Huberman Lab - Essentials: How to Control Hunger, Eating & Satiety
Episode Date: February 27, 2025In this Huberman Lab Essentials episode, I explain how hormones regulate hunger, appetite and feelings of satiety (fullness), along with strategies to help control appetite. I describe how the body s...enses nutrient levels and how the brain processes these signals to stimulate hunger or suppress appetite. I also discuss how certain foods can help curb hunger, while processed foods and emulsifiers can interfere with satiety signals, leading to overeating. Additionally, I cover how lifestyle factors such as exercise and meal timing regulate blood glucose levels, which in turn impact hunger and appetite. Huberman Lab Essentials episodes are approximately 30 minutes long and focus on essential science and protocol takeaways from past Huberman Lab episodes. Essentials will be released every Thursday, while our full-length episodes will continue to be released every Monday. This Huberman Lab Essentials is from the full-length Huberman Lab episode, “How Our Hormones Control Our Hunger, Eating & Satiety.” Read the full episode show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman David Protein: https://davidprotein.com/huberman Mateina: https://drinkmateina.com/huberman LMNT: https://drinklmnt.com/huberman For all Huberman Lab sponsors, visit hubermanlab.com/sponsors. Timestamps 00:00:00 Huberman Lab Essentials; Hunger & Appetite 00:00:56 Hunger, Hypothalamus, Cortex & Mouth 00:04:46 Sponsor: David Protein 00:06:02 Melanocyte-Stimulating Hormone, AgRP Neurons, Ghrelin, Tool: Regular Meal Timing 00:10:13 Cholecystokinin (CCK), Tool: Omega-3s, Amino Acids & Blunting Appetite 00:13:26 Sponsor: AG1 00:14:30 Highly-Processed Foods, Emulsifiers, Tool: Whole Foods & Satiety Signals 00:19:10 Insulin, Glucose, Type 1 & 2 Diabetes 00:22:16 Sponsor: Mateina 00:23:41 Insulin & Glucagon, Tools: Food Order, Movement & Blood Glucose 00:27:26 Tool: Exercise & Stable Blood Sugar 00:29:38 Metformin, Ketogenic Diet, Blood Glucose 00:31:59 Sponsor: LMNT 00:33:16 Diabetes, Urine & Blood Sugar 00:35:40 Caffeine, Tool: Yerba Mate, Glucagon-Like Peptide -1 (GLP-1), Appetite 00:38:49 Recap & Key Takeaways Disclaimer & Disclosures
 Transcript
 Discussion  (0)
    
                                         Welcome to Huberman Lab Essentials,
                                         
                                         where we revisit past episodes
                                         
                                         for the most potent and actionable science-based tools
                                         
                                         for mental health, physical health, and performance.
                                         
                                         I'm Andrew Huberman,
                                         
                                         and I'm a professor of neurobiology and ophthalmology
                                         
                                         at Stanford School of Medicine.
                                         
                                         This podcast is separate from my teaching
                                         
    
                                         and research roles at Stanford.
                                         
                                         It is, however, part of my desire and effort
                                         
                                         to bring zero cost to consumer information about science
                                         
                                         and science related tools to the general public.
                                         
                                         Today, we're going to talk about how hormones impact feeding
                                         
                                         and hunger, as well as satiety,
                                         
                                         the feeling that you don't want to eat
                                         
                                         or that you've eaten enough.
                                         
    
                                         Now it's important to understand that hormones
                                         
                                         don't work alone in this context.
                                         
                                         Today, I'm going to describe some hormones
                                         
                                         that have powerful effects on whether or not
                                         
                                         you want to eat more or less or stop eating altogether.
                                         
                                         But they don't do that on their own.
                                         
                                         They do that in cooperation with the nervous system.
                                         
                                         The first thing that you need to know
                                         
    
                                         about the nervous system side,
                                         
                                         the neural control over feeding and hunger,
                                         
                                         is that there's an area of your brain
                                         
                                         called the hypothalamus.
                                         
                                         Now, the hypothalamus contains lots of different kinds
                                         
                                         of neurons doing lots of different kinds of things.
                                         
                                         There's a particular area of the hypothalamus
                                         
                                         called the ventromedial hypothalamus.
                                         
    
                                         And it's one that researchers have been interested
                                         
                                         for a long time now in terms of its relationship
                                         
                                         to hunger and feeding.
                                         
                                         And the reason is it creates these paradoxical effects.
                                         
                                         What do I mean by that?
                                         
                                         What they found was that sometimes lesioning
                                         
                                         or disrupting the neurons in the ventromedial hypothalamus
                                         
                                         would make animals or people hyperphagic.
                                         
    
                                         They would want to eat like crazy.
                                         
                                         And other lesions in other individuals or animals
                                         
                                         would make them anorexic.
                                         
                                         It would make them not want to eat at all.
                                         
                                         It would make food aversive.
                                         
                                         So that means that the ventromedial hypothalamus
                                         
                                         is definitely an interesting control station
                                         
                                         for hunger and feeding and satiety,
                                         
    
                                         but it doesn't really tell you what's going on
                                         
                                         at a deeper level.
                                         
                                         In fact, it's a little bit confusing or paradoxical.
                                         
                                         Turns out that there are multiple populations of neurons
                                         
                                         in there.
                                         
                                         Some are promoting feeding
                                         
                                         and some are promoting not feeding or not eating.
                                         
                                         Now, the other neural component of all this
                                         
    
                                         that you need to know about
                                         
                                         actually has to do with your mouth.
                                         
                                         So there's an area of your cortex.
                                         
                                         So that's a little bit further up in your brain
                                         
                                         called the insular cortex.
                                         
                                         And it processes a lot of different kinds of information,
                                         
                                         mostly information about what's going on inside you,
                                         
                                         so-called interoception.
                                         
    
                                         The insular cortex has neurons that get input from your mouth
                                         
                                         from the touch receptors in your mouth.
                                         
                                         An insular cortex has powerful control over whether or not
                                         
                                         you are enjoying what you're eating,
                                         
                                         whether or not you want to avoid what you're eating,
                                         
                                         whether or not you've had enough
                                         
                                         or whether or not you want to continue eating more.
                                         
                                         And that has to do, believe it or not,
                                         
    
                                         with the touch or sensation of eating.
                                         
