back to indexNutrients For Brain Health & Performance | Huberman Lab Podcast #42

            
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                 Welcome to the Huberman Lab Podcast,
             
            
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                 where we discuss science and science-based tools
             
            
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                 for everyday life.
             
            
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                 I'm Andrew Huberman, and I'm a professor of neurobiology
             
            
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                 and ophthalmology at Stanford School of Medicine.
             
            
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                 Today, we are talking all about food and the brain.
             
            
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                 We are going to talk about foods that are good
             
            
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                 for your brain in terms of focus,
             
            
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                 in terms of brain health generally,
             
            
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                 and the longevity of your brain,
             
            
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                 your ability to maintain cognition
             
            
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                 and clear thinking over time.
             
            
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                 We are also going to talk about why
             
            
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                 and how you prefer certain foods to others.
             
            
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                 And I'm going to talk about the three major signals
             
            
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                 that combine to drive your food choices.
             
            
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                 I'll give you a little hint of what those are.
             
            
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                 One of those signals comes from your gut
             
            
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                 and is completely subconscious.
             
            
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                 This is not the gut microbiome per se.
             
            
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                 These are neurons in your gut that are sending signals
             
            
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                 to your brain that you are unaware of
             
            
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                 about the nutrient contents of the foods
             
            
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                 that you're eating.
             
            
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                 The second signal is how metabolically accessible
             
            
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                 a given food is, meaning how readily that food
             
            
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                 can be converted into energy that your brain,
             
            
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                 not your body, but that your brain can use.
             
            
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                 And the third signal is perhaps the most interesting one.
             
            
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                 It's the signal of belief.
             
            
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                 It's the signal of what you perceive and believe,
             
            
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                 the food that you're eating to contain,
             
            
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                 and what you think it can do for you health-wise
             
            
            
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                 And that might sound a little wishy-washy or vague,
             
            
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                 but we're going to provide mechanistic data
             
            
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                 to support the fact that you can change what you eat,
             
            
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                 so much so that you can drive your brain and your body
             
            
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                 to crave foods that are good for you,
             
            
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                 or at least better for you than the foods
             
            
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                 you might currently be eating.
             
            
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                 This is an incredibly powerful mechanism that we all have.
             
            
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                 It's one that I think is very underappreciated.
             
            
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                 And today I'm going to review the data
             
            
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                 from both animal models and fortunately more recently,
             
            
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                 human studies that really do underscore the fact
             
            
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                 that you can control your desire for particular foods.
             
            
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                 Before we dive into today's topic,
             
            
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                 I just want to briefly touch on some key takeaways
             
            
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                 from a previous episode,
             
            
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                 which is the episode on time-restricted feeding,
             
            
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                 also called intermittent fasting.
             
            
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                 The key elements of time-restricted feeding
             
            
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                 that will benefit your health the most
             
            
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                 in terms of weight loss or maintenance, fat loss,
             
            
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                 organ health, quality sleep, and cognition
             
            
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                 are that the feeding window begin
             
            
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                 at least one hour after waking.
             
            
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                 You could push that feeding window out to begin later,
             
            
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                 but at least one hour after waking,
             
            
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                 and that it end at least two and ideally three hours
             
            
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                 before going to sleep.
             
            
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                 Some people can end that feeding window
             
            
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                 much further away from the beginning of sleep,
             
            
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                 meaning they're finishing their last bite of food,
             
            
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                 for instance, at 6 p.m.
             
            
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                 and they're not going to sleep until midnight.
             
            
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                 But many people struggle to get quality sleep
             
            
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                 if that feeding window is set too early
             
            
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                 relative to when they go to sleep.
             
            
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                 So begin the feeding window at least one hour after waking,
             
            
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                 end the feeding window at least two hours
             
            
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                 before going to sleep.
             
            
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                 And a key feature based on the scientific research
             
            
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                 is that the feeding window itself fall more or less
             
            
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                 at the same period of each 24-hour day from day to day,
             
            
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                 meaning if you are going to eat over an eight-hour period,
             
            
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                 that's your feeding window,
             
            
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                 you wouldn't want to start that feeding window
             
            
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                 at 10 a.m. one day and end it at 6 p.m.,
             
            
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                 and then the next day start at noon and end it at 8 p.m.,
             
            
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                 and the next day start it at 2 p.m.
             
            
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                 and end it at 10 p.m. and so forth.
             
            
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                 As much as is reasonably possible,
             
            
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                 if you want to extract the maximum benefit
             
            
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                 from time-restricted feeding,
             
            
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                 the idea is to keep that feeding window
             
            
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                 at more or less the same phase, as it's called,
             
            
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                 of each 24-hour day.
             
            
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                 If it slides around a little bit for social reasons
             
            
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                 or whatever reasons, it doesn't seem to be a big deal,
             
            
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                 but you don't want it sliding around
             
            
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                 by many hours from day to day
             
            
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                 because of the way that that feeding window
             
            
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                 impacts other genes called clock genes
             
            
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                 that regulate a bunch of other processes in the body.
             
            
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                 Before we begin, I'd like to emphasize
             
            
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                 that this podcast is separate
             
            
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                 from my teaching and research roles at Stanford.
             
            
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                 It is, however, part of my desire and effort
             
            
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                 to bring zero-cost-to-consumer information
             
            
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                 about science and science-related tools
             
            
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                 to the general public.
             
            
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                 In keeping with that theme,
             
            
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                 I'd like to thank the sponsors of today's podcast.
             
            
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                 Our first sponsor is Roca.
             
            
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                 Roca makes eyeglasses and sunglasses
             
            
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                 that are of the absolute highest quality.
             
            
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                 I've spent a career working on the visual system,
             
            
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                 and one of the key problems that Roca sunglasses has solved
             
            
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                 is if you've ever worn sunglasses
             
            
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                 and you've gone from a very bright region
             
            
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                 to, say, a region with shadows,
             
            
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                 oftentimes you have to take the sunglasses off.
             
            
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                 They've designed their sunglasses in a way
             
            
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                 that no matter whether you're standing in the shade
             
            
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                 or in bright sunlight, you will always see things
             
            
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                 with absolute crystal clarity, which is wonderful.
             
            
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                 Their eyeglasses as well are designed
             
            
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                 so that you can move from one region of brightness
             
            
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                 to another without noticing it at all.
             
            
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                 The other thing that's really terrific
             
            
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                 about Roca eyeglasses and sunglasses
             
            
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                 is that they are very lightweight.
             
            
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                 Most of the time, you don't even remember
             
            
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                 that they're on your face,
             
            
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                 and you can wear them whether or not
             
            
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                 you're exercising or working
             
            
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                 because they won't slip off even if you get sweaty.
             
            
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                 The other thing that's really wonderful
             
            
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                 is that the aesthetic is terrific.
             
            
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                 Unlike a lot of so-called performance glasses out there
             
            
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                 that make people look like cyborgs,
             
            
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                 or frankly, just look rather strange,
             
            
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                 Roca eyeglasses and sunglasses have a terrific aesthetic.
             
            
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                 You can wear them to dinner, to work, running, exercising,
             
            
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                 and they'll work for all those situations.
             
            
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                 If you'd like to try Roca, you can go to roca.com,
             
            
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                 that's R-O-K-A.com, and enter the code Huberman
             
            
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                 to save 20% on your first order.
             
            
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                 Today's episode is also brought to us by Athletic Greens.
             
            
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                 Athletic Greens is a vitamin mineral probiotic drink
             
            
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                 that's designed to cover your foundational supplementation
             
            
            
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                 I've been using Athletic Greens since 2012,
             
            
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                 so I'm delighted that they're sponsoring the podcast.
             
            
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                 The reason I started using Athletic Greens
             
            
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                 and the reason I still drink Athletic Greens
             
            
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                 once or twice per day
             
            
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                 is because it covers all of my vitamin mineral basic needs
             
            
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                 and because of the probiotics.
             
            
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                 There's now ample data supporting the fact
             
            
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                 that probiotics support a healthy gut microbiome
             
            
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                 and that the gut microbiome is important
             
            
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                 for keeping inflammation low, which is good,
             
            
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                 as well as for supporting the immune system
             
            
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                 and for supporting brain health
             
            
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                 through the so-called gut-brain axis.
             
            
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                 If you'd like to try Athletic Greens,
             
            
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                 you can go to athleticgreens.com slash Huberman,
             
            
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                 and if you do that, you can claim a special offer.
             
            
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                 They'll give you five free travel packs,
             
            
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                 so these packs make it really easy to mix up Athletic Greens
             
            
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                 when you're on the road, in the car, et cetera,
             
            
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                 and they'll give you a year's supply of vitamin D3K2.
             
            
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                 There's now a lot of data pointing to the fact
             
            
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                 that vitamin D3 and K2 are important for hormonal health,
             
            
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                 for cardiovascular function,
             
            
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                 and so if you go to athleticgreens.com slash Huberman,
             
            
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                 you'll get the Athletic Greens,
             
            
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                 the five free travel packs,
             
            
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                 and a year's supply of vitamin D3K2.
             
            
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                 Today's episode is also brought to us by Headspace.
             
            
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                 Headspace is a meditation app
             
            
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                 backed by 25 peer-reviewed published studies.
             
            
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                 I think by now, most people have heard
             
            
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                 of the benefits of meditation,
             
            
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                 reduce stress, improve sleep, better cognition, et cetera.
             
            
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                 I've been meditating for a long time,
             
            
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                 but I have to admit it's been sort of an on and off thing.
             
            
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                 There are periods of time over the last 10
             
            
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                 or gosh, even 20 or 30 years
             
            
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                 that I've meditated consistently,
             
            
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                 and then I'll stop meditating.
             
            
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                 One of the terrific things about Headspace
             
            
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                 is that it has meditations
             
            
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                 of different duration and different type,
             
            
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                 so I found that as soon as I started using Headspace,
             
            
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                 that I was meditating far more consistently.
             
            
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                 One of the great things about meditation
             
            
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                 is that it works the first time and it works every time,
             
            
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                 and the more consistently I do it,
             
            
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                 the more positive benefits I seem to derive.
             
            
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                 If you'd like to try Headspace,
             
            
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                 you can go to headspace.com slash special offer,
             
            
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                 and if you do that, you'll get a free one month trial
             
            
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                 with all of Headspace's full library of meditations.
             
            
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                 This is the best deal offer by Headspace right now,
             
            
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                 so if you're interested,
             
            
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                 go to headspace.com slash special offer.
             
            
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                 I'd like to point you toward what I think
             
            
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                 is a very valuable zero-cost resource online.
             
            
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                 Recently, I took part in an event called
             
            
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                 Rethink Education that was put on by Logitech,
             
            
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                 and there I gave a 20-minute lecture
             
            
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                 where I describe the classic
             
            
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                 and modern neuroplasticity literature
             
            
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                 in both animal models and humans.
             
            
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                 The neuroplasticity literature is, of course,
             
            
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                 the literature that describes how to rewire the brain
             
            
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                 in order to learn.
             
            
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                 During that 20-minute talk, I described that literature,
             
            
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                 but I also spell out what I call
             
            
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                 the neuroplasticity super protocol,
             
            
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                 which is nine plus steps of things
             
            
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                 that teachers can apply in the classroom
             
            
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                 to teach any sort of information,
             
            
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                 music, math, sports, anything,
             
            
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                 and that students of any kind in any age
             
            
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                 can use to enhance the speed and depth of learning.
             
            
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                 You can find that talk on YouTube
             
            
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                 by following the link in the caption to this episode,
             
            
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                 or by simply going to YouTube
             
            
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                 and entering the search terms Logitech Huberman.
             
            
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                 Some of the most frequent questions I get
             
            
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                 are about food and the brain.
             
            
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                 Everybody seems to want to know what they should eat
             
            
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                 and what they shouldn't eat
             
            
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                 in order to have peak brain function,
             
            
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                 to be able to focus and memorize things and so forth,
             
            
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                 and in order to maintain brain health over time,
             
            
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                 because nobody wants to lose their memory
             
            
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                 or have troubles with cognition.
             
            
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                 Fortunately, there are a lot of data now
             
            
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                 from really good quality peer-reviewed studies
             
            
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                 that indicate certain things that we can do,
             
            
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                 including certain foods that we should eat,
             
            
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                 and perhaps even some foods that we should avoid
             
            
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                 in order to enhance our brain function.
             
            
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                 And of course, when I say brain,
             
            
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                 what I really mean is nervous system function,
             
            
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                 because how we are able to move and remember things, et cetera
             
            
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                 doesn't just depend on the neurons,
             
            
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                 the nerve cells that are in our head,
             
            
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                 it also depends on our spinal cord
             
            
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                 and the neurons that connect to all the organs of our body.
             
            
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                 So in general, there are two categories of things
             
            
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                 that are going to improve brain health
             
            
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                 from the perspective of nutrition.
             
            
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                 The first category is the general category
             
            
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                 of things that we eat and avoid
             
            
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                 and things that we do and avoid doing
             
            
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                 that will modulate brain health and function.
             
            
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                 What do I mean by modulate?
             
            
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                 Well, getting quality sleep on a regular basis,
             
            
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                 making sure that you're socially connected,
             
            
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                 making sure that you're not depressed.
             
            
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                 All these things are vitally important
             
            
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                 to our overall health,
             
            
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                 and of course they will impact brain function,
             
            
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                 but they do it more or less indirectly, okay?
             
            
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                 There are a few things that happen in sleep
             
            
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                 which directly benefit brain function and repair, et cetera.
             
            
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                 But today I really want to concentrate
             
            
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                 not on the things that modulate our overall health,
             
            
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                 but rather the things that mediate brain health directly,
             
            
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                 and in particular,
             
            
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                 how certain foods enhance brain function.
             
            
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                 And we are going to talk about
             
            
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                 how we can change our relationship to food,
             
            
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                 literally how we can start to prefer certain foods
             
            
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                 that are better for us than others.
             
            
            
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                 I want to touch on the modulatory components
             
            
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                 because they are vital.
             
            
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                 First of all, getting quality sleep on a regular basis
             
            
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                 and ample sleep on a regular basis
             
            
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                 is the foundation of all mental health and physical health.
             
            
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                 There's no question about that.
             
            
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                 We have done several episodes,
             
            
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                 including the Master Your Sleep episode,
             
            
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                 which is episode two of the Huberman Lab Podcast,
             
            
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                 and we've done a lot of other episodes
             
            
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                 that are all about sleep and how to get better at sleeping.
             
            
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                 So I just want to make crystal clear
             
            
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                 that unless you're sleeping well on a regular basis,
             
            
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                 your brain will suffer.
             
            
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                 You won't be able to focus very well, learn very well,
             
            
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                 and indeed there are data linking poor quality sleep
             
            
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                 to dementia or at least exacerbating preexisting dementias
             
            
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                 and things of that sort.
             
            
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                 So get your sleep in order.
             
            
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                 The other, of course, is cardiovascular health and exercise.
             
            
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                 The general prescription that's out there in the literature
             
            
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                 and I think is well-supported
             
            
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                 is to get somewhere between 150 and 180 minutes
             
            
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                 of cardiovascular exercise per week.
             
            
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                 If you choose to also use resistance exercise, that's great,
             
            
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                 but the 150 to 180 minutes minimum per week
             
            
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                 of cardiovascular exercise is crucial for heart health
             
            
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                 and heart health directly relates to brain health
             
            
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                 because the brain consumes a lot of oxygen, glucose,
             
            
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                 and other factors that are delivered via the blood.
             
            
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                 So if your arteries are clogged up
             
            
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                 and you've got poor vascular supply to the brain
             
            
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                 in any region of the brain, your brain will suffer.
             
            
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                 So get cardiovascular health in order.
             
            
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                 Now, with those two modulatory elements set forth
             
            
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                 so that we're all aware that they're there
             
            
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                 and they are vitally important,
             
            
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                 now I'd like to turn to the elements that have been shown
             
            
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                 to be vitally important for directly controlling,
             
            
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                 for mediating neuron function.
             
            
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                 Neurons, of course, are nerve cells in the brain
             
            
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                 and there are other cell types too, of course,
             
            
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                 that will impact brain function.
             
            
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                 The most prominent of which are the so-called glia.
             
            
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                 Glia means glue, but even though for a long time
             
            
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                 people thought that these cells
             
            
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                 were just kind of holding things together passively,
             
            
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                 the glia play a very active role in the metabolism neurons,
             
            
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                 in brain function, and probably also in cognition,
             
            
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                 in thinking and so forth.
             
            
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                 So what are the things that directly impact brain health
             
            
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                 and what are the foods that we can eat
             
            
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                 that will support brain health?
             
            
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                 Generally, when we think about neuron function
             
            
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                 and brain function, we default to a discussion about fuel.
             
            
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                 The fact that neurons use glucose, which is blood sugar,
             
            
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                 and that they require a lot of it.
             
            
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                 In some cases, they'll use ketones,
             
            
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                 which we will talk about a little bit later,
             
            
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                 especially in people that are following a low carbohydrate
             
            
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                 or ketogenic diet.
             
            
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                 But before we can even consider the fuels that neurons use
             
            
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                 in order to function, we have to talk about the elements
             
            
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                 that actually allow those neurons to be there
             
            
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                 and to stay healthy, what actually makes up those neurons.
             
            
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                 And that brings us to what I would argue
             
            
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                 is the most important food element for brain function.
             
            
            
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                 And that might come as a surprise,
             
            
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                 but unless one considers the water content of the brain,
             
            
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                 which is very high, a lot of our brain
             
            
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                 and a lot of the integrity of the nerve cells,
             
            
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                 the so-called neurons in our brain,
             
            
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                 and the other types of cells comes from fat.
             
