How To Clear Up Brain Fog & Feel Mentally Sharper - Dr. Rhonda Patrick
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Dr. Rhonda Patrick defines brain fog, or reduced mental clarity, primarily through two physiological mechanisms: the postprandial glucose response and the postprandial inflammatory response. She argues that consuming high glycemic index foods causes a sharp spike in blood sugar followed by a crash, which impairs cognitive function. To mitigate this, she suggests avoiding refined carbohydrates like bread as a first course at restaurants or eating protein and fat before carbs to blunt the glucose rise. Additionally, "exercise snacks"—short bursts of vigorous activity performed 30 minutes before or after meals—can increase muscle glucose transporters, allowing muscles to absorb glucose more effectively rather than causing systemic spikes that affect brain function. Beyond blood sugar management, Dr. Patrick emphasizes minimizing inflammation triggered by every meal, particularly those high in both sugar and fat. This process can lead to intestinal permeability, commonly known as "leaky gut," where the tight junctions between epithelial cells open up, allowing bacterial endotoxins like lipopolysaccharides into the bloodstream. The immune system's subsequent activation diverts energy away from neurotransmission in the brain and releases cytokines that are both somnogenic (inducing sleepiness) and capable of crossing the blood-brain barrier to disrupt neural connections. This explains why individuals often feel sleepy, lethargic, or mentally sluggish after large meals; it is a direct result of an inflammatory response rather than just digestion itself. To counteract these effects without resorting to restrictive ketogenic diets that may be difficult to sustain long-term, Dr. Patrick recommends specific dietary strategies and supplements. She advocates for smaller meal sizes to reduce the magnitude of postprandial responses and prioritizes omega-3 fatty acids throughout the day. Clinical studies suggest doses around 500 milligrams are effective in blunting inflammation, though she personally takes one gram with each meal safely. Omega-3s serve a dual purpose: they systemically resolve chronic inflammation acutely within the gut to prevent endotoxins from entering circulation and produce specialized resolving molecules that actively work to calm inflammatory processes throughout the body. Dr. Patrick illustrates these concepts through personal anecdotes regarding her past struggles with low mood, burnout, and comfort eating habits involving pizza and sweets. She describes a vicious cycle where consuming high-sugar foods leads to inflammation, which manifests physically as throbbing or elevated blood pressure sensations, followed by sleepiness due to cytokine release. This pattern of sedentary behavior combined with poor dietary choices creates a feedback loop that exacerbates low mood and mental fog. Her experience highlights how comfort eating can trigger the very inflammatory responses she describes, leading to disrupted sleep patterns and emotional instability upon waking. Ultimately, maintaining mental clarity requires managing both glucose levels and inflammation through mindful food ordering, strategic exercise timing, and consistent omega-3 supplementation. While avoiding refined carbohydrates is a foundational step, Dr. Patrick notes that even healthy fats can be harsh on the gut if not balanced with fiber or protein to prevent leaky gut issues. By prioritizing protein at meals, utilizing appetizers like steak tartar before carbohydrate-heavy mains, and taking daily supplements, individuals can stabilize their blood sugar and inflammatory markers. This approach allows for a sustainable lifestyle that supports cognitive function without requiring extreme dietary restrictions, addressing the root causes of brain fog rather than just managing symptoms.
