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Nutrients For Brain Health & Performance | Huberman Lab Podcast #42



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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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I'm Andrew Huberman, and I'm a professor of neurobiology
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and ophthalmology at Stanford School of Medicine.
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Today, we are talking all about food and the brain.
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We are going to talk about foods that are good
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for your brain in terms of focus,
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in terms of brain health generally,
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and the longevity of your brain,
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your ability to maintain cognition
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and clear thinking over time.
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We are also going to talk about why
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and how you prefer certain foods to others.
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And I'm going to talk about the three major signals
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that combine to drive your food choices.
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I'll give you a little hint of what those are.
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One of those signals comes from your gut
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and is completely subconscious.
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This is not the gut microbiome per se.
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These are neurons in your gut that are sending signals
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to your brain that you are unaware of
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about the nutrient contents of the foods
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that you're eating.
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The second signal is how metabolically accessible
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a given food is, meaning how readily that food
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can be converted into energy that your brain,
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not your body, but that your brain can use.
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And the third signal is perhaps the most interesting one.
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It's the signal of belief.
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It's the signal of what you perceive and believe,
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the food that you're eating to contain,
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and what you think it can do for you health-wise
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and energy-wise.
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And that might sound a little wishy-washy or vague,
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but we're going to provide mechanistic data
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to support the fact that you can change what you eat,
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so much so that you can drive your brain and your body
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to crave foods that are good for you,
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or at least better for you than the foods
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you might currently be eating.
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This is an incredibly powerful mechanism that we all have.
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It's one that I think is very underappreciated.
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And today I'm going to review the data
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from both animal models and fortunately more recently,
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human studies that really do underscore the fact
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that you can control your desire for particular foods.
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Before we dive into today's topic,
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I just want to briefly touch on some key takeaways
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from a previous episode,
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which is the episode on time-restricted feeding,
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also called intermittent fasting.
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The key elements of time-restricted feeding
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that will benefit your health the most
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in terms of weight loss or maintenance, fat loss,
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organ health, quality sleep, and cognition
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are that the feeding window begin
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at least one hour after waking.
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You could push that feeding window out to begin later,
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but at least one hour after waking,
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and that it end at least two and ideally three hours
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before going to sleep.
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Some people can end that feeding window
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much further away from the beginning of sleep,
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meaning they're finishing their last bite of food,
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for instance, at 6 p.m.
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and they're not going to sleep until midnight.
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But many people struggle to get quality sleep
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if that feeding window is set too early
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relative to when they go to sleep.
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So begin the feeding window at least one hour after waking,
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end the feeding window at least two hours
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before going to sleep.
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And a key feature based on the scientific research
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is that the feeding window itself fall more or less
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at the same period of each 24-hour day from day to day,
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meaning if you are going to eat over an eight-hour period,
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that's your feeding window,
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you wouldn't want to start that feeding window
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at 10 a.m. one day and end it at 6 p.m.,
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and then the next day start at noon and end it at 8 p.m.,
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and the next day start it at 2 p.m.
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and end it at 10 p.m. and so forth.
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As much as is reasonably possible,
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if you want to extract the maximum benefit
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from time-restricted feeding,
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the idea is to keep that feeding window
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at more or less the same phase, as it's called,
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of each 24-hour day.
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If it slides around a little bit for social reasons
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or whatever reasons, it doesn't seem to be a big deal,
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but you don't want it sliding around
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by many hours from day to day
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because of the way that that feeding window
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impacts other genes called clock genes
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that regulate a bunch of other processes in the body.
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Before we begin, I'd like to emphasize
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that this podcast is separate
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from my teaching 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 is Roca.
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Roca makes eyeglasses and sunglasses
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as well as for supporting the immune system
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through the so-called gut-brain axis.
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Today's episode is also brought to us by Headspace.
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Headspace is a meditation app
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backed by 25 peer-reviewed published studies.
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I think by now, most people have heard
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of the benefits of meditation,
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reduce stress, improve sleep, better cognition, et cetera.
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I've been meditating for a long time,
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but I have to admit it's been sort of an on and off thing.
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There are periods of time over the last 10
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or gosh, even 20 or 30 years
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that I've meditated consistently,
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and then I'll stop meditating.
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One of the terrific things about Headspace
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is that it has meditations
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so I found that as soon as I started using Headspace,
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that I was meditating far more consistently.
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One of the great things about meditation
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is that it works the first time and it works every time,
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and the more consistently I do it,
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the more positive benefits I seem to derive.
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I'd like to point you toward what I think
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is a very valuable zero-cost resource online.
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Recently, I took part in an event called
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Rethink Education that was put on by Logitech,
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and there I gave a 20-minute lecture
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where I describe the classic
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and modern neuroplasticity literature
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in both animal models and humans.
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The neuroplasticity literature is, of course,
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the literature that describes how to rewire the brain
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in order to learn.
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During that 20-minute talk, I described that literature,
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but I also spell out what I call
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the neuroplasticity super protocol,
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which is nine plus steps of things
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that teachers can apply in the classroom
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to teach any sort of information,
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music, math, sports, anything,
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and that students of any kind in any age
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can use to enhance the speed and depth of learning.
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You can find that talk on YouTube
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by following the link in the caption to this episode,
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or by simply going to YouTube
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and entering the search terms Logitech Huberman.
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Some of the most frequent questions I get
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are about food and the brain.
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Everybody seems to want to know what they should eat
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and what they shouldn't eat
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in order to have peak brain function,
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to be able to focus and memorize things and so forth,
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and in order to maintain brain health over time,
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because nobody wants to lose their memory
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or have troubles with cognition.
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Fortunately, there are a lot of data now
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from really good quality peer-reviewed studies
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that indicate certain things that we can do,
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including certain foods that we should eat,
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and perhaps even some foods that we should avoid
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in order to enhance our brain function.
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And of course, when I say brain,
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what I really mean is nervous system function,
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because how we are able to move and remember things, et cetera
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doesn't just depend on the neurons,
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the nerve cells that are in our head,
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it also depends on our spinal cord
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and the neurons that connect to all the organs of our body.
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So in general, there are two categories of things
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that are going to improve brain health
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from the perspective of nutrition.
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The first category is the general category
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of things that we eat and avoid
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and things that we do and avoid doing
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that will modulate brain health and function.
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What do I mean by modulate?
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Well, getting quality sleep on a regular basis,
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making sure that you're socially connected,
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making sure that you're not depressed.
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All these things are vitally important
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to our overall health,
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and of course they will impact brain function,
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but they do it more or less indirectly, okay?
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There are a few things that happen in sleep
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which directly benefit brain function and repair, et cetera.
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But today I really want to concentrate
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not on the things that modulate our overall health,
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but rather the things that mediate brain health directly,
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and in particular,
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how certain foods enhance brain function.
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And we are going to talk about
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how we can change our relationship to food,
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literally how we can start to prefer certain foods
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that are better for us than others.
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So just briefly,
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I want to touch on the modulatory components
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because they are vital.
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First of all, getting quality sleep on a regular basis
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and ample sleep on a regular basis
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is the foundation of all mental health and physical health.
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There's no question about that.
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We have done several episodes,
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including the Master Your Sleep episode,
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which is episode two of the Huberman Lab Podcast,
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and we've done a lot of other episodes
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that are all about sleep and how to get better at sleeping.
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So I just want to make crystal clear
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that unless you're sleeping well on a regular basis,
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your brain will suffer.
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You won't be able to focus very well, learn very well,
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and indeed there are data linking poor quality sleep
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to dementia or at least exacerbating preexisting dementias
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and things of that sort.
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So get your sleep in order.
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The other, of course, is cardiovascular health and exercise.
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The general prescription that's out there in the literature
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and I think is well-supported
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is to get somewhere between 150 and 180 minutes
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of cardiovascular exercise per week.
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If you choose to also use resistance exercise, that's great,
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but the 150 to 180 minutes minimum per week
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of cardiovascular exercise is crucial for heart health
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and heart health directly relates to brain health
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because the brain consumes a lot of oxygen, glucose,
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and other factors that are delivered via the blood.
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So if your arteries are clogged up
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and you've got poor vascular supply to the brain
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in any region of the brain, your brain will suffer.
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So get cardiovascular health in order.
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Now, with those two modulatory elements set forth
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so that we're all aware that they're there
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and they are vitally important,
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now I'd like to turn to the elements that have been shown
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to be vitally important for directly controlling,
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for mediating neuron function.
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Neurons, of course, are nerve cells in the brain
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and there are other cell types too, of course,
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that will impact brain function.
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The most prominent of which are the so-called glia.
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Glia means glue, but even though for a long time
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people thought that these cells
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were just kind of holding things together passively,
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the glia play a very active role in the metabolism neurons,
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in brain function, and probably also in cognition,
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in thinking and so forth.
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So what are the things that directly impact brain health
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and what are the foods that we can eat
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that will support brain health?
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Generally, when we think about neuron function
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and brain function, we default to a discussion about fuel.
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The fact that neurons use glucose, which is blood sugar,
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and that they require a lot of it.
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In some cases, they'll use ketones,
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which we will talk about a little bit later,
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especially in people that are following a low carbohydrate
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or ketogenic diet.
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But before we can even consider the fuels that neurons use
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in order to function, we have to talk about the elements
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that actually allow those neurons to be there
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and to stay healthy, what actually makes up those neurons.
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00:14:12.760
And that brings us to what I would argue
link |
00:14:14.680
is the most important food element for brain function.
link |
00:14:19.400
And that is fat.
link |
00:14:21.200
And that might come as a surprise,
link |
00:14:22.840
but unless one considers the water content of the brain,
link |
00:14:26.100
which is very high, a lot of our brain
link |
00:14:29.560
and a lot of the integrity of the nerve cells,
link |
00:14:31.780
the so-called neurons in our brain,
link |
00:14:33.840
and the other types of cells comes from fat.
link |
00:14:36.920
And that's because nerve cells and other cells in the brain
link |
00:14:39.840
have a external layer.
link |
00:14:42.800
It's what's sometimes called a double-layered membrane.
link |
00:14:46.560
It's essentially two thin layers
link |
00:14:48.280
that serve as a boundary between those cells.
link |
00:14:50.160
And that boundary is very important
link |
00:14:51.680
because how things pass across that boundary
link |
00:14:54.220
actually regulates the electrical activity of neurons,
link |
00:14:57.560
which is the way that neurons fire and communicate
link |
00:14:59.880
and keep you thinking and acting
link |
00:15:01.120
and doing all the good things
link |
00:15:02.040
that those neurons allow us to do.
link |
00:15:04.240
And those membranes are made up of fats,
link |
00:15:06.800
but they're not made up of the fats
link |
00:15:08.040
that are around our belly,
link |
00:15:10.240
around the other organs of our body.
link |
00:15:11.960
They're not made up of storage fat.
link |
00:15:13.600
They are made up of structural fat
link |
00:15:16.360
and maintaining the so-called integrity
link |
00:15:18.360
of that structural fat,
link |
00:15:19.840
meaning the health of those neurons
link |
00:15:21.960
is going to come in large part from the foods that we eat.
link |
00:15:25.800
Now, this needs to be underscored.
link |
00:15:27.960
What I'm saying is that the foods that we eat
link |
00:15:30.040
actually provide the structural basis,
link |
00:15:32.040
the building blocks of the very neurons
link |
00:15:34.120
that allow us to think over time.
link |
00:15:36.640
And as I mentioned earlier,
link |
00:15:38.440
the fat that makes up those neurons and other nerve cells
link |
00:15:40.880
is different than the other types of fat in the body.
link |
00:15:44.160
So what type of fat is it and what should we eat
link |
00:15:46.720
in order to support that fat and those neurons?
link |
00:15:50.520
And the answer is the so-called essential fatty acids
link |
00:15:53.280
and phospholipids.
link |
00:15:54.780
Now, those are more or less the same thing,
link |
00:15:56.400
but I just want to make a very large literature
link |
00:15:58.840
very crystal clear.
link |
00:16:01.000
Essential fatty acids can include the so-called EPA variety
link |
00:16:04.800
or DHA variety.
link |
00:16:06.400
You hear about omega-3s and omega-6s.
link |
00:16:09.060
Most people are getting enough omega-6s from their diet.
link |
00:16:12.480
Not everybody, but most people
link |
00:16:13.720
are getting enough omega-6s.
link |
00:16:15.240
However, most people are not getting enough omega-3s
link |
00:16:19.240
in their diet to support healthy brain function
link |
00:16:21.360
in the short and long term.
link |
00:16:23.000
I've talked before about the benefits
link |
00:16:24.720
of elevating the levels of omega-3s in one's diet
link |
00:16:28.240
for sake of offsetting depression and for enhancing mood.
link |
00:16:31.840
And indeed there's a wealth of literature now
link |
00:16:34.360
pointing to the fact that ingesting at least one or two
link |
00:16:37.960
or even three grams per day of EPA form
link |
00:16:42.120
of essential fatty acid can have effects,
link |
00:16:45.200
positive effects on mood and wellbeing
link |
00:16:47.200
that are at least on par
link |
00:16:48.280
with some of the major antidepressant treatments out there,
link |
00:16:50.560
but without similar side effects
link |
00:16:52.620
to those antidepressant treatments.
link |
00:16:54.160
And that for people that are already taking antidepressants
link |
00:16:57.880
that supplementing with one to two to three grams of EPA,
link |
00:17:02.400
essential fatty acids can actually allow a lower dose
link |
00:17:05.880
of antidepressant treatment to be used
link |
00:17:08.000
and still be effective.
link |
00:17:09.340
So that's depression,
link |
00:17:10.940
but just in terms of maintaining normal cognitive function
link |
00:17:13.820
in people that aren't depressed,
link |
00:17:15.040
the EPAs and omega-3s seem to play a very important role.
link |
00:17:19.240
Of course, you can supplement EPAs through various fish oils
link |
00:17:23.200
and it could be liquid fish oil or capsule fish oil.
link |
00:17:26.260
Some people, if they're not interested in eating fish
link |
00:17:29.060
for whatever reason, they're allergic or for ethical reasons
link |
00:17:31.920
they can take krill oil.
link |
00:17:33.200
And if they don't want to use krill oil,
link |
00:17:34.760
they can use algae and other forms of EPA.
link |
00:17:37.680
However, I think it's clear that one can get a lot of EPA
link |
00:17:42.440
from the proper foods.
link |
00:17:43.840
And it turns out that those foods, not surprisingly,
link |
00:17:46.780
don't just contain high levels of EPA,
link |
00:17:49.320
but they also contain other things
link |
00:17:51.120
that are beneficial for brain health.
link |
00:17:52.980
So what are foods that are high in omega-3s
link |
00:17:55.880
that we should all probably be consuming,
link |
00:17:58.000
at least on a daily basis?
link |
00:18:00.980
The number one is fish.
link |
00:18:03.360
So things like mackerel and salmon and herring and oysters
link |
00:18:07.120
and sardines and anchovies,
link |
00:18:09.320
and perhaps the heavyweight champion of EPAs
link |
00:18:12.240
per unit volume is caviar.
link |
00:18:14.240
Now, I don't know about you,
link |
00:18:15.640
but I'm not eating a lot of fish.
link |
00:18:17.420
I'm not eating a lot of caviar.
link |
00:18:19.560
I don't think, I can't remember the last time I had a caviar
link |
00:18:22.100
unless it was sprinkled on a little bit of sushi.
link |
00:18:24.560
I'm not a big fish eater personally.
link |
00:18:27.520
I will from time to time,
link |
00:18:28.900
but that's one reason why one might want to supplement
link |
00:18:32.200
with EPAs from another source.
link |
00:18:34.640
But also EPAs are found in chia seeds, in walnuts,
link |
00:18:39.600
in soybeans and other plant-based foods.
link |
00:18:41.980
You can look these up online and you'll immediately see
link |
00:18:44.920
that there are a lot of sources of EPAs.
link |
00:18:47.540
And many of the foods that I listed off
link |
00:18:49.760
might be appetizing to you.
