The Jordan B. Peterson Podcast - Sugar Cravings, Red Meat, and Your Health | Max Lugavere
Episode Date: June 17, 2024Dr. Jordan B. Peterson sits down in-person with filmmaker and science author Max Lugavere. They discuss his upcoming film, “Little Empty Boxes,” that details his mother’s progression through dem...entia, which set Max on his life’s journey to understand and communicate the science behind health and nutrition. Dr. Peterson and Lugavere also discuss obesity, toxic exposure, hypertension, and elimination diets. Max Lugavere is a health and science journalist, filmmaker, and bestselling author. He is the author of the Genius trilogy of books, including the New York Times bestseller “Genius Foods” and the Wall Street Journal bestseller “Genius Kitchen.” He hosts The Genius Life podcast, one of the top health and wellness podcasts in the U.S. His appearances on The Today Show, The Rachael Ray Show, The Doctors, and The Joe Rogan Experience have made him a respected and well-known voice in the field. His debut film Little Empty Boxes, a project 10 years in the making and the first film to document the science of dementia prevention, is available for pre-order now at LittleEmptyBoxes.com. This episode was recorded on June 8th, 2024 - Links - For Max Lugavere: Pre-Order “Little Empty Boxes” (Film) http://littleemptyboxes.com On X http://x.com/maxlugavere On Instagram http://instagram.com/maxlugavere The Genius Life on YouTube (podcast) http://youtube.com/maxlugavere The Genius Life on Spotify (podcast) https://open.spotify.com/show/5WkdjiVLo1kp3alPfFZItS?si=e0189092486a4653
Transcript
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Hello everybody. Today I'm talking with Max Lugavere who flew in from LA to Washington,
DC to have this conversation with me. He's a journalist who's become quite a well-known
scientific researcher and popularizer,
but also a creative investigator in his own right.
He wrote a trilogy of books, the Genius Trilogy,
one on foods, one on life,
and one, a recipe book on the kitchen,
and is also the producer of a documentary
that'll be released at the end of June, 2024,
called Little Empty Boxes.
All of that was motivated by his mother's experience
with a form of dementia known as,
that involves the degeneration of these neurological tissues
known as Lewy bodies.
It's not Alzheimer's or frontal temporal dementia. It's another form
of dementia. And he was very shocked by his mother's illness, which she developed when she was
in her late 50s. And also by the dearth of effective treatment that was available to her and
ended up obsessively concentrating on
research into the dementias in general, concluding, as have many people in the last decade, that
the dementia spectrum of illnesses, and that includes Parkinson's by the way,
might well be preventable with interventions that are early enough in life
and that many of those interventions might be dietary in nature.
And we discuss why that is and talk about the carnivore diet
as well as a potential diagnostic investigative tool
for the analysis of complex disease in general.
And well, I suppose in some ways celebrate the possibility that dietary modulation might
prove to be the treatment of choice on the prevention side for these terrible degenerative
neurological diseases.
So join us for that.
So I'm interested in diet, I suppose, despite myself, I would say, because it's not my natural
domain of interest. I'm more interested in psychological matters, let's say, than physical
or physiological matters. I know they overlap, but my attention doesn't naturally gravitate that way.
But I have definitely learned that
many of the things that I would have been tempted to assume
were psychological aren't.
I mean, I've known for a long time, for example,
that endogenous depression,
the schizophrenic disorders and manic depression,
I never thought of those as psychological disorders.
I thought, no, those people are sick.
We just don't know what's wrong with them.
So I spoke with Chris Palmer in some detail on my podcast
and I just met him again in Boston.
He's got a couple of research projects finishing up.
He's got 15 on the goal looking at treatment of those disorders with diet.
And the first three have been spectacularly successful.
So diet, right?
So let's start with your genius work and, and outline for people what you're, what those are and what you're doing with them and why. Let's start with your genius work and and Outline for people what your what those are and what you're doing with them and why let's start with that sure
so I've written a
trilogy of books the genius trilogy as it were and my first book was called genius foods and it came out in 2018 and
it's a tome to
and an homage really to the science of
both dementia prevention as
well as the burgeoning field that's being referred to as nutritional psychiatry.
So how diet plays a role in mediating mental health.
In so far as it does play a role, there's this really exciting area of research looking at
how our diets are able to influence our moods, which I think is incredibly exciting.
I followed that up with a book called The Genius Life, which was a more lifestyle-centric
guide.
And then my third book came out in 2020, I'm sorry, 2022, and it was a cookbook kind of bringing everything together.
But my work really, I would say, primarily explores
the intersection between diet and lifestyle and brain health.
And the reason why I wrote these books
is because I was personally affected by dementia,
by a form of dementia called Lewy body dementia,
which prior to even receiving that diagnosis in my family,
it's a condition that my mom suffered from.
I became obsessed with trying to understand all that I could.
How old was she when that happened?
She was 58 years old.
When she first started to show these amorphous symptoms that-
What symptoms did she show?
So she had symptoms that both occurred concurrently.
Some of them were movement related,
so rigidity, balance issues, stiffness.
I guess rigidity and stiffness are similar.
But yeah, a real lack of coordination,
reduced swinging in the arms.
I'm not a medical doctor, so I didn't have any framework
with which to understand what I was seeing my mom exhibit.
I thought movement symptoms
as a musculoskeletal condition has to be.
But then in tandem with those symptoms,
she also displayed stark cognitive dysfunction.
And it's not necessarily that she started to forget
simple things like who she was,
who her family members were.
But it seemed as though her,
I've likened it to when you have too many tabs open
in your browser window.
It's just like the frame rate starts to stutter.
And that's sort of what I saw in my mom
who was very much still in the prime of her life,
had all the pigments in her hair,
raised three boys around a business.
And I had been a journalist prior to that.
I had been a generalist journalist since college,
since graduating college.
I had worked for a TV network that was co-founded by Al Gore.
It wasn't a political network,
and I certainly was never really that into politics.
But I was sort of like this young kid
who was given the reins of this TV network
that reached 100 million homes in the US.
And so when my mom became sick, I...
How old were you when she was diagnosed?
She was, I was in my late 20s.
Okay. Yeah.
And I had just come off of that position
and I was in between jobs.
And more so than being a journalist,
at the time I was just a scared son.
You know, I was a scared son seeing,
you know, these awful symptoms, these mysterious.
Yeah, there's not much worse
than a degenerative neurological disease.
They're brutal, those things.
They take you apart like atom by atom.
Exactly.
And there was no precedent in my family.
So, as soon as the immediate trauma
of realizing that my mom had something serious going on
with her brain health,
it was the most profound call to action
that I've ever felt in my entire life
to do what I could to understand to the best of my ability
why this would have happened to a woman
at the age at which it did.
Why were you so compelled to, do you think,
why were you so compelled to transfigure your life to come to the service of your mom?
Love, I mean, you know,
my mom was the most important person in my life.
And I'm the first born in an incredibly small family.
And I've always had an incredibly close relationship
with my mother.
Right, so this wasn't okay.
It wasn't okay.
Whenever I had so much as a cough growing up,
I mean, moments later I found myself
in the pediatrician's office.
And when my mom became sick, you know,
those around her were not all that set up
to really understand what was going on.
I mean, we're not, you. I mean, as a society today,
we outsource so many different forms of literacy.
We outsource culinary literacy to Grubhub, to our apps.
We outsource financial literacy to our financial handlers.
Health literacy is like it's a huge area,
it's a huge unknown.
We all collectively have, you know,
these really scary knowledge gaps,
which only become apparent to you when, you know,
you're strong.
Yeah, and then you just get more scared
because you start to understand
how big the knowledge gaps are.
I've never recovered from finding out
that the food pyramid was a scam.
Yeah.
That's just, that was just,
the degree to which that's a scam is, I don't know, is there a worst
medical crime in history than that? No, I mean, you know, telling Americans to load up on seven to
eleven servings of grains every single day. Yeah, yeah. And to find out that that was a marketing
ploy by the Department of Agriculture and that they went against the advice even of their own
consultants who warned them that they would produce an epidemic of obesity and diabetes,
which is well, and not to say nothing of depression
and dementia, which is exactly what we have now.
Exactly.
It's like, I don't know what you even do
when you find out that that's true.
Yeah, and the unwarranted demonization
of natural fat containing foods, nutrient, nutrient-dense foods,
like animal-source foods, which continue to be demonized.
Oh, even by the American Diabetic Association?
Is it Association Society?
I don't remember which one is still pushing the notion that, you know, diabetics can eat
carbohydrates.
Like, actually, I don't think so.
I don't think that's a very good idea idea since they're converted to sugar, for example.
And then they're essentially glucose intolerant, right?
Right.
It's madness.
And you know, with that demonization
of these like natural whole foods,
I mean, we live in a time where 60% of the calories
that your average American consumes
comes from what are called ultra processed foods.
Right, the center of the supermarket.
Exactly, the antithesis to whole foods, right?
So the idea that we're still demonizing whole foods
is insane.
Yeah, yeah.
And causes insanity too.
So it's not just insane, it's a cause of insanity.
Yeah.
Yeah, I mean, that is not.
What do you think of RFK just out of curiosity?
Because I'm sorry, that's a non-secret or in a sense,
but not exactly.
Like I've never seen another politician
make an issue of health, right?
Of general health at the level that we're discussing it.
I mean, obviously COVID became an issue
and public health is an issue,
but Kennedy is the only candidate I've ever seen
who's calling out the reprehensible,
mostly corporate actors who are poisoning, well, everyone fundamentally.
Yeah.
And yeah.
I think he's an incredibly important voice in that regard.
And I hope that no matter what happens in November,
I hope that he finds a way to continue his advocacy.
I mean, I'm obviously, you know, completely aligned with,
you know, with the notion that we do need to start doing things differently.
Well, what's the obesity?
What's the percentage of Americans now who are obese?
By 2030, one in two.
And this is not just overweight, this is like frank obesity.
Right, right, right.
And so the morbidly obese will be one in five?
Yeah.
Yeah, unbelievable. It's
unbelievable and obesity is a risk factor for everything. Pretty much everything.
Yeah. And the cure isn't fat positivity? No. No, definitely not. No. I mean,
you can be more or less healthy at any given size, but it's less healthy to be
obese than it is to be of normal weight. You know, I can understand the fat positive people
in one way.