                                         But the key point right now is to know
                                         
                                         you got these two brain areas,
                                         
                                         the ventromedial hypothalamus,
                                         
                                         that's involved in hunger and lack of hunger.
                                         
                                         And you have this insular cortex
                                         
                                         that gets input from your mouth
                                         
                                         and cares about chewing and the consistency of foods
                                         
    
                                         and all sorts of interesting things
                                         
                                         that are just very tactile.
                                         
                                         And I think most people think about the touch receptors on,
                                         
                                         excuse me, the taste receptors on the tongue,
                                         
                                         but we often don't think about the touch
                                         
                                         or tactile essence of food.
                                         
                                         Now, let's get back to the ventromedial hypothalamus.
                                         
                                         Sometimes it makes animals or people want to eat more,
                                         
    
                                         sometimes less.
                                         
                                         So what's going on there?
                                         
                                         There's a classic experiment that was done
                                         
                                         in which researchers took two rats
                                         
                                         and so-called parabiased them to each other.
                                         
                                         What that meant is that they did a little surgery
                                         
                                         and they linked their blood supply
                                         
                                         so that they were forever physically linked to one another
                                         
    
                                         and could exchange factors in the blood,
                                         
                                         but their brains were separate, their mouths were separate,
                                         
                                         and they essentially did everything separately
                                         
                                         except that they were linked to one another.
                                         
                                         So they had to walk together
                                         
                                         and go to the same places in order to do it.
                                         
                                         This parabiosis experiment
                                         
                                         revealed something really important.
                                         
    
                                         When they lesioned the ventromedial hypothalamus
                                         
                                         in one of the rats that was connected to the other rat,
                                         
                                         that rat got very, very fat.
                                         
                                         It's just really obese.
                                         
                                         The other one, however, got very thin.
                                         
                                         It actually lost weight.
                                         
                                         So what does this tell us?
                                         
                                         This tells us that there's something in the blood
                                         
    
                                         that's being exchanged between the two animals
                                         
                                         because it was their blood supply that was linked.
                                         
                                         And that tells us that there's hormone or endocrine signals
                                         
                                         that are involved in the desire to eat
                                         
                                         and hunger and appetite.
                                         
                                         And so next we're going to talk about
                                         
                                         what those endocrine signals are.
                                         
                                         And then I'm going to immediately point
                                         
    
                                         to some entry points that you can use.
                                         
                                         And you can use these even if you're not parabiased
                                         
                                         to anything and that can allow you
                                         
                                         to time your meal frequency and predict
                                         
                                         when you're going to be hungry or not.
                                         
                                         So let's talk about the endocrine factors
                                         
                                         that regulate feeding, hunger and satiety.
                                         
                                         I'd like to take a quick break
                                         
    
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                                         One of the really exciting things to emerge
                                         
                                         in the science of feeding and appetite in the last 20 years
                                         
    
                                         is the discovery of another brain area,
                                         
                                         not just the ventromedial hypothalamus,
                                         
                                         but it's an area of the brain called the arcuate nucleus.
                                         
                                         And the arcuate nucleus has some really fascinating sets
                                         
                                         of neurons that release even more incredible molecules
                                         
                                         and chemicals into the blood.
                                         
                                         And these chemicals act as accelerators
                                         
                                         on feeding an appetite or breaks.
                                         
    
                                         So first of all, there are a set of neurons
                                         
                                         in this arcuate nucleus.
                                         
                                         It's the pro-opio melanocortin system.
                                         
                                         Now, the POMC neurons make something called alpha MSH,
                                         
                                         melanocyte stimulating hormone,
                                         
                                         alpha melanocytes stimulating hormone.
                                         
                                         MSH reduces appetite and it's a powerful molecule.
                                         
                                         All right, so just put that on the shelf.
                                         
    
                                         MSH reduces appetite.
                                         
                                         Now there's another population of neurons
                                         
                                         in the arcuate nucleus called the AGRP neurons.
                                         
                                         The AGRP neurons stimulate eating.
                                         
                                         The activity in these AGRP neurons goes way up
                                         
                                         when animals or people haven't eaten for a while.
                                         
                                         And the activity of MSH, the release of MSH
                                         
                                         goes up when we've eaten.
                                         
    
                                         Next, let's talk about a hormone peptide
                                         
                                         that activates hunger.
                                         
                                         And this is a really interesting one
                                         
                                         because it relates to when you get hungry,
                                         
                                         in addition to the fact that you get hungry at all.
                                         
                                         And it's called ghrelin.
                                         
                                         It's spelled G-H-R-E-L-I-N.
                                         
                                         Ghrelin is released actually from the GI tract.
                                         
    
                                         And its main role is to increase your desire to eat.
                                         
                                         And it does that through a variety of mechanisms.
                                         
                                         Part of that is to stimulate some of the brain areas,
                                         
                                         the actual neurons that make you want to eat.
                                         
                                         In addition, it creates food anticipatory signals
                                         
                                         within your nervous system.
                                         
                                         So you start thinking about the things
                                         
                                         that you happen to like to eat
                                         
    
                                         at that particular time of day.
                                         
                                         This is fascinating.
                                         
                                         Grelin is sort of like a clock, a hormonal clock
                                         
                                         that makes you want to eat at particular times.
                                         
                                         Now the signal for Grelin
                                         
                                         is reduced glucose levels in the blood.
                                         
                                         If it drops too low, Grelin is secreted from your gut.
                                         
                                         It activates neurons in your brain at various locations.
                                         
    
                                         We all know about the famous Pavlovian experiments
                                         
                                         of Pavlov's dogs.
                                         
                                         They start salivating to the bell
                                         
                                         after the bell was presented with food,
                                         
                                         you remove the food and then just the bell
                                         
                                         can stimulate the salivation.
                                         
                                         We become Pavlovian at times,
                                         
                                         but rarely has it ever discussed
                                         
    
                                         what the neural pathways for that are.
                                         
                                         And it turns out that these hormones
                                         
                                         that are secreted from the gut
                                         
                                         can stimulate the neurons to create a sensation
                                         
                                         and a desire for certain foods at certain times of day.
                                         
                                         You've done this experiment.
                                         
