Ologies with Alie Ward - Evolutionary Anthropology (METABOLISM) with Herman Pontzer

Episode Date: January 31, 2024

Let’s debunk some “dieting” myths by exploring our human machinery. And talk about Brazilian butt lifts. Professor of Evolutionary Anthropology and metabolism researcher Dr. Herman Pontzer gives... us the data on mitochondrial backstories, muscle mass and hormones, our expanding brains, the flaws of the Body Mass Index, humans’ relationships with nutrition, why crash dieting can change your metabolism, perspectives on sticky medical terms, isotope magic, how much exercise hunter gatherers get, carnivore diets, scales, and what to do if you're grappling with sadness. Content warning: we discuss diet culture, calories, how the word “obesity” is used, medical conditions that may relate to body composition, and highlight listeners’ lived experiences.Visit the Pontzer Lab websiteBrowse Dr. Pontzer’s papers on ResearchGate and follow him on Instagram and XBuy Dr. Pontzer’s book, Burn: New Research Blows the Lid Off How We Really Burn Calories, Stay Healthy, and Lose WeightA donation went to Hadza FundMore episode sources and linksSmologies (short, classroom-safe) episodesOther episodes you may enjoy: Pyrotechnology (FIREMAKING), Entomophagy Anthropology (EATING BUGS), Kalology (BEAUTY STANDARDS), Genicular Traumatology (BAD KNEES)Sponsors of OlogiesTranscripts and bleeped episodesBecome a patron of Ologies for as little as a buck a monthOlogiesMerch.com has hats, shirts, hoodies, totes!Follow @Ologies on Instagram and XFollow @AlieWard on Instagram and XEditing by Mercedes Maitland of Maitland Audio ProductionsTranscripts by Aveline Malek and The WordaryWebsite by Kelly R. DwyerTheme song by Nick Thorburn

Transcript
Discussion (0)
Starting point is 00:00:00 Oh, hey, it's that cardigan that you left in a new bar, Allie Ward, here with an episode about our squishy juicy machines and how they run. So I've wanted to interview this guy. I know I say this like every episode, but for years. So we're going to dive into it. Metabolisms, how do they work? What's up? Who am I?
Starting point is 00:00:18 What's going on in there? So this guy did his undergrad work in anthropology, got a PhD from Harvard University in biological anthropology, and has been a professor of anthropology for nearly 20 years, during which time he's been an associate research professor of global health at Duke Global Health Institute, and he's now a professor of evolutionary anthropology at Duke University. He knows what's up. His CV is 23 pages long. I was like looking through his list of papers. It gave me actual vertigo. And then I found out we're the same age and I don't like to think about it. He's also written several books, including the 2021 release, Burn. New research blows the lid off how we really burn calories, lose weight, and stay healthy.
Starting point is 00:01:02 And yes, we're going to address the science and the culture of all of it. And also just a quick warning, we do discuss, of course, calories, some diet culture in this episode, as well as weaponized language. We discuss all of that just so you know. But first, just some thank yous to patrons ofologies at patreon.com slash ologies who spend one burning hot dollar a month to join and they can submit questions to ologists before we record. Also thanks to everyone who's out there wearing ologies merch from ologiesmerch.com. For no dollars though, you can really help
Starting point is 00:01:36 us out and leave a review. And also I read your reviews. And if you do not believe me, thank you for the recent one from Radery, whose MRI technicians let them listen to oligies while getting an MRI and said that this podcast is like a weighted blanket where you learn cool facts. Thanks, Radarie. Hope all's well. Okay, evolutionary anthropology, we're gonna get to it. How did humans evolve? Ancient menus, mitochondria, trivia. How science can help you talk to your body, perspectives on some sticky medical terms, isotope magic, how much exercise hunter-gatherers get, carnivore diets, flimflam, scales, the history of the body mass index,
Starting point is 00:02:16 and what to do if you're in kind of a bit of a slump, according to science. With author, professor, metabolism expert, and evolutionary anthropologist, Dr. Herman Ponser. Hi, I'm, this episode, I don't know, I wish that we had like a full 24 hour marathon to do this episode because I have so many questions. Yeah. Okay, we'll start with the easy one. If you could say your first and last name and the pronouns you use.
Starting point is 00:03:01 Sure. I am Herman Ponser. He, him, his. Got it. And doctor, of course. Sure. I mean, between friends, whatever. What allegers do you call yourself? Yeah. Let's say, let's call it evolutionary anthropology. Okay. First off, you're an expert in metabolism. And first off, metabolism. What even is it? First off, metabolism. What even is it? Where does it come from?
Starting point is 00:03:26 Yeah. So, you know, you are made of 37 trillion plus or minus cells, and every one of those cells has work to do all day. They've got to bring nutrients in and break them down and build them back up. All that work takes energy, and all that energy together is what we call your metabolism. And when you are looking at, say, your Fitbit or your OroRing or whatever, and it says, based on your height and weight, you probably burn 1,700 calories a day or 1,200 or whatever, does it have any idea what the fuck it's talking about or is that so off?
Starting point is 00:04:05 It's a little bit better than a random number generator. Okay. Just a little. Wait. So, it gets this much right. It is most of what you burn every day, even if you're an active person, most of the calories you burn every day are just, it's not about activity. It's about all the other stuff your body is doing. As we're talking here, every fifth breath, I think, is the oxygen needed to feed your brain, right?
Starting point is 00:04:31 So 20% of your breathing goes to fueling your brain, whether you're filling a whiteboard with physics theorems or watching my dog breathe because she's old and precious. That's true, that your brain uses a lot of energy. So we can all feel good about that. Your brain runs a 5K every day. It's 300 calories a day. Most of the energy you use is not activity. When you have a Fitbit or something like that and it's trying to ballpark or guess your
Starting point is 00:05:03 energy expenditure based on activity is really missing a large part of what's going on. It does have your height and weight in there and it's true that the bigger you are, the more cells you're made of, the more calories you burn. So that part is more or less right. But even there, there's so much variation person to person that it's just a real wild guess. Okay.
Starting point is 00:05:22 I mean, I understand BMI is not really accurate at all, right? Well, it depends on what you're trying to measure, right? BMI is great for knowing your BMI. So BMI, side note, stands for body mass index. And mathematically, it's your body mass in kilograms divided by the square of your height in meters. And medicine's optimal BMI lands somewhere between 18.5 and 24.9. And this is a little fun fact. So the body mass index was invented in the 1830s by an Austrian scientist named Lambert Adolfes Jacques Quittelet, who, surprise, was an astronomer, not even a medical doctor. And this was during a time when physicians were just beginning to learn that germs exist and that bloodletting doesn't solve all the ailments.
Starting point is 00:06:13 So the inventor of the BMI, this astronomer, also influenced early proponents of eugenics. So the color-coded BMI charts, the doctor's office really don't seem to include that kind of trivia. But as we've mentioned before, so any legit MD can tell you that, of course, BMI does not tell the whole story, and it's not fair to a lot of folks. But nevertheless, as a broad ballpark of cardiovascular or pancreatic risks or joint issues related to body mass, doctors we've had on the show have said it's a very rough and far from perfect metric.
Starting point is 00:06:49 You know, if BMI is trying to get at your fat percentage, which is what most people, you know, that's kind of how we use it. We think about if you have a high BMI, it means you're carrying too much fat. But of course, you know, your height and weight, you don't, those numbers can't tell you if you're carrying a lot of muscle versus a lot of fat, for example. And so people who carry a lot of muscle tend to you know, you'll have a higher BMI Because your weight will be higher even though really your body fat might be low if you're an athlete something like that So yeah, BMI is problematic. It's an imperfect measure
Starting point is 00:07:18 But it's one of the best ones we have and it does do a pretty good job in aggregate at the population level, figuring out who is at higher risk for different diseases. If I know any one thing about you, I'm not going to know enough, right? But if I know put all those data points together, then I can start to put a picture together. BMI is just one thing about you. But when I put it in the context of other stuff about you, then I can begin to put a real picture of your health together. So does metabolism depend a lot on your muscle mass or your lean to lipid ratio?
Starting point is 00:07:54 I also like, what if you have big, heavy bones? How does that work? Yeah, well, those are all good questions. So the biggest factor is how much what we call fat-free mass you carry versus your fat mass. And so all your organs and muscle, aside from fat, fat's an organ too, but aside from your fat, all of those organs, your liver and brain and kidneys, they all burn a lot of energy. So the more of that that you are, and the less fat that you are,
Starting point is 00:08:22 the more calories will burn at a given size. So to put it in real terms, you have the same two people that both weigh, let's say, 150 pounds, but one of them is 30% body fat and the other one is only 10% body fat. They weigh the same amount, but the person who's only 10% body fat, more of them is lean tissue, it's organs and muscle. And so that person who's only 10% body fat will burn more calories than the person who's 30% body fat just because fat's pretty quiet. It doesn't do a whole lot each day. And so it doesn't burn many
Starting point is 00:08:54 calories. Let's rewind though. Can we go back to the fat as an organ? Yeah. What's that about? Yeah. Yeah. I mean, if fat's not just hanging out, it makes hormones. It pulls in nutrients out of your blood as storage and then it sends them back into your blood when you need them later for energy. It's doing jobs that other tissues don't do. So yeah, you need it. Is it true that you don't get more fat cells? They just get more capacious or just get more
Starting point is 00:09:23 stuffed? What's the deal with that? Yeah. Usually when you are adding fat, you're not growing more fat cells as much as you're just packing the fat cells you have with lipids, right? So your fat cells have this enormous capacity to just get bigger by pulling in fat. So what happens when you get a BBL? Do they, you have the same number of fat cells, but it's just maybe in different places that you find aesthetically more desirable.