link |
00:18:51.040
Some of them might be unappetizing to you,
link |
00:18:52.760
or some of them you might be sort of neutral about,
link |
00:18:55.200
but it's very clear that eating foods
link |
00:18:57.360
that are rich in omega-3s and or supplementing
link |
00:18:59.520
with omega-3s to get above that 1.5 grams,
link |
00:19:02.880
and ideally up to two or even three grams per day of EPA,
link |
00:19:07.080
can be very beneficial for cognitive function
link |
00:19:10.240
in the short and long term.
link |
00:19:12.520
Later in the episode, I'm going to talk about
link |
00:19:14.520
how to actually change your relationship
link |
00:19:17.000
to particular foods so that foods
link |
00:19:18.560
that you don't particularly like,
link |
00:19:19.720
you can actually start to like more.
link |
00:19:21.840
And that might be important for those of you
link |
00:19:23.560
that are thinking mackerel, sardines.
link |
00:19:25.600
I mean, I'm making this face because frankly,
link |
00:19:27.740
those are not foods that I naturally like.
link |
00:19:30.300
But again, I want to emphasize
link |
00:19:31.740
that you don't have to consume fish and animal products
link |
00:19:34.480
in order to get sufficient EPAs.
link |
00:19:35.880
You can get them from plants,
link |
00:19:37.120
but I do believe based on the quality peer-reviewed research
link |
00:19:41.240
that everybody should be striving
link |
00:19:43.000
to get a minimum threshold of at least a gram and a half
link |
00:19:45.800
of EPAs per day, one way or the other.
link |
00:19:48.360
The great thing about omega-3s
link |
00:19:49.880
is that they are also thought to be beneficial
link |
00:19:51.920
for things like cardiovascular health.
link |
00:19:53.680
And although there's some controversy there
link |
00:19:56.000
as to whether or not two grams or three grams or six grams
link |
00:19:59.520
is ideal for cardiovascular health,
link |
00:20:00.960
I think the bulk of evidence points to the fact
link |
00:20:03.280
that getting sufficient omega-3s in the diet
link |
00:20:05.220
is going to support cardiovascular health.
link |
00:20:07.760
Certainly not the only thing people should be doing
link |
00:20:09.540
to support their cardiovascular health,
link |
00:20:11.480
aerobic exercise and so forth being important also,
link |
00:20:14.640
but it does seem to support cardiovascular health
link |
00:20:17.640
and in doing so, supporting brain health.
link |
00:20:20.120
However, what I'm emphasizing is ingestion of omega-3s
link |
00:20:25.120
to support the very cells within the brain
link |
00:20:27.760
that make up our cognition,
link |
00:20:29.000
that allow for cognition and for movement and memory
link |
00:20:31.660
and all the other marvelous things that the brain does.
link |
00:20:35.000
The other compound that has been shown
link |
00:20:36.680
to be directly supportive of neuronal function
link |
00:20:39.500
is phosphatidylserine,
link |
00:20:41.460
which is abundant in meats and in fish.
link |
00:20:44.900
So here we are again, back to fish being an important source
link |
00:20:47.800
of brain supporting food.
link |
00:20:50.200
Phosphatidylserine is something that nowadays
link |
00:20:53.200
people are supplementing.
link |
00:20:54.420
It's a lipid-like compound that at least in three studies
link |
00:20:59.300
have been shown to improve cognition.
link |
00:21:01.020
These weren't huge effects,
link |
00:21:02.280
but they were statistically significant effects.
link |
00:21:04.680
And as well in more than three, at least five studies
link |
00:21:09.400
to reduce cognitive decline.
link |
00:21:11.880
And this is interesting, in every case,
link |
00:21:13.620
it was 300 milligrams supplemented phosphatidylserine,
link |
00:21:17.500
but one again, doesn't need to supplement phosphatidylserine.
link |
00:21:21.120
Phosphatidylserine can be derived,
link |
00:21:23.220
as I mentioned from meats and fish,
link |
00:21:24.920
and to some extent from cabbage of all things.
link |
00:21:27.280
I don't know how much cabbage people are ingesting,
link |
00:21:29.440
but later when we talk about gut health
link |
00:21:31.060
and the relationship between gut health and brain health,
link |
00:21:34.400
I'll mention fermented foods.
link |
00:21:36.060
And of course,
link |
00:21:36.900
one of the most readily available fermented foods out there
link |
00:21:40.120
that at least many people find appetizing is sauerkraut,
link |
00:21:43.720
which is of course made from cabbage, it's fermented cabbage.
link |
00:21:46.440
So for those of you that do consume meat and fish,
link |
00:21:49.680
provided you're getting enough fish,
link |
00:21:50.880
you're probably getting enough phosphatidylserine.
link |
00:21:52.860
For those of you that are interested
link |
00:21:54.000
in supplementing phosphatidylserine
link |
00:21:56.000
to get these effects that were reported
link |
00:21:57.900
in these various manuscripts,
link |
00:22:00.580
which by the way, I've read and looked solid.
link |
00:22:03.040
I mean, I don't think we've seen the landmark studies
link |
00:22:05.820
showing that supplementing with phosphatidylserine
link |
00:22:08.000
at 300 milligrams per day
link |
00:22:09.580
is going to create a huge offsetting
link |
00:22:12.640
of a massive cognitive decline
link |
00:22:14.220
or a massive increase in brain function.
link |
00:22:16.480
These seem to be modest effects,
link |
00:22:18.600
but the effects do appear to be real.
link |
00:22:20.640
And for those of you that are interested
link |
00:22:22.080
in supplementing with phosphatidylserine,
link |
00:22:23.920
it's a relatively inexpensive supplement
link |
00:22:25.960
that again is lipid-like.
link |
00:22:27.680
So it's mimicking some of the same things
link |
00:22:29.380
that you would get from food, but in higher concentration.
link |
00:22:32.580
Now, after EPA, fatty acids and phosphatidylserine,
link |
00:22:38.080
I would say third on the list of things that come from food
link |
00:22:41.720
that can readily support brain function would be choline.
link |
00:22:45.400
And that's because of the relationship to choline
link |
00:22:47.680
in the biosynthesis pathway for acetylcholine.
link |
00:22:51.160
Acetylcholine is a neuromodulator, not a neurotransmitter,
link |
00:22:54.400
but a neuromodulator in the brain.
link |
00:22:56.680
A neuromodulator is a chemical that modulates
link |
00:23:00.220
the function of many brain circuits
link |
00:23:02.480
and also circuits within the body.
link |
00:23:04.680
I'll mention what those are in a moment,
link |
00:23:06.400
but acetylcholine as a neuromodulator
link |
00:23:09.640
tends to enhance the activity, the electrical activity
link |
00:23:13.000
and chemical activity of certain sets of neurons
link |
00:23:15.700
and downplay the activity of other neurons.
link |
00:23:18.720
So it's sort of a conductor of sorts
link |
00:23:20.680
leading to enhanced function and activity
link |
00:23:23.520
in certain brain areas and circuits and others.
link |
00:23:27.600
For instance, the brain areas that are involved
link |
00:23:29.960
in focus and alertness.
link |
00:23:31.520
We have multiple clusters of neurons in our brain
link |
00:23:33.920
that make acetylcholine.
link |
00:23:35.840
Two of the most prominent and well-known
link |
00:23:37.600
are the so-called nucleus basalis,
link |
00:23:39.040
which is a cluster of neurons deep in the basal forebrain
link |
00:23:42.080
that highlight particular areas of our brain,
link |
00:23:44.860
highlight meaning when acetylcholine is released
link |
00:23:47.660
from those neurons at their nerve endings
link |
00:23:49.840
in particular areas of the brain,
link |
00:23:50.960
those particular areas of the brain
link |
00:23:52.680
can undergo enhanced levels of activity
link |
00:23:54.720
relative to surrounding area.
link |
00:23:56.260
So it's kind of a electrical highlighter pen, if you will,
link |
00:23:59.120
by analogy.
link |
00:24:01.680
That is the basis of much of what we call focus
link |
00:24:05.360
or our ability to concentrate on a particular batch
link |
00:24:08.640
of information that's coming in through our eyes,
link |
00:24:10.440
our ears, our nose,
link |
00:24:11.280
or even things that we're just thinking in our head.
link |
00:24:13.520
So having ample choline for production of acetylcholine
link |
00:24:17.600
allows for focus through, of course, many intervening steps.
link |
00:24:21.200
There are also regions of the brain
link |
00:24:22.960
in the so-called back of the brain, the hindbrain,
link |
00:24:25.220
that release acetylcholine
link |
00:24:27.040
that are involved in general states of alertness.
link |
00:24:30.200
And not surprisingly then,
link |
00:24:32.460
many of the treatments for Alzheimer's disease,
link |
00:24:34.920
which is an inability or challenges
link |
00:24:37.480
with remembering things and focusing
link |
00:24:40.160
are drugs that impact the acetylcholine pathway
link |
00:24:44.160
and are aimed at enhancing the amount of acetylcholine
link |
00:24:47.520
that's available to neurons.
link |
00:24:49.500
And it can do that through a number of different mechanisms.
link |
00:24:51.740
You can do that by enhancing the amount of acetylcholine
link |
00:24:53.800
that's created,
link |
00:24:54.840
or you can do that by taking a drug
link |
00:24:57.560
that can reduce the amount of enzyme
link |
00:24:59.840
that gobbles up the acetylcholine
link |
00:25:01.200
and in doing so leading to more net acetylcholine.
link |
00:25:04.280
But outside of the scenario
link |
00:25:06.360
where somebody has cognitive decline due to Alzheimer's,
link |
00:25:09.360
all of us are able to focus to some degree or not,
link |
00:25:13.000
or are able to be alert to some degree or not
link |
00:25:15.780
based on the amount of acetylcholine that we have.
link |
00:25:18.960
Now, other processes of course are involved,
link |
00:25:21.040
but what this means is that making sure
link |
00:25:23.640
that we have enough of the substrates
link |
00:25:25.920
to create acetylcholine is vital
link |
00:25:27.920
if we want to be able to focus.
link |
00:25:29.480
And that's why dietary choline is so vital.
link |
00:25:31.720
And the primary source for dietary choline
link |
00:25:34.160
would be eggs and in particular egg yolks.
link |
00:25:36.960
And this again has a very interesting relationship
link |
00:25:39.680
to our evolution as well.
link |
00:25:42.280
We're always referred to as hunter-gatherers,
link |
00:25:44.560
but when one hears hunters,
link |
00:25:45.920
we often think about meat and animal sources.
link |
00:25:48.520
And indeed, as a species,
link |
00:25:50.080
we hunted many, many other species of animals
link |
00:25:53.260
to consume them and still do.
link |
00:25:55.220
But we also fished, we talked about that earlier
link |
00:25:57.760
and consumed a lot of fish and we consumed a lot of eggs.
link |
00:26:01.040
Eggs are an incredibly rich source
link |
00:26:03.800
of nutrients for the brain.
link |
00:26:06.820
And that's because the egg actually,
link |
00:26:09.760
if you think about it,
link |
00:26:10.600
contains all the nutrients that are required
link |
00:26:12.680
in order for an organism to grow.
link |
00:26:15.620
A bird that's in a egg shell, it's got the yolk there
link |
00:26:18.960
and it's using that yolk for a reason.
link |
00:26:20.940
It's using that yolk as a source of fuel.
link |
00:26:23.720
It's using that yolk as a source of literally building blocks
link |
00:26:26.800
in order to create its nervous system.
link |
00:26:28.400
Many years ago, I worked on chick embryos.
link |
00:26:31.500
And as these amazing experiments,
link |
00:26:32.920
you could actually take an egg
link |
00:26:34.880
and you could create a little window in the top.
link |
00:26:37.400
And these were fertilized eggs and you'd see over time,
link |
00:26:39.960
you could peer in there, literally look in with a microscope
link |
00:26:42.380
or even with the naked eye
link |
00:26:43.560
and you would see this little chick embryo
link |
00:26:45.840
sitting on top of that yolk growing and growing
link |
00:26:47.660
and growing and growing
link |
00:26:48.500
and the yolk getting smaller and smaller
link |
00:26:50.280
is really incredible.
link |
00:26:52.040
They're using that as a source
link |
00:26:53.420
for all the building blocks of the body,
link |
00:26:55.260
but in particular, the nervous system.
link |
00:26:57.480
So eggs are a rich source of choline.
link |
00:26:59.440
Some people will supplement with choline.
link |
00:27:02.760
However, food sources seem to be the best source of choline.
link |
00:27:06.800
And as with the EPAs and the omega-3s,
link |
00:27:09.400
there are plenty of foods that are non-animal based
link |
00:27:12.400
that contain choline.
link |
00:27:14.360
So if you're somebody who doesn't eat eggs
link |
00:27:16.520
or doesn't want to eat eggs,
link |
00:27:17.800
things like potatoes, nuts and seeds and grains and fruit,
link |
00:27:20.920
they don't have as much choline as eggs,
link |
00:27:22.900
but they do contain choline.
link |
00:27:24.460
So you can look up the values of choline
link |
00:27:26.240
that are present in those various foods
link |
00:27:29.260
and make sure that you're reaching the threshold
link |
00:27:31.000
amount of choline for you.
link |
00:27:32.400
In general, most people should probably strive
link |
00:27:34.580
to get somewhere between 500 milligrams
link |
00:27:36.680
and a gram of choline per day.
link |
00:27:38.620
So a thousand milligrams.
link |
00:27:40.200
And some people rely on supplementation
link |
00:27:42.240
in order to hit those levels
link |
00:27:43.840
because they're not eating a lot of egg yolks
link |
00:27:45.520
or they're not eating a lot of other foods.
link |
00:27:47.940
Certain fish contain choline, for instance,
link |
00:27:50.480
and the other foods I listed off a few minutes ago
link |
00:27:52.900
from plant-based sources.
link |
00:27:54.960
So some people will supplement with 50 to 100 milligrams
link |
00:27:59.680
or whatever amount is necessary to get them
link |
00:28:01.760
up to that one gram or even a two gram dose per day.
link |
00:28:04.680
So we have three things that we know can support nerve cells.
link |
00:28:09.640
EPA, in particular, omega-3 fatty acids,
link |
00:28:13.240
phosphatidylserine, and choline.
link |
00:28:16.240
Those three things I would list off as the top three things
link |
00:28:19.680
for enhancing neuron function and the integrity of neurons
link |
00:28:23.880
in the short and long term.
link |
00:28:25.280
And this is, again, is setting aside
link |
00:28:27.560
the vitally important factors of hydration
link |
00:28:29.880
and electrolytes.
link |
00:28:31.040
I've said it before on other podcasts,
link |
00:28:32.480
but if you're not ingesting enough water
link |
00:28:34.800
and you're not getting enough sodium
link |
00:28:36.200
and magnesium and potassium,
link |
00:28:38.160
then obviously your neurons can't run
link |
00:28:40.080
because a lot of the brain is water.
link |
00:28:42.600
You need to maintain proper hydration
link |
00:28:44.200
and sodium, potassium, and magnesium are important
link |
00:28:47.000
in order for nerve cells to function.
link |
00:28:48.320
In fact, they are actually the components,
link |
00:28:51.520
the ions that pass across those lipid membranes,
link |
00:28:54.380
those little fatty membranes
link |
00:28:55.920
that we were talking about earlier
link |
00:28:57.040
that allow the neurons to generate electrical activity
link |
00:28:59.960
and communicate with one another.
link |
00:29:01.520
So definitely you want to hydrate enough.
link |
00:29:03.840
We will do an entire other episode
link |
00:29:05.360
all about hydration and electrolytes,
link |
00:29:07.060
but omega-3s, the EPAs, phosphatidylserine, and choline,
link |
00:29:13.280
it's obvious, are going to improve brain function.
link |
00:29:17.100
How much they will improve brain function
link |
00:29:18.600
probably depends on how well
link |
00:29:19.520
your brain was working previously.
link |
00:29:20.880
In fact, many of the studies that have looked
link |
00:29:22.880
at the effectiveness of these compounds
link |
00:29:24.460
have looked in people that are suffering from mild
link |
00:29:26.440
or even severe cognitive decline.
