Good Life Project - How to Age-Proof Your Brain | Dr. Marc Milstein

Episode Date: December 15, 2022

If a magic pill existed that could transform the health of your brain and keep it from aging as you got older, would you take it? We all know that as we age, so does our brain. And with it comes ...some less-than-favorable effects on cognitive functions like memory, focus, and productivity that might leave you wishing for your more youthful days. But what if there was a way to make our brains more age-proof and less prone to signs of aging like memory loss or even dementia? My guest today, Dr. Milstein has conducted research on topics including cancer biology and neuroscience, and his work has been published in multiple scientific journals. His new book, The Age-Proof Brain: New Strategies to Improve Memory, Protect Immunity, and Fight Off Dementia, reveals the secrets to improving brain function, and in today's episode, he joins me to share some of those brain-boosting strategies discussed in his book, debunks common misinformation about the aging brain, and even lay out the red flags to look out for as you grow older. You can find Marc at: Website | InstagramIf you LOVED this episode: you’ll also love the conversations we had with Dr. Aviva Romm about how to work with your hormones to optimize health and longevity.Check out our offerings & partners: My New Book SparkedMy New Podcast SPARKEDVisit Our Sponsor Page For Great Resources & Discount CodesSolo Stove: Use promo code GLP at SoloStove.com for an extra $10 off.BetterHelp: Good Life Project is sponsored by BetterHelp. Learn more and save 10% off your first month at BetterHelp.com/GoodLifeProjectThe Lazy Genius Podcast: Part systems expert, part permission giver, Kendra Adachi, The Lazy Genius, is here to help you be a genius about the things that matter and lazy about the things that don't. Check out The Lazy Genius Podcast now wherever you get your podcasts.Air Doctor: The AirDoctor air purifier features patented UltraHEPAR technology that is proven and tested to remove airborne particles as small as 0.003 in size. Head to airdoctorpro.com and use promo code GOODLIFE and, depending on the model, you’ll receive up to 35% off.  Hosted on Acast. See acast.com/privacy for more information.

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Starting point is 00:00:00 you can slow down significantly the aging process of your brain. Your brain has two ages, the number of years you've been on this planet, and then how old is your brain really. And so it is true that starting at the age of 40, the brain can start to shrink and that shrinking can have an impact on memory focus and productivity. But really the hopeful insights from all this research is that we can do things to keep our brain more youthful. We can improve our memory. We can be more productive for many, many, many decades. And we see this in these studies. And we also see just a group of people called super agers who are 80, 90, up to a hundred. They have the memory of someone who's
Starting point is 00:00:32 25 years old. One of the most important messages here is that we have more control over the destiny of our brain than we ever thought. So if there was a magic pill that existed that could transform the health of your brain and keep it from aging as you got older, would you take it? Well, we all know that as we age, so does our brain. And with that can come some less than favorable effects on things like cognitive function, memory, focus, productivity, even our sense of identity, who we are, that might leave you wishing for a more youthful brain. But what if there was a way to make our brains more age-proof and less prone to signs of aging like memory loss and even dementia? My guest today, Dr. Mark Milstein, has discovered through research that certain healthy habits act as a bit of a
Starting point is 00:01:24 magic pill for brain health that can boost your short-term and long-term brain function. So if you've ever wondered what you can do right now, not even years from now, but literally right now and the earlier in life as we'll discover, the better it is to keep your brain youthful or even help it get better or improve over time, keep listening. Dr. Milstein specializes in taking the leading scientific research on health and happiness and using it to create science-based solutions to keep the brain healthy, lower the risk of dementia, boost productivity, and maximize longevity. And he has conducted research on topics including cancer biology
Starting point is 00:02:01 and neuroscience. His work has been published in multiple scientific journals and his new book, The Age-Proof Brain, reveals the secrets to improving brain function. And in today's episode, he joins me to share some of those brain boosting strategies discussed in the book, debunk common misinformation about the aging brain and even the fact that it has to age and even lay out the red flags to look for as you grow older. So excited to share this conversation with you. I'm Jonathan Fields, and this is Good Life Project. Mayday, mayday, we've been compromised. The pilot's a hitman.
Starting point is 00:02:41 I knew you were going to be fun. On January 24th. Tell me how to fly this thing. Mark Wahlberg. You know what the difference between me and you is? You're going to be fun. On January 24th. Tell me how to fly this thing. Mark Wahlberg. You know what the difference between me and you is? You're going to die. Don't shoot him, we need him. Y'all need a pilot.
Starting point is 00:02:51 Flight Risk. The Apple Watch Series 10 is here. It has the biggest display ever. It's also the thinnest Apple Watch ever, making it even more comfortable on your wrist, whether you're running, swimming, or sleeping. And it's the comfortable on your wrist, whether you're running, swimming, or sleeping. And it's the fastest-charging Apple Watch, getting you eight hours of charge in just 15 minutes.
Starting point is 00:03:10 The Apple Watch Series X, available for the first time in glossy jet black aluminum. Compared to previous generations, iPhone XS or later required, charge time and actual results will vary. You know, the big starting point really is the deep work that you have been doing around understanding what happens to not just our bodies, but our brains and also the feedback mechanism, you know, as we age, as we move into the later years in our lives. And maybe it didn't make sense to like sort of like define what we even mean by aging and the later years in life. And, you know, I think one of the big assumptions that is probably an interesting jumping off
Starting point is 00:03:49 point for us is this notion that we're born and when we're in our twenties and thirties, we're at like the prime, our physical prime, our emotional prime, our psychological prime, our brains, our muscles, everything's working, you know, like the way that they quote should be, like they're at their peak. And then it's this quote natural process that all of those systems go through decline. And it's just, it is a part of what we accept when we move further into life. Your focus has been around the brain, but I think that's also narrow to say that because a lot of your focus is actually the fact that you can't
Starting point is 00:04:25 talk about the brain without talking about everything else. But let's talk about this fundamental mythology or assumption just as a starting point that everything kind of like fades over time and that's just the way it is. That's what we want to dispel and get to this new idea that you can slow down significantly the aging process of your brain, that your brain has two ages, the number of years you've been on this planet, and then how old is your brain really. And so it is true that starting at the age of 40, the brain can start to shrink, and that shrinking can have an impact on memory, focus, and productivity. But really the hopeful insights from all this research is that we can do things to keep our brain more youthful. We can
Starting point is 00:05:06 improve our memory. We can be more productive for many, many, many decades. And we see this in these studies. And we also see just a group of people called super agers who are 80, 90, up to 100. They have the memory of someone who's 25 years old. So we really clearly see that there are things that we can do. We can protect our brain. And also we have to be aware that as we age, there are aspects of our brain that improve. We gain wisdom, confidence, perspective. So all those things are absolutely positives. We just want to be aware that we want to do the things that we can do to keep our brain in tip-top shape for as long as possible. I mean, let's maybe do a little bit of defining also just for clarity. So when we talk about what happens to your brain, one of the things that you just shared is, you know, it's only in the 40-ish age range that for a lot of people, like as you
Starting point is 00:05:52 progress, the literal size of your brain shrinks. What's happening there? Well, it's a couple of things. There's blood flow changes. You know, that's why exercise is so important, stress management, inflammation. So if you think of your brain as this three-pound blob, basically, that it can lose blood flow as we get older, that can shrink it. Our immune system, which is really there to protect us, can turn on us and start attacking the brain. And you can imagine an immune system attacking
