The Dr. Hyman Show - What Types And How Much Protein Do You Need?

Episode Date: July 24, 2023

This episode is brought to you by Rupa Health, ButcherBox, and HigherDOSE.  Not only is protein a vital component of healthy skeletal muscle, but it also is an essential lever in weight loss, stabili...zing blood sugar, and reversing metabolic syndrome. And when it comes to animal-based protein, we can’t just say all meat is good or no meat is good; it’s a matter of what types and sources of proteins you’re eating and what the rest of your diet looks like too.  In today’s episode, I talk with Dr. Gabrielle Lyon, Dr. Stephan van Vliet, and Dr. Don Layman about how much protein we should eat, the effects of animal protein on the environment, the best protein sources, and more. Dr. Gabrielle Lyon is an integrative physician who completed her fellowship in nutritional sciences and geriatrics at Washington University, St. Louis. She is board certified in family medicine and completed her undergraduate work in human nutrition vitamin and mineral metabolism. Dr. Lyon works closely with current and retired special operations military operators as a part of the Task Force Dagger Foundation. Dr. Stephan van Vliet is a nutrition scientist with metabolomics expertise at the Center for Human Nutrition Studies at Utah State University. He routinely collaborates with farmers, ecologists, and agricultural scientists to study critical linkages between agricultural production methods, the nutrient density of food, and human health. His work has been published in The American Journal of Clinical Nutrition, Scientific Reports, The Journal of Nutrition, and The Journal of Physiology. Dr. Layman is a professor emeritus in the Department of Food Science & Human Nutrition at the University of Illinois at Urbana-Champaign. Dr. Layman earned his BS and MS degrees in chemistry at Illinois State University and his doctorate in human nutrition and biochemistry at the University of Minnesota. He is recognized for his research on protein and amino acids for muscle health related to athletic performance, obesity, diabetes, and cardiometabolic health. This episode is brought to you by Rupa Health, ButcherBox, and HigherDOSE.  Rupa Health is a place where Functional Medicine practitioners can access more than 3,000 specialty lab tests from over 35 labs. You can check out a free, live demo with a Q&A or create an account at RupaHealth.com. Right now, new ButcherBox members can get New York strip steaks for a year PLUS $20 off their first order. Just go to Butcherbox.com/farmacy and use code FARMACY. Elevate your wellness game today by going to HigherDOSE.com. You can use promo code HYMAN at checkout to save 15% site-wide or just go to HigherDOSE.com/hyman. Full-length episodes of these interviews (and links to all the references mentioned) can be found here: Dr. Gabrielle Lyon Dr. Stephan van Vliet Dr. Don Layman

Transcript
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Starting point is 00:00:00 Coming up on this episode of The Doctor's Pharmacy. There was a significant increased risk of all these diseases with people who ate more meat, but when you actually look, the ones who ate more meat ate 800 more calories a day, smoked more, drank more, didn't exercise, ate less fruits and vegetables, more sugar, processed food, of course they had more disease. Hi everyone, it's Dr. Mark. As a functional medicine doctor looking at hormones, organic acids, nutrient levels, inflammatory factors, gut bacteria, and so many other internal variables, it helps me find the most effective path to health and healing for my patients. But such extensive testing can be very
Starting point is 00:00:34 complicated and time-consuming for both the practitioner, somebody like me, and our patients. But lab ordering became very quick and painless since I started using Rupa Health. I can order, track, and get results from over 35 different lab companies within a few clicks in one lab portal. And this means one invoice for all labs paid online up front. Plus, patients get practitioner pricing and receive full patient support through easier personalized collection instructions, automated follow-up, super bills, and answers to testing questions, and so much more. And best of all, it's free for practitioners. So sign up free today. You can find out more information by going to rupahealth.com. That's R-U-P-A health.com. I'm always being asked how to source high quality meat and seafood. So I
Starting point is 00:01:15 wanted to share one of my favorite resources with you that I use to get high quality protein in my own diet. Unfortunately, most meat and seafood at the grocery store is not serving our health. Conventionally raised animals have higher levels of inflammatory fats, not to mention antibiotics, hormones, and other harmful compounds that we just shouldn't eat. And it's not so nice for the animals either. And that's why I love ButcherBox. They make it super easy to get humanely raised meat that you can trust by delivering right to your doorstep. ButcherBox has everything you could want, like 100% grass-fed and grass-finished beef. And the shipping is always free. ButcherBox is committed to humanely
Starting point is 00:01:45 raised animals that are never given antibiotics or added hormones and since they take out the middleman you get an extra savings. There is a major stipulation I always tell my patients about when it comes to animal protein. Quality needs to be a priority. With ButcherBox you can feel good knowing you're getting the highest quality meat and seafood that will help you thrive. Right now ButcherBox has a special offer. New members can get New York strip steaks for a year plus $20 off your first order. Just go to butcherbox.com forward slash pharmacy and use the code pharmacy, F-A-R-M-A-C-Y. And now let's get back to this episode of The Doctor's Pharmacy. Hi, this is Lauren Feehan, one of the producers of The Doctor's Pharmacy podcast.
Starting point is 00:02:21 Protein has become the emotionally charged macronutrient that no one wants to talk about, but protein deserves our careful attention because it's an essential nutrient for a healthy body. Protein provides us with the building blocks of life, helping us make muscle, connective tissue, hair, blood, enzymes, neurotransmitters, and more. In today's episode, we feature three conversations from the doctor's pharmacy on science-based data on how meat production affects the climate, how much protein we need in a day, the difference between plant and animal proteins, and more. Dr. Hyman speaks with Dr. Gabrielle Lyon about protein science for longevity and preventing disease, with Dr. Stefan Van Valle about the difference in nutritional quality between feedlot meat and
Starting point is 00:03:05 wild or pasture-raised, and with Dr. Don Lehman about how to go about getting the right protein and enough of it if you're vegan. Let's dive in. We're getting all these mixed messages. You know, one, we should be eating less meat, eating more plant proteins, or two, we should be eating more protein as we age. So we're in this sort of incredible, conflicted, confusing environment around protein. So what should we be eating? How much should we be eating? And what type should we be eating? Okay.
Starting point is 00:03:35 This is of no tall order that we need to discuss this. You know, this is what people want to know. Let's take one step back. The information overload comes from kind of the mouse with the microphone. So you have small groups of individuals that are making a lot of noise. You mean the computer mouse? You have extreme groups. So you have anti-animal groups, you have PETA, you have vegan groups, vegetarian groups that are just in one aspect making a lot of claims, putting a lot of money. I think PETA
Starting point is 00:04:14 spent $15 million on advertising. Then you have big cereal companies, Kellogg's, I think that was around a billion dollars in advertising. So you have these groups that are regulated by the FTC. And then on the other side, you have the egg council and the cattlemen and the farmers who are under the guise of the USDA. Yeah. So you have these two kind of regulating bodies and two opposing groups, one which has much more money than, say, the dairy council or the egg council, that in and of itself skews the conversation. And that is something really important to be aware of.
