What Harvard & USC Just Learned About Protein — Transcript
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- 0:00When I was a young boy, I thought I had
- 0:02diet all figured out. And that is
- 0:05because Popeye told us all that you can
- 0:08fight off bullies and save the girl if
- 0:10you just eat spinach.
- 0:11>> It's my Popeye!
- 0:13>> My mom had a master's in biochem from
- 0:16Cornell, and she told me Popeye was
- 0:19right and that every mother and
- 0:21grandmother in the world would confirm.
- 0:23I became even more convinced I had it
- 0:26dialed when Jack LaLanne rose to fame
- 0:29with a Hollywood would star by promoting
- 0:31exercise and the Mediterranean diet. I
- 0:34was his golf caddy at the Orinda Country
- 0:36Club on weekends, and we had receipts.
- 0:39Back then, America ranked among the
- 0:41healthiest nations, ahead of Japan,
- 0:44Germany, and the UK for life expectancy.
- 0:47And we had low obesity. But then a very
- 0:50odd thing happened on the highway to the
- 0:52danger zone. We got obsessed by
- 0:55extremely [music] low-fat diets, and
- 0:57then extremely high-fat diets, and
- 0:59extremely high-carb diets, and extremely
- 1:01low-carb diets. And now we're obsessed
- 1:04with adding refined protein to
- 1:06ultra-processed food and calling it
- 1:08healthy.
- 1:08>> Highway to the danger zone.
- 1:13>> As we sloshed from one diet to another,
- 1:16I noticed there was one group that
- 1:18wasn't sloshing. Actual nutrition
- 1:20scientists. The trouble with them is
- 1:23they talk to each other behind paywalls
- 1:25in technical terms only a nutrition
- 1:28scientist can decipher. And
- 1:30unfortunately, none of them have the
- 1:32ability to talk to the public like this
- 1:34guy.
- 1:35>> When we were all in the caves, half of
- 1:37everyone born was dead before the age of
- 1:3930. Fast forward to 1840, that number
- 1:42went up to
- 1:4335. Everyone back then was eating
- 1:46organic. And [clears throat] the water
- 1:47was clear, the air ran pure, the the
- 1:50game was free-range. Science matters
- 1:53here. You'd be dead by the 30 unless
- 1:55some doctor came in and said we can
- 1:57increase your life expectancy using
- 1:59science.
- 2:00>> I resemble those remarks. Five times
- 2:03science has brought me back from the
- 2:05dead starting at age 27 when my appendix
- 2:08burst. Same age as my father's. And who
- 2:11knows if I would have died by now from
- 2:13polio or from an abscessed tooth because
- 2:15a horse kicked me in my canine tooth and
- 2:17broke the root. Actual nutrition
- 2:20scientists have made big advances over
- 2:22the last few decades like showing how
- 2:25amazing nuts and seeds turned out to be
- 2:27for health. Not many people saw that
- 2:29coming. But getting the word out is not
- 2:32their strength and so that became the
- 2:34mission of Viva longevity to find the
- 2:37best scientists and to help them tell
- 2:39their stories. And I had to come to USC
- 2:41to tell this one which brings me to this
- 2:44new paper on protein which is behind a
- 2:46paywall and written in deep scientific
- 2:49language. It caught my attention because
- 2:51the corresponding authors, Frank Hu and
- 2:54Valter Longo, are among the most
- 2:56respected nutrition scientists in the
- 2:59world. In my interview with Valter last
- 3:01year, he told me
- 3:03>> We're going to make the case soon enough
- 3:05that proteins doesn't mean anything,
- 3:07right? Doesn't mean anything.
- 3:09It cannot mean anything when you can
- 3:11have a five 10-fold difference.
- 3:13>> He told me this paper was coming and it
- 3:15would help explain it. So I reached out
- 3:17to the lead author, Mara Fonti. She
- 3:20isn't a celebrity doctor selling a
- 3:22supplement line. She's a rigorous
- 3:24scientist working in the trenches of
- 3:26Valter's lab. I have a pretty strong
- 3:29scientific background and I've gotten to
- 3:31interview some of the leading nutrition
- 3:33scientists in the world. But I had to
- 3:36hammer her with questions for days to
- 3:39translate this deep science into plain
- 3:41English. Here is what we uncovered.
- 3:44>> Am I now your most irritating person in
- 3:46the world?
- 3:47>> No.
- 3:48>> After slamming you all week long with
- 3:50these long emails?
- 3:51>> No, no, no. You wanted to go into, you
- 3:54know, more details, so.
- 3:55>> There was a lot of details to go into.
- 3:56That paper is dense. You have so much
- 3:59data on the mice and human data. I mean,
- 4:01usually papers have one or the other.
- 4:02You had both.
- 4:03>> It lasts about 7 years.
- 4:06>> 7 years?
- 4:07>> Yeah, 7 years work.
- 4:08>> So, you've been working on this
- 4:09particular paper for 7 years? Wow.
- 4:12Amazing.
- 4:13>> I mean, 6 year plus, you know,
- 4:15writing and having that published.
