The Dr. Hyman Show - Starving Cancer: The Hidden Power of Food, Fasting, and the Body’s Inner Terrain
Episode Date: November 10, 2025Cancer can be seen as a seed that only sprouts in the right soil—the body’s inner landscape. Today, that soil is changing fast, and cancer rates are climbing, especially among young people. Our mo...dern diet—packed with sugar, processed foods, and nonstop snacking—keeps the body flooded with signals to grow, not heal. But there’s good news: by eating real, colorful foods and giving the body time to rest between meals, we can calm inflammation, balance our gut, and make our inner soil far less welcoming to disease. The power to shift the story lies in every bite and every pause we take. In this episode, I discuss, along with Dr. Jason Fung and Dr. Thomas Seyfried, how modern diets and constant eating create a fertile soil for disease. Dr. Jason Fung is a physician, author, and researcher. His groundbreaking science-based books about diabetes and obesity, The Diabetes Code, The Obesity Code, and The Complete Guide to Fasting have sold over one million copies and challenged the conventional wisdom that diabetics should be treated with insulin. Dr. Fung is also the co-founder of The Fasting Method, a program to help people lose weight and reverse Type 2 Diabetes naturally with fasting. His work on fasting has been cited by CNN, Time, The Atlantic, Forbes, The Toronto Star, and many other media outlets. His latest book is The Cancer Code: A Revolutionary New Understanding of a Medical Mystery. Dr. Thomas Seyfried is an American professor of biology, genetics, and biochemistry at Boston College. He received his Ph.D. from the University of Illinois Urbana-Champaign in 1976 and did his postdoctoral fellowship at the Yale University School of Medicine. Dr. Seyfried has over 150 peer-reviewed publications, and his research focuses primarily on the mechanisms driving cancer, epilepsy, and neurodegenerative diseases and calorie-restricted ketogenic diets in their prevention and treatment. He is the author of Cancer as a Metabolic Disease: On the Origin, Management, and Prevention of Cancer and presently serves on the Nutrition & Metabolism, Neurochemical Research, Journal of Lipid Research, and ASN Neuro editorial boards. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN to save 15%. Full-length episodes can be found here:Is Cancer Caused By Sugar? How Can My Diet Help Prevent Cancer? A Radical New Dietary Approach To Cancer Treatment
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Coming up on this episode of the Dr. Hyman Show.
The most important thing we need to focus on is not the genetics of the problem.
It's the soil problem.
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When you think about functional medicine and the approach you're taking, it's a very different
model of thinking about cancer. So yes, if you have a tumor or something, you might need to
to get it cut out, or you might need radiation, or you might need some chemo at some point.
But the question that never really gets asked is one, why do the cancer develop in the first
place and how do I change those conditions? And two, how do I actually create a healthy immune
system and a healthy soil and to actually make sure that the cancer can't grow? And as a functional
medicine doctor often say, we're very much like regenerative farmers where we focus on soil health
as opposed to industrial farmers, which use a lot of chemicals, pesticides, basically antibiotics, and glyphosate and herbicides to make the plant healthy.
And I remember being at this conference on nutrition.
I don't know why they invited me.
It was all the big food companies, the big ag companies, and I was invited to give a talk, which I did, and I didn't hold back anything.
I'm sitting next to this guy at dinner.
I'm like, so, you know, what do you do?
He says, well, I mean, plant medicine.
Like plant medicine?
And I said, what is that?
He said, well, we make pesticides.
So I think, okay, got it.
So I think, you know, this whole idea that you're bringing forth is so important.
So talk about this analogy of the seed and the soil and cancer and why we're ignoring soil conditions in the body and the environmental issues and diet and also lifestyle and stress and environmental chemicals, all those factors.
So the idea of the seed and the soil actually goes way back.
I mean, it was written about sort of like 60, 70 years ago, but then, of course, I forgot about it because the point is that, you know, genetics, this whole focus we had on finding mutations in genetics really talks about the seed, right? It doesn't talk about the environment that you're in. And if you have a seed, of course, it has the ability to grow, but it needs the right conditions, the proper soil to grow. And what we always seem to not talk about,
is how certain populations that live a sort of traditional lifestyle almost never get cancer,
like other than the ones that we know that are, say, virally caused.
But if you go back, so Dennis Burkett was this sort of legendary Irish surgeon.
And he went to Africa and, you know, he discovered Berkish phoma and stuff.
And it's a very interesting story.
But, you know, he looked at these Africans who were eating a traditional.
traditional diet, living a traditional lifestyle. And he said, boy, these people just don't get
cancer. And the whites, of course, were getting colorectal cancer at the same rate as they were
in the UK, for example. Yeah. And so they called these things diseases of civilization.
So obesity, type two diabetes, and cancer would come as people change their lifestyle. But you see
this actually all over the world. So the Inoui, in the far north, they assume.
people used to call them Eskimos. So again, eating a traditional diet, very high in, say,
you know, animals, you know, whale meat and seal blumber and stuff, that's a traditional diet.
They never get those cancers that we get. I mean, they get some viral cancers, but they don't get
like colorectal cancer, breast cancer. In fact, the university in Ontario, Canada, used to send an
expedition to the Arctic Circle sort of every year to find out why these people were immune.
But of course, they weren't actually immune because as soon as in the 60s, 70s, and 80s, they
changed their lifestyle to Western sort of lifestyles with the sort of bread and sugar and all that
sort of processed foods that we ate.
Then you started to see all the cancers.
So clearly it wasn't a genetic problem because the gene pool of these Africans or these inmate were
not changing.
But it was the soil that, and it comes back, of course, to diet and lifestyle.
which is the most important thing,
because that's the main thing that's changing
and these people come over.
That is what is the biggest determinant of cancer.
You know, these ALE go from being considered immune to cancer
to high rates of cancer.
Of course, they're eating sugar all the time, right?
There's tons of smoking, all this other stuff.
And you see this everywhere.
So you see this, say, in Japan,
where you can look at a Japanese woman in Japan
compared to a Japanese woman in San Francisco.
And, of course, the person in San Francisco has about double or triple the rate of breast
cancer compared to the Japanese women in Japan.
So it's like, so this is clear evidence that the most important thing we need to focus on
is not the genetics of the problem.
It's the soil problem, right?
Yeah, my favorite story is the Polish women who are from Poland, eat 30 pounds
of sauerkraut a year.
And they have almost no breast cancer, and it affects their microbiome,
because it's a pre-probiotic food, plus cabbage has all sorts of phytochemicals that fight cancer.
And though when they move to the United States, they get cancer at the same rates as American women
because they stop eating all the sourcrown.
Yeah, absolutely.
And these are the things that are really important, because if you can figure it out, of course,
then you have the ability to do the opposite.
and you could take a woman in San Francisco and, you know,
cut her risk of breast cancer by a factor of two or three.
Imagine how amazing that would be.
