Harvard Professor: “I Tried Every Diet. This Is By Far The Worst.” - Daniel Lieberman
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Harvard Professor Daniel Lieberman shares his extensive journey of personally testing various diets alongside evolutionary research to cut through the confusion in modern nutrition science. He argues that an evolutionary perspective is crucial, noting that humans evolved over millions of years adapting to specific cultural foodways, whereas today's individuals face unprecedented choices among thousands of processed foods without the necessary biological mechanisms or knowledge to navigate them effectively. Lieberman critiques the concept of a single "optimal" diet as often being marketing rather than science, emphasizing that individual needs vary based on genetics and health goals. He distinguishes between a diet's efficacy in ideal conditions versus its effectiveness in real-world sustainability, suggesting that while low-carb diets might perform well theoretically, sustainable approaches like the Mediterranean or DASH diets are generally more effective for long-term adherence.
Regarding specific dietary patterns, Lieberman evaluates popular options with nuance and skepticism where necessary. He supports the Mediterranean Diet due to extensive epidemiological data but expresses doubt about Blue Zones claims of guaranteed longevity at 100 years old, pointing out that factors like lifestyle choices in Loma Linda or uniformity issues within Sardinia often explain these statistics better than diet alone. On protein intake, he rejects rigid rules as overly simplistic medicalizations and clarifies that excess protein is converted to fat rather than stored indefinitely. He also debunks the idea that all carbohydrates are harmful, explaining that unrefined, high-fiber carbs found in traditional farming cultures do not spike insulin dangerously due to fiber content and physical activity levels. Conversely, he identifies raw foodism as his worst experience because cooking breaks down cell walls for better nutrient absorption and safety, a biological necessity humans have relied on since over one million years ago.
The modern challenges of obesity and health decline are largely attributed to the industrialization of farming and the engineered nature of today's food environment. While traditional historical diets based on whole grains were generally healthy, issues arose from refined white flour introduced during industrialization and processed foods designed to be hyper-palatable by combining fat, sugar, salt, and varied textures. Lieberman explains that once created, new fat cells do not disappear but shrink, signaling the body to eat more via reduced leptin production in a phenomenon he calls "lepinostat." He warns against relying solely on GLP-1 medications for weight loss without addressing root causes, as they can lead to significant muscle loss and rapid regain of fat upon cessation. Furthermore, calorie labels are often inaccurate estimates because actual absorption varies due to food processing that increases accessibility and differences in digestion efficiency between species.
Ultimately, Lieberman views the modern food environment as a predatory system designed by capitalism to hook consumers, creating an inherent conflict where corporations sell both unhealthy processed foods and diet products simultaneously. He advocates for two primary responses: systemic change through top-down bureaucracy, such as regulating SNAP payments or taxing sugary beverages, versus aggressive individual agency requiring strict self-control over choices. To bridge the gap between these approaches, he calls for better nutrition education that teaches food chemistry alongside standard subjects to help individuals make informed decisions about metabolic hazards like added sugars and obscure additives found in products claiming to be made from "real fruit." While acknowledging that people are not completely free agents due to systemic pressures, Lieberman concludes that a combination of informed choice and potential regulatory intervention is necessary because obesity remains a public health issue affecting everyone.
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You've spent years researching every
major diet and trying many of them
yourself. I want to go through and
review all of those, but first off, what
was that journey like?
>> Well, it was fun. I mean, um I I I've
been working for quite a few years on on
a book about the evolution of diet, and
I thought rather than just simply
studying them, which was the majority of
the book, I thought I should try them as
well. So kind of you know on and off as
I was working on the book my my wife who
joined me for many of these diets kept
trying some of these you know diets some
of them some of them better some of them
worse but just kind of give a little
first of all some participant
observations so I get a sense of what
these diets are like but also to kind of
add context and experience them for
myself.
>> What did you start that journey
believing about food that you no longer
agree with? [laughter]
Um gosh that's I changed my opinions
about so many things. I mean the reason
I started this book um and this and this
journey as you say is that um I'm
actually my research is mostly on
physical activity. I'm I I study the
evolution of running and walking and
throwing and and various other physical
activities but I also teach nutrition
and digestion and physiology and you
know that kind of stuff. and I read the
literature and a few years ago actually
with some uh colleagues I taught a
course on diet and exercise and I've
just been so confused by what I read
right because one you can read in the
New England Journal of Medicine you know
the arguably the top journal in the
world articles in the same year that
tell you that saturated fat is good for
you and then articles that tell you
saturated fat is bad for you know this
much salt is too much for you and this
much salt is actually just perfect for
you I mean you you name it there's
controversy and confusion. And so I
wanted to explore those problems myself.
>> Um, but as an evolutionary biologist, I
wanted to integrate an evolutionary
perspective, an evolutionary lens with
hardcore biomedical data, cultural data,
anthropological data, experiential in,
you know, information, all that together
to think about it in a whole. So, so my
so I was really trying to do this in
order to answer questions for myself.
What use does an evolutionary lens give
you that is typically missed when people
make assessments about diet and
nutrition?
>> Oh gosh, it's hard to know where to
start. There's a famous expression in my
field that nothing in biology makes
sense except in the light of evolution.
It was written by a guy named Theodosius
Dubzensky in 1972. And what he meant was
that we didn't we weren't engineered, we
weren't designed, we evolved. And if you
want to understand why things are the
way they are, you need to take an
evolutionary perspective. Right? So
evolution answers a lot of why questions
and when you start addressing why
questions you begin to think differently
also about how questions and what
questions. So so I mean so nothing makes
sense except in light of evolution and
diet is no exception.
>> It feels like nutrition and diet are a
little bit like new religions.
[laughter] There's dogma. It's a super
sensitive topic. People get tribal. It's
often impossible to change their belief
no matter how much evidence you give
them. Why do you think that's the case?
Why do people become so ardent?
>> That's that's I completely agree with
you. And in fact, I think that one of my
biggest takeaways from working on the
book was just how tribal people are
about their diet. And I and I I I don't
know the the answer, but I suspect it
has goes something along the lines of
this, which is that for for millions of
years or thousands of years, depending
on which time scale you want, people ate
the way their culture dictated. Right?
If you lived in the Middle East, you'd
eat like a Middle Eastern. If you lived
in Japan, you'd eat like a Japanese
person. And now we live in a world where
everybody kind of eats the same stuff.
And um and a lot of uh institutions are
sort of crumbling. And I think people
are searching for identity. And I think
one of the ways in which we define
ourselves is by what we eat or very
often by what we don't eat, right? And
that's been sort of the case all along.
You know, if you're kosher, you don't
eat this. If you're if you're Jane, you
don't eat that, etc., etc. But but I
think um uh people are searching for for
meaning and identity and diet is really
important way of defining that. A lot of
the a lot of diet um I mean some diets
are kind of like cults. I mean um
they're sort of online nutritional
theology.
>> They're kind of online cults and
everybody kind of agrees. It's kind of
like group think.
>> You know why I think at least part of it
is because we all understand that the
diet that we eat is related to
longevity. what we are faced with when
somebody says that they disagree with
our they diverge from what it is that
we're eating. It's kind of a threat
against our own existence that if this
person is right implicit in that if I
believe deeply about my diet and they
believe deeply about theirs and we
diverge in our opinions that means maybe
they're going to live longer than me or
that means that maybe I'm going to die
sooner or that means that I'm wrong in
some sort of a way. It's not an abstract
>> discussion. It's got it's going to have
real world implications. Is this going
to come into land at some point?
>> Yeah. But I think the one of the key
words you just said is belief, right?
Because one of the real problems about
diet is that it takes
years, many years for the effects of
diets to manifest themselves in terms of
our health. And so we all have to take
leaps of faith when we pick our diet,
right? I mean, right now I'm, you know,
let's just say I follow the the
Mediterranean diet. you know, I can read
all the the studies I want about how
good the Mediterranean diet is for me,
but I won't know for 30, 40 years, maybe
50 years if if it's true, right? So, we
all have to take a leap of faith to some
extent when we pick a diet. Some people
take leaps of faith based on their
friends, their the group, the community.
Others are a little bit more scientific,
but no matter who you are, you have to
figure out what you believe and how
you're going to or what information
you're going to use uh to credit.
>> Okay, let's get into some of the
religions. Maybe two of the most ardent
groups of vegans and carnivores.
[laughter]
Plant-based diets superior.
[sighs and gasps]
>> You know, I try not to be that
judgmental about anything. I mean, if
you look at the data, um, look, no
matter what you, everybody who has a
particular diet idea, and including the
fat diets, almost all of them are based
on some grain of truth. All of them, the
carnivore diet included. However, when
you look at the data and you look at
like big metaanalyses, large scale
studies, um I don't think there's much
contest that, you know, plant-based
diets of various sorts, and they're not
all the same, uh tend to have better
health outcomes, uh in terms of
metaanalyses, long-term studies, and
there's also mechanistic data as well.
So, I think if you're going to air on
the side of animals versus plants, I I
think that science is pretty clear.
Plants.
>> Why?
Gosh, there are a lot of reasons for
that. Um, well, one is that plants um,
again, not not all plants are the same.
If you eat crap plants, right, if you
eat sugar and, you know, highly refined
grains and carbohydrates, you're not
eating a very healthy diet. I mean, a
lot of ultrarocessed foods are mostly
plant.
>> Um, that doesn't make them, the fact
that they're plant-based doesn't make
them healthy.
Um, but so, so, so, so, you know, it's
it when we oversimplify, we can get
ourselves into trouble. But um but
there's evidence that that uh meat for
even though we evolved to eat meat, meat
has been played an important part in our
evolutionary history, meat is
nutritious. Um there's no question about
that. But for example, there are studies
which show that there's a dose response
effect between how much meat you eat and
your risk of cancer.
Um I think it's um like one serving of
meat which I think they count as 85
grams increases your your your risk of
cancer over that over x years by I think
13% and if you if you double that it you
double the risk. So there's a there's a
dose response effect. So that's a that's
epidemiological data and there are quite
a few studies which show that. Secondly
there are mechanistic studies right? So
we know for example that meat has a
protein called carnitine and carnitine
when it goes to your gut is transformed
into another molecule called TMAO. Don't
ask me to give you the long form of the
of the of the molecule. And TMA TMAO is
a known inflammatory molecule that
causes inflammation and has been
associated with risk of of um um
actually it's been shown to be
mechanistically related to
atheroscerosis to hardening of the
arteries. to increase blood pressure.
Um, another effect of meat is that that
uh red meat not not u not poultry or
fish has a has a glyoprotein. So a
glyoprotein is a little you know every
cell has these little kind of like
forest of of like sugar protein
molecules that stick off and red meat
has a particular kind of glyoprotein
called NU5GC.
I mean that doesn't really matter with
the the name but turns out that humans
have an inflammatory response to that.
um we all humans all humans there's a
gene called cah which causes us to um to
transform one proteoglycine into another
kind and that makes us um have a
response to any red meat and um and
that's also been argued to be another
mechanistic reason for the the data I
mentioned earlier that there's a
relationship between dosage of meat
eating and and [snorts] cancer risk but
again it's not so simple because
Everything has trade-offs, right?
There's no such food that doesn't have a
trade-off. Um and and meat is just one
of them. And u so uh the other, of
course, the issue about meat is that
meat tends, not always, but tends to
have a higher amount of saturated fat.
And saturated fat is [clears throat] one
of the most controversial
things on the planet, right? In when
especially when it comes to nutrition.
And and we all don't we don't you
there's a lot of variation in how we
respond to to saturated fat. Some of us
can eat as much saturated fat as we want
and it doesn't really have any negative
effect but others um do have some
genetic susceptibility to saturated fat
and it does raise their their risk of
raise the levels of of lipoproteins or
cholesterol molecules that cause um
heart disease. So it's complicated. Um
there's there's never a simple answer
for anything.
>> It's seems like maybe some of the
reasons for plant-based diets having
better outcomes, at least
epidemiologically
is not maybe to do with what's in the
plants, but what's not in the meat that
isn't being eaten. It's like the
elimination diet of meat as opposed to
the inclusion diet of plants.
>> Of course, I mean, that's part of the
problem with studying nutrition, which
is that every time you don't eat
something, you're eating something else
or every time you eat something, you're
not eating something else or almost. So,
so that's one of the reasons why, you
know, you can't do a study, right? I
can't I there's no one is ever going to
do a study where they take, you know,
100 groups of twin, 100 sets of twins
and have one group of twins eat an all
meat diet
>> and one group of twins eat an all plant
diet. And even if they did do that, how
would you separate all the other
effects, right? Because when the ones
are eating the meat diet, what is it
they're not eating? And the ones are
eating the plant diet, what is it
they're not eating? And so on. and how
do you correct for the effects of
exercise and and and smoking and you
know all those other factors? It's it's
not possible to do that.
>> Why is it that the carnivore movement
has had such a boon recently if some of
the data seems to be skeptical about the
kind of outcomes of a very heavy
meat-based diet?
>> You know, that's a bit of a mystery to
me. I mean, I think part of it is again
it's a bit tribal. I think meat is
associated with manliness and and your
masculinity. Uh that's explains I think
some of it. Uh in the book I I recount
um you know James Blunt the English
singer. Yes. Went on an all meat diet
and ended up getting scurvy. But he
describes
um he describes that um that the reason
he did is he thought it made it more
manly.
>> Um now I mean that that that's probably
not everybody. Um there are others who,
you know, that they they hear um uh
podcasts or or or whatever that uh that
that um um that expound the the benefits
of of a meat diet and they're attracted
to it for one reason or another. And and
and um you know, one other issue is that
a lot of people are on really unhealthy
diets. And if you pick pretty much any
diet that's not a crap diet, for lack of
a better term, you're going to do
better. And so you might think, okay,
wow, I'm eating all this meat. I'm
feeling better than when I ate lots of
McDonald's and drank swile lots of, you
know, soda and and whatever. It doesn't
mean that you do wouldn't do even better
on say a Mediterranean diet or a DASH
diet or a Blue Zones diet or, you know,
fill in the blank.
>> Are you saying that the best diet is the
one that you're able to stick to?