link |
00:29:28.680
And while the outcomes of those studies vary,
link |
00:29:31.920
given the interest in maintaining brain function,
link |
00:29:34.080
given the fact that we don't make new neurons
link |
00:29:36.200
throughout our entire life,
link |
00:29:37.760
and given that everybody has to eat,
link |
00:29:40.280
these are quality, healthy foods
link |
00:29:42.080
that we should all be ingesting anyways,
link |
00:29:44.800
and it's clear that they can support brain function
link |
00:29:47.460
to some degree or another.
link |
00:29:48.880
Many people ask what I do in light of this information.
link |
00:29:53.080
And while I can only talk about what works for me,
link |
00:29:56.160
I choose to ingest fish oil, mainly in liquid form,
link |
00:30:00.080
because that turns out to be the easiest way
link |
00:30:02.580
and the most economically affordable way to do it
link |
00:30:05.760
for most people.
link |
00:30:07.280
So there are various forms of liquid fish oil out there.
link |
00:30:09.760
Some of them include some lemon flavoring,
link |
00:30:11.360
so it doesn't taste like fish oil,
link |
00:30:12.680
because frankly, fish oil to me is sort of noxious tasting.
link |
00:30:16.000
And I'll take a tablespoon of that or two per day.
link |
00:30:19.920
If I'm traveling, I'll use the capsule form
link |
00:30:22.780
in order to hit that threshold of, for me,
link |
00:30:25.160
about two, sometimes even three grams per day of EPA.
link |
00:30:29.520
So not just two or three grams per day of fish oil,
link |
00:30:32.400
but two or three grams per day of EPA.
link |
00:30:34.640
Now, if I'm eating fish,
link |
00:30:37.080
which as I mentioned earlier is not often,
link |
00:30:39.000
then I might reduce the amount of fish oil that I take,
link |
00:30:41.040
but that's my major source of fish oil.
link |
00:30:44.600
Currently, I do not supplement with phosphatidylserine.
link |
00:30:47.460
A number of people that I know and trust,
link |
00:30:49.240
and indeed several colleagues of mine
link |
00:30:51.440
do take phosphatidylserine.
link |
00:30:53.120
I don't have any good explanation
link |
00:30:54.400
for why I don't take it yet,
link |
00:30:56.220
but I have not tried supplementing with it yet.
link |
00:30:58.480
Maybe if some of you have,
link |
00:30:59.600
you can place your experience in the comment section.
link |
00:31:03.460
That would be of interest.
link |
00:31:04.600
And then in terms of choline,
link |
00:31:06.600
in order to get choline in my diet,
link |
00:31:08.600
I do pay attention to the various foods that contain choline
link |
00:31:12.060
and I try and get those foods on a semi-regular basis.
link |
00:31:15.700
I do supplement with something called alpha-GPC,
link |
00:31:18.480
which is essentially in the acetylcholine pathway
link |
00:31:21.960
or biosynthesis pathway.
link |
00:31:23.800
I don't take it very often,
link |
00:31:25.240
but I will take 300 milligrams of alpha-GPC
link |
00:31:28.520
from time to time.
link |
00:31:29.360
From time to time,
link |
00:31:30.200
I mean anywhere from two to three times per week.
link |
00:31:33.280
I'll generally do it early in the day
link |
00:31:34.680
because it, for me,
link |
00:31:35.520
can have a little bit of a stimulant effect,
link |
00:31:37.560
although it's not nearly as stimulating, say,
link |
00:31:40.040
as a double espresso or triple espresso.
link |
00:31:42.600
But that's one way in which I enhance my choline function.
link |
00:31:46.040
And some people choose to get it from supplementation
link |
00:31:48.440
because it's straightforward.
link |
00:31:50.120
There are a lot of supplements out there
link |
00:31:51.280
that contain alpha-GPC.
link |
00:31:52.820
Some people are taking dosages
link |
00:31:54.240
as high as 900 milligrams per day.
link |
00:31:55.920
That sounds very high to me.
link |
00:31:57.240
The studies of offsetting cognitive decline
link |
00:32:00.160
using alpha-GPC did use quite high dosages
link |
00:32:04.100
of 600 to 900 or even 1200 milligrams per day.
link |
00:32:07.820
So it has been used at those much higher concentrations,
link |
00:32:10.880
but because fortunately,
link |
00:32:13.160
at least not yet or not to my awareness,
link |
00:32:15.200
I'm not suffering from any cognitive decline,
link |
00:32:17.440
I will supplement with 300 milligrams every now and again.
link |
00:32:20.760
Next on my list of compounds that have been shown
link |
00:32:23.160
in peer-reviewed research
link |
00:32:24.520
to improve neuronal and brain function is creatine.
link |
00:32:28.480
Creatine can be derived from meat sources.
link |
00:32:30.840
It can also be supplemented.
link |
00:32:33.960
Some of you are probably familiar with creatine
link |
00:32:36.000
or have heard about creatine
link |
00:32:37.200
from the context of the health and fitness world
link |
00:32:39.840
where creatine is used to bring more water into muscles,
link |
00:32:44.200
which can enhance the strength of those muscles,
link |
00:32:46.520
as well as bring water into other tissues.
link |
00:32:49.560
So it doesn't just draw more water into muscle,
link |
00:32:51.400
it can draw more water into the body generally.
link |
00:32:55.660
Creatine has also been shown to have an important role
link |
00:32:58.080
in brain function.
link |
00:32:59.360
And once again, this is something that came up
link |
00:33:01.040
during the discussion about depression a few episodes back.
link |
00:33:05.160
Creatine can actually be used as a fuel source in the brain.
link |
00:33:08.720
And there's some evidence that it can enhance the function
link |
00:33:12.080
of certain frontal cortical circuits that feed down onto,
link |
00:33:16.540
or rather connect to areas of the brain
link |
00:33:18.900
that are involved in mood regulation and motivation.
link |
00:33:21.160
And that's where creatine plays a role in depression,
link |
00:33:25.320
or rather where creatine supplementation
link |
00:33:28.420
seems to be able to assist in some forms of mild depression.
link |
00:33:32.160
That's an emerging literature.
link |
00:33:33.360
It's still not well-established.
link |
00:33:35.280
However, there is now ample evidence
link |
00:33:38.320
that creatine supplementation can enhance brain function
link |
00:33:41.320
in certain contexts.
link |
00:33:42.720
And if you're interested in learning more
link |
00:33:45.000
about what those contexts are,
link |
00:33:46.560
there's an excellent review that just came out,
link |
00:33:48.560
the first author is Rochelle, R-O-S-C-H-E-L.
link |
00:33:52.440
We will provide a link to this study,
link |
00:33:54.600
rather this review, excuse me, in the caption.
link |
00:33:58.200
This was published just very recently in 2021.
link |
00:34:01.860
And one thing to make clear is that creatine supplementation
link |
00:34:05.400
has been shown to be especially useful
link |
00:34:07.940
for people that are not consuming any meat
link |
00:34:10.440
or other sources of foods that are rich in creatine.
link |
00:34:13.400
What is the threshold level of creatine to supplement
link |
00:34:15.940
in order to get the cognitive benefit?
link |
00:34:18.000
Appears to be at least five grams per day.
link |
00:34:21.120
Now, the most typical form of creatine
link |
00:34:22.560
is so-called creatine monohydrate.
link |
00:34:24.240
There are other forms of creatine as well,
link |
00:34:26.320
some of which are thought to not draw as much water
link |
00:34:28.460
into non-muscle tissues.
link |
00:34:30.480
And for some people that that's attractive to them,
link |
00:34:32.880
they don't want water sitting below their skin, et cetera.
link |
00:34:35.560
I should emphasize that the responses to creatine
link |
00:34:37.760
in that sense can differ.
link |
00:34:39.660
Some people get a little bit of water retention.
link |
00:34:41.680
Some people experience more.
link |
00:34:43.520
There's some evidence that creatine can impact
link |
00:34:45.880
some of the hormonal pathways
link |
00:34:47.060
that it might enhance levels
link |
00:34:48.240
of so-called dihydrotestosterone, DHT.
link |
00:34:50.880
And therefore, because DHT is involved in hair loss,
link |
00:34:53.520
there are these theories that creatine can cause hair loss.
link |
00:34:56.540
And indeed, for people that are very DHT sensitive,
link |
00:34:59.000
it might, you know,
link |
00:35:01.340
there's going to be a lot of variation person-to-person
link |
00:35:04.680
in terms of how much creatine impacts DHT
link |
00:35:07.200
and how many DHT receptors they have on their scalp
link |
00:35:09.600
and therefore whether or not they experience hair loss.
link |
00:35:11.580
I'm just giving you all this information
link |
00:35:13.060
so that you're aware of the various things
link |
00:35:15.040
that creatine can do.
link |
00:35:16.500
But nonetheless, I think it's interesting
link |
00:35:18.440
that creatine supplementation of five grams per day,
link |
00:35:21.120
that's creatine monohydrate,
link |
00:35:22.640
has been shown to improve cognition
link |
00:35:24.220
in people that aren't getting creatine from animal sources.
link |
00:35:27.200
And there's some evidence detailed within the review
link |
00:35:31.080
that I just described
link |
00:35:32.520
that creatine supplementation can also enhance cognition
link |
00:35:35.960
in people that are also eating animal products.
link |
00:35:40.000
So I personally take creatine five grams per day
link |
00:35:42.880
and have for a very long time.
link |
00:35:44.560
I can't say that I've noticed a tremendous benefit
link |
00:35:47.480
because I've actually never really come off it.
link |
00:35:49.880
And so I've never done the control experiment.
link |
00:35:51.640
I take it more as kind of a baseline insurance policy.
link |
00:35:54.480
For me, I'm probably losing,
link |
00:35:57.120
I'm certainly losing some of my hair,
link |
00:35:58.520
whether or not that's due to creatine or not.
link |
00:36:01.180
I've never done the analysis.
link |
00:36:03.160
But what I can say is that I generally consume these things
link |
00:36:06.820
like EPAs, creatine, alpha-GPC,
link |
00:36:11.260
to set a general context of support for my neurons,
link |
00:36:16.300
for my brain.
link |
00:36:17.280
And of course, I also pay attention to the foods
link |
00:36:19.500
that contain these various compounds.
link |
00:36:21.240
So I don't actively eat additional meat
link |
00:36:23.660
just to obtain creatine.
link |
00:36:25.960
I eat a fairly limited amount of meat.
link |
00:36:27.540
I don't restrict it, and I do eat meat,
link |
00:36:29.960
but I don't actively seek out creatine in my diet.
link |
00:36:33.380
Rather, I use supplementation
link |
00:36:34.640
in order to hit that five grams per day threshold.
link |
00:36:37.360
Next on the list of foods that are beneficial
link |
00:36:40.160
for brain health is one that you've probably seen pictures
link |
00:36:42.840
of online because there seems to be a practice
link |
00:36:45.080
of putting pictures of blueberries and other dark berries
link |
00:36:48.760
next to any title that says foods that benefit your brain.
link |
00:36:53.640
There are a lot of foods out there
link |
00:36:55.040
that have been purported to improve brain function.
link |
00:36:58.920
The interesting thing about blueberries and other berries,
link |
00:37:02.240
blackberries, dark currants,
link |
00:37:04.600
any of these thin-skinned berries that are purplish in color
link |
00:37:09.600
is that they contain what are called anthocyanins.
link |
00:37:12.840
Anthocyanins actually have some really nice data
link |
00:37:15.580
to support the fact that they improve brain function.
link |
00:37:19.000
Now, whether or not it is direct effects on neurons
link |
00:37:22.980
or whether or not it is by lowering inflammation
link |
00:37:26.820
or some other modulatory effect isn't quite clear,
link |
00:37:29.960
but I think by now there's enough data to support the fact
link |
00:37:33.860
that eating a cup or two of blueberries pretty often,
link |
00:37:36.920
every day, or maybe you have blackberries
link |
00:37:39.480
or maybe it's black currants,
link |
00:37:40.920
that these anthocyanins are good for us,
link |
00:37:43.720
that they are enhancing our overall wellbeing
link |
00:37:46.860
at a number of different levels.
link |
00:37:47.960
And just to give you a couple of examples
link |
00:37:49.520
of where there are actually peer-reviewed studies
link |
00:37:51.840
to support those statements,
link |
00:37:53.900
the anthocyanins of which blueberries
link |
00:37:57.180
and other dark berries are rich in
link |
00:38:00.320
have been shown to reduce the amount of DNA damage,
link |
00:38:04.400
has been shown to reduce significantly,
link |
00:38:07.560
albeit slightly, excuse me, cognitive decline.
link |
00:38:11.640
And that particular study was supplementation
link |
00:38:13.960
of a blueberry extract.
link |
00:38:16.400
I'll talk about the difference between extract
link |
00:38:17.960
and actual blueberries in a moment,
link |
00:38:19.360
but supplementation of blueberry extract
link |
00:38:22.320
in offsetting cognitive decline in elderly people.
link |
00:38:26.180
So, you know, what constitutes elderly
link |
00:38:29.120
is always a little bit of a debate and a discussion,
link |
00:38:32.500
but in this case, what they did is they supplemented
link |
00:38:35.600
with somewhere between 428,
link |
00:38:39.480
I don't know why they selected 428,
link |
00:38:41.080
and 598 milligrams of anthocyanins daily for 12 weeks
link |
00:38:45.520
was associated with improvements
link |
00:38:46.840
on verbal learning and memory.
link |
00:38:49.320
And they had some other beneficial changes
link |
00:38:51.800
that were within the bodily organs
link |
00:38:53.560
and blood glucose regulation and so forth, positive changes.
link |
00:38:57.160
But that's one study.
link |
00:38:58.920
In this case, elderly meant 65 or older.
link |
00:39:02.080
That study and a number of studies like it,
link |
00:39:04.840
looking at things like mildly enhanced memory,
link |
00:39:08.560
reduced insulin levels, reduced oxidation of LDL,
link |
00:39:13.360
these sorts of things have basically created a situation
link |
00:39:16.920
where anytime you Google or look up foods
link |
00:39:22.000
that enhance brain function,
link |
00:39:23.240
you're going to see a picture of a blueberry
link |
00:39:25.000
or some other berry because of these anthocyanins.
link |
00:39:28.020
I personally don't supplement anthocyanins.
link |
00:39:31.160
I do like blueberries.
link |
00:39:32.200
I eat blueberries when they're in season.
link |
00:39:34.720
I love them.
link |
00:39:35.560
I'm what you would call a drive-by blueberry eater.
link |
00:39:37.480
Like if there are blueberries in a bowl on a table
link |
00:39:40.440
and I'm walking by, I just have to scoop them up
link |
00:39:42.700
like some sort of bear or other animal
link |
00:39:44.760
and pop them in my mouth.
link |
00:39:45.720
So blueberries don't last long around me.
link |
00:39:48.160
One of the issues with berries,
link |
00:39:49.540
like blueberries and blackberries and so forth
link |
00:39:51.240
is that quality sources of them can be pretty expensive.
link |
00:39:53.880
And then of course, when they're not in season,
link |
00:39:55.760
they're hard to get.
link |
00:39:56.600
And so that's why some people will supplement with them.
link |
00:39:59.040
So that range of about 400 to about 600 milligrams per day,
link |
00:40:04.800
seems to be the minimum threshold
link |
00:40:07.240
for getting a cognitive effect in these elderly patients.
link |
00:40:12.360
In that case, they were patients.
link |
00:40:14.000
A good review about the anthocyanins
link |
00:40:15.960
potentially contributing to offsetting cognitive decline
link |
00:40:19.880
in things like Alzheimer's
link |
00:40:21.480
and also enhancing brain function
link |
00:40:23.940
in people that don't have Alzheimer's
link |
00:40:26.260
is a review by Afzal, A-F-Z-A-L,
link |
00:40:29.320
that was published in 2019.
link |
00:40:31.180
We will also provide a link to that study in the caption.
link |
00:40:35.040
When one looks across the total batch of studies
link |
00:40:38.240
that are out there on this,
link |
00:40:39.980
it appears that if one is going to supplement
link |
00:40:43.160
with blueberry extract
link |
00:40:44.680
to get the anthocyanin effect on cognition,
link |
00:40:49.000
dosages of somewhere between five and a half
link |
00:40:51.560
or about 11 grams seem optimal with the higher end,
link |
00:40:55.480
closer to 10 or 11 grams being more beneficial.
