Why We’re Fatter Than Ever - Mike Israetel
Episode Stats
Length
1 hour and 22 minutes
Words per Minute
196.72946
Summary
For the first time in human history, more people are dying of overeating than not having enough food. Why is this happening? Is it because food has become cheaper, tastier, and more convenient than it was in the past, or is it because the time cost of food has halved?
Transcript
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for the first time in human history more people are dying of overeating than not having enough
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food so why is it so hard you think in the modern world to actually be healthy food has become way
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cheaper for the average person to buy and way tastier and way more convenient how is not
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everyone obese when you look at things like the body positive movement big is beautiful you know
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you can be beautiful at any size you're like i have a lot to say about that actually
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the reason why people who become obese haven't reduced their obesity there are many many reasons
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the vast majority of it is the giving a factor is just real
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mike welcome to trigonometry thank you for having me guys i'm a huge fan of the show so this is like
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very surreal and i typically don't get very nervous anymore i've been doing a few of these every now
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and again but like i'm actually like palpably anxious yeah well if look if if i was in front
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of two physical specimens like us i'd be intimidated as well i'm actually also aroused
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well that's why we've got a table there that's right keep you keep you away from us well listen
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man it's great to have you on the show you obviously talk about health and fitness and
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something that's interesting especially in the modern world you know i think the stat just came
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out that for the first time in human history more people are dying of overeating than not having
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enough food so why is it so hard you think in the modern world to actually be healthy and be
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a reasonable weight because you see those pictures of americans in the 1980s on the beach and now
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two very different pictures right yes yes absolutely um i have a view on this that some people think is
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contentious i think it's very data driven and i think i'm right an egotistical statement to start
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off with um but all jokes aside i think it's really just only one core variable that describes all of this
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and that is ratioed to income in terms of hours worked terms like you guys familiar with time
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costs in economics like how many hours of work do i have to put in to afford a glass or a jacket or a
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car and that's the best way to think of purchasing power because it takes care of all the inflation
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money stuff just completely aside so the time cost for the average human especially in the modern
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developed world where most of the obesity epidemic is the most serious um to be able to afford a
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certain amount of calories has shrunk ton and so at the same time the convenience of the food has
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exponentially accelerated and the taste quality of the food has accelerated like you fellas am i allowed
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to swear in here not so much i'm allowed to say whatever you want tastes incredible when you go to
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the store or to restaurants and the idea that food tastes incredible is something that everyone who's in
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the food manufacturing business takes as almost like a prior that doesn't even get articulated
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like if someone was like oh so you have this food you're making and it's healthy but it doesn't taste
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good right they're gonna be like wait no hold on of course it tastes good with that's the core metric
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because if food doesn't taste good people just don't eat it very often very conscientious health
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conscious people will you know kale juice or whatever the hell it's really tough to force
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that on most people my wife tries on me though go go a little spoon and everything uh so as we've
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become so much wealthier as a society and especially the average especially lower middle income folks
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and in in lower middle income countries for example mexico they used to be i didn't mean to look at you
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you're venezuelan you know same part of the same thing same spanish speaking yeah yeah uh mexico
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uh so well in america anyone who speaks spanish is mexican 100 yes yes on the demography it's not
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like uh hispanic slash latino it's just mexican look around god damn it all right fine close enough
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so mexico we used to think of back in the 90s it's like like a poorer country you know and then now
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mexico actually the average person in mexico is wealthier than the average person in the united
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states was in the 1960s like per purchasing power and so you think about like okay so mexico is not
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a poor country anymore how is their obesity rate doing disastrous it's insanely high they are leaving
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almost everyone behind why because their people can finally afford all the food they want food is
