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The Vegan Dr: The Truth About The Vegan Diet, "Eggs Are Making You Fat", "Stop Eating Cheese!" - Neal Barnard

Episode 2024-02-052024-02-05English

Guests: Neal Barnard

The Vegan Dr: The Truth About The Vegan Diet, "Eggs Are Making You Fat", "Stop Eating Cheese!" - Neal Barnard
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§01Transcript — part 1

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00:31I love cheese.

00:32Well, men who consume the most cheese have the lowest sperm count and erectile dysfunction.

00:39Oh, shh.

00:39Dr.

00:40Neal Barnard, one of America's leading advocates for health, nutrition.

00:43A legend in the plant-based world.

00:45People need to understand this.

00:47Getting away from animal products is always a good idea.

00:50Because once you ban animal foods, not only do you solve the weight issue without counting calories, without reducing carbs, without even exercising, but also their health problems get better.

01:00But health experts say it's okay to have a little bit of animal proteins.

01:04Great idea, it doesn't work.

01:05And there are a group of people that just eat meat alone.

01:07Well, it's a ludicrous diet.

01:09It's very fiber deficient.

01:10How do you take on the idea that veganism is a diet for the privileged?

01:13We did a study and the average person saved 16%.

01:16Plus the fact their need for medications come down.

01:19So for example, we had a man who came into our study.

01:21He had diabetes.

01:22So we put him on the plant-based diet.

01:24After about a year, he'd lost 60 pounds.

01:27And he could go into any clinic in the world and they would not diagnose him.

01:30As having diabetes.

01:31But how do we know in that case that a Mediterranean diet wouldn't have had the same reversing effect on his diabetes?

01:36You just don't get the same result.

01:37But this was extremely controversial.

01:39The most controversial of all, though, is...

01:44Eggs.

01:45You can come for everything else, but coming for eggs is particularly triggering.

01:49Well, eggs have lots of issues.

01:51The first is, and even the studies done by the egg industry do show this.

02:05Dr.

02:05Neal Barnard, the work you've committed your life to, what good do you hope that it's doing for everyday people in their day-to-day lives?

02:15Right now, unfortunately, people are not well.

02:18They're not where they want to be.

02:19By age 30 or so, they...

02:21People feel like their life is starting to slip away.

02:24They're gaining weight they don't want to have.

02:26Their cholesterol is going up.

02:27They're on medications that they know they're never going to get off of.

02:30And perhaps worst of all, they tend to hand this same fate to the next generation.

02:35And that's something that not only has to stop, but it can stop.

02:39The body can heal.

02:41We know how to do it.

02:42The job is to put it to work.

02:44When you look back over, I don't know, 50, 100 years, what are the key sort of health outcomes that have really changed?

02:51And how does that correlate to the way that the world has changed and our sort of consumption habits have changed?

02:58Economics has changed everything.

02:59If you look...

03:00say at rural Japan, 1950s.

03:03The country had a diet that was not entirely plant-based, but it was a rice-based diet, lots of vegetables, no ice cream.

03:10This was not the Velveeta culture.

03:13And some meat, but not really very much.

03:16And then suddenly the Golden Arches arrived in Tokyo.

03:19The Golden Arches.

03:20McDonald's, Burger King, KFC, the country westernized, breast cancer doubled.

03:26Really?

03:26Diabetes went way, way up.

03:28Waistlines expanded.

03:29Life expectancy went from longest in the world.

03:33It's still better than many other places, but it has declined and declined and declined, despite having more knowledge than ever before.

03:40The westernization of the diet has been a killer worldwide.

03:44You see it in Japan.

03:45You see it now in China.

03:46As economics are changing in China, there's more wealth.

03:49There is more cardiovascular disease.

03:51And you know who's on the wires outside of town looking down like buzzards?

03:54It's the pharmaceutical industry.

03:56Because if you eat more pork and your cholesterol goes up, I can sell you more statins.

04:00And that is the way, that's the world we live in.

04:03That can change.

04:03Why do you care?

04:05Of all the things you could have committed your life to, was there a catalyst moment where suddenly this became your mission?

04:13Was there something you saw, something you did, or an experience you had?

04:16The year before I went to medical school, I was working in a hospital in Minneapolis.

04:20And I didn't have a very glamorous job.

04:22I was the morgue attendant.

04:24And so my job was to take the...

04:27Body out of the cooler and put it on a

04:30table and assist the pathologist to do an autopsy to determine the cause of death.

04:35There was one day there was a man who died in the hospital of a massive heart attack, probably from eating hospital food, but that's another story.

04:41And the body was there and the pathologist took out his scalpel.

04:47And you make a Y-shaped cut across the skin like this.

04:50You peel back the skin, and then he took what looked like a garden clipper and went crunch, crunch, crunch through the ribs on this side and crunch, crunch, crunch through this side, pulled the ribs off the chest and put the ribs on the table.

05:03So he...

05:04Took his scalpel and he sliced through a coronary artery.

05:07And it was like a medical lecture.

05:09They're called coronary arteries because they crown the heart.

05:12And as he sliced it open, he said, feel that.

05:14I had gloves on.

05:15So I felt inside the artery.

05:17And you would think a coronary artery would be a rubbery tube that would carry blood to your heart.

05:24It was like a pipe stem.

05:26It was like concrete.

05:28It was hard.

05:29And he said, that's calcified atherosclerotic lesions.

05:33And this is your bacon and eggs, Neal.

05:36And what he meant was cholesterol in the diet causes an irritation of that artery wall, and it forms what's kind of like a blister.

05:44In the artery and it calcifies over time.

05:47And what was most worrisome was not that this had attacked the heart, but we then looked at the carotids.

05:52Those are the arteries going to the brain.

05:54They had the same process, meaning if he hadn't died of a heart attack, he was headed for a stroke.

06:00And the arteries to the kidneys had the same process.

06:03He finished the exam, wrote up his findings, systemic atherosclerosis.

06:06And as time went on, I then went to medical school and I started to learn about the connections.

06:11What does cholesterol do?

06:12Where is cholesterol found?

06:13It's only in animal products.

06:15And I started to reflect on these things that were culturally normal for us.

06:19And we thought that heart attacks were culturally normal.

06:22You're old, you know, 60s old.

06:24You're going to have a heart attack.

06:26This is just the way it is.

06:27Alzheimer's, you're likely to get all these diseases.

06:30And I suddenly realized.

06:32That if we can truly connect what we are eating with the things that happen to our body, it gives us the most frightening lesson ever, but the most empowering lesson, because we can change that.

06:45My mission is to take that knowledge, hand it to people in a form that they can use, and encourage them to...

06:50Spread the word in turn, hopefully to the next generation.

06:53If not, all we're spreading to the next generation is our own bad habits.

06:57We're going to go through all of that.

06:58We're going to go through the diets.

06:59You've got a new book out, which talks about the perfect sort of diet for weight loss.

07:03And it says the breakthrough plan that traps, tames and burns calories for easy and permanent weight loss.

07:09We're going to go through that as well.

07:12From that moment in the morgue until you sit here now, what is your sort of academic and your, I guess, your experience with doing studies and being exposed to research and data?

07:25What is that?

07:26Give me an overview of what you've done.

07:28We were, it really started with...

07:30I was approached by a foundation that funded diabetes research.

07:34We ended up executing a small study where we used a very different diet from what had been used.

07:41It was more modeled after the diet of countries that don't have much diabetes, like Japan before westernization, for example.

07:50Very successful.

07:51We found that people were losing weight easily without counting calories, without reducing carbs, without even exercising, much as I love exercise.

08:00Then we did another study on people who wanted to lose weight.

08:05The participants were women, all at the age of menopause and after.

08:08They had all done Jenny Craig and Nutrisystem and Atkins and South Beach and everything.

08:12And they all had initial success, followed by frustration, followed by blaming myself.

08:18That kind of thing.

08:19And what we said is, let's not do that.

08:22Let's use the same kind of diet we're using for diabetes, which in a nutshell, plant-based diet,

08:29animal products gone, keeping oils really low, but not limiting spaghetti or carbohydrates in general, not limiting.

08:37calories.

08:38And what we found is that people lost weight really easily, but more than that, their metabolism started to ramp up.

08:46So they're 50 years old or 60 years old, but they're burning calories more like they were burning when they were 30.

08:53When people think about weight loss at the moment, you used the word, they use the word calories.

08:57There's a, you know,

08:58a prevalent school of thought that's

09:00You just need to count the calories you're having.

09:02For men, it's about 2,000 calories if you're sort of my age and my weight.

09:06And as long as you have less than that, you'll lose weight.

09:08That's kind of the top line school of thought.

09:10How do you receive that?

09:11It's true that we're not going to reinvent the laws of thermodynamics.

09:17I mean, if you take in fewer calories, you lose weight.

09:19The problem is if you voluntarily try to eat less than your body normally wants, by Wednesday, you're ready to eat the sofa.

09:27It's just not going to work for you.

09:28I have to tell you, in every hospital,

09:31not only in the United States, but everywhere else.

09:33People will sit down with somebody who wants to lose weight or who wants to tackle their diabetes.

09:37And they'll say, you just need to eat less.

09:39Here's a menu.

09:39It adds up to 500 calories less than before.

09:42You stick to this and you lose weight.

09:43Well, the patient can't do that.

09:44You just can't be hungry forever.

09:47Your brain says,

09:49You can't be doing this.

09:50I'm starving.

09:50And everybody's had that experience.

09:52And so then what happens?

09:54You blame the patient.

09:55The patient blames himself or herself.

09:57And I say, stop.

09:59How can I, without knowing it, reduce the calories that come in?

10:03And the answer is really simple.

10:05The answer is change the quality of the food, not the amount.

10:10Stop worrying about the amount.

10:13If for 21 days, a person didn't experiment with me, and I said for 21 days, no animal products at all.

10:21Okay, so I'm at an Italian restaurant, spaghetti not with meat sauce, but with tomato sauce.

10:27Bean burrito instead of the meat burrito.

10:30You're not limiting the amount of food.

10:32You are just changing the type.

10:34Suddenly the weight kicks in, the weight loss kicks in.

10:36People start losing weight and losing weight and losing weight.

10:38Why?

10:39Because once you ban animal foods, which have zero fiber,

10:45Pork chops don't have fiber.

10:46Cheese has no fiber.

10:47Eggs have no fiber.

10:48Then suddenly everything you're eating has fiber.

10:50What does that matter?

§02Transcript — part 2

10:51Fiber is this boring word that puts everybody to sleep.

10:53But fiber is big stuff because fiber does two things.

10:56It has almost no calories.

10:58So it fills you up and it makes you think you had a huge amount of food.

11:02The other thing it does is as it goes down your digestive tract,

11:06Researchers at Tufts University tracked what happens.

11:092017 study.

11:10They brought in individuals and put them on a diet either with high fiber foods, whole grain bread, compare it to just white bread.

11:20It's the same thing, but one has all the fiber, one doesn't.

11:23And what they discovered is that

11:25The people on the whole grain bread, they were excreting calories.

11:33What happens is the fiber goes down your digestive tract.

11:36It finds unabsorbed calories and it carries them out with the waste.

11:39You ate the calories, but you didn't absorb them.

11:41You flushed them down the toilet.

11:43Now, it's not huge.

11:45The effect of just that change was about 100 calories per day.

11:49That's about a half a soda you're not having.

11:51But that's 36,000 calories a year from just that one change.

11:57So if we aren't eating animal products, everything we have is...

12:00That tames the appetite.

12:01You're going to lose weight naturally.

12:03What we find is that if I can help people to focus on the type of food they eat and learn to love foods that are better than the spam we grew up with, what you're going to discover is that not only do you solve the weight issue,

12:17People can lose weight very rapidly and very easily without going hungry and even without exercise, much as I love exercise.

12:23But also their health problems get better.

12:26Just to pause there for a second, because there's something going on in my sort of dietary world at the moment that I want to get your opinion on.

12:31You mentioned whole grain bread versus white bread.

12:33There's now all of these breads on the shelf.

12:36When I go to the hotels and you have the little breakfast bars, there's the sourdough, there's the rye, there's the white bread, there's the whole grain bread.

12:43And I'm so confused by which bread I should be having.