link |
00:40:59.400
The blueberry eaters out there like me
link |
00:41:02.360
who prefer to get their anthocyanins from the actual berries,
link |
00:41:05.280
it appears that somewhere between 60 to 120 grams
link |
00:41:08.400
of fresh blueberries each day
link |
00:41:10.480
is the way that you can get sufficient anthocyanins
link |
00:41:13.160
to at least shift your system or bias your brain
link |
00:41:16.920
towards these enhanced cognitive effects.
link |
00:41:18.880
So we've got EPA fatty acids,
link |
00:41:20.840
we've got phosphatidylserine, we've got choline,
link |
00:41:23.760
we've got creatine, and we have the anthocyanins.
link |
00:41:28.120
And the last item that I'd like to place
link |
00:41:30.900
in this list of food-derived things
link |
00:41:33.600
that can enhance brain function is glutamine.
link |
00:41:37.480
Glutamine is a very interesting amino acid.
link |
00:41:39.680
I've talked about glutamine on here before.
link |
00:41:41.920
There's some evidence, although somewhat scant,
link |
00:41:45.080
there's some evidence that glutamine
link |
00:41:48.000
can enhance immune system function.
link |
00:41:49.840
So people will supplement with glutamine
link |
00:41:51.520
or people can get glutamine from foods.
link |
00:41:53.840
Foods that contain a lot of glutamine
link |
00:41:55.200
are things like cottage cheese.
link |
00:41:56.640
There are also other sources of glutamine.
link |
00:41:59.040
Glutamine is rich in protein-rich foods,
link |
00:42:01.680
things like beef, chicken, fish, dairy products, eggs,
link |
00:42:04.240
but also for you non-animal food-consuming people out there,
link |
00:42:10.680
vegetables, including beans, cabbage once again,
link |
00:42:13.680
spinach, parsley, things of that sort.
link |
00:42:17.040
So those foods contain glutamine.
link |
00:42:19.480
For people that supplement with glutamine,
link |
00:42:21.380
generally they will take anywhere from a gram
link |
00:42:23.600
as much as 10 grams per day.
link |
00:42:26.120
Why would they want to do that?
link |
00:42:27.100
Well, there's also some evidence starting to emerge
link |
00:42:30.360
that glutamine can help offset sugar cravings.
link |
00:42:33.400
And I've talked about this on the podcast before.
link |
00:42:35.540
We're going to talk more about the basis for this
link |
00:42:38.160
a little bit later.
link |
00:42:39.260
But in brief, we all have neurons in our gut
link |
00:42:43.600
that sense the amino acid content, the fat content,
link |
00:42:46.760
and the sugar content of the foods that we eat
link |
00:42:48.620
and signal in a subconscious way to our brain
link |
00:42:51.360
whether or not the foods that we are eating
link |
00:42:53.760
contain certain levels of certain amino acids.
link |
00:42:57.640
And so we actually have glutamine-sensing neurons
link |
00:43:01.260
in our gut that actually have their little processes,
link |
00:43:04.260
their little axons and dendrites as we call them
link |
00:43:06.800
in the mucosal lining of the gut.
link |
00:43:08.220
They're not just sensing glutamine,
link |
00:43:09.560
but when they do sense glutamine, they respond
link |
00:43:12.040
and they send signals to the brain
link |
00:43:13.660
that are signals of satiation, of satisfaction.
link |
00:43:17.400
And in doing so can offset some of the sugar cravings
link |
00:43:20.120
that many people suffer from.
link |
00:43:22.080
Now, here we're talking about glutamine
link |
00:43:23.460
for sake of enhancing cognitive function.
link |
00:43:25.960
And this is interesting because it's been shown
link |
00:43:28.920
that glutamine supplementation can offset
link |
00:43:31.340
some of the negative effects on cognition caused by altitude
link |
00:43:37.800
and oxygen deprivation of other sorts.
link |
00:43:41.360
Well, that's kind of a strange and unique situation
link |
00:43:43.840
if you're going up to altitude,
link |
00:43:45.720
should you supplement with glutamine
link |
00:43:47.280
in order to be able to think more clearly?
link |
00:43:48.960
Well, it appears that there's good rationale for doing that.
link |
00:43:52.240
But the reason I bring this up,
link |
00:43:54.360
assuming that most people, including me,
link |
00:43:56.020
are not going up to high altitudes very often,
link |
00:43:59.760
is that it's been well-established
link |
00:44:02.520
that apnea, failure to breathe properly during sleep,
link |
00:44:06.200
can contribute to age-related
link |
00:44:08.320
and even non-age-related cognitive decline.
link |
00:44:10.860
There are a lot of reasons for apneas,
link |
00:44:13.880
ranging from obesity to obstruction of the airways
link |
00:44:18.560
for other reasons.
link |
00:44:20.960
There are a tremendous number of underlying causes of apnea
link |
00:44:24.000
and it's something to be taken seriously.
link |
00:44:25.440
I mean, heart attacks,
link |
00:44:27.080
all sorts of metabolic issues are caused by apnea.
link |
00:44:30.340
Apnea is a serious issue that disrupts the depth of sleep
link |
00:44:33.660
and it's a serious health issue in general.
link |
00:44:36.280
In any event, apnea is associated with cognitive decline
link |
00:44:40.000
and cognitive dysfunction, even in young people.
link |
00:44:42.880
And it does appear that glutamine supplementation
link |
00:44:46.080
can offset some of the cognitive deficits
link |
00:44:49.200
that are associated with reduced oxygenation of the brain.
link |
00:44:52.520
If you'd like to learn more about how apnea
link |
00:44:55.240
can negatively impact cognition,
link |
00:44:57.760
there's an excellent paper
link |
00:44:58.920
that was published on this in 2018.
link |
00:45:00.760
The first author is Sharma, S-H-A-R-M-A.
link |
00:45:04.280
It should be easy to find.
link |
00:45:05.360
The title of the paper is
link |
00:45:06.200
Obstructive Sleep Apnea Severity Effects Amyloid Burden
link |
00:45:10.080
in cognitively normal elderly.
link |
00:45:12.120
This was a longitudinal study.
link |
00:45:13.760
Amyloid burden is a correlate of Alzheimer's
link |
00:45:17.520
and other forms of neurodegeneration and cognitive decline
link |
00:45:20.560
associated with memory deficits.
link |
00:45:22.420
So obstructive sleep apnea, excuse me,
link |
00:45:25.800
is a very serious issue for which glutamine appears
link |
00:45:30.080
to be able to offset some of the negative symptomology.
link |
00:45:33.880
So how is it that glutamine,
link |
00:45:35.680
either from food or through supplementation,
link |
00:45:38.440
can offset some of these so-called hypoxic effects
link |
00:45:41.760
caused by sleep apnea,
link |
00:45:42.840
hypoxia being a lack of oxygen for the brain
link |
00:45:45.640
that relate to cognitive decline.
link |
00:45:47.480
It appears to have this positive impact
link |
00:45:51.040
by way of reducing inflammation.
link |
00:45:53.540
So if you want to look more deeply
link |
00:45:56.160
into the various biological pathways
link |
00:45:58.920
and the supplementation regimes for this,
link |
00:46:01.400
the paper that I think is really spectacular is a paper.
link |
00:46:04.660
Last author is Quaresma, Q-U-A-R-E-S-M-A.
link |
00:46:10.020
That's Q-U-A-R-E-S-M-A.
link |
00:46:12.600
It's a review,
link |
00:46:13.560
the possible importance of glutamine supplementation
link |
00:46:15.760
to mood and cognition in hypoxia from high altitude.
link |
00:46:19.520
And even though the paper is about
link |
00:46:21.080
high altitude induced hypoxia,
link |
00:46:23.200
it does seem to have direct relevance
link |
00:46:25.240
to the sorts of apnea that are related to Alzheimer's
link |
00:46:29.120
and other forms of cognitive decline.
link |
00:46:30.920
Now I've been taking glutamine as a supplement, gosh,
link |
00:46:33.660
since I was in college,
link |
00:46:34.640
mostly because I felt either by superstition or by reality
link |
00:46:38.640
that it protected me from various flus and colds
link |
00:46:43.320
and things of that sort
link |
00:46:44.340
because of the purported immune enhancing effects.
link |
00:46:48.520
Again, those immune enhancing effects
link |
00:46:50.160
have some data to support them, not a ton.
link |
00:46:53.160
However, I got into the habit of taking glutamine
link |
00:46:55.280
and now that I've learned that glutamine
link |
00:46:57.600
seems to also have some cognitive enhancing effects,
link |
00:47:00.320
possibly, it's a supplement that I continue to take.
link |
00:47:03.400
I take very small amounts of it,
link |
00:47:04.960
but I do take it on a regular basis.
link |
00:47:07.640
So that more or less completes the list of things
link |
00:47:10.640
that at least by my read of the literature
link |
00:47:13.920
are things that are supported by at least three
link |
00:47:16.680
and in some cases, as many as hundreds of studies
link |
00:47:19.780
in various populations
link |
00:47:21.280
that have been explored in mouse studies often,
link |
00:47:24.480
but also in a number of human studies.
link |
00:47:27.200
I want to emphasize again,
link |
00:47:28.320
that all of the things I listed out,
link |
00:47:30.120
whether or not it's EPAs,
link |
00:47:31.600
whether or not it's phosphatidylserine,
link |
00:47:33.280
whether or not it's choline,
link |
00:47:34.260
whether or not it's the various compounds
link |
00:47:37.560
that are in berries, et cetera,
link |
00:47:38.880
all of those can be extracted from food.
link |
00:47:41.080
There is not any law that says
link |
00:47:43.200
that you have to get them from supplementation.
link |
00:47:45.000
Supplementation can help you get to the very high levels
link |
00:47:47.920
of those things if you want to work on the higher end,
link |
00:47:50.320
if that's right for you,
link |
00:47:51.320
obviously check with your doctor before taking anything
link |
00:47:53.520
or removing anything from your diet or supplement regime.
link |
00:47:56.320
But in general, you can get these things from foods.
link |
00:48:01.000
It's just so happens that for some of these compounds,
link |
00:48:04.660
the foods that they're contained in like fish
link |
00:48:06.280
are not foods that I particularly enjoy.
link |
00:48:09.000
And so I rely on, excuse me,
link |
00:48:11.180
I rely on supplements in order
link |
00:48:12.980
to get sufficient levels for me.
link |
00:48:15.160
But again, you can get these levels from food.
link |
00:48:17.580
And the reason I made this list,
link |
00:48:20.520
the reason that I emphasize these things
link |
00:48:23.240
in this particular order is that they support
link |
00:48:27.960
the structure of neurons.
link |
00:48:29.960
They support the structure of the other cells of the brain
link |
00:48:32.780
that make up our cognition
link |
00:48:34.160
and that are important for our focus
link |
00:48:36.120
and our ability to remember things and so forth.
link |
00:48:38.880
And they are less so in the category
link |
00:48:40.960
of so-called modulatory effects.
link |
00:48:44.280
They will also have modulatory effects on sleep,
link |
00:48:47.300
on inflammation or reducing inflammation
link |
00:48:49.220
throughout the body, on cardiovascular function,
link |
00:48:51.640
all of which I believe are positive effects,
link |
00:48:55.300
at least what the literature tells us
link |
00:48:57.080
is that none of these compounds
link |
00:48:58.560
are harming other systems of the body
link |
00:49:00.480
provided they are taken at a reasonable levels.
link |
00:49:04.080
But everything in this list is directed
link |
00:49:07.240
towards answering the question, what can I eat?
link |
00:49:10.240
What can I ingest by way of food and or food supplement
link |
00:49:14.000
that can support brain function
link |
00:49:15.920
in the short-term and in the long-term?
link |
00:49:17.720
So I hope you find that list beneficial for you,
link |
00:49:19.600
if not for use, at least for consideration.
link |
00:49:22.920
So now having talked about some of the foods
link |
00:49:25.440
and micronutrients that are beneficial
link |
00:49:27.380
to our immediate and long-term brain health,
link |
00:49:30.480
I'd like to shift gears somewhat
link |
00:49:32.040
and talk about why it is that we like the foods that we like.
link |
00:49:36.400
We've all heard before that we are hardwired
link |
00:49:39.560
to pursue sugar and to like fatty foods
link |
00:49:42.920
and that calorie-rich foods are attractive to us
link |
00:49:45.080
for all sorts of reasons,
link |
00:49:46.260
surviving famines and things of that sort.
link |
00:49:48.640
And while that is true,
link |
00:49:51.080
the actual mechanisms that underlie food seeking
link |
00:49:53.800
and food preference are far more interesting than that.
link |
00:49:57.640
There are basically three channels
link |
00:49:59.360
in our body and nervous system
link |
00:50:01.800
by which we decide what foods to pursue,
link |
00:50:04.480
how much to eat,
link |
00:50:05.480
and whether or not we will find a particular food attractive,
link |
00:50:09.720
whether or not we will want to consume more of it,
link |
00:50:12.160
whether or not we want to avoid it,
link |
00:50:14.340
or whether or not it's just sort of so-so,
link |
00:50:16.460
what I refer to as the yum, yuck, or meh analysis.
link |
00:50:21.600
And indeed, that's what our nervous system is doing
link |
00:50:24.480
with respect to food.
link |
00:50:25.500
It's trying to figure out whether or not yum,
link |
00:50:28.420
I want more of this,
link |
00:50:29.840
yuck, I want to avoid this,
link |
00:50:31.860
or meh, it's so-so.
link |
00:50:33.840
Now, while that may seem like a overly simplified version
link |
00:50:37.380
of food seeking and food preference,
link |
00:50:39.620
it's actually not that far from the truth.
link |
00:50:42.040
It actually correctly captures much of the biology
link |
00:50:46.560
of food preference.
link |
00:50:48.240
So let's talk about what these three channels
link |
00:50:50.160
for food preference are.
link |
00:50:52.040
The first one is an obvious one.
link |
00:50:54.080
It's taste on the mouth.
link |
00:50:56.140
It is the sensation that we have of the foods
link |
00:50:58.640
that we eat while we're chewing them.
link |
00:51:00.880
And those sensations,
link |
00:51:02.320
which are literally just somatosensory touch sensations,
link |
00:51:05.300
you know, the palatability of food
link |
00:51:08.720
as it relates to the consistency of food.
link |
00:51:11.920
That's important.
link |
00:51:13.280
And as you've all heard before,
link |
00:51:15.040
we have sensors on our tongue and elsewhere in our mouth
link |
00:51:18.280
that detect the various chemicals contained within food
link |
00:51:21.380
and lead to the senses of taste,
link |
00:51:24.560
which we call bittersweet, umami, salty, and sour.
link |
00:51:28.200
Now, most of us are familiar with the sense of bitterness
link |
00:51:30.880
that comes from something like a raw radish,
link |
00:51:33.760
sweet, which comes obviously from sugars of different kinds,
link |
00:51:36.720
fructose, glucose, et cetera,
link |
00:51:38.920
salty, salty, and sour.
link |
00:51:43.040
Think lemon or lemon juice, for instance.
link |
00:51:46.000
And then I mentioned umami.
link |
00:51:48.040
The umami receptor is a receptor that responds
link |
00:51:51.520
to the savory taste of things.
link |
00:51:53.720
So that's what you might find
link |
00:51:55.460
in a really wonderfully rich tomato sauce
link |
00:51:58.480
for those of you that eat meat and like meat,
link |
00:52:01.480
a really well-cooked, not necessarily well done,
link |
00:52:04.920
but properly cooked, I should say, steak,
link |
00:52:08.540
if that's your thing.
link |
00:52:09.800
And umami is present in both plant and animal foods
link |
00:52:13.480
and gives us that sensation of savoriness.
link |
00:52:16.320
It almost has a kind of little bit of a briny taste to it
link |
00:52:19.780
or braised taste to it.
link |
00:52:21.400
And indeed, braising of meats and braising of vegetables
link |
00:52:24.280
is done specifically to activate that umami receptor.
link |
00:52:29.560
So we have those five basic tastes.