You know, I would say before I learned
what I did learn about diet,
I was never particularly judgemental
about people who are obese.
You know, I did, I suppose to some degree,
accept the idea that
fewer calories, a little more exercise, you lose weight. And perhaps that,
would I say that some more willpower would be of use?
I don't know if I ever really believed that
because I dealt with people
that all sorts of different problems
and reducing it to something like inadequate willpower.
Yeah, you got to be very careful about doing such things.
But now when I see obese people,
I think it's really too bad that you're ill.
Yeah. Yeah.
It is a disease and it's a,
I feel a strong sense of empathy for them
because you know, them,
they're being gaslit essentially.
That's for sure.
Because what you hear over and over again
is this idea that all foods fit,
there are no such thing as good foods or bad foods.
And that might be true at a population health level,
you know, I mean like, and there's no single food
that's gonna cause obesity in an individual, right?
It's a dietary pattern of the over,
you know, typically involving the over consumption
of these ultra processed foods.
Well, you're more likely to over consume the foods
that are, what would you say, pathologically delicious.
Yeah, hyper palatable.
And they'd be made pathologically delicious,
the high sugar foods in particular.
It's very difficult to resist them and no wonder.
Yeah, there was a seminal NIH funded study
led by Kevin Hall, who's a highly regarded
obesity researcher who found that,
when you give people an ultra processed diet to consume
and you tell them to eat too satiety,
it's called ad libitum feed in the literature,
they end up consuming a calorie surplus
of 500 additional calories.
So you do that every single day for a week,
that's a pound of fat gain every single week.
Right, right.
And conversely, when they gave them
these minimally processed foods,
they saw them eat to the same degree of satiety, fullness,
but coming in effortlessly at a calorie deficit
of about 300 calories.
So that's an 800 calorie swing.
I wonder if that has anything to do
with seasonality of grains, you know?
Because I'm curious, as our initial agricultural ancestors, especially in colder
climates, it's like maybe you wanted to pack on an extra 20 pounds before winter hit.
And so maybe that's an evolutionary adaptation to ensure that from September to December,
let's say, that you took full advantage of the harvest
so that if lean times come, it makes sense, say,
because islanders who've been on islands
for many, many generations are much more likely
to become overweight on a North American diet.
And you're much more likely to go through starvation periods
on an island as a population.
And so people who are very, what,
either efficient in their metabolisms
or perhaps liable to overeat in times of plenty
would have been people who survived.
So, you know, because it's interesting, right?
If there's a stable degree to which you overeat
high calorie foods, that indicates that there's,
like there's a reason for that.
That's not just random.
Yeah.
So.
It's an adaptive survival mechanism.
Those of us who are the most adept at putting on
and storing fat would make it through the famine of winter.
Yeah, the winter.
Well, and you can see why that wouldn't happen
in the case of animal products, because your cows,
your lambs, your goats, et cetera,
they can survive the winter, no problem.
You don't have a storage problem there.
And you don't have a seasonality problem.
So there's no reason to pig out, so to speak.
Right, okay, okay, okay.
So let's go back to your mother.
So one of the also awful things about neurological diseases
is that you're very damaged by the time symptoms show up.
I've read with Parkinson's, for example,
the relevant neurological tissue is 95% gone
by the time any symptoms appear, right?
So that's brutal.
Yeah, so with Parkinson's disease,
about half, by the time you are diagnosed with the condition,
about half of the dopaminergic neurons
in the substantia nigra are already dead.
And those are the neurons that produce dopamine
that control movement and the like.
And this is a condition like many other chronic
non-communicable conditions today.
They don't begin overnight.
They begin, they're simmering over a span of decades
prior to the onset of symptoms.
Well, you can predict probability of developing dementia
with verbal fluency measures taken in people's twenties.
Right?
So there's long-term study of nuns,
and they had fluency measures taken when they were very young.
And so that's an early indicator of,
we don't know exactly what.
Is it that the dementia process is already occurring
that young or is that an indication that the neurological substrate is less robust?
It's not obvious.
Well, yeah, inflammation certainly plays a role in reducing cognitive function, being
overweight.
When people typically lose weight, they see an improvement in their cognitive function.
Yeah, right. Yeah, well, you know, the best,
I look for a long time into the literature
pertaining to maintenance of cognitive function across time
because there's a linear decrease
in your fluid intelligence.
So that's G essentially,
the central measure of cognitive ability.
It starts to decline in your early 20s. It's pretty linear.
And so that's, you know, that's a drag.
And then you might say, well, what can you do to forestall that?
And there were many companies, none of which seem to exist anymore on the internet that
were claiming that, you know, daily cognitive exercises could increase your IQ or forestall
cognitive degeneration.
But the literature always indicated that your best bet in that regard was both
aerobic and non-aerobic exercise, because the brain is such a rapacious metabolic, it
has such a rapacious metabolic demand, if you're physiologically compromised, then your
brain's going to suffer first.
So the best, so funny, the best thing for your brain is to be a gym jock.
So that's really hilarious in a terrible way.
Okay, so you saw this terrible illness take hold
of your mother and that motivated you, motivated you what?
Well, I'd always been interested in fitness
and nutrition privately.
And in fact, when I started college, my intent was to go into medicine, Well, I'd always been interested in fitness and nutrition privately.
And in fact, when I started college, my intent was to go into medicine, which I ended up
pivoting away from when I realized that I really was a competent storyteller and creative
person.
And I ended up switching to a double major in film and psychology in college, which on the one hand kept one foot in the world of science as an undergraduate.
But then also I really fell in love with documentary filmmaking,
the idea of being able to tell important stories.
That was really my passion and that's what led to
this role getting to produce content for this TV network backed by Al Gore.
So this is what led ultimately to
my foray into the world of smarter attainment.
So essentially creating content, telling stories,
investigating ideas that I felt were under discussed.
When my mom became sick,
I had this passion, this lifelong
passion for nutrition, for health. I knew where to find quality primary literature,
peer-reviewed research.
How do you know that?
Well, in part due to my passion for it, you know, so I've been familiar with PubMed and all those sources.
And then as an investigator, as a journalist,
I mean, the term journalism today,
it's taken on a bit of a different meaning,
but you're of course not trained as rigorously as a PhD,
but you are trained to identify sources that are credible
and be able to parse them from sources that are less so.
You're trained to ask questions, to don a skeptic's hat.
And those are the skills that I had when my mom became sick.
And I'm not saying that, you know,
diving into the medical literature
as it pertains to dementia prevention,
this burgeoning field of research,
was easy for me at first.
It's not easy for anyone.
It's not easy for anybody.
And also most physicians never do it.
Like the public has an idea that there's not a lot
of distinction between a physician and a scientist
or they believe that physicians are scientists
and most physicians believe that, but they're not.
Correct.
And most physicians aren't trained to read research
or assess it critically and certainly not to participate
in this generation.
And so, well, the reason I'm bringing that up
is because there's no reason to assume
that if you're a journalist
and you have the cognitive ability and persistence
to plow through the literature,
that you couldn't learn how to assess it.
You can't.
It's hard because the scientific papers
presuppose a pretty high level of pre-existing knowledge.
And so often if you dive into a new field, you have to go back down into the simpler sources
to just understand even the lexicon, but it's not like it's impossible.
Yeah, but that's something that I actually quite enjoy.
I would read papers and I would read the...
I started just reading the introductions and the discussions and the conclusions
and I would cross-reference.
And I would, you know, if there was something that I didn't understand, this is prior to
AI, I would just cross-reference it in the hopes that some other scientist who's maybe
more verbally fluent would have described the thing that I was interested in learning
more about in a different way that would lead to it clicking in my brain, that aesthetic
aha, you know? But yeah, so that was just like a relentless passion that had become an obsession because
it was, I was seeing the consequences of...
How much time do you think at that time when it was a relentless obsession, how much time
do you think you were spending every day doing that research?
Every waking moment.
And I was... For how long?
For how many months or?
It was probably a span of,
I mean, it was a span of about six years
prior to even the idea of having a book,
like being able to write a book was even like an idea.
So that's about the equivalent of an extremely rigorous masters and. Was even like an idea. So that's about the equivalent
of an extremely rigorous master's and PhD program.
Six years, well, that's about the same, I would say,
for people who really hit it hard.
It's six years of obsessive work.
Now, do you have any idea how many papers you read?
Thousands.
Thousands.
Yeah, yeah.
And I also, at the time I had become friendly with somebody who gave me their academic credentials to log in through
Yeah, university libraries. Yeah, I could download papers for free
Yeah, something that should be available to everyone should be since the taxpayer funds the bloody research
Yeah, and but then also along the along somewhere early on in my journey
I realized that I had an aptitude for what I was doing and for my ability to not just digest and synthesize
into a cohesive narrative what it was that I was reading,
but that I was able to communicate in a way that
I started to garner the respect of the physicians
in the doctor's offices that I would attend to
with my mother, and ultimately I became fairly close
friends and collaborators with researchers in the field. So at a certain point...
This was when? What years was this?
Around 2011.
Okay.
I started attending scientific conferences and I started sharing what it was that I was learning.
And yeah, it was just a, it was, you know, it was a journey that was arduous at first,
but I just, I kept reading and reading and synthesizing and reaching out to people.
How did you support yourself while you were doing this?
It was very hard.
I mean, I wasn't making any money.
I actually, because of what it was
that my mom was going through,
I was living in LA at the time,
I ended up basically sacrificing my LA life
and moving back to New York to be closer to my mom,
to tend to her and to, you know,
in essence become a caregiver of sorts,
not the primary caregiver, but to help out with her.
And this is what I was gonna say.
So I also at a certain point realized that I had something
that very few people, very few civilians have,
and that is media credentials.
And so really early on,
I realized that I could exploit my media credentials.
I wasn't famous, but I had been on TV,
I was verified on Twitter,
and I started reaching out to researchers and scientists whose work
I had been reading to ask questions and to essentially get in the room with them, so
to speak, to be able to, you know, if there were any lingering questions or I needed,
you know, something clarified or what have you.
And I ended up forging relationships with these researchers because they saw the passion
that I had for understanding this topic, the relative
dearth of awareness that there was around dementia as a potentially preventable condition.
And yeah, that was a journey that began at this point over 10 years ago.
