0:00:00.030,0:00:05.129
when you eat your body wants to store

0:00:02.370,0:00:06.960
food energy because food Energy's coming

0:00:05.129,0:00:09.689
in you should store it for a time that

0:00:06.960,0:00:13.230
you don't have it and when you are not

0:00:09.689,0:00:15.029
eating then insulin falls and you simply

0:00:13.230,0:00:16.859
take that food energy that you store it

0:00:15.029,0:00:18.570
and you burn it and that's why you don't

0:00:16.859,0:00:20.039
die in your sleep like every single

0:00:18.570,0:00:22.560
night you don't have to eat muffins

0:00:20.039,0:00:25.679
every two hours to survive like it's

0:00:22.559,0:00:28.500
okay so if you think about it now we're

0:00:25.679,0:00:30.960
eating sort of ten times a day instead

0:00:28.500,0:00:34.670
of three times a day so 10 times a day

0:00:30.960,0:00:37.649
we're telling our bodies to store fat

0:00:34.670,0:00:39.210
it's like store fast or fast or fast or

0:00:37.649,0:00:41.549
fat and that's like I wonder why I'm so

0:00:39.210,0:00:44.160
fat it's like because you keep telling

0:00:41.549,0:00:46.649
your body do that and if you want to

0:00:44.159,0:00:48.029
burn fat then you gotta tell it to stop

0:00:46.649,0:00:49.920
burning fat and again it's a hormonal

0:00:48.030,0:00:51.929
signal it's not a caloric signal it's a

0:00:49.920,0:00:54.030
hormonal signal you got to let that

0:00:51.929,0:00:56.460
insulin fall because it's when the

0:00:54.030,0:00:58.230
enzyme fall that the body's gonna start

0:00:56.460,0:01:00.600
burning the glycogen I'm gonna start

0:00:58.229,0:01:03.358
burning the body fat if you keep your

0:01:00.600,0:01:05.640
insulin high then you'll never do it

0:01:03.359,0:01:07.170
because insulin is the signal to to go

0:01:05.640,0:01:09.209
high and this is the promo type-2

0:01:07.170,0:01:11.430
diabetes because you get this insulin

0:01:09.209,0:01:13.408
resistance which means too high insulin

0:01:11.430,0:01:15.810
all the time so it gets harder and

0:01:13.409,0:01:19.350
harder to lose weight as it goes so then

0:01:15.810,0:01:20.820
as you get in sort of like 40 years in

0:01:19.349,0:01:22.829
if you're 60 years old and you've been

0:01:20.819,0:01:24.179
gaining weight since age 20 for example

0:01:22.829,0:01:25.859
you have all the senses and resistance

0:01:24.180,0:01:28.110
it keeps it high even though your diet

0:01:25.859,0:01:30.118
may be good you have to you have to

0:01:28.109,0:01:31.590
fight all those years of insulin

0:01:30.118,0:01:33.629
resistance and that's why I also say

0:01:31.590,0:01:36.329
that that obesity is really a

0:01:33.629,0:01:38.129
time-dependent phenomenon that is the

0:01:36.328,0:01:41.699
longer you have it the harder it is

0:01:38.129,0:01:44.819
which the Clarke theory completely sort

0:01:41.700,0:01:46.710
of ignores that is to say if you gain 10

0:01:44.819,0:01:49.529
pounds from where you are right now you

0:01:46.709,0:01:52.949
could lose that pretty easily yeah but

0:01:49.530,0:01:55.079
if somebody is 65 it's pretty hard to

0:01:52.950,0:01:57.478
lose that 10 pounds because they've

0:01:55.078,0:01:59.968
always had it and it's this sort of

0:01:57.478,0:02:01.739
chronic resetting upwards of this body

0:01:59.968,0:02:04.769
set weight that's the problem

0:02:01.739,0:02:04.769
[Music]