link |
00:52:31.660
Those are chemical sensors on the tongue
link |
00:52:34.660
that what we call transduce those chemicals,
link |
00:52:37.440
those chemicals literally in food bind to those receptors,
link |
00:52:40.800
and it is transduced,
link |
00:52:43.860
meaning the binding of those chemicals to the receptors
link |
00:52:46.860
is converted into an electrical signal
link |
00:52:48.960
that travels in from the tongue
link |
00:52:50.760
along what's called the gustatory nerve,
link |
00:52:52.940
the gustatory nerve, then synapses,
link |
00:52:55.600
meaning it makes connections in our brainstem,
link |
00:52:58.320
in the so-called nucleus of the solitary tract.
link |
00:53:00.940
There are other nuclei back there.
link |
00:53:02.560
Nuclei are just aggregates of neurons.
link |
00:53:04.560
And then it sends information up
link |
00:53:06.120
to the so-called insular cortex, to the insula.
link |
00:53:08.560
I want to highlight the insula this episode
link |
00:53:11.640
because we are going to return to the insula
link |
00:53:14.680
again and again in this episode and later.
link |
00:53:17.460
The insular cortex is a incredible structure
link |
00:53:21.480
that we all have that mainly is concerned
link |
00:53:24.560
with so-called interoception,
link |
00:53:26.480
or our perception of what's going on inside our body.
link |
00:53:29.800
So it could be the amount of pressure in our gut
link |
00:53:31.480
because of how much food we've eaten.
link |
00:53:33.200
It could be the acidity of our gut
link |
00:53:36.420
if we're having a little bit of indigestion, for instance.
link |
00:53:38.820
It can also be the case that neurons within the insula
link |
00:53:42.840
are paying attention to how stressed you are
link |
00:53:44.760
or how alert you are or how tired you are.
link |
00:53:46.800
So it's really an inward focusing structure.
link |
00:53:49.920
It focuses on how we feel internally.
link |
00:53:52.000
And not surprisingly, the taste system sends information
link |
00:53:56.920
up to the insular cortex to give us a sense, literally,
link |
00:54:00.600
of what we've ingested,
link |
00:54:02.680
whether or not what we're tasting tastes good or not.
link |
00:54:06.040
We will return to insular cortex in a few moments.
link |
00:54:09.080
A very important thing to understand is that the neurons
link |
00:54:12.480
in the areas of the cortex, your cortex and mine,
link |
00:54:15.080
that respond to particular tastes
link |
00:54:16.960
are providing an internal representation
link |
00:54:21.940
of an external sense.
link |
00:54:24.840
What do I mean by that?
link |
00:54:25.820
I don't want to be at all abstract.
link |
00:54:27.780
We take these foods, we break them down in our mouth
link |
00:54:31.420
by chewing them or sucking on them,
link |
00:54:33.440
whatever it is the food happens to be.
link |
00:54:35.920
Those chemicals bind to those receptors
link |
00:54:37.620
and electrical signals are sent into the brain,
link |
00:54:39.960
but they are just electrical signals,
link |
00:54:41.640
just like notes being played on the keys of a piano.
link |
00:54:45.000
There's no unique signature for salty or sweet.
link |
00:54:48.060
It is the relative activation of one set of neurons
link |
00:54:53.120
that was activated by sweet,
link |
00:54:54.900
or another set of neurons that was activated by umami.
link |
00:54:57.540
It's that relative activation traveling into the brain
link |
00:55:00.540
in essentially the same form, the same electrical signals.
link |
00:55:05.500
This is really incredible, right?
link |
00:55:06.580
Electrical signals are sent into the brain and you say,
link |
00:55:08.320
aha, that's sweet and I want more of it,
link |
00:55:10.960
or that's bitter or I want less of it,
link |
00:55:12.500
or that's umami flavored and I really, really like that,
link |
00:55:15.380
really like savory foods as I happen to.
link |
00:55:19.160
That should immediately strike you as incredible
link |
00:55:21.960
because it means that your representation
link |
00:55:24.000
of what you want more of or less of is electrical in nature.
link |
00:55:27.240
And to really tamp this issue down,
link |
00:55:31.040
studies that were done by Charles Zucker, Z-U-K-E-R,
link |
00:55:36.000
he's a absolutely phenomenal neuroscientist
link |
00:55:39.120
at Columbia University in New York.
link |
00:55:43.100
Studies done by the Zucker lab have shown that,
link |
00:55:47.000
first of all, they could identify the neurons
link |
00:55:49.840
in the cortex, deep in the brain,
link |
00:55:52.300
that respond to a sweet taste or to a bitter taste.
link |
00:55:55.360
It turns out they are non-overlapping populations of neurons.
link |
00:55:58.440
And then using some molecular tricks,
link |
00:56:01.040
they were able to either silence or activate the neurons
link |
00:56:05.600
that, for instance, respond to sweet.
link |
00:56:09.400
When they do this, they see incredible consequences
link |
00:56:13.040
on perception that indeed occur in your brain
link |
00:56:16.880
and my brain as well all the time
link |
00:56:18.680
without these kinds of manipulations.
link |
00:56:20.180
Here's the experiment.
link |
00:56:22.240
They have a subject drink water that contains sugar
link |
00:56:27.440
or drink water that contains a salty substance
link |
00:56:29.640
or drink water that contains a bitter substance,
link |
00:56:31.720
for instance, okay, I'm sort of paraphrasing
link |
00:56:33.840
a large amount of work.
link |
00:56:36.040
They identify the neurons that respond to sweet tastes.
link |
00:56:41.440
They see, as many researchers have seen,
link |
00:56:44.760
that subjects prefer sweet taste to other tastes
link |
00:56:47.920
and certainly sweet taste to bitter
link |
00:56:49.480
or sweet taste to nothing, so to plain water.
link |
00:56:53.280
And then they go in and they are able
link |
00:56:55.380
to selectively silence the neurons that represent sweet.
link |
00:57:00.140
And when they do that, they eliminate the preference
link |
00:57:04.300
for that sweet taste.
link |
00:57:07.220
Now, that might seem obvious.
link |
00:57:08.580
The neurons respond to sweet.
link |
00:57:09.680
You silence those neurons.
link |
00:57:11.660
They no longer seek out sweet.
link |
00:57:14.620
But that should strike you also as incredible
link |
00:57:17.740
because they're not actually changing
link |
00:57:19.260
what's happening on the tongue
link |
00:57:20.500
or in the deeper layers of the brain.
link |
00:57:23.260
Conversely, they can have subjects drink bitter water
link |
00:57:27.600
or plain water while activating,
link |
00:57:30.740
selectively activating the neurons that respond to sweet.
link |
00:57:34.100
And what they find is that then subjects
link |
00:57:36.680
will actively prefer bitter or plain water
link |
00:57:42.340
to actual preferences such as sweet.
link |
00:57:46.360
So what this means is that your perception
link |
00:57:49.000
of what you like is a central,
link |
00:57:51.400
meaning deep within the brain, phenomenon.
link |
00:57:54.500
It's not about how things taste on your mouth.
link |
00:57:57.500
Now, of course, under normal conditions
link |
00:57:59.200
where there aren't these experimental manipulations
link |
00:58:01.260
being done, those things are positively correlated.
link |
00:58:04.440
Sweet tastes trigger the activation of sweet neurons,
link |
00:58:07.180
for instance, neurons in the mouth that respond to umami
link |
00:58:10.760
trigger the activation of neurons in the brain
link |
00:58:12.820
that respond to umami and so forth.
link |
00:58:15.740
So they're correlated in a way that makes you seek out
link |
00:58:19.100
the things that you like and avoid the things
link |
00:58:20.700
that you don't like.
link |
00:58:22.220
But as we'll see in a few minutes,
link |
00:58:24.720
turns out that that is not a direct relationship
link |
00:58:28.060
that is hardwired.
link |
00:58:29.500
You can actually uncouple the preference
link |
00:58:32.460
for particular tastes with the reward systems in the brain
link |
00:58:36.380
in a way that, for instance, would allow you to eat,
link |
00:58:40.900
or I should use myself as an example
link |
00:58:42.340
because I don't particularly like fish.
link |
00:58:43.780
I've had a few meals that include a fish
link |
00:58:46.200
that were pretty good, but none of them were memorable
link |
00:58:49.200
in the kind of positive way,
link |
00:58:50.340
like some other events in my life are memorable.
link |
00:58:53.000
But by way of these circuitries and the way they link up
link |
00:58:56.660
with one another, it's actually possible to rewire
link |
00:58:59.380
one's sense of taste and preference for particular foods.
link |
00:59:03.220
If this is seeming at all vague to you,
link |
00:59:04.800
just hang in with me a little bit longer
link |
00:59:07.220
because I will provide you with the information,
link |
00:59:08.920
tools, and resources with which to navigate this process.
link |
00:59:13.100
But the most important thing to understand is that
link |
00:59:16.780
like with our hearing, like with vision,
link |
00:59:20.300
like with smell, taste is an internal representation
link |
00:59:27.660
that has particular goals for you.
link |
00:59:31.780
Your sense of what tastes good is related
link |
00:59:33.760
to particular things that are occurring
link |
00:59:35.540
in your brain and body and that are likely
link |
00:59:37.740
to give your brain and body the things that it needs.
link |
00:59:41.500
It is not simply a matter of what you quote unquote like
link |
00:59:44.500
or what tastes good or what doesn't taste good.
link |
00:59:47.140
Let me give you a relatively simple example
link |
00:59:50.100
of how your body and your brain are acting
link |
00:59:53.220
in a coordinated way to make you prefer certain foods
link |
00:59:56.960
and indeed to pursue certain foods more.
link |
01:00:00.340
So I just mentioned you have neurons on your tongue
link |
01:00:02.500
that respond to different tastes,
link |
01:00:04.240
but of course your digestive tract isn't just your tongue,
link |
01:00:06.880
it's also your throat, it goes all the way down
link |
01:00:09.220
to your stomach and of course your intestines.
link |
01:00:11.900
Here's a long tube of digestion.
link |
01:00:14.700
All along that tube, there are neurons.
link |
01:00:17.640
Some of the neurons are responding to the mechanical size
link |
01:00:22.240
of whatever portion of the digestive tract it happens to be.
link |
01:00:25.660
So for instance, how distended or empty or full rather,
link |
01:00:28.700
and it doesn't have to be distended,
link |
01:00:30.700
depends on how much you ate,
link |
01:00:31.580
but how full or empty your gut happens to be,
link |
01:00:34.820
whether or not something you just ate is temperature hot,
link |
01:00:38.380
you know, is hot in the sense of hot to the touch,
link |
01:00:41.080
or whether or not it's spicy hot,
link |
01:00:42.940
whether or not it's soothing,
link |
01:00:44.220
whether or not it's kind of hard to swallow,
link |
01:00:46.660
this kind of thing.
link |
01:00:47.560
So you have neurons all along your gut
link |
01:00:49.540
that are responding to the mechanics
link |
01:00:51.480
related to food and digestion,
link |
01:00:53.020
and that are related to the chemistry of food and digestion.
link |
01:00:56.980
There's a population of neurons, nerve cells in your gut
link |
01:01:01.400
that are exquisitely tuned to the chemistry
link |
01:01:04.180
of whatever it is in your gut.
link |
01:01:06.160
And these are neurons called neuropod cells.
link |
01:01:09.560
They were discovered many, many years ago,
link |
01:01:12.460
but really defined and classified with modern tools
link |
01:01:17.660
by Diego Borges.
link |
01:01:19.420
I hope I'm pronouncing your name correctly, Diego.
link |
01:01:21.220
We've spoken many times,
link |
01:01:22.460
but I can't ever seem to quite capture
link |
01:01:24.120
the proper pronunciation just right.
link |
01:01:26.240
But Diego Borges at Duke University,
link |
01:01:30.420
who discovered that these cells reside within the gut
link |
01:01:35.460
and place little processes,
link |
01:01:37.020
they're little axons and dendrites
link |
01:01:39.580
within the mucosal lining of the gut.
link |
01:01:43.060
And there they are paying attention to,
link |
01:01:45.800
meaning they respond to amino acids, sugars,
link |
01:01:51.100
and fatty acids.
link |
01:01:52.780
So as your food is digested,
link |
01:01:54.980
as food lands within your gut,
link |
01:01:57.180
neurons there are sensing what types of foods are available
link |
01:02:00.940
and what types of things are making their way
link |
01:02:03.340
through the gut environment.
link |
01:02:06.020
Now, those neurons aren't actually taking those foods
link |
01:02:08.460
and doing much with them.
link |
01:02:09.380
What they're doing is they're essentially surveying
link |
01:02:13.980
what qualities of food are there.
link |
01:02:16.620
And these particular neurons
link |
01:02:18.220
that Diego and his group discovered
link |
01:02:20.980
send electrical signals up into the brain
link |
01:02:24.620
through a little passage that we call the nodos ganglion.
link |
01:02:27.620
The nodos ganglion is a cluster of neurons
link |
01:02:30.240
that then go send up their own process into the brain
link |
01:02:33.660
and trigger the release of dopamine,
link |
01:02:35.320
which is a molecule that inspires motivation,
link |
01:02:39.220
reward, and more seeking for whatever it is
link |
01:02:41.900
led to their activation.
link |
01:02:45.060
These are super interesting neurons
link |
01:02:46.820
because what they're essentially doing
link |
01:02:48.940
is they are providing a subconscious signal
link |
01:02:53.300
about the quality of the food that you're eating,
link |
01:02:55.660
what it contains,
link |
01:02:56.900
and then triggering the release of a molecule
link |
01:02:59.140
within your brain, dopamine,
link |
01:03:01.380
that leads you to go seek more of those foods.
link |
01:03:04.160
Now, this has profound impact on a number of things.
link |
01:03:09.900
First of all, there's the consideration
link |
01:03:12.420
of so-called hidden sugars.
link |
01:03:14.340
Dr. Robert Lustig, who's a pediatric endocrinologist
link |
01:03:17.440
at University of California, San Francisco,
link |
01:03:19.720
has been among the most prominent researchers
link |
01:03:23.160
to talk about the fact that there are
link |
01:03:24.640
the so-called hidden sugars in foods.
link |
01:03:26.420
Now, these are not just sugars that they sneak in
link |
01:03:29.160
just to be sneaky.
link |
01:03:30.380
These are sugars that are literally snuck in
link |
01:03:32.840
in a way that you can't taste them.
link |
01:03:35.480
That's why they're called hidden sugars.
link |
01:03:37.120
It's not that they just put them in there for fun.
link |
01:03:39.160
These are sugars that are placed into processed foods
link |
01:03:42.740
that are designed to trigger activation of these mechanisms
link |
01:03:46.840
to lead you to want to eat more of these foods,
link |
01:03:50.080
but not because they necessarily taste sweet or delicious,
link |
01:03:54.240
but because they are activating
link |
01:03:56.240
these subconscious mechanisms that are driving you
link |
01:03:58.560
to pursue more of these foods.
link |
01:04:00.040
Sounds like a very diabolical strategy.
link |
01:04:01.960
And indeed, it is somewhat of a diabolical strategy.
link |
01:04:05.780
However, these neurons are also involved
link |
01:04:08.440
in signaling to your brain when, for instance,
link |
01:04:10.600
you are eating a food that is rich in omega-3 fatty acids,
link |
01:04:15.480
the fatty acids that we were talking about earlier.
link |
01:04:17.820
So why is it that you don't crave salmon?
link |
01:04:19.840
Why is it that I don't sit around
link |
01:04:21.280
daydreaming about mackerel?
link |
01:04:23.000
Well, because there's also the influence
link |
01:04:24.840
of the actual taste on the mouth.
link |
01:04:26.600
Under normal conditions, it's a combination
link |
01:04:28.960
of the taste of the thing on the mouth
link |
01:04:30.360
plus the subconscious signaling from the gut.
link |
01:04:33.040
And while this isn't a discussion about gut microbiome,
link |
01:04:37.280
I should just mention that it's very clear
link |
01:04:40.140
that having a healthy gut microbiome
link |
01:04:43.520
allows these neurons to function in a way
link |
01:04:46.280
that serves our seeking of healthy foods in positive ways.