But yeah, it's been incredibly fruitful in the sense that not only have I been able to
write these three books, but I actually got to collaborate with one of my mentors in science, Richard Isaacson,
who's a, you know, he's a neurologist
at Weill Cornell, New York Presbyterian,
who from day one has been, you know,
really pushing this idea of-
What's his name?
Richard Isaacson.
Richard, would he be a good guest?
Oh, he's phenomenal, yeah.
He's-
He's a neurologist?
He's a neurologist who essentially helped
to create the field that is now referred
to as dementia prevention.
Back when nobody was talking about dementia,
back before the notion of being able to prevent
this condition was even thought of as a possibility.
It was something that he was really advocating for
and studying and raising funding
for these clinical trials that he himself had run.
And so I got to collaborate on a paper with him.
Oh yeah, that's a good deal.
Yeah, published by Springer in 2019.
It was a chapter in a textbook on the,
basically an overview review,
looking at the clinical practice of dementia prevention and making that accessible to other
clinicians.
Because as you reference, most physicians are in fact technicians, and many but not
all physicians are essentially have become paper pushers for the pharmaceutical industry.
Yes, well, and you can understand that in some sense.
Before the pharmaceutical companies were utterly corrupt,
they did serve an educational function
for general practitioners, let's say,
who were overwhelmed by their practice
and who didn't have the time to keep up
on the relevant literature on each disease.
And that's not surprising, because that's really hard.
But it does mean they can be captured.
And that's certainly happened.
I mean, I worked with pharmacists for quite a long time
in the, I say 2000 to 2010, something like that,
watching how they were marginalized,
but also with physicians,
watching how the pharmaceutical companies educated
and then captured them.
And that's not, well, it's not a particularly pretty site, although I do understand how it happened.
And I can also understand the pharmaceutical companies'
economic motives.
It's not inexpensive to produce new drugs.
It's also very difficult and they do have to be marketed.
So that's all very complicated.
All right, so you wrote this chapter.
That's a hell of an accomplishment for someone
who's not a formal scientist.
And so why don't you let me know what you think complicated. All right, so you wrote this chapter, that's a, that's a hell of an accomplishment for someone who's
not a formal scientist. And so why don't you let we'll go back
to the genius trilogy, I think, in a moment or two, but I would
like to hear now that we're into this, a little bit more about
what you learned about the etiology of dementia in general
and about its prevention, because that's going to be both
of those are going to be news to virtually everybody who's watching and listening so
well
depending on where you look the estimates are that at least 40% of
dementia cases are attributable to
What are called modifiable risk factors? So, you know you have your non modifiable risk factors, which are your age,
age is still the number one risk factor for dementia,
unfortunately today, gender,
women are at twice the risk as compared to men,
and your genes, you can't change your genes,
although you can change your expression,
you can influence the expression of your genes, right?
But those three things, age, gender, genes,
those are your non-modifiable risk factors. But then you have about 12, if not more, modifiable risk factors. So these
are the risk factors that essentially fall under your control. You have a degree of agency.
And that is, I think, what is so exciting and empowering. And so just to, you know,
discuss a few of them and happy to double-click on any that you find compelling, most compelling.
You know, obesity, for example, that's one of them.
We know that we have agency when it comes to whether or not we are obese, right?
There's a lot.
Yeah, at least it's potentially controllable.
Yeah.
Is it, okay, so is it obesity per se or is it, do you know if it's directly related to
pattern of fat distribution?
Like is visceral fat a worse marker for potential dementia
than body mass index?
Do we know?
Yeah, well there is an association.
So as waist circumference grows,
there seems to be an inverse relationship
between total brain volume.
So there seems to be an impact of, you know,
perhaps the inflammatory cytokines produced
by the visceral adiposity.
We know that, you know, fat is an endocrine organ essentially,
and that the adiposity that you accumulate
around your viscera, I mean,
that seems to be the most pro-inflammatory.
Yeah, yeah, right, okay, okay.
So that is the link.
It's inflammatory cytokines with visceral abdominal fat.
Right, but also even subcutaneous obesity
is associated with impaired insulin signaling, right?
So type two diabetes is another modifiable risk factor.
We know that many people today are struggling
from glucose intolerance, type two diabetes,
free diabetes.
Well, we should be able to get that up
to everyone suffering from it
if we keep on the track that we're on.
Yeah.
I mean, I know that this is a horrible fact.
So the blood sugar curves that are used to diagnose you
as diabetic when you're 20 are age adjusted as you age.
So if you take the typical 60 year old
and use the 20 year old curves,
many of the average 60 year olds would be diabetic by 20 year old standards
or pre-diabetic, which means they're pre-diabetic.
Like there's no reason for those curves to be age adjusted
as far as I can tell.
And so that's a, that means that diabetes as a factor
among people 60 and older is radically under diagnosed.
And if diabetes is a risk factor for dementia,
which we know, because I've heard dementia referred to,
it's gotta be for at least 20 years
by people in the know as type 3 diabetes.
Yeah.
Right, right.
Yeah, actually the neuropathologist
who coined that term type 3 diabetes is,
she's in my documentary, Little Empty Boxes,
which she's not, to my knowledge,
been in any other public facing content.
But I thought that that was an incredible way to frame.
What's her name?
Suzanne De La Monte.
She's a-
Suzanne?
Suzanne, yeah.
Suzanne De La Monte.
Yeah, she's at Brown University.
And so it's funny that more attention hasn't been paid to her, because that's a big deal, if it's right. Like, it's a- De La Monte. Yeah, she's at Brown University. And so it's funny that more attention hasn't been paid
to her because that's a big deal if it's right.
Correct.
Like it's a big deal.
Big deal.
Yeah, so you talked about non-modifiable
and modifiable risk factors
and we went through obesity and diabetes,
which are also linked.
What else is modifiable?
Hypertension.
So high blood pressure,
about 50% of adults today have hypertension.
We're starting to see pre-hypertension
in adolescents as well.
Oh, good.
But one of the seminal studies
in the field of dementia prevention is referred to,
it's known as the Sprint Mind Trial,
which found that when people were with hypertension
were aggressively treated via pharmacological means
for their hypertension,
they saw a dramatic risk reduction
for the development of cognitive
impairment, mild cognitive impairment, in fact, which is considered like a prodrome
of dementia, a form of pre-dementia, if you will.
But we know that lifestyle modification, dietary exercise, for example, all are as effective
as drugs.
And when you have hypertension,
essentially the blood vessels that are supplying
blood, nutrients, oxygen to the brain
are essentially damaged.
And so, yeah, hypertension is incredibly damaging
to the brain.
You said there were 12.
Yeah.
I think we should, can we go through all of them?
We can go through, yeah.
I mean, so those are the ones that I think
that are most relevant to diet.
But I think it's important at this juncture
to state that diet is not the only,
nutrition is not the only variable here.
So I'll never know what caused my mom's dementia,
unfortunately, although it's an investigation that's going to continue
on through the rest of my life.
But nutrition is one slice of the pie.
And so among the modifiable risk factors, you have non-nutrition-related risk factors
such as exposure to excessive air pollution on a chronic basis, which as of the 2020 Lancet Commission on Dementia was finally acknowledged
as being a risk factor for the development of dementia.
We've seen studies run in, for example,
Mexico City, where they've seen pathological changes
that are associated with Alzheimer's disease
in the cadavers of adolescents and children. You know, people who have died in Mexico City, who
have been exposed over the course of their lives to, you know, excessive levels
of air pollution like fine particulate matter, PM2.5 for example, that they see
an undue aggregate of, you know, amyloid beta for example, which is the the
protein that forms the plaques
that is one of the defining characteristics.
Is that an inflammatory consequence too, or does anybody know?
Yes.
It is.
Yeah.
There's an inflammatory consequence.
There's a cardiovascular consequence to being exposed to air pollution with regard to your
cardiovascular system.
We know that what's good for the heart is good for the brain.
And conversely, what's bad for the heart is good for the brain. And conversely, what's bad for the heart is bad for the brain.
And so air pollution plays a major role.
An area that I think is incredibly exciting,
also very scary, but ultimately empowering
is looking at certain environmental pollutants
like certain industrial solvents.
For example, there's a compound that,
there's another fantastic neurologist
who has become a friend and colleague,
and I think his work is incredibly important.
His name is Ray Dorsey, Dr. Ray Dorsey.
He's a University of Rochester neurologist
who has done a lot of work exposing the link
between exposure to certain chemical solvents
that are still in, widely
being used in the United States like trichloroethylene and perchloroethylene and the etiology of
Parkinson's disease and related conditions like Lewy body dementia, which is the condition
that my mom suffered from.
And so we know that, you know, what we breathe, what we eat, these are all having an impact on our health.
But now the evidence is really starting to emerge
that the brain does not sit in this privileged ivory tower
where it's immune somehow to what it is that we're eating
and the compounds that we're inhaling.
The brain sits directly downwind of a lot of the insults that are being waged
by modern life, modern living.
The trappings of modern society come at a cost,
and we're starting to see that they now are likely
having an impingement in our collective brain health.
So one of these compounds, trichloroethylene,
which I just referenced,
is still being used to spot clean in dry cleaning applications. And it's an incredibly volatile
compound. It readily evaporates. It easily, you know, infiltrates groundwater. And obviously,
occupational exposure to these compounds is really bad. But there have been a small handful of epidemiologic studies that show that exposure to a compound
like TCE, for example, is associated with a 500% increased risk of the development of
Parkinson's disease.
This is a compound that was used medically up until the 70s.
It was used to decaffeinate coffee. It was used
as an anesthetic for pregnant women. It's still being used as a metal degreaser. And
again, it's used to spot clean in dry cleaning applications.
Now I'm skeptical of all my suits.
Yeah, well, you definitely want to not dry clean or at least make sure that the dry cleaner
that you're using is a quote unquote green dry cleaner
because I think they'll be less likely
to be using these kinds of compounds.
But it's really scary stuff.
My mom was somebody who worked in the garment industry
in New York City and so she likely was exposed
to these kinds of compounds on a regular basis.
Certain herbicides and pesticides we know are, you know, occupationally linked to these
kinds of conditions like Parkinson's disease.
We breathe them in through our nose, right?
They don't undergo the same degree of detoxification as an ingested compound.
They can very easily bypass the blood-brain barrier.