Starting point is 00:09:48 That's a Brazilian butt lift. That's a Brazilian butt lift. I don't know. That's LA. Now, so isn't that one of the... There's some of those where they take other people's fat, but this is where they take your own fat. This is where they take your own fat?
Starting point is 00:10:01 I think, yeah. I think they take your muffin top and they put it in your boobs or your butt or your face. I mean, I don't know if there's like a Jack Spratt website where you're like, I've got a little too much if anyone wants it. I don't have enough like a Facebook marketplace tab. I don't know. So you're retaining your fat cells, but they're just in different parts of the body.
Starting point is 00:10:23 You see, now this really is a two way street alley. I'm learning from you. Things I didn't know that I think that I love that. It's just like you turn it yourself into play dough and you just push things around. Migrate them. Yeah. I mean, so one thing to think about there is when they do that, yeah, they're taking cells, right? They're not taking like just stuff.
Starting point is 00:10:43 You know what I mean? I think people think about fat as being this kind of like inert stuff that's not alive. It's alive, man. And so they're moving that around. I can imagine that's got some interesting consequences for how everything works. And yes, okay. So a Brazilian butt lift or a BBL, it's the redistribution of adipose tissue that's abducted from your stomach or your thighs.
Starting point is 00:11:04 And then it's purified and whisked away to a new part of the body. And the relocation, it might change your life or it might be a mistake. Your mileage may vary. One beauty magazine urged those considering the procedure to first Google, BBL done wrong. And friends, this may lead you to scroll image searches and stumble upon the saggy tragedy called diaper booty. And it does look how it sounds. But unfortunately, there may be more at risk than just your booty, as explained by the 2017 article in the Journal
Starting point is 00:11:39 of Aesthetic Surgery titled, Report on Mortality from Gluteal Fat Grafting, which warns that despite the growing popularity of gluteal fat grafting, significantly higher mortality rates appear to be associated with gluteal fat grafting than with any other aesthetic surgical procedure. So it's risky. Well, what's happening here? Okay, so I looked into this and stray lumps of your fat can break free and then just enjoy a trip through your arteries, resulting in a pulmonary embolism. And we're seeing more and more reports of deaths from this procedure as people are traveling
Starting point is 00:12:17 to potentially sketchy clinics for beauty tourism. Also for more on harmful beauty standards here all over planet Earth. You can see the two-part collology episode, we'll link that in the show notes. But yeah, in terms of metabolism, if you store any more fat, it's likely to wind up wherever your fat cells were surgically relocated. They're basically trucking some cells, sounds like, from your muffin top, as I understand it, too. Yup.
Starting point is 00:12:46 So, fat cells are more chill and muscle cells are maybe burning more energy. They're a little bit more active. Is this a mitochondrial thing? We always hear that they're the powerhouse of the cell. Oh, very good. Yeah. Thank you. So, mitochondria determine how much oxygen you can bring in. You need oxygen to be able to make ATP. ATP is the molecule that your cells actually use as energy. And it's actually, it's a rechargeable battery. So you have ATP, which is adenosine triphosphate. And that's converted from adenosine diphosphate, ADP. And so basically you're taking this two phosphate molecule,
Starting point is 00:13:27 you add a phosphate, make a three phosphate molecule. It's all interesting stuff, but basically you're recharging this molecule. So you run on rechargeable batteries when the charge up, they're called ATP. And you need oxygen to do that conversion, to charge up your batteries. And the more mitochondria you have,
Starting point is 00:13:43 the more you can do that. So yeah, that's how that's all linked. And your muscles certainly have more mitochondria than your fat cells. Yep, that's right. So not everyone is able to manipulate their body composition for all kinds of reasons, from physical disabilities to mental health challenges. There are economic factors. I totally get that. But if you're someone who can and wants to get slightly more jacked, maybe you want to flex it yourself in the mirror. I don't know. Maybe you want to have an easier time helping people put their carry-ons in the overhead bins. But you can also do it if you need a reason for the mitochondria. So this 2015 study in the Journal of Medical Science and Sports
Starting point is 00:14:20 Exercise titled, Resistance Exercise Training Alters M Mitocondrial Function in Human Skeletal Muscle does contain a spoiler. It reports that the loss of mitochondrial competency is associated with several different chronic illnesses and that endurance exercise, it's long been known to increase mitochondrial function. However, as the title said, they looked into resistance exercise as well, like weightlifting and body weight exercise and yoga. And that also appears to be a means to augment the function of muscle mitochondria.
Starting point is 00:14:56 And if you can get stronger, it could be an act of love to your future self as detailed by the study, effects of exercise on mitochondrial content and function in aging human skeletal muscle, which was published by the Journal of Gerontology, and it notes that exercise enhances mitochondria electron transport chain activity in older human skeletal muscle. What does that mean? You'll feel better longer. So present day you might be groaning bewildered in front of a kettlebell. But future you is like, get in there and get it bitch. Do it for us. But let's go in the other direction in time. Let's travel back in time to our Harrier shorter ancestors. Where did these, where did our systems change or evolve? When did we start veering off how much we use our body and what we're eating?
Starting point is 00:15:51 Where did things get too far too fast? Wow. Well, I mean, how far back do you want to go, right? Like, first of all, mitochondria are like a bacteria that eukaryotic cells basically engulfed and started using as a power source. That happened like two billion years ago or something like that. It's a long time.
Starting point is 00:16:10 Is that true? How did I never know that? Yeah, you're a chimera. We all are. Yeah, all right, mitochondria. Our little bacteria relics. Isn't that wild? Yes.
Starting point is 00:16:22 I didn't realize that we were running on other animal batteries. That's wild. Yep. I never knew that. In all the cell biology I took for years and years, I don't think I ever groked that. Oh my gosh. OK, so we engulfed these bacteria.
Starting point is 00:16:39 OK. Yeah. Well, I'm not you, but billions of years ago. A couple of billions of years ago. Anyway, and so that's when the whole kind of story starts. And then, man, then I'm around, I don't know, 220 million years ago, you get reptiles that decide to burn their metabolism faster and you get warm-blooded animals that we call mammals today.
Starting point is 00:16:56 So there's a big step there. Primates get started about 65 million years ago after the dinosaurs get knocked out. And then our story where apes, you know, apes are kind of like a 20 million year old story. And our lineage is like seven million years. We're like a seven million year old branch from that with all these little dead ends and crazy things like Lucy and all these other species.
Starting point is 00:17:18 And then our particular species, Homo sapiens, well, let's say our group, the genus Homo, is about two and a half million years old. And that's when we think our kind of modern metabolism starts shaping up. And so, that's faster metabolism separates us kind of physiologically from the other apes. So, we burn our energy faster than other apes do. And we think that that's to help support our big brains, where more active than other
Starting point is 00:17:43 apes are. We have bigger babies more often than other apes are, we have bigger babies more often than other apes do, we live a lot longer and that takes energy to invest in your body. So probably your modern metabolism kind of starts shaping up over the last two million years and everything is going great. And then, you know, we build ourselves these crazy zoos that we live in today and everything kind of goes to pieces. That's the short story. And when you say that our metabolisms are speeding up, is that because our brains get bigger and they're kind of like a V8 versus a V6, like just using more fuel?
Starting point is 00:18:24 No, we get more expensive parts. So it's the V8 versus the V6. We have a bigger brain. Our systems are running faster, so we can have these bigger babies more often. We are more physically active, and so you need to be able to have a diet that's got a high enough energy content, and to be able to digest it down and absorb those nutrients. You have to turn those nutrients into ATP, you have to burn those. So the whole system kind of has to get ramped up to be able to support faster metabolism. And so we see that happening over the past two million years or so, we think. So 1.4 billion years ago, you're far off slimy little ancestors engulfed bacteria, and they made it ours and used it as a rechargeable battery that runs on hot dogs and flat white lattes. And then as we branched off into mammals,
Starting point is 00:19:06 which branched off into apes, which branched off into the genus Homo millions of years ago, and then Homo sapiens 300,000 years ago, we started growing these bigger brains and babies and needed a faster engine burning up more fuel to get us through our journeys of life. And in his book, Burn, Dr. Ponser describes his working with the Hadza hunter-gatherer tribe in Northern Tanzania,
Starting point is 00:19:33 and I'll read you an excerpt of his description. He writes, the one thing we knew for certain going into the Hadza energetics project was that life as a hunter-gatherer is tough. Like other hunter-gatherers and like all people prior to 12,000 years ago, the Hods that have no domesticated animals or plants, no machines or cars or guns,
Starting point is 00:19:53 no modern conveniences to help them get by. Every morning they wake up with the sun and set out into the wild savanna for the day's food. Women typically go in groups, relying on their encyclopedic knowledge of the plants around them and the latest info on what's in season to find productive groves of berries or tubers.