I mean, with genetics and all this stuff,
we're talking about, like, you know,
you're making progress in inches compared to diet and lifestyle
where you're talking about huge leaps and jumps.
Like, they're not talking about, like, 10% higher risk.
You know, in medicine, how it's,
oh, it's statistically significant.
There's a 10% lower risk.
It's like, oh, you know, these people never get cancer, right?
It's like, it's crazy the magnitude of when personally you can get on the other hand.
Because I have 10% is 200 or 300%, right?
It's like a totally different, yeah.
It's a totally different order of magnitude.
And yet we focus all of our sort of resources on saying, oh, let's figure out, you know,
this genetic condition, which might affect like 1% of these cancer patients and science.
It's like, okay, let's let's let's let's do.
Let's try and figure out the other stuff.
Like, what is it?
Is it sugar?
Is it fermented foods?
Is it processed foods?
Like, what is that?
Because that's so important.
But unfortunately, it gets so little sort of research money.
And, you know, we start talking.
If people want the other stuff, right?
So people are listening and wondering, okay, this whole soil thing makes sense, right?
You want to create a hostile environment for cancer to grow.
How do we build that hostile environment instead of a fertile one that most of us got for a kid?
Yeah, that's a great question.
And so I talk about in the book about like what is it that makes cells grow?
It was really important is sort of growth factors or a body contains natural growth factors that increase the rate of growth.
And one of the big things of the last sort of 15, 20 years has been the realization that,
that our body entails nutrient sensors, which are hormones that go up when you eat,
but they also are precisely the same hormones that our body uses as true factors.
So the most important one is insulin.
So insulin, of course, is a well-known, you know, metabolic hormone.
So you eat and insulin goes up, you know, assuming you're eating carbohydrates and protein
sort of a mixed meal, you eat insulin goes up.
But more importantly, what it is, it's a nutrient sensor.
It tells your body that food is available.
And the reason that's important is because your body only wants to grow when nutrients are available, right?
So you don't want to, you're saying you don't want more cells to continue to grow if there's no food available.
That's not a good survival strategy.
So the body links them.
In fact, if you look back in evolutionary times, insulin was not any metabolic hormone.
It was actually a growth factor.
So as we evolved, we actually used the same molecule that we use the same molecule that we use,
as a growth factor for nutrient signaling as well.
So we know that insulin is a very prone growth factor.
There's this thing called insulin-like growth factor or IGF-1.
And Walter Longo actually described this group of Ecuadorian dwarves, the Laron dwarves,
who actually have almost no IGF-1, so they're very short.
Turns out they're also immune to cancer, because if you don't have that growth signaling,
then the cells can't grow and the cells that are going to be the most affected are those cancer cells.
So what you have to do, of course, is say that, okay, if we have too much insulin,
then that's going to be a signal to our body that we need to grow.
So what can you do to sort of reduce that insulin signaling in the body by reducing nutrient
availability, which is two things.
One is getting rid of the hyper-processed foods, which tends to really amplify.
the insulin response. So sugar, for examples, especially because it causes all this insulin
resistance, which causes hyperinsulinia. A lot of the refined foods are very bad because they
sort of take away at all the other natural components and you're left with this big spike
of insulin. Like if you eat cookies, for example, well, you know, it's just going to, your insulin is
just going to spike up. And the other thing, of course, is if you eat very, very frequently,
you're going to keep insulin high all the time. So intermittent fast,
is another strategy that you could use to reduce insulin.
So it's when you eat and when you eat.
Yeah, exactly.
So it's what you eat and when you eat, because if you eat a high carbohydrate diet,
which people did, like people in China, for example,
you eat a ton of white rice, but almost zero sugar, and they were okay.
So it's not necessarily just the carbohydrates.
Well, they, they, I lived in China for a while.
You're a Chinese.
I mean, I traveled around, remember in 1984.
I mean, they had no accoutrements of modern living.
I mean, they had to cut a board.
They would use a saw to create boards.
They would, to grind the flour,
they would like literally walk in circles for hours
with the grain in between two giant stones.
They would work in the fields for 14 hours a day
with hard labor.
And yeah, you can eat a lot of rice if you do the cuts.
Yeah, that's true.
And it's also like, it was very,
it was like rice and vegetables.
Like every day, it was just rice and vegetables,
right, for vegetables.
Well, the land of milk and honey,
the Chinese phrase for it, is the land of fish and rice.
It's really what I think of.
Yeah.
So you're talking about what is the problem, which is the incredibly high amount of starch and sugar we consume.
And you've talked about this in the diabetes code, the obesity code.
This is a central driver of almost all chronic Western diseases, heart disease, cancer,
diabetes, Alzheimer's, high blood pressure, are caused by the, you.
this phenomena of insulin resistance or too much insulin, which is driven from our diet,
basically a highly refined processed carbohydrate diet, and also this constant eating pattern,
this thing called snacking, which I think is a modern invention.
We have a snack food industry, but I mean, I don't snack.
If you eat properly, you're never hungry.
I mean, you don't have these spikes in insulin going up makes you hungry.
But what's fascinating is that what you're saying is that insulin actually fuels the cancer
growth and sugar fuel as a cancer growth.
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So all of these diseases are actually diseases of too much insulin.
So if you look at obesity, for example, if you were to measure the levels of insulin, people
who are more overweight tend to have higher insulin, same with like two diabetes, hyperinsulinia
and insulin resistance are really sort of two sides of the same point.
So one causes the other sort of hyperinsulin they can cause insulin resistance, insulin
and cause hyperinsulinia.
So they're really the same thing.
And again, the same thing applies to sort of cancer.
And this is the pattern that was noticed so many years ago
that there are these diseases of sort of too much insulin,
which is that sort of they all go together, the heart disease.
And you don't see that in people eating traditional diets
because they're not eating all the time.
So I remember there was a study, this Enhain study,
which is a big sort of American survey of lots,
of things that they included dietary habits.
So in 1977, they found that most people ate three times a day, so breakfast lunch and didn't.
And by 2004, it was on and it was up to six times a day, right?
So it's like, wow, that's crazy.
And it was never this sort of deliberate, hey, there's good scientific evidence that we
should eat six times in day.
It just sort of crept in there.
And I think part of it was, of course, the stack companies wanted to promote it.
And, you know, people thought it was a good idea.
So Ben, it was this sort of, it became almost gospel.
Oh, you have to eat six months a day, right?
And I remember thinking about it a while ago, I'm thinking,
where did that suddenly meet the house?
Did we have a thing, randomized, controlled child that I miss somehow?
Because I don't think so.
It was just this gradual change in attitudes.
And you saw it because I start to think back to my upbringing in the 70s, right?
So I grew up in the 70s.
And, you know, if you want,
wanted a sort of after school snack, your mom said, no, you're going to ruin your dinner, right?
And if you wanted a bedtime snack, your mom would say, no, you should have ate more at the
and it's like, that's just the way it was.
