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    #252 ‒ Latest insights on Alzheimer’s disease, cancer, exercise, nutrition, and fasting | Rhonda Patrick, Ph.D.

    enMay 01, 2023

    Podcast Summary

    • Rhonda Patrick & Peter Attia Discuss Various Health TopicsRhonda and Peter talk about Alzheimer's disease, exercise and cancer, alcohol and cancer, protein and aging, and fasting. They discuss different hypotheses and reflect on evolving perspectives on health topics.

      Rhonda Patrick and Peter Attia discuss various health-related topics in this episode of The Drive Podcast, including Alzheimer's disease, exercise and cancer, alcohol and cancer, protein and aging, and fasting. They talk about the possibility of a vascular hypothesis for Alzheimer's disease and the different factors that can affect the disease. Rhonda shares her personal interest in neurodegenerative diseases as they run in her family. They also discuss the dominating hypothesis of the amyloid hypothesis for Alzheimer's disease and the recent possible success in targeting it. In addition, they reflect on how their perspectives have evolved over time on topics such as time-restricted feeding and protein intake. Overall, this is an interesting and informative discussion on various health topics.

    • The Link Between Vascular Dysfunction and Alzheimer's DiseasePreventing or delaying type 2 diabetes may also prevent or delay the onset of Alzheimer's disease, which is linked to vascular dysfunction in the blood-brain barrier. Lifestyle and genetic factors also play a role in the development of Alzheimer's disease.

      Understanding the underlying causes of dementia and Alzheimer’s disease can provide new avenues for prevention and treatment. Vascular dysfunction, particularly in the blood vessels and capillaries lining the blood-brain barrier, seems to be a common early event in all types of dementia, including Alzheimer's, small vessel disease, and vascular dementia. Lifestyle and genetic factors, such as having an ApoE4 allele and type 2 diabetes, increase the risk of developing Alzheimer's disease. Prevention and delay of Alzheimer's disease may be possible by taking actions to prevent or delay type 2 diabetes, which is strongly correlated with Alzheimer’s. While there are outliers who may develop Alzheimer's disease despite doing everything right and having a genetic predisposition, understanding the common underlying factors can help with prevention and treatment efforts.

    • Why a Healthy Blood-Brain Barrier is Essential for Brain HealthThe Blood-Brain Barrier protects the brain from harmful toxins but can become disrupted by diseases, leading to neuro-inflammation and potentially impacting cognitive health. Maintaining a healthy barrier is key to maintaining overall brain health.

      Maintaining the integrity of the blood-brain barrier is essential for brain health as it functions as a protective barrier to prevent harmful molecules from entering the brain. However, with diseases such as type 2 diabetes and ApoE4, the barrier can become permeable and allow toxins to enter the brain leading to neuro-inflammation, disrupted nutrient transport, and glymphatic system dysfunction. This can eventually lead to the accumulation of amyloid and cognitive impairment. The blood-brain barrier is also essential in removing toxic compounds from the brain, and when dysfunctional, this process is disrupted. Therefore, maintaining a healthy blood-brain barrier is key to maintaining overall brain health.

    • Understanding the Link between Type 2 Diabetes and Alzheimer's DiseaseDisruption of the blood-brain barrier caused by type 2 diabetes can contribute to Alzheimer's disease through the dysfunction of oligodendrocytes and the impact on transporters. Preventing or treating diabetes could be an effective way to reduce the risk of Alzheimer's disease.

      Disruption of the blood-brain barrier leads to the entry of proteins such as fibrinogen into the brain, leading to dysfunction of oligodendrocytes and white matter hyper intensities, a common feature of Alzheimer's disease. The disruption also affects transporters such as Glut1, responsible for glucose transport into the brain. Type 2 diabetes disrupts the blood-brain barrier through the advanced glycation end products and the vascular, impacting the transporters and decreasing blood flow, despite being insulin independent. This new mechanism of understanding can explain the higher risk of Alzheimer's disease in type 2 diabetes patients, even in the absence of the APO E4 allele. Fixing diabetes, therefore, could be an effective preventive measure for Alzheimer's disease.

    • The Impact of Type Two Diabetes on Kidneys and Cognitive FunctionBlood-brain barrier breakdown caused by disruption of the MFSD2A transporter can lead to cognitive dysfunction. Maintaining necessary levels of MFSD2A transporter and barrier integrity can prevent Alzheimer's disease.

      Type two diabetes can cause destructive impacts on the kidneys due to its disruption of glucose transport across tiny blood vessels. The omega-3 DHA transporter plays a vital role in maintaining the blood-brain barrier integrity, and disruption of this transporter can lead to cognitive dysfunction and breakdown of the barrier. Animal studies have revealed that disrupting the MFSD2A transporter causes a breakdown of 50% of the blood-brain barrier and over 50% loss of omega-3 in the brain. Age, ApoE4 carriers, and genetic variations can all impact the required dosage of dietary EPA and DHA. Prevention of Alzheimer's disease can be achieved through maintaining the MFSD2A transporter levels and the barrier's integrity.

    • The Crucial Role of Omega-3s for Brain Health Key Takeaway: Omega-3s are important for maintaining blood-brain barrier integrity and reducing the risk of Alzheimer's disease. EPA and DHA have anti-inflammatory properties that benefit brain health. Improving blood sugar regulation and increasing omega-3 intake can significantly improve brain and overall health.Subtitle: The Crucial Role of Omega-3s for Brain Health  Omega-3s are important for maintaining blood-brain barrier integrity and reducing the risk of Alzheimer's disease. EPA and DHA have anti-inflammatory properties that benefit brain health. Improving blood sugar regulation and increasing omega-3 intake can significantly improve brain and overall health.

      The role of omega-3s in brain health is crucial, particularly in maintaining blood-brain barrier integrity and reducing Alzheimer's disease risk. However, most Americans do not consume sufficient omega-3s in their diets, leading to preventable deaths and health issues. Both EPA and DHA, the two types of omega-3s found in marine sources, have anti-inflammatory properties that benefit brain health. While DHA is specifically transported through a dedicated transporter, EPA can diffuse through the blood-brain barrier. Both play an important role in reducing inflammation and improving brain health. Taking measures to improve blood-sugar regulation, such as avoiding or reversing type 2 diabetes, and increasing omega-3 intake through food or supplements, can significantly improve brain and overall health.

    • Omega-3s & Depression: What We Know (And Don't).Supplementation with EPA may help reduce depression, but there is not enough research in this area. Prevention is key in diseases like Alzheimer's, and strategies like preventing type 2 diabetes can delay the onset of atherosclerosis.

