Science Vs - Caffeine: How Much is Too Much?

Episode Date: June 18, 2026

Today we’re revisiting caffeine. It’s a drug that tons of us take every day. So, is that a bad thing?? What is it really doing to our bodies and our brains? Plus — if we get it in the form of en...ergy drinks, is that super dangerous? We talk to Dr. Astrid Nehlig, Prof. Gregory Marcus, and Prof. Sachin Shah. [REBROADCAST] Find our transcript here: https://tinyurl.com/ScienceVsCaffeine In this episode, we cover: (00:00) Our love/hate relationship with caffeine (04:40) How coffee affects our gut (07:29) How coffee affects our brain (12:59) How coffee affects our sleep (17:58) Coffee makes us go vroom vroom vroom! (20:45) Are we caffeine addicts??  (28:15) Are energy drinks dangerous? This episode was produced by Rose Rimler, with help from Wendy Zukerman, as well as Nick DelRose, Joel Werner, and Michelle Dang. We’re edited by Blythe Terrell. Fact checking by Sarah Baum. Mix and sound design by Bumi Hidaka. Music written by Bobby Lord, Bumi Hidaka, Emma Munger and Peter Leonard. Special thanks to all the researchers we spoke to for this episode – including Dr. Bryan Saunders, Dr. Sergi Ferré, Prof. Andreas Heinz, Prof. Christine Curran, Dr. Erikka Loftfield, Dr. Felix Oberhoffer, Dr. Alan Wayne Jones, and Dr. Vijay Yadav. Extra special thanks to Jason Vytlacil and the Zukerman family. Science Vs is a Spotify Studios Original. Listen for free on Spotify or wherever you get your podcasts. Follow us and tap the bell for episode notifications.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Transcript
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Starting point is 00:00:00 Hi, I'm Wendy Zuckerman and you're listening to Science Verses. And this is the show that pits facts against flat whites. On today's show, caffeine. Should you quit it? Caffeine is one of the most used drugs in the world. 85% of people in the US drink at least one caffeinated beverage each day. And that includes kids. But yet, despite the fact that we are shoving this drink down our pie holes,
Starting point is 00:00:31 There have always been these fears that caffeine is bad for our health. Your cup of coffee could soon come with a spoonful of cancer warning. My heart was racing. I was super anxious. Something was happening. I was having a panic attack. Could it all be a sign, though, of a serious problem? A problem like caffeine addiction. And our worries around caffeine have reached new heights when it comes to energy drinks. Just last year, a 17-year-old from Texas died after drinking Alani knew.
Starting point is 00:01:00 A Texas family is filing a wrongful death lawsuit over an energy drink that they claimed killed a teenage girl. According to family lawyers, a coroner's report shows that she died from an enlarged heart caused by stress in a large amount of caffeine from Alani energy drinks. The distributor being sued denies the claims and the company that makes the drink says it's labeled not recommended for children. But this is just the latest in a string of scary stories from the past several years. of people, often younger people, dying soon after drinking energy drinks. Davis collapsed in the classroom of his high school in South Carolina. It wasn't a car crash that took his life. Instead, it was an energy drink.
Starting point is 00:01:42 She drank two 24-ounce energy drinks in less than 24 hours. And it took her life. So today on the show, what is this drug doing to our brains and our bodies? Is it ruining our sleep, turning us into caffeine addict? and potentially even killing us. When it comes to caffeine, there's a lot of... My heart was racing. But then there's science.
Starting point is 00:02:12 Science versus caffeine is coming up just after the break. Welcome back today on the show. We're taking on caffeine and energy drinks to find out once and for all how bad is this stuff, what is it doing in our bodies and our brains. And we first drank up the science on caffeine a few years ago when we first put down this episode. And back then, there was all of this hubbub about the energy drink prime.
Starting point is 00:02:50 And that's what got senior producer Rose Rimler interested in this topic in the first place. Yeah, a lot of the talk was about how it's got a crazy amount of caffeine, it's bad for us, and energy drinks are bad for us, and sort of just this feeling that, like, caffeine is bad for us. And I don't know about you, but I have caffeine every day when I have my coffee. so may me wonder, like, is my caffeine habit something I should take a second look at? Or is caffeine like just all hunky dory? Yes, I love, I love this question because caffeine has been a thing that I have actively said, you know what?