And of course, people would have this sort of natural fasting period from after dinner,
which was say 6 o'clock because people ate a bit earlier back then to like say 8 o'clock.
So 14 hours of fasting every single day without even...
We call that breakfast.
Yeah, exactly.
Breaking the fast.
Breaking the fast.
That is the word that we use.
And it's like somehow we went from that where people didn't have the obesity problems,
such your diabetes problems because they have this natural fasting period built in that has always been there.
It's even built into the English language.
And then it's like, oh, you got to eat all the time.
And it's like, oh, you can't ever skip your breakfast.
You got to snap all the time.
You get in schools, for example.
Oh, they go to school.
a mid-morning snack.
Then they have lunch, and then they have their after-year-olds, and then they have the dinner.
Then, you know, you're playing soccer, and they think that they need to have a snack in between
the halves of soccer.
You know, I play.
Well, Jason, you've written a lot about fasting and the effects of either time-restricted eating,
which is, you know, 12, 14, 16-hour fast every day or taking a 24 or 36-hour fast a week
or even longer fast for diabetes.
And I'd love you to sort of share why around cancer this is so important.
And on my podcast soon, we're going to have Dr. Patrick Hannaway, who is my colleague and friend,
was the medical director of Cleveland Clinic, who had cancer and used fasting as an approach
to his cancer treatment.
He still got radiation, but he also did it in a way that actually reduced all the side
effects to almost none, has kept him healthy now for a well over year, and this cancer was
not a great one, and let him go through the process with really no issue.
which was really staggering and really went on a ketogenic diet in order to do that,
which is both using fasting and ketogenic diets to drop insulin levels to almost undetectable.
So can you talk about this whole idea of fasting cancer or ketogenic diets, why it's so important
and how it connects to this whole idea of insulin resistance and insulin high insulin levels?
Yeah, so both fasting and ketogenic diets have the same sort of goal at the end,
which is trying to lower insulin because the difference between a ketogenic diet.
diet, say, and a low-carb diet is that, you know, you're sort of low-carb, ultra-low-carb
for the keto, but sort of moderate protein, because protein can also stimulate insulin,
whereas some of the older low-carb diets were, like, very high in protein, you take protein
shapes or whatever.
Unless I don't know.
Yeah, like Atkins.
And so how the protein is not always the best idea, because you can get high insulin,
but you also get this high mTOR, which is sometimes not so good for cancer as well.
But the idea is to really drop your insulin levels.
And if these are diseases of too much insulin, then that's going to be a very useful ad-jump treatment.
So fasting is, it's actually fascinating because there's all these different things we're discovering.
So one of the things is sort of autophagy.
So as you fast, of course, your nutrient sensors go down.
So mTOR insulin go down.
And then you activate this process called autophagy, where you actually start to break down some of your subcellular organelles and stuff.
stuff. So basically your body is just trying to clean house.
Pac-Man coming around and cleaning up all the garbage.
Yeah, exactly.
People think it's a bad thing.
Maybe don't people know who Pac-Man was, but that was the original video game
that Bell played back in the 70s.
And it's pretty exciting, though.
I don't know what Pac-Man is anymore.
People still find them in some size.
But, yeah, the idea is that people think that this sort of,
of breakdown process is very bad for you, but it's actually really good for you. In fact,
it's sort of one of the keys to rejuvenating the body. That is, you want to break down all
your old stuff and then sort of rebuild the stuff that you need. So the whole idea of fasting
is you're trying to put the body into this sort of regenerative maintenance mode. Because what we
recognized over the last eight bit is that your body sort of has sort of, you know, you can go into
growth mode or you can go into sort of the cell maintenance repair mode and it really depends on
your nutrients availability when nutrients are available you want to grow when nutrients are not available
you don't want to grow and you want to go into this sort of maintenance repair mode and everybody
thinks growth is good but growth is not always good especially as an adult so I always say think
about a car it's like if you have a sports car and you rev that engine and you're running it fast
all the time you're going to go fast which is great but it's going to burn
much faster. So you can't just keep revving that engine, keep redlining it. You've got to sometimes
bring it to the shop, put it in the garage, let it rest and all this stuff. A pit stop. Yeah, exactly,
a little pit stop. So that's the point of the human body, too. You can either go for growth or
you can go for longevity or cellular maintenance repair. But you got to have a bit of both. It's a balance
there. It's not all growth. And this is where you say, oh, eat, eat, eat, deed, deed. Well,
you're going to put your body, your nutrient sense are going to go up, your growth factors
are going to go up, you're going to put yourself in growth mode.
But you don't want to do that, especially for a disease such as cancer, which is a disease
where cells are growing too much.
You're basically feeding into that growth.
And that's going to be very, very bad for you.
So what you do instead is you do the fasting and you put your cells into this sort of
maintenance for care mode.
And that actually allows you to undergo both the chemotherapy and probably the radiation
therapy better because chemotherapy, we have a couple studies on fasting a chemotherapy
where what you do is you fast sort of just before and during and just after and during
your chemotherapy.
And what they've noticed is that those people tend to get a lot less side effects from treatment
because what you've done, of course, is taking the cells of your normal body and you
sort of put them into a more quiescent state.
They're not trying to grow.
They're actually trying to slow down.
chemotherapy, the general way it works is it kills the fastest-flowing cells, which are usually
the cancer cells. But it also kills like the hair follicles because they're a fast-growing cell.
It kills the lining of the GI tract, so you get nausea and your hair falls out.
So if you can put those cells into sort of a quiescence sort of repair mode, it's not going
to sustain as much damage from the chemotherapy. And instead, the cancer cells, which can't stop
their growth, they're always trying to grow. They can't do that.
So therefore, they're going to sustain full damage from the chemotherapy while your body is
relatively protected.
Now, there are many root causes of cancer.
It depends on the person, genetics, and everything they're exposed to throughout their lifetime,
something we call the exosome.
But chronic inflammation is one of the most common drivers of cancer.
Now, this is chronic sterile inflammation, not an infection.
And it could be why cancer is on the rise in younger people.
The development and the progression of cancer, it happens downstream.
of chronic low-grade inflammation.
So how does that work?
How does chronic inflammation drive cancer?
Well, it creates a microenvironment
that supports tumor development,
tumor growth, and tumor progression.
In other words, metastasis,
inflammatory mediators, things like cytokines,
they promote DNA damage.
They inhibit something called apoptosis,
which is basically programmed cell death,
getting rid of damaged cells.
So it stops the process of actually
getting rid of all the cells
that are going to turn to cancer.
also enhances angiogenesis, which is the formation of new blood vessels that supply tumors with
blood and nutrients for growth, which they need, otherwise they die if they have no blood supply.
Inflammation processes can also cause changes to your DNA through something called epigenetic
modifications. If you eat bad food and junk food and ultra-process food, you are going to be silencing
something called the tumor suppressor genes, genes that suppress cancer. Or even worse,
you're going to be activating genes that cause cancer called oncogenes.