- 4:18>> So, Walter told me this paper was
- 4:19coming, but he wouldn't tell me what it
- 4:22was about other than it would explain
- 4:23amino acids quite a bit better. He would
- 4:25say, "Protein doesn't mean anything. The
- 4:27word protein, it's like fat doesn't mean
- 4:28anything. Is it lard or is it olive
- 4:30oil?"
- 4:31>> So, it's not really
- 4:33um
- 4:33the amount of amino acid. It's more the
- 4:36amino acid profile.
- 4:37>> Yeah.
- 4:37>> So, plant-based and amino animal-based
- 4:40protein basically had different amino
- 4:43acid profile. That's why it's really
- 4:45matter the source.
- 4:46>> Strikingly different. Shockingly
- 4:48different. I mean, I'm astounded,
- 4:50actually. You study both mice and
- 4:52humans. Let's start with the humans
- 4:54first. This may look a little bit like
- 4:56an eye chart to some people out there in
- 4:58podcast land, but there's a shocking
- 5:01line in here. Can you explain what this
- 5:03is?
- 5:04>> Our collaborators was Anti Malik and
- 5:07Frank Hu published a paper about protein
- 5:09intake and risk factor for type 2
- 5:11diabetes in this very big population,
- 5:14which is the Harvard cohort. They found
- 5:17that there was an increase in risk of
- 5:19type 2 diabetes only in the population
- 5:21with an higher increase of animal
- 5:23protein.
- 5:24But, they didn't see the same effect
- 5:26when the participant were consuming an
- 5:28higher intake of plant-based.
- 5:30>> So, I think this is one of the most
- 5:33important nutritional findings, and it
- 5:35drives the dietary guidelines for every
- 5:37country in the world except for
- 5:39America's new one. My sense is very few
- 5:41Americans understand this, and I think I
- 5:44know why. What this table shows is they
- 5:47divided the participants into five
- 5:49levels of protein consumption. The
- 5:51lowest quintile one got around 14% of
- 5:54their calories from protein. The highest
- 5:57quintile five got 21%.
- 6:00The participants were American where we
- 6:02have a culture of high animal protein
- 6:04consumption. So the consumption of plant
- 6:06protein as a percentage it was down
- 6:08around 30% or less. Here's the headline
- 6:11finding. Diabetes rates were double in
- 6:14the higher quintile even though the
- 6:16researchers noted many of the
- 6:18participants were seeking higher protein
- 6:20because they believed in our current
- 6:22protein obsession that it's healthier.
- 6:25This finding is not new. There have been
- 6:27decades of landmark studies showing
- 6:29similar results also for cancer and
- 6:32heart disease. So why do so few
- 6:34Americans know about this?
- 6:36I think the first reason is the big
- 6:38influencers who advocate high protein
- 6:41rarely mention studies like this. The
- 6:43beef industry is very proud of the
- 6:45something like $8 million annual budget
- 6:47they have to pay out influencers. They
- 6:49don't disclose who gets the money but I
- 6:53think a second reason is the beef
- 6:54industry are genius marketers so they
- 6:56know to shift the conversation from
- 6:58outcomes, how healthy are you, to
- 7:00mechanisms, like how much protein do
- 7:03plants really have? They have less so
- 7:05they must be less healthy, right? But
- 7:07that isn't what outcome data
- 7:09consistently shows.
- 7:11>> At the same time the population with the
- 7:13higher protein intake in general,
- 7:15especially the ones in animal protein
- 7:18intake, they also had an higher
- 7:20incidence of BMI but the higher intake
- 7:23of plant-based protein, they didn't show
- 7:25the same trend in terms of BMI. So we
- 7:28thought that this effect on overweight
- 7:30and obesity could be driven by specific
- 7:33amino acid, what we we have been seen in
- 7:35the mice and so we we thought that it
- 7:37could could have been applied to human
- 7:39too.
- 7:39>> Why Why you focus on methionine?
- 7:41>> We focus on methionine because it's an
- 7:44essential amino acid that has a direct
- 7:48molecular connection with specific
- 7:50nutrients and same pathway, in
- 7:52particular mTOR. So, this is one reason
- 7:55and the second one is because
- 7:57decades of literature show that
- 8:00methionine restriction improve like
- 8:02metabolic parameters, but also it's very
- 8:06powerful in extending longevity and
- 8:08lifespan. It's very powerful, but at the
- 8:11same time severe methionine restriction
- 8:14could lead to muscle wasting and
- 8:17frailty. So, when we started the diet,
- 8:20the longevity diet was modeled based on
- 8:23dietary patterns of population with
- 8:26exceptional longevity.
- 8:29Well, the longevity diet. Either from,
- 8:31you know, Mediterranean areas, in
- 8:33particular South of Italy, Sardinia, but
- 8:36also Greece or of Spain. And Okinawa, in
- 8:40Japan. So, it was modeled based on their
- 8:43diet, but at the same time it's shown to
- 8:46be relatively low in protein, but very
- 8:48low in methionine. And a level that was
- 8:51matching kind of the methionine
- 8:53restricted pattern. So, because we
- 8:56wanted healthy longevity, but also
- 8:58strength, we modulate this a single
- 9:01amino acid in the diet in order to have
- 9:03the diet been able to still produce the
- 9:06same metabolic benefits, but also
- 9:08preserve the muscle.