Starting point is 00:03:26 I'm not into meth, but I'm going to be fine with my caffeine use. You know, I felt guilty about it and I do want to know whether I need to. So where do we begin? Let's start with Astrid Nielig. She's a caffeine researcher, and she says she hears this idea about people feeling guilty about their caffeine intake all the time. I meet somebody and they ask me on what I work. And I work on cafes and people are very shy, all the sudden and withdrawing a bit and telling me, oh, it's very bad. I should probably not drink.
Starting point is 00:04:05 Astrid is an emeritus research director at France's National Institute. of health and medical research, and she has studied caffeine for decades. So with her help, I'm going to walk you through what caffeine is doing to your brain and your body. Okay. So Wendy, I asked you to come prepared with your favorite caffeinated beverage. So what did you bring today? I have an oat cappuccino. Okay, take a sip. Should I do it like ASMR? Or if I'm, I guess if you have misofodia, just chewed out. Okay, so I'm going to tell you what it's doing right now. Okay.
Starting point is 00:04:41 So scientists think that once the coffee gets to your stomach, it's basically going to wake up your guts. It's going to get your stomach to make more acid. It's going to get your liver to start making bile. So it's really an activator of digestion. Is that why not to be crude, but sometimes you have to go number two after you drink coffee? Yeah. Yeah. At least in some especially sensitive individuals, yeah, it's like that. We know this because thankfully, some scientists in the 80s got permission to stick probes at people's butt holes.
Starting point is 00:05:18 Oh. And then give them coffee to see what happens. And the reason they wanted to test it this way is because they had given these people a survey and said, does do any beverages make you have to poop? And a third of the people in this 100-person survey said, yeah, actually coffee makes me have to poop. So they got some of these people and some other non-responders into the lab. And they put this probe up in their upper part of their rectum. And so what they were looking for was to see, is there an actual physical change in your lower intestine when you've had coffee?
Starting point is 00:05:55 And what did they find? And the people who said, yes, coffee does this to me, they could actually make. measure increased rectal activity. Oh. So that... I'm clenching. I'm clenching. Have you been clenching as you've been reading this race at?
Starting point is 00:06:09 No, I'm quite relaxed. Oh, okay. As soon as you said increased rectal activity, I was just like... Well, I like kind of... I like thinking about like these sort of peristulses of your butthole, you know? Yeah, it's graceful. How food gets down. It's something else has to make it come out.
Starting point is 00:06:26 And that increased. Right. In response to coffee for some people. Interesting. Okay, I have a very important question. Yeah. How quickly, how quickly does this activation happen? Because...
Starting point is 00:06:40 It can happen within minutes. Oh my God, I feel so validated. Wow. Because I, like, I will sometimes just take a few sips of coffee and just, like, need to do a shit. Sorry, for the kids out there. Need to do a big crap. And I have come to believe that, oh, it's just placebo at this point. Like, surely it can't be working that quickly, but it can.
Starting point is 00:07:05 It can. Like, just so you know, Rose. Because this is my first coffee for the day. Yeah, if you have to run off on the way. No, I don't. Because I took a couple of tips before our chat, and I'm all sort of sure. Took care of business. I appreciate that level of planning.
Starting point is 00:07:26 Always come prepared. That is me. Okay. So that's how coffee can affect the gut. And from there, caffeine starts getting absorbed in your bloodstream. Okay. Depends on your body, but this takes about half an hour to an hour to peak. So caffeine's in your blood.
Starting point is 00:07:43 It gets the blood brain barrier, and it just sails right past it. I talked to Astrid about this. When I think of coffee entering our brain, I just imagine my brain is a sponge that just soaks up the coffee. Is that kind of right? Yeah, why not? Yes, because you know, you drink your coffee and all the sudden your whole body, including your brain, gets invaded by these caffeine molecules. In the brain, it stimulates some neurotransmitters, including dopamine and that gives us a bit of a mood boost.
Starting point is 00:08:18 But the big thing that caffeine does in our brain is, of course, that it wakes you up. Yes. Yes. It's claim to fame. And this happens because caffeine basically barges into the brain and, like, everything. elbows out this molecule called adenosine from these special receptors. Mm-hmm. And what adenosine is, it's like the sleepy molecule.