Oncology is cancer, oncogenes or oncogenes or cancer causing genes.
These are genetic mutations that turn on tumors and it's caused by what we're eating.
And that further promotes cancer development.
All right, so let's back up a little bit and go into what causes chronic inflammation.
So many things.
First, living in our modern world, just being alive today is an inflammatory state.
We have a constant exposure to environmental toxins, things that we never had before,
like P-FAS chemicals, bisphenol A or BPA, microplastics, and the list goes on and on.
We're going to eat in some more of those.
Poor diet or ultra-processed diet or sedentary lifestyle.
The open prescribing of drugs, just aging itself causes higher risk, leaky gut, food sensitivities,
food allergies, hormone imbalances, and more, all these potentially drive inflammation.
Now, Hippocrates once said that all disease begins in the gun.
And for the purpose of this conversation, we're going to follow his advice and start in the gut.
So how do imbalances do your gut microbiome lead to cancer?
Now, this is really fascinating stuff.
It's cutting-edge stuff.
So you're not hearing about this everywhere, but we're going to get into it today.
Healthy gut contains a whole diverse population of bugs of microorganisms that play key roles
in your digestion, in a nutrient absorption, and your immune function.
Why?
Because 60% of your immune system lives in your gut.
It's right underneath the lining of your gut.
Why? Because you're exposed to the outside world and is trying to protect you from all the bad stuff inside your gut, which is poop and food.
Now, good gut bacteria make something called postbiotics.
You've heard of prebiotics like, you know, fiber or probiotics like Lactobacillus,
but there's something called postbiotics.
These are molecules, metabolites, of bacteria in your gut.
And they can be good or bad.
So they're called postbiotics.
And they're made by what you're eating and feeding the bacteria in your gut.
Now, there's a lot of them, but some of them are really important in regulating cancer.
For example, butyrate is a anti-cancer complex.
made by your microbiome when you have good bugs in there.
You also make other compounds like acetate and propionate.
These are metabolized that are produced by bacterial fermentation of fiber and all the polyphenols,
all those colorful compounds and veggies and fruits that supports the integrity of the gut lighting.
And the gut lining is so important because without healthy gut lighting, basically all that
poop and food is leaking into your bloodstream and causing your immune system to go crazy.
Now, these metabolites, they're called short chain fatty acids.
They have anti-cancer properties.
They regulate our immune system, they help plant inflammation, and when there's a good balance
of these microorganisms, that's great.
But when that balance is disrupted, it leads to an overgrowth of the bad bacteria and a reduction
in the beneficial bacteria.
So it's like getting weeds in your garden, the good plants, they get crowded out by the bad
weeds, right?
And bad bacteria are bad because they release poisons, toxins.
We call them endotoxins.
that just means an internal toxin.
And those endotoxins get into your system through a leaky gut,
and they also cause a leaky gut, and they cause inflammation.
And the imbalances in your gut microbiome that cause this problem is called dysbiosis.
Now, dysbiosis can compromise the integrity of the gut lining.
It makes you have a leaky gut,
and leads to something called increased intestinal permeability
in the basic late term is leaky gut.
Now, basically, think about your gut as one cell lining that protects you from the outside world.
And the cell they're stuck together like Legos.
They have something called tight junctions.
When those are damaged, which happens because of bad gut bacteria and all our processed food and
emulsifiers and additives and all this crap, you separate these cells and then the food
and bacteria can leak in between the cells and get into your bloodstream and then right underneath
your gut lining is your immune system.
So that's why this is such a big deal.
And when you have this leaky gut, it allows toxins and undigested food particles
and pathogens, bacteria, to enter the bloodstream.
And your body is like, wow, this is not me.
That leads to an overactive immune system and chronic inflammation throughout the body.
And it affects everything, not just cancer, but everything.
Heart disease, cancer, diabetes, dementia, literally everything.
Outimmune disease, asthma, allergies, autism, ADD, depression, the list goes on and on and on.
We're talking about cancer here.
Now, the immune system responds to these foreign substances by what?
By doing what it's supposed to do?
It's like, this ain't me.
It triggers an inflammatory response.
So it's bad when you have bad bugs.
And most of us have bad bugs in our gut.
So how does this standard American diet, the sad diet, disrupt our gut microbiome?
Well, it's because it's so rich in bad stuff, like ultra-processed foods, which are energy
dense, but they contain a lot of other stuff, like added sugars, sweeteners, refined grains,
bad fats, toxins, actual literal toxins, chemical additives, preservatives, PFS, thallites,
things that are just poisons, the damage they got. Now, this feeds and grows the bad bacteria,
and it reduces something called bacterial diversity. You want an ecosystem like a rainforest,
complex, diverse, resilient. You don't want a monocrop cornfield that can go out just like that with
some adversity. And we are having a low bacterial diversity in our modern world. Now, beneficial
bacteria, the good ones, like bifidobacteria, lactobacillia, acromanceia, baccala bacterium, and
rosaburia. They're lower. I mean, you have to remember all those names, by the way. I'm just
telling you because it's all the bugs that are the good ones. You can get to know if you want.
They're nice, actually. But they're lower in abundance when you have a Western diet. So when you have
all these bad foods, you all the good bugs go down. And you get less of these good short chain
fatty acids, less of these good anti-cancer compounds that your gut naturally produces.
Now, in the other hand, when you eat this processed diet, it increases the abundance of
something called pro-inflammatory bacteria, these like ruminococcus, proteobacteria,
which produce pro-inflammatory compounds called LPS.
LPS stands for lipopolysaccharides, it doesn't really matter.
Basically, these are like poisons.
And these bacteria produce these poisons, and they get into the system, they leak in,
and they start creating an inflammatory response.
Now, we can look at the gun in many ways, and I've seen so many stool tests.
I used to call me Dr. C, every poop in my old job at Canyon Ranch, because I looked at
every stool test.
We look at a lot of different factors.
We can look at levels of bacteria.
We can look at levels of short-chain fatty acids.
We can look at ratios of good and bad bacteria.
But there's a ratio of something called fermicities to bacteriides.
When you have a high ratio of formicudies to bacteriotees, these are basically categories
of bacteria, it is linked to obesity and diabetes and medical.
the metabolic disease. But a high ratio has also been seen with breast cancer, colorectal
cancer, and it's really important to consider as a broader picture of the overall microbial
diversity and your individual health and genetics. Now, in a study that was titled
intake of sugar and food source of sugar and colorectal cancer risk in the multi-ethnic color art study,
blah, blah, blah, whatever, they're like these long names. The researchers noted that total
sugar, total fructose, glucose, and fructose, and maltose.
all different kinds of sugar, were associated with an increased risk for colorectal cancer,
especially younger people. Now, this is interesting because colorectal cancer is the number one
cause of cancer death among men under 50 and the number two leading cause of cancer death
in young women. Now, this isn't static. It's increasing by about 1 to 2% a year in adults under
55. There's also a strong link between type of diabetes, metabolic syndrome, obesity, and
for colorectal, hepatic, pancreatic, breast, and demetriol, and lots of other cancers.
