Fasting Expert Explains How to Defeat Cancer (Full Interview)

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Common symptoms and anxiety and depression
are profoundly affected by how

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well you sleep,
how you exercise, what you eat,

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and if you utilize fasting effectively,
you stuck to the diet.

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And now she continues to be cancer free.

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So she cured her cancer.

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We know that the cure for cancer is.

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Doctor
Alan Goldhaber is a pioneering physician.

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This is the man redefining
how we think about him.

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Yes, it is the Hindus, the Muslims,
the Christians.

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Everybody has a tradition about fasting.

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We slow down the rate of people age.

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And you see that in my patients,
and they'll tell you the same story

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over and over again.

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Everybody they know is dead.

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He became widely known for helping
thousands through therapeutic fasting.

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Is the fasting diet real healing
or just hope dressed up as science?

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Doctor Alan Gold,
thank you so much for being on the show.

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It's my pleasure.

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So you're the founder and director
at True North

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Health Center,
and you've been doing this for 40 years.

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You've seen over 25,000 patients.

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You're, by all accounts, the world's

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number one expert
when it comes to fasting.

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I was introduced one time
as an expert at not feeding people.

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Okay.

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Tell me, Alan,
what are the biggest benefits of fasting?

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Well,
fasting is an interesting intervention

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because it does something
that's really novel

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in terms of medical care is it
can actually help people get well.

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And when you're treating
some of the common causes of death

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and disability, high blood pressure
and cardiovascular disease, diabetes,

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autoimmune diseases and certain types
of cancers like lymphoma,

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the standard medical recommendation is
that you take these drugs or you do this

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procedure and you'll be on these drugs
for the rest of your life.

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They're guaranteeing you when you walk
in, you're never going to get well.

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It's getting
well isn't even part of the paradigm.

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It's not even part of the conceptual
framework.

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It's just
you use these to manage your symptoms.

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You'll be on the drugs forever.
And that's just how it is.

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And when people come to true north,
you mentioned some of the conditions

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you treat right.

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High blood pressure,
diabetes, autoimmune disease.

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What diagnosis responds
quickest to fasting?

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Well, disease is associated
with dietary excess,

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naturally tend to be responsive to fasting
because fasting is a very rapid way

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of the body of mobilizing and eliminating
not just fat, but also a visceral fat.

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About 10% of the fat that people have in
their body is called visceral fat.

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It's the fat that tends to accumulate
around the organs,

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around the belly, and it's hypertrophic
and it's hyper metabolic.

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It's hyperplastic, it acts like a tumor.

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So people that have excess fat
also have excess visceral fat.

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It's like if you went up to somebody
and said, you know,

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you got a 2 pound tumor in your abdomen
and it's giving off inflammatory products

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that's associated with heart
disease, cancer, diabetes, autoimmune

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disease, they might be concerned
and maybe take it seriously.

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Most people don't even realize
that all of these different common

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diseases are actually related.

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You wouldn't know that
because you have to go to like

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a different doctor to even be diagnosed,
let alone treat it.

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But the reality is,
these conditions are all associated with

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an inflammatory process that's associated
with excess fat and visceral fat.

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They're all diseases of dietary excess.

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They used to be called
the diseases of kings,

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because it was only the wealthy,
elite kings that could afford to

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overeat consistently enough to be able
to get the fat and visceral fat

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and get the disease.

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So now we have a situation where there's
an epidemic of these conditions

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that are actually preventable
and actually reversible,

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but people don't know it
because under medical care,

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you just take the drugs,
you manage the symptoms

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until some other problem comes along,
which opens up some other treatment.

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What do most doctors
get wrong about fasting?

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Well, most.

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People think
if you get on a plane in New York

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and you flew all the way to California,
you die somewhere over Colorado.

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If you didn't eat the pretzels or the
or the food, you just starved to death.

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And you know, the idea that fasting
a starvation is a is a misnomer.

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Fasting is a very specific
biological adaptation.

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In fact,
all the ancient humans that couldn't fast,

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that is, essentially convert their main
glucose burning organ, the brain,

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from burning sugar,
which is the normal fuel, to burning fat.

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All those people that couldn't do that,
they died.

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Because the reality is,
when humans started wandering away

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from the tropics
and the ready supply of available food,

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spring comes late
and sometimes there's nothing to eat.

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And for other animals,
it's not as big of a problem.

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But humans,
because of our ridiculously large, bulbous

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neuronal net called the brain,
our biggest burner of glucose,

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we can only go about a week
before we would enter

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starvation, which is the process
of breaking down vital tissues.

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And then we would die
because humans can fast, because they're

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able to convert from burning sugar
to burning fat in their brains.

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The average 70 kilogram
male could fast around 70 days.

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So I'm not saying you should fast
for 70 days, but you could.

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And in the natural setting, that was such
an important biological adaptation

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that the people that could do that
survived

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and the people that couldn't do it died.

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And we know that
because if you go all over the planet,

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8.3 billion people
take food away from humans.

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Those processes stereotypical.

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It's always the same.

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The body mobilizes
its glycogen stores after about 48 hours,

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it has to begin a process
of gluconeogenesis or breaking down

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lean tissue,
but it converts into burning fat,

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specifically ketones and most
specifically, beta hydroxybutyrate acid.

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And it lives on that fat,
which is much more efficient, which is,

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you know, all we've really done is taken
this biological adaptation

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and applied it in a modern situation
which was never present in nature.

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And that's where he had consistent
dietary excess because of the industrial

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revolution, in our conversion of our diets
to these ultra processed foods

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and animal rich diets,
we now have already available calories

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around the clock
and as a consequence, 75% or maybe 76%

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by today of people in industrialized
countries are overweight or obese.

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So if you're not fat,
you're actually abnormal. Now.

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You said 70 days.

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What's the okay in your 40 years 25,000
plus patients?

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What's the most dramatic transformation
that you've witnessed?

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Well, you know,
we've seen a lot of transformations.

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And depending on which class of conditions
you're talking about,

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what's really interesting is, for example,

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we did a study with 174
consecutive patients with hypertension.

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All 174 people normalized their pressure
enough to eliminate medication.

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We recently did a prospective study
with our colleagues from the Mayo Clinic

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and of the 27 stage two
hypertensive patients that were fasted,

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26 were able to completely normalize
their pressure.

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One required half dose of medication
at six week follow up.

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And what was interesting, at one year,
we followed those people

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to find out what percentage of them
had maintained their weight loss

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that they achieved during fasting.

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76% of those people
had maintained their weight loss,

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and the majority were still normal
blood pressure without medication,

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which shows that at least highly motivated
patients

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are capable of making fundamental diet
and lifestyle changes.

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The criticism of fasting is that,
oh yeah, you'll lose weight.

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Perhaps you'll lose fat and visceral fat,
but you're just going to gain it back.

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And the truth is, if you go back
to eating a diet based on greasy,

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fatty, slimy, dead, decaying flesh ultra
processed food, you will gain it back.

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There's no question about that.

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Fasting has to be used as a as a catalyst
to make a lifestyle transformation.

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It has to be a motivation to be able
to get on a good diet and lifestyle,

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diet, sleep and exercise
all critically important

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to maintaining health
and happiness. Right?

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And that seems to be one of the challenges
is someone comes in to your clinic

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or they're they're fasting on their own
and maybe there is a change,

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but then when they go home,

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when they go back to their regular life,
if they go back to the original diet,

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that probably got them to your your office
in the first place, then what happens?

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Right. That's actually the big challenge.

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You know, essentially true.

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North Health is a 501 C3 human subjects
laboratory disguised as a clinic.

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And in most research settings,
the rats don't go home.

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They're not released to free living.

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They're just kept there for.

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And of course,
that would be my preference.

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If we could just.

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Enroll the patients and keep them there
and not have to go home,

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because when they go home,

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they're facing a world that's designed
to make them fat, sick and miserable.

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It's not designed to support them
in making health promoting choices.

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The social pressures,
the economic pressures

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the circumstances are going back
to are incredibly difficult.

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And you see that in all types
of addiction, not just in addiction

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to ultra processed foods,
but also, for example, alcohol.

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If people decide that they don't
want to be an alcoholic anymore

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and they go to a inpatient facility
and spend a large amount of money

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for a 30 day program,

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and then they go to 90 visits in 90 days
and they have family support.

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Around 85% of those people will be back
to drinking within 12 months

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with heroin addiction.

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If they're arrested
and have to go through rehab

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and are threatened with incarceration,
about 90%

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will be back to using heroin within
12 months.

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What's interesting,

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though, is if you

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if you have a person

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that wants to lose weight
and they go to a doctor

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and they want to lose 5%

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of their body weight, there's a 95% chance
they're going to fail within 12 months.

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So actually,
the physician has a better chance

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of treating heroin addiction
than they do weight loss.

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So, you know, it's a it's
a really interesting phenomenon.

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And of course, now the pharmaceutical
industry have introduced drugs

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which have some unfortunate side effects
like nausea and gastric motility problems,

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but they're effective at helping people
reduce their intake of their same diet.

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So they don't tell people you have to
change your diet because that's difficult.

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They say you keep eating the same diet
you're eating.

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We'll give you these drugs
that will make you so sick

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that you won't be as hungry for it,
and you'll eat less.

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And over the short run, it works.

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People lose weight over the long run.

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Of course,
there's some serious consequences.

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You can see the class action suits are
already being discussed on late night TV.

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The reality, though, is being overweight
is so dangerous that short term,

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anything you do to lose weight
may have some short term benefit,

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even if the long term consequences
is undesirable.

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One more thing here is
you said fasting can improve

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depression and anxiety, which it almost
sounds too good to be true.

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I'm like,
oh my gosh. So tell me about that.

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Well, think about it.

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You know, when they talk

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about traditional views of depression
and anxieties, people talk about dopamine

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and serotonin and all of that.

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And even though we know
that there's really not a deficiency

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of these, these substances,
if you actually look at the literature,

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it's pretty clear that the whole premise

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of using search taking hitter
medication is based on a false premise.

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Most of those neurochemical substances
are actually produced

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in the digestive system,
not actually just in the brain.

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So it does make sense that diet
and fasting could have a profound

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influence on that,
because one of the things

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that fasting done does is it helps
you reboot your gut microbiome.

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Typical person has 5 pounds of organisms
living in their gut.

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I mean, these are bacteria and protozoa

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swimming around,
eating, drinking, defecating in you.

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And what those organisms

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release in

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you is affected largely
by what you feed them where.

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Don't feed them.

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So if you're feeding them
an animal based diet, for example,

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you have different organisms than you do
if you're on a plant based diet,

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if you have ultra processed,

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refined carbohydrates,
you have different organisms

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and those organisms
have different waste products.

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So animal, animal rich diets,
you'll have much higher levels of TMA,

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for example, which is trimethylamine,
trimethylamine oxidase,

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which is thought to contribute
to heart disease and other problems.

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Whereas, you know,
you can also get those organisms producing

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fertilizer
like vitamin K and other things.

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So what you eat
and whether you fast or not

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and how you fast
has a profound effect on the microbiome.

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The microbiome has a profound effect
on your chemistry.

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Neurochemistry may have an influence
on people's depression.

233
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Depression is also affected
by other issues besides diet

234
00:12:11,647 --> 00:12:14,692
and chemistry,
also by psychology and other variables.

235
00:12:14,692 --> 00:12:19,155
Sometimes, when people gain
control of their life because they learn

236
00:12:19,155 --> 00:12:20,531
that some of the things they're dealing

237
00:12:20,531 --> 00:12:24,285
with aren't helpless and hopeless,
that in itself can be very empowering.

238
00:12:24,285 --> 00:12:28,581
It can affect sleep quality
and the the how well you sleep can have

239
00:12:28,581 --> 00:12:32,251
a profound effect on your tendency
towards anxiety and depression.

240
00:12:32,251 --> 00:12:33,335
So it happens.

241
00:12:33,335 --> 00:12:35,921
These common symptoms of anxiety
and depression

242
00:12:35,921 --> 00:12:39,008
are profoundly affected by how
well you sleep,

243
00:12:39,175 --> 00:12:43,387
how you exercise, what you eat,
and if you utilize fasting effectively,

244
00:12:43,387 --> 00:12:44,847
whether it's intermittent fasting,

245
00:12:44,847 --> 00:12:48,100
like where people are fasting
12 hours every day by not eating 3

246
00:12:48,100 --> 00:12:51,604
to 4 hours before they go to bed at night,
or whether it's this longer

247
00:12:51,604 --> 00:12:55,733
term, medically supervised fasting
that we do for periods up to 40 days

248
00:12:56,275 --> 00:12:58,819
can have a profound effect
on a person's state,

249
00:12:58,819 --> 00:13:01,906
and many of our patients are able
to eliminate the need for medication,

250
00:13:01,947 --> 00:13:05,201
stabilize to do much better off
drugs than they ever were on drugs.

251
00:13:05,201 --> 00:13:10,498
And a whole food plant based diet is seems
so central in everything that you do.

252
00:13:10,498 --> 00:13:13,292
And you preach, right,
even beyond fasting.

253
00:13:13,292 --> 00:13:14,168
Why is that?

254
00:13:14,168 --> 00:13:18,130
Well, if you think about it, since modern
humans have been eating food

255
00:13:18,130 --> 00:13:22,176
for several hundred thousand years,
we ate a diet, essentially of whole foods.

256
00:13:22,176 --> 00:13:25,638
So fruits, vegetables,
grains, legumes, nuts and seeds.

257
00:13:25,679 --> 00:13:29,809
The ability to use heat to process those
products was probably largely responsible

258
00:13:29,809 --> 00:13:34,355
for why humans were able to become humans
and grow the big brain that we have, etc.

259
00:13:34,355 --> 00:13:39,026
so that's the diet we ate for up
till about the Industrial Revolution,

260
00:13:39,026 --> 00:13:41,195
which is really just about 200 years ago.

261
00:13:41,195 --> 00:13:45,449
And then we started learning
how to process food and get into more

262
00:13:46,116 --> 00:13:46,826
different diets.

263
00:13:46,826 --> 00:13:50,120
So now for relatively recent
period of time, we've been eating a diet

264
00:13:50,120 --> 00:13:54,542
that's contained largely based on animal
foods and salt, oil and sugar.

265
00:13:54,542 --> 00:13:58,546
We started adding these chemicals
to our diet to enhance the flavor of food,

266
00:13:58,546 --> 00:13:59,547
make it more appealing.

267
00:13:59,547 --> 00:14:02,800
And it's led us to
what we call the dietary pleasure trap,

268
00:14:02,800 --> 00:14:06,387
where people are literally addicted
to the artificial stimulation of dopamine

269
00:14:06,387 --> 00:14:07,221
in the brain.

270
00:14:07,221 --> 00:14:09,640
Dope means the neurochemical associated
with pleasure.

271
00:14:09,640 --> 00:14:15,729
So when you eat foods that are richer
in calories, you produce more dopamine.