Starting point is 00:06:25 the brain can shrink it. And it's also just loss of use. The brain is a use it or lose it organ. And as we get older, there's things that we don't do as much. We might not be working on balance. We might not be working on recall. And so we want to practice those things, but make them fun and engaging. And so that essentially, if we're not using it, it can shrink and also aspects of our physical health can deteriorate as we get older and cause the brain to shrink as well. Yeah. So when we think about the brain, it's not just, it's the side, like, it's not just, oh, a bigger brain is a better brain or a smaller brain is a worse brain. It's, we're really, I think like on a day-to-day live basis, what you and I, and probably everyone listening is really
Starting point is 00:07:04 like thinking about is like, well, how does this affect function? So when we think about brain function, what are the primary things that we're looking at or measuring as factors to determine like how well or not well, like, or how old or young is my actual brain, you know, regardless of my, my physical age on the planet. Yeah. Yeah, absolutely. So there's a couple of things that people can ask themselves and just actually to remember it myself, I use the word brain because these things are very helpful to remember. So each letter of the word brain has a new question that we can ask. So the letter B is, I mentioned balance. There are studies that show that people have better balance as they age, have a younger looking brain. If you scan their brain
Starting point is 00:07:43 and take a picture of it, it's more full, more plump. So we want to do things like you mentioned, we were talking beforehand, snowboarding, skiing, you know, yoga, dancing. That's why these things are so important because we want to keep that part of our brain active that's involved in balance. So just assessing, you know, am I doing things that are keeping my balance intact? Am I working out that part of my brain? R is for recall. So, you know, we live in a world where everything is on our phones. Everything you want to look up is right there and we can lose the ability to recall information. And so just practicing, you know, a trivia night, you know, taking your to-do list, turning it over and saying, I want to see if I can
Starting point is 00:08:21 remember this and just assessing how robust is your recall. A is assess your day. How are you getting through your day? I should say, assess how you're getting through your day is A. And it's okay to forget to pay a bill or miss an appointment. But what we're seeing is we don't want to say that memory loss or changes in cognitive function, significant changes are normal because we want to get on top of them right away. So if you notice any changes, you're having more difficulty getting through the day, remembering things, we want to get to the root of it because we clearly see now that we can treat things and we can help the brain work better. I is for actually the intensity of your walking. So we have all these fascinating studies that show us that people who walk about 30 minutes a day doesn't have to all be done at the same time, lower their
Starting point is 00:09:09 risk of memory loss or dementia by about 60%. And that's really what we're talking about is how do we lower the risk? How do we bring risk down? How do we push the odds in our favor? But there's these interesting studies that show that if you walk with a little bit of faster gait or a little bit faster pace, people tend to have a more youthful looking brain. And so there's something of assessing like, you know, how's my walking? Am I able to walk a little faster pace? And then N stands for what's your number? And what I mean by that is how old do you feel?
Starting point is 00:09:38 And part of this is actually perspective and mindset. People who say they feel younger than their actual age, you again scan their brain and their brain looks more youthful. And we actually see that people who have a positive attitude towards the aging process have almost a 50% lower chance of developing dementia. So we really want to get the word out that part of this is a piece of a complex puzzle is how do you feel about the aging process? Do you have a positive attitude towards it? Are you doing youthful activities? So those are just five questions. You can kind of get a sense of what your brain age is. It's really interesting to me also,
Starting point is 00:10:14 because I think a lot of people, if they're asked a question, well, how would you assess how your brain is functioning? The immediate things that pop into my mind are you know like processing speed how quickly am i like adding this or you know like memory for sure yeah but what immediately i'm thinking about is all of these seemingly like brain-oriented cognitive functions that i'm like looking to measure like my creative capacity how do i make connections between this and that and see like the third thing you know pattern recognition but what you just laid out is something very different, something more expansive. And the notion that you might actually look at the way that you're physically moving through the world as key indicators of how your brain is functioning,
Starting point is 00:10:59 it's fascinating to me. Yeah. And these are simple things. They're things that we can push by the wayside and say, oh, that's part of the aging process, or that's not really related to my brain, but they're red flags that we want to pay attention to. Because again, one of the most important messages here is that we have more control over the destiny of our brain than we ever thought. Yeah. I mean, there's all sorts of chicken and egg questions buzzing in my head right now, which is, you know, like if you see somebody in their seventies or eighties or nineties, God willing, right. Like out walking slowly, you know, probably knowing nothing about that person, you might
Starting point is 00:11:38 assume, well, sure. Like there's a, there, there is age related physical decline, you know, like shrinking muscle tissues, contraction, or like limited mobility in the joints. That's what's happening. But what you're offering here is, it may be a yes and. Part of the slowing down of the physical expression, physical movement through the world may actually be related to brain function. Yeah. Yeah. It's a way to think about this that we're not used to thinking about. And also it's within what somebody is capable of doing. So somebody's one person's pace is, you know, at a certain age is different than another pace, but we just want to think about, are we challenging ourselves in physical ways? Are we, you know, we don't want to hurt ourselves, but we want to just be continually saying like, you know, just want to push it just a bit so so that we're we're keeping our body and brain in shape okay so this is bringing up another question for me as we're having this conversation i'm in boulder colorado um and but i spent my entire life until two years ago in new york city nobody drives in new york city you know unless you have to right um so it's
Starting point is 00:12:40 a walking city you spend you know like and and, you know, every once in a while I would sort of like track my steps and without even trying, without trying to quote exercise, like a typical day, I would put in, you know, like 10 to 12,000 steps or five to seven miles and just moving my body. Is there research that you're aware of that looks at, that can identify measurable differences in the brain function of people who are sort of like existing car-based cultures versus walking-based cultures? Well, we absolutely see that people who walk, it improves brain function. We see that there's a part of the brain involved called the hippocampus. And when people walk and they get that about 30
Starting point is 00:13:21 minutes of walking a day, you actually see that this part of their brain actually gets stronger, it gets bigger. And so we know that it's never just one thing when it comes to brain health, but walking is something that we can point to and say, we have quite a bit of data where if people walk, and it's not about, it doesn't have to be power walking. It doesn't have to be like, I'm going to go on a 5k walk. What they're actually seeing in the studies is that, get off at a subway stop a little earlier, get off at the bus stop a little earlier, park a little farther from an errand, walk with a friend, all of it counts and all of it adds up. So it's this idea that it's a part of what we see. And when we see when people tend to live longer, their lifestyle involves some aspect of walking. And so that it's something to be aware
Starting point is 00:14:04 of something to think about as something that we can do that's very easy to adopt. Yeah. So the other thing that happens in the city, and I think that brings us to one of our other curiosities and something you write and speak about quite a bit is on the one hand, it gives and the one hand it takes. I'm outside. I would be walking a whole lot.