            
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                 And that's because nerve cells and other cells in the brain
             
            
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                 have a external layer.
             
            
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                 It's what's sometimes called a double-layered membrane.
             
            
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                 It's essentially two thin layers
             
            
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                 that serve as a boundary between those cells.
             
            
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                 And that boundary is very important
             
            
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                 because how things pass across that boundary
             
            
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                 actually regulates the electrical activity of neurons,
             
            
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                 which is the way that neurons fire and communicate
             
            
                link |
                
                 and keep you thinking and acting
             
            
                link |
                
                 and doing all the good things
             
            
                link |
                
                 that those neurons allow us to do.
             
            
                link |
                
                 And those membranes are made up of fats,
             
            
                link |
                
                 but they're not made up of the fats
             
            
                link |
                
                 that are around our belly,
             
            
                link |
                
                 around the other organs of our body.
             
            
                link |
                
                 They're not made up of storage fat.
             
            
                link |
                
                 They are made up of structural fat
             
            
                link |
                
                 and maintaining the so-called integrity
             
            
                link |
                
                 of that structural fat,
             
            
                link |
                
                 meaning the health of those neurons
             
            
                link |
                
                 is going to come in large part from the foods that we eat.
             
            
                link |
                
                 Now, this needs to be underscored.
             
            
                link |
                
                 What I'm saying is that the foods that we eat
             
            
                link |
                
                 actually provide the structural basis,
             
            
                link |
                
                 the building blocks of the very neurons
             
            
                link |
                
                 that allow us to think over time.
             
            
                link |
                
                 And as I mentioned earlier,
             
            
                link |
                
                 the fat that makes up those neurons and other nerve cells
             
            
                link |
                
                 is different than the other types of fat in the body.
             
            
                link |
                
                 So what type of fat is it and what should we eat
             
            
                link |
                
                 in order to support that fat and those neurons?
             
            
                link |
                
                 And the answer is the so-called essential fatty acids
             
            
                link |
                
                 and phospholipids.
             
            
                link |
                
                 Now, those are more or less the same thing,
             
            
                link |
                
                 but I just want to make a very large literature
             
            
                link |
                
                 very crystal clear.
             
            
                link |
                
                 Essential fatty acids can include the so-called EPA variety
             
            
            
                link |
                
                 You hear about omega-3s and omega-6s.
             
            
                link |
                
                 Most people are getting enough omega-6s from their diet.
             
            
                link |
                
                 Not everybody, but most people
             
            
                link |
                
                 are getting enough omega-6s.
             
            
                link |
                
                 However, most people are not getting enough omega-3s
             
            
                link |
                
                 in their diet to support healthy brain function
             
            
                link |
                
                 in the short and long term.
             
            
                link |
                
                 I've talked before about the benefits
             
            
                link |
                
                 of elevating the levels of omega-3s in one's diet
             
            
                link |
                
                 for sake of offsetting depression and for enhancing mood.
             
            
                link |
                
                 And indeed there's a wealth of literature now
             
            
                link |
                
                 pointing to the fact that ingesting at least one or two
             
            
                link |
                
                 or even three grams per day of EPA form
             
            
                link |
                
                 of essential fatty acid can have effects,
             
            
                link |
                
                 positive effects on mood and wellbeing
             
            
                link |
                
                 that are at least on par
             
            
                link |
                
                 with some of the major antidepressant treatments out there,
             
            
                link |
                
                 but without similar side effects
             
            
                link |
                
                 to those antidepressant treatments.
             
            
                link |
                
                 And that for people that are already taking antidepressants
             
            
                link |
                
                 that supplementing with one to two to three grams of EPA,
             
            
                link |
                
                 essential fatty acids can actually allow a lower dose
             
            
                link |
                
                 of antidepressant treatment to be used
             
            
                link |
                
                 and still be effective.
             
            
                link |
                
                 So that's depression,
             
            
                link |
                
                 but just in terms of maintaining normal cognitive function
             
            
                link |
                
                 in people that aren't depressed,
             
            
                link |
                
                 the EPAs and omega-3s seem to play a very important role.
             
            
                link |
                
                 Of course, you can supplement EPAs through various fish oils
             
            
                link |
                
                 and it could be liquid fish oil or capsule fish oil.
             
            
                link |
                
                 Some people, if they're not interested in eating fish
             
            
                link |
                
                 for whatever reason, they're allergic or for ethical reasons
             
            
                link |
                
                 they can take krill oil.
             
            
                link |
                
                 And if they don't want to use krill oil,
             
            
                link |
                
                 they can use algae and other forms of EPA.
             
            
                link |
                
                 However, I think it's clear that one can get a lot of EPA
             
            
                link |
                
                 from the proper foods.
             
            
                link |
                
                 And it turns out that those foods, not surprisingly,
             
            
                link |
                
                 don't just contain high levels of EPA,
             
            
                link |
                
                 but they also contain other things
             
            
                link |
                
                 that are beneficial for brain health.
             
            
                link |
                
                 So what are foods that are high in omega-3s
             
            
                link |
                
                 that we should all probably be consuming,
             
            
                link |
                
                 at least on a daily basis?
             
            
                link |
                
                 The number one is fish.
             
            
                link |
                
                 So things like mackerel and salmon and herring and oysters
             
            
                link |
                
                 and sardines and anchovies,
             
            
                link |
                
                 and perhaps the heavyweight champion of EPAs
             
            
                link |
                
                 per unit volume is caviar.
             
            
                link |
                
                 Now, I don't know about you,
             
            
                link |
                
                 but I'm not eating a lot of fish.
             
            
                link |
                
                 I'm not eating a lot of caviar.
             
            
                link |
                
                 I don't think, I can't remember the last time I had a caviar
             
            
                link |
                
                 unless it was sprinkled on a little bit of sushi.
             
            
                link |
                
                 I'm not a big fish eater personally.
             
            
                link |
                
                 I will from time to time,
             
            
                link |
                
                 but that's one reason why one might want to supplement
             
            
                link |
                
                 with EPAs from another source.
             
            
                link |
                
                 But also EPAs are found in chia seeds, in walnuts,
             
            
                link |
                
                 in soybeans and other plant-based foods.
             
            
                link |
                
                 You can look these up online and you'll immediately see
             
            
                link |
                
                 that there are a lot of sources of EPAs.
             
            
                link |
                
                 And many of the foods that I listed off
             
            
                link |
                
                 might be appetizing to you.
             
            
                link |
                
                 Some of them might be unappetizing to you,
             
            
                link |
                
                 or some of them you might be sort of neutral about,
             
            
                link |
                
                 but it's very clear that eating foods
             
            
                link |
                
                 that are rich in omega-3s and or supplementing
             
            
                link |
                
                 with omega-3s to get above that 1.5 grams,
             
            
                link |
                
                 and ideally up to two or even three grams per day of EPA,
             
            
                link |
                
                 can be very beneficial for cognitive function
             
            
                link |
                
                 in the short and long term.
             
            
                link |
                
                 Later in the episode, I'm going to talk about
             
            
                link |
                
                 how to actually change your relationship
             
            
                link |
                
                 to particular foods so that foods
             
            
                link |
                
                 that you don't particularly like,
             
            
                link |
                
                 you can actually start to like more.
             
            
                link |
                
                 And that might be important for those of you
             
            
                link |
                
                 that are thinking mackerel, sardines.
             
            
                link |
                
                 I mean, I'm making this face because frankly,
             
            
                link |
                
                 those are not foods that I naturally like.
             
            
                link |
                
                 But again, I want to emphasize
             
            
                link |
                
                 that you don't have to consume fish and animal products
             
            
                link |
                
                 in order to get sufficient EPAs.
             
            
                link |
                
                 You can get them from plants,
             
            
                link |
                
                 but I do believe based on the quality peer-reviewed research
             
            
                link |
                
                 that everybody should be striving
             
            
                link |
                
                 to get a minimum threshold of at least a gram and a half
             
            
                link |
                
                 of EPAs per day, one way or the other.
             
            
                link |
                
                 The great thing about omega-3s
             
            
                link |
                
                 is that they are also thought to be beneficial
             
            
                link |
                
                 for things like cardiovascular health.
             
            
                link |
                
                 And although there's some controversy there
             
            
                link |
                
                 as to whether or not two grams or three grams or six grams
             
            
                link |
                
                 is ideal for cardiovascular health,
             
            
                link |
                
                 I think the bulk of evidence points to the fact
             
            
                link |
                
                 that getting sufficient omega-3s in the diet
             
            
                link |
                
                 is going to support cardiovascular health.
             
            
                link |
                
                 Certainly not the only thing people should be doing
             
            
                link |
                
                 to support their cardiovascular health,
             
            
                link |
                
                 aerobic exercise and so forth being important also,
             
            
                link |
                
                 but it does seem to support cardiovascular health
             
            
                link |
                
                 and in doing so, supporting brain health.
             
            
                link |
                
                 However, what I'm emphasizing is ingestion of omega-3s
             
            
                link |
                
                 to support the very cells within the brain
             
            
                link |
                
                 that make up our cognition,
             
            
                link |
                
                 that allow for cognition and for movement and memory
             
            
                link |
                
                 and all the other marvelous things that the brain does.
             
            
                link |
                
                 The other compound that has been shown
             
            
                link |
                
                 to be directly supportive of neuronal function
             
            
                link |
                
                 is phosphatidylserine,
             
            
                link |
                
                 which is abundant in meats and in fish.
             
            
                link |
                
                 So here we are again, back to fish being an important source
             
            
                link |
                
                 of brain supporting food.
             
            
                link |
                
                 Phosphatidylserine is something that nowadays
             
            
                link |
                
                 people are supplementing.
             
            
                link |
                
                 It's a lipid-like compound that at least in three studies
             
            
                link |
                
                 have been shown to improve cognition.
             
            
                link |
                
                 These weren't huge effects,
             
            
                link |
                
                 but they were statistically significant effects.
             
            
                link |
                
                 And as well in more than three, at least five studies
             
            
                link |
                
                 to reduce cognitive decline.
             
            
                link |
                
                 And this is interesting, in every case,
             
            
                link |
                
                 it was 300 milligrams supplemented phosphatidylserine,
             
            
                link |
                
                 but one again, doesn't need to supplement phosphatidylserine.
             
            
                link |
                
                 Phosphatidylserine can be derived,
             
            
                link |
                
                 as I mentioned from meats and fish,
             
            
                link |
                
                 and to some extent from cabbage of all things.
             
            
                link |
                
                 I don't know how much cabbage people are ingesting,
             
            
                link |
                
                 but later when we talk about gut health
             
            
                link |
                
                 and the relationship between gut health and brain health,
             
            
                link |
                
                 I'll mention fermented foods.
             
            
            
                link |
                
                 one of the most readily available fermented foods out there
             
            
                link |
                
                 that at least many people find appetizing is sauerkraut,
             
            
                link |
                
                 which is of course made from cabbage, it's fermented cabbage.
             
            
                link |
                
                 So for those of you that do consume meat and fish,
             
            
                link |
                
                 provided you're getting enough fish,
             
            
                link |
                
                 you're probably getting enough phosphatidylserine.
             
            
                link |
                
                 For those of you that are interested
             
            
                link |
                
                 in supplementing phosphatidylserine
             
            
                link |
                
                 to get these effects that were reported
             
            
                link |
                
                 in these various manuscripts,
             
            
                link |
                
                 which by the way, I've read and looked solid.
             
            
                link |
                
                 I mean, I don't think we've seen the landmark studies
             
            
                link |
                
                 showing that supplementing with phosphatidylserine
             
            
                link |
                
                 at 300 milligrams per day
             
            
                link |
                
                 is going to create a huge offsetting
             
            
                link |
                
                 of a massive cognitive decline
             
            
                link |
                
                 or a massive increase in brain function.
             
            
                link |
                
                 These seem to be modest effects,
             
            
                link |
                
                 but the effects do appear to be real.
             
            
                link |
                
                 And for those of you that are interested
             
            
                link |
                
                 in supplementing with phosphatidylserine,
             
            
                link |
                
                 it's a relatively inexpensive supplement
             
            
                link |
                
                 that again is lipid-like.
             
            
                link |
                
                 So it's mimicking some of the same things
             
            
                link |
                
                 that you would get from food, but in higher concentration.
             
            
                link |
                
                 Now, after EPA, fatty acids and phosphatidylserine,
             
            
                link |
                
                 I would say third on the list of things that come from food
             
            
                link |
                
                 that can readily support brain function would be choline.
             
            
                link |
                
                 And that's because of the relationship to choline
             
            
                link |
                
                 in the biosynthesis pathway for acetylcholine.
             
            
                link |
                
                 Acetylcholine is a neuromodulator, not a neurotransmitter,
             
            
                link |
                
                 but a neuromodulator in the brain.
             
            
                link |
                
                 A neuromodulator is a chemical that modulates
             
            
                link |
                
                 the function of many brain circuits
             
            
                link |
                
                 and also circuits within the body.
             
            
                link |
                
                 I'll mention what those are in a moment,
             
            
                link |
                
                 but acetylcholine as a neuromodulator
             
            
                link |
                
                 tends to enhance the activity, the electrical activity
             
            
                link |
                
                 and chemical activity of certain sets of neurons
             
            
                link |
                
                 and downplay the activity of other neurons.
             
            
                link |
                
                 So it's sort of a conductor of sorts
             
            
                link |
                
                 leading to enhanced function and activity
             
            
                link |
                
                 in certain brain areas and circuits and others.
             
            
                link |
                
                 For instance, the brain areas that are involved
             
            
                link |
                
                 in focus and alertness.
             
            
                link |
                
                 We have multiple clusters of neurons in our brain
             
            
                link |
                
                 that make acetylcholine.
             
            
                link |
                
                 Two of the most prominent and well-known
             
            
                link |
                
                 are the so-called nucleus basalis,
             
            
                link |
                
                 which is a cluster of neurons deep in the basal forebrain
             
            
                link |
                
                 that highlight particular areas of our brain,
             
            
                link |
                
                 highlight meaning when acetylcholine is released
             
            
                link |
                
                 from those neurons at their nerve endings
             
            
                link |
                
                 in particular areas of the brain,
             
            
                link |
                
                 those particular areas of the brain
             
            
                link |
                
                 can undergo enhanced levels of activity
             
            
                link |
                
                 relative to surrounding area.
             
            
                link |
                
                 So it's kind of a electrical highlighter pen, if you will,
             
            
            
                link |
                
                 That is the basis of much of what we call focus
             
            
                link |
                
                 or our ability to concentrate on a particular batch
             
            
                link |
                
                 of information that's coming in through our eyes,
             
            
                link |
                
                 our ears, our nose,
             
            
                link |
                
                 or even things that we're just thinking in our head.
             
            
                link |
                
                 So having ample choline for production of acetylcholine
             
            
                link |
                
                 allows for focus through, of course, many intervening steps.
             
            
                link |
                
                 There are also regions of the brain
             
            
                link |
                
                 in the so-called back of the brain, the hindbrain,
             
            
                link |
                
                 that release acetylcholine
             
            
                link |
                
                 that are involved in general states of alertness.
             
            
                link |
                
                 And not surprisingly then,
             
            
                link |
                
                 many of the treatments for Alzheimer's disease,
             
            
                link |
                
                 which is an inability or challenges
             
            
                link |
                
                 with remembering things and focusing
             
            
                link |
                
                 are drugs that impact the acetylcholine pathway
             
            
                link |
                
                 and are aimed at enhancing the amount of acetylcholine
             
            
                link |
                
                 that's available to neurons.
             
            
                link |
                
                 And it can do that through a number of different mechanisms.
             
            
                link |
                
                 You can do that by enhancing the amount of acetylcholine
             
            
            
                link |
                
                 or you can do that by taking a drug
             
            
                link |
                
                 that can reduce the amount of enzyme
             
            
                link |
                
                 that gobbles up the acetylcholine
             
            
                link |
                
                 and in doing so leading to more net acetylcholine.
             
            
                link |
                
                 But outside of the scenario
             
            
                link |
                
                 where somebody has cognitive decline due to Alzheimer's,
             
            
                link |
                
                 all of us are able to focus to some degree or not,
             
            
                link |
                
                 or are able to be alert to some degree or not
             
            
                link |
                
                 based on the amount of acetylcholine that we have.
             
            
                link |
                
                 Now, other processes of course are involved,
             
            
                link |
                
                 but what this means is that making sure
             
            
                link |
                
                 that we have enough of the substrates
             
            
                link |
                
                 to create acetylcholine is vital
             
            
                link |
                
                 if we want to be able to focus.
             
            
                link |
                
                 And that's why dietary choline is so vital.
             
            
                link |
                
                 And the primary source for dietary choline
             
            
                link |
                
                 would be eggs and in particular egg yolks.
             
            
                link |
                
                 And this again has a very interesting relationship
             
            
                link |
                
                 to our evolution as well.
             
            
                link |
                
                 We're always referred to as hunter-gatherers,
             
            
                link |
                
                 but when one hears hunters,
             
            
                link |
                
                 we often think about meat and animal sources.
             
            
                link |
                
                 And indeed, as a species,
             
            
                link |
                
                 we hunted many, many other species of animals
             
            
                link |
                
                 to consume them and still do.
             
            
                link |
                
                 But we also fished, we talked about that earlier
             
            
                link |
                
                 and consumed a lot of fish and we consumed a lot of eggs.
             
            
                link |
                
                 Eggs are an incredibly rich source
             
            
                link |
                
                 of nutrients for the brain.
             
