down or up
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to put into the appropriate normal range.
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So I find this whole process to be immensely valuable
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for guiding my health choices,
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and also just for giving me peace of mind
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about how my body and the rest of my health
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are doing internally,
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something you just can't know without a blood and DNA test.
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If you want to try Inside Tracker,
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you can go to insidetracker.com slash Huberman,
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and you'll get 25% off any of their programs.
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You want to put Huberman at checkout,
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so that's insidetracker.com slash Huberman
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to get 25% off any of Inside Tracker's plans
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and put Huberman at checkout.
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The third sponsor of today's podcast is Athletic Greens.
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Athletic Greens is an all-in-one
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vitamin mineral probiotic drink.
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I started using Athletic Greens in 2012,
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so I'm delighted that they're a sponsor of the podcast.
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The reason I started using Athletic Greens,
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and the reason I still take it once or twice per day,
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is that I find it very hard to know
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what vitamins and minerals I need to take.
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And by drinking Athletic Greens,
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I get it all in one, easy to consume, great tasting formula.
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I really do like the way it tastes.
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I mix mine with water and a little bit of lemon or lime juice
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and to me, it's delicious.
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The other thing about Athletic Greens
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that I really like are the probiotics.
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There's so much data out there now telling us,
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and I certainly believe based on the data that I've seen,
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that probiotics are really important
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for support of the gut microbiome,
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the gut brain axis, the immune system,
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and many other aspects of our biology.
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So with Athletic Greens, I get the vitamins,
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the minerals, and the probiotics that I need.
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If you want to try Athletic Greens,
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you can go to athleticgreens.com slash Huberman.
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And if you do that,
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they'll also give you a year's supply of vitamin D3K2.
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Vitamin D3, we also know is really important
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for things like immune system and metabolic support.
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So that's athleticgreens.com slash Huberman
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to get Athletic Greens, the year supply of vitamin D3K2,
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and they'll give you five free travel packs.
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00:05:00.560
Today, we're talking all about emotions.
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Emotions are central to our entire experience of life.
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Whether or not we're happy or sad or depressed or angry
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is our life experience.
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And yet I think with all the importance
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that we've placed on emotions,
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very few people actually understand how emotions arise
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in our brain and body.
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And I mentioned brain and body because as you'll see today,
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emotions really capture the brain-body relationship.
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We cannot say that emotions arise
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just from what happens in our head.
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It also involves events, biological events,
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chemical events within our body.
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The other thing about emotions is that
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there's no real agreement as to what's a good emotion
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or a bad emotion.
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Today, we're going to talk about the biology
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of the chemicals and pathways that give rise to emotions.
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And I'm going to equip you with several, if not many tools
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that will allow you to regulate and change
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and steer your emotions should you want,
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but not using the typical advice.
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Everyone's probably heard of this thing.
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Oh, if you're feeling depressed, just smile.
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It's impossible to be depressed while smiling.
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Look, if that were true,
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we wouldn't have any depressed people
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because depressed people don't want to be depressed.
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And it is not the case that simply smiling
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will reverse depression or sadness.
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And it's simply not the case
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that smiling can inhibit sadness.
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It just doesn't work that way.
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However, it is the case that certain things
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that are happening in our body
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influence how our brain functions
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and the chemicals that are released.
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And today we're going to talk a lot
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about how the brain and body interact
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to create these things called emotions
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in the context of food and nutrition.
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And the reason we're doing that
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is not because I'm beating the drum
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about particular diet regimens or anything.
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In fact, I'm not going to do any of that.
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What I'm going to do is I'm going to review
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some of the most important scientific data
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that point to how ingesting certain nutrients,
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both macronutrients like proteins, fats, and carbohydrates,
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as well as micronutrients can impact the chemicals
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in our brain that give rise to the feelings
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of being happy or sad or sleepy
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or alert when you want to be sleepy
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or sleepy when you want to be alert.
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So this is sure to be a broad discussion
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and yet we're going to get very specific
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about what emotions are, how they arise in the body,
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tools that one can use
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in order to better control their emotions,
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tools that people can use to, believe it or not,
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feel happier or feel calmer.
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And that's because in the last 20 years or so,
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there's been an explosion of scientific studies
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exploring how the brain and body interact
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to support certain neurochemicals
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that give us these feelings of being alert and happy
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or depressed or certain that our life is going to be terrible
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or certain that our life is going to be great.
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So as mysterious as all that might sound
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and confusing as all that might sound,
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we're going to make it very clear today.
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And you're going to come away from this conversation
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with a lot of tools that you can act on immediately.
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And those tools are grounded in scientific data.
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We are going to provide links to several of the studies.
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And I'm going to mention several of those studies
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as we go along.
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But overall, the goal today is for you to understand
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how moods and emotions arise
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and the different pathways in your brain and body
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that allow them to happen
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and how you can use those pathways to change those emotions
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and the tools that you can rely on in very specific ways
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to shift from being, say,
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slightly depressed to feeling happier.
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There actually are ways to do that,
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or from feeling too alert and anxious to feeling calmer.
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And these are tools that are distinct
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from the tools I've talked about in previous episodes.
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The discussion around emotions has a long and rich history
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going back to Darwin and even long before Darwin.
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This is a conversation that philosophers and scientists
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have been having for hundreds, if not thousands of years.
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The idea that Darwin put forth
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and that was really attractive for about the last 100 years
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was that emotions are universal
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and that some of the facial expressions
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around emotion are universal.
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And other people have capitalized on that idea.
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And to some extent, it's true.
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I mean, I think that the two most robust examples of that
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would be when we see something or we smell something
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or we taste something that we like,
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there does tend to be a postural leaning in.
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We tend to inhale air at that time.
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We tend to bring in more
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of whatever chemical substance is there.
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So we tend to do these mmm and kind of lean in closer
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to things that are attractive to us.
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And when we see and experience things
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that we don't like, sometimes it's a mild aversion.
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We just kind of lean back or look away.
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Other times it's an intensive version of disgust
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and we tend to cringe our face.
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We tend to avoid inhaling any of the chemicals.
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This probably has roots in ancient biological mechanisms
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that are to prevent us from ingesting things
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that are bad for us, chemical compounds
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and tastes that might be poisonous.
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So much of the foundation of any discussion about emotion
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has to center around this kind of push-pull
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of attraction to things or aversion from things.
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Now that's a very basic way of thinking about emotions.
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But if you think about it,
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it works for a lot of different circumstances.
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And in the brain,
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everywhere from the deep circuits of the brain
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to the more kind of what we call higher order
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evolved centers of the brain,
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we have this push-pull thing.
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We're either, in a previous episode I talked about GO,
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the circuits that allow you to emphasize action
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and then no-go circuits,
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the circuits in the basal ganglia
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that allow you to de-emphasize action and prevent action.
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We talked about how that's a push-pull.
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So aversion and attraction is a push-pull too.
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Delight or happiness or excitement
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are attractions to certain things and ideas,
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songs, people, places, foods.
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Aversion is a leaning out.
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It's a disgust, it's an avoidance.
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And so we can break down the discussion about emotions
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into these simpler versions of themselves.
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But at the core of that, of attraction or aversion
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is an important theme that you might realize already
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but most people tend to overlook,
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which is that there's an action there.
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You're either moving forward
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or you're moving away from something.
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And anytime you're talking about action
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in the nervous system,
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you're talking about motor behaviors.
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You're talking about literally the contraction of muscles
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to move you toward or away from things.
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And anytime you're talking about nerve to muscle and action,
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you're talking about the brain and the body
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because the brain can't move itself.
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The brain has a body so that the organism can move.
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And the body has a brain so that the organism, you,
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can move toward or away from things
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that you deem to be good or bad for you.
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Now, some of these things that we're attracted to
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and some of them that we avoid
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are what we call innate or hardwired.
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When we taste bitter compounds,
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I'm not saying about bitter,
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like you like a little bit of bitters in your drink
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or something like that, but really bitter compounds,
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we tend to avoid those
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because they're associated with poisons.
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When we taste things that are sweet or that are savory,
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we tend to pursue more of those.
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We tend to lean toward those, so to speak.
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And we tend to not avoid them.
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So there are circuits in the brain for aversion
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and for attraction toward things.
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And the body is governing a lot of that.
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And so immediately in this conversation,
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I want to raise an important point,
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which is about a nerve pathway
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that many, many people have heard of
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that gets discussed all the time.
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And that is one of the most kind of oversold
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for the wrong reasons and undersold,
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unfortunately for its real power, which is the vagus nerve.
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So the vagus nerve is one, not the only,
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but one way in which our brain and body are connected
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and regulates our emotional states.
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Now, many of you have probably heard about polyvagal theory.
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I'm going to talk about this today.
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Polyvagal theory was popularized by Stephen Porges.
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And it's an interesting theory.
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Certain aspects of it, frankly, hold up to the science.
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Some of it doesn't.
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And I'm going to discuss all of that today.
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A lot of the vagus and the excitement about the vagus,
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V-A-G-U-S, is because it somehow got into the mind
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of the public that the vagus is involved in calming us down.
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So what is the vagus nerve?
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Okay, we're going to make this really simple.
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In particular, for those that are just listening,
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you can just imagine this.
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For those of you that are watching,
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I'll point to the various areas.
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But basically, the vagus is the 10th cranial nerve,
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which basically means that the neurons,
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the control center of each of those neurons in the vagus
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00:13:46.660
lives just kind of near the neck, right?
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00:13:50.080
And a branch of the vagus goes into the brain.
link |
00:13:52.560
They send a little wire into the brain.
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00:13:54.180
The other branch goes into the periphery,
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00:13:56.240
but not just the gut.
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00:13:57.920
It goes into the stomach, the intestines, the heart,
link |
00:14:00.700
the lungs, and the immune system.
link |
00:14:02.640
So this vagus nerve is incredible
link |
00:14:04.700
because it's taking information from the body
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00:14:07.080
and it has two directions.
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00:14:08.320
The first is what we call sensory.
link |
00:14:10.200
So it's sensing things that are happening
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00:14:12.400
in the gut, in the lungs.
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00:14:13.880
Everything, for example, in the lungs,
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00:14:15.620
when our lungs are distended,
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00:14:17.640
the vagus nerve senses that
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00:14:20.160
and sends that information up into the brain.
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00:14:22.600
It also can sense things in the gut,
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00:14:24.540
like how distended or empty your stomach happens to be.
link |
00:14:27.900
It can sense heart rate.
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00:14:30.280
It can sense your immune system,
link |
00:14:31.920
whether or not you have bacteria
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00:14:33.340
or things invading you in your body.
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00:14:35.580
So it sends that information up to the brain.
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00:14:37.520
So it's a two-way street
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00:14:38.480
and sensory information is going up to the brain.
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00:14:40.740
That's all vagus.
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00:14:42.480
So it's like a super highway,
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00:14:43.400
sensory information going one way.
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00:14:44.840
And then the other direction is motor control.
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00:14:48.120
So the vagus is not just for sensing things,
link |
00:14:50.160
it's actually for controlling things.
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00:14:51.520
It's got a sensory pathway and a motor pathway.
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00:14:54.860
So that's the first thing I think everyone should know
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00:14:57.120
about the vagus.
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00:14:58.000
In fact, it's so important
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00:15:00.560
that I feel like this is as important as people knowing
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00:15:03.160
that walking involves flexors and extensors.
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00:15:05.800
And if you don't think that's important,
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00:15:07.380
it's as important as walking frankly,
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00:15:09.280
because the vagus is the way in which you can govern
link |
00:15:11.840
the brain-body connection
link |
00:15:13.620
and in which you can steer various aspects
link |
00:15:16.600
of your mood and wellbeing.
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00:15:17.760
But most people just don't understand how to use it.
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00:15:20.200
So first you got to understand what it is.
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00:15:21.920
So you've got sensory information
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00:15:23.260
coming from all these different organs of the body
link |
00:15:25.240
up to the brain.
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00:15:26.080
You got motor information going from the brain
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00:15:28.080
back to the body.
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00:15:29.120
And so you've got this super highway within you.
link |
00:15:31.520
Now what actually regulates the vagus?
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00:15:34.080
Oftentimes you'll hear things like,
link |
00:15:36.080
oh, this particular behavior,
link |
00:15:39.200
rubbing your face at a particular location
link |
00:15:41.880
or breathing in a particular way,
link |
00:15:44.120
or a warm bath or something stimulates the vagus.
link |
00:15:48.560
Well, right now I want everyone to know that quote unquote,
link |
00:15:51.260
stimulating the vagus broadly speaking
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00:15:53.640
is a terrible way to think about the vagus.
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00:15:55.920
Because did you know what?
link |
00:15:57.400
If you have a contaminant inside your body,
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00:16:00.260
the vagus senses that
link |
00:16:02.200
and projects that information to your brain
link |
00:16:04.320
and you start to generate a fever.
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00:16:06.600
You start to try and kill that contaminant in your body.
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00:16:09.980
So I don't know that you want to stimulate the vagus
link |
00:16:12.120
just as like a general theme.
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00:16:13.460
Today we're going to get specific
link |
00:16:14.920
about how you can activate particular circuits,
link |
00:16:18.200
certain pathways from certain organs to the brain
link |
00:16:21.180
in order to feel better or relieve certain conditions.
link |
00:16:24.680
But you certainly don't want to just stimulate the vagus.
link |
00:16:28.880
Now, excitement about the vagus in part
link |
00:16:31.340
is because of what quite honestly
link |
00:16:34.680
was a fairly pioneering theory about the vagus,
link |
00:16:37.760
which is this polyvagal theory.
link |
00:16:39.320
So polyvagal, the word poly means many,
link |
00:16:42.120
is cool because it acknowledges
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00:16:45.280
that the vagus has a lot of different branches.
link |
00:16:48.160
It's not just one thing.
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00:16:49.760
And so I really like that.
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00:16:51.120
I like the naming polyvagal.
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00:16:53.100
The idea that Portis put forward was that
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00:16:54.980
there's a dorsal vagus,
link |
00:16:56.840
which is kind of runs the back of the spinal cord,
link |
00:16:59.200
which is involved in alertness and activation
link |
00:17:01.520
and kind of fight or flight type stuff.
link |
00:17:03.560
And that there's a ventral pathway
link |
00:17:06.600
and that that's involved in more kind of empathic behaviors.
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00:17:10.380
That is not quite in agreement with the modern anatomy,
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00:17:14.480
but he was doing the best with what he had at the time.
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00:17:16.720
So, okay.
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00:17:18.240
The problem I have with the polyvagal theory
link |
00:17:20.840
is the way that it's discussed.
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00:17:22.680
People will often say, oh, you know,
link |
00:17:24.280
if your dorsal vagus is too active,
link |
00:17:27.640
then you tend to be someone who's a little too keyed up.
link |
00:17:29.560
And people who are kind of in a state of freeze
link |
00:17:32.420
or kind of flaccid and kind of, you know,
link |
00:17:35.160
like just not really active and they're just lethargic.
link |
00:17:39.960
Well, then that pathway is hypoactive.
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00:17:42.000
It should be more active.
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00:17:43.240
So there are a lot of theories
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00:17:44.600
about how psychology maps onto the vagus
link |
00:17:46.680
that as far as I know, don't map to any real physiology.
link |
00:17:50.340
Now, the other problem with this kind of the way
link |
00:17:53.760
that the polyvagal theory is discussed,
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00:17:55.720
probably not by the real experts, but by a lot of people
link |
00:17:58.160
is that people start to diagnose different psychological
link |
00:18:02.240
and physical manifestations through the vagus.
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00:18:05.760
They would say things like, oh, you know,
link |
00:18:07.080
this person is hyper-flexible at the joints
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00:18:10.080
and therefore their dorsal vagus isn't active enough
link |
00:18:13.020
or something like that.
link |
00:18:14.120
And it's really kind of gone way outside the lane lines.
link |
00:18:17.080
So today we're going to clean up a lot of that.
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00:18:19.280
Let's make it really simple
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00:18:20.480
about how the vagus actually works
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00:18:22.160
at least as we understand it today in 2021.
link |
00:18:26.040
First of all, as I mentioned, you have sensory information.
link |
00:18:29.360
The same way that you detect light with your eyes
link |
00:18:31.440
or you hear sounds with your ears,
link |
00:18:33.460
you have sensors in your gut that sense how full
link |
00:18:36.760
or empty your gut is.
link |
00:18:38.600
It can also sense how acidic your gut is.
link |
00:18:41.520
It can sense various things within your gut.
link |
00:18:44.620
Your heart is doing the same.
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00:18:45.740
It's informing the brain how fast your heart is beating,
link |
00:18:47.800
how full your lungs are has been communicated,
link |
00:18:50.040
and then the status of your immune system.
link |
00:18:52.060
So the way to think about the vagus
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00:18:54.740
is the same way I would think about the eyes.
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00:18:56.840
The eyes are looking at colors.
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00:18:58.720
They're looking at motion.
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00:18:59.780
They're looking at how bright it is.
link |
00:19:01.240
And each one of those things, those features,
link |
00:19:03.980
is telling the brain something different
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00:19:05.320
so the brain can decide when to be awake or asleep,
link |
00:19:07.680
whether or not it's looking at somebody attractive
link |
00:19:10.320
or unattractive.
link |
00:19:11.680
The vagus nerve is also analyzing many features
link |
00:19:14.840
within the body and informing the brain
link |
00:19:17.320
of how to feel about that and what to do.
link |
00:19:20.880
So a really good example that I think is an exciting one
link |
00:19:24.220
is as it relates to sugar.
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00:19:26.920
So we all know that sweet things generally taste good.
link |
00:19:30.360
I'm not particularly a fan of very sweet things.
link |
00:19:33.440
I'd much rather have cheese or pizza or hamburger or steak.
link |
00:19:38.440
I like savory fatty foods, but I do like sweet foods.
link |
00:19:41.320
And most people find sweet foods to be attractive.
link |
00:19:45.000
They want them.