Starting point is 00:14:21 I'm also walking through an environment that is laden with stuff that's moving into my system. So, you know, one of the big questions for me, and I'm sure for others is if age isn't this sort of like natural thing that shrinks your brain or like causes dysfunction over time, makes it age. If just, you know, like chronological age, what does like, are things like what you breathe in? Like what are the actual factors that do contribute to, um, an aging brain? Yeah, that's a great question. So one of the, the frontiers of what we're seeing is that pollution plays a role. Um, you know, if you think about what's going in your nose, your nose right at the top of it is your brain and the things that we're breathing in matter. So the
Starting point is 00:15:05 health of our planet impacts the health of our brain. Something we want to start talking more about. They've done some studies in Canada where they found that people who live closer to busy roads have a higher risk of memory loss, but they are actually able to lower that risk if they spent about 20 to 30 minutes a day walking in a local park. So we want to do things that we can. It's all about, you know, some things bring the risk up. We want to bring the risk down. Some things we can do that we can take control of, like spend more time in a little bit of nature is helpful. It doesn't have to be a national park and be a local park down the street, but thinking about what's happening in our environments in terms of just layouts of cities
Starting point is 00:15:43 and pollution and those things. Those things are related to our brain health. We're really seeing that more and more. And then also what we eat impacts the age of our brain. We talked about moving and exercise impacts our brain. What we're learning, staying active, learning new things, being social, finding purpose is important for brain health. And then also underlying conditions, your heart, your gut, your metabolism. So certain conditions like diabetes. So it might sound overwhelming that there's all these factors, but it's actually good because what that means is it's not just one thing because, you know, we're all dealt different cards and we are in different situations,
Starting point is 00:16:19 both in our environment or both, you know, genetically or based upon where we're living certain situations, because it's not just one thing that gives us an opportunity to say, well, let me just leverage what I can control. I can take control of these parts of my health. I can try to get more activity. I can try to learn new things. So by not it just being a direct route or one road to memory loss or dementia, it gives us this opportunity to say, well, let's just take as many as I like to say is like, think of it like straws on a camel's back. It's not one thing. It's these things add up.
Starting point is 00:16:50 Let's just take as many straws off the camel's back as we can. Yeah. And I think it's a good way to look at it also, right? Because we all come from different lives, different expectations, different obligations, different levels of access and privilege. And there may be certain realities that you just have to live with. But what you're saying is it's not fatalistic. Yes, there may be certain things that you're not going to change or you can't change.
Starting point is 00:17:14 But there's a whole list of other things that we can explore as contributors, both to slow down the aging process and potentially to actually really complement a healthier brain. Mayday, maydayday we've been compromised the pilot's a hitman i knew you were gonna be fun on january 24th tell me how to fly this thing mark walberg you know it's a difference between me and you you're gonna die don't shoot him we need him y'all need a pilot flight risk the apple watch series 10 Flight Risk. The Apple Watch Series X. Available for the first time in glossy jet black aluminum. Compared to previous generations, iPhone XS or later required. Charge time and actual results will vary. Let's talk about some of the things that you just offered up in a little bit more detail. A lot of it is about the relationship of the brain to different parts of your body,
Starting point is 00:18:30 different systems in your body. One of the things that I've always been curious about is this relationship between your brain and your heart. And years ago, I was in the yoga world and the mind-body world and the spirituality world. And there's a lot of Eastern philosophy that centers around these energetic centers in your body and also deep connections between literally your cognitive, your brain up on your head and your heart. And it seems like there's a lot of research that's evolved over the last few decades that's starting to actually say, there's actually real science behind this. Just to put in perspective, I like fun facts. So if you were to take your vessels and veins, just yours, and lay them end to end, if you could somehow lay them end to end, all your vessels and veins, they would go around the
Starting point is 00:19:14 earth more than twice. And that's just yours. So all these vessels and veins, a big part of what they're doing is sending and taking away oxygen, carbon dioxide, key nutrients to your brain. And if you just think about we need to have those vessels and veins functioning. And if we don't have them functioning, if they're clogged, if they're plugged, we can't get the nutrients from the heart to the brain. So it just really at a fundamental level with every beat of your heart, if you can't get the nutrients to your brain, even little dips in oxygen can damage brain cells ability to function and have a negative impact on memory. So there's this very strong, just
Starting point is 00:19:52 fundamental connection between the health of your heart and health of your brain. So, I mean, when people think about the classic cardiovascular risk factors, like we think about that in terms of like heart health, I want to to make sure that my heart is okay. It's beating well. I don't have a major cardiac incident. What you're basically saying is yes, and think of that as a primary contributor to the healthy functioning and potentially the not accelerating aging of your brain at the same time. Absolutely. And we actually, there's these really fascinating studies just out this year that have shown that your blood pressure in your thirties can impact the age of your brain 10, 20, 30 years later. And so, yeah, so it's like, and we know we all, we hear about blood pressure, but taking a moment and saying, do I actually know what my blood pressure is? You know,
Starting point is 00:20:37 do we really know those numbers? And thinking about what they found is that people have numbers like one 10 over 70, their brain looked younger 10, 20 years later. So these are things that we have really good treatments for either lifestyle or people need them medication. And the thing is, is that we want to take advantage of those things because we don't have the major intervening treatments yet for certain brain health conditions. You know, we don't have a cure for Alzheimer conditions. We don't have a cure for Alzheimer's. We don't have a cure for dementia. So we want to say, well, what can we do that leads to it that we can treat? And that's where we'd say, let's take care of our heart. Let's treat blood pressure. These things, we can do it. So we want to just be on top of these things.
Starting point is 00:21:17 Yeah. And if you're offering up here, that you can literally identify a marker in your 30s that may have a negative effect on brain function 20 30 40 50 years later like you live that age um then it becomes a really strong rally cry to say like because i think most people think about it well if and when i start to realize i'm forgetting things or like there are signs that my brain isn't functioning the way i want like i'll deal with it then but what you're kind of plant the seed seed you're planting, if I hear right, is this starts like decades earlier than most of us think about it when we think about like wanting to actually keep our brains healthy. Yeah, absolutely. The way I always think about it
Starting point is 00:21:55 is imagine you're at the beach and you see the waves coming in. We can see the waves. Those are the symptoms of memory loss, dementia. They're clear when we see them, but think about where it's calm past the waves beneath the surface. It seems calm there, but there are waves there. In fact, some of them have been traveling for hundreds of miles. We just don't see them till they get close enough to the shore and things are happening in our brain and in our body 10, 20, 30, 40 years before you'd ever see the symptoms of memory loss. It sounds scary because that means these things are happening now, but these things like memory loss, they don't, in almost all cases don't happen overnight. So that gives us time. Now we want to do these things now, take action now,
Starting point is 00:22:34 before we see those signs of memory loss. To me, that's, you know, I'm, I'm well past my thirties. But then also like, I get the sense that part of what, you know, we're learning is that it's almost like that question, you know, like when's the best time to start, you know, like, and, and like, there's two answers. Well, the best time to start was, you know, like 30 years ago. When's the next best time to start now? Right. Right. Yeah. And then we see, so there are studies, these really interesting studies where they take people in their sixties, seventies, eighties, and these are people actually have genetic risk for Alzheimer's and they put them on an intervention. They optimize their sleep, which is something that is critically important. That's a really important thing for your brain health
Starting point is 00:23:14 is optimizing your sleep. And then all these other things we've been talking about. And you mentioned at the beginning, like measuring processing speed and executive functioning and people who do these interventions, the things that we're talking about, their processing speed and executive functioning and people who do these interventions, the things that we're talking about, their processing speed goes up 150% compared to people who don't do these interventions. That's people in their 60s, 70s, early 80s. So we really see that essentially at any age, these things are important. And just as you said, we just want to do them at any age is when we want to take these actions. Yeah. So we have a direct link between cardiovascular health and the healthy functioning of your brain. And we want to be thinking about cardiovascular health early anyway. It's weird to talk about, to ask you this, you know, my curiosity is sort
Starting point is 00:23:55 of like the nervous system and the healthy functioning of the brain. Cause of course, like the nervous system, it's all one giant feedback mechanism. You know, you've got your peripheral nerves, you've got your central nerves and it all wires up into the brain eventually. But when we think about our nervous system, are there big giant nerves? Are there big things? Are there new discoveries that we know about the healthy functioning of what we think as more of our peripheral or central autonomic nervous system and the brain that we can think about, explore, or support in some meaningful way? Yeah, that's a really interesting question. We know that there's the vagus nerve, which runs from the brain pretty much down to your gut. And so that's where we see this powerful
Starting point is 00:24:32 connection between what's happening in your gut and what's happening in your brain. You know, we used to always think that, for example, you know, you were nervous because something was happening. You were nervous about giving a big speech or something. And then that nerve sent signals to your stomach and your stomach got upset or you got butterflies. But now we know that things can be happening down in your gut that aren't quite in balance. And that can send signals back up through the vagus nerve to your brain that can throw off your feelings, your mood, raise the risk for anxiety. So what we see is that it's very much a two-way street. And so we realize that I like to think of that vagus nerve as almost like a guitar string that runs from the brain to the gut. And if it's basically plucked fast, that can make us
Starting point is 00:25:15 feel kind of on edge or anxious. And if it's sort of slowed down, we can feel more calm. And what we realize is that there are certain foods that we eat that actually can send signals to our brain that are much more calming. And there are certain foods that we eat that can send signals that are much more stimulating in a negative way so that we feel more overwhelmed or anxious. So that's an area that we see that we can actually start thinking about our brain health through our gut. And that's another avenue where we say that, well, we want to utilize this because we want to do everything we can to leverage our brain health through avenues that we can control. Yeah.