Starting point is 00:04:55 We're getting a lot of propaganda but not a lot of science is what you're saying. Well, we are, you know, we have big pharma. We have these groups that are allowed to say certain things that maybe this will lower cholesterol, eat oats it will lower cholesterolarma. We have these groups that are allowed to say certain things that maybe this will lower cholesterol, eat oats, it will lower cholesterol. It will have these certain health benefits. And then you've got egg, dairy, beef who are not allowed to make any similar claims. We do have a lot of propaganda and bad science that is very agenda driven. Yeah. And that creates an environment of confusion.
Starting point is 00:05:23 Yeah. Like the Lancet commission, which was like, we should do like three ounces of meat a week maybe, or, you know. So we know, so let's, let's talk about the RDA. So the current RDA, which is- It's the recommended dietary allowance. Correct. And that was based on studies that we know were flawed, right? Those were based on nitrogen based studies of 18 year olds that we wanted to, or the, they wanted to provide an amount which would stop disease, you know, it's baseline for disease. It's the minimal amount.
Starting point is 00:05:51 So it's the minimum amount you need so you don't get sick. It's not how much you need to be healthy. Correct. So we came up, or they came up with a number, not me, way before my time, unless my Botox is that good, not having any lately. The RDA is 0.8 grams per kilogram, and that spans from anyone ages 18 and beyond. 18, 50, 60, 80. Okay. That is the minimum amount. There is 30 years of data to support that the minimum amount is not adequate. We know that as you age, you need double the RDA.
Starting point is 00:06:28 For body composition, you're looking at double the RDA. You mean for building more muscle? For anything. In obesity, we know that the higher your diet is in protein, while calories are controlled, the more lean muscle mass you can maintain. And we spoke, when we started talking about this, we talked about why muscle was so important.
Starting point is 00:06:47 And this obesity epidemic isn't quite an obesity epidemic. It is really an epidemic of poor muscle mass, low muscle mass, obesogenic sarcopenia, loss and destruction of tissue. We are largely domesticated. So what's happened is we have- Wait, what do you mean we're largely domesticated? We ride in cars.
Starting point is 00:07:06 We're not doing physical movement. We are eating in a way that is not supporting our current existence. And actually red meat consumption has gone down by 29% since 1975. But chicken's gone up. Chicken has gone up. Dairy has gone down. Yeah. The concept that we are eating too much protein, the average American eats between 60 and 90
Starting point is 00:07:33 grams. Women are around maybe a little bit above 60 grams and men are around 90 grams. So that's the average American. Heart disease, Alzheimer's, obesity, hypertension, all of these comorbidities and diseases are on the rise. Protein is not the problem. Protein's never been the problem. Protein is the defining nutrient for a high quality diet.
Starting point is 00:08:00 So you've been studying protein science in a way that I don't think many people have. And you say there's 30 years of research that kind of contradicts a lot of the perspectives that people have and shows the importance of protein for longevity, for health, for preventing disease. And yet at the same time, we're hearing that if we eat meat, it's going to kill us. That there's this huge sort of media push around eat less meat, eat less meat for health, eat less meat to save the planet. It's a problem. So how do you reconcile those two things? And you mentioned that there are extreme groups that are pushing this, but it's not just extreme groups.
Starting point is 00:08:50 There was a major report in Eat Lancet about the need to actually reduce our global meat consumption, that there isn't enough land and agriculture to support this for a growing population of the world. And in my mind, I also believe that we do need the right kinds of protein in the right ways. But it's hard for me to sort of reconcile these two things. So how do you explain that? I'm really glad you brought that up. Now, the 30 years of research clearly isn't my own. I'm not that old. I have been, though, trained by some of the best people. And one of them in particular, my mentor, Dr. Donald Lehman, who is a professor emeritus at University of Illinois, has published multiple studies and is certainly one of the world-leading experts. And we have these discussions over coffee all the time. And you do bring up a very good point,
Starting point is 00:09:43 especially when it comes to greenhouse gas and sustainability. Let's look at the U.S. The U.S. And this is from the EPA. Some of the status from the EPA. The U.S. contributes 15% to greenhouse gas. 15%. From animals.
Starting point is 00:10:02 Out of the entire world, right, that we contribute 15%. Total from everything. From animals. Out of the entire world, right, we contribute 15%. Total from everything. From everything. That includes transportation, agriculture, land waste, all of that. Our contribution in the United States is 15%. Out of that 15%, 9% is agriculture. I'm going somewhere with this. So out of the entire world, we are 15%.
Starting point is 00:10:31 Out of that 15%, 9% is agriculture. Out of that 9%, 5%, around 5%, 4.6% is fruits and vegetables, what it's taking to grow and decompose and that 4.5%. Cattle and dairy, 3.6%. Out of all of- And that's feedlot stuff. That's not- No, no, that's everything.
Starting point is 00:11:03 That's not regenerative ag. It is. It's everything. That's not regenerative ag. It is. It's everything. The greenhouse gas. So for greenhouse gas, all of cattle, all of dairy contributes 3.6%. So if you were to say go meatless Monday, and let's say we were going to cut that in half. You still have to have some protein. You can't become protein deficient.
Starting point is 00:11:28 So let's say we reduce, kill all, we eliminate all the cows and we're now at 3.6%. We cut that in half. What is that? 1.3%? That's in America though. That's in America. Globally, there's a lot of meat being grown. So I mean, yes, and we should discuss that. But I can tell you in America that if you also look at that 9% of agriculture, you have a component that comes from waste and a component that comes from overfeeding.
Starting point is 00:11:58 So we are in an obesogenic environment, 10% is of this contributing factor to greenhouse gas is waste and overeating. So overeating is one part. Food waste. We waste 40% of our food, right? So we're wasting and we contribute. So out of that number, that 9%, we're contributing one third of that, just that 9%. One third is food waste. Another 10% is overeating. So while the discussion is somehow targeted on cattle, which make cattle and dairy, which make up 3.6%, that is not the big target for our 15%. We have electricity, transportation, transportation, I think 29%, electricity, another 30%. So everything outside of that 9% is largely controllable by us. When you look at the number, and this is not for the world, but this is for the US.
Starting point is 00:13:12 If we wiped out all of the United States and all of the cattle and everything, our contribution to sustainability, climate change is 15%. That is very small. Yeah. Well, it's significant, but it's, yeah. In the whole scheme of everything, it is- But globally, it said that our agricultural system as a whole is responsible for a third to half of all greenhouse gas emissions. Our global system, the world, you mean. The world, yeah.
Starting point is 00:13:36 And that includes everything globally. And 50% of that is natural. So we have wetlands and termites and rainforests and things that 50% of all greenhouse gas is naturally produced. Climate change is certainly happening. However, there is a natural aspect to some of these things. We live on a green planet. If we didn't, we'd be in Mars.