                                         If you are somebody who eats breakfast
                                         
                                         at more or less the same time each day,
                                         
    
                                         let's say 8 a.m., your ghrelin secretion
                                         
                                         will start to match
                                         
                                         when you typically eat.
                                         
                                         And it's able to override the low levels of glucose
                                         
                                         in your bloodstream because the ghrelin system
                                         
                                         also gets input from a clock in your liver
                                         
                                         that is linked to the clock in your hypothalamus
                                         
                                         in your brain.
                                         
    
                                         And what this means is if you eat at regular meal times,
                                         
                                         you will start to get hungry a few minutes
                                         
                                         before those meals times.
                                         
                                         If you've ever wondered why your stomach kind of starts
                                         
                                         to growl because it's a particular time of day,
                                         
                                         you're like, oh, I must want to eat.
                                         
                                         Well, that's ghrelin.
                                         
                                         So ghrelin is secreted as a kind of food anticipatory signal
                                         
    
                                         to get you motivated to go eat at regular times.
                                         
                                         But what that means is that if you suddenly go
                                         
                                         from eating on a very regular schedule to skipping a meal
                                         
                                         or pushing your meal timing out or shifting at all,
                                         
                                         you're going to have ghrelin in your system.
                                         
                                         And that ghrelin is going to stimulate the desire to eat
                                         
                                         by acting at the level of your brain.
                                         
                                         So ghrelin stimulates the AGRP neurons,
                                         
    
                                         which makes you want to eat.
                                         
                                         Regularity of eating equals regularity of ghrelin secretion
                                         
                                         equals regularity of activity of these AGRP neurons,
                                         
                                         meaning you will be hungry at very regular intervals.
                                         
                                         So if MSH inhibits feeding, makes us want to eat less,
                                         
                                         and ghrelin makes us want to eat more,
                                         
                                         there's another hormone called CCK, cholecystokinin,
                                         
                                         that is potent in reducing our levels of hunger.
                                         
    
                                         Now, CCK is in the GI tract,
                                         
                                         it's released from the GI tract,
                                         
                                         and its release is governed by two things.
                                         
                                         One is a subset of very specialized neurons
                                         
                                         that detect what's in the gut,
                                         
                                         the specific contents of the gut,
                                         
                                         and by certain elements of the mucosa,
                                         
                                         the mucus lining of the gut and the gut microbiome.
                                         
    
                                         So what's really interesting is that CCK
                                         
                                         is stimulated by fatty acids, amino acids,
                                         
                                         and particular amino acids that we'll talk about as well as by sugar.
                                         
                                         So which fatty acids in the gut stimulate the release
                                         
                                         of CCK?
                                         
                                         Omega-3 fatty acids and conjugated linoleic acid, CLA,
                                         
                                         either from food or from supplements stimulate the release
                                         
                                         of CCK, which then reduces or at least blunts appetite.
                                         
    
                                         The other thing that stimulates CCK that I mentioned
                                         
                                         are amino acids.
                                         
                                         So when we eat, we have the ability to break down
                                         
                                         different macronutrients, you know, carbohydrates,
                                         
                                         fats, or proteins into sugars and glucose
                                         
                                         that then we can convert to ATP and all that stuff.
                                         
                                         Remember, Krebs cycle from high school.
                                         
                                         We're not going to go into that today.
                                         
    
                                         That's for a future episode.
                                         
                                         Amino acids, both can be used as energy
                                         
                                         through a process called gluconeogenesis
                                         
                                         of converting proteins into energy,
                                         
                                         or those amino acids can be broken down
                                         
                                         and then rebuilt into things like repairing muscle tissue,
                                         
                                         as well as other forms of cellular repair.
                                         
                                         They're involved in all sorts of things
                                         
    
                                         related to protein synthesis.
                                         
                                         What does this mean?
                                         
                                         If we eat the proper amino acids at the proper levels,
                                         
                                         if we ingest omega-3s and CLA's,
                                         
                                         conjugated linoleic acids at the proper levels,
                                         
                                         or get them from supplements,
                                         
                                         there is a blunting of appetite.
                                         
                                         Appetite is kept clamped and we don't become hyperphagic.
                                         
    
                                         We don't overeat.
                                         
                                         We tend to eat within healthy or normal ranges.
                                         
                                         So this is very important because most people
                                         
                                         don't understand that when we're eating,
                                         
                                         we are basically fat foraging and amino acid foraging.
                                         
                                         In other words, even if it's not conscious,
                                         
                                         we are eating until we trigger the activation of CCK.
                                         
                                         Now there are other reasons why we shut down eating too.
                                         
    
                                         The volume of food in our gut can be large
                                         
                                         and we can feel very distended.
                                         
                                         That's the physical reason, obviously.
                                         
                                         But at a subconscious level,
                                         
                                         the gut is informing the brain via CCK and other mechanisms
                                         
                                         when we've ingested enough of what we need.
                                         
                                         So as you can see,
                                         
                                         feeding is an interplay between brain and body,
                                         
    
                                         and it's some of the micronutrients
                                         
                                         and even the breakdown of particular nutrients
                                         
                                         that's putting the accelerator
                                         
                                         or the brake on the feeding process.
                                         
                                         You are essentially trying to eat to get these nutrients
                                         
                                         and then a signal can be deployed up to your brain
                                         
                                         that you're not really interested in eating that much more.
                                         
                                         I'd like to take a quick break
                                         
    
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                                         There's one particular aspect of food
                                         
    
                                         that can powerfully impact CCK.
                                         
                                         And I think most people,
                                         
                                         I'm guessing 99.9% of people out there
                                         
                                         are not aware of this.
                                         
                                         And it has to do with highly processed foods.
                                         
                                         There's a lot of reasons why one would want to avoid
                                         
                                         highly processed foods. In fact, lot of reasons why one would want to avoid highly processed foods.
                                         
                                         In fact, if you're interested in that topic
                                         
    
                                         and the history of whole foods transitioning
                                         
                                         to highly processed foods in this country,
                                         
                                         I highly recommend you listen to a YouTube video
                                         
                                         by Dr. Robert Lustig.
                                         
                                         He's at University of California, San Francisco.
                                         