0:02:08.780,0:02:13.229
hey my friend it's Mike muscle here

0:02:11.219,0:02:15.359
thanks so much for showing up and tuning

0:02:13.229,0:02:17.459
into yet another video this episode is

0:02:15.360,0:02:18.690
proudly sponsored by salami fix one of

0:02:17.459,0:02:21.060
the manufacturers of the world's only

0:02:18.689,0:02:22.800
hypoallergenic mal tape that will get

0:02:21.060,0:02:24.780
you sleeping like a baby again I mean

0:02:22.800,0:02:27.270
wearing this shirt right now to help

0:02:24.780,0:02:28.620
promote the power of nose breathing and

0:02:27.270,0:02:29.880
really discourage mouth breathing while

0:02:28.620,0:02:31.319
you're sleeping because if you're

0:02:29.879,0:02:33.000
sitting there with your mouth wide open

0:02:31.319,0:02:35.069
while you're sleeping well guess what

0:02:33.000,0:02:37.080
you're not going to achieve those deep

0:02:35.069,0:02:38.699
phases of restorative sleep that are

0:02:37.080,0:02:41.550
going to help you burn fat better become

0:02:38.699,0:02:42.569
better fat adapted and if you are

0:02:41.550,0:02:43.770
breathing through your mouth while

0:02:42.569,0:02:46.259
you're sleeping you're probably going to

0:02:43.770,0:02:47.700
be activating cortisol and free radical

0:02:46.259,0:02:49.739
stressors within your body so that's

0:02:47.699,0:02:51.539
where mouth taping can come in and what

0:02:49.739,0:02:53.580
makes Sami fix a really unique product

0:02:51.539,0:02:55.799
is it's made of hypoallergenic mouth

0:02:53.580,0:02:57.360
tape that was studied at Harvard and the

0:02:55.800,0:02:59.130
adhesive does not cause any irritation

0:02:57.360,0:03:00.810
to your lips and it has a small little

0:02:59.129,0:03:02.579
Pierce in there so you can speech or

0:03:00.810,0:03:04.259
your partner or your spouse your

0:03:02.580,0:03:06.120
children and your loved ones so please

0:03:04.259,0:03:07.679
help support the show and get your your

0:03:06.120,0:03:10.080
sleep on track by going to some knee

0:03:07.680,0:03:13.469
fixed comm again thats omni fixed comm

0:03:10.080,0:03:15.269
som ni fi x.com dr. funk thanks so much

0:03:13.469,0:03:17.400
for coming back on it's great to be with

0:03:15.269,0:03:19.709
you again great to be here thanks having

0:03:17.400,0:03:22.049
me yeah so that last interview we did it

0:03:19.709,0:03:24.840
was let's see not Memorial Day I'm

0:03:22.049,0:03:27.989
thinking of membranes day of 2016

0:03:24.840,0:03:29.509
oh sure you're wearing your lapel people

0:03:27.989,0:03:32.549
we're asking about that in that video

0:03:29.509,0:03:33.689
remember that yeah it's like early

0:03:32.549,0:03:36.060
November there's a whole week

0:03:33.689,0:03:37.949
remembrance week oh yeah yeah yeah papi

0:03:36.060,0:03:39.360
the punk people are asking like what's

0:03:37.949,0:03:41.458
up with that flower and so we didn't

0:03:39.360,0:03:43.769
talk about that so anyway ah yeah okay

0:03:41.459,0:03:44.759
almost eighteen months ago and I was

0:03:43.769,0:03:46.260
looking through the comments or

0:03:44.759,0:03:47.849
thousands of comments cuz there's such

0:03:46.259,0:03:49.590
great content that you shared and people

0:03:47.849,0:03:51.209
were curious or they one of the top

0:03:49.590,0:03:53.729
comments that would keep coming up was

0:03:51.209,0:03:55.680
did this doctor really just say that the

0:03:53.729,0:03:57.359
calories in calories out model does not

0:03:55.680,0:03:58.650
govern whether someone loses weight or

0:03:57.360,0:04:00.690
gains weight and so we're talking

0:03:58.650,0:04:02.610
offline how there's really no receptors

0:04:00.689,0:04:04.139
for calories in their body yeah and this

0:04:02.610,0:04:05.970
is the thing that's very strange routine

0:04:04.139,0:04:07.949
so you take a concept from physics so

0:04:05.969,0:04:09.569
what calories is is that they take a

0:04:07.949,0:04:11.310
piece of steak or whatever and they

0:04:09.569,0:04:13.439
basically burn it and see how much

0:04:11.310,0:04:15.329
energy it is so you can determine how

0:04:13.439,0:04:17.219
many calories are in a steak and a piece

0:04:15.329,0:04:18.720
of broccoli or a piece of wood for that

0:04:17.220,0:04:20.190
matter so you just burn it and see how

0:04:18.720,0:04:23.430
much physical energy there

0:04:20.189,0:04:25.199
so the body has no receptors it doesn't

0:04:23.430,0:04:26.819
measure calories it has no idea how many

0:04:25.199,0:04:29.909
calories you eat so if you eat a piece

0:04:26.819,0:04:31.800
of wood it might have 10,000 calories

0:04:29.910,0:04:33.420
but you're not gonna absorb any of it

0:04:31.800,0:04:34.740
because it goes straight through you if

0:04:33.420,0:04:37.170
you eat steak

0:04:34.740,0:04:39.870
if you it's it's going to have a certain

0:04:37.170,0:04:41.520
number of calories if you if you drink

0:04:39.870,0:04:42.930
Cola it's gonna have a certain number of

0:04:41.519,0:04:44.789
calories if you don't drink diet cola

0:04:42.930,0:04:46.259
it's gonna have zero calories but the

0:04:44.790,0:04:49.110
body doesn't actually know that because

0:04:46.259,0:04:51.209
it has no way of measuring it so it has

0:04:49.110,0:04:52.560
no way of responding to it so why would

0:04:51.209,0:04:54.269
we think that this is a sort of an

0:04:52.560,0:04:56.970
important concept and the only reason we

0:04:54.269,0:04:59.449
think that is because we've sort of been

0:04:56.970,0:05:01.820
ingrained into us but it's a it's a

0:04:59.449,0:05:05.310
concept of physics and it's not a

0:05:01.819,0:05:08.099
physiologic concept if you put a hundred

0:05:05.310,0:05:10.560
calories of sugar in your mouth versus a

0:05:08.100,0:05:12.780
hundred calories of olive oil the

0:05:10.560,0:05:14.759
physiologic response is completely and

0:05:12.779,0:05:17.009
utterly different so you put that oil

0:05:14.759,0:05:19.349
into your mouth and drink it down for

0:05:17.009,0:05:21.209
example and there's no insulin response

0:05:19.350,0:05:23.340
for example you eat a brownie which is

0:05:21.209,0:05:26.659
the same number of calories and insulin

0:05:23.339,0:05:28.649
spikes way up so the body responds to

0:05:26.660,0:05:30.780
hormones I mean everything runs on

0:05:28.649,0:05:32.699
hormones thyroid hormone insulin all

0:05:30.779,0:05:35.729
these different hormones and that's how

0:05:32.699,0:05:38.550
it knows what to do so when it senses

0:05:35.730,0:05:40.650
that you're taking in carbohydrates for

0:05:38.550,0:05:42.389
example then insulin will go up if it

0:05:40.649,0:05:44.310
senses that protein is coming in insulin

0:05:42.389,0:05:46.560
will go up as well as well as something

0:05:44.310,0:05:48.149
like mTOR so there's different receptors

0:05:46.560,0:05:50.339
for amino acids there's different

0:05:48.149,0:05:52.799
receptors for fat there's different

0:05:50.339,0:05:55.829
receptors so the fat for example you'll

0:05:52.800,0:05:57.300
have cholecystokinin release if you need

0:05:55.829,0:05:59.099
a lot of fibrous foods you'll have

0:05:57.300,0:06:00.629
stretch receptors in your stomach which

0:05:59.100,0:06:02.010
are activated so there are all these

0:06:00.629,0:06:04.379
different things that the body does

0:06:02.009,0:06:06.750
respond to but calories is not one of

0:06:04.379,0:06:09.750
them so therefore it really has no idea

0:06:06.750,0:06:12.389
you can look on all these different you

0:06:09.750,0:06:14.339
know these diagrams of metabolism that

0:06:12.389,0:06:17.668
we've done and you can go on google you

0:06:14.339,0:06:20.339
can find you know hundreds of diagrams

0:06:17.668,0:06:23.399
of metabolism you see the Krebs cycle

0:06:20.339,0:06:25.739
you see acetyl co a you'll see insulin

0:06:23.399,0:06:28.649
receptors you'll see all kinds of things

0:06:25.740,0:06:32.038
amino acids fatty acids all kinds of

0:06:28.649,0:06:33.539
things and in nowhere in the last sort

0:06:32.038,0:06:36.990
of five hundred you

0:06:33.540,0:06:39.870
of human physiology have we described

0:06:36.990,0:06:43.920
the calorie receptor it doesn't exist

0:06:39.870,0:06:47.189
right and so the the entire concept is

0:06:43.920,0:06:49.140
sort of borrowed from physics and sort

0:06:47.189,0:06:52.740
of made a little bit of sense not a lot

0:06:49.139,0:06:54.329
of sense but it just kept being repeated

0:06:52.740,0:06:57.840
repeated repeated so people think that

0:06:54.329,0:06:59.550
is true but again 100 calories of

0:06:57.839,0:07:01.889
broccoli is not the same as a hundred

0:06:59.550,0:07:03.720
calories of donuts that's just the

0:07:01.889,0:07:07.229
bottom line and we all try and pretend

0:07:03.720,0:07:08.760
that it is but it isn't and that's where

0:07:07.230,0:07:11.370
we've really failed so if you believe

0:07:08.759,0:07:14.009
that calories is what's really important

0:07:11.370,0:07:16.410
then all you need to do is switch over

0:07:14.009,0:07:18.719
and drink diet soda and have that fake

0:07:16.410,0:07:21.330
fat olestra that we used to have eat

0:07:18.720,0:07:22.740
fake food with zero calories switch and

0:07:21.329,0:07:24.839
there are lots of things we've done it

0:07:22.740,0:07:27.210
for sort of 30 years that I mean diet

0:07:24.839,0:07:29.489
cooks been around for a long time and

0:07:27.209,0:07:30.989
there would be no obesity crisis but

0:07:29.490,0:07:33.420
it's worse than ever so it's like okay

0:07:30.990,0:07:36.870
well you know what people never really

0:07:33.420,0:07:39.180
get is that the bottom line is that you

0:07:36.870,0:07:42.000
have to have results if you think that

0:07:39.180,0:07:44.670
cutting calories is what's really

0:07:42.000,0:07:46.350
important and we've told people this is

0:07:44.670,0:07:49.590
important for the last sort of 20-30

0:07:46.350,0:07:51.150
years well what's happened well obesity

0:07:49.589,0:07:54.060
has gone like through the roof so

0:07:51.149,0:07:56.699
clearly this entire notion is completely

0:07:54.060,0:07:59.040
false and that's where we're getting

0:07:56.699,0:08:01.620
into trouble because we're following the

0:07:59.040,0:08:03.689
wrong path we're so obsessed with

0:08:01.620,0:08:06.209
calories that we forget about everything

0:08:03.689,0:08:08.879
else we say yeah you can eat doughnuts

0:08:06.209,0:08:10.409
for dinner because it's the same number

0:08:08.879,0:08:13.050
of calories as if you had that kale

0:08:10.410,0:08:16.230
salad like you've got to be an idiot to

0:08:13.050,0:08:18.990
think that eating doughnuts for dinner

0:08:16.230,0:08:21.360
is a good idea and equally as fattening

0:08:18.990,0:08:22.800
as eating kale salad there's nothing the

0:08:21.360,0:08:24.210
same about them the minute it goes into

0:08:22.800,0:08:26.790
your mouth there's nothing the same

0:08:24.209,0:08:29.009
about those two foods so you got to

0:08:26.790,0:08:33.179
follow the physiology rather than this

0:08:29.009,0:08:35.970
sort of foreign notion of physics that

0:08:33.179,0:08:38.429
we've sort of imported in I mean why

0:08:35.970,0:08:40.769
don't we say for example that it's all

0:08:38.429,0:08:42.389
dude the weight of food if you eat half

0:08:40.769,0:08:43.519
a pound of food you will gain half a

0:08:42.389,0:08:45.960
pound of weight

0:08:43.519,0:08:48.419
you know depends what you're eating in

0:08:45.960,0:08:50.550
the hormone response yeah exactly and I

0:08:48.419,0:08:52.919
mean that's the law of thermodynamics to

0:08:50.549,0:08:54.750
first law of thermodynamics you can't

0:08:52.919,0:08:57.000
gain a pound of weight if you've only

0:08:54.750,0:08:59.279
eaten a pound half a pound of food if

0:08:57.000,0:09:01.470
you've eaten half a pound of food you

0:08:59.279,0:09:03.449
must weigh half a pound more there's

0:09:01.470,0:09:05.610
simply no way around it of course that's

0:09:03.450,0:09:07.620
stupid because you get metabolism

0:09:05.610,0:09:08.909
there's metabolism something that's

0:09:07.620,0:09:10.620
going to be exhaled as carbon dioxide

0:09:08.909,0:09:13.159
something's gonna go through your stools

0:09:10.620,0:09:16.110
there's all this physiology that happens

0:09:13.159,0:09:18.990
when when when you go from physics to

0:09:16.110,0:09:22.950
physiology but but you know the whole

0:09:18.990,0:09:25.590
calories thing is just like it's just so

0:09:22.950,0:09:27.960
engrained into us from like we're from

0:09:25.590,0:09:29.790
the time we're like 2 years old that we

0:09:27.960,0:09:31.259
really can't let go of this notion and

0:09:29.789,0:09:32.759
that's where we're really really getting

0:09:31.259,0:09:34.590
into trouble yeah do you think part of

0:09:32.759,0:09:35.970
that is the food industry because people

0:09:34.590,0:09:38.009
go to the grocery store buy packaged

0:09:35.970,0:09:39.600
food so they look at calories and so

0:09:38.009,0:09:40.799
it's like indelibly inked I mean it's

0:09:39.600,0:09:42.750
gonna take a long time for you on a

0:09:40.799,0:09:44.729
hundred thirty it was all driven by the

0:09:42.750,0:09:46.769
food industry in my mind because it's

0:09:44.730,0:09:47.970
not driven by the scientists other than

0:09:46.769,0:09:51.360
know what those who have been paid off

0:09:47.970,0:09:55.620
by the industry because what they want

0:09:51.360,0:09:58.050
to do is equate in our minds that it's

0:09:55.620,0:09:59.429
all calories so that you can say you can

0:09:58.049,0:10:00.899
eat doughnuts for dinner and then hey

0:09:59.429,0:10:02.669
why don't you buy these doughnuts

0:10:00.899,0:10:04.799
there's a lot tastier than that salad

0:10:02.669,0:10:06.870
you're gonna eat and if it's 200

0:10:04.799,0:10:09.359
calories of doughnuts and 200 calories

0:10:06.870,0:10:11.789
of salmon hey same thing it's like

0:10:09.360,0:10:13.769
cheaper it tastes better just eat that

0:10:11.789,0:10:16.709
doughnut and it's great so of course

0:10:13.769,0:10:19.019
they they love this sort of idea and the

0:10:16.710,0:10:21.240
beverage business for example it's like

0:10:19.019,0:10:23.970
yeah you can drink Gatorade and then go

0:10:21.240,0:10:25.350
bicycle for an hour and you'll work it

0:10:23.970,0:10:26.970
all off it's the same it's all

0:10:25.350,0:10:29.159
equivalent when you try and make them

0:10:26.970,0:10:30.750
equivalent what you don't understand is

0:10:29.159,0:10:32.069
that if you drink that sugary drink

0:10:30.750,0:10:34.230
you're gonna get fatty liver you're

0:10:32.070,0:10:35.670
gonna get insulin resistance you can

0:10:34.230,0:10:37.649
exercise your muscles but you can't

0:10:35.669,0:10:39.509
exercise your liver your livers dying

0:10:37.649,0:10:41.850
your muscles are doing great so it's

0:10:39.509,0:10:44.549
like okay well in the end you get all

0:10:41.850,0:10:46.860
these athletes like Professor Tim Noakes

0:10:44.549,0:10:49.529
who's running marathons to marathon

0:10:46.860,0:10:52.019
after marathon and then gets type-2

0:10:49.529,0:10:54.720
diabetes it's like okay well how does

0:10:52.019,0:10:55.889
that work it works because the whole

0:10:54.720,0:10:58.560
calories notion is

0:10:55.889,0:11:01.470
Falls and that's one of the things that

0:10:58.559,0:11:03.958
we have to understand yeah maybe it's

0:11:01.470,0:11:04.528
you know maybe I over exaggerated a

0:11:03.958,0:11:08.250
little bit

0:11:04.528,0:11:10.110
for a fact but you really can't use that

0:11:08.250,0:11:12.629
calories notion it's not a helpful

0:11:10.110,0:11:14.700
notion and if it was we would be doing a

0:11:12.629,0:11:17.189
lot better than we are sort of today

0:11:14.700,0:11:19.140
mm-hmm and in the longer term at the

0:11:17.190,0:11:21.870
demon illogical studies have teased this

0:11:19.139,0:11:23.278
out and and reducing calories effects

0:11:21.870,0:11:24.750
resting metabolic rate which I want to

0:11:23.278,0:11:27.088
get into but first is two kind of two

0:11:24.750,0:11:29.370
examples you know I want to talk about

0:11:27.089,0:11:31.470
insulin and then also if someone is

0:11:29.370,0:11:33.120
eating the right amount of

0:11:31.470,0:11:35.278
macronutrients but is in a calorie

0:11:33.120,0:11:37.259
excess but yet it's keeping their

0:11:35.278,0:11:38.519
hormones in balance so we've seen this a

0:11:37.259,0:11:41.309
lot of people on the internet are doing

0:11:38.519,0:11:43.709
like 5,000 or 4,000 calorie a day keto

0:11:41.309,0:11:45.208
you know diets and they're not gaining

0:11:43.708,0:11:48.028
fat because their hormones are

0:11:45.208,0:11:52.009
imbalanced so yeah how do you feel about

0:11:48.028,0:11:54.120
that I think you can do it now it all

0:11:52.009,0:11:57.028
depends on what happens you got to

0:11:54.120,0:11:58.769
realize that for most of sort of human

0:11:57.028,0:12:03.240
history people didn't count calories

0:11:58.769,0:12:05.549
calorie intake varies widely know nobody

0:12:03.240,0:12:08.100
eats sort of like 2,000 a day every

0:12:05.549,0:12:09.929
single day honestly I have no idea how

0:12:08.100,0:12:11.519
many calories I eat in a day and most

0:12:09.929,0:12:13.379
people don't either they even if they

0:12:11.519,0:12:16.919
try and count it they're wildly

0:12:13.379,0:12:19.919
inaccurate the idea is that the body

0:12:16.919,0:12:21.990
works as a negative feedback loop and

0:12:19.919,0:12:24.088
that's how we maintain stable weight so

0:12:21.990,0:12:26.639
look let's go back to the 60s the

0:12:24.089,0:12:28.890
sixties nobody's exercising and weight

0:12:26.639,0:12:32.100
is quite stable for the most part in a

0:12:28.889,0:12:35.189
very good range like in a non obese or

0:12:32.100,0:12:38.579
overweight sort of a range so how does

0:12:35.190,0:12:40.649
that work because if you think that you

0:12:38.578,0:12:44.909
can match your calorie expenditure in

0:12:40.649,0:12:49.019
your intake to that degree that sort of

0:12:44.909,0:12:51.929
2% of the population is obese but you're

0:12:49.019,0:12:56.250
taking 2,000 calories a day in a year

0:12:51.929,0:12:59.009
times 365 it's you know 70,000 calories

0:12:56.250,0:13:01.980
in a year a pound of fat is roughly

0:12:59.009,0:13:04.860
3,000 calories so you're matching it to

0:13:01.980,0:13:07.680
less like sort of a 99.5 percent

0:13:04.860,0:13:09.379
accuracy without any idea of how many

0:13:07.679,0:13:12.078
calories are either either

0:13:09.379,0:13:15.499
spending it's like there's no way that's

0:13:12.078,0:13:17.208
possible so there's obviously a negative

0:13:15.499,0:13:19.099
feedback loop and what that is it's like

0:13:17.208,0:13:20.748
a thermostat so a thermostat is a

0:13:19.099,0:13:23.539
perfect example of a negative feedback

0:13:20.749,0:13:26.178
loop so you set your temperature at say

0:13:23.538,0:13:29.088
72 degrees which is room temperature if

0:13:26.178,0:13:31.278
it's summer and it's hot then the the

0:13:29.089,0:13:32.689
thermostat senses it's too hot and turns

0:13:31.278,0:13:35.178
on the air-conditioning brings it back

0:13:32.688,0:13:37.578
to 72 if it's winter and it's really

0:13:35.178,0:13:38.629
cold temperatures in the house drops to

0:13:37.578,0:13:41.628
69 degrees

0:13:38.629,0:13:43.369
these thermostat senses that turns on

0:13:41.629,0:13:44.899
the heat brings it back up so it's a

0:13:43.369,0:13:47.028
negative feedback loop and that's a

0:13:44.899,0:13:50.149
perfect example of homeostasis the body

0:13:47.028,0:13:53.688
does exactly the same thing and there's

0:13:50.149,0:13:57.109
a very similar body set way so we have a

0:13:53.688,0:14:00.228
a mechanism in our body that determines

0:13:57.109,0:14:02.720
how fat we get so if you get too fat

0:14:00.229,0:14:04.399
you're gonna you're not going to survive

0:14:02.720,0:14:05.839
because you're not going to be able to

0:14:04.399,0:14:07.308
catch food or somebody's going to eat

0:14:05.839,0:14:08.779
you if you get too skinny you're also

0:14:07.308,0:14:10.458
not going to survive because you can't

0:14:08.778,0:14:11.749
take it when there's no food like the

0:14:10.458,0:14:14.778
wintertime there's no food you're gonna

0:14:11.749,0:14:17.359
die so the body actually sets a certain

0:14:14.778,0:14:19.489
set weight which is defended very

0:14:17.359,0:14:21.709
vigorously actually so if you get too

0:14:19.489,0:14:23.359
fat your body will actually turn on and

0:14:21.708,0:14:24.978
try and burn off those calories and

0:14:23.359,0:14:27.259
we've proved that through lots of

0:14:24.979,0:14:30.229
studies so if you deliberately over feed

0:14:27.259,0:14:32.389
people to gain 10 percent body weight

0:14:30.229,0:14:35.509
they'll actually burn 500 calories per

0:14:32.389,0:14:36.979
day more than if they're at their normal

0:14:35.509,0:14:38.600
weight then you drop them to their

0:14:36.979,0:14:41.329
normal weight and their basal metabolic

0:14:38.600,0:14:42.889
rate goes back to the same one if now

0:14:41.328,0:14:44.628
you make them lose 10 percent of their

0:14:42.889,0:14:47.178
body weight they're actually burning 300

0:14:44.629,0:14:49.069
calories a day less than they did when

0:14:47.178,0:14:51.288
they were normal weight so you see that

0:14:49.068,0:14:53.478
the basal metabolic rate goes up and

0:14:51.288,0:14:56.269
down depending on where it is but the

0:14:53.479,0:14:57.979
body has this mechanism that if you get

0:14:56.269,0:14:59.658
too fat it's going to burn it off

0:14:57.979,0:15:02.139
burn off those calories so we get back

0:14:59.658,0:15:04.788
to normal weight the more sort of

0:15:02.139,0:15:07.129
situation we deal with more is that

0:15:04.788,0:15:08.989
you're trying to lose weight then the

0:15:07.129,0:15:12.079
body tries to make you gain that weight

0:15:08.989,0:15:14.989
back so the key is not to look at the

0:15:12.078,0:15:17.118
calories so let's take an example of the

0:15:14.989,0:15:19.069
thermostat mm-hmm we know there's a

0:15:17.119,0:15:21.319
there's a negative feedback loop there

0:15:19.068,0:15:23.868
if you

0:15:21.318,0:15:27.169
temperature of 72 degrees and it gets

0:15:23.869,0:15:28.699
too hot then what's gonna happen is that

0:15:27.169,0:15:31.969
the body will turn on the

0:15:28.698,0:15:34.519
air-conditioning if you for example put

0:15:31.970,0:15:37.009
in a bunch of heaters you can bring it

0:15:34.519,0:15:38.839
back up so say you're at 72 degrees and

0:15:37.009,0:15:41.449
you say okay now I want to be 75 degrees

0:15:38.839,0:15:43.369
but instead of changing that thermostat

0:15:41.448,0:15:47.058
you just bring in a couple of heaters

0:15:43.369,0:15:51.050
well that's great you go from 72 to 75

0:15:47.058,0:15:53.088
then the thermostat is going to turn on

0:15:51.049,0:15:55.128
the AC and then it's gonna bring it back

0:15:53.089,0:15:57.230
down to 72 so you say okay well that

0:15:55.129,0:15:59.178
didn't work so instead of one heater

0:15:57.230,0:16:01.490
I'll bring in two heaters you bring it

0:15:59.178,0:16:04.039
up to 75 it brings it back down and you

0:16:01.490,0:16:06.470
keep fighting yourself that's exactly

0:16:04.039,0:16:09.110
what we do with our body so we have a

0:16:06.470,0:16:10.759
say say our body set weight is 200

0:16:09.110,0:16:11.829
pounds we don't want to be 200 pounds we

0:16:10.759,0:16:14.300
want to be a hundred and eighty pounds

0:16:11.828,0:16:18.469
so you lose weight you count your

0:16:14.299,0:16:20.958
calories you lose weight go down to 180

0:16:18.470,0:16:23.600
and what does the body do well the body

0:16:20.958,0:16:26.239
makes you hungry and then it slows down

0:16:23.600,0:16:29.120
your metabolism in an effort to get back

0:16:26.240,0:16:31.490
up to the 200 pounds so then you say

0:16:29.120,0:16:32.839
okay well now you know I've got a lot of

0:16:31.490,0:16:35.240
willpower so I'm gonna cut my calories

0:16:32.839,0:16:37.399
even further so you cut your calories

0:16:35.240,0:16:39.169
further and what happens the body makes

0:16:37.399,0:16:41.299
you hungrier and it slows down your

0:16:39.169,0:16:43.549
metabolic rate even more so you're

0:16:41.299,0:16:46.039
constantly fighting yourself rather than

0:16:43.549,0:16:47.748
adjusting that body set wait so it's not

0:16:46.039,0:16:49.789
about calories it's about this body's

0:16:47.749,0:16:52.579
that way because the way it worked is

0:16:49.789,0:16:55.789
that insulin is going to make you gain

0:16:52.578,0:16:57.979
fat but if your fat cells expand to a

0:16:55.789,0:17:01.519
certain point they're going to generate

0:16:57.980,0:17:05.480
leptin so leptin goes into the brain and

0:17:01.519,0:17:09.439
it says hey we're too fat and turns down

0:17:05.480,0:17:11.929
the appetite right down okay so as your

0:17:09.439,0:17:14.449
appetite goes down you don't eat if you

0:17:11.929,0:17:17.059
don't eat insulin goes down so perfect

0:17:14.449,0:17:18.318
here is your negative feedback loop hi

0:17:17.058,0:17:19.638
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qualify now let's dive back into the