- 9:10>> When you say you moderate the
- 9:11methionine,
- 9:13did that mean you gave a
- 9:15methionine powder, some kind of protein
- 9:17powder?
- 9:18>> We had to formulate the the diet for the
- 9:20mice.
- 9:21This a number of ingredients that we had
- 9:23to carefully select. There are company
- 9:25where you can customize your diet for
- 9:28the mice. So, we
- 9:30basically sent them the ingredients we
- 9:33wanted them to to follow. And so, they
- 9:35were able to adjust the level of
- 9:37methionine in the way we want it. So
- 9:39>> on food?
- 9:41>> Not we they had to supplement.
- 9:43>> Oh, they had to supplement.
- 9:44>> Yeah, they had to supplement with a
- 9:45powder.
- 9:46>> Back to this chart, the thing that
- 9:48really stood out for me
- 9:50the diabetes rate doubled.
- 9:52Based on the Harvard studies
- 9:54>> Exactly.
- 9:55>> and health professionals. Doubled mainly
- 9:58by changing
- 10:00by eating more animal protein.
- 10:01>> It's also interesting that the
- 10:04participant in the quintile five are
- 10:06usually the ones that are they pay more
- 10:09attention to lifestyle.
- 10:10>> Yeah, that was a surprise to me. That
- 10:13you thought they were had more healthy
- 10:15user bias in the higher percentile
- 10:19because they thought protein was
- 10:20healthy.
- 10:22And so they were eating all this extra
- 10:25animal protein to get healthy and by
- 10:27doing so they were getting diabetes. You
- 10:29can get some insight into the healthy
- 10:31user bias by looking at the beverage
- 10:34consumption on this table. The higher
- 10:36protein consumers were drinking 74%
- 10:39fewer calories from sugar-sweetened
- 10:41beverages and 35% fewer from alcohol.
- 10:47>> And if you look at the total energy
- 10:49intake, there is a reduction of about
- 10:5110%.
- 10:52>> Of what?
- 10:52>> Total energy intake. So basically
- 10:55>> Yeah.
- 10:55>> They were eating fewer calories.
- 10:57>> But they're getting an higher prevalence
- 10:59of BMI and overweight.
- 11:02>> Yeah, but I thought calories in,
- 11:04calories out. And you're saying well, it
- 11:07doesn't seem to be the case if you're
- 11:08getting too much methionine. Is that
- 11:10your
- 11:10>> Yeah, that's
- 11:11>> hypothesis?
- 11:13>> Yeah.
- 11:14That's why they
- 11:16re-analyzed the data for us and they
- 11:17they basically measured all the amino
- 11:19acid profile.
- 11:20>> I see.
- 11:21>> And they found that specifically in the
- 11:22higher animal group, there was increase
- 11:25of 81.5%
- 11:27of methionine.
- 11:28>> There is another popular podcast that
- 11:31interviews lead authors of landmark
- 11:33papers, The Proof with Simon Hill. Simon
- 11:37has a master's in nutrition science, and
- 11:40I think he's incredibly sharp. He
- 11:42interviewed Andrea Glenn, who led a
- 11:44fascinating study of the effect of plant
- 11:47to animal protein ratio and its effect
- 11:50on heart disease. This chart shows their
- 11:53key finding.
- 11:55The two bars on the left represent
- 11:57people who got about 30% of their
- 11:59protein from plant sources. The two bars
- 12:02on the right represent people who got
- 12:03about 60% of protein calories from
- 12:06plants.
- 12:07You can see the reduction in risk was
- 12:09much greater when the plant to animal
- 12:11protein ratio was higher. The other
- 12:14thing that made a difference was that in
- 12:17diets with higher overall protein
- 12:19consumption, the risk reduction from
- 12:22substituting more plant protein for
- 12:24animal protein was much higher.
- 12:27Both those results were the same as with
- 12:30Mara's paper. I traded long emails with
- 12:33Andrea and discussed them with Mara.
- 12:36Their takeaway is diets high in animal
- 12:38protein are clearly risky, but diets
- 12:41high in protein that are based on
- 12:43high-quality plant protein may not be.
- 12:46>> We didn't look at that specifically, and
- 12:48that's something that we're going to do
- 12:50for another paper that's going to come
- 12:51out. So, I think what's happening with
- 12:53this protein density finding is that
- 12:54they're eating more legumes and nuts.
- 12:57And then we know that those are really
- 12:58good for cardiovascular disease
- 13:00preventions.
- 13:01>> In the case of Andrea's study, which was
- 13:02based on heart disease, the riskiest
- 13:05source of protein was red meat, and nuts
- 13:08were the best at reducing that risk. For
- 13:11example, replacing just 3% of calories
- 13:14from red meat with nuts cut heart
- 13:17disease risk by 20%. That's incredible.
- 13:21Imagine swapping 25 or 50% of your
- 13:25calories from red meat for nuts, not
- 13:28just 3%. The numbers were also big for
- 13:31swapping poultry and dairy for nuts,
- 13:33just not that big. Okay, I know some of
- 13:36you are thinking, "Hey, I'm too young to
- 13:38get heart disease and diabetes, but I
- 13:40need abs and I'm working on my bench
- 13:42press, so I need meat, not nuts, right?"