>> Well, it depends what your goals are.
Um, if you're trying to lose weight,
absolutely. I mean that's actually
there's something called the National
Weight Loss Registry where they've
actually analyzed uh again because you
can't randomize huge numbers of people
to different kinds of diets perfectly.
So what this study has done is that
they've looked at they've tracked people
who managed to lose weight and keep it
off for a long period of time. I think
the average for the respondents is at
least six years or something like that.
5.6 years or something like that. And
and um and people's diets are kind of
all over the place. But the but what
they all share is they're not junk food
diets. they're tending not to eat a lot
of sugar and a lot of you know added fat
and things like that and they're able to
stick to them. Um um because because you
know a lot of people find diets hard,
right? Um if you go for a low-fat diet,
I mean it's I tried a low-fat diet. It's
not it's I fat makes food tasty. You
know, going on a low-fat diet is really
hard. And a lot of major studies have
failed uh um to have very much
effectiveness
because people can't tolerate the diet.
They they they they just start eating
more fat.
What do you make of the current protein
maxing push given what sounds to me like
a degree of skepticism around the
importance of meat?
Protein is the new hot girl in school.
Everybody wants her. Everybody's having
more of a What do you make of the
current world of protein?
>> I mean, I find it fascinating. I mean,
protein's having its day. And you look,
there there's some truth to the the
interest in protein. Protein is
important. It's you need protein. Uh
there's every day you need protein. You
can live without eating fat and you can
live without eating carbohydrates, but
you cannot live without eating protein.
>> Is that true?
>> Absolutely. Yeah. Your body can turn
anything into fat and your body can turn
and can your body can transform um uh
fats and proteins into sugars. Uh but
you cannot there are a bunch of amino
acids that are essential. You have to
have them in their diet or you'll die.
There's actually two fatty acids that
you need to eat a little bit of omega3
and omega 6, but apart from that um you
you do need to eat protein. Secondly,
protein is filling. So, um uh so people
tend to be a little bit more sated on
eating protein. Protein takes a little
bit more energy to digest. Um and and
it's pretty nutritious. But here's the
thing. Um uh and I think a lot of people
um and if you're you know very
physically active, if you're menrating,
if you're pregnant, um you need you need
extra protein. As people age, they also
lose muscle mass and it's really
important for them to have protein. But
here's the thing, the body can't store
extra protein. If you eat more protein
than your body can use, you can't store
it. So what do you do? You turn it into
turn it into fat. So eating massive
amounts of protein um is probably not
that harmful unless you get to
ridiculous levels and you can do kidney
damage, but you have to really eat a lot
of protein for that. So eating huge
amounts of protein is not going to have
some massive benefit. And there's no ev
I don't I've never seen any strong
evidence to the to that state.
>> One gram per pound of body weight is the
rubric.
>> That's what they say. Yeah.
>> And what do you where do you come in to
land on one gram per pound of body
weight for protein consumption?
>> I don't have a strong opinion on that. I
mean, I think, you know, we're all
different. I mean, part of the problem
with the way we think about diet is we
we we medicalize it, right? You know,
that you just gave a dose, right? But it
doesn't work that way. Um it's it's
complicated. It depends on what you're
doing and how old you are and whether
you're losing muscle and whether you're
working out and whether you're 20 or
whether you're 80.
>> Um um
I don't think anybody's able to come up
with a perfect dose of protein. I mean,
it's, you know, the old definition of
economical, you know, enough but not too
much. And I think that and we all have
to figure out that out. But but it's
not, you know,
it's it's really hard to come up with a
very simple diagnosis for any human
being. And that's again part of the
problem with diet. We all we all want to
be told what to do. We all want to make
it simple. We want a magic bullet. We
want a quick fix.
>> And the problem with diet and nutrition
is that it doesn't work that way.
>> I imagine we're only two religions in to
our
>> [laughter]
>> uh nutritional theology. uh trip around
the world. I imagine some people are
already feeling a degree of maybe
uncertainty or confusion. Well, okay.
So, it's important for me to have
protein that I need that it's actually
mandatory. It's one of the few things
that I have to have or else I'm going to
die at some point. But also, there's
some pretty sort of negative effects,
especially around red meat, it seems,
over long-term populations. The
plant-based thing appears to maybe win
out a little bit, but the carnivore
thing is missing some stuff. Well, well,
what but one of the weird things about
the whole protein thing is that people
seem to associate protein with meat. You
know, when you go out all all those
plants out of there, they're there a lot
of protein in those plants. Beans are
filled with protein. Legumes are filled
with protein. Um uh whole grain foods
have a lot of protein. You don't need
meat in order to get protein. And in
fact, you know, soy is a complete
protein. You could actually live your
life off soy. You don't actually need to
eat meat in order to get protein. So the
equation of meat with protein I think
has been uh exaggerated. It's true meat
is rich in protein and meat is a
complete protein but you can also get a
lot of protein from quinoa and from you
know from nuts and whatever you know
it's not a you and you can certainly by
and and every culture on the planet has
figured out you know every farming
culture on the planet figured out how to
get sufficient amounts of protein by
combining a grain with a legume. So rice
and beans or corn and beans, all of
those are ex are solutions that that
cultures worldwide figured out in order
to help make ensure that people got
adequate amounts of protein.
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Mediterranean diet is regarded as one of
the most healthy on the planet. Is that
right? it has probably more scientific
evidence um to support it than any other
diet because and that's partly
euroentric because of course you know
Europeans and do most of the research
and Americans do most of the research so
there's a lot of there's a lot more data
on it. I'm not sure that the
Mediterranean diet is necessarily
healthier than a traditional Asian diet
or a traditional American diet or, you
know, mess diet or traditional Asian
diet, but absolutely there's a ton I if
you were to go purely on epidemiological
data at the moment you would pick a
Mediterranean.
>> Can you explain what epidemiological
data in the world of diet and nutrition
means?
>> Excellent question. So, so there's a
number of ways to figure out the effects
of food and diet on health. And so one
is to do I'm going to back up a little
bit if you don't mind. So one of them is
do a randomized control study. That's
the gold standard, right? I give you and
your twin two different diets and I
follow you for x number of years, right?
And then I can measure its effect on
your cholesterol levels and your this
you know your steroid levels and your
you know your nasal mucosm production
whatever you know I can measure anything
I want right but of course it takes a
long time to do that and so because we
can't wait for you to die um we're going
to then measure proxies right uh rather
than your actual health outcome. The
other is to take large samples of the
people and then try to make associations
between what they eat and their health
outcomes. And that's what an that's an
epidemiological study. So So there are
statistical associations within a
population between say what people eat
and their likelihood or their prevalence
of getting heart disease or hypertension
or cancer or arthritis or whatever it
is. And so for um the Mediterranean
diet, there are both epidemiological
studies, large scale ones, huge, I mean
they're now metaanalyses involving
hundreds of thousands of of individuals,
but they're also prospective studies. So
that's the kind of the gold study is
when you take a bunch of people and you
again randomize them into two groups.
So, one of the biggest studies was one
done in Spain, for example, where they
had over 7,500 Spaniards, and they
assigned some of them a Mediterranean
diet where they had to have olive oil or
or walnuts. There were two arms to that
versus Spaniards who were not eating a
Mediterranean diet. And after um I think
after 5 years they stopped the study
because the effects the beneficial
effects of the Mediterr Mediterranean
diet were so high that they felt that it
was unethical to continue the study and
and and not get
>> deny the other group from the benefits
of having a Mediterranean diet.
>> That's correct. That's correct.
>> Wow. It was so study a non-mediterranean
diet was essentially seen as kind of a
toxic
>> as unethical. As unethical.
>> No way.
>> Yes way. So uh so that's just one study.
Um there's other studies in France,
elsewhere. So these are again these are
prospective studies. So those are the
the best studies right now. Every study
has its drawbacks and its problems and
its flaws right you can't you know
because you have to account for for you
know all the other things that people
are eating their smoking their physical
activity you know whether or not they're
you know whether they're lawyers or not
who knows what. But uh but when you
combine all those different and but
there's and then on top of that there
are studies where you can feed people a
Mediterranean diet for just a few weeks
in a lab for example and then measure
its effects on on on on aspects of your
health that have a outcome like like a
cholesterol level, right? Or or or so on
and um um or markers of inflammation.
And so you combine all those kinds of
data together, the mechanistic studies,
the epidemiological studies, the
perspective studies, and the
Mediterranean diet comes out as a very,
you know, probably I wouldn't say it's a
clear winner, but it's a, you know, it's
it's it's it's probably has the most
evidence in its favor of any diet that's
ever been studied.
>> I imagine when it comes to the
epidemiological studies, people's
dietary choices are idiosyncratic.
They're informed by the culture that
they're from and the the job that they
have. You know, if you're there's an
entire industry of PTs that are probably
overeating meat, which means that you
have meat eaters that are
disproportionately personal trainers,
but that means that they have the
lifestyle of a personal trainer. Or
perhaps there's something cultural that,
you know, red meat is eaten by uh dudes
that like to barbecue from the deep
south. Maybe they're doing other stuff
with their health, maybe they're smoking
or whatever. So the uh selection effect
of what people eat which diets and what
are the things that aren't under the
studies uh purview and what does that
sort of
>> huge huge effect like you know
vegetarians also tend not to smoke right
and and so how do you separate the fact
of eating a vegetarian diet but the fact
that you you're much more likely to
smoke and people who uh tend to be um
more physically active also tend to eat
a healthier diet. In fact, you know, big
studies where they like when when you
and I die, right, there's going to be a
death certificate, right? Saying we died
of such and such, and it might be, you
know, cancer or a heart attack or
whatever, but then what was it that
caused the cancer? What caused the heart
attack, right? And that's there's a
there's a a bunch of epidemiologists out
there trying to try to figure that out.
And many studies are unable to separate
statistically the effects of exercise
and diet because people who exercise
tend to eat well and vice versa. So, so
the coariation user bias.
>> Exactly. So, the coariation is what we
call coariation is so strong
statistically it's very difficult to
separate these things.
>> Does that make epidemiological studies
in nutrition and diet largely useless
then?
>> No. They're so that's the wrong way to
think about it. Epidemiological studies
cannot measure cause and effect. They
are one of many forms of of information
that we can and should use because again
you can't I mean like again the gold
standard study for a true skeptic is a
randomized control study but as we had
talked about before you can't do a
proper randomized control study and wait
50 60 years for somebody to to see the
effects of the diet and control for
everything else too. So we we need to be
do you know the the the analogy of the
hedgehog and the fox?
>> No.
>> Okay. So there's a famous uh piece of
paper from the 7th century BC by a guy
named Archiligus of Paris which wrote he
wrote and it's like a frag he's a poet
like a boring poet but but apparently he
he wrote this like bit of a poem that
survived and it says um the fox knows
many things but the hedgehog knows one
big thing
and what he meant by that was that when
you chase a fox it'll do anything to run
away right it'll hide it'll it'll you
know it'll it'll
climate,
>> climate tree, you do whatever, right?
You chase a hedgehog, it just rolls into
a ball, right? Hedgehogs just do one
thing. And that analogy was used by a
very famous uh English philosopher named
Isaiah Berlin to think of to kind of
divide the world up into hedgehogs and
foxes. So, so hedgehogs are big idea
guys like they protein is your answer.
Um, you know, meat is your answer, um,
never eating meat is your answer, etc.
Those are what I call hedgehog diets.
They're single idea big fix diets.
Whereas foxes are the see nuance. They
see trade-offs. They see complexity.
They realize that every time you eat one
thing, you don't eat something else. And
and um and and we need to apply I think
that you know the hedgehog approach to
diet is always the wrong way because
it's complicated. People vary. The
effects of foods are complicated. There
are tradeoffs. And when we start to
oversimplify, we inevitably get things
wrong. And that's true for even how we
analyze the scientific record. If we
decide, well, epidemiological data, it's
just junk because you can't test cause
and effect. You're missing important
information. Just as if you decide, oh,
you know, randomized control studies are
really problematic because they're too
short term and they don't involve
variation or whatever, you're also
missing something important. The best
approach is to look at as much of the
information as possible and put it
together. And that's [laughter]
I if I can be a little you know
self-promoting that's why I wrote the
book because I tried and fed up to take
all that evidence and to digest it put
it into kind of plain English and make
it uh you know uh help people understand
that because I think all of us need to
try to answer these questions. Let me
put let me put it another way. For
millions of years millions of years our
ancestors they had to know enormous
amount to get their food. Right? If
you're a hunter gatherer you know you
have to know how to hunt animals right?
you need to know um you know where they
are and how to track them and how you
know what's the right you know what
environments they're going to be in and
and how to butcher them and all that
kind of stuff to find plants I mean I've
gone out foraging and hunting with
hunter gatherers finding plants is not a
trivial matter right finding where the
plants are knowing how to dig for them
and knowing where they are different
season we had to be naturalists we had
to know a huge amount of information in
order to survive now you and I can walk
into a Whole Foods or whatever you know
whatever sainsbury or whatever or
whatever it is. And we're confronted
with 40,000 different kinds of food. We
don't know how to we don't need to know
how to get our food anymore. We now need
to know how to choose our food. So, we
we need a different kind of knowledge.
And and you can you can throw up your
hands and just have somebody tell you
what to do or you can try to learn for
yourself what you what you want, what
you care about, what's important to you,
what your tradeoffs are. M
>> so I think all of us need to educate
ourselves to to figure out how to choose
our food because that's the challenge
our modern world has set us.
>> The question of what should I eat today
evolutionarily is pretty novel.
>> It's completely novel. Nobody ever asked
that question. I mean the people
>> I will eat what is in front of me
because otherwise I die.
>> Yeah. I mean the people I work with in
in my field work, you know. So I've done
a lot of work in Kenya. I've been
working recently in Rwanda and you know
occasionally people invite me for meals
right uh in the in the area where we
work we work in a very remote we've
worked for 15 years in a very remote
part of Kenya actually where a lot of
the famous runners are from and I don't
even have to ask what I'm going to be
served it's always exactly the same meal
you have a dish called ugali which is
like a like a cornmeal kind of porridge
with with either sakuma wiki which is a
which is basically colored greens that
have been chopped up and sauteed or
sometimes if you're lucky with beans or
something like that. That's it. That's
what you get. Nobody asks what's for
dinner. They know what's because they
eat what they grow. That's all the food
that they have available to them.