Starting point is 00:14:10 Greenhouse gas is, you know, it's kind of like that all or nothing thinking that this concept of turnover and natural ecological processes are all bad. That's not necessarily true. I mean, we are certainly contributing 49% of the- So what you're saying is pretty radical. You're saying that our meat production and animal production is not a big contributor to that. No. Even though a lot of data seems to contradict that. But what data? If you look at the EPA and if you really look at the contributing factors, Donna Lehman wrote a great paper on sustainability less than a year ago about this topic. You really tease out all the
Starting point is 00:14:45 numbers, just like the whole protein controversy, it doesn't hold up. A lot of the discussion about how protein causes cancer, how protein is bad for you, it's all epidemiological-based data. Yeah, so let's talk about that. So the first issue is, is it a big factor in climate change? What about feedlot versus regenerative ag? Because it's not just the feedlots, it's all the corn, the soy grow, the rainforest we cut down, the soil erosion. That's true. All that is a big, huge issue. So it's not just the cows themselves, it's what we do to grow the cows. All of that is absolutely true. And regenerative ag arguably will draw down carbon, which means grazing cattle, but you can't grow as many cattle on grazing and rangelands as you can
Starting point is 00:15:25 and feed a lot. So the volume of meat that we need to produce to have, you know, 90 grams or 12 ounces per person per day globally is a lot of meat. And even if it was the healthy thing on the planet, how is that sustainable? I think it's a great question. And I certainly don't have the answer. I think we should control what we can control and see if we can't regulate those things otherwise, really decrease our transportation, eat locally, stop shipping our foods, which all of these things are having a great impact on greenhouse gas and climate change and impacting the globe, why not do that first rather than sacrifice our health? We know excess calories are bad. We know excess carbohydrates are bad. We know this drives insulin. We know insulin drives cancer. So you have these really big, glaring things that can be fixed. Why go right for meat? Why don't we clean up our end? Like, let's eat local. We don't need to be getting avocados
Starting point is 00:16:26 from Mexico. That's true. I don't need to have Kiwis from New Zealand. I'm going to eat local. I'm not going to maybe fly as much or I'll use public transportation. And also the other thing with cows is we use their leather and all kinds of other things. Yeah. So we're not just talking about meat. In addition, if we want to talk about cattle, cattle are upcyclers. They're upcyclers of food. So for every one gram of poor quality protein, for every, I'm sorry,
Starting point is 00:16:56 it's for every 0.6 grams of poor quality protein, which we know with the deficient in amino acids, plants, those kinds of things, they make one gram of high quality protein. So why not? Again, I mean, I feel very passionately about this because we are completely misled. So we should take care of the fundamental things that we can handle while maintaining our health. And probably ultimately the health is going to be a blend of plant and animal. But rather than just attack this one small area, let's do the things that we know.
Starting point is 00:17:27 Stop overeating, stop wasting your food, and stop traveling and stop eating stuff from a different country when you live in Manhattan. Hey everyone, it's Dr. Mark. Now you probably heard me talk about how much I love infrared saunas on the podcast. They're great for muscle recovery, calming the nervous system,
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Starting point is 00:18:45 And now let's get back to this week's episode of The Doctor's Pharmacy. So that brings up the other issue, and you sort of mentioned it in what you just said, which is quality of protein. Not all protein is created equal. Yet, you know, the argument that is being made is that we should eat more plant-based proteins. We should eat more rice and beans. And what's wrong with that as a way of getting your protein? That's a great question. Well, if you're 20, you could probably manage that. But with rice and beans comes carbohydrates and excess calories. Let's just take quinoa. And actually, remember I was up at Lenox a couple years ago and I did a talk about the protein perspective for the crew and I had a
Starting point is 00:19:25 chart that broke down what plants you would have to eat to match a chicken breast. Okay, let's get into it. So for one chicken breast, one small chicken breast, maybe four ounces, you would need about six cups of quinoa to equal that amino acid profile. Plant protein and animal protein are not created equal. It would be wonderful if people wanted to eat plants and could sustain a healthy metabolism. So you've got one chicken breast that's 150 grams and now you've eaten quinoa, six cups or so, which is a lot, maybe four to six cups. Now you've eaten 600 calories to try to get that amino acid profile at one time.
Starting point is 00:20:12 That clearly is not sustainable. Rice and beans, that is not a sustainable way for a population that is aging. And when I say aging, I mean anyone over the age of 20. Yeah. Well, it's interesting. There's a movie coming out called Game Changers. You might have heard about it by James Cameron, where he documents the power of vegan diets for athletic performance and shows world-class Olympic athletes being vegans and actually having massive muscle amounts.
Starting point is 00:20:40 And do you know, that's a great point. You know why that can happen? Muscle is stimulated two ways. Number one, resistance exercise or exercise. Yeah. And number two, dietary protein. If you grossly reduce one of those things, which in that crew was dietary protein, their exercise balance sets out, balances that out. So you can be a vegan as long as you hit the gym
Starting point is 00:21:09 five days a week for an hour. At least, like a crazy person. And then we also have to think about, there is a percentage of the population that can do well being vegan, but the NHANES data, which is a huge data set, it's the best that we have, it's a survey data, shows that actually vegans and vegetarians are one half of 1%.
Starting point is 00:21:31 Mm-hmm. Of the population. Of the population. So this is a very small group of people that can maintain and do well. Plant protein and animal protein are totally different. They have different levels of amino acids. Animal protein has the building blocks required for muscle tissue,
Starting point is 00:21:50 not to mention bioavailable zinc, B12. So you say also that leucine, you talk about leucine as one of the key amino acids that is needed to reduce muscle. It's sort of the rate-limiting amino acid. If you don't have enough of that, you can't make- You stimulate that pathway, the protein kinase pathway, which is mTOR. And there's been a lot of talk, a lot of discussion around mTOR about how this is a cancer, this is a key component
Starting point is 00:22:16 in cancer, and that's why you shouldn't eat protein because you're going to stimulate mTOR. Right. Well, mTOR is also stimulated by exercise exercise it's also stimulated in all other tissues pancreas heart all these other tissues largely by insulin carbohydrates are the problem not protein mtor signaling which is a it allows our body to nutrient sense. Has been maintained since the beginning of time. Growth is not a bad thing. Growing bigger, growing stronger, growing bone, growing muscle. Growth is not a problem.
Starting point is 00:22:56 And when you think about cancer, cancer is a disease of the genome. Yeah. Right? And it is an inability to then begin to repair and regulate. There is not something that is actually, protein is not causing the cancer. Now, if you have cancer, certainly you push that mTOR pathway. That can be a bad thing, and that's perhaps where a ketogenic diet comes in. But the concept that upregulating a pathway, which has been beneficial throughout creation, is completely erroneous. Let's talk about risk ratios, relative risk.
Starting point is 00:23:31 Can I just throw that out there? Yeah, well this is, yeah, this is part of the story around, you know, meat, because it seems like every week there's a new study that comes out that says meat's gonna kill you if you eat more meat, it's gonna be a problem. There was one just last week. You know, how do we interpret those as scientists, lay people, eaters? So hard. So hard. I will tell you that
Starting point is 00:23:52 really finding good scientists that you trust are key. There was a big paper that came out that linked IGF to animal protein and, you know and aging, all of this stuff. And there- IGF is a growth factor that comes from often eating carbs and sugar, also stimulated by protein, that actually has been linked to cancer and other things. Right. So this article in Cell came out, and it really talked about how people should have 30 to
Starting point is 00:24:25 40 grams of protein a day, which is a protein deficiency essentially. It's now below the RDA. The leading scientists in the world wrote a letter to the editor that went through all the flaws of the paper and how it was hand selected data, how it was very unethical, and it had statisticians. And it was signed by the top world-leading experts who have dedicated their life to studying this, who are not agenda-driven. They are not funded by these boards, but they really truly care.