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ubiquitously available and it is incredibly tasty super convenient like if you go to like a costco
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or a sam's club do you guys have that sort of thing back in the in the kingdom
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magical capitalism store and you get like a like a pre-made rotisserie chicken i mean it's cooked and
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it's warm you simply just do this and for five dollars it's yours there is no equivalent of that in
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history there's no metric by which we can even start to measure that sort of thing so once we
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understand that food has become way cheaper for the average person to buy and way tastier and way
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more convenient we look at obesity and we start to have to ask a different question how is not everyone
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obese because if you get people enough calories and food it tastes good there's a crap load of
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scientific data on this when something tastes delicious people just kind of keep eating it and
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your idea of what full and full uh you know full or empty feels in your stomach kind of gets a little
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hazy if i gave you a plate of fresh broccoli and i was like all right fellas dig in okay crunch crunch
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crunch i'm done if i gave you some really good like potato chips or something you would be like
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there's nothing else going on and the whole thing is done so when you do that to most foods fast foods
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convenience foods um anything you can get at like a 7-eleven or anything like that and in general even
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fine dining uh is more and more affordable for more people and it's getting super cheap all the time
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people love to eat tasty food we've done a ton of analysis on okay are people less physically active
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the answer is yes but not by nearly an amount of physical activity decrement that would explain this
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much weight gain just people used to maybe run a marathon every day and then they stopped that's
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actually not true cross-culturally and across societies physical activity levels are actually really
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stable between people believe it or not the average american moves almost as much as the average
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african like like goat herder when you talk about uh all of the metabolic functions required to keep the
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body going the out part of the equation versus the in part it's really similar theirs is a little higher
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not enough to explain why the american weighs 350 pounds or as i call one texan unit and why you know
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folks in africa weigh substantially less and the the answer almost certainly the major part of the
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answer i would say 80 or 90 percent is the ubiquitous availability of ultra cheap ultra delicious food
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that's so interesting man it's a really interesting way of breaking you're basically saying when when
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normal people have access to so much as much access to food as henry day we're all going to look
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like henry day more more by a long shot yeah i mean think about like uber eats and grub hub
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magic try to describe that to someone from 1900 yeah just like show them a video the video part's
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going to be confusing to begin with because they're like what's the magic it's a magic portal to the
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future and then just a just a regular person you know ordering on grub hub and then it shows up
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they'll be like what's going on we see it kind of whatever you want just shows up to your door
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any kind of food and you're like okay they're like so this person must be someone who is like
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avant-garde like one of the leaders or something like this person it works a menial labor job
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what so what do the wealthy eat like they kind of sell any different stuff but everyone kind of does
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uber eats there's not like if you walk around you can't really tell who's richer or poor anymore much
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you know because there's that new rich guy swag where you're trying to purposefully look poor
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the whole world is kind of upside down reference to history so yes the henry the eighth thing is
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100 accurate even more than that because you know like imagine how much thai food english kings of old
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had none i suppose almost none um how do you resist the modern thai food it's like eight dollars for
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like the greatest food you've ever had and it's just always more of them you just hit the uber eats
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button again and half an hour later 16 worth more food comes in how do you fight that i have an
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answer to how to fight it but it is a very very difficult thing how much of it as well is it's
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yes cheap food tasty food but it's also unhealthy food as well is that part of the dynamic here or is
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that exaggerated in your opinion exaggerated highly really very highly because i know sorry to interrupt
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like we have a friend who's actually a guest former guest on the show dominic frisbee he's a comedian
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and he he was never like texan unit size but he he was you know he was a bigger guy and he cut out