272
00:14:15,729 --> 00:14:18,566
Because remember, your brain
evolved in environment is scarcity.

273
00:14:18,566 --> 00:14:22,486
Your brain's job is to make sure you get
enough to eat, don't get eaten, and live

274
00:14:22,486 --> 00:14:23,571
long enough to reproduce.

275
00:14:23,571 --> 00:14:25,072
You can pass on your genes.

276
00:14:25,072 --> 00:14:28,284
And so from an evolutionary standpoint,

277
00:14:28,325 --> 00:14:31,453
higher caloric dense
foods are more valuable.

278
00:14:31,662 --> 00:14:34,665
Like if we said to you like,
why don't you just live on salad?

279
00:14:34,665 --> 00:14:36,584
Salad has 100 calories a pound.

280
00:14:36,584 --> 00:14:40,713
You'd need to eat 20 pounds of salad a day
just to survive.

281
00:14:40,713 --> 00:14:43,966
And you know, if you start eating salad
at sunrise and you didn't stop

282
00:14:44,008 --> 00:14:47,636
till sunset, you still couldn't
get 20 pounds of Saladin.

283
00:14:47,845 --> 00:14:51,307
So you're not going to be overwhelmingly
attracted to salad

284
00:14:51,307 --> 00:14:55,394
because your brain's not stupid
and your brain understands it needs Clark.

285
00:14:55,394 --> 00:14:58,063
Density fruit has 300 calories, a pound.

286
00:14:58,063 --> 00:15:00,232
It's three times the density of salad.

287
00:15:00,232 --> 00:15:04,361
It tastes better because it results in
more dopamine stimulation in your brain.

288
00:15:04,361 --> 00:15:07,239
Potatoes, rice and beans. 500 cars
a pound.

289
00:15:07,239 --> 00:15:09,992
You only need 4 pounds of that
a data survive.

290
00:15:09,992 --> 00:15:12,745
You get into nuts and seeds
and other foods are even richer.

291
00:15:12,745 --> 00:15:13,120
Of course, now

292
00:15:13,120 --> 00:15:17,291
when you get into refined carbohydrates,
sugars 1800 calories a pound.

293
00:15:17,333 --> 00:15:21,545
So as far as your brain is concerned,
sugar is more valuable than salad is.

294
00:15:21,545 --> 00:15:24,965
And so it makes sense
biologically that you would crave

295
00:15:25,007 --> 00:15:27,259
the most concentrated food
that was available to you.

296
00:15:27,259 --> 00:15:31,305
And manufacturers of food understand
that they've got laboratories out there

297
00:15:31,305 --> 00:15:32,306
to fool your brain.

298
00:15:32,306 --> 00:15:38,354
For example, would you rather have celery
that was soggy and soft or crisp?

299
00:15:38,562 --> 00:15:40,481
Your brain detects crisp

300
00:15:40,481 --> 00:15:44,526
as fresh, so when they give you chips,
you're not going to want soggy chips.

301
00:15:44,526 --> 00:15:45,819
You want to get crisp chips

302
00:15:45,819 --> 00:15:48,280
because that's what your brain thinks
is associated with value.

303
00:15:48,280 --> 00:15:52,785
They design the foods
to appeal to your natural instincts,

304
00:15:52,785 --> 00:15:55,913
and they do a fabulous Java,
if a little is good, lots better.

305
00:15:55,913 --> 00:15:58,499
And when they say bet
you can't just eat one.

306
00:15:58,499 --> 00:15:59,917
They're not kidding.

307
00:15:59,917 --> 00:16:02,795
Guys, we've been so passionate
about finding the biggest geniuses,

308
00:16:02,795 --> 00:16:04,880
and this is just one of the many episodes.

309
00:16:04,880 --> 00:16:08,175
If you want to make sure you don't
miss the next one, make sure to subscribe.

310
00:16:08,258 --> 00:16:10,177
All right, let's get back to the episode.

311
00:16:10,177 --> 00:16:11,428
Is red meat a problem?

312
00:16:11,428 --> 00:16:13,889
Because I know you preach whole food
plant based, right?

313
00:16:13,889 --> 00:16:18,060
And then you think about red meat, you
think about chicken, you think about fish.

314
00:16:18,185 --> 00:16:19,186
Are those a problem?

315
00:16:19,186 --> 00:16:20,854
Is it about limiting those?

316
00:16:20,854 --> 00:16:22,690
Is about eliminating those completely?

317
00:16:22,690 --> 00:16:25,776
Well, one of the problems
with animal foods, particularly

318
00:16:25,776 --> 00:16:29,989
in the modern world, is the concept
of biological concentration.

319
00:16:29,989 --> 00:16:31,782
So animals live their life.

320
00:16:31,782 --> 00:16:33,450
You think about cows, for example,

321
00:16:33,450 --> 00:16:35,661
and particularly cows
that are raised commercially.

322
00:16:35,661 --> 00:16:38,747
They're fed a concoction of chemicals,
antibiotics,

323
00:16:39,164 --> 00:16:43,168
all kinds of concentrated food and food
products in order to hormones and drugs.

324
00:16:43,168 --> 00:16:46,255
In fact, about half the antibiotics
that are made are given to cows

325
00:16:46,255 --> 00:16:49,758
because they're raised
in a very unnatural situation.

326
00:16:49,758 --> 00:16:52,886
And so in order to keep their disease
load down and make them get bigger

327
00:16:52,886 --> 00:16:54,346
and fatter faster,

328
00:16:54,346 --> 00:16:58,267
you know, there's a whole formula
that's used and they concentrate

329
00:16:58,267 --> 00:17:02,604
those materials day after day after week,
after a month in their tissues.

330
00:17:02,604 --> 00:17:05,691
So when you kill that animal
and you eat it or you drink its milk

331
00:17:05,691 --> 00:17:06,900
or its byproducts,

332
00:17:06,900 --> 00:17:11,155
you get its entire lifetime accumulation
of biologically concentrated toxins.

333
00:17:11,155 --> 00:17:14,158
If you just think about a calorie
per calorie, a carrier of animal food

334
00:17:14,283 --> 00:17:17,161
could have any where from 2 to 1000 times

335
00:17:17,161 --> 00:17:20,456
the concentration of various chemicals
that, say, the plant foods would.

336
00:17:20,497 --> 00:17:24,043
So just from a biological concentration
standpoint, animal

337
00:17:24,043 --> 00:17:27,129
products end up being one
of our richest sources of toxins.

338
00:17:27,129 --> 00:17:30,007
If you do a fat biopsy in a human,
you'll find there's PCB,

339
00:17:30,007 --> 00:17:33,010
there's dioxin, there's pesticide
residues, there's heavy metals,

340
00:17:33,010 --> 00:17:34,762
there's all kinds of contaminations

341
00:17:34,762 --> 00:17:38,515
building up in various concentrations
in the inside our bodies.

342
00:17:38,515 --> 00:17:41,060
And if you think, where did that
come from?

343
00:17:41,060 --> 00:17:41,643
Well, sure.

344
00:17:41,643 --> 00:17:45,481
Breathing air and drinking polluted water
and taking drugs as a source.

345
00:17:45,481 --> 00:17:48,025
But as much as 90% of
some of those chemicals

346
00:17:48,025 --> 00:17:51,195
are actually derived
from our habit of eating animal products.

347
00:17:51,195 --> 00:17:55,365
So meat, fish, eggs and dairy products
all share these common problems.

348
00:17:55,365 --> 00:17:59,745
It also turns out that excess protein
and excess fat are a bigger risk

349
00:17:59,745 --> 00:18:03,499
in industrialized societies
than protein or fat deficiencies.

350
00:18:03,582 --> 00:18:07,544
Excess protein is more of a concern with
kidney disease, heart disease, and cancer.

351
00:18:07,586 --> 00:18:11,423
You know, t Colin Campbell
did some great research

352
00:18:11,632 --> 00:18:15,803
describing his book hole,
where he could turn on and off cancer

353
00:18:15,803 --> 00:18:20,140
gene markers by how much animal protein
was given to the animals.

354
00:18:20,265 --> 00:18:25,062
It's really pretty shocking that
if they lowered the protein concentration

355
00:18:25,062 --> 00:18:26,146
low enough, it didn't matter

356
00:18:26,146 --> 00:18:29,983
how much aflatoxin the animal was exposed
to, the liver cancer

357
00:18:29,983 --> 00:18:35,197
that's associated with aflatoxin exposure
is dramatically affected by the diet.

358
00:18:35,280 --> 00:18:38,700
So you see lots of evidence
to suggest that animal foods,

359
00:18:38,700 --> 00:18:40,619
if they are used, the less the better.

360
00:18:40,619 --> 00:18:44,540
And in our program, we're helping people
try to strive for maximum health.

361
00:18:44,540 --> 00:18:49,419
So we advocate an entirely whole plant
food diet that's free of animal products

362
00:18:49,419 --> 00:18:52,506
and particularly ultra processed,
refined carbohydrates.

363
00:18:52,548 --> 00:18:56,301
Let's talk about intermittent fasting
because my wife jokes with me,

364
00:18:56,343 --> 00:19:00,722
she says, if I miss a meal, I get hungry
and I always tell her I fast every day.

365
00:19:00,722 --> 00:19:01,431
What are you talking about?

366
00:19:01,431 --> 00:19:04,393
Because I eat dinner at 5 p.m., okay?

367
00:19:04,393 --> 00:19:06,812
And I don't eat breakfast until 8 a.m.

368
00:19:06,812 --> 00:19:09,565
so am I actually,
without thinking about it

369
00:19:09,565 --> 00:19:14,778
or trying to doing an intermittent fast
15 hours with no feeding.

370
00:19:14,778 --> 00:19:15,988
That's exactly what you're doing.

371
00:19:15,988 --> 00:19:18,907
And in fact, one of the things
we've advocated for 40 years

372
00:19:18,907 --> 00:19:22,828
is that people not eat 3 to 4 hours
before they go to bed at night.

373
00:19:22,870 --> 00:19:25,455
Now, there's a couple advantages
that, number one,

374
00:19:25,455 --> 00:19:26,874
the calories people eat at night.

375
00:19:26,874 --> 00:19:28,500
When you think about it,
you just had a big dinner.

376
00:19:28,500 --> 00:19:29,251
Why are you eating?

377
00:19:29,251 --> 00:19:33,589
It's because you're tired or board
or hungry or angry or whatever it is.

378
00:19:33,589 --> 00:19:35,716
It's not a true biological hunger.

379
00:19:35,716 --> 00:19:38,969
Usually you don't need extra calories,
and those calories you eat at night

380
00:19:38,969 --> 00:19:39,970
and then you go to

381
00:19:39,970 --> 00:19:42,306
sleep are going to be more easily
converted to fat

382
00:19:42,306 --> 00:19:43,599
because you're
not going to be burning them.

383
00:19:43,599 --> 00:19:47,186
So there's an advantage to not eating 3
to 4 hours before you go to bed.

384
00:19:47,186 --> 00:19:49,980
And by definition,
that's going to give you a 12 hour fast.

385
00:19:49,980 --> 00:19:53,525
Now, people trying to lose weight
might decide to extend

386
00:19:53,567 --> 00:19:55,736
that period in the morning
by delaying breakfast,

387
00:19:55,736 --> 00:19:59,489
doing some active exercise in the morning,
and then they could go up to 16 hours

388
00:19:59,489 --> 00:19:59,865
a day.

389
00:19:59,865 --> 00:20:03,619
And there's lots of evidence
supporting a 12 hour feeding window

390
00:20:03,619 --> 00:20:05,370
and some evidence supporting that

391
00:20:05,370 --> 00:20:09,249
even a shorter eight hour feeding window
might be beneficial in the long run

392
00:20:09,249 --> 00:20:13,003
in kicking in some of these changes
that occur with fasting.

393
00:20:13,003 --> 00:20:16,006
Now, that's a little bit different
than the longer term fasting

394
00:20:16,006 --> 00:20:18,759
that we talk about,
where people are going up to 40 days

395
00:20:18,759 --> 00:20:20,802
in a controlled,
medically supervised setting,

396
00:20:20,802 --> 00:20:23,680
and there's kind of a geometric effect
that happens with that.

397
00:20:23,680 --> 00:20:27,768
But day after day after week after month,
that intermittent fasting you're doing

398
00:20:27,768 --> 00:20:30,854
is thought to have good long term
biological benefit.

399
00:20:30,896 --> 00:20:33,690
Okay. And does it matter
if it's 12 versus 14 or 16?

400
00:20:33,690 --> 00:20:36,902
Or is it maybe more important for me
to just be consistent with it?

401
00:20:36,944 --> 00:20:40,364
Well, I think the most important thing
is to not eat 3 to 4 hours

402
00:20:40,364 --> 00:20:44,159
before you go to bed and so that you're
getting that 12 hour window.

403
00:20:44,201 --> 00:20:48,664
The reason for extending it might be
to facilitate additional fat loss.

404
00:20:48,705 --> 00:20:52,876
As far as the routine and most of the data
is concerned, it's that 12

405
00:20:52,876 --> 00:20:56,296
hour fasting and 12 hour feeding window
that's strongly recommended.

406
00:20:56,296 --> 00:20:58,465
What breaks a fast
or how do you break it fast,

407
00:20:58,465 --> 00:21:01,843
especially the ones that you're
administering that are longer fast?

408
00:21:01,885 --> 00:21:02,719
Well, with your.

409
00:21:02,719 --> 00:21:06,723
12 hour fast, you break it like you
normally would, hopefully on a whole food

410
00:21:06,890 --> 00:21:07,683
plant based diet.

411
00:21:07,683 --> 00:21:08,475
So you're eating fruits,

412
00:21:08,475 --> 00:21:13,563
vegetables, grains, lagoons,
nuts and seeds on a longer, fast fasting.

413
00:21:13,605 --> 00:21:16,817
Termination is actually
a very important issue, and particularly

414
00:21:16,817 --> 00:21:20,529
when you start talking about faster
going on for for days or weeks,

415
00:21:20,946 --> 00:21:24,950
it takes about half the length of the fast
to properly terminate the fast.

416
00:21:24,950 --> 00:21:27,369
And there's a progressive reading program
that we follow.

417
00:21:27,369 --> 00:21:28,287
For example,

418
00:21:28,287 --> 00:21:30,372
there's about a day of fresh fruit
or vegetable juices

419
00:21:30,372 --> 00:21:31,665
for every week of fasting,

420
00:21:31,665 --> 00:21:34,084
a day of raw fruit and vegetables
for every week of fasting.

421
00:21:34,084 --> 00:21:37,337
And then we progressively introduce
steamed and starchy vegetables

422
00:21:37,379 --> 00:21:40,465
till by the time they've been feeding
for half the length of fast,

423
00:21:40,465 --> 00:21:43,385
they're on an exclusively whole plant
food S.O.S free diet.