12:45I'm pretty sure not the white one.

12:47But I don't really know about these others.

12:49So which bread is highest in fiber and best for my health?

12:53Well, they all beat the heck out of chicken, fish, meat, eggs.

12:58Bread is always better.

13:00Yes, it is.

13:01And chicken.

13:02Completely.

13:03Chicken breast.

13:04Take the skin off it, it's still 23% fat as a percentage of calories.

13:09Yes.

13:09And why is that a problem?

13:11I eat a lot of chicken breast, you know.

13:12Well, every fat gram has nine calories going right into our body fat that we didn't want.

13:17Every carbohydrate gram has only four.

13:20So those numbers, I want people to tattoo those numbers on their forearm because all the people who think carbs make them fat, they should realize carbohydrate, no matter what form it's in, bread, potato,

13:30Pure sugar.

13:31Carbohydrate has only four calories in a gram.

13:35But on the other hand, if I have fat, any form, chicken fat, fish fat, olive oil straight from Tuscany, it's got nine calories in every gram.

13:44And a person can say, well, it's got to be good fat, isn't it?

13:47Sometimes it may be like olive oil, but it's still going to be fattening for you.

13:53We did a study.

13:54We brought in 62 people.

13:56They all wanted to lose weight.

13:57Half of them went on a low-fat vegan diet.

14:00They lost weight really very easily.

14:02The other half began a Mediterranean diet, which they thought, great, this is indulgent.

14:07I'll be able to have fish and some chicken and a little bit of cheese here and there and some extra virgin olive oil.

14:12How wonderful.

14:13And the foods are wonderful, except that by about week three, the participants were saying, well, when does the weight loss start?

14:20The fact is it doesn't happen with a Mediterranean diet because the fish fat, the chicken fat, whatever beef fat there may be, and all that olive oil is so packed with calories, it slows down or stops the weight loss.

14:34After 16 weeks, everybody stopped.

14:37They switched to the opposite diet.

14:39The people who had been going Mediterranean now did the plant-based diet, and they start losing weight like crazy.

14:46And they said, well, why didn't you give me this before?

14:48The people who had been doing the vegan diet, by 16 weeks, they were totally accommodated to it.

14:53I know how to eat at Taco Bell now.

14:55I know how to ask for the bean burrito and whatever.

14:57We asked them to begin the Mediterranean diet.

15:00And they said, well, first of all, I don't want to.

15:02I've lost my taste for cheese.

15:03I don't care about that anymore.

15:04He said, this is science.

15:05Please do begin the diet.

15:07And they got angry.

15:09We met with everybody every week.

15:10And they were about to walk out because the scale was getting worse week by week by week because we reintroduced.

15:17Chicken and fish and oil and all these kinds of things.

15:20This was published in the Journal of the American College of Nutrition, and it just won an award for the best article of the year by the American Nutrition Association.

15:28The point being that if you focus not on how much you eat, but if you focus on the types of foods you eat, you get the answer.

15:38Which is you can satisfy the appetite without counting calories.

15:41You don't have to blame yourself.

15:43There will still be all kinds of things that will attract you.

15:46There will be cravings and so forth, but we can deal with all that.

15:49Obviously, when people talk about the vegan diet, there's lots of popular rebuttals.

15:55One of them is about supplementation, about protein levels, about vitamin B12, about omega-3.

16:02You know these rebuttals because they're very popular.

16:05So how do you take on the idea that, you know, if I'm not eating chicken at all, where am I getting my protein, my B12 from, my omega-3 from in my diet?

16:13And if I have to supplement any of these things, is that evidence that it's unnatural for me to be eating a vegan-based diet?

16:21Okay, that's a critically important question, but before I answer that, let me go back to why would anybody want to do this?

16:28And this is really important because

16:30The issues of supplementation are super easy to answer.

16:33The issue of why do you want to do it?

16:36For me, this was answered about a year into our NIH trial.

16:42We had a man who came into our study.

16:44He was 35.

16:46He'd had diabetes for four years.

16:48And he said, I need help.

16:50He told me his grandmother had had diabetes.

16:53His grandfather had diabetes.

16:54His father was dead by 30.

16:56He said that, you know, if I don't get this together, I'm going to check out early.

17:03And on the way, I'm going to be on dialysis.

17:05I'm going to lose a leg.

17:06That's what it meant to him.

17:07So we put him on the plant-based diet.

17:10And about two weeks into it, he said,

17:13Easiest diet I've ever been on.

17:16And that kind of surprised me because people imagine vegan to be hard.

17:19And he said, no, it was super easy.

17:21Previous diets that I've been on told me I had to count my calories.

17:25And I was hungry all the time.

17:27After about a year, he had lost 60 pounds.

17:31Without ever...

17:32Limiting calories at all.

17:33He had gotten his A1C from 9.5 down to 5.3.

17:385.3 is not diabetes.

17:405.3 is not pre-diabetes.

17:44It's normal.

17:45And when I got his lab slip, I have to tell you, I closed my office door and I paced around for about 10 minutes.

17:52To try to decide, can I tell him that his diabetes has been cured?

17:58This was extremely controversial.

18:00You can't tell a person their diabetes is gone.

18:02Once you have diabetes, you'll always have diabetes.

18:04That's what everyone said.

18:06And people said that with good reason, because they wanted you to take your medicine, test yourself.

18:12Don't mess around with this because diabetes will kill you.

18:15And that was well-meaning advice.

18:17But here was a man who didn't have diabetes.

18:19Based on diet changes.

18:20We can laugh about it now because we see it all the time.

18:24Diabetes is a reversible disease.

18:26And everything that goes along with it is reversible as well.

18:30So then that brings the issue up of how do you answer all the questions that people will raise, like where do you get your protein and what about B12?

18:38But those are...

18:40Quite easy to answer.

18:41So how do we know in that case that that guy wasn't eating a ton of sort of ultra processed foods of McDonald's and all of those things?

18:50And that a Mediterranean diet, for example, wouldn't have had the same reverse reversing effect on his diabetes?

18:57Well, let me be clear for what we know and what we believe.

19:01What we know is that this man had a result that just hasn't happened before.

19:06And it was really remarkable.

19:10We've seen this over and over and over again.

19:12And when we bring people in who have diabetes and we put them on a Mediterranean diet or something like that, you just don't get the same.

19:18Result in a randomized clinical trial.

19:21But we've gone further.

19:23We've looked at why is it that this diet is working.

19:26Processed foods are not the cause of diabetes.

19:29Eating

19:30Sugar is not the cause of diabetes.

19:32Eating carbohydrate and potatoes and rice, that is not the cause of diabetes.

19:35I'm not saying there aren't health issues about all these foods.

19:37There are.

19:38But the cause of diabetes is something that has been clear in science for two decades, and nobody can get this through their...

19:45You can say thick skulls.

19:47I know you were pausing.

19:50I'm not only talking about the lay public, I'm talking about doctors.

19:53There are many doctors who have somehow gotten their medical degrees, never understanding the cause of type 2 diabetes, and here's what it is.

19:59This is a muscle cell, your muscle, a muscle in your shoulder.

20:02If I take a needle in your shoulder, I stick a needle in, I pull a muscle cell out.

20:08It's this long oval.

20:10Its favorite fuel is glucose.

20:13That's why marathon runners are carbo-loading.

20:16That glucose gets into the cell and it powers it.

20:19But the problem is the cell membrane keeps that glucose out, will not let it in until insulin.

20:26The insulin key made in your pancreas arrives at the surface of that cell, opens the door, in goes the glucose.

20:32Now, everything's going fine.

20:34My pancreas is making insulin.

20:35It's letting the glucose in the cell.

20:37Things are going great.

20:39You eat chicken.

20:41Your body takes that 23% fat.

20:44In the skinless chicken breast and take some of that chicken fat, sticks it inside the muscle cell.

20:49Fish fat, beef fat, cheese fat.

20:52Cheese is loaded with fat.

20:54And that fat gets inside the muscles.

20:56Now, doctors hate words like fat because it only has three letters.

20:59So we'll call it fat.

21:00It's intramyocellular lipid, but it's fat inside a muscle cell.

21:04Same thing happens in your liver.

21:06So that's hepatocellular lipid.

21:08The fat is getting into your liver cells.

21:09The fat is building up in your muscle cells.

21:11It came from the food choices we thought were healthy.

21:14French fries.

21:15Your body pulls out that fat, packs it in the muscle cell.

21:18Now the insulin key comes along, attaches to the surface of the cell.

21:21The cell is now filled with fat.

21:22It's just like going home, sticking your key in your front door lock that somebody jammed with chewing gum.

21:30Key doesn't work anymore.

21:31Okay, so what do we do?

21:33I will say, let's take the animal products out of your diet.

21:35There's now zero animal fat in your diet.

21:37Let's keep oils really low too.

21:39So baked potato instead of the chips.

21:42Okay.

21:43No fat in it.

21:44Great.

21:44What happens, and I can show this to you with magnetic resonance spectroscopy.

21:50I can look inside your body.

21:51That fat starts to dissipate.

§03Transcript — part 3

21:54And as the fat comes, I'm not talking about belly fat, that dissipates too.

21:58But what I'm targeting now is the fat inside each muscle cell and each liver cell.

22:03As it comes apart, it leaves, then the insulin key can work again.

22:08And I've reversed your insulin resistance and I'm reversing your diabetes.

22:12And that's why now the blood sugar can get through that membrane very easily.

22:16That's why this man's diabetes went away.

22:19We didn't give him a new insulin prescription.

22:22We got the fat out of his muscle cells, got the fat out of his liver cells, and suddenly his body said, I'll take it from here.

22:28So let's talk about the supplementation point.

22:30then, people that are vegan, my partner was vegan for some time.

22:34She had a lot of sort of health complications with it.

22:37So I've got a little bit of a sort of clouded opinion around that.

22:40And again, when I talk about my partner, she was vegan for two years.

22:44I tried for two weeks.

22:46I struggled.

22:48Long story.

22:49But she was vegan for two years.

22:51In her words, and she shared this publicly, she gained weight.

22:55She had issues with her menstrual cycle and lots of other consequences.

23:01And she now points to the two years being vegan for both those outcomes.

23:07She had to supplement B12 throughout that process as well because...

23:12She wasn't getting it naturally in her vegan diet in Bali.

23:14So what do you say to the point of supplementation that we were talking about a second ago?

23:19Vitamin B12 is the only thing that you do need to supplement.

23:22And people following a plant-based diet definitely should be supplementing vitamin B12.

23:27But B12 is not made by animals.

23:30And it's not made by plants.

23:31B12 is made by bacteria.

23:33And so people will speculate that prior to the advent of modern hygiene, the traces of bacteria in the soil or on plants we would pull out or frankly on our fingers or in our mouths would give you the tiny amount that you need.

23:47You need 2.4 micrograms per day.

23:51You need it for healthy nerves and healthy blood.

23:53And you will get B12 from meat because the cow's intestinal tract has bacteria.

24:00They make B12.

24:01But some people don't absorb that very well because the B12 in meat is tightly adhered to the protein.

24:08And some people can't really remove it very well, particularly if you're over 50 or you're on certain medications.

24:13But you need B12.

24:15But when it comes to overall nutrition,

24:17A meat-based diet is the most deficient diet of all.

24:21It's much worse than any other kind of diet because meat doesn't have the vitamins that are in vegetables and in fruits.

24:28There's not a gram of vitamin C.

24:31There is zero fiber.

24:32There's no complex carbohydrate at all.

24:35Now, your cat can be a meat eater because cats make their own vitamin C.

24:38They say, I don't need it, but we are not cats.

24:41We're not carnivores at all.

24:42Whether we like it or not, we're great apes.

24:45So our cousins are chimpanzees and gorillas and bonobos and orangutans, and they are never eating dairy at all.

24:54They are mostly or exclusively herbivores.

24:58So that's our natural diet.

25:00Those are our great ancestors.

25:03Do they, any of them eat meat?

25:05Some do, not all.

25:06Okay.

25:07And going back to your point about vitamin B12, you were saying, just so I'm clear, that we historically would have got that from...

25:14Are less sanitary environment by, you know, our ancestors pulling up leaves and eating some of the soil in the process and those kinds of things.