                                         It gives a beautiful description of the history of this
                                         
                                         and why the food industry started packing in
                                         
                                         additional sugars and salts
                                         
    
                                         and turning foods into commodities is really fascinating.
                                         
                                         It has no conspiracy theory, it's just all scientific facts.
                                         
                                         It's really a wonderful lecture.
                                         
                                         It has millions of views, should be very easy to find.
                                         
                                         There's another reason to avoid highly processed foods,
                                         
                                         however, and that has to do with what's called emulsifiers.
                                         
                                         Now, many of you are familiar with emulsifiers,
                                         
                                         even though you don't know it.
                                         
    
                                         When you put detergent in the laundry,
                                         
                                         that contains emulsifiers.
                                         
                                         The goal of that detergent is to bring together
                                         
                                         fatty molecules with water molecules
                                         
                                         and be able to dissociate them and break them up
                                         
                                         to get the stains out of clothes and things of that sort.
                                         
                                         There are a lot of emulsifiers put into processed foods. And those emulsifiers allow certain chemical reactions
                                         
                                         to occur that extends the shelf life of those foods.
                                         
    
                                         Why are emulsifiers bad?
                                         
                                         Okay, there are a lot of reasons why they're bad,
                                         
                                         but the reason why they're bad for the mechanisms
                                         
                                         that we've been talking about today
                                         
                                         is that when you ingest those foods,
                                         
                                         you're bringing those emulsifiers into your gut
                                         
                                         and those emulsifiers strip away
                                         
                                         the mucosal lining of the gut
                                         
    
                                         and they actually cause the neurons that innervate the gut
                                         
                                         that extend those little processes we call axons
                                         
                                         into the gut to retract deeper into the gut.
                                         
                                         And as a consequence, you're ingesting a bunch of food
                                         
                                         and the signals like CCK never get deployed.
                                         
                                         The signals that actually shut down hunger
                                         
                                         are never actually triggered.
                                         
                                         And so as a consequence, you want to eat far more
                                         
    
                                         of these highly processed foods.
                                         
                                         In addition, if you then go from eating
                                         
                                         a highly processed food to non highly processed foods,
                                         
                                         you're not able to measure the amounts of amino acid,
                                         
                                         sugars and fatty acids in those foods as accurately.
                                         
                                         You've actually done structural damage at a micro level,
                                         
                                         but structural damage, excuse me,
                                         
                                         to the mucosal lining of the gut.
                                         
    
                                         Now this can all be repaired if you stay away
                                         
                                         from highly processed foods for some period of time,
                                         
                                         but the negative effects of these emulsifiers
                                         
                                         are quite real.
                                         
                                         So to make it really clean and simple,
                                         
                                         emulsifiers from highly processed foods
                                         
                                         are limiting your gut's ability to detect
                                         
                                         what's in the foods you eat,
                                         
    
                                         and therefore to deploy the satiety signals,
                                         
                                         the signals that shut down hunger.
                                         
                                         In addition to that, there's a parallel mechanism at play
                                         
                                         that I talked about in a previous episode,
                                         
                                         but I'll remind you again that you have neurons in your gut that are sensing sugar and are sending a subconscious
                                         
                                         signal up to the brain via the vagus nerve. And those neurons trigger the release of dopamine,
                                         
                                         which makes you crave more of that food. So now you've got parallel signals,
                                         
                                         making you want to eat more sugar, making you unaware of how much sugar you've eaten
                                         
    
                                         and that are disrupting the inputs to the nervous system
                                         
                                         that signal to the rest of your brain and body
                                         
                                         that you've obtained enough fatty acids
                                         
                                         and you've obtained enough amino acids.
                                         
                                         So these highly processed foods are really terrible.
                                         
                                         And I'm not out here to say,
                                         
                                         never enjoy a processed food of any kind.
                                         
                                         I'd be a hypocrite because I do eat processed foods from time to time.
                                         
    
                                         Although the ones that I tend to eat,
                                         
                                         I try and make of the healthier variety.
                                         
                                         But eating whole foods has tremendous value
                                         
                                         and eating highly processed food
                                         
                                         has tremendous negative impact on the gut
                                         
                                         and on the gut brain axis.
                                         
                                         The bottom line is that highly processed foods
                                         
                                         are just bad for you.
                                         
    
                                         They increase weight gain.
                                         
                                         They disrupt the lining of your gut
                                         
                                         in a way that disrupts things like CCK
                                         
                                         and proper satiety signals.
                                         
                                         So there's just so many reasons
                                         
                                         why these highly processed foods are terrible
                                         
                                         and they can explain a lot of the ill health effects
                                         
                                         that we've seen in the last 50 years,
                                         
    
                                         not just in the United States, but all over the world.
                                         
                                         The enormous increase in diabetes, juvenile diabetes,
                                         
                                         it's just remarkable how far down the path of bad we've gone
                                         
                                         and it's clear, it's almost a smoking gun
                                         
                                         what the cause of this is.
                                         
                                         If you'd like to learn more about that,
                                         
                                         please refer to the Lustig lecture.
                                         
                                         He also spells out why non-processed foods
                                         
    
                                         is far more economical in terms of just at the level
                                         
                                         of the household or individual,
                                         
                                         as well as at the societal level.
                                         
                                         Really interesting stuff.
                                         
                                         I highly recommend you check it out.
                                         
                                         So now let's move on to some other hormones
                                         
                                         that regulate hunger and satiety.
                                         
                                         In particular, insulin.
                                         
    
                                         Now you've probably heard of insulin before.
                                         
                                         Insulin is the thing that's lacking in type one diabetics.
                                         
                                         That's why they have to inject insulin whenever they eat.
                                         
                                         The reason they have to do that is because when they eat,
                                         
                                         their foods are broken down into glucose.
                                         
                                         And in order to shuttle glucose
                                         
                                         to the appropriate tissues in the body,
                                         
                                         and also to keep glucose levels in check, you need insulin.
                                         
    
                                         So the simplest way to think about insulin and glucose
                                         
                                         is that when you eat, that food is broken down into sugars.
                                         
                                         That's true whether or not it's fats or it's sugars
                                         
                                         or eventually if it's proteins,
                                         
                                         they're oxidized into fuels as we say.
                                         
                                         Your blood sugar needs to be kept in a particular range.
                                         