424
00:21:43,385 --> 00:21:44,303
And the reason for

425
00:21:44,303 --> 00:21:47,973
that is if you take a person that say,
did a long, fast, maybe 2 or 3 weeks

426
00:21:48,015 --> 00:21:51,560
and you were to feed them
very concentrated animal foods or salty,

427
00:21:51,601 --> 00:21:54,646
sugary foods,
they could very likely experience

428
00:21:54,646 --> 00:21:56,648
post fasting edema
where they would get swelling.

429
00:21:56,648 --> 00:21:59,651
The body would hold sodium

430
00:21:59,651 --> 00:22:02,988
excessively initially, or they could even
get into refitting syndrome,

431
00:22:02,988 --> 00:22:06,825
where they get into electrolyte imbalance,
which could cause cardiac arrhythmias,

432
00:22:06,825 --> 00:22:07,534
even death.

433
00:22:07,534 --> 00:22:12,289
So we never see that in 40 years
and 25,000 patients, we don't see that

434
00:22:12,289 --> 00:22:14,583
because we have this protocol
that we follow.

435
00:22:14,583 --> 00:22:17,669
That's one of the reasons we wrote
the book, Can Fasting Save Your Life?

436
00:22:17,669 --> 00:22:19,880
Because we wanted to lay out
for physicians

437
00:22:19,880 --> 00:22:23,842
a protocol on how to determine
who's a good candidate for longer fasting,

438
00:22:23,842 --> 00:22:27,804
how to go through that process safely,
and most importantly,

439
00:22:27,804 --> 00:22:29,973
how to terminate that fast
so that you don't

440
00:22:29,973 --> 00:22:33,226
get into the complications that can occur
if people are foolish about it.

441
00:22:33,226 --> 00:22:36,855
The other thing about longer term fasting,
it's important that people rest.

442
00:22:36,897 --> 00:22:38,774
So people say, well,
if they were really active

443
00:22:38,774 --> 00:22:41,109
and they did a long term fast, wouldn't
they lose more weight?

444
00:22:41,109 --> 00:22:43,028
And they would,
but it wouldn't be more fat.

445
00:22:43,028 --> 00:22:45,906
It would be lean tissue
because they would force gluconeogenesis,

446
00:22:45,906 --> 00:22:49,534
because after 48 hours of fasting,
you've depleted your glycogen stores.

447
00:22:49,534 --> 00:22:52,204
So the only place for the extra sugar
you'd need for the extra

448
00:22:52,204 --> 00:22:55,207
activity is going to come
from the breakdown of lean tissue.

449
00:22:55,207 --> 00:22:57,125
We want to conserve lean tissue.

450
00:22:57,125 --> 00:23:01,088
And in fact, we've done a study that looks
at that very issue body composition,

451
00:23:01,338 --> 00:23:02,881
composition changes in fasting.

452
00:23:02,881 --> 00:23:04,549
We used a Dexa scanner.

453
00:23:04,549 --> 00:23:07,928
And for example in males
that fasted two weeks

454
00:23:08,053 --> 00:23:11,473
on average
they lost 10% of their body weight,

455
00:23:11,473 --> 00:23:17,854
but 20% of their entire fat
and 40% of their total visceral fat.

456
00:23:17,896 --> 00:23:22,317
They only lost 6% of lean tissue,
all of which was replenished by six week

457
00:23:22,317 --> 00:23:23,068
follow up.

458
00:23:23,068 --> 00:23:26,196
So what happened
was, after fasting with proper feeding,

459
00:23:26,196 --> 00:23:30,075
they get their lean tissue back,
but they continue to lose fat.

460
00:23:30,117 --> 00:23:33,578
So there's a preferential mobilization
of visceral fat,

461
00:23:33,662 --> 00:23:36,289
which is the fat
that has that tumor like effect.

462
00:23:36,289 --> 00:23:38,792
And so we believe that
it's not just weight loss.

463
00:23:38,792 --> 00:23:41,586
This facilitated by fast, it's fat loss.

464
00:23:41,586 --> 00:23:46,341
But in order to maximize fat
loss, rest is an important component.

465
00:23:46,383 --> 00:23:47,467
And you said visceral fat.

466
00:23:47,467 --> 00:23:50,554
And I've heard you call
that the silent killer.

467
00:23:50,720 --> 00:23:52,347
That's the silent killer. Okay.

468
00:23:52,347 --> 00:23:55,100
For everyone out there watching,
what is visceral fat.

469
00:23:55,100 --> 00:23:58,061
So visceral fat is a type of fatty tissue.

470
00:23:58,061 --> 00:24:02,190
It's typically the fat that accumulates
around your belly and around the organs,

471
00:24:02,190 --> 00:24:04,025
but it has different properties.

472
00:24:04,025 --> 00:24:09,239
And one of the properties that visceral
fat has is a pro-inflammatory process.

473
00:24:09,239 --> 00:24:13,410
So it's associated with the inflammation
that is associated with the development

474
00:24:13,410 --> 00:24:17,247
of cardiovascular disease, with diabetes,
with auto immune diseases, where

475
00:24:17,247 --> 00:24:21,877
the body is actually attacking itself,
and as well as cancers like lymphoma.

476
00:24:21,918 --> 00:24:27,382
And why is visceral fat so much more
dangerous than other types of fat?

477
00:24:27,424 --> 00:24:27,632
Well.

478
00:24:27,632 --> 00:24:28,925
The general adipose tissue

479
00:24:28,925 --> 00:24:33,889
is really just storage, and it doesn't
have this active biological process

480
00:24:33,889 --> 00:24:38,185
that seems to be so associated
with disease and debility. So

481
00:24:39,144 --> 00:24:42,022
you can have a
person that doesn't look particularly big,

482
00:24:42,022 --> 00:24:47,694
but they may be over fat, so they may not
be overweight, but they may be over fat.

483
00:24:47,903 --> 00:24:52,240
You can have a person that has a very high
BMI, but they're all lean, mean machine.

484
00:24:52,282 --> 00:24:56,119
And so you have to be very careful
at using BMI, because sometimes people

485
00:24:56,119 --> 00:24:57,913
that are very muscled
will have a high BMI,

486
00:24:57,913 --> 00:25:01,124
but they're not over fat,
or a person may not have a high BMI,

487
00:25:01,124 --> 00:25:04,586
but they still may have a disproportionate
part of their body being fat

488
00:25:04,586 --> 00:25:05,879
and particularly visceral fat.

489
00:25:05,879 --> 00:25:08,882
So someone could look thin
on the outside, but

490
00:25:08,882 --> 00:25:12,928
still metabolically be unhealthy
because of the visceral fat. And.

491
00:25:12,969 --> 00:25:13,261
You know,

492
00:25:13,261 --> 00:25:15,764
we also see things like that
when it comes to certain

493
00:25:15,764 --> 00:25:17,599
biological markers like cholesterol.

494
00:25:17,599 --> 00:25:20,519
Remember,
most cholesterol is produced by your body.

495
00:25:20,519 --> 00:25:24,940
And so although high cholesterol
is associated with cardiovascular disease,

496
00:25:24,940 --> 00:25:28,527
the reason for it is because it's a marker
for how much animal food you're eating.

497
00:25:28,527 --> 00:25:33,281
And so while it's true, lowering
animal food intake also generally lowers

498
00:25:33,281 --> 00:25:34,032
cholesterol levels.

499
00:25:34,032 --> 00:25:37,786
And most people on whole plant food diets
have very low total cholesterol levels,

500
00:25:37,786 --> 00:25:41,998
there are people that make high amounts
of cholesterol naturally, so they'll run

501
00:25:42,040 --> 00:25:43,250
higher levels of cholesterol,

502
00:25:43,250 --> 00:25:45,377
but they don't appear
to have proportionately

503
00:25:45,377 --> 00:25:47,546
higher risk of cardiovascular disease
because their

504
00:25:47,546 --> 00:25:51,341
inflammatory markers like CRP or normal,
they don't seem to have the same issues.

505
00:25:51,341 --> 00:25:54,761
So I think we have to be careful
about taking drugs, for example,

506
00:25:54,761 --> 00:25:55,637
that lower cholesterol,

507
00:25:55,637 --> 00:25:58,640
under the assumption that that's
going to reduce all of our risk factors,

508
00:25:58,640 --> 00:26:01,601
when in reality it's rather disappointing
when you actually look

509
00:26:01,601 --> 00:26:05,021
at the data critically,
the effectiveness that that has.

510
00:26:05,021 --> 00:26:08,858
What's more effective is getting people
to live healthily, adopt the whole plant

511
00:26:08,858 --> 00:26:13,196
food source, free diet, exercise,
get enough sleep and avoid the health

512
00:26:13,196 --> 00:26:17,993
compromising habits like consumption
of alcohol, including organic red wine.

513
00:26:18,034 --> 00:26:19,077
I think that better.

514
00:26:19,077 --> 00:26:22,414
We should call alcohol cancer juice
because that's

515
00:26:22,414 --> 00:26:23,748
what it correlates best with.

516
00:26:23,748 --> 00:26:25,667
Is your lifetime risk of cancer.

517
00:26:25,667 --> 00:26:28,336
Wow. Alcohol equals cancer.

518
00:26:28,336 --> 00:26:30,213
Juice. From my opinion, yes.

519
00:26:30,213 --> 00:26:31,840
Wow. I haven't heard that one before.

520
00:26:31,840 --> 00:26:33,008
Something interesting you said.

521
00:26:33,008 --> 00:26:38,054
You said fasting and exercise
improve many of the same biomarkers.

522
00:26:38,054 --> 00:26:40,015
Which seems counterintuitive, right?

523
00:26:40,015 --> 00:26:44,728
How can not eating on one hand
and on the other hand moving intensely?

524
00:26:44,769 --> 00:26:46,730
How can they do the same thing?

525
00:26:46,730 --> 00:26:48,106
It is really interesting

526
00:26:48,106 --> 00:26:51,901
if you look at the exercise research
and there's lots of. It.

527
00:26:51,943 --> 00:26:56,865
It shows tremendous health promotion
aspects of exercise.

528
00:26:56,865 --> 00:26:58,491
People that exercise regularly

529
00:26:58,491 --> 00:27:01,494
have tremendous benefits
over people that don't.

530
00:27:01,494 --> 00:27:02,621
For example,

531
00:27:03,872 --> 00:27:05,665
they did studies on rats.

532
00:27:05,665 --> 00:27:06,833
One was really interesting.

533
00:27:06,833 --> 00:27:08,668
They took genetically bred rats.

534
00:27:08,668 --> 00:27:14,090
So they're identical that exactly
the same diets in the same environment.

535
00:27:14,090 --> 00:27:17,802
But they gave half the rats
a wheel in the cage,

536
00:27:17,969 --> 00:27:21,806
and the rats that had the wheel
in the cage ran on the wheel.

537
00:27:21,806 --> 00:27:23,266
They would exercise.

538
00:27:23,266 --> 00:27:27,437
And when they tested those rats,
they found the rats that had the wheels

539
00:27:27,437 --> 00:27:31,941
didn't develop dementia,
they didn't get the Alzheimer's disease.

540
00:27:31,983 --> 00:27:33,234
And they said, why?

541
00:27:33,234 --> 00:27:35,820
And then they analyzed the rest,
and they figured out the rats.

542
00:27:35,820 --> 00:27:40,450
That exercise had dramatically higher BDNF
brain drive, neurotrophic factor,

543
00:27:40,450 --> 00:27:43,620
which is a chemical
that prevents oxidative

544
00:27:43,620 --> 00:27:47,540
damage in the brain that's associated
with the development of dementia.

545
00:27:47,582 --> 00:27:50,585
It turns out another thing
besides exercise

546
00:27:50,919 --> 00:27:55,090
that stimulates BDNF is fasting.

547
00:27:55,465 --> 00:27:58,635
So in fasting, in fact, if you take rats

548
00:27:58,677 --> 00:28:02,472
and let them feed ad libitum,
they live to a certain age.

549
00:28:02,597 --> 00:28:04,849
If you take the same rats
with the same diet,

550
00:28:04,849 --> 00:28:08,853
but you periodically fast them,
you can as much as double their lifespan,

551
00:28:08,895 --> 00:28:10,814
a dramatic increase in lifespan.

552
00:28:10,814 --> 00:28:14,818
And one of the changes,
one of the many changes that occurs

553
00:28:14,859 --> 00:28:16,861
is they have much higher BDF.

554
00:28:16,861 --> 00:28:17,112
In fact,

555
00:28:17,112 --> 00:28:20,198
if you look at all these different studies
on exercise and all the benefits

556
00:28:20,198 --> 00:28:23,660
that seem to be accrued, oftentimes
the cardiometabolic changes

557
00:28:23,660 --> 00:28:26,287
and the things that you find with exercise
also occur with fast.

558
00:28:26,287 --> 00:28:28,998
So you start to say,
why would this be fasting?

559
00:28:28,998 --> 00:28:31,167
Well, you're resting and exercising.

560
00:28:31,167 --> 00:28:32,001
Well you're out there

561
00:28:32,001 --> 00:28:36,005
sweating and figures
how could they do the same kind of things.

562
00:28:36,005 --> 00:28:39,676
But when you think about it,
what does exercise

563
00:28:39,843 --> 00:28:45,890
and fasting have in common
is they both undo the consequences

564
00:28:45,890 --> 00:28:50,729
of dietary excess, which is fat
and particularly visceral fat.

565
00:28:50,729 --> 00:28:54,107
And so when you exercise regularly,
you have lower fat and visceral

566
00:28:54,107 --> 00:28:54,858
fat concentration.

567
00:28:54,858 --> 00:28:58,236
When you fast periodically,
you can reduce the fat and visceral fat.

568
00:28:58,236 --> 00:29:02,031
So I think that this this inflammatory
process is associated with visceral fat.

569
00:29:02,073 --> 00:29:05,201
Maybe one of the factors
that are profoundly

570
00:29:05,201 --> 00:29:08,371
influenced by both exercise and fasting.

571
00:29:08,496 --> 00:29:12,208
If someone had the discipline
to just do one of those consistently

572
00:29:12,375 --> 00:29:14,961
faster exercise, which should they do?

573
00:29:14,961 --> 00:29:17,338
Well, I think that fasting,

574
00:29:17,338 --> 00:29:20,842
if we're talking about long term fasting,
that's a periodic intervention.

575
00:29:20,842 --> 00:29:24,429
The most important thing is what you do
every single day,

576
00:29:24,429 --> 00:29:27,932
which is diet, sleep and exercise.

577
00:29:28,266 --> 00:29:31,644
What you put in
your mouth has a profound effect on

578
00:29:31,644 --> 00:29:34,647
not just how long you live,
but more importantly, how well you live.

579
00:29:34,689 --> 00:29:37,817
It's not life expectancy
that you're going to be influencing

580
00:29:37,817 --> 00:29:38,902
with diet and exercise.

581
00:29:38,902 --> 00:29:40,195
It's health span.

582
00:29:40,195 --> 00:29:42,322
It's healthy life expectancy.