25:20Is that what you're saying?

25:21Well, that's one possibility.

25:23And the other possibility is, frankly, that we could absorb our own B12.

25:26Your digestive tract makes B12.

25:28But the question is how absorbable.

25:30really is it?

25:31And most people believe, and I think it's quite possible, that it's produced too low down by the gut microbiome to really be efficiently absorbed.

25:40So either way, my suggestion is I wouldn't worry about it.

25:45You just take B12.

25:46It's in every multiple vitamin you ever took, and it's at the store.

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27:07And you would just take it.

27:08And that way there's no worry.

27:09The health experts, the nutritionists that I speak to on this podcast, I would say agree with what you're saying by about 90, 95, 90%.

27:19They, you know, thinking through what they've told me in private and on the show, they say you want to predominantly plants on the plate.

27:27You know, fruit and veg and all that stuff.

27:28And then it's okay to have a little bit of animal proteins as well on that.

27:32So like a little bit of chicken breast, for example, is okay.

27:35And that as a balancing act gives you what we sort of a nutritionally complete diet.

27:42What's your thoughts on that?

27:44Great idea.

27:44It doesn't work.

27:46It's a little bit like the person who comes in to see me in the clinic and they've got a chronic cough.

27:51They said, Doc, I've had this cough for months now.

27:54I said, well, maybe it's time that we do stop smoking.

27:58And they say, all right, doc, I'll stop.

28:00So they come in a week later and say, I'm still coughing.

28:02Well, did you stop smoking?

28:03Well, almost completely.

28:05I'm only having maybe two cigarettes a day.

28:08Say, well, let's just cut it out completely.

28:10And things get dramatically better.

28:11So by analogy, when a person comes in, they've got a high cholesterol level or they got weight they can't lose.

28:16And they're sort of 90% vegan.

28:18That last 10%.

28:21You know, it really makes such a huge difference.

28:24And it makes a difference in a couple of ways.

28:26And by the way, I'm not encouraging people to take this on faith.

28:29If you just try it,

28:30you'll discover that when a person really gets the animal products out of their life,

28:35First of all, the physical benefits are dramatically better.

28:38A person who follows a plant-based diet, on average, is 35 pounds leaner than a typical meat-eating American.

28:47Or put it the other way, your average meat-eating American is 35 pounds heavier than the typical not very careful vegan.

28:53So it's a big difference.

28:54But beyond that, let's say I'm trying to follow mostly a plant-based diet, but once in a while I'll have some meat.

29:00What that does is that reawakens the neural circuitry for those addictive things.

29:06It's sort of like a smoker who decides at parties I'll smoke.

29:10What you're doing is you're never able to forget the taste of it.

29:14So it's a good idea to just, if something doesn't love you back,

29:18Just get rid of it.

29:19But because that sounds like a heavy load, what I say to people is this, and the way we do it in our studies, take the first week.

29:26And your goal is just to lose some weight.

29:29You want to be able to see your abs again, whatever it is.

29:32You want to get off insulin.

29:33You want to feel better.

29:35Here are the studies that prove that it works.

29:37And then we sit down with the patient and his reluctant spouse, and they'll kind of map out what they're going to have for breakfast and for lunch and for dinner.

29:45And then they just think about it for about a week.

29:48They try the foods and they figure out the ones that really work.

29:51Great.

29:51Now we're going to do a three-week test drive.

29:53And people at home should do this.

29:5521 days.

29:56You can do anything for 21 days.

29:57And you've already made your list of the foods that you like.

30:00At the end of 21 days, number one, physically you are a different person.

30:04You're losing that weight without calorie counting, without ramping up your exercise.

30:09People are noticing the difference in you.

30:11But apart from the physical changes, your tastes are changing.

30:15You're discovering new things that you didn't have before.

30:18And better than that, you're forgetting the things that didn't love you back.

30:21One of our former guests, Giles Yeo, made a comment that veganism is a diet for the privileged.

30:27And he doesn't like how vegans make other people feel bad when they are just trying to support their kids.

30:33And I think there is a train of thought that says being vegan is expensive and it's difficult.

30:39And if you're a sort of time poor, financially poor family,

30:43How does one become more plant-based when you're just trying to think first and foremost about how to get some food in your kids'bellies?

30:50That's such an important question because when we feed our children, we're not only nourishing them today, but we're setting in motion the foods that they will eat in the future.

31:00You're accommodating the child's tastes to the things you put on the table.

31:04So it's essential that they be healthy foods.

31:06We did a study that we just published in JAMA Network Open, the American Medical Association's online journal.

31:13And we brought in 244 individuals, and half of them were asked to continue their current diet.

31:18The other half were asked to avoid animal products, keep oils low.

31:22It's a healthy vegan diet.

31:23And we tracked their weight.

31:25And as you can imagine, they lost weight.

31:27And we tracked their insulin sensitivity, got better.

31:30the things that you would imagine, all the benefits, their cholesterol is improved.

31:34But we also tracked their food expenses.

31:38And what we found is that overall, you're spending more on vegetables, you're spending more on fruits, you're spending more on beans and grains, and you're spending nothing on meat, nothing on cheese, your oils are, you know, you're cooking without them.

31:52And the average person saved 16%.

31:55Including the supplementation.

31:57Yeah.

31:58Yes.

31:58B12 is pennies.

32:00So the average person's food bill dropped by about 16%.

32:05So in America, that means about 500 bucks a year or something like that.

32:09So why is that?

32:11If a person is low on money, here in this country, we have the SNAP program.

32:16It used to be called food stamps.

32:18You get a card.

32:19You go into the store.

32:20The cheapest thing in the store are these little bags of dried beans and the dried rice.

32:26And you can get a block of frozen broccoli that's three for a dollar and that kind of thing.

32:30And if you go into the back and say, well, I'd like to have some cheese or some meat, that's where the money is.

32:35So when a person's on a plant-based diet,

32:37they're going to be saving money.

32:39Plus the fact is their need for medications goes way down.

32:43They're not at the doctor so much.

32:44Now, don't get me wrong.

32:45There are places that would love to charge you for asparagus water or some kooky thing.

32:51That's not what we're talking about.

32:53You have a book coming out.

32:56Called The Power Foods Diet.

32:57You can get it everywhere now on Amazon and everywhere.

33:00you'd find a book.

33:00It's this book here in front of me.

33:02And you kind of reverse the narrative as it relates to weight loss, because you provide a much more positive perspective on how to lose weight.

33:08Your book doesn't tell people what they shouldn't be eating.

33:10It tells them what they should be eating.

33:12And although there's been lots written and said about weight loss, there is quite a lot of original thoughts and ideas.

33:17And there's a huge amount of supporting evidence, which I think really puts your book, stands it apart from the crowd.

33:24Why did you write this book?

33:25Why did you write a book about...

33:27Weight loss.

33:28Up until now, the whole idea has been, if I want to lose weight, I have to say no.

33:32I have to say no to calories, no to seconds, no to dessert.

33:36And I started thinking, wait a minute, there is a huge body of research that allows you to just push that off the table and say yes to certain specific foods that I call them power foods because they do three things.

33:48There are certain foods that are appetite tamers.

33:52The same reason that people are buying Ozempic and Wagovi, these injections that tame your appetite, food will do precisely the same thing.

34:00That's right.

34:00Food releases GLP-1 agonists and will tame your appetite.

§04Transcript — part 4

34:05What is GLP-1?

34:07I'm sorry.

34:08GLP-1 is a compound made in the intestinal tract.

34:11And this is the thing that Novo Nordisk is trying to simulate with its weekly injection, initially marketed as Ozempic and then marketed under the name Wagovi.

34:21In the You.S., it's been hugely controversial because it does cut down the appetite and people lose weight, but it costs them more than $15,000 a year.

34:30And the side effects, nausea, vomiting, diarrhea, feeling terrible.

34:35And when you stop, all that weight comes right back.

34:38So anyway, it's big, hugely, very...

34:40controversial, but what we've discovered is we brought in people, fed them different meals, and found that there are certain foods that cause GLP-1 release naturally that tames your appetite.

34:50So there are certain foods that tame your appetite.

34:52If you don't know what they are, you're trying to lose weight with one arm tied behind your back.

34:56The second thing is that certain foods trap calories in your digestive tract, carry them out so you don't absorb them.

35:03And the third, and the most fun, is that certain foods ramp up your metabolism so that you're burning calories for about three or four or five hours after the meal, faster than you were before, which we can measure.

35:17And we first published those data back in 2005.

35:20The American Journal of Medicine published our results showing that your after-meal metabolism ramps up, not hugely, but about 15%, something like that.

35:29So then again, in about, I think it was 2020, we published this with JAMA Network Open.

35:35That they looked at a new group of participants.

35:39And the same thing happens, that your metabolism ramps up.

35:43But so many people are struggling with weight, blaming themselves.

35:47And my answer is, wait a minute, I can make you a wonderful meal and you can lose weight naturally.

35:53Let me give you an example.

35:55There is a twins registry in the UK.

35:59Great.

36:00registry they've got.

36:01In this particular study, they looked at not quite 3,000 twins, identical twins, same genetics.

36:07But then they did DEXA scans.

36:10It's a scan that looks not just at body weight, what it looks at is body composition.

36:15So how much body fat do you have?

36:16And they discovered that one twin

36:19compared to the other twin, had 9% less abdominal fat if she was the twin eating more anthocyanins.

36:28What is that?

36:30Anthocyanins is the blue in a blueberry or in a grape.

36:34This is nature's painting box.

36:36And they're powerful.

36:38antioxidants.

36:39And so then at Harvard, researchers looked at, okay, which foods are associated with weight loss?

36:47They looked at about 130,000 people in the nurse's health study and the health professionals follow-up study.

36:52They track them year after year.

36:53And they say, okay, these people are eating more of this food, more of that food.

36:58How does that affect their weight change?

37:00And this is just an association.

37:01But what they discovered is that people who ate more beans would tend to lose more weight.

37:06People who ate more citrus fruit, even fruit juice, would lose more weight.

37:11People who ate more melons, watermelons and cantaloupes and things, would lose more weight.

37:16And then green vegetables.

37:18But the number one...

37:20Food of all the foods that was associated with the most weight loss was blueberries, blueberries and all their cousins like raspberries and so forth, these anthocyanin rich foods.

37:30So why the heck is it that people who decide to eat more of these foods and bring them into their diet, why are they losing weight?

37:37Well, okay, if you're eating the blueberries for the dessert, you're not eating.

37:41The cream custard, maybe that's part of it.

37:43But even when you control for that, you still see the weight loss.

37:46And we believe that the reasons are that these are always high fiber foods.

37:50They are always very modest in calories.

37:52And there is something about the effect of anthocyanins that may affect either our appetite or more likely our metabolism.

37:59On the point of anthocyanins, is the color of the fruit somewhat an indicator of an anthocyanin?

38:05Yes, it is, but it can be tricky.

38:08Anthocyanins is a huge painting box that nature uses for blueberries, for the red grape, that's anthocyanins.

38:16Strawberries are red, but it's a different anthocyanin.

38:20And in October, when the leaves are turning, those yellows and reds and golden colors are different anthocyanins.

38:29Now, a tomato or a watermelon, that bright red is not anthocyanins.

38:32That's lycopene, and that's an antioxidant too, but that's the cousin of beta-carotene.

38:38So beta-carotene is the orange in a carrot, lycopene is the red in a tomato, and the anthocyanins are the purples in the grapes and in the blueberries and so forth.

38:46With blueberries, is there a positive impact on memory in the brain with blueberries as well?

38:52Very likely.

38:54Personally, I think we need more research, but our team and many others have been really excited about this ever since.

38:59Researchers have been really excited about this ever since.

39:00At the University of Cincinnati brought in a group of people.

39:03And not just random people off the street.

39:05These were people selected because they were way up in years, average age 76, 78, and they already had memory lapses.

39:13They had what we call mild cognitive impairment.

39:17They gave them a huge infusion of anthocyanins in the form of grape juice.

39:25A pint in a day.

39:26So maybe a cup in the morning, cup at night.

39:28And over three months, they then tracked your ability to retain knowledge and your ability to remember.

39:33And what they showed is it was measurably increased over a placebo.