            
                link |
                
                 And that's because the egg actually,
             
            
                link |
                
                 if you think about it,
             
            
                link |
                
                 contains all the nutrients that are required
             
            
                link |
                
                 in order for an organism to grow.
             
            
                link |
                
                 A bird that's in a egg shell, it's got the yolk there
             
            
                link |
                
                 and it's using that yolk for a reason.
             
            
                link |
                
                 It's using that yolk as a source of fuel.
             
            
                link |
                
                 It's using that yolk as a source of literally building blocks
             
            
                link |
                
                 in order to create its nervous system.
             
            
                link |
                
                 Many years ago, I worked on chick embryos.
             
            
                link |
                
                 And as these amazing experiments,
             
            
                link |
                
                 you could actually take an egg
             
            
                link |
                
                 and you could create a little window in the top.
             
            
                link |
                
                 And these were fertilized eggs and you'd see over time,
             
            
                link |
                
                 you could peer in there, literally look in with a microscope
             
            
                link |
                
                 or even with the naked eye
             
            
                link |
                
                 and you would see this little chick embryo
             
            
                link |
                
                 sitting on top of that yolk growing and growing
             
            
                link |
                
                 and growing and growing
             
            
                link |
                
                 and the yolk getting smaller and smaller
             
            
                link |
                
                 is really incredible.
             
            
                link |
                
                 They're using that as a source
             
            
                link |
                
                 for all the building blocks of the body,
             
            
                link |
                
                 but in particular, the nervous system.
             
            
                link |
                
                 So eggs are a rich source of choline.
             
            
                link |
                
                 Some people will supplement with choline.
             
            
                link |
                
                 However, food sources seem to be the best source of choline.
             
            
                link |
                
                 And as with the EPAs and the omega-3s,
             
            
                link |
                
                 there are plenty of foods that are non-animal based
             
            
                link |
                
                 that contain choline.
             
            
                link |
                
                 So if you're somebody who doesn't eat eggs
             
            
                link |
                
                 or doesn't want to eat eggs,
             
            
                link |
                
                 things like potatoes, nuts and seeds and grains and fruit,
             
            
                link |
                
                 they don't have as much choline as eggs,
             
            
                link |
                
                 but they do contain choline.
             
            
                link |
                
                 So you can look up the values of choline
             
            
                link |
                
                 that are present in those various foods
             
            
                link |
                
                 and make sure that you're reaching the threshold
             
            
                link |
                
                 amount of choline for you.
             
            
                link |
                
                 In general, most people should probably strive
             
            
                link |
                
                 to get somewhere between 500 milligrams
             
            
                link |
                
                 and a gram of choline per day.
             
            
                link |
                
                 So a thousand milligrams.
             
            
                link |
                
                 And some people rely on supplementation
             
            
                link |
                
                 in order to hit those levels
             
            
                link |
                
                 because they're not eating a lot of egg yolks
             
            
                link |
                
                 or they're not eating a lot of other foods.
             
            
                link |
                
                 Certain fish contain choline, for instance,
             
            
                link |
                
                 and the other foods I listed off a few minutes ago
             
            
                link |
                
                 from plant-based sources.
             
            
                link |
                
                 So some people will supplement with 50 to 100 milligrams
             
            
                link |
                
                 or whatever amount is necessary to get them
             
            
                link |
                
                 up to that one gram or even a two gram dose per day.
             
            
                link |
                
                 So we have three things that we know can support nerve cells.
             
            
                link |
                
                 EPA, in particular, omega-3 fatty acids,
             
            
                link |
                
                 phosphatidylserine, and choline.
             
            
                link |
                
                 Those three things I would list off as the top three things
             
            
                link |
                
                 for enhancing neuron function and the integrity of neurons
             
            
                link |
                
                 in the short and long term.
             
            
                link |
                
                 And this is, again, is setting aside
             
            
                link |
                
                 the vitally important factors of hydration
             
            
            
                link |
                
                 I've said it before on other podcasts,
             
            
                link |
                
                 but if you're not ingesting enough water
             
            
                link |
                
                 and you're not getting enough sodium
             
            
                link |
                
                 and magnesium and potassium,
             
            
                link |
                
                 then obviously your neurons can't run
             
            
                link |
                
                 because a lot of the brain is water.
             
            
                link |
                
                 You need to maintain proper hydration
             
            
                link |
                
                 and sodium, potassium, and magnesium are important
             
            
                link |
                
                 in order for nerve cells to function.
             
            
                link |
                
                 In fact, they are actually the components,
             
            
                link |
                
                 the ions that pass across those lipid membranes,
             
            
                link |
                
                 those little fatty membranes
             
            
                link |
                
                 that we were talking about earlier
             
            
                link |
                
                 that allow the neurons to generate electrical activity
             
            
                link |
                
                 and communicate with one another.
             
            
                link |
                
                 So definitely you want to hydrate enough.
             
            
                link |
                
                 We will do an entire other episode
             
            
                link |
                
                 all about hydration and electrolytes,
             
            
                link |
                
                 but omega-3s, the EPAs, phosphatidylserine, and choline,
             
            
                link |
                
                 it's obvious, are going to improve brain function.
             
            
                link |
                
                 How much they will improve brain function
             
            
                link |
                
                 probably depends on how well
             
            
                link |
                
                 your brain was working previously.
             
            
                link |
                
                 In fact, many of the studies that have looked
             
            
                link |
                
                 at the effectiveness of these compounds
             
            
                link |
                
                 have looked in people that are suffering from mild
             
            
                link |
                
                 or even severe cognitive decline.
             
            
                link |
                
                 And while the outcomes of those studies vary,
             
            
                link |
                
                 given the interest in maintaining brain function,
             
            
                link |
                
                 given the fact that we don't make new neurons
             
            
                link |
                
                 throughout our entire life,
             
            
                link |
                
                 and given that everybody has to eat,
             
            
                link |
                
                 these are quality, healthy foods
             
            
                link |
                
                 that we should all be ingesting anyways,
             
            
                link |
                
                 and it's clear that they can support brain function
             
            
                link |
                
                 to some degree or another.
             
            
                link |
                
                 Many people ask what I do in light of this information.
             
            
                link |
                
                 And while I can only talk about what works for me,
             
            
                link |
                
                 I choose to ingest fish oil, mainly in liquid form,
             
            
                link |
                
                 because that turns out to be the easiest way
             
            
                link |
                
                 and the most economically affordable way to do it
             
            
            
                link |
                
                 So there are various forms of liquid fish oil out there.
             
            
                link |
                
                 Some of them include some lemon flavoring,
             
            
                link |
                
                 so it doesn't taste like fish oil,
             
            
                link |
                
                 because frankly, fish oil to me is sort of noxious tasting.
             
            
                link |
                
                 And I'll take a tablespoon of that or two per day.
             
            
                link |
                
                 If I'm traveling, I'll use the capsule form
             
            
                link |
                
                 in order to hit that threshold of, for me,
             
            
                link |
                
                 about two, sometimes even three grams per day of EPA.
             
            
                link |
                
                 So not just two or three grams per day of fish oil,
             
            
                link |
                
                 but two or three grams per day of EPA.
             
            
                link |
                
                 Now, if I'm eating fish,
             
            
                link |
                
                 which as I mentioned earlier is not often,
             
            
                link |
                
                 then I might reduce the amount of fish oil that I take,
             
            
                link |
                
                 but that's my major source of fish oil.
             
            
                link |
                
                 Currently, I do not supplement with phosphatidylserine.
             
            
                link |
                
                 A number of people that I know and trust,
             
            
                link |
                
                 and indeed several colleagues of mine
             
            
                link |
                
                 do take phosphatidylserine.
             
            
                link |
                
                 I don't have any good explanation
             
            
                link |
                
                 for why I don't take it yet,
             
            
                link |
                
                 but I have not tried supplementing with it yet.
             
            
                link |
                
                 Maybe if some of you have,
             
            
                link |
                
                 you can place your experience in the comment section.
             
            
                link |
                
                 That would be of interest.
             
            
                link |
                
                 And then in terms of choline,
             
            
                link |
                
                 in order to get choline in my diet,
             
            
                link |
                
                 I do pay attention to the various foods that contain choline
             
            
                link |
                
                 and I try and get those foods on a semi-regular basis.
             
            
                link |
                
                 I do supplement with something called alpha-GPC,
             
            
                link |
                
                 which is essentially in the acetylcholine pathway
             
            
                link |
                
                 or biosynthesis pathway.
             
            
                link |
                
                 I don't take it very often,
             
            
                link |
                
                 but I will take 300 milligrams of alpha-GPC
             
            
                link |
                
                 from time to time.
             
            
                link |
                
                 From time to time,
             
            
                link |
                
                 I mean anywhere from two to three times per week.
             
            
                link |
                
                 I'll generally do it early in the day
             
            
                link |
                
                 because it, for me,
             
            
                link |
                
                 can have a little bit of a stimulant effect,
             
            
                link |
                
                 although it's not nearly as stimulating, say,
             
            
                link |
                
                 as a double espresso or triple espresso.
             
            
                link |
                
                 But that's one way in which I enhance my choline function.
             
            
                link |
                
                 And some people choose to get it from supplementation
             
            
                link |
                
                 because it's straightforward.
             
            
                link |
                
                 There are a lot of supplements out there
             
            
                link |
                
                 that contain alpha-GPC.
             
            
                link |
                
                 Some people are taking dosages
             
            
                link |
                
                 as high as 900 milligrams per day.
             
            
                link |
                
                 That sounds very high to me.
             
            
                link |
                
                 The studies of offsetting cognitive decline
             
            
                link |
                
                 using alpha-GPC did use quite high dosages
             
            
                link |
                
                 of 600 to 900 or even 1200 milligrams per day.
             
            
                link |
                
                 So it has been used at those much higher concentrations,
             
            
                link |
                
                 but because fortunately,
             
            
                link |
                
                 at least not yet or not to my awareness,
             
            
                link |
                
                 I'm not suffering from any cognitive decline,
             
            
                link |
                
                 I will supplement with 300 milligrams every now and again.
             
            
                link |
                
                 Next on my list of compounds that have been shown
             
            
                link |
                
                 in peer-reviewed research
             
            
                link |
                
                 to improve neuronal and brain function is creatine.
             
            
                link |
                
                 Creatine can be derived from meat sources.
             
            
                link |
                
                 It can also be supplemented.
             
            
                link |
                
                 Some of you are probably familiar with creatine
             
            
                link |
                
                 or have heard about creatine
             
            
                link |
                
                 from the context of the health and fitness world
             
            
                link |
                
                 where creatine is used to bring more water into muscles,
             
            
                link |
                
                 which can enhance the strength of those muscles,
             
            
                link |
                
                 as well as bring water into other tissues.
             
            
                link |
                
                 So it doesn't just draw more water into muscle,
             
            
                link |
                
                 it can draw more water into the body generally.
             
            
                link |
                
                 Creatine has also been shown to have an important role
             
            
                link |
                
                 in brain function.
             
            
                link |
                
                 And once again, this is something that came up
             
            
                link |
                
                 during the discussion about depression a few episodes back.
             
            
                link |
                
                 Creatine can actually be used as a fuel source in the brain.
             
            
                link |
                
                 And there's some evidence that it can enhance the function
             
            
                link |
                
                 of certain frontal cortical circuits that feed down onto,
             
            
                link |
                
                 or rather connect to areas of the brain
             
            
                link |
                
                 that are involved in mood regulation and motivation.
             
            
                link |
                
                 And that's where creatine plays a role in depression,
             
            
                link |
                
                 or rather where creatine supplementation
             
            
                link |
                
                 seems to be able to assist in some forms of mild depression.
             
            
                link |
                
                 That's an emerging literature.
             
            
                link |
                
                 It's still not well-established.
             
            
                link |
                
                 However, there is now ample evidence
             
            
                link |
                
                 that creatine supplementation can enhance brain function
             
            
                link |
                
                 in certain contexts.
             
            
                link |
                
                 And if you're interested in learning more
             
            
                link |
                
                 about what those contexts are,
             
            
                link |
                
                 there's an excellent review that just came out,
             
            
                link |
                
                 the first author is Rochelle, R-O-S-C-H-E-L.
             
            
                link |
                
                 We will provide a link to this study,
             
            
                link |
                
                 rather this review, excuse me, in the caption.
             
            
                link |
                
                 This was published just very recently in 2021.
             
            
                link |
                
                 And one thing to make clear is that creatine supplementation
             
            
                link |
                
                 has been shown to be especially useful
             
            
                link |
                
                 for people that are not consuming any meat
             
            
                link |
                
                 or other sources of foods that are rich in creatine.
             
            
                link |
                
                 What is the threshold level of creatine to supplement
             
            
                link |
                
                 in order to get the cognitive benefit?
             
            
                link |
                
                 Appears to be at least five grams per day.
             
            
                link |
                
                 Now, the most typical form of creatine
             
            
                link |
                
                 is so-called creatine monohydrate.
             
            
                link |
                
                 There are other forms of creatine as well,
             
            
                link |
                
                 some of which are thought to not draw as much water
             
            
                link |
                
                 into non-muscle tissues.
             
            
                link |
                
                 And for some people that that's attractive to them,
             
            
                link |
                
                 they don't want water sitting below their skin, et cetera.
             
            
                link |
                
                 I should emphasize that the responses to creatine
             
            
                link |
                
                 in that sense can differ.
             
            
                link |
                
                 Some people get a little bit of water retention.
             
            
                link |
                
                 Some people experience more.
             
            
                link |
                
                 There's some evidence that creatine can impact
             
            
                link |
                
                 some of the hormonal pathways
             
            
                link |
                
                 that it might enhance levels
             
            
                link |
                
                 of so-called dihydrotestosterone, DHT.
             
            
                link |
                
                 And therefore, because DHT is involved in hair loss,
             
            
                link |
                
                 there are these theories that creatine can cause hair loss.
             
            
                link |
                
                 And indeed, for people that are very DHT sensitive,
             
            
                link |
                
                 it might, you know,
             
            
                link |
                
                 there's going to be a lot of variation person-to-person
             
            
                link |
                
                 in terms of how much creatine impacts DHT
             
            
                link |
                
                 and how many DHT receptors they have on their scalp
             
            
                link |
                
                 and therefore whether or not they experience hair loss.
             
            
                link |
                
                 I'm just giving you all this information
             
            
                link |
                
                 so that you're aware of the various things
             
            
                link |
                
                 that creatine can do.
             
            
                link |
                
                 But nonetheless, I think it's interesting
             
            
                link |
                
                 that creatine supplementation of five grams per day,
             
            
                link |
                
                 that's creatine monohydrate,
             
            
                link |
                
                 has been shown to improve cognition
             
            
                link |
                
                 in people that aren't getting creatine from animal sources.
             
            
                link |
                
                 And there's some evidence detailed within the review
             
            
                link |
                
                 that I just described
             
            
                link |
                
                 that creatine supplementation can also enhance cognition
             
            
                link |
                
                 in people that are also eating animal products.
             
            
                link |
                
                 So I personally take creatine five grams per day
             
            
                link |
                
                 and have for a very long time.
             
            
                link |
                
                 I can't say that I've noticed a tremendous benefit
             
            
                link |
                
                 because I've actually never really come off it.
             
            
                link |
                
                 And so I've never done the control experiment.
             
            
                link |
                
                 I take it more as kind of a baseline insurance policy.
             
            
                link |
                
                 For me, I'm probably losing,
             
            
                link |
                
                 I'm certainly losing some of my hair,
             
            
                link |
                
                 whether or not that's due to creatine or not.
             
            
                link |
                
                 I've never done the analysis.
             
            
                link |
                
                 But what I can say is that I generally consume these things
             
            
                link |
                
                 like EPAs, creatine, alpha-GPC,
             
            
                link |
                
                 to set a general context of support for my neurons,
             
            
            
                link |
                
                 And of course, I also pay attention to the foods
             
            
                link |
                
                 that contain these various compounds.
             
            
                link |
                
                 So I don't actively eat additional meat
             
            
                link |
                
                 just to obtain creatine.
             
            
                link |
                
                 I eat a fairly limited amount of meat.
             
            
                link |
                
                 I don't restrict it, and I do eat meat,
             
            
                link |
                
                 but I don't actively seek out creatine in my diet.
             
            
                link |
                
                 Rather, I use supplementation
             
            
                link |
                
                 in order to hit that five grams per day threshold.
             
            
                link |
                
                 Next on the list of foods that are beneficial
             
            
                link |
                
                 for brain health is one that you've probably seen pictures
             
            
                link |
                
                 of online because there seems to be a practice
             
            
                link |
                
                 of putting pictures of blueberries and other dark berries
             
            
                link |
                
                 next to any title that says foods that benefit your brain.
             
            
                link |
                
                 There are a lot of foods out there
             
            
                link |
                
                 that have been purported to improve brain function.
             
            
                link |
                
                 The interesting thing about blueberries and other berries,
             
            
                link |
                
                 blackberries, dark currants,
             
            
                link |
                
                 any of these thin-skinned berries that are purplish in color
             
            
                link |
                
                 is that they contain what are called anthocyanins.
             
            
                link |
                
                 Anthocyanins actually have some really nice data
             
            
                link |
                
                 to support the fact that they improve brain function.
             