Now, there's something else that's really important here, which is we're all metabolically
unhealthy.
And there's an enormously strong link between type 2 diabetes, pre-diabetes, obesity, and there
is for so many cancers that are most common cancers, like colorectal cancer, liver or
hepatic cancer, pancreatic cancer, breast cancer, endometrial or urinary cancer, and many other cancers.
In fact, 48% of all cancers are attributed to obesity, but I think the number is probably a lot higher.
And obesity, if you're overweight, is associated with a 40% greater risk of early onset colorectal cancer.
That's from the Journal of Gastronology.
45% of adults, 59, and younger are obese.
So a lot of people are at risk.
And studies show that diabetes significantly increases the risk of cancer and that lots of people who have cancer have a high incidence of that.
diabetes. Now get this, up to 80% of pancreatic cancer patients actually have type 2 diabetes or
pre-diabetes or impaired glucose tolerance when they're diagnosed. This is a deadly cancer.
It's caused by our diet. So what else do chronic diseases have in common? Well, insulin resistance.
That's what we've just been talking about. And you've heard me talk about it forever. I'm going to
keep talking about it because it's the cause of everything. Cancer, heart disease, diabetes, dementia. So how does insulin
resistance relate to cancer? Well, insulin is responsible for keeping our blood sugar balanced
and stable. Now, insulin is a growth hormone. It causes your fat cells to grow. It causes
your belly to grow, but it also binds to and causes cancer cells to grow. So eating a high
sugar, high starch, high glycemic diet causes our cells to become resistant to the effects
of insulin. And what does that do? Well, that leads your body to produce more and more
insulin to keep your blood sugar normal. These high levels of insulin are what we call hyperinsulinia
increases the production of another molecule called IGF1. That sounds for insulin-like growth factor
one. It's a hormone that increases cell division, cell growth, and inhibits autophagy or cellular
clean. Now, sometimes it's good. It's like Goldilocks. But when you have high levels of IGF1 from all
the sugar, it basically causes cells to continue to grow and divide and prevents them from being
killed. Okay. Now, high blood sugar is present in 39 to 99% of cancer cases. Now, that leads to
insulin resistance, oxidative stress, chronic inflammation of the body. It also creates something
called advanced glycation end products or ages. Now, glycation is a chemical reaction. You're familiar
with it when your chicken skin is crispy or your bread has a crust on it or when you get that
creme brulee thing. It's got that crispy thing on top. That's called glycation. It's when sugar and
proteins or other fats bind together and form this basically compound called ages or advanced
glycation end products. When these glycated products bind the DNA, they bind the proteins
and lipids, it causes something called the mallard reaction, the browning reaction. You've seen this.
But the problem is these accumulated our tissue. And they bind us something called rages, receptors.
for advanced glycation end products.
When they bind to those receptors,
it activates a whole inflammatory cascade,
and that accelerates not only cancer,
but also aging itself.
And there's lots of sources of ages in our diet.
We actually eat them on a regular basis, right?
Ultra-processed food is a big source.
Dry heat processing is one way.
Bake goods, cooking at high temperatures,
brown, charred, fried, burnt foods.
These ages create damage to your blood vessels.
cause oxidative stress, they reduce blood flow, they cause damage to your DNA, to your tissue,
to your mitochondria. They're just bad. Now, you can kind of measure this in the blood by something
called hemoglobin A1C, which is essentially glycated hemoglobin. It's your hemoglobin which you can
measure easily in your blood and see how much sugar is bound to it. And that kind of gives you
a rough idea. There's also an amazing new test called the insulin resistance score from Quest,
which allows you to get a really good read on your degree of insulin resistance and how bad it's
because hemoglobin A1C is a late-stage phenomena.
And it's great that you can do this test now.
And through Function Health, the company I co-founded
to allow you access to your own lab data
through just going directly to a Quest Lab
and getting your data very simple process,
you can go to FunctionHealth.com forward slash mark
to learn and sign up.
But the insulin system scores are really important
because it really tells you what your risk is.
Now, the test we commonly use in medicine now
to look at glycation is called hemoglobin A1C.
And if it's 6% or higher,
it's associated with a high cancer risk.
from both diabetics and non-diabetics.
And even a lower level may be a problem.
We find that even levels down to five are probably optimal,
but anything over five,
you're starting to increase your risk for heart disease and other things.
So the cutoffs we have in medicine are arbitrary.
We say six, it's six and a half.
It used to be five point seven.
It's pre-diabetes, five point five.
I mean, it's all a moving target because, you know,
we're finding that at lower and lower levels,
there's a problem.
So basically, you want your hemoglos to see as low as possible.
Let's look at another big factor that causes,
cancer. Fructose. Now, fructose is something found in fruit, which is good, but it's not
fruit we're talking about here. Epidemiologic or population studies, which don't prove cause
and effect, but they found strong associations between high fructose intake from sources like
high fructose corn syrup and increased risk of pancreatic and colon cancers. Now, you have to realize
we never had this stuff in our food supply until the 70s. There was no high fructose corn syrup.
Now it's about 50% of our calories. It's in everything. It's got not 50-50 fructose and glucose like
sugar, it might have 55 to 75% fructose, which has all these adverse effects and it's free fructose.
Now, there's something called the fructose transporter, and this is called glute five.
And thought about your glutes, it's called glute five.
And it's overexpressed in cancers like pancreatic, colorectal, breast, lung cancer.
Now, when you have high glute five expression, it basically allows for increased intake or
uptake of fructose by cancer cells.
And what does that do?
that makes them grow because they love the sugar.
It caused them to migrate and move around,
meaning starting to spread and invasion, meaning metastases.
So where are we getting high fructose levels in our diet?
It's not from fruit.
It's from added sugars and sweeteners like high fructose corn syrup,
sucrose and fructose as sweeteners that are in all the ultra-processed food we eat.
I mean, it's 60% of our diet is ultra-processed food.
So fructose in high-fructose corn syrup and all the food is bad.
So what else could be causing?
cancer that's in our sad diet. Well, food additives. Over 10,000 chemicals are allowed in the food
we eat in the United States. 10,000. And here's what's shocking. Ninety-nine percent of the food
chemicals that have been introduced to our food supply since 2000 were approved not by the government,
not by the FDA, but approved by the food and chemical companies that made them. It's like the
fox guarding the henhouse, right? Since 2000.
7756 new food chemicals have been added to our food supply to a loophole in the law called
grass. G-R-A-S. It stands for generally recognizes safe. So it seems like, oh, it seems like
it's safe. Well, it doesn't seem to be killing anybody right now. So let's just put in the food
supply. Now, this grass loophole is a big deal. Food chemical companies exploit this loophole,
allowing them to make their own safety determinations for substances that they say are generally
recognized as safe. Now, the 1958 Food Adams Amendment intended for rigorous FDA review,
meaning if you want to add some new chemical to the food, the FDA has to review the science on this.