Starting point is 00:24:57 National Cattlemen's Association. It never got published because one of the researchers was an editor of the journal. And I've posted that on my website. It's available, this letter to the editor. It's like censorship, scientific censorship. It's exactly like scientific censorship. So it becomes very difficult to get the- To counter the argument.
Starting point is 00:25:19 To counter the argument. And listen, everybody wants to talk about protein or they want to talk about cancer and IGF- So why are those studies not true then? If all these studies come out that show that- But they're not all the argument. And listen, everybody wants to talk about protein or they want to talk about cancer and IGF-1. So why are those studies not true then? If all these studies come out, they're true. But they're not all the studies. Then if you go and you look back at the research, it doesn't hold up. So now you have the mouse with the microphone. So why doesn't it hold up? So let's talk about risk ratio. Let's talk about relative risk. Relative risk is what is your risk of doing this thing and getting this disease? And it is a standard of- So if you eat eggs, what's your risk of getting heart disease?
Starting point is 00:25:48 Yeah. So this is the standard of looking at good data. When you look at the relative risk of smoking and cancer, that's 12. Or 20. Right. In order for something to be considered a risk, it needs to be above two. And this is something that has been in the scientific literature for, since it's been around. So in other words, if a study comes out
Starting point is 00:26:17 and the ratio or the risk is less than two, it is. Which in other words, you could say is 200% increase, right? Then it's kind of meaningless. It's meaningless. Right. So then if you go, so now we know that cancer and smoking is a 12th. And by the way, when we talk about cancer, you know, there's lung cancer, number one,
Starting point is 00:26:38 and the mortality hasn't changed. We haven't been able to really do much in that area in the last 60 years. And then you have the other cancers. You've got prostate, breast, colon, which are all have links to obesity. Right. And that is very clear if you look at that cancer, you know, National Cancer Association, any of these journals. Anyway, so if you go back. So when we say cancer blankedly, we really have to be what are we talking about? So we go back to the risk ratio. The risk ratio over and over and over again of protein and cancer, guess what it is?
Starting point is 00:27:13 0.1. 1.1 to maybe 1.3. This is the data. There's never been anything that has ever come out to show that the risk ratio is higher than that. So in other words, instead of 12, it's 0.12 or 0.3. It's 1.1. Has to be 2 to be significant. Yeah.
Starting point is 00:27:30 That is where people have to understand there can be a lot. So when they say your risk goes up by 30%, what that means is it goes from 1 to 1.3, not 12. No, it's not relevant. Right. So it becomes a talking point. Media, not 12. No, it's still, it's not relevant. Right. So it becomes a talking point. Media says meat kills. But it's actually not even relevant.
Starting point is 00:27:52 It's irrelevant. So you have these small studies that are handpicked, Ennehan's data, epidemiologic, which we know is poor at best. It never proves anything, by the way, just for people who aren't familiar with science. There's two kinds of main studies. One is an experiment where you take 10,000 people and you feed them steak every day for 20 years. And the other group, you feed them rice and beans for 20 years and you see what happens. That study is never going to happen. Never going to happen. It's billions and millions of dollars. It's too difficult to implement. People eat whatever they want. So they look at big populations.
Starting point is 00:28:27 They follow these people for 20 years. Every maybe five or six, 10 years, they give them a food questionnaire and say, what did you eat last week? Right. And then they try to correlate it with different outcomes. And they try to control for variables, but it's very difficult to do that. And then that means that when you look at these questionnaires, first of of all these have been invalidated by a lot of science that they're not really accurate that people over report good stuff they under report bad stuff depending on
Starting point is 00:28:54 what the meme of the day is if meat is bad then people aren't going to say they eat as much or maybe if they're healthy they may not eat as much so if they're healthy users that's this effect where if you're conscious about your health and you exercise and you eat great and you don't smoke and you hear that meat's bad for you, you're going to avoid meat because you don't want to get sick, even if that's not true. So it looks like they eat less meat and they get less heart disease or cancer, but it's actually not because of that. It's a-
Starting point is 00:29:21 It doesn't, and like you said it the doesn't account for other things like total caloric intake it doesn't account for obesity smoking drug intake drinking yeah they try to control these factors but one of the biggest studies on meat that i reviewed in my book uh eat fat get thin and food what the heck should i eat was the niharp study which is national institute of health and um what is it the arp the thing, which I try to avoid when I get there, throw it in the garbage when I get there. Thanks for me because I'm over 50. They said it was half a million people and they found that there was a significant increased
Starting point is 00:29:54 risk of all these diseases, cancer, heart disease, and everything with people who ate more meat. But when you actually looked at these people in the studies, the ones who ate more meat ate 800 more calories a day or more of a weight, smoked more, drank more, didn't exercise, ate less fruits and vegetables, more sugar, processed food, didn't take their vitamins. Of course, they had more disease. It wasn't because of the meat. It was because of all this other stuff. I remember one study I saw, and I mentioned this a few times on the podcast, that was in Australia where they fed people either kangaroo meat or feedlot meat. Because in Australia, you can buy wild kangaroo
Starting point is 00:30:29 meat in the grocery store. I guess they have a lot of kangaroos. And they found profoundly different profiles of inflammation in the group that ate the feedlot meat. They had more inflammation than the ones who had the kangaroo meat, even though they were eating gram per gram, the same amount of protein. So I don't think it's insignificant. And I think, you know, in Sardinia, obviously, in Korea, and many of the blue zones are many, many variables. But, you know, they're eating, you know, lots of dairy products that come from these animals or having meat that comes from these animals. And I think that the quality of those nutrients are quite different you know
Starting point is 00:31:05 like the the there's a very uh famous uh spanish spanish uh pig the black-footed pig which is raised in oak forests and all they eat is acorns and uh the fatty acid profiles their effect on our lipids are quite different um even though you process meat and milk are very important so i think i think we're going to learn more and more about this. I think you're one of the leading researchers and thinkers about this. I encourage everybody to check out your work. And we're going to post to all the scientific papers we've talked about so far in the podcast. But I want to dig into another one.
Starting point is 00:31:38 And I want to talk about not just the human health benefits, but the broader context of agroecological practices or regenerative farming or whatever you want to call it and how those really are important too. So you're getting kind of, you know, we're going to get into that in a minute, but I want to talk about this study that you did looking at the bison. It's kind of surprising because you looked at over 1,500 metabolites through very sophisticated analysis and found quite significant differences.