39:37And okay, that sounds to me too easy.

39:40So they did the study again, and they used a different anthocyanin source.

39:44They now used blueberry juice, same result.

39:46So I continue to think that I think it's a good idea to be skeptical because people want to find some easy answer to things.

39:55Yeah.

39:55And was the rest of their diet controlled in those studies?

39:58In this case, no.

39:59Okay, so it could have been anything.

40:01Could have been, very likely was.

40:03Was it randomized?

40:05Randomized trial.

40:05And what you do is you take people and you just give them the anthocyanin drink versus some kind of placebo that looks the same.

40:11So I do think we need to be careful.

40:13And I think industry, you know, you'll have the blueberry industry or the grape juice industry jumping in with money as the dairy industry has been doing for a long period of time.

40:22So I think we should be skeptical.

40:23But when you see, for example, our group, we take no money from any food industry group ever.

40:30For exactly, even healthy foods, we won't take their money because we want to make sure that we're unbiased in what we find.

40:37And you just, you want to look for consistency of findings.

40:40Do you ever wonder if you are biased?

40:43Because, you know, you've got that experience, that very sort of, honestly, traumatic experience from that morgue that day.

40:50And you end up writing books about these subject matters.

40:53It becomes part of your identity.

40:55And I even think with myself, like, for example, I said about my girlfriend struggling with the vegan diet.

41:00That's created a bias in me, hasn't it?

41:03Do you ever wonder or do you ever think about the chance that you might be biased in the way that you look at the data or the data you look at?

41:13Of course.

41:14Every good scientist recognizes that bias can enter in any study.

41:18We all have biases, and that's why you have to do studies in a careful way.

41:23So, for example, when I do a study comparing a Mediterranean diet to a vegan diet, I make sure that the Mediterranean diet is taught by dietitians who personally follow a Mediterranean diet themselves.

41:34And we'll talk it up.

41:35And I hire them for that purpose.

41:36And the vegan diet is taught by dietitians who believe in that diet.

41:39And then your statistics have to be done blindly by somebody who's not partial.

41:43But everybody has biases.

41:44And with tobacco, we went through this.

41:47Back in the 50s and 60s, you could say, well, I'm not sure if tobacco really causes lung cancer.

41:53And if somebody thought it was, well, you're biased.

41:57As today, if somebody does not strong.

42:00wrongly believe that tobacco causes lung cancer.

42:01You're just an idiot.

42:02I mean, it clearly does.

42:04But that doesn't mean you don't do tobacco research.

42:05You do.

42:06But you try to set your biases aside.

42:09A lot of people will just eat chicken, steak, because they just think it tastes nicer.

42:14I think I'm in that camp.

42:15I think I was, you know, whether that's just a nature thing, you know, I was raised on eating chicken.

42:20My mum cooks chicken all the time.

42:22I love going to this steak restaurant in London called Flatiron.

42:26If you guys want to give me a discount code, I fucking go there all the time.

42:31But I just like the taste of it.

42:32So that's why, big part of the reason I eat it.

42:35And as a young man, I want to get as much protein as I can.

42:39I want to work out.

42:40I want big, strong muscles.

42:42I like the taste.

42:44It helps me grow my muscles.

42:46You know?

42:47You can do anything you want.

42:49You can.

42:51However, what you want today is what you ate yesterday.

42:56Our tastes can drift very, very readily to foods that we expose ourselves to.

43:01So if the past week I've been eating chicken, it's over, that's what we tend to come back to.

43:04And that's what we accommodate to.

43:06And that's true for caffeine.

43:07That's true for every drug of abuse.

43:09That's true for foods that we get hooked on.

43:11It's true for cheese more than anything else.

43:13People listening to this broadcast are all nodding exactly right now because they're saying, oh, I could be vegan except for the cheese.

43:19And that's...

43:20I love cheese.

43:21Well, it doesn't love you back, unfortunately.

43:23Cheese has, not to divert too much, but cheese is the one food that actually can...

43:30contains narcotics.

43:32The casein protein that's in milk comes out of the cow's udder.

43:38It digests in the calf's stomach to release what are called casomorphins.

43:43They're casein-derived morphine-like compounds.

43:48And they go in the calf's blood to the calf's brain.

43:50And they attach to receptors.

43:52The very same receptor that a narcotic attaches to.

43:55So if you drink a glass of milk, the very same thing happens, is that your body takes the casein protein, pulls out the casomorphins, they go to your brain and attach there.

44:04But the reason that cheese is more addictive than milk or even ice cream is because when you make cheese, you concentrate the protein.

44:12And the fat.

44:13You remove all the lactose, sugar, and all the whey, and it's just basically casein mixed with fat, and it's basically dairy crack.

44:21The big problem here, and for any guy who's thinking, do I want to stop eating dairy, estradiol, female sex hormones, if your mom has hot flashes and she's taking estradiol to calm her flashes,

44:34That female sex hormone is in cheese.

44:39It's in milk.

44:40The cow makes it.

44:44Cows naturally make estradiol, and so it's in every slice of cheese you ever ate.

44:47But it gets worse.

44:49To get cheese, you have to milk a cow, and cows normally don't make milk.

44:55They make milk only after they've been impregnated.

44:58And if you don't mind, let me just walk you through.

45:00Through how this happens, because I think it's good for people to be aware of.

45:03And every dairy farm everywhere in the world, there's an underpaid guy who takes his left hand and puts a glove on it up to his shoulder.

45:11And he sticks his hand into the cow's rectum, up to his elbow.

45:15And he grabs the cow's uterus.

45:17You can feel the uterus through the rectal wall.

45:19And you hold it steady.

45:20And with your right hand, you take what looks like a knitting needle.

45:23And you jam it into her vagina right through the cervix.

45:25And you inject sperm that you took from a bull.

45:28Now, she will become impregnated and she will not object because she's chained up by the neck and she can't turn around and stop you.

45:34And then you go on to the next one, the next one, the next one.

45:36Nine months later, after her gestation is finished, she will have a calf, which she didn't volunteer for, but this is now her baby.

45:44And she will look at that calf and the calf looks up at mom.

45:48And all the farmhands gather around because I got to tell you, there's nothing cuter than this big bag of bones of this little calf who was just born.

45:55And this is like the first hour of life.

45:58And then they say, well, wait a minute.

46:01You don't want that calf to suckle because that milk is what we're going to sell.

46:06The milk that's made for her calf.

46:09If we're going to sell.

46:09So we have an implement that solves that problem, and that's a wheelbarrow.

46:13So you put the calf in a wheelbarrow, and you carry the calf away.

46:17Now, the mother-infant bond is the strongest bond we have in nature.

46:22She will follow.

46:24And she'll follow, like, effectively in her own bovine way, saying,

46:29This is my baby.

46:31And then a gate will stop, will hit her in the face, and she will stand right there and cry out.

46:36And the calf, if the calf is male, will very soon be killed for veal because you can't use a male in the dairy industry.

46:43And if that calf is female, she will be put in an isolation hutch fed milk replacer.

46:49And when she's about a year old, she'll get a hand up her butt and she'll be impregnated.

46:54Now, in nature, a cow lives to be about 20.

46:57On a dairy farm, their milk production, although they're impregnated every single year, slacks off by about age four.

47:04And then they are hung up by their leg and they are slit for low-grade beef.

§05Transcript — part 5

47:09So the dairy industry is a meat industry.

47:12It just takes you a little while to get there.

47:14And every dairy cow is impregnated artificially.

47:19They're separated from their calf.

47:20And we just kind of put up with this.

47:23And during each pregnancy, she is continued to be milked.

47:28The estrogen comes down those milking tubes.

47:31It gets into this little swimming pool full of milk when they throw in the rennet, which is this genetically engineered enzyme that makes it clot.

47:38Then you throw in the bacteria.

47:40They give it that funky fermented flavor and people get hooked on this stuff.

47:44And you're eating this mixture of estradiol along with a huge amount of fat and these animal proteins that have the casomorphins in them.

47:53And everybody gets hooked on this thing.

47:55And your average American eats 77,000 calories of...

48:00Cheese every year.

48:03And then they think they got fat from eating bread.

48:05It wasn't the bread.

48:06It was that hunk of cheese that was in between there that could explain the entire weight problem we have in America.

48:12So you're saying also that then men who are drinking the dairy products or eating the dairy products have, there's an implication for their own hormone levels and their own sort of sperm counts, etc.

48:21Is there any evidence for this, that drinking milk as a man will reduce your sperm count?

48:26Exactly.

48:26That has been discovered in New York, New York State.

48:30Researchers went into a fertility center and you do sperm counts on men.

48:35And when you do a sperm count, what you're looking at is the count, the number of little sperm.

48:40You also look at their morphology, meaning their shape and their motility, meaning are they swimming straight?

48:46And what they have shown in at least two studies that I'm aware of, that men who consume the most cheese have the lowest sperm counts and the worst mortality and morphology, motility and morphology.

48:58And the reason, of course, is you're swallowing estrogen.

49:02Every day, but it gets worse than that.

49:04When you eat cheese, you're eating something that's three quarters fat.

49:08It's really high in calories.

49:09And added to your chicken fat and beef fat and the fat that people get all over the place, you're gaining body weight.

49:15And guys are struggling with this and mistakenly blaming

49:18carbs and so forth.

49:19But as you gain body weight, every fat cell in your body is an estrogen factory.

49:24What I mean is your testosterone goes into a fat cell and estrogen comes out.

49:29You have

49:30enzymes called aromatase enzymes that take that testosterone from your bloodstream.

49:36And the more body fat you have, the more they are reducing your testosterone because they're converting it to estradiol.

49:41Is this in part, in your view, why there's been a decline in testosterone in men over the last couple of decades?

49:47Without question.

49:48I can reduce your testosterone level within a matter of a couple of weeks just by putting you on a cheesy, meaty diet.

49:55The more your body fat expands, the more your testosterone level is neutralized.

50:00It gets worse.

50:01Because there's estrogen in the dairy itself, that adds to the estrogen your body is now making in your body fat.

50:09An animal-based diet is...

50:12Just a recipe for hormone haywire.

50:15You know, I have to ask about the carnivore diet, which is, you know, I've had guests on this podcast that weren't health experts, were even talking about health or food or nutrition at all, but certain guests, one in particular, who is on the carnivore diet, because

50:29You know, I also think about Michaela Peterson, who I think is a wonderful person.

50:32And she's also on the carnivore diet.

50:34She had loads of health complications in her life to the point that I think she was virtually disabled at one point.

50:41In bed, couldn't move, lots of pain, lots of problems.

50:44And then she went on a carnivore-only diet, which meant that she eats...

50:48Pretty much only steak with salt and pepper, I believe.

50:51Don't want to get that wrong.

50:53And all of our health problems went away.

50:55And when you hear about those stories, you go, Jesus, that's incredibly compelling.

50:58I'm not saying that that is the case.

51:00diet at all because I've sat here with enough nutritionists and health experts to know that there's a general consensus that you want as much plant plants on your plate as you possibly can um with a little bit of protein they seem to be pretty decided that a little bit of sort of

51:15chicken breast isn't a problem um But there is a school of thought and there are a group of people that just eat meat alone.

51:24And they seem to be doing okay.

51:26Is there any diets, is there any research that has been done on people that are on a carnivore diet that you're aware of?

51:32I don't know.

51:33I haven't really looked at the carnivore diet very well.

51:35It's a ludicrous diet.

51:37First of all, it's very fiber deficient.

51:38And somebody like that is going to spend hours in the bathroom struggling to go to the bathroom because they're not getting any fiber.

51:46So that person goes to the drugstore and they'll get Metamucil, which is a psyllium fiber, which is a seed fiber because they don't want to eat the seeds, but they'll sell you the fiber.

51:56To counteract it, you're getting a massive amount of cholesterol.

51:58Now, the one thing you could say for it is if a person says, well, I'm chucking out a bunch of just sugar and I'm chucking out the cheese and so forth, and I'm focusing on meat, well, half of what you're doing is good, is you're getting rid of some other things that were frankly not so good for you.

52:12The donuts and things aren't very good, but...

52:16A meat-based diet is a romantic fantasy.

52:18When people think of themselves as hunter-gatherers, we are gatherers first and hunters second.