Starting point is 00:08:40 So it, like, binds receptors in your brain that basically turn on the feeling of sleepiness. So caffeine's, like, out of my way, I'm coming in. I'm going to bind to those adenicine receptors. And that means you don't feel as sleepy. So just to get, like, real nerdy here, it's not that caffeine is, binding onto these receptors and going, let's go, Zzzyzzyzzi, brain, get excited. It's rather the lack of adenosate,
Starting point is 00:09:08 the lack of sleepiness that wakes you up. Yeah, and that's what we like about caffeine, right? Like, that is the whole point that it wakes us up. And it's not just about being awake. We actually have a lot of evidence that caffeine helps us be more alert, more focused, and helps us to react to stuff faster. This has been quite extensively studied.
Starting point is 00:09:28 This is clear. So if I take a stupid example, but you are facing a lion. If you have been drinking caffeine, you will react faster and you will run away before. Could save your life. Yeah, absolutely. Could make a difference and save your life. And scientists have actually tested this. They gave free coffee to people who were visiting the zoo that day, and then they opened the lion cage.
Starting point is 00:09:59 Amazing. And they got away? They got away. And some got away, some didn't. That's right. There was in the placebo group. We're less likely to get away. We are joking. No, there are no lions. But there is one small study that suggests that caffeine really could save your life. So this study, researchers had people stay up really late and then drive a car on the highway in the middle of the night.
Starting point is 00:10:24 This is a real car and a real highway. Oh, my God. They had a driving instructor in the next seat who could take over control for things getting bad. My goodness. So the scientists were counting how many times people veered out of their lane when they had placebo versus when they had coffee. And it turns out the coffee made a big difference.
Starting point is 00:10:43 The number of times people veered over the lane went way down after people had coffee. Okay. The palace of caffeine. Yes, right. And then I found this study that just made me laugh because it's just such a funny concept. The scientists really wanted to find out if coffee can make us appreciate humor more. When we are sleep deprived, we kind of lose our sense of humor, or it takes a hit. So the researchers were wondering, would caffeine give us back our sense of humor or improve that?
Starting point is 00:11:14 Uh-huh. And I don't know if you know this, Wendy, but there is a scientific test of sense of humor. Oh, my gosh, that was entirely my next question. What is the joke that scientists ask that they're like, If you find this funny, you have a good sense of humor. Then you're operating on full cylinders. Yes. Yeah.
Starting point is 00:11:33 So they would show them like two different pictures and ask which picture is funnier or more podcast appropriate. They would have them read two different headlines, fake news headlines, and ask which is funnier? So here's an example. I'm curious if you're going to get it right. I feel very cocky about my sense of humor. Okay. So here's the example. Which of these two headlines is funnier?
Starting point is 00:11:54 Veterinarian investigates failed panda mating. It's headline one. Or pandemating fails, veterinarian takes over. That's headline two. Which is funnier. Headline two is funnier because it suggests. I mean, headline one isn't funny at all, right? But headline two suggests.
Starting point is 00:12:14 It suggests something really disturbing, actually. And the third headline is veterinarian flicked panda. You're right, it is the second headline. Yes. According to science, that is objectively funnier, which I guess it is. Also, I'm so proud of them for being a bit naughty. Well, it turns out that the caffeine in this case did not help people. Oh, yeah, I totally forgot.
Starting point is 00:12:42 We were talking about caffeine. So, bottom line, caffeine may not improve your humor, but we have lots of evidence to show that it's not a myth or a place. Fasibo effect. Like, caffeine does help us wake up, stay up, stay alert. So that brings us to something that people actually worry about with caffeine, that it's keeping you too awake, that it's messing with your sleep. Yes, I have worried about this too.
Starting point is 00:13:11 And in fact, cut down on caffeine because I've been worried about this. So let's meet Gregory Marcus. I'm just going to move my dog. Come on. He's a cardiologist and a professor of medicine at UCSF. If you could be any caffeinated product, which caffeinated product would you be? Oh, cappuccino, no doubt. I guess he saves himself as serious on the bottom, but like a little bit frothy and sweet on the top.