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seed oils and suddenly he's super slim that's his answer right so a lot of people think there's like
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a hack if you stop eating x then you're gonna do y but you don't think that's really as big a deal as
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people make out uh the evidence shows that that's clearly not the case in randomized control trials um
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seed oils do better than saturated fats and almost all health metrics they just do like most seed oils
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are healthier for you than like butter and lard straight up um i don't like how that feels i don't
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love the vibe but it's just what like if you look at all the data it's just what the aggregate of the
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data shows that's fascinating that being the case there are some things that aren't super healthy
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um various kinds of preservatives you know like the the 7-eleven rotating hot dog situation where you go
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in there and it's just a grill that like how long has that been there like it doesn't matter it never
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goes bad you're like the hell is it made of then that that stuff isn't great for you and it will
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degrade your health markers a little bit but there's not any magical way in which that's
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obesogenic in the sense that there's not any magical way in which unhealthy food makes you fatter than
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healthy food the critical ingredient the critical metric for what makes you fatter or not is calories
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right and if you can smash a lot of healthy calories in you're still gaining that weight which is
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a big myth that like forgive me for getting racial rich ass white people have this thing where they're
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like i'm such a good person i love nature i voted for all the right people and they go to whole foods
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no offense whole foods is great but they like think okay i'm inside of a whole foods i don't have to
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deal with the other muck out there these trump supporters or whatever didn't mean to look at you
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how dare you um and they're like anything in the whole foods store because it's got all the right
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labels right it's organic it's vegan it's free range the chickens like own a cooperative somehow
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slaughter each other it's great right and you're like everything i put into my body here is going
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to be good for me but then like i always tell the same story i used to buy these like mega size vegan
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brownies like you know there's like a brownie and then there's like like hulk version of brownie and
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there's like galactus brownie it was like that and the thing had like a thousand calories in it
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but it was made of all the right stuff no seed oils it was like some kind of awesome healthy fats
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plants only they tasted like like heroin if you could eat it and of course people are munching these
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down and like stepping on the scale and they're like still heavy so the idea that if you just eat
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healthy food you'll all of a sudden lose weight and get much healthier is illusory however if you eat
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minimally processed foods that aren't like the tastiest thing you can jam into your mouth every
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time you sit down to eat it's just only so many calories you can put in i put a plate of salmon
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brown rice and broccoli in front of you what you're going to do order seconds you're going to do that
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you're going to pick at it you're going to eat some you're going to be like i'm good i put a plate
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of cheeseburgers from mcdonald's in front of you they're gone and all of a sudden it's like double the
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calories you're taking in so it's not the fact that the food is healthy but minimally processed food that
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tends to be healthier which is very good for the health part not just the weight part although the
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weight's the most important part of health it's not the only thing the biggest power those foods
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have for weight control is that you're just probably not going to overeat them i mean imagine seeing
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someone in your office as an obesity doctor and they're like doc i can't lose weight they're like
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what is it like fresh green apples man i just can't stop eating it just doesn't happen um hyper
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palatable foods which often in order to be convenient they have to be shelf stable and that means they do
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have some preservatives in there that aren't great for you but we're talking about single percentage
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points compared to 90 percentage points for just eating more physical stuff that has calories in
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and mike people talk a lot about the effect of sugar and sugar has become this kind of catch-all for
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evil in the world of food and we've even got a term big sugar which sounds like you're like a larger
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lady you know you like a bit of big sugar that's what she is in your phone you're scrolling
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who's tonight's date big sugar i need more woman tonight it's 10 o'clock on a sunday evening time