>> Or I've gone out, you know, with hunter
gathers. I've had the privilege of
spending some time with hunter gathers.
They don't like, well, gee, tonight am I
going to have Italian or Chinese or
shall I have, you know, um shall I have
turtle or shall I have, you know,
tortoise or shall I have, you know,
kudu? They eat whatever they manage to
hunt and whatever they manage to gather.
That's it. There's no nobody's asks
what's for dinner. They they eat what
they have. And all of us and farmers and
in hunter gathers. This is that's the
way life was for for most people except
you know the king of England or
whatever. He got to choose what he
wanted to eat. And now we're in this
completely weird bizarre modern
environment. And and surprise surprise
we have a hard time because not only do
we not know what to eat, we're also
confronted with a lot of really bad
stuff. I mean, typical, as I said
before, the typical American supermarket
has 40,000 different kinds of food.
40,000. It's kind of amazing. Um, and
over 50% of that is ultrarocessed,
designed to be highly appealing,
addictive,
convenient, inexpensive, although that
that's going up a bit. Um, and and and
how are we supposed to how are we
supposed to cope? We're not we're not we
never evolved the mechanisms um to
handle that. Going back to the
Mediterranean diet, what is it about
that diet that seems to what what's the
mechanistic reason for why it seems to
outperform others?
>> Um there's probably a number of reasons.
Um there's again there's no one reason.
Um so one is that it tends to be whole
grain, right? So you so when you take uh
flour and you refine it, right? you
remove the the outer layers and you
remove the germ, you're removing a lot
of the protein and you're removing a lot
of the fiber. Um, it's um it's it has a
um a healthy balance of fats. So, of
course, it's famous for olive oil, which
is a monounsaturated fat. We can talk
about that if you want. And
monounsaturated fats are associated with
a lot of health benefits. There's a lot
of fruit, a lot of vegetables.
Mediterranean diet often has fish in it.
And fish has these omega-3 fatty acids.
Um, so it's the constellation of of
nutrients that are healthy plus an
absence of a lot of stuff like added
sugar and a lot of
>> say what what are the things that it
eliminates most?
>> Well, it tends not you Mediterranean
diet tends not to have a lot of added
sugar, right? tends not to have that
much um proper Mediterranean because
what you define as a Mediterranean is
you can be canled all over the what what
the what the Mediterranean with a
capital M capital D right which is
what's been defined by um by the by the
nutritionists isn't necessarily what
people always eat in the Mediterranean.
I've spent having a lot of really carb
rich dinners in in Italy, for example.
But um but it, you know, tends not to
have added sugar, tends not to have a
lot of refined carbohydrates, tends not
to have a lot of saturated fat, tends to
be diverse and rich in in in
phyitochemicals that are healthy and you
have a lot of antioxidants and things
like that, tends not to have too much
red meat. Uh so it's it's it's a mixture
of things that have in to been shown to
to be reasonably healthy. Now, is it a
is it a is it like an optimal diet? Is
it perfect and will guarantee perfect
health? No. U no diet is optimal. But is
it does it has it been shown to be
effective for preventing weight gain and
for reducing your risk of a wide range
of diseases? Absolutely.
>> How much is it the lifestyle? I've heard
about the importance of the sociality
around the Mediterranean diet and stuff
like that. Has that been separated out?
You know what I'm talking about, right?
>> I mean that's again it's very hard to do
that. Um but but for example that that
study I mentioned, the Spanish study,
the predimed study, I mean that that
essentially by randomizing people who
all presumably had similar lifestyles,
they were
>> hanging out on the street corner having
a coffee at 9:00 p.m. at night with
their friends.
>> Both arms of the diet were probably the
same. So So that so that study, for
example, controlled for that. U so but
of course there's more to to health and
longevity than just your diet.
>> What about blue zone diets? Oh my god,
don't get me started on that one.
[laughter] I mean,
blue zones are fun. I mean, look,
there's a lot to say about blue zone
diet. The first is
again, you know, if you it's kind of
like a Mediterranean diet, but with even
less meat if you if you look at what it
prescribes,
you know, and but it also prescribes
um skipping breakfast. Um it tells you
to be social. um it tells you to uh not
finish your plate. Um you know there's
some social aspects to it but but what's
I find and you know if you look at the
the the the the
sort of prescription of the diet
especially nutritionally it's kind what
a lot of you know it's not far off from
the Mediterranean diet. Um I don't know
of any really good highquality studies
for the Blue Zones diet compared to say
the Mediterranean diet. But what I find
amusing about the Blue Zones diet is how
it's been advertised because it's
advertised and marketed as a diet
that'll help you live to be a 100. And
that's where I begin to have some
concerns because even if you look at the
data for the blue zones, like if you
there's these supposed blue zones,
there's these five regions on the planet
where
>> where are they?
>> Let's see. One of them is in the Nicoa
Peninsula of Costa Rica. One's a little
kind of little village in Sardinia. It's
like a little area of Sardinia. One is
uh an island in the Mediterranean. I've
forgotten the name of the island. Um,
one is uh Okinawa and the other is Lomol
Linda, California, [laughter]
right outside of LA.
>> I didn't know that.
>> Those are the five blue zones. And and
the idea behind these are these are
supposedly areas where a twice as many
people live to be centinarians. They
live to be 100 years old. And so the
idea is if you eat like the people in
these areas, you too are going to live
to be 100 years old. Now, there's some
problems with this. The first is that
even if you believe the data that that
these these regions have a have a higher
percentage of centinarians that turns
out that the percentage of centinarians
is tiny. So it's like it's like six
people out of 10,000 as opposed to in
the United States where it's three
people out of 10,000.
>> The base rate's so low that small
changes are massive proportions.
>> These are statistical outliers. So you
basically have to if if you're not a
statistical outlier, which most of us
are not, it's irrelevant. It's not a
very it's statistical nonsense
basically. Secondly, there's a guy in
Oxford is in um a demographer at Oxford.
I'm trying to remember his name. Saul
Newman I think his name is. He's
published this really fascinating paper.
He did a deep dive onto these blue zones
and found out that only 18% of the
people in these blue zones actually had
birth certificates.
So we don't even know who these people
are. They just self-report their age.
And these are areas. So, and here comes
>> Are you telling me Are you telling me
that a good chunk of the blue zone
fervor could have been around the fact
that people just didn't register how old
they were?
>> Correct. Or it could be insurance fraud.
I mean, I have no idea. Um, yeah,
exactly. [laughter]
Sorry.
>> You can get online, you can read Sol
Newman's paper. It's hilarious paper to
read. Um Um, but also think about it
this way. Like he there's this like
little area in Sardinia. If you go on if
you look on the blue zones map, there's
this like, you know, think about
Sardinia. It likes, you know, it's this
kind of ovalshaped island, right? And
there's this little area on the on the
western side, there's a little blue, you
know, zone on the map, right? And in
that little area, you have all these
centinarians. Now, tell me that if you
like go like 30 miles north or 30 miles
south that people have totally different
diets. And it's like, so why in this
little spot are they all centinarians?
and just 20 m north or 20 m south.
They're not. It's kind of suspicious.
>> What are the What is the blue zone
proponent explanation for that?
>> Uh I think he's answered. I don't think
he's
>> Is it a guy?
>> Uh yeah, it's a guy named um what's his
name? Um Wetner. Betner. I can't
remember. He's a he was a he was a um he
was a National Geographic reporter who
who got really excited by this and
figured out how to market all this. But
now the one of the most interesting blue
zones is Lomol Linda, California. Do you
know who lives in Lomol Linda,
California? What? Why LMA Linda is a
blue zone? Because obviously they're not
little, you know, peasanty, you know,
farmers eating their traditional foods.
>> No,
>> they're Seventh Day Adventists. And the
Seventh Day Adventists don't believe in
smoking. They believe in exercise.
They're, you know, they believe that
many of them are vegetarians. They
believe that
>> they don't believe in exercise.
>> No, they do believe in Yeah. They they
believe that that God gave us our
bodies. their body is a sacred thing and
that it's our responsibility as um as as
as as Christians to to take good care of
our God-given body.
>> That's the physiological theology. Very
good.
>> It is. It is. And and so um you know,
they don't smoke, they exercise, many of
them are vegetarians. They have they do
all these sorts of things that the you
know, most doctors will tell you is what
you should do. And guess what? They have
a high percentage of people who live.
>> Do they eat the same thing as the people
in Sardinia?
>> No, of course not. They're eating
>> What's going on with this Blue Zones
thing? Is it [laughter] fair Is it fair
to say that the Blue Zone diet
isn't a diet? It doesn't. It's It
doesn't do what it says it does.
>> Well, I mean, it does. If you read the
Blue Zones book, it tells you what to
eat. Tells you at least a half a cup of
beans a day. It tells you eat lots of
vegetables. It tells you not to eat too
much of this and not too much of that.
So there it's got some it's got some
parameters, you know, um but it's not a
it's not a it's not a rigidly defined
diet. Um and you know the the
suggestions aren't totally crazy. Um but
they're again it's it's kind of
oversold. I mean like one of the one of
my you know one of the refrains from in
I you know that I keep going back to in
my book is that there are a lot of
people telling sell telling us optimal
diets you know and I have come to hate
the word optimal. If you want to piss me
off, say your diet. That's your trigger
word.
>> It's my trigger word. Tell me your diet
is optimal. First of all, is it optimal
for you or optimal for me? Because you
and I are not the same, right? We have
different genetics. We have different
background. You're young and strong. You
have a lot more muscle, you know, but
I'm probably faster than you. Who knows
what certainly? But [clears throat] um
um I'm 62. You're probably a lot
younger. um um um you know um is is um
are you are you more worried about heart
disease or Alzheimer's or or arthritis
or this or that or the other? Are you
are you do you care more about the
environment etc. There's you there's no
such thing as optimal um and um and it's
it's kind of a it's just marketing and
and we and I and so I I now react
against people who claim their diet is
optimal because it's just marketing.
It's salesmanship. It's not science. In
other news, have you ever noticed how
some websites make it ridiculously easy
to buy while some feel infinitely
harder?
>> Back in my day, I had to walk 10 miles
to the local store.
>> Aren't you younger than me?
>> Yeah, I bet my dad got a DUI.
>> Anyway, the reality is most businesses
just get the website wrong. And if your
setup is messy, you lose a ton of sales,
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That's shopify.commodernwisdom.
Okay, let's piss off some more people.
What about [laughter] lowcarb, highfat?
>> Oh boy, am I gonna get in serious
trouble after this one.
>> Yes. Yes. Yes. We both are. It's fine.
Low carb, highfat.
>> Well, again, there
>> used to be Atkins, now it's keto.
>> Yeah. I mean, look, both depends what
your goals are, right? Um, it turns out
if you want to if your goal is to lose
weight, for example, you can lose weight
on a low carb diet and you can lose
weight on a low-fat diet. Um it is true
that people tend to lose a little bit
more weight on low carb diets than
low-fat diets. Um but the but um and in
fact I'm one of the co-authors of the
carbohydrate insulin model big paper
that was recently American Journal of
Clinical Nutrition. So I've put my
>> I've signed my name in blood on the you
know I believe in the biology behind uh
the low carb diet. So we can
>> can you explain that in layman's terms?
We we can but before we do let me let me
just get to this which is that
>> uh pretty much any non-crap diet can
help somebody lose weight. Uh um and the
hard part is to sustain it. And so you
need to make a distinction between
efficacy and effectiveness. So efficacy
is basically how well a diet works when
in the perfect world, right? When
there's no cheating and you eat exactly
what you're told and you can do it for a
long time and and you know it's perfect.
effectiveness is how it works in the
real world. And it turns out that low
carb diets have this higher efficacy for
weight loss than low-fat diets. This is
for weight loss, but their effectiveness
because people have a hard time
sustaining them
>> is only slightly larger,
>> right?
>> Uh so
>> if you could do it, you might perform
very well, but being able to do it, the
difficulty is somewhat harder, which
means that it mitigates some of those
gains.
>> I mean, I tried it. I mean, I tried it.
I've tried every single one of these. By
the way, I I have done a much more bros
science equivalent of what you did in
the research for this book. I've tried
all of these.
>> Yeah. I mean, I tried the I tried an
Atkins diet and it was hard because I
had intense carbohydrate cravings and
I'm a runner and you know, it's hard to
be a runner and not eat carbs.
>> The hunger is rough.
>> Yeah. I mean, I just just [laughter] I
didn't like it that much. Um but I
didn't like a lot of the diets that
much. But let's let's go into the
biology behind low carb diets because
because it it's really interesting. So
when you eat food um
your um some of that food of course is
carbohydrate and carbohydrates your body
breaks down into uh some of it into
glucose which is the bas one of the two
major kinds of sugar. There's fructose
and glucose. Fructose is what you get
from fruit. It's kind of it's is
sweeter. Glucose is the kind of more
starchy you know less sweet form of
sugar. And so that goes straight into
your bloodstream. Glucose is your body
can only handle a very very
small range of glucose because too much
is toxic. In fact, I think
average human being has about a teaspoon
and a half of glucose in their entire
bloodstream. And if it goes above that,
you're in trouble. You become
hypoglycemic and you can go into you can
get have serious medical problems. So
our body is super sensitive to glucose.
So when you eat a meal and it has
glucose in it, your your blood sugar
level goes up and because the body has
to maintain a very tight range of
glucose, you your pancreas releases a
hormone called insulin.
[snorts and clears throat]
>> And insulin is your basically it's your
growth hormone. It's the hormone that
causes you to store stuff. It so it
insulin causes your your your cells to
take up that glucose so the levels go
down.
Now,
insulin also tells your cells to hold on
to energy. So, so to prevent your cells
from releasing releasing fat because you
store that energy as fat. Your cells
turn the glucose into fat.