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00:19:45.840
They might, or they might not be able
link |
00:19:48.480
to regulate their behavior around them, but they want them.
link |
00:19:51.520
And what's really interesting is that for hundreds of years,
link |
00:19:54.940
people have thought that that's because of the way
link |
00:19:56.640
that sweet foods taste.
link |
00:19:59.720
So that makes sense, right?
link |
00:20:00.800
You eat something, it tastes sweet, you want more of it.
link |
00:20:03.440
Well, it turns out that it's much more interesting
link |
00:20:06.460
than that.
link |
00:20:07.300
When you eat something sweet, within your stomach,
link |
00:20:10.960
you have cells, neurons, that sense the presence
link |
00:20:14.800
of sugary foods independent of their taste
link |
00:20:18.200
and signal to the brain.
link |
00:20:19.720
So those sensors, those neurons send information
link |
00:20:23.280
up the vagus to your brain,
link |
00:20:25.120
goes through a series of stations,
link |
00:20:26.720
and then you release dopamine,
link |
00:20:28.540
this molecule that makes you want more of whatever it is
link |
00:20:32.840
that you just ingested.
link |
00:20:34.380
In fact, this pathway is so powerful
link |
00:20:37.440
that they've done experiments where they completely numb
link |
00:20:40.640
all the taste and feeling in somebody's mouth.
link |
00:20:43.640
They're blindfolded so they don't know what they're eating.
link |
00:20:45.440
And they're eating a food that's either sugary
link |
00:20:47.800
or not sugary.
link |
00:20:48.960
And what they find is that even though people can't taste
link |
00:20:51.600
the sugary food, they crave more of the food
link |
00:20:55.200
that contains sugar because of the sensors in the gut
link |
00:20:59.000
that sense sugar.
link |
00:21:00.440
So to put this differently, you actually have sensors
link |
00:21:03.640
within your body that make you crave sugar independent
link |
00:21:08.120
of the sweet taste of those things.
link |
00:21:10.240
Now that's incredible.
link |
00:21:11.560
And what it does and what it tells us is that we have
link |
00:21:14.280
circuits in our body that are driving us
link |
00:21:16.800
towards certain behaviors and making us feel good
link |
00:21:20.200
even though we can't perceive them.
link |
00:21:22.200
Now, for those of you that are really interested
link |
00:21:23.920
in gut intuition and kind of gut feelings,
link |
00:21:26.800
this is a gut feeling,
link |
00:21:28.160
except this is a chemical gut feeling.
link |
00:21:30.280
This is a particular set of neurons detecting that something
link |
00:21:34.600
in your body has a particular feature, in this case,
link |
00:21:37.640
the presence of sugars and sending information to the brain
link |
00:21:41.100
to essentially to control your behavior.
link |
00:21:44.000
And I find this remarkable because what it means
link |
00:21:46.840
is that what we call attractive,
link |
00:21:49.360
isn't always coming from our thoughts about that
link |
00:21:52.120
or our feelings or even our perception.
link |
00:21:54.600
We are drawn to particular foods and we're drawn to perhaps
link |
00:21:58.080
also to particular people, places and other things
link |
00:22:01.580
because of information that's coming from our body.
link |
00:22:04.880
And we're gonna talk about what one can do
link |
00:22:07.120
with this information.
link |
00:22:07.980
I know many people are thoughtful or concerned
link |
00:22:10.400
about sugars these days thinking,
link |
00:22:12.220
we all ingest too much sugar,
link |
00:22:13.720
there's sugar snuck into all the things we eat.
link |
00:22:16.960
And indeed that's true.
link |
00:22:18.160
I mean, this should completely reframe the way
link |
00:22:20.160
that we think about the sort of so-called hidden sugars
link |
00:22:23.560
in foods.
link |
00:22:24.400
What this means is that even if a food is very savory
link |
00:22:26.760
like a piece of pizza or a piece of bread
link |
00:22:29.680
or even like a salad dressing,
link |
00:22:32.480
if there's sugar snuck into that and you can't taste it,
link |
00:22:36.160
you will still crave more of that thing
link |
00:22:39.320
without knowing that you crave it because it has sugar.
link |
00:22:42.560
In other words, you might find yourself wanting
link |
00:22:44.520
certain foods and not knowing why you want those foods.
link |
00:22:47.540
So I find this to be a fascinating aspect of our biology.
link |
00:22:50.440
And yes, it relates to mood and emotion.
link |
00:22:52.880
And we'll talk about how that is in a moment.
link |
00:22:55.200
So let's just back up a bit and ask the question,
link |
00:22:58.320
why do we eat certain things?
link |
00:23:00.640
And why do certain foods make us feel good
link |
00:23:03.440
and other foods actually make us feel anxious?
link |
00:23:06.040
I think some people may be familiar with this,
link |
00:23:07.680
other people might not.
link |
00:23:09.060
But most people don't realize that as you approach eating,
link |
00:23:13.700
there's an anxiety associated with that.
link |
00:23:16.240
It's an alertness.
link |
00:23:17.080
Remember in the previous discussions,
link |
00:23:19.380
or even if you don't and you haven't seen those,
link |
00:23:22.000
all of your moods and feelings of wellbeing
link |
00:23:24.200
are anchored on this continuum of alertness versus calmness.
link |
00:23:28.160
And we hear so often about rest and digest,
link |
00:23:31.120
that, oh, after we eat, we feel really nice and full,
link |
00:23:33.880
hopefully comfortably full and not too full.
link |
00:23:36.500
Then we're relaxing and we feel satiated.
link |
00:23:40.240
It's associated with serotonin, this molecule of satiation.
link |
00:23:43.440
That's all true.
link |
00:23:45.100
But what most people don't know is that there's an area
link |
00:23:47.360
of the hypothalamus, so deep in the brain,
link |
00:23:49.400
kind of in the middle deep portion of the brain,
link |
00:23:51.480
called the lateral hypothalamus.
link |
00:23:53.640
And the lateral hypothalamus is really interesting
link |
00:23:56.180
because it controls feeding, but it inhibits feeding.
link |
00:24:00.540
It stops us from feeding.
link |
00:24:02.940
And there's another area in the brain,
link |
00:24:05.120
if you want names, I'll give them to you.
link |
00:24:06.480
If you don't want names, just ignore them,
link |
00:24:08.120
delete them from your memory and awareness,
link |
00:24:10.740
called the locus coeruleus.
link |
00:24:12.120
Now the locus coeruleus sits back further in the brainstem
link |
00:24:15.200
and it releases norepinephrine,
link |
00:24:16.640
which is essentially adrenaline and makes us feel alert.
link |
00:24:20.240
Now locus coeruleus has a lot of different functions
link |
00:24:22.480
in the brain, but when we are going to eat,
link |
00:24:24.660
let's say we walk into a restaurant,
link |
00:24:26.000
we sit down or we're preparing a meal,
link |
00:24:28.960
locus coeruleus is known to release
link |
00:24:31.460
noradrenaline in the brain.
link |
00:24:33.080
It's creating a kind of alertness.
link |
00:24:35.160
This has ancient utility, but it's creating this alertness.
link |
00:24:39.320
And for many people, they experience that
link |
00:24:42.100
as they approach food as stress, as anxiety.
link |
00:24:45.060
But what's interesting is that as we approach food,
link |
00:24:48.800
locus coeruleus is releasing all these molecules
link |
00:24:52.040
that make us feel more anxious and alert.
link |
00:24:54.460
Sometimes it's felt as excitement
link |
00:24:56.120
and that has probably to do
link |
00:24:57.280
with how we feel about food generally.
link |
00:24:58.820
Are we happy with our relationship to food?
link |
00:25:00.800
Are we trying to restrict our relationship to food?
link |
00:25:02.840
Are people coming over for dinner?
link |
00:25:04.240
All that will play in of course,
link |
00:25:06.060
but there's a certain stress and anxiety
link |
00:25:08.880
on approach to food.
link |
00:25:10.880
And as we approach food and we feel that anxiety,
link |
00:25:15.200
locus coeruleus activates the lateral hypothalamus
link |
00:25:19.160
in a way that inhibits feeding,
link |
00:25:21.640
that makes us not want to eat.
link |
00:25:23.180
So a lot of people who have kind of pre-meal anxiety
link |
00:25:26.040
or anxiety around food,
link |
00:25:28.040
and they can't seem to just calm down and have a good meal
link |
00:25:30.560
to access that later rest and digest.
link |
00:25:33.200
A lot of that is because of this heightened stress
link |
00:25:35.800
upon approach to food.
link |
00:25:37.160
And a lot of the tools that are out there
link |
00:25:39.680
both for eating disorders
link |
00:25:40.880
and for just kind of the general public
link |
00:25:42.760
who isn't suffering from eating disorders,
link |
00:25:44.560
things like mindfulness around meals,
link |
00:25:48.160
they always tell you, you should never eat when stressed.
link |
00:25:50.480
I'm sorry, but my life is not organized
link |
00:25:52.160
in a way that I can't do that.
link |
00:25:53.400
I would never eat, right?
link |
00:25:54.700
Because I eat when I'm awake
link |
00:25:56.160
and I don't know if I'm stressed, but I don't think I am,
link |
00:25:59.840
but I tend to run around a lot during the day.
link |
00:26:02.260
I don't generally take time to do two or three deep breaths
link |
00:26:05.760
before I eat, I generally will eat.
link |
00:26:09.560
That can be healthy or unhealthy
link |
00:26:10.840
depending on the quality of your digestion.
link |
00:26:13.140
I think using digestion as a guide is good.
link |
00:26:15.680
But a lot of people aren't aware that this interaction
link |
00:26:19.720
between locus coeruleus and lateral hypothalamus
link |
00:26:21.860
is a basic mechanism where we are supposed to get
link |
00:26:24.920
a little bit alert and anxious around mealtime.
link |
00:26:27.800
And then as we eat, the mechanisms for calming
link |
00:26:31.400
and satiation are supposed to kick in.
link |
00:26:33.760
And those mechanisms involve,
link |
00:26:35.560
as I mentioned earlier, two things.
link |
00:26:37.020
One is how things taste.
link |
00:26:38.400
Digestion starts in the mouth, of course.
link |
00:26:41.240
We taste our food.
link |
00:26:43.120
Everyone tells us we should chew our food more.
link |
00:26:45.080
Yes, that can improve digestion.
link |
00:26:46.440
We're not supposed to drink too many fluids as we eat.
link |
00:26:48.600
That's true too.
link |
00:26:49.920
But a lot of how we feel while we eat and after we eat
link |
00:26:54.920
is because of this vagus sensing of what's in our gut.
link |
00:27:00.420
It's sending information all the time.
link |
00:27:02.880
Is there sugar?
link |
00:27:04.640
Are there fats?
link |
00:27:06.180
Are there contaminants?
link |
00:27:08.220
There are a lot of information,
link |
00:27:09.620
these so-called parallel pathways
link |
00:27:10.940
that are going up into our brain
link |
00:27:12.180
that regulate whether or not
link |
00:27:13.300
we want to eat more of something or not.
link |
00:27:15.380
And there are accelerators,
link |
00:27:16.840
things that make us want to eat more,
link |
00:27:18.740
like sugar and fats, because those are nutrient dense
link |
00:27:22.380
and they help generally, at least in the short term,
link |
00:27:24.620
support the survival of animals, but also amino acids.
link |
00:27:29.100
And this is very important.
link |
00:27:31.520
There are a lot of data,
link |
00:27:33.540
but much of what comes from the data on what people eat
link |
00:27:38.500
and how much they eat is from a subconscious detection
link |
00:27:42.500
of how many amino acids and what the array,
link |
00:27:47.140
meaning the constellation of amino acids is in a given food.
link |
00:27:50.660
And it's fair to say that the sum total of these studies
link |
00:27:54.620
point in a direction where people will basically eat
link |
00:27:58.140
not until their stomach is full,
link |
00:28:00.780
but until the brain perceives
link |
00:28:04.500
that they have adequate intake of amino acids.
link |
00:28:07.860
Now, this is a conversation that comes up
link |
00:28:11.380
in the context of the meat only, the keto,
link |
00:28:14.740
the kind of zone diet, the Mediterranean diet,
link |
00:28:17.860
the vegan diet.
link |
00:28:18.700
I'm largely going to ignore the kind of strict camps today.
link |
00:28:23.600
I will talk a little bit about it
link |
00:28:25.100
because I think each one of them actually taps
link |
00:28:27.220
into something important about this brain body relationship
link |
00:28:29.700
that the other ones don't.
link |
00:28:31.540
But I don't want to get into a discussion
link |
00:28:33.220
about the ethics of different foods
link |
00:28:35.420
of animal-based or non-animal-based,
link |
00:28:36.860
because that's not the topic today.
link |
00:28:38.260
It's really about nutrient sensing and amino acid sensing.
link |
00:28:41.740
So we generally will eat until our gut tells our brain
link |
00:28:45.820
that we have adequate amounts of these amino acids,
link |
00:28:48.460
amino acids of course are important
link |
00:28:50.300
because they are the building blocks of sure,
link |
00:28:52.780
muscle and the other things in our body that need repair.
link |
00:28:56.500
But what most people don't realize is that amino acids
link |
00:29:00.460
are what the neurochemicals in the brain are made from.
link |
00:29:04.800
Now this is vitally important, okay?
link |
00:29:07.260
So we've heard dopamine is this molecule
link |
00:29:10.060
that makes you feel good.
link |
00:29:11.180
Actually dopamine is a molecule that makes you feel good.
link |
00:29:13.780
It's released within the brain
link |
00:29:15.740
and it does feel very good when you have dopamine release.
link |
00:29:19.460
Dopamine release is caused by surprise, excitement,
link |
00:29:22.720
events that you're looking forward to and that turn out well.
link |
00:29:25.860
It is inhibited by events you're looking forward to
link |
00:29:28.380
that don't work out.
link |
00:29:29.840
When someone says they're going to call
link |
00:29:31.020
that you're really, really excited to talk to
link |
00:29:32.580
and then they don't.
link |
00:29:33.540
Or you thought a movie was going to be really great
link |
00:29:35.740
and it's not.
link |
00:29:36.580
Or you expect a meal to be really delicious
link |
00:29:38.400
and it's kind of eh.
link |
00:29:40.060
And we actually, there's a name for that.
link |
00:29:42.000
It's called reward prediction error.
link |
00:29:44.260
So if, and you can actually use this
link |
00:29:46.460
in the context of meals and plans
link |
00:29:48.140
in a way that's very useful with yourself
link |
00:29:50.180
and people you know.
link |
00:29:51.820
Essentially, if you expect something to be really terrific,
link |
00:29:57.200
it really does place a higher expectation
link |
00:29:59.660
at the chemical level.
link |
00:30:01.080
So if you don't get as much dopamine
link |
00:30:03.600
as you're expecting from something,
link |
00:30:04.980
so you hear about a really great restaurant
link |
00:30:07.860
or a place that has a really,
link |
00:30:08.900
in my case, I wouldn't call it an addiction.
link |
00:30:11.300
I would call it more of an affliction for croissants.
link |
00:30:14.020
The best vegetable, of course, is the croissant.
link |
00:30:16.260
And I get really excited about the fact
link |
00:30:18.180
that someone will tell me, oh, there's this place
link |
00:30:20.300
and they have incredible croissants.
link |
00:30:21.820
You got to go there.
link |
00:30:22.780
So I get really excited and I'll go.
link |
00:30:24.340
And just them telling me
link |
00:30:25.880
that it's going to be really terrific raises an expectation,
link |
00:30:29.020
a dopamine expectation.
link |
00:30:30.780
And unless those croissants are amazing,
link |
00:30:34.980
chances are I'm going to experience them
link |
00:30:37.420
as less good, less satisfying.
link |
00:30:40.300
I will truly release less dopamine
link |
00:30:43.440
than I would had they just said,
link |
00:30:45.000
oh yeah, I think that there are croissants down the street
link |
00:30:47.100
or if I just tried one at random.
link |
00:30:48.720
And that's because of this reward prediction error.
link |
00:30:51.260
Your expectation of something releases dopamine
link |
00:30:54.660
and the actual event releases dopamine.
link |
00:30:58.060
And if the event related dopamine
link |
00:31:01.500
does not exceed the expectation or at least match it,
link |
00:31:04.740
there's a much higher tendency
link |
00:31:06.260
that you won't pursue that thing again.
link |
00:31:08.500
So dopamine is really powerful
link |
00:31:10.140
and it's not just the molecule of reward.
link |
00:31:12.320
It is the molecule of desire.
link |
00:31:13.980
It's the molecule of wanting,
link |
00:31:16.100
not just the molecule of having.
link |
00:31:18.420
And a book,
link |
00:31:19.300
since people often ask for book recommendations,
link |
00:31:21.580
I don't know the author personally, but I love the book.
link |
00:31:23.740
It's called The Molecule of More.
link |
00:31:25.340
It's a terrific book.
link |
00:31:26.700
I wish I had written it frankly,
link |
00:31:28.760
but if you want to learn more about dopamine,
link |
00:31:30.580
reward prediction error,
link |
00:31:31.640
and how dopamine regulates various aspects
link |
00:31:33.940
of your emotional and motivational life,
link |
00:31:35.820
it's a terrific read.
link |
00:31:38.720
Dopamine is what's going to lead us
link |
00:31:41.700
to want to eat more of something
link |
00:31:43.500
or to not want more of something
link |
00:31:45.140
because dopamine really is about craving.
link |
00:31:48.140
It's about motivation and it's about desire.
link |
00:31:51.120
And as I mentioned,
link |
00:31:52.180
these amino acid sensors in our gut
link |
00:31:54.440
are detecting how many amino acids,
link |
00:31:56.780
but they're also detecting which amino acids.
