The Most Important Daily Habits For Health & Longevity - Dr Rhonda Patrick (4K)
Watch on YouTubeVideo summary
Dr. Rhonda Patrick addresses the critical role of Omega-3 fatty acids in health and longevity, highlighting a pivotal study from Dr. Bill Harris's group that correlates low Omega-3 indices with increased all-cause mortality. The research indicates that individuals maintaining an Omega-3 index below 4% face risks comparable to smokers regarding heart disease, whereas those achieving an index of 8% or higher enjoy significantly extended life expectancy. While observational data suggests a correlation rather than definitive causation due to potential healthy user bias, the physiological mechanisms are clear: high Omega-3 levels reduce inflammation and protect cardiovascular health even in smokers who supplement with these fats. To achieve optimal levels without relying solely on diet—which is difficult for many Americans—the transcript recommends a daily supplementation of approximately two grams of purified triglyceride-form fish oil taken with a fatty meal, noting that this dose can effectively raise the index from 4% to 8%. Beyond nutrition, Dr. Patrick emphasizes the profound impact of deliberate heat exposure and exercise on mental health and physiological resilience. She discusses studies showing that even a single session in an infrared sauna or hot bath can produce antidepressant effects lasting six weeks by triggering endorphin release and increasing receptor sensitivity to these "feel-good" opioids. This approach is particularly effective for individuals with major depressive disorder, where treatment protocols involving four to eight sessions have yielded dramatic improvements on depression scales like the Hamilton score, often surpassing the efficacy of SSRIs. Furthermore, she explains that physical activity mitigates the negative effects of poor sleep; while lack of rest typically increases all-cause mortality and impairs glucose response in sedentary individuals, regular exercise can negate these risks, allowing people to maintain health even with irregular sleep patterns common among shift workers or those under high stress. The conversation also shifts to muscle maintenance as a vital component of aging well, aiming to prevent the "disability threshold" where older adults lose independence due to atrophy and frailty. Dr. Patrick notes that while peak muscle mass occurs between ages 20 and 30, strength training remains beneficial throughout life, with significant gains in strength possible even after age 50 or beyond. She references experts like Dr. Stuart Phillips and Brad Schoenfeld to advocate for high-effort resistance training rather than heavy weights alone; specifically, lifting lighter loads while maintaining a tempo of at least two seconds per repetition and stopping one to three reps before failure maximizes hypertrophy while minimizing injury risk. This strategy ensures that individuals can continue to build the muscle mass necessary to support their quality of life as they age, effectively treating exercise like an investment in a retirement fund for physical independence. Finally, Dr. Patrick outlines practical methods for tracking progress and optimizing brain health through Brain-Derived Neurotrophic Factor (BDNF) enhancement. She suggests that while devices like Apple Watches estimate VO2 Max, the gold standard remains the 12-minute run or walk test on a flat surface to accurately measure cardiorespiratory fitness without environmental variables skewing results. For those unable to perform such tests, she acknowledges that specific training modalities, such as air biking or swimming intervals, can improve efficiency and potentially boost these metrics disproportionately. The discussion concludes with resources like the BDNF Protocols guide, which aggregates evidence-based strategies including vigorous exercise, sauna use, polyphenol consumption (like blueberries), and sleep optimization to maximize cognitive function and overall longevity.
Read the full video transcript
are low Omega-3s worse than smoking
cigarettes um I don't know that they're
worse so omega-3 fatty acids are in you
know they're essential for many things
and um I think you're referring to one
specific study that came out of uh Dr
Bill Harris's group he's the head of the
fatty acid Research Institute and he's
actually the pioneer of the omega-3
index test which is how you should
measure your omega-3 levels um they're
measur in our red blood cells rather
than which you'll 99% of the time find
if you get a omega-3 test it's plasma
levels so red blood cells take about 120
days to turn over so it's a long-term
marker of your omega-3 whereas if you go
and get a omega-3 plasma test it's kind
of like what did I eat for dinner in the
last week right so you you may have had
a bunch of salmon but maybe you don't
usually eat salmon so so anyways the
omega-3 index is a way to measure
omega-3 levels and he had done a study
looking at omega-3 levels and what's
called all cause mortality so people
dying from all sorts of non-accidental
causes cardiovascular disease disease is
always at the top of the list because
that's pretty much what everyone's dying
of that's like the number one cause of
uh death in most developed countries and
so um he was looking at all cause
mortality and correlating that with the
omega-3 index which essentially is
measuring omega-3 fatty acid levels and
um what he found was that so people that
have a low omega-3 index so that would
be 4% or less H and then comparing it to
people that had a high omega-3 index so
that would be 8% or higher so people
that had the high omega-3 index had a
fiveyear increased life expectancy
compared to people with the low now
people in the United States on average
have about a four to 5% omega-3 index so
it's pretty pretty standard pretty
standard I would say in terms of like
what people in the US have in terms of
their omega-3 versus Japan where they
eat a less Seafood their omega-3 index
is like 10%
so and they have a 5-year increased life
expectancy by the way compared to people
in the United States um so what he also
did uh him and his his colleagues looked
at they stratisfied the data and looked
at other factors physical activity you
know BMI
smoking and this is where it got super
interesting because um and I I I just
the graph of this data does it like more
Justice you know because you can
visually see it but he looked at all
cause mortality and people people that
like lived the longest were of course
the high omega-3 index with no smoking
right so like non-smokers they had the
longest life expectancy and then people
with the lowest life expectancy were
smokers with a low omega-3 index but
then when he looked at people that
smoked but had a high omega-3 index
either they're eating a lot of fish or
supplementing they had the same life
expectancy as people with low omega-3
but didn't smoke so in other words
having a low omega-3 index was like
smoking with respect to all cause
mortality and that's you know and of
course I get all the smokers out there
going oh so all I have to do is
supplement with omega-3 I'm like no no
no no no that's the wrong way to think
about it you know I think I think most
people now know smoking is terrible for
your health and it and it goes back to
this idea this framework that I like to
think about nutrition which is what do
we need right instead of like always
focusing on what to avoid because if you
focus on what to avoid you still may not
be getting what you need to run your
metabolism to run you know
neurotransmitter synthesis and all of
that so omega-3 fatty acids are hugely
important for many things and we could
talk hours for that but with respect to
smoking it's really quite you know it's
it's kind of a astounding when you just
look at that graph and they're like
overlaid where you're like oh wow
non-smokers are with omega-3 are living
as long as smokers with high omega-3 do
you think that this is a direct cause of
the Omega-3s or is there some healthy
user bias that's Upstream from the kinds
of people who are the kinds of people
that are like people that will have
omega-3s in their diet great question so
um with this type of data which is
observational data it's always a
correlation so you can never you know
definitively say it's cause right a
causation so yes there could be it could
be a healthy user bias there were other
factors that were accounted for but I
will say
this smoking everyone thinks about
smoking and lung cancer or like cancer
risk right actually the biggest problem
with smoking is heart disease it is a
huge it's so when you so here's the
thing that I like to think about like
with respect to smoking and disease risk
smoking in a dose dependent manner will
increase your risk for long cancer so in
other words the more cigarettes that you
smoke the higher the risk of cancer but
it's not a linear increase with respect
to cardiovascular disease and heart
attack risk so you can just have a
little bit of cigarettes and your your
heart disease risk
skyrockets and Omega-3s one of the
biggest things that it protects against
is heart disease right doctors prescribe
it so there's been randomized control
trials where people are given high do
omega-3 purified omega-3 um in the form
of either EPA which is one of the Marine
sources or a combination of DHA and EPA
um and and and a variety of Studies have
shown that like heart attack risk um
risk of of dying from card cardiovas
disease is dramatically lower in people
that are given Omega-3s compared to a
placebo so you know the fact that the
the nonsmokers with um a low omega-3
index are probably affect it's affecting
their cardiovascular health inflammation
is a big also a Big Driver of
cardiovascular disease and Omega-3s are
really good at lowering inflammation in
many different ways so yeah to sort of
the long-winded you know answer to your
question is no you can't definiely say
that healthy user bias isn't involved
but there's a mechanism that we could
see how it would work there is and you
know again there is adjustment for other
health factors so you would think that
that would show up let's say that
someone goes I hadn't even thought about
Omega-3s I should probably optimize
those what's the 8020 of getting good
Omega-3s in your diet someone might
struggle with seafood it's kind of hard
or expensive to cook at home where would
you send them for getting it from diet
getting it from supplementation what do
they need to know so I think um I talked
about the omega-3 index and again you
want to get 8% or higher it's always
good to measure things but there's been
studies done where people with a low
omega-3 index so the standard American
basically 4% if you give them about two
grams a day of Omega-3 they can raise
their omega-3 index from 4% to 8% so
that would be a supplemental form pretty
two gram so I'll just give you to give
you some perspective you know Physicians
prescribe um what's laesa which is a DHA
and EPA ethylester form we can talk
about different forms of Omega-3 um of
Omega three and they also prescribe uh
vispa which is a highly pure EPA form
and they prescribe them at gr um in the
gram dose of four grams per day so
that's twice as much as two grams a day
which so what I'm getting at it's a
fairly safe dose and um so two grams a
day can raise people from 4% to 8% I
think that's a really good sort of just
starting point or the average person now
I take experimentally higher doses but
but you know I think generally speaking
it's pretty safe for most people to take
two grams a day and you're going to get
that high Omega-3 index at 8% where are
they going to go how are they going to
assess without getting some Norwegian
farmer that's squeezing fish into a
barrel and and doing it holistically
himself what can you say about assessing
the quality of I I even remember cod
liver oil tablets back in the day
there's all sorts of uproar before there
was even a podcasting Universe to kind
of scrutinize it what do people need to
know if they're choosing their omega-3
supplement I think choosing omega-3
supplement is um we actually have a lot
of data now days and we have access to
that data quite easily because there's a
lot of third party testing sites that go
out and they just randomly get fish oil
supplements off the grocery store
shelves and they say I'm going to take
this supplement I'm going to measure
important things I'm going to measure
the concentration of the Omega-3s EPA
and DHA is the concentration in there
what is stated on the bottle I'm going
to measure you know so fish it's being
isolated it's like it's an oil it's in
the fat right so um fish also have
contaminants they have pcbs they have
mercury among others and so measuring
those contaminants is important because
fish oil is generally purified but you
want to make sure a good job was done so
those contaminants are measured and then
um oxidation so Omega-3s are a
polyunsaturated fatty acid prone to
oxidation and so you don't want to get
something that has an oxidation greater
than 10 so anything greater than 10 of
total oxidation you want to avoid
because it's like consuming rancid fat
right rancid lipids like you don't want
to do that so so you those things are
all measured and um there's sources out
there so consumer lab is a you know
thirdparty testing site that you know
they just there's a lot of affordable
brands that you can find because some
supplements are just very expensive so I
do like to kind of send people there
because I have no affiliation with
consumer lab by the way I just like that
I I like I use them so I like that you
can go and find a a pretty decent
quality fish oil supplement if you're a
data nerd like me you can take this up a
level and you can go to the
international fish oil standard site
ifos they just I mean it's like data
party like they give you so much data
but like you have to like know what to
do with it so they measure all these
things but like and everything else
right um and they also tell you the form
it's in so I mentioned ethylester for
the prescription form there's also
triglyceride form those are the two main
forms that you can find fish oil
supplements or Omega-3 supplements in
and um generally speaking triglyceride
form is is the most bioavailable
triglyceride form is what is the form if
you're eating fish the Omega-3s are in
triglyceride form when the Omega-3s are
purified they take it out of the
triglyceride form and they purify it and
it's in an ethylester form some
companies then reify it back into that
form to make it Supreme and more
bioavailable both pure and bioavailable
exactly but not everyone does that and
so if you get an ethylester form which
is what is prescribed most people that
are getting prescription form of Omega-3
to to help prevent cardiovascular
disease they're taking aester form
that's what I've got the thing to know
is you have to take it with a meal and
preferably with a higher fat meal
because it is absorb it you will absorb
so little if you're taking it on empty
stomach it's very important and um I
didn't want to get into all the new ones
but I mentioned two grams a day of
Omega-3 will raise your omega-3 index
from low to high right 4% to 8% well if
you really kind of look at the form
people were taking triglyceride versus
ethylester you know they had to take you
know less of the triglyceride form to
get there but so I like to just average
it out and say two but um so if you can
get triglyceride form it's it's a great
form to
get how much salmon or Cod or halit do I
need to eat per week if I was going to
try and get this through my diet right I
mean that's that's a question that I
don't have empirical data to back up but
Al so so here's my sort of thoughts on
that um I do think that wild Alaskan
salmon is one of the best sorts of
Omega-3 because um that is a fish that
has a very low level of contaminants
like Mercury um pcbs per gram or per
ounce I guess is usually measured per
ounce of of the fish right so salmon
would be a great source now how much of
that do you have to eat uh it's really
you know depends on the cooking method
like how how cooked was it because you
can degrade some of the Omega-3s are
somewhat heat sensitive so I don't know
how much you You' have to do a test
right so you'd have to say okay I
typically eat salmon two nights AEK week
or three nights a week and and then you
want to wait 120 days right because it
takes that long for your red blood cells
to turn over okay I know here's the pro
Ronda just just tell me how much salmon
I need to eat come on please I I don't
know I T a week at least at least I
would I would say you probably have to
supplement on top of that I don't know
that twice a week is NE necessarily
going to go from 4% to 8% got you but if
you were to do you know I would imagine
a lot of the people that care about this
listening to this protocol will think
right I'm going to find a good quality
uh low
oxidation triglyceride version of
Omega-3s that are responsibly sourc that
I like the look of I'm going to take two
grams of that per day and I'm probably
going to try and have some sort of fish
meal twice per week does that seem
realistic that's absolutely that's kind
that's what I do I mean I'm that's what
I I do I do up the dose a little bit
more but like I said you know I like eat
it like I take it throughout the day the
Omega-3s you mentioned about smoking
there did you see that the UK is
thinking about introducing it looks like
it's going to introduce a disposable
Vape ban
Countrywide lit Vape ban is there a
non-disposable Vapes that will so you
know the kind of uh liquid that people
the e liquid that people put into the
these huge things that look like knuckle
dusters so those will still be allowed
so people can still get the
non-disposable Vape Liquid Plus the
Contraptions you need to make it work
but the elf bar the Esco bar that stuff
what are teenagers getting their hands
on what are junior high are they getting
them on disposables yeah is that is that
the it's just way more it's way more um
arduous to be you go and buy this thing
and then you get the liquid and then you
fill it with the liquid and all the rest
of it and the flavors are a little bit
more tough to balance uh but yeah it's
the Disposable stuff there's a couple of
comments about an environmental impact
because they do you know the batteries
you're basically throwing away a battery
with some residual nicotine in it um not
good but more not good is the fact that
teachers in the UK have found that like
a non- insignificant percentage of
school children are dependent on
disposable Vapes okay so I was going to
say I don't there's like I could see
arguments either way I'm personally as a
parent and I have talked to teachers I
mean it's insane huge problem in in you
know many schools where in the US yes in
the US where vaping vaping in class in
the bathrooms yeah they've installed
these are 12 13y old detectiv in the
bathrooms of uh British schools yeah no
it's a problem here too especially in
public schools and I so I I personally
like I'm biased and I I'm like good like
I don't want these like it's ter it's so
easy and it's like bubblegum flavored
it's like it's like geared towards CH I
almost feel like was there a push to
like get them earlier but you know uh so
in that regard I'm I'm on I'm on bored
to be honest have you looked into the
dangers of vaping much at all what do
you think about that I I you know I've
tweeted a couple studies I haven't done
a deep dive on it I mean like I know
there's some you know studies about like
lung issues but like I don't know if it
was like contaminants that are
hitchhiking in with the Vape you know so
no I haven't done a deep dive but I do
plan on doing a deeper dive into like
that world of like nicotine and and
vaping and Now's the Time with this UK
ban so yeah it's um I've been thinking
about it for a while has the
introduction of fruity flavored Vapes
like sparkle rainbow unicorn dust
flavored Vapes and and stuff which are
easily accessible pretty cheap 4,000
puffs or 2,000 puffs or whatever so they
last for quite a while has that been a
net positive or negative because it
certainly allowed a lot of people who
were previously smokers and cigarettes
are no matter how bad you think the
Vapes are cigarettes are so much worse
like 20 times worse based on the stuff
that I've seen uh as an uneducated
reader of non-scientific journals uh but
how many more people have been thin end
of the wedged into a nicotine dependency
because it's more convenient because the
smoking bands you can now do it inside
tastes better like it's just a more
enjoyable experience the hit is very
very high and and and fast uh so I
wonder whether the introduction of The
Vape world has been a net positive or
negative against cigarettes because to
me cigarettes seem Mark Norman's got
this great joke where he says that
smoking an actual cigarette cigarette
now is so socially uh like pushed back
against that if someone saw you in an
Alleyway and you were secretly trying to
smoke a cigarette and they asked what
you were doing you'd say that you were
killing a hooker because like that's
more socially acceptable wa is it still
like that and so I haven't been like the
last time I went to I was in like
Amsterdam
2015 I was shocked by how many people
were just smoking Mainland Europe's
different they're a different breed
Italians the Spanish the French
you know they're eating Quant at 10 p.m.