                                         Hypoglycemic means too low, hyperglycemic means too high.
                                         
                                         And what they called euglycemic, EU glycemic,
                                         
    
                                         is the healthy range.
                                         
                                         Now, what those healthy ranges are,
                                         
                                         in general, the healthy range,
                                         
                                         the U glycemic range is about 70 to 100 nanograms
                                         
                                         per deciliter.
                                         
                                         Why is it important that glucose be kept
                                         
                                         at a particular level?
                                         
                                         Once you understand that, keeping glucose in check
                                         
    
                                         starts to have a rationale behind it.
                                         
                                         And the ways to do that start to make a lot more sense.
                                         
                                         So the reason is, if glucose levels get too high,
                                         
                                         because of the way that our cells, in particular neurons,
                                         
                                         interact with glucose,
                                         
                                         high levels of glucose can damage neurons.
                                         
                                         It can actually kill them.
                                         
                                         You can start getting what are called peripheral,
                                         
    
                                         excuse me, neuropathies.
                                         
                                         One of the symptoms of some forms of diabetes
                                         
                                         is that people start losing the sensation of touch
                                         
                                         in their fingers or their hands or their feet,
                                         
                                         and they can start going blind.
                                         
                                         There's diabetic retinopathies.
                                         
                                         So it's very important that insulin manage
                                         
                                         your glucose levels.
                                         
    
                                         Now there's also type two diabetes
                                         
                                         where there's insulin secreted from the pancreas
                                         
                                         but people are insulin insensitive.
                                         
                                         There's a disruption in the receptors
                                         
                                         and insulin insensitivity isn't quite the same
                                         
                                         as having no insulin at all
                                         
                                         but it parallels some of the same mechanisms.
                                         
                                         Now type one diabetes is often picked up
                                         
    
                                         because someone has a sudden weight loss
                                         
                                         because they're not processing blood sugar
                                         
                                         the same way they were before.
                                         
                                         Type two diabetes is often, although not always,
                                         
                                         associated with being overweight and with obesity.
                                         
                                         Both of them are challenging conditions.
                                         
                                         Type two diabetes almost always can be managed
                                         
                                         by managing one's weight.
                                         
    
                                         And of course, there are prescription drugs
                                         
                                         and supplements that can help manage those.
                                         
                                         We're going to talk about all of that.
                                         
                                         But for most people that don't have diabetes,
                                         
                                         the important thing is to manage glucose,
                                         
                                         to keep it in that euglycemic range.
                                         
                                         And there are a number of different ways to do that.
                                         
                                         Some of them are behavioral, some of them are diet-based,
                                         
    
                                         and some of them are based on supplements
                                         
                                         or prescription drugs.
                                         
                                         So let's talk about those now.
                                         
                                         I'd like to take a quick break
                                         
                                         and acknowledge one of our sponsors, Matina.
                                         
                                         Matina makes loose leaf and ready to drink yerba mate.
                                         
                                         Now I've often discussed yerba mate's benefits,
                                         
                                         such as regulating blood sugar,
                                         
    
                                         its high antioxidant content,
                                         
                                         the ways it can improve digestion
                                         
                                         and its possible neuroprotective effects.
                                         
                                         It's for all those reasons that yerba mate
                                         
                                         is my preferred source of caffeine.
                                         
                                         I also drink yerba mate because I simply love the taste.
                                         
                                         And while there are a lot of different choices out there
                                         
                                         of yerba mate drinks,
                                         
    
                                         my personal favorite far and away is Matina.
                                         
                                         It's made of the highest quality ingredients,
                                         
                                         which gives it a really rich, but also a really clean taste.
                                         
                                         So none of that tannic aftertaste.
                                         
                                         In fact, given how absolutely amazing Matina tastes
                                         
                                         and their commitment to quality,
                                         
                                         I decided to become a part owner in the company last year.
                                         
                                         In particular, I love the taste of Matina's
                                         
    
                                         canned zero sugar cold brew yerba mate,
                                         
                                         which I personally helped develop. I drink at least three cans of those a day now. I also love their loose leaf Matina's canned zero sugar cold brew yerba mate, which I personally helped develop.
                                         
                                         I drink at least three cans of those a day now.
                                         
                                         I also love their loose leaf Matina,
                                         
                                         which I drink every morning from the gourd.
                                         
                                         So I add hot water and sip on that thing
                                         
                                         and I'll have some cold brews throughout the morning
                                         
                                         and early afternoon.
                                         
    
                                         I find it gives me terrific energy all day long
                                         
                                         and I'm able to fall asleep perfectly well at night.
                                         
                                         No problems.
                                         
                                         If you'd like to try Matina,
                                         
                                         you can go to drinkmatina.com slash Huberman.
                                         
                                         Right now Matina is offering a free one pound bag
                                         
                                         of loose leaf yerba mate tea and free shipping
                                         
                                         with the purchase of two cases of their cold brew yerba mate.
                                         
    
                                         Again, that's drinkmatina.com slash Huberman
                                         
                                         to get a free bag of yerba mate loose leaf tea
                                         
                                         and free shipping.
                                         
                                         So if you eat, and in particular, if you eat carbohydrates,
                                         
                                         blood glucose goes up.
                                         
                                         If you eat fats, blood glucose goes up to a far less degree.
                                         
                                         And if you eat proteins, depending on the protein,
                                         
                                         it'll eventually be broken down for fuel
                                         
    
                                         or assembled into amino acid chains for protein synthesis
                                         
                                         and repair of other tissues and bodily functions.
                                         
                                         But glucose goes up and then is kept in range.
                                         
                                         When you are hungry, you secrete a different hormone
                                         
                                         and that's called glucagon.
                                         
                                         And glucagon's main role is to pull stores of energy
                                         
                                         out of the liver and the muscles.
                                         
                                         And once those are depleted,
                                         
    
                                         you'll eventually tap into body fat.
                                         
                                         So the two kind of push and pull systems
                                         
                                         that we're going to think about now to keep this simple
                                         
                                         is that you have the insulin system managing glucose
                                         
                                         and you've got the glucagon system pulling energy
                                         
                                         out of your liver and muscles for immediate fuel.
                                         