link |
00:31:59.300
And there's a particular amino acid called L-tyrosine,
link |
00:32:02.600
which comes from food.
link |
00:32:03.920
You can look up online which foods contain L-tyrosine.
link |
00:32:06.860
It is in meats.
link |
00:32:07.700
It is in nuts.
link |
00:32:08.660
It is also in some plant-based foods.
link |
00:32:11.200
L-tyrosine is the precursor to a couple other molecules
link |
00:32:16.760
like L-dopa, et cetera, that make dopamine.
link |
00:32:19.620
And so there's a misconception out there
link |
00:32:22.260
that most of the serotonin is in our gut
link |
00:32:25.380
and most of the dopamine is in our gut
link |
00:32:27.460
and therefore our mood is in our gut.
link |
00:32:29.900
That's not quite the way it works.
link |
00:32:32.060
We'll talk about serotonin in a moment,
link |
00:32:33.500
but dopamine is synthesized from the amino acids
link |
00:32:37.740
that you eat.
link |
00:32:38.900
However, the dopamine neurons that give rise
link |
00:32:42.200
to these feelings of good or wanting more
link |
00:32:45.380
or desire and motivation, those reside in the brain.
link |
00:32:48.640
So we don't want to get too confused.
link |
00:32:49.900
We want to respect and honor the power of the gut
link |
00:32:52.700
and this vagal pathway,
link |
00:32:54.140
but it's really neurons within your brain
link |
00:32:55.740
that drive the pursuit and decision-making.
link |
00:32:58.660
So what does this mean?
link |
00:32:59.620
Well, some people make too little dopamine.
link |
00:33:03.460
Some people make so little dopamine
link |
00:33:04.940
that they need prescription dopamine.
link |
00:33:07.300
They need L-dopa.
link |
00:33:08.260
People with Parkinson's take L-dopa
link |
00:33:10.380
and other compounds to increase dopamine
link |
00:33:12.420
because Parkinson's is associated
link |
00:33:14.900
with deficits in movement.
link |
00:33:16.900
It starts as a tremor,
link |
00:33:18.660
actually starts as some other things that are interesting.
link |
00:33:20.460
We'll talk about in a moment,
link |
00:33:21.440
but Parkinson's is a depression.
link |
00:33:25.540
It's a blunting of motivation and mood and affect,
link |
00:33:28.640
and it's a tremor.
link |
00:33:29.540
And then eventually in severe conditions,
link |
00:33:31.220
it's challenges in speaking and walking.
link |
00:33:33.340
So some famous examples would be Muhammad Ali,
link |
00:33:36.420
Michael J. Fox, the great boxing trainer, Freddy Roach.
link |
00:33:41.300
Like these people have Parkinson's
link |
00:33:43.240
and they at least later in their life
link |
00:33:45.160
had challenges speaking.
link |
00:33:46.780
Now, it's not just fighters that develop Parkinson's.
link |
00:33:50.380
As far as I know, Michael J. Fox wasn't a fighter.
link |
00:33:54.660
People can develop Parkinson's
link |
00:33:55.980
and Parkinson's is a depletion
link |
00:33:57.660
of dopamine neurons in the brain.
link |
00:33:59.180
And it's not just movement challenges,
link |
00:34:01.100
it's challenges with mood.
link |
00:34:02.620
Now, hopefully most of you,
link |
00:34:03.860
all of you don't have Parkinson's,
link |
00:34:06.380
but it's clear that dietary L-tyrosine
link |
00:34:09.380
supports the healthy production of things like dopamine
link |
00:34:14.380
and as well as other factors within the brain.
link |
00:34:17.340
Now, some people immediately ask,
link |
00:34:18.980
well, should I supplement L-tyrosine?
link |
00:34:20.820
So let's just talk about that
link |
00:34:22.000
because that's going to come up.
link |
00:34:24.160
Full disclosure, I sometimes take L-tyrosine.
link |
00:34:26.620
I'm not taking it right now,
link |
00:34:27.640
but I take it only occasionally.
link |
00:34:29.500
You can buy this in capsule form.
link |
00:34:31.540
It does increase kind of mood and elevation and alertness.
link |
00:34:35.560
It is over the counter.
link |
00:34:36.680
You have to check with your doctor.
link |
00:34:37.940
I'm not responsible for your healthcare
link |
00:34:39.420
and I'm not a doctor.
link |
00:34:40.940
Whether or not it's safe for you.
link |
00:34:41.980
People with preexisting hyper dopaminergic conditions
link |
00:34:44.920
like mania should probably not take L-tyrosine.
link |
00:34:48.840
The other thing about taking L-tyrosine
link |
00:34:50.340
is there is a crash, okay?
link |
00:34:52.060
It's not a massive crash
link |
00:34:53.300
if you take it at appropriate doses and it's right for you,
link |
00:34:56.220
but it can produce a crash and a lethargy
link |
00:34:59.020
and a kind of brain fog after the next day or so.
link |
00:35:02.540
And so L-tyrosine, however,
link |
00:35:06.100
can be ingested through foods or through supplementation
link |
00:35:08.700
to increase dopamine levels.
link |
00:35:09.880
That's well known.
link |
00:35:11.020
Taken chronically, however,
link |
00:35:12.660
it can disrupt those dopamine pathways.
link |
00:35:14.900
Now there are other drugs that will increase L-tyrosine
link |
00:35:18.060
and dopamine as well,
link |
00:35:19.540
but those are severe enough
link |
00:35:20.620
that they generally tend to have addictive properties.
link |
00:35:22.680
So things like methamphetamine,
link |
00:35:24.140
things like cocaine are terrible
link |
00:35:26.340
because they really ramp up the dopamine system so much
link |
00:35:29.460
that people really can't achieve dopamine release
link |
00:35:32.060
through any other mechanisms.
link |
00:35:33.660
But food and the ingestion of L-tyrosine
link |
00:35:35.900
has a profound effect on our levels of dopamine.
link |
00:35:38.880
It takes a little while,
link |
00:35:40.160
but that really will impact level of mood.
link |
00:35:43.400
Certain antidepressants fall into the category
link |
00:35:46.060
of dopaminergic antidepressants.
link |
00:35:48.020
One of the most famous ones, of course, is Wellbutrin.
link |
00:35:51.020
Wellbutrin was developed
link |
00:35:52.560
because a lot of the other antidepressants
link |
00:35:54.960
tend to make people feel kind of lethargic
link |
00:35:57.060
or they had side effect profiles that people didn't like.
link |
00:35:59.860
So they developed this thing that,
link |
00:36:02.860
the generic name is different,
link |
00:36:04.060
but it's generally called Wellbutrin.
link |
00:36:05.740
Wellbutrin activates dopamine and epinephrine,
link |
00:36:08.840
which is a substrate of dopamine.
link |
00:36:10.700
And both of those are involved in motivation
link |
00:36:12.820
and alertness and effort.
link |
00:36:14.380
So you might say, wow, this sounds like a great drug.
link |
00:36:16.240
However, this drug, the side effect profile
link |
00:36:19.640
tends to be the things that are associated
link |
00:36:21.300
with elevated mood and alertness.
link |
00:36:22.980
So this isn't like taking some L-tyrosine.
link |
00:36:25.100
This isn't like eating some tyrosine rich foods.
link |
00:36:27.180
This is really a much greater release of dopamine
link |
00:36:30.500
and epinephrine, and it increases things like anxiety,
link |
00:36:34.060
sweating, the pupils dilate.
link |
00:36:36.380
It has certain effects on,
link |
00:36:38.340
in particular people with epilepsy.
link |
00:36:40.260
It's been used somewhat successfully for smoking cessation,
link |
00:36:43.760
but again, it's not for everybody.
link |
00:36:45.380
And I'm not here to encourage the use of these things.
link |
00:36:48.100
I'm just describing the biology and the rationale
link |
00:36:50.260
for why these drugs were developed.
link |
00:36:52.700
So let's back up a second.
link |
00:36:55.380
Let's just kind of take stock of where we're at.
link |
00:36:57.040
We have a brain-body connection.
link |
00:36:58.560
There are many of them,
link |
00:36:59.580
but one of the main ones is the vagus nerve.
link |
00:37:01.580
The vagus collects information about a lot of things,
link |
00:37:04.020
breathing, heart rate, stuff that's happening in the gut,
link |
00:37:07.380
et cetera, and gut by the way,
link |
00:37:08.600
includes the stomach and the intestines,
link |
00:37:10.420
sends that information up to the brain.
link |
00:37:12.700
The brain is using that information
link |
00:37:14.400
to decide one of two things,
link |
00:37:16.140
move towards something or move away.
link |
00:37:18.620
It can also pause,
link |
00:37:19.640
but essentially pausing is not moving toward.
link |
00:37:22.460
So that's the dopamine pathway
link |
00:37:24.860
and foods rich in L-tyrosine generally give us
link |
00:37:27.500
an elevated mood and make us want to do more
link |
00:37:29.900
of whatever it is that we happen to be doing
link |
00:37:32.100
as well as other things.
link |
00:37:32.940
Motivation generalizes to other things.
link |
00:37:34.880
It's not unique to just ingesting foods,
link |
00:37:37.260
but foods that give us a big pulse of dopamine
link |
00:37:40.040
will make us crave more of that food.
link |
00:37:42.940
It will make us crave more of the activity
link |
00:37:45.220
that led to the ingestion of that food.
link |
00:37:47.900
And as I mentioned earlier,
link |
00:37:48.960
a lot of that is happening at a subconscious level
link |
00:37:51.860
that you're not even aware of.
link |
00:37:53.100
And this is why I think the concern about hidden sugars
link |
00:37:56.220
and over-ingestion of sugars is serious
link |
00:37:58.740
because it's not just that the sugars
link |
00:38:01.320
are impacting our blood glucose in negative ways,
link |
00:38:04.180
although often it is.
link |
00:38:05.380
It's not just the obesity crisis that's happening.
link |
00:38:08.260
It's also the fact that it's disrupting
link |
00:38:10.700
our dopamine systems.
link |
00:38:12.220
Now that doesn't mean all sugar is bad.
link |
00:38:14.340
Some people have a quite healthy relationship to sugar,
link |
00:38:17.420
but I think most people are just not aware
link |
00:38:19.060
that sugar isn't just operating at the level of taste.
link |
00:38:21.700
It's operating at the level of neurochemicals
link |
00:38:23.580
and it's doing it subconsciously.
link |
00:38:25.940
So I'd like to talk about some of the other pathways
link |
00:38:28.120
between brain and body that regulate our moods and emotions,
link |
00:38:31.700
but also are actionable.
link |
00:38:33.820
So the other neuromodulator that's really interesting
link |
00:38:36.200
in the context of the vagus is serotonin.
link |
00:38:39.300
Serotonin, just to remind you, is a neuromodulator.
link |
00:38:42.660
Therefore, it creates a bias in which neural circuits,
link |
00:38:46.160
which neurons in the brain and body are going to be active,
link |
00:38:49.140
and it makes it less likely
link |
00:38:50.440
that other ones are going to be active.
link |
00:38:53.020
I think it's fair to say, without ever having measured it,
link |
00:38:55.660
that my bulldog Costello must just,
link |
00:38:58.700
his brain and body must be swimming in serotonin
link |
00:39:01.500
because he's very calm and he eats a lot,
link |
00:39:05.620
but he generally feels pretty sated.
link |
00:39:07.300
He's kind of an animal that's obsessed with comforts.
link |
00:39:10.700
He's a bit of a hedonist.
link |
00:39:12.180
And serotonin, when it's elevated,
link |
00:39:13.820
tends to make us feel really comfortable
link |
00:39:16.100
and kind of blissed out wherever we are.
link |
00:39:18.980
And that contrasts with dopamine and epinephrine,
link |
00:39:22.500
which mainly put us in pursuit of things.
link |
00:39:25.180
Motivation is pursuit.
link |
00:39:27.260
Serotonin is more about feeling really comfy where we are.
link |
00:39:31.920
The conversation around the brain-body relationship
link |
00:39:34.500
and mood in serotonin for many years was,
link |
00:39:36.420
well, you eat a big meal, the gut is distended,
link |
00:39:39.000
you've got all the nutrients you need,
link |
00:39:40.300
you rest and digest, and serotonin is released.
link |
00:39:43.820
That's sorta true, but there's a lot more going on
link |
00:39:47.880
and a lot more that's interesting
link |
00:39:49.260
and actionable that's going on.
link |
00:39:51.060
First of all, some of you, but perhaps not all,
link |
00:39:53.740
have heard that more than 90% of the serotonin
link |
00:39:57.360
that we make is in our gut.
link |
00:39:59.020
And indeed, we have a lot of serotonin in our gut.
link |
00:40:01.860
We have neurons in our gut that make serotonin.
link |
00:40:04.180
We have neurons in our brain that make serotonin.
link |
00:40:06.940
But here's the deal.
link |
00:40:08.940
Most of the serotonin that impacts our mood
link |
00:40:11.540
and our mental state is not in our gut.
link |
00:40:14.600
Most of it is in the neurons of the brain
link |
00:40:16.720
in an area called the raphe nucleus of the brain.
link |
00:40:19.060
There are a few other locations too.
link |
00:40:20.860
And those are the neurons that control
link |
00:40:22.320
whether or not we feel satiated or not,
link |
00:40:24.700
whether or not we feel happy and calm.
link |
00:40:28.100
You can't have a discussion about serotonin
link |
00:40:30.280
without having a discussion about antidepressants
link |
00:40:32.400
because during the late 80s and early 90s,
link |
00:40:35.420
there was this explosion in the number
link |
00:40:37.780
of prescription drugs that were released,
link |
00:40:39.420
things like first one and most famous one is Prozac,
link |
00:40:42.100
Zoloft, and Paxil, a number of other ones
link |
00:40:44.520
that are so-called SSRI, Selective Serotonin
link |
00:40:47.560
Reuptake Inhibitors.
link |
00:40:50.320
That's a long acronym, but basically those drugs work
link |
00:40:53.720
by preventing the gobbling up of serotonin
link |
00:40:59.580
or reuptake of serotonin into neurons
link |
00:41:02.400
after it's been released,
link |
00:41:03.380
which leads to more serotonin overall,
link |
00:41:05.560
which means to elevate serotonin.
link |
00:41:07.100
And indeed, those drugs were and can be very useful
link |
00:41:11.200
for certain people to feel better in cases of depression
link |
00:41:14.680
and some other clinical disorders as well.
link |
00:41:17.080
So I really don't want to dismiss them
link |
00:41:20.140
as useless or dangerous for everybody.
link |
00:41:22.660
They can be quite useful for many people.
link |
00:41:25.620
Not everyone responds well to them
link |
00:41:27.480
as I'm sure you've all heard.
link |
00:41:29.140
And their side effect profile
link |
00:41:31.880
has effects like blunting affect.
link |
00:41:34.760
It can make people feel kind of flat, kind of meh.
link |
00:41:37.180
It can reduce appetite for food.
link |
00:41:39.800
It can reduce appetite for sex.
link |
00:41:41.320
It can do all sorts of things, or it can work really well.
link |
00:41:44.400
Sometimes it's a dose-related issue, et cetera.
link |
00:41:47.720
Serotonin is fascinating, however,
link |
00:41:50.000
because how well those neurons in the RAFAE work
link |
00:41:53.480
is impacted by some events within the gut,
link |
00:41:55.880
although you might be surprised
link |
00:41:57.800
to find out what those events are.
link |
00:42:00.280
So let's go a little bit deeper into the gut.
link |
00:42:03.100
And again, the gut includes the stomach
link |
00:42:05.740
and then the small intestine and the large intestine
link |
00:42:07.840
and ask like, what is going on with serotonin in the gut?
link |
00:42:10.400
How is it impacting serotonin in the brain?
link |
00:42:13.440
And let's think about this in the context
link |
00:42:15.960
of how some of us might want to increase
link |
00:42:18.480
or decrease our serotonin levels.
link |
00:42:20.280
So as far as I know,
link |
00:42:23.340
there aren't any really good at-home blood tests
link |
00:42:27.000
for things like serotonin and dopamine.
link |
00:42:29.240
There are some commercial products out there,
link |
00:42:30.880
but to me, just to me, I'm not particularly impressed.
link |
00:42:35.120
It's not the same as getting your hormones levels measured
link |
00:42:37.960
or your metabolic factors measured.
link |
00:42:39.700
That can be done and it can be done rigorously.
link |
00:42:43.320
There are tests out there.
link |
00:42:44.420
There are even some, believe it or not,
link |
00:42:45.960
there's some questionnaires.
link |
00:42:47.680
And I think actually last year
link |
00:42:49.040
it made some of the bigger newspapers.
link |
00:42:50.560
Are you more of a dopamine or a serotonin?
link |
00:42:52.760
Are you a this or a that?
link |
00:42:54.280
I find that stuff to be a little silly,
link |
00:42:55.820
although I do appreciate and like the fact
link |
00:42:58.160
that people are thinking about
link |
00:42:59.220
and talking about neuromodulators.
link |
00:43:01.440
There aren't really great ways to measure these things
link |
00:43:04.760
outside the clinic.
link |
00:43:05.680
There's some great clinical tools
link |
00:43:06.980
that you can get inside of a hospital
link |
00:43:08.480
or from a proper endocrinologist or neurologist,
link |
00:43:10.720
but no great at-home tool.
link |
00:43:12.400
So maybe that's a call to arms
link |
00:43:13.600
for some of you entrepreneurial folks out there
link |
00:43:16.320
to create these tests, accurate tests, please,
link |
00:43:19.120
that could be done at home.
link |
00:43:20.680
But some people feel like they're too anxious
link |
00:43:23.640
or they're always in a motivated state
link |
00:43:25.920
and they're trying to adjust their serotonin.