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what happens when people get brain fog
like what what is what is brain fog I
know what it feels like but like what's
what's going on um yeah so brain fogged
or as I like to call it uh a reduction
in mental Clarity um I such a docked way
of like I've just heard too many like
people say like brain fog brain fog like
and it's I I got like this like I was
telling you I got this new jerk reaction
to like you've got brain fogi I do when
people like say brain fog I'm like oh no
what are you going to say you know but
yes it is a thing so it's um you know
when when you have a reduction in a
mental Clarity it feels like this brain
fog and you know there I personally
think it all comes down to food I think
it really comes down to food I mean when
you're sick you have brain fog but we
can talk about how it overlaps with that
so I think there's really two big it all
has to do with meals and and and eating
um so the first thing I think that's
highly involved in this reduction in
mental Clarity or brain fog as people
like to call it is what's called the
postprandial glucose response so that
means blood glucose levels going up
after a meal and um what happens is this
if you have a really high postprandial
glucose response you're eating a high
glycemic index food something that's
definitely like a refined carbohydrate
for example that'll really smash you um
you're going to get this really sharp
peak in glucose and then like a drop and
or a sugar crash as people like to call
it
um and so it's really hard for your
brain to to be functioning properly with
that postp prandial glucose response and
that's partly why you'll hear a lot of
anecdotes and myself included people
that have tried a ketogenic diet or I
used to always like to do podcasts on a
fast in a fasted State because um you're
not getting that postprandial glucose
response is one thing it it really sort
of it it's evens it evens it out y not
everyone responds well to to a ketogenic
diet and I certainly uh don't think it's
easy to continue on forever so there are
other things um obviously re avoiding
refined carbohydrates is is an easy
no-brainer right there's nothing in
there anyways what do you need from
there nothing no micronutrients you no
protein right like you're not getting
anything from that so that would be one
thing to avoid because that'll make sure
you're not going super super high but
you can still have it um from from from
a meal and um some of the things that
you can do to mitigate that one would be
exercise snacks so this is like doing a
really short burst of intense like
vigorous exercise 80% max heart rate for
like 1 to 3 minutes and you do it 30
minutes or up 30 minutes up to an hour
either before or after a meal so you
kind of do it within this hour before or
after a meal and what happens is that
vigorous intensity exercise while you're
you know shooting your heart rate up you
know and it's it's hard to do you're
you're increasing lactate and it doesn't
take much it gets soaked up by the
muscle and this is then um causing
Transporters glucose Transporters to
come up to the muscle and it's opening
the gates basically so that when you eat
that meal the glucose goes into your
muscle it's more anabolic you want it to
go there and it's not you're not getting
that like huge rise and then drop in the
post with the post pral glucose response
so that would be the one thing exercise
snacks lots of studies out there
especially with people with type two
diabetes have a problem you know
maintaining their blood glucose levels
the second thing would be food order
like the order you eat your
macronutrients on the plate kind of so
so I would say about 10 minutes it it
can be on the plate depending on how
slow you eat so if if food order um
there's been studies again largely in
people with type two diabetes who have
issues regulating their blood glucose if
you eat protein or
fat 10 to 30 minutes before
carbohydrates it can very much blunt and
slow the postprandial glucose response
so if you have like let's say you eat a
can of sardines before you're going to
go to a restaurant you're going to eat
out you're presumably going to eat more
terribly than you would if you're
cooking at home right or you do a little
protein shake 20 minutes before you're
going to go to a restaurant or whatever
and that'll or or before like even just
if you're going to do a podcast and you
need mental Clarity you want to make
sure that let's say just eat the protein
and and not have the the carbohydrates
right um so what that does is it's I
mean it's doing essentially like
increasing insulin so that when you do
have that glucose it's going prepped I
mean if you were if you were going out
for dinner presumably something else you
could do is try and have the starter be
steak tartar chuna tartar oysters
something like that and just be like can
we just wait an extra 10 minutes on
Mains like however long you think that
we need just give us another 10 and then
you've encapsulated it within the the
entire meal I guess as long as everybody
else is on board with that otherwise
someone's had a bunch of bread and they
just they want their whatever main cause
to come out see that they should that's
like the worst thing is having the bread
on the table first right it is good but
like eat the pro eat the steak tartar
first and then go for the bread right
you you'll you'll slow the glucose
response there's a place in Austin