Starting point is 00:32:07 This isn't looking at an impossible burger versus a cow burger that's pasture-raised. This is basically meat for meat. It's grass-fed versus feedlot. And so what did you find? And tell us about that study. Yeah, so that study on bison was very interesting. So that was work that we did with the Turner ranches. What was particularly nice about that work is that it was a
Starting point is 00:32:30 very controlled study and doing it on a commercial farm. That was the nice part about it. The bison, they were raised on McGinley Ranch in Nebraska, in the foothills. It's a very biodiverse landscape. The bison are born there
Starting point is 00:32:46 and they do all the cow calving there. And then the animals were raised up until about 24 months. So they were all raised on pasture for 24 months. And then for 140 days or so, the animals were just run through a chute if they walked left they walked back into the pasture if they walk right they walked into a feedlot essentially so so it was it was randomized and then we we uh the animals were finished for 140 days we got the meat the strip steaks and we analyzed those for metabolomics analysis to look at, okay, does
Starting point is 00:33:25 this alter the nutritional profile? And what is really nice about the metabolomics analysis, Mark, is remember that I said earlier that not all nutrients are metabolites, but all metabolites tell us something about metabolism, right? So studying this, a bison is a mammal, just like you and I are. And you can find a lot of parallels between the metabolic health of a bison and a human, this pathway. So let's talk a little bit later on the metabolic health of the animal, because that I can say something pretty definitively about. But if we looked at the nutritional profile, we found that the phytochemicals were about three times higher in the animals that stayed on pasture for 140 days. One important thing to note though, is that the Turner ranches, they, yes, finish the animals in
Starting point is 00:34:19 a feedlot. At least half of their operation is that, but their feedlot is not your typical feedlot because they, the animals there, they have more space. They're in loose confinement. So they have about four times more space than typical. And normally animals are fed a total mixed ration. It means that everyone gets the same thing. It's like a military ration or a ration in prison right you can't choose um but what the animals got they could choose from hay alfalfa hay meadow hay which was the hay from the pasture or corn and they could choose that in sort of a buffet style so they could regulate how much they eat a buffalo
Starting point is 00:35:02 buffet a buffalo buffet yes I mean it's uh and and a surprising mark is that they went for the corn quite a bit like about half of their intake came from corn but but corn to an animal is is kind of like candy right yeah of course if we if if we go to the buffet we also uh if we have a bunch of ultra processed foods and peas then we might select even though the peas are better for us we might select the french fries right to uh to a large extent so um but but we we did find differences so three times more phytocannabin calls on the grass-fed animals um also uh a few b vitamins such as vitamin b5 and b6 that we know are in grains were actually higher in the feedlot finished animals.
Starting point is 00:35:48 Vitamin B3 was a little bit higher in the grass-fed animals because we know fresh forages provide those precursors. But what was particularly interesting, if we look at an omega-6 to 3 ratio, so omega-3s are fatty acids that we know have various health benefits. This ratio of omega-6 to 3 tells us something typically about the nutritional quality of the animal source foods or the healthfulness. I think it's a relatively solid biomarker of that. What was the difference? Was it like a significant difference or was there a slight difference? It was a significant difference, but it was slight. So the feedlot bison had an omega-6 to 3 ratio of about 4.
Starting point is 00:36:34 The pasture finished bison had an omega-6 to 3 ratio of about 1.5, so it contained more omega-3s. And typically, those are amongst the best ratios that you see. Yeah, so from 4 to 1 to 1.5 to 1, that's pretty significant. And typically, those are amongst the best ratios that you see. Yeah. So from four to one to one and a half to one, that's pretty significant. Yeah. So from four, indeed. But here's the sort of the bigger picture of that.
Starting point is 00:36:59 We've also tested a lot of grass-fed beef, about 60 to 100 farms. The average in the grass-fed beef industry is three. So the bison were only one point worse than that. And I would still consider an omega-6 to 3 ratio of 4 to 1, which was in the feedlot bison, to be very good. Because we know that probably our historical intakes in humans was about 4 to 1, 5 to 1. And feedlot beef typically has an omega-6 to 3 ratio of like 12 to 1. 12 to 1. Wow. So basically, feedlot cow eating corn and grains is 12 to 1 omega-6 to 3. That's significant. Yeah. So the feedlot bison, while they were different from the pasture-raised bison, if you look at it in the bigger picture, they still had a very favorable omega-63 ratio. And the difference were also not as large as we sometimes find with feedlot beef and pasture-raised
Starting point is 00:37:52 beef. But we are finishing up the study or following up the study with multiple arms because even in the bison industry, total mixed ration feeding is more common. So the turners, the way they finish in their feedlot, it's a little bit different from what the rest of the industry does. So my hypothesis would be for the next study that if we feed the bison total extra-ashton, that the difference is going to be bigger. You mean so that the way the Turner Ranch does it is better? Yeah, indeed. I would argue that what they do results in a better nutritional profile than what would typically happen in a feedlot. Can you talk about the phytochemicals?
Starting point is 00:38:32 Because I think that's really important. And are these meaningful levels of phytochemicals that are in the grass fed as opposed to the feedlot bison? Yeah, I do think they are meaningful, Mark, for this reason. This is that I do want to say, of course, a carrot is going to be a way better source of beta-carotene than grass-fed bison is. But we do find certain compounds like catechins, ferulic acid, which are major polyphenols, hyporic acid in relatively high quantities. So we, for instance, did some comparisons also looking at, well, let's say we have catechins that are in green tea, for instance,
Starting point is 00:39:24 which we think are part of the health benefits of green tea. If you study that in milk from very biodiverse animals, then about a cup of milk and a cup of green tea, I must say this, the green tea that's at the lower end of the spectrum, they can start approaching each other. Wait, wait, you just said that basically if animals are eating the right plants, they can have as high levels of these protective phytochemicals we find in green tea called catechins as green tea itself. That's a big statement.
Starting point is 00:39:56 In the worst green tea. In the worst green tea. Well, it's a big statement. That's why I try to bring it carefully. Because we know that probably the overfine overall phytochemical ratio of green tea i think is going to be a lot higher so uh but certain individual compounds can be found in meaningful amounts that that's my point here but as i said that's amazing eating on yeah so but but eating you know uh quercetin from onions is a better source of quercetin than maybe the grass-fed beef.
Starting point is 00:40:31 But the point is that it is a way of further increasing the overall phytochemical riches of our diet. You said something really interesting before, so I don't interrupt, but you said that there are certain compounds that we can't get from plants because our bodies can't process them that we do get from animals. And we're still learning what those do and how beneficial they are. But it's very likely that there are compounds that are in meat, for example, that are eating a wide variety of plants from animals that are eating a wide variety of plants that actually have higher levels of compounds that we, or levels of compounds we can't actually get from plants. Yeah, I think that's the best way to describe it. The best way to summarize it, Marcus, is that some of these compounds,
Starting point is 00:41:10 we know certain terpenes that we may not per se get in our diet that are found maybe like sagebrush and things that we do not consume. Then, yeah, we see those appearing. So I think that that's the key part is that, okay, we can get certain unique compounds and the compounds that we are getting in terms of certain phytochemicals, eating it as part of pasteurized meat is a further way of increasing it, right? Like one analogy I like to use, Mark, is that zinc from animal sourced foods, yes, they're more bioavailable, they're higher in zinc animal sourced foods,
Starting point is 00:41:53 but plants can still make a meaningful contribution to our overall intake of things like zinc and iron, right? And if we think of it as the reverse with phytochemicals, of course, plant sources are gonna be our primary source of phytochemicals, of course, plant sources are going to be our primary source of phytochemicals, but animal source foods can add additional phytochemicals that we get to the plants, plus likely add a few unique ones. And I think that's the key message. That's quite amazing. And what you were doing was comparing kind of bison to bison, not
Starting point is 00:42:24 like grass-fed bison and pasture-raised bison to feedlot cows, which may even have a much bigger difference, right? Yeah, indeed. I mean, we've done comparisons also, similar analysis on the bison and as we do on the cattle. So while they weren't in Nebraska, per se, raised, right on the cattle. So while, you know, they weren't in Nebraska per se raised, right, the cattle, but, yeah, we can do some, if we do similar analysis, you can do some qualitative comparisons and some rough comparisons. And, yeah, what we do see is that you have pasture-raised bison here, which is probably similar as the best pasture-raised beef.