Starting point is 00:20:12 Several species of wild tubers form the core of the Hadza diet and a woman can spend two or three hours on any given day digging them out of the hard, rocky soil with a sharpened wooden stick. They can easily cover five miles or more on a foray, often with a child in a sling on their back and loaded down with 20 pounds of hard-won tubers on their return trip.
Starting point is 00:20:35 Back at camp, women are often busy tending to kids, preparing food, or collecting firewood. Men usually leave camp alone, preferring to hunt by themselves to improve the odds of sneaking up on a zebra, baboon, antelope, or anything else unlucky enough to cross their path. They aren't picky. Just about everything except snakes and other reptiles are on the menu. Hads and men make powerful bows with giraffe sinew strings and add a glob of poison to the shaft of their arrows just below the sharp
Starting point is 00:21:05 iron tip. Poison strong enough to kill a zebra with a single shot. Men regularly break from hunting to collect wild honey, climbing 30 feet into the crown of massive, ancient Baobab trees and hacking into the giant hollow limbs to plunder an angry hive. They'll bring the game or honey back to camp, covering 10 or 15 miles round trip to share with the community. He continues, we've quantified the amount of physical activity that the Hadza adults get each day, and the results are staggering. Both men and women average more than two hours of hard work each day, roughly 10 times more than the average American. That's in addition to the walking. They get more physical activity in a day than the typical Westerner gets in a week. The kids and old folks are active too. Kids are often tasked with fetching water, which can be a half a mile from camp, and men and women in their 60s, 70s, and even 80s
Starting point is 00:22:01 are out most days foraging like they did in their prime. This impressive amount of physical activity isn't unique to the Hadza, he writes. All hunter-gatherers lead lives that would make westerners melt. And while you wouldn't know it from our cushy, urbanized existence today, this extreme level of physical activity was the norm for all humans, only a few thousand years ago. So yes, Herman has spent a lot of time across the world pondering your pancreas and butt muscles. So how did he land this gig? Well, I got into this because I wanted to understand how people evolve. And there's nothing you can understand.
Starting point is 00:22:38 If you had to pick one thing to know about an organism, you'd pick its metabolism, in my opinion. It tells you the most in the smallest amount of time about what an organism is you'd pick its metabolism. In my opinion, it tells you the most in the smallest amount of time about what an organism is all about. And so I just wanted to know how the human body works. Now, it got this way. I never had any intention of doing any public health stuff. And then we started to get all this really interesting and kind of useful data on hunter-gatherers and activity levels and how that affects metabolism. And all of a sudden, I was like, oh, well, I guess we do have things to share and to contribute in the public health space.
Starting point is 00:23:11 And so then it's been a lot of that ever since and it's still us today. At what point did we go from maybe small packs of us to bigger villages and start hunting and gathering versus agriculture. How did our metabolism and our needs and our fuel change? Yeah. So hunting and gathering is, if you think about the genus Homo, it is a hunting and gathering genus. So that's two and a half million years.
Starting point is 00:23:38 That's before Homo sapiens shows up. We're like the latest hunter-gatherer model, but we're from a family of hunter-gatherers. The genus Homo is all hunting and gathering. And that changes things because all of a sudden you're sharing food a lot. It's crazy to think about this, but there's no other species where half of the group goes and forges on plant foods, and the other half of the group goes and pretends they're carnivores and goes after animal foods. And then at the end of the day, they all share it back at camp at the end of the day. That's a really crazy way to make a living.
Starting point is 00:24:10 Do you want my pickle? But what it does is you can always depend on the plant foods. So you have this dependable safety net food or staple. And then the animal foods, the game that you go after, have tons of fat and protein and they're really nutritious. You've won the lottery packages, you get a zebra or a giraffe. You combine those together, man, and that's unbeatable. That's why the last two million years has been all about the Juno's Homo just taking over. Our metabolism responds to that. That's shared energy economy is the fuel we needed to evolve these faster
Starting point is 00:24:48 metabolism and our bigger brains and all of it. You know, what sets humans apart from other apes. We're really social with these big brains. We share all the time. We're really cooperative. All of that happens over the last two million years and it's all tied directly to the foods we're eating, the ways that our bodies are using it, and the hunting and gathering way of life. And then agriculture 10,000 years ago?
Starting point is 00:25:13 Yeah, that's a good Al Park, yeah, 10 or 12,000 years. This is really crazy. Agriculture, people figured it out all around the same time, independently, all over the world. Really? Yeah, so like people in the Americas figured it out, you know, the Aztec and Maya that's famously, and in the Fertile Crescent, the Tigris,
Starting point is 00:25:34 and Euphrates Rivers that you probably heard about if you were, you know, my generation learned about in social studies, the Near East, and then of course in East Asia, that they figured that out there too, and probably other places in Africa And so yeah, it's one of these like kind of good ideas Isn't that amazing that sometimes you have these great ideas and they get you know figured out independently
Starting point is 00:25:55 It's just kind of like the time has come for them and agriculture is one of those ideas What a trend watch the hottest thing right now Agriculture that's right. Are you still going out there to get your food? And for more about where fire plays into our history and its role in our brain size, hundreds of thousands of years ago. Yeah, we have a whole episode dedicated to that.
Starting point is 00:26:18 It's called pyro technology. So we'll link that in the show notes. But going forward to the switch to golden fields of wheat and rye, it didn't happen as fast as like a TikTok home interior trend, which I'm sorry goes too fast for anyone to keep up with and it's wasteful. That's neither here nor there. But rather, agriculture took up until 6,000 years ago to hit Ireland and the UK. And of course, some places continue with hunting and gathering longer,
Starting point is 00:26:46 with changes gradually occurring with livestock and plant crops and then more massive changes as those lands were colonized. How about grains? So did we tend to veer toward grains because of storage reasons and because it was more predictable? Like, predictable. Did we shift our carbohydrate to protein? What happened there when we became agrarian? Yeah. A bunch of things happen. The foods narrow, first of all, because now you're dependent on a few crops that you really spend a lot of your time and energy getting.
Starting point is 00:27:22 The diet narrows. You're certainly eating a lot of carbs in pretty much every early farming culture that we know of. But that's not such a new thing. There's this idea out there that Hunter gatherers were eating all this meat and they hardly had any carbs. And as far as we can tell, that's completely bogus. That's isn't true.
Starting point is 00:27:39 It's totally bunk. Hunter gatherer diets in the past were really, really diverse. Depending on where you lived in the world, different foods might be available to you. And so, yeah, if you live in the Arctic where nothing grows, then surprise, surprise, yeah, you're going to eat a lot of meat and fish. But elsewhere in the world, people eat a variety of diets and a lot of it's pretty carb heavy. So that the carb content probably wasn't the new feature.
Starting point is 00:28:01 It was more about a couple of things. First of all, you start farming and the food becomes even more dependable. You can start kind of manipulating these animals and plants to provide more energy per bite. And so, corn, for example, is a classic one. It goes from this little smaller than your pinky kind of a head of grass and turns into the corn cobs that we know today domesticated animals today on farms carry twice as much fat as Wild animals do right so the wild game that we would have hunted has only half the fat that you'd have on a domesticated animal and so we start manipulating these these species and by the way, we're manipulating their metabolism is to so this is you know
Starting point is 00:28:42 if you're me everything's a metabolism story and guess what happens? We take all these extra calories and populations explode because we turn those calories into babies. And so populations grow, villages grow, but at the same time, now we're like living really close together in population tendencies that we never used to and people start getting sick. And so you see contagious disease.
Starting point is 00:29:07 You see people actually get shorter because they spend their childhood sick with all this contagious disease rather than being able to sort of be less exposed to that in a smaller hunter-gatherer camp. So, I mean, it just changes everything. What's with all these babies? Okay, well, our changing diet enabled our species to make more babies, of course, but also feed those babies earlier with grainy mush. An earlier mush feeding meant shorter periods of breastfeeding, which means that a person
Starting point is 00:29:35 is fertile again sooner and that means more babies. So as a species, grain meant success until then it didn't. When did we get kind of too rich for our own good? I mean, if we think of a calorie, if we think of fuel, we're essentially sitting on an oil mine most of the world to the point we are today. Are we too wealthy with energy? Oh, yeah. I mean, there's a few ways to think about that. First of all, obviously we have this global obesity crisis, and that's telling us right there. I mean, you don't have to go any further than that.
Starting point is 00:30:13 Just know that we are eating more calories than we're burning off. That's almost entirely driven by changes in our diet and the fact that we have just so many more calories available to us. I'm talking to you from my home. I have that literally at arm's reach, like, I don't know, I haven't counted it up, but like I think it's a billion calories. Oh, God. It's just a holiday. So, you know, I could like eat a week of chocolate if I wanted to right now. Okay. Before anyone gets worried, we'll discuss the term obesity at length in a
Starting point is 00:30:42 minute. But in terms of caloric resources, so poverty and food scarcity abound in so many countries, including whichever one you're in right now. And in the US reports estimate that more than 44 million people face hunger, and that includes one in five children. Globally, estimates range from 700 million to 2.4 billion people who experience hunger and food scarcity. So when we talk about a wealth of calories, that is by no means universal, far from it. And conflict in some regions can account for a lot of that, but unemployment and low wages are also huge drivers of food scarcity.