link |
00:43:27.680
Many people adjust their serotonin by just eating more food
link |
00:43:31.320
and carbohydrate-rich foods will increase serotonin.
link |
00:43:35.160
I've talked about this on a previous podcast,
link |
00:43:36.920
but I personally am a big fan, at least for me,
link |
00:43:39.700
as I usually fast and exercise
link |
00:43:42.280
in the early part of the day.
link |
00:43:43.800
I eat a relatively high protein and moderate fat,
link |
00:43:48.420
zero carb or low carb meal at lunch
link |
00:43:51.680
and in the afternoon to stay alert
link |
00:43:53.460
because those foods tend to favor dopamine production,
link |
00:43:56.760
acetylcholine production,
link |
00:43:57.920
epinephrine production, and alertness.
link |
00:43:59.960
My mood is generally pretty good most of the time.
link |
00:44:03.480
And then as evening comes around
link |
00:44:05.240
and I'm concerned about sleep and a good night's sleep,
link |
00:44:08.720
not concerned in an anxious way,
link |
00:44:09.980
but I want to get a good night's sleep,
link |
00:44:11.640
I will ingest foods that promote serotonin release
link |
00:44:14.600
because they contain a lot of tryptophan.
link |
00:44:16.520
So if I do eat meat,
link |
00:44:17.500
it would be like a white meat, turkey meat.
link |
00:44:19.080
I don't tend to, I've never liked turkey.
link |
00:44:21.480
I don't mind the animal, but I don't like ingesting the meat.
link |
00:44:25.160
But starchy carbohydrates will increase serotonin.
link |
00:44:28.840
Some people also will take serotonin.
link |
00:44:32.240
You can now buy 5-HTP supplements.
link |
00:44:35.280
This is a little bit tricky.
link |
00:44:36.700
5-HTP supplements can of course increase 5-HTP.
link |
00:44:40.720
It is 5-HTP or serotonin,
link |
00:44:43.480
but that sometimes can create problems
link |
00:44:46.360
in endogenous or self-made production of serotonin.
link |
00:44:49.640
So I'm never a fan of taking things
link |
00:44:52.160
very close to the chemical you're trying to increase
link |
00:44:54.440
for very long periods of time, maybe for occasional use.
link |
00:44:57.800
I have the problem that if I take serotonin supplements,
link |
00:45:00.700
5-HTP, I fall asleep, the sleep I have is very intense
link |
00:45:04.120
and I wake up three or four hours later.
link |
00:45:05.640
And we know based on sleep studies
link |
00:45:08.160
with good measurements in the lab
link |
00:45:09.660
that serotonin release tends to be
link |
00:45:12.040
in the later part of the night.
link |
00:45:13.520
And so by taking it early in the night,
link |
00:45:15.200
it really can disrupt the pattern of sleep
link |
00:45:17.240
and the depth of sleep.
link |
00:45:18.440
Nonetheless, some people are interested in taking serotonin
link |
00:45:21.420
to get some of the more blissed out effects.
link |
00:45:23.980
You can achieve that with foods, as I mentioned,
link |
00:45:25.760
that are carbohydrate rich.
link |
00:45:27.420
So as you're seeing,
link |
00:45:28.260
this isn't really a discussion about nutrition per se.
link |
00:45:30.400
This is a discussion about food,
link |
00:45:31.880
which contains amino acids.
link |
00:45:33.760
Amino acids being the precursors to neuromodulators
link |
00:45:36.440
and neuromodulators having a profound effect
link |
00:45:39.320
on your overall state of alertness or calmness,
link |
00:45:42.360
happiness, sadness, and wellbeing.
link |
00:45:44.440
So there are a number of things that one can take.
link |
00:45:47.600
As I mentioned, one of them being 5-HTP itself.
link |
00:45:50.160
Now I'm not recommending people take anything,
link |
00:45:52.520
but if you're interested in what this does
link |
00:45:55.480
and you want to explore this,
link |
00:45:56.640
of course you'd want permission from your doctor.
link |
00:45:58.760
You can go to this free website.
link |
00:46:00.680
I love this resource.
link |
00:46:02.280
They don't pay me to say that,
link |
00:46:03.400
but I just love this resource.
link |
00:46:04.660
I followed it for a long time called examine.com.
link |
00:46:08.760
Thank you folks at examine.com
link |
00:46:10.640
for putting this free resource out on the web
link |
00:46:12.420
that has links through what they call
link |
00:46:14.120
the human effect matrix.
link |
00:46:16.040
So it's links to all the PubMed studies
link |
00:46:18.040
for particular effects of particular compounds
link |
00:46:20.280
that one can buy and ingest.
link |
00:46:21.360
Incredible, as well as important health warnings.
link |
00:46:23.920
So I'm not going to read through everything,
link |
00:46:25.160
but if you were to go to examine.com, as I have now,
link |
00:46:27.760
and you'd put in 5-HTP,
link |
00:46:30.280
they're only looking at things that have strong evidence.
link |
00:46:32.520
PubMed articles, articles are in the PubMed archives.
link |
00:46:37.520
So for instance, I didn't know this,
link |
00:46:39.520
but 5-HTP produces a notable decrease in appetite.
link |
00:46:44.000
Three studies.
link |
00:46:45.360
And this appetite suppression makes sense, of course,
link |
00:46:48.000
because we ingest foods to get serotonin.
link |
00:46:51.440
And if we have enough serotonin,
link |
00:46:53.400
then there's no reason to ingest more foods.
link |
00:46:55.700
It tends to have a blunting of appetite.
link |
00:46:57.560
It probably does that also through other mechanisms.
link |
00:46:59.640
So I'm not saying you should do this,
link |
00:47:01.160
but if someone's trying to blunt their appetite,
link |
00:47:03.360
it could be a interesting route.
link |
00:47:05.740
Although I don't recommend chronic use.
link |
00:47:08.760
Not surprisingly, there's a decrease in body weight
link |
00:47:11.960
as a consequence, an increase in cortisol.
link |
00:47:14.120
So that's kind of important to note
link |
00:47:15.960
that when you typically in biology,
link |
00:47:18.320
if you pull on one string really hard, another one moves,
link |
00:47:20.600
it's a little bit like a puppet
link |
00:47:21.880
and there's more than one string on the puppet.
link |
00:47:24.040
So it does seem to increase cortisol,
link |
00:47:26.400
though they report as a minor effect.
link |
00:47:27.880
Again, links to all those studies are there,
link |
00:47:30.160
which is why I'm not listing them out in our caption notes.
link |
00:47:32.460
You can go and get them at examine.com,
link |
00:47:34.280
put in serotonin and you'll find that.
link |
00:47:36.700
So I find it fascinating that nowadays
link |
00:47:40.880
there are things that are somewhere between doing nothing,
link |
00:47:44.980
getting serotonin from tryptophan in foods
link |
00:47:47.440
and prescription drugs.
link |
00:47:48.560
There's this other category of supplements
link |
00:47:51.080
that are really interesting for modulating
link |
00:47:53.840
these chemicals in the body.
link |
00:47:55.200
And I should mention before I move on,
link |
00:47:57.180
because I mentioned L-tyrosine,
link |
00:47:58.480
I neglected to mention earlier
link |
00:48:00.480
in our discussion about dopamine.
link |
00:48:02.080
If you're interested in the dopamine pathway,
link |
00:48:04.140
go to examine.com, put in mucuna pruriens,
link |
00:48:08.240
it's M-U-C-U-N-A,
link |
00:48:11.320
P separate word, P-R-U-R-I-E-N-S.
link |
00:48:17.000
It is a velvet bean that grows from vines
link |
00:48:20.080
and is very itchy to touch due to serotonin on its surface.
link |
00:48:23.460
Amazing, this bean has serotonin on its surface.
link |
00:48:25.900
And indeed serotonin, if you were to put it on your skin,
link |
00:48:29.040
would cause some irritation of the skin, amazing.
link |
00:48:31.620
Inside the bean is L-DOPA.
link |
00:48:35.240
Mucuna pruriens is not just something
link |
00:48:37.800
that promotes dopamine release
link |
00:48:39.640
because of some weird mystical ancient thing
link |
00:48:42.720
or whatever, or sorcery.
link |
00:48:44.520
It is chemically L-DOPA, the precursor to dopamine.
link |
00:48:49.320
It contains some other molecules as well
link |
00:48:51.480
and low levels of other psychoactives.
link |
00:48:53.840
This stuff is available over the counter, incredible.
link |
00:48:56.720
I personally find it incredible.
link |
00:48:59.140
Its effects are really interesting.
link |
00:49:00.580
I'm not going to read them all off,
link |
00:49:01.940
but I mentioned these effects
link |
00:49:03.460
not because I'm encouraging you to take it,
link |
00:49:05.240
but because you get a window
link |
00:49:06.760
into what acute dopamine increase does
link |
00:49:10.320
in the non-Parkinsonian context.
link |
00:49:12.840
And you can start to think about foods
link |
00:49:14.600
that are rich in L-tyrosine
link |
00:49:16.560
as biasing certain effects or not others.
link |
00:49:20.100
So when you hear food is medicine,
link |
00:49:21.400
food isn't really medicine, food is food,
link |
00:49:23.420
but food has these chemical effects as well.
link |
00:49:25.880
So first one listed is three studies with very high rigor
link |
00:49:32.600
that overall have a minor effect on,
link |
00:49:35.760
of all things, sperm quality.
link |
00:49:37.300
So it appears that sperm motility itself,
link |
00:49:39.840
I'm assuming when they say sperm quality,
link |
00:49:41.320
I don't know what features of sperm of quality
link |
00:49:43.260
they looked at with sperm.
link |
00:49:44.100
That's not a discussion I want to have,
link |
00:49:45.740
but I'm assuming it's motility
link |
00:49:47.240
because I know enough about reproductive biology
link |
00:49:49.920
to know that sperm ability to swim
link |
00:49:52.880
depends on some proteins that are present
link |
00:49:54.840
in the front of the sperm, et cetera,
link |
00:49:56.560
things like pentraxins,
link |
00:49:58.000
and sperm motility is generally associated
link |
00:50:00.920
with sperm quality.
link |
00:50:02.120
Sperm that don't move are generally not very useful sperm.
link |
00:50:05.600
Symptoms of Parkinson disease
link |
00:50:07.260
are notably degraded with macuna purines.
link |
00:50:10.120
So fascinating, that's not surprising.
link |
00:50:12.120
And there are a lot of other effects here,
link |
00:50:13.840
feelings of subjective wellbeing, testosterone,
link |
00:50:16.320
reductions in prolactin, not surprising.
link |
00:50:18.840
Prolactin is a hormone that's involved in milk letdown,
link |
00:50:22.240
it's in lactating mothers,
link |
00:50:24.480
it's involved in feelings of peace
link |
00:50:26.960
and generally is antagonistic to sexual desire
link |
00:50:30.920
in both men and female.
link |
00:50:33.280
So it's really interesting that things like macuna purines,
link |
00:50:37.200
which are L-DOPA, reduced prolactin, increased motility,
link |
00:50:40.260
increased testosterone, subjective wellbeing.
link |
00:50:42.180
So you're starting to see a theme, right?
link |
00:50:44.000
Dopamine really makes us motivated, feel in pursuit,
link |
00:50:47.160
makes us feel good.
link |
00:50:48.240
Serotonin makes us feel more relaxed and calm.
link |
00:50:51.760
Now, this whole month is about emotion.
link |
00:50:53.480
So you might be thinking, well, wait,
link |
00:50:54.960
where are we going with all this as it relates to emotions?
link |
00:50:57.240
But in the last episode,
link |
00:50:59.540
I said something I'm going to repeat it now briefly,
link |
00:51:01.840
which is that much of what we talk about
link |
00:51:04.120
as good emotions or bad emotions,
link |
00:51:06.040
there's a context to that, there's a social context.
link |
00:51:08.640
You can't really say an emotion is good or bad,
link |
00:51:11.400
grieving at a funeral is healthy, okay?
link |
00:51:14.480
Being happy at a funeral,
link |
00:51:16.480
assuming you loved the person that died,
link |
00:51:18.560
is most people probably wouldn't think that was healthy.
link |
00:51:21.580
So we can't really say that certain emotions like sadness
link |
00:51:25.800
or happiness are healthy, its context is important.
link |
00:51:28.160
Cultural context is important.
link |
00:51:29.920
Many of you have asked for book recommendations.
link |
00:51:31.920
This is an opportunity to raise a mention of another book.
link |
00:51:35.100
Again, I don't have any financial affiliation or anything,
link |
00:51:38.260
but if you want to read more about emotions
link |
00:51:40.280
and how the context and cultural things impact our emotions,
link |
00:51:44.360
I'm a huge fan of Lisa Feldman Barrett.
link |
00:51:47.000
I learned about her from the Lex Fridman podcast.
link |
00:51:50.700
I've had discussions with her on my Instagram live.
link |
00:51:52.720
She's at Northeastern University, a world expert in emotions.
link |
00:51:56.040
Her first book is How Emotions Are Made.
link |
00:51:58.440
This is not a book she sent me.
link |
00:51:59.580
I paid for this with my own money years ago,
link |
00:52:02.640
bought it, read it, loved it long before I met Lisa.
link |
00:52:05.720
I'm just delighted that we've got
link |
00:52:06.760
to known each other a little bit.
link |
00:52:08.060
It's a really interesting read into the psychology
link |
00:52:10.320
of emotions and some of the subjectivity of emotions.
link |
00:52:13.720
So whereas I'm talking about mainly the biology of emotions,
link |
00:52:16.800
this gets a little bit more into the psychology
link |
00:52:18.880
of the biology as well.
link |
00:52:21.160
And Lisa is just terrific.
link |
00:52:23.200
She's also putting a lot of information
link |
00:52:24.560
out into the world about emotions.
link |
00:52:25.920
So if you want to learn more about that, check out her work.
link |
00:52:29.920
Again, it's Lisa Feldman Barrett
link |
00:52:32.040
and that book is How Emotions Are Made.
link |
00:52:34.120
Hopefully she'll continue to write many more books.
link |
00:52:37.520
So now you understand the relationship, I hope,
link |
00:52:41.680
between foods and dopamine, foods and serotonin
link |
00:52:46.200
and that they're both being communicated
link |
00:52:47.920
to the brain via the vagus, right?
link |
00:52:49.640
We ingest these foods.
link |
00:52:51.120
These supplements are things people take.
link |
00:52:53.680
They don't put them directly into the brain.
link |
00:52:55.520
They put them in our gut.
link |
00:52:56.440
So yes, there's a gut brain connection
link |
00:52:58.640
but it's not about the serotonin in the gut
link |
00:53:01.760
that makes you feel calm and placid.
link |
00:53:04.160
It's not about the dopamine in the gut.
link |
00:53:07.560
It's just been oversold that way
link |
00:53:09.760
because I think there's something really attractive
link |
00:53:11.720
and I understand about the idea
link |
00:53:14.160
that because certain things about our experience of life
link |
00:53:18.060
and our emotions is happening in our body
link |
00:53:19.620
that maybe we have a little more control, right?
link |
00:53:21.720
Because this thing is a hard container.
link |
00:53:23.400
We can't just stuff some dopamine in there.
link |
00:53:25.100
I can't just, you know,
link |
00:53:26.320
I could probably take a macuna purines bean
link |
00:53:28.760
and stuff it in my ear.
link |
00:53:29.760
Please don't do that.
link |
00:53:30.600
It'd make my ear itchy
link |
00:53:31.520
because of the serotonin on the outside.
link |
00:53:32.960
But you can't get stuff in there.
link |
00:53:34.480
What you have to do is ingest things
link |
00:53:36.280
that are metabolized in certain ways
link |
00:53:38.360
that communicate to the brain
link |
00:53:40.440
or so maybe they pass into the brain themselves
link |
00:53:43.300
across what's called the blood brain barrier.
link |
00:53:45.680
I'll talk about the blood brain barrier in a minute.
link |
00:53:48.280
It's actually called the BBB.
link |
00:53:49.800
So it ends up sounding like baby, BBB.
link |
00:53:53.360
I guess that's like BB.
link |
00:53:54.920
Anyway, BBB.
link |
00:53:57.720
But there are also nerves in the gut
link |
00:53:59.960
that are sensing the nutrient contents of food
link |
00:54:02.680
and then saying, oh, you should feel better and want more.
link |
00:54:05.160
Oh, that's got a lot of bitterness and acid taste to it.
link |
00:54:09.880
You should want less of that, okay?
link |
00:54:12.080
So as I transition out of the discussion
link |
00:54:14.080
about dopamine and serotonin and the gut,
link |
00:54:16.880
hopefully you've got some actionable items there
link |
00:54:19.160
under your belt, pun intended,
link |
00:54:21.380
where you can understand how certain foods
link |
00:54:23.960
and certain nutrients and you can look these up
link |
00:54:26.040
might impact your mood.
link |
00:54:27.840
If you're somebody who's really anxious and really wired,
link |
00:54:30.600
well, then the dopamine adrenaline pathway,
link |
00:54:32.880
epinephrine pathway is probably not one
link |
00:54:34.440
that you want to lean on any harder.
link |
00:54:36.880
If you tend to be someone who's pretty passive
link |
00:54:39.320
and you're having trouble with motivation,
link |
00:54:40.760
well, then think about ramping up the dopamine pathway.
link |
00:54:44.320
I always think behaviors and proper food choices
link |
00:54:46.920
is the best way to start
link |
00:54:48.200
and behaviors include things like exercise, et cetera.
link |
00:54:51.340
But one of the problems with the discussion
link |
00:54:53.280
around mood and exercise or mood and meditation
link |
00:54:57.200
is that it's so subjective.
link |
00:54:59.480
It's like, I love certain forms of exercise and not others.
link |
00:55:01.920
Certain ones are aversive to me.
link |
00:55:03.320
Certain ones are attractive to me.