Starting point is 00:13:35 You know, he didn't refer to himself that way, but based on my conversation with Greg, I would say that's an accurate description of him. Buttercup has been removed for the moment. So Greg did this pretty unique study where he got back. people to either drink coffee or not drink coffee at random. And then he was able to, like, precisely measure exactly how that affected their sleep. Oh, okay. So they recruited about 100 coffee drinkers in San Francisco. They put a bunch of stuff on them. They wore a Fitbit, which measured how well they slept and their steps. And they wore a portable heart monitor.
Starting point is 00:14:15 So it's essentially like a very big band-aid. And it goes on the chest to the last. of the sternum essentially. And like, interestingly, in the middle of the sticker, there's this big button. We instructed them, just push that button whenever you have a cup of coffee or a caffeinated drink. So you have your coffee and you hit your button. And one way they made sure that people were doing what they were supposed to do, you know, not drinking coffee if they weren't supposed to that day. They had everyone in the study get this app on their phone that allowed the team to monitor their location,
Starting point is 00:14:52 location. So the team could see if they visited coffee shops. So if they went to a coffee shop on a day, they weren't supposed to have caffeine, that would be highly suspicious. Would they get like, would there be like a bright, a button goes off in your office, like a flashing red light, where they get an electric shock? Yeah, that's a good idea, interesting idea. That's exactly what I was thinking. Well, luckily for the people in the study, we didn't design it. They did not get shocked. Oh. Okay.
Starting point is 00:15:23 Okay. So I'm going to go out of a lib heroes and say that on average, coffee did affect people's sleep. Yes, but the key question here is how much? Because there is this idea that coffee just really robs you of your sleep. Well, in reality, Greg found... On days where people were randomly assigned to consume coffee, that evening, they on average slept 30 minutes less. Dah!
Starting point is 00:15:53 Yeah, so on average, if they were in the coffee drinking group, they had half an hour less sleep. And Greg could even dive into the research and figure out how much sleep each cup of coffee cost these people. And it turns out about 15 minutes of sleep. Okay, so loosely for every shot of espresso or just like regular coffee, you'll get around 15 minutes less sleep a day.
Starting point is 00:16:18 Uh-huh. Okay. That's not terrible. That's not, oh, whoa, fuck. There is an important caveat, which is that Greg found this really varied from person to person based on their genetics. So on top of all that other stuff, Greg also took saliva samples from people and worked out if they had these genes that make them either a fast or a slow metabolizer of caffeine. And he found that the slow metabolizers lost closer to an hour of sleep a night on average. Wow. And the fast metabolizers lost basically no sleep at all. Huh.
Starting point is 00:16:55 So people who say, oh, yeah, I can have a cup, cup of coffee at night, I go right to sleep. They may be really telling the truth. My mom proudly says that she could drink coffee, like at dinner time, and it will not affect her sleep. To the point where she will mock me when she wants a coffee at 4 p.m. And I say, too late for me, Mama Zuck vindicated once more by a science versus. episode. Well, it's like you're both right. She's right that she can have a coffee late at night, and you're right that you can't. You're probably both right. Okay. But you know who isn't right? Is those people online, it fluences, I don't know what we want to call them, anyway, who have these
Starting point is 00:17:36 definitive statements about how much coffee you're allowed to drink and you need to stop at 10 a.m. Right. Right. Only drink two cups or whatever, whatever they're saying, like actually what the science says, is this is very dependent on your genetics. And those blanket statements are kind of bollics. Yeah. Okay, so that's sleep. But great study looked at something else that people don't necessarily associate with having a cup of coffee. And that is exercise. So on top of measuring sleep, he also measured how many steps they took every day. And on days randomly assigned a coffee, participants on average exhibited a thousand more steps on those days.
Starting point is 00:18:24 Wow, that's a lot. It is a lot. And in fact, there's other evidence that that magnitude of a difference may be meaningful in the long run in enhancing longevity. Oh, wow. Yeah. For example, one study found that older women who take 5,000 steps a day live longer than similar women who took 4,000 steps a day.
Starting point is 00:18:46 Oh, that's cool. And it's not just step count. We actually have a lot of data showing that caffeine can help us athletically. So when people have caffeine before they exercise, they tend to go a little harder. So like people will be able to run for longer or, for example, do more squats. Cool. There's a study that looked at swimmers doing a 1,500 meter race. So that's almost a mile.