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for big sugar but how bad how bad is sugar for you and do we overstate it or do we in fact
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underestimate it yes greatly overstated greatly profoundly um so you feel free to call her
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tonight you're good hey baby good news you're not mad for my health um sugar has an ability
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to ramp your calories up way beyond what you need and then you start gaining weight
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for one reason only it's really tasty you put sugar into a lot of foods it makes them tastier people
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like sweet things chemically molecularly there are many different kinds of sugar some of them digest
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more rapidly some less rapidly some have certain very small differences in appetite regulation effects
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but on the aggregate different kinds of sugars just don't matter much so if you had a diet that
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had enough fiber enough protein enough vitamins uh minerals phytochemicals all that stuff really good
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healthy food most of your food was healthy and then you had a band of like 400 extra calories that
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came up to maintenance and if you ate 400 less you would lose weight you don't want to lose weight
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you're already healthy if you fill that extra 400 with protein or with fat or with sugar or any kind
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other kind of carbs it almost doesn't matter it doesn't matter for weight control at all and it
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almost doesn't matter for any other health variable so when people are looking at drinks and it says you
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know uh for example no sugar added like that's dope but how does that reflect the calorie number
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because sometimes people say like natural sugars and they're like oh see natural sugar cane like
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that is damn near the same sugar it has the same calories gives people that illusory thing so when people
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are trying to make their diets healthier cutting out sugar as a way to reduce calories brilliant
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because like there's a lot of extra sugar and stuff it really is it's because people like extra
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sugar because it tastes good so if you can cut down the sugar without adding in something else for
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calories you're winning if you just keep the calories the same you're like less sugar but now
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there's more fat maybe there's more other carbohydrates that aren't exactly sugar uh you're just going
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pretty much nowhere and it's the the grand illusion of like i'm doing well for myself except
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nothing's happening whatsoever a friend of mine's father was one of the original guys i think this
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was 20 odd years ago in the longevity space he was a doctor and i remember him saying to me i had a can
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of diet coke and he said don't ever drink that because if you want to drink coke drink coke yeah you
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know it's i'll go but sugar he was like it's better that you have natural sugar than you have all the
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chemicals and everything artificial contained in that diet coke would you agree with that analysis i mean
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like i don't want to disparage your friend's dad yeah um but he's wrong i had a really you guys are
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british you do dark humor yes i was gonna it'd be funny if you were like my friend's dad in the
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longevity space sadly no longer with us but um i would say that's actually like sort of the most
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backwards wrong advice that you could give on that topic um artificial sweeteners as they're called
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technically they're called non-nutritive sweeteners um almost all of them and the ones that used to be
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sort of not so great for health are really kind of not in use anymore like um uh aspartame is still
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around but kind of falling off sucralose is the new thing no it's not that new but it's actually uh
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uh kind of more modern than the other ones modern non-nutritive sweeteners artificial sweeteners
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have almost no effect on your health one way or another they're not good for your health they don't
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really do anything but they're if you are trying to prove a point that they're bad for your health
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and you're going solely off objective discussion of literature you're going absolutely nowhere the
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other argument of saying they're neutral for health and you can have tons of them has like
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hundreds of studies almost unanimous studies of empirical support if you're looking for something
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more cut and dry in the nutritional literature than the statement non-nutritive sweeteners are
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generally well tolerated by most people and have very few if any negative effects that statement might
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not exist like it's that solid of a foundation so when people now on the other hand excess sugar that
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boosts up calories like if you're drinking cokes all day some people don't even count that into their
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food and right like each can is like 160 calories and that adds up um 500 extra calories per day you
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gain roughly a pound of fat a week that's like three or four cans of soda if you just drink soda