link |
00:55:05.000
And it's never really clear.
link |
00:55:06.000
No one's ever told me, okay,
link |
00:55:07.200
you have to do 10 minutes on the bike
link |
00:55:09.760
at X number of RPM at so-and-so or on the skier
link |
00:55:12.940
in order to get your dopamine up.
link |
00:55:14.460
But we can actually say if you ingest more L-tyrosine,
link |
00:55:18.680
there's a high probability
link |
00:55:19.920
that you're going to make more dopamine.
link |
00:55:22.240
And I'm talking about ingesting it through food
link |
00:55:23.600
or through supplementation, if you like.
link |
00:55:25.440
Macuna purines I've tried, I should just mention,
link |
00:55:28.520
it was too dopaminergic for me.
link |
00:55:30.540
I really, really jazzed up
link |
00:55:33.280
and then severe crash for me the next day.
link |
00:55:36.560
But that's, I think, because I tend to ride pretty high
link |
00:55:39.320
on the kind of alertness and motivation scale.
link |
00:55:41.320
I'm always being told by Costello
link |
00:55:43.640
and other people in the podcast studio
link |
00:55:44.960
to slow my speech down.
link |
00:55:46.640
This is me uncaffeinated
link |
00:55:48.440
and I could probably afford
link |
00:55:49.860
a little more serotonin in my life.
link |
00:55:51.760
So whereas Costello, he could afford,
link |
00:55:54.520
well, he could afford to wake up every couple of days
link |
00:55:57.440
and just say hello to us.
link |
00:55:58.680
This dog sleeps more than any other creature.
link |
00:56:01.560
It's remarkable.
link |
00:56:03.600
So there are things that we can do and they're actionable
link |
00:56:06.960
and they are, in some ways they're quantitative
link |
00:56:09.520
because you can regulate dosages
link |
00:56:11.120
and you can regulate amounts and you can regulate timing.
link |
00:56:13.500
And everyone has to play with these things
link |
00:56:14.760
and figure out what's right for them in terms of feeding.
link |
00:56:17.400
And everyone has to explore
link |
00:56:19.680
and understand what's safe and right for them.
link |
00:56:21.780
But, and of course, exercise is still very important.
link |
00:56:25.000
I talked about social connection in the last episode,
link |
00:56:27.320
super important for activation of serotonin.
link |
00:56:30.800
But when it comes to this gut brain,
link |
00:56:33.040
body brain relationship, what we eat really matters
link |
00:56:36.440
in terms of the neurochemicals that we make.
link |
00:56:38.960
So let's talk a little bit more about things
link |
00:56:41.120
that we ingest in our body and then allow our body
link |
00:56:43.680
to inform our brain to shift our mood.
link |
00:56:46.280
And this is something I've been doing for years
link |
00:56:48.800
and I just want to say,
link |
00:56:50.080
I've found to be a complete game changer.
link |
00:56:52.560
There's excellent science to support it.
link |
00:56:55.120
And I think most people are familiar with it
link |
00:56:58.960
in a different context,
link |
00:57:00.100
but I don't think most people know this simple fact,
link |
00:57:03.440
which is that the omega-3 to omega-6 fatty acid ratio
link |
00:57:09.680
has a profound effect on depression.
link |
00:57:12.600
It has a profound effect on mood.
link |
00:57:15.160
So much so that in a double blind placebo controlled study
link |
00:57:20.040
that I will provide the link to,
link |
00:57:21.220
this was a study first published in 2008,
link |
00:57:23.300
but there've been many others as well.
link |
00:57:27.380
First of all, in an experiment done in animals,
link |
00:57:29.740
they found there's a model of learned helplessness
link |
00:57:31.920
in animals.
link |
00:57:32.760
It's not very kind to the animals,
link |
00:57:33.840
but they put rats or mice in a jar.
link |
00:57:35.680
They let them swim and they'll swim, swim, swim
link |
00:57:38.440
to try and save their life.
link |
00:57:39.440
And eventually they give up.
link |
00:57:40.560
It's a learned helplessness.
link |
00:57:41.460
They don't let them drown.
link |
00:57:42.320
They take them out.
link |
00:57:44.620
Adjusting the omega-3 omega-6 ratio
link |
00:57:47.140
so that the omega-3s are higher
link |
00:57:49.620
led to less learned helplessness,
link |
00:57:51.900
meaning these animals would swim longer, okay?
link |
00:57:54.080
Now that's an animal that's a rat,
link |
00:57:55.640
not a particularly kind study,
link |
00:57:57.960
but that same study was essentially done in humans,
link |
00:58:01.440
although they didn't have them swim
link |
00:58:02.680
to the point of near drowning.
link |
00:58:04.480
What they did is they took people
link |
00:58:07.680
who were clinically depressed, major depression, okay?
link |
00:58:10.600
Major depression is severe maladaptive state,
link |
00:58:14.560
meaning it inhibits job, relationships, appetite,
link |
00:58:17.900
all sorts of negative health effects.
link |
00:58:19.800
And they did a comparison of 1,000 milligrams a day of EPA.
link |
00:58:26.320
So EPA is one of the elements
link |
00:58:29.280
that contains high levels of omega-3s
link |
00:58:31.320
that's in things like fish oil.
link |
00:58:32.820
Talk about other sources in a little bit,
link |
00:58:35.060
but it wasn't 1,000 milligrams of fish oil.
link |
00:58:38.520
It was 1,000 milligrams of EPA.
link |
00:58:41.760
Compare that to 20 milligrams of fluoxetine,
link |
00:58:45.240
which is Prozac, okay?
link |
00:58:47.480
Really increases serotonin.
link |
00:58:49.440
And in this study of 60 individuals,
link |
00:58:52.280
again, I'll provide the links to the study,
link |
00:58:56.260
they found that they were equally effective
link |
00:58:59.520
in reducing depressive symptoms.
link |
00:59:01.260
So imagine that,
link |
00:59:03.080
a food-based compound that you can't make without, right?
link |
00:59:07.840
This is not a situation
link |
00:59:09.280
where you can make your own omega-3s.
link |
00:59:10.960
You have to get them from food sources
link |
00:59:12.360
or from supplementation.
link |
00:59:13.360
Was as effective as 20 milligrams of fluoxetine
link |
00:59:17.440
over the course of eight weeks.
link |
00:59:19.400
And what was really interesting in addition to that
link |
00:59:22.560
is that the combination of 1,000 milligrams of EPA
link |
00:59:26.320
and fluoxetine had a synergistic effect
link |
00:59:28.480
in lowering depressive symptoms.
link |
00:59:30.320
I find this remarkable.
link |
00:59:31.540
I heard about this when it first came out
link |
00:59:35.360
and I wasn't sure what to make of it
link |
00:59:37.040
because there are a lot of studies that come out.
link |
00:59:38.360
And I generally like to focus my changes in behavior
link |
00:59:41.720
around things where there's a large center of mass.
link |
00:59:43.720
There's a lot of information.
link |
00:59:46.240
A couple of years later,
link |
00:59:47.080
I did in fact start taking 1,000 milligrams per day of EPA
link |
00:59:52.120
in fish oil.
link |
00:59:53.300
Now, there are a few side effects of fish oil.
link |
00:59:57.000
People who have blood, who are bleeders,
link |
00:59:59.840
who have factor V Leiden mutations
link |
01:00:02.280
or women who are taking birth control,
link |
01:00:05.620
which can make you,
link |
01:00:06.460
which can affect blood clotting and things of that sort
link |
01:00:08.280
really should talk to your doctor,
link |
01:00:10.340
make sure it's okay for you.
link |
01:00:12.080
Fish oil also can give people fishy breath,
link |
01:00:14.880
which is pretty gross, frankly,
link |
01:00:17.040
but there are now fish oils that
link |
01:00:18.800
either because of the encapsulations
link |
01:00:20.360
or because they put some lemon flavoring in there
link |
01:00:24.960
doesn't have that effect.
link |
01:00:26.620
In any event, 1,000 milligrams per day of EPA,
link |
01:00:29.040
I started ingesting that regularly.
link |
01:00:30.720
I just felt better.
link |
01:00:31.620
I wasn't clinically depressed,
link |
01:00:32.840
but I generally, I did feel, at least for me,
link |
01:00:35.680
an increase in mood and affect
link |
01:00:37.780
and a number of other things.
link |
01:00:39.040
It's supposed to reduce inflammation.
link |
01:00:40.340
The cardiovascular effects are controversial.
link |
01:00:42.360
For a long time, everyone thought
link |
01:00:44.180
the effects on platelets were really terrific.
link |
01:00:47.080
Then there were articles that came out
link |
01:00:48.280
in major newspapers saying maybe not so much,
link |
01:00:50.660
but the effects on mood are really profound.
link |
01:00:53.800
And now there are lots of studies.
link |
01:00:56.120
If you go into PubMed and you were to put EPA
link |
01:00:59.520
or fish oil and depression,
link |
01:01:01.280
you would find that there were a number
link |
01:01:03.040
of really impressive results showing
link |
01:01:04.960
that it's at least as effective
link |
01:01:06.720
as certain SSRIs antidepressants at these dosages.
link |
01:01:11.620
And it can amplify or improve
link |
01:01:13.440
the effect of low dosages of some of these SSRIs.
link |
01:01:16.320
So I feel like more people should know about this.
link |
01:01:18.220
This is nutrition, but it's profoundly affecting mood.
link |
01:01:21.240
And depression is terrible, right?
link |
01:01:23.160
Depression can have a component of anxiety in some cases
link |
01:01:27.120
where people are, they feel lousy and very uncertain.
link |
01:01:30.680
That's kind of how I talk about depression with anxiety
link |
01:01:32.720
is you talk to someone who's anxious
link |
01:01:34.520
and you can tell them everything's going to be okay, okay.
link |
01:01:36.300
And they're always concerned about what they might not know.
link |
01:01:39.360
You don't really know the plane isn't going to crash.
link |
01:01:41.280
You don't really know that life is going to go okay.
link |
01:01:43.880
And in some sense, they're right.
link |
01:01:44.920
No one has a crystal ball or can predict the future,
link |
01:01:47.680
but they tend to perseverate or fixate on the uncertainty.
link |
01:01:50.920
And then of course,
link |
01:01:51.760
there are the versions of depression that involve certainty.
link |
01:01:55.080
People are lethargic and they're certain.
link |
01:01:56.540
They say, yeah, I'm certain
link |
01:01:57.860
I'm never going to get another job.
link |
01:01:58.960
I'm certain I'm never going to meet anyone new.
link |
01:02:00.580
I'm certain I'm going to fail.
link |
01:02:01.740
So there's this kind of a divide
link |
01:02:03.680
in the sphere of depression
link |
01:02:05.480
around certainty and uncertainty.
link |
01:02:06.840
But what's interesting is this 1,000 milligrams per day
link |
01:02:10.680
or more of EPA
link |
01:02:12.200
has been shown to relieve both forms of depression.
link |
01:02:16.280
Now, does that mean it's going to work for everybody?
link |
01:02:18.480
No, I'm not here to try and play psychiatrist.
link |
01:02:20.640
I want to point you in the direction of these manuscripts
link |
01:02:23.520
so that you can make informed choices for yourself.
link |
01:02:26.140
You can discuss it with your doctor and family
link |
01:02:28.140
and make the choices that are right for you.
link |
01:02:30.420
But here's what's especially interesting
link |
01:02:32.540
about the heart effects,
link |
01:02:33.480
because we've heard that these omega-3s,
link |
01:02:36.880
which of course you can get from other sources too.
link |
01:02:38.880
You can get from fatty fish.
link |
01:02:40.240
There are flax seeds, hemp seeds.
link |
01:02:44.440
There are a number of chia seeds, these kinds of things.
link |
01:02:47.960
But the levels of EPA that are required are quite high.
link |
01:02:51.320
So this 1,000 milligrams per day,
link |
01:02:53.600
that's pretty hard to get from food,
link |
01:02:55.140
although it can be done depending on what you're eating.
link |
01:02:58.480
What's interesting is that the heart effects
link |
01:03:02.360
that are solid, that really stand up in the literature
link |
01:03:05.720
have a lot more to do with something we talked about
link |
01:03:07.860
in a previous episode and I'll mention again,
link |
01:03:09.600
which is heart rate variability.
link |
01:03:11.640
So we know that having a heart rate that's really high
link |
01:03:14.000
or a heart rate that's really low,
link |
01:03:15.600
neither of those are good.
link |
01:03:17.020
A lot of people think,
link |
01:03:17.860
oh, you just want a low heart rate, big stroke volume.
link |
01:03:20.640
You know, if you're running a lot,
link |
01:03:22.040
you may have 30 or 40 beats per minute.
link |
01:03:24.160
That's great to be in shape,
link |
01:03:25.440
but you still want heart rate variability.
link |
01:03:27.720
It has a lot to do with the tone
link |
01:03:29.320
of the autonomic nervous system.
link |
01:03:31.240
Talked about last time how when you inhale,
link |
01:03:33.140
it speeds up heart rate.
link |
01:03:34.280
When you exhale, it decreases heart rate.
link |
01:03:35.840
That's called respiratory sinus arrhythmia.
link |
01:03:38.600
That's the basis of heart rate variability.
link |
01:03:41.000
We'll maybe do a short post about this
link |
01:03:42.500
so you can get all the mechanism
link |
01:03:44.320
and the behaviors that spill out of that
link |
01:03:46.880
that might be useful for you.
link |
01:03:48.200
But the point is heart rate variability, HRV, is good.
link |
01:03:51.760
And what's interesting is that there was a study in 2009
link |
01:03:54.880
that showed that people who eat a diet
link |
01:03:58.600
and fail to supplement in a way
link |
01:04:00.480
that there's a high omega-6 to 3 ratio,
link |
01:04:03.240
so not enough omega-3s,
link |
01:04:05.240
not only are there markers of inflammatory cytokines
link |
01:04:08.600
elevated things like IL-6 and TNF-alpha,
link |
01:04:11.500
but they tend to be non-responders to antidepressants.
link |
01:04:16.440
Shifting that omega-3 omega-6 ratio did a couple things.
link |
01:04:19.880
First of all, increasing the amount of EPA,
link |
01:04:22.680
shifted the ratio so it was higher omega-3
link |
01:04:24.960
to omega-6 ratio, which was good,
link |
01:04:27.480
lowered the inflammation markers,
link |
01:04:29.360
and then allowed antidepressants to have their effect
link |
01:04:32.400
even at low doses.
link |
01:04:34.000
And here's the really interesting thing.
link |
01:04:36.080
It worked by increasing heart rate variability.
link |
01:04:40.040
And you think, well, how in the world would this happen?
link |
01:04:42.680
But that's a ton of effects.
link |
01:04:45.720
But the way it works is because of the way
link |
01:04:48.600
that these things are impacting the gut
link |
01:04:50.540
and the autonomic nervous system.
link |
01:04:51.960
Remember earlier I said the vagus includes connections
link |
01:04:55.200
from the heart signaling about sensory information
link |
01:04:57.780
about how fast the heart is beating to the brain,
link |
01:05:00.360
not just stuff from the lungs,
link |
01:05:01.560
but information from the heart.
link |
01:05:03.560
And the brain then adjusts heart rate
link |
01:05:05.400
by heart rate variability.
link |
01:05:07.120
So it's incredible that there's a way
link |
01:05:09.280
that one can use the gut,
link |
01:05:12.080
the ingestion of more of these EPAs,
link |
01:05:14.280
either through food or supplementation,
link |
01:05:16.280
to increase heart rate variability
link |
01:05:19.000
and thereby to improve symptoms,
link |
01:05:22.800
meaning reduce symptoms of depression,
link |
01:05:25.080
and to even make low levels of antidepressants
link |
01:05:28.560
that wouldn't otherwise work work.
link |
01:05:30.480
And I think I like this study so much
link |
01:05:32.640
because A, it's super cool.
link |
01:05:34.400
It bridges the brain-body axis.
link |
01:05:36.140
It incorporates nutrition and micronutrients in the brain,
link |
01:05:39.400
but also because it really points to something
link |
01:05:42.080
that we hear all the time,
link |
01:05:43.480
which is that our body is a whole system.
link |
01:05:45.140
It's working as a whole system.
link |
01:05:45.980
And the brain isn't working in isolation
link |
01:05:47.960
up there in the skull.
link |
01:05:49.400
It's reacting to things that are happening in the body,
link |
01:05:51.800
in the gut, and in the heart rate,
link |
01:05:53.180
and heart rate variability,
link |
01:05:54.400
and that the things we ingest
link |
01:05:55.680
can have a profound effect on them.
link |
01:05:57.520
Now, of course, I really want to emphasize something,
link |
01:06:00.260
which is that no one compound or nutrient
link |
01:06:04.780
or supplement or drug or behavior for that matter
link |
01:06:08.560
is going to be the be all end all
link |
01:06:11.400
of shifting out of depression
link |
01:06:13.840
or improving one's mood or improving sleep.
link |
01:06:16.760
It's a constellation of things.
link |
01:06:18.520
And this is especially true
link |
01:06:20.120
when people start to get excited about supplements
link |
01:06:22.200
and drugs of all kinds
link |
01:06:23.680
and their potential for various things.
link |
01:06:25.280
Right now, there's a lot of excitement about psychedelics
link |
01:06:27.480
and their therapeutic uses, and I think great.
link |
01:06:29.400
But as a good friend of mine who's a physician clinician
link |
01:06:33.040
says better living through chemistry
link |
01:06:36.220
still requires better living.
link |
01:06:38.360
You cannot expect to take a compound
link |
01:06:41.260
regardless of source or potency
link |
01:06:43.640
and have it completely shift your experience of life
link |
01:06:46.760
without having to continue to engage
link |
01:06:48.680
in the proper behaviors, all the things we know,
link |
01:06:50.880
proper sleep, exercise, social connection, food, et cetera.