583
00:29:42,322 --> 00:29:44,866
It's not how long you live. Absolutely.

584
00:29:44,866 --> 00:29:48,745
Because that's largely determined by
genetics and luck, but how well you live.

585
00:29:48,745 --> 00:29:52,749
Will the last 20 years of your life
be enjoyable and enriching,

586
00:29:52,749 --> 00:29:55,210
or will you find yourself unable
to talk or move,

587
00:29:55,210 --> 00:29:56,878
lying in a nursing home bed,
waiting for people

588
00:29:56,878 --> 00:30:00,215
to come and change your diaper
because you had a stroke or heart attack?

589
00:30:00,215 --> 00:30:04,344
Because you didn't listen to good advice
about living healthily?

590
00:30:04,469 --> 00:30:06,012
They need to listen to you.

591
00:30:06,012 --> 00:30:08,223
If they'd listen to you.
They'd be. In a better place.

592
00:30:08,223 --> 00:30:11,100
Need to listen.
They have to take. Action, to take action.

593
00:30:11,100 --> 00:30:14,896
And attitude is a good thing,
but action is what determines outcome.

594
00:30:14,896 --> 00:30:18,900
And what we're interested in
with our patients is helping them live

595
00:30:18,900 --> 00:30:19,818
in such a way

596
00:30:19,818 --> 00:30:23,905
that the last 20 years of their life
are the best, richest, most enjoyable

597
00:30:23,905 --> 00:30:28,660
part of their life, instead of becoming
dependent on everybody around them.

598
00:30:28,785 --> 00:30:33,665
What's the longest fast
that you've personally supervised,

599
00:30:33,665 --> 00:30:36,918
and what did that person look like
when they came to you?

600
00:30:36,918 --> 00:30:39,963
And in the end. We've. Done 25,000 fast.

601
00:30:40,004 --> 00:30:43,800
The longest fast that I've ever supervised
was 44 days.

602
00:30:43,842 --> 00:30:46,135
Normally we stop at 40 days.

603
00:30:46,135 --> 00:30:50,849
In this particular case,
they had some some inflammation of a gland

604
00:30:50,890 --> 00:30:54,686
that it's not comfortable to break a fast
while that's still swollen.

605
00:30:54,686 --> 00:30:57,438
So we wanted to wait
until it was resolved. And it did.

606
00:30:57,438 --> 00:30:59,482
But so that was an exception.

607
00:30:59,482 --> 00:31:02,485
One other exception I made was
I had a patient.

608
00:31:02,610 --> 00:31:05,864
She was a dentist, actually,
and she had had an injury

609
00:31:05,905 --> 00:31:08,700
where one of the outdoor tent poles
hit her in the head

610
00:31:08,700 --> 00:31:11,119
and she obviously got an injury
and had a headache.

611
00:31:11,119 --> 00:31:12,328
But the thing that happened

612
00:31:12,328 --> 00:31:16,457
was she ended up with a dural tear
and the headache didn't go away.

613
00:31:16,457 --> 00:31:21,379
And so when I first talked to her,
she'd had 16 years of daily headache,

614
00:31:21,421 --> 00:31:23,214
eight out of 10 to 10 out of ten

615
00:31:23,214 --> 00:31:27,093
pain, every minute of every day
for 16 years to become disabled around it.

616
00:31:27,093 --> 00:31:28,803
She'd gone and done a lot of treatments,

617
00:31:28,803 --> 00:31:31,806
had not been non-responsive
to the traditional medications.

618
00:31:31,806 --> 00:31:34,809
And so she came in to fast under the hope
that the

619
00:31:34,809 --> 00:31:38,187
anti-inflammatory effect of fasting
would be successful.

620
00:31:38,187 --> 00:31:42,317
In her case, she had no relief
for the first 19 days of fasting,

621
00:31:42,317 --> 00:31:44,193
so she had same basic pain.

622
00:31:44,193 --> 00:31:47,947
By the 19th day, she woke up and had
five minutes of relief.

623
00:31:47,947 --> 00:31:50,742
First time in 16 years
she had no pain, she said.

624
00:31:50,742 --> 00:31:53,369
It took her a little while to realize
what was going on.

625
00:31:53,369 --> 00:31:54,829
Then the pain came back.

626
00:31:54,829 --> 00:31:59,208
By the time we got to 40 days,
she was largely out of pain

627
00:31:59,208 --> 00:32:01,669
and we were going to break the fast
and she said no.

628
00:32:01,669 --> 00:32:05,465
She had to go one more day
and I said, no, no, we go 40 days.

629
00:32:05,465 --> 00:32:07,550
She goes, no, she has to go one more day.
I said, what do you have to go?

630
00:32:07,550 --> 00:32:07,967
One more day?

631
00:32:07,967 --> 00:32:10,845
She goes, the men fast for 40 days.

632
00:32:10,845 --> 00:32:13,514
Moses, David, Elijah, Jesus.

633
00:32:13,514 --> 00:32:16,351
She said, women always have to do
just a. Little more.

634
00:32:16,351 --> 00:32:19,187
So she went 41 days. We broke the fast.

635
00:32:19,187 --> 00:32:20,563
She had no acute

636
00:32:20,563 --> 00:32:23,900
head pain, but she had some symptoms
that were prodromal symptoms.

637
00:32:23,942 --> 00:32:29,572
You know, we fed her for six months
and then we faster again for 40 days.

638
00:32:29,572 --> 00:32:31,616
So she had a second 40 day fast.

639
00:32:31,616 --> 00:32:34,786
We now have published her outcome data
but she has 12 year.

640
00:32:34,953 --> 00:32:36,746
She's not had headache in 12 years.

641
00:32:36,746 --> 00:32:41,501
So in her case it was successful
resolving this chronic Kefalonia.

642
00:32:41,542 --> 00:32:44,379
It seems like there's
a number of these conditions

643
00:32:44,379 --> 00:32:49,175
that there are with medicine
and they come to you and it seems shocking

644
00:32:49,175 --> 00:32:52,595
because most doctors wouldn't
go to probably that.

645
00:32:52,595 --> 00:32:55,431
Oh let's, let's, let's go to Allen,
let's go to fasting.

646
00:32:55,431 --> 00:32:57,517
What is that.

647
00:32:57,517 --> 00:33:01,062
Well, the thing is, getting well
is not part of the paradigm in medicine.

648
00:33:01,145 --> 00:33:03,314
You know, in blood pressure,
they tell you right in the beginning.

649
00:33:03,314 --> 00:33:06,401
Oh, no, you'll be on these drugs
the rest of your life.

650
00:33:06,484 --> 00:33:11,322
And when the first drug becomes less
effective, we'll add a second and a third

651
00:33:11,364 --> 00:33:14,742
and sometimes a fourth,
and we'll just keep adding drugs

652
00:33:14,784 --> 00:33:16,244
and try to control your pressure.

653
00:33:16,244 --> 00:33:19,998
Now it turns out that's not going to
actually reduce your risk of heart attack.

654
00:33:19,998 --> 00:33:21,666
It might reduce your risk of stroke.

655
00:33:21,666 --> 00:33:24,794
And that may offset
the fact that these drugs have side

656
00:33:24,794 --> 00:33:27,797
effects like chronic cough,
fatigue, impotence, and even death.

657
00:33:27,797 --> 00:33:30,425
Which is why they don't give everybody
blood pressure medication.

658
00:33:30,425 --> 00:33:34,095
They don't put it in the public water
supply yet because the medications

659
00:33:34,095 --> 00:33:37,390
themselves have untoward effects.

660
00:33:37,390 --> 00:33:42,020
So they wait until your pressure so high
that the benefit of reduction of stroke

661
00:33:42,061 --> 00:33:46,274
offsets the downside of increased death
from other complications.

662
00:33:46,315 --> 00:33:49,152
It's true with autoimmune disease
and cancer as well.

663
00:33:49,152 --> 00:33:52,447
You know, autoimmune disease
and cancer are very interesting,

664
00:33:52,530 --> 00:33:55,199
even though they're treated
as completely separate entities.

665
00:33:55,199 --> 00:33:58,369
If you think about it, cancer
is essentially a disease

666
00:33:58,369 --> 00:34:02,290
where the immune system is not working
well enough to keep down the tumors

667
00:34:02,290 --> 00:34:05,710
that are foreign and people are forming
cancer, tumor or cancer cells

668
00:34:05,835 --> 00:34:06,419
all the time.

669
00:34:06,419 --> 00:34:08,379
There's always cells mutating

670
00:34:08,379 --> 00:34:12,467
and transferring, but your body through
autophagy eats up those cells.

671
00:34:12,467 --> 00:34:15,928
And as long as you eat them up faster
than you form them, you do fine.

672
00:34:15,928 --> 00:34:18,931
But if they start forming faster
than you eat them up, you got tumors

673
00:34:18,931 --> 00:34:21,976
and it progresses,
you get metastasis and it's fatal.

674
00:34:22,226 --> 00:34:26,981
Well, so cancer treatment is about trying
to stimulate the immune system,

675
00:34:26,981 --> 00:34:28,024
whether it's immunotherapy

676
00:34:28,024 --> 00:34:31,903
or chemotherapy or radiation
kill off the cancer cells or surgery.

677
00:34:32,320 --> 00:34:35,073
Cut the tissues out
that involve the cancer cells.

678
00:34:35,073 --> 00:34:39,994
But essentially we're trying to stimulate
the immune response with chemotherapy.

679
00:34:40,495 --> 00:34:43,498
The problem is in the process
of doing that,

680
00:34:43,623 --> 00:34:47,877
you often end up with secondary
complications and mortality.

681
00:34:48,169 --> 00:34:51,923
If you think about autoimmune disease,
it's where the immune system is working

682
00:34:51,964 --> 00:34:52,799
too much.

683
00:34:52,799 --> 00:34:54,550
So it begins to attack yourself.

684
00:34:54,550 --> 00:34:58,012
And rheumatoid arthritis, it's
your immune system attacking your joints.

685
00:34:58,012 --> 00:35:02,517
So that treatment is about shedding
the immune system down, using steroids

686
00:35:02,517 --> 00:35:06,062
or methotrexate or other medications
to suppress the immune response.

687
00:35:06,104 --> 00:35:06,771
The problem is,

688
00:35:06,771 --> 00:35:10,775
if you successfully treat autoimmune
disease, you increase your risk of cancer.

689
00:35:10,775 --> 00:35:14,904
And if you successfully treat cancer,
you often increase

690
00:35:14,904 --> 00:35:17,865
your risk of autoimmune disease
because you're basically turning up

691
00:35:17,865 --> 00:35:19,700
or turning down the immune system.

692
00:35:19,700 --> 00:35:22,745
Well, the nice thing about fasting is
that it's a way of rebooting the system.

693
00:35:22,745 --> 00:35:27,500
It's like taking that corrupted computer
and you shut it off and you turn it on,

694
00:35:27,500 --> 00:35:29,710
and you don't always know why,
but now it works again.

695
00:35:29,710 --> 00:35:32,797
You shut everything off with fasting
and you turn it back on with a health

696
00:35:32,797 --> 00:35:34,048
promoting diet and lifestyle.

697
00:35:34,048 --> 00:35:36,425
And oftentimes
the body is able to heal itself.

698
00:35:36,425 --> 00:35:38,344
And so we see, for example,

699
00:35:38,344 --> 00:35:40,930
in the case of lymphoma,
we published a paper in

700
00:35:40,930 --> 00:35:43,015
the British Medical Journal
showing a woman

701
00:35:43,015 --> 00:35:47,061
that was in her 40s that had had two year
history of progressive flicker lymphoma.

702
00:35:47,061 --> 00:35:50,231
Stage three, who came in, underwent
fasting

703
00:35:50,231 --> 00:35:54,026
for three weeks, was you could
literally feel those tumors going away.

704
00:35:54,026 --> 00:35:56,988
By the time three weeks of fasting,
you couldn't feel them anymore.

705
00:35:57,029 --> 00:36:00,700
She showed follow up on CT
scans of dramatic improvement.

706
00:36:00,700 --> 00:36:02,493
At one year, she's cancer free.

707
00:36:02,493 --> 00:36:04,579
At three years
following, she's cancer free.

708
00:36:04,579 --> 00:36:07,707
We just got ten year follow up
data continues to be cancer free.

709
00:36:07,748 --> 00:36:10,334
Now, in fairness,
it wasn't just the fasting.

710
00:36:10,334 --> 00:36:13,880
She adopted a health promoting diet,
and we explained to the patient

711
00:36:13,880 --> 00:36:16,757
that she had to stick to that diet
or it could be fatal.

712
00:36:16,757 --> 00:36:18,759
I told her I'd track her down
and kill. Her.

713
00:36:18,759 --> 00:36:20,261
And she. Believed me.

714
00:36:20,261 --> 00:36:21,596
Because she stuck to the diet.

715
00:36:21,596 --> 00:36:23,347
And now we've got actually 12 year

716
00:36:23,347 --> 00:36:26,601
follow up date, and she continues to be
cancer free as a consequence.

717
00:36:26,601 --> 00:36:28,186
We've done case series.

718
00:36:28,186 --> 00:36:30,563
We've had a number of patients,
including more severe

719
00:36:30,563 --> 00:36:33,774
cases with metastasis into the bones
that have continued to do well.

720
00:36:33,774 --> 00:36:37,945
And we're looking to do
a prospective study on lymphoma.

721
00:36:37,945 --> 00:36:42,283
The problem is we run into interference
with one of the big national HMOs

722
00:36:42,283 --> 00:36:45,328
because they're reluctant
to engage in a study because

723
00:36:45,328 --> 00:36:48,539
unless they can figure out a way
to use fasting and profitably,

724
00:36:48,581 --> 00:36:49,999
there would be in a bit of a pickle.

725
00:36:49,999 --> 00:36:53,294
Because if they do a study and it works,
they have to offer the service, but

726
00:36:53,294 --> 00:36:58,216
they don't see any way to offer something
like fasting in a profitable way.

727
00:36:58,216 --> 00:37:02,178
So there's reluctance
to even get collaboration in finding out

728
00:37:02,178 --> 00:37:05,598
just how well this process
actually can be proven to work.

729
00:37:05,848 --> 00:37:09,310
So she cured her cancer.

730
00:37:09,310 --> 00:37:11,062
I don't think she cured her cancer.
I don't

731
00:37:11,062 --> 00:37:14,982
really believe in the concept of cure
any more than you cure your obesity.

732
00:37:15,024 --> 00:37:16,275
You can lose the weight and keep it off,

733
00:37:16,275 --> 00:37:18,069
but you go back to eating greasy
fatty slime.

734
00:37:18,069 --> 00:37:19,946
You process
stuff, you're going to get fat again.

735
00:37:19,946 --> 00:37:23,074
And if this one goes back
on a conventional diet, starts drinking,

736
00:37:23,074 --> 00:37:24,367
doing all the stuff. Everybody else.