Starting point is 00:19:13 And it found that having some caffeine beforehand shaved 23 seconds. off their time compared to a placebo. And having caffeine before exercise is considered safe as long as you don't overdo it. Like the equivalent of one or two coffees before exercising. Wow. And so why is that happening? Well, you know how caffeine can boost your dopamine. So that might be like putting us in a better mood so we can work harder.
Starting point is 00:19:41 And we also know that caffeine can kind of turn the dial down on feelings of pain. That's why some painkillers have caffeine in them. So maybe athletes aren't feeling the burn quite as much. And then finally, there's some evidence that caffeine can actually increase the amount of calcium getting released by your cells, which could make your muscles work better. Wow. So, Wendy, do you still feel guilty about your coffee? Oh, no. Thus far, no.
Starting point is 00:20:14 But at the same time, we haven't really talked about risks yet. Good point. So next we're going to talk about is caffeine addictive. And what's going on with the scary stories we hear about people dying after drinking energy drinks? And that's coming up just after this quick coffee break. Visit BetMDMDM casino and check out the newest exclusive. The Price is Right Fortune Pick. BetMDM and GameSense remind you to play responsibly.
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Starting point is 00:21:10 Welcome back. Today on the show, we are asking, should you quit your caffeine, should you spit out your coffee, spill your tea on the floor, say goodbye to your energy. drinks. Rose Rimbler, senior producer at ScienceBuses, is telling us all about it. Hey, Rose. Hey, Wendy. So the next thing I want to dive into is this idea that you can get addicted to caffeine.
Starting point is 00:21:39 Mm-hmm. You know, and I think a lot of that comes from this, like, terrible withdrawal that some people have when they stop it. Now, caffeine withdrawal is a real thing. And people who quit coffee all of a sudden can totally feel sick. Like, about half of them will get a headache. This could be because caffeine restricts blood flow to the brain, and when we go off it, the blood whooshes back in. Oh, wow. Some people even feel like they have the flu, and they feel like really tired and crappy. So send them help.
Starting point is 00:22:08 So pray for them. Do I need to pray for them? Do I, like, if suddenly there was an apocalypse and they couldn't get their coffee, how bad would it be? All those symptoms, they go away for most people somewhere between two to nine days. Okay. So if they can survive for nine days, they'll be back to normal. Yes, just hunker down.
Starting point is 00:22:26 in your bunker. Hunker in your bunker. Great. And it'll play itself out. Right. Okay. But back to this addiction thing. Mm-hmm.
Starting point is 00:22:35 So, you know, you might reasonably call yourself dependent on caffeine if you feel sick without it. But that's not the same thing as addiction. With addiction, what experts point to is that you are using a substance even though it's bad for you. It has negative consequences on your life. Maybe you even, like, really want to quit and you can't. And I think right now, the general idea among scientists is that this is not a problem for most people. They don't really see any evidence of this negatively affecting people. Right, for most people.
Starting point is 00:23:07 And then what about tolerance, like this idea that you need to have more and more caffeine to have the same effect? Yeah, we typically don't really see that with caffeine. And one reason is probably that at a high dose, caffeine starts to activate this other type. of adenosine receptor in our brain that causes anxiety. Oh, this is why you get all jittery and like, oh, if you have too much caffeine. There's sort of a threshold you can cross from all the feeling like alert and energetic and kind of good to, oh, now I feel anxious and jittery and weird. And one researcher I spoke to said that for caffeine specifically, this window, this, he calls it a window
Starting point is 00:23:51 between the good and the bad feelings is pretty short. so you can kind of easily tip yourself over when you've had more caffeine into that anxious feeling. And if you're starting to feel that way, you know, many people would probably put down their third venty rappuccino of the day, you know, at that point. Yes. So there's kind of a natural cap for most people on how much caffeine we're going to drink every day. Yeah. Yeah, yeah, yeah.
Starting point is 00:24:16 You know, because recently I did, I was like, fuck it. I'm just going to drink more coffee. And it did make me feel anxious. And so I was like, no, no, no, just go back to one or two cups. Like, just, yeah, this isn't go for a run instead or whatever. Yeah, it's not, like, worth it to most people at a certain point. And, you know, this can be different. If you're mixing caffeine with other drugs, that's more dangerous.