52:24Our nature is not to be racing over the hilltop and capturing an antelope and bringing it back to the apartment.

52:30laws of our families.

52:31That's a romantic notion that people like to pretend.

52:34And if you look at human cultures over the millennia, we are clearly designed for and have followed either an exclusively plant-based diet or a mostly plant-based diet.

52:46Now, that said, you know, we're...

52:49we'll take what we can get.

52:50You know, when people are, don't have tremendous means, if a rabbit comes by and they can capture them in their snare and they'll eat them, they will.

53:00Having said that, I have to say, I put this question to Richard Leakey some years ago.

53:07And I asked him, I said, you know,

53:08Who's that?

53:09Oh, Richard Leakey was a wonderful paleoanthropologist.

53:12His father was Louis Leakey.

53:14And Louis Leakey is the one who launched Jane Goodall into Tanzania to study chimpanzees and Diane Fossey to study the gorillas.

53:21Louis Leakey was a wonderful paleoanthropologist.

53:23And his son, Richard, worked for many, many years in Kenya and died recently.

53:29But I put this question to him.

53:30I said, all the work that you've done studying human behavior and human diets, aren't we naturally carnivores?

53:38And he looked at me in the eye and he said, understand, we are not carnivores and never have been carnivores.

53:45What allowed people to start to eat as if they're carnivores was the advent of the Stone Age.

53:50When we were able to make stone tools that became axes and arrowheads.

53:56Left to your own devices, without those tools, you can't chase down a deer.

54:00Or an antelope.

54:02You might occasionally get some roadkill or something like that, or not roadkill, but you know what I mean.

54:07You could scavenge from something left over by a lion or a hyena.

54:11And in fact, he believed that that is how meat eating began, was that there was kill left over in a carcass that wasn't fully eaten by an actual carnivorous animal.

54:22And then once we got fire...

54:24Which we didn't have before.

54:26Once we got fire, now you're onto something.

54:28Now you can actually make meat, at least over the short term, safe to eat.

54:32I want to talk a lot more about hormones, but just to close off the section about weight loss that we were talking about, we were talking originally about the blueberries.

54:39There's another group of foods which you include in the power foods diet, one of which is the, and I'm going to get this word wrong,

54:44Cruciferous vegetables.

54:47Yeah, cruciferous vegetables.

54:48That's exactly what I said.

54:50Can you say that again?

54:51Cruciferous.

54:52And what...

54:53Cruciform.

54:54The flower on broccoli or cauliflower or Brussels sprouts, when they're growing, they present this little flower that has kind of a little cross shape in it.

55:04So it's called cruciferous.

55:06Cruciferous.

55:07Yeah.

55:08And they're healthy foods.

55:09They are good in many ways.

55:11And they're good for weight loss specifically.

55:12Yeah, they are.

55:13They're one of the top foods that the Harvard researchers associated with weight loss.

55:18And frankly, it's kind of for a no-brainer reason.

55:21They're really high in fiber.

55:23A cup of broccoli has maybe five grams of fiber in it, but all of about 50 or 60 calories, like none.

55:30So it's very, very filling, very low in calories.

55:33So what's in that category then?

55:34Broccoli, cauliflower, cabbage, Brussels sprouts, those kinds of things, right?

55:37Yeah, arugula and lots more.

55:39Yes.

55:40They have a second benefit.

55:42Researchers at Johns Hopkins have been studying them not for weight loss, but for cancer prevention.

55:46And they find that, maybe not surprisingly, people who eat more of these have less of various forms of cancer.

55:53But it turns out that what they do is a surprise.

55:57If you eat a couple of servings of broccoli today,

56:01and the same thing tomorrow, then by about the following day, at that same time of day, your liver is making more of what are called phase two enzymes.

56:10The phase two enzymes are there to remove toxins from your body.

56:14So if you inhale,

56:16bus exhaust or some other toxin that's in your body, your liver is there to filter them out and get rid of them.

56:22And your liver is more powerful if the cruciferous vegetables were in your diet because they cause it to make more of these detoxification enzymes.

56:29But there are lots of these foods and some of them are not foods, but they're flavors like cinnamon.

56:35Cinnamon has...

56:37A compound in it that scientists didn't know what to call it.

56:40They ended up calling it cinnamaldehyde.

56:43You know, researchers are not always very creative with their naming, but cinnamon contains this thing called cinnamaldehyde, and it's associated with weight loss.

56:50And it appears that it works by increasing metabolism.

56:54So what researchers have done, there are many of these studies, but there was a 2017 study where researchers

56:59all

57:00they did in a randomized trial was give cinnamon or nothing.

57:04And the amount of cinnamon was about one teaspoon per day, which you could throw in water or whatever.

57:10And what they showed was about a seven or eight pound weight loss over a matter of several weeks.

57:15And so I'm not recommending that people just add cinnamon.

57:19To bread that's slathered with butter because you can undo the power.

57:24But the whole point of the power foods dietary approach is rather than thinking about all the things I can't eat, let's bring in, we know that berries are good.

57:33So let's say I make a muffin and instead of cooking it with butter, I'm going to cook it in a healthy way and I'm going to have blueberries in it.

57:41So the food's got to be, they have to be good.

57:43So that you'll like them, so that you'll serve them to your family.

57:45And then the weight loss just kicks in automatically.

57:49A teaspoon of cinnamon per day caused an average weight loss of about half a pound per week.

57:53That's on page 24 of your book, which was really surprising to me.

57:56The other thing that I found quite surprising was you talk about hot peppers.

58:00I love hot peppers.

58:02And you say that they're a great weight loss food.

58:05Who knew that that hot feeling that you experience afterwards, it's not just hot in your tongue.

58:10You can put a sensor on your forehead and you will actually see the body is burning off calories as a result of eating the spicy food.

58:19So I'm not suggesting that people take a couple of jalapenos and just eat that.

58:23But what I am suggesting is that there are spices.

58:26There's cinnamon.

58:27There is the capsaicins.

58:29Those are the...

58:30the hot in the hot peppers.

58:31There's also ginger.

58:32They all have these kinds of effects where they readjust your body chemistry to be a calorie burner.

58:39So the foods taste great.

58:40You're not increasing your workout, but the weight comes off.

58:43And I don't want people to get modest about this.

58:47I'm working, we're in a study right now, and the study has been going on for about 18 weeks now.

58:53One of the guys in the study has lost 60 pounds already.

58:55Now, I don't encourage people to lose weight that fast, and the person who's going to lose weight that fast is a person who's got a lot of weight to lose.

59:02But if you've got five or 10 pounds that you want to lose, or maybe 30 or 40, that'd be very typical.

59:07Let's lose it.

59:08Let's not fool around.

59:10Let's put yourself in a body that you want to be in, that makes you feel good, that doesn't just help you to knock off that weight, but helps your arteries to open up, helps your sexual function to return, helps your mind to work today and to protect it for tomorrow.

59:24We can do those things.

59:25It's all a question of having the information and then putting it to work.

59:29Is that truth in the fact that spicy foods, specifically spicy peppers, like hot peppers, reduce your appetite?

59:38They seem to, but I don't believe that that is the main effect.

59:41I think the main effect is on metabolism.

59:43They do seem to affect the appetite in a helpful way, but the main effect, I think, is the metabolic increase.

59:49We can measure this where we bring people in and you put on a...

59:54Kind of a mask.

59:55You look like a pilot.

59:58And what I'm actually measuring is your carbon dioxide.

60:00side output and your oxygen intake.

60:02And that's proportional to your metabolism.

60:04It's proportional to how fast you're burning calories.

60:06And almost anything you eat will cause you to increase your metabolism while you are in the post-ingestion period.

60:14But two things.

60:16There are certain foods that cause a bigger burn than others.

60:20The ones that cause the biggest burn are the ones that are high in carbohydrate, but also peppers are for some reason in that category.

60:26And if a person has been on a low-fat vegan diet going into the test, they get an even bigger burn afterwards.

60:35And that's because their body is, we believe, is more insulin sensitive than it was before.

60:41So if I want to really increase your burn and help you to get the weight off, I would not only serve you these healthy foods at each meal, but I would take advantage of the fact that they are adjusting your physiology for the long term.

60:53What about ginger?

§06Transcript — part 6

60:55Yeah, ginger is also, it's a relative of these other foods where you see that capsaicin is the one that's that really killer spice.

61:04Ginger is kind of its first cousin and it causes a similar effect.

61:08Weight loss effect.

61:09Yeah.

61:10And other things too.

61:11I mean, people use ginger for many, many things and people using it for migraines and as an anti-inflammatory.

61:17There's a reason that these spices have been used since time immemorial.

61:20And our goal now is to tackle this big issue of extra weight and just see if we can.

61:25Put it to work for that.

61:26Mangoes, papayas, legumes, green vegetables, orange vegetables.

61:30Are all some of the things included in the power foods diet.

61:34The most controversial of all, though, is eggs.

61:39Yeah.

61:40You know, you can come for everything else, but coming for eggs is particularly triggering.

61:44You say in the book, eggs are not helpful for your waistline.

61:48Well, eggs have lots of issues.

61:50The first is that it's a cholesterol bomb.

61:53And the egg industry would like us to believe that they don't raise cholesterol.

61:58They clearly do.

62:00And we published a review on this where we looked at every study ever done on eggs, and they clearly raise cholesterol.

62:07And even the studies done by the egg industry do show this.

62:10Although their interpretation is different.

62:13If the studies were funded by the egg industry, they'll say, well, it increased cholesterol, but not significantly or something like that.

62:20But they clearly do.

62:21And that's for a reason, that an egg, when an egg is laid,

62:25That egg doesn't call out for room service.

62:28That chicken developing inside has to make the chicken's body from everything that was in the egg.

62:33And so it's laid with a ton of cholesterol because the cholesterol is an integral ingredient for the animal's body.

62:39If instead you boil it and eat it, you're getting a ton of cholesterol.

62:43So anyway, you can have eggs if you want them, but it's got a huge amount of cholesterol and you don't need the rest of it.

62:50You wrote a book in 2020, which touches on a few of the subjects we've already touched on around the hormones within our body.

62:58I think hormones are...

63:00a under-addressed but very interesting and very important subject matter.

63:04For someone that doesn't really understand hormones and doesn't really know the relevance of them, what are our hormones and why does understanding our hormone balances matter at all?

63:14Hormones are the director that controls everything in your body.

63:18And the old way of thinking about food, the old fashioned way of thinking about food was, I eat a bad food, I have a disease.

63:27I eat high cholesterol foods, I'll get a heart attack.

63:28Fair enough.

63:29But what we have now learned is that

63:32Hormones control everything in your body and foods control your hormones.

63:37Hormones are directions, they're letters, they're messages.

63:41They go from one part of the body where they're made to another part of the body where they tell it what to do.

63:46And if we're just eating foods without any understanding of what that's doing to those hormones, then you're a victim of everything that's in your diet.

63:54I was sitting at my desk one day, a young woman called me up.

63:58She said, I can't get out of bed.

64:00And a lot of women have menstrual cramps.

64:02For maybe one in 10, it's off the scale.

64:06I can't go to work today type cramps.

64:07And that was her situation.

64:09She said, I got a business meeting.

64:10I'm supposed to be at the airport tomorrow morning, but I can't even move.

64:14Could I give her Demerol?

64:16That was her question.

64:17It's a narcotic.

64:18And I said, I can give you heavy duty painkillers for a couple of days.

64:23But I was thinking, what's causing this?

64:26And I started to realize that there was a very good chance

64:30That she had too much estrogen in her blood.

64:32The estrogen every month thickens the lining of the uterus in a woman's body in anticipation of pregnancy.

64:40And that endometrial lining, if there's too much estrogen, it thickens up too much.

64:44And then with the menstrual flow, it breaks apart and it releases these maladjusted chemicals called prostaglandins that cause the cramping.

64:52So I started thinking, wait a minute, let's reduce her estrogen.

64:55Let's change her hormones.

64:57How are we going to do that?

64:59As luck would have it, researchers at Tufts University in Boston had done a study.

65:05They brought in a group of women, 48 women.

65:07They put them on a metabolic ward.

65:09They locked the door.

65:10They prepared all the food.