Starting point is 00:25:50 I mean, the gut-brain connection is fascinating to me. I remember reading a study probably a solid chunk of years ago now where they drew a correlation between the makeup of the microbiome in the gut and sort of like the vast array of critters and bacteria that live in the gut and the mood. And this ranged from impulse, like deep impulses to do certain things to anxiety, to depression, to OCD. The notion that the bacteria that lives in your gut would somehow have a direct feedback mechanism, like a line of communication straight up into your brain that would then control your behavior kind of blew my mind. But it seems like increasingly, like there's evidence piling onto that early, early discovery. Yeah, absolutely. I mean, it's amazing to think about, but at the same time,
Starting point is 00:26:41 we've been talking about for a very, very long time, that gut feeling that people have. And so we intuitively have these, these senses that there is this relationship. And now the science is really bolstering it. And one thing that I saw recently, what's just so fascinating is that, you know, if you like chocolate, if you're like a chocoholic, there's actually different species of bacteria in your gut that are sending signals to your brain saying, go get me some chocolate, as opposed to people who don't like chocolate as much. What you're eating and your choices and your tastes, part of what's happening, a very piece of a very complex puzzle is signals sent from your gut to your brain.
Starting point is 00:27:17 Okay. So clearly, I think probably 99% of my body is made of whatever bacteria you just described. Right. Because I often say like my blood type is 72% dark. Right, right. Right. No, I relate. So, I mean, but what's interesting to me is, so they're almost like, there are two things that I think about in the context of your gut makeup and brain health. One is the nature of the microbiome, the different bacteria, the mix of bacteria that's in there. And also, as you just shared, particular types of food where
Starting point is 00:27:51 you can identify a food that you eat and can trace it up into how it affects the brain in a fairly linear way. So I can see how the food, you could basically run your own experiments and probably look at a list of whatever the research has identified at all microbiome to me it's this area where it is remained a fascination of mine and i know there's a ton of work going on around it now um but i wonder when we hear about the microbiome and the connection to um the brain and also other systems in the body i wonder if we're getting a little ahead of our skis because I've heard a lot of claims
Starting point is 00:28:27 about like, this is what it should look like. Like, this is a healthy gut. This is an unhealthy gut. And this is how it affects you. I haven't yet, and I try and track the research around this in a fairly good way. It feels like there are a lot of claims that there's so much hope and optimism around it,
Starting point is 00:28:43 but like actually understanding what does does a microbiome look like that truly would be healthy? And is it completely different for every different person? I guess part of my curiosity is, are we even near a point where we can actually be prescriptive in a meaningful way? Yeah, that's an important point. Whenever we have discoveries, we have marketing jump ahead of the science. And so there's always the rush to sell things or promise more than can be delivered. And when it comes to the microbiome, the complexity is that you take
Starting point is 00:29:17 two people and they're both, you know, would have healthy microbiomes. And you, we do these, you know, these very complex analyses and they have very different makeups of different types of species of bacteria, but they're both healthy compositions of bacteria. So we can't say at this point, you just need to add a little bit of this bacteria to this soup of complex bacteria, and then you're just fine. And that's where we run into trouble with the promises of certain types of, you just need to take this probiotic or that probiotic. Where we do see benefit is we're clearly seeing that the ultra processed ingredients. So I always tell this quick story is that I was in a museum in Chicago and they have a Twinkie there that was unwrapped from 10 years ago. And it looks great. It looks like you could
Starting point is 00:30:02 eat it and it would taste just fine. It's just terrifying to me, by the way. It is. It's a marvel of modern science. But the issue is that the foods that never spoil, that are just loaded with all these additives and preservatives, we clearly see that those ultra-processed ingredients increase the growth. They feed bad bacteria, which can release inflammation into the bloodstream and then do damage to the body and the brain. So with some really just simple, you know, actionable aspects of things that we can do, we can go a long way. Just saying, you know, when you look at what you're about to eat, if it's packaged, just say, can I pronounce this?
Starting point is 00:30:40 Is this a chemistry experiment gone wrong? Those are where we see a lot of benefits. Just try to minimize those things. The additives of the preserve is the ultra processed ingredients, whole natural foods most of the time for the general population. If someone has a specific underlying condition, we're seeing some evidence that certain probiotics or certain diets can be of benefit, but that is really under the care of a physician as opposed to, you know, somebody just saying, try this or try that, um, or anecdotal. So a lot of benefit from really simple things.
Starting point is 00:31:11 But when we get into like, let's just specifically treat this condition, it's, we don't have something that's for everybody, you know, just, this is, there's no magic pills, unfortunately. Yeah. So it's, it's like, we know this is a thing, you know, sort of like the big rocks, but we're still early in the process of discovery. When I think about the microbiome and the gut, also one of the things that the conversation around that, and this is something you talk about as well, is how that relates to immune function in the body. And certainly like optimizing our immunity over the last couple of years is something a lot of people have been really trying to figure out for obvious reasons. But there's an argument that also says immune
Starting point is 00:31:48 function is also a key thing to think about when you think about the health of your brain. Yeah, absolutely. So what we're seeing is that conditions ranging from depression to Alzheimer's, they have this autoimmune component, not in all cases, but in some cases, what's happening is that our immune system, which is, as we mentioned earlier, supposed to be protecting us, gets confused. And instead of protecting the brain, it starts attacking it. And there's these cells in the brain that we've identified, they're called microglia. And they're very much like if you go to an aquarium or you see in a fish tank, those bottom feeders, they gobble up, you know, waste, garbage, trash, they keep the fish tank clean.