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and then you do nothing anything else to your diet except you switch to diet you can and many many
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hundreds of thousands of people just all the time you can lose pounds and pounds of weight per month
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for months on end radically improving your health and body composition so uh yeah i would say one of
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the best pieces of advice i can give people listening to this is anytime you want soda go with diet i would
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just say in most circumstances for normal folks just trying to figure this out not trying to become
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experts regular sugar full sugar soda is just a do not consume item i would just be like no just put
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it next to the drano you know every friday night you need to clear yourself up fine but uh diet soda is
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like orders of magnitude healthier and safer for you long term than than regular full sugar soda it's just
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not even close and i'm glad we're talking about safer in the long term because you know i don't think
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we're honest enough actually about the effects that obesity has on the human body you know when
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you look at things like the body positive movement big is beautiful you know you can be beautiful at
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any size you're like i have a lot to say about that actually i don't want to derail the conversation
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but that's a new intellectual sphere i've been entering for a while is the body image sphere and
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how people see themselves and how body positivity comes into that i i don't want to say too much about
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that but i can give a little bit of a glow i don't know if you guys want to talk about that
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shit anything we have a whole list of anything to trigger fat people so yeah no you know what i mean
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i look the the thing for us is i'm joking obviously but the thing as you know because you watch the show
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we try and do is we try and just try and talk honestly about the things that people don't talk
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honestly about because they're all afraid right and i think when it comes to obesity for the reasons
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that you're talking about we've we've got to start actually challenging narratives that are false that
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doesn't mean we have to be nasty to people or demean people but i think there has been a lot of lies
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uh and i don't even know what they are where people are being told things to make them feel better
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about doing things that make them feel worse in reality i have two lies i'd love to chat with you
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let's do it lie number one is that obesity is either exaggerated as a cause for poor health
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or some slightly less hinged people will say that it doesn't have anything to do with health
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causatively it's just about as false as anything you could say obesity especially in longer term
00:19:44.700
several years plus and exponentially more bad for your health the longer you continue to be obese
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and exponentially worse for your health the more obese you become obesity is insanely deleterious
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to your body to your quality of life to your longevity even to your psychology as it interacts
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with your physiology you literally feel worse if you're obese not just from psychological stuff
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where people frown at you because you look bad or something though that does also happen just from
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the physiological feedback mechanisms you feel worse you are more at risk for a variety of diseases
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you heal less well from any kind of injuries or surgeries or anything like that being obese if
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you had to tell someone like if i was in an elevator with you fine gentleman and i was like trying to
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try to pitch you guys like i'd love to be on your show i want to talk about how bad obesity is you
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know guys like what 20 seconds you guys i'm sure are quite wealthy you live on 110th floor or something
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so we're riding down and you're like it's 20 seconds tell us what obesity is what's bad about obesity
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physiologically it would be an intractable problem because the list is like hundreds of things long
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almost any disease condition you can think of is radically made worse by having obesity
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and it causes like at least 10 major disease conditions diabetes they have actually a thing
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called metabolic syndrome which is five of those conditions wrapped up um poor blood lipids arterial
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clogging i mean it's like if you're trying not to be around for a long time getting obese very
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dependable way to do it so that's one big lie the idea is that like hey it's okay if you're obese
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because the medical community's racist or sexist they never can get their kind of uh understanding
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fat phobia that's right it's like fearing fat people either phobia part um so that's line number
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one line number two is a little bit lower key but in some way even more insidious and it hits me on a
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personal level and the lie is almost the entire summation of the body positivity movement and the