65:11They gave them diets for eight to 10 weeks each, either cutting fat, increasing fiber,

65:17or doing both at the same time.

65:19And what they found was amazing.

65:21The more you cut fat, the more estrogen levels came down to a more normal level.

65:25The more that you increased fiber, again, the more that estrogen came down.

65:29What they were thinking about was breast cancer.

65:32If I can tame estradiol, I can reduce breast cancer risk.

65:35But I was thinking, this woman has hormone haywire.

65:38that's causing her cramps.

65:39So I suggested something I don't think any doctor ever suggested before.

65:43I said, let me give you some painkillers for today, for tomorrow, so you can function.

65:47But would you like to try and experiment?

65:50Everything in your diet, I want to be from a plant for the next four weeks.

65:53And keep oils really low.

65:55What am I doing?

65:55I'm making sure she gets max fiber, minimum fat.

65:58She called me back four weeks later.

66:00She said, Dr.

66:01Barnard, I got my period today.

66:05Nothing.

66:07No symptoms whatsoever.

66:09She said, this is miraculous.

66:10This hasn't happened to me ever.

66:11And she was cured as long as she stuck with it.

66:15But then she would kind of loosen up her diet and then the pain came roaring back.

66:18So we then did a randomized trial.

66:20Which we published in the journal Obstetrics and Gynecology with our partners at Georgetown University's Department of OBGYN.

66:27And it was randomized.

66:28It was the diet versus a supplement that was actually a placebo.

66:32And it works.

66:33And the diet reduced the duration of pain, the intensity of the pain, as well as PMS symptoms like bloating and water retention and moodiness.

66:42All these things got better.

66:43Now, there's some variability.

66:44For some women, it's just cure.

66:46For others, the effect is more mild.

66:49But then we started to realize, wait a minute, how about menopause, where a woman has hot flashes that are driving her crazy?

66:56You can change that whole scenario.

66:58Dramatically with food and things like thyroid function, where a person's hypo or hyperthyroid.

67:04All of these things have food connections.

67:08We need more research.

67:09Not everything is known, but there is more than enough known now that people should be able to put it to work for themselves.

67:16Speaking specifically there about, I want to talk about the other things you mentioned, thyroids, menopause, et cetera, but on the point of fertility, a lot of people are struggling with fertility for a variety of different reasons.

67:26I think we're all getting a little bit, you know, we're having kids later than ever before, both men and women.

67:30men and women and fertility as a conversation is rising and also IVF is becoming more popular for obvious reasons.

67:40What impact does our bodies, specifically how large our bodies are and how much fat we have on our bodies, have on our chances of being fertile?

67:50And are we seeing any sort of macro trends in

67:53human fertility.

67:54Yeah, we are.

67:55I mean, fertility is threatened and it's, you see more infertility now than you've probably ever seen.

68:03Now, let me say that I'm not cheerleading for increasing human fertility.

68:06We've got more than enough of it.

68:07And I think people shouldn't feel pressured to

68:11jump into it if it's not their thing.

68:13However, for women and men who want to have kids, there are certain things that are good to know about.

68:21And one is that excess body weight interferes.

68:25No big surprise.

68:26When women are carrying more body weight, it's...

68:30A hormone producing organ.

68:32Body fat is not just jello in a bag.

68:34Body fat, each fat cell is metabolically active, creating estrogens that are causing your body to be in an abnormal state.

68:44The sweet spot for fertility is if you measure your BMI, your body mass index, and if people have never done it, you just go online and you can look up BMI calculator, you put in your height and your weight.

68:56And what it'll say is that a healthy BMI is...

69:00between 18 and a half and 25.

69:02Over 25 is overweight.

69:04But within that huge, broad fork, the sweet spot for fertility is around 19 or 20.

69:12So it's not just within the healthy range, but within kind of the skinny side of the healthy range.

69:20Why does my body weight, my sort of body mass impact how well my reproductive organs are working?

69:29Well, for men, we don't see quite so much that sweet spot.

69:34Although what we do see is that if a man acquires more body fat, what's going to happen is he's making more estrogen and losing his testosterone.

69:42So the more weight you have, the more of these sort of estrogens and testosterones the body produces.

69:48The more body fat that you have, the more a man's body will take the testosterone and convert it to estrogen.

69:54So you're losing testosterone, gaining estrogen, which is the last thing that you want.

69:58But there's another part of the fertility issue, and that's dairy products.

70:02And researchers have been looking at this for a long period of time.

70:05There has been concern that dairy products interfere with fertility, both for men and for women.

70:09And Dan Kramer at Harvard University was really a proponent of this, looking at different countries and countries where dairy was just not their thing.

70:18There are a lot of countries, particularly in Asia, where dairy just isn't a thing.

70:22And there are others where it's everyday food.

70:26And you could see fertility tracking.

70:29Inversely with

70:30dairy consumption.

70:31There was something about dairy that was getting in the way.

70:33And what his theory was, that it's not, in this case, the dairy fat.

70:38He believed and wrote that it might be the dairy sugar, because the dairy sugar is lactose.

70:44And it's famous because a lot of people don't digest lactose very well.

70:47But the ones who don't digest it are the lucky ones, because you're not going to

70:51consume it.

70:52The unlucky ones are people who can digest lactose and it breaks into two sugars.

70:58The lactose sugar has glucose and galactose attached together.

71:03And when it breaks apart that galactose, we believe is toxic to the ovary.

71:07That's a theory, but there's evidence to suggest that it's true.

71:10And our concern is not just that it interferes with fertility, but that it's also associated with ovarian cancer.

71:15So stay tuned.

71:17Is there a link there also with fibre infertility?

71:20If we have a low fiber diet, will our fertility drop?

71:26We would have to think so, because all of these things sort of go in the same direction.

71:30A plant-based diet tends to get your hormones in a better balance.

71:34Why though?

71:34What is fiber doing inside the body that's causing my hormones to change?

71:38Okay.

71:39Your liver, every minute of every day, even while you're asleep, is filtering your blood.

71:43One of the things it filters out is anything that shouldn't

71:46be there, a toxin, or even a medication.

71:50Your liver says, I'm not sure we want this in your blood.

71:52It'll try to remove it.

71:53And excess estrogens are also removed.

71:56When they're removed by the liver cells, they're sent through in a

72:00into the intestinal tract.

72:01Your liver, through the bile duct, sends unwanted estrogens, excess estrogens, down into the intestinal tract, and they go out into the toilet.

72:12Except, let's say,

72:17I don't have much fiber in my diet.

72:19Let's say that I'm eating cheese and I'm eating a lot of meat.

72:23These don't have fiber at all.

72:24Then in that case, the estrogens go down the intestinal tract and before they can be excreted, they're reabsorbed through the intestinal wall back into the blood.

72:32Doctors call this enterohepatic circulation.

72:35And so that very same estrogen molecule that your liver spotted and it removed it and it sent it down into your intestinal tract thinking it was getting rid of it.

72:43It went through the intestinal wall back into the blood and ended up at the liver.

72:46Because there wasn't enough fiber.

72:48Because there was not enough fiber.

72:49If you have fiber in your diet, the fiber grabs those estrogen molecules and it carries them out with the waste.

72:54Okay, so this is my conclusion here, just to make sure I'm perfectly clear.

72:57If I have a lot of excess fat on my body, that means that I'm going to be producing more, if I'm a woman, I'm going to be producing a lot more estrogen.

73:03Yes.

73:04Because the fat cells produce estrogen.

73:06So there's more estrogen being produced.

73:07And if I don't have the fiber, that estrogen is going to go into my liver and then it's going to be reabsorbed back into my bloodstream and stay there, increasing my estrogen levels to a point where I'm struggling with fertility.

73:17But if I do have a lot of fiber, the fiber will grab that excess estrogen and it will take it out into the toilet.

73:23Exactly.

73:23And you want hormones, you want to be in balance, not too little, not too much.

73:29Hormones will kill you.

73:30Thyroid hormone.

§07Transcript — part 7

73:33All of these things can ultimately be fatal if they're in too high an amount or too low of an amount.

73:38What's a thyroid?

73:40The thyroid is this little Clark Kent at the base of your neck.

73:44Yeah.

73:45You can barely feel that it's there.

73:47But the thyroid gland makes thyroid hormone, which gives you energy.

73:50And if it's not working, you know it.

73:54You get out of bed in the morning, you look in the mirror and you say, I just don't look right.

73:58My energy's not good.

73:59There's something wrong with my hair.

74:00My skin doesn't feel right.

74:02And a lot of people are low in thyroid.

74:05I've heard that phrase before a few times, underactive thyroid.

74:10Does that just mean that the thyroid's not producing enough thyroid hormone?

74:13Exactly.

74:14It's not making enough, and there are two reasons for it.

74:16The first reason is that you can't make one molecule of thyroid hormone if you don't have iodine in your diet.

74:23And iodine is an element that's in the earth, it's in seaweeds, it's in a number of things like that, but you may not be consuming it.

74:31Now, luckily, there is iodide added to salt, so your average person in a...

74:37Most countries gets iodine from that source.

74:41And people who live in Japan and countries where they eat sea vegetables a lot get huge amounts of iodine.

74:47But if you're low in iodine, you can't make thyroid hormone.

74:49The bigger reason, though, here in the U.S.

74:52Is antibodies, that your body makes antibodies.

74:57To kill bacteria or to kill

75:00Viruses.

75:01Your white blood cells make these antibodies, which are protein torpedoes that find that virus and knock it out.

75:07But for some reason, your white blood cells will make antibodies that attack you.

75:14And they attack your thyroid gland.

75:16And they stop it from working.

75:18And autoimmune conditions are, there are many of them, rheumatoid arthritis, is antibodies are attacking the lining of your joints.

75:27And what we believe is happening is that something entered your body and triggered that antibody release.

75:35And that something could be a dietary protein.

75:39Like dairy proteins or meat.

75:41Now, no one has ever done a study to this point to see if a plant-based diet could reverse hypothyroidism.

75:49But we have evidence that they should.

75:52Because first of all, in the Adventist Health Study 2, they brought in 60,000, 70,000 people.

75:58And they showed that the people with the most hypothyroidism, the people in whom it was most common,

76:04were the big dairy consumers.

76:06In fact, vegetarians who were eating lots and lots of milk and cheese.

76:10The dairy protein, we believe, is the trigger for this.

76:14The people who had the least hypothyroidism were the vegans.

76:16When it came to hyperthyroidism, the same thing happens, but the physiology is a little different.

76:22Your antibodies are now attacking

76:26the turn off switch.

76:27So the thyroid can't turn off.

76:30You can't regulate it anymore.

76:31And you're cranking out too much thyroid hormone.

76:33They are the people who have the most risk are the meat eaters, omnivores, people eating a lot of meat, a lot of dairy.

76:38Again, the vegans are the lowest in both.

76:39And we do see individual cases, anecdotal cases of people who've changed their diets and their thyroids improved.

76:46But what we need is a randomized trial.

76:48Yeah, and I think that's the important point, isn't it?

76:50Because I always think when I've heard people talking about the sort of meat-eating diet versus the vegan diet, my brain goes, well, you know, the fact that this could be a massive stereotype and it might be wrong, so just to caveat that.

77:03But I tend to think that people that eat a vegan diet generally make better health choices.

77:08Outside of their diet.

77:09They tend to have more exercise.

77:11They tend to just be more conscious.

77:13They tend to probably smoke less.

77:15They probably drink less alcohol versus someone on the typical American diet who's having McDonald's, having alcohol, lots of sugar, processed foods, etc., probably exercising less.

77:26So in those sort of mass scale studies that aren't controlled and randomized, I go, it's hard to believe anything because...

77:32I don't know the full picture.

77:34We saw this particularly when we looked at intelligence testing in kids.

77:38The kids who are raised on plant-based diets have score much higher on intellectual testing.

77:43And I believe that in those kids, it's probably an artifact that they're raised by parents who are very well-educated and are giving their kids every opportunity.

77:52And so they're using a plant-based diet for the kid because they think it's the best thing.

78:00However, the way the answer to this is to do a randomized trial, because when you bring in people who are already eating a junk food diet, and then you can randomly assign some people to a control group and others to a specific dietary

78:13intervention, then you're taking people who've been eating

78:17The same kind of diet, but what you're changing is the foods that they're eating.