Starting point is 00:32:28 You have something just like this in your brain and they gobble up, you know, your brain makes garbage and waste and trash. And part of the aging process is that our brain can fill up with this waste or byproduct and we have trouble getting rid of it. So the microglia are tasked to getting rid of this waste and garbage when they're doing a great job. They keep your brain youthful and clean, but they can get confused. And what can happen is, is instead of eating up the garbage, they start gobbling up or attacking healthy brain cells.
Starting point is 00:32:53 And that's when we see damage. If it's, you know, parts of the brain involved in mood, we see that can raise the risk of depression. If it's parts of the brain involved in memory, that can damage memory. And so what we're seeing is that there's this relationship between keeping our immune system not boosted, but balanced, because we want to keep these microglia focused and concentrating on just eliminating waste and garbage, keeping your brain clean and healthy, but not attacking healthy brain cells. And part of the signals that they're receiving just to tie this all together is coming from the gut. Things can pass from the gut up to the brain and confuse
Starting point is 00:33:25 the microglia. Those ultra processed foods that we talked about, they can release factors into the bloodstream that can confuse the microglia. So that's where, you know, all of a sudden these pieces that don't seem connected, we realize, oh wait, what we're eating impacts our immune system, which impacts our brain. Yeah. It's almost like you have these little, for lack of a better word, scavenger. Yeah. Yeah, exactly. And when they're functioning the way that they should be, it's great. They're mopping up the toxins and helping the brain really function and opt them away. But they have the ability to be triggered, to almost become hyperactive and also, in your language, confused so that they're not just gobbling up the bad stuff. They start to gobble up the good stuff. And that can happen
Starting point is 00:34:04 through environmental input, it sounds like. Yeah, like. Part of that being what you eat. I mean, I'm always curious about things like this, because if you have something, like why, and this is an impossible to answer question, but I'm still going to ask it. Why do we have something that exists in our body that serves a really positive construction, health creating function, but also has the capacity to turn negative and turn destructive within our systems. Like where's the shutoff switch that says like, this is the thing that does good, but there's a way to basically like make it function. So it just does good and only good.
Starting point is 00:34:41 And I guess the bigger question I'm asking is like, how does something like this get confused? Yeah. Yeah. I mean, that's, you know, the body is overwhelmingly complex and there's messages and signals being sent to these microglia, these scavengers, as you put it. And it's not just in most cases, one thing that throws it off. And we do have backup mechanisms and checkpoints and securities and surveillance systems. And the immune system has like these rankings where if something's going wrong and there's like a certain soldier goes AWOL or isn't functioning properly, like they're eliminated. But so it's hopeful to realize that your body is really trying at every level to protect itself.
Starting point is 00:35:22 But sometimes things, too many things have happened and the system falters. And that's why we want to look at this from an integrative approach. We want to say that it's not just one thing. That's really a big message is that, you know, people say, but, you know, is it only just what I eat? Well, that's a piece of it. But when you sleep at night is when you rebalance your immune system and you help those microglia stay tuned and focused. And you kind of do a monitoring of your immune system to make sure everything is running proficiently and effectively. So that's why it's this more of an integrative approach. And these systems that are designed to protect us, just like in your home, your fire alarm is
Starting point is 00:36:02 there to protect you, but sometimes it wakes you up at three in the morning beeping. So things like that, they have their, they have their purposes, but sometimes they just go awry and we just want to do everything we can to keep them working efficiently for as long as possible. Yeah. If they go awry, do we know if there are methods to actually bring them back into a healthy functioning, like a positive space, like once they're not that way? Yeah. yeah, definitely. There's tools that people can talk about with their doctors. They can measure things like CRP, which is C-reactive protein. It's a marker. It's not everything, but it's something, it's a tool that can be used to say that, is there inflammation that's now getting into the bloodstream that could be traveling to the brain? And so there's evidence that if you
Starting point is 00:36:42 can bring that number down to lower levels or undetectable levels, that you can improve function of, you know, your heart, your joints, your brain. So that, yeah, absolutely. We see that the body wants to heal. It wants to recover. You know, there's the reality is, is that if too much damage has been done, then it's much harder to recover. But that's why, you know, we keep coming back to this idea of prevention, catching things early, being proactive with these systems. But absolutely, if things are caught early, the body, in most cases, tends to heal. The Apple Watch Series 10 is here. It has the biggest display ever.
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Starting point is 00:37:57 Flight risk. We haven't really spoken about what are we talking about when a brain becomes less functional. You described some of the factors that measure it, but I think the big thing that pops out for most people is I won't be able to think the way that I want to think. I won't be as effective, as productive, as creative. And then the really big fear, I think for so many people, especially when they get later in life, and especially if they've been around others or have people in their family or have a history in their family is the idea of dementia or Alzheimer's. And you also identified this sort of like other layer, I think you call it mild cognitive
Starting point is 00:38:40 impairment. So if we talk about mild cognitive impairment, dementia, and Alzheimer's, what are we actually talking about with each one of these three different things? Yeah, absolutely. So we'll start with where did I put my keys? Where did I park my car? What was that person's name? Those sorts of memory issues, they're normal. So I want to reassure people that we live in a world where there's a lot of distraction. There's a lot of multitasking and just simply slowing down one thing at a time. it's okay to forget things here or there. That's normal. But if you're seeing a change in an increase in frequency of memory issues or forgetting things that you once remembered, we want to get on top of it because the next layer
Starting point is 00:39:21 is something called mild cognitive impairment. What we're seeing is that over the age of 65, about 12 to 18% of people have this mild cognitive impairment. And we would define that as increasing memory issues. You know, I'm forgetting to pay a bill more often. I'm having trouble remembering how to get somewhere where I've gone many times. And these are warning signs. It doesn't mean that somebody is definitely going to develop to the next stage, which is dementia, but it's the risk is higher. And we're seeing that if we can catch things at this stage, we believe we can bring the
Starting point is 00:39:55 down of developing dementia. What dementia is, is memory loss, changes to the personality, trouble making a decision so much so that it's impacting the ability to get through the day. And dementia is not a disease. It's just the symptoms of these memory issues. There's many, many things that can cause dementia, anything from a hormone imbalance, a vitamin deficiency, side effect to a medication, an injury. But one specific disease that causes the symptoms of dementia is Alzheimer's. It's the most one specific disease that causes the symptoms of dementia is Alzheimer's. It's the most common specific disease that causes memory loss dementia. That's why, you know, we have to be talking about it, but it's not the only thing that causes dementia. Other factors
Starting point is 00:40:37 that cause dementia, about 20% of them, you know, hormone imbalances, vitamin deficiencies, other factors in our body, those things are highly treatable. So if somebody's showing signs of memory loss, we don't want to say, oh, it's something we definitely can't treat. We want to get to the root of it because we want to get the word out that in about 20% of cases, it is very treatable. But Alzheimer's is one specific disease that is complex. Part of what's happening is the buildup of these plaques and tangles. You can think of it like waste or trash in the brain that interfere with the brain cells ability to function. It causes the brain to shrink.