737
00:37:24,367 --> 00:37:25,493
I have no doubt

738
00:37:25,493 --> 00:37:28,496
that lymphoma would manifest
because I don't think you're curing it.

739
00:37:28,496 --> 00:37:31,582
You're managing it,
but you're managing it with diet, sleep,

740
00:37:31,582 --> 00:37:36,212
exercise and fasting rather than drug
surgery, chemotherapy, etc..

741
00:37:36,254 --> 00:37:36,587
Yeah.

742
00:37:36,587 --> 00:37:39,757
So she didn't, in your words,
cure her cancer,

743
00:37:39,757 --> 00:37:42,802
but she managed her cancer

744
00:37:42,802 --> 00:37:45,805
through fasting, through diet.

745
00:37:45,805 --> 00:37:48,474
And did she have exercise as well?

746
00:37:48,474 --> 00:37:52,687
She actually does the interesting enough
she was exercising even before,

747
00:37:52,687 --> 00:37:55,648
so we didn't add that to it.
We just she just. Continued that.

748
00:37:55,648 --> 00:37:59,902
Through fasting and exercise and diet.

749
00:38:00,069 --> 00:38:01,529
She's managing her cancer.

750
00:38:01,529 --> 00:38:02,280
It's interesting

751
00:38:02,280 --> 00:38:06,367
if you look at conditions like weight,
which obviously we know that excess weight

752
00:38:06,367 --> 00:38:09,620
and fat and visceral fat is a problem,
even though it's not politically correct

753
00:38:09,620 --> 00:38:13,666
to acknowledge that overweight is a health
compromising factor.

754
00:38:13,666 --> 00:38:16,836
So exercise is important as this for

755
00:38:16,836 --> 00:38:20,047
health is not an effective weight
loss strategy on its own.

756
00:38:20,047 --> 00:38:24,218
If you just exercise
but don't modify your diet, you will not.

757
00:38:24,260 --> 00:38:27,263
It has not been shown
that you can be effective at maintaining

758
00:38:27,305 --> 00:38:28,597
optimum wait and wait.

759
00:38:28,597 --> 00:38:33,060
Balance at sleep
is very important to maintaining health,

760
00:38:33,436 --> 00:38:37,148
but just sleeping all the time
isn't going to manage weight.

761
00:38:37,148 --> 00:38:40,526
You have to control your diet
if you're going to control your weight.

762
00:38:40,526 --> 00:38:43,529
And that's a problem
because some people think they can.

763
00:38:43,571 --> 00:38:44,947
They can drink what they want,

764
00:38:44,947 --> 00:38:47,158
eat what they want,
but they're going to exercise it off.

765
00:38:47,158 --> 00:38:49,535
And that's not a good long term
strategy, right?

766
00:38:49,535 --> 00:38:54,457
You told a story about your brother
calling you from the hospital and you're

767
00:38:54,457 --> 00:38:55,458
laughing now, but I'm

768
00:38:55,458 --> 00:38:58,711
sure at the time, you know, you may have
you may have an emotional about it.

769
00:38:59,295 --> 00:39:00,546
Can you tell that story again?

770
00:39:00,546 --> 00:39:01,922
Well, I have. An older brother.

771
00:39:01,922 --> 00:39:07,678
He's he's five years
older and wasn't living healthfully.

772
00:39:07,762 --> 00:39:10,139
He was living very conventionally.

773
00:39:10,139 --> 00:39:13,893
And he kept getting bigger and bigger
and bigger, you know,

774
00:39:13,934 --> 00:39:17,063
then he started develop symptoms as he age
and he got some arthritis.

775
00:39:17,063 --> 00:39:19,982
And then he couldn't play volleyball
anymore because his knee pain was so bad.

776
00:39:19,982 --> 00:39:21,400
And then he got even bigger.

777
00:39:21,400 --> 00:39:23,736
Meanwhile,
his wife had developed a problem.

778
00:39:23,736 --> 00:39:27,531
Come in to us, done a fast,
gotten well, adopted a plant based diet

779
00:39:27,531 --> 00:39:28,741
and continued that.

780
00:39:28,741 --> 00:39:31,994
But despite the fact
his wife was supportive,

781
00:39:32,036 --> 00:39:34,663
he wasn't so interested in this.

782
00:39:34,663 --> 00:39:36,916
And you know, I used to bug him,
give him a hard time.

783
00:39:36,916 --> 00:39:38,084
He's my older brother.

784
00:39:38,084 --> 00:39:40,711
And then one day I got a call.

785
00:39:40,711 --> 00:39:42,004
He's in, he's in the hospital.

786
00:39:42,004 --> 00:39:43,839
He said, Alan, I'm in the hospital.

787
00:39:43,839 --> 00:39:44,882
I said, what happened?

788
00:39:44,882 --> 00:39:47,134
He said, I had a heart attack.

789
00:39:47,134 --> 00:39:50,137
And I said, well, that's great.

790
00:39:50,429 --> 00:39:53,140
He said, no, no, no, I had a heart attack.

791
00:39:53,140 --> 00:39:55,726
I said, yeah, I heard you
and you didn't die,

792
00:39:55,726 --> 00:39:57,770
which means
now you're going to be forced to do

793
00:39:57,770 --> 00:40:01,649
the stuff we've been talking about all
along and change your diet and lifestyle.

794
00:40:01,649 --> 00:40:05,653
And he says, yeah, they want to do this
surgery and and do this,

795
00:40:06,445 --> 00:40:08,906
put the bypass surgery.

796
00:40:08,906 --> 00:40:10,866
And I said, well,
you got to talk to your surgeon

797
00:40:10,866 --> 00:40:13,077
and talk to him
and gave him some suggestions.

798
00:40:13,077 --> 00:40:15,496
And he asked the surgeon
and he said, well,

799
00:40:15,496 --> 00:40:17,456
you know,
why are you recommending the bypass?

800
00:40:17,456 --> 00:40:19,750
And he said, well,
because it'll last longer than the stents.

801
00:40:19,750 --> 00:40:23,546
And, you know, he said,
Will my vessels plug up with fat again?

802
00:40:23,712 --> 00:40:24,964
He says, yeah, but it'll,

803
00:40:24,964 --> 00:40:27,550
you know, it'll last longer doing it
this way than the other way.

804
00:40:27,550 --> 00:40:31,804
And he says, well, what if I made
radical diet and lifestyle changes?

805
00:40:31,804 --> 00:40:36,016
And he said, the surgeon who he actually
knew, the guy started laughing.

806
00:40:36,058 --> 00:40:36,851
Oh, Jesus.

807
00:40:36,851 --> 00:40:39,854
He said. Mark, look at you.

808
00:40:39,937 --> 00:40:41,230
You're not going to make diet.

809
00:40:41,230 --> 00:40:44,233
And lifestyle changes. That's ridiculous.

810
00:40:44,442 --> 00:40:48,696
Long story short, he checked himself out
and made the diet and lifestyle changes.

811
00:40:48,696 --> 00:40:51,282
He lost the 50 pounds.
He got back to volleyball now.

812
00:40:51,282 --> 00:40:54,034
Now it's, you know, ten years later
and he's doing great.

813
00:40:54,034 --> 00:40:55,619
And his wife is thrilled

814
00:40:55,619 --> 00:40:57,413
because she doesn't have to make two meals
now because.

815
00:40:57,413 --> 00:41:00,249
She can, you know, he's. He's
eating the healthy food.

816
00:41:00,249 --> 00:41:01,584
So he's doing great. He did well.

817
00:41:01,584 --> 00:41:03,878
But it took even my own brother
I couldn't get him to do it too.

818
00:41:03,878 --> 00:41:07,173
He was forced by the most common motivator

819
00:41:07,173 --> 00:41:10,926
for people,
which is pain, debility and fear of death.

820
00:41:10,968 --> 00:41:13,345
People don't want to make diet
and lifestyle changes

821
00:41:13,345 --> 00:41:16,515
until they're forced to do it,
which is a shame because the people get

822
00:41:16,515 --> 00:41:21,604
the most benefit are actually younger
people that are doing it preventative.

823
00:41:21,770 --> 00:41:24,231
It's a lot easier
to prevent disease than it is,

824
00:41:24,231 --> 00:41:27,735
wait till you get sick
and then try to undo the consequences.

825
00:41:27,735 --> 00:41:29,987
But we as a society don't do that.

826
00:41:29,987 --> 00:41:32,656
We treat the leading
causes of death and disability,

827
00:41:32,656 --> 00:41:35,784
which are heart disease,
diabetes and cancer.

828
00:41:35,784 --> 00:41:38,537
And what we do is
we wait till people develop it

829
00:41:38,537 --> 00:41:43,209
and then we use really expensive,
largely ineffective interventions

830
00:41:43,209 --> 00:41:48,255
like stents and bypass
procedure, invasive drugs, chemotherapy,

831
00:41:48,297 --> 00:41:51,634
all kinds of surgeries
to try to undo the consequences

832
00:41:51,634 --> 00:41:53,636
of something
that should have been prevented.

833
00:41:53,636 --> 00:41:56,138
Because instead of treating the leading
cause of death,

834
00:41:56,138 --> 00:41:59,141
we need to start
treating the actual causes of death.

835
00:41:59,183 --> 00:42:02,394
The reason people get heart
disease, cancer and diabetes.

836
00:42:02,394 --> 00:42:06,106
And that includes smoking, drinking

837
00:42:06,148 --> 00:42:09,735
alcohol, including organic red wine
and eating a diet

838
00:42:09,735 --> 00:42:13,197
that's built on animal foods and ultra
processed, refined carbohydrates.

839
00:42:13,197 --> 00:42:15,699
If we treated the actual causes of death,

840
00:42:15,699 --> 00:42:18,702
we wouldn't
have to face the leading cause of death.

841
00:42:18,702 --> 00:42:21,997
Or if we do, it would
certainly be far later in our existence

842
00:42:21,997 --> 00:42:25,000
and we would dramatically shorten
the years of debility,

843
00:42:25,251 --> 00:42:30,506
which is where we spend most of our money,
is ineffectively treating disabled

844
00:42:30,506 --> 00:42:34,969
individuals that suffer as a consequence
of their diet and lifestyle choices.

845
00:42:35,135 --> 00:42:37,388
What is PCOS?

846
00:42:37,388 --> 00:42:42,226
Peaks is a condition that's polycystic
ovarian syndrome that's common to women.

847
00:42:42,226 --> 00:42:45,187
Fortunately,
men don't have to deal with PCOS.

848
00:42:45,187 --> 00:42:48,983
It's one of the diseases that's common
to women, including uterine fibroids,

849
00:42:48,983 --> 00:42:53,946
tumors and fibrosis, breast disease
and dysmenorrhea, and minerals

850
00:42:54,196 --> 00:42:57,783
and all of these hormone
mediated problems.

851
00:42:57,825 --> 00:43:00,578
What's interesting about all of them,
including PCOS, is

852
00:43:00,578 --> 00:43:02,162
they respond to fasting.

853
00:43:02,162 --> 00:43:05,291
And we don't know exactly why that is.

854
00:43:05,291 --> 00:43:09,461
But one of the theories is
that those diseases are often associated

855
00:43:09,461 --> 00:43:10,754
with elevated estradiol

856
00:43:10,754 --> 00:43:14,925
levels, and estradiol is supposed
to not be as high as it is in people.

857
00:43:14,925 --> 00:43:17,845
And it's usually broken down
to something called estriol.

858
00:43:17,845 --> 00:43:21,765
The process of breaking down
that happens in the liver, and also

859
00:43:21,807 --> 00:43:23,434
with the microbiome that live in the gut.

860
00:43:23,434 --> 00:43:27,396
And we know that fasting reverses
fatty liver disease

861
00:43:27,396 --> 00:43:31,567
and it changes liver dysfunction
and it reboots the gut microbiome.

862
00:43:31,567 --> 00:43:33,819
So what we're thinking
is that that process

863
00:43:33,819 --> 00:43:37,615
of cleansing the liver and rebooting the
gut has something to do with normalizing

864
00:43:37,615 --> 00:43:41,827
of the hormonal imbalance that's
associated with these different diseases.

865
00:43:41,827 --> 00:43:44,413
Unfortunately,
we haven't done good research on that.

866
00:43:44,413 --> 00:43:46,790
It's kind of tricky to do and

867
00:43:48,167 --> 00:43:51,378
hasn't been completed yet, but I think
that's what we're going to find

868
00:43:51,420 --> 00:43:56,091
is that amongst other changes, changes
in liver function and gut microbiome

869
00:43:56,091 --> 00:43:57,760
probably are responsible for why

870
00:43:57,760 --> 00:44:01,513
patients consistently get improvement
in dealing with those conditions.

871
00:44:01,639 --> 00:44:03,182
Let's go back to cancer.

872
00:44:03,182 --> 00:44:08,604
From what you're telling me,
it seems cancer prevention actually works.

873
00:44:08,604 --> 00:44:11,273
We have a general idea
of what we need to do.

874
00:44:11,273 --> 00:44:16,737
But why does modern medicine
focus a little on a prevention?

875
00:44:16,779 --> 00:44:17,738
Well, we.

876
00:44:17,738 --> 00:44:20,741
Know that
the cure for cancer is prevention.

877
00:44:20,949 --> 00:44:22,826
That is the cure.

878
00:44:22,826 --> 00:44:25,162
By not getting. It.

879
00:44:25,162 --> 00:44:28,624
We know the causes
or some of the causes of cancer

880
00:44:28,666 --> 00:44:33,295
that's smoking dramatically increases
your risk of conditions like lung cancer.

881
00:44:33,337 --> 00:44:37,383
Now, it was, you know, many, many years
that we were in denial about that.

882
00:44:37,383 --> 00:44:40,594
But eventually, you know,
we had to kind of admit

883
00:44:40,594 --> 00:44:44,723
that no smoking cigarettes does,
in fact increase your risk of of cancer.

884
00:44:44,723 --> 00:44:45,891
And you know, what's interesting

885
00:44:45,891 --> 00:44:49,228
is that smoking can also protect people
from getting cancer.

886
00:44:49,728 --> 00:44:51,355
Most people don't realize that.

887
00:44:51,355 --> 00:44:55,067
But smoking also damages

888
00:44:55,067 --> 00:44:58,112
the animal lining of the blood
vessels, the inside lining.

889
00:44:58,112 --> 00:45:01,323
And that's why smokers
get so many heart attacks and strokes.

890
00:45:01,323 --> 00:45:05,285
And so by getting a heart attack
and stroke before you live long enough to

891
00:45:05,327 --> 00:45:06,286
get cancer,

892
00:45:06,286 --> 00:45:10,207
smoking can actually prevent you from
living long enough to get lung cancer.

893
00:45:10,207 --> 00:45:13,293
If you could make smoking more dangerous
so that everybody died

894
00:45:13,293 --> 00:45:15,337
from a heart attack,
I wonder if they would allow them

895
00:45:15,337 --> 00:45:18,340
to advertise cigarettes
as cancer preventing.