at night just chain smoking with a glass
of red wine they're going to live to 105
it doesn't matter right they're
different they're built different over
there I don't know what's going on but
you know what this just kind of brings
back to the your your first point was
the smoking and omega-3 and don't
Japanese men smoke pretty I'm pretty
sure and they're living on average
longer and they eat a lot of fish right
smokers High omega-3 index smoke as much
as possible eat enough fish but so
here's another thing um max Lugia you
know Max no I don't great guy you should
he's very much in your world a genius
Foods guy real cool dude he introduced
me to these things called knickknacks so
they
are like very um carefully Sauced like
nicotine uh mints I guess and um just
nicotine is a neutop nicotine is an
improver for Focus uh attention seems to
be like that's big at the moment but
then the pouches
and SN and stuff like that there's a lot
of questions about what's that doing to
your gums what's actually in that
there's flavorings in them now where the
flavorings coming from so it's like
there's this permanent sort of cycle of
something new comes in and oh that might
be really great and then it comes out at
the bottom end and you're like oh we
don't know what's in it and it might
actually be really dangerous for
everyone so someone someone that's in
their 30s and in that world that like
I'm not in um is the is is who mentioned
to me like have you looked into nicotine
cuz I like I use these Zen is it Zen
yeah and and I'm just like what is this
like this is like it's an entire new
universe of stimulant I have got to look
into all this because like eventually my
son will be you know of the age and so
that's that's kind of what started my my
my um interest in doing a deep dive on
nicotine is like okay well is there a
negative effect like maybe there's a
trade-off there's always a trade-off
there's always a trade-off so what is it
what is it right very interesting yeah
I'm I'm fascinated by what's going to
what's Downstream from new technologies
whether it be uh legitimate technology
like typical sort of screen social media
virtual reality Apple's new headset just
came out recently or it's Health
Technologies or it's deliver delivery
mechanisms for things that we used to
have but this is in a new way and what
does that actually mean so yeah we'll
get back to talking to rondra in one
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hmn.com
slod wisdom talk to me about Tim
restricted feeding because for a long
time that was like the hot new girl in
school and everyone loved it and it was
really interesting but it seems like the
trend is swaying at least a little bit
away from Tim restricted feeding
especially on a morning so what's your
how do you conceptualize all of this now
um so Tim restricted feeding or time
restricted eating you know it the it's a
form of intermittent fasting right and I
think
that many people when they think about
intermittent fasting they think okay
well I just need to skip a meal I need
to like have a period I need to extend
my period of time where I'm not eating
and the easiest way to do that is skip a
skip a meal um and that's kind of what
happened so you know Dr sat and Panda
good friend of mine big you know
circadian biologist researcher does a
lot of research on time restrictive
feeding and um you know we talked about
this like almost 10 years
ago essentially there's a circadian
reason to eat your food within a certain
time window and then have a period of
rest and fasting right so everything on
our body runs on a clock and including
our metabolism and um you know so so
we're most insulin sensitive in the
morning least sensitive insulin
sensitive in the evening right so you
know your blood glucose levels will go
much higher with the same carbohydrate
intake in the evening versus the morning
even you know just calories are the same
everything's the same there's also some
argument to be made by you just need a
period of rest like your gut digestion
all that like energy is being diverted
to do that when you're digesting food
like that's that's a big thing and
there's also a lot of responses that
happen after you eat a meal causing
inflammation and things like that that
divert energy there so it's taking
energy away from other things like
repair so so repairing processes usually
happen when you're in a fasted state so
just like when you're sleeping your
brain shuts down right like your brain
if you didn't sleep your brain's not
going to repair it's not going to stop
like you need that rest period Well the
same goes for like other organs like it
need they need a rest period and and so
it's really important to have that rest
period right so the longer the rest the
longer the rest period is the better in
terms of like having enough energy to
like do those repair processes things
like that require energy and there's
also you know other reasons as well but
generally speaking um there's an
argument why it's good to have a rest
period a fasting period right and is
that does it need to be 16 hours does it
need to be 20 does it need to be 12 like
I don't I don't really know that we know
the exact time
um to that but what we do know is that
talking about this to the public was
translated to I need to skip breakfast
that was like the take-home was okay I
need to do a 16-h hour I need to do eat
my food within eight hours and do a 16-
hour fast and the way I'm going to do
that is I'm going to skip breakfast and
keep extend my f lunch at 12 have dinner
at 8 grze between then and and that was
hands off exactly and that was that was
kind of the the take-home the Practical
implication there that everyone started
doing
um the problem with that is that you
know so our muscle is the biggest
reservoir for amino acids just like you
know we store glucose as glycogen in our
liver and our muscle we store um
triglyceride as you know you know we fat
as triglycerides in our atus tissue we
don't really store MUSC I mean we don't
really store amino acids but you can
kind of think of the muscle as a
reservoir for it because when we have a
period of um basically we're not getting
an intake of amino acids we need it we
need amino acids to survive like we need
them and so our body pulls from our
muscle so in the morning if you think
about it what's the longest period you
go without having amino acids well it's
when you're sleeping so breakfast is
actually really important it's it's
important to get protein amino acids in
that first meal because if you extend
that me if you extend that fasting
period by skipping breakfast your body
is going to be like I need protein I
need I got to make a bunch of proteins
to like have my heartbeat and my kidneys
function right so it's going to pull
amino acids out of your muscle and so um
that can cause muscle atrophy
particularly if you're not doing
resistance training so amino acid is one
way to stimulate muscle protein
synthesis um the other way to do it
would be resistance training so there
have been studies done like for example
women that are doing Tim restricted
feeding they will not lose muscle mass
if they're doing resistance training so
does it mitigate the gains of resistance
training by doing that it mitigates the
the atrophy so it it's mitigating sorry
does Tim restricted feeding I.E skipping
breakfast limit the gains made from
resistance training if both of those
things are done together not not if
you're getting enough protein I mean not
in that study at least I think I think
if you're not getting enough protein
within 24-hour period yes but like if
you're getting so so the to get your
gains in and I'm sure you've had people
on talking about this but like the RDA
for protein is 0.8 grams per kilogram
body weight and that was like determined
like forever ago when we were using
older techniques we as in scientist not
me because I haven't personally done
this experiment but um the scientific
committee was using techniques that uh
underestimated amino acid losses so so
these committees were set up to
determine okay how many how much amino
acids do you know H what quantity of
amino acids do we lose every day and how
much do we make sure we have to get each
day to replenish that right um and so
those losses were underestimated in
other words we're losing more than they
thought and so what what does that mean
that means oh maybe the RDA for protein
is too low so people like Dr Stewart
Phillips and others have now redone
these experiments with like newer more
sensitive Technologies because that's
what happens with time right we get
better Technologies more sensitivity and
they've now determined that it's
actually 1.2 grams per kilogram to just
bare minimum prevent losses another 50%
on top of what was originally 50% on
what originally and if you're actually
doing phys if you're physically active
if you're doing resistance training that
goes up to
1.6 grams
per and well 1.2 is the minimum but like
to like build muscle to get the gains
you're talking about and there's
actually been studies done in older
adults this is a big problem older
adults are they're not as sensitive to
amino acids it's called anabolic
resistance so with the same protein
intake they won't build as much muscle
if they're 65 versus when they were 3 so
Granddad needs to be cooking twice as
many steaks he needs twice as many
steaks and there's been studies looking
at the actual RDA if older adults get
0.8 grams per kilogram body weight and
then the other group gets 1.2 grams per
kilogram body weight the group that got
1.2 has much higher muscle mass gains
yep and and just actually prevents the
atrophy that is is happening just with
age okay so getting back to the time
restricted yes eating thing yes
how should someone incorporate this into
their lifestyle what it sounds like
you're saying is have a high protein
meal at some point early in the day uh
but if you're also saying that it's
important for us to have a period of
rest and digest so that it's digest rest
and repair can actually
happen how should people think about
about doing that especially given the
fact that sorry later in the day insulin
sensitivity is uh skewed anyone that did
carb night or carb backloading 15 years
ago because they read a bodybuilding.com
Forum like me knows that so you've kind
of got this oh it's good to eat some
things later in the day there's this
skew down that way but there's also we
can't miss breakfast so it's like that
just sounds like eating all day to me
when do we when do we stop right um yeah
sorry I went off on a tangent there but
yes so um the the the time restricted
eating okay there's a there's a couple
good ways to think about it you want to
stop eating about 3 hours before you go
to bed if possible okay that's last bit
of food in mouth Yes yes because it
still you got to add another five so
last bit of food in mouth doesn't mean
I'm now in a fasted State you got to
calculate five hours after that it takes
about five hours to digest okay so after
the five hours after your last bit of
food in the mouth now you're in a fasted
state right so that's going to be when
you're sleeping most likely um you don't
have to skip a meal you can eat your
food within an eight hour period and
fast for 16 hours without having to skip
a meal most of the time unless I guess
unless you're an Entertainer and your
meals do come later then but still you
can still like everything's just shifted
over and yes you'll be you know Less in
insulin sensitive later in the day but
you can like do some air squats for two
minutes like you could there there there
are things you can do to improve insulin
sensitivity and also to improve glucose
blood glucose levels like later in the
evening if you're having a meal and we
can talk more about that later but
anyway so there are things you can do I
think that the way to think about it is
the easy way is to to stop eating about
3 hours before bed that's a really easy
and also your sleep improves because
you're when you're digesting if you eat
like right before you get to bed your
body's like awake it's like awake right
it's like digesting and using energy
it's it's not even Beyond what's
happening physiologically just the sense
of being full so I was a club promoter
for 15 years which meant that we would
work from we'd set the club up at 9:00
p.m. and we'd finish at 2 in the morning
and I'd get back and the food that I'd
prepped that morning the day before this
morning would be there waiting for me oh
well you know haven't eaten in 6 hours 7
hours something like that okay so I'll
get in and I'll eat but just the
discomfort of having a lot of food in
you like even that sucks right right uh
and you know the other thing is with
with the thinking about it I think um a
lot of people got all like you know a
tizzy over over the fact that like if
you looked at the the time restricted
feeding and the weight loss a lot of the
weight loss was due to caloric
restriction because people were just
actually eating less they were skipping
meals and it's like yeah so a lot of
weight loss I mean when it comes to
weight loss like calories in calories
out matter like energy balance right so
that's important I think that's where a
lot of people like oh time restric
eating doesn't matter because it's all
about caloric restriction and it's like
well yeah if you're looking at what end
point are you looking at are you trying
to lose weight then you caloric
restriction like you should be not
eating get that however you want right
and most people that are like obese even
overweight they can actually they can
actually fast and not lose as much
muscle like some people will go on a
fast or do you know limit their they'll
skip meals basically and they can lose
like up to 30% of their weight will come
from muscle so that's crazy it's crazy
unless you do resistance training
resistance training is Will mitigate
that which will presumably only if
you're having sufficient protein outside
of that intermittent fasting window not
necessarily um that will help you gain
more but like mitigating the atrophy
because you got the stimulus you got the
stimulus okay what would you suggest as
a good selection of breakfasts that
people could have that kind of meet the
criteria that you're talking about here
what would be some of the things eggs
right eggs would be like like four
depending on your body weight you know
some if you're if you're a dude you're
probably going to have like five eggs
scrambled eggs are great you've got I
mean it's got the protein and eggs are
really high and they have like gluten
and choline in them Coline is important
for brain function um lutein it's much
higher in Greens like kale but there's
some in at least pasture raised eggs
Farm the the farm you know the
nonconventional eggs or whatever they're
called those are terrible um but what is
that just to interject that what is that
to know about eggs how do you select
your eggs pasture raised um because you
want them to eat like grass and stuff
the chickens because they're get they're
getting like lutein from the greens and
lutein is really important for brain
function and eye function I would love
to talk about that more when we talk
about cognitive function because it
actually there's like a lot there's not
enough ltin in an egg to substitute
What's Done in clinical studies but
there isn't kale so um but still it's
good to get a source of it so I think I
think eggs is a really good source of um
protein for breakfast because it's you
know it's just it's very nutrient-dense
with the choline as well choline's
really high in egg yolk bacon and eggs
steak and eggs yeah I mean like whatever
your your jam is like for the for the
protein bacon and eggs steak and eggs
you know um I like to also have some
smoked salmon and eggs so like my
Omega-3s what about the people who are
training first thing in the morning
let's say that they've got to get to
work they're part of the you know
they're the 6 a.m. CrossFit Clow crowds
they're not going to be up at 4:30 doing
their scrambled eggs so that they can
digest it in time to go do Fran they're
going to probably do a protein shake
like whey protein so you would still
even for the people that are up early
and then go to go on train it's such a
high PR it that you would still suggest
consuming some protein prior to working
it's hard to get 1.6 and then you and
then like you know so steuart Phillips
likes to use this analogy I'll give him
credit for it like where you're
squeezing the last drops out of the
cloth like for people that are like
really trying to gain muscle mass like
it's like really their thing you can go
like up to like two you're getting like
two grams per kilogram body weight and
so I mean there are some people that
like so if you're really trying to like
gain that muscle uh you do need pretty
much one gram per pound you do yeah you
do need unless you know unless you're
just going to eat like you know lunch
and dinner and lots and lots of protein
but it's really not that it's hard to
get that much protein we had this uh
like rule at Uni which was no one flukes
one gram per pound of body weight no one
accidentally goes through their day and
looks back at the macros they've eaten
and goes I hit 180 grams of protein
without thinking like it has to be
conscious there's no casual diet unless
you went to an all you can eat buffet
and even if you do that it seems like
the upper Bound for protein absorption
within one meal is kind of like 50 grams
in any case or less yeah 30 to 40 40
yeah yeah so you're like okay well well
done you managed to get through four
Stakes there but how much of that is
actually going to be used by your body
so um yeah that's an interesting one I
it's I found it fascinating kind of
observing this intermittent fasting to
we still need to do this but we need to
integrate it but we need to frontload
the protein earlier in the day uh and
also to just alleviate the protein debt
that you're 1.6 per k of body weight
needs to hit by the end of the day yeah
I think that it's it's it's it makes
sense when you just think about it like
if you're if you're skipping a meal
you're going to be losing muscle mass
like especially if you're not doing any
resistance training and that's like okay
well then I probably shouldn't be
skipping a meal but I I can still do
time restricted eating you know by just
stopping my meals before 3 hours before
bed and then you know you're going to
get a period of fasting really you just
want that repair mode you know you want
that repair mode and and there's been
clinical studies that have looked at
other endpoints besides weight loss and
it does make a difference like there's
improvements in things like blood
pressure for example things like that
but I don't know that you're going to
get the repair like there's animal
studies mechanistically looking at that
you're not I don't know that we're going
to get that in human data on that it's
going to be hard to do um not impossible
but it's it's definitely going to cost
money to get a clinical trial doing that
sort of work talk to me about the rest
of your framework for approaching
nutrition and making decisions about
food
um I like I said I really like to make
decisions about you know so I did my
post-doctoral research with Dr Bruce
Ames and um he's he's sort of a legend
and he's 96 now and uh but you know we
he he specialized for uh some towards
the end mid to end of his career on
micronutrients right these are important
minerals and vitamins and amino acids
and fatty acids that you need to get
from your diet to run your metabolism
and when I say your metabolism I don't
just mean fat burning I mean DNA repair
I mean you know making energy I mean
making dopamine and serotonin and
everything right so um a lot of minerals
are co-factors for enzymes that are
doing that in other words if you don't
get those minerals then the enzymes
aren't going to be working optimally and
so you know things aren't going to be
working optimally and if you're talking
about things like repair what happens is
you get this Insidious damage so
magnesium is a perfect example half the
country doesn't get enough magnesium
which is about 320 milligrams for women
and 420 for men and so what happens when
you're not getting enough magnesium well
nothing as far as you know you look in
the mirror and you're fine right you're
not like oh damage is happening you know
you can't see it on a daily basis if you
could it would be so much more apparent
to us but um it's Insidious it's just
it's occurring a little bit each day and
as decades build up you're not going to
be repairing damage to your DNA and DNA
damage is a major major cause of
oncogenic mutations these are mutations
that lead to cancer so then you get into
your fifth sixth seventh de life and you
got pancreatic cancer you got fill in
the blank cancer um and there are of
course studies associating magnesium
intake with cancer and you know studies
looking at DNA repair as well so the way
I like to think about nutrition is what
do I need to get for my diet that is
essential for for me to be functioning
optimally for me to prevent the damage
that can lead to neurod degenerative
disease to cancer um that's that's kind
of the way and then also what do I need
to get in terms of like my
macronutrients like protein is a really
important one I need I need to think
about like how much protein to get right
because atrophy happens you start to you
know you Peak muscle mass 35 20 to 30s I
guess and then as you get into your 40s
you start to lose a lot more like 8% per
decade and then you get into your 70s it
goes up sad yeah so that's how I like to