Starting point is 00:41:08 That's not the only thing that's happening in Alzheimer's. We also believe that this inflammation is a key part of it. The ability of the brain to have metabolized sugar and sugar is what the brain runs on. We believe that parts of our heart health are involved. So it's multiple factors, but that's really how we lay it out in, from, you know, just the common day-to-day memory issues that are just part of life all the way to things that are very serious. It seems like one of the things that is a common indicator is with each one of these stages is, you know, is this interfering in a meaningful way
Starting point is 00:41:42 with the way that I go about my day. And that when you're trying to figure out like, is this, yeah, did I forget my keys? Did I forget that person's name? Or like, am I tipping into mild cognitive impairment or more? A lot of the questions that you might just ask are really just like on a day-to-day basis, is this stopping me from being able to just be completely at ease and comfortable living and doing and being the way that I want to be? Yeah, absolutely. And then just really asking yourself, is it a function of me being tired? You know, am I, am I sleep deprived? Am I overwhelmed? Am I constantly on my phone or another device and then switching back and forth and saying,
Starting point is 00:42:25 wait, what was I just doing? Multitasking is, it's very difficult to remember when we're multitasking. And then also just being aware that, you know, we live in a world with a lot, a lot hitting our brain these days. So, you know, taking some breaks and saying, wait, you know, how is that impacting my ability to remember and recall? And then it's all these little tricks, memory champions that we can utilize that can help our memory too, that are based really about based upon how our brain actually works. So
Starting point is 00:42:48 there's a lot that we can do, but if things are progressing, we don't want to just say, oh, that's part of the aging process. We want to dig deeper and figure out what's going on. Yeah. I mean, but you also just offered something interesting, which is it's almost like the way that so many of us have learned to function and the way that so many of us have defaulted our attention, which is to sort of like perpetual switch tasking and distraction. It's almost like we are mimicking the condition of mild cognitive impairment simply because of the behavior and the choices or the default behaviors that we're making on a daily basis without even realizing that that's got to be affecting us. Yeah, absolutely. I mean, there was these studies just recently that
Starting point is 00:43:30 people who are on like two, three screens at the same time have a harder time just remembering the things that they were learning in that moment. And a lot of us are on two screens at the same time. And part of it is that your brain evolved in a way where it filters a lot out. We think our brain wants to remember, but really our brain wants to forget. That's the thing. It's like it really wants to be very selective about what it remembers. There are certain things that slip through, things that are funny, things that are emotional, music, things like that.
Starting point is 00:43:57 But the brain is constantly throwing up most of the things that are entering our brain away. And one of the thresholds to which determines whether or not we're going to remember something is whether or not we're focused on it for about seven to 10 seconds. And then the brain decides, oh, this information is important. I'm going to actually remember this. And if you think about it, we live in a world where we don't spend two seconds remembering where we parked our car, put our keys. We're often just on the next, on the next, on the next, wondering why we're having so much trouble remembering things. So, you know, it sounds simple, but just slowing down and saying, I need to remember this.
Starting point is 00:44:29 I'm going to eliminate all distraction. People are surprised, you know, how much more they start to remember when they use their brain as it evolved, as opposed to, as you mentioned, is sort of how we're using it in our modern world. Yeah. And you mentioned earlier in the conversation, the notion of recall, you know, how many people remember the telephone number of their five closest friends right now? Right.
Starting point is 00:44:48 Yeah. And how many did you remember like 20 years ago, 15 years ago? We had them all memorized. Yeah. Right. You just knew everybody. And now it's like, nobody knows anything because you don't have to. And the question becomes like, but what is that doing to us?
Starting point is 00:45:02 Not just for us in the moment. Like what long-term, you know, like if we're just, if we're not using all of that capacity and using all that capacity is really important to preserve brain health. Like what are the long-term repercussions of defaulting to technology to handle so much of what our brain used to do and like a generation ago? Yeah, absolutely. And our brain, once the information is stored somewhere safe, like your cell phone, like a phone number, your brain's like, I'm not going to remember this. And so it's hard nowadays to remember a phone number once you put in your phone. I mean, there's people that are, as you mentioned,, they actually said like, because we so often want to forget things or so easily want to forget things that we put down in our phone or on paper, that they actually help people fall asleep better or faster, easier.
Starting point is 00:45:56 If in the hour before bed, they like write down a to-do list and they look at it and they go, this information is stored somewhere safe. I'll deal with it in the morning. And it's kind of like putting it away, letting your brain let go of it. Cause a lot of what wakes us up in the middle of the night or has makes it hard to fall asleep is that idea that's sort of spinning. We can't let go of it. We can't stop thinking about it. So there's something to be said for using the way our brain works to our advantage and letting go of information that can help us forget long enough to fall asleep. Yeah. It's that balance. Isn't that always the case?
Starting point is 00:46:27 Yeah. Very true. You mentioned a couple of other things. One is, okay, so the brain uses glucose as a primary fuel, which is great. I mean, most of us have plenty in our body, but there's also, talk to me about the relationship between brain health and not just having enough available glucose to function as a fuel, but having glucose dysregulation in your body, insulin resistance, potentially even prediabetes or diabetes. Is there a relationship between those states and the health of our brains? Yeah, absolutely. So besides age, one of our single greatest risk factors for developing Alzheimer's, dementia, memory loss is untreated diabetes.
Starting point is 00:47:09 It raises the risk by 65%. And what's happening is that there's a part of your brain that's involved with not only managing insulin, which is involved in regulating sugar. It's also that same factor is also involved in managing a trash in the brain. It's a separate mechanism. Remember, we have all these backups. And if the body is overwhelmed, trying to deal with dealing with the insulin and overwhelmed with sugar, then it ignores the trash in the brain. It's kind of like, if you're busy, your desk gets messier because you're not paying attention, you have other things you need to do same thing in the body. And so this idea is, is
Starting point is 00:47:48 that 50% of our population either has pre diabetes or diabetes. And it's a driving force. It's it's a part again, I keep saying this, but it's a part of the puzzle of what's driving the memory loss, the Alzheimer's, the dementia that we're seeing. And the hopeful news is there are studies that show that if you can get diabetes under control, if you can manage it, the risk for memory loss comes down significantly. And so it's another avenue where we say that we have really good treatments for diabetes. We want people to be on top of their blood sugar levels, have the doctor's appointment, get those numbers checked. Because if we can treat those conditions or keep people from developing those conditions, that's a very powerful way to protect the brain. And then you mentioned insulin
Starting point is 00:48:32 resistance, which is if we think of diabetes as, you know, significant inability to manage sugar, prediabetes is we're on our way to developing diabetes, insulin resistance is not quite pre-diabetes, but the body is not handling sugar like it needs to be. This is much more common than we thought. A lot of people don't know they have it. And just to show how it's related, we're actually seeing studies that show that people have insulin resistance, have a significantly higher risk of depression. And we would say, wait, how is that related? Well, the health of our brain is related to the health of the metabolism. Metabolism is not functioning correctly. The brain can't function. So again, it's not the only thing that's happening in depression, but it's increasing risk. Again, it all comes back to this idea that we have things we can do and we just want to do them.
Starting point is 00:49:18 Yeah, no, that makes a lot of sense. And as horrifying as it is, the end note on almost everything we've talked about is, and we have agency. There are things. So much of this is environmental and behavior, and there are choices that we can make that can make really dramatic changes. I want to talk about some of those choices and some of those things. There's one other thing that I'm really curious about here, which is stress in the brain, we have all been through a couple of years where not only have like a lot of people experience health incidents and a ton of inflammation in the body
Starting point is 00:49:53 and fighting illness and fighting disease, but it's ratcheted up the level of not just acute, not just sort of like, oh, there's a stressful moment or a stressful interaction around, you know, like in this moment where it's just really hard, but like chronic stress. Yeah. Where it's just like the baseline fabric of life.