- 13:45And that brings us to tomorrow's mouse
- 13:48studies. I'm usually suspicious of
- 13:50animal studies, but I have to admit the
- 13:52monkey and pig feeding studies I covered
- 13:55previous were absolutely foundational in
- 13:58understanding how we get to clogged
- 14:00arteries and how to get them to open
- 14:02back up. Dean Ornish wrote that those
- 14:05papers inspired him to do his famous
- 14:07studies in reversing clogged arteries in
- 14:09humans.
- 14:10>> What were you getting from the mouse
- 14:12studies that you couldn't get from human
- 14:14studies?
- 14:14>> So, animal studies let you do what you
- 14:17cannot do with human. For instance, for
- 14:19example, follow the lifespan.
- 14:21>> Cuz their lifespan is short, so
- 14:23everything's accelerated.
- 14:25>> Yes. So, still long in for mice, which
- 14:28is like around 30 months. It's depend on
- 14:30the strain. Also, tissue biopsies, for
- 14:33example.
- 14:34>> The other thing about humans,
- 14:36these Harvard studies are free living.
- 14:38And it'd it'd be nice Sometimes I say,
- 14:41"Oh, I wish these nurses would eat more
- 14:43beans."
- 14:44Nurses and health professionals, but
- 14:46they they don't eat a lot of legumes.
- 14:48They're like Americans or something.
- 14:51And they eat a lot of meat and not that
- 14:52many legumes. But with the mice you can
- 14:54control exactly what it is they're
- 14:56eating. And on a randomized control
- 14:58trial with humans, there's still the
- 15:00problem of adherence. Adherence could be
- 15:03good in the beginning and then fade
- 15:05later on. Here you show four different
- 15:08diets for the mice, but you actually had
- 15:11a fifth, right? You had the FMD diet.
- 15:14So, can you explain what's in each one
- 15:16of these diets?
- 15:17>> Before we learn which were the the
- 15:20benefits of the longevity diet, we had
- 15:22to compare to popular diet that in
- 15:24reality people usually follow. So,
- 15:27they're not just random diet.
- 15:29The control diet, it's a just
- 15:31commercially available diet. They are
- 15:33made to to make that the mice happy and
- 15:36healthy.
- 15:37>> You characterize it as pesco-vegetarian.
- 15:39>> It's a pesco-vegetarian.
- 15:41>> So, it's like Valter's longevity diet.
- 15:43>> Exactly, but
- 15:44>> So, not exactly what Americans are
- 15:46eating.
- 15:46>> No.
- 15:47>> It's pretty healthy.
- 15:48>> It's pretty healthy, but it's higher in
- 15:50protein intake. It's double the
- 15:52longevity diet.
- 15:53>> Oh, it is. Why?
- 15:54>> Usually diet for mice are in a range of
- 15:5720 25% of protein. The longevity diet is
- 16:0112. So, it's half.
- 16:02>> Yeah.
- 16:03>> So, but it's made with pretty healthy
- 16:05ingredients. So, the only difference it
- 16:08kind of the protein content.
- 16:10>> I see.
- 16:11>> Because it has protein from fish meal,
- 16:13soy, and whey protein. But, as you said,
- 16:16it's a very
- 16:17healthy diet.
- 16:18>> Although, some people may quibble with
- 16:20the isolated proteins. Some people may
- 16:22say, "Well, whey and soy protein
- 16:25is a refined food." But, anyway, that's
- 16:28what the diet was for these mice.
- 16:29>> Yes.
- 16:30>> That was the control diet.
- 16:31>> That you usually need to have when you
- 16:33run an experiment on mice because you
- 16:35want to you want to make sure that you
- 16:37are comparing with something that it's
- 16:39beneficial for the mice.
- 16:41>> How did they figure out that it's
- 16:42beneficial for mice? They've just known
- 16:43this for years?
- 16:44>> Yeah. Yeah.
- 16:45>> Figured it out over years.
- 16:46>> There are different control diet. It's
- 16:48not the only one. That this is the one
- 16:50that for us was
- 16:52a pretty good control because it's a
- 16:54like a pescetarian or
- 16:56not pesco-vegetarian like the longevity
- 16:58diet.
- 16:59>> I see. And then came the keto diet.
- 17:01>> It's a very popular diet.
- 17:02>> In your human studies, the graphs that
- 17:04you showed, it it wasn't didn't do very
- 17:06well. Didn't do well in weight control
- 17:08or anything.
- 17:09>> It yes, even though we tried to make it
- 17:12very healthy. Salmon, chicken, nuts,
- 17:16eggs, fat from avocado, coconut oil, and
- 17:19olive oil.
- 17:20>> But there is an apple in there.
- 17:22>> And some greens. 8% is carbohydrate.
- 17:25>> I see.
- 17:25>> It's very high-fat diet.
- 17:27>> Do mice go into ketosis? Do they have
- 17:29ketones and things?
- 17:30>> yeah, they do.
- 17:31>> And could you measure that or did you
- 17:32measure that?
- 17:33>> We we measure and they are very
- 17:35>> was enough for them to go into ketosis?