think about it where it's like okay I
need to get magnesium I need to get
omega-3 I need to get vitamin K I need
to get so what foods are rich in those
and a lot of minerals and um some
vitamins that it it's it's spread out
amongst different food groups so
vegetables particularly leafy greens are
really high in Ma you know magnesium
they're high in calcium they're high in
vitamin K they're high in folate like we
need folate this is like amazing uh to
talk about this experiment that my
mentor did back in like it was like the
80s but um essentially like he took he
took animals and gave them a full fate
deficient diet in one group and then the
other group he irradiated the mice like
ionizing radiation like the stuff that
gives you cancer okay and and he looked
at Double stranded breaks to your DNA
and that's like the start of DNA damage
that can lead to cancer ionizing
radiation causes double stranded breaks
in your DNA and he compared the two
groups and they were identical so not
having folate in your diet was like
being ionized getting ionizing radiation
oh you can get yourself ionized as much
as you want as long as you eat spinach I
mean no because it's GNA do the same
thing as not eating spinach but the
point is that people know to avoid going
in a machine that's going to be ey right
but they don't think about do I need
full light do you know so it's like that
again it's that what do I need to avoid
mentality which isn't it's not that you
shouldn't think about like you do need
to think about things to avoid but we
need I think the priority and the focus
first is what do I need to get for my
diet that's so interesting the uh tend
toward demonization of certain food
groups and awareness and concern about
this is poisoning you this is bad for
you this is something that you need to
avoid absolutely but if you just avoided
a ton of stuff you still haven't got
what you actually need exactly and if
you focus on what you actually need
guess what you avoid a ton of stuff yeah
and so I also think it sort of has to do
with this like it's this learned
helplessness mentality where it's like
someone else's fault they're poisoning
me it's like do you know what I mean
rather than what am I not what am I not
taking initiative to like know that I
need to get into my body yep right
versus they're poisoning me it's the
pesticides it's the this it's the that
it's the and they are kind of to some
degree but how worried are you about
oxalates in leafy greens yeah so
oxalates um Mo mostly high in spinach
not kale and you know if you're juicing
spinach every day and you have like
kidney problems that's probably a bad
idea so oxalates um you know if you're
if you're cooking the spinach that
basically you know causes enzymes to
degrade you know these oxalates and it's
not as much of a problem um but you know
I think there's been like again a
demonization of it it's like it's like
this anti-nutrient it's like oh this is
the reason I shouldn't eat leafy greens
because it oxalates and it's going to
give me kidney stone and the reality is
is that you
know oxalates or like you don't you you
only absorb so much particularly like if
there's magnesium present and there's so
much magnesium in these greens that's
mostly not the problem and the problem
with oxalates again you'll get like that
one case study with the woman with
failed kidney syndrome that was juicing
every day for lck years and it's like
don't give me that example like that you
know unless you're a power user of
spinach it's it's really spinach and
some people have been saying so good
though spinach is good I love spinach
too um spinach salads are not going to
like don't it's not you're getting good
stuff from spinach it's really high in
magnesium it's really high folate was
first isolated from my mentors Mentor uh
Peter Mitchell from spinach that's he
discovered that vitamin he discovered it
from any isolated from spinach so it's
really high in spinach okay so leafy
greens yeah important yes um okay then
you want to get B vitamins again fet is
a B vitamin but getting getting U B
vitamins zinc um also you want to get
iron these are also important
micronutrients you know
minerals that's where you get the meat
right so red meat for the iron and
protein B vitamins it's got zinc um as
well poultry is another option right so
these are good sources of um protein and
other micronutrients that you're not
going to get as much from Plants what do
you thinking about when it comes to
saucing and choosing your Meats uh yeah
so there's been some studies that have
compared like
grassfed cows versus like meat from
grass-fed cows versus like
conventionally raised cows and I would
say the biggest difference is at least
from the data that's been published is
you know for one the omega-3 and omega-6
fatty acid profile so which makes sense
if you're if you're feeding a cow a
bunch of corn and I think they also have
like it's like corn oil like pellet and
you know it's like they're going to have
a higher Omega 6 profile right they're
going to have more Omega 6 cuz that's
corn um versus if you're going to give
them like plants they're going to eat
plants they're going to have a better
omega-3 to omega-6 profile and so and
that's exactly what you'll find so like
even though meat isn't like the best
source of Omega-3 if you get if you're
if you're eating you know ground beef
for a steak from a cow that was you know
pasture raised it's going to have a
higher omega-3 profile than than the
conventional meat and there's you know I
there's some there's some argument to be
made for that it's like well and then
there's also things like well you know
what you have to think about like what
food um is there is it like are they
given food that's that's doused in
glyphosate like I don't know like what's
you know how the the corn crop is like
that's how they're growing lots of corn
right so you know there's you can sort
of obsess over everything you have to
like I think you have to sort of choose
your battles otherwise you can just go
insane so you know there do do you have
to eat pasturised meat I don't know that
you do if you can it's better like not
everyone can afford like food is so
expensive now too right so at the end of
the day like our bodies can handle a lot
of damage they really can but like that
is only if you give them the things they
need to repair that damage and be able
to like be you know more more optimally
functional so um that's kind of my my
take on the the you know pasture Rays
versus conventional I personally do get
pasture Rays I prefer it also the
hormones if they're not I think
generally speaking they go hand inand
they like they'll give hormones and
antibiotics to cows and stuff and it's
like oh do I do I want a bunch of
antibiotics in my meat that I'm eating
right like that's another thing to
consider what do people mean when they
talk about prioritizing energy balance I
hate this and I I have no idea what
they're talking I mean I think
ultimately they're they're they calories
in calories out kind of thing like you
know if you're if you're consuming like
a ton of calories and you're not
physically active like that's you're
going to start storing more fat like
it's you know just simple
math yep so that's I would say the
easiest way to think about it um is is
really just calories and calories out
really does matter like it really does
like you're going to you know so you
don't want to just eat eat tons and tons
of food like you don't want to eat a bag
of potato chips like after you do your
pelaton yeah and I guess going back to
one of the reasons why intimate and
fasting was so popular was that it's you
don't really need to be as obsessive
with your my fitness pile if you only
have a six-h hour eating window because
for
lots of people it's tough to get over
Surplus during just six hours as long as
you're eating Whole Foods mostly blah
blah blah blah blah uh and that's what
it comes down to I think exactly that is
that if like the PE their caloric
restricting naturally when they're doing
intermittent fasting right and so that's
why it was it all comes down to calories
in calories out that's what caloric
restriction is you're restricting you're
not eating as many calories and you end
up you know losing weight but if you eat
Whole Foods and I really do think like
the Paleo movement back in when I mean
it was like how 15 20 years I don't even
know how long ago it was but they were
on to something I think that's a really
good way to eat because you're not just
only eating meat you're not just only
eating plants you're getting the broad
spectrum of micronutrients and there's
other things in plants that are like
phytochemicals that are beneficial as
well right so it's not just getting the
micronutrients it's also getting these
other you know chemicals that are like
doing better beneficial things in us
that we know for sure from randomized
control trials are doing beneficial
things so you know that's another added
reason to kind of have more diverse
Whole Foods type of diet we'll get back
to talking to rondra in one minute but
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t.com modern wisdom what are the most
important things to consider when it
comes to improving cognitive function a
lot of people want better focus they
want to be more productive they want to
improve their mood they want to do all
of those things like what are the big
movers when we think cognitive function
so there's what I like to think of as
there's definitely big movers there's
things that require effort and there's
like lower hanging fruit right so this
is things that like you could take a
supplement perhaps and I would say the
big movers are the ones that of course
are going to require more effort like
that's always how it is right and it
it's pretty clear now I don't think I
think it's pretty scientific consensus
that exercise and particularly vigorous
exercise is one of the best ways that
you can get a cognitive enhancement you
know memory executive function
processing speed so there have been
studies that have been done in older
adults in middle-aged adults in children
like across the lifespan and it's just
undeniable that getting your heart rate
up you know getting getting your heart
rate up and blood flow up and sweating
is going to make you smarter and feel
better it's going to make you both so um
like there was there was even one study
that was done in older adults and this
was like a classic study that I I just
remember I talked about it for years but
other Studies have like repeated it
since then but it was like 2011 or 20
2012 published in pnas and um this this
researchers took these older adults and
they put them on a year-long
intervention exercise program and there
was a lot of um more vigorous intensity
so they're getting up to about 80% max
heart rate 75 80% max heart rate and um
for one year they did this intervention
um and after that year they had a 2%
increase in their hippoc cample volume
so hippocampus is a part of your brain
that's highly involved in learning and
memory and they had increased it by like
2% so people that in that age group lose
between 1 to 2% of their hipocampal
volume per year so they essentially
countered that loss that atrophy that
they're they're age related you know
experiencing each year and um and so
part of the reason that happens is when
you're doing a vigorous type of exercise
you are increasing bra derve neurotropic
factor bdnf and that is responsible for
growing new neurons in the hippocampus
it's responsible for neuroplasticity so
that's the ability of your brain to like
adapt and change to the changing
environment which is what older adults
don't do very well right your brain's
much more plastic when it's younger like
you can adapt to things that's why
that's saying you it's hard to teach an
old dog new tricks right I mean that's
kind of where it comes from so bdnf
plays a role in that so you want more
bdnf like you an exercise and
particularly vigorous exercise if you're
working your muscle so hard that they
can't get oxygen to them fast enough and
that's why I say vigorous um then
they're forced to basically make energy
without oxygen and that happens by just
using glucose and then you make lactate
as a byproduct and lactate is what is
signaling an increasing that bdnf and
lactates really I mean you can measure
it there's you know things out there
that you can buy and measure it but I
don't think you need to I think you can
just measure your heart rate and if
you're getting if you're doing a
vigorous intensity exercise 10 minutes
that's all it took was 10 minutes to
have improvements in cognition uh
executive function processing speed so
even just a 10-minute workout and like I
did one before I was came here like
that's like that's my thing I do you
know it's like I want I want to be on
top of my game so you just can do a
10-minute you know workout it could be
high intensity interval training where
you're shifting between periods of
vigorous exercise and then kind of
resting a little bit and then so you do
these intervals or it could just be like
I'm going to do a 20 minute like run and
I'm going to go you know I'm going to do
it so um exercise exercise is the number
one I would say big mover as you said
it's also the most requires the most
effort the other things and this is
where I kind of like I'm smiling because
there was very recently a new study um
one out of three very large randomized
Placebo control trials where they're
giving one group a placebo and another
group a multivitamin okay this is a
multivitamin which is the micronutrients
I've been talking about magnesium B
vitamins folate um Vitamin K is just
stuff people aren't getting enough of
they're not getting enough from their
diets and um they gave older adults so
these were people that were 65 and older
and um there was three different Trials
of this study it was called the cosmo
trial and there's about 5,000
participants in total and the evidence
was clear that just giving them a
multivitamin improved cognition and it
slowed brain aging which was it was
estimated to slow brain aging by about 2
years and and I this is like it's so
it's it's funny because 10 years ago I
was like doing I was out there podcast
talk you know talking on podcast about
huge studies that were coming out saying
enough is enough multivitamins are a
waste of money don't buy them and they
were saying the exact opposite and they
were terrible studies and I like tore
them apart um but here we are 10 years
later complete opposite full circle
what's the easiest thing you can do like
does that mean a young person can take a
multivitamin it's going to immediately
make them you know I probably not
Insurance yeah it's it's something that
you can start now and certainly older
adults it made a difference so that
that's one um another one is again I
mentioned that there's other these
phytochemicals in plants that are
beneficial they're in vegetables and
they're in fruits so
blueberries and blueberry extract or
even the equivalent of one cup of
blueberries this has been done like the
equivalent of one cup of blueberries
improves cognition executive function it
in it improves um memory um also
processing speed so that something like
if you're like you know fast reaction
time I guess it's more relevant for like
maybe someone who's athletic but you
know find motor coordination things like
that um multiple studies showing this I
mean there's been meta analyses showing
it this is across the lifespan there's
been studies in kids there there been
studies in middle-aged adults and
there's been studies in older adults and
it's clear blueberries make you smarter
and they make you feel better at least
they make me feel better so blueberries
are the king of fruits I think I mean
it's between blueberries raspberries and
pineapple I think for like the top spot
in my world of fruits blueberries yeah
no blueberries are so they have
something in them called anthocyanins
and it's what gives the blueberries
their like pigmentation raspberries have
them too blueberries are very
concentrated them in them um they also
have so ananin are a type of polyphenol
they're actually a flavonoid they're
type of polyphenol polyphenols are a
sort of wide class of of phytochemicals
and phytochemicals there's a lot of them
lots of different types of them and they
really are beneficial in humans and like
I said there's randomized control trials
comparing giving this to to a placebo
and if it was bad for you then it would
be clear right it's good for you so uh
blueberries are are are at the top of
the list for that uh for improving
cognitive function low hanging fruit how
easy is it to eat a cup of blueberries a
day I eat two it's literally hard to not
eat a cup of blueberries a day it's hard
not to yeah so that that would be
another one um I think another one on my
list would be similar to that would be
cocoa polyphenol so like from from like
dark chocolate um they have another type
of polyphenol called kakin and um the
best one so there have been studies lots
of studies on this and it's mixed on
this so some Studies have shown benefits
they increase blood flow to the brain
they increase you know vascular flow so
you can get an immediate effect where
you know if you increase blood flow to
the brain which is what exercise does
right but we're talking low hang fruits
easy to do take a pill that would be um
something to do it is it's improved
cognition executive function and there's
a type called cocova and I have no
affiliation with them but they've
published their they they have studies
published with their um proprietary
blend which is again um one of the
highest concentrated I would say cocoa
flavanols out there the kakin consumer
Labs tested them and I've seen I've seen
the data it's it's very clear they're
very high in in
they just out compete all the other
brands out there and they also have the
lowest contaminants so they're really uh
a good but expensive way to get those
cocoa flavonols which are really good
and then the other one would be for
cognition would be lutein which I
mentioned
earlier it's in egg yolk it's not very
concentrated it's in kale very highly
concentrated in kale almost 24
milligrams in three kale leaves and I
say three k leaves because that's what I
put in my smoothie so I've calculated it
but um so there's 2 4 milligrams of
luttin so lutein is a type of carotenoid
like beta carotene like lopine and
tomatoes you've heard of those things
before lutein is in that same category
it is a catenoid it accumulates in the
rods and the cones of your eye it
protects against singlet oxygen from
Blue Light like this light we're looking
at and also the sunshine when you go
outside that damages our eyes it causes
macular degeneration and so lutein and
zanthin is another carotenoid they're in
Greens and they protect against that but
they also accumulate in the brain and um
there have been a variety of studies so
there's been observational studies
correlating plasma levels of ltin and
zanthin with certain cognitive scores so
like C crystallized intelligence older
adults that have linee and zanth and
higher levels have more crystallized
intelligence so that's the ability to
use all the information you learned over
a lifetime and like use it um there's
been randomized control trials looking
at giving 8 milligram of ltin now I said
24 is in 3 K so they give 8 milligrams
of lutein and something like 23
milligrams of zanan to older adults and
it improves neural neural efficiency so
this is the ability to
basically your your neurons can function
with less energy which is nice So that
obviously improves cognitive function
because it's a very energy demanding
process so
Saltine menine yeah I know it's in eggs
Coline yeah you know colonics generally
very important for brain function it is
yeah it's it's an important um it's
important for brain and there's been
studies actually um with pregnant women
if you give pregnant women about 500
milligrams of choline per day their
children score better on int um the
intelligence test yes so so I learned
about this of course when I was pregnant
and I was like well it was actually
before I was pregnant but I was like
figuring out like what I'm going to do
like what do I
and that's why I ate so many eggs during
pregnancy because I also supplemented
but now you've got like Mastermind
babies I do yeah wow but so choline's
also important yeah for sure brain
function but that comes down to again
getting trying to get everything you
need from your food um and then Omega-3s
there's been so many randomized control
trials on Omega-3s improving cognition
especially when there it's it has to be
two grams or more that's where you'll
get the the mixed data if it's like oh
we gave them 500 milligrams wasn't
enough the studies that are consistently
showing improvements in cognitive
function or at least two grams a day of
the omega-3 so that's my that's my sort
of I think lwh hanging fruit for for
cognitive function things you can do is
that the same strategy for battling
neurod degeneration over time as well
the things that improve cognitive
function now it's just the same it's one
and the same it's very similar because I
mentioned brain derive neurotropic
factor bdnf that plays a huge role in
battling nerd degenerate disease risk um
a lot of the the anthocyanins the cakin
that are in things like blueberries and
chocolate um dark chocolate especially
when you concentrate the powder down
those are they have anti-inflammatory
Pro like properties they have
antioxidant properties and they're