Starting point is 00:43:03 Then you have the Turner Ranch feedlot bison that kind of falls in the middle. And then you had the feedlot finished beef that was probably the least nutrient-density phytochemicals. But I also want to say this, Mark, is that we're painting with broad strokes here, right? Feedlot beef isn't feedlot beef isn't feedlot beef. Even amongst the feedlot beef industry, we find a threefold difference. I mean, if you feed potato peels or almond hulls, we know those are rich in phytochemicals, these byproducts. So they can increase the amount of phytochemical richness even in the feedlot.
Starting point is 00:43:38 And we're doing some work. Yeah, we're doing some work right now with chicken, for instance, where they feed a small amount of like grapevomous or alfalfa. And that does make a difference. Yeah, that's true. Although I remember reading about this big truck that kind of had an accident on a major highway. It was filled with expired Skittles. And they were on their way to feed the Skittles to cows. I thought, okay, well,
Starting point is 00:44:05 those are colorful, but they're not exactly phytochemicals. That's pretty funny. So I did notice something. This is a little geeky. And I just want to bring it up because I sort of noticed it. There's a fatty acid called C15. And it's kind of emerging as a really important fatty acid. It comes from animal fat. It's a saturated fat from dairy and animals. And it seems to be higher in grass-fed beef. And C15 has all sorts of health benefits. If people are wanting to learn more about it, they can go to discover C15, the number 15,
Starting point is 00:44:42 discoverc15.com and learn more and read about the science of this. It's quite interesting. And I thought, wow, it seemed to be meaningfully more in the grass-fed bison, pasture-fed bison than the others. Can you talk about that a little bit? Yeah, absolutely. Yeah, so C15 is a dietary R-chained fatty acid that was mainly studied in the context of milk, but it also appears in ruminant meat. Say, for instance, with CLA, which has been studied in dairy and is another fatty acid with potential help promoting compounds.
Starting point is 00:45:10 So, yeah, we found higher amounts of those. I think it was about twofold higher by head. So we found higher amounts of C15 related, we think, to the forages. In the next study, we'll also be testing all the forages for the fatty acid profiles. And one other thing that we found, Marcus, very interesting is that we think of saturated fat as sort of this category that is all-encompassing, right?
Starting point is 00:45:37 And we think saturated fat is bad for us. And it will be a long, nuanced discussion, which maybe we won't get into. But it's a little bit more gray than that, I'd say. But then usually a question I have is that, well, what type of saturated fatty acid, individual fatty acids are we talking about? Because we know certain compounds are associated with or more neutral for our risk of heart disease. And some of them might even be protective, which are the long chain saturated fatty acids. So this is behanic acid,
Starting point is 00:46:10 arachidic acid, nonodecanoic acid. So basically C20 and up, but C15 also seems to have some potential health benefits. But we know that people with higher amounts of these in their diet or circulating in their diet or circulating
Starting point is 00:46:25 in their blood, that's associated with a decreased risk of heart disease. And I think this is also what was a key finding of our paper, and I think it's not as recognized as much, is that you improve the saturated fatty acid profile too, even though the total amount of saturated fat between the two products is the same. It's interesting. Yeah, you mentioned in your paper that sort of the cardiac risk may be different because we think of all meat as being bad for your heart, which is not actually true. But in the grass-fed meat, you had higher levels of what we call fatty acid glycerol or fatty acylcarotene, which are actually metabolites that are reduced in grass-fed meat compared to feedlot meat. So that actually is a little technical, but it's a beneficial fatty acid
Starting point is 00:47:13 profile of the meat that actually is more protective than a feedlot meat for your heart. Yeah, on paper, it certainly is more protective. And one thing we could say, it was certainly protective to the bison. Because while we do not know exactly what the effect was on the metabolic health of the human yet, until we finish our nutritional studies. But what I can say, I feel comfortable in saying is that, yeah, the pasture-raised bison look metabolically healthier. To use an analogy, Mark, is that the pasture-raised bison, they kind of look like a human cyclist or an endurance runner. And the feedlot bison, they look more like maybe a sedentary person that doesn't walk as much, and maybe their diet is also not as good. And this is in comparison to each other.
Starting point is 00:48:05 It's not to say that the feedlot bison is unhealthy for you, but if we compare the two on a relative scale to each other, then yes, the pasture-raised bison, they have a better athletic phenotype. They rely on mitochondrial metabolism instead of glycolysis they also had lower amounts of advanced glycation end products so for and lipoxidation end products so 4hne is a is a compound that's been very well studied and it is associated with a whole host of ailments right it's one of the reasons why red meat is considered a potential carcinogen and we know know these AGEs and ALEs, these advanced glycation and lipoxidation end products, they're related to glycation sugars
Starting point is 00:48:53 and they're related to lipid peroxidation, so oxidation of lipids. So if we look at, for instance, the glycation, if an animal has a worsened glucose metabolic health, just like we see in humans that potentially have prediabetes, for instance, these glycation end products, they are related to the glycation of the sugar. So if the animal has more sugars in its body and does a poorer job of metabolizing them, we start to produce more of these glycated end products. So we can already see that this is animal health. The animal is healthier, but we also know that we are then exposed to lower quantities of these things
Starting point is 00:49:35 in meat that we think are bad for us. That's incredible. I want to break that down because it was a lot. I understood it because this is what I've been studying my whole life, but I don't want if anybody else got it. But basically what you're saying is that these feedlot bison that are eating grain are pre-diabetic and they have more inflammation in their system. They have poor metabolism.
Starting point is 00:49:57 They have more oxidative stress. They have toxins like this, this um this derivative of basically the oxidative stress byproduct they also have higher levels of what you call advanced glycation end products or agees or ages which drive inflammation it's what you see more in diabetics why you get cataracts and heart disease and all kinds of stuff. So basically, the animals eating the kind of diet that most of the meat in this country is fed, basically grain-fed feedlot meat, are very poor in poor metabolic health. The question that comes up in my mind is, what happens when we eat a diabetic buffalo or a diabetic cow? You know, does that affect us? And I think what you're saying is it does. I could, I'm not a hundred percent sure. I mean, the two things, the animal
Starting point is 00:50:52 doesn't get, it's rare to see diabetes in, in, in a bison and cows. I also don't know what the sliding scale is here, Marcus, because we know, I'm kind of being very generic but right yeah it's good it's good but because we don't know we don't have a hard kind of okay here is when an animal has pre-diabetes or something like that right we don't know that what would be interesting is to and i kind of want to do this in a study and i'm not sure what the you know we know across the american species and this is something i've been pondering for a while, and I think we just have to do it. What if we take blood or muscle from people that we know have diabetes or are pre-diabetic? And what if we take it from runners, endurance strength athletes?