called Dean Italian uh it's just down
the street from you you should go you
should Goan Italian yeah I I'm looking
for restaurant recommendations please
I'll send you some send me some more so
uh Deans Three Forks and um the
somewhere else that I went the other
evening that was phenomenal but Deans
Deans and Three Forks are the uh two
steak restaurants I go to the most uh
but Deans do this they call it a bread
Crown so it's like a literally looks
like a little crown that comes out kind
of about that size and there's a pot of
whipped butter in the middle of this
thing and it's glazed on top it's got
like a salt glaze this thing is like
crack it's so good and it's it's just
there you arrive you sit down you've got
the drinks or whatever and then this
thing arrives and you just can't it's
impossible to not eat so yeah almost
getting is there something that we can
do with this like pre-appe Tizer
appetizer to come after the appetizers
around about 15 minutes if that's okay
because Dr Rhonda said so yeah so food
order you know is is something
legitimately that's been studied
empirical data showing it does blunt the
glucose postrenal glucose response and
um so that is another thing that can
really I think affect mental Clarity or
brain fog so um just like I said like
the protein or or fat like an avocado
sometimes I'll have an avocado and that
kind of just delays the emptying of your
stomach into your intestines and it kind
of slows it even Keel rather than real
high Spike and then lower presumably as
well prioritizing the foods during an
eating window even if you do the protein
shake at home and then go out for dinner
afterward prioritizing that and skewing
that toward protein is just going to
cause you to eat less of the carbs if
there is dessert at the end you're going
to think I'm like not as bothered
because I've just put more in me that's
being skewed and discriminated in the
direction of what you should be
prioritizing anyway absolutely so you
get more satiety plays a role I mean if
like you're eating something before like
protein you're just not going to eat as
much you know you're not going to eat as
much but that kind of leads into the
second that's not the only part of the
meal or food or eating that I think
plays a role in this reduction of mental
Clarity and brain fog the other thing is
the post prand inflammatory response so
eating a meal causes inflammation it
happens in everyone every meal it's no
there's no avoiding it like to some
degree it happens and but you can
minimize like how much of an
inflammatory response you're having so
people um eating a very high sugar and
high fat meal it really that's the real
those are the two real big movers of it
um but even if you're just doing a ton
of fat without like fiber or protein
fat is Harsh on the gut and so what ends
up happening is your gut epithelial
cells there's like things holding them
together tight junctions they open up
and they let little pieces of bacter so
our microbiome I mean we got is leaky
gut is exactly what it is it's
intestinal permeability and it allows
pieces of bacteria to get how for every
for every like bro science term I've got
you've got the specific term that comes
out of medicine is it brain F it's a
reduction in mental Clarity so is it
leaky gut it's the the wall lining of
the intestine is opened up to yeah
intestinal permeability or leaky gut as
it's called that's what you're doing so
meals cause that to happen transiently
uh some people have like a very big
problem with leaky gut but so
transiently you're letting bacteria get
into your bloodstream and this is what
happens is it's pieces of bacteria
they're called endotoxin or
lipopolysaccharide same thing but um
they're getting into your circulation
because they're opening up right getting
from not supposed to be there right and
your immune system gets activated so
your immune system's like like it it it
knows those pieces of the bacterial
membrane it recognizes it that's how it
you know recognizes a bacterial and
pathogen and so it gets activated and um
what ends up happening there is one your
immune system is activated okay that
requires a ton of energy so energy is
shunted away from your brain and it goes
to the immune system because your body
goes triage is it goes I need to survive
there's a bacteria there's a bacterial
Invader in my system right now I'm going
to take all my energy and I'm going to
make sure that I get rid of this Invader
so I don't die right so that's that's
the first thing that's happening in
terms of like energy is being diverted
from the brain from neurotransmission
from thinking everything and it's going
to the immune system to activate it okay
it doesn't you know happen for that long
of a period but it it's happening after
a meal um the second thing that's
happening is that your immune system
itself is creating cyto kindes that are
activating other immune cells that's how
they like talk to each other and these
things are um they're essentially can be
somnogenic so they can make you sleepy
so when you're sick what happens when
you're sick you're you have no energy
right because all the energy is going on
your immune system and you're sleepy y
so that's exactly what's happening after
a meal what's happening when you're sick
to a smaller degree is happening after a
meal the post post prandial inflamatory
response and then the other thing that's
happening is those cyto kindes also are
Crossing into your brain and disrupting