You know, they access the olfactory bulb.
Actually, a decline in sense of smell is one of the earliest
features of a preclinical feature of cognitive decline,
dementia, and even Parkinsonism. And so, you know, as far as
these conditions are, these compounds are in our
environment, I think that that's, you know, on the one hand,
it's very scary, but it's also empowering. The more awareness that we can have about
reducing our exposure to these compounds,
I think it's crucially important.
So that's another of the modifiable risk.
Yeah, that's on the toxic exposure side.
Yeah, which I think is incredibly important.
My second book, The Genius Life, was really looked at that.
How much of an overlap do you think there is
between the dietary risk and the toxic exposure risk?
Because obviously, well, and we'll get into this
after we're done this section of the conversation,
but obviously there's the carbohydrate,
diabetes, obesity link,
but then there's food toxicity link too.
Because lots of things that we think are edible
would rather not be eaten.
And they have, well, I mean, I've known for years
that the typical plant, people are worried
about the pesticides that are on plants and fair enough,
but they're not nearly as worried about the pesticides
that are in plants.
And there are plenty of them because, well, plants
don't like being eaten by bugs.
And most of them aren't that happy about being eaten by bugs and most of them aren't that happy
about being eaten by us either.
And so they have got very potent chemical defenses
and they're not trivial.
And I've wondered because of my experiences with diet,
I mean, I lost a lot of weight because of the diet
that I'm on and I kept it off.
And that's quite the bloody miracle, that's for sure.
It's really something to,
like I weigh what I weighed when I was in my twenties.
You know, that's really something when you're 62.
It's like, what the hell?
Who knew that was possible?
And I have about the same bodily composition
that I did when I was in my twenties.
And some of that's obviously from not eating carbohydrates,
but there are other improvements that I've experienced
that have made me wonder, like I had psoriasis, it's gone.
And some of the psoriasis patches had lasted
literally decades and they're gone.
And I think, oh, well, I was obviously eating something
that was causing that.
Is that carbohydrate linked?
Who the hell knows?
But is it food toxicity linked or immunological allergic?
I don't know.
Well, I think that most people,
and this is where the whole, you know,
the debate about the carnivore diet and all that,
I think becomes really interesting.
You know, a robust organism such as yourself and all that, I think, becomes really interesting.
A robust organism such as yourself should be able to consume some of these plant,
quote unquote, defense compounds,
and garner a degree of additional strength in so doing.
There's this notion of hormesis,
where low doses of a certain stressor,
or toxicant, if you will,
might actually cause a response in the system
that actually leads to an upleveling
of robustness, of vigor, of strength.
Pharmacon means something like
a little bit of the poison that kills you cures you.
Yeah.
And so that's where I think if you have a robust,
for example, gut microbiome,
I think that most people should be able to derive value from these kinds of compounds.
Yeah, well, that's the theory.
I mean, when you look at the average health state of the typical person, it makes you
wonder, right?
And I've wondered how far down the rabbit hole you have to go to get to the bottom given
how obese people are. And well, what
I've seen as the consequences of a relatively radical dietary shift. So, well, that's obviously
one of the reasons I wanted to talk to you today. Let's turn then, we went through quite
a few of the modifiable risk factors. Let's turn from that, if that's okay, unless there's
any others that you'd like to specifically highlight. We can turn to that, to what you
have been, what you found in relationship
to diet and what you've been recommending.
So are there other modifiable risk factors
that you think are worth concentrating on?
We went through diet and exposure to pollutants and toxicity.
Anything else that's directly relevant?
Yeah, well, there's a newly identified risk factor
and that is hearing loss.
And that's, you know, again, newly identified.
So all the, the, the verdict, the, all the research, the, the research that we need to
make clear recommendations other than if you have a hearing loss, a hearing aid actually
is a potentially, you know, can be a potential boon to health.
Oh, so it's actually the loss of the auditory input.
Yeah.
And not a correlation between the degeneration of the ear
and the degeneration of the brain.
Or maybe both. Correct.
No, I mean, I think insofar as we know that social isolation,
which is- Yeah, well, right.
Which is in fact another- It restricts people.
Yeah, it can become more and more isolated
in your own world.
And I think that that's probably harmful.
We know that depression- Yeah, yeah, yeah, sure.
Depression is another one.
Uh-huh., these estimates are typically
conservative. So I said at the onset about 40%, which was the number that was given,
you know, most recently in this 2020 Lancet Commission on Dementia Prevention. But I think
that I think it's very likely that the majority of cases, at least with regard to Alzheimer's
disease, and likely also even these Parkinsonian conditions, which, you know, it's becoming
increasingly clear that there's an environmental toxicant aspect to them.
I think that the majority, and this is just my opinion based on my assessment of the literature,
are likely preventable.
We don't have all the data yet,
but I think given what we do currently know,
we don't have to sit idly on our hands.
For example, there's a class of drugs
that are widely being used today on a frequent basis
called anticholinergic drugs, and there are too many to list,
but certain allergy medications, sleep aids,
over-the-counter sleep aids, we've seen are associated
with a starkly increased, chronic use is associated
with a starkly increased risk for the development of dementia,
which is not something that was considered in this paper.
So I do think that most cases are potentially preventable.
And another reason why I believe this to be the case
is that
Alzheimer's disease is not genetic.
You know, we have genetic risk factors, the most well-defined
of which being the APOE4 allele, which about one in four people carry.
And depending on whether you carry one or two copies of this SNP,
your risk increases anywhere between two and fourteen-fold.
But this is not a deterministic gene.
So with Alzheimer's disease,
two to 3% of cases are the early onset variant
or familial, which is deterministic.
But the vast majority-
Define early onset.
So there's a certain genetic mutation
that in certain lineages, will essentially guarantee
that a person develops Alzheimer's disease.
But this is a very rare form of it.
It's a completely different monster than late onset sporadic Alzheimer's disease.
And similarly with Parkinson's disease, the heritability of Parkinson's disease is incredibly
low, 1% to 2% of cases.
So these are all conditions that are, I think,
mediated in large part by your environment.
You might have a certain genetic predisposition,
but for the vast majority of people
that develop these conditions,
it's not due to their genes,
it's due to the interplay between their genes
and the environment in which they live.
Right, right.
So it's making them more susceptible
to environmental assault, essentially.
You can take, for example, somebody with the ApoE4 allele,
who, again, in the United States,
is seemingly at dramatically increased risk,
but you might move them to a less industrialized part
of the world, like Ibadan, Nigeria, for example,
where they've done this research, or southern Italy.
And you see that risk all but abolished.
And so it really is about the genes
and where we've tasked these genes,
the environment that we've tasked these genes
with having to contend with.
Right, right, right.
Okay, so let's turn to diet. Now you have these three books, that we've tasked these genes with having to contend with. Right, right, right.
Okay, so let's turn to diet.
Now you have these three books,
and then we don't wanna forget your film either.
Yeah.
So these three books in the Genius Trilogy,
Foods, Life and Kitchen,
let's go, if you think that's reasonable,
let's go through them one by one, Foods, Life and Kitchen.
So, foods, so what were you outlining in that book?
Yeah, so, you know, I think my approach has never been
to demonize foods, certainly not whole foods,
but with Genius Foods, I-
You should tell people what a whole food is,
just so they know.
Yeah, so whole foods don't have extensive ingredients lists.
They are the ingredients.
So these are the foods that you tend to find
around the perimeter of the supermarket, right? As you alluded to, it's the aisles of the supermarket. Stay away from the aisles in the ingredients. So these are the foods that you tend to find around the perimeter of the supermarket, right?
As you alluded to, it's the aisles of the supermarket.
Stay away from the aisles in the supermarket.
Yeah, I mean, you could dip in now and then
to pick up some nice extra virgin olive oil,
which has a ton of evidence in terms of its,
its brain health benefits.
We now have meta-analyses that show
that extra virgin olive oil actually has a profoundly
anti-inflammatory effect.
And it has some, it actually shares some of these mechanisms with ibuprofen, which is a non-steroidal anti-inflammatory drug,
but chronic use of that drug coincides with heightened risk for cardiovascular events, for example.
But extra virgin olive oil is essentially, you know, as anti-inflammatory as a low dose of that drug,
but without any of the negative side effects, only good.
Okay, so you could go to the aisles in the supermarket
for extra virgin olive oil, but that's-
Vinegars, spices, spices are actually,
few people realize this, but spices,
aside from being a, you know, no to low calorie way
of jazzing up your food,
are actually some of the most concentrated sources
of some of these hormetic compounds,
polyphenols and the like,
which we believe play a role in health,
in supporting a healthy gut microbiome and the like.
But yeah, generally you want to focus your shopping
around the perimeter of the supermarket.
And so I'm a huge advocate of the consumption
of whole animal source foods and whole plants,
which is a very controversial statement to say today.
I don't know why, but I'm-
Why do you think it's controversial?
Well, because we've got billions of dollars of-
Right.
So it's not controversial.
It's just anti-propagandistic.
Exactly.
Right.
Yeah.
With the advertisements being a form of propaganda.
Yes.
Although they're the capitalist version of propaganda.
Yeah. I mean, 73% of the items in your average supermarket are ultra-processed.
And so what's the difference between processed and ultra-processed?
It's a fantastic and important question. So processing is a continuum. You take an apple,
you slice that apple, you're processing it to some degree. You blend those apple slices in a
smoothie, you're processing it even further, right? Yeah
Ultra-processing the the whole idea of an ultra processed food. That was actually something the term was was
first devised with this nutrient profiling system in Latin America called Nova and
An ultra processed food is essentially a food that you couldn't possibly make in your own kitchen if you tried
So these are cool whip. Yeah, these are food like products.
Food like products, that's right, that's a good one.
That involves-
They're sort of like food, except they're not edible.
Exactly.
I mean, I think like we've gotten to this place in society
where we've ceased to be able, seemingly ceased to be able
to put empirical definitions around anything.
Yeah, yeah.
Right?
That's what happens when you live in the Tower of Babel.
Really, words lose their meaning
and everyone speaks a different language.
It's incredibly anti-human, right?
That's for sure.
Yeah.
And so, you know-
Okay, so ultra-processed, okay,
so you couldn't make that in your own kitchen.
That's a good rule of thumb.