link |
01:06:54.440
There are many others as well.
link |
01:06:56.400
So I still find that this collection of studies
link |
01:07:00.800
about omega-3 to omega-6 ratios to be profoundly important,
link |
01:07:04.180
so much so that it's completely changed the way
link |
01:07:05.980
that I think about food, the foods I eat, I do supplement.
link |
01:07:09.260
I don't necessarily think that's for everybody,
link |
01:07:11.800
but I really think it's incredible
link |
01:07:14.740
that there are these compounds
link |
01:07:15.680
that have these robust effects
link |
01:07:17.120
on our feelings of wellbeing.
link |
01:07:18.960
And there are others too.
link |
01:07:20.640
So that 1,000 milligram per day threshold
link |
01:07:23.340
of fish oil that's beneficial
link |
01:07:25.600
requires that one take a reasonable amount of these things
link |
01:07:28.760
either through food or through supplementation.
link |
01:07:31.840
I acknowledge that not everyone wants to take fish oil.
link |
01:07:35.100
There are a couple of reasons
link |
01:07:35.940
why one might want to avoid that.
link |
01:07:37.800
One would be for ethical reasons.
link |
01:07:40.060
You have an emotional relationship
link |
01:07:42.040
or a relationship to the environment
link |
01:07:44.020
that makes you not want to ingest fish related products.
link |
01:07:47.680
There's krill oil.
link |
01:07:48.880
Krill is still an organism.
link |
01:07:49.960
It's a little tiny thing that whales eat a lot of
link |
01:07:52.400
and people generally eat very little of.
link |
01:07:54.080
So krill is out there.
link |
01:07:56.080
I personally, just me, I don't know why,
link |
01:07:58.480
I didn't react well to krill.
link |
01:08:00.660
It didn't make me feel very good.
link |
01:08:02.040
I had some like kind of skin itches and things like that.
link |
01:08:05.560
And they stopped when I stopped taking it,
link |
01:08:06.920
but I don't want to bias you against it
link |
01:08:08.980
if that's your preference.
link |
01:08:09.920
Some people really like krill oil as a source of omega-3s.
link |
01:08:13.260
I did mention some of the other sources
link |
01:08:16.200
like chia seeds and flax seeds.
link |
01:08:18.200
But as you'll notice,
link |
01:08:19.020
these are not things that we tend to ingest a lot of
link |
01:08:21.400
on a regular basis.
link |
01:08:22.600
It is possible to get omega-3s from meats
link |
01:08:25.640
if the animals have grazed on grasses
link |
01:08:27.560
that contain a lot of omega-3s.
link |
01:08:30.040
So for those of you that ingest meat,
link |
01:08:34.560
the source of those meats is going to be very important
link |
01:08:37.220
as it relates to omega-3s.
link |
01:08:39.160
Even within the category of fish oil,
link |
01:08:42.840
there's a concern sometimes about mercury
link |
01:08:45.360
and other contaminants.
link |
01:08:47.000
You want to go with a brand that emphasizes
link |
01:08:49.720
that they've gone to really good sources
link |
01:08:52.840
and that they decontaminate regardless.
link |
01:08:56.520
And so you have to search out those brands.
link |
01:08:58.680
There is a test that you can do
link |
01:08:59.840
as to whether or not the fish oil is rancid or not.
link |
01:09:03.320
Some people take it in liquid form.
link |
01:09:05.000
Some people take it in capsule form.
link |
01:09:06.360
The liquid form is going to be more affordable.
link |
01:09:08.760
The capsule form is a little easier and a little more
link |
01:09:12.800
portable.
link |
01:09:14.600
You can actually just chew one of the gel tablets.
link |
01:09:18.680
And if it tastes really fishy and kind of rancid,
link |
01:09:20.800
you'll know it's disgusting.
link |
01:09:22.060
You'll want to spit it out.
link |
01:09:23.400
And if it doesn't and it's tolerable,
link |
01:09:25.340
then you'll know that it's okay.
link |
01:09:26.860
Unfortunately, you have to buy it first
link |
01:09:28.240
in order to do that.
link |
01:09:29.060
Although, I don't know,
link |
01:09:30.340
maybe you can get them to open up the bottle for you
link |
01:09:32.040
in the store and tell them that you don't want to try it.
link |
01:09:34.680
Someday, perhaps, fish oil and omega-3s,
link |
01:09:37.400
it'll be like tasting wine at a restaurant
link |
01:09:39.040
where you can send it back.
link |
01:09:39.960
For now, I think you have to purchase it first,
link |
01:09:42.240
but find a brand you trust and like
link |
01:09:44.460
and then work with them
link |
01:09:46.240
if you decide to go that route, of course.
link |
01:09:48.520
There are other compounds that are also interesting
link |
01:09:51.220
for mood elevation
link |
01:09:53.400
that are essentially like foods or are supplement-based
link |
01:09:58.160
that now, fortunately,
link |
01:10:00.480
there are really good data from peer-reviewed studies.
link |
01:10:03.160
And the next one I want to mention,
link |
01:10:04.720
because I think it's really interesting,
link |
01:10:06.440
is L-carnitine.
link |
01:10:08.360
Now, L-carnitine has been around a long time
link |
01:10:11.320
and it's been discussed in the context of heart health
link |
01:10:13.720
and a number of other things.
link |
01:10:14.560
It was actually in tout is a bit of a weight loss agent
link |
01:10:17.480
in the early 90s,
link |
01:10:19.680
but L-carnitine actually has some really impressive effects
link |
01:10:23.840
on depression.
link |
01:10:25.680
And again, we will look to PubMed
link |
01:10:29.000
because looking at examine.com is essentially,
link |
01:10:31.260
for me anyway, looking at PubMed.
link |
01:10:33.600
What is L-carnitine?
link |
01:10:34.760
L-carnitine is most prevalent in meat
link |
01:10:37.040
and in beef in particular.
link |
01:10:38.640
Now, for the vegans,
link |
01:10:39.800
please know that L-carnitine is available
link |
01:10:42.440
through non-meat sources as well,
link |
01:10:44.120
although it's not as enriched in non-meat sources.
link |
01:10:46.940
It's a really interesting molecule
link |
01:10:48.720
because L-cetyl L-carnitine
link |
01:10:50.900
is essentially what's made from L-carnitine,
link |
01:10:53.560
but it's acetylated.
link |
01:10:55.400
If you're interested in the biochemistry,
link |
01:10:56.920
you can look that up.
link |
01:10:57.760
It's acetylated into a form
link |
01:10:59.840
that can cross the blood-brain barrier.
link |
01:11:01.380
The blood-brain barrier or BBB is a barrier.
link |
01:11:04.240
It's a wall around the brain.
link |
01:11:06.820
And you have this barrier
link |
01:11:08.260
because the brain is so important
link |
01:11:11.280
and it has this feature that the neurons there
link |
01:11:13.300
don't recreate themselves after injury,
link |
01:11:15.520
like other organs of the body.
link |
01:11:17.000
There's not a lot of turnover of cells,
link |
01:11:19.000
despite what you might've heard.
link |
01:11:20.500
And so nature has created this BBB,
link |
01:11:23.160
this blood-brain barrier,
link |
01:11:24.200
to make sure that certain molecules,
link |
01:11:26.400
in particular large molecules,
link |
01:11:27.680
don't get across the blood-brain barrier
link |
01:11:29.900
because it can be damaging to those tissues.
link |
01:11:32.020
Incidentally, you also have a very rigid
link |
01:11:35.960
or stringent barrier around other organs,
link |
01:11:38.240
which are the gonads.
link |
01:11:39.120
So the ovaries and the testes and the brain
link |
01:11:41.920
are the organs of the body that nature has gone
link |
01:11:45.880
out of its way to protect,
link |
01:11:47.780
give this additional layer of the blood-brain barrier,
link |
01:11:50.880
or as you might imagine for the testes and the ovaries,
link |
01:11:54.800
it's going to be the blood gonadal barrier.
link |
01:11:57.520
So these barriers exist and make it such that
link |
01:12:01.000
just because you eat something,
link |
01:12:02.600
just because you ingest it,
link |
01:12:03.600
doesn't mean it's going to cross the blood-brain barrier.
link |
01:12:05.900
But L-carnitine, when taken,
link |
01:12:07.400
is acetylated and converted into this form
link |
01:12:10.520
that gets across the blood-brain barrier.
link |
01:12:12.700
And it has a lot of effects.
link |
01:12:14.200
It's involved in mitochondrial activation
link |
01:12:15.920
of long-chain fatty acids,
link |
01:12:17.300
which that's a big mouthful
link |
01:12:19.000
that we can get into sometime
link |
01:12:20.060
when we're talking about metabolic.
link |
01:12:21.640
But it has some interesting effects on the neuro side.
link |
01:12:24.780
So if you decide to check it out on examine.com,
link |
01:12:28.600
you'll see some really interesting things.
link |
01:12:29.760
Lots of effects on ammonia, C-reactive proteins,
link |
01:12:32.960
things of that sort, blood glucose is lowered, et cetera.
link |
01:12:35.980
That's all stuff that's the level of blood in periphery,
link |
01:12:39.600
slight effects in lowering cholesterol.
link |
01:12:42.720
Here's some interesting ones.
link |
01:12:45.460
Rates of pregnancy go way up
link |
01:12:48.200
when people are taking L-carnitine,
link |
01:12:51.140
both the father and the mother,
link |
01:12:52.840
both the source of sperm and the source of egg
link |
01:12:56.660
are affected in ways that favor pregnancy.
link |
01:12:59.640
It does increase, here we go again with sperm quality,
link |
01:13:02.280
sperm motility in males,
link |
01:13:04.640
and it seems to have positive effects on females
link |
01:13:08.320
that have polycystic ovary syndrome.
link |
01:13:11.080
So check that out.
link |
01:13:13.120
The effects are very strong.
link |
01:13:14.800
There are three studies listed there.
link |
01:13:16.320
Again, I'm not promoting this,
link |
01:13:18.060
but that people take L-carnitine,
link |
01:13:20.320
especially if you're trying to get pregnant,
link |
01:13:22.160
but check it out because the effects there
link |
01:13:25.040
and the studies that are mentioned
link |
01:13:26.320
are published in peer-reviewed rigorous journals.
link |
01:13:30.240
In terms of the neural effects,
link |
01:13:32.680
those are quite interesting.
link |
01:13:34.240
The effects on depression are still emerging,
link |
01:13:37.160
but they do seem to exist,
link |
01:13:38.780
that people feel a notable decrease in depressive symptoms.
link |
01:13:42.940
There are seven studies listed on examine.com
link |
01:13:46.380
that has a notable benefit in a variety of circumstances
link |
01:13:48.960
where participants have heightened depression already.
link |
01:13:51.740
They start taking L-carnitine and they start feeling better,
link |
01:13:55.420
and they talk about dosages in those various studies.
link |
01:13:57.800
It also has been shown to have a notable decrease
link |
01:14:00.980
in the symptoms of autism, which I find fascinating also.
link |
01:14:04.400
Again, the things we ingest impact the chemicals
link |
01:14:08.600
in our brain and how they impact the rest of our body.
link |
01:14:11.560
There's other things that's been used
link |
01:14:12.920
to treat certain forms of alcohol dependence.
link |
01:14:15.480
I think this is going to be
link |
01:14:16.760
a very exciting emerging area.
link |
01:14:19.320
We're going to do a whole month about addiction.
link |
01:14:20.940
I've got a great guest lined up for that month,
link |
01:14:23.280
but there's now an emerging field
link |
01:14:27.080
about what people can take and supplement
link |
01:14:29.400
to help ease the cravings and the withdrawal
link |
01:14:32.880
when trying to quit drugs of abuse,
link |
01:14:35.280
like cocaine, alcohol, heroin, and smoking,
link |
01:14:37.800
and things of that sort.
link |
01:14:39.080
So really interesting area.
link |
01:14:41.700
This is, I like to think is the early days,
link |
01:14:43.740
and then we're going to discover a lot more.
link |
01:14:44.880
There's a huge list of things here.
link |
01:14:47.280
Since we talked about pain in a previous episode,
link |
01:14:49.200
and I know a lot of people have written to me
link |
01:14:52.120
about fibromyalgia, it does, L-carnitine has been shown
link |
01:14:55.520
to reduce symptoms of fibromyalgia.
link |
01:14:57.640
Again, all the links to studies are on examine.com,
link |
01:15:00.880
totally free site, and that was my bulldog
link |
01:15:04.160
being a battering ram.
link |
01:15:05.640
There's nothing graceful about this bulldog.
link |
01:15:07.640
He's the side he wanted to leave to go get a drink of water,
link |
01:15:09.840
and so please forgive the noise.
link |
01:15:12.320
Okay, so now let's turn to another aspect
link |
01:15:15.200
of the gut-brain relationship that will surprise you,
link |
01:15:20.140
in some cases might shock you,
link |
01:15:22.080
and that has some really cool and actionable biology,
link |
01:15:25.760
and that's the gut microbiome, probiotics,
link |
01:15:30.120
and prebiotics.
link |
01:15:31.360
I know today we're talking about emotions and not pain,
link |
01:15:34.220
but I'd be remiss if I didn't mention another effect
link |
01:15:36.580
of acetyl-L-carnitine that's been reported,
link |
01:15:39.000
and that you can find listed with link to study
link |
01:15:41.520
on examine.com, which is its effect
link |
01:15:44.700
in reducing the symptoms of migraine.
link |
01:15:47.160
This was a randomized control trial with 133 participants
link |
01:15:51.480
who had frequent migraines.
link |
01:15:53.280
They were taking 500 milligrams of L-carnitine,
link |
01:15:57.580
or nothing, for 12 weeks.
link |
01:16:00.440
So the control is a little bit,
link |
01:16:02.220
the control experiment there is a little bit tricky,
link |
01:16:04.120
but it had a significant effect
link |
01:16:06.040
on reducing the number of migraine attacks per month.
link |
01:16:08.340
So I find that really interesting,
link |
01:16:10.460
and there's a lot more listed there about the study,
link |
01:16:13.740
and I think these compounds are powerful.
link |
01:16:17.260
They carry risks for certain people, not for others.
link |
01:16:19.680
So again, you have to find out what's right for you,
link |
01:16:22.960
but I do think they are super interesting
link |
01:16:25.760
as potential therapeutics for various people.
link |
01:16:29.620
So what's the deal with the gut microbiome
link |
01:16:32.240
and the gut-brain axis?
link |
01:16:34.300
Today, we've actually been talking a lot already
link |
01:16:36.700
about the gut-brain axis
link |
01:16:38.740
that has nothing to do with microbiomes.
link |
01:16:40.860
We've been talking about this vagus nerve
link |
01:16:43.180
that connects providing sensory information
link |
01:16:47.380
from the body to the brain,
link |
01:16:48.820
and then the brain also sends, in the same nerve,
link |
01:16:52.560
motor information to control the motility
link |
01:16:55.220
the gut, the heart rate, how fast we breathe,
link |
01:16:57.900
and deployment of immune stuff, killer cells,
link |
01:17:02.100
and things of that sort.
link |
01:17:04.960
But oftentimes, when we hear about the gut-brain axis
link |
01:17:08.500
these days, it's a discussion about the gut microbiome.
link |
01:17:13.100
And once again, we're in a situation
link |
01:17:15.220
where there's incredible biology.
link |
01:17:18.140
I'm very happy there's so much discussion
link |
01:17:20.100
about the gut microbiome.
link |
01:17:21.780
I am somewhat dismayed and concerned
link |
01:17:24.260
that most of what I hear out there
link |
01:17:26.140
is either false or partially false.
link |
01:17:29.440
So we're going to clear up some of the misconceptions,
link |
01:17:32.580
first by understanding the biology,
link |
01:17:34.100
and then we're going to talk about
link |
01:17:34.940
some of the actionable items.
link |
01:17:38.620
It is true that we have a lot of these little
link |
01:17:42.500
microorganisms living in our gut.
link |
01:17:47.400
They're not there because they want to help us.
link |
01:17:49.380
They don't have brains.
link |
01:17:50.660
They are adaptive, however.
link |
01:17:52.440
They try and find and create environments
link |
01:17:56.540
that make it easier for them to proliferate.
link |
01:17:59.140
So they don't care about you and me,
link |
01:18:01.340
but they are perfectly willing to exploit you and me
link |
01:18:04.620
in order to make more of themselves,
link |
01:18:07.180
the same way viruses are.
link |
01:18:08.320
Viruses don't have a mind.
link |
01:18:09.620
They infect cells, they hijack the genome,
link |
01:18:11.660
and they use that genome to make more of themselves.
link |
01:18:16.540
The microbiota that live in us
link |
01:18:19.620
vary along the length of our digestive track.
link |
01:18:22.720
But let's just take a step back
link |
01:18:23.760
and think about how our body plan is made.
link |
01:18:26.740
We are actually a series of tubes.
link |
01:18:28.660
Our brain is actually a tube.
link |
01:18:29.860
You see it's all squishy on the outside,
link |
01:18:31.740
and then it's got that long thing,
link |
01:18:32.980
the spinal cord that goes down to the base of the spine.
link |
01:18:34.980
That's the central nervous system.
link |
01:18:36.420
That all started out as a tube.
link |
01:18:37.920
It just looks like a cauliflower on the other end
link |
01:18:40.980
up in the brain because the tube is so big
link |
01:18:45.180
and it has to be crammed into the skull
link |
01:18:46.660
so it gets all wrinkled up.
link |
01:18:48.200
But if we were to splay it out,
link |
01:18:49.720
you'd find that it's just one big tube.
link |
01:18:52.280
Similarly, our digestive tract and our airways
link |
01:18:55.200
are essentially one big tube.