      Omega-3s, particularly EPA, may be helpful in reducing depressive symptoms induced by inflammation. Studies show supplementation with EPA can help with depression. However, research in this field remains understudied and underfunded. Additionally, the optimal supplementation of DHA in the right patient population group remains unknown. It is frustrating that preventive trials looking at feasible and interesting interventions do not receive enough funding, while there is a financial incentive to conduct drug trials. Prevention is key in diseases like Alzheimer's, where it's challenging to fix leaks in the brain and amyloid accumulation once they've started. It is much more effective to prevent them from happening. Strategies such as preventing type 2 diabetes can aid in delaying the onset of atherosclerosis so that it should not be a cause of death.

    • The Tragic and Underappreciated Effects of Type 2 DiabetesModifying lifestyle factors, such as good blood pressure, exercise, and sauna use, can reduce the risk of type 2 diabetes and associated risks of cardiovascular disease, cancer, and Alzheimer's disease. Young adults with hypertension should take it seriously.

      While cancer may be inevitable with age due to genetic mutations, type 2 diabetes is not a necessary disease and its effects on the body are tragic and underappreciated. It accelerates aging more than any other process, even more than morbid obesity. Modifiable lifestyle factors such as maintaining good blood pressure, exercising, and using sauna can help reduce the risk of type 2 diabetes and the associated risks of cardiovascular disease, cancer, and Alzheimer's disease. High blood pressure is a major risk factor for dementia, particularly when developed before midlife and cumulative exposure to high blood pressure is damaging to the vasculature. Young adults with hypertension should take it seriously and not put it off as a later concern.

    • The Potential of Precision Nutrition and its Future ImplicationsPrecision nutrition, which considers an individual's genes and polymorphisms, may soon offer tailored dietary recommendations. However, limited funding may hinder research progress in this field.

      Precision nutrition, which takes into account an individual's genes and polymorphisms, is a growing field of research. In 10 years, with advancement in technology and AI, it may become easier to delineate what a person should eat based on their genetic makeup. Differences in response to macronutrient and micronutrient intake are likely to be uncovered, and it is also possible that certain gene polymorphisms may dictate optimal levels of sodium intake, among other nutrients. However, funding for research in this area may be limited as it may not offer a lucrative return on investment for drug companies. Nonetheless, the potential impact of precision nutrition on clearing up conflicting data on nutrition and offering tailored dietary recommendations is immense, and a lot of progress is expected in the next decade.

    • Challenges in Conducting Nutrition Studies and the Role of Exercise in Reducing Alzheimer's Risk.Nutrition studies require careful consideration of baseline nutrient levels, while exercise plays a vital role in reducing the risk of Alzheimer's by improving brain function, increasing blood flow, and reducing inflammation.

      Nutrition studies require more effort than drug trials because individuals starting a study may already have high levels of the nutrient being tested. This is different from drug trials where individuals start with zero levels of the drug. Vitamin D trials, in particular, have not been done correctly because they do not measure baseline levels and the outcome is not managed for different dosage amounts. Exercise plays a significant role in reducing the risk of Alzheimer's disease more than any other intervention. The exact mechanisms by which this happens are not fully understood, but exercise has been shown to improve brain function, increase blood flow, and reduce inflammation.

    • The Neurobiological Benefits of Exercise for Preventing Neurodegenerative DiseasesModerate and high-intensity exercise for at least 75-300 minutes per week can protect against neurodegenerative diseases. Monitoring lactate levels can be an accurate indicator of exercise intensity, as lactate acts as an energy source and signaling molecule for the brain.

      Moderate and high-intensity exercise can have neurobiological benefits when it comes to preventing neurodegenerative diseases. A moderate-intensity exercise is defined as 150-300 minutes per week, whereas a vigorous-intensity exercise is 75 minutes per week. While the maximum heart rate can vary based on physical fitness, monitoring lactate levels can be a more accurate indicator of the intensity of the exercise. Lactate, once considered useless or harmful, is actually an energy source and signaling molecule that is consumed by the brain. When the mitochondria in the muscle cells cannot generate enough energy, glycolysis occurs, leading to lactate production. Lactate gets into circulation and acts as an energy source for organs, particularly the brain. It also plays a significant role in increasing energy at the blood-brain barrier.

    • Lactate, BDNF, and Aerobic Capacity: The Science of Brain Health and ExerciseLactate not only aids in repairing damaged blood vessels, but also boosts BDNF, vital for long-term memory and exercise can increase it. Building pyramid for aerobic capacity is essential to optimise mitochondrial capacity.

      Lactate helps in the growth of new vessels and repairing damaged ones at the blood-brain barrier through VEGF. It also increases BDNF in various organs and tissues of our body, which plays an important role in long-term memory and neuroplasticity. Brain drive neurotrophic factor decreases with age, and exercise can help increase it. Building pyramid for aerobic capacity is essential to maximize aerobic metabolism and increase mitochondrial capacity. VO2 max sets of 3-8 minutes for all-out effort can help in building peak at that pyramid. You need to train at the threshold lactate level of 2 millimole just like the best aerobic athletes for real metabolic and mitochondrial dysfunction.

    • High-Intensity Exercise and Its Impact on Brain HealthHigh-intensity exercise that leads to lactate peaks is beneficial for brain health. Synthesizing neurotransmitters leads to better brain function. Aim for higher lactate levels daily and follow up with rest periods to maximize benefits.

      High-intensity exercise that leads to lactate peaks can have a significant impact on the brain's health. The lactate clears from the body minutes after the exercise, but its benefits are lasting by synthesizing neurotransmitters crucial for brain function, including glutamate and norepinephrine. Intensity is essential as it causes the lactate to surge, and the method can be varied, such as using blood flow restriction while lifting weights. The goal is to obtain a higher lactate level in the system each day to maximize the benefits. The lactate peak is even more beneficial when followed by a rest period to improve brain function. Low-intensity exercises still have benefits, but to optimize exercise's neurobiological effects, high-intensity exercise with lactate peaks is the goal.

    • Diversifying Training and Nasal Breathing for Better PerformanceAlternating training routines and incorporating nasal breathing can enhance performance gains beyond an all-out Tabata workout. To maximize efficacy, aim for maximal effort at zone six, followed by a rest period, and consistently strive for personal progression.

      Diversifying training can lead to better performance gains in comparison to doing an all-out Tabata workout five days a week. Though Tabata workouts are effective, they are match-burning workouts that can limit power output. Using nasal breathing during workouts can potentially increase endurance and lead to better performance. During a Tabata workout, it is important to aim for zone six, which is maximal effort, followed by a one-minute rest at zone one. It is not sustainable to aim for maximal effort for the entire workout and diversifying the training routine can lead to improved performance. Lastly, competing against oneself can lead to consistent and progressive improvement.

    • Benefits of high-intensity training for mitochondrial biogenesisHigh-intensity training like Tabata can increase mitochondria and improve endurance. Peloton's functional threshold power helps set cycling zones based on wattage, not heart rate. Lactate levels vary, but efficiency leads to better athletic performance.