link |
01:04:50.840
And without getting into a lot of detail about this,
link |
01:04:53.520
the best way to ensure a healthy gut microbiome
link |
01:04:56.040
that I am aware of is not necessarily
link |
01:04:59.560
to take supplemental prebiotics or probiotics.
link |
01:05:03.240
There are actually some reasons
link |
01:05:04.200
why you might not want to do that,
link |
01:05:06.200
but rather to ingest two to four servings
link |
01:05:08.460
of fermented foods that are low in sugar each day.
link |
01:05:12.260
There is a recent study published in Cell
link |
01:05:14.080
showing that the ingestion of fermented foods,
link |
01:05:16.680
two to four servings each day,
link |
01:05:20.400
can enhance the quality of the mucosal lining of the gut
link |
01:05:24.880
that allows certain gut microbiota to flourish
link |
01:05:28.400
and the gut microbiota that are not good for us
link |
01:05:31.120
to not flourish,
link |
01:05:31.960
because that's the environment that they settle down into.
link |
01:05:33.880
This is work that was carried out
link |
01:05:35.400
by my colleagues Justin Sonnenberg,
link |
01:05:38.280
which is in the laboratory upstairs from me,
link |
01:05:40.920
as well as Chris Gardner and others at Stanford.
link |
01:05:44.720
They're certainly not the only researchers exploring this,
link |
01:05:46.900
but it does appear that two to four servings
link |
01:05:49.360
of fermented foods each day,
link |
01:05:52.240
so these would be things like natto, sauerkraut,
link |
01:05:55.240
low sugar fermented foods is great for the gut microbiome,
link |
01:05:59.400
and separate studies, not their study,
link |
01:06:01.440
but separate studies have shown
link |
01:06:02.580
that the correct gut microbiome conditions
link |
01:06:05.560
allow these neurons that signal to the brain
link |
01:06:07.820
to signal at the right times and in the right ways
link |
01:06:11.140
to promote healthy food seeking.
link |
01:06:13.680
Many people opt to supplement with capsule form probiotics.
link |
01:06:18.460
There are some data that suggest
link |
01:06:20.960
that maybe those don't contain the correct prebiotics
link |
01:06:24.320
and probiotics for setting
link |
01:06:26.200
the correct gut microbiota conditions.
link |
01:06:28.900
That's a little bit of a controversial issue.
link |
01:06:31.660
Nonetheless, getting probiotics from fermented foods
link |
01:06:36.280
is probably the simplest and most straightforward way.
link |
01:06:38.440
It's also the way that we evolved to do that over many,
link |
01:06:41.660
at least hundreds and probably thousands
link |
01:06:43.240
or even tens or hundreds of thousands of years
link |
01:06:45.140
people have been ingesting fermented foods,
link |
01:06:47.320
not just for their taste,
link |
01:06:48.200
but for their health benefits as well.
link |
01:06:50.500
So now I've mentioned two of the three mechanisms
link |
01:06:53.440
by which we prefer certain foods.
link |
01:06:55.900
One is from the actual taste that we're familiar with,
link |
01:06:58.900
the taste on our tongue and in our mouth
link |
01:07:00.780
and the sensations that make us go mm, or ugh,
link |
01:07:04.200
or eh, the yum, yuck, meh responses
link |
01:07:07.080
as I referred to them earlier.
link |
01:07:08.320
And then there's this subconscious signaling
link |
01:07:10.320
coming from the gut that's really based
link |
01:07:11.760
on the nutrient content of the foods.
link |
01:07:15.720
There's a third pathway, which is the learned association
link |
01:07:19.980
of a particular taste with the particular quality
link |
01:07:24.280
or value that a food has.
link |
01:07:25.920
And this is where things get really interesting
link |
01:07:29.000
and where there's actually a leverage point
link |
01:07:31.140
for you to rewire what it is that you find tasty
link |
01:07:35.820
and that you want to seek more of.
link |
01:07:37.640
The work I'd like to talk about next
link |
01:07:39.020
has been carried out in mouse models
link |
01:07:41.460
and has been carried out in parallel experiments in humans.
link |
01:07:46.280
This is largely, not exclusively,
link |
01:07:48.360
but largely the work of Ivan de Araujo and Dana Small.
link |
01:07:55.080
Ivan de Araujo is at Mount Sinai School of Medicine,
link |
01:07:58.700
and Dana Small is at Yale.
link |
01:08:00.900
And they and others in their field
link |
01:08:02.760
have done incredible experiments
link |
01:08:04.860
exploring how taste and food value,
link |
01:08:08.280
the nutritional value of food,
link |
01:08:10.340
and the impact of that food on metabolism in the brain
link |
01:08:15.120
drives our food choices
link |
01:08:17.000
and allows us to change our food choices for the better.
link |
01:08:20.240
Their groups have done some really amazing studies
link |
01:08:23.160
involving ingestion of a particular substance
link |
01:08:26.800
that either contains sugar
link |
01:08:29.920
and thereby can elevate glucose, blood sugar, or not,
link |
01:08:33.900
and varying, meaning changing the taste
link |
01:08:37.240
associated with that ingestion of sugar.
link |
01:08:41.120
So let me just give you a simple example
link |
01:08:43.280
where they have subjects,
link |
01:08:45.800
these could be mice or these could be humans,
link |
01:08:47.400
because they've done both sets of studies,
link |
01:08:50.280
drink sweet water as an alternative or a choice
link |
01:08:55.480
to non-sweetened water or bitter water or some other flavor.
link |
01:08:59.600
What they find is that mice and humans
link |
01:09:01.620
will prefer to consume the sweet beverage.
link |
01:09:05.080
Now it's not always sweet water.
link |
01:09:06.520
Mice like sweet water, but humans will prefer,
link |
01:09:09.920
for instance, a milkshake, a fatty sweet drink.
link |
01:09:13.720
They'll consume more of that.
link |
01:09:16.720
And not surprisingly, dopamine levels in the brain
link |
01:09:19.700
increase in response to that.
link |
01:09:23.440
So the taste and the nutrient content
link |
01:09:26.640
of what it is that they're ingesting are aligned.
link |
01:09:29.640
They are matched.
link |
01:09:32.060
They've also done experiments where they have no taste,
link |
01:09:36.300
but subjects are being infused with sugar
link |
01:09:39.220
directly into the gut.
link |
01:09:41.200
And not surprisingly, based on everything I've told you
link |
01:09:44.200
up until now, subjects will pursue more of that thing
link |
01:09:48.960
relative to some other taste,
link |
01:09:51.600
either neutral or negative taste,
link |
01:09:54.200
because that sugar in the gut is triggering the activation
link |
01:09:57.640
of the neurons I mentioned earlier,
link |
01:09:58.880
which is signaling to the brain to pursue more of that thing.
link |
01:10:01.920
So this tells us something important.
link |
01:10:03.480
It tells us that we are driven,
link |
01:10:06.060
meaning we have mechanisms in our brain
link |
01:10:08.180
that make us motivated to pursue more
link |
01:10:10.480
of what brings both a taste of sweetness,
link |
01:10:13.360
but also that brings actual changes
link |
01:10:15.680
in blood glucose levels up, okay?
link |
01:10:18.720
So we are motivated to eat sweet things,
link |
01:10:20.560
not just because they taste good,
link |
01:10:22.040
but because they change our blood sugar level.
link |
01:10:24.840
They increase our blood sugar level.
link |
01:10:26.960
This is important because it needn't be the case.
link |
01:10:29.440
It could have been that we were just wired
link |
01:10:31.400
to pursue things that taste good.
link |
01:10:34.300
But what this tells us is that we are actually wired
link |
01:10:37.200
to pursue things that increase our blood glucose,
link |
01:10:41.440
so much so that when the small lab,
link |
01:10:46.680
it's not a small lab, it's actually a big lab,
link |
01:10:48.200
but when Dana Small's lab and or Ivan de Araujo's lab
link |
01:10:52.440
have done experiments where they use a compound
link |
01:10:56.560
called 2-deoxyglucose.
link |
01:10:58.280
This is a compound that can prevent glucose
link |
01:11:01.660
from being metabolized by neurons.
link |
01:11:03.960
So blood glucose is going up, but neurons can't use it.
link |
01:11:06.960
What they find is that the reinforcing
link |
01:11:09.040
or the rewarding properties of a food or taste
link |
01:11:12.920
are eliminated.
link |
01:11:14.320
Put simply, it is not sufficient
link |
01:11:17.080
for a food to taste good consciously.
link |
01:11:20.320
It is not sufficient for a food to increase blood sugar.
link |
01:11:24.700
You need blood sugar to go up and that blood sugar,
link |
01:11:29.200
glucose, has to be utilized by the neurons,
link |
01:11:32.840
even if it's not associated with a good taste
link |
01:11:36.360
and to make it even simpler, if this isn't sinking in,
link |
01:11:39.880
this should make it very clear.
link |
01:11:41.580
What your brain, meaning what you are seeking when you eat
link |
01:11:45.920
is not taste, is not dopamine,
link |
01:11:49.160
is not even a rise in blood glucose.
link |
01:11:51.620
What you're seeking, even though you don't realize it
link |
01:11:54.200
because it's subconscious, is you are seeking things
link |
01:11:57.300
that allow your neurons to be metabolically active.
link |
01:12:00.880
And this is fundamentally important for understanding
link |
01:12:04.520
why you eat particular foods
link |
01:12:08.960
and how you can change your relationship to those foods.
link |
01:12:11.840
Now, earlier, I referred to circuits that are wired
link |
01:12:15.000
for a particular outcome.
link |
01:12:16.840
And in biology and in particular neuroscience,
link |
01:12:19.100
we refer to things that are either hardwired,
link |
01:12:22.000
meaning immutable and unchangeable, or softwired.
link |
01:12:26.460
A good example of soft wiring would be the areas
link |
01:12:28.820
of your brain that are responsible for speech and language
link |
01:12:32.260
are always more or less in the same place in your brain
link |
01:12:37.520
and everyone else's brain.
link |
01:12:39.460
However, they are not hardwired to speak French
link |
01:12:43.400
or to speak English or to speak Chinese or to speak German,
link |
01:12:46.740
because depending on where you were born
link |
01:12:48.600
and the parents that you're born to,
link |
01:12:50.600
you need to be able to speak one
link |
01:12:52.260
or maybe even more languages.
link |
01:12:54.780
The taste system and this general system
link |
01:12:57.580
of seeking particular foods similarly is hardwired
link |
01:13:01.620
to obtain certain types of nutrients.
link |
01:13:04.180
It tends to like sweet things.
link |
01:13:05.700
Most children naturally like sweet things,
link |
01:13:07.500
some more than others,
link |
01:13:08.860
but naturally most people from childhood onward
link |
01:13:12.460
don't particularly crave very bitter substances,
link |
01:13:15.100
maybe mildly bitter, but not very bitter.
link |
01:13:17.340
So there's some hard wiring of preference,
link |
01:13:19.640
but there's also some soft wiring in the system
link |
01:13:22.260
that allows it to change.
link |
01:13:25.140
The groups I mentioned earlier
link |
01:13:26.180
have done some really beautiful experiments
link |
01:13:28.180
looking at how artificial sweeteners interact
link |
01:13:31.780
with the actual sweet sensing system.
link |
01:13:34.460
And this gets right down to a number of issues.
link |
01:13:37.080
First of all, it gets to the issue
link |
01:13:38.960
of how we can rewire our taste system
link |
01:13:42.180
in ways that serve us for better or for worse.
link |
01:13:44.900
Second of all, it gets right down to the issue
link |
01:13:47.500
of whether or not artificial sweeteners
link |
01:13:49.580
are good for us or bad for us.
link |
01:13:51.480
And indeed, as of just this last year,
link |
01:13:54.700
we now have an answer to that question.
link |
01:13:57.980
And turns out it depends.
link |
01:14:00.020
And I will tell you in a few minutes
link |
01:14:02.460
when it is okay to ingest artificial sweeteners
link |
01:14:06.120
and when it is very detrimental
link |
01:14:07.980
to ingest artificial sweeteners of any kind.
link |
01:14:11.300
Regardless, I'm not going to name off brand names,
link |
01:14:13.100
but there are different forms
link |
01:14:14.180
of these artificial sweeteners nowadays.
link |
01:14:16.940
And there are various forms
link |
01:14:18.560
of non-caloric plant-based sweeteners
link |
01:14:21.220
for which the same information
link |
01:14:22.620
that I'm about to tell you applies.
link |
01:14:24.920
Okay, so the experiments that were done
link |
01:14:27.860
beautifully illustrate that you seek out particular foods
link |
01:14:31.340
because of the way they taste,
link |
01:14:33.260
because of their impact on blood glucose levels,
link |
01:14:36.340
but also on their impact on the dopamine system,
link |
01:14:40.580
even if your blood glucose levels don't change.
link |
01:14:43.180
So here's the experiment.
link |
01:14:45.460
One group of subjects is given a sweet taste
link |
01:14:47.840
of a substance that also raises blood glucose levels,
link |
01:14:50.300
blood sugar, and dopamine goes up, not surprisingly.
link |
01:14:54.640
Second condition, separate subjects,
link |
01:14:57.140
consume an artificial sweetener or a non-caloric sweetener.
link |
01:15:01.180
It is not preferred much over other substances,
link |
01:15:04.580
but it is sweet, so it's preferred somewhat,
link |
01:15:07.580
and it does not cause an increase in blood glucose levels.
link |
01:15:11.660
And not surprisingly, dopamine levels don't go up.
link |
01:15:15.340
So initially, we don't tend to like
link |
01:15:17.360
artificial sweeteners that much.
link |
01:15:18.660
That's the simple way of putting it.
link |
01:15:20.060
However, if subjects continue
link |
01:15:22.780
to ingest artificial sweeteners,
link |
01:15:24.520
even though there's no increase in blood glucose level,
link |
01:15:27.660
and therefore no increase in brain metabolism,
link |
01:15:31.360
dopamine levels eventually start to rise.
link |
01:15:34.200
And when those dopamine levels eventually start to rise,
link |
01:15:37.520
you've essentially conditioned or reinforced
link |
01:15:40.020
that artificial or non-caloric sweetener,
link |
01:15:43.880
and then subjects start to consume more of it,
link |
01:15:45.840
and they actually get a dopamine increase from it.
link |
01:15:49.540
So that's interesting.
link |
01:15:50.380
It says that consuming more of these artificial sweeteners
link |
01:15:52.780
or consuming them for a longer period of time
link |
01:15:55.120
can start to tap into the dopamine system
link |
01:15:56.980
and lead us to seek out or consume
link |
01:15:58.580
more of these artificial sweeteners.
link |
01:15:59.860
Many people are probably familiar with this
link |
01:16:02.000
because we tend to, or I should say,
link |
01:16:05.320
people report that when they ingest
link |
01:16:07.080
these artificial sweeteners,
link |
01:16:08.080
at first they don't taste very good,
link |
01:16:09.280
but then over time, they seem kind of tolerable,
link |
01:16:11.400
and then maybe even pleasurable,
link |
01:16:12.560
and then some people feel quote unquote addicted
link |
01:16:14.960
to various diet sodas and things of that sort.
link |
01:16:17.960
Now, there's another condition that's been explored,
link |
01:16:21.920
and that's the really interesting condition.
link |
01:16:23.800
And it's the condition where an artificial sweetener
link |
01:16:26.720
is paired with a substance that can increase blood sugar,
link |
01:16:31.240
but not because it tastes sugary
link |
01:16:33.720
like a normal sweet substance.
link |
01:16:34.960
So now there's an artificial sweetener
link |
01:16:37.780
that's coupled with an actual increase in blood glucose.
link |
01:16:42.080
The natural world scenario where this would happen
link |
01:16:45.160
would be drinking a diet soda, which contains no calories
link |
01:16:48.520
and therefore would not increase blood glucose,
link |
01:16:50.220
but is sweet with a food that increases blood glucose.
link |
01:16:55.480
And when that happens, what you're essentially doing
link |
01:16:58.280
is tapping into the dopamine system,
link |
01:17:00.000
this non-chloric sweet taste is paired with it,
link |
01:17:04.000
and there's an increase in neuron metabolism.