                                         And eventually you'll pull fuel out of body fat
                                         
                                         if you've been active for a very long time
                                         
    
                                         and all your glycogen stores are depleted
                                         
                                         or close to depleted.
                                         
                                         So what does this all mean?
                                         
                                         Let's say you had a meal
                                         
                                         and that meal consisted of rice, a carbohydrate,
                                         
                                         some meat or fish, let's say a piece of salmon
                                         
                                         and some vegetable, some fibrous vegetable
                                         
                                         like asparagus or cabbage
                                         
    
                                         or something like that.
                                         
                                         If you were to eat all of that at once,
                                         
                                         you take a bite of one, a bite of the other,
                                         
                                         you're going to mix it up,
                                         
                                         then you'll experience an increase in insulin
                                         
                                         and increase in blood glucose that's moderately fast.
                                         
                                         It's going to increase pretty quickly.
                                         
                                         What's remarkable is that the order
                                         
    
                                         that you consume each macronutrient
                                         
                                         has a pretty profound influence on the rate of insulin
                                         
                                         and glucose secretion into the blood
                                         
                                         and how quickly those levels rise.
                                         
                                         If you were to eat the fibrous thing first,
                                         
                                         so a lot of chewing, but not a big rise in blood glucose,
                                         
                                         that will actually blunt the release of glucose
                                         
                                         until you eat the fish and the rice.
                                         
    
                                         But believe it or not, it will actually blunt
                                         
                                         the glucose increase that the rice would cause.
                                         
                                         Now, I'm not talking about neurotically eating
                                         
                                         each macronutrient separately in sequence.
                                         
                                         I'm just trying to give you a picture
                                         
                                         of what's happening ordinarily.
                                         
                                         So what does this all mean?
                                         
                                         It means that if you want a steep increase in glucose,
                                         
    
                                         you are very, very hungry,
                                         
                                         then you should eat the carbohydrate-laden food first,
                                         
                                         or you should eat a bunch of macronutrients combined.
                                         
                                         So that would be like the hamburger or the sandwich,
                                         
                                         the bread, the whatever's in that sandwich altogether.
                                         
                                         Usually that's protein and vegetables as well.
                                         
                                         If you want to have a kind of more modest increase
                                         
                                         in glucose or you want to blunt the increase in glucose,
                                         
    
                                         then have the, at least some of the fibrous thing first,
                                         
                                         and then the protein, and then the carbohydrate.
                                         
                                         You will notice that your blood glucose
                                         
                                         will rise more steadily,
                                         
                                         and that you'll achieve satiety earlier in the meal.
                                         
                                         Basically what you're trying to avoid
                                         
                                         are steep increases in blood sugar.
                                         
                                         And the order that you eat foods
                                         
    
                                         has an enormous impact on that.
                                         
                                         The other thing that has an enormous impact
                                         
                                         on how long and shallow or how steep
                                         
                                         that curve of glucose is,
                                         
                                         depends on whether or not you recently were moving,
                                         
                                         are moving or start moving after you eat.
                                         
                                         So it turns out that your blood glucose levels
                                         
                                         can be modulated very, very powerfully by movement.
                                         
    
                                         If you did any kind of intense exercise
                                         
                                         or even just walking or jogging or cycling,
                                         
                                         anything before you eat,
                                         
                                         your blood glucose levels will be dampened somewhat.
                                         
                                         And even just moving after a meal,
                                         
                                         even just a calm, easy walk,
                                         
                                         can really adjust the ways
                                         
                                         in which blood sugar regulated for the better.
                                         
    
                                         The other thing I'd like to address for a moment
                                         
                                         is this notion of stable blood sugar
                                         
                                         versus labile blood sugar or unstable blood sugar.
                                         
                                         Some people just have stable blood sugar.
                                         
                                         They can go long periods of time without eating
                                         
                                         and feel fine.
                                         
                                         Other people get really shaky, really jittery
                                         
                                         and or when they do eat, they feel really keyed up.
                                         
    
                                         Sometimes they'll even sweat,
                                         
                                         but whether or not your blood sugar is all over the place
                                         
                                         or whether or not it's stable
                                         
                                         can be impacted by a number of things.
                                         
                                         One of those things is exercise.
                                         
                                         So these days there's a lot of interest
                                         
                                         in what they call zone two cardio,
                                         
                                         which is that kind of steady state cardio
                                         
    
                                         where you can just nasal breathe,
                                         
                                         even at pretty high output,
                                         
                                         where you could maybe have a conversation.
                                         
                                         Zone two cardio that lasts anywhere from 30 minutes
                                         
                                         to an hour or sometimes more for you endurance athletes
                                         
                                         can create positive effects on blood sugar regulation
                                         
                                         such that you, people can sit down and enjoy
                                         
                                         whatever it is, the hot fudge sundae
                                         
    
                                         or whatever the high sugar content food is.
                                         
                                         And blood glucose management is so good,
                                         
                                         your insulin sensitivity is so high,
                                         
                                         which is a good thing,
                                         
                                         that you can manage that blood glucose
                                         
                                         to the point where it doesn't really make you shaky,
                                         
                                         it doesn't disrupt you.
                                         
                                         Basically doing zone two cardio for 30 to 60 minutes,
                                         
    
                                         three to four times a week,
                                         
                                         makes your blood sugar really stable.
                                         
                                         And that's an attractive thing for a variety of reasons.
                                         
                                         On the flip side, high intensity interval training
                                         
                                         or resistance training, AKA weight training,
                                         
                                         are very good at stimulating the various molecules
                                         
                                         that promote repackaging of glycogen.
                                         
                                         So sprints, heavy weight lifting,
                                         
    
                                         circuit type weight lifting,
                                         
                                         provided there's some reasonable degree of resistance.
                                         
                                         Those are going to trigger all sorts of mechanisms
                                         
                                         that are going to encourage the body
                                         
                                         to shuttle glucose back into glycogen,
                                         
                                         convert into glycogen, into muscle tissue,
                                         
                                         restock the liver, et cetera.
                                         
                                         And I should mention that one of the advantages
                                         
    
                                         of high intensity interval training
                                         
                                         or weightlifting of various kinds
                                         
                                         is that it also, it causes long standing increases
                                         
                                         in basal metabolic rate.
                                         