      High-intensity interval training, such as Tabata, can force adaptations on your body's mitochondria to make more and increase mitochondrial biogenesis. The Peloton ranks you based on average wattage, and the FTP test on the Peloton takes your average wattage over 20 minutes and multiplies it by 0.9 to estimate your functional threshold power. This metric is used to set zones one through seven for cycling, not heart rate. The best athletes in the world, such as Michael Phelps and Lance Armstrong, put out relatively low lactate levels during high-intensity training, indicating efficiency. However, lactate levels can vary among individuals, and committed exercisers can benefit from high-intensity training to increase mitochondrial biogenesis.

    • The benefits of short but intense aerobic and strength training, and the potential benefits of heat stress through sauna and hot tub use.Squeezing in just 10 minutes of intense aerobic exercise or 30 minutes of vigorous strength training a few times a week can lead to impressive results. Adding in the use of a sauna or hot tub after a workout could also improve memory and activate growth factors.

      Aerobic and strength training can be done in as little as 10 minutes a day and 30 minutes a day, four times a week, respectively, for amazing results. However, it must be laser-focused and very vigorous. Heat stress, such as sauna or hot tub, can also play a role in the stress response and increase brain drive neurotrophic factor and heat shock proteins. Rhonda Patrick uses hot tubs at night and goes to the sauna right after her workout. She finds that going over a talk in the sauna significantly improves her memory and there are growth factors produced during heat stress that affect memory.

    • Sauna Use, Hot Tub Use, and Cognitive Health BenefitsSauna use should be done for 20-30 minutes at a temperature of 175-180 degrees Fahrenheit, while pregnant women should avoid it. Nighttime hot tub use can aid in sleep, and vigorous exercise can reduce dementia risk and cognitive impairment.

      The duration and temperature of sauna use varies depending on factors such as workout intensity and personal preference. Generally, a 20-30 minute session with a temperature of 175-180 degrees Fahrenheit is preferred, with humidity increasing the heat sensation. Pregnant women should avoid sauna use due to the potential risks of fetal alcohol syndrome and neural tube defects. However, nighttime hot tub use can aid in sleep, with temperature and duration also varying based on personal preference. Vigorous exercise, as opposed to moderate intensity, is associated with reduced dementia risk and cognitive impairment. The more time and effort put into exercise, the bigger the cognitive health benefit.

    • The Impact of Cardiorespiratory Fitness on Alzheimer's RiskLong-term studies show that improving cardiorespiratory fitness can reduce the risk of Alzheimer's. However, the type of study matters, and gender differences may play a role. Myokines, released during exercise, can also affect the brain and cancer risk.

      A longitudinal study spanning decades showed that women with higher cardiorespiratory fitness had a significant reduction in Alzheimer's risk. This was measured objectively through VO2 max testing. In contrast, questionnaire studies showed no association between physical activity and dementia risk. It is crucial to consider the type of study when evaluating the effects of exercise on health outcomes. Furthermore, while there is no evidence on gender differences in response to exercise for Alzheimer's, sex differences in disease risk may be attributed to metabolic, hormonal and immune system differences. Myokines, molecules secreted by muscles during exercise, also affect the brain and cancer risk.

    • The relationship between exercise and cancer prevention.Aerobic exercise can reduce the risk of certain types of cancer. Elite athletes have a lower risk of dying from cancer than the general population. Prevention is key, but genetic factors are harder to control.

      Exercise has a clear benefit on the brain, but the same cannot be said for cancer. While disrupted sleep and poor exercise seem to be related to dementia, bad sleep is not necessarily related to cancer initiation. However, a weakened immune system can lead to an increase in cancer propagation. The relationship between exercise and cancer prevention focuses on aerobic exercise and its ability to reduce the risk of certain types of cancer. Studies show that elite athletes, particularly those who participate in Olympic events, have a significantly lower risk of dying from cancer than the general population. Prevention is key in avoiding cancer, although there are genetic factors that are harder to control. Overall, exercising for cancer prevention should include aerobic exercise to have a reduced risk of certain types of cancer.

    • Regular Exercise Decreases Cancer Risk and MortalityEngaging in regular physical activity, especially aerobic exercise, can significantly decrease the risk of breast and colorectal cancer, reduce cancer mortality, and aid in weight loss. To reap cancer-preventative benefits, aim for at least 300 minutes of moderate exercise or 150 minutes of vigorous exercise per week.

      Regular physical activity, particularly aerobic exercise, reduces the risk of breast and colon cancer, which have relatively high lifetime risks. It also reduces cancer mortality and recurrence in those diagnosed with these cancers. While any amount of physical activity is beneficial, to reap the preventative benefits for cancer, a person may need to do more exercise than recommended for cardiovascular or metabolic benefits, such as 300 minutes of moderate intensity exercise or 150 minutes of vigorous exercise per week. Obesity, a leading modifiable risk factor associated with cancer, particularly increases the risk for breast and colorectal cancer. Physical activity directly reduces this risk by producing myokines and improving insulin sensitivity, which also aids in weight loss. A combination of these factors lowers the risk for developing cancer.

    • Exercise as an Effective Adjunct Treatment for Cancer Prevention and Overall HealthExercise can reduce the risk of cancer, Alzheimer's disease, dementia, cardiovascular disease, and Type 2 diabetes. It also helps with weight loss and makes a person more sensitive to satiety hormones. Make exercise a part of your overall health program.

      Exercise has been found to be an effective adjunct treatment for cancer, reducing metastasis and recurrence while also decreasing mortality by 50%. Mechanistic studies have shown that cancer cells are very sensitive to stress and force, making physical activity a good measure for cancer prevention. While there are variables to consider, such as sex differences, cancer types, obesity, and insulin resistance, exercise is still the most effective panacea for reducing the risk of cancer, Alzheimer's disease, dementia, cardiovascular disease, and Type 2 diabetes. Although it requires effort, exercise can make a person more sensitive to satiety hormones and help with weight loss, making it an important aspect of an overall health program.

    • The Impact of Exercise, Hormone Replacement Therapy, Alcohol, and Lifestyle on Breast Cancer RiskExercise can help regulate appetite and reduce breast cancer risk. Hormone replacement therapy's risks are overblown, and moderate alcohol consumption is harmful. Obesity, inactivity, and alcohol increase breast cancer risk.

      Exercise can help to improve the body's physiological ability to regulate appetite and nutrient requirements, creating a feedback loop that is helpful for maintaining a healthy diet. However, reducing input (food intake) is more important than increasing output (exercise) for controlling weight. The fear surrounding hormone replacement therapy for perimenopausal women may be overblown, as even the most unfavorable reading of the Women's Health Initiative study only showed a slight increase in breast cancer incidence, but not mortality. Moderate alcohol consumption, even mild, can increase the risk of cancer and mortality, with no amount being truly healthy. However, at a very low dose, such as four to seven drinks per week, the harm may not be easily quantifiable. Obesity, lack of physical activity, and alcohol consumption are all factors that can impact the risk of breast cancer, and attention should be allocated proportionally to their impact.