            
                link |
                
                 Now, whether or not it is direct effects on neurons
             
            
                link |
                
                 or whether or not it is by lowering inflammation
             
            
                link |
                
                 or some other modulatory effect isn't quite clear,
             
            
                link |
                
                 but I think by now there's enough data to support the fact
             
            
                link |
                
                 that eating a cup or two of blueberries pretty often,
             
            
                link |
                
                 every day, or maybe you have blackberries
             
            
                link |
                
                 or maybe it's black currants,
             
            
                link |
                
                 that these anthocyanins are good for us,
             
            
                link |
                
                 that they are enhancing our overall wellbeing
             
            
                link |
                
                 at a number of different levels.
             
            
                link |
                
                 And just to give you a couple of examples
             
            
                link |
                
                 of where there are actually peer-reviewed studies
             
            
                link |
                
                 to support those statements,
             
            
                link |
                
                 the anthocyanins of which blueberries
             
            
                link |
                
                 and other dark berries are rich in
             
            
                link |
                
                 have been shown to reduce the amount of DNA damage,
             
            
                link |
                
                 has been shown to reduce significantly,
             
            
                link |
                
                 albeit slightly, excuse me, cognitive decline.
             
            
                link |
                
                 And that particular study was supplementation
             
            
                link |
                
                 of a blueberry extract.
             
            
                link |
                
                 I'll talk about the difference between extract
             
            
                link |
                
                 and actual blueberries in a moment,
             
            
                link |
                
                 but supplementation of blueberry extract
             
            
                link |
                
                 in offsetting cognitive decline in elderly people.
             
            
                link |
                
                 So, you know, what constitutes elderly
             
            
                link |
                
                 is always a little bit of a debate and a discussion,
             
            
                link |
                
                 but in this case, what they did is they supplemented
             
            
                link |
                
                 with somewhere between 428,
             
            
                link |
                
                 I don't know why they selected 428,
             
            
                link |
                
                 and 598 milligrams of anthocyanins daily for 12 weeks
             
            
                link |
                
                 was associated with improvements
             
            
                link |
                
                 on verbal learning and memory.
             
            
                link |
                
                 And they had some other beneficial changes
             
            
                link |
                
                 that were within the bodily organs
             
            
                link |
                
                 and blood glucose regulation and so forth, positive changes.
             
            
                link |
                
                 But that's one study.
             
            
                link |
                
                 In this case, elderly meant 65 or older.
             
            
                link |
                
                 That study and a number of studies like it,
             
            
                link |
                
                 looking at things like mildly enhanced memory,
             
            
                link |
                
                 reduced insulin levels, reduced oxidation of LDL,
             
            
                link |
                
                 these sorts of things have basically created a situation
             
            
                link |
                
                 where anytime you Google or look up foods
             
            
                link |
                
                 that enhance brain function,
             
            
                link |
                
                 you're going to see a picture of a blueberry
             
            
                link |
                
                 or some other berry because of these anthocyanins.
             
            
                link |
                
                 I personally don't supplement anthocyanins.
             
            
                link |
                
                 I do like blueberries.
             
            
                link |
                
                 I eat blueberries when they're in season.
             
            
            
                link |
                
                 I'm what you would call a drive-by blueberry eater.
             
            
                link |
                
                 Like if there are blueberries in a bowl on a table
             
            
                link |
                
                 and I'm walking by, I just have to scoop them up
             
            
                link |
                
                 like some sort of bear or other animal
             
            
                link |
                
                 and pop them in my mouth.
             
            
                link |
                
                 So blueberries don't last long around me.
             
            
                link |
                
                 One of the issues with berries,
             
            
                link |
                
                 like blueberries and blackberries and so forth
             
            
                link |
                
                 is that quality sources of them can be pretty expensive.
             
            
                link |
                
                 And then of course, when they're not in season,
             
            
                link |
                
                 they're hard to get.
             
            
                link |
                
                 And so that's why some people will supplement with them.
             
            
                link |
                
                 So that range of about 400 to about 600 milligrams per day,
             
            
                link |
                
                 seems to be the minimum threshold
             
            
                link |
                
                 for getting a cognitive effect in these elderly patients.
             
            
                link |
                
                 In that case, they were patients.
             
            
                link |
                
                 A good review about the anthocyanins
             
            
                link |
                
                 potentially contributing to offsetting cognitive decline
             
            
                link |
                
                 in things like Alzheimer's
             
            
                link |
                
                 and also enhancing brain function
             
            
                link |
                
                 in people that don't have Alzheimer's
             
            
                link |
                
                 is a review by Afzal, A-F-Z-A-L,
             
            
                link |
                
                 that was published in 2019.
             
            
                link |
                
                 We will also provide a link to that study in the caption.
             
            
                link |
                
                 When one looks across the total batch of studies
             
            
                link |
                
                 that are out there on this,
             
            
                link |
                
                 it appears that if one is going to supplement
             
            
                link |
                
                 with blueberry extract
             
            
                link |
                
                 to get the anthocyanin effect on cognition,
             
            
                link |
                
                 dosages of somewhere between five and a half
             
            
                link |
                
                 or about 11 grams seem optimal with the higher end,
             
            
                link |
                
                 closer to 10 or 11 grams being more beneficial.
             
            
                link |
                
                 The blueberry eaters out there like me
             
            
                link |
                
                 who prefer to get their anthocyanins from the actual berries,
             
            
                link |
                
                 it appears that somewhere between 60 to 120 grams
             
            
                link |
                
                 of fresh blueberries each day
             
            
                link |
                
                 is the way that you can get sufficient anthocyanins
             
            
                link |
                
                 to at least shift your system or bias your brain
             
            
                link |
                
                 towards these enhanced cognitive effects.
             
            
                link |
                
                 So we've got EPA fatty acids,
             
            
                link |
                
                 we've got phosphatidylserine, we've got choline,
             
            
                link |
                
                 we've got creatine, and we have the anthocyanins.
             
            
                link |
                
                 And the last item that I'd like to place
             
            
                link |
                
                 in this list of food-derived things
             
            
                link |
                
                 that can enhance brain function is glutamine.
             
            
                link |
                
                 Glutamine is a very interesting amino acid.
             
            
                link |
                
                 I've talked about glutamine on here before.
             
            
                link |
                
                 There's some evidence, although somewhat scant,
             
            
                link |
                
                 there's some evidence that glutamine
             
            
                link |
                
                 can enhance immune system function.
             
            
                link |
                
                 So people will supplement with glutamine
             
            
                link |
                
                 or people can get glutamine from foods.
             
            
                link |
                
                 Foods that contain a lot of glutamine
             
            
                link |
                
                 are things like cottage cheese.
             
            
                link |
                
                 There are also other sources of glutamine.
             
            
                link |
                
                 Glutamine is rich in protein-rich foods,
             
            
                link |
                
                 things like beef, chicken, fish, dairy products, eggs,
             
            
                link |
                
                 but also for you non-animal food-consuming people out there,
             
            
                link |
                
                 vegetables, including beans, cabbage once again,
             
            
                link |
                
                 spinach, parsley, things of that sort.
             
            
                link |
                
                 So those foods contain glutamine.
             
            
                link |
                
                 For people that supplement with glutamine,
             
            
                link |
                
                 generally they will take anywhere from a gram
             
            
                link |
                
                 as much as 10 grams per day.
             
            
                link |
                
                 Why would they want to do that?
             
            
                link |
                
                 Well, there's also some evidence starting to emerge
             
            
                link |
                
                 that glutamine can help offset sugar cravings.
             
            
                link |
                
                 And I've talked about this on the podcast before.
             
            
                link |
                
                 We're going to talk more about the basis for this
             
            
                link |
                
                 a little bit later.
             
            
                link |
                
                 But in brief, we all have neurons in our gut
             
            
                link |
                
                 that sense the amino acid content, the fat content,
             
            
                link |
                
                 and the sugar content of the foods that we eat
             
            
                link |
                
                 and signal in a subconscious way to our brain
             
            
                link |
                
                 whether or not the foods that we are eating
             
            
                link |
                
                 contain certain levels of certain amino acids.
             
            
                link |
                
                 And so we actually have glutamine-sensing neurons
             
            
                link |
                
                 in our gut that actually have their little processes,
             
            
                link |
                
                 their little axons and dendrites as we call them
             
            
                link |
                
                 in the mucosal lining of the gut.
             
            
                link |
                
                 They're not just sensing glutamine,
             
            
                link |
                
                 but when they do sense glutamine, they respond
             
            
                link |
                
                 and they send signals to the brain
             
            
                link |
                
                 that are signals of satiation, of satisfaction.
             
            
                link |
                
                 And in doing so can offset some of the sugar cravings
             
            
                link |
                
                 that many people suffer from.
             
            
                link |
                
                 Now, here we're talking about glutamine
             
            
                link |
                
                 for sake of enhancing cognitive function.
             
            
                link |
                
                 And this is interesting because it's been shown
             
            
                link |
                
                 that glutamine supplementation can offset
             
            
                link |
                
                 some of the negative effects on cognition caused by altitude
             
            
                link |
                
                 and oxygen deprivation of other sorts.
             
            
                link |
                
                 Well, that's kind of a strange and unique situation
             
            
                link |
                
                 if you're going up to altitude,
             
            
                link |
                
                 should you supplement with glutamine
             
            
                link |
                
                 in order to be able to think more clearly?
             
            
                link |
                
                 Well, it appears that there's good rationale for doing that.
             
            
                link |
                
                 But the reason I bring this up,
             
            
                link |
                
                 assuming that most people, including me,
             
            
                link |
                
                 are not going up to high altitudes very often,
             
            
                link |
                
                 is that it's been well-established
             
            
                link |
                
                 that apnea, failure to breathe properly during sleep,
             
            
                link |
                
                 can contribute to age-related
             
            
                link |
                
                 and even non-age-related cognitive decline.
             
            
                link |
                
                 There are a lot of reasons for apneas,
             
            
                link |
                
                 ranging from obesity to obstruction of the airways
             
            
                link |
                
                 for other reasons.
             
            
                link |
                
                 There are a tremendous number of underlying causes of apnea
             
            
                link |
                
                 and it's something to be taken seriously.
             
            
                link |
                
                 I mean, heart attacks,
             
            
                link |
                
                 all sorts of metabolic issues are caused by apnea.
             
            
                link |
                
                 Apnea is a serious issue that disrupts the depth of sleep
             
            
                link |
                
                 and it's a serious health issue in general.
             
            
                link |
                
                 In any event, apnea is associated with cognitive decline
             
            
                link |
                
                 and cognitive dysfunction, even in young people.
             
            
                link |
                
                 And it does appear that glutamine supplementation
             
            
                link |
                
                 can offset some of the cognitive deficits
             
            
                link |
                
                 that are associated with reduced oxygenation of the brain.
             
            
                link |
                
                 If you'd like to learn more about how apnea
             
            
                link |
                
                 can negatively impact cognition,
             
            
                link |
                
                 there's an excellent paper
             
            
                link |
                
                 that was published on this in 2018.
             
            
                link |
                
                 The first author is Sharma, S-H-A-R-M-A.
             
            
                link |
                
                 It should be easy to find.
             
            
                link |
                
                 The title of the paper is
             
            
                link |
                
                 Obstructive Sleep Apnea Severity Effects Amyloid Burden
             
            
                link |
                
                 in cognitively normal elderly.
             
            
                link |
                
                 This was a longitudinal study.
             
            
                link |
                
                 Amyloid burden is a correlate of Alzheimer's
             
            
                link |
                
                 and other forms of neurodegeneration and cognitive decline
             
            
                link |
                
                 associated with memory deficits.
             
            
                link |
                
                 So obstructive sleep apnea, excuse me,
             
            
                link |
                
                 is a very serious issue for which glutamine appears
             
            
                link |
                
                 to be able to offset some of the negative symptomology.
             
            
                link |
                
                 So how is it that glutamine,
             
            
                link |
                
                 either from food or through supplementation,
             
            
                link |
                
                 can offset some of these so-called hypoxic effects
             
            
                link |
                
                 caused by sleep apnea,
             
            
                link |
                
                 hypoxia being a lack of oxygen for the brain
             
            
                link |
                
                 that relate to cognitive decline.
             
            
                link |
                
                 It appears to have this positive impact
             
            
                link |
                
                 by way of reducing inflammation.
             
            
                link |
                
                 So if you want to look more deeply
             
            
                link |
                
                 into the various biological pathways
             
            
                link |
                
                 and the supplementation regimes for this,
             
            
                link |
                
                 the paper that I think is really spectacular is a paper.
             
            
                link |
                
                 Last author is Quaresma, Q-U-A-R-E-S-M-A.
             
            
                link |
                
                 That's Q-U-A-R-E-S-M-A.
             
            
            
                link |
                
                 the possible importance of glutamine supplementation
             
            
                link |
                
                 to mood and cognition in hypoxia from high altitude.
             
            
                link |
                
                 And even though the paper is about
             
            
                link |
                
                 high altitude induced hypoxia,
             
            
                link |
                
                 it does seem to have direct relevance
             
            
                link |
                
                 to the sorts of apnea that are related to Alzheimer's
             
            
                link |
                
                 and other forms of cognitive decline.
             
            
                link |
                
                 Now I've been taking glutamine as a supplement, gosh,
             
            
                link |
                
                 since I was in college,
             
            
                link |
                
                 mostly because I felt either by superstition or by reality
             
            
                link |
                
                 that it protected me from various flus and colds
             
            
                link |
                
                 and things of that sort
             
            
                link |
                
                 because of the purported immune enhancing effects.
             
            
                link |
                
                 Again, those immune enhancing effects
             
            
                link |
                
                 have some data to support them, not a ton.
             
            
                link |
                
                 However, I got into the habit of taking glutamine
             
            
                link |
                
                 and now that I've learned that glutamine
             
            
                link |
                
                 seems to also have some cognitive enhancing effects,
             
            
                link |
                
                 possibly, it's a supplement that I continue to take.
             
            
                link |
                
                 I take very small amounts of it,
             
            
                link |
                
                 but I do take it on a regular basis.
             
            
                link |
                
                 So that more or less completes the list of things
             
            
                link |
                
                 that at least by my read of the literature
             
            
                link |
                
                 are things that are supported by at least three
             
            
                link |
                
                 and in some cases, as many as hundreds of studies
             
            
                link |
                
                 in various populations
             
            
                link |
                
                 that have been explored in mouse studies often,
             
            
                link |
                
                 but also in a number of human studies.
             
            
                link |
                
                 I want to emphasize again,
             
            
                link |
                
                 that all of the things I listed out,
             
            
                link |
                
                 whether or not it's EPAs,
             
            
                link |
                
                 whether or not it's phosphatidylserine,
             
            
                link |
                
                 whether or not it's choline,
             
            
                link |
                
                 whether or not it's the various compounds
             
            
                link |
                
                 that are in berries, et cetera,
             
            
                link |
                
                 all of those can be extracted from food.
             
            
                link |
                
                 There is not any law that says
             
            
                link |
                
                 that you have to get them from supplementation.
             
            
                link |
                
                 Supplementation can help you get to the very high levels
             
            
                link |
                
                 of those things if you want to work on the higher end,
             
            
                link |
                
                 if that's right for you,
             
            
                link |
                
                 obviously check with your doctor before taking anything
             
            
                link |
                
                 or removing anything from your diet or supplement regime.
             
            
                link |
                
                 But in general, you can get these things from foods.
             
            
                link |
                
                 It's just so happens that for some of these compounds,
             
            
                link |
                
                 the foods that they're contained in like fish
             
            
                link |
                
                 are not foods that I particularly enjoy.
             
            
                link |
                
                 And so I rely on, excuse me,
             
            
                link |
                
                 I rely on supplements in order
             
            
                link |
                
                 to get sufficient levels for me.
             
            
                link |
                
                 But again, you can get these levels from food.
             
            
                link |
                
                 And the reason I made this list,
             
            
                link |
                
                 the reason that I emphasize these things
             
            
                link |
                
                 in this particular order is that they support
             
            
                link |
                
                 the structure of neurons.
             
            
                link |
                
                 They support the structure of the other cells of the brain
             
            
                link |
                
                 that make up our cognition
             
            
                link |
                
                 and that are important for our focus
             
            
                link |
                
                 and our ability to remember things and so forth.
             
            
                link |
                
                 And they are less so in the category
             
            
                link |
                
                 of so-called modulatory effects.
             
            
                link |
                
                 They will also have modulatory effects on sleep,
             
            
                link |
                
                 on inflammation or reducing inflammation
             
            
                link |
                
                 throughout the body, on cardiovascular function,
             
            
                link |
                
                 all of which I believe are positive effects,
             
            
                link |
                
                 at least what the literature tells us
             
            
                link |
                
                 is that none of these compounds
             
            
                link |
                
                 are harming other systems of the body
             
            
                link |
                
                 provided they are taken at a reasonable levels.
             
            
                link |
                
                 But everything in this list is directed
             
            
                link |
                
                 towards answering the question, what can I eat?
             
            
                link |
                
                 What can I ingest by way of food and or food supplement
             
            
                link |
                
                 that can support brain function
             
            
                link |
                
                 in the short-term and in the long-term?
             
            
                link |
                
                 So I hope you find that list beneficial for you,
             
            
                link |
                
                 if not for use, at least for consideration.
             
            
                link |
                
                 So now having talked about some of the foods
             
            
                link |
                
                 and micronutrients that are beneficial
             
            
                link |
                
                 to our immediate and long-term brain health,
             
            
                link |
                
                 I'd like to shift gears somewhat
             
            
                link |
                
                 and talk about why it is that we like the foods that we like.
             
            
                link |
                
                 We've all heard before that we are hardwired
             
            
                link |
                
                 to pursue sugar and to like fatty foods
             
            
                link |
                
                 and that calorie-rich foods are attractive to us
             
            
                link |
                
                 for all sorts of reasons,
             
            
                link |
                
                 surviving famines and things of that sort.
             