neurotransmission disrupting connections
like we now know that it's the bloodb
brain barrier does not keep immune
molecules out it gets in they get in
there and they're wreaking Havoc so it's
another reason why you don't want to
have you know inflammat a lot of
inflammation but so then the question is
okay what do I do right so that's the
question how do I not get such a big
postprandial inflammatory response and
it's also again why a lot of people
myself included always feel like more
mentally clear when I'm fasted right uh
but I'm like I don't want to lose the
protein I mean the the muscle mass so I
need to get some food um but the
question is what do you do one obviously
avoid the sugar high sugar high fat okay
that's clear two um small smaller meals
have less of a postp parial inflammatory
response so the bigger the meal the
bigger the response Spike and then Spike
and then down yeah but it's like now
we're talking you're getting both you're
getting the glucose and you're getting
the inflammatory response y that's
another thing so actually like smaller
meals does help that so like if you need
mental Clarity and stuff like don't have
a big meal um and the other thing that
actually makes an effect on that is
believe it or not we're going full
circle omega-3 omega-3 has been shown in
clinical studies to blunt the post post
pral inflammatory response with the meal
or at any point throughout the day so
that's why I take my Omega-3s throughout
the day with meals and it's doing it to
some degree both to some degree both
something systemic but there's also
something acute exactly there's
something systemic the inflammation
process but there's something acute in
the gut that it's also playing a role in
preventing the lipop poly thyroid from
getting into circulation is there a is
this dose dependent if I have one gram
with each meal you say two Gam of
triglyceride responsibly saour blah blah
blah from a Norwegian guy that's doing
it like this with
fish can I have one gram with each meal
would that be sufficient I think the
studies and I can't remember I think it
was like they were lower dose like 500
milligrams I think it wasn't even that
high so I typically do the one gram with
each meal I think that's a safe it's a
nice way to remember to do it but yeah
nice way and um and that's so so I like
to do the reason I like to have Omega 3s
throughout the day is for one that
reason blunting the postprandial
inflammatory response two
I want these like specialized resolving
like these specialized resolving
molecules in that they produce like when
you're metabolizing in my blood constant
resolving inflammation working
interesting yeah so through uh
throughout my 20s I said I was a club
promoter and I I thought I had
depression or like acute depression that
would come on every so often like
intermittently throughout the year I
think looking back it was just low mood
and burnout I think that's what was
going on but the way that it would
manifest for me is I wouldn't get out of
bed I wouldn't want to go to to work and
see people and I was the I was in charge
of this company so I could do whatever I
wanted no one could tell me otherwise
but one of the things that I would do is
I would order pizza or like high sugar
foods and sweets and stuff like that and
it would comfor e right like I'd comfor
e and that would be something I'd do but
I'd notice especially if you have you
know a big dominoes in front of you and
you've got some sweet stuff to have
after that the sense that you get in
your body especially if you haven't been
outside if you basically not moved
because you're feeling a little bit Mis
and you the curtains are drawn and
you've just laid in bed and the Uber
driver or whatever's come and you've
taken the food off him the inflammation
like the throbbing that you feel in your
body it's almost like your heartbeat
feels like or your blood pressure feels
like it's gone up and then almost all of
the time after that and I think this is
very common for people that deal with
low mood if they do Comfort eat like
that they'll then fall asleep so shortly
after that and then that disregulation
of your sleep pattern also makes you
feel even more like and then you
come out of this sleep your emotions are
all over the place you've still got tons
of like either blood sugar rushing
around you or you don't or you've got
digestive discomfort because you've just
eaten all of this food and um yeah just
seeing that as like a little uh petri
dish microcosm for what happens if the
least amount of movement possible like
you've gone from bed to door back to bed
and that's it nothing in terms of any
kind of stimulation already in low mood
and then you go to sleep the most
sedentary of all of the positions uh
yeah it's you can feel that inflammation
that cyto kind response and your
thoughts again super super muddy which
more so um feeds back into that low mood
it's a vicious cycle right exactly no
and you mentioned it's funny how you
mention people get when you get sleepy
after a meal it's like that's the cyto
kindes that are somnogenic it's the
post-inflammatory infl inflammatory
response and again it happens with a
bigger meal too you'll notice like the
bigger the meal if you overeat the
sleepier you are right and so it's more
of an inflam response so now you can
think about it as oh I'm not sleepy it's
oh I'm I've got some inflammation going
on after that meal interesting in other
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