    • Understanding the Impact of Harmful Substances on Health and APOE4 CarriersEven small amounts of harmful substances can increase disease risk, and APOE4 carriers may be particularly vulnerable to the brain effects of alcohol consumption. Monitoring glucose levels and following principles like limiting drinks and exercising regularly can help minimize damage.

      The dose of harmful substances like cigarettes or alcohol matters in increasing the risk of disease, but it's not always measurable. Even small amounts of these substances can increase the risk, but we don't live long enough to see the effect. For APOE4 carriers, alcohol consumption can be more harmful to the brain as it affects sleep, which drives the risk of Alzheimer's and cardiovascular diseases. Continuous glucose monitoring can also reveal the impact of disrupted sleep on the body's glucose levels. It's important to understand the risks of these substances and minimize their damage by following principles like limiting the number of drinks, consuming them before bed, and exercising regularly.

    • Regular Exercise Can Mitigate Health Risks, Even Genetics and Poor SleepExercise can help regulate glucose levels, reduce mortality, and benefit those with genetic predispositions. Prioritizing regular exercise can have a positive impact on overall health, even in the presence of other lifestyle choices.

      Regular exercise can prevent adverse health outcomes, even in individuals with genetic predispositions or poor sleep. Studies have shown that physical activity can mitigate glucose dysregulation and reduce all-cause mortality, particularly in those who are not physically active. This is especially relevant for individuals with E4 alleles, who may need to take extra precautions with their lifestyle choices. While conflicting research exists on protein intake and its association with lifespan, finding the minimum effective dose may be the key to both longevity and muscle health. Overall, exercise can 'forgive a lot of sins' and should be prioritized, even in the face of other lifestyle choices.

    • The Importance of Protein in Muscle Strength and Overall HealthProtein intake combined with exercise and healthy lifestyle choices is crucial in maintaining muscle mass, reducing the risk of Alzheimer's and cancer mortality, and improving overall health for both omnivores and vegetarians.

      Protein intake plays a crucial role in muscle strength and overall health, and animal studies have shown that protein restriction can increase lifespan and reduce cancer risk. However, these studies are conducted in sterile environments, which is far from real-life conditions. For humans, strength training combined with adequate protein intake is crucial in maintaining muscle mass, reducing the risk of Alzheimer's and cancer mortality, and improving overall health. Vegetarian diets can also be healthy, but the benefits are often confounded by lifestyle choices. Therefore, a healthy omnivore diet with a suitable protein intake, exercise, and healthy lifestyle is the key to overall health and longevity.

    • The Misconceptions of Animal Studies for Healthy AgingExercise and protein intake are crucial in promoting healthy aging, and dropping protein intake to avoid IGF insulin-like growth factor is not the key to longevity. Emphasis should be on preventing sarcopenia with a balanced diet and exercise.

      The focus on animal studies for healthy aging may not be accurate, as mice are not exposed to the same factors as humans. The importance of muscle mass and exercise cannot be denied in promoting healthy aging, and adequate protein intake coupled with strength training is essential to ward off sarcopenia. The idea that dropping IGF insulin-like growth factor to zero by avoiding protein intake is key to longevity is misguided, and is based on experiments on the C. Elegance worm, which is not a model for human biology. Rather than focusing on a questionable increase in cancer risk associated with protein intake, emphasis should be on preventing sarcopenia with a balanced diet and exercise to enhance healthspan and lifespan.

    • The Importance of Exercise, Protein & IGF-1 in Promoting HealthspanRegular exercise and balanced protein intake can positively impact healthspan and brain function through their effects on IGF-1 regulation. However, individuals of different ages and activity levels may have different protein needs and it's important to consider individual circumstances when making dietary recommendations.

      Exercise is a key factor in promoting healthspan and neurogenesis through the regulation of IGF-1. While excessive IGF-1 can be problematic in the context of a tumor, it is important for muscle repair and brain function. Protein intake should also be considered with age and activity level; higher protein intake may increase IGF-1 in middle-aged individuals but not necessarily in those over 65, who are more at risk for sarcopenia. It's important to consider who we're talking to when discussing these topics, as overweight individuals may benefit more from focusing on weight loss rather than protein intake. Animal studies provide mechanistic data but should be considered alongside human studies when forming conclusions.

    • The Importance of Adequate Protein Consumption for Optimal HealthProtein is essential for maintaining healthy muscle mass and strength. The recommended daily allowance of protein is flawed, with the real minimum being 1.2 grams per kilogram of body weight. It's important to track the intake of methionine, leucine, and lysine to ensure adequate consumption, especially for physically active or elderly individuals. Aim for 2.2 grams per kilogram of body weight spread throughout four meals or snacks to optimize protein intake.

      The greatest health risk faced by people is the result of low muscle mass and low strength. Higher protein consumption is linked to saving more lives than it would ever hurt, even in younger people. The recommended daily allowance of protein is flawed, as old studies using wrong tracers were used, leading to the determination of the wrong minimum. The minimum protein required is 1.2 grams per kilogram of body weight, not 0.8. Physically active or elderly people need higher doses of protein due to anabolic resistance. Not all proteins are created equal, with plants providing lower bioavailable amino acids and quantity of important amino acids. It's essential to track methionine, leucine, and lysine intake to ensure adequate protein consumption. Higher protein is also required for muscle turnover demand after high-intensity workouts. For optimum protein intake, it's recommended to consume 2.2 grams per kilogram of body weight spread out in four meals or snacks.

    • The importance of protein intake for muscle growth and satietyTracking protein intake can aid in preserving lean mass and suppressing appetite, but a balanced approach to diet and exercise is important for overall health.

      Protein intake is essential for strength training and muscle mass, as well as bone mineral density, especially for females. While tracking calories, it is recommended to set a protein target of two grams per pound due to its satiating effects, thermogenic benefits, and effectiveness in preserving lean mass. However, there may be situations where high protein intake can lead to high calorie intake, so attention should be given to the dietary approach. GLP-1 agonists can suppress appetite, making protein intake even more crucial for patients taking such drugs. Although overweight individuals may benefit greatly from focusing on protein intake, those who are only trying to lose a few pounds should prioritize a balanced approach to diet and exercise.

    • The Importance of Protein Intake in Time-Restricted EatingTime-restricted eating can cause muscle loss without proper protein intake. It's important to include protein snacks outside the feeding window and consider resistance training to prevent muscle wasting.