link |
01:18:57.660
It starts with our mouth, also our nose,
link |
01:19:00.220
and then we have all these other tubes
link |
01:19:01.640
that go down through our throat and then into our stomach
link |
01:19:05.040
and then into our various intestines,
link |
01:19:07.300
and then the tube ends out the other end.
link |
01:19:10.460
So we are one long tube for digestion.
link |
01:19:12.740
And inside of that tube is a mucosal lining.
link |
01:19:16.500
It's these little microvilli, tiny, tiny, tiny,
link |
01:19:18.780
little like velvety ends of cells
link |
01:19:22.780
that are able to move and move things along,
link |
01:19:26.100
and mucus, mucosa.
link |
01:19:29.320
And the conditions of that mucosal lining
link |
01:19:32.640
set a number of different things.
link |
01:19:34.660
It sets the rate of our digestion
link |
01:19:36.860
and the quality of our digestion.
link |
01:19:38.940
It sets, for instance, our immune system.
link |
01:19:41.340
Most people probably don't realize this,
link |
01:19:42.820
but most infections in the environment,
link |
01:19:45.060
well, they have to get into our body somehow.
link |
01:19:47.100
Some of them are inhaled.
link |
01:19:49.380
A lot of them go into our mouth
link |
01:19:51.180
and lodge in the mucosal lining of the mouth,
link |
01:19:53.740
and then infections start there.
link |
01:19:55.980
You probably had the experience, unfortunately,
link |
01:19:58.020
of feeling like you have a tick in your throat,
link |
01:20:00.060
like something's irritating your throat,
link |
01:20:01.340
and then it kind of migrates up into a head cold
link |
01:20:04.160
or a runny nose.
link |
01:20:06.100
Sometimes it'll start as a headache.
link |
01:20:07.500
Sometimes it won't.
link |
01:20:08.780
But things that can migrate down into the gut.
link |
01:20:12.680
So we're ingesting things all the time.
link |
01:20:14.720
Think about air, bacteria, viruses,
link |
01:20:17.540
they're making their way into our gut.
link |
01:20:19.460
And some of those bacteria live in the gut,
link |
01:20:21.940
and some of those bacteria bias the mucosal lining
link |
01:20:26.420
in the gut, stomach and intestines,
link |
01:20:29.800
to be more acidic or more basic
link |
01:20:33.920
so that they can make more of themselves,
link |
01:20:36.140
so they can replicate.
link |
01:20:36.980
They like a particular comfort.
link |
01:20:38.420
It's like they like a particular kind of bedding
link |
01:20:41.860
to lie down in and create more of themselves.
link |
01:20:44.680
Now, some of those mucosal linings that they promote
link |
01:20:48.960
make us feel better.
link |
01:20:50.220
They make us feel more alert.
link |
01:20:51.400
They bolster our immune system,
link |
01:20:52.740
and others make us feel worse.
link |
01:20:54.500
So first rule,
link |
01:20:57.460
the microbiome isn't good or bad.
link |
01:21:00.340
Some of these little bugs that live in us
link |
01:21:02.420
do bad things to us.
link |
01:21:03.580
They make us feel worse.
link |
01:21:05.140
They lower our immunity.
link |
01:21:06.500
They affect us in negative ways.
link |
01:21:08.840
Some of them make us feel better.
link |
01:21:10.380
And they do that mainly by changing the conditions
link |
01:21:13.960
of our gut environment.
link |
01:21:16.660
In addition to that,
link |
01:21:17.860
they do impact the neurotransmitters
link |
01:21:22.720
and the neurons that live in the gut
link |
01:21:25.340
and that signal up to the brain
link |
01:21:26.940
to impact things like dopamine and serotonin
link |
01:21:28.980
that we've been talking about previously.
link |
01:21:31.260
So there's a vast world now
link |
01:21:35.200
devoted to trying to understand what sources of food,
link |
01:21:38.520
what kinds of foods are good or not good
link |
01:21:41.280
for the gut microbiome.
link |
01:21:42.460
So let's just talk about some general rules of thumb
link |
01:21:44.780
related to the research,
link |
01:21:46.040
quality research that's peer reviewed.
link |
01:21:48.020
And then in a future episode,
link |
01:21:49.540
we will go far deeper into the gut microbiome
link |
01:21:52.540
and gut brain axis.
link |
01:21:54.060
But here's a few things
link |
01:21:56.140
that I think you might find surprising.
link |
01:21:59.220
First of all,
link |
01:22:00.180
supporting a healthy gut microbiome is good for mood,
link |
01:22:04.280
great for digestion,
link |
01:22:05.760
and great for immune system function.
link |
01:22:08.560
However, that does not mean maxing out
link |
01:22:13.260
or taking the most probiotic and prebiotic
link |
01:22:16.280
that you can possibly manage.
link |
01:22:18.200
As I mentioned many times before,
link |
01:22:19.740
I do believe in probiotics,
link |
01:22:21.400
I take probiotics,
link |
01:22:22.800
but there are studies that show
link |
01:22:23.920
that if you take lots and lots of certain probiotics
link |
01:22:27.320
like lactobacillus and you really ramp up the levels more,
link |
01:22:30.740
it is not a case of more is better.
link |
01:22:33.040
There are things like brain fog that can come from that.
link |
01:22:37.120
Brain fog is just this inability to focus,
link |
01:22:39.400
people feel really not well generally.
link |
01:22:41.920
Some of those studies are a little bit controversial,
link |
01:22:43.560
but I think it's fair to say
link |
01:22:44.620
that if people really increase the amount of probiotic
link |
01:22:48.880
that they're taking beyond a certain amount,
link |
01:22:52.480
then they start feeling foggy in the mind.
link |
01:22:55.420
Now, what's too much?
link |
01:22:57.160
Well, I get probiotics from,
link |
01:23:00.240
I've mentioned before from athletic greens,
link |
01:23:01.760
you can get them from fermented foods
link |
01:23:03.380
like sauerkraut, pickles, kimchi,
link |
01:23:06.940
natto, these are different sources from around the world.
link |
01:23:09.920
Actually, I'd love to hear some of the other sources
link |
01:23:11.860
that people know, other foods from around the world.
link |
01:23:13.740
I'm fascinated by the way in which different cultures
link |
01:23:17.080
have all arrived at these foods
link |
01:23:21.180
that provide and support healthy microbiomes
link |
01:23:24.400
because they're fermented.
link |
01:23:26.360
I have a colleague at Stanford, Justin Sonnenberg,
link |
01:23:28.760
he and I have talked about this,
link |
01:23:29.760
I don't want to quote him inappropriately,
link |
01:23:33.880
but we've had discussions around,
link |
01:23:35.440
they've published that the ingestion of fermented foods
link |
01:23:38.840
is one of the best ways to support healthy levels
link |
01:23:41.280
of gut microbiota without exceeding the threshold
link |
01:23:45.460
that would cause things like brain fog.
link |
01:23:47.940
So foods and fermented foods are going to be the best source
link |
01:23:51.240
and there are a number of different ways
link |
01:23:54.060
that one could do that.
link |
01:23:54.900
Some people don't like fermented foods,
link |
01:23:55.920
however, some people supplement it.
link |
01:23:57.920
So it isn't a case of more is better, so we know that.
link |
01:24:02.220
The other is that it is true that healthy gut microbiota
link |
01:24:06.920
have been shown to improve symptoms
link |
01:24:08.860
of certain psychiatric illnesses,
link |
01:24:11.160
as well as certain conditions like particular features
link |
01:24:15.600
along the autism spectrum, which is interesting.
link |
01:24:17.920
And those effects are probably due to not just improvement
link |
01:24:21.880
of immune system function, but to the conditions
link |
01:24:25.480
in which the neurons that sense nutrients
link |
01:24:29.140
convey information to the brain
link |
01:24:30.720
and increase levels of serotonin and or dopamine.
link |
01:24:34.280
So gut microbiome provides kind of a foundation
link |
01:24:37.400
for healthy gut and healthy gut brain access.
link |
01:24:41.160
So much so that some people report
link |
01:24:42.860
that when they start eating small bits,
link |
01:24:45.440
because it doesn't require a lot of fermented foods,
link |
01:24:47.640
that their overall mood is better,
link |
01:24:49.080
not unlike the effects of EPA,
link |
01:24:50.560
although I don't think it's been looked at directly
link |
01:24:53.220
in the context of clinical depression yet.
link |
01:24:55.760
And if someone knows of a study,
link |
01:24:57.440
please mention it in the comments, that would be terrific.
link |
01:25:00.680
There are some things that you can do
link |
01:25:02.200
to really damage your gut microbiome.
link |
01:25:04.540
And this is where there's a huge misconception
link |
01:25:06.860
that I want to clear up.
link |
01:25:08.480
There was a study that was published in Nature,
link |
01:25:10.600
which is among the three top journals that we have
link |
01:25:13.960
in Science, you know, Nature, Science, and Cell
link |
01:25:15.760
are considered the top tops, but excellent journal
link |
01:25:19.440
that showed that artificial sweeteners,
link |
01:25:21.880
but a particular artificial sweetener, which was saccharin,
link |
01:25:25.440
can disrupt the gut microbiome in ways that is detrimental
link |
01:25:30.060
to a number of different health markers,
link |
01:25:32.120
increasing inflammatory cytokines,
link |
01:25:34.520
and all the other bad things that happen
link |
01:25:36.720
when the gut microbiome is thrown off kilter.
link |
01:25:41.420
That study was widely discussed,
link |
01:25:43.740
but there were a few things that were not mentioned there
link |
01:25:46.300
that are really important.
link |
01:25:47.680
That study was about saccharin in particular.
link |
01:25:52.220
Saccharin is not the most typical artificial sweetener
link |
01:25:56.400
that's used.
link |
01:25:57.240
The most typical artificial sweeteners that are used
link |
01:25:59.640
are things like aspartame, so-called NutraSweet,
link |
01:26:03.180
or sucralose, or these days, stevia.
link |
01:26:05.640
There's monk fruits.
link |
01:26:06.480
To my knowledge, and please correct me
link |
01:26:08.780
if anyone knows of any studies, to my knowledge,
link |
01:26:11.600
the negative effects of these artificial sweeteners
link |
01:26:15.900
on the gut microbiome were restricted to saccharin.
link |
01:26:20.080
Now, there is enough chemical similarity between saccharin
link |
01:26:23.360
and some of the other ones that I mentioned,
link |
01:26:25.160
but not all of them.
link |
01:26:25.980
For instance, stevia, monk fruit are distinct
link |
01:26:29.680
in their chemical makeup,
link |
01:26:31.320
so that they probably don't have, if they have any,
link |
01:26:35.800
have lower effects, negative effects on the gut microbiome,
link |
01:26:38.760
but it should still be tested.
link |
01:26:40.560
So saccharin is really,
link |
01:26:42.640
it was shown in this study and several other studies,
link |
01:26:45.000
can really negatively impact, excuse me,
link |
01:26:48.480
the quality of the gut microbiome.
link |
01:26:51.520
Interestingly, the narrative around artificial sweeteners
link |
01:26:54.380
in gut microbiome is incorrect.
link |
01:26:58.920
Most people thought, oh, saccharin is bad
link |
01:27:01.760
for the microbiome, it must kill the microbiome.
link |
01:27:04.840
And so you hear people saying, oh, you know,
link |
01:27:06.480
artificial sweeteners kill the microbiome.
link |
01:27:08.300
That's not true at all.
link |
01:27:09.140
In fact, in that very same study published in Nature,
link |
01:27:11.720
they showed that the negative effects of saccharin
link |
01:27:14.380
on the microbiome could be blocked or eliminated
link |
01:27:17.500
by giving antibiotics.
link |
01:27:19.640
So what happens is certain artificial sweeteners,
link |
01:27:22.240
in particular saccharin, disrupt the microbiome
link |
01:27:26.240
and make the environment within the gut,
link |
01:27:29.120
that mucosal lining, more favorable to bacteria,
link |
01:27:33.940
microbiota that are not good for the organism, okay?
link |
01:27:38.280
This is an important distinction.
link |
01:27:40.280
It's not just that a language thing where people say,
link |
01:27:42.800
oh, you know, it kills the microbiome.
link |
01:27:44.880
It doesn't kill the microbiome, it shifts the microbiome.
link |
01:27:48.280
And shifts in the microbiome can be good or they can be bad.
link |
01:27:51.320
And that takes us to another topic.
link |
01:27:53.480
That's a bit of a hot button topic,
link |
01:27:54.880
but I'm willing to go there
link |
01:27:55.780
because I think it deserves conversation,
link |
01:27:58.080
which is nowadays there are many examples out there
link |
01:28:01.620
where people have switched from a kind of standard diet
link |
01:28:04.640
or even a vegetarian diet to a,
link |
01:28:07.720
or vegan diet to a keto diet.
link |
01:28:09.740
Now, keto doesn't necessarily have to mean
link |
01:28:11.400
the ingestion of meats, but it can.
link |
01:28:14.400
And they experience positive effects for themselves,
link |
01:28:17.040
not everybody.
link |
01:28:17.880
And I've talked previously about some of the
link |
01:28:20.040
kind of the incorrect,
link |
01:28:23.480
what I believe is incorrect marketing of keto
link |
01:28:25.760
as it relates to the cosmetic effects
link |
01:28:28.000
and some of the challenges with sleep that some people have,
link |
01:28:30.040
but some people love keto and it works great for them.
link |
01:28:32.360
But the ketogenic diet is interesting
link |
01:28:35.320
because when one shifts to the ketogenic diet,
link |
01:28:37.880
there is a shift in the gut microbiome
link |
01:28:39.720
and some people end up feeling better.
link |
01:28:41.560
Some people end up feeling worse.
link |
01:28:44.860
Likewise, some people go from ingesting animal products,
link |
01:28:49.280
including meat or they're vegetarian and they go to vegan
link |
01:28:52.880
and they experience positive shifts in mood and affect.
link |
01:28:57.160
And we know that the transition to a more plant-based diet
link |
01:29:01.920
and especially the enrichment of fiber
link |
01:29:04.400
that's present in those diets
link |
01:29:06.680
also creates dramatic shifts in the gut microbiome.
link |
01:29:09.920
Some people feel better doing that.
link |
01:29:11.680
Some people feel worse.
link |
01:29:12.760
And of course, it's going to depend on whether or not
link |
01:29:14.540
you're ingesting a lot of processed foods or not.
link |
01:29:16.320
There was a paper published in Cell, a Cell Press Journal,
link |
01:29:19.720
obviously, excellent journal,
link |
01:29:21.120
showing that ingestion of processed foods,
link |
01:29:23.540
regardless of whether or not they come from animal sources
link |
01:29:26.360
or non-animal sources,
link |
01:29:28.000
the processed foods themselves tend to create activity
link |
01:29:31.440
within the body.
link |
01:29:33.100
And this surely has roots in the nervous system
link |
01:29:34.960
that lead to over-consumption of calories and weight gain,
link |
01:29:38.840
even some weight gain that couldn't be explained
link |
01:29:40.940
by increased calories.
link |
01:29:41.840
In other words, processed foods are bad
link |
01:29:43.380
regardless of whether or not
link |
01:29:44.640
you're talking about animal products or non-animal products.
link |
01:29:47.600
Probably not surprising now,
link |
01:29:48.700
given what you know about these sugar sensing
link |
01:29:50.700
and other amino acid sensing cells in the gut
link |
01:29:53.300
that we talked about earlier.
link |
01:29:54.820
So the point of all this is that
link |
01:29:57.160
when I say you have to find what's right for you,
link |
01:29:59.240
that's not a throwaway statement.
link |
01:30:01.180
Some people's microbiome and the lining of their mucosa,
link |
01:30:08.000
excuse me, the mucosal lining of their throat,
link |
01:30:10.800
of their gut, of their nose,
link |
01:30:12.000
everything is improved by diets that are heavily meat-based
link |
01:30:16.380
and don't have many plants.
link |
01:30:17.480
Other people do much better on a plant-based diet
link |
01:30:20.300
without many meat products or animal products.
link |
01:30:22.480
It's highly individual.
link |
01:30:23.920
And this probably has roots in genetic makeup.
link |
01:30:26.680
This probably has roots in what people were raised on,
link |
01:30:30.460
because remember the nervous system,
link |
01:30:32.480
of course, is set up by your genes, your genetic program,
link |
01:30:35.600
but your nervous system,
link |
01:30:36.760
it adapts early in life to your conditions.
link |
01:30:40.280
That's what it's for.
link |
01:30:41.160
The reason you have a nervous system
link |
01:30:42.440
is to move your body appropriately
link |
01:30:44.620
towards things that are good for you
link |
01:30:45.820
and away from things that are not,
link |
01:30:47.080
but also it was designed to adapt.
link |
01:30:50.160
The early life period has this incredible thing
link |
01:30:52.280
about plasticity that we spent a whole month on
link |
01:30:54.260
so that it can change so that, yes, indeed,
link |
01:30:56.520
some people may like certain foods
link |
01:30:57.920
and react to certain foods better than others
link |
01:31:00.140
because of the way that their nervous system was wired,
link |
01:31:03.280
this enteric, as it's called, nervous system
link |
01:31:05.460
that lines the gut and that communicates with the brain.
link |
01:31:08.320
So most of what I've talked about today
link |
01:31:10.060
is black and white.
link |
01:31:12.560
These are things that are present in all of us,
link |
01:31:14.160
the sugar-sensing neurons of the gut,
link |
01:31:15.560
the way the vagus is wired,
link |
01:31:17.240
the fact that omega-3, omega-6s tend to improve,
link |
01:31:20.040
the ratios tend to impact mood
link |
01:31:22.000
with high omega-3, omega-6 ratios improving mood.
link |
01:31:25.240
We talked about all sorts of things in the gut-brain
link |
01:31:28.460
and body-brain axis, but when it comes to the microbiome,
link |
01:31:32.320
the key thing is that we all have a microbiome.