- 17:37>> Um yes, basically they they had the
- 17:39higher level of keto ketone bodies
- 17:41compared to the other diet.
- 17:43>> And then you put them on the everyday
- 17:45American diet, the Western diet.
- 17:48Hamburgers and cheese and steak. They
- 17:51must have been pretty happy mice in the
- 17:53beginning.
- 17:54>> They were very happy. We made the diet
- 17:56with food from fast food.
- 17:58>> Mhm.
- 17:59>> Like burgers, bacon, and buns. But also
- 18:03cheese, eggs, beef.
- 18:05>> Yeah.
- 18:06>> French fries.
- 18:07>> White bread.
- 18:08>> And white white bread.
- 18:09>> French fries and some kind of What's
- 18:11this drink?
- 18:12>> It's a ketchup.
- 18:13>> Ketchup?
- 18:14>> Yes.
- 18:15>> Oh, I see, for the French fries.
- 18:17Oh, well, that would make my wife happy.
- 18:19I don't know about mice.
- 18:20>> They they were happy actually at the
- 18:22beginning.
- 18:23>> They were happy until they got
- 18:24unhealthy.
- 18:26Just like Americans. Except you're more
- 18:28delicate in your language than I am.
- 18:30[laughter]
- 18:31Okay, and then came the longevity diet
- 18:34and it looked like
- 18:36those are green cubes there that the
- 18:37mice are getting.
- 18:38>> Exactly.
- 18:39>> Beans and vegetables, olive oil, some
- 18:42potatoes, carrots?
- 18:44>> Yes. Carbs from potatoes and legumes,
- 18:47fish meal, a huge portion was from
- 18:50healthy fat, olive oil, and fish oil.
- 18:52>> Just like healthy populations all around
- 18:54the world. Um
- 18:56Some people are going to be outraged
- 18:57that you're doing this on animals, but I
- 19:00was at Petco yesterday.
- 19:02I saw these white mice. What kind of
- 19:05mice did you use? AT3 that doesn't mean
- 19:08anything.
- 19:08>> Hatrick mice.
- 19:09>> Yeah.
- 19:09>> Which stand for uh
- 19:12heterozygous mice.
- 19:13>> I see. What do they look like?
- 19:14>> Basically, it's a crossing that I from
- 19:17uh crossing four different genetic
- 19:19background. So, you get a population of
- 19:23uh genetic diverse mice, the way humans
- 19:26are diverse. They are a gold standard
- 19:28for aging studies. I mean, usually they
- 19:31have only a single genetic background,
- 19:33and they are like identical to each
- 19:36other. So, it's important because they
- 19:38can be more sensitive to develop certain
- 19:41disease.
- 19:42Some of them, like metabolic disease or
- 19:44certain type of cancer. In the case of
- 19:47the het-3 mice, they can display like
- 19:49disease from um any kind of disease like
- 19:52the human can.
- 19:53>> What do they look like? Are they the
- 19:54kind of mice that you'd buy at a pet
- 19:56store, or do they look different?
- 19:57>> I'm so excited. I've wanted a mouse
- 19:59since I was 3 years old. I'm 17 turning
- 20:0118 this year,
- 20:03and I do not have a mouse yet. Like, I
- 20:05already have a hamster. I want a mouse.
- 20:08>> So cute.
- 20:10>> Pretty cute girl.
- 20:11>> Um actually, the hat can be different
- 20:14colors.
- 20:15>> Do you get attached to them?
- 20:16>> I I get to know them. Uh but in the in
- 20:18the case of this study, they were too
- 20:20many.
- 20:21>> Oh, yeah.
- 20:21>> Hundred and hundreds mice.
- 20:23>> So, you didn't name them and
- 20:24>> We we we couldn't, but uh we we we are
- 20:27very careful like handling them.
- 20:29>> As far as caged animals, are they
- 20:31relatively happy or you're not torturing
- 20:33them in some way except giving them the
- 20:35American diet?
- 20:36>> No,
- 20:37my mice actually are happy because I
- 20:39just give them the the diet. So, it it's
- 20:42pretty nice experiment for them. They
- 20:45like to stay with others. They are
- 20:47social uh animals.
- 20:49>> Well, I can understand people, you know,
- 20:50being worried about, you know, animals
- 20:52in a cage, but
- 20:53when you think about turkeys and
- 20:55chickens and pigs and everything that we
- 20:57raise for food, these have to be a
- 20:58thousand times happier than any of
- 21:00those, and we just shrug with those and
- 21:02eat them.
- 21:03So, I don't I don't know. But, anyway,
- 21:05you showed four diets here, and then
- 21:07there was a fifth one that you showed in
- 21:08the data, which is the FMD. Can you
- 21:10explain FMD?
- 21:12>> Yes, the fasting mimicking diet is not
- 21:14there because it's a
- 21:15all these diet were at the administrated
- 21:18chronically. They were everyday at
- 21:20libitum diet. Fasting mimicking diet is
- 21:23it's a different story because it's
- 21:24>> Once a month.
- 21:25>> In this case, twice a month.