78:21And let me be clear.

78:23Getting away from animal products is always a good idea.

78:26However, when you pick and choose what's left, there's a big difference between a bowl of blueberries and a plate of chips.

78:36So what we want to, it's always a good idea to go over the animal products, but we want to bring in the best of what's left.

78:42And if we choose the foods the right way, we can knock off that weight we've wanted to knock off, and we can really reclaim our health in a good way.

78:48The other book of yours that I was reading was about the power foods for the brain.

78:52I recently had my brain scanned, found out lots of interesting things about why I am the way that I am.

78:57And since then, the doctor that scanned my brain, Dr.

78:59Armin, he prescribed me a bunch of different things to help with my, I guess, to regrow my brain in many respects, because there's a couple of concerns, or there's at least a trajectory which might not be great if I don't make some changes.

79:13The book you wrote discusses Alzheimer's a lot and general sort of things like memory, etc.

79:21Why did you write that book?

79:22What was the call there, the personal reason for doing that?

79:27Well, there were a number of things, but I have to say my father died.

79:32And on the day that he died, his heart stopped beating.

79:37But the truth of the matter is that he died, for all intents and purposes, five, six, seven years earlier than that because he had dementia.

79:45And it started out, he was an intelligent person.

79:48He was a physician, very well read, but he started to have memory lapses and it got worse and worse and worse so that it was every day he had trouble with his memory.

79:59And then he couldn't control his emotions and ended up not being able to control.

80:04Anything in his life and had to be separated from my mother who cared for 24-7 and he finally died.

80:10It's a horrible thing to have happen.

80:14And in 2003, the Chicago Health and Aging Project published some amazing findings.

80:20What they did is they went around Chicago, they just rounded up people and said,

80:24What did you eat for breakfast?

80:26And people would write down what they ate for breakfast, what they ate for lunch, what they ate for dinner.

80:30And then they just waited.

80:31As time went on, who retained their cognitive abilities?

80:36Over years?

80:37Over years.

80:37Okay.

80:38Exactly.

80:38So you do structured tests where you look to see, can you recall words?

80:43Can you...

80:47Draw a face or a clock and put things in the proper perspective.

80:50And there are a number of other tests.

80:52And those people who stayed mentally clear tended to be the ones who tended to avoid saturated fat.

80:57And the specific number was about...

81:00A two-thirds reduction in the risk of developing Alzheimer's disease in those individuals who are very low in saturated fat.

81:07What's saturated fat?

81:08That's the solid fat that is in dairy number one, meat number two.

81:14That alone was amazing.

81:17In the journal Neurology and other journals, these studies started coming out and we thought,

81:22Let me make the clock go backward because I want to tell my father.

81:25My dad grew up in a cattle ranch.

81:27We ate like we were in the cattle industry all my life.

81:30You're getting this huge load of saturated fat going down your gullet, affecting your heart, affecting your brain in ways that we only have recently come to appreciate.

81:38But the truth of the matter is, it's not just that.

81:41There are five things you need to do to protect your brain.

81:44If you're not doing them, you're playing with fire.

81:47Number one, get away from the meat and dairy products because they are pushing the saturated fat into your diet.

81:53And there are others too, like coconut oil and palm oil.

81:56They're marketed as healthy, but they are as bad as butter.

81:59Number two, there are metals in your diet.

82:01You're not aware that they're there, but iron, copper, these are things you need a tiny bit of.

82:07You don't need the overload that comes in liver and in steak.

82:10Aluminum is a metal that you don't need any of at all, but it's an added ingredient in all kinds of foods, as well as in medications.

82:18Number three, you need to have a lot of water.

82:19Need to exercise.

82:21Lace up your sneakers.

82:22You are great with this.

82:23You are a role model.

82:24People should do what you do.

82:25Thank you.

82:26And researchers at the University of Illinois brought in 120 people, older folks who were not exercising.

82:33And what they asked them to do was a 10-minute walk.

82:38A brisk walk.

82:39Now, brisk means I'm breathing a little faster than I was before, but not so fast that I can't speak.

82:46And 10 minutes, three times a week.

82:48Then the next week, 15 minutes.

82:51Then the next week, 20 minutes.

82:53And when they got up to 40 minutes, three times a week, they stayed at that level.

82:57And what they showed is that the hippocampus...

83:00Which had been the seat of memory in the brain, which had been shrinking, started to reverse that process.

83:07And you could see a measurable reversal of that brain shrinkage.

83:12Number four, you have to stop.

83:16You can't exercise all the time.

83:18You can't read things all the time.

83:20You can't watch documentaries all the time, hoping to protect your brain.

83:23Your brain needs downtime.

83:25And when the clock strikes 10, I don't care how good the podcast is that you are listening to, turn it off and go to sleep.

83:31Get up early the next day if you need to.

83:32The first...

83:34Even if it's this podcast, turn it off.

83:36Even this one, pick it up tomorrow morning and you're going to learn better.

83:41I agree to disagree.

83:42You've said a lot of things that are controversial, but I think that might be the most controversial.

83:45All right.

83:45This one will allow you to watch it, particularly if it's me talking.

83:50But in the first part of the night, your body is engaged in what's called slow wave sleep.

83:55That's where you're taking your apartment and organizing things.

83:59All the file folders and things that are all over higgledy-piggledy, when in the early part of the night, 1130, 12, one o'clock in the morning, your body is filing away.

84:07Here's a new word.

84:08And it's putting it in a place where you can find it when you need it.

84:11Later on in the night, the brain does what's called REM sleep, rapid eye movement.

84:17You're dreaming.

84:19And now you're integrating physical skills, like playing the violin or tennis or anything physical, and also emotions.

84:28So if you are not sleeping, what's happening?

84:30You're going to have crummy memory.

84:33Anybody can test this themselves.

84:35Just look at a time when you're sleep deprived.

84:37You discover your memory is shot after about three, four days, and your emotional control is much worse.

84:43Get a good night's sleep.

84:44After a few days, you'll get right back together.

84:46So we've talked about avoiding saturated fat.

84:49You want to avoid the excess metals.

84:50You need to exercise.

84:51You need to stop and sleep.

84:53But there's a fifth thing.

84:56When somebody has any rapid change in mental status, you got to walk in the bathroom, open up the medicine cabinet and see what's new.

85:06Because we have seen so many medications that are causing brain effects we never expected.

85:13One of the most surprising was statins.

85:15We have seen hundreds and hundreds of cases of individuals.

85:18By now, it's thousands.

85:19of individuals where you're having memory problems, sometimes severe, from statin drugs.

85:23Don't get me wrong.

85:24Statin's effectively lower cholesterol.

85:25For some people, that has a life-saving effect.

85:28But that and many other medications are going to affect the memory in some ways that can be so severe

85:36that when we take that medication away and let your body reheal, you can pack your bags and get out of that nursing home and go back home.

85:45It's a really interesting example there.

85:46I think as you say that there is life-saving consequences to statins and also

85:53That is a side effect, right?

85:54In some cases.

85:55Yes.

85:56Right.

85:56But not all cases, I guess.

85:58Not all cases.

85:59Exactly.

86:00But 90% of people on statins don't need them or wouldn't need them if they followed a healthy diet.

86:07The reason they have a high cholesterol is that they are eating products that cause their body to make more cholesterol.

86:13And those are animal-derived products.

86:14If I was able to look at your father's brain before he passed away, would I have been able to see the dementia?

§08Transcript — part 8

86:22Yeah, you can.

86:23This is the terrible thing, is that we do know that if you catch dementing processes early, reversal is possible.

86:33You see that not only with paper and pencil testing, their memory is getting better, but you can see it on the brain scan where the hippocampus is...

86:41The reversal process is turning around.

86:44But there is a point where the brain cells themselves are dying.

86:49It's like,

86:49Like a shriveled cauliflower.

86:51And there's a time where that memory is just not going to come back.

86:56And so we want to prevent it.

86:57We want to prevent it starting now.

86:59At Kaiser Permanente, researchers did a study.

87:03They brought in almost 10,000 people and they tracked their cholesterol levels and found that if you got a high cholesterol level, it's not just bad for your heart, it's bad for the brain.

87:11The cholesterol levels were taken when the people were about 40.

87:15So the point being that what you're doing now is affecting your heart.

87:20It's affecting your brain now.

87:23There's someone listening to this right now that is 21, 24, 26, 28.

87:29What's the message to them?

87:31The message to them is pick the bean burrito.

87:34The message to them is pick the foods that are healthiest for you.

87:38But does it matter then?

87:40Does it matter?

87:40Because, you know, a lot of them will think, oh, I'll worry about that later.

87:43I'll worry about, I'm 31, I'll worry about this stuff when I get to 50.

87:49I absolutely know what you're talking about.

87:50When I was that age, I smoked cigarettes.

87:53I smoked about a pack a day.

87:54Yes, it's true.

87:55I did.

87:56In fact, all the medical students did.

87:57We figured I'm under so much stress.

87:59You know, when I'm done with medical school, I'll quit at that point.

88:04You know, nowadays medical students wouldn't do this.

88:07We smoked the cigarettes we bought in the hospital gift shop.

88:11Yeah, our patients could smoke in bed as long as there wasn't oxygen flowing.

88:16But anyway, let's face it.

88:17Young people take any risk that they can.

88:20But what really got our attention was studies showing that if you look at the tragic cases where teenagers are killed in an accident,

88:30or killed in wartime.

88:31And you look at autopsies, what you see is atherosclerosis, that hardening of the arteries has already begun, and it's been working through their teens.

88:39By about age 18 or 19, many kids have already lost one of their lumbar arteries.

88:46What this means is your heart gives off the aorta, the huge main line that goes up, and then it does a You-turn, goes right down in front of your spine, and it gives blood to each vertebral segment.

88:58And the very first place where those atherosclerotic lesions form and pave off those little bifurcating arteries, the little side arteries that are going to help your lumbar spine.

89:10The very first place where atherosclerosis occurs in a big way is in this lumbar spine.

89:15So you'll see a guy.

89:1718, 19, has completely lost the blood supply to one part of the lower back.

89:23Now there are collaterals, but eventually he's going to get lower back pain because the discs between the vertebrae, they don't get any blood supply at all.

89:31They get oxygen by diffusion from the vertebrae.

89:34And the more you cut off the blood supply, the weaker that disc gets.

89:39And it's like a pillow.

89:40Where the outer covering of the pillow degenerates and the stuffing comes out, pushes on a nerve and you got pain all the way down your leg.

89:48And you thought, well, that was

89:49Because I'm stressed and I'm strained.

89:51I was in an accident.

89:52Yeah, those are all precipitating factors, but you were set up for it because your body cannot heal anymore because you've got no blood supply anymore.

89:59So a clean diet can help protect against those things.

90:01What would I have seen in your father's brain?

90:03If I looked at your father's brain under a microscope, would I have seen like a plaque buildup?

90:07Is that what it's like?

90:08You would see several things.

90:09You would see plaque between the neurons, between the brain cells are what we call beta amyloid.

90:17And it's these proteins that the brain cells make.

90:20And it's still controversial what it's doing there, but most people believe it's part of the disease process.

90:25And there are...

90:26Malignant proteins called tau proteins that are in the neurons there.

90:30They're there.

90:31We've known they've been there for a long period of time, but it's worse than that.

90:34The brain itself,

90:37I mean, at 100 feet, you could see the difference.

90:40If you could look at that scan, a healthy brain stays big and vibrant.

90:47The Alzheimer's brain is visibly shrinking and deteriorating.

90:52And that person is not going to come back from that.

90:54You know, there's a big school of thought that doing a lot of sort of crosswords and stuff like that helps the brain to...

91:00Kind of defends against that shrinking, that shriveling you're talking about.

91:03People, one of the things I was prescribed for my brain is to do a lot of paddle sports and like racket sports.

91:09What's your view on that?

91:10I think we need more research on all those areas, but I am inclined to think that the more we use it, the less we lose it.

91:16So if we use our brain and not just...

91:19Thinking, vocabulary things are good.

91:22In Canada, researchers discovered, you know, some people speak English in Canada, some people speak French, some people speak both.

91:29Some people have three languages or four languages.