      Losing weight through time-restricted eating without proper protein intake can lead to muscle loss. While time-restricted eating can be effective for weight loss, it's essential to have protein snacks outside the feeding window to prevent protein deficiency. It's challenging as protein snacks cannot be high in calorie content. Skipping protein can lead to muscle mass loss, especially in the absence of resistance training. While fasting can have many benefits, it can be challenging to maintain muscle mass, particularly as we age. Therefore, it's necessary to consider the protein intake while following the time-restricted eating or fasting diet to prevent muscle wasting.

    • The Science of Aging and How to Promote Healthy AgingMuscle mass, protein intake, time-restricted eating, eating within your circadian rhythm, and practicing nighttime food restriction can all have benefits for promoting healthy aging, weight loss, and better sleep. Autophagy and exercise may also play a role in healthy aging, but more research is needed.

      There are various biomarkers of aging, and research shows that biological age can differ from chronological age. Muscle mass, protein intake, and time-restricted eating all have benefits for promoting healthy aging. Eating within your circadian rhythm can also have a positive impact on weight loss, as glucose levels are higher when eating late at night. Autophagy, which is a cellular repair process, occurs when we are not digesting, but there is debate over how significant it is for promoting healthy aging compared to exercise. Eating within a circadian window and practicing nighttime food restriction can have cumulative benefits on metabolism over time. Additionally, nighttime food restriction can improve insulin sensitivity and promote better sleep, even if the other benefits are not measurable.

    • The Importance of Reassessing Habits and Beliefs for Optimal HealthRegularly reviewing and adjusting habits and beliefs based on new evidence can improve overall health outcomes. Follow Rhonda Patrick for in-depth research on supplements, nutrition, exercise, and sleep. Lactate and beta hydroxybutyrate also have potential benefits.

      It's important to reassess habits and beliefs based on new data and tools, as Rhonda Patrick points out. This applies not only to supplements, but also to nutrition, exercise, and sleep. While some foundational habits like taking vitamin D and omega-3s remain important, there may be new insights that change our understanding of what's best for our health. Rhonda recommends following her on foundmyfitness.com for in-depth articles, Instagram for quick and concise posts, and Twitter for networking with other scientists. She also highlights the importance of lactate as a signaling molecule in the brain, particularly for TBI patients, and the potential benefits of beta hydroxybutyrate. Overall, staying up-to-date with the latest research and being open to shifting perspectives can lead to better health outcomes.

    • Promising Treatments for Alzheimer's Disease using BHB and Lactate, and the Importance of Collaboration in Scientific ResearchExercise-induced ketosis can produce BHB and lactate, which may help improve cognition in Alzheimer's patients. Funding for research and collaboration among trustworthy researchers like Peter Attia can lead to great discoveries.

      The use of beta hydroxybutyrate (BHB) and lactate in treating Alzheimer's disease has shown promising results in improving cognition. Both can be made through exercise-induced ketosis. Research in this area is important and requires more funding. The sharing of ideas and information through podcasts can lead to further scientific experimentation and creativity. It is crucial to have trustworthy and critical researchers in the field, such as Peter Attia, who dive deep into the roots of the subject. Collaboration strengthens the scientific community, and proper communication can lead to great discoveries. The potential of using natural methods to treat brain disorders like Alzheimer's is fascinating and needs to be explored further.

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    • Reducing apoB levels through exercise and diet [31:45];
    • Pharmacological options for lowering apoB [38:00];
    • How nutrition impacts longevity via metabolic health, muscle mass, BMD and more [40:15];
    • How can someone determine the best diet for themselves? [43:45];
    • Nutrition myth: All weight loss is good [46:45];
    • Nutrition myth: Metabolic rates are dramatically different among individuals based on genetics [49:00];
    • Nutrition myth: Losing weight after a brief period of overeating is impossible [53:45];
    • Nutrition myth: GLP-1 agonists are a replacement for a healthy lifestyle [57:45];
    • Nutrition myth: There is a single best diet for weight loss [1:03:00];
    • Nutrition oversimplification: All calories are created equal [1:05:45];
    • Daily step goals [1:06:45];
    • The benefits of standing versus sitting throughout the day [1:10:45];
    • How to identify the most impactful and easiest-to-implement ways to improve your health [1:12:30];
    • The critical importance of emotional health [1:14:30];
    • Why supplements should be considered as supportive aids rather than primary solutions in one’s strategy to improve longevity [1:18:00];
    • Strategies for reducing high blood pressure [1:20:45];
    • Peter’s biggest frustrations with "mainstream health advice" [1:28:00];
    • Peter’s chaotic, yet cherished, morning routine [1:31:00]; and
    • More.

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    The Peter Attia Drive
    enJune 17, 2024

    #305 ‒ Heart rate variability: how to measure, interpret, and utilize HRV for training and health optimization | Joel Jamieson

    #305 ‒ Heart rate variability: how to measure, interpret, and utilize HRV for training and health optimization | Joel Jamieson

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    Joel Jamieson is a conditioning expert who developed Morpheus to give people a smarter way to build their conditioning regimen and improve their recovery. In this episode, Joel dives deep into the world of heart rate variability (HRV), explaining its scientific foundation, how it measures the balance between the sympathetic and parasympathetic nervous systems, the various methods of measurement, and how it can guide healthier lifestyle choices and improved training performance. He explores the nuances of HRV calculation, the impact of aging on HRV, and the roles of genetics, exercise, and other lifestyle factors in this process. He also covers Morpheus, the innovative training tool that won Peter over after his initial skepticism, highlighting its practicality and effectiveness in guiding training and optimizing fitness outcomes.

    We discuss:

    • Heart rate variability (HRV): evolution, science, and practical applications of HRV in athletic training [4:00];
    • Methods of measuring HRV: EKG, wrist-based sensors, and more [11:30];
    • How HRV is calculated from the data [22:30];
    • The role of the autonomic nervous system (ANS) in regulating HRV [25:45];
    • The decline in HRV with age, and the mitigating effects of fitness and other lifestyle factors [33:30];
    • The role of genetics in HRV, the modifiability of HRV, and a comparison of VO2 max and HRV as predictors of mortality [37:00];
    • How aging affects HRV and sympathetic drive, and the importance of spontaneous movement and exercise in maintaining the body's adaptability [43:30];
    • How Morpheus measures HRV using RMSSD and normalizes it to a 100-point scale for easier interpretation [49:45];
    • The Morpheus system: development, integration with various metrics, and personalized daily training recommendations to optimize fitness and recovery [51:30];
    • The benefits of morning HRV readings for assessing daily readiness compared to overnight HRV measurements [1:03:00];
    • Why Morpheus recommends using a chest strap rather than an arm band [1:10:00];
    • The impact of consistent exercise, stress, alcohol, and other lifestyle factors on HRV [1:11:15];
    • Optimizing zone 2 training with Morpheus [1:18:15];
    • Using heart rate recovery (HRR) as an indicator of athletic conditioning and the balance between aerobic and anaerobic systems [1:22:45];
    • The importance of tracking HRV trends over time rather than focusing on data from a given day [1:29:00];
    • Effect of GLP-1 agonists on heart rate and HRV [1:34:45];
    • Where HRV belongs in the hierarchy of health metrics [1:42:00];
    • Parting thoughts [1:46:30]; and
    • More.