But this grass loophole basically has become the main approval route. You basically take the
company's word for it that it's safe. How crazy is that, right? When a company determines the
substances grass, it means they think it's safe among, quote, qualified experts. So they get
a bunch of experts they pay or they say it's safe and then they submit a notice to the FDA,
but the process is entirely voluntary. And the FDA can review these notices and issue a,
quote, no question's letter, but it doesn't actually approve these substances or even
affirm the company's safety data. So there's all this crap on our food that got in there
without any real oversight. Now, due to this loophole, harmful ingredients have been asked.
added and continue to be added to our food supply. Let me get an example. Seven carcinogenic
flavor ingredients were approved as grass by FEMA. This is the Flavor and Extract Manufacturers
Association, not a government group, an industry trade group. This is a group that reviews and
approved nearly all flavor ingredients. But these ingredients were later banned in 2018 after a
tradition by the environmental working group for being linked to cancer in animals.
Now, I'm on, I'm on the board of the environmental working group, so I'm in part of this.
I get it.
It's really bad.
Now, food additives are commonly used to enhance a flavor of baked goods, ice cream, candy,
chewing gum, beverages, all kinds of stuff.
And they got weird chemical names, benzophenone, ethylacrylate, pyridine, styrene.
Do you have these in your company at home that you cook with?
I doubt it, right?
The term flavor is this vague label that food,
manufacturers use to hide chemical names from consumers. It's deliberate. And say it's got
natural flavorings, artificial frailings, blah, blah, blah, blah. You don't even know what it is, right?
A lot of other grass substances, which are not approved in other countries, include BHA, which is
classified as reasonably anticipated to be a human carcinogen by the National Toxicology Program, right?
B.HT. or butylated hydroxytaliene. When you put that in your salad? It's in everything. And that
has been determined to disrupt endocrine function by causing change to thyroid and it also
affects animal development and fetal development. Now, B.HT. isn't everything. It's in cereal, chewing
them, potato chips, vegetables, vegetables, everywhere. And it's banned in Europe. We're going to get to that
minute. There's another thing we have to think about with food, which are the toxins in food, pesticides,
and all other toxins. So how do you avoid those? Well, avoid process and packaged foods. All that
BPA is in the plastics, in the cans, and the packaging, thallates, the forever chemicals,
PFS, microplastics that leach into our food from packaging, from the manufacturing processes,
it's in our water and our soil, make sure you filter your water. In fact, consumer reports
tested food products for phthalates, which is one of these toxic chemicals, from 67 grocery
stores and 18 fast food chains, and found that levels vary dramatically. Some of the worst
defenders for having these chemicals were Coca-Cola, Fair Life, Core Power, high-protein milkshakes,
Slim Fast, You'll Play, Wendy's Krispy Chicken Nuggets, Chipotle, and Moes Southwest
Chicken Grilled Chicken Burrito, Burger King Wopper, Cheerios, and the list goes on.
In cancer, there is some defect in the ability of the mitochondrian in the cell to produce energy,
which is the way most of our cells get energy. We breathe oxygen, and oxygen is a
form of serves as the final common acceptor of electrons in our mitochondria to generate energy
through oxidative phosphorylation. And he said that's broken in cancer.
And what we basically said was in order for us to produce energy in ourselves, most of us
combine oxygen with sugar in this kind of chemical reaction down an assembly line called oxidative
phosphorylation. It's kind of the normal way you produce energy from food. And it's through
glucose primarily and oxygen. So that's what you're talking about. Yeah. Yeah. Yeah. So we bring glucose
into the cell or other foods that would be broken down either into glucose or acetylcoa, which is
the end product of the glycolytic pathway. So the cell brings in glucose. There's a 10-step
pathway called glycolysis, the old Emden Meyerhoff-Parns pathway. And then the pyruvate, which is
this three-carbon derivative of glucose, is then enters into the mitochondria and is fully oxidized
to produce significant amounts of energy with the key waste products being water and CO2.
So every time we exhale, we're exhaling the waste products of food metabolism, which is CO2
and the moisture water. We can develop urine from combining with amino acid breakdown products.
So it's a very highly efficient, highly, highly energy efficient system.
But Warburg was saying that cancer cells have a defect in their mitochondria, and that defect is compensated for by a upregulation of these ancient glycolytic fermentation.
So glycolysis is present in all of our cells.
the problem is when the mitochondria become defective, the end product of glycolysis, pyruvic
acid, is no longer entering the mitochondria, but is being diverted to lactic acid, a waste
product of the glycolytic pathway, and that acidifies the cancer microenvironment.
So cancer then becomes a disease of cells that proliferate with, instead of producing oxygen
CO2 in water, they're producing lactic acid as a waste product.
So, and Warburg noticed that all the major cancers that he studied were blowing out
large amounts of this lactic acid.
And he said that, just kind of what accumulates in your muscles when you overexercise
it causes.
Exactly.
Exactly.
But then that deficit is made up as soon as the oxygen can be, the muscles can be reoxygenated.
They go back to respiring.
So the muscles have a capacity that when oxygen becomes deficient from overuse of muscles,
the muscle will then use the local glucose to produce massive amounts of quick energy
with the waste product of lactic acid, which goes back into the bloodstream in exercised folks,
and the lactic acid goes to the liver and is created back to glucose, and that's the chloe cycle.
and Saul and Gertie Corey received the Nobel Prize for their recognition of how lactic acid
from muscles can be reconverted back into glucose for the body.
I think that what you just said was so important, I want to make sure everybody gets it,
and then we can kind of continue on how it's related to cancer.
So everybody, basically, from my understanding, is that when we eat our food is primarily
into glucose, glucose then has to go from this process of breakdown in terms of
byproduct we call pyruva. And then there's a whole bunch of steps, then turns that into
energy in the body. With cancer cells, that basically processes and is kind of effective. And so
it turns, instead of turning into a easy form of energy from glucose, it creates lactic acid,
which changes the whole environment itself. And basically, the other sort of point, I think
it's important people realize, is that your body is like a hybrid car. It can run on gas
air electric. Your cancer cells and the gas is sugar and the electric is fat. Okay. In cancer cells,
they don't run well on fat and it basically stars them. They only can run on sugar, which is gas.
It's kind of a dirty burning fuel. And that ends up with all this linkage of cancer to things
like diabetes and insulin resistance and all these very factors. So that's all how it ties together.
Now, then take this down on this process of the secondary pathway, which is fermentation,
instead of what we call the primary pathway, burning energy, which is oxygen and phosphorylation,
essentially the Krebs cycle, is how we break down sugar and energy.
So I think that I just sort of want to, like, reinforce that.
There was a lot in there.
No, no, you're 100% correct, Mark.
This sometimes can be a little overwhelming.