Excuse me. So
when you are on a low carb diet, you
keep your insulin levels low and that
means that you're storing less and also
you're not holding on to that fat and
that helps you and and that can and so
so so the biology is pretty simple and I
guess pretty clear though it gets more
complicated because there's another
hormone called glucagon which makes it
more complicated. Um physical activity
affects things. there's, you know,
there's nothing is ever simple and and
and the carbohydrate in insulin model is
is is no exception. So, so there's a
real basic logic behind the the the the
carbohydrate insulin model. Uh the
problem is that when people go on these
low carb diets, they're hard to sustain
and a lot of people um uh can't maintain
them for that long and their
carbohydrate levels creep up and and uh
and and that's the end of the diet. Um,
but you can also lose weight on a
low-fat diet and plenty of people have.
And
>> I didn't even know that low-fat, high
carb diets were a thing. That's one that
I haven't tried.
>> Oh, so so there are plenty. I mean, I
mean, there were the some of the biggest
diets in the country were, you know, the
Pritikan diet, the Ornish diet. There's
a whole bunch of
>> These sound like fantasy races from a
Lord of the Rings novel. [laughter]
>> Um, DASH stands for dietary approaches
to stop hypertension. So it was
originally developed for
>> blood pressure
>> for blood pressure but it turns out to
be a low-fat diet and it's actually
probably the second most studied diet
after um after Mediterranean. It's very
well studied. So it was developed by NIH
and there's a lot of scient there are a
lot of randomized control studies for
the DASH diet and people who stick to
the DASH diet which which by the way
tried in the book uh do lose weight.
Absolutely. They can and do
>> surely somebody that's on a low-fat
higher carb diet is going to be ripping
their insulin levels around more. No,
because it depends on the kind of carb
you eat because there are good carbs and
there are bad carbs. So if you eat a
refined carbs and you know lots of stuff
with lots of sugar, lots of crap, your
insulin levels are going to go skyhigh.
But if you eat unrefined carbs, right,
if you eat I mean if I mean if I eat
lots of kale and you know whatever, is
that my are my glucose levels going to
go skyh high? Of course not because all
the fiber in that kale is going to is
going to slow the rate of digestion.
There's not. So, so there are plenty of
foods that that are that have
carbohydrate that are not high glycemic.
Um, so the idea that all carbs are
poisonous and cause you to raise your
your your your blood sugar levels
ridiculously is just not true. I mean,
if that were the case, because think
about it, for most of human existence,
people have eaten mostly carbs. All
those farming diets in the
Mediterranean, in Asia, elsewhere, are
mostly carbs. They're eating corn.
They're eating rice. they're eating
wheat, etc. But until recently, none of
those people or very few of them were
obese or or or or overweight. So these
diets, you can eat a a a high carb diet
if it's high in fiber and not high in
sugar and not highly refined. These are
not high glycemic diets.
>> The area in Rwanda where I work, right,
and the area in Kenya I work, people are
getting at least 65% of their diet from
carbs. At least 65. That's a high carb
diet. And I dare you to find somebody
with overweight or obesity in the area.
They don't exist. There's none of them.
They don't they're not around.
>> How much of that is because of the type
of carbs and how much of that is just
because of the number of calories?
>> Well, they're eating a lot of calories.
It's it's a combination. It's it's it's
the kind of foods they're eating. So,
they're they're eating, for example,
when I go have that that meal I
described earlier in the Nandi Hills,
right, where we have some agali, but we
also have sukuma week and we have beans.
Those are all high highly fibrous low
low glycemic foods. They're it's a
generally healthy diet. They're also
very physically active and that helps.
And when you're physically active, so
one of the reasons physical activity
helps people prevent g weight gain. It's
not just how many calories are going in
versus out, but when people are very
physically active, it changes the
insulin sensitivity of their muscles so
that they're um so that you actually
produce less um you actually produce
less insulin for a given amount of
carbohydrate.
So again, nothing is simple and and and
and when we try to oversimplify, we we
get into trouble. and and and and I wish
it were simple, but again, one of the
major arguments that I'm trying to make
is that this please it's it's a plea to
stop oversimplifying complex
multiffactorial things. We just all need
to educate ourselves a little bit so
that we can help make sense of all the
diversity out there and all the
different people out there trying to
make money off of us with their various
different diets. It it just doesn't work
the way um we've been told it does. I
understand that people shouldn't be
trying to over complicate or
oversimplify things, but the degree of
the the even just so far we've done like
five diets or [laughter] something and
all of them kind of feel like they're
pointing in the opposite direction. And
you said, "Well, lowfat can work because
of what it doesn't do to insulin in
terms of spiking insulin, but high carb
can work as long as you eat the right
kinds of carbs and the plant-based stuff
that works, but you do need to get some
protein, but it doesn't matter where
it's from." And you some people feel
good on the carnivore thing, but so it's
I understand why people feel this like
malaise, this a degree of overwhelm
like, okay, we shouldn't be
oversimplifying it. optimal as your
Russian sleeper agent activation code
was.
>> But at the same time, if I'm so
>> So I have a solution for you.
>> Burdened, I don't know what to do.
>> I have a I I have a solution for you,
which is that
again, there's there's there are
kernels, even large larger than kernels,
are whole cobbs of truth to all of these
diets. And why do we have to pick
between lowfat versus low carb versus
low calorie? I haven't talked about low
calorie, right? Why do we have to pick?
You can actually take the best of all of
all of that, right?
>> So, you can take the best of the low
carb diet by eliminating or removing or
not eating too much of refined carbs
that raise your insulin levels. You can
take the best of the low-fat diet by not
eating too much highly caloric saturated
fat, which does to according to a lot of
studies um either increases your risk of
cardiovascular disease or doesn't lower
your risk of cardiovascular. We can talk
about that later on. So polyunsaturated,
monounsaturated fats are are risk
lowering fats and also you know calories
do matter. How many calories you eat do
do matter?
>> We we need to talk
>> and so so you don't you know not eating
too much is also helpful. So why not
combine the best of all these various
kinds of diets without without going
down the the kind of
>> but as soon as you combine the best of
all of those kinds of diets, you now
have a new diet.
>> No, you have the med you know what you
have? You have the Mediterranean diet.
>> That's the diet. that is a new diet
>> or or or you have essentially any
traditional farming diet. Okay. So, so I
would say that a a traditional Asian
diet, a traditional African diet, a
traditional Mesoamerican diet, a
traditional Mediterranean diet, all
share the same basic characteristics
that we've just talked about. a lack of
highly refined carbohydrates that raise
your insulin levels, not too much
saturated fat, not too much food, not
too, you know, it a diversity of foods,
a mixture of of whole grain uh cereals
combined with legumes that give you
complimentary protein. People have been
eating these for thousands and thousands
of years now. Are they optimal diets
that are going to guarantee you to live
to be 100? No. But are these diets that
have over the t course of time plus in
recent studies been shown to be
generally healthy and prevent weight
gain? The answer is yes.
>> Okay.
>> So it's so in a way it's not that
complicated
>> that we've started to simplify. What
about calorie restriction? I've been
told that it's the only reliable
intervention that actually works for
extending lifespan. How
>> if you're a mouse?
>> Are you saying that? Are you saying that
the rodent studies don't come across
into humans when it comes to calorie
restrictions for
>> lifpan? No evidence yet in humans. In
fact, not even in primates. So, do you
know there's there was a big study that
was done in um in um was Wisconsin where
they took a whole bunch of macaks,
right? And they gave uh one group of
macaks uh calorie restricted diet and
another group of macaks and this is a
20-y year long study. Imagine how much
time it took and
>> two decades of calorie restriction if
you're in the wrong group of macaks.
[laughter]
>> And guess what? The group of macaks that
were in the calorie restriction diet
were way healthier than the ones that
were not in the calorie. So, so there
were these papers published saying,
"Tada, calorie restriction works in
primates, which means it probably works
in humans." But guess what? When people
looked at the data, the non-calorie
restricted macaks were basically being
fed a crap food diet. They were getting
lots of sugary foods. They were getting
obese. They were, you know, they were
not healthy normal macak diets. They
were fed an adlinum crap diet. So the
NIH at vast expense, I mean, we're
talking millions of taxpayer dollars
redid the experiment. We're
>> another two decades.
>> For another two.
>> If you're the guy If you're the guy that
fed those macaks fries for two decades,
you really should be out of a job.
>> It's very shameful. But anyway, so the
MH redid the experiment and and this
time they had them on the same monkey
chow diet. So just chopped one in half
away
>> and and one had a third 30% less food
than the other. And guess what? No
difference zilch in terms of health and
longevity.
>> Why do you think it does show up in
mice?
>> Because mice have totally different life
histories. So life history is the series
of stages that you go through how you
use energy to grow up, reproduce and and
whatever. And you know, a typical mouse
is ready to reproduce after 3 months,
you know, and has series of babies,
etc., etc. mice have totally different
metabolisms and different growth
trajectories and different microbiomes
and different you know than than humans.
So, so yes, it is true that for some
species, for some um mouse lines, but
not all, caloric restriction has been
shown to improve their lifespan, but not
all of them, by the way. Um certainly
true for yeast, certainly true for fruit
flies, but the evidence for humans is so
far mixed. Now, I should also say that
it's not based totally on hoie, right? I
mean, there are reasons to believe that
caloric restriction can be very
beneficial. And and again I try to
explain the biology kind of carefully in
the book but one of them is that it
causes what's called metabolic
switching. So after a meal our body's
got all this nutrients and energy etc.
He wants to use it and so you go into
growth mode and there's a famous gene
called mTor. You've probably heard of
it. Malian target of rapamy and mtor is
like a it's like a it's like an on gene
right? It's like a growth gene. It
causes you to grow muscle and grow this
and grow that and produce proteins and
do all kinds of good stuff. Um, but the
consequence of that is that it also
causes damage, right? The when you get
your muscles produce producing more
proteins, you produce what's called
reactive oxygen species that can cause
damage. You you get you get you get um
you get um you know misfolded proteins.
You get all these problems, right? that
you but but so there's another pathway
that's turned on by another big gene
called AMPK. Um and EMPK is like your
repair gene. And what happens when you
go through inter intermittent fasting or
calorie restriction is that you turn
down or turn off the mTor and turn up
the AMPK. So you're turning off growth
and you're turning up repair. And that's
obviously good, right? But you can't
repair all the time. Sometimes you have
to grow. And so this kind of metabolic
switching between the two is really
good. The problem I think is that a lot
of Americans and Europeans and you know
people in high-income countries, we're
constantly in growth mode. I mean how
often are we hungry anymore, right?
There's there's
>> permanently grazing.
>> We're grazing. There's there's there's
you know in my building you know if
anybody gets hungry for just you just go
down one flight of stairs and there's
these snack machines and you you never
have to be hungry. So that means that
some people are just constantly in this
on mode and they're not turning on on on
the repair mode. Um and but we obviously
evolved to have these mixture of repair
and growth and so so there is and of
course when you go into intermittent
fasting or you know calorie restriction
you are turning on that repair mode and
that's good. So there so I'm not saying
that it isn't necessarily beneficial or
that it might not lead to increased
longevity. It's just that the evidence
so far it doesn't exist. Uh so you're
you're taking another leap of faith. Um
I I'm sure it's it's generally healthy.
Whether it'll help you live to be a 100.
Anybody who tells you that's the case is
is is going beyond the evidence. It
might it might it's not a bad strategy,
but it's not there there's no strong
evidence to that effect.
>> That's crazy. I didn't know that there
was no strong evidence. I mean, look,
the hommetic stressor
That's how people make money. You know,
[laughter] if they told you, if they
told you like what I just told you that,
you know, this is how it might work, but
we're not really sure, you're not going
to buy, you're not going to buy the
product.
>> Many many of your arguments are highly
unsexy is a way like unmarketable.
>> Completely unsexy. Sorry. Yeah. Yeah,
but because we want quick fixes. We want
Yeah. Wouldn't it be great if I just by
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The reason that I think people are not
only drawn to it because simplicity is
seductive, but also
just think about how many different
choices you need to make. Now, again,
what am I going to eat today? Is an
evolutionarily novel question that
humans have never had to ask before.
>> Yeah.
>> And never had to answer before. Uh, and
if somebody comes along with something
that feels like a relatively tight set
of guardrails, it's why I think
constrictive diets generally, whatever
they are, just help. Like I I speak for
myself, right? So, um, couple of years
ago lived in a house with toxic mold,
one of the uh, byproducts that comes out
of that an awful lot of inflammation and
brain fog and and TGF beta and C4A and
MMP9 blah blah blah, all this stuff. One
of the uh often cited diets that seem to
help people with some of the brain fog
is going carnival. So get rid of
anything that spikes blood sugar. I felt
remotely human for the first time in 6
months.
>> Yeah, I'm sure you did.
>> I also had LDL in the 400s [laughter]
and uh I then had to unwind that.
>> Everything is a trade-off.
>> So you looking at my bloods versus
looking at how I felt. Uh I'm like,
well, it was so good because it was
restricting something. It made it very
easy for me to follow. It's a super
simple set of rules. Is it meat or
blueberries or raspberries? If not,
don't eat it. But what it did to
and it made me feel good and it made me
look I was shredded out in my mind. Look
fantastic. Finally hitting my
protein goals for a bodybuilding, you
know, diet. But also, what's this going
to do to my arteries over if I keep
doing this for only a couple of years?
uh like even on a a clearly scan uh I
could see a little bit of progression
just from a short space of time, right?
Plaque progression in the space of like
>> 9 months that we done this clearly scan
18 18month intervals. So I understand
why people want that simplicity. What is
interesting to me around the sort of
calorie restriction thing is the
super magical source that's inside of
the intermittent fasting. It's the 168
Right.
>> 52. Yeah. Yeah. Yeah. It's
>> Or there's the there's the um what's it
called? The the the warrior diet.
>> Is that OMAD?
>> I can't remember. The warrior diet is
you eat like like only once a day.
>> Yeah. Oh, one one meal a day. Um is
there something special about
intermittent fasting?