Starting point is 00:24:40 But bottom line, caffeine is not considered a drug of abuse. There is no caffeine use disorder in the DSM, you know, the big manual for psychiatric disorders. It's been proposed, but right now it's not officially in there. Okay, so for now we could say science says caffeine isn't really that addictive. Is that where we're at? I think so. I think so. Yeah.
Starting point is 00:25:07 Yeah, I think so. So that's far. All right. It doesn't, it's really not seeming like caffeine is that bad. And I'm trying to think why I thought caffeine was bad for you. I actually might have an answer. In the 90s, there was news that coffee was associated with bladder cancer. Oh, really?
Starting point is 00:25:29 But that has been debunked in more recent years. Turns out it was not a real association. But even if you don't remember that stuff about bladder cancer, I think that sort of percolated, so to speak, in the culture. And we haven't quite gotten over it. Uh-huh. Okay. Plus, there's a lot of fears around pregnancy and caffeine. Right.
Starting point is 00:25:50 And that is something to think about because we know that caffeine can cross the placenta and get to the fetus. And so drinking a lot of caffeine when you're pregnant isn't recommended. But, you know, health guidelines from around the world, they say you can have one or two cups of coffee a day if you're pregnant. Right. You know, overall, just putting aside pregnancy, I walked away feeling pretty reassured about caffeine. Because here's something that I thought was like really kind of great. So it turns out that people who drink coffee have a lower risk of Parkinson's disease, depression, type 2 diabetes, and heart disease. Really?
Starting point is 00:26:27 And although we once thought coffee was carcinogenic, more recent studies have found that it actually might reduce your risk of some cancers. What? Like liver and breast cancer. Are you kidding me? Are you sick? Like, yeah, and even drinking coffee is associated with being less likely to die earlier. So the biggest benefits are seen in people who drink two to three cups a day. But even at higher amounts, we still people apparently getting some benefit.
Starting point is 00:26:54 Like one study looked at people drinking as much as eight cups of coffee a day and found they still lived a little longer than people who didn't drink any coffee. Wow. Yeah, I mean, there aren't that many people that drink eight cups of coffee a day, so that's kind of a smaller sample size. But I think that point stands that science suggests that coffee is not actively. harming you. And caffeinated tea also seems to be good for us. I mean, are we sure? Are we sure about this? Like, why would caffeine, why would coffee and tea have these benefits?
Starting point is 00:27:25 Nobody totally knows. It could have something to do with the exercise boosts you get from caffeine, because like we said earlier, like walking more steps a day. But also, it could be that it's not really about the caffeine. It's about the other stuff that's in the plant. So the coffee bean, the tea leaf. There's a lot of stuff in there that's. There's a lot of stuff in there that that's really good for us and is anti-inflammatory and has antioxidant potential. Wow. I feel like very good about my coffees. I was not expecting this from science, but thank you. Anytime. So then what, I don't want to do, I don't want to crap all over this party. Is that how that phrase goes? Yes.
Starting point is 00:28:09 Rain on your parade? Yes, yes. It's a very, it's a visceral expression. You see, I don't know if I have a good sense of me where I just laugh so much of my own jokes. I know a test you can take. Great. Okay, but, but, but, but, what does this all mean about the energy drinks issue? Because to change the tune, to get quite serious, like that, There are these stories about energy drinks killing people.
Starting point is 00:28:49 So what is this mean? Which is the opposite of what I just told you about coffee, right? Yeah. Well, a lot of times what people say is the problem is that energy drinks are dangerous because they are packed way too full of caffeine. Right. Right. But the funny thing is, when you look at the labels, many of them really don't have that much caffeine in them. Oh, how much caffeine is in your average energy drink?
Starting point is 00:29:12 Well, okay. So like Chuck Schumer said that prime energy has. had an eye-popping amount of caffeine. So I looked up the label of prime. It contains 200 milligrams of caffeine. What? 200? What, like two shots of espresso? That's it? That's it. Yeah, two or three, depending on how you make them. I love that you were like, so, I went deep undercover. I bought a prime and I turned it around, and I looked at the label. And of course you can overdose on caffeine. The toxic effects are thought to start at 1,200 milligrams, which is about six cans of prime. And there are case reports of people drinking a bunch of energy drinks and being hospitalized.