I mean, even most doctors, by the way, like, you know, we remember biochemistry for just enough
for our exams, then we forget it all, including a question.
CREB cycle, which is what you're talking about, which is how we turn food and oxygen. It's
one of the most important things we do to enter my idea. You know, it's really an interesting thing
because, you know, most of us when we had to study the CREB cycle as a requirement, only because
it was tortuous to try to memorize all the stuff. You know, and it was no pleasure in doing
that other than the fact that you say, oh, if you memorize it, you'd regurgitate it on a test,
and then you wouldn't have to worry about it again. So, but when, when, when, you know,
when we are in a different sphere now where we really need to understand that in order to
manage a very devastating disease. So you have it, I take, I took a completely different view
of these tortuous biochemical pathways when I said I needed to know this in order to manage
the cancer, in order to have an effective non-toxic management of the tumor. So now it becomes
a process. It becomes part of your soul to understand.
understand these processes because you're going to be able to wield the power of your knowledge
to manage a disease because you finally understand what all this crap meant.
And so now we realize that, as Warburg said, cancer cells don't need oxygen for their growth.
And he showed data that, you know, he can take all the oxygen out of the system.
and these tumor cells were still growing fine.
And his argument was they replaced their oxidative phosphorylation or energy through
respiration with energy through fermentation.
Fermentation is energy without oxygen.
And he said that they were getting their...
Wine or beer, right?
Yeah.
Yeah.
Well, as a byproduct, that's alcoholic fermentation, resinvolactic acid fermentation.
There's an extra step that the yeast use to convert the lactate into ethanol.
But that's another step.
Our muscles and our cancer cells are producing lactic acid as a waste product of the fermentation process.
So as a result, but what Warburg was saying that you have to replace energy.
So without energy, nothing will grow, period.
That's the key basis of all of our life existence.
Without energy, we die real quick.
And you want to know how fast we can die?
If people drink cyanide, you die real, real fast.
As I said, that is the mitochondria.
Yeah, it poises complex four of the mitochondria shuts down electron transport,
prevents oxygen from binding to electrons, and your whole body just shuts down instantly.
So you can't make energy if you drink cyanide.
You just can't make energy.
No, and then you die.
They don't make energy.
Your brain dies, your heart dies, everything dies.
Anything that's linked to oxidative phosphorylation dies real quick, except the cancer cell.
So that's the, so Warburg said, yeah, cancer cells are resistant to cyanide.
I said, whoa, this is, so they don't need, they don't need oxygen, and they can live in cyanide.
And I said, whoa, what the hell is this?
But he said a long time ago, in the 1920s, they were showing this kind of thing.
They would take a rat that had a tumor, and they would inject the rat with cyanide, and the rat would die instantly, but not the tumor.
He could take the tumor out and grow the cells and culture was fine.
The tumor was resistant to the cyanide.
And he said, that's because they're oxidative phosphorylation.
They have replaced oxidative phosphorylation with fermentation, which is energy without oxygen.
So that became very clear from his hundreds and hundreds of scientific papers and analyses.
So I went back and I looked at all that stuff really, really carefully and confirmed in no uncertain terms that Otto Warburg was 100% correct in his knowledge of the origin of cancer.
He was not correct in the readouts, and I'll explain that in a minute, because we've cleared that all up, the misinformation regarding the readouts of dysfunctional respiration.
But he claimed that cancer starts with a chronic disruption of oxidative phosphor energy through oxidative respiration.
then the cell will gradually over time transition to this ancient process of fermentation.
And he also clearly said that if you damage respiration too acutely, the cell will die,
and you will not get a cancer cell from a dead cell.
And that's exactly what happens with the cyanide.
You can never get, if the whole body is dead, there's no way you're going to get a cancer cell.
But if you have a cancer cell in there, it's not going to die from cyanide.
So, as I said, so people with cancer take drink cyanide to kill themselves.
Well, they'll kill their body, but the tumor cells in their body will still remain alive.
So as long as they have the fermentable fuels in the microenvironment.
And at that time, Warburg figured that the major fermentable fuel was the sugar glucose.
So glucose can either be completely respired in the mitochondria of the cell, or it can be fermented if the mitochondria are not functional or the individual would be in an.
a low-oxygen environment.
So it became clear to Warburg that the release of large amounts of lactic acid from tumor cells
was the result of a defect in oxidative phosphorylation.
And this then could explain the origin of cancer.
Problem is, in the 1950s, Sydney Whitehouse and others, who was the head of the National Cancer
Institute, and rightly so reported that there were some cancer cells that took in as much oxygen
as some normal cells. So he said, Warburg must be wrong because the oxygen can, we're
seeing cancer cells that are taking in oxygen as avidly as normal cells, and yet the cancer
cell is still blowing out a lactic acid. What's going on with this? So they said then, oh, the cancer
cell needs so much energy, it both respires and produces lactic acid at the same time. So this
major controversy in battle went on for years and is still going on for many people today in the
papers that they publish showing that cancer cells consume oxygen just as readily as normal
cells in culture, and therefore cancer cells are using oxidative phosphorylation wrong. We've shown
that's not the case. It turns out that the tumor cells do, in fact, consume oxygen, but they're
not using it for ATP synthesis. They're not using the consumed oxygen for generating energy
through oxidative phosphorylation. They are using it to produce reactive oxygen species,
ROS. ROS are carcinogenic and mutagenic. These radicals, oxygen radicals, damage DNA, RNA, and
proteins. They cause the mutations that you see in the nucleus of the tumor cells. So the oxygen
consumed by cancer cells is producing DNA damage as a downstream epiphenomenon of the damage
to oxidative phosphorylation. So the cancer field today is focusing on mutations and targeting
mutations. These are all effects. They're not the cause of cancer. And this goes back to the
argument with Sydney Winehouse and Warburg in the 1950s, except the folks today absolutely
do not understand, do not appreciate, or cannot accept the fact that the oxygen consumption
and cancer cell is not used for oxidative phosphorylation. It's used for reactive oxygen species
and other reactions not involving ATP. So you have to put the story, you have to put the story
together. So when you mentioned CAR-T immunotherapy, all these immunotherapies, they're based on
the somatic mutation theory. So now Warburg's, Warburg was the initiator of the mitochondrial
metabolic theory of cancer. I will explain more because he did not know about glutamine
fermentation, which we now know about. He did not, he also assumed that the oxygen
consumed by cancer cells, even though it was low, was still linked to oxfas. Okay, that's in
misunderstanding on Warburg's part.
He's going to credit. He was over 100 years ago.