So if you couldn't make it in your own kitchen,
then perhaps beware of it or be wary of it.
Right, if it comes in a box or a bag
and it has a shelf life that is years away,
if it doesn't expire, it doesn't rot.
So nothing will eat it except you,
then maybe don't eat it.
Precisely, yeah.
Yeah, okay.
Yeah, and I think a little bit here and there,
like I like to be a pragmatist
and I've had
the incredible privilege of getting to go
on major national media where I get to reach people
that still do today live in food deserts.
And so I try to temper my message with empathy
for what some people today still in this country
have to go through when it comes to finding and accessing
and being able to afford even fresh whole food.
Right.
Two things, tell people what a food desert is
so everybody knows.
And second, do you actually think it's possible
to just eat a little bit of ultra processed foods?
Because I'm very curious about that.
It isn't obvious to me that,
like my experience with that has been that it's easy to eat none rather than some.
Because the problem with some is that,
well, how about some more?
Right? And that's really a vicious conundrum
when it comes to high fat, high sugar foods.
Because they're hyper delicious.
So.
Yeah, this is where I think the education around
the, you know, this topic is crucially important
because people are usually not armed with the knowledge
that these foods have a profound impact on your behavior.
So it's seldom informed consent today, right?
Because we're told that all foods fit, food is food,
there are no such things as good or bad foods.
Yeah, all calories are equivalent.
Yeah, and so people think that it's a moral failure
when they go to the freezer,
they take out the pint of ice cream
and tend only on having a spoonful,
and before they know it,
they're looking at the bottom of the pint.
It's not due to moral failure,
that's what you're programmed to do,
and in fact, that's what food scientists are paid
lots and lots of money.
To make sure you do.
To make sure that you do, yeah.
Now, is it possible if you're able to understand
the impact that these foods have on your behavior
and cultivate a quote unquote healthy relationship with them?
Yeah, I think it's possible, but it's just very difficult.
Well, our rule in dietary modification has always been,
don't have it in the house.
Yeah.
Right, because you'll eat it.
Especially if you're hungry.
Precisely, it's like that 90s horror movie, The Gate.
I don't know if you're familiar or you saw that movie,
but it's like once you open up those floodgates,
it becomes really difficult, if not impossible,
to pump the brakes.
So with regards to not being able to pump the brakes,
let's say, do you know if, let's take sugar as an example.
One of the things I've been curious about,
because I know that microorganisms,
they're very sneaky little things,
and they can affect complex organisms in ways
that are in some ways horrifying and unimaginable.
And so I wonder, do you know if there's any evidence
that a sugar centered gut biome contains microorganisms
that produce sugar craving?
Well, I don't know of any hard evidence,
but I would say that it's likely.
I mean, we know that the enteric nervous system,
the gut communicates with the brain.
Yeah.
Well, also those organisms would have a distinct advantage.
If they could make their host crave
what they need to survive, then they're gonna live.
And there's lots of evidence that such things are possible
in the natural world, not only possible,
but actually quite likely.
Yeah, and also your body gets used to what it is
that you feed it regularly,
and it starts to crave the things
that you feed it regularly.
Yeah, sure, your appetite.
Well, look, you can see that with foods like olives
and coffee and alcohol, I suppose even.
No child likes their first olive, right?
You have to cultivate the taste.
And it's partly because,
so the taste and reward systems are quite interesting
in their relationship because each,
the satiety system and the reward system are separate
from the taste systems, which you can tell
because you can eat something to satiety
and it still tastes the same, but you don't want it anymore.
Now you could imagine a system where the more ice cream you eat, the less you can taste it until you
can't taste it at all, so you quit, but that's not how it's set up. And the satiety and reward systems
are somewhat separate for each taste category. So when people say, well, I still have room for dessert, what they mean is, well, I've satiated the umami system
for protein, but not the system for carbohydrates or sugar.
And then that system is also modifiable by learning
so that you can learn.
It's weird because when you learn to appreciate olives,
bitter foods really fall into this category
because they're very
difficult to like on first exposure because we don't like bitter things.
But once you learn to like them, you really like them.
And so that shows you that that's a testament to that modifiability of, well, the taste
and the satiety system by experience.
And so of course your body's going to adapt to what you eat because for obvious, it's obvious,
it's obvious why that would be the case.
So.
Yeah, and I think that there's like a degree of,
you know, I mean, this is more your wheelhouse
certainly than mine, but you know,
somebody who has, you know, a higher degree of openness,
you know, can embrace these more complex flavors.
Yeah. Whereas, you know, I embrace these more complex flavors. Yeah.
Whereas, you know, I still encounter a lot of people today who, you know, adopt, who
have adopted and stick to what I call the 12 year old boy diet, where they're, you know,
they really only seemingly can appreciate really simple flavors and mouthfeel.
So what would the 12 year old boy diet be?
French fries and hot dogs? It's kind of like, yeah, French fries, hot dogs, ketchup on everything. flavors and mouthfeel. So what would the 12 year old boy diet be?
French fries and hot dogs?
It's kind of like, yeah,
French fries, hot dogs, ketchup on everything.
It's like the standard American diet, you know.
Right, ketchup on everything.
Just things that are like incredibly palatable,
no complexity.
I think it's a, yeah.
Chicken fingers?
It makes sense when you're 12 years old, right?
Chicken fingers fall into that category?
Yeah, but I mean, chicken fingers are great.
I'm not hitting on chicken fingers,
although I haven't had a good chicken finger in a long time
because they're usually deep fried and all kinds of,
who knows what these days.
But yeah, I think cultivating a broader palate,
I think is incredibly important.
But essentially, yeah, your body will start to crave
what it is that you most routinely feed it,
and it'll become better at processing those,
whatever it is those food components happen to be.
So for somebody who's chronically eating
a high carbohydrate diet, their bodies get better
at burning glucose, for example.
Somebody who's on a highly fat adapted ketogenic diet,
for example, they become better at burning
fat.
And that's why there's this phenomena known as physiologic insulin resistance.
For somebody who's on a very low carbohydrate diet for sustained duration, there is a degree
of physiologic insulin resistance that occurs where they'll start to consume something as
innocuous as a bowl of blueberries,
and they'll see their blood sugar go through the roof.
That's not because the blueberries were unhealthy ever,
it's just that their bodies have become so well adapted
to burning fat as a fuel source
at the expense of carbohydrates.
Right, right, right, right.
Okay, so in your book, your genius book on food,
does that outline, what does it outline precisely?
Obviously it talks about the difference between whole foods
and say ultra processed foods.
So those are manufactured foods.
So if it's made by a giant corporation and it's in a box.
If it has an ad on TV, it's likely.
Okay, if it has an ad on TV,
oh, that's an interesting market.
Yeah, it's a good heuristic, right? Yeah, sure. So if it has an ad on TV, avoid it. Yeah,
to the best of your ability. And so what I tried to do in the Ingenious Foods was highlight the
specific foods that I thought that would stand out to me over and over again in the literature
as being particularly supportive
of brain health, whether it's by way
of their nutrient density or by way of the, you know,
we'll say prevalence of certain phytochemicals,
which have shown to be particularly supportive
of brain health, for example,
and this is something that I think I really broke the news
on with Genius Foods was the role of dietary carotenoids.
So these are plant pigments that actually also accumulate in animal tissue.
For example, in the beef of a grass-fed, grass-finished cow, you see an abundance of carotenoids,
which gives the hue of the fat tissue of that marbling in a piece of a grass-fed steak,
for example. It's a different hue.
It's slightly more orange in color,
similar to a pastured egg yolk.
You see a higher prevalence of these carotenoid compounds,
which we know, well, we've known for decades at this point,
play a role in supporting eye health.
So certain carotenoids like lutein and zeaxanthin
can help prevent-
Are those in golden rice?
I think beta carotene.
Vitamin A is in golden rice,
but they are golden as well, right?
Yeah, so they, I think that's-
And they do prevent blindness.
Correct, yes.
So vitamin A deficiency is the leading cause
of preventable blindness worldwide.
And so yeah, they've modified golden rice
to have a higher, to have beta carotene,
which is pro vitamin A.
Interestingly, many people are not as good at converting pro vitamin A to retinol in the body.
I still think it's a great source of vitamin A, but a pro vitamin A and ultimately retinol,
but yeah, vitamin A is naturally found in animal source foods like egg yolks.
Okay, so a diverse range of colorful whole foods.
Yes. Plants and animals.
Yeah. Okay.
I'm also a huge, I mean,
and this is, I guess, somewhat more controversial,
but I think red meat is a health food.
I know that you agree with that.
Say that again.
I think that red meat is a health food.
And I'm not like, you know,
and this is an opinion that I've established based on data
well before I had any kind of financial relationship
with the kinds of companies who produce the meat
that I personally eat and feed to my family.
But I think it is an incredibly nutrient-dense food.
Well, cows go to a lot of work to make it.
Yeah.
I mean, all those stomachs, right?
Right, right, absolutely. So that's the right kind of ultra I mean, all those stomachs, right? Right. That they have.
Right, absolutely.
So that's the right kind of ultra-processing.
There you go.
Mm-hmm.
Right?
It's like nature's form of ultra-processing.
And yeah, and so I think that's an incredibly important food.
Right, so it's remarkable that that's been demonized.
Like it's, and the thing is the demonization doesn't quit
because for a long time, I suppose,
it was driven by idiot quasi scientists
and people who are maneuvering in the same domain
as the food pyramid liars.
But now the climate people have got ahold of it as well.
But for whatever reason, animal related food,
while there's also the ethical issue,
which isn't trivial, I would say.
You know, that's not something that can be easily ignored or should be, but red meat is definitely that it's the target of propagandists continually. And so, and that's really not good if it turns out
that it's actually useful, like seriously useful for us. And we have what? What's the FDA?
Recommended Daily Announce, RDA for carbohydrates. There's no RDA for carbohydrates.
Yeah, there's no such thing as an essential carbohydrate.
Right. Which is really, that's something to be said repeatedly.
Yeah.
Because that's really kind of shocking.
It is. We have, you know, a daily requirement for certain essential fats, certain fatty acids like omega-3 and omega-6 fatty acids.
Proteins. Protein is massively important.
Yeah.
There's no such thing as an essential carbohydrate, which is to say that you shouldn't eat them.
Right.