Starting point is 00:29:58 But here's where things get mysterious. There are reports of people, often younger people, dying after drinking less than that, which suggests this isn't just about caffeine. And Professor Satchin Shaw saw reports like that in the news and thought, Hey, there's something going on here. You know, it was actually a little bit sad at points talking to Satchen because he's actually been in touch with the parents of kids who have died after drinking energy drinks. Yeah, we've had emails from other countries, one where somebody's like,
Starting point is 00:30:35 I have kept the drink that my kid drank from the time when they drank it, just in case it helps fusion. future scientist. I'm happy to give you that drink. Oh, that's heartbreaking. Yes. So Satchin, who's a professor of pharmacy at the University of the Pacific in California, he wanted to know why would anyone die after drinking a couple of energy drinks? Yeah, yeah. So to get to the bottom of it, he did the study where he got people to drink a couple of energy drinks and then looked at what their heart was doing. Because typically what we see in these cases is that someone's heart stops beating shortly after drinking energy drinks.
Starting point is 00:31:17 So he got these volunteers to come into the lab. He hooked them up to an EKG. Many people see this on TV shows when they have somebody in the hospital. They're connected to this screen. They're lying in the hospital and they show this squiggly line. Yes, yes. That's looking at your heart rhythm. Beep, beep, beep.
Starting point is 00:31:34 Yes. Just to avoid us putting the sound effect in. Always thinking ahead. Okay, so they've drunk the energy drinks. And then he monitored them. And one hour, two hours, four hours, six hours, and 24 hours. And he was looking at this particular part of our heart's rhythm that's called the QT interval, which is, it's basically looking at how long it takes your ventricles to contract after every beat.
Starting point is 00:31:59 And if this takes longer than normal, it can throw your heart into something that's called fibrillation, which is like instead of going squeeze, squeeze, squeeze, your heart starts quivering. like a nervous chihuahua. And the problem with that is that your heart isn't actually pumping out any blood, and you can die. Oh, man. Okay, so did the energy drinks muck up the QT interval? So, yeah.
Starting point is 00:32:30 So, you know, what was interesting is in that first study, we found that energy drinks were prolonging the QT interval by 10 milliseconds. A follow-up study he did found this again, that the energy drinks extended the QT interval. by this time six milliseconds. And Sachin points out that several drugs have been pulled from the market for prolonging the QT interval by six milliseconds.
Starting point is 00:32:53 Mm, wow. Okay, so if I would have drink the equivalent caffeine from what he gave them, but in coffee, would my QT interval be extended like that? No. Studies have also looked at this for caffeine or for coffee, and they don't find the same thing. And actually in Sachin's study, in one of his studies, they included a caffeinated control, and it didn't do the same thing to people's hearts.
Starting point is 00:33:22 So if energy drinks are doing this, why aren't heaps of people like getting heart attacks and are dying after drinking energy drinks? I mean, millions of people must be guzzling this stuff. And only a handful have died or so? Yeah, I mean, it's not like anyone in Sachin's study had to be rushed to the hospital. Right, right. But the thinking here is that there are some people who could be really vulnerable to this. Like people who have heartbeats that already have kind of a long QT interval. And then the energy drink might extend it even more.
Starting point is 00:33:55 And that could tip you over into Chihuahua territory. Right. Right. One study actually found this. It gave energy drinks to people with a heart condition like that and found that the drinks extended their QT interval in such a way. It was actually dangerous. Uh-huh. So then can we go back to that point?
Starting point is 00:34:16 Like if it wasn't the caffeine, if it's not the caffeine doing this, then what is it in energy drinks that's causing this? Yeah, I mean, in Satchin's study, they tested a couple different brands. They both had caffeine, torrine, which is an amino acid, and a supplement called glucuronolactone, which is found in a lot of energy drinks, like Red Bull. So this is the ingredients. This is how we get,
Starting point is 00:34:41 wings. Is that right? This is the wing recipe. Yes. Okay. So all this stuff together seemed to extend the QT interval, but then I found this one study that tried to really get to the bottom of which ingredient is the bad guy here.