>> Well, again, intermittent fasting moves
your body in and out of what's we call
positive and negative energy balance.
Therefore, turning on and off mtor and
MPK. It's called metabolic switching.
>> But you could imagine
>> but there's no one way to do it. You
could imagine a world in which you did
calorie restriction. Let's say
maintenance for me is 2400. I could
calorie restrict even down to like a
significant amount. It's 1,800 or 1500
or something. But I could do that by
consuming uh 100 calories every hour for
each week waking hour that I was this
would be kind of highly inefficient diet
to have. But you understand what I mean,
right? There's a difference between
grazing your way to calorie restriction
or fasting your way to calorie
restriction. If you were to take, have
you seen any evidence that if you were
to take two populations, one of whom was
doing OMAD and another of whom was
grazing to a similar kind of calorie
restriction that they would have
different outcomes
>> in terms of weight or in terms of
inflammation or whatever? So, so if
those studies exist, I don't know them
because I'm a cool study to do.
>> Well, I don't Yeah, maybe. But
>> don't maybe be my suggestion. That's a
cool study, okay? Says a guy that's not
in your industry at all. I'm I'm just
thinking about the the hypothesis that
we're trying to test. So
the the the mechanism by which
intermittent fasting or low calorie, you
know, calorie restriction is supposed to
work is by by putting the body into a
negative energy balance. And as you say,
there's two ways of doing it. One is to
fast or the other is not eat. Certainly
there's a lot of data on not eating very
much. Um that's just called the diet,
right? And and um and the problem with
diets is that people get hungry and
they're really really really hard to
maintain and they're not very useful for
most people because you're tired, you're
exhausted, you're cranky, you're hangry,
you're whatever, right? Intermittent
fasting, one of the reasons people love
intermittent fasting is that you just,
you know, basically skip breakfast for
example if by one one form of
intermittent fasting. And so you can
it's much more tolerable. And plus the
other benefit of intermittent fasting
again is that is the metabolic switching
going from one to the other because
nobody in their right mind would think
that being a constant state of negative
energy balance is a good thing.
>> It's called starvation. [laughter]
>> It's called starvation. Right? This is
and and here's another thing.
In addition to the fact that there are
trade-offs. Every time you do one thing
you don't do something. Every every
food, every t diet, everything there
benefits and there costs. There's
nothing. Find me one that doesn't have a
trade-off and I'll be I'll be really
interested. But I have yet to find one.
But remember this also that we are
adapted not we're not adapted to be
healthy. We na natural selection didn't
put us on this earth to live to be 100.
We evolved for one thing and one thing
only as far as natural selection is
concerned is that's to have babies. Um
so we evolved to to maximize our
reproductive success not to be longived
and healthy. And so we uh so a lot of
the adaptations that we have are are are
are there not to improve our health,
they're to improve our reproductive
success and and that makes things
complicated and and that adds to the
trade-offs. Get me to puberty and hope
for the best. [laughter]
>> What about the sort of world of the
modern paleo movement? Because what it
sounds like paleo is in one of the
titles that you have for the world that
you come from. uh
looking at a more ancestrally aligned
natural without falling into a
naturalistic fallacy type diet. You
could assume, hey, well, if we just eat
like hunter gatherers did, and the paleo
movement kind of promised this from a
dietary perspective, but is it right to
say that there is an ancestral diet that
we can recreate? Has the Paleo movement
got it right?
Uh, I wish they had, but they again um,
[laughter]
I'm going to sound like a broken record,
but they got some things right and they
got some things wrong. So, it is true
that some aspects of the pale diet make
a lot of sense, right? You know, don't
eat a lot of sugar, don't eat a lot of
saturated fat. That's the original Paleo
diet is don't eat a lot of saturated
fat. There are some Paleo dieters dis
dispute that. Um, but the Paleo diet
also says you should never eat legumes
and you should never eat grains and you
should never eat dairy. And and their
the argument for that is that our
ancestors didn't eat legumes and grains.
Um, and then we only had dairy until we
stopped nursing and then you know that
for after we stopped drinking our
mother's breast milk that was it. Um,
well several problems. First is it's not
true that hunter gatherers don't eat
legumes and grains. Uh it's absolutely
just just absence.
>> Don't or didn't.
>> Don't and didn't both. We have
paleontological evidence. We have
Neanderthalss with grain starch thing on
their teeth. We have
>> Oh, that sounds like reliable evidence.
>> We have very reliable you know we have
this kind of cartoon character of the
Neanderthalss eating like all meat like
you know Inuit in the in Greenland. But
you know you know 125,000 years ago
there were hippos frolicking in the
temps when the Neanderthalss were
hanging out in southern England. The
Neanderthalss were not living in arctic
conditions all the time. They were there
were times when there was plenty of
plants available and they were eating
plenty of plants. We have archaeological
evidence for that. In addition, for
example, hunter gatherers in the
Kawahari, the second most consumed food
are a kind of bean. It's called the
morramama bean. It's their number two
food. So don't tell me they don't eat
legumes. They do. Um um hunter, we
evolve off to eat almost everything. And
so actually we did a study on this a few
years ago. It was actually during COVID
when you know it was a lockdown and I
had a undergraduate was going to do an
experimental project in the lab that
involved you know putting people on
treadmills and that kind of stuff and of
course she couldn't do it because the
lab was closed. So we decided since she
was stuck at home to to go through the
literature on all the highquality data
on huntergather diets from the tropics
and just analyze the hell out of the
data and compare that to what the paleo
diet prescribes because the paleo diet
says you should have I can't remember
it's like 35% protein and x%
carbohydrate and I I can't remember the
exact formula. [gasps]
The there are 12 hunter gatherer groups
for which we have really good data uh
excellent data where people actually
measured carefully what they eat and
they're all over the place. Some of them
are eating pretty much all plants almost
no no animal food. Some are eating tons
of animal food everything in between.
Hunter we evolved to eat anything. We
are the world animal kingdom's ultimate
omnivores. We evolved through cooking
and fermentation and various other
techniques to because again remember the
equation of life is food in equals
babies out and that's all that natural
selection cares about. You if you if you
can eat it and it can help you make
babies you should. So the idea that we
evolved to eat some particular diet is
just not true. We evolved to eat
incredible diversity of diets. And
remember that we didn't evolve to eat
them to be healthy and to live to be 70
80 90 although hunter gatherers do end
up being relatively healthy. We evolve
them to maximize our reproductive
success. So the paleo diet is based on
kind of a naturalistic fallacy that if
our ancestors ate it must be good. I
mean by that imag by that token you know
we shouldn't you know if if we shouldn't
we maybe we shouldn't like brush our
teeth or sleep on mattresses or whatever
right and and it's also based on this
idea that that um that um that that that
that these you know legumes and cereals
are are filled with these quote unquote
anti-nutrients. So antiutrients are
compounds that like bind to vitamins and
minerals and and prevent us from
absorbing them.
>> But guess what? If you cook your food or
you ferment your food, you get rid of
the anti-nutrients. Otherwise, you know,
all those people in Japan who have the
greatest longevity, you know, they'd be
they'd be dying of malnutrition. They're
clearly not, right? Um uh so there's
there's again there's a lot of these
diets are based on elimination and and
and they're based on on stoking certain
kinds of fears. Um and um and and and
that's problematic. So the paradise is
not completely wrong, but it's not
completely right. Sorry to long answer
to your simple question.
>> I'd never heard of anti-nutrients
before, but I knew that people get
worried about lectins and and and
fitates and oxalates.
>> Those are antiutrients.
>> What's the truth about the danger of
lectins and oxalates and fitates?
>> Well, if you ate raw beans, you'd be in
trouble, right? Because they're filled
with these lectins and they would, you
know, they could cause all kinds of
problem. But guess what? If you cook
your beans, you're just fine. Um uh so
these are compounds that um that are
that we you that's why we can't eat raw
beans and raw grains because of those
those those compounds.
>> What do they do to us?
>> They again they bind to to minerals and
and and vitamins so that you can't
absorb them in your gut. So you'd have
malnutrition. You'd have vits absorb it.
>> Correct. But obviously that's not the
case, right? I mean, I know plenty of
healthy vegetarians who are clearly not
malnourished. They're doing
>> despite eating lots of beans
>> because they cook their beans.
Paraselus, remember Pariselus, famous
alchemist from chemist from from the
15th or 14th century, he famously said,
"It's the dose that makes the poison,
right?" And and these these compounds by
the time you cook them and ferment them,
they're in such harmless doses, there's
absolutely no reason. Even the oxalate
thing I've heard even cooked spinach
spin that's a concern for some people
you're taking come on
>> maybe for some people but not for most
of us
>> right you're not these aren't
anti-nutrients aren't a concern as long
as things
>> I mean I think there are some people
with certain kidney issues that that
that have problems with spinach but for
the rest of us I think spinach is a
delicious healthy food
>> you've activated another trap card now
which is the raw food diet you
[laughter] know
>> oh my god I have to tell you of all the
diets I tried by far the worst It was
>> what what was a typical day for you
eating the raw food diet?
>> I mean we gave it up because it was so
hard. I mean I mean look I first of all
I was eating because look cooking
increases how much energy you get from
food. It actually cooking releases
nutrients from food. So on a raw food
diet you have to eat ridiculous amounts
of food just to just to get enough food.
I mean I was just eating constantly. I
was always hungry and I spent huge
amounts of time thinking about food.
>> What were you eating? What's a typical
day?
>> Oh, we were like Well, I mean it was it
was it was it was difficult because so
much of what we eat requires cooking.
Humans evolved to cook. It's there are
no the only people on the planet who
don't cook are raw foodists in places
like Berkeley and Cambridge and stuff
like that, right? Um and and and there
>> the most developed places in the world,
not the least developed.
>> You cannot possibly survive on a raw
food diet without a really high quality
diet. And even then it's difficult to
thrive because because cooking releases
energy. Cooking releases nutrients. You
get more energy from cooked foods than
from that. So we were eating like you
know zoodles you know zucchini noodles
and we were eating you know uh smoothies
and we were eating um um um
>> fish. Did you eat any raw fish?
>> I ate raw fish. Absolutely. I love I
love sushi but you can't have it with
the rice because the rice is cooked
right. So um um it was really hard to to
I mean I was just constantly hungry and
my wife got depressed. Um um she um she
I describe it in the book. She u after 3
days uh she disappeared and came back
looking really happy. She went out and
got a bagel and that was that was it for
her.
>> She broke containment.
>> I I made it another day. I mean
>> you lasted four days on the raw food.
>> I lasted four days. It was it was it was
um it was really hard. Yeah. And look uh
it's based on the again it's a
naturalistic fallacy that somehow
because you know you know animals don't
get these various diseases because they
eat raw food that that somehow it must
be really good for us. But but we our
species started cooking maybe a million
years ago. Certainly by 400,000 years
ago. Cooking became extremely common
among our ancestors to the point that
it's changed our digestive systems and
enabled us to have these big brains and
big bodies and high metabolisms that
that we cannot support without cooking.
>> How important was cooking to human
development?
>> Uh crucial. I don't think we would be
the species that we are without cooking.
We would not we wouldn't have our big
brains. We wouldn't have the levels of
body fat that we have. Cooking enabled
us to have the kind of uh reproductive
rate that we have. Cooking. Cooking gave
us more energy and you know we are an
energetically extravagant species and
and and cooking is one of those key
elements. Food sharing is another. Meat
was part of it as well. Um cooking is an
incredibly important part of the of the
human evolutionary story that g that
made us who we are.
>> What does cooking do to digestion?
>> Cooking cooking breaks down cell walls
most importantly. So that you know when
you eat a cooked cooked like if you eat
cooked corn versus raw corn and then you
look in the toilet the next day what
what do you see? Right. I think I that
experiment is pretty easy to do. You you
digest a lot a lot more more of your
food when it's cooked because you break
down the cell walls. You break down the
down the down the you release the
nutrients. Cooking also makes food
safer. So if you eat raw meat versus
cooked meat, uh which is more likely to
make you sick and and when you're sick,
you have to if if you survive it, you
have to spend a huge amount of energy
fighting that, right? And
>> speaking to somebody that got salmonella
in Rwanda. Yes. [snorts]
>> Oh dear. I'm so sorry.
>> It's okay. I survived. I survived. But I
did get a call from uh the UK
um it's like food and safety
people that they go around and they if
if you go to your GP I felt horrible
obviously and uh went in did some stool
sample thing and I got a call from
environmental health before my doctor
called me to tell me what happened and
they said Mr. Williamson uh we
understand that you were part of a
salmonella outbreak. I'm like, "Okay,
well, thank you for telling me what's
wrong with me." But they wanted to work
out where I'd been. They wanted to know,
"Hey, what was the restaurant? What
restaurants have you been?" I'm like,
"Unless you're going to fly out to
Rwanda, this is not in your purview, I
don't think." But that took a long time
to recover from like fully fully recover
digestion from it is gnarly.
>> Sal I've had salmonella once. It's
tough. Yeah, it's really hard. I got it
at I got at the at the um at the at the
um cafeteria my medical school in in in
Elderette, Kenya. [laughter]
My entire team got got sick from the
>> Oh, at least it was something that you
could bond over.
>> Bonding is one [laughter] word for that.
>> Yeah. Yeah. Yeah. You can be in the
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I got a question. Have we ever seen any
other animals using temperature to
moderate food in any way? Does anything
leave something out, put something away?
Is there any kind of like mediation with
regards to temperature for
>> not on a regular basis? Uh but it's
interesting though if you there are
these fun experiments where they give
chimpanzees
give them the opportunity to choose
between cooked food and raw food. And
even though chimpanzees don't cook their
food, they always they not always, they
usually prefer the cooked food. And it
has been observed that that sometimes
like after a brush fire, the chimpanzees
will eat the the burnt stuff. Oh, a
barbecue.
>> Yeah, it's like a natural barbecue. But
they're they're taking advantage of a
natural brush fire. They're not they're
not cooking it themselves. If there are
animals that that you know, no that that
that I don't know of.
>> Was unique.
>> Would you say that farming was a healthy
human development?
>> Oh my god, that's an interesting topic.