            
                link |
                
                 And while that is true,
             
            
                link |
                
                 the actual mechanisms that underlie food seeking
             
            
                link |
                
                 and food preference are far more interesting than that.
             
            
                link |
                
                 There are basically three channels
             
            
                link |
                
                 in our body and nervous system
             
            
                link |
                
                 by which we decide what foods to pursue,
             
            
            
                link |
                
                 and whether or not we will find a particular food attractive,
             
            
                link |
                
                 whether or not we will want to consume more of it,
             
            
                link |
                
                 whether or not we want to avoid it,
             
            
                link |
                
                 or whether or not it's just sort of so-so,
             
            
                link |
                
                 what I refer to as the yum, yuck, or meh analysis.
             
            
                link |
                
                 And indeed, that's what our nervous system is doing
             
            
                link |
                
                 with respect to food.
             
            
                link |
                
                 It's trying to figure out whether or not yum,
             
            
                link |
                
                 I want more of this,
             
            
                link |
                
                 yuck, I want to avoid this,
             
            
                link |
                
                 or meh, it's so-so.
             
            
                link |
                
                 Now, while that may seem like a overly simplified version
             
            
                link |
                
                 of food seeking and food preference,
             
            
                link |
                
                 it's actually not that far from the truth.
             
            
                link |
                
                 It actually correctly captures much of the biology
             
            
                link |
                
                 of food preference.
             
            
                link |
                
                 So let's talk about what these three channels
             
            
                link |
                
                 for food preference are.
             
            
                link |
                
                 The first one is an obvious one.
             
            
                link |
                
                 It's taste on the mouth.
             
            
                link |
                
                 It is the sensation that we have of the foods
             
            
                link |
                
                 that we eat while we're chewing them.
             
            
                link |
                
                 And those sensations,
             
            
                link |
                
                 which are literally just somatosensory touch sensations,
             
            
                link |
                
                 you know, the palatability of food
             
            
                link |
                
                 as it relates to the consistency of food.
             
            
            
                link |
                
                 And as you've all heard before,
             
            
                link |
                
                 we have sensors on our tongue and elsewhere in our mouth
             
            
                link |
                
                 that detect the various chemicals contained within food
             
            
                link |
                
                 and lead to the senses of taste,
             
            
                link |
                
                 which we call bittersweet, umami, salty, and sour.
             
            
                link |
                
                 Now, most of us are familiar with the sense of bitterness
             
            
                link |
                
                 that comes from something like a raw radish,
             
            
                link |
                
                 sweet, which comes obviously from sugars of different kinds,
             
            
                link |
                
                 fructose, glucose, et cetera,
             
            
                link |
                
                 salty, salty, and sour.
             
            
                link |
                
                 Think lemon or lemon juice, for instance.
             
            
                link |
                
                 And then I mentioned umami.
             
            
                link |
                
                 The umami receptor is a receptor that responds
             
            
                link |
                
                 to the savory taste of things.
             
            
                link |
                
                 So that's what you might find
             
            
                link |
                
                 in a really wonderfully rich tomato sauce
             
            
                link |
                
                 for those of you that eat meat and like meat,
             
            
                link |
                
                 a really well-cooked, not necessarily well done,
             
            
                link |
                
                 but properly cooked, I should say, steak,
             
            
                link |
                
                 if that's your thing.
             
            
                link |
                
                 And umami is present in both plant and animal foods
             
            
                link |
                
                 and gives us that sensation of savoriness.
             
            
                link |
                
                 It almost has a kind of little bit of a briny taste to it
             
            
                link |
                
                 or braised taste to it.
             
            
                link |
                
                 And indeed, braising of meats and braising of vegetables
             
            
                link |
                
                 is done specifically to activate that umami receptor.
             
            
                link |
                
                 So we have those five basic tastes.
             
            
                link |
                
                 Those are chemical sensors on the tongue
             
            
                link |
                
                 that what we call transduce those chemicals,
             
            
                link |
                
                 those chemicals literally in food bind to those receptors,
             
            
                link |
                
                 and it is transduced,
             
            
                link |
                
                 meaning the binding of those chemicals to the receptors
             
            
                link |
                
                 is converted into an electrical signal
             
            
                link |
                
                 that travels in from the tongue
             
            
                link |
                
                 along what's called the gustatory nerve,
             
            
                link |
                
                 the gustatory nerve, then synapses,
             
            
                link |
                
                 meaning it makes connections in our brainstem,
             
            
                link |
                
                 in the so-called nucleus of the solitary tract.
             
            
                link |
                
                 There are other nuclei back there.
             
            
                link |
                
                 Nuclei are just aggregates of neurons.
             
            
                link |
                
                 And then it sends information up
             
            
                link |
                
                 to the so-called insular cortex, to the insula.
             
            
                link |
                
                 I want to highlight the insula this episode
             
            
                link |
                
                 because we are going to return to the insula
             
            
                link |
                
                 again and again in this episode and later.
             
            
                link |
                
                 The insular cortex is a incredible structure
             
            
                link |
                
                 that we all have that mainly is concerned
             
            
                link |
                
                 with so-called interoception,
             
            
                link |
                
                 or our perception of what's going on inside our body.
             
            
                link |
                
                 So it could be the amount of pressure in our gut
             
            
                link |
                
                 because of how much food we've eaten.
             
            
                link |
                
                 It could be the acidity of our gut
             
            
                link |
                
                 if we're having a little bit of indigestion, for instance.
             
            
                link |
                
                 It can also be the case that neurons within the insula
             
            
                link |
                
                 are paying attention to how stressed you are
             
            
                link |
                
                 or how alert you are or how tired you are.
             
            
                link |
                
                 So it's really an inward focusing structure.
             
            
                link |
                
                 It focuses on how we feel internally.
             
            
                link |
                
                 And not surprisingly, the taste system sends information
             
            
                link |
                
                 up to the insular cortex to give us a sense, literally,
             
            
                link |
                
                 of what we've ingested,
             
            
                link |
                
                 whether or not what we're tasting tastes good or not.
             
            
                link |
                
                 We will return to insular cortex in a few moments.
             
            
                link |
                
                 A very important thing to understand is that the neurons
             
            
                link |
                
                 in the areas of the cortex, your cortex and mine,
             
            
                link |
                
                 that respond to particular tastes
             
            
                link |
                
                 are providing an internal representation
             
            
                link |
                
                 of an external sense.
             
            
                link |
                
                 What do I mean by that?
             
            
                link |
                
                 I don't want to be at all abstract.
             
            
                link |
                
                 We take these foods, we break them down in our mouth
             
            
                link |
                
                 by chewing them or sucking on them,
             
            
                link |
                
                 whatever it is the food happens to be.
             
            
                link |
                
                 Those chemicals bind to those receptors
             
            
                link |
                
                 and electrical signals are sent into the brain,
             
            
                link |
                
                 but they are just electrical signals,
             
            
                link |
                
                 just like notes being played on the keys of a piano.
             
            
                link |
                
                 There's no unique signature for salty or sweet.
             
            
                link |
                
                 It is the relative activation of one set of neurons
             
            
                link |
                
                 that was activated by sweet,
             
            
                link |
                
                 or another set of neurons that was activated by umami.
             
            
                link |
                
                 It's that relative activation traveling into the brain
             
            
                link |
                
                 in essentially the same form, the same electrical signals.
             
            
                link |
                
                 This is really incredible, right?
             
            
                link |
                
                 Electrical signals are sent into the brain and you say,
             
            
                link |
                
                 aha, that's sweet and I want more of it,
             
            
                link |
                
                 or that's bitter or I want less of it,
             
            
                link |
                
                 or that's umami flavored and I really, really like that,
             
            
                link |
                
                 really like savory foods as I happen to.
             
            
                link |
                
                 That should immediately strike you as incredible
             
            
                link |
                
                 because it means that your representation
             
            
                link |
                
                 of what you want more of or less of is electrical in nature.
             
            
                link |
                
                 And to really tamp this issue down,
             
            
                link |
                
                 studies that were done by Charles Zucker, Z-U-K-E-R,
             
            
                link |
                
                 he's a absolutely phenomenal neuroscientist
             
            
                link |
                
                 at Columbia University in New York.
             
            
                link |
                
                 Studies done by the Zucker lab have shown that,
             
            
                link |
                
                 first of all, they could identify the neurons
             
            
                link |
                
                 in the cortex, deep in the brain,
             
            
                link |
                
                 that respond to a sweet taste or to a bitter taste.
             
            
                link |
                
                 It turns out they are non-overlapping populations of neurons.
             
            
                link |
                
                 And then using some molecular tricks,
             
            
                link |
                
                 they were able to either silence or activate the neurons
             
            
                link |
                
                 that, for instance, respond to sweet.
             
            
                link |
                
                 When they do this, they see incredible consequences
             
            
                link |
                
                 on perception that indeed occur in your brain
             
            
                link |
                
                 and my brain as well all the time
             
            
                link |
                
                 without these kinds of manipulations.
             
            
                link |
                
                 Here's the experiment.
             
            
                link |
                
                 They have a subject drink water that contains sugar
             
            
                link |
                
                 or drink water that contains a salty substance
             
            
                link |
                
                 or drink water that contains a bitter substance,
             
            
                link |
                
                 for instance, okay, I'm sort of paraphrasing
             
            
                link |
                
                 a large amount of work.
             
            
                link |
                
                 They identify the neurons that respond to sweet tastes.
             
            
                link |
                
                 They see, as many researchers have seen,
             
            
                link |
                
                 that subjects prefer sweet taste to other tastes
             
            
                link |
                
                 and certainly sweet taste to bitter
             
            
                link |
                
                 or sweet taste to nothing, so to plain water.
             
            
                link |
                
                 And then they go in and they are able
             
            
                link |
                
                 to selectively silence the neurons that represent sweet.
             
            
                link |
                
                 And when they do that, they eliminate the preference
             
            
                link |
                
                 for that sweet taste.
             
            
                link |
                
                 Now, that might seem obvious.
             
            
                link |
                
                 The neurons respond to sweet.
             
            
                link |
                
                 You silence those neurons.
             
            
                link |
                
                 They no longer seek out sweet.
             
            
                link |
                
                 But that should strike you also as incredible
             
            
                link |
                
                 because they're not actually changing
             
            
                link |
                
                 what's happening on the tongue
             
            
                link |
                
                 or in the deeper layers of the brain.
             
            
                link |
                
                 Conversely, they can have subjects drink bitter water
             
            
                link |
                
                 or plain water while activating,
             
            
                link |
                
                 selectively activating the neurons that respond to sweet.
             
            
                link |
                
                 And what they find is that then subjects
             
            
                link |
                
                 will actively prefer bitter or plain water
             
            
                link |
                
                 to actual preferences such as sweet.
             
            
                link |
                
                 So what this means is that your perception
             
            
                link |
                
                 of what you like is a central,
             
            
                link |
                
                 meaning deep within the brain, phenomenon.
             
            
                link |
                
                 It's not about how things taste on your mouth.
             
            
                link |
                
                 Now, of course, under normal conditions
             
            
                link |
                
                 where there aren't these experimental manipulations
             
            
                link |
                
                 being done, those things are positively correlated.
             
            
                link |
                
                 Sweet tastes trigger the activation of sweet neurons,
             
            
                link |
                
                 for instance, neurons in the mouth that respond to umami
             
            
                link |
                
                 trigger the activation of neurons in the brain
             
            
                link |
                
                 that respond to umami and so forth.
             
            
                link |
                
                 So they're correlated in a way that makes you seek out
             
            
                link |
                
                 the things that you like and avoid the things
             
            
                link |
                
                 that you don't like.
             
            
                link |
                
                 But as we'll see in a few minutes,
             
            
                link |
                
                 turns out that that is not a direct relationship
             
            
                link |
                
                 that is hardwired.
             
            
                link |
                
                 You can actually uncouple the preference
             
            
                link |
                
                 for particular tastes with the reward systems in the brain
             
            
                link |
                
                 in a way that, for instance, would allow you to eat,
             
            
                link |
                
                 or I should use myself as an example
             
            
                link |
                
                 because I don't particularly like fish.
             
            
                link |
                
                 I've had a few meals that include a fish
             
            
                link |
                
                 that were pretty good, but none of them were memorable
             
            
                link |
                
                 in the kind of positive way,
             
            
                link |
                
                 like some other events in my life are memorable.
             
            
                link |
                
                 But by way of these circuitries and the way they link up
             
            
                link |
                
                 with one another, it's actually possible to rewire
             
            
                link |
                
                 one's sense of taste and preference for particular foods.
             
            
                link |
                
                 If this is seeming at all vague to you,
             
            
                link |
                
                 just hang in with me a little bit longer
             
            
                link |
                
                 because I will provide you with the information,
             
            
                link |
                
                 tools, and resources with which to navigate this process.
             
            
                link |
                
                 But the most important thing to understand is that
             
            
                link |
                
                 like with our hearing, like with vision,
             
            
                link |
                
                 like with smell, taste is an internal representation
             
            
                link |
                
                 that has particular goals for you.
             
            
                link |
                
                 Your sense of what tastes good is related
             
            
                link |
                
                 to particular things that are occurring
             
            
                link |
                
                 in your brain and body and that are likely
             
            
                link |
                
                 to give your brain and body the things that it needs.
             
            
                link |
                
                 It is not simply a matter of what you quote unquote like
             
            
                link |
                
                 or what tastes good or what doesn't taste good.
             
            
                link |
                
                 Let me give you a relatively simple example
             
            
                link |
                
                 of how your body and your brain are acting
             
            
                link |
                
                 in a coordinated way to make you prefer certain foods
             
            
                link |
                
                 and indeed to pursue certain foods more.
             
            
                link |
                
                 So I just mentioned you have neurons on your tongue
             
            
                link |
                
                 that respond to different tastes,
             
            
                link |
                
                 but of course your digestive tract isn't just your tongue,
             
            
                link |
                
                 it's also your throat, it goes all the way down
             
            
                link |
                
                 to your stomach and of course your intestines.
             
            
                link |
                
                 Here's a long tube of digestion.
             
            
                link |
                
                 All along that tube, there are neurons.
             
            
                link |
                
                 Some of the neurons are responding to the mechanical size
             
            
                link |
                
                 of whatever portion of the digestive tract it happens to be.
             
            
                link |
                
                 So for instance, how distended or empty or full rather,
             
            
                link |
                
                 and it doesn't have to be distended,
             
            
                link |
                
                 depends on how much you ate,
             
            
                link |
                
                 but how full or empty your gut happens to be,
             
            
                link |
                
                 whether or not something you just ate is temperature hot,
             
            
                link |
                
                 you know, is hot in the sense of hot to the touch,
             
            
                link |
                
                 or whether or not it's spicy hot,
             
            
                link |
                
                 whether or not it's soothing,
             
            
                link |
                
                 whether or not it's kind of hard to swallow,
             
            
                link |
                
                 this kind of thing.
             
            
                link |
                
                 So you have neurons all along your gut
             
            
                link |
                
                 that are responding to the mechanics
             
            
                link |
                
                 related to food and digestion,
             
            
                link |
                
                 and that are related to the chemistry of food and digestion.
             
            
                link |
                
                 There's a population of neurons, nerve cells in your gut
             
            
                link |
                
                 that are exquisitely tuned to the chemistry
             
            
                link |
                
                 of whatever it is in your gut.
             
            
                link |
                
                 And these are neurons called neuropod cells.
             
            
                link |
                
                 They were discovered many, many years ago,
             
            
                link |
                
                 but really defined and classified with modern tools
             
            
            
                link |
                
                 I hope I'm pronouncing your name correctly, Diego.
             
            
                link |
                
                 We've spoken many times,
             
            
                link |
                
                 but I can't ever seem to quite capture
             
            
                link |
                
                 the proper pronunciation just right.
             
            
                link |
                
                 But Diego Borges at Duke University,
             
            
                link |
                
                 who discovered that these cells reside within the gut
             
            
                link |
                
                 and place little processes,
             
            
                link |
                
                 they're little axons and dendrites
             
            
                link |
                
                 within the mucosal lining of the gut.
             
            
                link |
                
                 And there they are paying attention to,
             
            
                link |
                
                 meaning they respond to amino acids, sugars,
             
            
            
                link |
                
                 So as your food is digested,
             
            
                link |
                
                 as food lands within your gut,
             
            
                link |
                
                 neurons there are sensing what types of foods are available
             
            
                link |
                
                 and what types of things are making their way
             
            
                link |
                
                 through the gut environment.
             
            
                link |
                
                 Now, those neurons aren't actually taking those foods
             
            
                link |
                
                 and doing much with them.
             
            
                link |
                
                 What they're doing is they're essentially surveying
             
            
                link |
                
                 what qualities of food are there.
             
            
                link |
                
                 And these particular neurons
             
            
                link |
                
                 that Diego and his group discovered
             
            
                link |
                
                 send electrical signals up into the brain
             
            
                link |
                
                 through a little passage that we call the nodos ganglion.
             
            
                link |
                
                 The nodos ganglion is a cluster of neurons
             
            
                link |
                
                 that then go send up their own process into the brain
             
            
                link |
                
                 and trigger the release of dopamine,
             
            
                link |
                
                 which is a molecule that inspires motivation,
             
            
                link |
                
                 reward, and more seeking for whatever it is
             
            
                link |
                
                 led to their activation.
             