0:18:02.779,0:18:08.420
show you eat insulin goes up when you're

0:18:05.180,0:18:10.970
too fat left and turns on and turns off

0:18:08.420,0:18:12.529
the insulin so it works perfectly what

0:18:10.970,0:18:16.100
happens though is that if you've

0:18:12.529,0:18:19.789
hijacked that mechanism now listen you

0:18:16.099,0:18:23.000
you stimulate insulin all the time so

0:18:19.789,0:18:25.730
you go to 1977 the government says eat

0:18:23.000,0:18:28.279
lots of Brad because remember they said

0:18:25.730,0:18:30.319
eat 50 percent carbs 55 to 60 percent

0:18:28.279,0:18:32.210
carbs right if they're eating broccoli

0:18:30.319,0:18:34.059
you're good but if you're eating white

0:18:32.210,0:18:36.079
bread and you should see the original

0:18:34.059,0:18:39.079
Dietary Guidelines they're all white

0:18:36.079,0:18:40.369
bread and you know spaghetti yeah and so

0:18:39.079,0:18:42.230
you're supposed to eat that five or six

0:18:40.369,0:18:44.989
times a day so insulin is going through

0:18:42.230,0:18:46.759
the roof but not just that but people

0:18:44.990,0:18:49.910
went from eating three times a day to

0:18:46.759,0:18:52.519
six times a day that wasn't in the

0:18:49.910,0:18:53.960
guidelines but that did happen so now

0:18:52.519,0:18:55.879
you're stimula every time you eat

0:18:53.960,0:18:58.700
assuming you eat a mixed meal

0:18:55.880,0:19:00.650
you're gonna stimulate insulin assuming

0:18:58.700,0:19:03.319
you have some carbs some proteins on fat

0:19:00.650,0:19:05.360
yeah you're gonna stimulate insulin so

0:19:03.319,0:19:08.649
not only are you stimulated insulin more

0:19:05.359,0:19:12.319
you're stimulating it all the time so

0:19:08.650,0:19:13.910
what happens is that if you stimulate

0:19:12.319,0:19:17.779
insulin all the time you get insulin

0:19:13.910,0:19:20.720
resistance your fat cells get big it

0:19:17.779,0:19:22.369
turns on leptin leptin if you stimulate

0:19:20.720,0:19:25.970
all the time you get leptin resistance

0:19:22.369,0:19:28.399
same thing we know that because in

0:19:25.970,0:19:32.180
obesity what you have is not a lack of

0:19:28.400,0:19:34.730
leptin but a total lack of response so

0:19:32.180,0:19:36.980
it's a leptin resistance state so now

0:19:34.730,0:19:40.309
your negative feedback loop is

0:19:36.980,0:19:43.250
completely busted because insulin you're

0:19:40.309,0:19:44.440
eating a diet lots of carbs eating all

0:19:43.250,0:19:46.849
the time

0:19:44.440,0:19:49.640
your insulin is going up through the

0:19:46.849,0:19:52.398
roof and leptin goes up but there's no

0:19:49.640,0:19:55.159
response so now your your negative

0:19:52.398,0:19:56.778
feedback loop is busted and you're just

0:19:55.159,0:20:00.080
going to gain weight so that thermostat

0:19:56.778,0:20:01.640
that bodyweight thermostat is gradually

0:20:00.079,0:20:03.439
getting reset upwards

0:20:01.640,0:20:06.769
higher and higher and higher exact yeah

0:20:03.440,0:20:08.870
and then if you simply try so so the

0:20:06.769,0:20:11.058
important thing is that how do you reset

0:20:08.869,0:20:12.829
that well it's a balance between insulin

0:20:11.058,0:20:15.288
and leptin you can't do much about

0:20:12.829,0:20:18.138
leptin so you really got a attack the

0:20:15.288,0:20:21.048
the infant side and really lower it but

0:20:18.138,0:20:23.089
if you simply say and here's where we

0:20:21.048,0:20:27.079
made a huge mistake so you're eating

0:20:23.089,0:20:29.750
2,000 calories a day now you say okay I

0:20:27.079,0:20:31.849
want to cut 500 calories I'm gonna cut

0:20:29.750,0:20:33.288
the fat out because that's what the

0:20:31.849,0:20:36.528
government told them I'm gonna cut the

0:20:33.288,0:20:38.720
fat high calorie weight so the coke

0:20:36.528,0:20:40.429
calorie thing is like okay I've cut my

0:20:38.720,0:20:42.940
calories because I've cut so much fat

0:20:40.429,0:20:45.500
out of my diet that fat had no

0:20:42.940,0:20:47.720
practically no insulin response anyway

0:20:45.500,0:20:49.609
yeah and instead of eating three times a

0:20:47.720,0:20:51.350
day I'm gonna eat six or seven times a

0:20:49.609,0:20:52.339
day because somebody told me that you

0:20:51.349,0:20:56.569
have to eat all the time

0:20:52.339,0:20:58.548
you should eat six meals a day so not

0:20:56.569,0:21:01.220
only are you you're not affecting your

0:20:58.548,0:21:03.500
insulin because you're eating foods that

0:21:01.220,0:21:05.089
are getting reading the same insulin

0:21:03.500,0:21:06.169
effect and you're getting more insulin

0:21:05.089,0:21:08.000
effect because you're eating all the

0:21:06.169,0:21:09.380
time so you're eating less calories for

0:21:08.000,0:21:11.179
having the same insulin in fact and then

0:21:09.380,0:21:13.610
wondering why your weight is going up

0:21:11.179,0:21:15.590
because you never corrected the problem

0:21:13.609,0:21:17.689
which is this balance between insulin

0:21:15.589,0:21:19.990
and leptin you need to get your insulin

0:21:17.690,0:21:23.450
low for a significant amount of time and

0:21:19.990,0:21:24.980
keep get your you're left to get low and

0:21:23.450,0:21:28.519
that takes a long time because that is

0:21:24.980,0:21:31.940
reset upwards very very gradually so if

0:21:28.519,0:21:34.579
you think about standard sort of common

0:21:31.940,0:21:37.639
obesity it's about a pound of weight

0:21:34.579,0:21:39.619
gain one to two pounds per year which

0:21:37.638,0:21:43.250
adds up over three decades sort of thing

0:21:39.619,0:21:45.888
but that's it this gradually reset

0:21:43.250,0:21:47.630
upwards so can you move it all back down

0:21:45.888,0:21:51.379
in like a month and a half not really

0:21:47.630,0:21:53.299
it's it's a long term process there's

0:21:51.380,0:21:54.740
this really fascinating study about

0:21:53.298,0:21:56.210
eating habits and

0:21:54.740,0:22:00.200
the things that I've always talked about

0:21:56.210,0:22:03.470
in you know in the obesity code is that

0:22:00.200,0:22:05.840
it's not simply what we eat so if you

0:22:03.470,0:22:08.000
look at the foods that we should eat

0:22:05.839,0:22:09.709
there's there's really not that much

0:22:08.000,0:22:10.970
disagreement nobody really thinks you

0:22:09.710,0:22:12.350
should be eating a lot of white bread

0:22:10.970,0:22:15.399
anymore

0:22:12.349,0:22:18.469
so if you look that we all sort of agree

0:22:15.398,0:22:20.389
unprocessed foods are good natural fats

0:22:18.470,0:22:22.100
are sort of back so there's less you

0:22:20.390,0:22:23.840
know avocados and nuts it's not that

0:22:22.099,0:22:25.490
much controversy around the edges like

0:22:23.839,0:22:28.220
saturated fat and so on there's still

0:22:25.490,0:22:30.169
some controversy but if you look at what

0:22:28.220,0:22:32.690
people say you should eat it's not that

0:22:30.169,0:22:35.149
it's not that different the thing I've

0:22:32.690,0:22:37.880
never talked about is the when to eat if

0:22:35.148,0:22:39.739
you look at nineteen seventy seven how

0:22:37.880,0:22:41.270
often people are eating it's about three

0:22:39.740,0:22:42.649
times a day so I grew up in to some

0:22:41.269,0:22:44.990
needs a breakfast lunch dinner you

0:22:42.648,0:22:46.579
wanted to stack your mom said no you

0:22:44.990,0:22:48.740
can't have a snack we don't have snacks

0:22:46.579,0:22:50.178
and you're gonna ruin your dinner you

0:22:48.740,0:22:52.759
want an after-dinner snack they're like

0:22:50.179,0:22:54.740
no if you got hungry yes buddy you

0:22:52.759,0:22:57.558
should be more dinner that exactly what

0:22:54.740,0:23:00.798
they would have said and if you look at

0:22:57.558,0:23:02.839
the latest data so 2004 2005 the Ann

0:23:00.798,0:23:06.230
Haynes study which is this giant sort of

0:23:02.839,0:23:11.000
American survey it's closer to six times

0:23:06.230,0:23:12.380
a day average in 2005 sorry a couple of

0:23:11.000,0:23:13.640
years ago they had this really

0:23:12.380,0:23:16.429
interesting study where they gave

0:23:13.640,0:23:18.080
somebody a smartphone app and people

0:23:16.429,0:23:19.130
would just record when they ate and how

0:23:18.079,0:23:21.470
much they ate sort of thing and they

0:23:19.130,0:23:24.380
looked at how often people ate and they

0:23:21.470,0:23:26.839
broke it in by deciles so each the top

0:23:24.380,0:23:30.440
10% of people in the bottom 10% so the

0:23:26.839,0:23:33.250
the bottom 10% the peep that the 10% of

0:23:30.440,0:23:38.750
people who ate the least frequently

0:23:33.250,0:23:42.470
averaged 3.3 times hmm that is 90% of

0:23:38.750,0:23:44.778
people ate more than three times a day

0:23:42.470,0:23:46.940
it's and and the top 10 percent of

0:23:44.778,0:23:47.148
people how often they it was ten times a

0:23:46.940,0:23:49.880
day

0:23:47.148,0:23:53.079
well it's ridiculous we're eating all

0:23:49.880,0:23:58.159
the time so again if you think about it

0:23:53.079,0:24:01.490
the way human nutrition is is not that

0:23:58.159,0:24:04.100
complicated when you eat your body wants

0:24:01.490,0:24:05.630
to store food energy because food

0:24:04.099,0:24:07.669
Energy's coming in you should store it

0:24:05.630,0:24:11.600
for a time that you don't have it

0:24:07.670,0:24:13.970
and when you are not eating then insulin

0:24:11.599,0:24:15.829
falls and you simply take that food

0:24:13.970,0:24:17.480
energy that you store it and you burn it

0:24:15.829,0:24:19.039
and that's why you don't die in your

0:24:17.480,0:24:21.559
sleep like every single night it's like

0:24:19.039,0:24:25.039
yes you don't have to eat muffins every

0:24:21.559,0:24:26.899
two hours to survive like it's okay but

0:24:25.039,0:24:29.619
that's the way nutrition is so if you

0:24:26.900,0:24:32.390
think about it now we're eating sort of

0:24:29.619,0:24:35.269
ten times a day instead of three times a

0:24:32.390,0:24:37.880
day so 10 times a day we are telling our

0:24:35.269,0:24:40.789
bodies to store fat

0:24:37.880,0:24:42.320
it's like store fast or fast or fast or

0:24:40.789,0:24:44.450
fat and that's like I wonder why I'm so

0:24:42.319,0:24:48.409
fat it's like because you keep telling

0:24:44.450,0:24:50.150
your body do that and if you want to if

0:24:48.410,0:24:51.860
you want to burn fat then you got to

0:24:50.150,0:24:53.450
tell it to stop burning fat and again

0:24:51.859,0:24:55.219
it's a hormonal signal it's not a

0:24:53.450,0:24:57.830
caloric signal it's a hormonal signal

0:24:55.220,0:24:59.839
you got to let that insulin fall because

0:24:57.829,0:25:01.819
it's when the insulin fall that the

0:24:59.839,0:25:04.459
body's gonna start burning the glycogen

0:25:01.819,0:25:07.339
gonna start burning the body fat if you

0:25:04.460,0:25:09.230
keep your insulin high then you'll never

0:25:07.339,0:25:11.629
do it because insulin is the signal to

0:25:09.230,0:25:13.640
go high and this is the promo type-2

0:25:11.630,0:25:15.860
diabetes because you get this insulin

0:25:13.640,0:25:17.870
resistance which leads to high insulin

0:25:15.859,0:25:20.240
all the time so it gets harder and

0:25:17.869,0:25:23.779
harder to lose weight as it goes so then

0:25:20.240,0:25:25.099
as you get in sort of like 40 years in

0:25:23.779,0:25:27.259
if you're 60 years old and you've been

0:25:25.099,0:25:28.990
gaining weight since age 20 for example

0:25:27.259,0:25:32.210
you have all this insulin resistance

0:25:28.990,0:25:34.400
then of course the whole problem is that

0:25:32.210,0:25:36.110
you have all this insulin resistance it

0:25:34.400,0:25:38.330
keeps it high even though your diet may

0:25:36.109,0:25:40.129
be good you have to you have to fight

0:25:38.329,0:25:42.589
all those years of insulin resistance

0:25:40.130,0:25:44.210
and that's why I also say that that

0:25:42.589,0:25:47.179
obesity is really a time-dependent

0:25:44.210,0:25:49.490
phenomenon that is the longer you have

0:25:47.180,0:25:52.519
it the harder it is which the Clarke

0:25:49.490,0:25:55.460
theory completely sort of ignores that

0:25:52.519,0:25:57.829
is to say if you gain ten pounds from

0:25:55.460,0:25:59.960
where you are right now you could lose

0:25:57.829,0:26:04.159
that pretty easily yeah but if somebody

0:25:59.960,0:26:06.079
is 65 it's pretty hard to lose that ten

0:26:04.160,0:26:08.810
pounds because they've always had it and

0:26:06.079,0:26:10.879
it's this sort of chronic resetting

0:26:08.809,0:26:11.690
upwards of this body set weight that's

0:26:10.880,0:26:14.090
the problem

0:26:11.690,0:26:16.640
so actors in Hollywood do it all the

0:26:14.089,0:26:19.730
time you see people they gain like ten

0:26:16.640,0:26:22.549
for their 20 pounds for a roll and then

0:26:19.730,0:26:23.089
they drop it and no no no biggie yeah of

0:26:22.548,0:26:24.950
course

0:26:23.089,0:26:26.659
they just gained it like two weeks ago

0:26:24.950,0:26:28.100
they can lose it no problem right

0:26:26.660,0:26:30.200
because their setpoint was relatively

0:26:28.099,0:26:31.939
normal go there's that points here it

0:26:30.200,0:26:33.650
takes time it hasn't really gone up but

0:26:31.940,0:26:35.179
they force-fed themselves to gain that

0:26:33.650,0:26:37.370
weight for whatever movie role they have

0:26:35.179,0:26:39.890
to do so their body weights here but

0:26:37.369,0:26:41.989
their set points here so then they

0:26:39.890,0:26:43.820
simply stop eating because lectins too

0:26:41.990,0:26:45.529
high they stop eating because they

0:26:43.819,0:26:47.750
really don't want to eat and they just

0:26:45.529,0:26:50.359
drop and we saw that in experiments with

0:26:47.750,0:26:53.000
in the 1960s with the overfeeding

0:26:50.359,0:26:56.119
studies so those are fascinating because

0:26:53.000,0:26:58.400
they took these college kids and they

0:26:56.119,0:27:00.048
said we want you to gain weight so this

0:26:58.400,0:27:02.660
was an interesting story because Ethan

0:27:00.048,0:27:04.970
Sims he wanted to study obesity so he

0:27:02.660,0:27:06.740
said okay well you know what I'll make

0:27:04.970,0:27:07.940
these rats gain weight so you just gave

0:27:06.740,0:27:10.490
him food and they wouldn't gain weight

0:27:07.940,0:27:12.710
when they're full they stopped which is

0:27:10.490,0:27:14.779
exactly what happens in in in like the

0:27:12.710,0:27:16.610
1960s of course people ate until they're

0:27:14.779,0:27:19.548
full and they stopped the key of course

0:27:16.609,0:27:21.979
is they're not eating all the time but

0:27:19.548,0:27:24.470
they so he thought okay well I can't

0:27:21.980,0:27:25.940
make these rats get fat that's weird

0:27:24.470,0:27:27.769
I thought it is pretty easy so he got

0:27:25.940,0:27:29.120
these college kids and I said I want you

0:27:27.769,0:27:30.859
to gain like 10 percent of your weight

0:27:29.119,0:27:32.689
and they all thought it'd be easy and

0:27:30.859,0:27:36.769
they couldn't do it they couldn't gain

0:27:32.690,0:27:39.289
weight so he went to prison and he said

0:27:36.769,0:27:42.168
okay I'm gonna take these people in

0:27:39.289,0:27:44.539
prison and make them gain weight he he

0:27:42.169,0:27:47.030
made sure they didn't exercise too much

0:27:44.539,0:27:48.798
he had people watch them as they ate

0:27:47.029,0:27:51.109
because you know their liberties were

0:27:48.798,0:27:53.119
being restricted so they gained weight

0:27:51.109,0:27:54.979
but is really really hard there's one

0:27:53.119,0:27:56.979
guy he eventually gained sort of 25

0:27:54.980,0:28:00.558
percent of his body weight he was eating

0:27:56.980,0:28:03.279
10,000 calories a day well so you think

0:28:00.558,0:28:05.389
okay what's going on he normally 820 500

0:28:03.279,0:28:08.149
calories a day for example he went up to

0:28:05.390,0:28:10.700
10,000 but as you went up to 10,000 his

0:28:08.150,0:28:13.370
bodies that way was down here and his

0:28:10.700,0:28:14.900
body is actively trying to burn off all

0:28:13.369,0:28:16.548
those calories that are coming in now

0:28:14.900,0:28:18.230
you can't make up that many calories so

0:28:16.548,0:28:20.450
he did gain weight that's what happened

0:28:18.230,0:28:22.548
he said when the experiment stopped his

0:28:20.450,0:28:25.009
body set weights down here he's up here

0:28:22.548,0:28:26.200
boom he lost all that weight in like two

0:28:25.009,0:28:28.150
months without effort

0:28:26.200,0:28:29.650
it's crazy that's crazy well you know a

0:28:28.150,0:28:31.540
lot of bodybuilders not in review but a

0:28:29.650,0:28:33.340
lot of bodybuilders use insulin for to

0:28:31.539,0:28:34.899
put on mass you know because you you're

0:28:33.339,0:28:37.419
at 190 pounds you want to be a

0:28:34.900,0:28:39.040
professional onstage at 285 there's a

0:28:37.420,0:28:41.050
long way to go right so they used

0:28:39.039,0:28:42.849
insulin a lot of anabolic sex you rev up

0:28:41.049,0:28:43.450
so that they can physically eat down

0:28:42.849,0:28:45.669
much food

0:28:43.450,0:28:47.080
yeah so it's crazy um you know a lot of

0:28:45.670,0:28:48.550
people will say like oh I just have a

0:28:47.079,0:28:49.929
sluggish metabolism and I remember

0:28:48.549,0:28:52.000
reading some studies about that like

0:28:49.930,0:28:54.100
overweight people their metabolisms not

0:28:52.000,0:28:55.990
slow they're just storing more than

0:28:54.099,0:28:57.699
they're burning you know yeah so that's

0:28:55.990,0:28:59.769
really interesting about like you know

0:28:57.700,0:29:02.140
increasing the food intake the body will

0:28:59.769,0:29:05.259
compensate and will speed up resting

0:29:02.140,0:29:07.480
metabolic rate but one thing that how

0:29:05.259,0:29:10.119
can we mentally unravel the difference

0:29:07.480,0:29:12.099
between calorie restriction like you

0:29:10.119,0:29:13.809
know I want to lose whatever how many

0:29:12.099,0:29:15.429
pound so I'm going to only eat 1200

0:29:13.809,0:29:17.589
calories per day and intermittent

0:29:15.430,0:29:19.600
fasting and how calorie restriction

0:29:17.589,0:29:21.909
reduces your resting metabolic rate but

0:29:19.599,0:29:23.740
intermittent fasting does not help us

0:29:21.910,0:29:26.290
like navigate that yeah that's a common

0:29:23.740,0:29:28.990
question and the point is that calorie

0:29:26.289,0:29:30.869
restriction first of all the body really

0:29:28.990,0:29:33.549
has no idea what the hell you're doing

0:29:30.869,0:29:34.929
so you restrict calories but the body

0:29:33.549,0:29:37.029
does whatever it wants because it

0:29:34.930,0:29:39.310
responds to hormones intermittent

0:29:37.029,0:29:41.440
fasting is not about how many calories

0:29:39.309,0:29:44.169
you eat it's about the time that you're

0:29:41.440,0:29:47.279
not eating so you're not eating for 12

0:29:44.170,0:29:51.430
hours or 16 hours or 24 hours or 7 days

0:29:47.279,0:29:54.190
and people always think that you know if

0:29:51.430,0:29:56.110
I only eat once a day for example and I

0:29:54.190,0:29:58.210
eat 1200 calories well that's exactly

0:29:56.109,0:30:01.359
the same is about 1200 calories through

0:29:58.210,0:30:03.910
that day no the difference is that if

0:30:01.359,0:30:08.079
you you know let's do a thought

0:30:03.910,0:30:11.680
experiment yeah if you eat sort of you

0:30:08.079,0:30:14.529
know I equal sized portions of food sort

0:30:11.680,0:30:17.049
of every hour you know throughout the

0:30:14.529,0:30:19.690
whole day is that really the same as

0:30:17.049,0:30:22.990
eating that one portion through that

0:30:19.690,0:30:24.820
whole all at one sitting and it's not

0:30:22.990,0:30:26.650
really because every time you kind of

0:30:24.819,0:30:28.179
stimulate your insulin to go up and you

0:30:26.650,0:30:32.500
keep telling your body to gain weight

0:30:28.180,0:30:34.720
when you drop your insulin enough what's

0:30:32.500,0:30:37.960
gonna happen is that you're going to

0:30:34.720,0:30:40.210
tell your body to switch fuel sources

0:30:37.960,0:30:42.548
okay so when you're eating all the time