Starting point is 00:50:10 And it's been that way for a lot of people. I think honestly, in before times, but the last couple of years has really raised the baseline for so many. How does that interact with brain health? Yeah. How does that interact with brain health? Yeah, so it's very much in line with what you're saying, is that stress in a moment is actually really good for your brain, a burst of it. We think of it like the cortisol release, that's the stress hormone.
Starting point is 00:50:35 I like to say your brain's like your car. If you leave it in the garage, it falls apart if you never drive it. But if you overdrive it, too much cortisol, it also falls apart. And so it comes back to this idea of balance that we actually want to have some stress in our life. We want to have things we want to get done. We want challenges we want to tackle. That's all good, but we just need to take a break from it because it's very much related to
Starting point is 00:50:57 this fight or flight response. That's just deeply programmed in our brain and our body. It's good for us to have these moments of action. We want to do things, we want to get things done, keeps our brain youthful. We actually see that people who have a little burst of stress, their hippocampus, the part of their brain involved in memory, it gets actually bigger and stronger. But if that cortisol is either chronically released, we never take a break from it, or it's too much too often, the hippocampus shrinks. So that's what we talked about in the very beginning. What are the things that shrink the hippocampus? Well, too much cortisol release too often shrinks the hippocampus andinks. So that's what we talked about in the very beginning. What are the things that shrink the hippocampus? Well, too much cortisol release too often shrinks the hippocampus and can damage memory. And that's why, you know, in all this complexity, we keep coming back to
Starting point is 00:51:32 this idea that we just want to manage stress and take breaks. Everybody has a different amount of stress that's right for them. But I like to think of it like, you know, your body's like a glass and stress is water. There's nothing wrong with water in the glass. We just don't want it to overflow. And that's where mindfulness has become, you know, mainstream medicine because people who practice mindfulness, which is really just being in a positive present moment, taking a break from all the stress that's around us, possibly taking a break from the devices that inundate us with a lot of stressful information. It just allows our brain to take a break. And we see in brain scan studies that people who practice things like mindfulness or even just hobbies, fun hobbies that are positive distractions, they actually get better at
Starting point is 00:52:12 managing their stress. Their brain fundamentally changes. Their hippocampus gets bigger and stronger. So really, it just comes down to this idea that, yes, we are living in a time. I think one of the words of the year was, was it perma crisis or something, something like that, where it's like, we're just in a constant state of being inundated with information and the news and social media and all these, these avenues and personal professional that we just need to give ourselves permission to take a break a couple times a day. You know, take a walk, get some nature. I don't want to throw too many studies out,
Starting point is 00:52:45 but I'll give you one. It's just one of my favorites. They actually, we know nature is so good for your brain. So people will walk in nature for 10 minutes, their stress levels drop. So in Japan, they said, okay, let's, let's try something else. And they put a plant on people's desk and people who looked at the plant for two minutes, their stress levels dropped. And then they said, well, how do we make this even better? And they found one thing that made people's stress levels drop faster and further than just staring at the plant. And that was spraying the plant with some water. So it's probably being in the present moment. It's a little bit of nature, a little bit of purpose, all these things we know they're important,
Starting point is 00:53:17 but now we're realizing how important they are for our brain health. So it really just comes down to finding those things you love to do and taking a break. Yeah, I love that. And the nature thing resonates with me so deeply. I mean, part of the reason I am where I am right now is because I'm so aware of how being in nature affects me. I chose to move 2,000 miles from where I've lived my entire life so that I could walk out my back door and in seven minutes be in some of the most beautiful mountains and trails and natural environments in the world. But what I love that you're saying also is that, okay, so yes, I did that and I had the ability to do it. But even if you don't, put a plant in front of you
Starting point is 00:53:58 and then maybe water it once a week. And it's a really, really, really simple thing. Exposure to nature on that level can make a real big difference. I love when I first heard that Japan, who I think has led with a lot of these ideas, has designated forests. They call Shinrin-yoku forest, which translates to forest bathing because like they're aware of the profound effect that nature has on just the human condition there that they've literally allocated, you know, like resources to make access to it more easy. So we've kind of tumbled into some of the things to do, which is where I want to circle around to. Mindfulness, you mentioned as a really powerful way
Starting point is 00:54:36 to explore stress. Being in nature as a really powerful reset or even exposing yourself to greenery, even if you're an indoor environment. Talk to me about movement and exercise. Years ago, I remember hearing this phrase was being thrown around all the time in relation to exercise movement and the brain.
Starting point is 00:54:56 And it was called the quote, miracle grow for the brain. And people spoke about this chemical BDNF, brain drive neurotropic factor. That was a long time ago. Where are we with our take on how exercise movement being mobile affects brain health? And how does this advise how we can make decisions? I mean, if we had a magic pill for brain health, it would be exercise. And if we just take one step back and think about all the things that it does
Starting point is 00:55:23 beyond, yeah, miracle go for the brain is a great way to put it. But the idea back and think about all the things that it does beyond, yeah, miracle go for the brain is a great way to put it. But the idea is, is that think about what exercise does to your heart. Well, that's important for your brain. If you exercise, you're likely to sleep better. That's important for your brain. That's when we wash out a lot of the toxins that are in our brain when we're sleeping. You think about your immune system. When you exercise, you help balance the immune system. So it can be involved with balance. We talked about that. That's so important. So it really just hits a lot of check marks on the list of what's so important. So I always, you know, when I give talks, I always
Starting point is 00:55:54 say that if you want something that's a really bang for your buck activity, go dancing or play a sport. Because if you think about it, these things are social, they're stress relief, they're movement. They just hit so many things on this list and they're fun. You know, we want to do, it's hard to adopt things that aren't fun. So we want to let people know that, you know, the things that you're enjoying doing, double down, embrace them. If you're not doing them, give yourself permission and time to do them. But exercise is not only releasing tons of factors into the brain that are important for, you know, brain health, they're optimizing all these other systems that feed into your brain.
Starting point is 00:56:30 And so it's just, it's critically important. Also for stress relief, we often notice that, you know, when we're stressed, if we move, we take action, stress levels tend to dissipate. And so just, you know, that's why yoga, Pilates, all these things are so important for stress management, because we actually send signals to our brain when we start moving to just kind of calm ourselves down. Yeah. So it's, it's sort of like the, the central key for so many of the other things that we've talked about, you know, from stress, from being social, from inflammation and sleep.