896
00:45:18,465 --> 00:45:20,884
So the bottom line is smoking
does a lot of things.

897
00:45:20,884 --> 00:45:23,804
It also gives people that wonderful
smokers face.

898
00:45:23,804 --> 00:45:27,433
The wrinkling wrinkles are essentially
cross-linked collagen tissue.

899
00:45:27,433 --> 00:45:30,936
And so when you smoke
you get massive free radical exposure

900
00:45:30,936 --> 00:45:35,190
which prematurely ages the face, which is
why you get that smokers face look.

901
00:45:35,232 --> 00:45:38,360
It also damages the vocal cords.

902
00:45:38,360 --> 00:45:41,238
You get the voice changes in voice.

903
00:45:41,238 --> 00:45:43,949
It also damages the inside vessels.

904
00:45:43,949 --> 00:45:47,953
There's other things besides smoking
that cause free radicals drinking alcohol.

905
00:45:48,203 --> 00:45:51,665
That's why people get fatty liver
and cirrhosis of the liver,

906
00:45:51,665 --> 00:45:53,417
because the liver is a detoxifying organ,

907
00:45:53,417 --> 00:45:55,586
and it's trying to break down
this nasty substance.

908
00:45:55,586 --> 00:45:58,630
And some of the scar tissue
that forms from

909
00:45:58,630 --> 00:46:01,633
that inflammation is fatty liver.

910
00:46:01,967 --> 00:46:06,680
You also get free radicals from high
fat diets where fried foods,

911
00:46:07,347 --> 00:46:08,974
bathing the body with free radicals,

912
00:46:08,974 --> 00:46:11,977
which is why they contribute
to the premature aging process.

913
00:46:11,977 --> 00:46:16,106
If we just don't smoke, drink
and eat these ultra processed

914
00:46:16,106 --> 00:46:19,860
carbohydrates, we slow down the rate
with which people age.

915
00:46:19,860 --> 00:46:24,239
And you see that in my patients
that are now in their 70s, 80s

916
00:46:24,239 --> 00:46:27,826
sometimes 90s and they'll tell you
the same story over and over again.

917
00:46:27,826 --> 00:46:30,245
Everybody they know is dead.

918
00:46:30,245 --> 00:46:32,206
All the people of their peers are dead.

919
00:46:32,206 --> 00:46:35,959
Many of them are outliving their kids
because their kids are having heart

920
00:46:35,959 --> 00:46:38,962
attacks in their 60s.
They are in their 80s.

921
00:46:39,338 --> 00:46:41,924
And it's
because they're slowing down the rate

922
00:46:41,924 --> 00:46:44,301
with which they age
to a more normal process.

923
00:46:44,301 --> 00:46:48,138
We're not supposed to be falling apart
in our sixth or seventh decade.

924
00:46:48,180 --> 00:46:49,890
You know, I see it as a basketball for

925
00:46:49,890 --> 00:46:53,852
I play basketball five, six days a week,
but usually with much younger people,

926
00:46:53,894 --> 00:46:58,065
because the older people have, you know,
they got knee problems, they've aged out.

927
00:46:58,065 --> 00:47:00,275
They can't really
they can't really compete.

928
00:47:00,275 --> 00:47:01,735
So we're stuck having to play against.

929
00:47:01,735 --> 00:47:02,986
These young people.

930
00:47:02,986 --> 00:47:05,823
But even they are starting
to get aging effects.

931
00:47:05,823 --> 00:47:09,326
Even in their 40s, you know,
they can't really keep the wind.

932
00:47:09,368 --> 00:47:11,328
They have problems with recovery.

933
00:47:11,328 --> 00:47:14,581
And so you do see the rate
with which you age is affected

934
00:47:14,581 --> 00:47:16,124
by what you put in your mouth.

935
00:47:16,124 --> 00:47:21,129
You said, we live in a world designed
to make us fat, sick and miserable.

936
00:47:21,713 --> 00:47:22,840
What do you mean. By that? Well.

937
00:47:22,840 --> 00:47:23,590
I mean that.

938
00:47:23,590 --> 00:47:26,635
The. Powers that be,
the people that are making money on us,

939
00:47:26,635 --> 00:47:30,264
are designed to give us what we want,
not necessarily what we need.

940
00:47:30,305 --> 00:47:33,267
And what we want is to engage in short
term, pleasure seeking,

941
00:47:33,267 --> 00:47:34,226
self-indulgent behavior.

942
00:47:34,226 --> 00:47:37,896
Because we're addicts, what we need
is to learn how to escape the pleasure

943
00:47:37,896 --> 00:47:41,108
trap and live a health promoting life.

944
00:47:41,358 --> 00:47:46,989
The problem is that that takes energy and
the natural order of things is disunity,

945
00:47:47,030 --> 00:47:47,906
not unity.

946
00:47:47,906 --> 00:47:49,867
So if you want to build something
consistent,

947
00:47:49,867 --> 00:47:51,201
you have to put energy into it.

948
00:47:51,201 --> 00:47:55,581
And most people are sick and tired because
of their diet and lifestyle changes.

949
00:47:55,581 --> 00:47:57,791
They take sugar,
so their insulin levels spike

950
00:47:57,791 --> 00:48:00,168
and it drives the sugar down
and the brain thinks they're starving.

951
00:48:00,168 --> 00:48:04,131
And then they get angry and they having,
you know, food cravings

952
00:48:04,131 --> 00:48:06,717
and they're having all kinds of problems
and they just keep feeding it.

953
00:48:06,717 --> 00:48:07,551
And then they give themselves

954
00:48:07,551 --> 00:48:11,138
a highly addictive nervous system
stimulant like caffeine, which we take

955
00:48:11,179 --> 00:48:12,514
as if it's some kind of health food.

956
00:48:12,514 --> 00:48:15,642
And every time you stimulate the person,
there's compensatory depression

957
00:48:15,642 --> 00:48:16,184
that follows.

958
00:48:16,184 --> 00:48:19,730
And then we're sleep deprived,
so we're not getting recuperative sleep,

959
00:48:19,771 --> 00:48:23,233
we don't get non-REM deep sleep, and then
we get depressed and we get angry.

960
00:48:23,233 --> 00:48:26,987
And so we take more drugs, which compounds
itself until eventually we collapse.

961
00:48:26,987 --> 00:48:30,908
And usually we're collapsing much earlier
than we would need to collapse

962
00:48:30,908 --> 00:48:33,160
if we were living a health
promoting diet and lifestyle.

963
00:48:33,160 --> 00:48:35,954
But once you're in addiction,
it's very difficult to escape

964
00:48:35,954 --> 00:48:37,998
if you have friends
that are alcoholics in their lives

965
00:48:37,998 --> 00:48:40,500
eventually suck,
and you go up to them and say, oh,

966
00:48:40,500 --> 00:48:42,002
you know how your life, it sucks.

967
00:48:42,002 --> 00:48:44,004
It's because of the alcohol.

968
00:48:44,004 --> 00:48:44,546
They don't.

969
00:48:44,546 --> 00:48:47,507
Go, oh, it's the alcohol.

970
00:48:48,050 --> 00:48:50,552
I had no idea.

971
00:48:50,552 --> 00:48:52,971
I'll just. Quit drinking.

972
00:48:52,971 --> 00:48:55,474
No, they just tell you to mind
your own business because you know,

973
00:48:55,474 --> 00:48:57,100
they're not interested
in hearing about it.

974
00:48:57,100 --> 00:49:00,687
And so the same thing is true when you try
to talk to people about dying lifestyle.

975
00:49:00,687 --> 00:49:03,857
They're so caught up in their addiction
that it's very difficult

976
00:49:03,857 --> 00:49:04,858
for them to escape.

977
00:49:04,858 --> 00:49:07,903
And that's why we love fasting,
because it's a way to break people

978
00:49:07,903 --> 00:49:10,572
out of their environment,
give them a chance to reboot.

979
00:49:10,572 --> 00:49:14,034
They still have to do all the hard work
to adopt diet and lifestyle changes,

980
00:49:14,034 --> 00:49:16,036
but at least they get a chance

981
00:49:16,036 --> 00:49:19,247
to get a taste of what it feels like
not to be sick and miserable.

982
00:49:19,331 --> 00:49:19,706
Right?

983
00:49:19,706 --> 00:49:22,668
And at the end of the day,
do you think this simply comes down

984
00:49:22,668 --> 00:49:25,796
to the financial interests
of large corporations?

985
00:49:25,796 --> 00:49:27,089
Right.
They're beholden to their shareholders.

986
00:49:27,089 --> 00:49:28,340
They need to make a profit.

987
00:49:28,340 --> 00:49:31,885
They're okay
selling you sugar, processed food, crap,

988
00:49:31,885 --> 00:49:35,180
and they're pushed to sell
you more and more of that.

989
00:49:35,180 --> 00:49:37,099
So is this an environmental problem?

990
00:49:37,099 --> 00:49:40,143
What would a health supportive environment
actually look like?

991
00:49:40,185 --> 00:49:41,311
Well, I think the companies

992
00:49:41,311 --> 00:49:45,107
are just doing what their job is,
which is to give people what they want.

993
00:49:45,190 --> 00:49:45,440
You know,

994
00:49:45,440 --> 00:49:49,236
they're they're not seeing themselves
as the person to determine what you need

995
00:49:49,277 --> 00:49:51,113
or what's in your interest.
They're just giving you.

996
00:49:51,113 --> 00:49:54,449
And where do you make
the most money in society today?

997
00:49:54,491 --> 00:49:56,159
Selling the pleasure trap.

998
00:49:56,159 --> 00:49:59,121
So drugs,
whether it's pharmaceutical drugs

999
00:49:59,121 --> 00:50:02,958
or recreational drugs, ultra processed
foods, often by.

1000
00:50:03,000 --> 00:50:04,334
The point.

1001
00:50:04,334 --> 00:50:06,920
Owned by much of the same companies.

1002
00:50:06,920 --> 00:50:11,008
You know, if you look far enough back
into the economics,

1003
00:50:11,091 --> 00:50:14,553
much of the money
that controls the processed food industry

1004
00:50:14,553 --> 00:50:18,807
is the same money and corporate interests
that control the drug

1005
00:50:18,807 --> 00:50:19,933
and pharmaceutical industry.

1006
00:50:19,933 --> 00:50:23,437
So big money giving people what they want.

1007
00:50:23,645 --> 00:50:27,107
If people want a change,
they can get a change, for example.

1008
00:50:27,232 --> 00:50:28,525
As far as I understand it,

1009
00:50:28,525 --> 00:50:32,696
the biggest seller of organic produce
in the country right now is Costco Foods.

1010
00:50:32,738 --> 00:50:35,615
Now, I don't think that's
because the people at Costco Foods

1011
00:50:35,615 --> 00:50:37,367
said, well,
you know, people in the environment

1012
00:50:37,367 --> 00:50:40,662
would really be benefited if they would
consume more organic produce.

1013
00:50:40,662 --> 00:50:42,205
So we're going to really push that.

1014
00:50:42,205 --> 00:50:45,167
No, they just said, oh, people are willing
to pay a premium for this.

1015
00:50:45,167 --> 00:50:46,626
We'll we'll give it to them.

1016
00:50:46,626 --> 00:50:51,006
And now the second biggest seller
of organic produce is Walmart.

1017
00:50:51,048 --> 00:50:51,506
Oh, wow.

1018
00:50:51,506 --> 00:50:54,509
So I think if we want to see changes,
I don't know that it's going to come

1019
00:50:54,509 --> 00:50:55,635
from the corporate interest.

1020
00:50:55,635 --> 00:50:57,679
I think it's going to come from people
saying,

1021
00:50:57,679 --> 00:51:01,725
okay, I'm
going to spend my money on this or that.

1022
00:51:01,725 --> 00:51:04,352
And if you tell people
clearly what you want.

1023
00:51:04,352 --> 00:51:07,606
I think people will figure out
a way to give it to you.

1024
00:51:07,606 --> 00:51:10,192
I don't think there's any prejudice

1025
00:51:10,192 --> 00:51:14,988
on the part of industry
to not give you what you want.

1026
00:51:15,030 --> 00:51:18,200
They're just trying to make money,
and it's easier to make money

1027
00:51:18,200 --> 00:51:19,993
giving people what they want
and what they need. Yeah.

1028
00:51:19,993 --> 00:51:23,413
And so this is the environment we live in
and it's up to the individual.

1029
00:51:23,455 --> 00:51:24,372
You're saying it's like,

1030
00:51:24,372 --> 00:51:26,750
you know, we're not going to probably
change the environment.

1031
00:51:26,750 --> 00:51:30,045
But every person
has can make a change themselves.

1032
00:51:30,045 --> 00:51:30,921
They know what to do.

1033
00:51:30,921 --> 00:51:32,464
We're giving them the knowledge here.

1034
00:51:32,464 --> 00:51:35,550
It's about them
actually getting up and taking action.

1035
00:51:35,550 --> 00:51:39,930
But if you go ask for advice about health
and you ask, say, the medical profession,

1036
00:51:39,930 --> 00:51:41,348
which has nothing to do with health

1037
00:51:41,348 --> 00:51:44,142
doctors, by virtue of their training,
aren't trained in health care.

1038
00:51:44,142 --> 00:51:46,228
That's just a word that's used.

1039
00:51:46,228 --> 00:51:47,813
They're trained in disease management.

1040
00:51:47,813 --> 00:51:48,605
And if you want

1041
00:51:48,605 --> 00:51:52,609
good advice about how to use drugs
and surgery to manipulate your symptoms,

1042
00:51:52,609 --> 00:51:55,362
there's no place on the planet better
than, you know,

1043
00:51:55,362 --> 00:51:56,988
industrialized countries,
medical profession.

1044
00:51:56,988 --> 00:51:58,323
They do a wonderful job of that.

1045
00:51:58,323 --> 00:52:01,660
And oftentimes their recommendation makes
the difference between life and death.

1046
00:52:01,701 --> 00:52:03,787
It just has nothing to do
with getting healthy.

1047
00:52:03,787 --> 00:52:06,289
It's not about diet, sleep, exercise.

1048
00:52:06,289 --> 00:52:08,875
That's not what they're interested.
That's not what they're paid for.

1049
00:52:08,875 --> 00:52:12,045
Like for example,
if you're washing machine got broken,

1050
00:52:12,087 --> 00:52:13,088
you wouldn't necessarily

1051
00:52:13,088 --> 00:52:16,133
go to your auto mechanic and ask advice
how to fix your washing machine.

1052
00:52:16,174 --> 00:52:17,425
They might be able to help you,

1053
00:52:17,425 --> 00:52:19,803
but it wouldn't be by virtue
of their training. Right.

1054
00:52:19,803 --> 00:52:22,806
And so why would you go to a person
that studies

1055
00:52:22,806 --> 00:52:25,976
how to use drugs and surgery
to make diet and lifestyle changes

1056
00:52:25,976 --> 00:52:28,979
when they have no interest,
no compensation,

1057
00:52:29,229 --> 00:52:32,399
it's not part of their domain,
may not even part of their experience.