- 21:27>> Twice a month cuz they're mice and
- 21:28things are happening faster or
- 21:30>> We can keep them in twice cycle a month
- 21:32if they're capable to regain the weight
- 21:35during the refeeding. If If we see
- 21:37especially with aging, they start losing
- 21:39weight. So, we need to be careful with
- 21:43fasting and fasting mimicking diet.
- 21:45>> Fasting mimicking means you just reduce
- 21:47the calories of their normal diet.
- 21:48>> It's a restricted calorie restricted
- 21:50plan for 4-5 days.
- 21:56>> I forgot to put my phone on uh
- 21:59People accuse me of forgetting to
- 22:01put my phone on do not disturb.
- 22:04That is from my 15-year-old
- 22:06granddaughter, Penny, and
- 22:09we chose that tone together. I get a big
- 22:12kick out of my tones. Uh she and I are
- 22:14going to Paris in a couple of days for 2
- 22:16weeks uh with one of her cousins who's
- 22:18also 15 years old.
- 22:20>> No no problem.
- 22:20>> What were we talking about? I have
- 22:21Alzheimer's. Oh, FMD, yeah.
- 22:23>> It's a calorie restricted plan that
- 22:26lasts 4-5 days. It's a fasting mimicking
- 22:29because you kind of trigger your body to
- 22:31think that it's fasting but it's not.
- 22:33It's not really fasting. So, it's
- 22:34capable to reproduce same metabolic
- 22:37benefits of a water fasting program.
- 22:39>> I have a love-hate relationship with it
- 22:42because I hate doing it. Cuz I'm a big
- 22:44guy, 200 lb, and I'm active. I walk my
- 22:48dog 3 miles in the morning and
- 22:506 miles at night and then I do exercise
- 22:52and everything and it's like
- 22:54really, you're giving me 800 calories a
- 22:56day? I'm going to die. And And I think
- 22:58Walter Walter wants me to be less active
- 23:01during the FMDs, but I like to go out
- 23:03and walk my dog and listen to audio and
- 23:06everything. So, I just suffer for 5
- 23:08days. I cheat a little bit and eat some
- 23:10celery.
- 23:12>> It's not easy.
- 23:13>> It's not easy for me.
- 23:14>> But it's feasible.
- 23:15>> For other people, it's easier than it is
- 23:17for me, but I suffer.
- 23:19What do the mice do? Do they get less
- 23:20active or
- 23:21>> Not really. They tend to be very active,
- 23:24especially the male. We notice the male
- 23:26are more active than female.
- 23:29>> So, the data that Walter has been
- 23:30producing through all this research on
- 23:32FMDs in humans is astonishing.
- 23:34Intuitively, I would have thought you're
- 23:37going to kill these patients who are on
- 23:38chemotherapy and are losing muscle mass
- 23:40and everything else by putting them on
- 23:41an FMD. What Walter, what are you
- 23:42thinking? This is crazy.
- 23:44But it didn't turn out that way. The
- 23:45data is just so non-intuitive for FMDs,
- 23:48and I guess it is for mice, too.
- 23:50>> In terms of lifespan, for example.
- 23:52>> I'm holding up a lifespan chart here for
- 23:54the mice.
- 23:55>> Basically, the graph show the
- 23:56probability of survival.
- 23:58>> The keto diet ones were dying at 1,000
- 24:00days.
- 24:01>> The the western diet.
- 24:02>> Oh, I have the wrong Oh, the colors. I
- 24:04see. Western diet. You're right.
- 24:06>> 200 days earlier than the control diet
- 24:09and longevity diet.
- 24:10>> And 200 days in mouse in human years is
- 24:14what?
- 24:14>> 20 years.
- 24:15>> Wow.
- 24:17That's a difference. That's pretty
- 24:18shocking, actually.
- 24:19>> It it was, especially because at the
- 24:21beginning, they seems like to be happy,
- 24:25but they they body weight start to
- 24:26decline
- 24:28very rapidly. So, that means that they
- 24:30were getting sick
- 24:33they died.
- 24:33>> Just like Americans.
- 24:35>> The longevity diet and control diet are
- 24:37the ones that live longer. They both
- 24:40have the same maximum lifespan.
- 24:42So, they perform pretty well, especially
- 24:44considering that we start the the
- 24:46experiment with the mice were 60 65 year
- 24:49old in human life
- 24:52with a diet that was half protein than
- 24:56the control diet.
- 24:58Without getting fair frail or
- 25:02without losing any muscle mass.
- 25:05>> The longevity diet.
- 25:06>> Yeah.
- 25:07>> Supplemented with methionine.
- 25:10Meant that they didn't get frail.
- 25:12>> No.
- 25:13>> And they lived a long time.
- 25:14>> Yes.
- 25:16>> The next chart is frailty.
- 25:17>> So here the mice are very old. And you
- 25:21see that in this specific graph the
- 25:23frailty index show a significant
- 25:26increase of frailty especially in the
- 25:28western diet. When we measured that the
- 25:31frailty index at 23 months both western
- 25:33and ketogenic diet show to be more frail
- 25:36than the control diet.
- 25:38>> But the one that stands out to me is
- 25:39grip strength. What's going on with grip
- 25:41strength?
- 25:42>> So basically when we assess the frail
- 25:45the mice is not just a single test.