increasing blood flow to the brain as
well so they're getting more oxygen to
the brain they're getting more nutrients
to the brain all those things play a
role in both short-term Health but also
long-term brain health as well so it's
it's both for sure they're they're very
much connected 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 foged or as I like to call it uh a
reduction in mental Clarity um and such
a doct way of vir 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 fog I do when people like say
brain fog I'm like oh no I going to 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 crash as
people like to call it um and so it's
really hard for your brain to to be
functioning properly with that post
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 out evens it out yep
not everyone responds well 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 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 opening the
gate 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 pandal glucose
response so that would be 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 see 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 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 the 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 should 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 Aus called
Dean's Italian uh it's just down the
street from you you should go you should
go Dean's Italian yeah I 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 Ronda said so yeah so food
order you know is is something
legitimately that's been studied
empirical data showing it does blunt the
glucose post prenal 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 tance and it kind of
slows it even Keel rather than real high
Spike and then lower in other news this
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wisdom that's drink a1.com
wisdom 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 skew 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 been 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 postprandial
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 trilli leaky gut is exactly what it
is it's intestinal permeability and it
allows pieces of bacteria to get 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 is it
leaky gut it's so 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 the gut you're not supposed to be
there right and your immune system gets
activated
so your immune system's like 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
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
somnogen
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 resp 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 inflammatory
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 get 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 the question is
what do you do one obviously avoid the
sugar high sugar high fat okay that's
clear two um 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 yep the 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 sh 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
there's 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 CID from
getting into circulation is there a is
this dose dependent if I have one gram
with each meal you say two grams of
triglyceride responsibly saued 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 a
nice way and um and that's so so I like
to do the reason I like to have omega3
throughout the day is for one that
reason blunting the post parial
inflammatory response too I want these
like specialized resolving like these
specialized resolving molecules in that
they produce like when your metabolism
in my blood constant resolving
inflammation very 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 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' comfor e
and that would be something I'd do but
I'd notice especially if you have you
know a big Domino's 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've basically not moved
because you're feeling a little bit
miserable 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
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 mentioned people get
when you get sleepy after a meal it's
like that's the cyto kindes that are
somnogenic it's a post-inflammatory infl
inflammatory respon and again it happens
with the bigger meal too you'll notice
like the bigger the meal if you overeat
the sleepier you are right so it's more
of an inflammatory 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 what about improving mood
what do people get wrong when thinking
about that I mean so improving mood is
you know we were talking about exercise
and and that would be the most effortful
way that you can improve mood and
there's studies that have compared it to
like running to essentially to standard
SSRI treatments which are pretty classic
um anti-depressant that are used and
it's performed as good as an SSRI with
added health benefits of course right um
so but you you said something
interesting when you were talking about
when you were feeling depressed um and
that was that you couldn't even get out
of bed right you know so
there it's clear that exercise will help
mitigate depression it will improve your
mood very clear but not everyone is
going to go for a run not everyone that
is pressed will get on the pelaton or
fill in the blink type of exercise right
there are some people that like it's
hard to get out of bed so what could be
a
non-pharmacological treatment to help
improve mood right um and I think that
this is what is super exciting and this
comes into to heat deliberate heat
exposure and and sauna and it's
something I personally experienced
firsthand when I was in graduate school
I was uh
extremely stressed out which can
manifest with depression depression
anxiety right like you those all come
connected and this was like 2009 I
started using the sauna every day before
I would go into the lab and I all of a
sudden was you know handling my failed
experiments better I was like handling
the stress for my advisor and just all
the things I had to do so much better I
mean it was so noticeable that I
initially went oh my gosh there's
something going on here like I need to
figure this out um and so that's what
initially even got me interested in the
Sonic was the effect on my mood and at
the time I like I've published on this
since I published on this back in 20122
but I had come up with some theories
about there's lots of reasons why um I
had come up with a with a theory on it
affecting the opioid system or natural
endogenous opioid system so when you get
in the sauna um or when you're under you
know deliberate heat exposure say a hot
bath something similar you release
endorphins and that's the Feelgood
opioid that you when you're running you
know same thing um but you also release
something that's the opposite of that
it's called dorphin and that is the
opioid that's responsible for that
discomfort feeling that dysphoric
feeling like it's hot this is miserable
I hate it why am I doing this myself
exactly and that's when you're running
what it it happens during physical
activity as well and um and so what it
does it actually cools down your core
body temperature somewhat and that's why
it's like a natural response and um but
when you release that discomfort feeling
there's a feedback loop it actually tell
it you actually make more receptors and
you make them more sensitive to the
feel-good endorphins so that you feel
better later and um so now there's been
um some scientific research first from
Charles Ron back in I think it was like
2016 he had done a study where people
were they basically like it was a type
of of sauna more like an infed SAA it
was elevating their core body
temperature to about feverish State like
a 101.3
and there was a sham control which was
the placebo they were getting hot enough
to think they were getting the treatment
but it wasn't raising them it wasn't
giving them a fever and so um that was
done just one time and this was in
people with major depressive disorder
like this like legit depression and the
people that got the active you know
sauna treatment had an anti-depressant
effect that lasted six weeks after one
time right no way yeah one time um so
now Dr Ashley Mason at UCSF um she
running the osher center which is they
do a lot of non-pharmacological
treatments for a lot of stuff and um I
I've been lucky enough to collaborate
with her on uh some of these studies
where she now right now has a paper in
press which in press sorry in U peer
review um but she basically trained with
Chuck Rison and carried on the torch and
now has done either four treatments or
eight treatments and some people and
looked and these are people again um
with depression and did a battery of of
scores you know that these people do
when they're measuring depression and
it's just off the charts unreal like so
damn exciting like I can't tell you how
exciting it is the people that got this
sauna treatment I mean they I think it's
something like the Hamilton score where
you need like a a three or four point
change for it to be significant I mean
these people are changing like 16 points
and ssris I think are only two two or
three I don't know what they are but
it's not loads it it I all I can say is
she's doing an infrared s on her is um
it's a head out infrared sauna so it's
like it's like a dome I've seen those
people look so funny and yes but they're
but they're in there for a very long
time have you considered that it's just
them overcoming the discomfort of
looking so stupid while being in one of
those tents that has your head sticking
out the top there's probably so many
mechanisms that play you
know I but but you know there's there's
some argument to be made for head out
you know we could get into that but like
I I I do think that inflammation so
sauna does what exercise is doing and to
some degree with respect to you know
causing both acute inflammation but
having a strong anti-inflammatory
response but then I think the opioids
could be in there's so many things like
it's not known what's happening exercise
get hot if you can get hot while you
exercise probably also you can do both
but but getting hot like some people
like again getting into a sauna is like
getting into a spa it's a lot easier to
go from your bed into this other little
chamber where you're just lying there's
no eff no there's no effort doing it for
you the Heat's doing it for you we'll
get back to talking to rondra in one
minute but first I need to tell you
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slod wisd system what about people who
are at standardly acceptable mood uh but
think I really want to kind of elevate
the way that I feel throughout the day I
don't I I just don't feel that sort of
excited or fired up about the obviously
there's like what are your relationships
like what's the job that you do do you
have meaning and purpose in your life ET
all of those sort of things but are
there any interventions from a
physiological perspective where you
think this is something that you should
prioritize right um so I think that it
it comes down to obviously like doing an
exercise snack we talked about exercise
just doing like a two-minute you know
high knees or squats or something it
makes a difference it really does you're
getting you're getting that oxygen to
your brain you're getting more nutrients
and bdnf plays a role in depression so
that stuff I think immediately improves
mood but there's also um you know so so
what neurotransmitters are involved in
mood or you know mood what is mood when
we talk about it well I mean it's
complicated like I don't even know that
we can Define it exactly I mean there's
there's you you have things like
serotonin it's involved in mood uh
motivation that you have to be in a good
mood to be motivated right they're
they're really hand inand same with
dopamine norepinephrine is another one
that's involved Focus attention mood uh
you know things like that they're all
sort of you know involved in the in the
mood motivation that sort of Pathways so
there's like a a there are behaviors
that you can engage in to sort of
optimize for those neurotransmitters so
neurotransmitter optimization is is sort
of like trying to engage in behaviors
that can optimize for those
neurotransmitters so one high-intensity
exercise does it it's been shown
serotonin goes up it goes up because
again your lactate is increasing the
serotonin but it also goes up because
Branch chain amino acids which you're
getting when you're eating protein they
compete with tryptophan tryptophan is a
precursor it has to get into the brain
and they compete for transport into the
brain with those branch chain amino
acids and tryptophan is a precursor for
serotonin so if you're eating a bunch of
protein which have Branch chain amino
acids like Lucine isol leucine things
that are building muscle basically and
you're not exercising then your
tryptophan can be outcompeted and
there's been studies doing this they've
given they've given people a big like
shake like a protein shake essentially
that does not have any um trip it has no
tryptophan in it so they're essentially
just dosing them with branchin amino
acids and their tryptophan levels Fall
by like 90% in the brain and and
subsequently their serotonin levels
plummet and people get in a terrible
mood their long-term planning shuts down
so serotonin plays a role in impulse
control like being able to like control
your impulses and not engage in
behaviors that are just very impulsive
um and so that that goes down and it's
just normal people that you know are
drinking this shake of branchin amino
acids so what makes the brancho amino
acids go into muscle exercise so if you
want to do that then you're going to get
more tryptophan in the brain to make
serotonin what is the Adaptive
justification or the Adaptive mechanism
for this is it that if human was doing
relatively high-intensity extended
exercise that would often be some sort
of pursuit hunting type thing therefore
you need a natural painkiller to
encourage said human to keep chasing
said wilderbeast because if they feel
better they will keep chasing it which
means they're more likely to catch it
which means they won't starve and die
that sounds like a great explanation um
yeah I mean we used to move around like
you said um it it doesn't necessarily
have to be high intensity it could be
just lifting weights too it causes
Branch amino acids to be taking up to
muscle but you're you're moving yeah so
there there's a you know I think there's
could be an evolutionary P you know
reason why there is for every in my
world there is an evolutionary reason
for absolutely everything not because
it's the only thing I've got any
expertise in uh but yeah that's that's
interesting to think about I mean I
wrote this like 10 years ago when I was
still suffering with low mood and stuff
like that that if you gave me the choice
between a good night sleep of 9 hours or
a hard training session of 1 hour my
mood reset before and after training is
greater than before and after sleep I
found more bleed from pre- to posts
sleep than pre- to post training
and it's it's so ruthless that if you
are suffering with a low mood or if
you're under a period of high stress or
whatever it is one of the things that
you go to First is sleep even though in
my experience the higher Roi thing is
the thing that's hardest to do when your
mood's the lowest because your
motivation to do difficult things is
also at its lowest totally absolutely
it's funny that you mentioned the sleep
thing too because like you know I do
think sleep is important but nowadays
I'm like you know it's exercise like
like I don't know that anything matters
as much if you are putting in that
effort to exercise and you know that
could be shown in data if you look at
you know studies that have looked at all
cause mortality and people that don't
you know sleep as much like they're
getting 6 hours or less they have a
higher all cause mortality than people
that are not sleep but only in people
that are not physically active so people
that are physically active and sleep
terribly had the same all cause
mortality as people that were you know
slept fine without so in other words
interesting exercise can negate the bad
effects of lack of sleep on all cause
mortality and I also glucose response
goes up with lack of sleep like you're
you're you're um you're basically going
to have a higher postprandial glucose
response to food you're going to have a
higher fasting blood glucose level when
you don't get enough sleep well you're
also going
to select for foods that are more salty
more sweet I mean I found this as well
that I I for the first time in my entire
life when I had a stable sleep and awake
pattern was covid that was the first
time that I'd ever gone to bed as an
adult the same time most nights out of
two weeks
because I was always running our events
you know which would mean I'd be up
until 2 3 5 in the morning cashing up a
hill driving back from one of the club
nights in a different city doing
something like that and I remember
thinking I always thought that I had low
mood and was a bad sleeper and I just
realized I was doing shift work the
shift work is considered I think the
World Health Organization literally
considers shift work a health risk so
this is uh firefighters this is Nurses
this is anybody that's got an irregular
pattern and um yeah I I thought that was
me I was like oh this
is it was
so formative and such a foundation to
the way that my uh lifestyle and uh the
texture of my mind existed that I didn't
I couldn't imagine what life would be
like different and then Co comes in and
obviously nightclubs immediately all get
shut down and well I guess I guess I'll
try this going to bed at 11:00 every
night thing and then mood started to
just like linearly get better
throughout all of 2020 and uh yeah that
was wild to see that that case study of
someone who basically had no theory of
mind for what it would be like to not be
like that to then actually get stable
sleep and wake was it was crazy it was a
really big change yeah that's it it
really is like you said the shift work I
mean I'm so respectful for people that
are doing it and um sat and Panda has
actually done re work with like
firefighters and stuff and shown that if
the shift workers do Tim restricted
feeding and eating like that if they're
doing that while they're doing their
shift work they actually do have better
at least like metabolic um outcomes and
stuff like or Not by outcomes but um
biomarkers so there is somewhat so so it
helps because you know they're obviously
their body is completely out of cycle
and whack but if they can at least keep
that food intake clock on the right you
know path and right clock uh it does
make a difference so they're not eating
All Around the Clock basically
presumably if they were also doing
training if they were exercising that
would help to mitigate mitigate mitigate
I think the exercise would be the most
important thing that they could do and
firefighters I mean they are they do
have to be physically fit right I mean I
think that's part of like the
requirement so fir fight is basically
like being a a halfway house into the
Armed Forces like a lot of my friends
that are there that you know they have
uh PT they have yard time they have Kit
inspections they have all this sort of
stuff I don't know whether it's the same
I don't think it's the same for people
that are accident and emergency
uh nurses and and and doctors and stuff
like that uh I don't know if it's the
same for the police I guess if you're
part of a SWAT team and stuff that would
that would be very heavily prioritized
but I don't know if the you know the
classic Bobby on the beat with a big gut
and I'm thinking British here and like
one of the silly hats that our British
police officers wear I don't know
whether they're put through the same
kind of uh Fitness I suppose their job
sometimes is less physically demanding
than a firefighters but then if you're
chasing some scall down a an Alleyway
and chasing after some person that's
just committed a crime you need to be
pretty fit for that yeah super super
interesting uh when we're talking about
cold and heat exposure which is
something that you've spent an awful lot
of time thinking
about what's
the best way to utilize cold and heat
routine throughout a week like what's
just the the simplest way to do an
evidence-based cold and heat protocol I
think um one of the best ways would be
if so most people should be training
right they should be doing some sort of
resistance training or endurance
training um vigorous exercise doing the
heat after that I think would be one of
the best because you're you're extending
your workout to some degree so there's
been there's been studies looking at the
on the endurance side like if you're uh
intervention studies that have taken
people that have done Exercise on a
stationary bike or they've done the same
exercise on the stationary bike and then
done 15 minutes of hot sauna like right
after that and with basically no break
with no break they just go into the
sauna after and then V2 Max was measured
so V2 Max is like your best way to
measure cardiorespiratory Fitness right
so maximum amount of oxygen you're
taking in a maximal you know exercise so
um the their VO2 max was better in
people that did that exercise the the
stationary bike plus the sauna versus
just the stationary bike right and that
is a lot because sauna to some degree is
mimicking
moderate intensity cardiovascular