0:30:40.210,0:30:44.829
you're fueling your body on the food

0:30:42.548,0:30:46.509
that's coming in so you eat two thousand

0:30:44.829,0:30:48.158
calories you burn two thousand calories

0:30:46.509,0:30:49.359
that's all food that's kind of going in

0:30:48.159,0:30:51.240
and out and it's going through the

0:30:49.359,0:30:53.859
short-term storage and the glycogen sure

0:30:51.240,0:30:56.409
but if you let your insulin fall low

0:30:53.859,0:30:59.439
enough then what happens is that you

0:30:56.409,0:31:01.390
switch into burning fat so after you get

0:30:59.440,0:31:03.009
through your glycogen then you get into

0:31:01.390,0:31:04.899
your body fat and that's where you start

0:31:03.009,0:31:06.700
to see the ketones and all this sort of

0:31:04.898,0:31:09.699
stuff but you know that you're burning

0:31:06.700,0:31:13.450
fat so for example if you're switching

0:31:09.700,0:31:16.569
fuel sources there's no reason for your

0:31:13.450,0:31:18.460
body to slow down so again let's take

0:31:16.569,0:31:22.089
some numbers so if you have a 2,000

0:31:18.460,0:31:23.230
calories a day and you eat 1,200 but

0:31:22.089,0:31:24.788
you're eating all the time and you're

0:31:23.230,0:31:26.288
you're keeping your insulin high either

0:31:24.788,0:31:27.669
because you're injecting it or you have

0:31:26.288,0:31:30.879
insulin resistance and your insulin

0:31:27.669,0:31:33.759
slicer insulin is high insulin blocks

0:31:30.880,0:31:35.409
like pollicis so what that means and

0:31:33.759,0:31:38.710
we've known this again for 50 years

0:31:35.409,0:31:40.778
insulin stops you from burning fat why

0:31:38.710,0:31:42.759
because insulin is telling your body to

0:31:40.778,0:31:44.380
gain fat so you don't want to burn fat

0:31:42.759,0:31:47.200
and gain found at the same time so we

0:31:44.380,0:31:48.760
say insulin inhibits lipolysis so if

0:31:47.200,0:31:51.370
insulin is high but you're only taking

0:31:48.759,0:31:54.190
1200 calories you have no access to your

0:31:51.369,0:31:56.079
fat stores right because it blocks like

0:31:54.190,0:31:58.509
pollicis insulin is high you can't burn

0:31:56.079,0:32:01.509
fat so all you have coming in is 1200

0:31:58.509,0:32:03.730
calories all you can burn is 1200

0:32:01.509,0:32:04.119
calories your metabolic rate must slow

0:32:03.730,0:32:07.089
down

0:32:04.119,0:32:09.639
in order for you to survive because you

0:32:07.089,0:32:13.028
don't want to die hmm what happens now

0:32:09.640,0:32:16.720
if you allow your innocent to drop say

0:32:13.028,0:32:18.759
you go on a 7 day fast and so you have

0:32:16.720,0:32:20.589
zero calories coming in for seven days

0:32:18.759,0:32:23.129
and I choose this not because I

0:32:20.589,0:32:26.439
recommend it it's pretty it's fairly

0:32:23.130,0:32:28.059
extreme in some cases but if you have

0:32:26.440,0:32:31.240
insulin resistance at least I know you

0:32:28.058,0:32:33.369
your insulin will fall so as your

0:32:31.240,0:32:36.548
insulin falls then you're gonna switch

0:32:33.369,0:32:40.000
from burning food to burning fat that's

0:32:36.548,0:32:43.200
what's supposed to happen so if your

0:32:40.000,0:32:46.720
body now sees okay I'm burning body fat

0:32:43.200,0:32:49.279
there's like tons of this stuff yeah why

0:32:46.720,0:32:52.460
do I need to slow down my metabolism

0:32:49.279,0:32:55.789
in fact if you look at the physiology of

0:32:52.460,0:32:59.090
fasting it actually maintains the

0:32:55.789,0:33:01.849
metabolic rate because as insulin Falls

0:32:59.089,0:33:04.669
you get a counter regulatory hormone

0:33:01.849,0:33:08.449
surge and again this is sort of basic

0:33:04.670,0:33:10.730
physiology insulin Falls the body

0:33:08.450,0:33:13.039
increases sympathetic tone so the

0:33:10.730,0:33:15.110
sympathetic nervous system adrenaline

0:33:13.039,0:33:17.750
and noradrenaline growth hormone and

0:33:15.109,0:33:20.359
cortisol we know that that's pretty

0:33:17.750,0:33:23.480
basic because that's trying to get the

0:33:20.359,0:33:25.909
glucose back out from the liver into the

0:33:23.480,0:33:28.880
blood and those hormones the sympathetic

0:33:25.910,0:33:30.860
nervous system adrenaline cortisol

0:33:28.880,0:33:33.320
growth hormone are trying to push the

0:33:30.859,0:33:35.869
glucose out well what do you think

0:33:33.319,0:33:38.059
adrenaline does that's not slowing your

0:33:35.869,0:33:41.179
metabolic rate right it's pumping it up

0:33:38.059,0:33:44.899
and why does growth hormone go up but

0:33:41.180,0:33:48.920
growth hormone is there because you have

0:33:44.900,0:33:50.810
a period of gluconeogenesis at around 24

0:33:48.920,0:33:53.210
hours if you look at the physiology of

0:33:50.809,0:33:55.369
fasting the glycogen stores which are

0:33:53.210,0:33:58.819
chains of glucose in your liver that's

0:33:55.369,0:34:00.349
the first sort of stuff you go to when

0:33:58.819,0:34:03.230
you burn through your glycogen it lasts

0:34:00.349,0:34:05.659
for 24 hours at 24 to 36 hours roughly

0:34:03.230,0:34:06.980
you're gonna burn protein and that's

0:34:05.660,0:34:08.449
where everybody says all your burning

0:34:06.980,0:34:10.039
muscle know you're burning protein

0:34:08.449,0:34:11.779
that's not necessarily muscle there's a

0:34:10.039,0:34:13.809
lot of excess connective tissue there's

0:34:11.780,0:34:16.870
a lot of excess fat that you should burn

0:34:13.809,0:34:18.619
if you look at those you know

0:34:16.869,0:34:20.449
documentaries of people whose weight

0:34:18.619,0:34:22.969
they have all this excess skin

0:34:20.449,0:34:24.529
yeah well that needs to be burned and

0:34:22.969,0:34:25.908
you want to burn that that's not bad

0:34:24.530,0:34:27.320
thing that's a good thing you want to

0:34:25.909,0:34:28.668
get rid of that same thing with the

0:34:27.320,0:34:31.250
Tophet you you want to get rid of this

0:34:28.668,0:34:32.809
protein but if you keep getting rid of

0:34:31.250,0:34:34.668
protein and never putting it back in

0:34:32.809,0:34:37.369
that's not good either so what does a

0:34:34.668,0:34:39.049
body do the body's not that stupid what

0:34:37.369,0:34:41.539
it does is it pumps up growth hormone

0:34:39.050,0:34:44.149
like you can't believe it goes up like 3

0:34:41.539,0:34:46.489
to 5 fold on a 5 day fast Wow

0:34:44.148,0:34:48.969
and what it means is that when you eat

0:34:46.489,0:34:51.408
again you're gonna rebuild that protein

0:34:48.969,0:34:52.989
but not the protein that you didn't need

0:34:51.409,0:34:55.639
that excess skin that you didn't need

0:34:52.989,0:34:57.679
the stuff that you do need the same

0:34:55.639,0:35:00.030
thing for @rg same thing for cancer

0:34:57.679,0:35:02.609
cells same thing for all

0:35:00.030,0:35:04.680
timers plaque and so on you actually

0:35:02.610,0:35:06.539
have the ability to break down this

0:35:04.679,0:35:09.480
protein that you don't want and that's

0:35:06.539,0:35:11.820
why a lot of these people there's a lot

0:35:09.480,0:35:14.269
of research going on into a tappa G

0:35:11.820,0:35:17.120
caloric restriction in terms of

0:35:14.269,0:35:19.530
longevity I mean there's a whole calorie

0:35:17.119,0:35:21.750
notion which is not really physiologic

0:35:19.530,0:35:23.910
but it's the same thing you really want

0:35:21.750,0:35:27.119
to burn off this excess protein that's

0:35:23.909,0:35:29.579
not making it good because the if you

0:35:27.119,0:35:32.489
don't ever let your body break down this

0:35:29.579,0:35:38.150
protein you can't actually build new

0:35:32.489,0:35:41.069
protein because it's like if you have a

0:35:38.150,0:35:43.230
bathroom that you want to renovate the

0:35:41.070,0:35:46.620
first thing you got to do is pull out

0:35:43.230,0:35:49.199
that sort of avocado green tub that was

0:35:46.619,0:35:51.630
sitting from the 1970s if you don't pull

0:35:49.199,0:35:54.389
out that tub you can't put in a nice new

0:35:51.630,0:35:56.519
clawfoot tub you have to get rid of it

0:35:54.389,0:35:59.279
first yeah then that's the way the body

0:35:56.519,0:36:01.710
works if you look at turnover of bone

0:35:59.280,0:36:03.630
there's osteoclasts and osteoblasts the

0:36:01.710,0:36:06.900
first thing you do when you remodel BOE

0:36:03.630,0:36:09.690
is chew up the old bone then you lay

0:36:06.900,0:36:12.510
down new bone and that's healthier then

0:36:09.690,0:36:15.659
keeping the old crappy bone there just

0:36:12.510,0:36:17.550
like that old avocado green top so you

0:36:15.659,0:36:19.349
have to break it down to rebuild it and

0:36:17.550,0:36:22.230
that's what fasting does it actually

0:36:19.349,0:36:24.239
breaks down the protein growl hormone

0:36:22.230,0:36:26.070
goes through the roof and so does

0:36:24.239,0:36:27.959
noradrenaline and some people have so

0:36:26.070,0:36:30.300
much energy they're like I can't sleep

0:36:27.960,0:36:32.449
I'm like waking up at like 3 a.m. and

0:36:30.300,0:36:36.000
you know doing all this work I'm like

0:36:32.449,0:36:38.129
one is like that's great if you want but

0:36:36.000,0:36:39.210
if you can't then like yeah you know

0:36:38.130,0:36:41.340
that's just one of the things that

0:36:39.210,0:36:44.159
happens but what you're doing you're

0:36:41.340,0:36:47.160
allowing access to those energy stores

0:36:44.159,0:36:49.079
those fat stores remember fat is simply

0:36:47.159,0:36:51.690
food that's stored away for you to use

0:36:49.079,0:36:54.690
when there's no food available now that

0:36:51.690,0:36:56.849
you've dropped your insulin you're

0:36:54.690,0:36:58.769
allowing bought your body to access all

0:36:56.849,0:37:00.569
those huge stores of energy and the

0:36:58.769,0:37:02.699
body's going crazy and it's like yeah

0:37:00.570,0:37:05.190
I'm going crazy I'm gonna do this so it

0:37:02.699,0:37:07.109
burns it all off and at the same time

0:37:05.190,0:37:08.820
it's breaking down this protein when you

0:37:07.110,0:37:10.680
eat again growth hormone is so high

0:37:08.820,0:37:12.330
you're going to rebuild your protein so

0:37:10.679,0:37:13.049
when you look at clinical studies of

0:37:12.329,0:37:15.929
weight loss

0:37:13.050,0:37:18.210
you actually get much better retention

0:37:15.929,0:37:20.819
of lean mass with an intermittent

0:37:18.210,0:37:22.920
fasting strategy than a standard sort of

0:37:20.820,0:37:24.450
cut 500 calories per day and these are

0:37:22.920,0:37:27.269
the sort of myths that are out there

0:37:24.449,0:37:28.829
the myth that your metabolites going to

0:37:27.269,0:37:31.320
go down it's actually the exact opposite

0:37:28.829,0:37:34.259
fasting does much better in terms of

0:37:31.320,0:37:36.000
preservation of metabolic rate oh you're

0:37:34.260,0:37:37.230
gonna lose all this muscle it's

0:37:36.000,0:37:37.920
completely false it's actually the

0:37:37.230,0:37:39.599
opposite

0:37:37.920,0:37:41.130
if you try to lose weight with standard

0:37:39.599,0:37:42.719
calorie restriction compared to

0:37:41.130,0:37:45.450
intermittent fasting and the studies are

0:37:42.719,0:37:47.639
there then you will do much better by

0:37:45.449,0:37:51.239
doing the fasting because you're you're

0:37:47.639,0:37:53.250
cycling the the sort of energy source

0:37:51.239,0:37:56.099
you're just you're allowing your body to

0:37:53.250,0:37:58.590
access those energy stores rather than

0:37:56.099,0:38:00.480
keeping insulin hiding it away and then

0:37:58.590,0:38:02.820
saying okay you can use whatever energy

0:38:00.480,0:38:04.679
is coming in through the mouth and it's

0:38:02.820,0:38:06.630
like 1,200 calories while you burn 1200

0:38:04.679,0:38:09.000
calories and that's the real problem is

0:38:06.630,0:38:10.730
that the body and we saw this in the

0:38:09.000,0:38:14.639
Biggest Loser so these Biggest Loser

0:38:10.730,0:38:17.969
diets so they lose a lot of weight yeah

0:38:14.639,0:38:20.339
and a lot of fat which is great but the

0:38:17.969,0:38:24.179
problem is that the metabolic rate just

0:38:20.340,0:38:26.490
kind of sank like a stone so yeah and

0:38:24.179,0:38:28.379
one poor guy who is burning 3400

0:38:26.489,0:38:30.750
calories a day went down to like 1800

0:38:28.380,0:38:33.119
calories and what does a man drop that's

0:38:30.750,0:38:34.949
a massive drop yeah I mean he he lost a

0:38:33.119,0:38:38.699
lot of weight too but then the problem

0:38:34.949,0:38:41.039
is that the body's used to burning this

0:38:38.699,0:38:43.319
amount of calories so say say you

0:38:41.039,0:38:46.259
normally take 2,000 calories then you go

0:38:43.320,0:38:48.900
on this 1,500 calorie a day caloric

0:38:46.260,0:38:50.760
restriction diet your body now can only

0:38:48.900,0:38:52.349
burn 1,500 because you haven't dropped

0:38:50.760,0:38:54.240
your insulin you haven't solved this

0:38:52.349,0:38:56.039
sort of hormonal imbalance you're trying

0:38:54.239,0:38:57.239
to solve this kauri imbalance but it's

0:38:56.039,0:38:59.119
not a calorie imbalance you got the

0:38:57.239,0:39:02.299
wrong problem she got the wrong solution

0:38:59.119,0:39:04.319
so you drop your calories now the body

0:39:02.300,0:39:06.150
insulin is still high because you're

0:39:04.320,0:39:08.820
cutting fat and you're eating six times

0:39:06.150,0:39:11.579
a day so your insulin is high you have

0:39:08.820,0:39:14.490
no access to body fat you instead of

0:39:11.579,0:39:16.769
burning 2,000 you're burning 1,500 guess

0:39:14.489,0:39:20.369
what you're gonna feel cold you're gonna

0:39:16.769,0:39:22.530
you feel sluggish your hair may fall out

0:39:20.369,0:39:24.569
your nails might get brittle because

0:39:22.530,0:39:26.430
everything takes energy your heart needs

0:39:24.570,0:39:28.829
to pump your blood pressure your

0:39:26.429,0:39:31.230
liver your kidneys and you've put them

0:39:28.829,0:39:33.510
on this sort of restriction so you're

0:39:31.230,0:39:36.059
cold and then your body makes you hungry

0:39:33.510,0:39:37.650
you know that Gowland goes up your body

0:39:36.059,0:39:40.380
makes you hungry because it wants to get

0:39:37.650,0:39:42.180
backed up to that that weight and your

0:39:40.380,0:39:43.800
metabolic rate slowing so you feel cold

0:39:42.179,0:39:46.949
you feel tired you hunt feel hungry you

0:39:43.800,0:39:49.109
feel like crap and you've stopped losing

0:39:46.949,0:39:51.509
weight because your metabolic rate has

0:39:49.108,0:39:53.608
gone down not to 59 that usually goes

0:39:51.510,0:39:56.130
down to like 1450 or something like that

0:39:53.608,0:39:59.009
yeah so now you're actually starting to

0:39:56.130,0:40:01.380
regain that weight so you're on 1,500

0:39:59.010,0:40:04.559
calories your body's move this metabolic

0:40:01.380,0:40:06.059
rate from 2,000 to 1450 you're regaining

0:40:04.559,0:40:08.040
that way you said forget it I'm going to

0:40:06.059,0:40:11.790
go back up to 1,700 calories

0:40:08.039,0:40:14.308
now you just pile on the weight because

0:40:11.789,0:40:15.750
you're still at 1450 mm-hmm and you're

0:40:14.309,0:40:18.720
still feeling it like crap because

0:40:15.750,0:40:20.309
you're used to burn 2,000 and your

0:40:18.719,0:40:22.529
weights all back to where it was

0:40:20.309,0:40:24.240
it's like sound familiar yeah well guess

0:40:22.530,0:40:28.079
what that's what every single dieter

0:40:24.239,0:40:31.348
does why not instead do the intermittent

0:40:28.079,0:40:33.900
fasting drop your insulin levels very

0:40:31.349,0:40:36.088
low for a period of time whatever time

0:40:33.900,0:40:38.548
it is 16 hours 24 hour whatever it is

0:40:36.088,0:40:42.960
during that time you allow your body to

0:40:38.548,0:40:46.380
burn stored food energy hey why does it

0:40:42.960,0:40:47.970
need to change from 2000 so this is the

0:40:46.380,0:40:51.568
difference between calorie restriction

0:40:47.969,0:40:54.629
of 1200 calories and eating one time or

0:40:51.568,0:40:57.900
1200 calories in you know one day is

0:40:54.630,0:41:02.338
that you're taking 1200 calories for

0:40:57.900,0:41:04.740
example from food and 800 calories from

0:41:02.338,0:41:07.230
body fat because you've dropped your

0:41:04.739,0:41:09.719
insulin and allowed your body to access

0:41:07.230,0:41:11.960
that body fat now your body's like yeah

0:41:09.719,0:41:14.730
I'm gonna burn 2,000 because I want to

0:41:11.960,0:41:16.530
whereas before when your insulin is high

0:41:14.730,0:41:19.199
you've blocked it off and you can only

0:41:16.530,0:41:21.298
burn 1200 and that's the difference

0:41:19.199,0:41:23.730
between sort of intermittent fasting and

0:41:21.298,0:41:25.230
just calorie restriction and you can see

0:41:23.730,0:41:27.030
why one works and one doesn't work

0:41:25.230,0:41:30.599
you're simply allowing your body to

0:41:27.030,0:41:31.650
access the stored food energy that's on

0:41:30.599,0:41:33.450
your body and guess what

0:41:31.650,0:41:35.400
that's what is therefore that's what

0:41:33.449,0:41:37.348
body is the body fat is there for it's

0:41:35.400,0:41:38.220
not there for looks it's there for you

0:41:37.349,0:41:40.019
to use

0:41:38.219,0:41:41.429
you know it's so brilliant I really

0:41:40.019,0:41:43.469
wanted add more into insulin I think

0:41:41.429,0:41:45.419
that's a great analogy you know that and

0:41:43.469,0:41:47.549
it really underscoring the importance of

0:41:45.420,0:41:49.079
the hormonal balance and speaking of

0:41:47.550,0:41:51.300
hormones ghrelin is a hormone people

0:41:49.079,0:41:52.858
talk about in the context of like why

0:41:51.300,0:41:54.810
women shouldn't fast and there was a

0:41:52.858,0:41:57.358
study came out that show that ghrelin

0:41:54.809,0:41:58.650
reduction was actually better in women

0:41:57.358,0:42:01.049
versus men which i think is interesting

0:41:58.650,0:42:02.579
yeah that was a fascinating study so

0:42:01.050,0:42:04.680
they talked about why women shouldn't

0:42:02.579,0:42:08.400
fast and honestly I don't know why

0:42:04.679,0:42:11.069
people say that it doesn't really make

0:42:08.400,0:42:14.369
any sense I mean if the woman is

0:42:11.070,0:42:16.650
underweight or at risk of anorexia sure

0:42:14.369,0:42:18.570
that makes sense like you got to apply

0:42:16.650,0:42:21.210
everything in a clinical context you're

0:42:18.570,0:42:23.849
not gonna put a 16 year old 80 pound

0:42:21.210,0:42:24.809
girl on some kind of fasting diet you're

0:42:23.849,0:42:27.539
asking for trouble

0:42:24.809,0:42:31.139
they might get anorexia nervosa sure but

0:42:27.539,0:42:33.389
you put a 250 pound 60 year-old man on

0:42:31.139,0:42:36.629
fasting he's not gonna get any sooner

0:42:33.389,0:42:38.129
Roza okay so women can fast absolutely

0:42:36.630,0:42:39.480
then grrrrrr Allen is so so-called

0:42:38.130,0:42:41.730
hunger hormone so the higher it is the

0:42:39.480,0:42:44.070
hungrier on and when they look that food

0:42:41.730,0:42:46.858
craving so one of the things that we

0:42:44.070,0:42:49.769
talk about all the time is people when

0:42:46.858,0:42:51.900
they come in the the number one sort of

0:42:49.769,0:42:53.489
concern about fasting is hunger they

0:42:51.900,0:42:55.769
think I can't do it I'm gonna get so

0:42:53.489,0:42:59.009
hungry and what you have to realize is

0:42:55.769,0:43:00.838
that when you look at ghrelin over 24

0:42:59.010,0:43:02.820
hours if you don't even over 24 hours

0:43:00.838,0:43:04.380
you see gorillas spike in a spikes three

0:43:02.820,0:43:06.720
times at breakfast lunch and dinner

0:43:04.380,0:43:08.519
so we're trained to eat a lot of people

0:43:06.719,0:43:10.649
are trained to eat three times a day so

0:43:08.519,0:43:12.358
when it comes around to noontime ghrelin

0:43:10.650,0:43:16.588
spikes up but he is that doesn't

0:43:12.358,0:43:18.389
continue to go up if you don't eat it

0:43:16.588,0:43:21.838
actually just drops back down to normal

0:43:18.389,0:43:23.338
and anybody who's worked through Dinard

0:43:21.838,0:43:25.469