Starting point is 00:31:21 So why do some of us have too much fuel for our physiological needs than our evolution has bargained for? Well, because just in like the blink of an evolutionary eye, our food sources have changed. And in the last 100 years, what's become affordable, particularly in food deserts, is lower in nutrients but richer in fuel, like a higher octane than the engine we've evolved for the last 2.5 million years of our genus. So your ancestors, they did not have prescription antibiotics. They did not have general anesthesia or x-rays, but they also didn't have marshmallow peeps in every color. That's crazy, right? That's never happened. That isn't how life's supposed to work. And not only that, but the way we make the calories is really peculiar.
Starting point is 00:32:09 So, would you care to guess how many calories of fossil fuels basically? Because this is what we do. We take all this energy from the outside world, and right now we're hooked on fossil fuels to do this. It used to just be fire and stuff. But now, it's at a whole other level of fossil fuels. We take all that energy and we use that to make our food, right? To plow our fields or to make fertilizer. Would you care to guess how many calories it takes to make
Starting point is 00:32:34 100 calories of food? Oh, God. 100 calories of food. I was going to guess 500, but then I opted because I figured that was too conservative. So I don't know what I'm doing here. I was going to guess 500, but then I opted because I figured that was too conservative, so I don't know what I'm doing here. A thousand? Yeah, that's about right. Am I right? Yeah, it's like a 10 times more. It's about eight times the energy it takes to make the calories on your plate.
Starting point is 00:32:56 And that's, can you just, that's insane. No other species can survive if it burns more energy than it gets. So we should all just drink gasoline, probably. You heard it here first, people. It's not intended to diagnose or treat any illness. What about in terms of this epidemic of, I'm going to air quotes, obesity. I know that a lot of us might have a hard time with those words or those labels or if you go into your physician, they might say very clinically like you're at this, you're at that, you're at this, but also socially
Starting point is 00:33:37 so many people have been objects of oppression. So how do we parse out what's healthy versus what's just body shaming? That is a great question and you're absolutely right that there's way too much stigma and Moralizing around this. I wish it were otherwise, but it is still the fact that People who are carrying more than is healthy in terms of body fat are at a greater risk for a whole lot of different diseases. Diabetes is probably the main one, but heart disease, kidney disease. We saw the COVID, the first wave of the COVID pandemic that people who were overweight had a much greater risk of serious complications with that. And so I wish I could tell you that, yeah, it's just all stigma and it's all cultural
Starting point is 00:34:26 and we should just ignore it. But in good conscience, I don't think I can. I think there's just too many very solid studies out there showing very clearly that carrying a lot of extra weight is not healthy. When you carry that weight as fat, I think the fact that it's gotten so stigmatized is super, oh, it's terrible on a personal level. There's a personal tragedy. There's a personal cost to that, obviously.
Starting point is 00:34:55 But it's also counterproductive to the public health intent of some of these measures that end up being seen as stigmatizing. And when people just totally turn off because they're feeling like they're not being heard or they're feeling like it's more oppressive than helpful, then yeah, of course, people are going to tune out. So that's how I parse it personally. I was not sure how to approach this episode because I want to be inclusive. I want to be sensitive. So I don't want to toss terms at you that feel painful or that
Starting point is 00:35:25 are insulting. And also, the current scientific language for a range in body fat composition or rather the less accurate BMI is as follows. Underweight, healthy weight, overweight, and obese. And as Aubrey Gordon, who's the host of the podcast Maintenance Phase, she points out in her book, What We Don't Talk About When We Talk About Fat. This term obese has a dark etymology. It means having eaten oneself fat. And the term has been weaponized against fat people for decades. And also side note, many people prefer the term fat having reclaimed it. So the word obese means different things to different people. There is currently far from a consensus. So I wanted you all to inform me with your lived experience.
Starting point is 00:36:11 I wanted to hear what you had to say. So I asked listeners on X and Blue Sky calling only for medical professionals or those who self-identify as fat. What terminology they prefer when talking about body composition in a scientific and public health sense. And I think it was pretty consistent. I know it wasn't. So Sohail Ali says, my ophthalmologist just told me that I'm medically obese and explained
Starting point is 00:36:35 the requirements for being called obese. I'm okay with fat or obese since there are requirements for being called obese. And A-Club Prez says, I like the term fat as a self-descriptor, but Lord of Goats says, I don't speak for all fellow faties, but at 6'1", and 375 pounds, I'd say there's a clear distinction between clinical terms and social slang, and context matters. He says no clinician should be using terminology that was immediately lifted from social media. K. Sarah Sarah X says, Is an overweight the correct term? Factual and with less negative connotations than obese, fat?
Starting point is 00:37:09 Because you could also be underweight as well. But confetti noodles says, disagree with overweight. Fat is a neutral adjective and a neutral descriptor of body types. Additionally, overweight is a word that most fat acceptance folks avoid because it's like over what weight exactly? But Dr. Suzanne says, if someone called me obese or fat, it would take me several days to recover from it. Overweight is as close as I can get without a full-on meltdown. Sigzag 156 says, as a person who used to be 350 pounds and is now 250, obese
Starting point is 00:37:40 is fine. It's simply a medical term to describe when someone's BMI is over 30, which is generally linked to worsening health problems. Dear Blue Earth says that I feel obese is mostly used by people who don't have good intentions at heart. They like fat, but sometimes it shocks people when you say it. Also, men use fat against you, they say. Kevin Vande says, I used to be around 400 pounds, although now I've lost about half of that, but I never once considered obese to be a slur. If anything, I used to be around 400 pounds, although now I've lost about half of that but I never once considered obese to be a slur. If anything, I tended to use obese over fat.
Starting point is 00:38:10 Pyrrhzium says, I don't ever recall being bullied with the term obese but fat ass for sure. Someone with the handle fat man says, couldn't care less about the term used. Overweight, obese, heavy, etc. It doesn't matter to me at all. The tone and the content of how a comment was made is far more important to me reacting negatively. So yeah, it's all over the map. This was illuminating for me to how much every answer varied. But my point is, no matter where you fall, open your minds to other sensitivities and also advocate for what feels right to
Starting point is 00:38:41 you. And feel free to communicate that. Tone and intent is also important. So for God's sakes, be nice to each other and take your judgments and throw them in a volcano. Now, luckily, our lead editor, the wonderful and the brilliant Mercedes-Maitland, has an undergrad degree in anthropology and a master's of science communication and happened to write her dissertation on exactly the subject. And the title of that dissertation was, Investigating the Availability of Information on the Evolutionary Mismatch Hypothesis in the Media and Public Health Literature.
Starting point is 00:39:11 So a lot of metabolic issues that Dr. Ponsford is talking about can be boiled down to the Evolutionary Mismatch Hypothesis. The humans did not evolve for this life. And Mercedes cites several studies explaining that, it's important to note that the health recommendations provided by an evolutionary mismatch hypothesis framework already align with standard health advice. They simply provide a higher level understanding of why those actions lead to better health. And participants in studies who were educated on the evolutionary mismatch hypothesis said that novelty led to curiosity and sustained interest and made
Starting point is 00:39:45 it easier to link the information to their own experience," she writes. So for all of us, zooming out from how you look or what a dick doctor might be barking at you and looking at the history of our species can help us understand how our bodies work more, because all people should not be held to the same standards of ability or of appearance or even metabolism. How much of that is just genetics? And how much of that is your body composition? How much muscle you've been able to retain or build? Things like that. Well, okay, so that's a complicated story too. So it's a lot, your genetics has a lot to do with whether or not you will struggle with
Starting point is 00:40:28 your weight. And that's because as far as we can tell, your likelihood of putting on too much fat has to do with the way that your brain responds to food, right? And there's a lot of different genes and a lot of different gene variants that are going to be involved in how your brain is wired. There's also, of course, the way you grew up and how you were exposed to food growing up. And so all of those things shape your brain, wire your brain in your reward systems to respond to food in a particular way. And they're going to determine if you think about food all the time and kind of can't miss a meal without feeling miserable.