exercise you know it's it's doing a lot
of the same things a lot of the same
physiological responses happening so I
would say um doing the sauna right after
the workout but also there's a new study
that came out showing people that did
resistance training and then got into a
sauna had like better muscle gains and
it just makes your work out more of
whatever you did it makes your you know
but I think some of that has to do with
the heat shock proteins too and um also
yeah there's been studies showing that
if you um increase blood flow like like
if you do resistance training it used to
be like this thing where it's like oh
don't do any endurance training like
like at the on the same day that you're
doing resistance training because you're
going to blunt your gangs or something I
don't remember what it exactly was
called but that's kind of been put to
rest it's not true uh so so to to well I
guess there's always extreme there's
always outlayer I should say ways you
could do it but generally speaking like
getting some blood flow to your muscles
after you've done training actually
improves hypertrophy right because
you're getting some growth factors and
things there and immune cells things
that are like playing a role in the
hypertrophy is there a window post
training that you need to get into the
heat within not necessarily no within
the same day no I think you should do it
if you okay you act you asked me about
the optimal protocol I would say
optimally it would be after training it
doesn't have to be because also Heat
plays a role in sleep so PE some people
choose to do their heat at night like a
couple hours before they're going to go
to bed you can go I actually have been
kind of obsessive about this of late and
I do both so I do I get in the sauna
after I work out and then I do the
jacuzzi at night with my husband um
which is another form of heat stress
you're in you know 104 degree Fahrenheit
water you can be in there for 20 minutes
and get similar responses in terms of
biomarkers as a sauna so I do think um
if you're only going to do one you can
kind of choose like do you have a hard
time sleeping being do you want to or do
you want to kind of extend your workout
and now I don't know that you have to do
it like I think there's also been
observational data by the way the study
with the cyclist and the sauna that was
in untrained people so you might go oh
what about trained people yeah but then
there's observational data showing that
people that do exercise or people that
exercise and sauna so this is all sorts
of people this is these are people that
are exercising these aren't newbies
right the people that do exercise in
sauna have a higher V2 Max compared to
people that only exercise so there's
evidence I think that that kind of makes
it a little stronger that it's not just
a newbie gain right like that it's
probably something going and I think
it's because it's it's mimicking
cardiovascular exercise so do you have
to do it after a workout no you don't
have to uh but I do think it's I I
personally like to do it after a workout
it's like I've already got my heart rate
up you know it's it's so it's really
just like extending extending my workout
some to some the two uh windows that
seem to be at least interesting to use
would be 2 hours is finishing 2 hours
before bed I say that yeah because some
people take longer to cool down yeah me
too I do exactly so yeah two hours like
to get out before you know like because
then you don't want to be like trying to
go to sleep then you'll have the
opposite effect right you're too hot you
can't fall asleep and then post-workout
so postwork workout and a couple of
hours before sleep what temperature how
long per week what else yeah so um
temperature duration frequency like how
many times you know so there's all sorts
of studies coming out of Finland where
saunas are ubiquitous and everyone's
using one looking at you know sauna use
and all cause mortality cardiovascular
rated mortality dementia Alzheimer's
disease all those things right and
what's clear is that there is a dose
dependent effect with frequency and
duration in the sauna so in other words
the more frequent the sauna use the more
bust of the effect so I'll give you an
example all cause mortality is 40% lower
in people that use the sauna four to
seven times a week so four times would
be minimum right versus people that use
it two to three times a week they have a
24% lower all CA mortality right so the
bare minimum would be two if you want
something um this is compared to people
that use it one time a week but if you
want the most robust effects the bare
minimum would be four up to seven right
every day so that would be frequency now
temperature and duration most of those
studies in Finland the average
temperature in the Publications is about
174 175 degree Fahrenheit and the
duration in that sauna is also important
so if people only stayed in for 11
minutes they weren't getting a very
robust effect they had to stay in for at
least 20 minutes so 20 minutes at 174
degree fah four times a week is the
recipe for I would say the the best you
know
uh effects for cardiovascular brain all
cause mortality what about if you
increase temperature and reduce duration
yeah so this question usually I get it
the opposite because people are
interested in infrared saas and infrared
saas go only to like 145 degree
Fahrenheit they kind of heat you up a
little differently they're not the
ambient air is not as hot it's like you
know electrons that are like moving your
molecules in your body up but um and so
in that case you would want to stay in a
much longer duration and that's what's
used in like Ashley Mason study but the
opposite so like if you're going to you
know what 180 or how how hot are we
talking M was 230 today okay so
um heat is so heat is a stress it's it's
a stress on the body right and you have
this stress response to the heat right
so your body makes heat shock proteins
for example you get dark thoughts you
you get dark thoughts yeah exactly and
then and then you get and you feel great
but um you also get chatty in there so
um it's it's important to keep in mind
that you don't want to go too extreme on
heat because it is a stress like just
like you don't want to like exercise
like all day like you need recovery
right you don't want to fast like
forever like you need food these things
are stressed they stressors on the body
and our body has a stress response to
them so this is kind of like hormesis we
talked about hormesis a lot right hot
heat is the same thing um heat
can permeabilize the bloodb brain
barrier when you start to go to extreme
temperature melting my brain I'm
concerned that that 230 is too high yeah
there's so there was one study that came
um that was published was it 2022 it was
kind of recentish and um it wasn't from
um Dr Yari Lenin's group who is the main
researcher who does a lot of studies out
of Finland uh looking at you know sauna
use and dementia for example he found
Sona use is associated with like a
66% reduction in Alzheimer diseas and
dementia if you're they're using it four
to seven times a week well another study
came out and this was in gosh it was
quite a few I don't remember it was two
or 5,000 adults it was a lot or maybe it
was more actually um well anyways they
looked at temperature and they looked at
duration and they looked at Alzheimer's
disease risk and you know it was clear
that you know if you use the sauna you
had a lower degree a lower risk of of
dementia and alcer disease but there was
a subset of group where people were
using it at 200 degrees Fahrenheit or
more that had the opposite effect wow so
you shaped curve to temperature I think
so I don't talk about I don't want
people to get freaked out because it's
like but not everyone's doing 200 I
think there's the extreme there's always
this extreme push where I'm gonna go
hard and if you're that personality type
you're going to be that person that goes
all the way because that's what you do
on everything you do the dialup yeah so
um I do think with sauna though it's
important to keep in mind that it is a
pretty strong stress on the body
particularly if you're not head out
right but if you're getting your head in
there and warming it up to
230° yeah this plunge thing is really
really intense I mean there's a couple
of things when you think about like
where's the thermometer actually located
is it is it it's at the top unless
you're stood on your tiptoes on the
bench you're not actually going to get
your head to that point and the
difference between this one that I've
got is two benches and the lower bench
is way cooler half half as hard as
sitting on the upper bench and the upper
bench isn't at the all the way at the
top and if you're at the other side to
where the rock heater thing is if you're
over there then it's easier and if
you're at the front then it's a bit hard
so you can kind of mitigate within that
I suppose um one consideration like four
times a week can be quite intrusive for
somebody to get that heat exposure
especially if they don't even if you do
have a sauner at home it's still pretty
intrusive like got to go back and forth
to the thing and preheat it and all the
rest of the stuff
is there a or if you were to do 20
minutes in at 180 190 something like
that uh to make sure that it's
174 uh and then take a little break and
then go back in is that a way that you
could maybe get away with doing three
times a week or two times a week and
still try and capture some of those
really good gains um I don't know that
that data is there to make that
statement but I do know that there have
been studies looking at going repeatedly
and taking taking a few minutes break
and going back into the sauna and what
is clear is that you do get big major
boost in growth hormone is this the
thing that 16 increased yes tell tell us
that yes so what they were doing is they
were going so they're going I don't
remember how many times but it was quite
full times 30 minutes with a break yeah
with break something like that yeah so
it's been years since I've talked about
that study but yeah so um and that that
could give 16 fold increase in growth
hormone which you know it does it's
transient it doesn't like last forever
but you know also growth hormones
involved with sleep and in deep sleep
and so it's it's another reason why
doing that like timing your sauna around
around bedtime could be highly
beneficial for a lot of people like a
lot of people really do benefit so I
personally like I said I do I kind of do
both I did like the I do the hot tub um
which is 104 degrees and I'm in there
for like 30 minutes and but the
difference being that it's 104 degrees
of liquid touching your skin exactly no
and there's been studies that have
looked at so there's heat shock proteins
that are activated um in the sauna and
they're also activated in the hot tub
and brain Drive neurotrophic factor
which is from exercise also is activated
when you get in a hot tub so and and the
sauna so it's like when you start to see
the biomarkers that are similar between
the different heat modalities you kind
of go well at the end of the day is your
heart rate going up in the H tub yes
it's like I've been I've done the sauna
for like years and years and years and
years I like I know how I feel I feel
the exact same way in the sauna I like
the the sauna better because I'm less
likely to cheat like I will cheat e in a
hot tub I will get my arms out I like
you have to have your shoulders down for
20 minutes so you have to really like
didn't you uh I saw you on Twitter get
into a you got in trouble with big steam
like the steam room versus uh Sauna
versus jacuzzi thing I think there's a
lot of people that are like evangelists
for the sauna being the only way to get
hot and I think that you'd mentioned
there quite a lot of different ways that
you can get hot there's a lot of
different ways you can get hot and I
think I mean I've done a lot of steam
showers again you're getting your heart
rate up you're you're getting you're
increasing your uh cardiac output you're
getting blood flow increases you're
sweating like all these things are
happening it's it's the heat shock
response you're you know there's a lot
of ways what is it the a lot of rams to
a lot of roads to Rome right I mean it's
not what uh if somebody doesn't have uh
access
to e easy access to a sauner or doesn't
have on in the house what about just
running a hot bath and then continuing
to like
I I mean how much is a thermometer that
you put in the bath it probably $5 maybe
$10 or something throw that in get it at
what temperature and stay in for 20
minutes exactly I do this a lot when I'm
traveling by the way like I get I do the
um the portable sauna I Do I Do It um
but so what I what I like to to
recommend is like so go and get one of
those pool thermometers right I mean
they're like you said they're like
anywhere between five to 15 floaty ones
the little floaty ones you put that in
your bathtub and you get it up to 104
set your timer for 20 minutes make your
make sure your shoulders are down like
submerged below and if the the the
temperature starts to go down just add
some more hot water and that's that's it
most most people have a bathtub and so I
like that it can be accessible because
that's another thing I get a lot of oh
well I don't have a sauna position yeah
you know and yeah there's a lot of gyms
but this isn't Finland like we're you
know everyone has a sauna you so so I do
realize that there's a limitation on the
saunas and you well then why do I need
to like do I need it you know like I
said so there's the V2 Max you know that
you're getting you're getting even
better than just exercise now there's
people out there that are endurance
athletes like they're I don't know do
they need it like for VO2 max probably
not but it also helps with disuse
atrophy muscle atrophy um and those
Studies have been done so they've done
studies where they do like this they
immobilize a limb and people for like a
period of weeks and they did local
heating in in one study but there's been
a lot of animal studies doing sort of
whole body Heating and it'll prevent
disuse atrophy by like 40% I snapped my
achilles 3 years ago full Detachment
playing cricket and it was 13 days from
when that happened until when I got my
surgery uh so I'm waiting for I wanted a
very particular surgeon in the UK to
come and do it one of the the guys had
been highly recommended to me which
meant I had to wait a little bit longer
13 days of not stepping on my right leg
and it was gone it was so alarming to
look down and see especially because
you've got the other leg to [ __ ]
compare it to so you're laid in the bath
or whatever looking down and
thinking like this is wild it's so crazy
and obviously you see people that are in
wheelchairs who maybe don't use their
lower limbs all that much and they've
got very thin legs and yeah it was what
it was crazy to see that in 13 days well
you were young when this happen and so
you can recover you can bounce back
quite quickly um but people that are
older like they go and they get
influenza and they're like convalescing
for like weeks right they're not moving
they're not using their muscles they
can't recover like they'll never get
back to that that
pre and and this is where I think the
heat comes in and also Omega-3s so I
know omega-3 it's like I can't like like
there's like there's like a few low
hanging fruit right is brought to you by
Omega-3s but it it's been shown to cut
disuse atrophy by like 50% so and this
but this is something that's not going
to happen like you have to preload it so
you have to it it the Omega-3s
accumulate in the muscle membranes and
it takes about four weeks for that to
happen so you have to plan ahead or just
be the person that's already taking him
that way it's already there right and so
then you're ready talk to me about cold
we've got hot cold cold exposure yeah so
deliberate cold EXP exposure um is
another typee of hortic stress and
there's some overlap but there's
different like you can increase heat
Chuck proteins from cold exposure heat
Chuck he these stress response Pathways
there's a lot of overlap where you can
like because it's just it's it's an it's
an adaptation right we were meant to
move we were meant to be hot we were
meant to be cold we meant to get plant
phytochemicals where there you know our
our bodies respond and we activate all
these really beneficial genetic Pathways
so they all kind of overlap some do it
better than others like heat chock
proteins are more robustly activated by
heat but cold also activates them just
an interesting thing to to think about
um so cold Exposure One of the most
robust physiological responses to cold
cold exposure would be norrine release
and we were talking uh earlier about
mood and like neurotransmitter
optimization things to do like behaviors
you can engage in and and timing of
those behaviors around things that are
you know perhaps um GNA require a better
mood or motivation or something like
that right so Co norepinephrine does
play a role in in in motivation and mood
and those things and like I got in the
cold shower before I came here and I
usually do that before like a talk or
you know something like that as well but
um so Norine release is one of the the
most consistent physiological responses
you can get that from 20 seconds at like
40° fit water or two Excuse Me 2 minutes
at um 49 or 50° Fahrenheit water will
will release norep norepinephrine
twofold over Baseline um or you can be
crazy and stay in like 50 degree water
for an hour who does that um and you'll
get a five-fold increase so um why we
why would you want norepinephrine well
it is a neurotransmitter it does play a
role in Focus attention it regulates
mood um it helps with like anxiety all
those things are important so it's kind
of I personally like to time it around
things like cold exposure um
also sort of benefits with respect to
mitochondrial biogenesis you can get in
cold plunge and stay in there for 15
minutes and increase mitochondrial
biogenesis markers in muscle tissue so
that's the growth of new mitochondria in
your muscle tissue that's great
mitochondria are producing more energy
so it's associated with less muscle
atrophy it's assoc but you can get that
from a high-intensity workout too so you
don't have to necessarily do the cold um
when should you do the cold so I I can
tell you when not to do it when not to
do it would be after sort of a strength
training or resistance training workout
how long's the window so so that's the
good question so I've come up with my
own sort of window on this and I can
tell you the rationale behind that but
so here's the thing there's been a
couple of studies and it's actually not
all consistent the first study that came
out that was like the big made the big
deal um it was like I don't know 2015 or
so when it came out or something like
that and the study did it was a cold ice
bath and it was five minutes after a
strength training workout where people
the like the men went in and like put
their leg or something like that in the
in the ice bath for 15 minutes and this
was right after the workout okay or they
did passive recovery where they were
actually on a stationary bike so the
control group wasn't just sitting around
they were actually in my opinion
increasing hypertrophy by movement okay
just that's clear I think that's a flaw
of the study and so the people that did
the ice bath right after there were
there was train work at how still had
hypertrophy but they had less than the
control group Y and so that was was like
oh it's blunting gains and so I was like
dive back then I would dive into I was
trying to dive into leg or legs I don't
remember right I was just wondering
because it would be interesting if they
compared the leg the other leg Yeah I
don't I don't remember um it's been so
long since I've read that study but uh
so when you are when you're doing
exercise when you're doing resistance
training you're obviously causing an
inflammatory response right that's part
of the stress and there's a counter to
that there's a very potent
anti-inflammatory response and um with
the with the resistance training you're
actually damaging muscle right you're
damaging the muscle it's like a
mechanical force activating all sorts of
Pathways Well turns out that immune
cells have to get to that muscle and
that plays a role in in the hypertrophy
but like this whole response if you look
at like some of the cyto kindes and
igf-1 that's involved in in signaling
and all that it happens like it Peaks
like an hour after after resistance
training and then after that it kind of
goes back down and so the question is
when you're getting in the cold you're
causing basil restri constriction so
norepinephrine I mentioned is a uh
neurotransmitter it's also a hormone
it's made in the periphery as well and
it's involved in basoc constriction
which is the opposite of what heat does
vasod dilation so when you're basoc
constricting you're cutting off the
roads to get to your muscle right like
the growth factors the immune cells all
those things can't get there right
you're you're stopping that I think this
is what's happening uh and so you know
it's like well what if I just wait like
an hour or two would I be safe possibly
or maybe just you know do it at a few
hours like five hours what's the rule
you use five um so I I personally don't
do as much much cold exposure as I
should do because I talk about it I do
it a lot more in the summer when it's
hot and but when I do do it most of the
time it's before something I know it's