link |
01:17:07.540
So you have all of the components for reinforcement.
link |
01:17:10.440
And as a consequence, you get in a sort of Pavlovian
link |
01:17:14.000
conditioning way, a situation where later,
link |
01:17:17.760
when you ingest that artificial sweetener,
link |
01:17:20.600
you actually get not only the increase in dopamine,
link |
01:17:23.760
but you get alterations in blood sugar management.
link |
01:17:27.260
Now, blood sugar cannot go up if you don't ingest something
link |
01:17:31.440
that makes blood sugar go up.
link |
01:17:32.600
So it's not as if you ingest artificial sweetener
link |
01:17:35.160
with some food that contains calories or sugar,
link |
01:17:38.360
and then later you remove the food
link |
01:17:40.380
and you just drink the soda and your blood glucose goes up.
link |
01:17:44.300
Rather, it's a much worse situation.
link |
01:17:48.760
If you, I'll make this in the natural world context,
link |
01:17:51.760
if you ingest an artificial sweetener,
link |
01:17:53.400
say drink diet soda while consuming foods
link |
01:17:56.920
that increase blood glucose, then later,
link |
01:18:01.280
even if you just drink the diet soda,
link |
01:18:04.120
it's been shown that you secrete much more insulin,
link |
01:18:08.080
the hormone that regulates blood glucose
link |
01:18:10.940
in response to that diet soda.
link |
01:18:13.120
Studies have been done in both adult humans
link |
01:18:16.080
and in human children.
link |
01:18:17.600
In general, when we say children, we mean human children,
link |
01:18:19.680
but just to be very clear what we're talking about,
link |
01:18:22.420
exploring consuming diet soda with or without food,
link |
01:18:25.660
then later consuming just the diet soda.
link |
01:18:28.760
And what they found was having previously consumed
link |
01:18:31.920
diet soda with food and then later only consuming
link |
01:18:34.680
the diet soda, of course, there isn't an increase
link |
01:18:37.980
in blood glucose because they're not bringing in
link |
01:18:39.960
any calories when they just drink the diet soda,
link |
01:18:42.440
but there is a significant increase in insulin release.
link |
01:18:46.940
And that is serious in a terrible way
link |
01:18:50.360
because increased release of insulin
link |
01:18:52.300
and so-called insulin sensitivity is the basis
link |
01:18:54.920
for type two diabetes.
link |
01:18:56.760
So much so that in the study with the children,
link |
01:19:00.280
consuming non-caloric beverages in this way,
link |
01:19:05.120
first with food and then on their own,
link |
01:19:07.040
led to increases in insulin that made them pre-diabetic
link |
01:19:10.140
and they actually had to halt the study.
link |
01:19:12.280
So I want to zoom out from this and just really illustrate
link |
01:19:15.780
the major findings and then talk about how this can be
link |
01:19:18.480
applied in the positive sense.
link |
01:19:19.740
I also want to mention what this means in terms of your
link |
01:19:22.080
consumption of artificial sweeteners of any kind.
link |
01:19:25.460
So first of all, the direct takeaway
link |
01:19:27.480
about artificial sweeteners.
link |
01:19:29.880
Artificial sweeteners are not bad for you.
link |
01:19:32.580
I'm not going to say that.
link |
01:19:34.260
What I am going to say is that whether or not you ingest
link |
01:19:36.580
them alone or you ingest them in combination with foods
link |
01:19:40.640
or as part of foods that raise blood glucose
link |
01:19:44.160
is vitally important for your insulin management.
link |
01:19:47.000
And the simple extract or tool from this is if you're going
link |
01:19:51.340
to consume artificial sweeteners,
link |
01:19:53.600
it's very likely best to consume those away from any food
link |
01:19:58.500
that raises blood glucose levels.
link |
01:20:00.620
So if you're going to enjoy diet soda, be my guest,
link |
01:20:04.200
but do it while not while consuming food,
link |
01:20:07.140
in particular foods that raise blood glucose,
link |
01:20:09.440
because what these studies show,
link |
01:20:11.160
and I will provide references for these,
link |
01:20:13.080
is that they can vastly disrupt blood sugar management
link |
01:20:18.080
by way of the insulin glucose system, okay?
link |
01:20:20.820
And actually I'll just give you the reference now.
link |
01:20:22.780
This is a paper from Dana Small's lab.
link |
01:20:25.420
The first author is Dallenberg, D-A-L-E-N-B-E-R-G.
link |
01:20:30.080
And the title of the paper is short-term consumption
link |
01:20:32.660
of sucralose with, but not without carbohydrate impairs
link |
01:20:35.400
neural and metabolic sensitivity to sugar in humans.
link |
01:20:39.720
This is a paper published in Cell Metabolism
link |
01:20:41.560
in March of 2020.
link |
01:20:42.800
I think it's a very important paper and similar findings
link |
01:20:46.520
have been addressed in mice and in other studies.
link |
01:20:49.200
And now because of this paper,
link |
01:20:50.540
there's now a bunch of other groups working on this issue.
link |
01:20:54.920
There's some evidence previously published in Nature,
link |
01:20:58.800
excellent top tier journal among the Super Bowl
link |
01:21:02.620
of top three journals being Nature Science and Cell.
link |
01:21:05.720
Paper published in Nature a few years back
link |
01:21:07.840
showing that particular artificial sweeteners
link |
01:21:10.960
can disrupt the gut microbiome
link |
01:21:12.720
and have deleterious health effects.
link |
01:21:15.640
That result, I think, stands,
link |
01:21:17.160
although there are some results that may not agree
link |
01:21:20.640
with that depending on whether or not
link |
01:21:21.920
the artificial sweetener is saccharin or sucralose
link |
01:21:24.040
or aspartame or stevia, that's the gut microbiome.
link |
01:21:27.620
But what we are talking about here is independent
link |
01:21:30.720
of the form of artificial or non-chloric sweetener
link |
01:21:33.280
because it has everything to do with whether or not
link |
01:21:35.000
there is a match or a mismatch between the perceived taste
link |
01:21:39.280
and the effect of the thing that you are consuming
link |
01:21:42.640
on blood sugar and metabolism.
link |
01:21:45.240
So the first takeaway from this is
link |
01:21:48.920
if you're going to consume artificial sweeteners,
link |
01:21:51.760
it's really important that you do that,
link |
01:21:53.500
not in conjunction with foods that increase blood glucose.
link |
01:21:57.680
Second of all, it points to the fact
link |
01:22:00.140
that the foods that we prefer
link |
01:22:02.960
and the activation of the dopamine system,
link |
01:22:06.840
both through the gut and at the level of conscious taste,
link |
01:22:11.300
in other words, what we like is very plastic,
link |
01:22:15.000
it's mutable, and we can change it.
link |
01:22:17.440
How can we change it?
link |
01:22:18.640
Well, earlier I mentioned a structure in the brain
link |
01:22:22.300
called the insula, this incredible structure
link |
01:22:24.480
that's involved in interoception
link |
01:22:26.760
and interoception of all kinds.
link |
01:22:28.120
In fact, just as an aside, a year or so ago,
link |
01:22:31.920
my lab published a paper showing that
link |
01:22:34.320
activity within certain compartments of the insula of humans
link |
01:22:41.040
is responding to a heightened state of anxiety in the body.
link |
01:22:44.140
It can respond to changes in our respiration,
link |
01:22:46.600
changes in our heart rate.
link |
01:22:47.720
So this is, again, it's a readout of our internal state,
link |
01:22:51.160
not just of taste, but of many, many different aspects
link |
01:22:54.460
of the mechanics and chemistry of our internal milieu
link |
01:22:58.600
within our body.
link |
01:23:00.280
All of the work that I was describing previously
link |
01:23:03.800
has also been addressed at the neural level.
link |
01:23:06.440
And using a broad brush to explain these results,
link |
01:23:09.680
what we can say is when there is dopamine increase,
link |
01:23:16.160
one sees activation of the so-called nucleus accumbens,
link |
01:23:19.000
which is part of the so-called mesolimbic reward pathway.
link |
01:23:22.360
If you'd like to learn more about the mesolimbic reward
link |
01:23:24.480
pathway and dopamine in general and humans
link |
01:23:27.920
and in animal studies and all the various incredible
link |
01:23:32.940
and challenging things that dopamine can do for us,
link |
01:23:35.960
there's a episode all about dopamine that you can look up.
link |
01:23:39.000
It's easy to find at hubermanlab.com.
link |
01:23:41.700
The increases in dopamine associated with sweet taste
link |
01:23:45.700
and or blood glucose elevating foods and drinks
link |
01:23:49.560
cause activation of the nucleus accumbens.
link |
01:23:52.740
That's not surprising.
link |
01:23:54.540
Also in the circuit is activation
link |
01:23:56.740
of the so-called arcuate nuclei within the hypothalamus.
link |
01:23:59.860
These are areas of the hypothalamus that respond
link |
01:24:02.060
to hormones from the body and respond to hormones
link |
01:24:05.540
and neuropeptides in the brain,
link |
01:24:06.940
as well as neural signals in the brain
link |
01:24:09.180
to drive us to eat more or to stop eating.
link |
01:24:12.340
So it's hypothalamus, nucleus accumbens.
link |
01:24:14.860
These are sort of the hypothalamus and the arcuate
link |
01:24:17.800
being the motivating to eat or motivating to stop eating.
link |
01:24:22.740
Both sets of neurons are contained there.
link |
01:24:25.340
There are other areas like the lateral hypothalamus as well,
link |
01:24:27.480
but hypothalamus is sort of the accelerator
link |
01:24:29.180
and the brake on eating.
link |
01:24:30.300
And then the nucleus accumbens and dopamine release
link |
01:24:33.100
can be thought of as kind of a nitro boost, if you will,
link |
01:24:37.820
like the kids say, do the kids say that anymore?
link |
01:24:39.420
Anyway, a nitro boost to increase what we call the gain
link |
01:24:43.900
or the volume of how much you want more of something, okay?
link |
01:24:47.780
When dopamine is present, it's this kind of generic signal
link |
01:24:50.840
to go seek out more of whatever caused that release.
link |
01:24:54.260
And then there's the insula,
link |
01:24:55.900
this very thoughtful, rational, not really,
link |
01:24:58.800
it's not thinking, it's a brain area, you're thinking,
link |
01:25:00.800
but it's part of the areas of your brain
link |
01:25:02.420
that are interpreting what's going on in your body,
link |
01:25:05.360
whether or not you feel good or not good,
link |
01:25:06.900
whether or not you feel anxious, excited, or fearful.
link |
01:25:11.700
It's integrating all that information
link |
01:25:14.300
and fed into this entire circuit as well
link |
01:25:18.340
are the inputs from your prefrontal cortex,
link |
01:25:20.520
which is your thinking, rational, neuronal structure,
link |
01:25:24.380
if you will, informing you, for instance,
link |
01:25:27.680
ah, well, I don't really like salmon very much,
link |
01:25:31.580
or I'm not so crazy about kale, but it has omega-3s,
link |
01:25:36.940
or it's rich in these polyphenols that are good for me.
link |
01:25:41.520
And if one decides that they are going to eat these things,
link |
01:25:46.180
not just because they are good for them,
link |
01:25:48.300
but believe it or not, if one takes the perception
link |
01:25:52.840
or adopts the perception that they are both good for you
link |
01:25:56.060
and that in being good for you,
link |
01:25:59.540
they are good for your brain metabolism,
link |
01:26:01.380
and that you desire to be healthy, as crazy as it sounds,
link |
01:26:06.900
those subjective signals of what you tell yourself
link |
01:26:09.860
about the foods that you're eating
link |
01:26:11.700
can actually impact how those foods will taste,
link |
01:26:16.120
maybe not immediately, but eventually,
link |
01:26:18.100
and can impact the way in which
link |
01:26:20.020
your body utilizes those foods.
link |
01:26:22.300
Now, that might seem like a absolute pipe dream.
link |
01:26:25.520
If I just imagine that I like mackerel,
link |
01:26:27.620
mackerel will start to taste good.
link |
01:26:29.060
I'm not saying that.
link |
01:26:29.980
I didn't say that you could override yuck signals
link |
01:26:34.140
with this mechanism.
link |
01:26:36.260
I didn't say that you could take a food
link |
01:26:38.580
that would be absolutely noxious to you
link |
01:26:41.420
or make you want to vomit and override that.
link |
01:26:43.320
However, foods that are somewhat neutral to you
link |
01:26:47.700
can take on a different value
link |
01:26:51.420
based on the activation of the dopamine system.
link |
01:26:54.360
And now, knowing what you know,
link |
01:26:56.360
there are a couple of ways that you could imagine doing that.
link |
01:26:58.900
First of all, you could, in this so-called gedanken
link |
01:27:02.900
or thought experiment, you could, for instance,
link |
01:27:05.260
swap out sucralose because sucralose is just a taste, right?
link |
01:27:09.600
It's an artificial sweet taste.
link |
01:27:11.460
You could swap that out and insert kale,
link |
01:27:15.380
but eat the kale with something that raises blood glucose
link |
01:27:19.780
to some degree or another.
link |
01:27:20.980
Now, I'm not encouraging anyone to run out there
link |
01:27:23.140
and spike their blood glucose like crazy.
link |
01:27:25.660
And in fact, blood glucose isn't really the goal.
link |
01:27:29.060
If you recall, the goal is to get neurons
link |
01:27:31.900
to be metabolically active with that blood glucose, okay?
link |
01:27:35.180
That's what's actually rewarded at a subconscious level,
link |
01:27:38.300
meaning at a deep subconscious level.
link |
01:27:40.980
But consuming these foods with other foods
link |
01:27:44.140
that increase blood glucose and thereby brain metabolism,
link |
01:27:47.380
or I suppose if you're ketogenic, you're in a ketosis,
link |
01:27:52.720
I don't know what the range of foods
link |
01:27:53.900
that are allowed on ketosis are,
link |
01:27:55.180
so I don't want to misspeak here and say cracker,
link |
01:27:58.220
which would probably be a sin in the context of ketosis,
link |
01:28:00.900
and no knock against ketosis.
link |
01:28:02.420
I'm offering this in part
link |
01:28:04.420
because I think that there are a number of people
link |
01:28:06.060
that have and can positively benefit from a ketogenic diet.
link |
01:28:10.260
But for instance,
link |
01:28:11.100
if there's a food that you want to consume more of,
link |
01:28:14.220
but that you find somewhat meh or mildly yuck even,
link |
01:28:20.060
pairing it with ketones,
link |
01:28:21.920
if indeed you are using ketones for your brain metabolism,
link |
01:28:25.860
because that's what happens on the ketogenic diet,
link |
01:28:27.980
over time, that food will be reinforced
link |
01:28:31.280
by the dopamine pathway.
link |
01:28:32.260
We know this from these studies where sucralose
link |
01:28:34.780
was the substance paired with the glucose elevating,
link |
01:28:38.940
in other words,
link |
01:28:39.780
metabolically elevating food substance or liquid substance.
link |
01:28:44.780
So how does one go about doing this?
link |
01:28:46.980
Well, first of all,
link |
01:28:49.320
I want to emphasize that this experiment
link |
01:28:51.060
actually has been done in a slightly different context.
link |
01:28:56.100
Studies by my colleague Alia Crum
link |
01:28:58.780
in the psychology department at Stanford
link |
01:29:01.220
have explored the bodily response
link |
01:29:04.620
in terms of insulin release
link |
01:29:06.180
and the release of other food and eating related hormones,
link |
01:29:10.740
as well as overall feelings of satisfaction, et cetera,
link |
01:29:14.980
in groups of people that drink a milkshake
link |
01:29:19.640
and are either told that it's a low calorie shake
link |
01:29:22.280
that contains various nutrients that are good for them,
link |
01:29:25.540
or a higher calorie shake
link |
01:29:27.500
that has a lot of nutrients, et cetera,
link |
01:29:30.100
and what they found was that the different groups,
link |
01:29:33.800
and here again,
link |
01:29:34.640
I'm being very general with my description of these studies,
link |
01:29:37.340
but what they found is that the physiological response,
link |
01:29:40.980
the insulin response, the blood glucose response,
link |
01:29:43.420
and the subjective measures
link |
01:29:45.560
of whether or not people enjoyed something or not
link |
01:29:48.100
were heavily influenced by what they were told
link |
01:29:50.580
were in these milkshakes.