1058
00:52:32,399 --> 00:52:35,277
So I don't blame the medical profession
for doing what they do.

1059
00:52:35,277 --> 00:52:39,030
It's just when they start
becoming deceptive and pretend

1060
00:52:39,072 --> 00:52:42,409
that this is health care,
when in reality it's medical management.

1061
00:52:42,450 --> 00:52:46,746
Is it interesting to you
that most religions mention fasting?

1062
00:52:47,122 --> 00:52:51,334
I mean, I heard you talk about it
Christianity, Islam, Judaism, Buddhism.

1063
00:52:51,376 --> 00:52:51,585
Yeah.

1064
00:52:51,585 --> 00:52:52,669
The Jews, the Jains,

1065
00:52:52,669 --> 00:52:56,840
the Hindus, the Muslims, the Christians,
everybody has a tradition about fasting.

1066
00:52:56,840 --> 00:53:00,218
I think it's because fasting changes
the way you think and feel about yourself

1067
00:53:00,218 --> 00:53:02,679
in the world around you.
You just can't help it.

1068
00:53:02,679 --> 00:53:06,474
It's one of those processes
that when people go through it.

1069
00:53:06,516 --> 00:53:08,268
It has a fundamental change in how

1070
00:53:08,268 --> 00:53:11,813
they see the world,
how they see themselves as very empowering

1071
00:53:12,105 --> 00:53:15,025
when people realize that they're not,
you know, if they don't have

1072
00:53:15,025 --> 00:53:18,695
that particular thing or that particular
meal, they're not going to collapse.

1073
00:53:18,695 --> 00:53:21,865
And, you know,
so I think it has a very powerful effect.

1074
00:53:21,865 --> 00:53:25,619
And also when people realize that
they don't have to learn to live with it.

1075
00:53:25,660 --> 00:53:27,746
It's not inevitable

1076
00:53:27,746 --> 00:53:31,249
just because they're old or whatever, that
there have to be have pain and ability.

1077
00:53:31,625 --> 00:53:34,127
It's very empowering.

1078
00:53:34,127 --> 00:53:36,963
And also it tends to make them challenge
all their belief systems,

1079
00:53:36,963 --> 00:53:40,926
because these are such fundamental strong
belief systems that we have around

1080
00:53:40,926 --> 00:53:43,970
diet and lifestyle,
that when you change that,

1081
00:53:43,970 --> 00:53:48,099
it has a potential effect in changing
how you view the world as a whole.

1082
00:53:48,141 --> 00:53:51,144
I know you talked about your diet, but

1083
00:53:51,228 --> 00:53:55,106
I'd love to learn what you do
personally right around diet.

1084
00:53:55,106 --> 00:53:58,026
Exactly. Around fasting.
Are you doing intermittent fasting?

1085
00:53:58,026 --> 00:53:58,735
Are you doing that?

1086
00:53:58,735 --> 00:54:01,154
Plus maybe one week a year?

1087
00:54:01,154 --> 00:54:02,989
You know what is what is your game plan?

1088
00:54:02,989 --> 00:54:04,115
What do you actually do?

1089
00:54:04,115 --> 00:54:05,242
You practice what you preach.

1090
00:54:05,242 --> 00:54:08,620
Yes. So I fast every day.

1091
00:54:09,204 --> 00:54:12,624
I have my last meal,
much like you do at 5 or 6:00.

1092
00:54:12,666 --> 00:54:14,960
Don't eat again until breakfast.

1093
00:54:14,960 --> 00:54:17,837
I usually exercise early in the morning,
so I playing basketball

1094
00:54:17,837 --> 00:54:19,631
from about 530 to 7 usually.

1095
00:54:19,631 --> 00:54:23,635
And so get to work
and maybe have breakfast at 8 a.m..

1096
00:54:23,677 --> 00:54:24,928
So I've got a 5 p.m.

1097
00:54:24,928 --> 00:54:27,013
to 8 a.m., you know, routine.

1098
00:54:27,013 --> 00:54:28,556
My food is very simple.

1099
00:54:28,556 --> 00:54:31,309
I eat just like we talk about
exclusively whole plant foods.

1100
00:54:31,309 --> 00:54:34,020
So fruits, vegetables,
grains, lagoons, nuts and seeds.

1101
00:54:34,020 --> 00:54:37,065
I don't use meat, fish, foul
eggs, dirty products, all salt, sugar.

1102
00:54:37,065 --> 00:54:38,566
I've never drank alcohol

1103
00:54:38,566 --> 00:54:41,569
or had a cup of coffee or used drugs
or any of that kind of stuff.

1104
00:54:41,569 --> 00:54:44,572
And you know, because I got started
really young, I was 16 years old.

1105
00:54:44,572 --> 00:54:46,074
Now I'm 67 years old.

1106
00:54:46,074 --> 00:54:48,243
So I've had a lot of years of doing this.

1107
00:54:48,243 --> 00:54:52,163
My exercise is basketball,
I love basketball, I play basketball

1108
00:54:52,205 --> 00:54:54,082
5 or 6 times a week.

1109
00:54:54,082 --> 00:54:58,295
I would recommend to patients
that they do a variety of activities

1110
00:54:58,295 --> 00:55:02,007
walking, hiking, biking, swimming,
flexibility, strength is probably better.

1111
00:55:03,133 --> 00:55:05,343
You know, basketball is essentially
mock warfare.

1112
00:55:05,343 --> 00:55:06,720
It's a higher. Risk behavior.

1113
00:55:06,720 --> 00:55:07,721
I just happen to like it.

1114
00:55:07,721 --> 00:55:09,306
So, you know, that's what I do.

1115
00:55:09,306 --> 00:55:10,807
And I'm far enough on the spectrum.

1116
00:55:10,807 --> 00:55:14,436
Whatever I do, you know,
I just tend to take it to an extreme.

1117
00:55:14,477 --> 00:55:17,147
So my diet for me is really easy.

1118
00:55:17,147 --> 00:55:20,275
For most people, it's more difficult
because they worry about what other people

1119
00:55:20,275 --> 00:55:23,987
think, the social implications,
the trying to go along and get along.

1120
00:55:23,987 --> 00:55:26,781
For me, I don't care what people think
doesn't bother me.

1121
00:55:26,781 --> 00:55:28,158
It's pretty easy for them.

1122
00:55:28,158 --> 00:55:31,536
I realize being a normal human being,
being neurotypical, it's

1123
00:55:31,536 --> 00:55:33,830
going to be more of a challenge
because if you don't eat

1124
00:55:33,830 --> 00:55:35,915
what everybody else is eating,
they're going to get upset.

1125
00:55:35,915 --> 00:55:39,961
It's particularly of a problem
I find for women because they they want

1126
00:55:39,961 --> 00:55:42,756
to lose weight, but when they lose weight,
then they piss everybody off.

1127
00:55:42,756 --> 00:55:44,591
And the other women are not always
friendly.

1128
00:55:44,591 --> 00:55:47,302
And supportive because they look better.
Oh my God.

1129
00:55:47,302 --> 00:55:50,305
Just so you know,
you have to kind of narrow depth.

1130
00:55:50,305 --> 00:55:50,722
In our book

1131
00:55:50,722 --> 00:55:53,266
The Pleasure Trap,
we talk a lot about strategies,

1132
00:55:53,266 --> 00:55:56,061
about how to go along and get along
and not get people so upset.

1133
00:55:56,061 --> 00:56:00,106
Just because you're becoming successful
with your diet and lifestyle changes.

1134
00:56:00,231 --> 00:56:04,611
You've said sodium stimulates
passive overeating.

1135
00:56:04,944 --> 00:56:06,571
Explain that. Well.

1136
00:56:06,571 --> 00:56:10,200
If somebody says to you,
eating salt is going to make you fat,

1137
00:56:10,200 --> 00:56:15,413
you might think, well, that's ridiculous
because sodium has no calories.

1138
00:56:15,705 --> 00:56:17,040
So how could eat?

1139
00:56:17,040 --> 00:56:21,920
Eating something that has no calories
result in gaining weight?

1140
00:56:22,420 --> 00:56:24,422
It turns out that if.

1141
00:56:24,422 --> 00:56:28,468
You. Eat your normal satiety
fill of a certain substance, anything,

1142
00:56:28,676 --> 00:56:31,471
say rice, you'll eat a certain amount,
and at some point

1143
00:56:31,471 --> 00:56:35,058
your brain will stimulate hormonal changes
that will provide

1144
00:56:35,058 --> 00:56:38,061
you satiation, and you'll be full

1145
00:56:38,103 --> 00:56:42,357
if you take everything else being equal,
take the same substance, but salt it up.

1146
00:56:42,399 --> 00:56:46,236
You'll eat more
before you get triggered that you're full.

1147
00:56:46,486 --> 00:56:48,238
It's called passive overeating.

1148
00:56:48,238 --> 00:56:50,448
And people say, well, yeah.

1149
00:56:50,448 --> 00:56:52,117
It tastes better.

1150
00:56:52,117 --> 00:56:53,159
And that's right.

1151
00:56:53,159 --> 00:56:55,537
That's what tasting better means.

1152
00:56:55,537 --> 00:56:57,705
It means it results in more dopamine
stimulation,

1153
00:56:57,705 --> 00:57:00,375
the neurochemical associated
with pleasure in your brain.

1154
00:57:00,375 --> 00:57:02,794
And the reason is salts
an essential nutrient.

1155
00:57:02,794 --> 00:57:04,170
Without salt, you die.

1156
00:57:04,170 --> 00:57:08,883
It's so important that you can detect it
at very small concentrations in food.

1157
00:57:08,883 --> 00:57:11,886
And that's part of what draws you
to Whole Foods.

1158
00:57:11,970 --> 00:57:17,183
Well, we figured out, you know, how
to concentrate salt and process it.

1159
00:57:17,183 --> 00:57:19,686
And so our brain says, oh, little is good.

1160
00:57:19,686 --> 00:57:22,480
A lot must be even better. And so.

1161
00:57:22,480 --> 00:57:25,275
We can process
foods, increase cork density,

1162
00:57:25,275 --> 00:57:28,236
and then put a bunch of salt on it
to fool the brain into thinking it's good.

1163
00:57:28,236 --> 00:57:31,406
For example,
if you take bread which has 1500 calories

1164
00:57:31,406 --> 00:57:33,324
a pound before you turn it into a butter
boat,

1165
00:57:33,324 --> 00:57:37,036
spreading coagulated cow
pus all over it, it's highly desirable.

1166
00:57:37,036 --> 00:57:40,290
But if you take the bread but
you remove the salt, it will the sugar.

1167
00:57:40,331 --> 00:57:43,042
Take the yeast out. You have a different
product. It's called masa.

1168
00:57:43,042 --> 00:57:44,627
And masa is punishment.

1169
00:57:44,627 --> 00:57:48,047
On Passover,
nobody's getting fat eating matzo, but the

1170
00:57:49,215 --> 00:57:49,716
the wheat and the

1171
00:57:49,716 --> 00:57:52,719
water became a carrier agent
for the soul of the will of the sugar.

1172
00:57:52,844 --> 00:57:55,138
And so salt can fool us.

1173
00:57:55,138 --> 00:57:57,432
For example, meat,
if you just take boiled beef

1174
00:57:57,432 --> 00:58:00,435
and go to non it
not particularly appealing.

1175
00:58:00,643 --> 00:58:02,353
Put the salt. The sauce is the gravy.

1176
00:58:02,353 --> 00:58:05,899
The meat is a carrier agent
for those those flavors.

1177
00:58:05,899 --> 00:58:09,486
So ultra processed foods would not be able

1178
00:58:09,486 --> 00:58:12,780
to be successful were it
not for our use of these chemicals.

1179
00:58:12,780 --> 00:58:16,618
And so indirectly what's happening
is because of stimulating

1180
00:58:16,618 --> 00:58:20,538
passive overeating, salt ends up helping
make us fat.

1181
00:58:20,580 --> 00:58:23,791
And if someone reduce their salt intake

1182
00:58:23,791 --> 00:58:27,295
significantly,
what would they notice in their appetite?

1183
00:58:27,545 --> 00:58:30,757
What they would notice
is that they would tend to overeat less.

1184
00:58:30,757 --> 00:58:32,425
And so it helps with overeating.

1185
00:58:32,425 --> 00:58:33,801
The American Heart Association says

1186
00:58:33,801 --> 00:58:36,804
you need about 500mg of sodium a day
to meet your needs.

1187
00:58:37,138 --> 00:58:40,141
The low sodium diets are around
1500 milligrams.

1188
00:58:40,266 --> 00:58:43,436
Typical persons
eating an average of 3500mg

1189
00:58:43,436 --> 00:58:47,065
of sodium means people
as much as 10,000mg of sodium.

1190
00:58:47,106 --> 00:58:48,191
You know salt.

1191
00:58:48,191 --> 00:58:50,652
If you give a tablespoon or two,
as in a medic,

1192
00:58:50,652 --> 00:58:52,779
it'll make you throw up
in a larger concentration.

1193
00:58:52,779 --> 00:58:54,447
Actually, as an Ld50, it can kill you.

1194
00:58:54,447 --> 00:58:57,408
So remember, what's something good
at a small concentration

1195
00:58:57,408 --> 00:59:00,495
doesn't necessarily mean it's
good for you in a large concentration.

1196
00:59:00,537 --> 00:59:02,664
It sounds like we know
the solution, right?

1197
00:59:02,664 --> 00:59:03,498
You have the answers.

1198
00:59:03,498 --> 00:59:08,378
It's eat whole foods
less or low salt, sugar or

1199
00:59:09,337 --> 00:59:12,340
movement, exercise and fasting.

1200
00:59:12,340 --> 00:59:14,133
And also sleep. And sleep.

1201
00:59:14,133 --> 00:59:16,386
One of our most important
activities is sleep.

1202
00:59:16,386 --> 00:59:19,347
If you don't get enough
non-REM deep sleep,

1203
00:59:19,597 --> 00:59:22,058
you will suffer seriously.

1204
00:59:22,058 --> 00:59:24,477
Not just psychologically,
but also physically.

1205
00:59:24,477 --> 00:59:26,563
One of the most important parts of healing

1206
00:59:26,563 --> 00:59:30,191
is the anabolic cascade of hormones
that happens during non-REM deep sleep.

1207
00:59:30,191 --> 00:59:31,317
So when you don't get enough sleep,

1208
00:59:31,317 --> 00:59:34,112
it also makes you more vulnerable
immunologically.

1209
00:59:34,112 --> 00:59:37,782
Also, metabolic rate is effective,
so it can actually help make you fat.

1210
00:59:37,824 --> 00:59:40,034
I'm saying
that reason people are getting fat

1211
00:59:40,034 --> 00:59:44,455
is they don't sleep enough,
so they don't have the metabolic activity,

1212
00:59:44,455 --> 00:59:47,500
and they don't have the energy to exercise
and do what they're supposed to do.