            
                link |
                
                 These are super interesting neurons
             
            
                link |
                
                 because what they're essentially doing
             
            
                link |
                
                 is they are providing a subconscious signal
             
            
                link |
                
                 about the quality of the food that you're eating,
             
            
            
                link |
                
                 and then triggering the release of a molecule
             
            
                link |
                
                 within your brain, dopamine,
             
            
                link |
                
                 that leads you to go seek more of those foods.
             
            
                link |
                
                 Now, this has profound impact on a number of things.
             
            
                link |
                
                 First of all, there's the consideration
             
            
                link |
                
                 of so-called hidden sugars.
             
            
                link |
                
                 Dr. Robert Lustig, who's a pediatric endocrinologist
             
            
                link |
                
                 at University of California, San Francisco,
             
            
                link |
                
                 has been among the most prominent researchers
             
            
                link |
                
                 to talk about the fact that there are
             
            
                link |
                
                 the so-called hidden sugars in foods.
             
            
                link |
                
                 Now, these are not just sugars that they sneak in
             
            
                link |
                
                 just to be sneaky.
             
            
                link |
                
                 These are sugars that are literally snuck in
             
            
                link |
                
                 in a way that you can't taste them.
             
            
                link |
                
                 That's why they're called hidden sugars.
             
            
                link |
                
                 It's not that they just put them in there for fun.
             
            
                link |
                
                 These are sugars that are placed into processed foods
             
            
                link |
                
                 that are designed to trigger activation of these mechanisms
             
            
                link |
                
                 to lead you to want to eat more of these foods,
             
            
                link |
                
                 but not because they necessarily taste sweet or delicious,
             
            
                link |
                
                 but because they are activating
             
            
                link |
                
                 these subconscious mechanisms that are driving you
             
            
                link |
                
                 to pursue more of these foods.
             
            
                link |
                
                 Sounds like a very diabolical strategy.
             
            
                link |
                
                 And indeed, it is somewhat of a diabolical strategy.
             
            
                link |
                
                 However, these neurons are also involved
             
            
                link |
                
                 in signaling to your brain when, for instance,
             
            
                link |
                
                 you are eating a food that is rich in omega-3 fatty acids,
             
            
                link |
                
                 the fatty acids that we were talking about earlier.
             
            
                link |
                
                 So why is it that you don't crave salmon?
             
            
                link |
                
                 Why is it that I don't sit around
             
            
                link |
                
                 daydreaming about mackerel?
             
            
                link |
                
                 Well, because there's also the influence
             
            
                link |
                
                 of the actual taste on the mouth.
             
            
                link |
                
                 Under normal conditions, it's a combination
             
            
                link |
                
                 of the taste of the thing on the mouth
             
            
                link |
                
                 plus the subconscious signaling from the gut.
             
            
                link |
                
                 And while this isn't a discussion about gut microbiome,
             
            
                link |
                
                 I should just mention that it's very clear
             
            
                link |
                
                 that having a healthy gut microbiome
             
            
                link |
                
                 allows these neurons to function in a way
             
            
                link |
                
                 that serves our seeking of healthy foods in positive ways.
             
            
                link |
                
                 And without getting into a lot of detail about this,
             
            
                link |
                
                 the best way to ensure a healthy gut microbiome
             
            
                link |
                
                 that I am aware of is not necessarily
             
            
                link |
                
                 to take supplemental prebiotics or probiotics.
             
            
                link |
                
                 There are actually some reasons
             
            
                link |
                
                 why you might not want to do that,
             
            
                link |
                
                 but rather to ingest two to four servings
             
            
                link |
                
                 of fermented foods that are low in sugar each day.
             
            
                link |
                
                 There is a recent study published in Cell
             
            
                link |
                
                 showing that the ingestion of fermented foods,
             
            
                link |
                
                 two to four servings each day,
             
            
                link |
                
                 can enhance the quality of the mucosal lining of the gut
             
            
                link |
                
                 that allows certain gut microbiota to flourish
             
            
                link |
                
                 and the gut microbiota that are not good for us
             
            
            
                link |
                
                 because that's the environment that they settle down into.
             
            
                link |
                
                 This is work that was carried out
             
            
                link |
                
                 by my colleagues Justin Sonnenberg,
             
            
                link |
                
                 which is in the laboratory upstairs from me,
             
            
                link |
                
                 as well as Chris Gardner and others at Stanford.
             
            
                link |
                
                 They're certainly not the only researchers exploring this,
             
            
                link |
                
                 but it does appear that two to four servings
             
            
                link |
                
                 of fermented foods each day,
             
            
                link |
                
                 so these would be things like natto, sauerkraut,
             
            
                link |
                
                 low sugar fermented foods is great for the gut microbiome,
             
            
                link |
                
                 and separate studies, not their study,
             
            
                link |
                
                 but separate studies have shown
             
            
                link |
                
                 that the correct gut microbiome conditions
             
            
                link |
                
                 allow these neurons that signal to the brain
             
            
                link |
                
                 to signal at the right times and in the right ways
             
            
                link |
                
                 to promote healthy food seeking.
             
            
                link |
                
                 Many people opt to supplement with capsule form probiotics.
             
            
                link |
                
                 There are some data that suggest
             
            
                link |
                
                 that maybe those don't contain the correct prebiotics
             
            
                link |
                
                 and probiotics for setting
             
            
                link |
                
                 the correct gut microbiota conditions.
             
            
                link |
                
                 That's a little bit of a controversial issue.
             
            
                link |
                
                 Nonetheless, getting probiotics from fermented foods
             
            
                link |
                
                 is probably the simplest and most straightforward way.
             
            
                link |
                
                 It's also the way that we evolved to do that over many,
             
            
                link |
                
                 at least hundreds and probably thousands
             
            
                link |
                
                 or even tens or hundreds of thousands of years
             
            
                link |
                
                 people have been ingesting fermented foods,
             
            
                link |
                
                 not just for their taste,
             
            
                link |
                
                 but for their health benefits as well.
             
            
                link |
                
                 So now I've mentioned two of the three mechanisms
             
            
                link |
                
                 by which we prefer certain foods.
             
            
                link |
                
                 One is from the actual taste that we're familiar with,
             
            
                link |
                
                 the taste on our tongue and in our mouth
             
            
                link |
                
                 and the sensations that make us go mm, or ugh,
             
            
                link |
                
                 or eh, the yum, yuck, meh responses
             
            
                link |
                
                 as I referred to them earlier.
             
            
                link |
                
                 And then there's this subconscious signaling
             
            
                link |
                
                 coming from the gut that's really based
             
            
                link |
                
                 on the nutrient content of the foods.
             
            
                link |
                
                 There's a third pathway, which is the learned association
             
            
                link |
                
                 of a particular taste with the particular quality
             
            
                link |
                
                 or value that a food has.
             
            
                link |
                
                 And this is where things get really interesting
             
            
                link |
                
                 and where there's actually a leverage point
             
            
                link |
                
                 for you to rewire what it is that you find tasty
             
            
                link |
                
                 and that you want to seek more of.
             
            
                link |
                
                 The work I'd like to talk about next
             
            
                link |
                
                 has been carried out in mouse models
             
            
                link |
                
                 and has been carried out in parallel experiments in humans.
             
            
                link |
                
                 This is largely, not exclusively,
             
            
                link |
                
                 but largely the work of Ivan de Araujo and Dana Small.
             
            
                link |
                
                 Ivan de Araujo is at Mount Sinai School of Medicine,
             
            
                link |
                
                 and Dana Small is at Yale.
             
            
                link |
                
                 And they and others in their field
             
            
                link |
                
                 have done incredible experiments
             
            
                link |
                
                 exploring how taste and food value,
             
            
                link |
                
                 the nutritional value of food,
             
            
                link |
                
                 and the impact of that food on metabolism in the brain
             
            
                link |
                
                 drives our food choices
             
            
                link |
                
                 and allows us to change our food choices for the better.
             
            
                link |
                
                 Their groups have done some really amazing studies
             
            
                link |
                
                 involving ingestion of a particular substance
             
            
                link |
                
                 that either contains sugar
             
            
                link |
                
                 and thereby can elevate glucose, blood sugar, or not,
             
            
                link |
                
                 and varying, meaning changing the taste
             
            
                link |
                
                 associated with that ingestion of sugar.
             
            
                link |
                
                 So let me just give you a simple example
             
            
                link |
                
                 where they have subjects,
             
            
                link |
                
                 these could be mice or these could be humans,
             
            
                link |
                
                 because they've done both sets of studies,
             
            
                link |
                
                 drink sweet water as an alternative or a choice
             
            
                link |
                
                 to non-sweetened water or bitter water or some other flavor.
             
            
                link |
                
                 What they find is that mice and humans
             
            
                link |
                
                 will prefer to consume the sweet beverage.
             
            
                link |
                
                 Now it's not always sweet water.
             
            
                link |
                
                 Mice like sweet water, but humans will prefer,
             
            
                link |
                
                 for instance, a milkshake, a fatty sweet drink.
             
            
                link |
                
                 They'll consume more of that.
             
            
                link |
                
                 And not surprisingly, dopamine levels in the brain
             
            
                link |
                
                 increase in response to that.
             
            
                link |
                
                 So the taste and the nutrient content
             
            
                link |
                
                 of what it is that they're ingesting are aligned.
             
            
            
                link |
                
                 They've also done experiments where they have no taste,
             
            
                link |
                
                 but subjects are being infused with sugar
             
            
                link |
                
                 directly into the gut.
             
            
                link |
                
                 And not surprisingly, based on everything I've told you
             
            
                link |
                
                 up until now, subjects will pursue more of that thing
             
            
                link |
                
                 relative to some other taste,
             
            
                link |
                
                 either neutral or negative taste,
             
            
                link |
                
                 because that sugar in the gut is triggering the activation
             
            
                link |
                
                 of the neurons I mentioned earlier,
             
            
                link |
                
                 which is signaling to the brain to pursue more of that thing.
             
            
                link |
                
                 So this tells us something important.
             
            
                link |
                
                 It tells us that we are driven,
             
            
                link |
                
                 meaning we have mechanisms in our brain
             
            
                link |
                
                 that make us motivated to pursue more
             
            
                link |
                
                 of what brings both a taste of sweetness,
             
            
                link |
                
                 but also that brings actual changes
             
            
                link |
                
                 in blood glucose levels up, okay?
             
            
                link |
                
                 So we are motivated to eat sweet things,
             
            
                link |
                
                 not just because they taste good,
             
            
                link |
                
                 but because they change our blood sugar level.
             
            
                link |
                
                 They increase our blood sugar level.
             
            
                link |
                
                 This is important because it needn't be the case.
             
            
                link |
                
                 It could have been that we were just wired
             
            
                link |
                
                 to pursue things that taste good.
             
            
                link |
                
                 But what this tells us is that we are actually wired
             
            
                link |
                
                 to pursue things that increase our blood glucose,
             
            
                link |
                
                 so much so that when the small lab,
             
            
                link |
                
                 it's not a small lab, it's actually a big lab,
             
            
                link |
                
                 but when Dana Small's lab and or Ivan de Araujo's lab
             
            
                link |
                
                 have done experiments where they use a compound
             
            
                link |
                
                 called 2-deoxyglucose.
             
            
                link |
                
                 This is a compound that can prevent glucose
             
            
                link |
                
                 from being metabolized by neurons.
             
            
                link |
                
                 So blood glucose is going up, but neurons can't use it.
             
            
                link |
                
                 What they find is that the reinforcing
             
            
                link |
                
                 or the rewarding properties of a food or taste
             
            
            
                link |
                
                 Put simply, it is not sufficient
             
            
                link |
                
                 for a food to taste good consciously.
             
            
                link |
                
                 It is not sufficient for a food to increase blood sugar.
             
            
                link |
                
                 You need blood sugar to go up and that blood sugar,
             
            
                link |
                
                 glucose, has to be utilized by the neurons,
             
            
                link |
                
                 even if it's not associated with a good taste
             
            
                link |
                
                 and to make it even simpler, if this isn't sinking in,
             
            
                link |
                
                 this should make it very clear.
             
            
                link |
                
                 What your brain, meaning what you are seeking when you eat
             
            
                link |
                
                 is not taste, is not dopamine,
             
            
                link |
                
                 is not even a rise in blood glucose.
             
            
                link |
                
                 What you're seeking, even though you don't realize it
             
            
                link |
                
                 because it's subconscious, is you are seeking things
             
            
                link |
                
                 that allow your neurons to be metabolically active.
             
            
                link |
                
                 And this is fundamentally important for understanding
             
            
                link |
                
                 why you eat particular foods
             
            
                link |
                
                 and how you can change your relationship to those foods.
             
            
                link |
                
                 Now, earlier, I referred to circuits that are wired
             
            
                link |
                
                 for a particular outcome.
             
            
                link |
                
                 And in biology and in particular neuroscience,
             
            
                link |
                
                 we refer to things that are either hardwired,
             
            
                link |
                
                 meaning immutable and unchangeable, or softwired.
             
            
                link |
                
                 A good example of soft wiring would be the areas
             
            
                link |
                
                 of your brain that are responsible for speech and language
             
            
                link |
                
                 are always more or less in the same place in your brain
             
            
                link |
                
                 and everyone else's brain.
             
            
                link |
                
                 However, they are not hardwired to speak French
             
            
                link |
                
                 or to speak English or to speak Chinese or to speak German,
             
            
                link |
                
                 because depending on where you were born
             
            
                link |
                
                 and the parents that you're born to,
             
            
                link |
                
                 you need to be able to speak one
             
            
                link |
                
                 or maybe even more languages.
             
            
                link |
                
                 The taste system and this general system
             
            
                link |
                
                 of seeking particular foods similarly is hardwired
             
            
                link |
                
                 to obtain certain types of nutrients.
             
            
                link |
                
                 It tends to like sweet things.
             
            
                link |
                
                 Most children naturally like sweet things,
             
            
                link |
                
                 some more than others,
             
            
                link |
                
                 but naturally most people from childhood onward
             
            
                link |
                
                 don't particularly crave very bitter substances,
             
            
                link |
                
                 maybe mildly bitter, but not very bitter.
             
            
                link |
                
                 So there's some hard wiring of preference,
             
            
                link |
                
                 but there's also some soft wiring in the system
             
            
                link |
                
                 that allows it to change.
             
            
                link |
                
                 The groups I mentioned earlier
             
            
                link |
                
                 have done some really beautiful experiments
             
            
                link |
                
                 looking at how artificial sweeteners interact
             
            
                link |
                
                 with the actual sweet sensing system.
             
            
                link |
                
                 And this gets right down to a number of issues.
             
            
                link |
                
                 First of all, it gets to the issue
             
            
                link |
                
                 of how we can rewire our taste system
             
            
                link |
                
                 in ways that serve us for better or for worse.
             
            
                link |
                
                 Second of all, it gets right down to the issue
             
            
                link |
                
                 of whether or not artificial sweeteners
             
            
                link |
                
                 are good for us or bad for us.
             
            
                link |
                
                 And indeed, as of just this last year,
             
            
                link |
                
                 we now have an answer to that question.
             
            
                link |
                
                 And turns out it depends.
             
            
                link |
                
                 And I will tell you in a few minutes
             
            
                link |
                
                 when it is okay to ingest artificial sweeteners
             
            
                link |
                
                 and when it is very detrimental
             
            
                link |
                
                 to ingest artificial sweeteners of any kind.
             
            
                link |
                
                 Regardless, I'm not going to name off brand names,
             
            
                link |
                
                 but there are different forms
             
            
                link |
                
                 of these artificial sweeteners nowadays.
             
            
                link |
                
                 And there are various forms
             
            
                link |
                
                 of non-caloric plant-based sweeteners
             
            
                link |
                
                 for which the same information
             
            
                link |
                
                 that I'm about to tell you applies.
             
            
                link |
                
                 Okay, so the experiments that were done
             
            
                link |
                
                 beautifully illustrate that you seek out particular foods
             
            
                link |
                
                 because of the way they taste,
             
            
                link |
                
                 because of their impact on blood glucose levels,
             
            
                link |
                
                 but also on their impact on the dopamine system,
             
            
                link |
                
                 even if your blood glucose levels don't change.
             
            
                link |
                
                 So here's the experiment.
             
            
                link |
                
                 One group of subjects is given a sweet taste
             
            
                link |
                
                 of a substance that also raises blood glucose levels,
             
            
                link |
                
                 blood sugar, and dopamine goes up, not surprisingly.
             
            
                link |
                
                 Second condition, separate subjects,
             
            
                link |
                
                 consume an artificial sweetener or a non-caloric sweetener.
             
            
                link |
                
                 It is not preferred much over other substances,
             
            
                link |
                
                 but it is sweet, so it's preferred somewhat,
             
            
                link |
                
                 and it does not cause an increase in blood glucose levels.
             
            
                link |
                
                 And not surprisingly, dopamine levels don't go up.
             
            
                link |
                
                 So initially, we don't tend to like
             
            
                link |
                
                 artificial sweeteners that much.
             
            
                link |
                
                 That's the simple way of putting it.
             
            
                link |
                
                 However, if subjects continue
             
            
                link |
                
                 to ingest artificial sweeteners,
             
            
                link |
                
                 even though there's no increase in blood glucose level,
             
            
                link |
                
                 and therefore no increase in brain metabolism,
             
            
                link |
                
                 dopamine levels eventually start to rise.
             
            
                link |
                
                 And when those dopamine levels eventually start to rise,
             
            
                link |
                
                 you've essentially conditioned or reinforced
             
            
                link |
                
                 that artificial or non-caloric sweetener,
             
            
                link |
                
                 and then subjects start to consume more of it,
             
            
                link |
                
                 and they actually get a dopamine increase from it.
             