like it's ridiculous but it's the truth
um or I'll do it in the morning like so
I personally don't like to time it right
after my heat exposure mostly
because blood pressure changes for me
that are just freaky that I don't it's
wild doing contrast therapy is very very
weird it is yeah I mean some people like
that right I I enjoy it but it's like a
dizzy feeling it's a dizzy and I've had
like even more extreme where it was like
vertigo and I like it sit on the and
just yeah exactly stare at the floor and
hope that it goes away yeah so I'm I'm
not too like fond of that feeling so I
like to separate them you know a little
bit um although I think if I if I wait
like 5 to 10 minutes after I get out of
the sauna like and just kind of at room
temperature just chill out for a minute
let my heart rate come down then I get
in the cold I don't have that response
so like waiting a little bit so um I
think the rule of thumb for cold
exposure is I think that
neurotransmitter optimization
optimization like when do you want to
use it to get that noop and Efron hit
because it does help with Focus
intention it helps with mood anxiety and
so like you know if you want to like if
you wake up in the morning first thing
and do it that's a great way to start
the day um I like to wake up and get on
my pelaton or do my workout uh but also
just timing it around things like I said
I did a cold shower before I came here y
um if I'm at home I'll get into the cold
plunge before something that you know is
going to cause me more anxiety or just I
need more focus and attention so you
mentioned uh 20 seconds at 40° is enough
for the norepinephrine but what about if
we're looking for the full Cascade we're
going to
capture as much as we can most that is
realistic for people to do how long how
frequently how cold per week so we
talked about nephrine and we talked a
little bit about mitochondrial
biogenesis the growth of new
mitochondria in skeletal muscle and that
was 15 minutes at 50° which if you can
get to the 3 minute 3 and a half minut
minute Mark at 50° you can get to 50 the
rest of it's fine yeah but um there's
another benefit we didn't talk about
which is actually making more
mitochondria and your adapost tissue and
that's an adaptation that is a response
to cold exposure because when you have
more mitochondria in your fat you're
you're basically making it's basically
you're making more energy you burn more
energy but you also release heat as a
byproduct and so it's an adaptation the
more you use the cold the it's called
Browning of fat and the reason for that
is because when you look at a fat
droplet under a microscope and there's
more mitochondria in it it looks Brown
compared to White so so that's also
something that happens and most of the
studies looking at Browning of fat in
humans have not been done in getting
into cold water they've been done in
like humans walking around at 50°
Fahrenheit or putting on a cold suit
that's 50° Fahrenheit I know it's like
one of those things you like walk around
with the air yeah and um and so again
for those I mean it's it's it's anywhere
between 15 minutes to an hour you start
to you start to get that so 15 minutes I
think is a good marker for session for a
session for you the whole shebang yep
right like not just the norepinephrine
but the mitochondrial benefits if you're
also looking for Browning of the fat and
you know the muscle at what temperature
and so that would be like 50° 49 degrees
Fahrenheit if you can and which is it's
I mean that's cold some people go that's
pretty miserable I mean what you to
again it's so funny like the Bro version
of me and my friends that do this in
Austin if we go to kuya uh where I've
said that you should go if if you're
coming through um it's 220 in the sauna
it's
37° in the ice bath and we're doing 20
and three three times like but it seems
like dialing that back in terms of
intensity and increasing it in terms of
frequency and
duration is where we're actually going
to May not even capture more gains but
reduce some of the negative uh effects
of us going hell for leather on yeah I
mean you got to think about like you
know the the fact that this you are
stressing your body right like you want
a you want the stress to be good and
great enough and you know robust enough
but you don't like there's a window
right like you don't want to like go
outside that window where it's like
damage yeah but we're all one rep max
pilled on everything so all of the Bros
that go and do it go well look like when
I went into the gym going to failure or
doing Drop sets or you know pushing
myself until I want to throw up that
worked that has to be the universal rule
for all modalities of stimulus therefore
I'll just do the sa till I like want to
pass out and I'll crawl out and that's
got to be the best how long are you do
you stay in that 230 uh and do you get
down do you keep going down to each step
up and down it depends on whether my
housemate's there and we also watch
stuff so we'll put a speaker in there
and like watch little bit of like uh an
interview or YouTube or whatever um
usually about 15 to 20 minutes is like
my real upper Bound for that 231 that's
a lot for that hot yeah it was it was
rough it burns the inside of your nose
like if you try and breathe in through
your nose it hurts it hurts my nostrils
to do that anyway um 15 minutes
50° uh not done within 5 hours of
hypertrophy training let's just say it
to be safe right uh also probably not
done within a couple of hours of going
to sleep
because that's maybe going to cause some
complications when it comes to getting
your body cold temperature right uh you
talking about cold yes I know I think I
think it's like like it can help with
sleep too actually doing cold so both
hot and cold can both hot and cold can
help with sleep because if you go hot
then it's going to bounce back and pull
you into cold it it it yeah your body
does go like if you notice when you get
out of sauna like doesn't take it I
don't know how it it varies on each
person but after a little bit of time
all of a sudden you're really cold right
you're like yeah so
um I don't know that it you know I think
people even do like hot and I've done
this hot and cold and it does really
help with s doing both as well okay but
it's also kind of a exhausting thing
with your with your body which makes
sense right I went to this place in
Toronto called other ship have you heard
of this it sounds yes yeah I have yeah
my so they're cool it's similar to kuya
in Austin other ship do classes
for heat and cold so they've got this 90
person sauna which is like a Coliseum
and it's this ra sort of seating and
benches and it's huge this SAA thing at
the front looks like a massive barbecue
grill for the biggest party that you've
ever seen and then they have coaches
that guide you through the cold exposure
as well so there's kind of like pts
stood at the end of each of the cold
tubs and they say what are you wanting
to get out of the session today and
they'll take you through different
modalities one of the ones that they did
with us which I really loved was 30
seconds in 30 seconds out three rounds
of the cold and while you were in there
you were moving both arms and legs and
doing a little bit of toning like vocal
like toning stuff and uh that was wild
I'd never done that before we tend to
just get in sit in for two to three
minutes get out go back in the SAA but
that was really interesting the effect
of doing that was was pretty cool yeah
doing a workout in there because again
you're you're it's like making your
workout harder right it's like because
they're both sort of to some degree
doing like doing at least physiological
response is kind of similar with respect
to cardiovascular well there's also
something about if you don't have an
agitator in the cold tub everyone's
everyone's done this everyone knows that
you get in and you sit and you're like
I'm just going to wait for the film of
warm water to kind of get around me and
if I really really don't move it'll be
less painful but doing this is just it's
so miserable so miserable uh frequency
15 minutes uh
50° how often I I don't know that
there's an established frequency like
there is with the sauna right this isn't
like there's not large observational
studies looking at people that are cold
plunging but I will tell you so I talked
to Dr Lain and about this is said what
what percentage of people in Finland
because the saunas are the sauna studies
are coming out ground finland's ground
zero yeah like are doing are because
they a lot of people will just they'll
they'll do they have like these public
SAS as it's called and the community
will get in there and then they go in
like in the winter time they just go
into the Baltic and jump in and it's
cold and I I've been there I've
experienced it I've seen it so um he was
saying about 10% of people I was
actually thought it was going to be more
than that U but it's not about 10% of
the people are are doing are going doing
contrast therapy so they're going from
hot to cold so then you you go oh well
because I wanted to know I was like are
some of these benefits like from the
contrast and there's not a lot of
research on it you know so the the
question is like I don't I don't think
that you can give a frequency like with
absolute confidence four to seven times
per week exactly yes so it's more of a
okay well are you looking for these
Browning of fat is that because it'll go
away when you stop doing it so you have
to keep it up um and the more you do it
it is kind of dose dependent so what do
you try and do I told you that I don't
do enough cold exposure unless it's the
summer what would you try and do um yeah
I mean so I look I feel great I feel
great this morning when I was doing my
cold shower right like I like to use it
for that like mood booster acute so
performance it's an acute performance
enhancer that neurotransmitter
optimization thing that's why that's why
I like to use it and every time I do it
I'm like why don't I do this more I know
why because I'm doing the hit and the
muscles and then I'm the mom and I like
got the podcast and that you know so
it's like that's it's almost like I
think it's almost easier to just at
least if it's winter to just get into
the cold shower because it's like less
of like something about the cold plunge
you got to like lift the lid lift the
lid you got to lift the lid you got to
think about you're like oh it's the cold
plunge and I got to get past that that
three three and a half minute Mark where
you know you you're burning and then
you're not burning so um I think I think
that I just would like to start using it
on a more of a daily basis for the way
it makes me feel and that's why I like
it mostly it seems to me based on what
you're saying here that although there
is definitely a place for cold exposure
and deliberate cold exposure has some
effect that you don't capture with the
sauna if you were to make a pie chart of
what's happening with heat and cold a
lot of it is coming from heat and only a
little bit of it is coming from cold
yeah when we're talking about aot of
these Health outcomes with respect to
cardiovascular disease and dementia and
all cause mortality all it is it's all
but you know again the hot is mimicking
moderate intensity exercise so yeah that
makes sense um the cold I I I really
just it come all comes back again to
that makes you feel so good you're
getting that norrine it does brown your
fat and like look Browning of fat is a
therapeutic Target for many researchers
that have been researching this now and
for you know over a decade where there
it it it's it's it's being looked at to
help as a treatment for type two
diabetes because you do improve
metabolic Health like from browning of
fat but compare that to like exercise
diet what you're eating I don't know
that it matters I don't know that the
cold even compares like don't I don't
even know that we should been talking
about the metabolic benefits of it when
you're when there's like so much more
bang for your buck sprinkling on the top
of the icing on the top of the yeah
exactly and it's like okay I'm making
more mitochondria and my muscles but I
want to be doing hit and vigorous EXC
for all the other benefits and guess
what I get mitochondrial biogenesis from
that like pretty robustly is that um
with the brown browning of the fat is
that uh wrists in and clavicle in is
that one of the cues that I've heard
about this have you seen this stuff no I
don't that's interesting so there'll be
people screaming at us in the comments
but um when I was at other ship when
I've been to kuya uh when I've been with
uh huberman uh there's something to do
with the wrist area kind of up to the
bottom of the palm and something about
the clavicle as well uh being an area
which is particularly susceptible to um
benefiting from cold exposure for this
brown adpost tissue thing I heard this
story that sounded true which was during
World War II the Germans were trying to
work out why their fighter pilots were
dying so quickly when they were ejecting
over the British Channel let's say that
they'd run out of fuel or they'd been
shot down or that the engine had failed
for some reason or another and the
pilots were ejecting and they were
finding them dying very shortly after
the plane had gone down so they had a
lot of prisoners in one form or another
that they were able to do these tests on
and what they found was that if the life
jackets lifted the clavicle up out of
the water the survival time went through
the roof so there's something very
important about this area of the body
being under the water and that is the
converse reason apparently which is why
your clavicle should be under when
you're doing deliberate cold exposure
that's interesting I know there's a you
know when you're when you get into cold
water particularly if you're not uh
adapted like you're not deliberately
doing it there's a cold chock response
right and so I wonder you know and some
of that plays a role in like people
actually having you know dying from from
getting in really cold water I don't I
wonder if there's a connection there
between the cold chock response and very
interesting yeah because less of them is
under the water when it comes to
exercise what is your framework for
designing an exercise
routine um well so for me I personally
get very motivated when I understand how
things work and and look at data and see
outcomes and I think okay well I need to
you know get my routine around this
whatever you know is is is the data um
and so I have been pretty convinced that
I've always been like a runner I've
always been endurance more of an
endurance Chucky I'm not an athlete like
I've done like one marathon in my entire
life you know I'm not out there clocking
those kinds of miles but I do enjoy
going for runs and I enjoy um that sort
of endurance exercise so um for me that
was always what I might go to and less
focusing on resistance training as we've
talked about hugely important for muscle
mass but um the question is well how
hard do I to go on the you know on the
endurance so does it need to be more of
a vigorous exercise workout or moderate
intensity lower intensity is anything
better than nothing yes I think at the
end of the day like the most important
thing is habit like what are you going
to consistently do right like you're
going to consistently do some sort of
physical activity and it needs to be
that like whatever it is that you will
do otherwise like you can talk about
what's the best but if you won't do it
uh it doesn't matter right so um I try
to get a lot of vigorous intensity
exercise in so that would be 80% max
heart rate and um the reason for that is
because I've been pretty convinced that
if you are not an athlete doing more
than 10 hours a week or 10 or more right
of you know endurance training so if
you're if you're not that person um I
think that it's more beneficial the data
suggests it's more beneficial to engage
the majority of the time in more
vigorous intensity exercise versus
what's zone two training right so like a
lower intensity or I guess it's more
moderate intensity the talk test kind of
exercise right where you're breathy but
you can still have a conversation which
I do like doing those as well particular
when I'm having a conversation with
someone on a run it's nice I enjoy it
but um I do also go harder um I do a lot
of high-intensity interval training and
um I think that the there's there's
evidence for that uh if you are going
harder and you're getting that heart
rate up to 80% max heart rate you're
increasing that lactate and we've talked
about this that you know that in itself
is beneficial um it's beneficial for the
brain and I think that's one reason I'm
particularly motivated because I'm very
interested in brain health and so
lactate has been shown lactate is
consumed by the brain during physical
activity this has been shown in humans
and it
fuels basically your normal function
while you're exercising it's your brain
is working harder while you're
exercising just like your heart and your
mou muscles your brain is working harder
too and lactate is feeling that and
you're you're you're basically
increasing norepinephrine and serotonin
from that lactate so lactated self is
actually it can be used as an energy
source a very utilizable energy source
much like beta hydroxy berate which is a
ketone body that you make when you're
either fasting or on a ketogenic diet um
it's very similar and so lactate
increases those
neurotransmitters it also increases that
brain Drive neurotrophic factor which
has been beneficial for growing new
neurons it's beneficial for
neuroplasticity for basically making you
feel better making you smarter staving
off neurogen or disease like there's you
want bdnf like that's what you want and
so and again this is all evidence-based
studies that have been shown in hum
showing that the higher intensity the
more intense the workout the more
vigorous the more lactate and lactate is
signaling to increase that it's the way
that your muscles communicate with other
organs like it's it's increasing lactate
and lactate is going to other it's being
shuttled to other organs and and it's
signaling to them to do these beneficial
things it's called the lactate shuttle
it's also being shuttled back into your
muscle and doing things like increasing
glucose subate we talked about that as
well so the lactate itself is only going
to come when you're cranking up the
intensity when you're working hard
enough that you can't get enough oxygen
to your muscles you know to to basically
produce energy so that's sort of the the
I'm actually trying to make more lactate
and the lactate increase doesn't last
long it's pretty transient like 20
minutes or so you'll be back to your
Baseline after a pretty intense workout
so um there's data not only showing that
it's beneficial for the brain and be
brain brain Drive neurotrophic factor
and these neurotransmitters is talking
about but also um lactate itself is used
by neurons so the lactate that's going
into your brain it's it's transported
across the bloodb brain Bearer it's used
by neurons as an energy source and in
fact our neurons prefer lactate so our
asites which is a supporting cell in our
brain they make a lot of lactate because
they actually are what's called
glycolytic they use glucose without
their mitochondria as energy and they
shuttle the lactate out and neurons take
it up and so neurons like to use lactate
because they use they they it they can
use lactate as an energy source without
um using as much much energy as they do
with glucose so it takes more energy to
use glucose to make energy then it does
lactate that makes sense it's so funny
you know even when you were in school
people would learn about the lactate
threshold and they know that that was
the reason that your muscles burn when
you're doing CrossCountry running and
you're 13 years old or whatever and it's
almost like the enemy in some ways it's
a thing that hurts I don't want it I
don't like that and now you're telling
me that it might actually be super
useful super it's it's it's definitely
the thing that you want um it's it's
it's just it's hugely beneficial for the
brain you know again it's it's also
beneficial for the bloodb brain barrier
it's increasing VF which is a growth
factor that helps you grow new blood
vessels and like repair blood vessels at
your blood brain barrier so it doesn't
break down which happens with age so it
is and I was talking about the neurons
using it um there's there's evidence
that when so when your neurons use
lactate they spare glucose they don't
need glucose because they're using
lactate for energy right and what
happens is called the glucose sparing
effect and what that means is glucose
can be used for other things and what
it's used for is producing it's a pre it
makes a pre precursor for glutathione
which is the major antioxidant in the
brain and so um there's actually there's
there's research out there looking at
giving people lactate
infusions that have TBI does that feel
like well it's like sodium lactate so it
feels like you know saline but oh okay
yeah so so people that have a TBI a
traumatic brain injury they have massive
like injury in their brain right and um
they need glutathione it's a very potent
antioxidant but their glucose is being
used up to make energy I mean it's not
there's nothing there to make the
glutathione and so there's these studies
that have shown that the sodium lactate
infusions is has a beneficial effect
with TBI because it again I think this
is the mechanism that's happening one of