link |
01:31:34.740
You want a microbiome,
link |
01:31:36.200
but you want to promote the microbiome that is right for you
link |
01:31:40.320
and that can be shifted and steered
link |
01:31:43.080
by ingesting certain categories of foods and not others.
link |
01:31:47.320
And one thing that really frustrates me
link |
01:31:49.120
is when the people show up with an agenda,
link |
01:31:51.360
like all meat agenda or a vegan agenda or a keto agenda,
link |
01:31:55.680
and they talk about these positive effects
link |
01:31:57.320
on the gut microbiome and it's all true, frankly,
link |
01:32:00.240
and so it's highly individual.
link |
01:32:01.440
Now, this doesn't get to any of the ethical issues
link |
01:32:03.600
around animals or the planet
link |
01:32:05.000
or and you hear rabid debates about that on both sides.
link |
01:32:10.600
And I am not qualified or equipped to talk about
link |
01:32:13.980
whether or not regenerative agriculture, animal products
link |
01:32:17.200
or farming or any of these things,
link |
01:32:18.400
how those actually impact the environment.
link |
01:32:20.540
That is not my expertise.
link |
01:32:22.220
But when it comes to your health and your microbiome,
link |
01:32:24.520
you want to support the microbiome.
link |
01:32:26.040
It's very clear that these fermented foods
link |
01:32:28.460
support the microbiome,
link |
01:32:30.040
that we should be ingesting at least two servings per day,
link |
01:32:33.640
which is quite a lot.
link |
01:32:35.280
That supplementation at low levels can be good.
link |
01:32:38.760
Supplementation at high levels can create this brain fog,
link |
01:32:41.280
even though some people say that result is controversial.
link |
01:32:44.240
I've experienced this myself
link |
01:32:45.520
and the data looked to me pretty darn solid.
link |
01:32:49.080
So that's one thing to think about as well.
link |
01:32:52.560
And the other thing about the gut microbiome
link |
01:32:55.480
is that it's highly contextual
link |
01:32:57.180
based on other things that you're doing.
link |
01:32:58.700
So even things like exercise and social wellbeing
link |
01:33:01.440
and connection, those things are also impacting
link |
01:33:03.480
the gut microbiome.
link |
01:33:04.320
So find the diet that's right for you
link |
01:33:06.280
and that works for you in the context of the other ethical
link |
01:33:10.360
and lifestyle choices that are important to you.
link |
01:33:12.380
That's my advice.
link |
01:33:13.440
A note about fasting.
link |
01:33:14.980
I have a colleague at Yale
link |
01:33:16.160
who's an expert in the gut microbiome.
link |
01:33:18.040
And he told me something really interesting,
link |
01:33:20.560
which is when we fast,
link |
01:33:24.640
we actually digest certain components
link |
01:33:27.880
within our dietary tract.
link |
01:33:29.980
It actually depletes a good amount of the gut microbiome.
link |
01:33:33.320
And this is interesting.
link |
01:33:34.240
I've had good results from,
link |
01:33:36.700
I guess you would call it intermittent
link |
01:33:38.120
or kind of circadian type fasting
link |
01:33:40.040
where I've never done long fast,
link |
01:33:41.400
but where I push out my first meal by a few hours.
link |
01:33:43.840
My first meal is generally around lunchtime or so.
link |
01:33:46.640
But the longer periods of fasting
link |
01:33:49.280
that go for a day or two or three days
link |
01:33:51.240
are known to deplete the gut microbiome in major ways.
link |
01:33:56.180
But that's not always necessarily a bad thing
link |
01:33:58.120
because when it's replenished,
link |
01:34:01.100
it often is replenished at levels
link |
01:34:03.440
that exceeded its previous level.
link |
01:34:05.600
But I think that some of the GI tract
link |
01:34:09.200
and even some of the mental effects
link |
01:34:10.920
of returning to eating after feeding,
link |
01:34:12.580
sometimes people don't feel so good when they start eating,
link |
01:34:14.640
they really want food, but then they start eating again,
link |
01:34:16.360
they don't feel as good as they did on the fast.
link |
01:34:18.240
Some of that may be related to the depletion
link |
01:34:20.800
of the microbiome that occurs during long fast.
link |
01:34:23.120
So again, this is something to think about
link |
01:34:24.800
and talk about with your doctor.
link |
01:34:26.440
But the idea that fasting across the board is good,
link |
01:34:31.000
there may be some merits to that,
link |
01:34:32.320
and certainly in some cases,
link |
01:34:33.700
but it does deplete the microbiome.
link |
01:34:36.640
And that depletion of the microbiome is significant
link |
01:34:38.960
because it means when you return to eating,
link |
01:34:41.160
you're actually not in the same position
link |
01:34:43.160
to digest and assimilate those foods.
link |
01:34:45.200
And those foods are not in the same position
link |
01:34:47.060
to impact your brain and body
link |
01:34:48.280
the same way they were prior to the fast.
link |
01:34:50.920
And this is, I think, why people suggest
link |
01:34:52.480
a kind of gradual transition back to consuming nutrients
link |
01:34:56.760
after a fast.
link |
01:34:58.280
So as we round up, I want to share some results with you
link |
01:35:01.500
that without question will impact the way
link |
01:35:04.680
that you respond to food mentally and even physically.
link |
01:35:08.780
And I know that because that's the central theme
link |
01:35:11.500
of the studies I'm about to tell you about.
link |
01:35:13.860
I have a colleague at Stanford, Aaliyah Crum,
link |
01:35:16.680
who's done some remarkable experiments on mindset.
link |
01:35:20.880
And some people could think about these as placebo effects
link |
01:35:24.620
or belief effects,
link |
01:35:26.120
but they actually go way beyond those terms.
link |
01:35:29.460
And there are a number of different examples of this
link |
01:35:32.300
that Aaliyah's lab and her coworkers have demonstrated,
link |
01:35:35.440
but two that are particularly interesting to me,
link |
01:35:39.660
I want to share with you now
link |
01:35:40.700
because they really emphasize how our beliefs
link |
01:35:44.100
can really impact the way
link |
01:35:45.340
that our brain and body work together.
link |
01:35:47.560
I think the most famous of these is an experiment they did
link |
01:35:50.080
where they had two groups of individuals.
link |
01:35:52.100
They were each given a milkshake
link |
01:35:55.740
and they had some factors measured from their blood
link |
01:35:59.840
by an IV while they ingested the milkshake
link |
01:36:02.260
and then afterwards as well.
link |
01:36:04.340
And one of the factors that they were looking at
link |
01:36:06.760
was something called ghrelin, G-H-R-E-L-I-N.
link |
01:36:10.740
Ghrelin is a peptide that increases with hunger.
link |
01:36:13.820
So the longer you haven't eaten, the ghrelin goes up.
link |
01:36:16.280
And I know some of you say, well, I fast, I fast, I fast,
link |
01:36:18.740
and I eventually lose my appetite.
link |
01:36:19.980
Well, ghrelin still goes up and then it drops.
link |
01:36:22.140
So if you were one of these people
link |
01:36:24.020
that eats every three hours regularly,
link |
01:36:26.140
ghrelin kind of gets a little pulse
link |
01:36:28.000
as you get to that two hour and 50 minute mark.
link |
01:36:30.540
So it's a little bit of a timer as well.
link |
01:36:32.340
It's really interesting peptide.
link |
01:36:34.740
In any event, what they did is they gave people milkshakes,
link |
01:36:39.020
two groups, one group got a shake that they were told
link |
01:36:42.580
was a low calorie, healthy shake.
link |
01:36:44.700
The other group got a milkshake that they were told
link |
01:36:48.300
was the very decadent high calorie shake.
link |
01:36:52.180
I think it was something like two
link |
01:36:53.620
or maybe even two and a half times
link |
01:36:55.140
as many calories as the other, perhaps even more.
link |
01:36:58.760
I don't recall the details,
link |
01:36:59.700
but you had a high calorie and a low calorie condition.
link |
01:37:02.220
And then they drank the shake
link |
01:37:04.580
and then they measured ghrelin in these subjects' blood.
link |
01:37:08.420
And what they found was that the high calorie shake
link |
01:37:12.060
had a much more robust effect on blunting ghrelin
link |
01:37:15.980
and reducing ghrelin.
link |
01:37:18.660
But the interesting thing you probably guessed already
link |
01:37:20.900
is that it was the exact same shake given to both groups.
link |
01:37:24.580
So people's belief about the content of something
link |
01:37:28.760
impacted their physiology.
link |
01:37:31.260
And this speaks to the so-called top-down mechanisms
link |
01:37:35.260
or modulation of our physiology.
link |
01:37:37.500
In the previous episode about pain,
link |
01:37:38.740
we talked about the effects of obsessive,
link |
01:37:42.100
believe it or not, it was kind of obsessive infatuation
link |
01:37:44.700
and love on pain responses and pain thresholds.
link |
01:37:47.660
This is yet another example where beliefs
link |
01:37:50.020
or subjective feelings can impact physiology
link |
01:37:52.940
at the level of the periphery,
link |
01:37:54.080
because ghrelin is released in the periphery in the body.
link |
01:37:57.660
Now, these belief effects extend beyond examples like this.
link |
01:38:01.680
Another good example that I'd like to share
link |
01:38:03.440
is Allie, Dr. Crum, and her colleagues did an experiment
link |
01:38:09.780
where they took housekeepers,
link |
01:38:12.620
they were essentially hotel workers,
link |
01:38:14.180
divide them into two groups.
link |
01:38:15.400
They had them watch a short film.
link |
01:38:17.140
In one case, the film was about how their work was important,
link |
01:38:20.620
it helped people feel comfortable in the hotel,
link |
01:38:22.400
et cetera, et cetera.
link |
01:38:23.740
The other group heard that the activity
link |
01:38:25.680
that they were doing, cleaning and taking care of the hotel
link |
01:38:28.500
was good for them, it was good for their health,
link |
01:38:30.540
et cetera, et cetera.
link |
01:38:32.620
They controlled very nicely in the study
link |
01:38:34.940
for health parameters, for individual differences,
link |
01:38:38.960
and for the behaviors of these people
link |
01:38:40.820
in the period that followed this short tutorial.
link |
01:38:43.820
And what they found was eight weeks later,
link |
01:38:47.700
the group that had been told
link |
01:38:49.620
that the activity was good for them
link |
01:38:51.860
showed lower blood pressure,
link |
01:38:53.500
they had lost a significant amount of body fat,
link |
01:38:56.060
and they reported enjoying their work
link |
01:38:58.620
far more than the other group.
link |
01:39:00.040
The same work, simply biased mentally
link |
01:39:04.740
by the information that they were given,
link |
01:39:06.500
but their physiology followed that information.
link |
01:39:10.740
And so this is not just the placebo effect,
link |
01:39:14.140
this is an incredible set of findings
link |
01:39:16.540
that illustrate the extent to which
link |
01:39:18.140
whether or not we believe a food is going to be good for us
link |
01:39:21.000
or not good for us, well, we can't escape the reality.
link |
01:39:24.620
You can't tell yourself that a poison
link |
01:39:26.180
is going to be good for you and ingest that poison
link |
01:39:27.980
and expect it to not kill you,
link |
01:39:29.980
nor can you tell yourself that eating 12 croissants,
link |
01:39:35.180
confess I've done it,
link |
01:39:36.500
it was after a very long run, a long time ago,
link |
01:39:39.100
but you can't tell yourself that that's necessarily
link |
01:39:41.140
going to be good for you
link |
01:39:42.960
or that it's going to make you lose weight.
link |
01:39:44.940
These belief effects are not about lying to yourself.
link |
01:39:48.040
In these cases, in these experiments, as you'll notice,
link |
01:39:50.780
the subjects didn't have prior knowledge about ghrelin
link |
01:39:54.620
or about the effects of their daily routine
link |
01:39:56.900
on weight loss and blood pressure.
link |
01:39:58.940
So in order for them to work,
link |
01:40:00.080
you have to be naive to the information, right?
link |
01:40:03.700
You can't simply lie to yourself
link |
01:40:05.300
and tell yourself what you want to believe.
link |
01:40:07.740
And that's important, but also important
link |
01:40:11.060
is that the mind and the body
link |
01:40:12.940
are in this fascinating interplay.
link |
01:40:14.780
And today we've talked mainly about
link |
01:40:16.780
how the body and things that we put inside this tube,
link |
01:40:20.580
this that runs from our mouth to the other end,
link |
01:40:24.220
to our rectum basically is impacting all these cells,
link |
01:40:28.040
these neurons, microbiota in there,
link |
01:40:31.180
mucosal lining, heart, lungs,
link |
01:40:34.060
and how all that information is feeding up to the brain
link |
01:40:36.160
to impact how we feel up here.
link |
01:40:38.080
But also how we feel up here
link |
01:40:39.700
is impacting how our body reacts
link |
01:40:42.380
at levels of very core physiology
link |
01:40:44.860
that you couldn't just tell yourself
link |
01:40:46.840
that this was going to work.
link |
01:40:47.860
But what you believe about certain substances,
link |
01:40:51.100
certain foods, certain nutrients
link |
01:40:52.980
does have a profound effect
link |
01:40:54.500
on the magnitude of their impact
link |
01:40:57.260
and sometimes even the quality and direction of that impact.
link |
01:41:01.320
Well, first of all, I want to thank everybody
link |
01:41:03.120
for their support of this podcast,
link |
01:41:05.240
the response that we've received since releasing
link |
01:41:07.740
at the beginning of the new year has been tremendous
link |
01:41:10.260
and we're so grateful for it.
link |
01:41:12.340
I know some of you and people you know have said,
link |
01:41:15.060
well, it's a lot of information,
link |
01:41:16.420
it's like a college lecture.
link |
01:41:18.260
Indeed, there's a lot of information
link |
01:41:19.980
but I believe very strongly that if you learn mechanism
link |
01:41:24.020
and maybe even if you hear it several times over,
link |
01:41:26.620
eventually those mechanisms become embedded
link |
01:41:28.620
into the way that you view an entire topic.
link |
01:41:31.460
As well, I always try and put tools as I go along
link |
01:41:34.560
that you can look to immediately.
link |
01:41:36.460
Some of them might be right for you, others might not.
link |
01:41:39.140
Try them if you like and don't if you don't want to
link |
01:41:41.900
and if they don't work for you, then discard them.
link |
01:41:44.400
If however, you are finding benefits from the information
link |
01:41:47.520
and from the tools and you know others
link |
01:41:49.580
that you think could benefit from it,
link |
01:41:51.480
please pass along information about the podcast.
link |
01:41:55.020
Please subscribe to the YouTube channel
link |
01:41:56.620
if you haven't already.
link |
01:41:57.780
Please subscribe to us on Apple and Spotify
link |
01:41:59.940
if you haven't already.
link |
01:42:01.180
Please leave a review in the comment section
link |
01:42:03.020
here on YouTube.
link |
01:42:04.060
Also, if you feel we deserve it,
link |
01:42:05.460
please give us a five-star review on Apple.
link |
01:42:07.560
All those things really help us.
link |
01:42:09.680
In addition, if you'd like to support the podcast further,
link |
01:42:12.640
we've set up a Patreon account.
link |
01:42:14.220
It's patreon.com slash Andrew Huberman.
link |
01:42:17.460
It allows you to support the podcast
link |
01:42:19.140
at a variety of levels.
link |
01:42:20.940
We have the 5HTP serotonin for $5 a month,
link |
01:42:24.460
the Costello, $10 a month in honor of Costello, et cetera.
link |
01:42:28.580
You don't have to, but if you'd like to,
link |
01:42:30.220
that would be terrific.
link |
01:42:31.640
In addition, please check out our sponsors
link |
01:42:33.500
that we've mentioned at the beginning of the podcast.
link |
01:42:35.620
That's one of the best ways to help support us.
link |
01:42:37.880
And we do believe in all the products that we support
link |
01:42:41.480
and our sponsors very much.
link |
01:42:43.060
Otherwise, we wouldn't be working with them.
link |
01:42:45.740
So much so that when I mentioned supplements
link |
01:42:48.900
and I talk about supplements
link |
01:42:50.380
throughout the course of the episodes,
link |
01:42:52.360
I don't mention specific brands,
link |
01:42:53.820
but I would be remiss if I didn't mention the fact
link |
01:42:56.720
that we have partnered with Thorne, T-H-O-R-N-E.
link |
01:43:01.460
And we've done that because we know
link |
01:43:04.180
that Thorne uses the highest levels of stringency
link |
01:43:06.620
in terms of the products they produce,
link |
01:43:09.360
what they say is in each capsule and tablet actually is,
link |
01:43:12.960
they're used by the Mayo Clinic,
link |
01:43:14.320
by all the major sports teams
link |
01:43:15.700
because of their level of stringency and rigor.
link |
01:43:18.460
If you want to know which supplements I take,
link |
01:43:20.580
you can go to thorne.com slash the letter U slash Huberman
link |
01:43:25.700
and you can see the supplements that I take
link |
01:43:27.260
and you can get those as well as any of the other supplements
link |
01:43:30.500
and products that Thorne makes for 20% off.
link |
01:43:33.140
So it's thorne.com slash the letter U slash Huberman
link |
01:43:37.980
to get 20% off any supplements that Thorne makes.
link |
01:43:41.900
So today's episode, we took a full journey
link |
01:43:44.300
into the brain-body relationship
link |
01:43:45.980
and discussed a lot of the mechanisms
link |
01:43:47.800
and the actionable items that you can approach
link |
01:43:50.740
if you want to explore this aspect of your biology
link |
01:43:53.160
and psychology further.
link |
01:43:54.740
Last, but certainly not least,
link |
01:43:56.900
I want to thank everybody for your time and attention today
link |
01:43:59.580
and as always, thank you for your interest in science.
link |
01:44:02.660
I'll see you next time.