work through lunch

0:43:23.338,0:43:28.769
knows this because at twelve o'clock one

0:43:25.469,0:43:30.088
o'clock you're hungry but then you're so

0:43:28.769,0:43:33.530
busy you're just working you're working

0:43:30.088,0:43:36.779
or working by four o'clock it's as if

0:43:33.530,0:43:38.609
you ain't there's actually no difference

0:43:36.780,0:43:42.540
in hunger if you ate or you didn't eat

0:43:38.608,0:43:45.869
why is that well because insulin fell

0:43:42.539,0:43:48.570
your body essentially ate lunch out of

0:43:45.869,0:43:49.950
your own body fat it's like okay that's

0:43:48.570,0:43:52.980
perfect

0:43:49.949,0:43:54.960
that's exactly what we want it to do but

0:43:52.980,0:43:56.670
the hunger does not keep going up it

0:43:54.960,0:43:58.650
comes in waves and I say you got to ride

0:43:56.670,0:44:00.480
those waves out because they will come

0:43:58.650,0:44:02.519
they'll be dinner time you're gonna get

0:44:00.480,0:44:04.800
hungry but if you bribed it out it's

0:44:02.519,0:44:06.900
gonna go down so if you look at food

0:44:04.800,0:44:09.090
cravings you see the same thing so you

0:44:06.900,0:44:12.000
can do these questionnaires and this

0:44:09.090,0:44:13.769
study looked at food cravings and they

0:44:12.000,0:44:16.170
compared a sort of standard calorie

0:44:13.769,0:44:18.420
restriction diet to is sort of ultra

0:44:16.170,0:44:20.789
ultra low calorie diet like a couple

0:44:18.420,0:44:22.200
hundred calories a day sort of thing and

0:44:20.789,0:44:26.969
what they found was that the cravings

0:44:22.199,0:44:29.489
essentially disappeared and women versus

0:44:26.969,0:44:31.289
men had much higher levels of these

0:44:29.489,0:44:32.819
ghrelin spikes and it sort of makes

0:44:31.289,0:44:35.670
sense when you talked about people who

0:44:32.820,0:44:38.940
are chocoholics and crave these foods

0:44:35.670,0:44:41.990
it's women for more than men whom these

0:44:38.940,0:44:44.190
sugar cravings and all that and

0:44:41.989,0:44:46.139
physiologically you see that the women

0:44:44.190,0:44:48.210
have these much higher morale and spikes

0:44:46.139,0:44:51.659
and they come right down when you fast

0:44:48.210,0:44:54.090
them so again if you have cravings the

0:44:51.659,0:44:56.309
important thing is not to say well I'm

0:44:54.090,0:44:59.190
gonna eat a little bit because it's like

0:44:56.309,0:45:02.639
an itch if you're a parent you know that

0:44:59.190,0:45:05.849
you don't touch that edge if you scratch

0:45:02.639,0:45:07.650
it it's gonna get worse mm-hmm it's the

0:45:05.849,0:45:09.539
same thing with cravings you don't say

0:45:07.650,0:45:11.730
okay I'm gonna take a little bit because

0:45:09.539,0:45:14.099
it's gonna get worse yeah if you take

0:45:11.730,0:45:15.570
those cravings for and it applies to

0:45:14.099,0:45:18.659
everything so you have a craving for

0:45:15.570,0:45:21.570
sweets if you all of a sudden stop

0:45:18.659,0:45:24.029
eating sweets entirely those cravings

0:45:21.570,0:45:25.800
actually disappear so fasting is much

0:45:24.030,0:45:28.590
more powerful because if you have

0:45:25.800,0:45:30.840
cravings for bread and then you just

0:45:28.590,0:45:32.519
stop eating bread those cravings will

0:45:30.840,0:45:34.050
actually diminish whereas if you just

0:45:32.519,0:45:35.550
eat oh I'm just gonna eat a little bit

0:45:34.050,0:45:40.860
of bread all the time we're gluten free

0:45:35.550,0:45:42.870
bread low carb prayers not your way even

0:45:40.860,0:45:45.269
if you reduce the amount of bread that

0:45:42.869,0:45:47.909
you eat or sweets that you eat because

0:45:45.269,0:45:50.849
you have to take those sort of cravings

0:45:47.909,0:45:52.889
down to a zero level take the food down

0:45:50.849,0:45:55.799
to the zero level and then the cravings

0:45:52.889,0:45:57.839
disappear and that's the real power of

0:45:55.800,0:45:59.610
the intermittent fasting and also the

0:45:57.840,0:46:02.670
ketogenic diets for example so if you're

0:45:59.610,0:46:03.200
eating ultra low carb well after a while

0:46:02.670,0:46:04.909
you soon

0:46:03.199,0:46:07.939
to get used to it and those cravings for

0:46:04.909,0:46:09.769
the carbs go away and that's one of the

0:46:07.940,0:46:12.050
sort of keys to a lot of people's

0:46:09.769,0:46:13.969
success is that once they stop eating it

0:46:12.050,0:46:16.160
they find that they don't really need it

0:46:13.969,0:46:17.809
but if you eat it sometimes you're gonna

0:46:16.159,0:46:20.509
get those cravings right back they come

0:46:17.809,0:46:21.769
right back and and sort of knowing this

0:46:20.510,0:46:25.130
is important because then you can say

0:46:21.769,0:46:26.960
well you can now use this information to

0:46:25.130,0:46:29.059
your advantage because if you know you

0:46:26.960,0:46:31.190
have this sort of addictive behavior and

0:46:29.059,0:46:34.009
so on you can use these to get rid of

0:46:31.190,0:46:37.039
your cravings at the same time do

0:46:34.010,0:46:38.630
something which is very healthy and you

0:46:37.039,0:46:41.630
know has all these other benefits in

0:46:38.630,0:46:43.910
terms of protein breakdown and at off of

0:46:41.630,0:46:45.440
G and all these other things yeah and

0:46:43.909,0:46:47.838
that and that's the real key is the

0:46:45.440,0:46:49.309
having that knowledge allows you to sort

0:46:47.838,0:46:51.739
of say okay well I'm gonna do this I'm

0:46:49.309,0:46:54.500
gonna do this and this is getting back

0:46:51.739,0:46:59.629
to what I was saying is that to me

0:46:54.500,0:47:02.389
weight loss is really about sort of two

0:46:59.630,0:47:04.099
things what you eat and when you eat and

0:47:02.389,0:47:05.480
sort of we talked endlessly and then to

0:47:04.099,0:47:08.150
see about the what to eat but the when

0:47:05.480,0:47:11.150
to eat is sort of completely ignored so

0:47:08.150,0:47:13.250
if you ignore sort of like this huge

0:47:11.150,0:47:15.318
sort of fifty or sixty percent of the

0:47:13.250,0:47:17.690
problem you're gonna fail because you're

0:47:15.318,0:47:19.550
not addressing it because we've gone

0:47:17.690,0:47:22.338
from eating sort of three times a day to

0:47:19.550,0:47:26.269
somewhere around six to ten times a day

0:47:22.338,0:47:27.858
and we think it's good for you right you

0:47:26.269,0:47:29.630
see this all the time and the question

0:47:27.858,0:47:31.909
is where did this advice that you have

0:47:29.630,0:47:33.829
to eat all the time come from food

0:47:31.909,0:47:35.568
industry you know fitness and is up

0:47:33.829,0:47:37.730
there it sure didn't come from the

0:47:35.568,0:47:39.739
doctors because no doctor I know has

0:47:37.730,0:47:41.659
ever found any study that proves that

0:47:39.739,0:47:43.639
eating six or eight times a day is good

0:47:41.659,0:47:47.690
for you and nobody in the history of

0:47:43.639,0:47:51.710
humanity has ever done that because they

0:47:47.690,0:47:54.079
have work to do yeah yeah feels you have

0:47:51.710,0:47:56.690
to go you know plow the fields you're

0:47:54.079,0:47:58.910
not spending all your time eating and

0:47:56.690,0:48:00.889
yet we think that we shouldn't go more

0:47:58.909,0:48:02.509
than a couple of hours without stuffing

0:48:00.889,0:48:04.670
cookies in our mouths and we teach our

0:48:02.510,0:48:07.099
children this yeah you should look at my

0:48:04.670,0:48:09.639
son schedule I mean not anymore but when

0:48:07.099,0:48:12.500
they were in like grade school and so on

0:48:09.639,0:48:15.348
eat breakfast in the middle of morning a

0:48:12.500,0:48:16.559
couple cookies or something lunch after

0:48:15.349,0:48:19.380
school those

0:48:16.559,0:48:21.299
you know fruit or something dinner and

0:48:19.380,0:48:23.940
then you go to soccer and oh in between

0:48:21.300,0:48:27.150
the hands Oh another granola bar like

0:48:23.940,0:48:29.730
come on you know I used to go out and

0:48:27.150,0:48:32.130
play after dinner and it's like you

0:48:29.730,0:48:33.659
didn't eat you're busy playing you

0:48:32.130,0:48:35.309
didn't have to you don't need to stop to

0:48:33.659,0:48:37.170
eat and so you didn't eat anything from

0:48:35.309,0:48:39.690
dinner until at least breakfast the next

0:48:37.170,0:48:41.280
day if you eat breakfast yeah I deal

0:48:39.690,0:48:42.840
with that with my daughter right now and

0:48:41.280,0:48:44.670
it seems that there's always a birthday

0:48:42.840,0:48:47.100
party some special event and it's always

0:48:44.670,0:48:48.450
sugar-based foods yeah my topic for

0:48:47.099,0:48:50.159
another conversation but you know I

0:48:48.449,0:48:51.929
think it's really you know kind of

0:48:50.159,0:48:53.699
fascinating about the ladies you know

0:48:51.929,0:48:55.799
that ghrelin spike and so forth and

0:48:53.699,0:48:57.599
going back to that just completely I

0:48:55.800,0:48:59.700
don't having you know my problem with

0:48:57.599,0:49:01.500
diet foods is there's the Paleo Donuts

0:48:59.699,0:49:04.379
the low-carb donuts and all this stuff

0:49:01.500,0:49:06.199
is emerging for people and like you said

0:49:04.380,0:49:08.910
the addition is a kick the habit

0:49:06.199,0:49:10.710
obviously we need to enjoy life too and

0:49:08.909,0:49:12.539
have a little you know food periodically

0:49:10.710,0:49:14.760
but um you know one whatever advise a

0:49:12.539,0:49:17.579
heroin addict just take a small little

0:49:14.760,0:49:19.290
hit yeah okay just a small like they

0:49:17.579,0:49:21.059
have to go cold turkey so that's kind of

0:49:19.289,0:49:23.279
an interesting yeah and and and again

0:49:21.059,0:49:25.289
the the key is understanding that

0:49:23.280,0:49:27.930
there's a difference between these sort

0:49:25.289,0:49:30.059
of carbohydrate insulin hypothesis and

0:49:27.929,0:49:32.099
the insulin hypothesis the instant

0:49:30.059,0:49:33.389
hypothesis says that insulin is one of

0:49:32.099,0:49:35.789
the key regulators of

0:49:33.389,0:49:39.779
body weight which i think is true what's

0:49:35.789,0:49:42.449
not true is that carbs are the only sort

0:49:39.780,0:49:46.440
of input into that system and that's

0:49:42.449,0:49:48.899
where a lot of people get into these

0:49:46.440,0:49:50.909
debates because it's like can you eat

0:49:48.900,0:49:54.110
high carb foods and still have low

0:49:50.909,0:49:57.299
insulin absolutely so you go back to the

0:49:54.110,0:50:00.450
Okinawan for example they're eating 65%

0:49:57.300,0:50:02.789
sweet potato diets there there's no

0:50:00.449,0:50:05.250
obesity whatsoever you go to the Kitab

0:50:02.789,0:50:07.679
and they're eating sort of 65 70 percent

0:50:05.250,0:50:10.019
carbohydrates their serum insulin levels

0:50:07.679,0:50:12.419
are like five percentile compared to a

0:50:10.019,0:50:15.269
Swedish population no obesity

0:50:12.420,0:50:16.980
well why is that well a big part of it

0:50:15.269,0:50:20.099
is that you're not eating all the time

0:50:16.980,0:50:22.409
so even though you're eating cassava and

0:50:20.099,0:50:26.489
root vegetables and all this and you got

0:50:22.409,0:50:29.629
to remember again in the 1980s in China

0:50:26.489,0:50:32.629
all white rice and vegetables

0:50:29.630,0:50:35.180
eating 10 times a day there's like

0:50:32.630,0:50:37.700
almost no sugar in that diet there's a

0:50:35.179,0:50:39.679
lot of carbohydrates so there's you can

0:50:37.699,0:50:40.969
look at the the Chinese and some people

0:50:39.679,0:50:42.199
say oh they're eating brown rice they're

0:50:40.969,0:50:43.730
not eating brown rice like I have

0:50:42.199,0:50:47.710
relatives from there everybody's eating

0:50:43.730,0:50:50.329
white rice it's all refined grains but

0:50:47.710,0:50:53.059
they're not eating all the time they're

0:50:50.329,0:50:54.889
eating very little sugar like almost

0:50:53.059,0:50:56.090
zero sugar and I think you know for

0:50:54.889,0:50:58.670
different reasons

0:50:56.090,0:51:00.559
sugar is much much much more fattening

0:50:58.670,0:51:02.630
than any other carbohydrate out there

0:51:00.559,0:51:05.269
and this is even though you get no

0:51:02.630,0:51:06.860
insulin effect of fructose so fructose

0:51:05.269,0:51:09.469
has no insulin of fact that has no

0:51:06.860,0:51:11.599
glycemic index of fact so people used to

0:51:09.469,0:51:13.759
think it's great but it's actually very

0:51:11.599,0:51:16.239
very bad for you and I think it's sort

0:51:13.760,0:51:19.490
of like 20 times as fattening as say

0:51:16.239,0:51:22.189
Brad which has sort of glucose as

0:51:19.489,0:51:25.129
opposed to the Frog dose mm-hmm

0:51:22.190,0:51:28.250
so there's no sugar in that they're not

0:51:25.130,0:51:29.750
eating all the time there's no you know

0:51:28.250,0:51:32.809
there's there's all these other sort of

0:51:29.750,0:51:34.730
mitigating factors that keep their

0:51:32.809,0:51:36.949
insulin low so you can eat a low fat

0:51:34.730,0:51:38.510
diet you can eat a high fat diet and

0:51:36.949,0:51:39.949
still keep your insulin low and we see

0:51:38.510,0:51:42.080
this in traditional societies all over

0:51:39.949,0:51:44.539
the world there are societies that are

0:51:42.079,0:51:46.730
based on eating meat and they do fine

0:51:44.539,0:51:49.070
and there's societies that are based on

0:51:46.730,0:51:51.559
eating white rice like China and they're

0:51:49.070,0:51:54.650
doing fine obesity wise obesity and type

0:51:51.559,0:51:56.840
2 diabetes but yet they're widely vary

0:51:54.650,0:51:58.910
in terms of their macronutrients so I

0:51:56.840,0:52:00.530
should never tell people to eat you know

0:51:58.909,0:52:01.909
to watch the macronutrient I don't think

0:52:00.530,0:52:03.560
it's that important but you have to

0:52:01.909,0:52:06.289
always keep in mind the insulin effect

0:52:03.559,0:52:09.170
and a huge part of that is sort of

0:52:06.289,0:52:12.590
frequency of eating and getting that way

0:52:09.170,0:52:14.389
down so if three per day is sort of what

0:52:12.590,0:52:17.030
people have traditionally done and done

0:52:14.389,0:52:18.710
fairly well with that well that's pretty

0:52:17.030,0:52:21.590
good but if you've been eating 10 a day

0:52:18.710,0:52:22.970
for the last 10 years going back to 3 a

0:52:21.590,0:52:24.880
day is not gonna cut it you're not gonna

0:52:22.969,0:52:28.369
lose weight like that you got to go

0:52:24.880,0:52:31.789
lower than 3 to make up for those surger

0:52:28.369,0:52:34.880
10 yeah years of 10 a day and and and

0:52:31.789,0:52:36.320
you know just like the you know and this

0:52:34.880,0:52:38.809
is where the calories thing in the

0:52:36.320,0:52:39.830
insulin thing really overlaps because

0:52:38.809,0:52:42.949
again

0:52:39.829,0:52:46.219
anything you eat assuming it's a blend

0:52:42.949,0:52:48.500
of the three macronutrients is going to

0:52:46.219,0:52:50.269
stimulate insulin to some effect and

0:52:48.500,0:52:51.969
it's gonna have some calories so there

0:52:50.269,0:52:55.909
is going to be an overlap between

0:52:51.969,0:52:57.409
calories and insulin effect so that's

0:52:55.909,0:52:58.730
where the confusion comes in because

0:52:57.409,0:53:00.619
people say oh it's just all about

0:52:58.730,0:53:01.969
calories like it's not about calories

0:53:00.619,0:53:06.230
there's nothing to do with calories but

0:53:01.969,0:53:08.750
there's an overlap between the two but

0:53:06.230,0:53:11.570
what when you look at Islan what you say

0:53:08.750,0:53:14.150
is that a hundred calories of certain

0:53:11.570,0:53:16.400
foods are more fattening than hundred

0:53:14.150,0:53:18.139
calories of other foods which is sort of

0:53:16.400,0:53:20.510
common sense and what your grandmother

0:53:18.139,0:53:22.489
sort of would have told you like she's

0:53:20.510,0:53:24.680
not gonna say oh you know eat cookies

0:53:22.489,0:53:27.109
and for dinner and I've seen this advice

0:53:24.679,0:53:29.210
given help by doctors so if you want

0:53:27.110,0:53:31.190
cookies and ice cream eat it instead of

0:53:29.210,0:53:34.490
dinner and you'll be fine oh my god God

0:53:31.190,0:53:36.079
yeah no clue because you can't hear you

0:53:34.489,0:53:38.299
can go or that physiology I mean there's

0:53:36.079,0:53:42.159
a whole thing to do a satiety for

0:53:38.300,0:53:44.870
example remember that as you eat foods

0:53:42.159,0:53:47.179
you're gonna activate certain satiety

0:53:44.869,0:53:49.579
signal so if you go to the buffet and

0:53:47.179,0:53:52.429
you eat like a lot like way too much and

0:53:49.579,0:53:54.349
then you try and eat a couple more pork

0:53:52.429,0:53:56.029
chops it's like you'll never do it you

0:53:54.349,0:53:58.150
can't do it you can't force the pork

0:53:56.030,0:54:01.070
chop down but if you're to eat some

0:53:58.150,0:54:04.539
cookie you could easily do that there

0:54:01.070,0:54:07.130
were no time for cookies exactly because

0:54:04.539,0:54:09.019
there's no satiety effect of those

0:54:07.130,0:54:12.079
highly refined grains the sugar the

0:54:09.019,0:54:14.630
fructose you're gonna get the calories

0:54:12.079,0:54:16.460
you're gonna get the insulin effect but

0:54:14.630,0:54:18.829
you're not gonna get any sort of satiety

0:54:16.460,0:54:21.199
effect yeah that's why I used to think

0:54:18.829,0:54:23.299
it's very strange because you can eaten

0:54:21.199,0:54:25.579
lunch in this guy I used to think this

0:54:23.300,0:54:27.380
is a kid actually it's very strange that

0:54:25.579,0:54:30.259
you can eat lunch or you can eat lunch

0:54:27.380,0:54:32.450
with a big soda and you'll feel exactly

0:54:30.260,0:54:35.540
the same in terms of fullness but you've

0:54:32.449,0:54:37.579
taken a lot more calories when you drink

0:54:35.539,0:54:40.279
that big soda it's like I wonder why I

0:54:37.579,0:54:42.529
you know you think of for 2,000 calories

0:54:40.280,0:54:45.170
I should feel the same amount of fall no

0:54:42.530,0:54:46.850
it's completely different and this is

0:54:45.170,0:54:48.849
the thing with natural foods is that

0:54:46.849,0:54:52.719
they have natural satiety Meck

0:54:48.849,0:54:55.960
so if you eat a lot of beans which is

0:54:52.719,0:54:57.309
all carbohydrates while you'll stretch

0:54:55.960,0:55:00.340
your stomach you'll activate stretch

0:54:57.309,0:55:02.769
receptors if you eat a lot of steak

0:55:00.340,0:55:04.329
you're going to activate peptide YY

0:55:02.769,0:55:07.179
which is for protein you're gonna

0:55:04.329,0:55:08.710
activate in cretons which is for you

0:55:07.179,0:55:10.329
know another satiety signal you're gonna

0:55:08.710,0:55:11.559
activate cholecystokinin which is a

0:55:10.329,0:55:13.420
satiety signal

0:55:11.559,0:55:15.250
you're gonna activate the vagus nerve

0:55:13.420,0:55:16.300
also in terms of stretch receptors so

0:55:15.250,0:55:18.699
you can eat something which is very

0:55:16.300,0:55:20.680
bulky and feel full or you can eat

0:55:18.699,0:55:22.599
something that's very not bulky and feel

0:55:20.679,0:55:25.239
full because we have natural satiety

0:55:22.599,0:55:30.489
mechanisms and this is part of you know

0:55:25.239,0:55:31.899
human physiology because our our we

0:55:30.489,0:55:33.909
don't want to die like we don't want to

0:55:31.900,0:55:36.730
stuff ourselves so much like you hear

0:55:33.909,0:55:38.589
these arguments that oh you know we're

0:55:36.730,0:55:40.090
genetically programmed to get fat we

0:55:38.590,0:55:42.730
just eat everything in front of our face

0:55:40.090,0:55:44.320
it was like you try eating that 60 ounce

0:55:42.730,0:55:45.400
steak that you'll get for free if you

0:55:44.320,0:55:47.410
eat in an hour

0:55:45.400,0:55:50.349
they're not going out of business any

0:55:47.409,0:55:53.139
time soon because there's powerful

0:55:50.349,0:55:56.230
satiety mechanisms but processing does

0:55:53.139,0:55:58.719
is it removes all that so you take flour

0:55:56.230,0:56:00.969
so if you're to eat carbohydrates like