            
                link |
                
                 So that's interesting.
             
            
                link |
                
                 It says that consuming more of these artificial sweeteners
             
            
                link |
                
                 or consuming them for a longer period of time
             
            
                link |
                
                 can start to tap into the dopamine system
             
            
                link |
                
                 and lead us to seek out or consume
             
            
                link |
                
                 more of these artificial sweeteners.
             
            
                link |
                
                 Many people are probably familiar with this
             
            
                link |
                
                 because we tend to, or I should say,
             
            
                link |
                
                 people report that when they ingest
             
            
                link |
                
                 these artificial sweeteners,
             
            
                link |
                
                 at first they don't taste very good,
             
            
                link |
                
                 but then over time, they seem kind of tolerable,
             
            
                link |
                
                 and then maybe even pleasurable,
             
            
                link |
                
                 and then some people feel quote unquote addicted
             
            
                link |
                
                 to various diet sodas and things of that sort.
             
            
                link |
                
                 Now, there's another condition that's been explored,
             
            
                link |
                
                 and that's the really interesting condition.
             
            
                link |
                
                 And it's the condition where an artificial sweetener
             
            
                link |
                
                 is paired with a substance that can increase blood sugar,
             
            
                link |
                
                 but not because it tastes sugary
             
            
                link |
                
                 like a normal sweet substance.
             
            
                link |
                
                 So now there's an artificial sweetener
             
            
                link |
                
                 that's coupled with an actual increase in blood glucose.
             
            
                link |
                
                 The natural world scenario where this would happen
             
            
                link |
                
                 would be drinking a diet soda, which contains no calories
             
            
                link |
                
                 and therefore would not increase blood glucose,
             
            
                link |
                
                 but is sweet with a food that increases blood glucose.
             
            
                link |
                
                 And when that happens, what you're essentially doing
             
            
                link |
                
                 is tapping into the dopamine system,
             
            
                link |
                
                 this non-chloric sweet taste is paired with it,
             
            
                link |
                
                 and there's an increase in neuron metabolism.
             
            
                link |
                
                 So you have all of the components for reinforcement.
             
            
                link |
                
                 And as a consequence, you get in a sort of Pavlovian
             
            
                link |
                
                 conditioning way, a situation where later,
             
            
                link |
                
                 when you ingest that artificial sweetener,
             
            
                link |
                
                 you actually get not only the increase in dopamine,
             
            
                link |
                
                 but you get alterations in blood sugar management.
             
            
                link |
                
                 Now, blood sugar cannot go up if you don't ingest something
             
            
                link |
                
                 that makes blood sugar go up.
             
            
                link |
                
                 So it's not as if you ingest artificial sweetener
             
            
                link |
                
                 with some food that contains calories or sugar,
             
            
                link |
                
                 and then later you remove the food
             
            
                link |
                
                 and you just drink the soda and your blood glucose goes up.
             
            
                link |
                
                 Rather, it's a much worse situation.
             
            
                link |
                
                 If you, I'll make this in the natural world context,
             
            
                link |
                
                 if you ingest an artificial sweetener,
             
            
                link |
                
                 say drink diet soda while consuming foods
             
            
                link |
                
                 that increase blood glucose, then later,
             
            
                link |
                
                 even if you just drink the diet soda,
             
            
                link |
                
                 it's been shown that you secrete much more insulin,
             
            
                link |
                
                 the hormone that regulates blood glucose
             
            
                link |
                
                 in response to that diet soda.
             
            
                link |
                
                 Studies have been done in both adult humans
             
            
                link |
                
                 and in human children.
             
            
                link |
                
                 In general, when we say children, we mean human children,
             
            
                link |
                
                 but just to be very clear what we're talking about,
             
            
                link |
                
                 exploring consuming diet soda with or without food,
             
            
                link |
                
                 then later consuming just the diet soda.
             
            
                link |
                
                 And what they found was having previously consumed
             
            
                link |
                
                 diet soda with food and then later only consuming
             
            
                link |
                
                 the diet soda, of course, there isn't an increase
             
            
                link |
                
                 in blood glucose because they're not bringing in
             
            
                link |
                
                 any calories when they just drink the diet soda,
             
            
                link |
                
                 but there is a significant increase in insulin release.
             
            
                link |
                
                 And that is serious in a terrible way
             
            
                link |
                
                 because increased release of insulin
             
            
                link |
                
                 and so-called insulin sensitivity is the basis
             
            
                link |
                
                 for type two diabetes.
             
            
                link |
                
                 So much so that in the study with the children,
             
            
                link |
                
                 consuming non-caloric beverages in this way,
             
            
                link |
                
                 first with food and then on their own,
             
            
                link |
                
                 led to increases in insulin that made them pre-diabetic
             
            
                link |
                
                 and they actually had to halt the study.
             
            
                link |
                
                 So I want to zoom out from this and just really illustrate
             
            
                link |
                
                 the major findings and then talk about how this can be
             
            
                link |
                
                 applied in the positive sense.
             
            
                link |
                
                 I also want to mention what this means in terms of your
             
            
                link |
                
                 consumption of artificial sweeteners of any kind.
             
            
                link |
                
                 So first of all, the direct takeaway
             
            
                link |
                
                 about artificial sweeteners.
             
            
                link |
                
                 Artificial sweeteners are not bad for you.
             
            
                link |
                
                 I'm not going to say that.
             
            
                link |
                
                 What I am going to say is that whether or not you ingest
             
            
                link |
                
                 them alone or you ingest them in combination with foods
             
            
                link |
                
                 or as part of foods that raise blood glucose
             
            
                link |
                
                 is vitally important for your insulin management.
             
            
                link |
                
                 And the simple extract or tool from this is if you're going
             
            
                link |
                
                 to consume artificial sweeteners,
             
            
                link |
                
                 it's very likely best to consume those away from any food
             
            
                link |
                
                 that raises blood glucose levels.
             
            
                link |
                
                 So if you're going to enjoy diet soda, be my guest,
             
            
                link |
                
                 but do it while not while consuming food,
             
            
                link |
                
                 in particular foods that raise blood glucose,
             
            
                link |
                
                 because what these studies show,
             
            
                link |
                
                 and I will provide references for these,
             
            
                link |
                
                 is that they can vastly disrupt blood sugar management
             
            
                link |
                
                 by way of the insulin glucose system, okay?
             
            
                link |
                
                 And actually I'll just give you the reference now.
             
            
                link |
                
                 This is a paper from Dana Small's lab.
             
            
                link |
                
                 The first author is Dallenberg, D-A-L-E-N-B-E-R-G.
             
            
                link |
                
                 And the title of the paper is short-term consumption
             
            
                link |
                
                 of sucralose with, but not without carbohydrate impairs
             
            
                link |
                
                 neural and metabolic sensitivity to sugar in humans.
             
            
                link |
                
                 This is a paper published in Cell Metabolism
             
            
            
                link |
                
                 I think it's a very important paper and similar findings
             
            
                link |
                
                 have been addressed in mice and in other studies.
             
            
                link |
                
                 And now because of this paper,
             
            
                link |
                
                 there's now a bunch of other groups working on this issue.
             
            
                link |
                
                 There's some evidence previously published in Nature,
             
            
                link |
                
                 excellent top tier journal among the Super Bowl
             
            
                link |
                
                 of top three journals being Nature Science and Cell.
             
            
                link |
                
                 Paper published in Nature a few years back
             
            
                link |
                
                 showing that particular artificial sweeteners
             
            
                link |
                
                 can disrupt the gut microbiome
             
            
                link |
                
                 and have deleterious health effects.
             
            
                link |
                
                 That result, I think, stands,
             
            
                link |
                
                 although there are some results that may not agree
             
            
                link |
                
                 with that depending on whether or not
             
            
                link |
                
                 the artificial sweetener is saccharin or sucralose
             
            
                link |
                
                 or aspartame or stevia, that's the gut microbiome.
             
            
                link |
                
                 But what we are talking about here is independent
             
            
                link |
                
                 of the form of artificial or non-chloric sweetener
             
            
                link |
                
                 because it has everything to do with whether or not
             
            
                link |
                
                 there is a match or a mismatch between the perceived taste
             
            
                link |
                
                 and the effect of the thing that you are consuming
             
            
                link |
                
                 on blood sugar and metabolism.
             
            
                link |
                
                 So the first takeaway from this is
             
            
                link |
                
                 if you're going to consume artificial sweeteners,
             
            
                link |
                
                 it's really important that you do that,
             
            
                link |
                
                 not in conjunction with foods that increase blood glucose.
             
            
                link |
                
                 Second of all, it points to the fact
             
            
                link |
                
                 that the foods that we prefer
             
            
                link |
                
                 and the activation of the dopamine system,
             
            
                link |
                
                 both through the gut and at the level of conscious taste,
             
            
                link |
                
                 in other words, what we like is very plastic,
             
            
                link |
                
                 it's mutable, and we can change it.
             
            
                link |
                
                 How can we change it?
             
            
                link |
                
                 Well, earlier I mentioned a structure in the brain
             
            
                link |
                
                 called the insula, this incredible structure
             
            
                link |
                
                 that's involved in interoception
             
            
                link |
                
                 and interoception of all kinds.
             
            
                link |
                
                 In fact, just as an aside, a year or so ago,
             
            
                link |
                
                 my lab published a paper showing that
             
            
                link |
                
                 activity within certain compartments of the insula of humans
             
            
                link |
                
                 is responding to a heightened state of anxiety in the body.
             
            
                link |
                
                 It can respond to changes in our respiration,
             
            
                link |
                
                 changes in our heart rate.
             
            
                link |
                
                 So this is, again, it's a readout of our internal state,
             
            
                link |
                
                 not just of taste, but of many, many different aspects
             
            
                link |
                
                 of the mechanics and chemistry of our internal milieu
             
            
            
                link |
                
                 All of the work that I was describing previously
             
            
                link |
                
                 has also been addressed at the neural level.
             
            
                link |
                
                 And using a broad brush to explain these results,
             
            
                link |
                
                 what we can say is when there is dopamine increase,
             
            
                link |
                
                 one sees activation of the so-called nucleus accumbens,
             
            
                link |
                
                 which is part of the so-called mesolimbic reward pathway.
             
            
                link |
                
                 If you'd like to learn more about the mesolimbic reward
             
            
                link |
                
                 pathway and dopamine in general and humans
             
            
                link |
                
                 and in animal studies and all the various incredible
             
            
                link |
                
                 and challenging things that dopamine can do for us,
             
            
                link |
                
                 there's a episode all about dopamine that you can look up.
             
            
                link |
                
                 It's easy to find at hubermanlab.com.
             
            
                link |
                
                 The increases in dopamine associated with sweet taste
             
            
                link |
                
                 and or blood glucose elevating foods and drinks
             
            
                link |
                
                 cause activation of the nucleus accumbens.
             
            
                link |
                
                 That's not surprising.
             
            
                link |
                
                 Also in the circuit is activation
             
            
                link |
                
                 of the so-called arcuate nuclei within the hypothalamus.
             
            
                link |
                
                 These are areas of the hypothalamus that respond
             
            
                link |
                
                 to hormones from the body and respond to hormones
             
            
                link |
                
                 and neuropeptides in the brain,
             
            
                link |
                
                 as well as neural signals in the brain
             
            
                link |
                
                 to drive us to eat more or to stop eating.
             
            
                link |
                
                 So it's hypothalamus, nucleus accumbens.
             
            
                link |
                
                 These are sort of the hypothalamus and the arcuate
             
            
                link |
                
                 being the motivating to eat or motivating to stop eating.
             
            
                link |
                
                 Both sets of neurons are contained there.
             
            
                link |
                
                 There are other areas like the lateral hypothalamus as well,
             
            
                link |
                
                 but hypothalamus is sort of the accelerator
             
            
                link |
                
                 and the brake on eating.
             
            
                link |
                
                 And then the nucleus accumbens and dopamine release
             
            
                link |
                
                 can be thought of as kind of a nitro boost, if you will,
             
            
                link |
                
                 like the kids say, do the kids say that anymore?
             
            
                link |
                
                 Anyway, a nitro boost to increase what we call the gain
             
            
                link |
                
                 or the volume of how much you want more of something, okay?
             
            
                link |
                
                 When dopamine is present, it's this kind of generic signal
             
            
                link |
                
                 to go seek out more of whatever caused that release.
             
            
                link |
                
                 And then there's the insula,
             
            
                link |
                
                 this very thoughtful, rational, not really,
             
            
                link |
                
                 it's not thinking, it's a brain area, you're thinking,
             
            
                link |
                
                 but it's part of the areas of your brain
             
            
                link |
                
                 that are interpreting what's going on in your body,
             
            
                link |
                
                 whether or not you feel good or not good,
             
            
                link |
                
                 whether or not you feel anxious, excited, or fearful.
             
            
                link |
                
                 It's integrating all that information
             
            
                link |
                
                 and fed into this entire circuit as well
             
            
                link |
                
                 are the inputs from your prefrontal cortex,
             
            
                link |
                
                 which is your thinking, rational, neuronal structure,
             
            
                link |
                
                 if you will, informing you, for instance,
             
            
                link |
                
                 ah, well, I don't really like salmon very much,
             
            
                link |
                
                 or I'm not so crazy about kale, but it has omega-3s,
             
            
                link |
                
                 or it's rich in these polyphenols that are good for me.
             
            
                link |
                
                 And if one decides that they are going to eat these things,
             
            
                link |
                
                 not just because they are good for them,
             
            
                link |
                
                 but believe it or not, if one takes the perception
             
            
                link |
                
                 or adopts the perception that they are both good for you
             
            
                link |
                
                 and that in being good for you,
             
            
                link |
                
                 they are good for your brain metabolism,
             
            
                link |
                
                 and that you desire to be healthy, as crazy as it sounds,
             
            
                link |
                
                 those subjective signals of what you tell yourself
             
            
                link |
                
                 about the foods that you're eating
             
            
                link |
                
                 can actually impact how those foods will taste,
             
            
                link |
                
                 maybe not immediately, but eventually,
             
            
                link |
                
                 and can impact the way in which
             
            
                link |
                
                 your body utilizes those foods.
             
            
                link |
                
                 Now, that might seem like a absolute pipe dream.
             
            
                link |
                
                 If I just imagine that I like mackerel,
             
            
                link |
                
                 mackerel will start to taste good.
             
            
                link |
                
                 I'm not saying that.
             
            
                link |
                
                 I didn't say that you could override yuck signals
             
            
                link |
                
                 with this mechanism.
             
            
                link |
                
                 I didn't say that you could take a food
             
            
                link |
                
                 that would be absolutely noxious to you
             
            
                link |
                
                 or make you want to vomit and override that.
             
            
                link |
                
                 However, foods that are somewhat neutral to you
             
            
                link |
                
                 can take on a different value
             
            
                link |
                
                 based on the activation of the dopamine system.
             
            
                link |
                
                 And now, knowing what you know,
             
            
                link |
                
                 there are a couple of ways that you could imagine doing that.
             
            
                link |
                
                 First of all, you could, in this so-called gedanken
             
            
                link |
                
                 or thought experiment, you could, for instance,
             
            
                link |
                
                 swap out sucralose because sucralose is just a taste, right?
             
            
                link |
                
                 It's an artificial sweet taste.
             
            
                link |
                
                 You could swap that out and insert kale,
             
            
                link |
                
                 but eat the kale with something that raises blood glucose
             
            
                link |
                
                 to some degree or another.
             
            
                link |
                
                 Now, I'm not encouraging anyone to run out there
             
            
                link |
                
                 and spike their blood glucose like crazy.
             
            
                link |
                
                 And in fact, blood glucose isn't really the goal.
             
            
                link |
                
                 If you recall, the goal is to get neurons
             
            
                link |
                
                 to be metabolically active with that blood glucose, okay?
             
            
                link |
                
                 That's what's actually rewarded at a subconscious level,
             
            
                link |
                
                 meaning at a deep subconscious level.
             
            
                link |
                
                 But consuming these foods with other foods
             
            
                link |
                
                 that increase blood glucose and thereby brain metabolism,
             
            
                link |
                
                 or I suppose if you're ketogenic, you're in a ketosis,
             
            
                link |
                
                 I don't know what the range of foods
             
            
                link |
                
                 that are allowed on ketosis are,
             
            
                link |
                
                 so I don't want to misspeak here and say cracker,
             
            
                link |
                
                 which would probably be a sin in the context of ketosis,
             
            
                link |
                
                 and no knock against ketosis.
             
            
                link |
                
                 I'm offering this in part
             
            
                link |
                
                 because I think that there are a number of people
             
            
                link |
                
                 that have and can positively benefit from a ketogenic diet.
             
            
            
                link |
                
                 if there's a food that you want to consume more of,
             
            
                link |
                
                 but that you find somewhat meh or mildly yuck even,
             
            
                link |
                
                 pairing it with ketones,
             
            
                link |
                
                 if indeed you are using ketones for your brain metabolism,
             
            
                link |
                
                 because that's what happens on the ketogenic diet,
             
            
                link |
                
                 over time, that food will be reinforced
             
            
                link |
                
                 by the dopamine pathway.
             
            
                link |
                
                 We know this from these studies where sucralose
             
            
                link |
                
                 was the substance paired with the glucose elevating,
             
            
            
                link |
                
                 metabolically elevating food substance or liquid substance.
             
            
                link |
                
                 So how does one go about doing this?
             
            
                link |
                
                 Well, first of all,
             
            
                link |
                
                 I want to emphasize that this experiment
             
            
                link |
                
                 actually has been done in a slightly different context.
             