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lie is this that you can be just as beautiful if you're morbidly obese as you can be if you're any
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other shape or size maybe a more conventional shape or size i didn't mean to look at you though your body
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is quite quite stunning it's a little distracting i'm just kind of so um here's the thing
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to their credit to these folks who are in the body positivity movement kind of promulgators of that
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is there anything right with people getting uh rude comments because they're fat no that's toxic and
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insane that's not how adult people interact with each other is bullying children by other children
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okay because those children are fat like it's terrible and that should be heavily punished
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discouraged and people should talk to children you don't do things like that and are people in
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all bodies fundamentally beautiful wonderful human souls categorically yes value as a grand
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understanding has nothing to do with how you look or how fat you are how skinny you are that's that's
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ridiculous it's like an eight-year-old understanding of the world on the other hand is it true to say
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that other people will find you as attractive and appealing if you're morbidly obese does not
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no and if they tell you that they're one of two things the rare though commendable fat fetishists
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my people um or patreon link below um or people who are lying mostly in order to appear nice
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but they're lying to you here's the biggest fuck all those people fuck everyone else what about you
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here's the the my biggest take from this fat people themselves don't think fat is beautiful
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97 times out of 100 and so when you tell them oh fat is beautiful they want to believe it but they
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don't believe it imagine a world in which you took a very very obese person and aliens come down and
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they're like so we gave everyone a mind virus they actually just find obese people insanely
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attractive now you're walking down the street everyone's like you know people are hollering at
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you like the fuck like construction workers are taking their clothes off the hell is going on
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and then you come home and you look at your body do you love your body now is it that simple that
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socialization can flip that switch or even after a few months or a few weeks of being inundated with
00:24:09.160
compliments do you love your body my contention is the answer is all mostly no because how we assess
00:24:14.280
bodies is mostly engineered into us via evolution for mechanisms that are real simple pattern detectors
00:24:20.160
in our visual field and if you are a certain shape you're going to like your own shape in the mirror
00:24:24.880
if you are another shape it's grotesquely overweight you're not going to like it most times and when
00:24:30.840
people lie to you and say fat is beautiful body positivity you're not really going to believe it
00:24:35.960
and also those people don't really believe it either so when we're telling people hey body positivity is
00:24:41.540
great fat is beautiful why are we doing that and i know why it's so that fatter people can feel okay
00:24:49.380
and not terrible but that's a commendable reason i think that's awesome and so i think we can
00:24:54.280
simultaneously work as a society though you guys know enough economics to know that multiple components
00:25:00.040
of the society not all of them agree but most people can work on at the same time welcoming everyone
00:25:06.020
every gender every race every sexual orientation i'm saying trans people we worship people muslim
00:25:10.300
people get them all in fat people love everyone maybe not love love because my parole officer keeps
00:25:15.400
saying you can't physically just start loving people in the street mike again um everyone
00:25:20.080
should be treated with a fundamental degree of respect and acceptance and we can also say
00:25:25.740
some people are found more physically attractive on average than others we don't have to mix those
00:25:31.940
two ever like if i walk up to a you know i'm married my wife's sitting over there i'd be really
00:25:37.420
careful what i say she gets violent um she i'm just kidding she stays violent uh so i walk up to a
00:25:43.600
five foot eleven model in new york and i'm like you know my best line's hey baby yeah what do you think
00:25:48.800
um if she's like yeah you're a little short i'm not gonna be like you know in my best self i'm not
00:25:54.280
gonna be like the height oppression continues like years and mark's talked about this i'm gonna be like
00:26:00.440
i don't think she hates me deep down as a human that i just think she's not into short guys
00:26:05.560
and that's all right i'm five six happens and when you're very overweight you look at certain
00:26:11.740
way that neither you nor most other people find ideally attractive from a physical porking perspective
00:26:18.160
all right but like you know there are so many other utilities for people other than like being in
00:26:24.040
victorious secret ads like like we need to get more obese models like why so they can also have
00:26:29.280
cocaine addictions and prices of eating at age 22 you know like is that really the pinnacle
00:26:33.660
so i think us admitting look most people want to look a certain way and that certain way is like
00:26:39.780
you know some more muscular than others some fatter than others most people have an understanding
00:26:45.800
matt damon type of you know like just looking like a normal dude a little bit abs maybe the brad pitt
00:26:51.420
from fight club look that's kind of the normal distribution about look preferences kind of that's
00:26:55.760
the center and it's not a very wide distribution we can have that and admit that to ourselves well at the
00:27:01.680
same time saying look a lot of people just don't look like that and the next question is like hey
00:27:05.100