I mean, it's [laughter]
How many hours? just throwing grenades
at you here.
>> Um,
remember the equation of life, right?
Food in equals babies out.
>> Yep.
>> So, some people say that farming was the
biggest mistake that humans ever made.
Um, because once people ate farming
diets, they had less nutritional
diversity and they ate more grains and
cereals and blah blah blah. And if you
look in the archaeological record, once
farming starts, people's health
declined. But the reason for most of
those declines in health was because of
infectious disease because we started
several things. First is we started
living with animals, right? So we had we
living with our sheep and our cows and
whatever. We started getting diseases
from those animals. So So in fact
>> as opposed to only having the animals
with us that we could kind of kill or
use to maybe pack like carry packs and
>> Yeah. We don't Yeah, exactly. We don't
we didn't get many animal animal
diseases.
>> Exposure of human to animal was so low.
>> So that's one. The other is that with
farming you produce way more food. I
mean hunter gatherers struggle to get
you know a few thousand calories a day
but farmers can even you know neolithic
kind of farmers you know with simple non
without machines and all
>> the farmer can get more calories
than he needs
>> way more right this they have much
larger families. So and with farming not
only did populations start to increase
but we also became sedentary and started
living permanently in villages. So now
you have higher [snorts] population
densities, higher populations, living
with animals. Now you're surrounded by
your own cuz you don't have you
don't have san, you don't have toilets
and you don't have you don't have um
sewers and all that kind of stuff. And
so now you get the perfect uh mix of
factors to increase infectious disease
and infectious disease transmission. And
so with the advent of farming, you had
more people, but you also had a lot more
disease. And so um so on the one hand
farming was great from an evolutionary
perspective because we had more babies.
I mean the population of the world by
the end of the farming era was up to
about a billion people from probably
about you know just a few million from
before farming was invented which is
only what about 600 generations ago. So
in six like 590 generations the world
went got up to about a from about a few
million to a billion people. So from
that perspective, from a natural
selection perspective, farming was a
great idea.
>> Scale good from the from from in from
disease and misery it was terrible. Also
with farming you get famines, right? If
you're a hunter gather and and the the
weather is bad and you have a you know
drought or whatever, you just move,
right? You [snorts] you you're in
enormous territories at extremely low
population density. There's a lot of
variation. So you go to where the food
is. Now doesn't mean it's easy or you're
necessarily going to you know you know
live in the lap of luxury but if you're
a farmer and you're living in a village
and you can't go anywhere else because
the next folks over are going to kill
you and you you have a drought or say
two years of drought and famine you die
right so so farmers are much more
vulnerable to famine and and disease
also with farming you also have the rise
of complex civilizations and armies and
and you know the you know Napoleon's
going to come and you know burn your
fields and you know I mean so you have
more of this kind of organized violence.
It's not that hunter gathers don't kill
each other they do but with farming you
have you have and civilization you begin
to get more uh largecale warfare which
of course who suffers it's the peasants.
So farming brought a lot of misery and
and and and problems although it did
provide more food and more energy. So
how's that for a
>> yet another mixed bag? It's just it's
>> I'm sorry I'm an academic. Not at all.
No, I I think it's so it's so wonderful.
Like the the understanding
the fifth order effects of something
like that, what happens downstream, I
think is so cool.
>> But if I could say something more about
farming diets, so a lot of people
mistake farming diets with modern diets
because when farmers were eating their
grains and cereal, like think think of a
typical like let's go back to the
Mediterranean diet. Think a typical
farmer from somewhere along the
Mediterranean. They're growing barley or
wheat and they're having their lentils
and their whatever and they're, you
know, they're they're chickpeas and
whatever. They're having their legume
and their cereal, etc. When they're and
they're making bread, but they're it's
going to be sourdough, whole grain,
whole wheat, you know, sourdough bread
with lentils. These are healthy diets in
the general. They're not these are not
insulin spiking diets. Um, these are
these are effective diets. Um, and it
wasn't until the late 19th century,
actually was in Hungary, that that uh in
the industrial revolution, that we
figured out how to mill flour to get rid
of the the the germ and the sperm. And
then now all of a sudden, we when we
think of like high cereal diets, we
think of white flour, not brown flour.
And that's a very different thing. I
mean, there's actually a fair amount of
nutrition in whole grains. Um, they're
not they're not the kind of poison that
some people think they are. They're not.
and especially when you combine them
with legumes. So, so I think people have
a kind of a funny conception of what a
traditional farming diet is. It's been a
bit warped by modern by modern um uh
cereal diets.
>> What's going on with modern gluten
intolerances?
>> It's gone skyh high. I mean, but so have
peanut allergies and I mean we have all
these autoimmune diseases where our
immune systems have start essentially
erupt when we eat certain foods and and
and gluten which is a protein in in in
in in wheat uh is one of them. Um but I
would uh and
>> what do you think's going on with
gluten?
>> I think it's if I had I I have you heard
of the hygiene hypothesis?
>> Yes. Yes. where if you live in a house
that's got a dishwasher, there's an
increased chance of asthma. If you live
in a house that is that as you make
>> that's that's a that's a that's part of
it. Yeah. So the hygiene hypothesis is
this idea that we have these we have
immune systems that evolved to be very
active, right? The world was full of
germs and worms basically until until
until modern sanitation. But you and I
still have the same immune system that
our great great great grandparents had
with the same kinds of cells and all
that waiting waiting to defend us
against all the all the all the
pathogens out there. Now we have
dishwashers and we have bleach and we
have you know you know we clean
everything right and and the result is
that we have much less we have fewer I
mean how many worms have you had to deal
with recently in your in your food?
Probably very few. Yes. But until
recently and in many parts of the world,
everybody is dealing with worms.
>> Worms are an important uh hormetic
stressor for the immune system.
>> They are. So, but you still have the
same immune system and now your immune
system is is still waiting to do its
job. And the analogy is
>> hyper sensitized. Well, it's not that it
could be hypers sensitized or the or the
other analogy I use is is it's like
bored teenagers like you know they have
all these cells waiting around to do
stuff and there's nothing for them to do
and they're more likely to get into
trouble because they now are more likely
to attack self versus nonself because
there's no non-self to attack.
>> Have you seen the data around children
that grow up in houses that have got
dogs in?
>> Yeah, exactly. And they're much less
likely to get autoimmune diseases.
>> Yeah. Any any excuse to make dogs great
again.
>> But there's another factor too. So, so
one, so that's one possibility, which is
all the all the all the all the sterile
environments that we're in. But another
important factor could be uh
antibiotics. I mean, we now have so many
antibiotics that we are constantly
taking and it's even even if you don't
take them, it's in your food because the
antibiotics are given to animals. We are
in a in an antibiotic zone.
>> Millu,
>> millu, thank you. That's a much better
[laughter] word. And and of course those
antibiotics are affecting our gut
microbiome in all kinds of ways and
they're breaking down the mucous
barriers. They're affecting bile.
They're affecting all kinds of aspect in
ways that we do not understand. And I
think I think there are there's a
there's a lot of people trying to study
how th those antibiotics may also
predispose us to to having things like
celiac. So
farming mixed bag probably good overall
for having more humans on the planet for
individual humans. Cooking same thing.
I'm I'm interested over time typically
things get better. Obesity is now a
bigger global health issue than
malnutrition.
How come so many people are overweight?
[gasps] Well, there's no one answer. Um,
but if there's any one dominant factor,
it's obviously processed food. I mean I
I think you'd be hardressed not to I
mean we are surrounded by
you know you walk into a supermarket and
you were just surrounded by foods that
are
uh engineered for us to be they be hyper
palatable that um [clears throat] are
loaded with with with sugar and fat and
then and you know hitting our bliss
point uh so that we keep eating more and
more and more and more. Um and um um and
you add and you add to that physical
inactivity. Although exercise is not the
world's best is not that great for
losing weight. It is extremely important
for preventing weight gain. Um and then
um and then you add antibiotics and you
add various other factors and and of
course some people have genetic
proclivity although that doesn't explain
the recent rise. Uh yeah we are we are
we you we are surrounded by food that
makes us um makes us gain weight and the
then the then the difficult thing is
that once because of natural selection
we have this we never evolved to lose
weight. So we have these adaptations to
hold on to fat because we are we never
evolved to to lose
>> once you once you create fat cells you
can't get rid of the fat cells they only
empty themselves. Is that correct?
>> That's correct for the most part. Yeah.
the fat cells swell and so what you're
doing is reducing but each cell is its
own little kind of you know metabolic
powerhouse and
>> if cells get sufficiently big then they
split and you now have two fat cells
which means that getting fat in future
becomes easier when I first learned this
I'm not off with the science right this
is
>> no you're you are not off and
furthermore when you have more fat cells
remember we talked about the
carbohydrate insulin model when you have
more fat cells those fat cells are
signaling
>> sucking up all that stuff so you eat the
same food but now body thinks you're
you're you're you're starving because
you've sucked up all that glucose. You
become hypoglycemic. So, gaining weight
actually makes you eat more.
>> Yeah. I mean, it blows [laughter] this
this learning this when I this was in
uni when I was thinking about
bodybuilding and wanting to be, you
know, lean and jacked and stuff and uh
hearing that if you get sufficiently
fat,
fat cells grow and grow and grow and
then when they grow big enough, they
split into two and then maybe you lose
fat. Maybe you're going through the the
classic sort of bulk cut uh seesaw, but
when you lose fat, those two now, what
used to be one, two fat cells, they
shrink down. They become smaller or more
empty or whatever, but there's still
two. And and they're also they're also
they're producing less of a hormone
called leptin, which is now telling your
brain, we're losing energy. You
need to eat more to replace us. So So
it's this called we called it the
lepinostat. So the fat cells when you
lose fat you're you're you're the fat
cells send a signal to your body to eat
more. So so so
>> becoming fat at one point in your life
makes not being fat for the rest of your
life harder.
>> Correct. Yeah. So that's the problem. So
if we are going to tackle this problem
a we need to help people figure lose
weight but b we need to spend more
energy and more effort to help prevent
people from gaining weight in the first
place. And one of the scariest
statistics I know is the percentage of
young people who are having who are
overweight or obese. It th those numbers
are going up and up and up and up.
>> How many young people are
>> I think in the United States something
like 30% of of of American teenagers um
are now classified or 25% are classified
as as being obese.
Yeah. And that's a really scary number
because those kids for the rest of their
lives are going to be fighting their
weight and and and of course now we have
GLP1s which we haven't started to talk
about which which may be very helpful
for them but but that's that's not the
necessarily going to be the magic bullet
either.
You mentioned before about um the
particular combinations of of flavors,
flavors rep representing
uh macronutrients and what's inside of
this and uh some of the texture as well.
I learned about orification
>> about the design of the texture of food
and how that's used to kind of bypass
our our usual levels of of satiety and
stuff.
Can you just explain to
let's say that somebody didn't
understand
why particular combinations of flavors
and textures are seductive and
attractive to our system. What what are
they and why is why does that work in
that in that way? I've seen these videos
of hunter gatherers eating cheesecake
for the first time and it looks like
they've taken MDMA. [laughter]
Well, you know, we we um I describe them
in in in in the book actually one one
the last day we were with with a group
of hund gathers and we and we cooked for
them and I've never seen anybody eat
that much food as these at these hunter
gathers. I mean they they were just like
they were like complete non-paleo diet
nightmares you can possibly imagine
because humans are humans. We like we
like we like sugar. We like fat. We like
energy rich foods.
>> But we don't just like sugar on its own,
right? But we don't just like fat on its
own.
>> You mix the two. Yeah. So, so too much
fat is greasy, right? Too much sugar is
cloying. But it turns out that if you
have a if you balance them, it turns our
brains on like crazy. Like, can you name
All right, here's a here's a quiz for
you. Can you name a natural food that's
high in both sugar and fat that you can
get without, you know, stores?
I was the fact there's only one.
There's only one.
>> It's not going to be It's not going to
be honey cuz that's just the sugar. It's
not going to be avocado because that's
just the fat.
>> It's not going to be some sort of
mushroom. It's not going to be a kind of
berry because again, that's going to be
too much in the sugar.
>> I'll give you a hint. It's the first
food you ever ate.
>> Milk.
>> Yeah.
>> Wow.
>> Milk is rich in fat and it's rich in
sugars, right? And and but after you
wean, you know, that's it. Unless unless
you have [laughter]
a supermarket or you know from food
factory near you. Now we're able and
think about the foods we love. They
combine fat and sugar. They there's
something Freudian about it for sure.
Right. Um and you can h and if you
balance high amounts of fat and high
amounts of sugar that on their own
wouldn't be pleasurable together. They
balance each other out. Now add some
salt your brain is on fire.
>> And then if you can do the texture
development if you can get fluffy with
crunchy again
>> hot and cold. I mean, think about a
McDonald's Big Mac. I describe it in the
book, right? I actually, you know, a Big
Mac has, I think, every flavor pretty
much except for spicy that you can
possibly think of. It's got it's got hot
and cold, it's got crunchy and smooth,
it's got sweet, it's got salty, it's got
everything. There's a reason that people
love that stuff, right? It lights
everything up, right? Um, Doritos.
Doritos have more than Go get a package
of Doritos. don't necessarily eat them.
But there are 30 ingredients in Doritos
the last time I counted and they have,
you know, garlic and I mean there's all
these different flavors, but they're all
balanced so your brain doesn't think any
one is too high. So there's a there's a
book by by a guy named Michael Moss
called Salt, Sugar, Fat, which is really
worth reading, where he's an
investigative journalist. Um, and he uh
studied and, you know, collected
information on how [gasps] the big food
companies, you know, through serious
testing. These are not accidental foods.
These are carefully formulated foods to
keep us
>> precision engineers,
>> keep us reaching for more. Another
example I got from his book is M&M's.