Starting point is 00:34:57 So they basically deconstructed a Red Bull and had people drink a few of the components one at a time while they were hooked up to an EKG, just like Sachin. And after drinking the Red Bull, volunteers had a prolonged QT interval. But none of the individual components did this.
Starting point is 00:35:16 What? Neither did the combination of caffeine and taurine together. So I asked Sachin about this. What do you think is in these energy drinks that causes these changes? That's the million-dollar question. Science! You know, I was having coffee with my brother the other day, and he said there is always a point in a science versus episode
Starting point is 00:35:36 where the scientist says, we don't really know what's going on. But I guess this is that point. Yeah, we've arrived at that point in the episode. And, of course, it's also really hard to say what's going on when this is probably very, very rare, you know. People drink energy drinks all the time and very few people land in the hospital. Okay, so here is what I think I have learned from this episode, Rose Rimler. Tell me how I did.
Starting point is 00:36:04 Let's hear it. And if I pass the test, I have a good sense of humor. Is that what we live? Yeah. Yes. Case closed. Caffeine truly does make me poo. Very quickly.
Starting point is 00:36:20 Nice. It can affect your sleep, but very much dependent on genetics. So dare I say, listen to your body and not what people online might be telling you about what you should and should not do with caffeine. And meanwhile, it might reduce your risk of depression if you're drinking coffee and tea. What'd you say? Cancer, Parkinson's, diabetes. Diabetes. And energy drinks, there is something weird about them.
Starting point is 00:36:47 So if you are looking for a boost, it's safer to go with tea or coffee. How'd I do? A plus, people. I'm not surprised. And you, as a prize, I sent a case of prime to your house. So. Great. Don't drink it all at once.
Starting point is 00:37:07 Excellent. it. Cheers. Rose? Cheers. But before you go, Rose. Rose. Rose. I'm here. I'm still here. Okay. Okay. How many citations are in this week's episode? This episode was the first time I've ever opened so many tabs that my browser stopped displaying them. Like, I reached the limit of how many tabs I can have open.
Starting point is 00:37:31 That is so many tabs. It's like getting to the end of your Instagram feed, you're like, oh, no. But what is in the script is that we have 118 citations. 118, okay, yes. And if people want to see these citations, find out where we got all of our info from, where should they go? They can click the link in the show notes that will send them to the transcript. Excellent. And I guess while people are scrolling through Instagram and hitting the end, if you have hit the end of your Instagram, you could just come over to science verses.
Starting point is 00:38:05 Was that a segue of, like, picking out social media accounts? Thanks. Yeah. We are at Science underscore VS. I'm on TikTok at Wendy Zuckerman. And we will see you next week. Thanks, Rose. Thanks, Wendy.
Starting point is 00:38:22 This episode was produced by Rose Rimler with help from meet Wendy Zuckerman, as well as Nick Del Rose, Joel Werner, and Michelle Dan. We're edited by Blythe Terrell. Fact-checking by Sarah Baum. Mixed and sound design by Boomy Hedaka. Music written by Bobby Lerner. Lord, Bumi Hidaka, Emma Munga, and Peter Leonard. Special thanks to all of the researchers that we spoke to for this episode, including Dr.
Starting point is 00:38:46 Brian Saunders, Dr. Sergei Foray, Professor Andreas Heinz, Professor Christine Curran, Dr. Erica Loftfield, Dr. Felix Oberhofer, Dr. Alan Wayne Jones, and Dr. Vijay Yadav. Extra special thanks to Jason Vitler-Sill and the Zuckerman family. Science Versus is a Spotify studio's original. You can listen to us for free on Spotify or wherever you get your podcasts. We are everywhere that podcasts are, I guess, we're in a lot of places. If you are listening on Spotify, follow us and tap the bell icon so you can receive notifications whenever we put out a new episode. And if you like us, wherever you are listening, please give us a five-star review.
Starting point is 00:39:24 I'm Wendy Zuckerman. Back to you next time. Now, it's not all fun stuff like rectal probes. Name of your sex tape, it's not all fun and rectal probes. No, the sex tape is called All Fun and Rectal Probes. Right. We can't only talk about rectal probes in this episode. We also unfortunately have to talk about some unpleasant stuff.

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