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    The Peter Attia Drive
    enJune 10, 2024

    #304 – NEW: Introducing quarterly podcast summaries - Peter shares his biggest takeaways on muscle protein synthesis, VO2 max, toe strength, gut health, and more

    #304 – NEW: Introducing quarterly podcast summaries - Peter shares his biggest takeaways on muscle protein synthesis, VO2 max, toe strength, gut health, and more

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    In this quarterly podcast summary (QPS) episode, Peter introduces a new format aimed at summarizing his biggest takeaways from the last three months of guest interviews on the podcast. Peter shares key insights from each episode, covering diverse topics such as protein and muscle building with Luc van Loon, toe strength with Courtney Conley, VO2 max with Olav Aleksander Bu, liquid biopsies for cancer with Alex Aravanis, gut health and probiotics with Colleen Cutcliffe, and road safety with Mark Rosekind. Additionally, Peter shares any personal behavioral adjustments or modifications to his patient care practices that have arisen from these engaging discussions.

    If you’re not a subscriber and are listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or our website at the episode #304 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

    We discuss:

    • How Peter keeps track of his takeaways from each podcast episode [5:15];
    • Luc van Loon episode: fat utilization, muscle protein synthesis, dietary protein, aging and inactivity, and more [8:45];
    • Behavioral changes that have come about from the conversation with Luc van Loon [23:45];
    • Courtney Conley episode: importance of toe strength and the impact of dedicated foot training [26:45];
    • Olav Aleksander Bu episode: the importance of VO2 max for lifespan, and the practicalities of measuring and improving VO2 max [36:45];
    • Behavioral changes that have come about from the conversation with Olav [56:00];
    • Alex Aravanis episode: liquid biopsies for cancer detection [1:01:30];
    • Colleen Cutcliffe episode: the importance of gut bacteria balance, and the potential therapeutic uses of probiotics, particularly Akkermansia [1:16:45];
    • Mark Rosekind: the significant issue of road fatalities and injuries, their causes, and practical safety measures to reduce risks [1:27:00]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enJune 03, 2024

    #303 - A breakthrough in Alzheimer’s disease: the promising potential of klotho for brain health, cognitive decline, and as a therapeutic tool for Alzheimer's disease | Dena Dubal, M.D., Ph.D.

    #303 - A breakthrough in Alzheimer’s disease: the promising potential of klotho for brain health, cognitive decline, and as a therapeutic tool for Alzheimer's disease | Dena Dubal, M.D., Ph.D.

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    Dena Dubal is a physician-scientist and professor of neurology at UCSF whose work focuses on mechanisms of longevity and brain resilience. In this episode, Dena delves into the intricacies of the longevity factor klotho: its formation and distribution in the body, the factors such as stress and exercise that impact its levels, and its profound impact on cognitive function and overall brain health. Dena shares insights from exciting research in animal models showing the potential of klotho in treating neurodegenerative diseases as well as its broader implications for organ health and disease prevention. She concludes with an optimistic outlook for future research in humans and the potential of klotho for the prevention and treatment of Alzheimer’s disease.

    Disclosure: Peter is an investor in Jocasta Neuroscience, a company working to develop klotho as a therapy for people with Alzheimer’s disease.

    We discuss:

    • Dena’s fascination with aging and how she came to study klotho [3:30];
    • Biological properties of klotho: production, regulation, decline with age, and factors influencing its levels [11:45];
    • Potential benefits of klotho on brain health [22:00];
    • The relationship between soluble klotho protein, platelet factors, and cognitive enhancement [33:45];
    • The role of platelet factor 4 (PF4) and it’s interaction with GluN2B in mediating cognitive enhancement [46:45];
    • Benefits of klotho observed in a mouse model of Parkinson’s disease [55:45];
    • Benefits of klotho observed in a mouse model of Alzheimer’s disease [1:03:00];
    • Promising results of klotho in primate models, and the importance of finding an appropriate therapeutic dose before moving to human trials [1:08:00];
    • Speculating why a single klotho injection has such long-lasting effects [1:25:30];
    • Potential cognitive benefits of klotho in humans, the impact of the KL-VS genetic variant on klotho levels, and the need for human trials to confirm these effects [1:27:45];
    • The interaction between the KL-VS genetic variant and APOE4 and how it impacts risk of Alzheimer’s disease [1:34:45];
    • The significance of klotho levels: studies linking lower levels to increased mortality and the broader implications for organ health and disease prevention [1:47:15];
    • Measuring klotho levels and determining an individual’s KL-VS status [1:52:15];
    • The promising potential of klotho for Alzheimer’s disease treatment, and the importance of philanthropy for funding research [1:58:00]; and
    • More.

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    The Peter Attia Drive
    enMay 27, 2024

    #302 - Confronting a metabolic epidemic: understanding liver health and how to prevent, diagnose, and manage liver disease | Julia Wattacheril, M.D., M.P.H.

    #302 - Confronting a metabolic epidemic: understanding liver health and how to prevent, diagnose, and manage liver disease | Julia Wattacheril, M.D., M.P.H.

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    Julia Wattacheril is a physician scientist and director of the Metabolic Dysfunction Associated Steatotic Liver Disease (MASLD) program at Columbia University Irving Medical Center. In this episode, Julia delves deep into the complex world of liver health, beginning with a foundational overview of liver physiology. She provides an in-depth look at how alcohol impacts liver function, breaking down the metabolism of ethanol and its detrimental effects. Julia then shifts the focus to understanding liver function tests and optimal enzyme levels, providing a detailed explanation of AST and ALT and elucidating why fluctuations in these levels may or may not be concerning. She provides a primer on the four major stages of liver disease, discussing risk and emphasizing the importance of early diagnosis. Julia highlights the role of liver disease in increasing the risk of cancer and cardiovascular disease and covers in detail the various strategies for diagnosing, treating, and preventing the progression of liver disease.