Starting point is 00:41:06 So your genes matter a whole lot, but I'll tell you what, we all have the same... Our grandparents' generation and their grandparents' generation had the same genes we have. But though we have the same genes roughly as our grandparents, we have a different number of 7-11s and corporations that take your money and build you sugar bombs so that your health insurance company can then make a profit off of your suffering. And Herman says, that's where it's complicated because the genes only matter in a bad environment. Did the 70s corn syrup explosion have a lot to do with health rates and life expectancy at all? I just want to first of all say that the 70s corn syrup explosion, if it's not a band
Starting point is 00:41:46 name yet, it needs to be immediately. It's definitely a jam band with too many carbohydrates and simple sugars. It's a raspberry jam band. I love it. So yeah, people always want to find the supervillain, right? It's not. It's not carbs. It's not sugars. It's not... I mean, none of those things are good for you. Just be real clear. Like, extra sugar
Starting point is 00:42:09 isn't helping anybody. But it's the kind of combination of it all. It's the fact that all that corn syrup goes in to these ultra-processed foods that are literally engineered to be overeating. That's how food companies make money is if you can't stop buying their food. And so, you know, and they're not, I don't even really blame them for it. That's like, you know, don't hate the player, hit the game, I believe is the expression. They're doing what they're built to do,
Starting point is 00:42:35 which is to sell food. Now I'm sure they're not trying to make anybody sick. You sure about that? You sure about that? I don't want to believe that. Anyway, they are though because those foods are, you know, as close to addictive as they can make them legally, I think. Where does your endocrine system come in in terms of what is it, ghrelin and insulin,
Starting point is 00:42:58 and also just as you age your estrogen or testosterone changing or your cortisol, you always see those ads on the internet that's like, too much cortisol, you've got belly fat. And you're like, who doesn't have cortisol? There's a good pandemic. Where is your endocrine system? Yeah. So, okay, so that's a great example of, again, this sort of another layer of complexity, but we can also use this to understand what's happening. So, okay, so that's a great example of, again, this sort of, and other they have complexity, but we can also use this to understand what's happening.
Starting point is 00:43:26 So, okay, so your endocrine system, that's your hormones signaling across tissues, across organs. A hormone is a signal sent by one organ to another through the bloodstream. And so your endocrine system is all about the hormones sloshing back and forth for your body talking to itself. And those signals, those hormones, are meant to regulate things like how hungry you feel, how full you feel, all sorts of things.
Starting point is 00:43:51 Not just hunger and anxiety, but those two. So they're gonna be part of the kind of reward system. People are gonna complain that I'm kind of mixing up neurotransmitters and hormones, but I'll let them complain. That's okay. They're part of that reward system that either makes you feel so excited about food that you can't stop or not. But here's what's cool.
Starting point is 00:44:15 There are also hormones that your intestines make called incretans. And those hormones help you feel full and satisfied. And those are the hormones that the new class of weight loss drugs mimic. This is why these weight loss drugs are working, to sort of manipulate how full you feel and therefore, you know, get control of your hunger and society. And I, you know, I'll be really clear. I don't have any investments or anything like that. I'm not going to make anybody off those drugs. Somebody's going
Starting point is 00:44:49 to make a lot of money on those drugs. But it's kind of exciting because back in the 90s, we started to discover the hormones around hunger and satiety, how hungry you feel, how full you feel. Garellon you mentioned, which is this hormone that your stomach makes when it's empty, makes you feel hungry. The other one is leptin, people might have heard of. Leptin is a hormone that your fat makes. Your fat makes leptin in response to getting chucked full of fat and sugar. Well, fat only gets full of fat, but you can pull blood sugar out of your blood and turn
Starting point is 00:45:21 it into fat and store it in your fat. So when your fat cells are getting filled, your fat goes, ah, it makes leptin. That's how I pictured it anyway. You can't actually hear your fat sigh, but if you could, and it makes leptin. And your brain hears that leptin and it should be part of what makes you feel full and they they were going to give people leptin and it was going to make them feel full and they'd stop eating. And it works amazingly if you're a mouse.
Starting point is 00:45:54 Oh. Yeah, bummer. It doesn't work so well if you're a human. It's the same hormone with the same role but for whatever reason it didn't have that effect in humans. So they've been hunting around, right? Because there's a lot of these hormones, and that's what this new class of weight loss drugs is. They were like, oh, well, what about this hormone that your body makes after you eat? Does that last or does it have like a rebound effect?
Starting point is 00:46:17 And also, I understand that for people who are diabetic, it's like a medical necessity in some cases, but it's also really difficult to get because it's such an effective way to change your body mass. Yeah. There's all kinds of interesting like societal questions about around access with that. Is there a rebound? Yeah, it looks like if you are on it, you will lose as much weight as people lose like a bariatric surgery, which is kind of incredible.
Starting point is 00:46:44 If you go off of it, you'll gain the weight back, at least a lot of it. I don't know about all of it. I'll just say, again, I'm just watching the science come out. I'm not involved in any of it, but just watching these studies come out is super impressive to see because it's the first time that we've had a weight loss drug that seems to really have this size of an effect. What we know now is that the effect is pretty sizable. If you stay on the drug,
Starting point is 00:47:05 it lasts. If you come off the drug, it bounces back. Now, who's going to bounce back more? Who is going to bounce back less? Is there something you can do with lifestyle interventions to be able to come off the drug but keep the weight loss? That's the frontier right now. That's where people are at right now. And Herman notes that these drugs, like somaglisside, started off as diabetes medications that regulate insulin secretion. And if body composition is a factor in any cardiovascular health or diabetic conditions, these drugs can also help with that and lower high blood pressure or cardiometabolic diseases. Although my friends who are diabetic are not down with
Starting point is 00:47:43 the general populace or a lot of celebrities taking this and gobbling it up while folks who have diabetes cannot get ahold of it. That sucks. But again, it's a bigger picture of total health assessed by a doctor who listens and doesn't like write off other concerns as just weight related because actual weight doesn't tell you everything about organ health or your muscle mass or even your metabolism. In fact, I'll tell you a little secret. The best thing I've ever done for my body was in my late 20s, I took my scale. I took it to an alleyway behind my apartment and I smashed it with a hammer and then I tossed it into a dumpster hard because a number fluctuating every day
Starting point is 00:48:25 and not reflecting muscle or water was doing so much damage psychologically. And so I switched it and I tried to focus on how many steps I was getting each day because I knew the days that I went on walks, especially if I was outside, I felt less anxious and sad and I have more energy. And if you can't take walks,
Starting point is 00:48:44 we've done other episodes about how just going outside, being around a tree for a few minutes, can provide a psychological boost. But yeah, for me, scales are garbage, literal garbage. And actually went to the doctor this week and it was a gynecology clinic. And they actually had their scale set to kilograms, which as an American, I was like, sweet, I don't know what that is about. I have no idea. I'm not going to think about it or an American, I was like, sweet, I don't know what that is of pounds. I have no idea. I'm not going to think about it or Google it because that's not the point.
Starting point is 00:49:08 Well, when it comes to yo-yo dieting, I know the worst health I was ever in, body mass wise, depression wise, like autoimmune stuff wise, was when I was trying to get skinnier and I just, when given the opportunity, I could eat like half a jar of peanut butter because I was just so pissed to be depriving myself. So I know that yo-yo dieting is part of it, is probably psychological, but how much too is that metabolic and how do people avoid that if they're just like, fuck this? It is so hard. And what I hate is when people have these kind of conversations with folks like you and they say, well, here's what you'd have to do.
Starting point is 00:49:53 And they give, you know, I like there's one easy answer that people haven't already tried. So I'll just start by saying it's hard. And my suggestion is to, if you are pissed off and feeling deprived on whatever food, whatever diet you're on or whatever nutrition plan you're trying to stick to, then you're not on one that's going to be sustainable. And you got to find one that's better. And that's where I do think there's a place for intermittent fasting or for low-carb diets if you're keeping them, if they're done in a healthy way, or for vegan diets or Mediterranean or whatever.
Starting point is 00:50:32 But that's, I know it's hard. And it's a lifestyle, not a diet, right? I know that I'd be like, I'm at my goal weight and then I'd be like, sweet and go eat a double-decker taco from Taco Bell. I'm like, what happened to my, why don't my pants fit? That's weird. Okay, first off, I love double decker tacos.
Starting point is 00:50:52 Also when I'm sick or I have a migraine, all I want is a diet Dr. Pepper and Cheetos. And it's disgusting, but it's a decision made, not by my body, but by my soul. But Herman told me that we all have a little bit of magical thinking around this stuff too. And it's really hard in modern culture and with the food available to folks in food deserts, on lower incomes, and really anyone to track how much fuel we're putting into
Starting point is 00:51:19 our bodies and how our individual endocrine and neurological systems are going to react to them. And Herman says that there's such a stigma around body image and health and so much undue blame on individuals that it turns into a mental challenge and a stress to just try to tally numbers and understand this really complex and impossible system that he's been studying for over a decade. And if you have access to healthcare, talk to a trusted doctor and maybe get your thyroid or your blood sugars checked if you're feeling a little off. But okay, onward to some of the 49 pages of questions we got for Herman.
Starting point is 00:51:54 I have so many questions from listeners. Can I lob them? Some at you? Oh, that's why I'm here, isn't it? Yeah. Yes, yes, okay. But first, let's donate to a charity of theologist choosing. Ann Herman said the choice was very easy and he'd like it to go to the Hadza Fund. And the Hadza Fund provides healthcare to this hunter-gatherer community by funding
Starting point is 00:52:14 an ambulance for the critically ill resources, food, and medicine during hospital stays, as well as preventative healthcare like mosquito nets to combat the spread of malaria. And to find out more, you can go to hadzafun.org. So thanks to sponsors of the show who made that donation possible. Okay, let's get some burning questions off your chest, including this first one about metabolic speed, which was on the minds of Julie Scott Olga, Dawn and Eric Easton, Ann Marie Everhart, Michael Wegman, Lena Stott, Lisa Rohl, Sophia A, Sharon Terri Lee Johnson, Valerie Bertha, first-time question asker Angie Smith, and Abigail Ladd is in Denver. Hi, Abigail. I am curious about the idea that we can speed up or slow down our metabolism
Starting point is 00:53:02 just with like products, Particularly the biggest loser study. The biggest loser study showed that like extreme dieting caused a slow down in people's metabolisms. But then there's been some sort of debunking out of that that I've seen. So it seems to be really conflicting. And I'm just, I would love clarification. Well, so the first question was the easier one, which is, are there products out there
Starting point is 00:53:27 that can boost your metabolism? And the answer is no. Okay. With a caveat. Okay. The caveat is there are some illegal things you can do. Huh. To boost your metabolism that are not recommended.