- 25:47There are multiple tests like the
- 25:49frailty index or the grip strength the
- 25:52rotor rod that give us information about
- 25:55strength and function or motor
- 25:56coordination. In this case the grip
- 25:58strength
- 25:59>> said rotor rod?
- 26:01>> Rotor rod.
- 26:02>> What is that?
- 26:03>> It's a test that give you information
- 26:05about the motor coordination of the mice
- 26:07and
- 26:08is not in that panel but still the
- 26:10longevity diet is the one that performed
- 26:13the best and also in the grip strength
- 26:16you see is increased significantly
- 26:18compared to the control diet. So it
- 26:21means that they maintained their
- 26:23strength and their function even though
- 26:25they are 23 months old with a diet that
- 26:28eats lower in
- 26:30a protein intake.
- 26:31>> What's your hypothesis on what would
- 26:33happen if you started the mice earlier?
- 26:35>> Um we
- 26:37we think that if we had started the
- 26:40intervention earlier probably also we we
- 26:42had seen
- 26:43significant result in terms of lifespan.
- 26:46We think that because any nutritional
- 26:48intervention that showed to be you know
- 26:51effective in increasing the lifespan are
- 26:53very powerful in increase the lifespan
- 26:55if they start earlier.
- 26:57>> The sooner the better.
- 26:58>> The sooner the better. They still work
- 27:01even later, but they they kind of reduce
- 27:03this this this power like the later you
- 27:06start.
- 27:06>> So, it reminds me a little bit of the
- 27:07famous British smoking study that lasted
- 27:10for 50 years. I have a real interest in
- 27:13epidemiology. One of the best
- 27:14epidemiologists in the world is Richard
- 27:16Peto, I think, at Oxford. And he was the
- 27:19epidemiologist on the British doctor
- 27:20study.
- 27:21And he'd very dramatically said, "Well,
- 27:23what we learned is smoking kills, but
- 27:25quitting works."
- 27:27And quitting works so well that if you
- 27:29do it early, it's as if you never
- 27:31smoked.
- 27:32>> If [clears throat] you stop before the
- 27:33age of 40, preferably well before 40,
- 27:36then you'd avoid more than 90% of the
- 27:37risk. And the people who stopped at
- 27:39about 30, they'd avoid about 97% of the
- 27:41risk. They're pretty well like
- 27:43non-smokers. So, stopping works. Even
- 27:46later on it works, but the earlier you
- 27:47stop the better.
- 27:48>> So, that brings up weight.
- 27:50>> With the longevity diet, very
- 27:51interesting thing is that they were able
- 27:53to keep stable the the the body weight
- 27:55until the end. If you see the other
- 27:57groups, these are are male and usually
- 28:00at 20 months the body weight start to
- 28:02decline. As you see, clearly the control
- 28:04diet, the standard show you how it's
- 28:05supposed to go. So, FMD goes like the
- 28:08standard diet. It means that they were
- 28:10able to regain weight after every cycle,
- 28:13which was pretty good. But the other two
- 28:14diet, like the keto and the Western
- 28:17diet, as you see, in 3 months they gain
- 28:20a lot of weight, but after 3 months on
- 28:22diet the body weight start to decline.
- 28:24In particular, the ketogenic diet
- 28:26actually here. It means that they were
- 28:28starting to get sick and and dying.
- 28:32>> Now, let's talk about fat mass and lean
- 28:35mass because that was pretty incredible.
- 28:39I mean, that was kind of a shock
- 28:40finding, I think. Can you walk us
- 28:41through what's going on?
- 28:43>> We measured the fat mass and lean mass
- 28:45after 3 months of diet, but also after
- 28:476, but here it's after 3 months. And you
- 28:50see how fat mass is significantly
- 28:54increased in Western and ketogenic diet,
- 28:56but it's reduced in longevity diet and
- 28:58FMD. The concern is what if they also
- 29:02are losing muscle, but actually the test
- 29:04that we run showed that all of them
- 29:07preserve or they lost the same amount of
- 29:10mass.
- 29:11So, they were capable to maintain the
- 29:14the the lean mass.
- 29:16>> This is the most information-packed
- 29:18paper I have ever studied. I could have
- 29:21spent all day in that studio asking more
- 29:24about all the things. I mean, oh my
- 29:27gosh, look at all this. My mind is
- 29:30totally blown. No wonder it took her
- 29:32team 7 years to collect and analyze all
- 29:36this data. So, what does this actually
- 29:39mean to you and I in our daily lives? I
- 29:42think it sheds light on the biggest
- 29:43black box in all of nutrition, protein.
- 29:47Everybody has a different impression of
- 29:48what that word means, and usually the
- 29:51answer is more is better. It dominates
- 29:54the design of our meals. If more is
- 29:57always the answer, how in the world can
- 29:59we explain this landmark heat map from
- 30:02five universities in Canada, Denmark,
- 30:04and the US? It shows foods that slow
- 30:07aging in green and ones that accelerate
- 30:10it in red. Look at poultry in red below
- 30:13sugar-sweetened beverages for aging.