many is it's helping with the glucose
sparing so glucose is used to make more
antioxidant in your brain so that on top
of it's also making bdnf brain dfic
Factor okay so I think that there'll be
a lot of people listening who fall into
one of two camps almost everyone
listening will be training in some way
or another right this is an audience of
Jack people but one will skew toward the
bodybuilding style training it'll
probably be a three to five day split
like Push Pull legs or maybe a body part
split or something like that uh and
those people will likely be trying to
hit you know their six to 10,000 steps
per day so they'll be focused very much
on the resistance training there'll be
another Camp of people who are like
heavy on zone two there'll be the
runners there'll be the cyclists maybe
there'll be some hybrid training people
that are in there but even the hybrid
training guys are going to just be doing
like either Camp one or Camp two what
you're saying is that there is third
Camp which is this high-intensity
vigorous exercise and that that may be
the most important one of all so I think
that uh if we're talking about the the
camp with the zone 2 and if we're if
we're talking about athletes more I mean
these are people that are clocking a lot
of miles right just normal people okay
so these are like committed exercise is
doing maybe you know four two to four
hours a week of exercise they'll do a PO
run and they'll like you know they'll
they'll they'll keep on top of that runs
throughout the week or whatever yeah I
think that if that's so again going back
to like if that's what they're going to
do every it's running is beneficial like
you're also going to get a lot of
benefits from just doing Zone 2 right
like if but you know there's I think
that if you can step it up to being a
little bit more vigorous if you can
still do that and habitually Do It um
incorporate some high intensity enable
training in there as well uh I do think
it's very beneficial and you know it's
also beneficial for the V2 Max
improvements like there's been studies
that have been done looking at people
that are actually meeting the
requirements for um aerobic exercise per
week so it's like two and a half hours a
week and even if they're Meeting those
like doing moderate intensity exercise
there's like 40% of those people will
not improve their V2 Max like they're
called non-responders it's not really
known why they don't respond respond but
it's thought because you know
improvements in in your
cardiorespiratory Fitness as measured by
V2 Max it's an adaptation and in in
order to have that adaptation like a
stronger stressor will produce a little
bit more of a robust adaptation and so
there are studies that have identified
like people that don't respond if they
then engage in more high-intensity
training they can get those V2 Max
Improvement that's 40% of people that
would be be doing your Zone 2 plus
resistance training style stuff that
doesn't Peak up I mean Petra tier told
me that V2 Max is the single most
important metric when looking at
someone's longevity how much truth do
you think's in that I I think that
absolutely he's right I think V2 Max is
one of the single and and and the thing
I love about it is that it's something
that you can measure it's a biomarker I
think it's one of the most important
things absolutely and there's you know
there's there's some evidence that like
doing doing this vigorous exercise is
important but it has to be like a longer
interval type of exercise so you know at
least 1 minute that would be sort of the
minimum but like better if you can get
to 4 minutes so there's something called
the Norwegian 4x4
protocol and that's four minutes at the
highest intensity that you can maintain
for that entire four minutes followed by
three minut minute recovery of like
light light exercise I mean you want
your heart rate to come down so that you
could do it again four times right so
miserable sounds absolutely miserable
the Norwegian
4x4 um and you know there's there was a
study and I like I like this is one of
the studies that inspired me and this is
this was a study out of uh UT Southwest
and Dallas and um the study took 50y
olds that were healthy but they were not
physically active so they didn't have
like type two diabetes and all that but
they weren't active they're also drained
exactly they're drained and they put
them on a pretty intensive training
protocol for 2 years okay two years it
was a 2-year intervention and it was a
progressive protocol so obviously when
you have an untrained person you don't
just write out the bat Norwegian 4x4 day
one no that's not going to happen so it
took them six months to kind of work up
their their their training right their
endurance and by the time they got to
their six-month Mark they were doing
about you know 4 hours a week of what's
called maximal intensity exercise so
this is vigorous this is this is 4 hours
a week of maximum intensity yeah wow so
they were doing so they were basically
doing it was like as as high as you can
maintain you know in vigorous intensity
workout for 30 minutes basically so
they're doing these 30- minute workouts
where you're doing like 75 80% max heart
rate for 30 minutes okay so they're
doing that eight times a week yeah I
mean so no they're also doing they're
doing other things as well so they're
doing it's not when I say four hours a
week they're exercising four hours a
week they're also thought you meant they
were doing four hours of this full by
full no no no no no they were doing
exercise four hours a week um but they
were doing um a majority of that was
maximal intensity exercise so a lot of
that was they were doing like 30 minute
sessions of this and I think they were
probably doing like one and a half to
two hours of that Y and then they were
also doing some strength training and
then they were doing the Norwegian 4x4
so it was kind of a nice sort of
balanced and then the control group was
doing this sort of I say strength
training but it was more I guess body
weight you know kind of stuff um the
control group was doing that so it was a
type of sort of body weight training but
it wasn't high intensity like it wasn't
like the the CrossFit kind of stuff that
you could do it was it was more like
lower stretching kind of stuff maybe
yoga is kind of thing and um so so after
two years these people like the the
cardiac structure so as we age our heart
gets smaller and it gets
stiffer and this happens it's like part
of aging um that results in a lot of
things so cardiovascular disease risk
goes up but also like your exercise
performance and capacity goes down so so
after that two years of you know doing
this pretty vigorous intensity exercise
protocol they um the people the
50-year-olds they reversed their cardiac
structure aging by 20 years so their
hearts were looking more like
30-year-old Hearts versus 50-year old
hearts and this is after 2 years of
doing this and to me it was so
motivating to go wow these 50-year-olds
can do this like these were untrained
people who don't usually work out and by
the end of these two years I mean they
were like getting at it um and so I've
you know kind of stepped up my my game a
bit also like I've got a coach coming
and I'm working with um two two days a
week and to do I'm doing a lot of uh
it's like a resistance training but like
kind of interval as well so I'm getting
the high heart rate and and that
interval training it's so funny to see
Peter tier and yourself kind of converge
on this new not it's not as if it's new
but it was definitely something that I
wasn't hearing about four years ago I
wasn't hearing people talk about this
everything was zone two it was you know
like go slow to go fast or whatever the
tagline is and um one of the problems
with Zone 2 is that you need quite a
high duration like by Design because you
know 45 minutes or an hour multiple
times per week she's actually difficult
so lots of benefits of improving V2 Max
what are take us through the Norwegian
4x4 again and then what else is in there
if there was a protocol or a number of
protocols you were going to design
here's a program that you can take away
today into your gym and do that will
help to improve your V2 Max what would
you tell people I would say the
Norwegian 4x4 is by far the best and
you're going to get the if for the
people that are really um determined and
committed that would be it that would be
the four minutes of the exercise
intensity as hard as you can go and
maintain it for that entire four minutes
so obviously dig into that what what do
you mean as hard as you can go and
maintain it what does that mean it means
you don't want to go like all out like
like 95% of your your max heart rate um
because then you can only last for like
a minute you know and so so then you're
going to go down you're going to you're
going to slow down right so what it
means is like you want to go you know it
might for some people might be like 75%
max heart rate right so some people
might be 80% but you want to go as hard
as you can for the 4 minutes uh without
like really slowing down so you kind of
have to pace yourself a little bit but
you don't want to go too slow right like
you definitely can't be talking like you
should not be able to talk for sure when
you're doing it so it's hard enough that
you just absolutely can't talk but it's
not all out so four minutes four minutes
and then 3 minutes of totally light like
you're going all the way this is like
you know your like back to like Zone one
if you want to call it something if your
heart can come come down your heart come
down yeah and you're doing that for 3
minutes because you want to give your
you want to recover so that you can do
it again and it and you repeat it it's
it's a four it's a four-time protocol so
you do it once and then you repeat it
three times or you just call the 4x4 I
think that's probably one of the the
best protocols to improve V2 Max now uh
Dr Martin gabala um I've had him on my
podcast he's a real expert on these
high-intensity interval training
protocols he does a lot of research on
it at McMaster University
um in Ontario Canada and he also says
you there you know there there's
evidence that a one minute protocol so
like just even doing like an interval
like one minute interval and then doing
that like you know a few times also can
improve V2 Max so that's a little easier
and ALS it's easier like I like I I do
one minute intervals um I'm trying to
now incorporate the 4x4 into my routine
um which is coach's help with that so um
but it I imagine it's a motivation thing
which is probably one of the biggest
hurdles to get over that just if you've
got any program in for interview that
isn't the Norwegian 4x4 for the day you
go ah maybe it's back in biceps or ah
maybe I'll just go for a little J it's
like Manana Manana Manana yeah it is but
again like I said you do have to do you
try to make it consistent so uh
frequency per week well the Norwegian
4x4 would be like one time a week oh
okay and that's that's the that's the
hard day that's less that's less Mis day
it is okay is there any benefit to going
twice per week probably
yeah but it would have been so much
better if said but these 50y olds yeah
these 50y olds did it one time a week
for two years and they reversed their
cardiac structure aging by 20 years um
of course they were they were also doing
other vigorous intensity exercise it
wasn't the torturous Norwegian 4x4 yep
you know like so if Norwegian 4x4 is
gold standard at the moment for
improving V2 Max what would be some
examples of other vigorous
exercise uh workouts what else is in
that bucket well people can do what they
enjoy doing so you can go for a run like
I often go for a run and you know I'm
doing 75 80% my max heart rate uh
usually it's like a 20 minute run that I
do that you know so like is as as
intense as you can maintain for 20
minutes like that's what you want to do
you want to kind of get that you get a
feeling for that um so if you like runs
because there's a lot of benefits to
running you're out in nature well I
guess some people do on treadmill I'm
not so big on treadmills like I I'll do
them like when I go to a gym or
something traveling but I like running
out in nature I think there's that just
there's lots of benefits to doing that
um some people like to get on their bike
and cycle so like you can just get on
your bike and do a 20 to 30 minute uh 75
80% max heart rate cycle right so what
we're aiming for here is 75 to 80 % max
heart rate for around about 20 minute
exposure you can or you can do you could
do like a high-intensity interval
training so um so high-intensity
interval training would be you're going
to you're going to go more than 85 80%
right you might go you're going to do
like more of like a sub maximal perhaps
uh perhaps even a maximal interval so
you can go up to 90 95% max heart rate
so that would be I mean obviously you
can only maintain that for like so long
right some people might be 30C pushes
I do a lot of tobas as well um often
times I like to do something every day
um most days of the week and it's funny
I kind of adopted this this routine when
I was I was kind of trying to U do a
little bit like Joe Rogan sober October
but it was like every day October I was
trying to work out every day and I
noticed I was like I could do this I'm
doing it for like one month and I don't
I wasn't going as hard as like the this
guys doing the sober October where they
were like competition it was like they
were just in the if you do something ex
do something every day so sometimes I'll
do like a 10-minute Tabata where I get
on there and I just go hard for 10
minutes it's 20 you know it's most of
the time I'll do a 45 second on um 15c
off so it's a 3 to1 ratio I really like
that one but sometimes I'll do 20 second
on 10 uh 10 second off so it's like I do
both but like even just 10 minutes again
I time it around like like I got I'm
going to go do work I'm I want to feel
motivated I want to feel better I want
to be more focused and all my game and I
just get on there for the bike for 10
minutes and do it um you know there's
there's studies out there um these sort
of exercise snacks now 10 minutes is
longer than an exercise snack but
there's studies out there where uh
people are wearing these like wearable
devices right and so you can track their
their heart rate you can track how how
the heart rate's going up and so there's
large large studies they're called the
vigorous intensity lifestyle activity
and um most people are taking advantage
of everyday life like they're they have
stairs every day to work they Sprint up
them they don't walk up them they Sprint
they get their heart rate up to like 75%
max heart rate 80% max heart rate
they're they're getting intense and
people that do this anywhere between 1
to three minutes a day um I mean these
these guys have like a 50% lower cancer
related mortality cardiovascular related
mortality and this was even true for
people that identified themselves as
non-exercisers so they aren't these are
people that are not going to the gym or
doing other like tennis or whatever they
don't have Leisure Time physical
activity so the benefits were also in
people that identified as
non-exercisers so my point is that the
vigorous intensity these like even short
bursts of it just consistently like
every day a little bit like they do add
up there's additive effects and they
make a difference so that's also I think
really something that's very encouraging
because some people oh I got to go and
work out for 30 it's like it you need
that motivation right like some people
don't have that motivation and so um
it's a lot easier to just get up and do
something for 2 minutes it's hard but
you can do it and you can do it at your
house what apart from running up and
downstairs what are some other ways that
people can incorporate exercise snacks
to take advantage of this body weight
squats um are a great one so you just
you're just you know doing your squats
and you do it for a minute and then rest
for whatever 15 seconds and then do
another minute I mean those are hard and
they get your heart rate up so you can
do that for like 3 minutes uh that's a
really good one and then you're going to
be really sore if you're not used to it
but and then there's the high knees so
you do high knees um I mean you could do
chair squats you could do plank um the
not planks the burpees those burpees so
you do like the the plank thing and then
you come up and jump and like those are
all I think really great examples of
just like easy ways to do exercise
snacks like even at your desk and um
just even breaking up we're talking
about improving cognition improving mood
breaking up your workday with those like
it makes a difference on your mood on
your cognition like it it helps you're
getting blood flow immediately to your
brain so um yeah you were talking you
were telling me about um the need for
people to break up their sedentary time
that there's some very specific risks
that people can encounter if they're too
sedentary for too long too frequently
what's happening there yeah it's
interesting um so I never identified
myself as sedentary because I've always
done something like running or jumping
rope or something like going to the gym
something I'm where I'm physic active so
it's like oh I'm in the Physically
Active group I'm not sedentary well it
turns out um being sedentary is like
what we've been for the past couple of
hours we've been sitting here that is
sedentary so even when you're even if
you you know go to the gym or you go for
runs when you are sitting at your desk
for a period of hours you are sedentary
and sedentary being sedentary itself is
an independent risk factor for disease
like cancer
so now do I think the marathon runner
that you know also has a you know desk
job where they sit at their desk for8
hours is going to come down with cancer
probably not because they're they're
they're really putting a lot of effort
in and they're they're Physically Active
but um I certainly am not the athlete
and I am a committed exerciser right so
I'm I'm putting in anywhere between you
know two to five hours of you know
exercise in a week depending on the week
right so um for me like I spent a lot of
time sitting I spent a lot of time
sitting and so that to me was like a big
thing it's like oh that's an independent
risk factor for breast cancer um which
you know a woman's breast cancer risk
and just lifetime risk is one in eight
it's incredibly high and of course there
of course there's lifestyle factors that
can sort of increase or decrease that um
and just s sedentarism is a independent
risk factor for that so again it's it's
really and so easy so I've I have
started incorporating exercise snacks um
I'll get up and I'll start doing some
some body weight squats I think that's
my my go-to I also like doing um burpees
I've been doing some burpees and high
KNE I'll do um every hour um I think
every couple of hours I've also been
starting to time them around my meals um
so that's that's another thing I think
being aware of the postprandial glucose
response and how it affects my my
cognitive function my mood uh and also
just knowing that it's healthier and
it's so easy to do like just do like two
or three minutes ofe pre food you can do
it pre or post food both trying to do
burpees post food might be difficult you
can do it up to like an hour after right
yeah so one of the things that Dr Stu
Mill number one back pain specialist on
the planet taught me about forever ago
and then Mark Bell also popularized this
10-minute walk 50 minute walk post
eating because insulin sensitivity
because of helping to re um adjust
glucose levels within the blood uh also
the muscles of the hips uh and the arms
cross across the stomach so actually
helps with digestion of food a little
bit as well like if you've had a really
big meal and all you want to do is lie
down actually probably one of the best
things that you can do to make yourself
feel better is maybe go for a a
walk what would you say here we've got
the The postmeal Walking crowd and the
postmeal burpees crowd like is there
something that that that you're missing
from one of those or are you happy with
either um well I don't know about the
whole arms movement aing and digestion
thing all that um I do know that the
more vigorous intensity when you're
actually going to start that feeling
that burn right when you start to when
you start to get up to that okay I'm
making some lactate that's what's
actually increasing the the Transporters
glucose Transporters GL they're called
glute four they're in your muscle and
they have to like move their way up to
the top and glct is what signals them to
do that so when I'm just thinking about
the glucose and improving blood glucose
levels vigorous is better um you're
actually chasing that burn you're
chasing the burn and there's been
studies that have that have compared
Walkers to interval Walkers so these are
people that are just walking versus walk
pick up the pace while they're walking
walk slower pick up the pace while
they're walking now they're not running
but they're just they're interval
walking and it's been shown that
interval walking improves a variety of
metabolic parameters more than just
walking and again it it makes sense
because when you're picking up the pace
you're you're you're working harder
you're making lactate and that's one of
the big signals for these glucose
Transporters to come up to the top of
the muscle and let the glucose in so uh
I do think from U mechanistic
understanding that and also data showing