Starting point is 00:53:41 And, you know, so that's partly a joke. There are some illegal things you can do that would infuse your metabolism, but you shouldn't do them because they'll kill you. Like are those things you snort? Are those things you get illegally by prescription? Yeah. So moving on, there's, I don't know. Actually, so they used to sell this one, I forgot, I'm blanking on the name of it, that would speed up your metabolism. It made your mitochondria leaky. And so they would just burn through all this energy trying to charge your ATP's.
Starting point is 00:54:10 Okay. So, side note, I believe Herman is talking about this drug known as 2-4-dynitrophenol, or DNP for short. And it's been used in things like bombs and pesticides, but taken by alive humans, it ups your metabolism by 30 to 40 percent, which of course can melt away excess fat. It can also cause rapid heart rate, cardiac arrest, cell death, and hyperthermia, meaning you literally cook yourself. DNP can also very much kill you, so much so that people have used it to unalive themselves. So yeah,
Starting point is 00:54:46 no, not worth it. You are wonderful as you are, which is living and breathing. And so they had to stop selling it, but obviously it's super terrible and really dangerous to mess with your metabolism that way. So no, your coffee in the morning gives you like, maybe like a little tiny little bump. More than a bump. But you cannot boost your metabolism. Everybody out there trying to boost your metabolism with whatever supplement you're buying, you're just being robbed. I'm sorry. Please, for your own sake, just stop. You can't even really boost your metabolism very much with exercise, it turns out.
Starting point is 00:55:19 And that's one of the big surprises. Yeah. So when you're exercising, you burn more calories. That's true. While you're exercising. And if you start a new exercise program, then yeah, for those first few weeks, you know, you'll, you'll burn more calories by the end of the day than you were before you started it. But this really interesting phenomenon happens where your body adjusts. And so after a few months, you're not burning a whole lot more than you were when you started and maybe not anymore than you were when you started. And so that's some of the really surprising work that's come out of my lab and some others. So apart from field work observations and interviews, what does this lab work entail?
Starting point is 00:55:59 Okay, well, in his book, Herman explains how difficult it was to do this research in decades past, when you'd have to essentially lock someone in a metabolic chamber and measure the ratios of carbon dioxide and oxygen in the room and also collect pee from the entire state to analyze for metabolites of protein and stuff. But then, in the 1990s, when mass spectrometry analysis became more affordable, scientists were able to do this thing called the doubly labeled water method. And they had used this before in smaller animals, but it was more affordable now to use in humans. And this involves people drinking a water sample with special non-radioactive isotopes of hydrogen and oxygen and then later analyzing a p-
Starting point is 00:56:46 sample maybe two weeks later to see how much carbon dioxide they had produced based on what's left of the isotopes. So water, some pee, some mass spectrometry, so much easier than an airlock chamber and yes more affordable. And he writes in Bern, so what's the bottom line? How many calories do we spend each day? It depends, of course, but not on the factors you might think. Here's a fun snapshot for you. We were talking about hunter-gatherers before.
Starting point is 00:57:14 So my lab, our group did the first measurements of calories burned per day in a hunter-gatherer group. We went and worked with these folks called the HODs in Northern Tanzania. And they get more physical activity in a hunter-gatherer group. We went and worked with these folks called the HODs in Northern Tanzania and they get more physical activity in a day than most Americans get in a week, hunting wild game and getting wild plant foods. But despite that, despite that, to our enormous surprise, because we did not expect this going in, they burn the same number of calories every day as Americans do. What's going on?
Starting point is 00:57:43 Yeah, because their bodies have adjusted to this really rigorous lifestyle and they're saving energy elsewhere. And your body will do that too if you start exercising a new exercise program. So you might not sort of wipe out the entirety of the exercise bump, but a lot of it. And even if you increase your muscle mass by a lot, like if you're weightlifting? Well, so that's interesting. So that's understudied. Most of the exercises people do to lose weight are like cardio and you don't gain a lot
Starting point is 00:58:10 of muscle mass. So that's not even a factor. If you do gain a lot of muscle mass, then what we'd expect that is for your size, yeah, sure, you're going to increase your energy expenditure because you've gotten bigger, right back to this whole issue of what is metabolism? What is your body at work? If there's more of you, yes, you'll burn more calories. But for your size, we don't think your expenditure will go up that much. Wow. So it's mostly diet, as they say. Oh, in terms of your weight, yeah. I mean, it's like, it's not even worth worrying about exercise
Starting point is 00:58:40 for weight. Hang on, very important message here. You should still exercise, by the way. It's really good for you. And some of those adjustments that your body makes in response exercise are probably some of the reasons exercise is so darn good for you. So I'm on team exercise 100%, but we have to think about exercise and diet as two different tools for do different jobs. So you have diets about diet for your weight and exercise for everything else. What about the serotonin component and the endorphins? Is it mental health, I understand,
Starting point is 00:59:09 that exercise can be as effective as some antidepressants? Yeah, yeah, yeah. That's absolutely right. And there's lots of great studies out there showing exercise interventions for depression is a really good, a really good tool, like you say, as good as a lot of the drugs people take. Plenty of studies. Yes. So go ahead, get yourself a wing back chair, get a big cup of tea, and
Starting point is 00:59:33 settle in for years of reading published studies. Cobwebs are going to grow in your arms because there's a lot. But here are a couple samples. So the 2017 meta-analysis titled, Is the Comparison Between Exercise and Pharmacologic Treatment of Depression and the Clinical Practice Guideline of the American College of Physicians Evidence-Based in the Journal Frontiers of Pharmacology, gave a recap of experiments and it found that three randomized clinical trials compared four months of exercise to just antidepressants. And that all of these studies reported that exercise and standard antidepressant treatments were equally effective.
Starting point is 01:00:11 And then another 2015 study in the British Journal of Psychiatry called Physical Exercise for Late Life Major Depression showed that the greatest improvements people had were with high intensity aerobics followed by low intensity aerobics followed by just antidepressants. And other studies show that exercise and medication can be an effective two-pronged intervention for major depression. So, what is the message here? Well, it's not for me because I'm not board certified in shit.
Starting point is 01:00:40 So you have to talk to a doctor and under no circumstances go off antidepressants on your own. And I say this as your friend, I say this as your internet father. And this spring, I've mentioned this before, but I went off of Fexer to try medication for ADHD instead and for my hormonal issues. And guess who ended up in the ER with a panic attack? That was me. Remember that? That was me. Of course, you don't remember because I don't know if I mentioned it. But my point is please do research, talk to a doctor, don't go cold turkey on your own, and also make sure that your loved ones know that you're changing any medication and that you have a lot of loving support. Or better yet, maybe just consider adding exercise to your medications
Starting point is 01:01:22 if you're physically able to and see if you feel more amazing. And if you're feeling like garbage and are feeding yourself garbage like I sometimes do, remind yourself that your body deserves fuel and nutrients and that companies marketing you things are in it to make money, not to make you happy. But what happens if you do all this and you start to feel healthier? And then that second part, yeah, so the slow down in people's metabolisms after they diet, that's a bit of a myth. No, so that's depressingly true. So you can slow your metabolism, you just can't speed it up.
Starting point is 01:01:58 If you lose a lot of weight, like they did in the biggest loser, people lost a human's worth of weight. It was completely unsustainable the way they did it. And so the folks who managed to keep a lot of that weight off, even six years later, their metabolic rate was still slower than you'd expect for their size, their body was still kind of trying to write the ship. It's a survival response. If you lose tons of weight right away, really fast, your body, you're an evolved organism. We've been evolving for millions and millions of years. We have all these mechanisms in place that say, look, times are tough. We've got to tighten our belts and lower the metabolism until things get better again.
Starting point is 01:02:40 And so that's real. That absolutely is real. And people in the biggest loser who kept the weight off for six years, their bodies were still in that mode. And the people who gained all the weight back, well, their metabolism's recovered because their bodies are like, yep, we did it. Good job, guys. And I imagine it's just evolutionary processes helping protect you from future famines. Yeah, exactly. Every species will do this, just as far as we can tell. Any species given the opportunity to put on extra weight will.