You know why M&M's have all these
different colors?
no
>> to turn our brains on because you know
think oh I'll have a red one now I'll
have a green one now I'll have a brown
one whatever your your bra even though
they all taste exactly the same it's it
gets you to eat more right so so we've
been subjected to to foods or we have to
cope now with an environment with all
these foods that have been literally
engineered to get us to eat a lot of
them and and of course there and and
then and you add all the chemicals to
them which are probably not very
Um and uh you you you end up with what
we have today which is that 40% of
American adults are classified as having
obesity and another 35% are classified
as having over as being overweight. So
only one in four Americans today
>> is actually by you know by BMI
classification which is has its own
problems um is considered normal weight.
one in four. Um and and look, you gota
and there's probably other factors, too.
Um exercise is probably one of them. Um
but um but obviously our food
environment is is unquestionably uh is
is is the main reason. If there was a
pie chart contributing to weight gain
and some of it was calories in and some
of it was calories out, how much of it
would be diet consumption increased and
how much of it would be sedentary
movement increased or or or lack of
movement uh movement decreased? What do
you think's the sort of proportion?
Because obviously we've had this big
change in terms of obesity over the last
few decades.
>> That's a it's a hard number to come up
with, but obviously the vast majority
has to be with calories in.
>> You think it's mostly on diet?
>> Yeah. But but remember our metabolism
isn't just calories in versus calories
out because it that that's important.
But remember that when you so I I didn't
get because I got up at some ungodly
hour this morning to get the airplane to
come here. I have not had a chance to go
running today. I'm a I'm a bit of an
exercise addict. But had I gone running
this morning and I just had lunch, I my
the amount of insulin I would have
produced from the taco that I had in the
airport would have been less than than
the fact that I didn't go running this
morning. So physical activity doesn't
just affect your calorie balance, it
also affects your metabolism. So that's
one of the reasons why physical
activity, although it's not the best way
to lose weight, it's very hard to diet
by just by exercising. You can lose, but
you have to do a lot. But physical
activity has been shown, even moderate
amounts of physical activity have been
shown to help prevent weight gain. And
part of that, it's not just the calories
spent, but part of that is the fact that
it changes our metabolism.
>> Why are the calories on a label not the
calories that you absorb?
>> Oh, yeah. That's an interesting
question. So,
because
the calories on the label are a kind of
an idea. It's a formula. Actually, it's
over 100 years old. This formula was
created by by a guy named Wilbur Atwater
who who who analyzed more poop than you
can imagine. But anyway, Wilbur Atwater
uh was a professor at in um in in
Connecticut who who came up with these
these and what they do is you take some
food and you you separate out the
carbohydrates, the fats, and the
protein. And then you use a formula 4.1
uh calories per gram of of carb um for
um um 4.1 uh calories per gram of of
protein and 9 something, you know, for
for the fat. And and that's the number
on your on your canned food, but that's
what's that's what's available to you
that an average person would get. But
it's not actually what you because
you're you're you're not a you're not a
particip you're not a you're not a bomb
calerimeter in Atwater's lab. You're a
human being, right? And and so for
example, if you take a uh peanuts,
right, and and you measure the the
content of the energy in your peanuts,
and now you grind those peanuts up into
peanut butter, which by the way is the
world's greatest food, you you get way
more energy, about 25% more energy than
if you ate the peanuts whole because the
food processing, even though it's the
same stuff, the food processing gives
you access to more of those nutrients
>> because you don't have to work as hard.
>> That's right. Because you break the food
down to tiny little particles, right?
And and your enzymes, right? Surface
area to volume ratio. Your enzymes can
break that food down. If you take a
banana and you blend a banana, you get
more energy from that banana than if you
just eat the banana whole. People have
done that experiment. Another example,
>> if you were to just swallow the banana
as well without chewing it, [laughter]
that would also help.
>> Good luck doing that. But um um one of
my favorite experiments is a guy named
Steven Seor at the University of Alabama
who studies what's called diet induced
thermogenesis. you know, the energy it
takes to break down food because food
takes energy to digest. It's a lot
actually. And he he used boa
constrictors because boa constrictors
you can, you know, they can not eat for
like weeks and then you can give it a
rat and then you can measure how much
energy the boa constrictor spends
eating, digesting the rat. And he would
give the boa constrictor a rat and then
he give the you wait a few months and
measure how much energy the bo
constrictor spent. You could do that by
just measuring how much the boa
constrictor heats up. Y and then you
wait a few months. Bo is very happy. You
give it the same rat or the exactly the
same size rat, but this time he grinds
it up. Same rat, same amount of
calories, ground rat. And the bo
constructor slips right through his
digestive system. It doesn't heat up at
all or much less so because the bo
conctor is getting way more energy from
that rat. So when we pulverize our food,
we grind it up, etc. When you make a
smoothie, for example, you're getting
more energy from a smoothie than if you
ate the same amount of fruit whole.
>> Does that mean that people should or
shouldn't eat smoothies? Well, if you're
depends if you're trying to lose weight
or not. I mean, if you know if you I
mean, I like smoothies. Smoothies are
great. I eat them all the time, but I'm
not trying to lose weight. But if I was
on a diet, I would probably cut down on
my smoothies.
>> I've heard that uh celery is net calorie
negative.
>> Yeah, I've heard that, too. I don't
believe that. Uh I'm I'm sure you don't
get
>> the energy needed to digest the celery
because of how rough and fibrous it is
is greater than the amount of calories.
>> Fiber doesn't take a lot of energy to
digest. Actually, fiber is just what you
send to your microbiome. And by the way,
we don't when we measure the calories
from food, we're not taking into account
the the contribution from our
microbiome. So all those bacteria that
are once the celery passes through your,
you know, the fiber from the celery
passes into your colon, they're all
these happy bacteria and they're
delighted that you had the celery and
they're breaking that celery down into
what's called short- chain fatty acids
of which you which you then up take up
into your bloodstream and then you use.
So we think actually that for some
people maybe about 10% of the energy
that they get from their food is not
even measured on those nutrition facts
labels because it's our comes from our
microbiome. We have no idea really. When
you have studies that tell you how much
energy somebody's eating, they're making
it up. We're not making up. They're
estimating it. And and it's actually
extremely inaccurate. Which is another
problem with our studies of calories in
versus calories out because nobody
really knows how many calories go in.
>> Modern food environment, novel, calorie
dense, hyper palatable, processed, etc.
But as soon as you create a problem,
solutions come out for that too. And we
have modern technology and people can
design new foods.
What are some of the foods that people
are eating every day that they think are
healthy, but it's actually making them
worse?
I don't know. Um I worry about some of
the ultrarocessed
um um uh foods that um that like like
meal replacements um for lack of a I
hope I don't get in trouble, but like
hule and Soylent. I mean there's all I
mean you could and I actually tried them
for a few weeks. Um I didn't eat dinner,
but I had all my lunches and breakfast.
I I
>> How was that? It was awful actually
because I it got so boring and I got to
really fear, you know, I mean, at first
I thought, okay, it's a milkshake, it's
not so bad, etc. But after a few days,
it's like I really missed food. Um Um
but there's like emulsifiers in there.
There's all kinds of stuff in there that
we don't know what they're doing. We're
just guessing.
>> Um and and and you know, over months,
weeks, years, you have no idea. Or
another example would be uh a lot of
people eat a lot of soy products because
they think, you know, they're trying to
be very vegetarian. That's fine. Nothing
wrong with being a vegetarian. They're
eating a lot of soy. But some soy
products um are um are made by by by
through solvents. They use hexane.
You don't want hexane in your food.
Hexane is
>> sounds like some that I'd put in my
barbecue.
>> Yeah. Or your in your car, right? You
know, [laughter] it's a it's a solvent.
It's a flammable solvent. and and and
then you try to wash the hexane out. But
hexane is is a toxin. It's a neurotoxin.
And um and and studies have shown that
you can actually measure people's urine
and people who who who are not in the
petroleum industry and they have hexane
in their urine and it's probably coming
from soy or from non-expeller press seed
oil. So, like when I get canola oil, I
only get expeller pressed canola oil
because I don't want my canola beans,
you know, uh uh dissolved with hexane in
order to get my oil.
>> Um and so
>> I thought seed oils were bad for you.
>> Oh, no. That's that's there's that's
another one of those myths. I'm sorry to
say. Um um but let's go we'll get to
that in a second. But so I think there
are some foods that people think are
healthy, but the way in which they're
processed might be unhealthy. Again,
it's very it's as Paris also said, it's
the dose that makes the poison. We don't
yet know. It's very hard to do the
studies. You can give huge amounts of
like these foods to rats and they get
cancer, but we just don't know about
humans. So, it depends on what your null
hypothesis. So, right now, the
government's null hypothesis is that
this hexane that we get in our food is
okay. It's generally recognized as safe.
Others think, well, unless you can prove
it's safe, I don't I don't want anything
to do with this.
>> Seed oils. seed oils. Okay, so the idea
behind seed oils there there are
different kinds of um little little
jargon here. There are different kinds
of um polyunsaturated fats. So a
polyunsaturated fat. So fats are these
long chains of carbon,
lots and lots of carbons and and if the
carbons have single bonds between them,
remember single bonds from chemistry,
that means that they can have two
hydrogens, one on each side that bind to
them. So a saturated fat is all single
bond carbons and that each carbon has
two hydrogens. So that's saturated with
hydrogen. That's why it's called a
saturated fat. If you make one of the
carbons a double bond now you don't have
the hydrogen next on it and that creates
a kink in the fatty acid. So that's why
um fatty acids that have have have a
double bond are either mono or
polyunsaturated. So mono is one double
bond. Poly means there's more than one.
That's why they're liquid at room
temperature. They have kinks. So they're
they fold up.
So it turns out that and and we and we
label polyunsaturated fats by where
those double bonds are. So omega so
remember in the Greek alphabet alpha
omega alpha is the beginning omega is
the end. So omega3 means that the double
bond is three carbons away from the end.
I don't know if this is too much
information. So, so omega-3 fatty acid
has um is um is the double bonds three
carbons from the end and omega6 fatty
acid is is six bonds from the end. And
so fish and are really rich in omega-3s.
Omega-3s are great for your nobody
disputes that omega eat eat a ton
of omega-3s good for good for your
brain, good for your nervous system,
good for your immune system, etc. Omega6
fatty acids used to be much more rare in
our diet. And so the Paleo diet, I think
it started with the Paleo diet. Paleo
diet said, "Well, look, you know, we
should we didn't evolve to eat that many
omega-6 fatty acids because we didn't
have seed oils." And so we should try to
have a like a huntergather kind of
omega-3 ratio. So try not to have more
than twice as many omega sixs to
omega-3s. And the and the argument
behind that is that the the omega6 fatty
acids can be turned into a by your
digestive system into another thing
called a raachidonic acid, which can
then be turned into an inflammatory
compound like a prostagland. and it
gives you like a headache, right? So
they so there there is a biochemical
pathway by which these fatty acids can
become inflammatory. So that's the
concern.
However,
people have done studies, they give
people like you and me, they go go sit
in a lab, they give people omega-6 fatty
acids and then measure whether their
metabolism does that. Turns out that
doesn't. There's no evidence and and
there are quite a few studies, my book
cites them. you can go look them up
where where the the the increasing the
amount of omega-6 fatty acids actually
increases inflammation. It was a it's it
was a fear but the fear turns out not to
be the case. Furthermore, there's epid
so that's mechanistic study. There's now
epidemiological studies as well which
show that people who eat a lot of
omega-6 fatty acids do really well. In
fact, people eat in fact omega-6 fatty
acids have been shown to be more
preventive like the Nurses Health study
and various other big huge studies.
We're talking hundreds of thousands of
people, prospective studies over
decades, actually have lower risks of
heart disease, cancers, etc. than people
who don't eat them. So, so although
there were concerns about them, the
evidence, if you're if you're just
purely evidence-based,
>> the evidence suggests you should stop
worrying about omega-6 fatty acids.
>> If you walked through the average
healthy person's cupboard, a kitchen,
what do you think would concern you
most? the average healthy person.
>> Yeah. Someone that considers I'm eating
a modern healthy diet. I'm the sort of
person that shops at Whole Foods. I try
and make sure that I'm remotely paleo
and naturalistic informed when it comes
to my diet. I'm a healthy person. You're
going through my kitchen. What are the
common things you think would concern
you most?
>> That's a good question. I don't know. I
mean, I think what's I think the more I
study diet, the more I realize that
there's incredible variety of foods that
we're able to eat. Uh, so you're asking
like what's an unhealthy food that
people think that's healthy that they
tend to eat a lot of. [sighs and gasps]
>> I need to think about that. I'm not
sure. Good question.
>> Yeah, I am.
>> You stumped me there.
>> I guess
>> I'm not a very judgmental person
actually. So that's part maybe that's
one of the reason
>> healthy versus unhealthy is not
necessarily a judgment, right? we can
say hey that would be you think that
this thing is sort of net positive for
your health but I would be a little bit
more concerned about it or whatever uh
for instance I can give you one uh I
think maybe dried fruit might be one of
those things where people think oh well
you know this is it's a fruit it's a
little bit of a snack but you go that is
some really refined sugar in
there
>> okay that's a good one thank you you win
that wasn't
>> you get an A you get an A you get an A
would be fruit juice
>> right
>> um because fruit juice is basically soda
I I mean, it's, you know, um you're not
getting a lot of nutrients from fruit
juice. You're just getting a lot of
sugar.
>> So, I would think that would be another
one. Yeah. So, yeah. I mean, I look, I
like dried fruit, too, but I I um um I I
love putting raisins in my oatmeal and
stuff like that, but
>> dried pineapple chunks, dried mango
strips.
>> Good stuff.
>> Yeah. But just straight sugar.
>> It's it's it's a candy.
>> Yeah. Why does almost every successful
diet eventually stop working?
Do they I mean there are some that keep
working. I mean
>> how when you look at people
longitudinally over time and somebody
does a diet how many of them that lose
weight maintain that weight loss?
>> Well again um there you know various
studies uh have shown that a lot of the
standard traditional diets people do
fall off them um and they're the numbers
run all over the place but yeah I would
say that probably a reasonable estimate
is about 75% of people fall off their
diet. And why? because they can't
sustain them. Um, again going back to
the natural weight loss registry that we
mentioned earlier, the people who manage
to to keep lose weight and keep it off
are the ones who manage to keep the diet
going. And what's interesting is that
many of them don't follow an actual
prescribed diet. They just avoid junk
food. They avoid foods with a lot of
sugar. They avoid foods with a lot of
added fat. Um, they cook most of their
meals at home. They tend to exercise.