0:55:58.719,0:56:02.439
beans you're gonna get full even rice

0:56:00.969,0:56:05.619
you're gonna get full but not as full as

0:56:02.440,0:56:08.619
you might think but now you take flour

0:56:05.619,0:56:10.389
you take out all the fats you take out

0:56:08.619,0:56:12.190
all the protein because the fat goes

0:56:10.389,0:56:14.799
rancid so you don't want to cook rancid

0:56:12.190,0:56:16.869
so if you take out all the fat you take

0:56:14.800,0:56:19.360
out all the protein you cut down a lot

0:56:16.869,0:56:21.549
of the bulk of the fiber well you've

0:56:19.360,0:56:23.500
just lost three satiety signals

0:56:21.550,0:56:26.620
you've lost those stretch receptors in

0:56:23.500,0:56:29.050
the stomach you've lost the the protein

0:56:26.619,0:56:32.170
satiety signals and you've lost the fat

0:56:29.050,0:56:34.180
satiety signals then you grind it into a

0:56:32.170,0:56:36.639
fine powder because you know flour when

0:56:34.179,0:56:38.319
you throw it up it's very fine you grind

0:56:36.639,0:56:41.589
it into a fine powder then it gets

0:56:38.320,0:56:43.360
absorbed super fast so just like okay

0:56:41.590,0:56:45.760
and the reason people grind it up is so

0:56:43.360,0:56:47.470
that they can get that massive high so

0:56:45.760,0:56:50.310
now you grind it up you get this massive

0:56:47.469,0:56:54.369
high when you're eating your white bread

0:56:50.309,0:56:57.009
now okay so it's fine for a bit and then

0:56:54.369,0:56:59.199
two hours later it crashes because

0:56:57.010,0:57:01.660
you've just gone spiked up and spiked

0:56:59.199,0:57:03.788
down and then you want to eat a

0:57:01.659,0:57:05.379
muffin because you had that bagel in the

0:57:03.789,0:57:07.390
morning and it's all gone now because

0:57:05.380,0:57:09.460
it's gone up and down so that's where

0:57:07.389,0:57:14.618
the processing is completely different

0:57:09.460,0:57:17.588
as opposed to say even like a potato if

0:57:14.619,0:57:19.838
you need a baked potato it's pretty

0:57:17.588,0:57:22.719
filling like hard over you does yeah

0:57:19.838,0:57:24.880
it's pretty hard I mean when you process

0:57:22.719,0:57:26.919
it when you do things like potato chips

0:57:24.880,0:57:31.088
and stuff in that deep fryer and that's

0:57:26.920,0:57:33.700
alright yeah it changes things yeah but

0:57:31.088,0:57:35.349
it's pretty difficult to eat to overeat

0:57:33.699,0:57:38.788
a boiled potato like people have put

0:57:35.349,0:57:42.369
gone on these potato diets and III

0:57:38.789,0:57:44.079
potatoes sometimes it's pretty filling

0:57:42.369,0:57:45.970
like that's why this whole meat and

0:57:44.079,0:57:48.760
potatoes you know sort of thing is

0:57:45.969,0:57:51.098
because the me the potato is actually

0:57:48.760,0:57:53.380
one of the highest foods on the satiety

0:57:51.099,0:57:55.269
index so if you eat a potato calorie for

0:57:53.380,0:57:56.769
calorie you will feel more full than

0:57:55.269,0:57:59.949
virtually anything else

0:57:56.769,0:58:02.759
hmm it's hard to overeat boiled potatoes

0:57:59.949,0:58:05.500
yeah baked potatoes is kind of similar

0:58:02.760,0:58:07.930
it's it's pretty hard to overeat that

0:58:05.500,0:58:09.639
but again you're activating natural

0:58:07.929,0:58:11.980
satiety mechanisms like the potato is

0:58:09.639,0:58:14.078
pretty big it's it's gonna fill up it's

0:58:11.980,0:58:16.690
gonna activate these other stretch

0:58:14.079,0:58:18.309
receptors it has it's almost all starch

0:58:16.690,0:58:20.230
so there's very little fat very little

0:58:18.309,0:58:22.329
protein but it's gonna activate other

0:58:20.230,0:58:24.250
things so the Irish for example ate tons

0:58:22.329,0:58:26.559
of potatoes didn't have much of a

0:58:24.250,0:58:27.880
problem until recently until the 70s

0:58:26.559,0:58:30.400
just like everybody else

0:58:27.880,0:58:35.349
so there's there's a lot of things so

0:58:30.400,0:58:36.608
yes there's carbohydrates but what's

0:58:35.349,0:58:40.660
really important is the insulin because

0:58:36.608,0:58:43.750
you can eat a sort of low fat diet high

0:58:40.659,0:58:45.608
in carbohydrates and still have low

0:58:43.750,0:58:47.440
insulin levels and still have very

0:58:45.608,0:58:49.389
little B C and that that wasn't what

0:58:47.440,0:58:52.059
came out in the diet fit studied so this

0:58:49.389,0:58:54.429
was that study that Chris garner did a

0:58:52.059,0:58:56.589
couple of weeks ago I guess it got

0:58:54.429,0:58:58.358
released and what it showed was that if

0:58:56.588,0:58:59.949
you take people and put on a low fat

0:58:58.358,0:59:03.278
diet and a low carb diet they did

0:58:59.949,0:59:07.689
roughly equally but it wasn't just any

0:59:03.278,0:59:09.699
kind of low low fat diet it's not like

0:59:07.690,0:59:12.909
white bread and jam sort of thing it was

0:59:09.699,0:59:15.929
all unprocessed foods it was all and you

0:59:12.909,0:59:19.029
see that yaki had a period of

0:59:15.929,0:59:22.210
yeah yeah also you weren't supposed to

0:59:19.030,0:59:24.310
eat all the time yeah and there were

0:59:22.210,0:59:26.170
another farmers market yeah exactly

0:59:24.309,0:59:29.320
there's a whole lot of stuff in there it

0:59:26.170,0:59:32.200
wasn't like go out and eat some of some

0:59:29.320,0:59:34.809
pasta and white bread yeah it was this

0:59:32.199,0:59:37.359
sort of healthy sort of eat lots of

0:59:34.809,0:59:39.610
vegetables and you know there was a

0:59:37.360,0:59:41.110
whole lot of it and I was looking at

0:59:39.610,0:59:43.630
that study and I was thinking that's

0:59:41.110,0:59:45.519
exactly what we tell people you know

0:59:43.630,0:59:47.289
unprocessed foods because it's not

0:59:45.519,0:59:50.349
simply about the carbohydrates we have

0:59:47.289,0:59:52.210
to move past that you have to get into

0:59:50.349,0:59:55.239
this sort of insulin because that's the

0:59:52.210,0:59:58.030
sort of language the body speaks if

0:59:55.239,1:00:00.369
you're speaking about carbs and proteins

0:59:58.030,1:00:02.320
and stuff that's not really there's it's

1:00:00.369,1:00:04.449
closer to but it's not exactly the

1:00:02.320,1:00:07.030
language that the body understands the

1:00:04.449,1:00:09.759
body responds to signals which are

1:00:07.030,1:00:11.890
hormones so you wanna get your insulin

1:00:09.760,1:00:13.930
high the body's gonna gain weight well

1:00:11.889,1:00:15.789
you can eat a low fat diet you can eat

1:00:13.929,1:00:17.289
low carb diet and still have the same

1:00:15.789,1:00:19.360
effect on insulin so that's where I

1:00:17.289,1:00:21.699
differ from some of the people in terms

1:00:19.360,1:00:23.559
of the carb insulin hypothesis you can

1:00:21.699,1:00:25.599
eat a high protein diet for example all

1:00:23.559,1:00:27.789
meat diet you can do all of these things

1:00:25.599,1:00:29.799
and still get the same effect of low

1:00:27.789,1:00:31.719
insulin and therefore less obesity less

1:00:29.800,1:00:34.019
type-2 diabetes and that's where

1:00:31.719,1:00:36.909
understanding the sort of physiology

1:00:34.019,1:00:39.309
gets you around all these debates and

1:00:36.909,1:00:42.670
you know tries to understand why people

1:00:39.309,1:00:45.279
can eat different diets and still do

1:00:42.670,1:00:46.599
well and and that's the that's you know

1:00:45.280,1:00:48.760
that's what I try and bring out in the

1:00:46.599,1:00:53.289
books is sort of the science and the

1:00:48.760,1:00:54.940
understanding to do it yeah great I have

1:00:53.289,1:00:56.349
two examples of that definitely one dive

1:00:54.940,1:00:57.670
into insulin especially I didn't know

1:00:56.349,1:01:00.309
was discovered here in Toronto

1:00:57.670,1:01:02.349
yeah super fasting but you mentioned the

1:01:00.309,1:01:03.849
satiety signals at Whole Foods garner on

1:01:02.349,1:01:06.069
the body and they're kind of lost in the

1:01:03.849,1:01:07.119
processing of food and one example of a

1:01:06.070,1:01:09.789
remedy that you talk about

1:01:07.119,1:01:10.900
I personally am very interested in this

1:01:09.789,1:01:13.000
as well I've been studying it for a

1:01:10.900,1:01:14.920
while its gastric bypass or bariatric

1:01:13.000,1:01:16.449
surgery in the hormonal I'm not a fan of

1:01:14.920,1:01:18.820
the procedure saying that it's good for

1:01:16.449,1:01:20.919
weight loss but admiring the mechanism

1:01:18.820,1:01:23.920
of action through which gastric or

1:01:20.920,1:01:25.059
bariatric surgery affects insulin

1:01:23.920,1:01:26.680
resistance is really interesting you

1:01:25.059,1:01:28.239
take a full-blown insulin dependent type

1:01:26.679,1:01:29.769
2 diabetic as you know

1:01:28.239,1:01:30.848
12 hours after the procedure they don't

1:01:29.769,1:01:32.199
need insulin because they've got

1:01:30.849,1:01:34.599
hormones that you mentioned are

1:01:32.199,1:01:37.179
upregulated with whole real food are

1:01:34.599,1:01:39.670
super physiologic we up regular and so

1:01:37.179,1:01:43.329
yeah bariatric surgery is fascinating

1:01:39.670,1:01:45.250
because it's quite successful and people

1:01:43.329,1:01:47.199
used to say well why does it work

1:01:45.250,1:01:49.210
maybe it's because you cut out a big

1:01:47.199,1:01:51.159
swath of the stomach right you come in

1:01:49.210,1:01:52.510
with like 90% of the stomach and

1:01:51.159,1:01:55.420
therefore you can't produce certain

1:01:52.510,1:01:57.369
hormones well the problem with that is

1:01:55.420,1:01:59.050
that you can do gastric banding where

1:01:57.369,1:02:00.579
you put a sort of belt around the

1:01:59.050,1:02:02.920
stomach and cinch it really tight and

1:02:00.579,1:02:04.539
you get the same effect since you're not

1:02:02.920,1:02:08.440
cutting out any part of the stomach then

1:02:04.539,1:02:10.088
the benefits cannot be from from from

1:02:08.440,1:02:12.789
cutting out the stomach and the truth is

1:02:10.088,1:02:15.159
that the the effect is simply a severe

1:02:12.789,1:02:18.460
caloric restriction you're basically

1:02:15.159,1:02:21.039
putting them very close to fasting as

1:02:18.460,1:02:23.230
much as you possibly can for months at a

1:02:21.039,1:02:25.000
time I mean they're eating so little

1:02:23.230,1:02:27.190
that you're you might as well be fasting

1:02:25.000,1:02:28.510
so fasting you know the whole point is

1:02:27.190,1:02:30.010
to get your insulin down now you're not

1:02:28.510,1:02:31.839
eating you can't eat because they've cut

1:02:30.010,1:02:34.300
out all your stomach and they've rewired

1:02:31.838,1:02:35.769
your intestines so that you you know

1:02:34.300,1:02:37.810
even if you eat food it's not getting

1:02:35.769,1:02:39.699
absorbed well what's gonna happen well

1:02:37.809,1:02:41.650
instance gonna drop and I'm gonna keep

1:02:39.699,1:02:43.179
dropping so what's gonna happen is that

1:02:41.650,1:02:45.460
your body's gonna burn off all that

1:02:43.179,1:02:47.710
sugar or not the sugar diabetes goes

1:02:45.460,1:02:49.780
away bad as it burns off all that sugar

1:02:47.710,1:02:51.670
then it's gonna burn all that fat and

1:02:49.780,1:02:54.310
guess what the weight loss is very very

1:02:51.670,1:02:55.750
good so the mechanism is quite easy to

1:02:54.309,1:02:59.049
understand once you understand that it's

1:02:55.750,1:03:00.550
really about changing the insulin which

1:02:59.050,1:03:01.990
is the main hormone it's not the only

1:03:00.550,1:03:05.140
hormone that's responsible for weight

1:03:01.989,1:03:06.489
gain cortisol is another one but for the

1:03:05.139,1:03:07.989
most part it's about insulin so that

1:03:06.489,1:03:10.358
once you understand that you can see

1:03:07.989,1:03:11.889
this is why Bariatrics is so affected

1:03:10.358,1:03:14.108
and sometimes you say well this is

1:03:11.889,1:03:16.269
really just medical Bariatrics all these

1:03:14.108,1:03:18.909
fasting therapies is just medical

1:03:16.269,1:03:21.519
Bariatrics and and but it's not easy

1:03:18.909,1:03:25.000
it's not fun and that's really one of

1:03:21.519,1:03:27.130
the things that we try to do so we have

1:03:25.000,1:03:30.280
a program for this which is the

1:03:27.130,1:03:33.220
intensive dietary management program and

1:03:30.280,1:03:36.460
people can join and we have sort of so

1:03:33.219,1:03:38.439
the website is IDM program com

1:03:36.460,1:03:40.858
and if you know we put out a lot of

1:03:38.440,1:03:44.679
stuff for free like these sort of videos

1:03:40.858,1:03:46.509
and we do podcasts and blog I do weekly

1:03:44.679,1:03:49.239
blog post and there's lots of free stuff

1:03:46.510,1:03:50.830
and if people can just get the

1:03:49.239,1:03:53.379
information and there's the books either

1:03:50.829,1:03:54.639
that are very inexpensive or you can

1:03:53.380,1:03:57.160
take it from the library so there's a

1:03:54.639,1:03:58.719
lot of information out there but

1:03:57.159,1:04:01.920
sometimes people want a little bit more

1:03:58.719,1:04:04.088
guidance so what we've done is we've

1:04:01.920,1:04:06.338
provided sort of a little bit more

1:04:04.088,1:04:08.440
guidance question and the answers group

1:04:06.338,1:04:10.509
fast because again it's about building

1:04:08.440,1:04:11.200
this community of people who will help

1:04:10.510,1:04:13.839
each other

1:04:11.199,1:04:16.480
and that's one of the secrets of any

1:04:13.838,1:04:18.460
kind of behavior change is that you do

1:04:16.480,1:04:20.530
better in a group so whether you're

1:04:18.460,1:04:23.619
looking at Weight Watchers or Alcoholics

1:04:20.530,1:04:25.990
Anonymous the point is that changing

1:04:23.619,1:04:27.910
behaviors is difficult to do and if you

1:04:25.989,1:04:29.348
have people who will support you your

1:04:27.909,1:04:31.569
success rate is going to be much much

1:04:29.349,1:04:33.820
higher so we're trying to put together a

1:04:31.570,1:04:37.059
community in our membership program that

1:04:33.820,1:04:38.920
people can join for a fee and then get

1:04:37.059,1:04:40.389
the guidance from sort of trained

1:04:38.920,1:04:43.809
professionals that they need they get

1:04:40.389,1:04:45.279
the sort of extra extra help that they

1:04:43.809,1:04:47.289
need to do it if you can do it on your

1:04:45.280,1:04:49.089
own great but most people they get out

1:04:47.289,1:04:50.889
that they start fasting and then some

1:04:49.088,1:04:52.719
doctor tells them oh god you're gonna

1:04:50.889,1:04:55.179
kill yourself and then they're done and

1:04:52.719,1:04:57.159
then it's like oh but you know you could

1:04:55.179,1:04:59.588
have gained so much with it and then we

1:04:57.159,1:05:01.420
also have sort of an additional program

1:04:59.588,1:05:03.309
where people will provide sort of small

1:05:01.420,1:05:05.800
group sort of in groups of three or four

1:05:03.309,1:05:06.789
of course anytime you do that it's much

1:05:05.800,1:05:08.289
more expensive because you're getting

1:05:06.789,1:05:10.960
sort of personalized care but at least

1:05:08.289,1:05:13.150
it's available for you so there's we try

1:05:10.960,1:05:15.159
and provide sort of everything from the

1:05:13.150,1:05:18.160
free stuff to the books and the podcast

1:05:15.159,1:05:20.829
and you know the stuff we're doing here

1:05:18.159,1:05:23.199
the you know so that you know I hope

1:05:20.829,1:05:25.210
people can just listen and do it

1:05:23.199,1:05:27.159
themselves but hey if you if you need

1:05:25.210,1:05:28.809
some help or we're also here we can give

1:05:27.159,1:05:31.629
you more help if you need it the

1:05:28.809,1:05:33.460
membership site is $39 a month I think

1:05:31.630,1:05:35.680
and it's like we do these group files

1:05:33.460,1:05:38.230
which are very popular so that people

1:05:35.679,1:05:39.879
fast all together for three or four days

1:05:38.230,1:05:42.099
and it's not necessarily you do the full

1:05:39.880,1:05:44.349
four days maybe you do a 24-hour fast

1:05:42.099,1:05:45.850
for three days or

1:05:44.349,1:05:48.909
but because you're doing it with a group

1:05:45.849,1:05:51.369
of sort of supportive people it's easier

1:05:48.909,1:05:53.049
and then you get the benefit and and in

1:05:51.369,1:05:54.969
school we understand this we call it

1:05:53.050,1:05:58.539
peer pressure and it's got a negative

1:05:54.969,1:06:00.159
connotation in as adults it's called

1:05:58.539,1:06:01.509
peer support because it's like we're

1:06:00.159,1:06:03.579
trying to change behavior and you're

1:06:01.510,1:06:06.340
joining a group to get the support that

1:06:03.579,1:06:08.619
you need and guess what it's like very

1:06:06.340,1:06:10.809
very important it's it's actually like

1:06:08.619,1:06:12.400
it sounds like it's it's one of these

1:06:10.809,1:06:14.500
kind of throw away things but it's

1:06:12.400,1:06:15.849
actually as we started doing our program

1:06:14.500,1:06:18.760
we've been doing it for about five years

1:06:15.849,1:06:20.679
now that was one of the sort of keys to

1:06:18.760,1:06:22.570
success was getting people into the

1:06:20.679,1:06:24.699
small groups and into the bigger groups

1:06:22.570,1:06:27.160
where people can talk about fasting

1:06:24.699,1:06:30.879
without getting laughed at essentially

1:06:27.159,1:06:32.829
and that's been very important and then

1:06:30.880,1:06:35.050
I realized of course that's the whole

1:06:32.829,1:06:37.989
secret of Weight Watchers or the biggest

1:06:35.050,1:06:38.980
Oprah led company now but their diets

1:06:37.989,1:06:41.169
nothing special

1:06:38.980,1:06:43.000
it's a decent-enough diet but you could

1:06:41.170,1:06:45.670
have gotten that diet anywhere right you

1:06:43.000,1:06:48.489
could have gone to any book and gotten

1:06:45.670,1:06:51.880
that diet the secret sauce was the peer

1:06:48.489,1:06:53.889
support Alcoholics Anonymous again peer

1:06:51.880,1:06:55.570
support being out there and we're

1:06:53.889,1:06:57.969
fighting such a big fight because the

1:06:55.570,1:07:01.090
the conventional dietary advice is to

1:06:57.969,1:07:04.599
eat sort of eight ten times a day eat

1:07:01.090,1:07:06.579
these low fat foods so we're sort of

1:07:04.599,1:07:08.710
swimming upstream in terms of our advice

1:07:06.579,1:07:11.049
because we generally advise people to

1:07:08.710,1:07:13.659
eat sort of whole unprocessed real foods

1:07:11.050,1:07:15.580
often low carbs or not necessarily and

1:07:13.659,1:07:17.649
then intermittent fasting whether it's

1:07:15.579,1:07:19.779
less than a day or more than a day and

1:07:17.650,1:07:22.539
that's where people it gets people's

1:07:19.780,1:07:24.940
kind of goat up is that the in term in

1:07:22.539,1:07:27.400
fasting really scares a lot of these

1:07:24.940,1:07:29.050
people and then they get scared out of

1:07:27.400,1:07:30.760
it right away they don't have that peer

1:07:29.050,1:07:33.340
support so we're trying to build that in

1:07:30.760,1:07:35.050
into our program and if that's what you

1:07:33.340,1:07:38.559
need you know we're hopefully providing

1:07:35.050,1:07:40.060
it at a fairly reasonable price I mean

1:07:38.559,1:07:43.840
if you're if you're skipping a meal I

1:07:40.059,1:07:45.880
mean that that's like the cost of you're

1:07:43.840,1:07:48.730
gonna come out ahead if you do that

1:07:45.880,1:07:49.990
totally that's awesome IDM program comm

1:07:48.730,1:07:51.550
program

1:07:49.989,1:07:53.229
the show notes in blue this video and

1:07:51.550,1:07:54.490
then let's kind of finish off on the

1:07:53.230,1:07:56.650
book a little bit a few things a few

1:07:54.489,1:07:59.109
that I remember like they're inked in my

1:07:56.650,1:08:01.450
head you can't fix a dietary disease

1:07:59.110,1:08:03.369
with medicine I might box out a little

1:08:01.449,1:08:05.019
bit but I think that's really important

1:08:03.369,1:08:07.809
because you know a lot of people don't

1:08:05.019,1:08:10.000
realize that traditional medical system

1:08:07.809,1:08:11.349