Starting point is 00:51:36 What is the difference? Are they threefold more metabolically healthy? Are they fourfold more metabolically healthy? And then do the same thing from feline animals and pasture pasture-raised animals because then we can get a feel for what it means on a scale because it could just be that if you have on the other end of the spectrum you have diabetes and the other end of the spectrum you have like great metabolic health that the feedlot animals are still pretty good right and that's that i don't know yet at the moment um yeah but it's i mean it's very know yet at the moment. Yeah, but it's, I mean,
Starting point is 00:52:05 it's intuitively, it seems to make sense that if you're eating an animal, it's not that healthy, you're not, it's going to affect your health. Can we get out of our protein being vegan? And especially as we age, and two, how do we deal with this, this basically seemingly contradictory idea that we should inhibit mTOR to extend our life, but we need muscle to be more as we age to be healthy. So help us with that. So, wow, unlocking a lot of different things there. Okay, so the vegan story. Yeah, you can be perfectly healthy as a vegan, but it's tough. Basically, what we know is that to be equal, you have to eat more total protein and more total calories. So your gorillas are stuffing themselves.
Starting point is 00:52:59 Basically, the solution to that is they better be physically active. And so being a vegan at 25 or 35 works a whole lot better than being a vegan at 65 or 75. Now you have both physical activity and metabolic rates going down, and it's hard to eat enough to get to it. You know, my comment earlier that 65, you know, 40% of women over 65 don't get enough protein just to be equal. And being a vegan doesn't make that better. So, so, you know, I think there's an age issue in it. My problem with vegans is, is when they sort of take a moral superiority approach to it. I just have no, I have no tolerance for that. You know, if, if you want to do it for a personal reason, if you want to do it for some metabolic reason, cardiovascular disease, you've got really
Starting point is 00:54:02 high LDLs or something. I'm okay with that high fiber. Okay. I'm okay with that. Is it metabolically better? I don't think so. I think that a balance of animal foods in the United, one of the things you have to look at it is not only can it be done, the issue is can people do it? And in the United States, most people have nowhere near the food knowledge or the food skills to pull that off. In the United States, we get 70% of our calories from plant-based foods now, only 30% from animal-based foods. Of that 70%, 51% comes from added sugars, oils, and hydrogenated fats, and another 33% comes from refined grains. So of the 70%, 80% have no nutritional value. They're just crappy calories. And if you look at the 30% of the calories coming from animal foods, basically, we're getting 65% of our protein, 100% of calcium, vitamin D,
Starting point is 00:55:16 B12, and over 60% of iron, zinc, selenium, B6, niacin. So the question is, if we take calories out of that animal fraction, what are we going to eat? Are we going to eat broccoli and Brussels sprouts and green beans? Are we going to eat bread and candy bars and donuts and french fries? I mean, that's what Americans eat. Right now, of our plant-based protein in the US and worldwide, 80% of the protein comes from wheat, which is absolutely lousy protein source. So wheat as a flour, particularly, not even as whole wheat, right? Whole wheat or not. Whole wheat or not.
Starting point is 00:56:01 Whole grain. I mean, most people don't eat wheat berries. They eat either whole wheat flour or white flour, which is not different. Sure. Like I just said, you know, 50, you know, you know, 33% of it comes from refined grains, you know, etc. So a lot of it is from, but anyway, the point is people aren't eating beans and lentils they're eating they're eating french fries and and bread but let's say don let's say they work because you know let's just say like you're you want to um let's say 30 grams of protein right in chicken let's say it's four ounces which has about 270 calories if you want let's say beans let's say black beans that's two cups of black beans
Starting point is 00:56:46 to get 30 grams of protein. We can talk about protein quality. That's 450 calories. So if you want to have 30 grams of protein, that's fine. If you want them 120 grams, that's four times that that's like, you know, 800 calories from protein versus like, versus like thousands of calories. And if you took brown rice, you have to have 24 cups of brown rice a day which has 1200 calories times 20 times like uh six i don't know i'm not good at math but that's like 20 000 calories a day to get enough protein from brown rice right so 100 agree my first point was that if you're going to be vegetarian or vegan, you're going to have to have more total protein because the quality is down and more total calories to your point right now. I mean,
Starting point is 00:57:31 the average beans, black beans, for example, are between three or four to one carbohydrate to protein. So if I want to diet with 100 grams of protein, by definition, I'm going to have to have 350 grams of carbohydrates, which we already said most people can't metabolize, you know, it's just too many calories. So, you know, it's much harder, it can be done. It's much easier. How could you do it really? Because if you're eating, you know, let's say, the bottom line is that almost all vegetarians reduce their protein intake. The average, all of the studies say that the average protein intake for vegetarians is in the mid 60s. Okay, the average adult intake in the United States is women are around 70 and men are around 90. So they're reducing their protein intake, they're reducing their protein quality.
Starting point is 00:58:24 When you're young, you can kind of get away with it. When you're older and you're stressed with sarcopenia, not so much. Okay. We're talking about protein quality because, you know, people say, oh, your beans and grains, you combine them. It's great. You know, you can get full protein and that's fine. But, you know, just doing the math, if brown rice, six cups of brown rice has, you know, six cups of brown rice has 30 grams of protein. You multiply that by four, that's 120 grams. That's 31,000 calories, not to mention how many carbohydrate grams are in there. And then when you add protein, you know, the 450 grams of protein, I mean, sorry, 30 grams of protein in two cups of beans, that's 450 calories times four to get 120 grams. That's 1,800 calories. So you're going to be eating so many extra calories with also carbohydrates.
Starting point is 00:59:13 My conclusion, unless you actually have pulverized concentrated protein powders that are made from plants and add extra leucine and branching amino acids on top of it, it's going to be very hard to do this. And I've met these guys who are bodybuilders who are vegans and they eat jacked up plant proteins, powders, not food. Yeah. Again, the national surveys, the NHANES data and others all say that average vegetarians are in the low 60s protein per day. So if you're going to try and get to 120 grams, to your point, you're going to have to have isolated purified proteins. You can't do it with eating food because you're just going to get too many calories. So people who are vegan vegetarian, and by the way, I was a vegan vegetarian for like 10 years or more, actually, when I was younger.