Oh, yeah. It was 100 years ago, and because the pathway for glutamine fermentation was not
yet developed. So he did not know about the second major fermentable fuel. So we got
he was absolutely right on the origin of cancer. He was incorrect on assuming that lactic acid
production equalled a certain amount of ATP. We now know that that calculation is somewhat
in error. We also know that oxygen,
consumption is in error. So we can put it all together. Warburg was 100% correct in the knowledge
of how cancer started. His readouts were incorrect, and we're polishing it all up. So this is
the mitochondrial, metabolic. Let me take up on your first. So basically what you're saying is that
most oncology today is focused on the idea that cancer results from genetic mutations in the
cancer. However, what we're allowing learning at the same time is that you can take 100 cases of breast
cancer and they may be all genetically very different or colon cancer or prostate cancer or
pancreatic cancer and so even they have the same name the same pathology on a microscope the
underlying genetics are quite different and so we're playing a little bit of whack-a-mole now
there may be some ways of improving cancer response to chemotherapy by identifying which genetic
mutations there are and which drugs work better for which ones and it's sort of an incremental
improvement. But it's not a kind of cataclysmic shift in our thinking around cancer, which is
moving from a genetic theory to a metabolic theory. And I think the metabolic theory is quite
interesting. I think it clearly needs to be slashed out more, but it looks like it's holding
promise to deal with things like stage four melanoma, stage four pancreatic cancer, stage four breast
cancer. Cancer that are really death sentences are responding, even glioblastoma, which is brain
cancer very well the ketogenic diets. So you kind of have to be able to sort of navigate this
new landscape where certain cancers are really responding to a metabolic approach. And so we can't
just sort of relegate it to some crazy whack job theory. This is actually now becoming more
mainstream thinking. Well, going back to what you said about the breast cancer, you know,
when you look at individual breast tumors, you know, they have different stage ones for, you know,
all the different kinds of, you know, her two and, yeah, the staging and the type, you know,
which actually may be less important.
Yeah, yeah, yeah.
So, but you're 100% correct when you look at the genetic profiles of all these different
tumors.
They're all essentially different from each other.
I mean, there's some commonalities in mutations, of course, but many of them, many
studies have shown if we take all the individual cells, many individual cells out of a tumor
and do a full genomic sequence, no, no two cells.
cells in the tumor have the exact same kinds of mutations. Yet, yet, every cell in that breast
tumor has dependency on fermentation as a source of energy. So the common metabolic problem,
all the cells have one major common problem or phenotype or observation. They're all
fermenting, regardless of what their mutations are. So the common pathological phenotype is
fermentation. Okay. So then the simple question is, where do they, how do they get their energy from
fermentation? And the two fuels that drive fermentation are glucose, the sugar, and what we have
shown is the amino acid glutamine. Now, glutamine for the cancer field, people will say, oh,
we all knew glutamine was a big, big role in cancer. You guys in the field thought it was
being respired. No, because the oxygen, no, it's not respired. It's fermented, just like the
glucose. But it's also fermented in the mitochondria. So the mitochondria, the pathway is called
glutaminalysis, and it's a fermentation pathway in the mitochondria. So you have a fermentation
pathway in the cytoplasm, and you have a fermentation pathway in the mitochondria, which makes
it look like the mitochondria are respiring, especially when they're taken in oxygen. So we had to
parse out all this stuff and clearly define what the actual biomedical, biochemical mechanisms
are that are driving the beast. And the beast is driven by fermentation. And you're right, Mark,
the cells in a glioblastoma, the cells in colon lung, they're all fermenters. So they all have
different. That's why when you take CART immunotherapy, if you're not hitting the fermentation pathway,
you're essentially missing the target.
So nothing could be like when you say,
oh, we have a targeted therapies, precision medicine.
These guys, these targets, I mean, they're missing the target.
And you pay a lot of money for a missed target.
And then you say, and then you say, oh, you know, I have,
we're going to use precision medicine.
You know, well, if it's so precise,
how come you blew out my liver when you were trying to cure my lung cancer?
Exactly.
You know, it's a problem.
You know, most of the treatments we have.
now are really toxic, radiation, chemotherapy, surgeries a bit crude.
And what's amazing about metabolic oncology is that therapy is diet and maybe some
other compounds and block them these fermentation pathways that really have not only no side
effect, but it have a ton of beneficial effect in terms of overall metabolic health, in terms
of reducing inflammation, improving stem cell function, causing DNA repair, and helping
you know, the oxidative stress.
I mean, it's just the list goes on about how this works.
You're already imaging.
No, it is.
It's remarkable.
And because you're all, we're going back to the origin of many of the diseases that we have.
And, you know, a lot of this is systemic inflammation, you know, chronic exposure to different chemicals.
You put all that together.
And you end up with diabetes, cardiovascular disease, cancer, dementia.
You end up with all these kinds of chronic diseases.
And a lot of it has to.
do with disturbed energy. Metabolic homostasis is disturbed in many of these chronic diseases.
The issue for us, though, is, you know, ferreting out the mechanisms of how cells grow, cancer cells
grow in a dysregulated way. And I think, you know, I don't want to become too diffuse and say,
okay, let me jump now into Alzheimer's and show you how this works.
jump into type 2 diabetes and show me and show you how that works. The major focus we have
right now is correcting massive misinformation on how cancer cells express this dysregulated
growth, because ultimately that's what the disease is. It's cell division out of control,
and these cells are dividing out of control because they have lost their ability to use
energy through respiration, have fallen back on ancient fermentation pathways, and the organelle,
the organelle inside the cell that controls the cell cycle and regulated growth is the mitochondrian.
And Warburg clearly showed many years ago, and I have, in my own work, validated everything
that Warburg said with respect to mitochondrial dysfunction, that the organelle controlling
the differentiated state and regulated growth is dysfunctional, and therefore the cells are falling
back on ancient fermentation pathways and are dysregulated in their cell growth. So what's the
best way to manage cancer is pull the plug on their fermentation fuels? And there's only two fuels
that can drive this beast, and it's glucose and glutamine. So, and then they can't, as you mentioned
earlier, they can't burn fats or ketone bodies because you need a good mitochondria oxidative
phosphorylation system to generate energy from fats and ketone bodies. So the fats and ketone
bodies, though, help the heart, help the brain, especially for ketone bodies. So you mentioned,
as you said, all of these different chronic diseases can be improved significantly by this
metabolic approach, because when you burn ketones, you essentially increase the metabolic homeostasis
of normal cells. So, and the cancer cell is marginalized, it can't use the ketone body or the
fat. So you really put them in a very compromised position, and they will gradually be eliminated.
And not only that in our, in our paper, in my book, and in the paper we just showed for managing
cancer in the dog using purely metabolic therapy, when you cut the calories down,
we have this process called autolytic cannibalism. It's very interesting. So,
All cells in the body must carry their weight when food restriction.
So there has to be a coordinated interaction among all the cells in our body.
And when you have a cancer, a group of cells that are using energy in a very inefficient way
and not contributing to the society of the cells, the body will turn on those cancer cells
and use them as fuel, eat them, and supply their metabolites for the rest,
call autolytic cannibalism.
And in order to get into that stage, you have to lower blood sugars,
and you have to increase ketones, and then the body starts turning on these cancer cells and dissolving.
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