                                         Now I'd like to turn to prescription drugs
                                         
                                         that regulate the hormone systems
                                         
                                         controlling feeding and satiety.
                                         
                                         There's a prescription drug Metformin,
                                         
    
                                         which was developed as a treatment for diabetes.
                                         
                                         And it works potently to reduce blood glucose.
                                         
                                         It has dramatic effects in lowering blood glucose.
                                         
                                         Metformin involves changes to mitochondrial action
                                         
                                         in the liver.
                                         
                                         That's its main way of depleting or reducing blood glucose.
                                         
                                         And it does so through the so-called AMPK pathway,
                                         
                                         and it increases insulin sensitivity overall.
                                         
    
                                         Metformin is a powerful drug.
                                         
                                         In fact, I'm surprised that so many people
                                         
                                         have sought it out, given that most of the people
                                         
                                         that I'm aware of that sought it out are not diabetic.
                                         
                                         I do want to mention,
                                         
                                         because I'm sure some of you out there
                                         
                                         are curious about the ketogenic diet,
                                         
                                         I'm going to do an entire episode about ketosis
                                         
    
                                         and the brain and the body,
                                         
                                         but the ketogenic diet has been shown in 22 studies
                                         
                                         to have a notable decrease on blood glucose.
                                         
                                         And that is not surprising
                                         
                                         because the essence of the ketogenic diet
                                         
                                         is that you're consuming very little or zero
                                         
                                         of the foods that promote big spikes in insulin and glucose.
                                         
                                         If you consume enough protein,
                                         
    
                                         some of that protein can be converted into glucose,
                                         
                                         of course, through gluconeogenesis.
                                         
                                         But the ketogenic diet has very strong support
                                         
                                         as for its role in regulating blood sugar,
                                         
                                         which is glucose.
                                         
                                         But the specific effects of the ketogenic diet
                                         
                                         and one particular effect that I'll address later,
                                         
                                         but I'll mention now, which is the ability
                                         
    
                                         of the ketogenic diet to adjust thyroid hormone levels
                                         
                                         in ways that make it such that if you return to eating carbohydrates
                                         
                                         after being in ketosis for too long,
                                         
                                         you don't manage thyroid and carbohydrates as well.
                                         
                                         That has been shown as well.
                                         
                                         So we're going to dive deep into ketosis
                                         
                                         in a future episode.
                                         
                                         So for you ketonistas out there, don't worry.
                                         
    
                                         I certainly have nothing against ketogenic diet.
                                         
                                         I actually don't have anything for
                                         
                                         against any particular nutrition plan.
                                         
                                         I know what works for me, at least at this stage of my life
                                         
                                         and I'll update it if I need to.
                                         
                                         I'm simply trying to get you as much information
                                         
                                         as I possibly can so that you can navigate
                                         
                                         through that landscape in a way that's
                                         
    
                                         in keeping with your particular goals.
                                         
                                         I'd like to take a quick break
                                         
                                         and thank one of our sponsors, Element.
                                         
                                         Element is an electrolyte drink that has everything you need and nothing you don't.
                                         
                                         That means the electrolytes, sodium, magnesium, and potassium,
                                         
                                         in the correct ratios, but no sugar.
                                         
                                         We should all know that proper hydration is critical for optimal brain and body function.
                                         
                                         In fact, even a slight degree of dehydration can diminish your cognitive and physical performance
                                         
    
                                         to a considerable degree.
                                         
                                         It's also important that you're not just hydrated,
                                         
                                         but that you get adequate amounts of electrolytes
                                         
                                         in the right ratios.
                                         
                                         Drinking a packet of element dissolved in water
                                         
                                         makes it very easy to ensure that you're getting
                                         
                                         adequate amounts of hydration and electrolytes.
                                         
                                         To make sure that I'm getting proper amounts of both,
                                         
    
                                         I dissolve one packet of element
                                         
                                         in about 16 to 32 ounces of water
                                         
                                         when I wake up in the morning,
                                         
                                         and I drink that basically first thing in the morning.
                                         
                                         I'll also drink a packet of element dissolved in water
                                         
                                         during any kind of physical exercise that I'm doing,
                                         
                                         especially on hot days when I'm sweating a lot
                                         
                                         and losing water and electrolytes.
                                         
    
                                         There are a bunch of different
                                         
                                         great tasting flavors of element.
                                         
                                         I like the watermelon, I like the raspberry,
                                         
                                         I like the citrus, basically I like all of them.
                                         
                                         If you'd like to try element,
                                         
                                         you can go to drinkelement.com slash Huberman
                                         
                                         to claim an Element sample pack
                                         
                                         with the purchase of any Element drink mix.
                                         
    
                                         Again, that's drink element spelled L-M-N-T.
                                         
                                         So it's drinkelement.com slash Huberman
                                         
                                         to claim a free sample pack.
                                         
                                         So now you understand a lot about blood sugar
                                         
                                         and how it's managed and the ways that you can manage it
                                         
                                         better depending on your particular needs.
                                         
                                         This is also a good opportunity for us to look back
                                         
                                         at some of the medical literature
                                         
    
                                         because it really points to just how far we've come
                                         
                                         in terms of understanding these important mechanisms.
                                         
                                         And it points us in the direction
                                         
                                         of some actionable protocols.
                                         
                                         So diabetes, which is these huge increases in blood glucose
                                         
                                         because there's no insulin, diabetes, which is these huge increases in blood glucose
                                         
                                         because there's no insulin, was known about as early as 1500 BC,
                                         
                                         which is just incredible.
                                         
    
                                         And the way physicians then understood
                                         
                                         that certain people had high blood glucose
                                         
                                         without actually knowing what blood glucose was
                                         
                                         is that they would take the urine of particular patients
                                         
                                         and they'd find that ants preferably move toward
                                         
                                         and consume the urine of certain patients and not others.
                                         
                                         And they understood that there was something in that urine
                                         
                                         that was correlated with the sudden weight loss
                                         
    
                                         and some of the other probably very unfortunate
                                         
                                         health symptoms that these people were experiencing.
                                         
                                         So they knew that there was something in blood and urine.
                                         
                                         Now this business of measuring blood sugar from the urine
                                         
                                         has been something that lasted way beyond
                                         
                                         these early stages of 1500 BC.
                                         