link |
01:29:52.020
So blood glucose would go up, insulin would go up
link |
01:29:54.240
when people were told it was a high calorie shake
link |
01:29:56.200
with lots of nutrients,
link |
01:29:57.240
less so when people ingested a shake
link |
01:29:59.260
that they were told had less nutrients and so forth,
link |
01:30:05.320
when in reality, it was the identical shake.
link |
01:30:09.660
This is incredible.
link |
01:30:10.500
This is a belief effect.
link |
01:30:11.800
This is not placebo, right?
link |
01:30:13.520
A placebo effect is different.
link |
01:30:15.100
Placebo effect is in comparison.
link |
01:30:16.860
It's where the control condition
link |
01:30:18.140
actually influences outcomes to a same,
link |
01:30:22.420
or to some degree, just like the experimental condition.
link |
01:30:26.500
This is not a placebo effect.
link |
01:30:27.700
This is a belief effect
link |
01:30:29.460
where the belief and the subjective thoughts
link |
01:30:32.700
about what a given food will do
link |
01:30:35.260
has a direct impact on a physiological measure
link |
01:30:38.340
like blood sugar and blood glucose, okay?
link |
01:30:41.020
So let's zoom out from this for a second
link |
01:30:43.060
and think about how we can incorporate this
link |
01:30:45.780
into adopting consumption of healthy foods
link |
01:30:50.140
that serve our brain health in the immediate and long-term.
link |
01:30:53.680
And if you're wondering what those are,
link |
01:30:54.900
I listed them out at the beginning of the episode
link |
01:30:56.820
and their justification for being on that list.
link |
01:31:00.260
What this means is,
link |
01:31:01.860
obviously you want to consume foods that you like,
link |
01:31:04.780
but because brain health is very important
link |
01:31:07.700
and many of the foods that promote brain health
link |
01:31:11.780
perhaps are not the most palatable to you
link |
01:31:13.980
or desirable to you,
link |
01:31:16.060
the key would be to ingest the foods
link |
01:31:19.340
that you want to ingest more of
link |
01:31:21.380
simply because they're good for you
link |
01:31:23.320
and not because they taste good to you.
link |
01:31:25.220
Alongside foods that increase
link |
01:31:28.900
whatever fuel system you happen to be relying on,
link |
01:31:31.400
I think that's the most nutritionally
link |
01:31:33.480
politically correct way to say it.
link |
01:31:34.860
So if you're keto, that would mean ketones, okay?
link |
01:31:37.660
If you're not ketogenic,
link |
01:31:39.220
and I think most people probably are not in ketosis
link |
01:31:41.540
or trying to maintain ketosis,
link |
01:31:43.340
but for instance, people that are on a purely
link |
01:31:45.220
plant-based diet, that would be one set of foods.
link |
01:31:47.100
For people that are omnivores, a different set of foods,
link |
01:31:49.420
and for people that are carnivores,
link |
01:31:50.800
yet another set of foods.
link |
01:31:53.220
If you want to eat more of a particular food
link |
01:31:55.060
because it's good for you,
link |
01:31:55.960
pair it with something in the same meal.
link |
01:31:58.500
You don't have to hide it physically or in the flavor sense.
link |
01:32:02.360
You don't have to hide it within that other food,
link |
01:32:04.220
but pair it with that other food
link |
01:32:06.300
that provides you a shift in brain metabolism
link |
01:32:09.860
because that's really what your brain and you are seeking
link |
01:32:13.040
even though you don't realize it.
link |
01:32:14.800
How long will this take?
link |
01:32:16.180
Well, according to the data in humans on sucralose
link |
01:32:19.940
and the conditioning for sucralose to have these effects,
link |
01:32:23.920
which in many cases were detrimental, right?
link |
01:32:26.740
Because they were increasing insulin.
link |
01:32:28.380
But in this case,
link |
01:32:29.460
you're trying to hijack this conditioning of food preference
link |
01:32:33.620
for healthy purposes, not with sucralose,
link |
01:32:36.820
but by ingesting things that are good for you,
link |
01:32:39.160
then the data really points to the fact
link |
01:32:41.940
that even within a short period of time of about seven days,
link |
01:32:44.900
but certainly within 14 days,
link |
01:32:47.100
that food will take on a subjective experience
link |
01:32:50.620
of tasting at least better to you, if not good to you.
link |
01:32:54.900
Now, I believe this has important implications
link |
01:32:57.440
for much of the controversy and food wars
link |
01:33:00.600
that we see out there.
link |
01:33:02.060
Food wars being, of course,
link |
01:33:04.180
these groups that ardently subscribe to the idea
link |
01:33:08.960
that their diet and the things that they are eating
link |
01:33:12.300
are the foods that are good for us
link |
01:33:13.900
and that are the most pleasureful
link |
01:33:15.580
and the things that everyone should be eating.
link |
01:33:18.500
We see this with every community within the nutrition realm.
link |
01:33:23.100
Now, of course, there are studies that point to the fact
link |
01:33:25.940
that certain foods and food components are healthier
link |
01:33:28.940
probably for us and for the planet,
link |
01:33:31.080
but you really see it on both ends of the spectrum.
link |
01:33:32.940
You've got people who are on a pure carnivore diet
link |
01:33:34.900
who are arguing with a lot of biomedical evidence
link |
01:33:37.700
that that's what's best for us and beneficial.
link |
01:33:40.380
And then you've got people
link |
01:33:41.220
that are arguing the same general sets of arguments,
link |
01:33:44.060
but for a purely plant-based diet.
link |
01:33:45.600
And then I think most people fall into the omnivore category.
link |
01:33:50.340
What's very clear, however,
link |
01:33:51.880
is that what we consume on a regular basis
link |
01:33:55.460
and what leads to increases in brain metabolism
link |
01:33:59.580
leads to increases in dopamine
link |
01:34:01.660
and thereby our motivation to eat them.
link |
01:34:04.380
So what this really says is that what we tend to do regularly
link |
01:34:08.560
becomes reinforcing in and of itself.
link |
01:34:11.220
And I think in large part can explain the fact that,
link |
01:34:14.140
yes, indeed, for certain people,
link |
01:34:15.960
a given diet not only feels good,
link |
01:34:18.660
but they heavily subscribe to the nutrient
link |
01:34:21.380
and kind of health beneficial effects of that diet.
link |
01:34:24.700
And they often will provide evidence for that,
link |
01:34:27.240
whether or not you ask them for it or not.
link |
01:34:29.660
But that's true of every subcategory
link |
01:34:32.020
within the nutrition realm.
link |
01:34:35.300
Again, this is not to take away
link |
01:34:36.740
from some of the beautiful data emphasizing
link |
01:34:39.260
that certain foods and micronutrients, et cetera,
link |
01:34:42.500
are better for us or worse for us and for the planet.
link |
01:34:45.540
That's not a debate I want to get into right now.
link |
01:34:47.380
What this emphasizes is that foods impact our brain
link |
01:34:52.800
and its health,
link |
01:34:53.640
but they also impact how our brain functions
link |
01:34:57.880
and responds to food.
link |
01:34:59.700
And that is largely a learned response.
link |
01:35:02.580
We can't completely override, for instance,
link |
01:35:05.460
that certain foods evoke a strong yuck component.
link |
01:35:09.460
Certain foods are truly putrid to us.
link |
01:35:11.660
I should just say certain things are putrid to us
link |
01:35:13.540
and we should not consume them, right?
link |
01:35:15.280
And that's at the far end of the spectrum,
link |
01:35:17.860
it's hardwired for us to avoid those
link |
01:35:19.860
because they can be dangerous for us.
link |
01:35:21.940
They can make us very, very sick.
link |
01:35:24.120
But it's also true that if we continue to eat foods
link |
01:35:27.700
that are progressively sweeter and sweeter
link |
01:35:29.500
and highly palatable, it shifts our dopamine system
link |
01:35:32.740
because it activates our dopamine system
link |
01:35:34.940
to make us believe that those foods are the only foods
link |
01:35:37.620
that can trigger this reward system
link |
01:35:39.920
and make us feel good and taste,
link |
01:35:41.300
and that they taste good.
link |
01:35:42.140
But after consuming foods that perhaps are less sweet
link |
01:35:46.020
or even less savory that are not what we would call highly,
link |
01:35:49.860
or I would say nowadays it's super palatable foods,
link |
01:35:52.280
we can adjust our sense literally of what we perceive
link |
01:35:57.740
as an attractive and rewarding food.
link |
01:35:59.780
And indeed the dopamine system
link |
01:36:01.600
will reward those foods accordingly.
link |
01:36:04.260
I can't emphasize enough how much this learning
link |
01:36:07.420
of associated food reward is important
link |
01:36:10.960
for not just understanding why we like the foods
link |
01:36:13.740
that we eat and how to eat more of foods
link |
01:36:15.860
that are healthy for us and enjoy them.
link |
01:36:19.020
But it also speaks to the fact that our brain as a whole
link |
01:36:24.040
is a perceptual device trying to make guesses
link |
01:36:26.780
or estimations about what certain foods
link |
01:36:29.140
are going to do for us.
link |
01:36:30.420
So put simply, we don't just like sweet foods
link |
01:36:33.180
because they taste good.
link |
01:36:34.000
We like them because they predict
link |
01:36:35.300
a certain kind of metabolic response.
link |
01:36:37.200
This is important also because Dana Small
link |
01:36:41.960
and Ivan de Araujo and others have been exploring
link |
01:36:45.520
whether or not people, for instance,
link |
01:36:47.440
that have type 2 diabetes or that suffer
link |
01:36:50.400
from any number of different metabolic disorders,
link |
01:36:52.320
whether or not somehow these food reward systems
link |
01:36:54.800
are permanently disrupted.
link |
01:36:56.600
And through a beautiful set of experiments
link |
01:36:58.480
that have been done mainly by Dana Small's group at Yale,
link |
01:37:01.560
but also by the de Araujo group and others,
link |
01:37:05.760
exploring how the reward pathways are altered
link |
01:37:10.280
in various metabolic disorders, et cetera,
link |
01:37:12.760
people suffering from type 2 diabetes.
link |
01:37:16.060
We don't have time to go into all those data now,
link |
01:37:18.040
but the takeaway is that food preference
link |
01:37:21.240
and the ability to reshape these circuits
link |
01:37:23.720
is not disrupted in these people to the point
link |
01:37:26.640
where it can't be rewired.
link |
01:37:28.200
And that's very encouraging because what it means is that
link |
01:37:30.640
for people that are suffering from these syndromes
link |
01:37:33.320
through some simple alterations in dietary choice,
link |
01:37:37.760
provided those are carried out over time
link |
01:37:39.860
and in the correct way by pairing with the foods
link |
01:37:43.080
that will appropriately shift metabolism of the brain,
link |
01:37:46.440
one can actually rewire what they consider
link |
01:37:48.760
not just palatable, but attractive as foods.
link |
01:37:51.480
If you want to learn more about food reward
link |
01:37:55.560
and food reinforcement,
link |
01:37:56.800
because it turns out those are slightly different things,
link |
01:37:59.120
there's a wonderful review written by Ivan de Araujo.
link |
01:38:02.920
They have a middle author, Mark Schachter and Dana Small.
link |
01:38:06.040
It's called Rethinking Food Reward,
link |
01:38:07.840
and it was published in the Annual Reviews of Psychology.
link |
01:38:10.800
You can find it very easily online.
link |
01:38:12.220
It was published in 2019.
link |
01:38:14.040
And it's a beautiful deep dive,
link |
01:38:16.240
although quite accessible to most people,
link |
01:38:18.440
about how different foods and the way that we perceive them
link |
01:38:22.520
impacts our brain and body
link |
01:38:24.000
and why we like the things we like
link |
01:38:25.760
and how to reshape what we like.
link |
01:38:28.020
So once again, we've done a fairly extensive deep dive
link |
01:38:31.120
into food and your brain,
link |
01:38:33.680
focusing first on how particular foods
link |
01:38:36.800
and compounds within foods that are available
link |
01:38:39.560
also through supplementation
link |
01:38:41.240
can impact immediate and long-term brain health.
link |
01:38:44.120
Came up with a relatively short list
link |
01:38:46.760
of what I would call super foods,
link |
01:38:48.760
only because there are ample data to support their role
link |
01:38:52.880
in enhancing short and long-term cognition
link |
01:38:55.260
and neuronal health and so on.
link |
01:38:57.280
And we also talked about food preference
link |
01:39:00.280
and why particular tastes
link |
01:39:02.440
and particular events within the gut
link |
01:39:04.240
and particular events within the brain
link |
01:39:06.420
combine to lead us to pursue particular foods
link |
01:39:10.880
and to avoid other foods
link |
01:39:12.680
and how you can leverage those pathways
link |
01:39:15.340
in order to pursue more of the foods
link |
01:39:17.140
that are going to be good for you
link |
01:39:18.640
and good not just for your brain,
link |
01:39:20.380
but for your overall body health
link |
01:39:22.120
and to enjoy them along the way.
link |
01:39:23.980
If you're learning from and or enjoying this podcast,
link |
01:39:26.680
please subscribe to our YouTube channel.
link |
01:39:28.420
That's a terrific zero cost way to support us.
link |
01:39:30.720
In addition, please leave us suggestions for future topics
link |
01:39:34.180
and guests you would like us to host
link |
01:39:35.800
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link |
01:39:38.040
As well, please subscribe to the Huberman Lab podcast
link |
01:39:40.860
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link |
01:39:42.440
And on Apple, you can leave us up to a five-star review.
link |
01:39:45.980
If you're not already following us on Instagram,
link |
01:39:48.380
we are Huberman Lab at Instagram.
link |
01:39:50.600
And there I do neuroscience tutorials
link |
01:39:53.140
that sometimes have overlap with the podcast,
link |
01:39:55.200
but often are original content altogether.
link |
01:39:58.060
We are also Huberman Lab on Twitter.
link |
01:40:00.920
Another terrific way to support us
link |
01:40:02.480
is by checking out our sponsors
link |
01:40:04.000
that we mentioned at the beginning of the episode.
link |
01:40:05.940
We also have a Patreon.
link |
01:40:07.200
It's patreon.com slash Andrew Huberman.
link |
01:40:09.920
And there you can support the podcast
link |
01:40:11.680
at any level that you like.
link |
01:40:13.920
During today's podcast and on many other previous episodes,
link |
01:40:16.940
we talked about various supplements.
link |
01:40:18.800
One of the major issues with supplements
link |
01:40:20.980
is that supplement companies don't always have
link |
01:40:23.280
the highest quality standards
link |
01:40:24.760
and or the amounts of the supplements
link |
01:40:27.280
that they list on the bottle
link |
01:40:28.380
aren't what actually are contained
link |
01:40:30.140
in the capsules and pills and powders of those supplements.
link |
01:40:33.060
For that reason, we partner with Thorne, T-H-O-R-N-E,
link |
01:40:35.840
because Thorne has the highest levels of stringency
link |
01:40:38.880
with respect to the quality of the supplements they use
link |
01:40:42.000
and the quantity of the supplements they use.
link |
01:40:44.360
They've partnered with all the major sports teams
link |
01:40:46.160
and with the Mayo Clinic,
link |
01:40:47.200
and we have tremendous confidence
link |
01:40:48.600
in the quality of their supplements.
link |
01:40:49.940
If you'd like to see the supplements that I take,
link |
01:40:52.140
you can go to thorne, T-H-O-R-N-E,
link |
01:40:54.800
.com slash the letter U slash Huberman.
link |
01:40:58.240
There, you can get 20% off any of those supplements,
link |
01:41:00.840
and if you navigate into the main site
link |
01:41:03.280
through that portal of thorne.com slash U slash Huberman,
link |
01:41:06.400
you can also get 20% off any of the supplements
link |
01:41:08.700
that Thorne makes.
link |
01:41:10.080
And last but not least,
link |
01:41:12.420
thank you for your interest in science.
link |
01:41:14.200
.