Starting point is 01:00:06 So, I get this and I understand why. And there's three real issues, health, environmental, and moral. And moral, I can't argue with. Health is more complicated. And, you know, I think environmental is very nuanced in terms of regenerative agriculture. And we can talk about that. But I think I sort of want to get into the protein quality because I read Diet for a Small Planet, and if you combine protein from beans and grains, you get complete protein, and you don't have to worry. And yet the thing that you talk about, which is really unique and that I learned from Gabrielle Lyon, my friend who was your student, was that leucine is a rate-limiting amino acid in protein synthesis. And in English, that means
Starting point is 01:00:50 if you don't have enough of this particular amino acid, you can't turn on the switch, like flipping a switch to turn on your engine to build muscle unless you have that amount. And typically, plant proteins are very low in this particular amino acid, leucine and other branched chain amino acids. So can you help us understand like that concept and what do we do about it? Yeah. So there are nine essential amino acids. And interestingly, they're not all equally essential. The ones that show up most in diets, you mentioned leucine, the other two are lysine and methionine. All grains are very low in rice, etc. All grains are very low in lysine. And all legumes, beans are very low in methionine, and they're both pretty low in leucine. And so
Starting point is 01:01:47 you'll see advertisements that say, well, this plant protein contains all the essential amino acids. Well, every protein contains all the essential amino acids, but they're not in the right proportions. The thing I always like to say is that plants have proteins for the sake of the plants. They're building roots and flowers and seeds, which are pretty different than brains and hearts and livers and muscles. Yeah. You know, your comment about animals. We have evolved to use animals to correct that balance for us, particularly ruminant animals. They have the ability to take plants and basically convert those back into amino acid balances that are correct for humans. And they eat all day.
Starting point is 01:02:35 They eat all day. And they eat enormous amounts of food. So those are the essential amino acids that are missing. What we know and what my lab discovered is that when you're young, as I mentioned earlier, the protein synthesis, particularly in muscle is driven by hormones. But after you start stop growing into your 30s, now it's driven by diet quality and by exercise and diet quality. The body, for reasons that I love to think about, has learned to recognize leucine. I started studying these branched-chain amino acids back in graduate school. I was fascinated by them there were some early studies some great researchers uh that showed that leucine could stimulate protein synthesis in certain kinds of muscle diaphragm and things
Starting point is 01:03:35 like that back in those days and al harper at wisconsin and some others had also shown that leucine is not metabolized in the liver, where all other amino acids are metabolized in the gut and the liver. Leucine, the branched-chain amino acids, leucine, valine, isoleucine aren't. And so they end up going from the diet, the gut, into the bloodstream, basically in the exact percentage that you ate them. Well, muscle now can see the diet. Muscle is getting a dose of how to,
Starting point is 01:04:08 what did that meal look like by the amount of leucine that shows up? And for reasons we don't really know, it learned to sense that as a trigger for protein synthesis through a mechanism we now know as mTOR. What my lab discovered was that this leucine signal triggered the initiation process of protein synthesis. And, you know, the last 20 years, hundreds of labs have looked at that process. But we know that know that as an adult,
Starting point is 01:04:40 not so much as a child, but as an adult leucine, the amount of leucine at a meal is an absolute key to maintaining your muscle health, maintaining your muscle protein synthesis. And so that's a key part of diet. And to your point, all plants are relatively low in leucine. quinoa for example to to use whey protein at a meal you can eat 20 23 grams of whey protein about 120 calories and stimulate muscle protein synthesis where quinoa it takes something like 50 grams of protein and 100 you know 2 000 calories to make the same effect you know you just you just can't almost almost 20 times the amount of calories to get the same amount of leucine and so you know again quinoa has leucine in it but it's at such a low amount and the nutrient density is so low the relationship to calories is so low low that you can't eat enough of it.
Starting point is 01:05:47 Yeah, this is such a radical idea that you're talking about, Dr. Lehman, because you would get so much pushback from the vegan community that this is true. And yet this is just basic science. This is not controversial. This is not in any way challenging, you know, the decades of research that you've done and others have done to prove that this basic biology of building muscle requires this particular amino acid leucine at a particular amount per meal, which is about two and a half grams. And people will say, well, you know, if you do the right complementary proteins, if I take my wheat and I combine it with corn and I combine it with pea and I do this and I process, I can make a balance. And absolutely, you can do it.
Starting point is 01:06:32 All of the the vegans who understand this process now to the point we made earlier are almost all using supplements. They're using protein powders. You just can't do it with just pure natural foods. You have to do some sort of processed powder to get to it. Otherwise, you're going to end up in the low 60s. You just can't eat enough food to get to that protein level. The amino acid supplements that people will get or add a leucine, they can be gotten from plant proteins, right? You don't have to get them from animal protein. So if you want to be strictly vegan, can you synthesize them in the lab from plant components and then add them to a protein powder?
Starting point is 01:07:16 Or where is it coming from is what I'm asking. Okay. So I was talking about protein powders where you're isolating a protein from P, a whole protein, and it's 70% pure or something. Amino acids, the primary source of amino acids is yeast. Okay. So they're grown in yeast environments, and then they're isolated from that. Okay.
Starting point is 01:07:39 So it's not a plant, but it's some kind of... Something you can eat. Something you can eat. Okay, I got it. So eth, but it's some kind of- Yeah, something interesting. Something interesting. Okay, I got it. So ethically, it's okay. And if you're committed to being vegan, you just have to understand that you can't get around the science of needing this amount of leucine per meal to activate muscle synthesis,
Starting point is 01:07:59 and especially important as you're older. So you have to either take these additional supplements or take the extra protein powders with extra leucine. And I know there's, for example, vegan protein powders that are jacked up. I call them jacked up where they add branching amino acids and they add leucine to supplement. And those can be very effective. So I'm not saying you have to eat meat. I'm just saying you have to get real about the science of muscle. Otherwise you're going to end up having poor metabolic health, aging faster, lower hormones, more inflammation, and all the things we see with aging. Yeah.
Starting point is 01:08:27 I mean, if you go back in history, in the 1980s, we got a recommendation for plant-based diets. It was called the Food Guide Pyramid. You mentioned it earlier. And people responded to that, and they decreased dairy consumption, egg consumption, and beef consumption by 35% in each category. And they increased grain consumption by 40%. And we got epidemics of obesity, diabetes, and no change in heart disease at all. So, you know, the issue is, can you create a healthy plant-based diet? Well, you can, but you can can you create a healthy plant-based diet?
Starting point is 01:09:09 Well, you can, but you can also create a very unhealthy plant-based diet. And that's what most Americans have done. Yeah, exactly. That's my problem. You know, if people say, you know, do we need a more plant-based diet? I say we need a diet with better plants. I hope you enjoyed today's episode. One of the best ways you can support this podcast is by leaving us a rating and review below until next time thanks for tuning in
Starting point is 01:09:31 hey everybody it's Dr. Hyman thanks for tuning into the doctor's pharmacy I hope you're loving this podcast it's one of my favorite things to do and introduce to you all the experts that I know and I love and that I've learned so much from. And I want to tell you about something else I'm doing, which is called Mark's Picks. It's my weekly newsletter. And in it, I share my favorite stuff from foods to supplements to gadgets to tools to enhance your health. It's all the cool stuff that I use and that my team uses to optimize and enhance our health. And I'd love you to sign up for the weekly newsletter. I'll only send it to you once a week on Fridays, nothing else, I promise. And all you do is go to drhyman.com forward slash pics to sign up. That's drhyman.com forward slash pics, P-I-C-K-S, and sign up for the newsletter and I'll share with you my favorite stuff that
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