                                         Turns out that as late as 1674,
                                         
                                         physicians at Oxford University were figuring out
                                         
    
                                         who had pathologically high levels of blood glucose
                                         
                                         by analyzing their urine.
                                         
                                         And again, they were measuring the sweetness of their urine,
                                         
                                         but, and this is medical fact,
                                         
                                         they would do this by taking urine samples
                                         
                                         from different patients and tasting them.
                                         
                                         And they developed an intuitive sense
                                         
                                         of what excessively sweet urine was relative
                                         
    
                                         to the other urines that they had tasted.
                                         
                                         So for those of you that are in the medical profession
                                         
                                         or those of you that are seeking out the medical profession,
                                         
                                         do understand this is not done anymore.
                                         
                                         And you can also just reflect on how far we've come
                                         
                                         in terms of the medical profession itself
                                         
                                         in our ability to measure things from the blood
                                         
                                         and measure things from urine
                                         
    
                                         without having to ask ants which urine is sweeter
                                         
                                         or ask oneself which urine is sweeter.
                                         
                                         So indeed we are making progress as a species.
                                         
                                         Before we close out today,
                                         
                                         I want to talk about one more tool
                                         
                                         that many of you will probably find useful.
                                         
                                         I certainly have.
                                         
                                         I'm a big consumer of caffeine,
                                         
    
                                         although I don't consume a ton of it.
                                         
                                         I consume it very consistently.
                                         
                                         So I'm big on consuming mate,
                                         
                                         which is a strong caffeinated tea.
                                         
                                         And I generally do that early in the day.
                                         
                                         Although I do delay about two hours after I wake up
                                         
                                         for reasons I've talked about in previous episode
                                         
                                         to maintain that nice arc of alertness and focus.
                                         
    
                                         Mate, also called yerba mate,
                                         
                                         is an interesting compound because unlike coffee,
                                         
                                         it has been shown to increase something called
                                         
                                         glucagon-like peptide, GLP-1, and increase leptin levels.
                                         
                                         Now, we didn't talk a lot about glucagon today.
                                         
                                         Glucagon is really elevated in the fasting state.
                                         
                                         I mentioned that it's sort of the opposite of insulin
                                         
                                         in kind of rough terms.
                                         
    
                                         That's one way to think about it.
                                         
                                         But GLP-1 or glucagon like peptide-1
                                         
                                         is increased by ingesting mate
                                         
                                         and it acts as a pretty nice appetite suppressant.
                                         
                                         Now, I'm not trying to suppress my appetite.
                                         
                                         I like to eat, as I mentioned before,
                                         
                                         but it works really well to stimulate the brain
                                         
                                         and to give you a level of alertness
                                         
    
                                         and to do a lot of the things that coffee does.
                                         
                                         It also contains electrolytes.
                                         
                                         So we, meaning our neurons and our brain,
                                         
                                         run on a variety of factors,
                                         
                                         electrical activity and chemical transmission, et cetera,
                                         
                                         but they require adequate levels
                                         
                                         of sodium, potassium, and magnesium.
                                         
                                         Actually, if you were to learn the biology
                                         
    
                                         or the physiology of the action potential,
                                         
                                         the firing of a neuron,
                                         
                                         something we teach every first year neuroscience student,
                                         
                                         and I'd be happy to teach you if you're interested.
                                         
                                         You'll hear about sodium rushing into cells
                                         
                                         and potassium entering and leaving cells
                                         
                                         in order to allow neurons to communicate.
                                         
                                         Electrolytes are critically important
                                         
    
                                         for the function of the nervous system.
                                         
                                         And many things that act as diuretics
                                         
                                         that promote excretion of water, like caffeine,
                                         
                                         can also take electrolytes out along with,
                                         
                                         in particular, sodium.
                                         
                                         And sometimes the lightheadedness or the brain fog
                                         
                                         that people experience isn't just because electrolytes
                                         
                                         are low, but because they're kind of out of balance.
                                         
    
                                         So I like Mate because it has electrolytes,
                                         
                                         it has caffeine, it stimulates the release
                                         
                                         of this glucagon-like peptide GLP-1
                                         
                                         and it's been a big help to me
                                         
                                         in extending that early morning fasting window
                                         
                                         out to about noon or so when I eat my first meal.
                                         
                                         It also just tastes really good.
                                         
                                         And the fact that glucagon-like peptide-1 is enriched
                                         
    
                                         or is released more when you drink mate
                                         
                                         and the fact that GLP-1 can regulate blood sugar
                                         
                                         in ways that keep your blood sugar
                                         
                                         in that we called you glycemic,
                                         
                                         not too high, not too low mode
                                         
                                         is one reason why ingesting mate is attractive to me.
                                         
                                         So, Yerba mate GLP-1 can manage in healthy ways,
                                         
                                         leptin levels, glucose levels, and glucagon levels in ways that if it serves you,
                                         
    
                                         you might want to try.
                                         
                                         So once again, we covered an enormous amount of material
                                         
                                         focused on how hormones regulate feeding, hunger,
                                         
                                         and when one feels they don't need to eat,
                                         
                                         so-called satiety that you've had enough.
                                         
                                         We've just focused today mainly on things like ghrelin,
                                         
                                         on things like melanocyte simulating hormone,
                                         
                                         incredible, powerful hormone that can suppress appetite,
                                         
    
                                         on things like cholecystokinin that comes from the gut
                                         
                                         and can suppress appetite,
                                         
                                         on things like food emulsifiers,
                                         
                                         on the fact that when you're eating,
                                         
                                         you are amino acid seeking,
                                         
                                         even though you might not realize it,
                                         
                                         that you are also seeking out particular fatty acids.
                                         
                                         So I've tried to give you a number of actionable tools.
                                         
    
                                         Again, always do what's best for your health
                                         
                                         and do that in company with a healthcare professional.
                                         
                                         I'm not a physician. I don't prescribe anything.
                                         
                                         I'm a professor. I profess a lot of things.
                                         
                                         If you know anyone that's interested in this topic,
                                         
                                         or you think that someone could benefit from it,
                                         
                                         please suggest the podcast to them as well.
                                         
                                         And most of all, thank you for your interest in science.
                                         
    
                                         ["Science on the Road"]
                                         