            
                link |
                
                 Studies by my colleague Alia Crum
             
            
                link |
                
                 in the psychology department at Stanford
             
            
                link |
                
                 have explored the bodily response
             
            
                link |
                
                 in terms of insulin release
             
            
                link |
                
                 and the release of other food and eating related hormones,
             
            
                link |
                
                 as well as overall feelings of satisfaction, et cetera,
             
            
                link |
                
                 in groups of people that drink a milkshake
             
            
                link |
                
                 and are either told that it's a low calorie shake
             
            
                link |
                
                 that contains various nutrients that are good for them,
             
            
                link |
                
                 or a higher calorie shake
             
            
                link |
                
                 that has a lot of nutrients, et cetera,
             
            
                link |
                
                 and what they found was that the different groups,
             
            
            
                link |
                
                 I'm being very general with my description of these studies,
             
            
                link |
                
                 but what they found is that the physiological response,
             
            
                link |
                
                 the insulin response, the blood glucose response,
             
            
                link |
                
                 and the subjective measures
             
            
                link |
                
                 of whether or not people enjoyed something or not
             
            
                link |
                
                 were heavily influenced by what they were told
             
            
                link |
                
                 were in these milkshakes.
             
            
                link |
                
                 So blood glucose would go up, insulin would go up
             
            
                link |
                
                 when people were told it was a high calorie shake
             
            
                link |
                
                 with lots of nutrients,
             
            
                link |
                
                 less so when people ingested a shake
             
            
                link |
                
                 that they were told had less nutrients and so forth,
             
            
                link |
                
                 when in reality, it was the identical shake.
             
            
                link |
                
                 This is incredible.
             
            
                link |
                
                 This is a belief effect.
             
            
                link |
                
                 This is not placebo, right?
             
            
                link |
                
                 A placebo effect is different.
             
            
                link |
                
                 Placebo effect is in comparison.
             
            
                link |
                
                 It's where the control condition
             
            
                link |
                
                 actually influences outcomes to a same,
             
            
                link |
                
                 or to some degree, just like the experimental condition.
             
            
                link |
                
                 This is not a placebo effect.
             
            
                link |
                
                 This is a belief effect
             
            
                link |
                
                 where the belief and the subjective thoughts
             
            
                link |
                
                 about what a given food will do
             
            
                link |
                
                 has a direct impact on a physiological measure
             
            
                link |
                
                 like blood sugar and blood glucose, okay?
             
            
                link |
                
                 So let's zoom out from this for a second
             
            
                link |
                
                 and think about how we can incorporate this
             
            
                link |
                
                 into adopting consumption of healthy foods
             
            
                link |
                
                 that serve our brain health in the immediate and long-term.
             
            
                link |
                
                 And if you're wondering what those are,
             
            
                link |
                
                 I listed them out at the beginning of the episode
             
            
                link |
                
                 and their justification for being on that list.
             
            
                link |
                
                 What this means is,
             
            
                link |
                
                 obviously you want to consume foods that you like,
             
            
                link |
                
                 but because brain health is very important
             
            
                link |
                
                 and many of the foods that promote brain health
             
            
                link |
                
                 perhaps are not the most palatable to you
             
            
                link |
                
                 or desirable to you,
             
            
                link |
                
                 the key would be to ingest the foods
             
            
                link |
                
                 that you want to ingest more of
             
            
                link |
                
                 simply because they're good for you
             
            
                link |
                
                 and not because they taste good to you.
             
            
                link |
                
                 Alongside foods that increase
             
            
                link |
                
                 whatever fuel system you happen to be relying on,
             
            
                link |
                
                 I think that's the most nutritionally
             
            
                link |
                
                 politically correct way to say it.
             
            
                link |
                
                 So if you're keto, that would mean ketones, okay?
             
            
                link |
                
                 If you're not ketogenic,
             
            
                link |
                
                 and I think most people probably are not in ketosis
             
            
                link |
                
                 or trying to maintain ketosis,
             
            
                link |
                
                 but for instance, people that are on a purely
             
            
                link |
                
                 plant-based diet, that would be one set of foods.
             
            
                link |
                
                 For people that are omnivores, a different set of foods,
             
            
                link |
                
                 and for people that are carnivores,
             
            
                link |
                
                 yet another set of foods.
             
            
                link |
                
                 If you want to eat more of a particular food
             
            
                link |
                
                 because it's good for you,
             
            
                link |
                
                 pair it with something in the same meal.
             
            
                link |
                
                 You don't have to hide it physically or in the flavor sense.
             
            
                link |
                
                 You don't have to hide it within that other food,
             
            
                link |
                
                 but pair it with that other food
             
            
                link |
                
                 that provides you a shift in brain metabolism
             
            
                link |
                
                 because that's really what your brain and you are seeking
             
            
                link |
                
                 even though you don't realize it.
             
            
                link |
                
                 How long will this take?
             
            
                link |
                
                 Well, according to the data in humans on sucralose
             
            
                link |
                
                 and the conditioning for sucralose to have these effects,
             
            
                link |
                
                 which in many cases were detrimental, right?
             
            
                link |
                
                 Because they were increasing insulin.
             
            
            
                link |
                
                 you're trying to hijack this conditioning of food preference
             
            
                link |
                
                 for healthy purposes, not with sucralose,
             
            
                link |
                
                 but by ingesting things that are good for you,
             
            
                link |
                
                 then the data really points to the fact
             
            
                link |
                
                 that even within a short period of time of about seven days,
             
            
                link |
                
                 but certainly within 14 days,
             
            
                link |
                
                 that food will take on a subjective experience
             
            
                link |
                
                 of tasting at least better to you, if not good to you.
             
            
                link |
                
                 Now, I believe this has important implications
             
            
                link |
                
                 for much of the controversy and food wars
             
            
                link |
                
                 that we see out there.
             
            
                link |
                
                 Food wars being, of course,
             
            
                link |
                
                 these groups that ardently subscribe to the idea
             
            
                link |
                
                 that their diet and the things that they are eating
             
            
                link |
                
                 are the foods that are good for us
             
            
                link |
                
                 and that are the most pleasureful
             
            
                link |
                
                 and the things that everyone should be eating.
             
            
                link |
                
                 We see this with every community within the nutrition realm.
             
            
                link |
                
                 Now, of course, there are studies that point to the fact
             
            
                link |
                
                 that certain foods and food components are healthier
             
            
                link |
                
                 probably for us and for the planet,
             
            
                link |
                
                 but you really see it on both ends of the spectrum.
             
            
                link |
                
                 You've got people who are on a pure carnivore diet
             
            
                link |
                
                 who are arguing with a lot of biomedical evidence
             
            
                link |
                
                 that that's what's best for us and beneficial.
             
            
                link |
                
                 And then you've got people
             
            
                link |
                
                 that are arguing the same general sets of arguments,
             
            
                link |
                
                 but for a purely plant-based diet.
             
            
                link |
                
                 And then I think most people fall into the omnivore category.
             
            
                link |
                
                 What's very clear, however,
             
            
                link |
                
                 is that what we consume on a regular basis
             
            
                link |
                
                 and what leads to increases in brain metabolism
             
            
                link |
                
                 leads to increases in dopamine
             
            
                link |
                
                 and thereby our motivation to eat them.
             
            
                link |
                
                 So what this really says is that what we tend to do regularly
             
            
                link |
                
                 becomes reinforcing in and of itself.
             
            
                link |
                
                 And I think in large part can explain the fact that,
             
            
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                 yes, indeed, for certain people,
             
            
                link |
                
                 a given diet not only feels good,
             
            
                link |
                
                 but they heavily subscribe to the nutrient
             
            
                link |
                
                 and kind of health beneficial effects of that diet.
             
            
                link |
                
                 And they often will provide evidence for that,
             
            
                link |
                
                 whether or not you ask them for it or not.
             
            
                link |
                
                 But that's true of every subcategory
             
            
                link |
                
                 within the nutrition realm.
             
            
                link |
                
                 Again, this is not to take away
             
            
                link |
                
                 from some of the beautiful data emphasizing
             
            
                link |
                
                 that certain foods and micronutrients, et cetera,
             
            
                link |
                
                 are better for us or worse for us and for the planet.
             
            
                link |
                
                 That's not a debate I want to get into right now.
             
            
                link |
                
                 What this emphasizes is that foods impact our brain
             
            
            
                link |
                
                 but they also impact how our brain functions
             
            
                link |
                
                 and responds to food.
             
            
                link |
                
                 And that is largely a learned response.
             
            
                link |
                
                 We can't completely override, for instance,
             
            
                link |
                
                 that certain foods evoke a strong yuck component.
             
            
                link |
                
                 Certain foods are truly putrid to us.
             
            
                link |
                
                 I should just say certain things are putrid to us
             
            
                link |
                
                 and we should not consume them, right?
             
            
                link |
                
                 And that's at the far end of the spectrum,
             
            
                link |
                
                 it's hardwired for us to avoid those
             
            
                link |
                
                 because they can be dangerous for us.
             
            
                link |
                
                 They can make us very, very sick.
             
            
                link |
                
                 But it's also true that if we continue to eat foods
             
            
                link |
                
                 that are progressively sweeter and sweeter
             
            
                link |
                
                 and highly palatable, it shifts our dopamine system
             
            
                link |
                
                 because it activates our dopamine system
             
            
                link |
                
                 to make us believe that those foods are the only foods
             
            
                link |
                
                 that can trigger this reward system
             
            
                link |
                
                 and make us feel good and taste,
             
            
                link |
                
                 and that they taste good.
             
            
                link |
                
                 But after consuming foods that perhaps are less sweet
             
            
                link |
                
                 or even less savory that are not what we would call highly,
             
            
                link |
                
                 or I would say nowadays it's super palatable foods,
             
            
                link |
                
                 we can adjust our sense literally of what we perceive
             
            
                link |
                
                 as an attractive and rewarding food.
             
            
                link |
                
                 And indeed the dopamine system
             
            
                link |
                
                 will reward those foods accordingly.
             
            
                link |
                
                 I can't emphasize enough how much this learning
             
            
                link |
                
                 of associated food reward is important
             
            
                link |
                
                 for not just understanding why we like the foods
             
            
                link |
                
                 that we eat and how to eat more of foods
             
            
                link |
                
                 that are healthy for us and enjoy them.
             
            
                link |
                
                 But it also speaks to the fact that our brain as a whole
             
            
                link |
                
                 is a perceptual device trying to make guesses
             
            
                link |
                
                 or estimations about what certain foods
             
            
                link |
                
                 are going to do for us.
             
            
                link |
                
                 So put simply, we don't just like sweet foods
             
            
                link |
                
                 because they taste good.
             
            
                link |
                
                 We like them because they predict
             
            
                link |
                
                 a certain kind of metabolic response.
             
            
                link |
                
                 This is important also because Dana Small
             
            
                link |
                
                 and Ivan de Araujo and others have been exploring
             
            
                link |
                
                 whether or not people, for instance,
             
            
                link |
                
                 that have type 2 diabetes or that suffer
             
            
                link |
                
                 from any number of different metabolic disorders,
             
            
                link |
                
                 whether or not somehow these food reward systems
             
            
                link |
                
                 are permanently disrupted.
             
            
                link |
                
                 And through a beautiful set of experiments
             
            
                link |
                
                 that have been done mainly by Dana Small's group at Yale,
             
            
                link |
                
                 but also by the de Araujo group and others,
             
            
                link |
                
                 exploring how the reward pathways are altered
             
            
                link |
                
                 in various metabolic disorders, et cetera,
             
            
                link |
                
                 people suffering from type 2 diabetes.
             
            
                link |
                
                 We don't have time to go into all those data now,
             
            
                link |
                
                 but the takeaway is that food preference
             
            
                link |
                
                 and the ability to reshape these circuits
             
            
                link |
                
                 is not disrupted in these people to the point
             
            
                link |
                
                 where it can't be rewired.
             
            
                link |
                
                 And that's very encouraging because what it means is that
             
            
                link |
                
                 for people that are suffering from these syndromes
             
            
                link |
                
                 through some simple alterations in dietary choice,
             
            
                link |
                
                 provided those are carried out over time
             
            
                link |
                
                 and in the correct way by pairing with the foods
             
            
                link |
                
                 that will appropriately shift metabolism of the brain,
             
            
                link |
                
                 one can actually rewire what they consider
             
            
                link |
                
                 not just palatable, but attractive as foods.
             
            
                link |
                
                 If you want to learn more about food reward
             
            
                link |
                
                 and food reinforcement,
             
            
                link |
                
                 because it turns out those are slightly different things,
             
            
                link |
                
                 there's a wonderful review written by Ivan de Araujo.
             
            
                link |
                
                 They have a middle author, Mark Schachter and Dana Small.
             
            
                link |
                
                 It's called Rethinking Food Reward,
             
            
                link |
                
                 and it was published in the Annual Reviews of Psychology.
             
            
                link |
                
                 You can find it very easily online.
             
            
                link |
                
                 It was published in 2019.
             
            
                link |
                
                 And it's a beautiful deep dive,
             
            
                link |
                
                 although quite accessible to most people,
             
            
                link |
                
                 about how different foods and the way that we perceive them
             
            
                link |
                
                 impacts our brain and body
             
            
                link |
                
                 and why we like the things we like
             
            
                link |
                
                 and how to reshape what we like.
             
            
                link |
                
                 So once again, we've done a fairly extensive deep dive
             
            
                link |
                
                 into food and your brain,
             
            
                link |
                
                 focusing first on how particular foods
             
            
                link |
                
                 and compounds within foods that are available
             
            
                link |
                
                 also through supplementation
             
            
                link |
                
                 can impact immediate and long-term brain health.
             
            
                link |
                
                 Came up with a relatively short list
             
            
                link |
                
                 of what I would call super foods,
             
            
                link |
                
                 only because there are ample data to support their role
             
            
                link |
                
                 in enhancing short and long-term cognition
             
            
                link |
                
                 and neuronal health and so on.
             
            
                link |
                
                 And we also talked about food preference
             
            
                link |
                
                 and why particular tastes
             
            
                link |
                
                 and particular events within the gut
             
            
                link |
                
                 and particular events within the brain
             
            
                link |
                
                 combine to lead us to pursue particular foods
             
            
                link |
                
                 and to avoid other foods
             
            
                link |
                
                 and how you can leverage those pathways
             
            
                link |
                
                 in order to pursue more of the foods
             
            
                link |
                
                 that are going to be good for you
             
            
                link |
                
                 and good not just for your brain,
             
            
                link |
                
                 but for your overall body health
             
            
                link |
                
                 and to enjoy them along the way.
             
            
                link |
                
                 If you're learning from and or enjoying this podcast,
             
            
                link |
                
                 please subscribe to our YouTube channel.
             
            
                link |
                
                 That's a terrific zero cost way to support us.
             
            
                link |
                
                 In addition, please leave us suggestions for future topics
             
            
                link |
                
                 and guests you would like us to host
             
            
                link |
                
                 in the comment section on YouTube.
             
            
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                 As well, please subscribe to the Huberman Lab podcast
             
            
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                 on Apple and or Spotify.
             
            
                link |
                
                 And on Apple, you can leave us up to a five-star review.
             
            
                link |
                
                 If you're not already following us on Instagram,
             
            
                link |
                
                 we are Huberman Lab at Instagram.
             
            
                link |
                
                 And there I do neuroscience tutorials
             
            
                link |
                
                 that sometimes have overlap with the podcast,
             
            
                link |
                
                 but often are original content altogether.
             
            
                link |
                
                 We are also Huberman Lab on Twitter.
             
            
                link |
                
                 Another terrific way to support us
             
            
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                 is by checking out our sponsors
             
            
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                 that we mentioned at the beginning of the episode.
             
            
                link |
                
                 We also have a Patreon.
             
            
                link |
                
                 It's patreon.com slash Andrew Huberman.
             
            
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                 And there you can support the podcast
             
            
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                 at any level that you like.
             
            
                link |
                
                 During today's podcast and on many other previous episodes,
             
            
                link |
                
                 we talked about various supplements.
             
            
                link |
                
                 One of the major issues with supplements
             
            
                link |
                
                 is that supplement companies don't always have
             
            
                link |
                
                 the highest quality standards
             
            
                link |
                
                 and or the amounts of the supplements
             
            
                link |
                
                 that they list on the bottle
             
            
                link |
                
                 aren't what actually are contained
             
            
                link |
                
                 in the capsules and pills and powders of those supplements.
             
            
                link |
                
                 For that reason, we partner with Thorne, T-H-O-R-N-E,
             
            
                link |
                
                 because Thorne has the highest levels of stringency
             
            
                link |
                
                 with respect to the quality of the supplements they use
             
            
                link |
                
                 and the quantity of the supplements they use.
             
            
                link |
                
                 They've partnered with all the major sports teams
             
            
                link |
                
                 and with the Mayo Clinic,
             
            
                link |
                
                 and we have tremendous confidence
             
            
                link |
                
                 in the quality of their supplements.
             
            
                link |
                
                 If you'd like to see the supplements that I take,
             
            
                link |
                
                 you can go to thorne, T-H-O-R-N-E,
             
            
                link |
                
                .com slash the letter U slash Huberman.
             
            
                link |
                
                 There, you can get 20% off any of those supplements,
             
            
                link |
                
                 and if you navigate into the main site
             
            
                link |
                
                 through that portal of thorne.com slash U slash Huberman,
             
            
                link |
                
                 you can also get 20% off any of the supplements
             
            
                link |
                
                 that Thorne makes.
             
            
                link |
                
                 And last but not least,
             
            
                link |
                
                 thank you for your interest in science.