Starting point is 00:56:57 And I think, you know, a lot of times I've heard the research around sleep as like, this is, if there's one thing that you could really maximize, it would be really dialing in your sleep. And yet when you tell that to people who struggle with sleep, that they, that is not like great. It seems like one of those things where it's like, but I feel like I have so little control over this thing. Yes. There's the classic, you know, like sort of like bullets of sleep hygiene that like everyone
Starting point is 00:57:23 can do, but a lot of sleep hygiene that like everyone can do. But a lot of people do that and they still really struggle with sleep because it's related to so many different things. But when you talk about exercise, it's almost like this indirect mechanism because you get the benefit of the exercise. And as you mentioned, exercise often actually makes sleep come more easily and sustain more deeply and for a longer duration. So it's almost like getting to the same end, but with a mechanism where people feel like I do have control, more control over my ability to actually say, I'm going to go dance. I'm going
Starting point is 00:57:54 to move my body. I'm going to jump rope, whatever it is that's just fun and playful and maybe social. I have control over that for 20 minutes a day or whatever it is. I don't necessarily feel like I have that level of control or just like saying, I'm going to do this thing and I'm just going to sleep. It just, it feels much more sort of like a black hole where I just don't quite get it. Right. Right. Yeah. Yeah. It's hard. It's hard to say, I need to go to sleep now. I need to, I need to get the best sleep now that we can put pressure on ourselves. But, and also thinking about sleep as not something that's just the hour before bed. But even as soon as you, you know, soon after getting up, one of the most powerful things we know based upon how your brain works now is just getting outside, getting some natural light,
Starting point is 00:58:33 even on a cloudy day that sets in mechanism, a timing mechanism that actually can help you fall asleep at night. So, you know, we live in a world where often we're either spending more time at home or commuting and not getting outside. So a little bit of outdoor time in the morning, this dose of light really does help us sleep. It's a, it's a, it's one of the things I call really small, really simple, but really powerful. And so those are the things we want to be aware of too. I love that. There's certainly a conversation to be had around food. I think a lot of us, you know, and, and it ties in with, I think the conversation we had around the gut, um, like we've probably all seen these lists of quote brain foods, which tend to really involve like a lot of healthy fats, fatty fish and avocados and good nuts and
Starting point is 00:59:15 veggies and stuff like this. Um, I think that's sort of like one of the more common things and more like general health oriented things. Also, I didn't want to skip the idea of um or to brain health of um novelty and learning you know because i think we saw for a chunk of time this proliferation of brain games right and apps and things you do in your screen and everyone's like this will make you like you know increase your memory and increase your creativity, increase your cognitive function and preserve your brain size for forever. And then there seemed to be a bit of a backlash against that saying, well, not so fast. Maybe yes, maybe no, but we're not entirely sure.
Starting point is 00:59:57 Where are we with the state of the importance of novelty learning experiences challenging your brain as a mechanism to preserve a healthy brain. Yeah, yeah. I'm glad you brought that up because part of what's happening when we're aging is we're losing connections between our brain cells. So you've got about 80 billion brain cells and in between those 80 billion brain cells are a hundred trillion connections. And those connections are, those are your memories. That's how you move. That's how you think. And as we get older, we can lose some of those connections. It's just part of the process.
Starting point is 01:00:27 But if we learn new things, we're making new connections and we're putting connections back. And the more new connections we make, we don't tend to notice the loss as much. And we learn new things. We make new connections, I should say, by learning new things. And exactly what you said is very true.
Starting point is 01:00:43 It's the marketing jumped ahead of the science in terms of the apps and the brain games. They tend to make people better at the apps and the brain games, but they don't seem to carry over to day-to-day memory. But really where we do see some positive impacts and good evidence is just pick something outside of your field of expertise and learn that new thing. Newness causes new connections. We also have some evidence that newness causes a release of a chemical called norepinephrine in the brain that can help kind of spray away some of the, or clean up some of that waste that we talked about.
Starting point is 01:01:15 So it's another dual benefit there. Could be a musical instrument, could be a little bit of brain science, art history. Doesn't really matter what it is. The newness is important. And then also part of this is being social. People who attend dinner parties have about a 48, 50% lower chance of developing memory loss or dementia because when we are social, we're learning things. We're learning new things. We're hearing, we're being engaged. And so that's a really important piece of this puzzle too, is that you don't have to go to a dinner party if that's not your thing, but just be engaged, be social, be learning new things. It could be a phone call, could be a Zoom call. It doesn't really seem to matter what it is, if we can treat them simply with something like a hearing aid,
Starting point is 01:02:06 it can also protect memory. People who have even mild hearing loss have a significantly increased risk of memory loss. If you treat it with a hearing aid, that goes away. We're not hearing. Oftentimes we're not learning. So we just want to be aware that our senses are part of how we learn. And again, it all comes back to, I think our theme today is there's things we can do. So when we can do it, when we can, we want to do it and just prioritize learning new things and being social. Are you aware of any research that shows that learning not only creates new connections, but also may help preserve old connections?
Starting point is 01:02:38 Yeah. So there is that idea that if the brain is being used, the brain says that it's sort of similar to this idea of just the right amount of stress. The brain really kind of has this sense that I'm being used. I need to maintain, I not only need to like make new connections, but I need to make sure I'm making old connections that are useful. I need to solidify them or keep them strong. The brain does also get rid of connections. It feels like it's not needed through a process called pruning, which is really important for your brain too. It's like a garden. You want to get rid of unnecessary things, but this idea of keeping
Starting point is 01:03:14 what's important is something that we believe if we keep our brain active, we can help optimize that process. Yeah. Love that. And I love this sort of like the general theme, like you just shared is that, well, first your brain just declining and function is not necessarily a natural thing. There are a lot of different contributors, environment choices, behavior, and genetics, and probably a whole bunch of other things we don't even know about at this point. But there's not this fatalistic thing of like, this is just what happens to our brains as we age. Like we can do things. And many of the things that we talked about from sleep to exercise and nutrition to like socializing to learning, like these are all things which are powerful, often free and accessible to most people, which I love. You know, it's not like you have to go out and each one costs you
Starting point is 01:04:06 something. These are things that most of us can say yes to. And the other big theme I think is no matter what age you are, it's never too early or too late. Just start. And now maybe if you had motivation to say yes to any one of these things that we've talked about, now you have additional motivation because you know, it's going to affect something you care deeply about, which is effectively not just the thing that makes you think and create, but it's like the seed of your identity. Absolutely. And I think that is the biggest fear for so many people who are sort of, you know, further into life is the sense of losing their identity. And the notion that there are things
Starting point is 01:04:43 that we can do is super empowering. So it feels like a good place for us to come full circle. So in this container of a good life project, if I offer up to you the phrase to live a good life, what comes up? I think to be doing the things you love with the people you love for as long as possible and embracing the small moments and realizing that those small moments and the little things, you know, sometimes we can get wrapped up in big goals down the road, but really embracing the simple pleasures of a walk with a friend, a walk with a loved one, a good laugh, a good conversation, going dancing, singing music, all these little moments and embracing them and taking time to really say, I'm so thankful and having the gratitude for
Starting point is 01:05:29 them is adds up to a great life. Thank you. Thank you. Hey, if you love this episode, safe bet you will also love the conversation that we had with Dr. Aviva Ram about how to work with your hormones to really optimize health and longevity. You'll find a link to Aviva's episode in the show notes. And of course, if you haven't already done so, please go ahead and follow Good Life Project in your favorite listening app. And if you found this conversation interesting or inspiring or
Starting point is 01:06:02 valuable, and chances are you did since you're still listening here, would you do me a personal favor, a seven second favor and share it maybe on social or by text or by email, even just with one person, just copy the link from the app you're using and tell those, you know, those you love, those you want to help navigate this thing called life a little better. So we can all do it better together with more ease and more joy. Tell them to listen. Then even invite them to talk about what you've both discovered because when podcasts become conversations and conversations become action, that's how we all come alive together. Until next time, I'm Jonathan Fields, signing off for Good Life Project.
Starting point is 01:06:50 The Apple Watch Series 10 is here. It has the biggest display ever. It's also the thinnest Apple Watch ever, making it even more comfortable on your wrist, whether you're running, swimming, or sleeping. And it's the fastest-charging Apple Watch, getting you eight hours of charge in just 15 minutes. The Apple Watch Series X, available for the first time in glossy jet black aluminum.
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