1213
00:59:47,542 --> 00:59:51,337
They don't eat enough because they're
eating highly concentrated foods,

1214
00:59:51,337 --> 00:59:53,923
which are high in Clark density
but low in nutrient density.

1215
00:59:53,923 --> 00:59:57,927
What they need to do is eat more
low density foods like solids and steam

1216
00:59:57,927 --> 01:00:01,931
vegetables and starchy vegetables
and beans, and not the concentrated

1217
01:00:01,931 --> 01:00:03,057
ultra processed foods.

1218
01:00:03,057 --> 01:00:04,434
And they need to fast more,

1219
01:00:04,434 --> 01:00:08,313
which is something we suggest
they do every day for 12 hours.

1220
01:00:08,313 --> 01:00:10,523
So if they control diet,
sleep and exercise,

1221
01:00:10,523 --> 01:00:12,817
they control fasting,
they control their health.

1222
01:00:12,817 --> 01:00:15,278
They regain their health.
They lose the weight.

1223
01:00:15,278 --> 01:00:17,572
They recover their normalize
the blood pressure.

1224
01:00:17,572 --> 01:00:19,574
They get off the diabetes medications.

1225
01:00:19,574 --> 01:00:24,120
They slow down the rate of progression
and formation of cancer, and they reverse

1226
01:00:24,162 --> 01:00:26,414
autoimmune diseases.
We know how to do this.

1227
01:00:26,414 --> 01:00:27,332
We're seeing it.

1228
01:00:27,332 --> 01:00:29,375
We've been watching it for 40 years.

1229
01:00:29,375 --> 01:00:30,793
We can get people to do it.

1230
01:00:30,793 --> 01:00:31,878
The challenge is

1231
01:00:31,878 --> 01:00:35,048
even when they're successful,
they still have to go back to the world.

1232
01:00:35,048 --> 01:00:37,467
And it's a challenge living healthy
in that world.

1233
01:00:37,467 --> 01:00:38,217
Today, right?

1234
01:00:38,217 --> 01:00:41,471
Because the problem is modern
life makes it so easy to do the opposite.

1235
01:00:41,471 --> 01:00:44,807
It makes it so easy
to I'm going to go get some fast food.

1236
01:00:44,807 --> 01:00:47,018
I'm going to sit on the couch,
I'm going to watch Netflix.

1237
01:00:47,018 --> 01:00:48,686
I'm going to play video games.

1238
01:00:48,686 --> 01:00:53,858
Do you believe we're capable
of fixing this or are we screwed?

1239
01:00:53,900 --> 01:00:56,486
I think that there's
a percentage of people that can fix it.

1240
01:00:56,486 --> 01:00:58,988
The people that I find
have the easiest time

1241
01:00:58,988 --> 01:01:02,742
are those that are motivated
by paying debility and fear of death.

1242
01:01:02,784 --> 01:01:05,411
People that are coming in and agonizing
pain and debility

1243
01:01:05,411 --> 01:01:07,914
are willing to do anything, even dangerous
things like eat

1244
01:01:07,914 --> 01:01:11,751
well, or exercise, or go to bed on time,
and they're even willing to fast.

1245
01:01:11,751 --> 01:01:16,089
So most of my patients are people
that are trying to regain their health.

1246
01:01:16,089 --> 01:01:18,257
But now we're seeing
we did a study recently

1247
01:01:18,257 --> 01:01:20,510
looking at the effect of fasting
unhealthy people.

1248
01:01:20,510 --> 01:01:21,761
And it turns out that

1249
01:01:21,761 --> 01:01:25,306
when you look at cardiometabolic risk
factors, as beneficial as fasting is in

1250
01:01:25,306 --> 01:01:29,686
sick people, there's even proportionately
more change in healthy people.

1251
01:01:29,686 --> 01:01:33,648
And so it turns out that the people
that may get the very most benefits

1252
01:01:33,648 --> 01:01:35,942
from fasting and these diet and lifestyle

1253
01:01:35,942 --> 01:01:39,070
changes are the healthy people
that are doing it to stay healthy.

1254
01:01:39,070 --> 01:01:42,323
It's easier to stay healthy than it is
to recover your health.

1255
01:01:42,323 --> 01:01:46,828
And so we're seeing more younger people
that are using these interventions

1256
01:01:46,828 --> 01:01:51,749
as a way of health preservation
to help improve health span.

1257
01:01:51,833 --> 01:01:54,919
You said food and sex or

1258
01:01:55,253 --> 01:01:58,256
the only two natural dopamine triggers?

1259
01:01:58,256 --> 01:01:59,424
Well, the only.

1260
01:01:59,424 --> 01:02:03,720
Normal concentrated source of dopamine
in humans are food and sex,

1261
01:02:03,761 --> 01:02:07,014
food and sex, which makes sense
because you have to get enough to eat,

1262
01:02:07,014 --> 01:02:10,309
and you have to have enough sex
in order to pass on your genes.

1263
01:02:10,560 --> 01:02:12,770
That's absolutely true, except for males.

1264
01:02:12,770 --> 01:02:14,063
It's slightly different in males.

1265
01:02:14,063 --> 01:02:15,773
In males, it's sex and food.

1266
01:02:15,773 --> 01:02:19,569
But whether it's food and sex or sex
and food, the principle is the same.

1267
01:02:19,610 --> 01:02:23,156
The artificial stimulation
of dopamine interferes with that.

1268
01:02:23,156 --> 01:02:26,367
And that's essentially what the nature
of addiction is, whether it's alcohol

1269
01:02:26,367 --> 01:02:31,080
or drugs or the chemicals that we put into
food like salt, well, and sugar, salt

1270
01:02:31,289 --> 01:02:32,373
and sugar are not food.

1271
01:02:32,373 --> 01:02:34,125
They're chemicals added to food
to stimulate

1272
01:02:34,125 --> 01:02:37,670
dopamine in the brain,
and they lead to the excess consumption,

1273
01:02:37,670 --> 01:02:40,131
which leads to the fat,
which leads to the visceral fat.

1274
01:02:40,131 --> 01:02:42,675
It leads to the disease of dietary excess.

1275
01:02:42,675 --> 01:02:45,678
You coauthored a book here, The Pleasure
Trap, which I have and I've read.

1276
01:02:45,678 --> 01:02:49,140
And in it you argue
this isn't a willpower problem.

1277
01:02:49,140 --> 01:02:50,975
It's an environmental problem. Yes.

1278
01:02:50,975 --> 01:02:53,728
Our most people failing at health.

1279
01:02:53,728 --> 01:02:55,480
Are we being set up to fail?

1280
01:02:55,480 --> 01:02:57,231
We're being set up to fail

1281
01:02:57,231 --> 01:03:01,235
because it turns out it's more profitable
for us to fail than for us to succeed.

1282
01:03:01,235 --> 01:03:04,572
And it's much easier to give people
what they want than what they need.

1283
01:03:04,614 --> 01:03:07,325
And so this is a very difficult problem.

1284
01:03:07,325 --> 01:03:10,536
And that's why the nature of addiction
is so difficult in general, whether it's

1285
01:03:10,578 --> 01:03:14,290
alcohol or cocaine or methamphetamines or

1286
01:03:15,875 --> 01:03:16,959
the use of ultra

1287
01:03:16,959 --> 01:03:20,797
processed, refined carbohydrates,
which have a drug like effect on people.

1288
01:03:20,880 --> 01:03:25,218
If you could give someone
just one piece of advice

1289
01:03:25,426 --> 01:03:29,013
to immediately start breaking
free from the pleasure trap,

1290
01:03:29,180 --> 01:03:32,892
something that they could do
in the next 24 hours, what would it be?

1291
01:03:33,184 --> 01:03:36,521
Well, health results
from healthful living, so focus on diet.

1292
01:03:36,729 --> 01:03:40,274
Eat a whole plant food, diet, sleep,
get plenty of sleeps.

1293
01:03:40,274 --> 01:03:41,025
You can wake

1294
01:03:41,025 --> 01:03:45,738
spontaneously feeling refreshed and engage
in exercise within your capacities.

1295
01:03:46,405 --> 01:03:51,160
Stay hydrated and if you're having trouble
breaking out of the pleasure

1296
01:03:51,160 --> 01:03:54,455
trap, consider doing a longer term,
medically supervised fast.

1297
01:03:54,497 --> 01:03:56,541
You talked
about the medically supervised fast.

1298
01:03:56,541 --> 01:03:59,961
For someone that maybe won't go
to a clinic or health center, right?

1299
01:04:00,086 --> 01:04:02,088
What's the safest way
for them to fast at home?

1300
01:04:02,088 --> 01:04:03,339
Is it intermittent fasting?

1301
01:04:03,339 --> 01:04:05,550
So what we would recommend
they do, number one is

1302
01:04:05,550 --> 01:04:08,052
they should read
the book can fast and save your life,

1303
01:04:08,052 --> 01:04:11,097
which explains everything
they need to know about fasting

1304
01:04:11,097 --> 01:04:13,683
and also everything
their physician needs to know.

1305
01:04:13,683 --> 01:04:14,350
It has.

1306
01:04:14,350 --> 01:04:17,395
It's been written so it's compelling
and convincing for physicians

1307
01:04:17,395 --> 01:04:21,190
because it cites the 22 papers
of original research that we've done.

1308
01:04:21,232 --> 01:04:25,152
It gives them a very clear protocol of how
to determine who's a good candidate,

1309
01:04:25,194 --> 01:04:28,948
what's needed during fasting,
how to monitor fasting, how to repeat

1310
01:04:28,948 --> 01:04:30,950
after fasting
so the information is all there,

1311
01:04:30,950 --> 01:04:32,743
and then they can work
with their physician.

1312
01:04:32,743 --> 01:04:34,495
We also offer telemedicine support.

1313
01:04:34,495 --> 01:04:37,832
If people want to work with a doctor
that's used to people getting well

1314
01:04:37,832 --> 01:04:40,501
and give them good advice
that can work with their local doctor,

1315
01:04:40,501 --> 01:04:42,795
that maybe he's not familiar
with some of these things.

1316
01:04:42,795 --> 01:04:46,716
They can work with our physicians remotely
wherever they are in the world.

1317
01:04:46,841 --> 01:04:50,052
Is there a certain age
where fasting is not appropriate?

1318
01:04:50,052 --> 01:04:50,261
Well.

1319
01:04:50,261 --> 01:04:53,598
In the very young and the very old,
you have to be much more careful

1320
01:04:53,598 --> 01:04:56,058
about fasting because of basic
hydration issues.

1321
01:04:56,058 --> 01:04:59,645
So the very young typically
and fortunately don't need to do long term

1322
01:04:59,645 --> 01:05:03,107
fasting because by manipulating the diet
you can usually get a good response.

1323
01:05:03,107 --> 01:05:05,610
And in older individuals,
when I'm talking about older,

1324
01:05:05,610 --> 01:05:08,321
once they get into their ninth
and 10th decades,

1325
01:05:08,321 --> 01:05:09,238
sometimes we'll have to

1326
01:05:09,238 --> 01:05:13,034
keep the fasting very short or use
modified fasting on broth and juices,

1327
01:05:13,034 --> 01:05:16,162
because they may not have the ability
to adapt to the more vigorous water.

1328
01:05:16,203 --> 01:05:16,996
Only fasting.

1329
01:05:16,996 --> 01:05:22,752
And when they go to break the fast,
what are the top three five foods

1330
01:05:22,752 --> 01:05:24,670
that they should just completely
stay away from?

1331
01:05:24,670 --> 01:05:25,379
Well, we avoid.

1332
01:05:25,379 --> 01:05:29,050
Animal foods and ultra processed, refined
carbohydrates that was assaulted sugar.

1333
01:05:29,050 --> 01:05:30,301
So we just stick to whole foods.

1334
01:05:30,301 --> 01:05:33,596
So fruits and vegetables,
grains, lagoons, nuts and seeds.

1335
01:05:33,679 --> 01:05:34,889
Is there anything we haven't

1336
01:05:34,889 --> 01:05:38,726
talked about that
we should have when it comes to fasting?

1337
01:05:38,768 --> 01:05:42,146
You know, the thing is fast and can be
an intense and miserable experience.

1338
01:05:42,146 --> 01:05:45,358
But there's things you can do
to make your fasting experience

1339
01:05:45,358 --> 01:05:47,318
not only safer but more productive.

1340
01:05:47,318 --> 01:05:50,863
And that's adopt a healthy diet
and lifestyle before you fast.

1341
01:05:50,905 --> 01:05:52,740
Don't just.

1342
01:05:52,740 --> 01:05:56,452
You know, go into fasting on caffeine
and alcohol and nicotine.

1343
01:05:56,786 --> 01:05:59,413
Make the changes as best
you can prior to fasting.

1344
01:05:59,413 --> 01:06:01,666
And then the transition to fasting
is much easier.

1345
01:06:01,666 --> 01:06:04,210
And follow the protocols
laid out in the book,

1346
01:06:04,210 --> 01:06:07,838
and you'll have a better chance
of having a safe and effective experience.

1347
01:06:07,838 --> 01:06:10,591
But also remember,
not everybody's a candidate for fasting.

1348
01:06:10,591 --> 01:06:13,260
If you're on medications,
you have significant health issues

1349
01:06:13,260 --> 01:06:15,972
working with your physician
to appropriately wean those drugs before

1350
01:06:15,972 --> 01:06:18,391
you try to fast, because fasting and drugs
don't go together.

1351
01:06:18,391 --> 01:06:21,727
For all the people out there listening
and watching, where can they find you?

1352
01:06:21,727 --> 01:06:23,604
If they want to learn
more about what you. Do well, they.

1353
01:06:23,604 --> 01:06:25,147
Can go. To our website at.

1354
01:06:28,359 --> 01:06:31,278
And we offer a service to your readers.

1355
01:06:31,278 --> 01:06:32,154
To your viewers.

1356
01:06:32,154 --> 01:06:36,242
I guess we'd say that
we offer a free phone conversation with me

1357
01:06:36,242 --> 01:06:39,537
if they fill out the registration forms,
all review their medical history,

1358
01:06:39,578 --> 01:06:41,831
I'll be happy to talk with them
without cost.

1359
01:06:41,831 --> 01:06:42,957
Point them in the right direction.

1360
01:06:42,957 --> 01:06:43,958
Either get them to a doctor

1361
01:06:43,958 --> 01:06:47,336
that can help them specifically,
or get them advice that they,

1362
01:06:47,586 --> 01:06:51,090
whether it's relevant for them to consider
fasting or whatever else, might be of

1363
01:06:51,090 --> 01:06:52,091
some use to them.

1364
01:06:52,091 --> 01:06:55,386
Doctor Alan Goldhaber, thank you so much
for coming on to cottages.

1365
01:06:55,428 --> 01:06:57,430
Thanks for getting.
The word out. Thank you.