Starting point is 01:03:09 And it seems to be because it has just been a truism, a fact of life for the hundreds of millions of years that animals have been evolving that you could always end up in a lean time. And so you always better be prepared. And yes, it's hypothesized that some people's bodies have a thrifty genotype and they're more efficient at surviving those lean times. But our relationship with processed and high calorie
Starting point is 01:03:35 and low cost foods presents a challenge to tell our brains that we have to contradict hundreds of thousands of years of survival instincts and genetics every time we walk into a grocery store. Does cinnamon or ginger or any other herbs or spices actually do anything for your metabolism? I myself put cayenne pepper and black pepper in my chai every day, but for flavor. But the idea that you can take like a capsaicin pill and be like Bikini season that is not true. Yeah, sorry Cindy
Starting point is 01:04:14 What about individual variation this was wanted to know by patrons lovely bites RJ doge Hannah Rytle Matthew Walker Amanda loves Kurt Quincy J. Byrne Misha fish Philippi Felipe Jimenez, Gulnick Stor, Monica Alvara, Margo Lewis, Sarah Morkam, Griffin Russell, Julie Scott, and a member of the BFF Audio Asking Tier on Patreon. Aaron Ryan says, look, we're all thinking it. Why does my metabolism suck? Oh, I've got good news for you. Okay. It doesn't suck.
Starting point is 01:04:43 All right. Some of us do have just because of our genes or, you know, maybe because of the way the conditions of which we grew up, we're not entirely sure. But some of us do burn more calories than others. That's true, just inherently. But and we've done this study in our own lab. We've done it seen it done other places. People who have slow metabolisms aren't necessarily
Starting point is 01:05:06 more likely to gain weight. People who have fast metabolisms aren't necessarily less likely to gain weight. So we always blame our metabolisms, but the fact of the matter is it really comes down to your brain. So your metabolism is great. It's your brain that's giving you trouble and it's giving you trouble because you're surrounded by all this really delicious food that you can't, it's hard to pull yourself away from. So many people. Greg Lewis, Valerie Bertha, Ryan Walsh, Les Johnson, Kala Turnbull, Matthew Nguyen, and Ernie L. Grammocan. Also, Liana Schuster, Anjali Hamali, Rebecca Cloud, Daniel Kelly, Hannah Boyd, Average Pi, Lauren Arne, Renéal Mondre, Margie Indexer, and C.C. Papersch.
Starting point is 01:05:45 I'll ask, in Greg's words, how does aging affect metabolism? And does being an active senior make a difference? Does it slow down as you get older? I've read some of your research and I know the answer, but. Yeah, this is one of the most fun studies I got to be part of over the last couple years. We finally put together this roadmap of your metabolism from birth till very old age. And so we know the answer to that.
Starting point is 01:06:14 So first of all, as you grow up and get bigger, there's more of you, you burn more calories, right? So bigger people burn more calories. Men tend to burn more calories than women because this gets back to what kind of weight are you carrying. Women tend to carry a bit more fat for a given body size. Men tend to carry a bit less. And so, if fat is quiet, other tissues aren't. So men tend to burn up more calories just because of the body composition difference. Once you control for that, men and women are the same. So the numbers crunched in most studies are based on the model of sex assigned up earth.
Starting point is 01:06:47 But my non-binary and trans pals, I see you. So bigger is more, more fat free mass, you burn more calories. But once you control for that, so now we're talking about like a, like we're thinking about this in terms of like pound for pound, right? For a given size, how does your metabolism change? Well, it's really high when you're a kid from about one year old is at the peak, right? One year olds are burning 50% more calories you need to expect for somebody their body size, which is kind of incredible.
Starting point is 01:07:18 And it's because of all those, the stuff that your cells are doing all day to grow and be active and develop. And then you peak at about one year old and then you sort of slowly come down through childhood and teenage years. And in your early 20s, you hit your adult level. So whatever you and I are at, Allie and Greg, you two and me,
Starting point is 01:07:40 where all of us adults were at our metabolism plateau. And we're gonna stay there. You're there from your 20s through your late 50s. Oh wow, late 50s? Yeah, it really doesn't change with menopause. It really doesn't change as testosterone levels go down in men and I was really sure it did. I'm in my 40s and I was really sure
Starting point is 01:08:04 that my metabolism must be slower than it was when I was 30. And you know, it just doesn't look like that's true. And then after 60, it starts to decline. So that decline is real. And so active seniors, that might be the case, that staying really active as a senior 60 years plus is a good way to kind of keep that decline at bay. What we'd love to know is, so okay, when we see metabolism start to slow down around 60, that's your cells becoming less
Starting point is 01:08:34 active, right? They're slowly kind of turning down the volume knob there on everything they're doing. That's around the same time that people start to get sick. Your likelihood of heart disease, dementia, all these things really starts to kick up around the same time that people start to get sick. Your likelihood of heart disease, dementia, all things really starts to kick up around the same time. And so that makes us think those things are related. And so if we can keep our cells more active, do we keep those diseases associated with old age at bay? Man, wouldn't that be cool to know?
Starting point is 01:08:57 And wouldn't it be great to be able to use that kind of therapeutically by that next step? And for more inspiration to take Zoom classes until you're 90 other than just having sweet, sweet moves, you can see the 2021 paper titled, The Active Grand Paired Hypothesis, Physical Activity in the Evolution of Extended Human Health Spans and Lifespans. And it summed up several previous studies that showed that about 20 minutes a day of moderate physical activity or 12 minutes a day of vigorous aerobic activity reduces average otherwise sedentary person's relative risk of all cause mortality by 50%.
Starting point is 01:09:34 So you do that 20 minutes a day, 12 minutes a day of harder activity, your mortality rates go down by 50%. Which if you live in the United States, that can help you dodge medical bills that could bankrupt you. So that's a plus. So the active grandparent hypothesis, what is that? It's one by evolutionary anthropologists to answer the question, doesn't nature just want your babies and then for you to die? Why would humans have evolved to be so active and not dead after they reproduce? Well, researchers found that in the Hadza and other hunter-gatherer societies,
Starting point is 01:10:05 active grandparents will forge for up to six hours a day, taking that burden off of new mothers who are tending to the squirmy little babies. So the active grandparents out there foraging bring in more calories for the whole community, kind of like when grandma sneaks you an ice cream sandwich and you both promise not to tell your parents. Also, before any of you write me letters, I love you, but before anyone writes me a letter.
Starting point is 01:10:30 Yes, calories is the same thing colloquially as a kilo calorie. Technically, a calorie is one one thousandth of what we call a calorie, but yes, it's just confusing terminology. I don't make the rules. Denise and Scott wanna know, is six meals a day to boost metabolism? Is that debunked? Six small meals? Yeah. Yeah.
Starting point is 01:10:56 I don't even, I'm not even sure exactly what they're talking about, but I can promise you it doesn't work. Okay, you'll see sometimes in like, how does this person who's definitely had likepo suction, how did they do it? And they're like six small meals a day and you're like, okay. But then intermittent fasting goes completely against that. But I know people had questions about intermittent fasting, such as Elliott McItharsney, Amanda Washington, Norma Vasquez, Lana Schuster, Monica Ulvera, Denise and Scott Ology Files,
Starting point is 01:11:24 Anna Elizabeth Furf-Brownoff, Kate Munker, Erin Gunderson, Emily Stauffer, Vanessa Frey, and Ellen Munro. Does that slow your metabolism because you're not eating for 12 hours at 16 hours a day, or is that not enough to mess it up? The bigger switch on your metabolism is, you know, think about it in terms of like days or weeks of energy balance. So if you're intermittent fasting, but you're not seeing the weight on the bathroom scale change really fast, right? Because when you're allowed to eat, you're eating enough that you aren't losing weight
Starting point is 01:11:55 in a really fast rate, then you're probably going to keep the metabolism impact pretty small. Okay. What do you do? Do you have a walking pad under your desk? Were you ever a chubby bunny as a kid? I personally, you know, I've never had to really worry about my weight. I'm one of those annoying people who don't. And I was a really skinny kid. My mom was like trying to pack me full of food whenever she could. Honestly, I think
Starting point is 01:12:21 it fits the research, which is, you know, I don't think about food very much. I just kind of don't care. I like good food. More than that, I like nice meals with good friends. You know, my wife, she'll tell you, she thinks about, you know, lunch and dinner and snacks more often than I do. I think that's just true.
Starting point is 01:12:39 And that is, is that that's hardwired, that's hormonal? That's, oh, you had genetics questions, Heidi, right? JoBee, Matt Tocato, Valerie Bertha, Pafka 34, Devin McPeak, Erin Burbridge, Matthew Walker, Diana Moreno, Magdalena Castillo, Katherine Rigovich, Kay Collin Croft, Lannis J, and first time quest chesker, Mrs. Nowak. So how much of your gene size is based on your gene size? And so, those are the genes that are important. As far as we can tell, I'm going to say all of them, certainly almost all of them, are active in your brain.
Starting point is 01:13:15 It's how you're wired. And probably also, you know, your brain isn't a static thing. That's where people get brains wrong. You're not born with a brain that you have right now, right? Your brain is a work in progress from the beginning. And so the genes that help build your brain matter, but also the experiences you use to finish off and build those connections. And so probably both of them together. But by the time you're an adult, right, the cake is baked and your response to food is what it is. And you're kind of working with what you've got. What about the guts?