    We discuss:

    • Julia’s training, the importance of liver health, and the challenges and innovations of hepatology [3:15];
    • The complex and crucial functionality of the liver, its four most essential functions, and more [8:45];
    • Liver injuries: historical and evolving understanding of causal factors, and the progression to liver diseases and cancer [13:15];
    • How the liver metabolizes nutrients and what happens in the presence of excess calories or alcohol [24:45];
    • Methods of diagnosing liver disease and how insights guide treatment and management strategies [33:30];
    • The poisonous nature of ethanol to the liver [40:30];
    • Varied responses to alcohol, damaging effects of alcohol beyond the liver, and the process of advising patients on their alcohol consumption [47:15];
    • Understanding liver enzymes AST and ALT—interpreting levels, lifestyle factors that affect them, and diagnostic approaches [58:30];
    • Interpreting liver function tests for fatty liver disease, and the challenges of diagnosing liver pathologies, particularly in children versus adults [1:13:15];
    • Comprehensive liver health assessments via imaging and various diagnostic tools to prevent overlooking potential liver pathologies [1:18:45];
    • Potential impact of recreational drugs, statins, and other medications on liver function test results [1:26:45];
    • Shifting nomenclature from NAFLD to MASLD to reflect accuracy in the underlying pathophysiology and understanding of liver diseases [1:30:30];
    • Pathophysiology of MASLD, the need for proactive screening, and the significance of liver fat percentage as an indicator of metabolic health [1:36:30];
    • The importance of screening for rare conditions alongside common metabolic diseases associated with fatty liver accumulation [1:42:45];
    • Practical strategies for managing MAFLD [1:45:30];
    • The impact of fructose consumption on liver health and the challenges of disentangling its effects from other factors like obesity and insulin resistance [1:52:45];
    • The potential of GLP-1 agonists for the treatment of MASLD [1:57:45];
    • How the four stages of liver disease have evolved [2:00:30];
    • Increased cancer and heart disease risk associated with early-stage MAFLD [2:05:15];
    • Emerging drugs and therapies for addressing fat accumulation and fibrosis related to MAFLD [2:12:15];
    • Peter’s major takeaways [2:18:45]; and
    • More.

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    The Peter Attia Drive
    enMay 20, 2024

    #301 - AMA #59: Inflammation: its impact on aging and disease risk, and how to identify, prevent, and reduce it

    #301 - AMA #59: Inflammation: its impact on aging and disease risk, and how to identify, prevent, and reduce it

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    In this “Ask Me Anything” (AMA) episode, Peter delves into the often misunderstood concept of inflammation. He first defines inflammation and differentiates between acute inflammation and chronic inflammation, the latter of which is linked to aging and a plethora of age-related diseases. Peter breaks down the intricate relationship between chronic inflammation, obesity, and metabolic health, and highlights the signs that might suggest someone may be suffering from chronic inflammation. From there, the conversation centers on actionable advice and practical steps one can take to manage and minimize chronic inflammation. He explores how diet plays a crucial role, including the potential benefits of elimination diets, and he examines the impact of lifestyle factors such as exercise, sleep, and stress management. Additionally, he discusses the relevance of food inflammatory tests and concludes by examining the potential benefits and drawbacks of drugs and supplements in managing inflammation.

    If you’re not a subscriber and are listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #59 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

    We discuss:

    • Defining inflammation (and the cultural impact of Napoleon Dynamite) [1:45];
    • Acute vs chronic inflammation [8:00];
    • The connection between chronic inflammation, aging, and age-related diseases [11:00];
    • The impact of inflammation on metabolic health [18:30];
    • Understanding and diagnosing chronic inflammation: blood tests and other approaches, and challenges with measurement [20:00];
    • Factors that contribute to low-level chronic inflammation [28:00];
    • Minimizing inflammation through diet [29:45];
    • The important role of fiber for gut health and inflammation [33:45];
    • A closer look at the impact of trans fats and saturated fats on overall health [34:45];
    • Why Peter prefers dietary fiber from food sources over supplements [38:30];
    • Debunking “superfoods”: emphasizing proven methods over marketing claims for reducing inflammation [39:00];
    • Is there any value in over-the-counter food inflammatory tests? [42:30];
    • Food elimination diets: how they work, symptoms and markers to watch, challenges and limitations [45:15];
    • Identifying dietary triggers for gut-related symptoms through low-FODMAP diets like the “carnivore diet” [51:15];
    • Dairy: the complex role of dairy on inflammation and individual responses [55:00];
    • Wheat: the complexities and conflicting evidence around wheat's inflammatory effects [57:45];
    • How exercise influences inflammation [1:02:00];
    • How sleep quality and duration impacts inflammation [1:07:00];
    • The potential impact of chronic psychological stressors on inflammation [1:13:00];
    • The impact of oral health on inflammation and overall well-being [1:15:00];
    • The role of medications in managing chronic inflammation [1:18:15];
    • Supplements: evaluating the efficacy of various anti-inflammatory supplements [1:22:15];
    • Parting thoughts and takeaways [1:27:00]; and
    • More.

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    The Peter Attia Drive
    enMay 13, 2024

    #300 - Special episode: Peter on exercise, fasting, nutrition, stem cells, geroprotective drugs, and more — promising interventions or just noise?

    #300 - Special episode: Peter on exercise, fasting, nutrition, stem cells, geroprotective drugs, and more — promising interventions or just noise?

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    In this special edition celebrating 300 episodes of The Drive, Peter discusses a variety of popular topics and health interventions and classifies them based on their level of evidence and relevance using the following categories: proven, promising, fuzzy, noise, and nonsense. Peter first delves into the topic of geroprotective molecules, covering rapamycin, metformin, NAD and its precursors, and resveratrol. Next, he explores the significance of metrics like VO2 max and muscle mass, as well as emerging concepts like blood flow restriction and stem cells. The conversation extends to nutrition, addressing questions surrounding long-term fasting, sugar consumption, sugar substitutes, and the contentious role of red meat in cancer. Peter not only provides his current stance on each topic—most of which have been covered in great detail in the previous 300 episodes—but also reflects on how his opinion may have evolved over the years.

    We discuss:

    • Defining the categories of “proven, promising, fuzzy, noise, and nonsense” [3:15];
    • Rapamycin [9:30];
    • Metformin [17:00];
    • NAD and its precursors [24:30];
    • Resveratrol [32:45];
    • The importance of VO2 max, muscle mass, and muscular strength for lifespan [38:15];
    • Blood flow restriction (BFR) training [44:00];
    • Using stem cells to treat osteoarthritis or injury [51:30];
    • Fasting as a tool for longevity (and why Peter stopped his fasting protocol) [55:45];
    • The energy balance theory [1:06:30];
    • The idea that sugar is poison [1:12:00];
    • The idea that sugar substitutes are dangerous [1:22:15];
    • The debate on red meat and cancer [1:28:45]; and
    • More.

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    Special episode with Dax Shepard: F1 and the 30th anniversary of Ayrton Senna’s death

    Special episode with Dax Shepard: F1 and the 30th anniversary of Ayrton Senna’s death

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    This is a special episode of The Drive with Peter’s friend and fellow car enthusiast Dax Shepard. In this podcast, which commemorates the 30th anniversary of the death of Brazilian Formula One legend Ayrton Senna, Dax sits down with Peter to better understand what made Senna so special and why Peter remains an enormous fan. This conversation focuses on Senna’s life, the circumstances of his death, and his lasting impact and legacy on the sport of F1.