But it's very strange that that's not essential.
Correct.
And also, I mean, you look at the data and beef consumption in the United States has
declined over the past few decades.
It's on a downward slope.
And yet we continue to blow up.
We get sicker, we get more obese,
and it's a whole food at the very least.
It's a pristine source of dietary protein.
It comes concurrent with all kinds of nutrients
that we know play a role in good health.
I mean, it's actually, I mean,
it is a source of phytonutrients.
Most people don't realize this,
but the phytonutrients that a cow ingests
makes its way into the tissue of that animal,
just as it does us.
Creatine, taurine, carnitine, carnosine.
I mean, these are all, I think, really important nutrients.
And it continues to be demonized.
Some people will say, oh, well, it's a source
of saturated fat.
It's fascinating that 3% of the saturated fat
that your average American consumes comes from steak.
The vast majority comes from what are called mixed dishes,
ultra processed foods, dairy, which is actually even full fat dairy is neutral, if not beneficial from a cardiovascular health standpoint.
And so, yeah, I think the demonization of red meat is a real shame and it's a big problem.
And the evidence that's used to demonize it is incredibly weak.
Right, right, right.
As is most nutritional science.
Most.
Stunningly weak.
Stunningly weak. Yeah, yeah. Correlational studies in the field of nutrition
are not helpful.
No. And the other studies
where you could infer causality,
they're unbelievably difficult to do.
It's hard to get people to modify their diet
and to stick to it.
And yeah, it's very difficult research to do.
So I can understand why they default to correlation studies,
but they're not helpful.
Too many variables.
Those are the kinds of studies that make up our dietary. Too many variables. Those are the kinds of studies
that make up our dietary guidelines.
I mean, those are the kinds of studies
that again and again, you know,
implore us to consume grains at every meal.
And I think, you know, it's just-
So talk about grains,
because do grains qualify as a whole food?
Well, certainly the form in which they are most frequently
consumed today, absolutely not.
There are most people today, the form of grains
which most people consume are refined grains.
Muffins.
Yeah, exactly.
Right, health cake.
And even if you were to go to Google images
and look at the image of the food pyramid,
which thankfully has been retired,
what it's been replaced by is,
I would say not that much better, although it is an improvement.
But I mean, it was literally, the illustrated USDA
food pyramid, it was like pasta, it was like loaves of bread.
Like you're telling me that that's essential for good health,
that I need to be eating seven to 11 servings of this
on a daily basis.
And so if you actually look at what a grain is,
I mean, most grains today actually in the supermarket
are fortified because they're so nutrient impoverished
that they have to have added nutrients,
nutrients added to them to make them serve
any sort of dietary value at all.
But they're essentially pure,
it's essentially pure energy, it's cattle feed.
Now I'm not saying that grains can't play
a supportive role to health.
I mean, certainly you look at, you know,
for example, bodybuilders who are in fantastic
physical shape, you know, it's not, they do,
you know, many of them on social media,
the more prominent ones do use performance-enhancing drugs,
but I mean, grains can be used to facilitate
exercise performance and the like.
And I think if you-
Well, and you can say too, like socially speaking,
you know, the first order problem that our society had to contend with
was getting everyone enough calories.
Yeah. Right.
And you could see some utility in generating cheap calories.
I always, I often think about corn syrup in that regard.
Corn syrup is a very cheap source of calories,
but when the problem is obesity and not starvation,
corn syrup seems like a very bad solution.
And so, you know, I'm willing to give
the Department of Agriculture, let's say,
its credit for assuming that,
or for ensuring that calories per se are in plentiful supply,
which is the case, but man,
we're playing a vicious price for it
on the other side of it.
Yeah, well, I mean, this is the,
we live amidst the first time in human history
where there are more overweight people
walking the earth than underweight.
Right, right, right.
And so we've solved the food scarcity problem.
I mean, there's, you'd be hard pressed to find anybody
in a state of energy deficit today in the Western world.
Yeah.
Especially here in-
And increasingly in the developed world,
except when that's used for political,
like most of the starvation in particular And increasingly in the developed world, except when that's used for political,
like most of the starvation in particular
in the developed world is purposeful,
not the consequence of economic inadequacy, right?
It's targeted.
And so, yeah, and that's a good thing
that we solved that problem,
but these problems are not trivial either,
and they're getting worse. that we solved that problem. But these problems are not trivial either. Yeah.
And they're getting worse.
Correct.
And I'm not saying that grains cause Alzheimer's disease.
That's never been my stance,
but we do have to look at this as a food quality problem.
And grains, I don't believe are,
particularly when you have all these other options
in the supermarket, like grass-fed grass-finished beef,
wild fatty fish, salmon, for example, sardines, eggs.
Eggs are one of nature's cognitive multivitamins.
A study was just published that found that just consuming...
They were demonized too.
They were demonized too, yeah.
And interestingly, and this is, again, and to preface, I'll never, just to reiterate,
I'll never know what caused my mom's dementia.
I don't know if it had anything to do with nutrition.
It could have had everything to do with nutrition.
I don't know. I'll never know what caused my mom's dementia. I don't know if it had anything to do with nutrition. It could have had everything to do with nutrition. I don't know, I'll never know.
But my mom was somebody who, for the entirety of her life,
was concerned about heart disease.
And so whatever the messaging was around heart disease
is something that my mom adopted and ingrained, essentially,
in not just her diet, but my diet growing up.
And so my kitchen was always filled with low-fat,
fat-free, cholesterol-free,
food-like products that had,
adorned by the Red Heart Healthy logo on them,
which you still see ubiquitously in the supermarket, right?
And eggs were one of those foods
that we threw out, essentially,
in lieu of these more, you know,
processed, high-margin replacement products.
And an egg is literally a cognitive multivitamin.
I mean, it contains a little bit of everything required
to grow a brain, right?
So it's postmarked by nature.
Here, this is what you need to grow a brain
in an egg yolk, right?
Even if it's a chicken brain.
Even if it's a chicken brain.
Yeah, but studies are now starting to show
that they're an incredible cognitive multivitamin a study was just published that found that you know
all it takes is one to two eggs a week in this one study and
There was a something like a 50% risk close to a 50% risk reduction for the development of Alzheimer's disease
Wow, we know that choline is one of the most important nutrients. In fact about 40% of the
The effect that they saw in this observational trial,
they thought was attributed to the fact that egg yolks
are the top source of choline
in the standard American diet.
And yet 90% of adults today don't consume
the adequate intake for choline on a daily basis.
And choline is incredibly-
Right, so that's the consequence of demonizing eggs.
There you go.
You demonize eggs. Great. Great.
90% of adults don't consume adequate choline,
which is crucially important.
It's the backbone to acetylcholine,
which is the neurotransmitter involved
in learning and memory, right?
It forms the skeleton molecule of our neuronal membranes,
which are crucially important for our
brain cell communication,
our ability to perceive the world.
So it's a fantastic food.
And I remember when my mom first served me that egg,
my first egg, she was like, she warned me not to consume them
with any significant frequency
because they might clog my arteries.
Right. And we know the dietary cholesterol for the vast majority of people.
Well, the data was there a long time ago showing that this, I knew this in like 1980s.
The decreased risk of heart disease reported as a consequence of cholesterol lowering was
swamped by the increase in suicide
that was caused by the fact that cholesterol
is a precursor to serotonin.
So even if fewer people died of heart attacks,
which is probably not true anyways,
more people committed suicide.
So that's part of the problem
with the complexity of dietary studies, right?
Is you need to control for a lot of variables and you need to measure a lot of outcomes
Yeah, but with these observational studies, I mean, there's always residual confounding like yes always no way of controlling it
Yeah, no, no, you can't do correlational dietary studies. Yeah, you just can't no no that they should never be published
Yeah, I mean I'm I'm pro
Plants, you know, that's that's a flag that like, you know, that
I've planted, no pun intended. But it's not hard to imagine a world where, you know, all
of the, you know, the mountains of evidence that we have observationally looking at, you
know, how fruits and vegetables impact human health, the positive effects that we see at
the epidemiologic, you know, scale, that that could potentially be a false positive
because everybody in the mother knows that fruits and vegetables are good for you, right?
And eating fresh fruits and vegetables today is an incredible privilege in a time when
60% of the calories come from these ultra-processed foods.
It can be really difficult to find access to fresh fruits and vegetables, right?
I mean, we do have RCT data showing us
that there are beneficial compounds.
I've talked about some of the phytochemicals in it.
But conversely, red meat, it's also very easy.
Okay, so let's talk about that a bit
because I was, obviously at some point,
we're gonna get into the issue of the carnivore diet.
And so I guess the first thing I'd say is,
and you're making some allusion to it now, obviously,
what are your thoughts
about the carnivore diet and its potential advantages and dangers?
I think, I mean, I think it's potentially a great therapeutic diet for people that have,
you know, a predisposition to autoimmunity.
Yeah, okay.
And it's not something that I would ever behold to anybody.
Here's the other thing is that diet zealots,
particularly today on social media,
they seem to be very emotionally invested
in what other people eat.
I don't care ultimately what other people eat.
I just want to be-
Yeah, I feel the same way about that,
you know, at say a moral level.
Right, but like you,
you want people to be able to make informed decisions,
not decisions clouded by what I call covert activism, right?
Yeah, or overt activism for that matter.
Yeah, or misinformation or disinformation
about what it means to eat healthily today.
Ultimately, I don't care.
Somebody wants to-
Otherwise known as lies.
Yes, precisely.
So yeah, I mean, I would,
for people that have seen a reprieve of symptoms
from some of these awful conditions that people suffer from,
like keep doing it.
I think that for somebody with a robust gut microbiome,
who, you know, I think people should be able to tolerate,
and not just tolerate, but to derive, you know,
a health benefit from many of these
so-called plant defense compounds,
even cruciferous vegetables, which have become demonized
in certain carnivore circles,
due to certain glucosinolate compounds
or compound like sulforaphane,
which there are actual randomized human trials
that show that these compounds
can actually help us detoxify from some of these environmental pollutants that we know,
you know, play a role in disease.
Obviously you can get a certain dose, if you will, of phytochemicals from eating animal
source foods, but, you know, carotenoids like lutein and zeaxanthin, which we know are very
beneficial to brain health, you know, you're not going to see a better, you're not going
to find a better source of them in the supermarket than kale, for example, which people love
to hate on.