91:31The more languages people speak, the more delayed is any kind of cognitive decline.

91:38So what we believe is that it may well be that using the neurons keeps them active, but we're not just using our brains to remember words and remember sentences and remember facts.

91:49You're using your brain, every step you take on it, when you're out running.

91:52Your brain has to anticipate where your foot is going to go, where the pavement is to keep you from falling down.

91:57And you're not just running along.

91:59Your brain is automatically tracking where you're going.

92:02It's keeping you from falling over.

92:04It's regulating your balance.

92:06And that is a big...

92:09job.

92:09It's not just muscles.

92:11Exercise involves the brain in a huge way.

92:13And that is great to feed your brain with physical exercise, with things that allow your vestibular system to work.

92:21That means anything that is involved with turning and movement.

92:24All that is great for the brain.

92:26I also read in your book that exercise in particular helps sort of clear out toxins.

92:30That are associated with sort of cognitive decline and the decay of brain cells?

92:35To make it simple, the more you're moving, the more your heart is pumping.

92:40It's doing that to get oxygen into your muscles.

92:42That's its job.

92:44But what is it doing in the process?

92:45It's sending the blood up to your brain and the blood is coming out of your brain.

92:49carrying things away.

92:50So the more active we are, the better off we're going to be.

92:53And in that book, you say overall, they show that regular aerobic exercise trims the risk of dementia by about 30% and cuts the risk of Alzheimer's disease roughly by 50%.

93:04And I think the numbers are better than that, to tell you the honest truth.

93:06If you combine a healthy diet, which means getting away from the saturated fat, which is the dairy and the meat, and having the vitamin E rich foods, like some nuts and some seeds, which are healthy vitamin E rich foods, not pills.

93:19You get it from the foods themselves.

93:21Avoid the metals.

93:22Lace up your sneakers.

93:23And if you can get a good night's sleep, I would suggest that we could probably cut Alzheimer's risk by 80%.

93:31It needs to be proved.

93:32We need to prove it in research studies, but there is no reason to wait.

93:35You don't want to be in the control group that is doing nothing to see what happens to your brain.

93:40Participants in a Chicago study who got three to four vegetable servings per day slowed their rate of cognitive decline by 40% compared to those who got only one serving of vegetables per day.

93:49And I guess that speaks to the importance of vitamin E, which is in all of those vegetables, right?

93:54There's vitamin E in those, but there's a bunch more of the vegetables as well.

93:57There's fiber and there's many other vegetables, B vitamins as well.

94:01And I got to say, to be in the high vegetable group in the United States, even having one or two vegetables per day is pretty great, except for, unfortunately, the only vegetable a lot of Americans eat is French fries or potato chips or something like that.

94:13So bring in the vegetables in a big way.

94:15Coffee?

94:17Who knows?

94:19People have wanted to say coffee is a healthy thing.

94:22And in fact, there have been studies that show that people who drink more coffee are at less risk of Alzheimer's disease.

94:28Now, the problem is it had to be a lot of coffee.

94:31It had to be five cups a day or even more.

94:34And there are other studies that do counteract that.

94:38I'm inclined to think that maybe the biggest consideration is what goes into your coffee.

94:43So if what's going into your coffee is some creamer and a whole bunch of sugar, that's really not so healthy for you.

94:48Maybe that's not the best choice.

94:49And lastly, you said the word metals.

94:52When you say metals, what do you mean?

94:53Like this cup here?

94:54Is metal.

94:56What do you mean by metals?

94:57Keeping metals out of my body?

94:59There are three metals we're concerned about, iron, copper, and aluminum.

95:02There may be others too, but those are the biggies.

95:05Iron is something that your body needs.

95:07Your body makes hemoglobin with iron, and you need that to carry oxygen.

95:12That's what makes your...

95:13Blood red.

95:15However, your body only needs a certain amount.

95:17And if you get too much, it can damage the heart and can damage the brain.

95:21It's easy to get too much.

95:23Our bodies are built for plant foods and plant foods have what's called non-heme iron.

95:30And the beauty of this form of iron is if you're already iron overloaded,

95:35Your body says, I got it.

95:38Let me absorb less iron now.

95:40If you're low in iron, your body can take that non-heme iron and absorb more.

95:44It's the form your body can regulate.

95:46But if like me, you grew up in North Dakota and you're eating a lot of beef,

95:49There's a lot of iron in it and your body cannot regulate the heme iron.

95:53It just comes into your system and you end up iron overloaded.

95:56So iron is the first one.

95:58And the solution is avoid animal products.

96:00Or if you want to be clever, you can go donate blood and you can give your iron to somebody else.

96:05It works.

96:06Copper, copper pipes.

96:09If you have copper pipes in your house and all night long the water sits in them and then you fill your coffee maker in the morning, you're getting a big load of copper.

96:18The aluminum is quite a story though.

96:21In England, researchers looked at different counties where there was more aluminum in the drinking water.

96:27It's not in the well and it's not in the river.

96:29It's used in the purification process.

96:32The aluminum compounds are added to clear the water and you have to then carefully extract them.

96:36And if you don't extract it, you get aluminum out of your tap.

96:39And the counties with the most aluminum in their drinking water had 50% higher risk of Alzheimer's.

96:45So researchers have looked at that.

96:46And there are plenty of neurologists who think it's just a fluke, except that you do see it with some frequency.

96:53The reason we think it's not a fluke is that aluminum is a neurotoxin.

96:58And we learned that from industrial accidents where aluminum compounds are suddenly inhaled by everybody.

97:04It's without question a neurotoxin.

97:07And secondly, there is zero use for aluminum in human physiology.

97:11You don't need it.

97:13So if you're taking an antacid that's made with aluminum, or you're putting on a deodorant that's got...

97:19Aluminum as one of the antiperspirant ingredients in it.

97:22Some of them have that.

97:23A lot of them have that.

97:24It goes through the skin.

97:25And you're getting this neurotoxin, which is in your body.

97:28So while the research is continuing, my advice is steer clear of the aluminum completely and be careful about the iron and copper.

97:36You put this together, your body can be as healthy as nature wanted it to be.

97:39I've started thinking a lot about that, about the products that I have around my house.

97:43You know, I just...

97:45For many, many years, just bought whatever was in the supermarket that I thought had a nice label or, you know, I was a victim of marketing.

97:51So whatever marketed the product best to me, I just buy.

97:53And then in the last sort of six months, I'm now sort of scanning the things that I'm buying from supermarkets and shops and the things by my bathroom sink to just try and make sure that they are clean.

98:04As clean as possible from some of these sort of toxic chemicals.

98:08Do you do that?

98:09Absolutely.

98:11And that comes to everything you're eating.

98:13If I've got the opportunity to choose organic or non-organic vegetables, even if the organic costs more, do I want one with chemicals or without?

98:22Frankly, it's a no-brainer.

98:24The app I use just for anybody, I'm not affiliated with the app at all, but just, I know people are going to be sat there thinking, how are you scanning your stuff?

98:30The app I use to scan my products is an app called Think Dirty, which is, has a big database of their ingredients.

98:36So I'd recommend that.

98:38Neal, what is your closing message?

98:42Someone's got this far into the conversation.

98:44They've heard everything you've said.

98:45And, you know, they're thinking, God, I do love my, I do.

§09Transcript — part 9

98:49I do love my food.

98:50I love my animal proteins.

98:53I love chicken.

98:53I love steak.

98:56I'm probably not going to quit chicken or steak because it's just, you know, it's one of my favorite foods.

99:01It's convenient.

99:02What's your closing message to those people?

99:04My message for everybody is let's see what your body can do.

99:08Let's see how foods work.

99:10Let's not think about the long run.

99:11Let's think about the short run.

99:13If a person comes in, they've got diabetes.

99:15My job with them is to see, can I cure you?

99:18So if a person says, well, I don't really want to make big changes, I'm going to say, let's make some huge changes right now.

99:23Because if we can get cured of this in the next six or eight or 10 weeks, that's good to know.

99:28So let's say you're not in that situation, but you've got weight you'd like to lose.

99:32You'd like to feel better.

99:33Let's make some big changes now.

99:34Let's do a little bit of bootcamp.

99:36Let's see the foods that love you back.

99:38Let's put those power foods into your diet and see what they'll do for you.

99:41And then after you've had a chance to experience it, then it's up to you.

99:45You use it as much or as little as you want to.

99:48And for most people, they just view the world differently ever after.

99:52Neal, we have a closing tradition on this podcast where the last guest leaves a question for the next guest, not knowing who they're leaving it for.

99:58And the question that has been left for you is,

100:04What would you whisper in the ear of your younger self?

100:10Well, I would tell my younger self, frankly, the same thing that I would tell my older self, which is to be grateful for the things that we have and that we have learned.

100:20And I would share that with you.

100:23You could do anything that you want to.

100:25You could have any kind of guest on your show that you want to.

100:28But what you're doing is you're taking information, you're asking terrific questions, and talking about important things in a way that is going to get people talking and thinking and trying new things and learning things, maybe disagreeing or agreeing or whatever.

100:41But you're starting a discussion that goes around the dinner table, and it affects the next generation too.

100:46You will never know how many lives you save.

100:50But I mean this in all sincerity.

100:52You're changing people's lives by changing what they know and what they're trying out.

100:55And there are people who are going to be alive because of you.

100:57And I'm grateful to be able to play a part in that kind of work.

101:02But I'm also grateful to you for using your podium that you have to share that with other people.

101:11Thank you, Neal.

101:12And that's a really incredible compliment.

101:15It's absolutely the truth.

101:18When you can share information with people that changes their lives, you'll never see the effects and they won't thank you.

101:24So that's my job.

101:26Thank you.

101:26I appreciate that.

101:27And I extend that.

101:29Point of gratitude to our entire team here.

101:31There's almost 30 of us that are behind this.

101:32I get a lot of the credit in the street because people see my face, but for the other 30 people that sit behind the production and work very hard to find people like you to have these conversations with, they deserve all the credit as well.

101:44And I have to say, you know, I have lots of people on this podcast that talk about health, diet, nutrition, all those things.

101:50The reason I do it is because I'm interested in it and I want to get better and better and better.

101:54And I've seen an improvement in my diet, in my gut problems have gone away over the last three years.

101:59Lots of people come on the show.

102:00They have lots of different ideas about eating meat, about not eating meat, about eating this fruit, da, da, da.

102:05What I gain from it, and I probably should say this, although the information can sometimes be conflicting, right, which I think information should be conflicting, I think that results in progress.

102:16I think it's two ideas clashing with each other that results in a new way of doing things or a new conclusion or a new solution.

102:23But for me, what I do, and this is what I advise all my listeners to do when they hear these conversations.

102:28Is to listen, is to reserve judgment, is to do your own research.

102:34And finally, it is to not worry about perfection, but it is to pick and mix things that get you closer and that induce progress.

102:43And that's what I do when I sit and listen to these experts.

102:46There'll be things you say today, like, I'll be honest with you, I can't see myself quitting chicken breast, right?

102:50However,

102:52There are many things you've said about blueberries, about, you know, metals in my diet, about exercise, about legumes and about vegetables and about these power foods.

103:02That you talk about in your book, that I now have more motivation to bring into my life.

103:10And that's honestly, I'll never tell anybody what to do with their life, but that's honestly just how I...

103:16Consume this information, especially when it's like varied and conflicting.

103:19And there's, you know, I find the overlaps and having spoken to, let's just say I spoke to 10 health experts or authors or, you know, scientists, I find where the information overlaps and I take on that information into my life.

103:32And that is how I, that's how I proceed with necessary caution.

103:35Neal, thank you.

103:36Thank you for being one of those people that is pushing conversation forward by presenting new ideas in new ways and doing it in such a compelling, accessible, story-driven way.

103:48Because I think that makes the information land in a way that it should.

103:51And thank you again for all the lives that you'll save because of the messages and the way that you brought forward the conversation around nutrition.

103:58It's an incredibly important work.

104:00And I throw back the compliment you gave me.

104:01I'm sure you've saved.

104:04Many thousands and thousands and thousands of lives just by doing what you do.

104:07So thank you on behalf of all those people as well.

104:09Thank you.

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— A LITTLE MORE TO THINK ABOUT. —