like the solution and for a lot of

1:08:10.000,1:08:13.929
traditionally trained practitioners is

1:08:11.349,1:08:14.980
insulin more and more insulin and what

1:08:13.929,1:08:19.210
happens when you get more and more

1:08:14.980,1:08:23.890
insulin yeah the problem is that type 2

1:08:19.210,1:08:29.020
diabetes is he really misunderstood

1:08:23.890,1:08:31.298
disease by the doctors then what they

1:08:29.020,1:08:34.390
don't understand is that they're

1:08:31.298,1:08:36.850
treating sort of the blood glucose well

1:08:34.390,1:08:39.368
so the blood glucose or blood sugar is

1:08:36.850,1:08:43.509
high so they try and get it down if you

1:08:39.368,1:08:46.328
give insulin well does that get rid of

1:08:43.509,1:08:48.578
the sugar and the answer is no you

1:08:46.328,1:08:52.269
simply the insulin takes that sugar

1:08:48.578,1:08:54.368
it simply crams it into your liver okay

1:08:52.270,1:08:56.560
and then liver turns it into factor de

1:08:54.368,1:08:59.288
novo lipogenesis or sends that sugars

1:08:56.560,1:09:01.839
everywhere else so sugar goes into your

1:08:59.288,1:09:04.238
eyes and your liver into your nerves

1:09:01.837,1:09:07.600
into your legs into your heart and what

1:09:04.238,1:09:09.969
happens well what happens over decades

1:09:07.600,1:09:11.560
is that as you keep cramming the sugar

1:09:09.970,1:09:13.060
from that blood you had excess trigger

1:09:11.560,1:09:14.529
in the blood you never got rid of it but

1:09:13.060,1:09:17.080
you took insulin to cram it into your

1:09:14.529,1:09:19.479
body your body sort of just blows up

1:09:17.078,1:09:23.318
with way too much sugar and then every

1:09:19.479,1:09:25.118
part of your Anatomy just rots so you're

1:09:23.319,1:09:27.220
gonna go blind and you get heart attacks

1:09:25.118,1:09:29.198
you get strokes and get nerve damage and

1:09:27.220,1:09:30.729
get amputations you get diabetic foot

1:09:29.198,1:09:33.189
infections and it's like why do

1:09:30.729,1:09:36.189
diabetics get infections that nobody

1:09:33.189,1:09:38.078
else in the whole world gets go is there

1:09:36.189,1:09:40.000
sugar there's so much sugar sitting

1:09:38.078,1:09:42.488
around in that foot then you get

1:09:40.000,1:09:46.509
infections like yeast infections that

1:09:42.488,1:09:49.568
love the sugar and it's crazy because

1:09:46.509,1:09:51.779
what it means is that type 2 diabetes is

1:09:49.569,1:09:54.789
essentially being treated completely

1:09:51.779,1:09:57.070
incorrectly we're treating the blood

1:09:54.789,1:10:00.220
glucose so we know the blood glucose is

1:09:57.069,1:10:02.289
high because of the type 2 diabetes but

1:10:00.220,1:10:05.470
the blood glucose is not the disease

1:10:02.289,1:10:08.170
the symptom so if you treat the symptom

1:10:05.470,1:10:09.490
but don't treat the disease then you're

1:10:08.170,1:10:11.859
not going to get anywhere it's

1:10:09.489,1:10:14.439
symptomatic treatment and that's the

1:10:11.859,1:10:16.449
real problem we are treating the symptom

1:10:14.439,1:10:18.879
and pretending like that's the real

1:10:16.449,1:10:21.069
disease so yes we got the blood glucose

1:10:18.880,1:10:23.140
down have you treated the type 2

1:10:21.069,1:10:26.380
diabetes with your insulin and the

1:10:23.140,1:10:28.000
answer is no well everybody knows that

1:10:26.380,1:10:28.539
if you lose weight your diabetes gets

1:10:28.000,1:10:31.739
better

1:10:28.539,1:10:34.119
so insulin makes you gain weight so

1:10:31.739,1:10:36.729
right your diabetes not getting better

1:10:34.119,1:10:38.800
it's getting worse and the whole point

1:10:36.729,1:10:41.109
is that you simply can't take the sugar

1:10:38.800,1:10:42.520
in your blood and cram it away where you

1:10:41.109,1:10:45.609
can't see it and pretend you're better

1:10:42.520,1:10:49.180
you got to get rid of that sugar so in

1:10:45.609,1:10:51.789
essence the simplest way to understand

1:10:49.180,1:10:54.100
type-2 diabetes is that there's just too

1:10:51.789,1:10:57.039
much sugar in the body the body is

1:10:54.100,1:10:58.930
overfilled with sugar well if it's

1:10:57.039,1:11:00.819
overfilled with sugar then you just

1:10:58.930,1:11:03.520
gotta get rid of the sugar what do you

1:11:00.819,1:11:07.359
do 1 don't put more sugar in eat a low

1:11:03.520,1:11:10.530
carbohydrate diet and number 2 burn it

1:11:07.359,1:11:13.539
all off and that's intermittent fasting

1:11:10.529,1:11:16.960
so what we've done is we've taken this

1:11:13.539,1:11:18.720
dietary disease and instead of treating

1:11:16.960,1:11:21.369
the root cause of it which is the diet

1:11:18.720,1:11:23.289
we're eating too much too much

1:11:21.369,1:11:25.420
carbohydrates predominantly because we

1:11:23.289,1:11:28.630
were told to and we're eating too too

1:11:25.420,1:11:30.369
many times too frequently but what we've

1:11:28.630,1:11:34.329
done is instead of treating the actual

1:11:30.369,1:11:35.739
cause of it we tried to drug it we're

1:11:34.329,1:11:38.409
trying to drug these people back to

1:11:35.739,1:11:39.849
health then we're not treating what was

1:11:38.409,1:11:42.250
the actual problem in the first place

1:11:39.850,1:11:45.100
and then we wonder why is everybody

1:11:42.250,1:11:48.760
getting worse in the worst part is that

1:11:45.100,1:11:51.550
the answer that most specialist

1:11:48.760,1:11:53.590
researchers give is that type 2 diabetes

1:11:51.550,1:11:56.199
is just like that it's a chronic and

1:11:53.590,1:11:57.610
progressive disease it's like no it's

1:11:56.199,1:12:00.159
chronic and progressive because you

1:11:57.609,1:12:02.739
treated it completely wrong the disease

1:12:00.159,1:12:04.539
is actually reversible we know that

1:12:02.739,1:12:05.529
anybody who loses weight the diabetes

1:12:04.539,1:12:08.319
refers to as we knew that from

1:12:05.529,1:12:10.869
Bariatrics you can take the most severe

1:12:08.319,1:12:13.210
type 2 diabetic and within 2 weeks

1:12:10.869,1:12:14.159
they'll be off of all their insulin for

1:12:13.210,1:12:15.810
example

1:12:14.159,1:12:19.139
because they're basically burning it all

1:12:15.810,1:12:20.789
off because they're fasting it's not

1:12:19.140,1:12:22.710
really hard to understand if you don't

1:12:20.789,1:12:24.420
eat you're gonna burn off that sugar

1:12:22.710,1:12:25.649
your blood sugar will drop if your blood

1:12:24.420,1:12:27.449
sugar drops you don't need to take

1:12:25.649,1:12:29.250
insulin well that's not so hard to

1:12:27.449,1:12:31.970
understand but now you're dealing with

1:12:29.250,1:12:34.859
the actual problem of sugar overload as

1:12:31.970,1:12:38.750
opposed to trying to give more insulin

1:12:34.859,1:12:43.229
so here we have a situation which is

1:12:38.750,1:12:45.869
sort of mind-boggling that 99% of

1:12:43.229,1:12:49.139
diabetics type 2 diabetics in this

1:12:45.869,1:12:52.500
country in this world are actually being

1:12:49.140,1:12:55.230
treated I think completely incorrectly

1:12:52.500,1:12:55.920
and that's why since everybody's getting

1:12:55.229,1:12:57.719
worse

1:12:55.920,1:12:59.310
the doctors say well it's chronic and

1:12:57.720,1:13:00.240
progressive because I gave them insulin

1:12:59.310,1:13:02.130
and they got worse

1:13:00.239,1:13:05.279
so therefore the disease must be like

1:13:02.130,1:13:08.010
that yet at the same time knowing that

1:13:05.279,1:13:09.689
this disease cannot possibly like that

1:13:08.010,1:13:11.640
because we just proved it with our

1:13:09.689,1:13:14.250
bariatric surgery that we could take

1:13:11.640,1:13:15.900
this guy do something to him which is

1:13:14.250,1:13:19.010
basically fast them for like three

1:13:15.899,1:13:21.779
months and make him completely better

1:13:19.010,1:13:24.420
everybody who has type 2 diabetes is

1:13:21.779,1:13:27.809
reversible except up until the very late

1:13:24.420,1:13:30.119
stage that's a fact that we've sort of

1:13:27.810,1:13:32.940
proven with our bariatric surgery and

1:13:30.119,1:13:35.760
it's a fact that we already knew because

1:13:32.939,1:13:37.739
we know that if your friend loses 50

1:13:35.760,1:13:40.739
pounds he's gonna get off his diabetic

1:13:37.739,1:13:42.899
medication no doctors gonna say oh I

1:13:40.739,1:13:46.409
wonder why that happened it's like well

1:13:42.899,1:13:48.059
obviously right but so we know this for

1:13:46.409,1:13:49.710
a fact that it's a reversible disease

1:13:48.060,1:13:50.640
yet we pretend it's chronic from

1:13:49.710,1:13:52.289
progressive because we've been doing

1:13:50.640,1:13:56.250
such a bad job because we've been using

1:13:52.289,1:13:57.479
the wrong treatment interesting when in

1:13:56.250,1:13:59.039
your career so you've been practicing

1:13:57.479,1:14:01.229
medicine for over 20 years right about

1:13:59.039,1:14:02.850
20 years and you talked about in the

1:14:01.229,1:14:04.619
book like I know how to make people fat

1:14:02.850,1:14:06.960
you know you're in some system give them

1:14:04.619,1:14:09.090
insulin at what point did you see enough

1:14:06.960,1:14:10.560
patients gain more and more weight when

1:14:09.090,1:14:12.869
you were falling the standard of care

1:14:10.560,1:14:16.860
that you said this can't be right well

1:14:12.869,1:14:19.829
it was it took a little time yeah dogmas

1:14:16.859,1:14:21.569
very hard to break and interestingly it

1:14:19.829,1:14:23.789
was the patients who all knew they're

1:14:21.569,1:14:25.869
all like you know you gave me insulin

1:14:23.789,1:14:28.390
I'm gaining weight like crazy here

1:14:25.869,1:14:30.760
like how is that good and the answer is

1:14:28.390,1:14:32.560
it wasn't good but I didn't know the

1:14:30.760,1:14:36.010
answer so I said well you know it's just

1:14:32.560,1:14:37.420
the way it is I mean that's that's what

1:14:36.010,1:14:40.770
I said that's what everyone else said

1:14:37.420,1:14:42.940
too but at some point I mean it was

1:14:40.770,1:14:44.980
2008-2009 that we started getting some

1:14:42.939,1:14:47.409
of the data that really showed that

1:14:44.979,1:14:49.750
giving insulin is not a good idea to

1:14:47.409,1:14:53.529
type two diabetics which when you look

1:14:49.750,1:14:55.479
back at it is completely sort of

1:14:53.529,1:14:59.590
rational that is we know in type 2

1:14:55.479,1:15:02.529
diabetes that insulin levels are high so

1:14:59.590,1:15:04.510
why are you giving more insulin I mean

1:15:02.529,1:15:06.369
isn't that like giving alcohol to an

1:15:04.510,1:15:08.800
alcoholic how do you think they're gonna

1:15:06.369,1:15:10.930
get better if you give alcohol to an

1:15:08.800,1:15:13.390
alcoholic they're they're shaking might

1:15:10.930,1:15:16.570
get better but their alcoholism which is

1:15:13.390,1:15:18.579
the actual disease gets worse so it's

1:15:16.569,1:15:20.199
the same thing you give insulin to

1:15:18.579,1:15:22.779
somebody has too much insulin the blood

1:15:20.199,1:15:23.439
sugar gets better but the diabetes gets

1:15:22.779,1:15:25.809
worse

1:15:23.439,1:15:29.049
and that's what we've been doing we've

1:15:25.810,1:15:33.490
been treating these addicts with heroin

1:15:29.050,1:15:35.500
it's like oh my god and what's scary is

1:15:33.489,1:15:38.739
that people are still doing it today

1:15:35.500,1:15:43.359
right now and pretending it's the right

1:15:38.739,1:15:46.029
treatment it's like oh okay well that's

1:15:43.359,1:15:47.649
not a good there's a lot a good idea and

1:15:46.029,1:15:49.300
there's like no wonder everybody's

1:15:47.649,1:15:50.769
getting worse no wonder the health of

1:15:49.300,1:15:54.520
the nation is getting worse because

1:15:50.770,1:15:56.230
we've sort of focused on the wrong sort

1:15:54.520,1:15:59.050
of quadrant which is we think it's a

1:15:56.229,1:16:00.969
drug problem but it's a diet problem we

1:15:59.050,1:16:02.920
took type 1 diabetes which is where

1:16:00.970,1:16:05.530
insulin very low so if insulin is very

1:16:02.920,1:16:08.710
low then give insulin that's a good

1:16:05.529,1:16:10.389
treatment citizens very high don't give

1:16:08.710,1:16:12.100
insulin that's not a good treatment yeah

1:16:10.390,1:16:13.480
you know ladies you said not solving the

1:16:12.100,1:16:15.850
root cause of the problem it's not an

1:16:13.479,1:16:18.399
insulin deficiency syndrome as type 1

1:16:15.850,1:16:19.990
diabetes is you have two receptor gosh

1:16:18.399,1:16:21.189
we could go on and talk all about this

1:16:19.989,1:16:23.050
stuff I really want to commend you for

1:16:21.189,1:16:25.239
all your great work both the books the

1:16:23.050,1:16:27.010
obesity code really changed my mind on a

1:16:25.239,1:16:29.289
lot of different things particularly

1:16:27.010,1:16:31.390
that the time the latency how long

1:16:29.289,1:16:32.800
someone has been overweight that that

1:16:31.390,1:16:34.030
it's going to affect their weight loss

1:16:32.800,1:16:35.980
and I think that's something that people

1:16:34.029,1:16:38.229
really need to think about you know

1:16:35.979,1:16:39.849
because if they see the lean purse

1:16:38.229,1:16:41.439
and get shredded for spring break and

1:16:39.850,1:16:44.470
like why I want to do that but they've

1:16:41.439,1:16:45.909
been overweight for 35 years so we need

1:16:44.470,1:16:47.770
to be realized and that calorie three

1:16:45.909,1:16:50.949
theories simply can't explain that

1:16:47.770,1:16:54.520
because the calorie theory would say

1:16:50.949,1:16:57.579
that if you've been overweight for ten

1:16:54.520,1:17:00.880
years or ten days it's the same yeah you

1:16:57.579,1:17:03.609
create that caloric deficit and you're

1:17:00.880,1:17:05.650
both is a lose weight yeah and everybody

1:17:03.609,1:17:07.988
knows that's not gonna happen right

1:17:05.649,1:17:09.579
and yet we pretend oh yeah of course of

1:17:07.988,1:17:10.988
course it's all about calories it's like

1:17:09.579,1:17:12.488
what are you like do you live in the

1:17:10.988,1:17:15.519
real world like do you actually treat

1:17:12.488,1:17:17.889
people because everybody knows that that

1:17:15.520,1:17:20.020
guy who's been overweight for thirty

1:17:17.890,1:17:24.010
years that those pounds ain't coming off

1:17:20.020,1:17:26.200
yeah like in ten days like like like the

1:17:24.010,1:17:28.869
20 year old who gained a few pounds from

1:17:26.199,1:17:30.760
a few beers at spring break right so

1:17:28.869,1:17:31.809
yeah absolutely that's that's that's the

1:17:30.760,1:17:34.000
key to understanding and the

1:17:31.810,1:17:36.910
physiologies all been there but it's

1:17:34.000,1:17:42.069
been sort of distorted by all of this

1:17:36.909,1:17:44.340
sort of you know other interests like

1:17:42.069,1:17:47.439
particularly food companies for example

1:17:44.340,1:17:51.039
sugary beverage companies who want the

1:17:47.439,1:17:54.099
calorie theory to be correct and this is

1:17:51.039,1:17:57.220
one of the things that you know we're

1:17:54.100,1:17:59.710
really looking to get into is sort of

1:17:57.220,1:18:03.640
advocacy to get the sort of conflicts of

1:17:59.710,1:18:06.130
interest out of medicine having been in

1:18:03.640,1:18:09.280
medicine I realized that there's

1:18:06.130,1:18:11.980
actually all these problems like there's

1:18:09.279,1:18:14.050
not just pharmaceuticals but you know

1:18:11.979,1:18:16.500
the research so we all pretend we live

1:18:14.050,1:18:20.170
in this world of evidence-based medicine

1:18:16.500,1:18:23.560
the problem is if all the met if all the

1:18:20.170,1:18:25.690
evidence is corrupt then evidence-based

1:18:23.560,1:18:27.489
medicine is also going to be corrupt so

1:18:25.689,1:18:29.019
if all your evidence is produced by

1:18:27.488,1:18:31.659
pharmaceuticals is produced by people

1:18:29.020,1:18:34.120
getting paid by the sugar industry for

1:18:31.659,1:18:36.510
example well you're gonna think sugar is

1:18:34.119,1:18:39.670
fine and we have studies that prove that

1:18:36.510,1:18:42.520
a funded study so if you fund a study

1:18:39.670,1:18:45.039
then you're like something like six to

1:18:42.520,1:18:47.320
ten times more likely to finding result

1:18:45.039,1:18:50.590
favoring your sponsor well that's just

1:18:47.319,1:18:51.969
human nature so we have a guy in Toronto

1:18:50.590,1:18:54.369
a dr. Stephen Piper

1:18:51.970,1:18:56.260
who is out there all the time saying

1:18:54.369,1:18:58.899
sugars good fructose is good it's like a

1:18:56.260,1:19:01.150
health food like okay that's really dumb

1:18:58.899,1:19:03.189
that's what I'm thinking and then of

1:19:01.149,1:19:05.199
course in the newspaper in the National

1:19:03.189,1:19:06.789
Post last year which is our national

1:19:05.199,1:19:08.439
newspaper it's like oh yeah he takes

1:19:06.789,1:19:10.479
hundreds of thousands of dollars from

1:19:08.439,1:19:12.729
the sugar industry coca-cola and

1:19:10.479,1:19:15.549
everybody I'm like okay makes sense well

1:19:12.729,1:19:17.169
here's this makes total sense and here's

1:19:15.550,1:19:19.930
the sugar industry funding the

1:19:17.170,1:19:21.850
University of Toronto which is happily

1:19:19.930,1:19:24.789
taking all this cash they're taking all

1:19:21.850,1:19:28.240
this money and producing shoddy research

1:19:24.789,1:19:31.269
it's like I don't blame the sugar

1:19:28.239,1:19:33.369
company the sugar company or the

1:19:31.270,1:19:36.870
pharmaceutical or the big food company I

1:19:33.369,1:19:39.970
don't blame them at all because their

1:19:36.869,1:19:42.729
responsibility is to sell sugary

1:19:39.970,1:19:45.310
beverage that's their responsibility to

1:19:42.729,1:19:47.919
the company to their shareholders that's

1:19:45.310,1:19:50.950
their whole goal it's out there coke is

1:19:47.920,1:19:55.029
there to sell coke that's his job the

1:19:50.949,1:19:58.000
problem is that we allow coke to pay the

1:19:55.029,1:20:01.509
University of Toronto millions of

1:19:58.000,1:20:05.560
dollars to produce crappy research why

1:20:01.510,1:20:10.420
do we allow that if you give a New York

1:20:05.560,1:20:13.120
City policeman a cold drink he could get

1:20:10.420,1:20:16.960
fired because it's a conflict of

1:20:13.119,1:20:20.140
interest if you give the judge sort of a

1:20:16.960,1:20:23.199
slice of pizza he or she could get fired

1:20:20.140,1:20:25.570
for taking that slice of pizza and we

1:20:23.199,1:20:27.760
all say of course you can't bribe a

1:20:25.569,1:20:31.090
judge whether it's a slice of pizza or a

1:20:27.760,1:20:34.329
car it's the same principle mmm the

1:20:31.090,1:20:35.860
reciprocity exactly because when I give

1:20:34.329,1:20:36.880
you something you're gonna feel better

1:20:35.859,1:20:39.869
towards me

1:20:36.880,1:20:42.069
that's all human nature so we say okay I

1:20:39.869,1:20:44.529
understand this everybody understands

1:20:42.069,1:20:46.929
this so therefore you are not nobody is

1:20:44.529,1:20:50.529
allowed to give policeman nobody's

1:20:46.930,1:20:52.720
allowed to give judges anything but we

1:20:50.529,1:20:54.279
say oh yeah if you're a big company you

1:20:52.720,1:20:56.470
can give doctors however much money you

1:20:54.279,1:20:58.439
want so you look at a journal like the

1:20:56.470,1:21:01.889
Journal of the American car

1:20:58.439,1:21:03.539
College of Cardiology and the editors

1:21:01.889,1:21:07.170
which decide which journals got

1:21:03.539,1:21:11.310
published you know what everything is

1:21:07.170,1:21:14.190
on average they're taking each over four

1:21:11.310,1:21:17.039
hundred thousand dollars a year from

1:21:14.189,1:21:18.928
companies and it's like okay I don't

1:21:17.039,1:21:21.179
blame the company the company if it if

1:21:18.929,1:21:23.369
it means selling more stuff that's what

1:21:21.179,1:21:26.639
they should be doing the question is why

1:21:23.369,1:21:28.408
do we allow that to happen when it

1:21:26.639,1:21:31.319
doesn't apply to anybody else