But foods like kale, spinach, dark leafy greens, cruciferous vegetables, I think that, I do
think that for most people, the benefits outweigh the risks. Yeah. You know, if an elimination diet where you remove all fruits and vegetables for time
helps, I think that's amazing.
Well, that's a good useful thing to discuss procedurally.
I mean, when we were trying to address my daughter's immunological problems, which my
wife was on at a very early stage because she intuited
that there was a dietary relationship,
but it turned out to be so complex.
I mean, we couldn't have possibly imagined
that eating nothing but meat was the solution.
Like who in the hell's gonna ever think that?
I knew that fasting was a reliable treatment for arthritis.
And that's well-documented in literature.
Virtually everyone who's arthritic,
if they fast they go into remission,
but then when they start eating the symptoms come back.
And so, well, and maybe that's not true
if all they start eating again is red meat,
but those studies hadn't been done
and still haven't been as far as I know.
We had tried Michaela on some different elimination diets, but they made no sense like the food classes that were eliminated and kept
seemed random to me and well and to Tammy and and to Michaela and
She started to experiment they started to experiment with more radical elimination diets and by trial and error and also because of Sean Baker
came to experiment
with only beef, which worked.
And so, you know, and we've talked to hundreds or maybe thousands of people now who've tried
variants of the carnivore diet and had radical, especially weight loss transformations.
Like, I talk to people at my lectures all the time who are, they're shell shocked,
because they've lost like 150 pounds in 18 months.
And so they're not even the same people physically.
And while they're happy about it, obviously,
but also completely, they're shocked by the fact
that that worked.
Now I would say, and you tell me what you think about this,
is that if you are suffering from chronic health conditions,
especially if you're also overweight,
an elimination diet is worth trying
on the off chance that something you're eating
is causing your symptoms, because who knows?
And the simplest elimination diet is obviously just beef.
Yeah.
Right, so why not go down to one variable?
And if it doesn't work, like we've talked to many people
and I know people say, well, anecdotes aren't data.
It's like, no, but they're hypotheses.
And many of the same anecdotes start to look a lot
like data.
So anyways, we've talked to many people who've reported
remission of their diabetic or arthritic symptoms within two weeks of an only beef diet.
And so we are thinking that it's more like three months
is a good trial.
And if it doesn't work, well, okay.
The loss is some restriction for three months
and that's about it.
And it's not like it's easy, I'm not saying that.
And you may suffer some complications in the transition
to the new and more restrictive diet,
but you can live on just beef.
So like, what the hell?
If you're half dead and radically overweight,
three months isn't much of a risk.
And so I'm wondering what like,
what do you think about that line of logic?
Yeah, well, I think, you know, I think you know, I think well
I think you're right and in the sense that
Beef is it's an incredibly nutrient-dense food. It's highly satiating. Yes. It's loaded with protein obviously
You're
You're restricting the consumption of large swaths of the most problematic foods accessible
to a modern human today.
And so it doesn't surprise me that at least
in the short term you're gonna see an improvement.
And so I guess my question is,
and I think Sean Baker is very smart,
but I had him on my podcast recently
and I posed this question to him,
like you're performing already at such a high level on beef and I don't doubt that you're
healthy, you seem healthy.
Yeah, he's quite the monster.
Yeah, and I'm not going to gaslight somebody who's on a carnivore diet and asserting that
they're thriving on it. Like who am I to say that you're not, right?
But my question to him was like,
okay, so you've established that this diet
is working well for you,
why not add in some of these foods that we know
have compounds that might-
Be lacking in beef.
Yeah, or might give you an additional benefit.
For example, an all meat diet might not have
very particularly high levels of magnesium,
which we know plays hundreds of roles in the body.
Everything from repairing DNA damage to energy synthesis.
Like it's a cofactor that is required in the synthesis of ATP, for example.
Some of these carotenoid compounds that I mentioned earlier.
Like, yeah, you're getting like maybe-
Well, those are definitely open questions.
Yeah, maybe you're getting a small amount of them in your meat only diet, right?
Maybe a little bit more might give you
an additional cognitive.
And we're just playing like nutritionism here
with these like individual nutrients
that have been studied that I can reference
that I know about.
But there are swaths of nutrients in the plant kingdom
that have been identified as playing,
as having a potential benefit to human health.
Even something as innocuous as white rice, right?
Where it's had all the anti-nutrients sloughed off, right?
Like for somebody who's such a physical specimen
as he is, like maybe adding some carbohydrates
into that system, you know?
So you get a little bit of additional glycogen
in the tank before, you know,
because he's still trying to like break records
of that guy's a madman. The best possible way. Maybe tank before, you know, cause he's still trying to like break records. That guy's a mad man. The best possible way.
Maybe that might, you know,
have an adaptive purpose.
So I can understand that.
I guess my criticism of that,
to the degree that a criticism is warranted is,
it's extremely complex to,
and this contradicts to some degree, something I said earlier, you know, It's extremely complex to add.
And this contradicts to some degree, something I said earlier, you know,
that you could reduce to a carnivore diet and then add back.
It's very complicated to add back, right?
You really have to think like a scientist
and you have to be very disciplined, you know,
to experiment with one thing at a time in addition.
And then also to figure out, well,
how do you know if it's helping?
Like what's your measure and over what timeframe?
You know, so like I've tried to add things back to my,
I'd added salmon back to my diet.
And it turned out that it made me anxious
and I have no idea why.
And it's a pretty robust effect
and it took a fair while to manifest itself.
And so you have these terrible complex problems
with adding things back, which is,
well, maybe if you added phytonutrients, for example,
of the sort that you were describing,
it would take a month to see a difference,
and it would be hard to measure
except in certain circumstances.
So like, how do you know?
And that's the problem with any scientific investigation. And the advantage to just eating beef is that it's really,
it's simple, right?
It's like, no, just do this.
And it wouldn't surprise me at all
if there would be ways of, it might surprise me,
but I could imagine that there would be ways
of improving your
diet beyond what you would get with merely meat.
But man, it really, it's a conundrum to figure out how to go about doing that.
Yeah.
Well, everybody's, the other thing that I think is important is that there's really no, there's
no such, nutrition isn't a hat.
There's no such thing as a one size fits all pattern
that's gonna work for everybody.
And you know, in your family, you obviously have,
you know, you have these health concerns,
which I think are important to acknowledge and to,
you know, and to recognize that you're a scientist
and you've, you know, you've done the work
and you've found this one diet,
this diet that works for you.
And I think that's-
Yes, kicking and screaming all the way.
And I think that's- Yes, kicking and screaming all the way. And I think that's amazing.
But you know, for somebody who is not
immunologically compromised, right?
And who, you know, was born vaginally
and who didn't take a ton of antibiotics growing up
and was breastfed and who hasn't traveled
all around the world and had infections
and surgeries and things like that.
These are all like, it's death by a thousand cuts today.
And so you throw into that milieu chronic sedentary lifestyles, which you know has a
negative impact on the gut microbiome.
We know that obviously an ultra-processed food diet has a negative impact on the gut
microbiome.
All of these industrial chemical additives also are playing a role.
We've lost resilience in the gut, I think,
and that's why so many of us do seem to do better,
seemingly, on these incredibly restrictive
elimination diets, right?
Well, we've changed our cooking habits dramatically too.
I mean,
slow rising yeast doesn't produce the same bread
as fast rising yeast, right?
Cause it has a longer time to break down the gluten,
for example.
And so a lot of the traditional ways of cooking things
that made them edible have been replaced by rapid cheap,
which is advantageous factory mechanisms, factory mechanisms, but we have no idea
what we left behind in consequence.
And so it may also have been that 40 years ago
or 50 years ago when people were cooking more traditionally,
things were a lot more edible than they are now.
Now, I would also say,
I don't know what you think about this,
because I don't know the science in this.
As the world is urbanized and as the cultures have mixed,
a much more diverse range of food products
have become available.
Now, you might say that was advantageous,
but I also wonder about that,
because I noticed, for example,
when I moved from Montreal to Boston,
I developed allergies.
Well, I developed allergies to oak leaf mold.
There was no oak leaves and no oak leaf mold in Canada,
not any place I had been.
And so I moved somewhere
that was a completely different environment
and I was not immunologically prepared for it.
I just, I guess I wonder too,
is it possibly a consequence of the fact that we can eat so many diverse things
that weren't available before?
People would have had their traditional diet
and really not strayed beyond that.
Like I can remember, certainly I can remember
the first time I had Mexican food,
I was probably 16 or 17. And that was a real foreign cuisine,
which is a strange thing to contemplate.
Now I kind of grew up on German, English,
and Ukrainian food, right?
And certainly Chinese food was also foreign
and not common.
We had a Chinese restaurant in this little town
I grew up in, but that certainly wasn't a staple.
So I know that in principle, hunter gatherers
had quite a diverse range of food products
at their disposal, but they would have been eating
those habitually from day one.
They wouldn't have been introducing new foods
along the way.
So do you have any thoughts on that?
Do you know anything about that?
Well, what grows together goes together, typically.
Yeah, right.
And yeah, but I don't think as a species,
we would have made it this far
had we had not been as incredibly resilient
and adaptable as we are capable of being.
Right.
You know, I think-
We've never had to live in factories though.
Yeah, that's for sure.
Yeah, yeah.
That's for sure.
Yeah, that's an environmental novelty.
Yeah, so I think, I do think that there is,
we're meant to be resilient, you know?
The idea that, you know, so many of us,
statistically, you know, you feed,
you take a hundred people and you feed them each a peanut, one or two of them is going to die.
Yeah. Right? From a peanut.
I don't, I think that that's a maladaptation.
And I think it's probably due to the fact that, you know, we're, well, we're doing many things wrong.
And so...
So, so, okay. So tell me, tell me what happened with your mother and then tell me how you eat.
Yeah.
Well, you know,
it was really sad.
She, for eight years, struggled with Lewy body dementia,
and for most of that time, I was there with her,
just a concerned son trying to do what I could
to help improve things.
But one of the earliest insights that I was able
to glean from the literature, which is, I think,
counterintuitive and most people are completely unaware
of this, is that, as we alluded to earlier,
these conditions don't begin overnight.
They take decades to manifest.