    We discuss:

    • Peter’s interest in motorsports began as a child [2:30];
    • The drama and dangers of F1 [6:00];
    • What made Senna special [13:00];
    • What Senna meant to Brazilians [24:00];
    • The cause of the fatal crash [28:15];
    • Why Peter is obsessed with Senna [40:30];
    • Being the best versus having the best record [43:30];
    • Senna’s unique driving style and incredible intuition about automotive engineering [46:30];
    • Back to the day of the dreadful race [53:00];
    • What Peter believes caused the crash [1:02:45];
    • Views on dying young, in the prime of life [1:13:00];
    • Senna lives on in his foundation and in safety changes adopted by F1 [1:21:00];
    • Statistics aren’t enough for fandom, and why people like who they do [1:24:15];
    • The biggest difference between F1 today and F1 in the 80s [1:28:30];
    • Senna’s driving superpower [1:30:30];
    • The fastest drivers currently in F1 [1:38:30];
    • Current F1 obsessions [1:45:00];
    • How hard it is to do what the top F1 drivers do [1:50:15];
    • Dax’s love of motorcycles and his AMG E63 station wagon [1:52:15];
    • Awesome Senna mementos from Etsy [2:01:15];
    • What makes specialists interesting, and Max’s devotion to F1 [2:10:15];
    • What Senna might have done if he had not died that day [2:14:00];
    • Michael Schumacher and Max Verstappen are also top F1 drivers [2:17:30];
    • Interlagos in Sao Paulo Brazil is always an incredible experience [2:18:45]; and
    • More.

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    #299 ‒ Optimizing muscle protein synthesis: the crucial impact of protein quality and quantity, and the key role of resistance training | Luc van Loon, Ph.D.

    #299 ‒ Optimizing muscle protein synthesis: the crucial impact of protein quality and quantity, and the key role of resistance training | Luc van Loon, Ph.D.

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    Luc van Loon is an internationally renowned expert in skeletal muscle metabolism. In this episode, Luc starts with an exploration of the roles of insulin and triglycerides in endurance exercise, highlighting their impact on skeletal muscle metabolism, and he offers profound insights into the significance of protein in this context. He elucidates how different protein types and forms influence muscle protein synthesis rates, exploring the nuances of protein absorption, digestibility, amino acid quality, and their implications for performance and recovery. Delving deeper, he differentiates between animal and plant protein sources, unraveling the distinctive properties of various protein types, from the differences between whey and casein to the emerging trends in collagen protein supplementation. Moreover, Luc dissects the intricate connections among physical activity, lean muscle mass, muscle protein synthesis induced by resistance training, and dietary protein.

    We discuss:

    • Luc’s background and insights about fuel selection during exercise [3:30];
    • Fuel utilization during endurance exercise [9:30];
    • Fat metabolism, intramuscular lipids, and the nutritional dynamics of endurance sports [17:15];
    • The optimal window for replenishing intramuscular fat stores and glycogen post-exercise [25:15];
    • Luc’s interest in protein metabolism and exploration of amino acids' dual role as building blocks and signaling molecules in driving muscle protein synthesis [32:15];
    • How protein metabolism differs between sedentary individuals and those engaged in predominantly strength training or endurance training [38:45];
    • The basics of how proteins are digested and absorbed, and how muscle protein synthesis is measured [50:30];
    • How factors like food texture, cooking methods, and protein composition impact muscle protein synthesis, and the importance of protein distribution throughout the day [59:45];
    • Differences in whey and casein proteins, and the ability of ingested protein to stimulate muscle protein synthesis [1:03:30];
    • Dietary protein distribution and quantity for the maximization of muscle protein synthesis [1:09:00];
    • Muscle loss with age and inactivity and the importance of resistance exercise to maintain type II muscle fibers [1:17:15];
    • Differences between whey and casein proteins, and the importance of both quantity and quality of protein sources [1:28:30];
    • Optimizing muscle protein synthesis: exercise, timing of protein intake, protein quality, and more [1:37:00];
    • How to preserve muscle while trying to lose weight [1:46:00];
    • Anabolic resistance and overcoming it with physical activity [1:55:45];
    • Importance of protein intake and physical activity in hospitalized patients [2:06:30];
    • Reviewing the efficacy of collagen supplements [2:13:30];
    • Plant-based diets: how to ensure a balance of amino acids, and other considerations [2:20:30];
    • Future research: understanding protein metabolism in the brain [2:23:45]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

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    Brain Energy: Keto For Metabolic & Mental Health with Dr. Chris Palmer: Part 2

    Brain Energy: Keto For Metabolic & Mental Health with Dr. Chris Palmer: Part 2
    Hi friends! Today's episode is Part 2 of 2 with Dr. Chris Palmer. A Harvard psychiatrist conducting neuroscience for 25 years, Dr. Palmer outlines a revolutionary new understanding that for the first time unites our existing knowledge about mental illness within a single framework: Mental disorders are metabolic disorders of the brain
     
    He explains this new understanding of mental illness in detail, from symptoms and risk factors to what is happening in brain cells. We discuss ketogenic diets, and cutting edge new science regarding the mitochondria. We also discuss the link between metabolism and every factor known to play a role in mental health, including genetics, inflammation, hormones, neurotransmitters, sleep, stress, and trauma.
     
    In his new book, Brain Energy, Dr. Palmer sheds light on the new treatment pathways this theory opens up—which apply to all mental disorders, including anxiety, depression, ADHD, alcoholism, eating disorders, bipolar disorder, autism, and even schizophrenia. Brain Energy pairs cutting-edge science with practical advice and strategies to help people reclaim their mental health. 
     
    View Dr. Palmer's Website Here
     
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    -

    Prior to beginning a new diet you should undergo a health screening with your physician to confirm that a new diet is suitable for you and to out any conditions and contraindications that may pose risks or are incompatible with a new diet, including by way of example: conditions affecting the kidneys, liver or pancreas; muscular dystrophy; pregnancy; breast-feeding; being underweight; eating disorders; any health condition that requires a special diet [other conditions or contraindications]; hypoglycemia; or type 1 diabetes. A new diet may or may not be appropriate if you have type 2 diabetes, so you must consult with your physician if you have this condition. Anyone under the age of 18 should consult with their physician and their parents or legal guardian before beginning such a diet. Use of Ketogenic Girl videos are subject to the Ketogenicgirl.com Terms of Use and Medical Disclaimer. All rights reserved. If you do not agree with these terms, do not listen to, or view any Ketogenic Girl podcasts or videos.