1:21:28.408,1:21:33.269
you can't give four hundred thousand

1:21:31.319,1:21:35.609
dollars to a New York Times journalist

1:21:33.270,1:21:38.670
they will get fired by the New York

1:21:35.609,1:21:40.289
Times they will absolutely get fired you

1:21:38.670,1:21:42.389
can't go to some company

1:21:40.289,1:21:45.810
I'll call big companies have this rule I

1:21:42.389,1:21:48.060
can't go to the Brant bank manager and

1:21:45.810,1:21:50.250
say oh hey here's ten thousand bucks

1:21:48.060,1:21:53.060
he's gonna give me a loan right he's

1:21:50.250,1:21:57.329
gonna get fired or she's gonna get fired

1:21:53.060,1:22:00.389
everywhere and in in we know this we put

1:21:57.329,1:22:04.109
rules on it but yet when it comes to our

1:22:00.389,1:22:06.929
health we say hey dr. Stephen Piper you

1:22:04.109,1:22:09.448
can take here's a couple here's $500,000

1:22:06.929,1:22:12.029
just do some research on why sugar is

1:22:09.448,1:22:13.469
good for you and he produces it and then

1:22:12.029,1:22:15.719
people come out and say well the

1:22:13.469,1:22:18.270
evidence says that sugar is good for us

1:22:15.719,1:22:21.689
it's like isn't that the most ridiculous

1:22:18.270,1:22:23.550
situation you've ever heard this is one

1:22:21.689,1:22:25.408
of the things that really has to get out

1:22:23.550,1:22:28.079
there because if you have differences of

1:22:25.408,1:22:29.729
opinion between scientists that's fine

1:22:28.079,1:22:31.050
that's how science works everybody has a

1:22:29.729,1:22:32.908
different opinion I don't mind that's a

1:22:31.050,1:22:35.789
look the vegans have a different opinion

1:22:32.908,1:22:37.710
than I do that's fine the problem is

1:22:35.789,1:22:39.479
when you get all these sort of

1:22:37.710,1:22:42.029
commercial interests in it but it's not

1:22:39.479,1:22:44.579
a problem for the commercial interests I

1:22:42.029,1:22:46.170
mean the drug companies they're allowed

1:22:44.579,1:22:48.090
to do it so they should do it and they

1:22:46.170,1:22:51.179
will do it because that's what they are

1:22:48.090,1:22:54.360
stated their stated goal is the stated

1:22:51.179,1:22:56.969
goal is to sell more drug right what we

1:22:54.359,1:22:59.519
have to do is we have to be on our you

1:22:56.969,1:23:02.130
know political you have to get political

1:22:59.520,1:23:04.340
and really say okay we shouldn't

1:23:02.130,1:23:08.039
allowing any of this anybody who teaches

1:23:04.340,1:23:09.690
students medical students teaches at the

1:23:08.039,1:23:11.449
university it's not allowed to take

1:23:09.689,1:23:15.539
money like

1:23:11.449,1:23:17.460
it seems like a no-brainer yeah

1:23:15.539,1:23:20.010
they take hundreds of thousands of

1:23:17.460,1:23:24.180
dollars every single one of them these

1:23:20.010,1:23:26.220
programs that the the pharmaceuticals

1:23:24.180,1:23:27.960
put out they pay a doctor fifteen

1:23:26.220,1:23:31.050
hundred dollars to give an hour-long

1:23:27.960,1:23:32.819
talk lots of doctors do it the more

1:23:31.050,1:23:35.670
prominent the more money they get they

1:23:32.819,1:23:38.250
pay editors of large journals like

1:23:35.670,1:23:40.800
hundreds of thousands of dollars each to

1:23:38.250,1:23:42.930
get their research into it the studies

1:23:40.800,1:23:45.210
are all produced by drug companies and

1:23:42.930,1:23:47.600
we know that if that's the case then

1:23:45.210,1:23:50.340
it's more far more likely to be biased

1:23:47.600,1:23:52.440
and then and the whole thing and people

1:23:50.340,1:23:56.100
complain about oh you know it's big

1:23:52.439,1:23:59.099
sugar and big tobacco and big meat it's

1:23:56.100,1:24:02.539
like that's the first thing we should be

1:23:59.100,1:24:05.820
doing this saying we need new rules

1:24:02.539,1:24:08.760
nobody's allowed to pay university

1:24:05.819,1:24:10.469
professors any kind of money you want to

1:24:08.760,1:24:12.449
be a university professor you want the

1:24:10.470,1:24:15.210
privilege of teaching medical students

1:24:12.449,1:24:18.269
you get paid by the university you don't

1:24:15.210,1:24:20.970
get paid by anybody else if you want to

1:24:18.270,1:24:23.550
write guidelines clinical guidelines for

1:24:20.970,1:24:25.860
diabetes clinical guidelines for Dietary

1:24:23.550,1:24:27.960
Guidelines whatever it is anybody who

1:24:25.859,1:24:29.909
writes any kind of guideline is not

1:24:27.960,1:24:32.250
allowed to take money from anybody

1:24:29.909,1:24:34.050
because doctors are the worst because

1:24:32.250,1:24:36.659
they take lots of money from everybody

1:24:34.050,1:24:39.480
and they think that just disclosing it

1:24:36.659,1:24:42.329
is fine it's like I don't care if you

1:24:39.479,1:24:43.739
say it don't do it you can't you don't

1:24:42.329,1:24:46.260
have a judge out there saying oh yeah

1:24:43.739,1:24:50.099
I've been paid by this this this this

1:24:46.260,1:24:52.380
and that so you go to these lectures and

1:24:50.100,1:24:56.390
they're terrible because you get we have

1:24:52.380,1:24:58.680
financial disclosure slides and so

1:24:56.390,1:25:00.150
anytime you go to any lecture somebody

1:24:58.680,1:25:02.460
will flash up a slide and there's like

1:25:00.149,1:25:05.009
15 drug companies on it that he's been

1:25:02.460,1:25:07.739
paid by he goes and he'll always say

1:25:05.010,1:25:09.630
something like I'm not biased because

1:25:07.739,1:25:13.319
I'm paid by everybody and every laughs

1:25:09.630,1:25:15.119
I'm thinking oh my god yeah you guys

1:25:13.319,1:25:18.149
don't even know how crooked the whole

1:25:15.119,1:25:21.390
situation is because in any other sphere

1:25:18.149,1:25:23.670
of life it would be completely

1:25:21.390,1:25:26.610
unacceptable would it be acceptable for

1:25:23.670,1:25:30.480
your child's teacher to be getting money

1:25:26.609,1:25:34.710
from their nose wallah yeah absolutely

1:25:30.479,1:25:36.389
not right absolutely 100% not you would

1:25:34.710,1:25:39.060
never stand for it I would never stand

1:25:36.390,1:25:42.410
for it if I knew my teacher my child's

1:25:39.060,1:25:46.680
teacher was being paid by coke and hey

1:25:42.409,1:25:52.229
teaches them that coke is okay but yet

1:25:46.680,1:25:54.840
coke can pay dr. Steven Piper lots of

1:25:52.229,1:25:56.429
money to come out and say hey sugars

1:25:54.840,1:25:58.560
good for you then he teaches to the

1:25:56.430,1:26:01.350
medical students hey sugar it's good for

1:25:58.560,1:26:03.030
you which teaches you yeah that sugar is

1:26:01.350,1:26:07.850
good for you and then you get diabetes

1:26:03.029,1:26:10.679
and die it's like that's very wrong

1:26:07.850,1:26:12.210
there's something very wrong there and

1:26:10.680,1:26:15.420
that's one of the things I really have

1:26:12.210,1:26:18.060
to really have to you know get the rules

1:26:15.420,1:26:20.310
changed not because they're stricter

1:26:18.060,1:26:23.789
than anybody else we need the rules same

1:26:20.310,1:26:26.370
rules as everybody else and and and and

1:26:23.789,1:26:28.500
the health of the sort of whole nation

1:26:26.369,1:26:31.439
sort of depends on it we have so many of

1:26:28.500,1:26:32.069
these researchers that are just on the

1:26:31.439,1:26:34.710
payroll

1:26:32.069,1:26:36.899
it's like publishing biased so it's kind

1:26:34.710,1:26:38.670
of a partying note here how do you look

1:26:36.899,1:26:40.920
at research then now to try and look at

1:26:38.670,1:26:42.859
it more objectively with the idea that

1:26:40.920,1:26:47.210
this could be funded in a different way

1:26:42.859,1:26:50.849
yeah it's really hard that's why most

1:26:47.210,1:26:52.109
most people who have understand

1:26:50.850,1:26:57.300
evidence-based medicine

1:26:52.109,1:27:00.449
think it's completely crap so there's

1:26:57.300,1:27:02.190
guys like there's a former

1:27:00.449,1:27:05.970
editor-in-chief of the New England

1:27:02.189,1:27:09.449
Journal of Medicine land said these are

1:27:05.970,1:27:11.430
the two sort of most prominent medical

1:27:09.449,1:27:13.289
journals in the world who have both said

1:27:11.430,1:27:15.740
yeah after like 20 years of being in the

1:27:13.289,1:27:18.300
business I realized that it's all crap

1:27:15.739,1:27:20.159
most of what we publish is not true

1:27:18.300,1:27:24.659
there's this replication bias you know

1:27:20.159,1:27:26.279
where people try and try and juice up

1:27:24.659,1:27:28.500
their findings so that it gets in

1:27:26.279,1:27:30.210
newspapers and then when they were

1:27:28.500,1:27:32.369
trying to replicate the study it's like

1:27:30.210,1:27:34.710
oh it wasn't true at all

1:27:32.369,1:27:36.930
they only got the result because they

1:27:34.710,1:27:39.600
were trying to find a result to get in

1:27:36.930,1:27:41.880
the newspaper sort of thing so anybody

1:27:39.600,1:27:44.880
who actually understands evidence-based

1:27:41.880,1:27:46.440
medicine so you know that these are the

1:27:44.880,1:27:49.140
sort of that the editors and chief the

1:27:46.439,1:27:52.259
guys who have been there and done that

1:27:49.140,1:27:53.820
and lived that life they've all

1:27:52.260,1:27:56.340
basically turned their back and said

1:27:53.819,1:27:59.729
it's all just crap now and it's not that

1:27:56.340,1:28:02.789
the idea is bad it's a good idea but

1:27:59.729,1:28:06.959
what you have to do is say get all the

1:28:02.789,1:28:10.529
commercial interests out of science you

1:28:06.960,1:28:14.069
can't have a drug company doing a study

1:28:10.529,1:28:16.800
on their own drug and saying this is the

1:28:14.069,1:28:18.269
best thing since sliced bread everybody

1:28:16.800,1:28:19.710
should do it and anybody who doesn't do

1:28:18.270,1:28:22.020
it is some Luddite who doesn't

1:28:19.710,1:28:24.119
understand evidence-based medicine it's

1:28:22.020,1:28:25.080
like okay but there's something really

1:28:24.119,1:28:27.989
wrong here

1:28:25.079,1:28:32.760
if the heroing company is saying look at

1:28:27.989,1:28:34.529
this study heroin everybody and and then

1:28:32.760,1:28:36.270
came out and taught the doctors and gave

1:28:34.529,1:28:38.069
doc there's hundreds of thousands of

1:28:36.270,1:28:42.200
dollars to teach medical students that

1:28:38.069,1:28:45.179
heroin is good for you we'd say buddy

1:28:42.199,1:28:47.279
that study was funded by the heroin

1:28:45.180,1:28:49.530
company you can't trust it but when we

1:28:47.279,1:28:54.109
say oh that study was funded by the drug

1:28:49.529,1:29:00.059
company we're like yay it's like like

1:28:54.109,1:29:03.689
logic is just like I'm like kind of

1:29:00.060,1:29:06.210
appalled sort of yeah with how how

1:29:03.689,1:29:08.869
everything is developed in medicine and

1:29:06.210,1:29:12.750
that logic seems to sort of play no role

1:29:08.869,1:29:15.119
in in what we do that is you can't allow

1:29:12.750,1:29:17.189
drug companies to do their own study and

1:29:15.119,1:29:19.559
then tout their own horn and then

1:29:17.189,1:29:21.569
dictate how we do medicine yeah that's

1:29:19.560,1:29:24.810
great like you've given up you've given

1:29:21.569,1:29:27.210
it up and why because our leaders our

1:29:24.810,1:29:31.080
University professors are all on the

1:29:27.210,1:29:32.730
payroll it's crazy yeah it's a great

1:29:31.079,1:29:34.890
book about biases

1:29:32.729,1:29:37.589
decisive by the heath brothers Dan and

1:29:34.890,1:29:39.349
chippy and so I just noticed that I you

1:29:37.590,1:29:41.659
know it's a someone who's been in

1:29:39.349,1:29:43.610
and the beneficiary of fasting and the

1:29:41.658,1:29:45.170
ketogenic diet I'm very biased Pro that

1:29:43.609,1:29:47.210
but now when I read research I try and

1:29:45.170,1:29:49.520
really be aware of that because you find

1:29:47.210,1:29:51.469
yourself seeking out more of the same so

1:29:49.520,1:29:52.880
human nature were very very biased

1:29:51.469,1:29:56.000
creature so you can see how this could

1:29:52.880,1:29:57.949
happen but but if in terms of like kind

1:29:56.000,1:29:59.328
of a parting piece of advice like the

1:29:57.948,1:30:00.919
biggest health issue do you think that's

1:29:59.328,1:30:02.389
one of them that the so-called

1:30:00.920,1:30:04.908
evidence-based medicine is really

1:30:02.389,1:30:08.599
industry funded and yeah I think that

1:30:04.908,1:30:11.750
there's sort of a couple of things I

1:30:08.599,1:30:14.449
mean there's from from a health

1:30:11.750,1:30:16.429
standpoint honestly its metabolic

1:30:14.448,1:30:18.529
syndrome obesity type 2 diabetes that's

1:30:16.429,1:30:19.069
clearly going to be the issue of our

1:30:18.529,1:30:22.399
times

1:30:19.069,1:30:25.158
yeah it's killing tons of people carting

1:30:22.399,1:30:26.839
fast or disease stroke cancer those are

1:30:25.158,1:30:28.429
the biggest sort of three killers of

1:30:26.840,1:30:31.699
Americans and they're all sort of

1:30:28.429,1:30:35.710
metabolic problems so the the sort of

1:30:31.698,1:30:38.689
that's sort of the biggest problem and

1:30:35.710,1:30:41.929
going to the sort of standard medical

1:30:38.689,1:30:44.509
dogma is not great for the related issue

1:30:41.929,1:30:46.550
of a lot of bias and medicine research

1:30:44.510,1:30:49.190
the good news is that you have you can

1:30:46.550,1:30:51.050
take control of your own health you know

1:30:49.189,1:30:53.299
through understanding like what we're

1:30:51.050,1:30:55.550
talking about do the cutting out

1:30:53.300,1:30:57.739
processed foods reducing the number of

1:30:55.550,1:31:00.829
times that you eat intermittent fasting

1:30:57.738,1:31:03.408
and sort of regain sort of 90% of your

1:31:00.828,1:31:04.819
house from the good news from a patient

1:31:03.408,1:31:06.948
perspective is that yes you can do

1:31:04.819,1:31:11.179
something about right now the larger

1:31:06.948,1:31:14.059
societal issue is exactly that to get

1:31:11.179,1:31:17.199
the bias out of medical science because

1:31:14.060,1:31:20.510
the reason that medical science is

1:31:17.198,1:31:24.549
hopelessly bad is that there's just too

1:31:20.510,1:31:27.860
much bias so if you look back at the

1:31:24.550,1:31:30.800
1970s the obesity goes from very little

1:31:27.859,1:31:34.569
to very high so we're worse than we were

1:31:30.800,1:31:39.289
in 1970 yeah if you look at technology

1:31:34.569,1:31:42.078
in the 1970s computer is like the size

1:31:39.289,1:31:44.210
of this room it has like you know a

1:31:42.078,1:31:47.389
tenth of the computing power of my

1:31:44.210,1:31:52.189
iPhone it's like that's the power of

1:31:47.389,1:31:53.090
human ingenuity in nutrition we've gone

1:31:52.189,1:31:56.059
backwards

1:31:53.090,1:31:58.190
we've gone we would have gone from the

1:31:56.060,1:32:00.860
computer the size of this room to a

1:31:58.189,1:32:03.649
computer the size of this entire code

1:32:00.859,1:32:06.409
language yeah it's ridiculous hmm and

1:32:03.649,1:32:08.299
it's because there's too much bias we

1:32:06.409,1:32:10.220
get people saying that sugars good for

1:32:08.300,1:32:12.619
you I mean tobacco is the same thing for

1:32:10.220,1:32:15.170
years people said no problem no problem

1:32:12.619,1:32:16.670
why they're all on the payroll okay so

1:32:15.170,1:32:17.930
we understand that for tobacco

1:32:16.670,1:32:19.699
why don't we understand it for drug

1:32:17.930,1:32:21.800
companies for this and that and again

1:32:19.699,1:32:24.289
it's not that I'm anti drug companies

1:32:21.800,1:32:27.529
drug companies have a very valuable role

1:32:24.289,1:32:29.569
but they need to be sort of over there

1:32:27.529,1:32:33.050
and the university has to be over here

1:32:29.569,1:32:35.719
and you have to split them and if their

1:32:33.050,1:32:37.579
drug is good then the university will

1:32:35.720,1:32:39.350
say okay well your drug goes good well

1:32:37.579,1:32:41.920
at least I know that you're not paying

1:32:39.350,1:32:44.720
the guy who's saying it's good yeah

1:32:41.920,1:32:47.119
again it's it's it's pure common sense

1:32:44.720,1:32:49.340
and it's like we just have to change

1:32:47.119,1:32:51.409
that to move far so that's sort of the

1:32:49.340,1:32:54.380
larger I think that in the end that's

1:32:51.409,1:32:55.789
the larger societal issue the individual

1:32:54.380,1:32:57.800
issue that's the biggest that's going to

1:32:55.789,1:32:59.840
impact everybody is gonna be you know

1:32:57.800,1:33:01.730
how to apply the proper standards of

1:32:59.840,1:33:04.000
nutrition in term in fasting I think

1:33:01.729,1:33:06.589
that part has been missing for so long

1:33:04.000,1:33:07.640
and really until I started talking about

1:33:06.590,1:33:11.329
it I don't think anybody was talking

1:33:07.640,1:33:13.280
about fasting truthfully no not in not

1:33:11.329,1:33:14.960
in terms of how their body builders and

1:33:13.279,1:33:17.750
stuff but not in terms of treatment of

1:33:14.960,1:33:19.250
disease and that kind of thing that part

1:33:17.750,1:33:20.750
is the biggest part for the individual

1:33:19.250,1:33:22.069
patient but they can actually do

1:33:20.750,1:33:24.319
something about it and that's what I

1:33:22.069,1:33:27.469
hope to do with their books with the IPM

1:33:24.319,1:33:30.139
program and with the blog and with the

1:33:27.470,1:33:31.430
podcast and your podcast and all that

1:33:30.140,1:33:34.460
sort of stuff that's where we try to do

1:33:31.430,1:33:37.190
try and empower people to sort of take

1:33:34.460,1:33:39.350
control because it's like if you watch

1:33:37.189,1:33:41.750
this and you decide to do it and get

1:33:39.350,1:33:44.210
better hey I don't get paid but guess

1:33:41.750,1:33:45.739
what if if you you write to me and say

1:33:44.210,1:33:48.289
you know what I watched your thing with

1:33:45.739,1:33:50.510
Mike and I lost 50 pounds I got rid of

1:33:48.289,1:33:52.250
my diabetes I'm paid in a totally

1:33:50.510,1:33:54.409
different way you know that's much more

1:33:52.250,1:33:58.539
valuable than the money throws it like

1:33:54.409,1:34:01.609
oh I we were able to help these people

1:33:58.539,1:34:02.769
feels great feels great minimal amount

1:34:01.609,1:34:04.989
of money is gonna get

1:34:02.770,1:34:06.460
for you yeah and that's the that's the

1:34:04.989,1:34:09.309
point that's the point is that people

1:34:06.460,1:34:10.359
can can do that yeah and the book is

1:34:09.310,1:34:13.060
great you know it goes through the

1:34:10.359,1:34:14.920
historical role that fasting has had in

1:34:13.060,1:34:18.370
humankind and as a medical therapy think

1:34:14.920,1:34:19.750
back to 1770 something or a long time

1:34:18.369,1:34:22.090
ago so you have the books awesome it's

1:34:19.750,1:34:23.289
available as you guys watch this video

1:34:22.090,1:34:25.810
it should be available on Amazon for

1:34:23.289,1:34:28.300
pre-orders worldwide so commend you on

1:34:25.810,1:34:29.560
all that great stuff IDM program comm if

1:34:28.300,1:34:31.989
people want to get into the membership

1:34:29.560,1:34:33.190
site and get into that group setting

1:34:31.989,1:34:35.859
which i think is great and by the way

1:34:33.189,1:34:37.569
you mention like pure support there's

1:34:35.859,1:34:39.670
the pure influence to like when doctors

1:34:37.569,1:34:40.840
like you have a paid speaker goes in

1:34:39.670,1:34:42.789
from a room and there's all these other

1:34:40.840,1:34:44.949
doctors and they're pitching it and they

1:34:42.789,1:34:46.750
buy into it so it's part of the yeah so

1:34:44.949,1:34:47.859
the part of the group is powerful it can

1:34:46.750,1:34:49.989
help you lose weight and balance your

1:34:47.859,1:34:52.329
blood sugar - so dr. Fung thanks again

1:34:49.989,1:34:57.039
this is a lot of fun coming on yeah

1:34:52.329,1:34:57.550
thank you very much my pleasure all

1:34:57.039,1:35:00.930
right all right

1:34:57.550,1:35:00.930
a lot of good stuff thank you