So essentially, dementia and many of these kinds These conditions don't begin overnight. They take decades to manifest. So, you know, essentially dementia
and many of these kinds of conditions
that are now saddling modern society,
these are diseases of midlife
with symptoms that appear in late life.
But by the time you're diagnosed with dementia,
I mean, you're essentially in the late stage
of that disease.
Right, right, yeah.
And that's why Alzheimer's drug trials
have a 99.6% fail rate,
because you're trying to treat the condition
well past the point at which a simple pharmacological
solution is gonna have any sort of practical impact.
Right, so even if, the thing is, is that at that point,
even if the drug stops the disease cold,
a tremendous amount of damage is already being done.
Already done.
So it would not only have to stop it,
it would have to heal it.
Yeah, I mean.
And that's hard with neural tissue.
Yeah, yeah, I mean, you know,
how are you gonna get back the 50% of dopamine
producing neurons, you know, in the substantia nigra?
Right, right.
Like you're just not. And with Alzheimer's disease, byurons, you know, in the substantial nigra. Right, right. Like you're just not.
And with Alzheimer's disease, by the time, you know,
a person is diagnosed, you know,
one of the salient features of Alzheimer's disease
is what's called glucose hypometabolism.
So this plays into the type three diabetes,
you know, as it's been termed,
that by the time you're diagnosed with the condition,
your brain's ability to derive energy, to create energy from glucose,
which is its primary fuel substrate, is diminished by about 50%.
And the brain is a ravenous consumer of glucose.
It makes up 25% of your basal metabolic rate,
despite only accounting for 2-3% of your body's mass.
So it's a ravenous consumer of energy
and so any power outage in that organ
is gonna lead to failure.
And so by the time you're diagnosed,
that's already starkly diminished.
And so yeah, it wasn't really positive.
I mean, in every doctor's office,
what I experienced with my mom,
I've come to call diagnose and adios.
And a physician would essentially prescribe a new drug
or titrate up the dose of something that she was already on,
but minimally effective, if effective at all.
And by the time my mom passed in 2018,
she was on 14 different pharmaceuticals.
And there's no physician on earth
who can predict
the way these 14 different drugs are.
Not even two, probably not even two.
Certainly not 14.
Not even God knows.
And so the level of toxicity, right?
Which isn't to say if there was that blockbuster drug
that came along that I wouldn't be first in line
at that time to fill that prescription for my mom, but it's just very unlikely to be the case.
In fact, there's all kinds of fraud within the field of Alzheimer's drug research that
came out a couple of years ago, which is something that was incredibly disheartening.
There was a paper published in 2006, for example, that was completely fraudulent.
Finally actually, over the past week, in fact, they finally are pulling that paper, they're
retracting the paper.
But it was a paper that renewed interest or renewed the funding pipeline for this drug
target, the amyloid hypothesis of Alzheimer's disease where, you know, they
– in 2006, a researcher at the University of Minnesota, basically what he did was he
identified – he claimed to have identified this subtype of amyloid that was responsible
for the cognitive decline, which was a big sort of – the missing link, essentially,
connecting this really druggable target, right?
The amyloid beta plaque that accumulates in the brains of people with Alzheimer's disease
and drug research.
He claimed to have found it in this 2006 paper, you know, which had subsequently been referenced
thousands of times in the medical literature, you know, continued to, you know, foment this
like the glut of research money, you know, goingent this like the glut of
Research money, you know going down this amyloid hypothesis pipeline for Alzheimer's drug research Which was completely fraudulent that paper is now finally being retracted God, but that's it's just like that's the situation, you know
and so
It was you know, incredibly disheartening.
I did get my mom on an exercise regimen, which I thought was helpful, at the very least in
terms of lifting her spirits, but I think probably played a role in slowing the progression
of the disease somewhat.
With Parkinson's condition, exercise is important for everybody, essentially.
It's important for people with Alzheimer's disease, mild cognitive impairment, any form
of dementia really.
But with Parkinson's disease, there seems to be really good data there.
But ultimately nothing really helped, you know.
And so it was really sad.
And then Labor Day of 2018, my mom was actually diagnosed with pancreatic cancer and passed
away three months later.
So this is where I think part of what separates me
from I think other people in the space
is that the degree of sickness that I've seen firsthand,
profound, and it occurred to the person
who meant the most to me
of anybody in the world,
and I saw up close and personal
the dearth of treatment options,
the diagnose and adios of it all.
And I was very privileged in the sense
that I grew up in New York City,
I got to go to the cathedrals to Western Medicine,
the Cleveland Clinic, Johns Hopkins and Baltimore,
NYU, Columbia, I mean, I've Hopkins and Baltimore, NYU, Columbia.
I mean, I've been to them all with my mom.
And it became so important.
Once I learned that these conditions take decades
to foment, it became so important to me.
The most important thing in my life
to evangelize this science, because I think it's so.
So what should people do to learn what you know
and what they should do relatively rapidly?
Well...
Your books.
Yeah, I think...
Is there one in particular?
Genius Foods is a nutritional care manual to the brain.
It's an encyclopedia of, you know,
and it came out six years ago.
There's not much that I would change in the book,
maybe a few tweaks here and there,
but in general, the science has really stood the test of time,
which was my intent in writing the book.
And so yeah, it really is everything
that a person needs to know.
But from a high level, Little Empty Boxes, my documentary,
this is the first documentary ever to tackle dementia
through the lens of prevention.
And so anybody who's ever experienced dementia,
they're gonna find incredible solace in the film
and seeing what it was that my family.
And where can they get access to Little Empty Boxes?
So it's available for pre-order now
at littleemptyboxes.com.
Okay, littleemptyboxes.com.
Do you wanna just run over the description
of the film for us?
Yeah.
And tell us what,
Of course.
How you made it, why?
Well, we know why, but what's the film about?
What'll it offer people?
So this is the...
Okay, here is Kathy Lugavere.
Hi, good morning everybody.
I just clipped some coupons that I'm gonna never use.
I'm gonna kiss my son Max right now,
who's holding the camera.
How's mom?
It's like her brain has low ramp.
Do you remember what the date is today?
Well, how about the month?
No.
We know that Alzheimer's disease starts in the brain at least 20 to 30 years before the first symptom that we lost.
The million dollar question, actually probably the trillion dollar question is, why do people get Alzheimer's disease?
The rates of Alzheimer's have skyrocketed. What did we change?
The federal government in 1980 starts its guidelines.
You take away butter, meat, dairy, eggs, cheese, all those things you ate.
What do you eat on your plate? What's left?
The brain only takes as much sugar as it needs.
The overall problem is inflammation. Inflammation burns.
What happens in Alzheimer's is you have low inflammation, but chronic low inflammation.
This is the aisle of food-like products.
Diet, stress, sleep, toxins. All these things have a huge impact.
The question is, how far gone are you before it's irreversible?
I hope I'm a good mother.
You're an okay mother. I need to go back and be closer with my mom.
I don't want really to take so many x-rays.
Get me out of here.
The best way to explain the inexplicable is to compare the human genome as a piano with 23,000 nodes.
You need to struck 300 of these 23,000 notes
to play the song Alzheimer.
It's not destiny that you develop this.
Diseases like Alzheimer's start long before the symptoms
are seen.
The question is, what are you going to do about it?
You've done all the tests.
But it's not enough. You just gotta be there to help me.
Ma, he said you still got it.
You still got it?
You still do.
Yeah.
There they are in the park for the first time.
So now it's really up to us, so we'll do our best.
So this project is the first thing that I ever did in this space.
And this is before I had the knowledge that led to subsequently my books, my podcast,
I have a podcast called The Genius Life.
The documentary is a time capsule of me just being
a terrified son doing whatever is humanly possible
in the realm of diet, lifestyle, going, you know,
initiating this investigation that ultimately would become
my life's work,
but to try to help my mom.
And it's an incredible, I think, human interest story.
It's something that I think anybody who's ever had
a sick loved one will relate to.
And it's mostly a peak, a very intimate peak
into what it's like to not just have dementia,
but to be a caregiver.
And it also, with very broad strokes, paints what a roadmap towards prevention might look
like.
I see, I see.
So it's not a, it doesn't provide easy answers, a one size fits all solution.
It's not one of these diet documentaries that's like promoting an agenda.
It's just like, let's get back to reason and common sense when it comes to diet and undo
a lot of these mistruths that we've been force fed, no pun intended, over the past few decades
that has really in many ways affected us all.
It's a good pun.
It's affected us all.
I mean, it's ingrained.
Oh, definitely.
Here's another pun.
It's ingrained. God only knows how it's affected us
because we don't know how erratic a population
that's radically unhealthy will become.
Yeah. Right.
And we may well find out.
Yeah, and we're all getting older.
I mean, the oldest millennial now is in their 40s, right?
So this is a, now is the time.
And so it's a film that I think really,
I think reveals what is,
I think the most important question of our time.
And yeah, I think it's the most important project
I've ever done.
All right, and when, and it's available for pre-order.
When does it launch?
June 27th.
June 27th.
Yeah, so June 27th. Well, good luck with that.
Thank you so much.
Yes, yes. Thank you very much for talking to me today. You're the man. Yeah, so June 27th. Well, good luck with that. Thank you so much. Yes, yes.
Thank you very much for talking to me today.
You're the man.
Yeah, much appreciated, much appreciated.
And so, the Genius Trilogy,
podcast is Genius Life,
and the new documentary is Little Empty Boxes.
That'll be out closer the third week of June.
Yep, June 27th.
Yeah, well good luck with that, seriously.
And for everybody watching and listening,
we'll continue this discussion on the Daily Wire side
of the platform, of the podcast.
And well, I'm going to talk to Max a bit more
about the development of his interest over time.
I think that's what we'll focus on.
And so if you're inclined, join us there. Thank you very much for your time and attention.
Thank you to the film crew here in Washington, DC.
That's where we are today.
On the stage at the Museum of the Bible, as it turns out,
which is a very cool museum,
a testament to the book that spread literacy around the world.
Right.
And that was really the prototype for books as such. So if
you're in DC, give the Museum of the Bible a visit. It's well worth the time. It's a beautiful
building as well, award-winning building, beautifully designed. So, and Max, thanks again
for coming today and for coming here in person. That's much appreciated. To all of you watching and listening, thank you very much for your time and attention.