- 30:15Moura has very compelling data both in
- 30:18humans and in mice to show that just
- 30:21like with carbs and fat, it's not the
- 30:23amount that's the central factor, it's
- 30:25the type. What makes Moura's paper
- 30:28exceptional is she shows the power of
- 30:31staying in the Goldilocks zone for
- 30:32methionine. Too much methionine,
- 30:35premature aging. Too little methionine,
- 30:37frailty. The Goldilocks zone for
- 30:40methionine, the perfect body
- 30:42composition. You can have abs. I made
- 30:45this chart of the amount of methionine
- 30:47per 100 calories of common foods. Look
- 30:50at chicken up there on top. That
- 30:52wouldn't be so bad if we followed the
- 30:54dietary guidelines for healthy countries
- 30:56and moderated, but instead we chicken
- 30:58maxed and quadrupled our consumption
- 31:01since 1961.
- 31:03Okay, you say, but look at salmon up
- 31:05there with beef. If Mar is right, why do
- 31:08some pescetarians live so long? One
- 31:11answer is it's a rare person who
- 31:13overconsumes fish, and the great foodie
- 31:15Jim Gaffigan knows why.
- 31:17>> Cuz fish is disgusting.
- 31:19>> [laughter]
- 31:20>> Who's the first person to walk into a
- 31:22harbor and go, "Hey, whatever reeks in
- 31:23here, let's eat that."
- 31:27>> So, what's the takeaway? If someone's
- 31:29following Valter Longo's longevity diet,
- 31:32and it's primarily plants, 2 days a week
- 31:35fish, are they going to be low in
- 31:36methionine? Do they have to supplement?
- 31:38>> No.
- 31:39>> Why no?
- 31:40>> You can get all the nutrients from what
- 31:41you eat. Of course, there are special
- 31:44categories like elderly or strict vegans
- 31:47that might need a supplementation, but
- 31:50you can get everything from what you
- 31:52eat.
- 31:53>> And you need some anti-methionine
- 31:55supplementation off Amazon.
- 31:58Reduces your methionine, you live longer
- 32:00if you eat all these animal foods.
- 32:02>> Exactly.
- 32:02>> You should invent that. Except then
- 32:04people would feel free to eat animal
- 32:06foods.
- 32:06>> They are already.
- 32:08>> So, what about them vegans? The thing
- 32:11is, I am vegan for at least 10 reasons.
- 32:15One is the first 10 years of my career
- 32:17was in Earth Science, and I still have
- 32:20PTSD for what Earth scientists see. And
- 32:24for some reason, not even David
- 32:26Attenborough, Neil deGrasse Tyson, Bill
- 32:28Nye the Science Guy, celebrities, heads
- 32:31of nations, and the UN have been able to
- 32:34get the public to see what we see. I
- 32:36will never be able to understand that
- 32:38until the day I die. For those of you
- 32:41who say, "Wait, this is the guy who flew
- 32:44to Paris in record heat and he's
- 32:47lecturing us about global warming?
- 32:49Hypocrite." It's true. I still fly to be
- 32:52with my family and interview scientists.
- 32:54And if you want to rip me in the
- 32:56comments section, that's very fair. But
- 32:59I think it's also fair to say that
- 33:01agriculture is an enormous contributor
- 33:04to destruction of the planet and every
- 33:06one of us has the power to do something
- 33:07about that. I gave a TEDx talk about it.
- 33:10But if you think my dietary beliefs are
- 33:13influenced by veganism, you would be
- 33:15wrong. I have never been able to find
- 33:17data that indicates that a 100% whole
- 33:20food plant-based diet is healthier than
- 33:23Valter Longo's longevity diet, which
- 33:25indicates fish twice a week. But what is
- 33:28a good vegan diet? If you find this
- 33:30research to be credible as I do, then it
- 33:32means getting enough methionine to
- 33:34prevent frailty.
- 33:36And that means making sure that nuts,
- 33:39seeds, and soy are in our diets. And
- 33:42that is going to spawn a lot of debunk
- 33:44videos of me from members of the
- 33:46plant-based community whose heroes are
- 33:49people like Nathan Pritikin and Dr.
- 33:51McDougall.
- 33:52Those are my heroes, too. I just think
- 33:54they formed their ideas decades ago when
- 33:57we didn't have a studies like Mora's.
- 33:59Science has moved on.
- 34:02So that brings up the final question.
- 34:04What inspires Mora to spend seven years
- 34:07in obscurity working on a paper like
- 34:09this? She's not getting rich or famous.
- 34:11She's not funded by industry. So why
- 34:14does she do it?
- 34:15>> I'm going to Italy.
- 34:16>> Oh, you are. That's where you're from.
- 34:18>> Sardinia.
- 34:19>> Sardinia. Oh, wow.
- 34:21>> Where centenarian come from.
- 34:23>> Yeah. Yeah, that's awesome.
- 34:24>> I joined Valter Longo's because I've
- 34:26been surrounded with this longevity my
- 34:29the entire life. My great grandmother
- 34:31was a centenarian, so I always been very
- 34:34interested in the reason behind like
- 34:37someone can live 100.
- 34:39>> Yeah, fascinating.
- 34:40>> So, I was always been fascinated with
- 34:42the longevity, aging.
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