walking versus interval walking interval
walking is better when you can when you
can pick up the pace when you can go a
little bit more intense it's better all
right what about becoming muscled for
longevity so that's I'm I'm working on
you probably don't I'm not all jacked up
but I'm that's that's my that's been my
new goal um particularly of of late but
for like the past year um I've become
more aware of it I've spent more time
focusing on it I now have a coach um
who's great and coming to work with me
to focus on that because I feel you know
I'll tell you when it really hit me um I
had I had someone on the podcast Mark Dr
Mark Matson and he I have admired his
work for years he's he's like the
intermittent fasting King like he's I
I've known of his research since he was
in my 20s right like he's also done a
lot of work on hormesis and I you know
I've just I followed his work for so
much of my scientific career so um it
was very cool to have him on the podcast
and talk to him and uh we were talking
all about everything under the sun with
respect of fasting and hormesis and and
we started talking about uh training and
he he has been a you know track you know
Runner forever big big endurance athlete
you know mountain biking everything and
he told me he said you know the one
thing that I really reg regret um in my
life is that I didn't spend more time
building muscle mass because he had an
accident he had a mountain biking
accident and you know basically couldn't
walk around and use his muscles for
quite a period of time and he said it it
really hit him hard and so um that was
my first kind of like oh wow like this
like I'm I've always focused on
endurance I never thought I really
needed to f Focus much on muscle I'm not
a bro like I didn't have that incentive
to like you know build the muscle and I
knew it was important but uh I didn't
really I didn't dive in deep enough and
and convince myself that it was as
important so um that was the first sort
of eye opener for me and then I had
steuart Phillips on who does a lot of
research on resistance training he's the
one that like I helped you know identify
that the the RDA for protein intake is
likely too low um and he he has a really
good way of explaining you know muscle
mass and this What's called the
disability threshold which is what I
think everyone that has an older parent
or grandparent has seen in in action
where you're they get older and they
experience that you know take where
they're they're out for whatever a
couple of weeks and then all of a sudden
of course they can't gain their muscle
back and then it happens again and then
again and then all of a sudden it's just
downhill and they can't walk they you
know and and the trajectory just
plummets um and you know it's it's just
not good so in order to sort of you know
not let that disability threshold be so
devastating you really have to build up
your muscle mass earlier in life
actually it's never too late but if you
can do it earlier in life it's better so
um training wise like I now am I'm I'm I
used to just do I mean really it was
like 30 minutes a week or so of like
resistance training you know where I'm
just doing dumbbells or something and
now I'm doing 2 hours a week maybe a
little bit more so that is a new focus
and I'm working with the coach because
I've noticed I do I'm much more likely
to injure myself when I'm just like
doing it myself and I don't really know
what I'm doing and I'm following like a
pelaton class or something so now I'm
working with a coach who's um really
great and I just I'm I was so sore just
after the first training session I was
like I thought I was fit you know and
here I am like just little T and muscle
like I just didn't even know we there so
now I'm I'm really trying to get I think
minimum like two hours a week of some
sort of resistance training where I'm
working uh a lot of my muscles not just
you know my biceps or my triceps so if
investing in muscle mass is like
contributing to a retirement fund that
you can then withdraw from right in
later life what is the age where it
starts to become more difficult and then
after what age is it basically
impossible to gain muscle mass so
there's muscle mass and there's muscle
strength and I've everything that I know
I've learned from the experts like Dr
Stuart Phillips like Dr Brad shenfeld
and reading their work and um their
Publications so um you know muscle mass
Peak around 20 to 30 and then after that
you start to lose about 8% per decade
until you get to 70 it's 12% per decade
but strength decreases are even greater
than that so um you know we we talk a
lot about muscle mass and that's
important but but strength is important
right like you want to be able to get up
and out of a chair like it it makes a
difference on your quality of life like
being able to be independent and
function independently and so that's
where um There's Hope especially because
so we're talking about muscle mess gains
well it's like so what happens when you
reach reach the age of 50 it's you know
you're not your your anabolic resistance
is starting to kick in right you're not
being as sensitive to the protein intake
you really have to rely more on on the
the mechanical force you know of of
stimulating muscle protein synthesis as
the form of increasing muscle mass and
hypertrophy so um is there a time when
you won't gain any mus I think you'll
continue to gain it it just won't be as
much right you're really battling
atrophy at that point too so you know
the more you can contribute earlier the
more you'll have to pull from but I do
think the strengths the gains in
strength are what is really good because
um at least there's studies showing in
older adults even ones that haven't
really worked out much if they start a
um a resistance training program they
can counter the atrophy losses and they
can gain in they can like regain
strength like years that they've lost so
you can really gain your strength gains
can be really good even in old age and I
think that's one of the things that
people might be thinking I'm 42 like
does that mean that it's too late
basically for me me to start gaining
muscle or gaining strength or is it is
it am I a lost cause at this age no no
not at all no not 42 I mean it's going
to get more challenging when you're 72
um but even then you're going to gain
strength I mean there's studies showing
that for sure you know it muscle mass
gains won't be as good but you will you
will be countering that that atrophy you
know it's it's not like it's not
beneficial do people need to lift heavy
well that's that's the that's the the
golden question that first two Phillips
he showed that years ago
um that people he he didn't untrained
people first so he he showed that
untrained men um could gain just as much
muscle mass and
strength uh lifting lighter weights as
people as the men gain uh lifting heavy
weights as long as they put in the
effort so the volume and effort has to
be high so you have to like you'll
probably do a longer duration it'll be
more you you'll be doing you know more
more effort but you can gain as much
muscle mass and strength if you're doing
lighter weights as long as you're
putting in that effort um and then Brad
shenfeld came in after because he was
like ah steu that was that was untrained
men come on and he then did it in
trained men and lo and behold guess what
same data same results so uh the trained
men also could gain as much muscle mass
and strength by lifting lower doing
lower weights as long as the effort
that's the key effort right you have to
put in enough you have to be fatigued
you're not know who Dr Mike is Rell is
no I don't professor of exercise science
at Leman College um probably I think the
best guy for
evidencebased
hypertrophy training on the internet at
all at the moment I had him on the show
last week and
um he's just so I would you really
really need to connect with him because
the guy is so phenomenal he's also
jacked out of his mind right so he like
walks the talk uh but he came on and he
was explaining about about the the
typical sort of Bro Science rep range
which was 8 to 14 any more than 14 and
it's completely
pointless his rule or at least what the
evidence seems to show is that anything
over six and below 30 as long as when
you finish you are looking at one to two
uh one to three R reps in reserve so
that's what you're talking about here
he's Brad shonfeld is one of the guys
that he respects the most in the
industry as well and um the point is you
can get yourself to 28 and if you're
like I could do three more
maybe that's good now one of the
disadvantages that you have of doing
that is obviously your session length is
going to be longer uh but one of the
advantages that you have is that your
injury risk is going to be lower so I
think I mean that was fascinating to me
as someone who's spent his entire life
like allergic to going over 16 reps like
no no no that's just cardio like that's
just you know that's just lame um that
was really interesting uh a couple of
the other things that he taught me that
I thought were fascinating he's a huge
proponent of tempo so it seems like the
tempo of the movement is super crucial
the entire duration of the rep should
not be less than two seconds so you
could get away with 1 second up and 1
second down but it's very important to
control the Ecentric portion of the
movement most of the muscle growth comes
in the Ecentric portion of the movement
the long stretch that you get at the
very end range of the movement as well
seems to be particularly where muscle
growth is discriminated toward so what
you want to try and do is do exercises
which incorporate that stretch for
instance if you see um people that do
wide grip lat pull Downs you get to this
position and you're like well my lats
aren't actually all that stretched
whereas if you go a little bit more
narrow you go overhand uh pull-ups or
one of his favorites which is this like
a single arm wraparound uh lat pull
across so if you imagine that you've got
a cable machine over there and you're
actually getting into this really super
stretch position and you're pulling
right back around and you're feeling
that that um but yeah for him the the
key things that I took away from that
was one to three reps and
Reserve uh Tempo seems to be just a
great way again to reduce down the load
because you could still get to three
reps in reserve on 10 reps but because
you've been doing Tempo it's so much
harder so again you have all of these
different things that you can use to
manipulate the difficulty and the amount
of reps that you need to go through uh
and just a little pause at an extension
in whatever it is the bottom of a squat
it's going to mean again that you don't
need to use quite so much weight it's
going to put you into that uh the muscle
stretched position which is where most
of the hypertrophy occurs and just I
think a two countdown on whatever it is
that you're doing just seems to be the
smartest way to do it it's going to
reduce injury risk it's going to mean
you don't need to use as much weight
it's going to maximize that uh time
under detention uh that we're talking
about and it's going to mean that if you
do do a little pause at the bottom and
then get it back up it's fine so that's
now for me all of my training my entire
training protocol is built around that
type of tempo rep range uh and loading
with the stretch at the bottom so it was
it was so simple it was great to hear
really really good yeah that's a really
great I mean easy to follow kind of
protocol I mean for sure and I I do
remember um Dr Brad scheld talking about
the some of the same things with the
Ecentric movement and the stretching of
it and all that like being really
important for hypertrophy and of course
my my new coach who knows everything
she's like on top of all of it so
pointing out you telling me what about
training when you're tired a lot of the
time people don't get as much sleep as
they want or they're a little bit more
stressed or whatever they think I'm
tired should I train yes if I train I
make myself more tired that might be
dangerous or whatever what what do you
think well yeah absolutely that's the
that's the time where you should train
most and and we were kind of talking
about this right so you know there's
studies showing that if you don't get
enough sleep you can have a higher all
cause mortality than someone who gets
enough sleep unless you're physically
active physical activity blunts some of
those negative effects of not getting
enough sleep so you're tired you should
you should go get at it and also guess
what happens you don't feel more tired
you feel like especially if you're going
to go do like a hit workout you feel
invigorated you feel better you you're
increasing blood flow to the brain
that's what you need right you're
lowering inflammation inflammation is
what's making you tired inflammation is
what's giving you that that tired
feeling and so exercises is the the
counter to that right exercise is one of
the most robust ways you can have an
anti-inflammatory response because your
body is naturally you know there's one
thing I mean we talked about taking
Omega-3s I mean there's ways to reduce
inflammation by by by taking certain
phytochemicals or Omega-3s but exercise
is forcing your body to use all of its
genetic Pathways to counter that
inflammation and it does it for a long
time it's not just a as quick as you
metabolize it how long is it in your BL
what's the halflife of the compound deal
this is like days after right so the the
little bit of stress that you're putting
on your body that anti-inflammatory
effect is so much greater that it
counters the stresses of Life of
everything metabolism of just you know
thinking and breathing so I think that
exercising when you're tired you should
be motivated and know that you're
actually you're going to feel better
it's you're going to you're going to be
less tired after like you really are
especially if you don't go for like a 5H
hour run I mean like let's like you know
there's an upper bound yeah I suppose as
well you know one of the things when
you're tired your injury risk does go up
your ability to do fine control motor
movement and stuff like that so if
you're going to go and get that session
but you've only had 5 hours sleep
because the kids woke up at 4:00 a.m.
this morning and it's been a nightmare
or you just got back from a flight or
whatever like don't try and max out
today right it's not it's not 3 RM
deadlift day it's I go in and I try and
work hard but not kill myself day right
you either I mean if it's you know it's
always easier to like like I said if you
could just do like a hit session that's
great or just do you know do a
high-intensity sort of body weight
exercise workout right you do some
push-ups you do some P you know some
pull-ups and then some squats or
whatever you know or lift lighter like
you were saying where you're not you're
not going to the other thing is how like
the story that you tell yourself about
being the sort of person that maybe
didn't have an ideal night's sleep but
still went and got after it and this is
totally separate to the physiological
effect yeah I suppose the endorphins of
the actual session will help with this
but like I overcame a difficult thing
today like that story that you tell
yourself is so powerful and it it helps
to kind of reinforce this positive
self-image of being someone who happens
to life as opposed to life happens to
them yeah I mean this is like this is
something that I think about a lot as a
parent like the little winds are such
confidence boosters you know like it
doesn't have to be like the big thing
that you're going for but like just a
little win like I went and I did
10-minute workout you know it's like a
little win like good [ __ ] world yeah I
mean you it it makes a difference and I
think you you said it like beautifully
like it it's it's a confidence booster
and I mean those things do sort of I I
think they add up and make a big
difference for sure what else haven't we
said about exercise is there anything
else lurking in there that people need
to be aware of um I think you know the
big thing was was cover with respect to
vigorous intensity really focusing on on
getting that vigorous intensity every
week focusing on the voax training
knowing the brain benefits and then any
any kind of resistance training
obviously is important those are the
really I think big main things what
would be if someone isn't going to go
and get their lactate tested or do a V2
Max test with the mask on and all of
this stuff what is a rough Benchmark
that people can use to check I am making
progress this
awful Norwegian 4x4 torture device that
I've been doing every Sunday for the
last six months has helped like what how
can people do the like home version of
the test yeah so obviously a lot of
people use their um Apple watch which
does measure V2 Max but I would say um
if you want an evidence-based way to
measure V2 Max and um the reason why the
Apple watch isn't necessarily accurate
is uh because so so the the thing that
really been shown to to be a good way of
estimating BO2 Max is What's called the
12 minute run test or 12 minute walk
test depending on your Fitness level
right but um you need to have access to
like a flat either track or something
some sort of you know thing that's
that's that's flat right you could
also I mean no it's got to be distance
so if you can somehow yeah clock that in
on your your watch as well as you're on
a bike I think the best thing would be a
a track field or something like that and
um what you do is you you in 12 minutes
you run as fast as you can to and
maintain that pace for 12 minutes and
then um you have to have that distance
measured right so that distance is
measured um and then that there's this
calculation that is done um considering
you know the distance that you're
whatever you've run and everything and
that turns out your V2 Max and that's
kind of what the Apple watch uses but
the Apple watch doesn't know when you're
like running hills and stuff so it's
it's kind of because that that takes it
into account so if you're running hills
and stuff it's more challenging you're
not going to go as far right um and so
that's kind of where I go oh well the
Apple watch is only so good so I wonder
whether I'd be interested to know if
there's people who can uh cheat this
test in some way let's say that uh one
person builds their V2 Max what I'm
thinking with this Norwegian
4x4 I probably do need to start doing it
airbike to me seems to be the best thing
that I could think of it's the easiest
machine for me to get my heart rate very
high on it's both arms and legs it's
stationary there's no picking it up
putting it down resetting it and it also
means that during those three minutes
you can kind of just push away like this
but I would imagine that the person who
does running intervals for their
Norwegian 4x4 will develop a number of
efficiencies that are uh
disproportionately advantageous for this
12-minute run test right my someone does
it in the pool right someone does
swimming intervals 4 minutes 3 minutes
whatever um how much that will cross
over so there's definitely going to be
ways like H rocks hybrid training this
whole thing at the moment is a huge huge
burgeoning it's basically filled the
hole that CrossFit used to have I think
um and I think a lot of people are going
to have that but I wonder how many
people have um like
disproportionately good 12-minute run
tests that may actually overclock the V2
Max because of their efficiency that
they've developed using running as their
modality for building that V2 Max right
no I mean it's a good point I think for
sure um most of the Norwegian 4x4
Protocols are done on a stationary bike
most of the time that's the king
yeah Dr Ronda Patrick ladies and
gentlemen Ronda it's been really great
to meet you I love your work I love the
fact that you've just got this broad
evidence base that you can tap into and
teach us me and morals about what's
going on in the world of fitness and
such you've got this bdnf protocol.com
thing which is a free uh guide that
people can take in order to maximize
different ways to get bdnf what's what's
in that um it's a bunch of protocols
that that have been uh evidence-based
that are you know how to increase bdnf
exercise protocols sauna protocols
polyphenols so we're talking about
blueberries things like that and then I
kind of have my protocol in there intra
weaved it's like well this is what I do
uh but yeah so it's uh I think some
people want to know well how much you
know how hard do I go to get my my bdnf
from a run or a workout or what do I
need to do so there's there's it's like
kind of evid evidence-based protocols on
different things different lifestyle
factors and behaviors you can engage in
to improve it oh yeah where else should
people go they want to keep up to date
with your work uh have YouTube channel
and it's called found my fitness I have
podcasts I interview experts sometimes I
do standal load videos where I talk
about the science of something um diving
into magnesium next I also have one on
vigorous exercise and then um on podcast
Apple podcast Spotify uh then my website
fitness.com that's where you can find me
sign up for my newsletter but I would go
to the bdnf protocols to to get all the
the good protocols on uh improving brain
health basically hell yeah thank you
Ronda thank you so much it's been fun
thank you very much for tuning in if you
enjoyed that episode with Ronda I have a
conversation with Dr Peter which you can
watch right here go on tap it