They tend to weigh themselves on a
regular basis. So they're keeping track
of how they're doing, but very few of
them actually are following an Atkins
diet or a this diet or a that diet.
They're just trying to eat reasonably
sensibly.
>> Uh that's the that's the evidence. Um uh
so I think it's you know the old joke is
you know the the the um you know the
best worst part about diet is the second
day in the diet because you stop you you
know that's when you stop the diet right
many diets remember the difference
between efficacy and effectiveness.
Yeah, many most diets are effective
>> in vitro. Wonderful.
>> I mean most diets have high efficacy but
they have low effectiveness because and
they low effectiveness is generally
because we have a hard time maintaining
them and that's because of our food
environment.
>> Does the body fight weight loss very
aggressively?
>> Absolutely. Yeah. I mean the biggest one
is hunger right? When you lose weight,
your body sends all kinds of signals.
There are leptin and there are peptides
PY etc. that tell your body you are
losing weight and turn on your appetite
and that's why
>> in the stomach.
>> Yeah. Grlin. Exactly. I mean, it's very
hard to fight all those all those deep
and fundamental adaptations and and so
the best diets are the ones that kind of
trick your body and but also require um
um um you know, they're hard and and
that's why GLP1s have been so incredibly
successful because GLP1s
for many people just turn off that
appetite and enable them to eat less.
And
>> what do you think about GLP1s?
>> Well, I mean, they're game changers for
many people. I mean, they've they've
they've been incredibly successful. Some
people lose 25% of their body weight,
and there are new ones being formulated
that maybe even they've been more
powerful. So, for for I mean, that can
be really huge for somebody to really
lose that kind of weight and turn off
those cravings. Um, but there are some
concerns. So, we published my colleagues
and I published a paper in JAMAMA, the
journal of the American Medical
Association recently. One of the big
concerns about about GOP ones is that
people not only lose fat, they also lose
muscle and they and they seem to lose a
lot of muscle. It's a bit like beriatric
surgery too. Like when you lose a lot of
weight really fast, uh people lose a lot
of muscle and that can put you at
serious risk of frailty and you get
older because when you lose muscle as
you age, you get you can get what's
called sarcopenia. Sarco is the Greek
word for flesh and pineia is loss of
flesh loss. Sounds bad, doesn't it? And
sarcopenia is really debilitating
because as it becomes a vicious cycle
because as you become less strong, you
know, just get doing acts of daily
living become harder getting up from a
toilet, you know, shopping and doing
stuff and then you become less
physically active and and you become get
into this vicious cycle and things get
worse and worse. My basically my, you
know, my my mother for lack of better,
you know, she she died essentially of
sarcopenia. She got more and more frail
as she got older. I tried to get her to
eat anything, you know, ice cream, this,
yeah, you never know, whatever. Try to
put on some weight and she just
couldn't. Um, it's was really hard to
watch. And
>> some people are kind of self- enforcing
that inability to eat food through GLPs,
>> right? and and and so so the so the one
of the big concerns about GLP1 is that
if if you're taking them, do strength
training, please, because that can help
reverse or help you maintain your muscle
as you lose those GLP1. So that's one
concern about GLP1s.
Another is that a lot of people quit
them. Uh the last study I saw, and
again, things may change because they're
now oral versions of the pill. They're
now there's now a pill version so you
don't have to inject it. But something
like 60% of people who have tried GP P1s
have quit them after a year or two. 60%.
And the problem is that when you quit
them, your body just still will your
appetite comes roaring back and you want
to go back to your previous weight for
for reasons that we do not understand.
So most people who use GLPs take them
for a period of time that they can lose
an appreciable amount of weight and then
stop.
>> Don't maintain the weight loss.
>> Exactly.
>> So it's a lifetime contract.
>> So Exactly. So that's that's what we're
currently seeing at the moment. Um
[snorts] so that's that's a concern
because then when they regain the
weight, they tend to gain it almost
completely as fat, not as muscle. And so
then in a way they're worse off. Oh, so
they've lost muscle on the way down and
gained fat on the way back up.
>> Yeah, so that's one of the concerns.
Look, we're still we're conducting this
experiment in real time without knowing
the results. And then a final concern
about GOP1 is that look, nobody likes
taking medications, right? At least most
people don't like taking medications.
And and it doesn't solve the problem of
what you should eat in the first place
and it doesn't prevent obesity in the
first place. So, it's great for people
to lose weight, but we also need to
focus on helping the people not have to
take those GLP1s in the first place. So,
I'm a little worried that we're going to
take our eye off the ball.
>> And even if you're on a GLP1, you still
have to figure out like what to eat,
what? And the GLP1 might help you with
your cravings for, [clears throat] you
know, really fatty sugary foods, but it
might not. We just still haven't done
those studies very well. So, so look,
they I think they're a useful tool for a
lot of people, but I think we have a lot
to learn and we have to figure how to
use them better. They're not going away,
but um but I think they're you again,
they're not the magic bullet that some
people think they are, but they may be
very very helpful for some folks.
>> It feels like an artificial solution to
an artificial problem. We have this
novel food environment which like we
shouldn't be in, right? In an ideal
world, if we were to design things
better and we now have this thing which
kind of solves it. We solve the calorie
dense, hyper palatable food world with
this thing that comes in and puts the
kaibosh on our ability to either eat or
gut motility you know level of hunger
stuff like that.
>> Yeah. So I I I a few about 13 years ago
I wrote a book called the story of the
human body and in the in this end of
that book I proposed an idea called
disevolution.
Dissevolution is when we treat the
symptoms not the causes of a mismatched
disease. So we're talking about
mismatched diseases. These are these are
illnesses that are caused by not being
adapted to our modern world. Right? But
when we treat the symptoms not the
causes we keep the system going. Right?
Um, and and I think GLP1s might be an
example of a kind of a diseolutionary
process. We can still have our, you
know, frozen pizzas and our, you know,
fried chicken and our, you know, donuts
and all that kind of stuff. Now, we get
get obesity, take the GLP1s, but we
still have that same food system,
>> 1700 calories of the frozen pizza and
the donuts [laughter] and the
>> We still have that food system that's
going to keep going, right? We need to
solve our food system problems if we're
going to help prevent people from
getting the and that and and and right
now we're not doing enough to help each
other eat what eat sensibly so that we
don't gain weight.
It seems to me when you get to kind of
that point of the conversation, the food
environment is predatory, engineered,
capitalistic,
uh, uh, designed to hook people. Um,
people tend to split in one of two ways.
One is they go towards systemic change.
Um, we need grass to be uh, changed. We
need to look at what can SNAP payments
be spent on. and we need to kind of step
in and there should be a additive
restriction. We can't have these food
dies and some of that stuff. Yeah. Yeah.
A degree of top down sort of bureaucracy
that'll come in and fix it. Then the
other side is aggressive agency. It's
you need to take control of this. No
one's coming to save you. Uh you know,
constrain yourself only to the outer
aisles in the supermarket or shop in one
that that doesn't have any of the hyper
palatable stuff. Like
across all of this research and
self-experimentation,
what are the most robust principles that
you think people should take away when
it comes to having a good diet
nutritionally complete and
evolutionarily at least not totally uh
deranged?
>> Um, avoid processed foods. I mean, and
by processed, I would include foods that
are refined. So, white flour. Um, I
would include, you know, foods that have
a lot of added sugar, foods that have a
lot of added fat. You know, fat's not
your as bad as maybe some people think,
but filling your food with fat and sugar
is certainly not great for you. Um,
avoid foods that have I avoid foods that
have really weird ingredients that I
have no idea what the hell they are. You
know, things like maltodextrin.
If you see maltodextrin in your food,
run away. Why? Maltodextrin is a kind of
sugar that your body can't actually
detect as sugar. It's used as an
emulsifier. So, it keeps food from
particles from breaking apart. So, foods
have a long shelf life. It makes things
creamier and smoother, but it's risks
havoc with your metabolism. So, it's
it's a it's a food you would never eat
on your own. It's a chemical additive.
It's a chemical additive to to me is
like a like a canary kind of in the coal
mine kind of evidence that this is a
ultrarocessed food I don't want to have
anything to do with. So, if I see malt
maltodextrin on a food, I do not touch
it. Right? Um, we need so we need to
educate ourselves again. You know, our
ancestors needed to know a lot how to
get their food. Now, unfortunately, like
it or not, we need to know how to choose
our food. And we don't teach this in
school. They don't even teach it to
medical students. You know, medical
schools, you know, RFK Jr. is right on
this regard that, you know, most
physicians are given very little
training in nutrition. I teach my
undergraduates more nutrition. I tell
them in my their lectures, you're going
to get more from me than you're going to
get in medical school. And that's crazy,
right? Why we teach kids in school, we
teach them geometry. We teach them
American history. We teach I mean
there's nothing wrong with geometry and
American history. Why don't we teach we
teach them chemistry but why don't we
teach them when we teach them chemistry
let's teach them the chemistry of food
so that they they learn about when they
learn about chem you know chem you know
carbon bonds and hydrogen bonds etc. Why
not teach them that chemistry in the
form of so that they understand
saturated fats versus unsaturated fats?
Why why don't we teach this stuff so
that we can all learn because it's right
now all this stuff I'm I'm talking about
is is some of it's considered arcane
knowledge but it's actually not that
complicated. Um, and I and I think most
of us can learn this. I I tried to put
it in the book so that you know, anybody
can learn it. But but you know,
unfortunately that that's that's part of
the the puzzle. But the the fact of the
matter is a lot of us aren't going to
learn that stuff. And so we need help
helping ourselves because I think most
people would not want to get obese. Most
people want to eat a healthy diet, but
they're stressed. They're they're
they're, you know, their their finances
are limited. They don't have a lot of
time. Imagine you have a you commute,
you have kids, you rush to the
supermarket, you don't have a lot of
time to be, you know, whatever. We can't
get rid of processed foods, but if we
could help have processed foods that are
more healthy, I think that's the
solution. And so, like in England, for
example, like when you go to the
supermarket in England, there are the
green, yellow, and red labels, right?
They're super easy, right? And the, you
know, I mean, you can debate the fine
points about whether they've got the
labels right, but for the most part,
they're pretty sensible and they're a
quick way for somebody to see, oh, you
know, this is good for my kids and this
is less good for my kids. Why can't we
do that? It's so simple, right? Green,
yellow, red. So, and then you're not
forcing anybody. You can still buy the
red label,
>> informed choice.
>> Yeah. Just give people more information.
And and so we can we we could do more.
Another another opportunity is to tax.
We tax cigarettes. Cigarettes. We all
Everybody agrees cigarettes are bad for
you, right? Everybody agrees that
cigarettes, we don't prevent people from
smoking. And I I'm not going to prevent
somebody from smoking if they want to,
but we we we but we've agreed as a
society that cigarettes should be taxed.
>> Why don't we tax junk food? I mean,
they're they cause probably, you know,
>> is there no additional tax on sugary or
hyperprocessed?
>> No. And in fact, in Mexico when they
tried to put a tax on on on soda, uh it
got fought by the big uh by the like
Coca-Cola. Yeah. And and and and the tax
was reversed. So, no, we don't. Uh so,
again, I'm not saying we should, but but
we should be having a public discussion
about this because it's a it's a it's a
problem that's larger than any one of
us. It's a public health issue
>> that we all pay for. Um um because it's
it's and it's you know, there's never
going to be one solution. I I'm a bit of
more of a libertarian paternalist. I
think that I'm not into pretending, you
know, telling people what they should
do, but I think we should have we need
help helping us do what we would
actually like to do.
>> And and often we don't know what's in
our food or we don't know what the
effects of their foods are. So, or for
example, fruit roll-ups. You go to the
supermarket, you buy fruit roll-ups, and
they says made with real fruit filled
with vitamin C. Well, very few kids are
vitamin C deficient. And yes, it's made
with real fruit, but they've removed all
the fiber. So a fruit roll-up is
basically like a form of candy, right?
Um but but the advertising
allows,
you know, advertisers are allowed to
basically misinform.
>> So that might be another one of the I
think it's healthy, but in reality, it's
not and it's in a healthy person.
>> It deserves a red label. Now, if you
want to get a fruit rollup, fine, but
you should know that it's not a healthy
food.
>> Scary stuff. I mean, look, I it doesn't
surprise me that America is kind of the
battleground for this. You I think
French fries from McDonald's in the US
have got 18 ingredients and in the UK
they've got three and one of them salt
and that one's optional. So, this really
is, you know, patient zero as a country,
wonderful
meritocracy, free market, American dream
thing. But if you take those reins off,
you there's going to be some pretty
negative consequences. isn't the only
way that you can step in is to
reconstrain yourself through your own
choices or then have some bureaucracy
come in to start to restrict optionality
for people.
>> I think I think most people would like
help
>> because we we are we are we are not
completely free agents in this system
and um
>> it's certainly an unfair battle when you
think I've got the biggest
>> it's not a fair fight
>> companies on the planet trying to attack
the fundamental drive to not die from
starvation. Oh, and what I love also is
that you have in one aisle of the
supermarket, you have the companies that
are selling you foods that are really
unhealthy and then you go to the health
food section where you can buy like, you
know, Weight Watchers, you know, kind of
foods owned by the same companies. So,
they're think they're they're on both
sides of the equation. They're on the on
the on the um on the weight loss side
and on the weight gain side. They're
they're making money on both sides.
>> Daniel Leman, ladies and gentlemen,
Daniel, you're great. Your work's
awesome. Where should people go to check
out the book and everything else that
you got?
>> Uh, well, Fed Up comes out August 11th
and I tried to make it fun and and and
readable and with information that I
think all of us u need and it's filled
with references so you can find, you
know, end notes so you can find the data
yourself.
>> Heck yeah. I appreciate you. Thank you.
>> Thank you.
>> All right. Goodbye, my beauties. Dude,
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