Starting point is 01:13:47 Patrons, Catherine Fox, Bonnie M. Rutherford, Nathan Howard, Nicole Austin, Earl of Grammlekin, Tristan Berg, Jesse Kay, and Catherine B, First Time Quest Trasker. This one is for all of your simmering intestines, as well as. Anna, Ukele, Emily, Isis, Hay Artemis, Miranda B. The micro biome question.
Starting point is 01:14:05 Yes, Sarah Dutton. God, damn it. I knew it was coming. Yes. No. Alana says, this may be gross, but I'm so curious and wondering if there's any connection between metabolism and they say bowl movements. I think they mean bowel movements, but that is-
Starting point is 01:14:18 Let's help so. That's a good typo. But how does your digestion change your metabolism? If it moves more slowly, do you have more satiety, which I always thought was pronunciation or what's going on? There's a great study actually out over the summer that showed that they had people on two different diets and the really highly processed food diet, their guts were able to absorb more calories more efficiently. And so they're getting more of the calories that they put in their mouths actually go
Starting point is 01:14:50 into their body rather than into the toilet. And people on the high fiber, they call it the microbiome, you know, the microbiome happiness diet or something like that. It was, that's not really it, but It was something like meant to help their microbiomes. They had more fiber, was harder to digest, and they absorbed fewer of those calories and more of a pass through them. Bye now. And so there you go.
Starting point is 01:15:14 You know, that's something that simple. You can see it in action that absolutely the way that your guts work, the efficiency with which you pull calories out of your food and into your bloodstream, the kind of food you're feeding yourself, which will have an effect on that. All of those factors are going to play a role. This is the ultimate multiplayer game in the tabloid zone. And so to think that it's just one thing, it probably is never just one thing. But it's okay. It's not wrong to think about all the parts that work together, but they are just parts that work together. And the ones that
Starting point is 01:15:49 are sustainable, they make you eat fewer calories without feeling miserable. Does the carnivore diet drive you crazy because evolutionarily we evolved to eat the plants as well? What drives me crazy is when people want to rewrite history and say, you know, it's not enough for them that the carnivore diet works for them. It has to be the one single perfect diet to rule them all. And it has to be proven by the fact that of course, don't you know, dummy, that we evolved to only eat meat.
Starting point is 01:16:19 That just pissed me off. Because the evidence is really clear that humans have been eating a lot of plants forever, except in certain special circumstances like the Arctic. So like, man, why do you have to ruin what we know about human evolution? What took so long for people to figure out? And you got to ruin it just so that you can enjoy your diet and be snooty. I don't get it. Yeah. Again, for more on what hunter-gatherers do eat, grab his book, Burn, which is linked in the show notes to learn about his years of research and befriending the Hadza community in Northern Tanzania. And I burned through it in a few days. And it's already influenced how I'm taking care of my
Starting point is 01:16:56 bod. And my bod, which has been kind of a shit show of pneumonia and hormone chaos, is thanking me for caring. Actually, back to hormones. You know, we had some great questions about hormone replacement therapy. You know, and I know that menopause itself and aging itself doesn't sell you metabolism, but Anuya Joshi, Kate DeHadway, interstitial K, Lauren Arnd, Dayan Needham, Rebecca Roem, Jen A, Brittany Corrigan, Lao, Lisa Roll,
Starting point is 01:17:21 and Kay Shannon, as well as Lisa Panic asked about during the paraminopause and menopause having less testosterone, does that affect your ability to build muscle mass? And we also had great questions from some trans listeners, Keegan Newman, Wayne Halliburton, and Jude Scout Campbell, who asked in Jude's words, I'm a trans mask person about to hit the two year mark on testosterone, gender-aff affirming hormone therapy, both myself and pretty much anyone on T ever experiences what feels like an increase in metabolism. Why does this happen? When will it chill out? Please, I'm hungry all the time and who among us can afford that many groceries in this economy? Thanks.
Starting point is 01:17:59 Yeah. So testosterone is what's called an anabolic hormone. It builds, it makes your body's build, it makes your cells more active. That is why people dope with testosterone mimics. And they're illegal because they're incredibly effective. And so if you are on testosterone for whatever reason, yeah, your cells are more active, you're going to be probably burning more calories and certainly your body's gonna send in the signals, hey, let's build some muscle, because that's what it's good at.
Starting point is 01:18:30 So when it will go away, ah man, that's actually an interesting question. I don't know. And then if you're in menopause or for some reason, your estrogen goes up or down. I understand a lot of birth control pills and SSRIs can change your body composition a lot. So what's going on with the estrogen? Okay, I asked these estrogen and SSRI questions for you all. Megan Bolton, Shelby Smith,
Starting point is 01:18:55 Tyon Kohl is Luzi Martinez, Madeline Dunkel, Kendall M., Kelsey Larson, and Brittany Kaufman. We know what hormones are being given in those cases or what hormones are extra. I don't know that we have lots of great studies that are sort of counting calories in that context or measuring calories very well. And so this is just my impression of what's going to happen physiologically. And he mentioned SSRIs. Those are all kind of different systems. So testosterone and androgens generally are muscle building anabolic hormones that are
Starting point is 01:19:24 going to tend to ramp that up. The hormones that are taken for oral contraception actually mimic the hormonal state of pregnancy. The second half of the ovarian cycle, which is the same as the early parts of pregnancy, you've kind of kicked in some mechanisms, sort of early pregnancy mechanisms there to put on some weight. And then the SSRI thing seems to be back to the reward systems in the brain and that you're manipulating those systems and one of the outcomes is going to be the way that you respond to the reward of food.
Starting point is 01:20:04 So if you experience more cravings for carbohydrates as your depression lifts from antidepressants, you can keep an eye on intake or you could not care and enjoy more pasta and smiling. I'm not a medical doctor even a little bit, but do whatever keeps you healthy and happy. But let's get back to misery. Last questions I always ask are worst thing about your job, what sucks, what's hard. I love my job. There's got to be something that sucks. Paperwork. I'll tell you what, yeah. I'll tell you what sucks. There is so much regulation right now around the actual performance of science in American universities. You know. I have so many trainings and regulatory
Starting point is 01:20:47 things I have to do and it's all well-intentioned. But, my God, there's so much of it. We're paying this person at my university to talk to this person at my university. So that's the only frustrating thing, I think. I love to teach and I love to do research and I feel like I am one of the luckiest people I know in terms of the career I get to have. Do you ever lose sleep over it and does that affect your metabolism? Yes and yes. Oh, so sleep does affect the metabolism. Oh yeah, if you get completely sleep deprived, sure. Yeah. Good to know. I know you love your job. Is there a certain moment or a certain factor that is just your favorite?
Starting point is 01:21:31 Just talking to you, Allie. Oh, stop. I've asked so many not smart questions and I really appreciate it. This is probably one of the most frenetic episodes where I'm like, what about this? There's so many questions about it. I honestly, so there's two things I love about my job.
Starting point is 01:21:49 And one is I have had the amazing good fortune, a handful of times in my career, to be the first, at least feels like, the first person ever to see something or to figure something out. You know, it's the discovery. I think every scientist lives for that and any scientist has been around a while
Starting point is 01:22:09 and has had some success and has felt that and that you live for that. I mean, there's nothing better than that. And then the other thing I really do enjoy is talking to science, whether that's teaching or whether that's writing or whether that's computations like this. I love to be able to share that
Starting point is 01:22:24 because I think that's part of the job too and it's a really fun one. Thank you so much for doing this. This is really fun. So ask informed people uninformed questions. And thank you so much, Dr. Herman Poncer, for the time that you spent with us and all the research that you continue to do. Again, his book is titled, Burn. It's linked in the show notes.
Starting point is 01:22:45 And we'll also link his labs website and his Instagram and his Twitter X handles so you can follow him there. We're at Allergies on Twitter and Instagram, and I'm Allie Ward with one L on both. And we have shorter kid-friendly cuts of our classic episodes, and those are called Smologies. And they're available for free. They're at alleyward.com.sh-smologies. And Aaron Talbert admins theology's podcast Facebook group.
Starting point is 01:23:08 Aveline Malik makes our professional transcripts. Noel Dilworth is our scheduling producer. Susan Hale is managing director. Kelly R. Dwyer makes our website and can make yours. And our lead editor in this episode produced and contributed a ton of excellent research, some from her own dissertation. Sapiens indeed, Mercedes Maitland of Maitland Audio, and Nick Thorburn made the theme music,
Starting point is 01:23:29 and if you stick around until the end of the episode, I'll tell you a secret. And this week is kind of weird. Okay, so I was working on this, right? I was listening to a playlist of some new indie music, and there was this one song called Drop Dead by Katie Kirby, and no joke, there's a line about body mass indexes. And I was like, get out of my head music what are you doing to me right now? It was creepy but it was fun so there you go. But yeah put on a song maybe enjoy some fresh air be good to your flesh machine and most importantly be good to
Starting point is 01:23:55 each other. Alright, bye. Dozoology, Litology, Nanotechnology, Meteorology, Lopectology, Nephology, Seriology, Cellulogy. Who doesn't like candy?

There aren't comments yet for this episode. Click on any sentence in the transcript to leave a comment.