do you want to look better and they're like well yeah let's figure out how to leverage science coaching
00:27:11.420
software and pharmaceutical technologies which i'm huge on in order to get your version of you right
00:27:17.740
now physically into a package that looks more like what you want to look like and what everyone
00:27:22.900
else seems to to find handy dandy and i think that honesty which you guys are very famous for on this
00:27:28.860
show like i get some not so nice feedback on it but here's the thing it's fucking true there's a
00:27:34.960
whole movement called health at every size haze and the fraction of that movement's waves in the water
00:27:41.200
has like shrunk by a factor of 10 ever since the modern obesity drugs came out osempic and
00:27:47.040
trisepatide and manjaro whatever they came out and a bunch of those people kind of look around like
00:27:50.720
there's a there's a pill i can take a shot i can take there's no longer babies and they just don't
00:27:55.440
come to next week's meeting of fat people you know because at the end of the day most of those
00:27:59.560
people don't want to be fat it would be very very different if uh people who are overweight as a
00:28:05.960
majority of them really loved their look and how they feel and their health and everyone was like
00:28:11.700
you look like you need to change what no that's that's ridiculous stop doing that but they don't
00:28:17.220
most overweight people do not want to be overweight and most other people also don't fancy the
00:28:23.160
overweight as much and so there's actually no mystery the only not mystery but discordance
00:28:28.320
is some group of people you know on the political left academia people i think mostly are very good
00:28:33.420
people just trying to do right and everyone else is bullying them to say this yeah yeah yeah yeah fat
00:28:38.240
is beautiful they say like that i think it just lends just more confusion because the end of the day
00:28:42.720
nobody really believes it there's this funny like meme going around a line old joke um you know like
00:28:47.480
your super hot girlfriend and her super hot friends are like oh my god lizzo's beautiful and
00:28:51.700
then you're like hey you look like lizzo today she's gonna like what the why the discordance i thought
00:28:58.220
she was beautiful and then that girl like if you sit her down if you're like to try to forget
00:29:01.560
sociology at harvard your last year is lizzo beautiful like as a human and a fucking rock star
00:29:07.780
queen energy times 100 liz is a goddess the rest of us are just in her wake but like as a person of
00:29:14.680
body composition you want to attain in order to like attract the highest number of mates and much
00:29:20.020
more importantly look in the mirror and be like yeah with that um no and that's okay and we can be
00:29:26.180
honest about that without coming up to people who look like liz and being like you're fat you know
00:29:30.000
like i'm autistic as i'd probably do something like that but you know what i mean there's like that
00:29:34.520
massive discordance i think the body positivity movement comes from all the right perspectives
00:29:39.100
but ends up doing a disservice because it's trying to like bleach wash away
00:29:42.940
literal reality of the fact that again most fatter people do not want to be fat
00:29:48.580
we'll be back with our guest in a minute but first in our recent interview with dr peter atia
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your future head to alpha cell dash labs dot com today and now back to the interview and it's also the
00:31:18.800
long-term implications which we touched on so my mother throughout her entire life was morbidly obese
00:31:23.820
and she was like oh but i'm fine and i go for tests and whatever else and they've told me my blood
00:31:29.060
pressure is fine so is there a problem but what people don't seem to understand is the effect the
00:31:33.880
obesity has on your muscular and your skeleton and so what happens is my grandfather who was a doctor
00:31:39.980
described it as being like hinges on a door and so when you put too much weight on the hinges what
00:31:45.540
happens it will come off and the effect that it has had on our hips and her knees to the point where
00:31:50.640
she is now physically disabled and i always found this conversation really frustrating because i was
00:31:56.960
going to people you're denying reality yeah you're denying reality and what you're doing is condemning
00:32:03.500
people to a an old age where they're sick and that's awful yeah it's uh one of those things that
00:32:10.640
it's like blood pressure the real thing with blood pressure is if your blood pressure is high
00:32:14.880
almost always you don't feel it and they're like wake up one day with high blood pressure and you're
00:32:19.740
like there's no sensation like that and so if you have high blood pressure you can have it for years
00:32:25.180
and just be none the wiser and because you feel fine you think you're okay and then like you know
00:32:30.540
two years later they're like hey your kidneys are done bro you need kidney transplant you're like how
00:32:34.580
and like what's the blood pressure destroyed all of the little tiny machines in there that do the
00:32:39.080
filtering that sucks and so with obesity a lot of times two things first of all people feel just
00:32:44.760
fine for years no no doubt like your mom did and then by the time they're in their 60s still obese
00:32:50.960
can't move around weight loss becomes very very difficult and if you lose weight without being
00:32:56.280
very active you lose a lot of muscle as well and that's very very bad for your health it's one of
00:33:00.700
those things like everything's fine until it isn't you know like if you're driving your car and you
00:33:04.400
have no seat belt on like you're fine until you hit a telephone pole and then you're part of the
00:33:08.680
telephone pole and that whole fun thing happens so that that is a a big big deal because it's it's
00:33:15.080
really easy to to forget that sort of thing and with obesity another thing is you feel fine but
00:33:23.560
because weight typically accumulates slowly and your brain is really good at adjusting how you feel to
00:33:29.280
all these differences what ends up happening is when most people lose lots of weight they go oh my god
00:33:36.480
i feel incredible and they're like what did i really feel that bad this whole time uh-huh you
00:33:44.280
were just used to it you guys see very obese people like walking around the store and they're like
00:33:49.720
they're doing one of these like they're shuffling it looks like they're lifting an enormous amount of
00:33:54.160
weight because they are it looks like it on their face they have walkers they're kind of pushing and and
00:33:59.600
then you see someone of you know lighter weight just kind of just scamper across like yeah man but those
00:34:05.520
people they get used to it enough and they're like this is just how life is so once you lose the
00:34:09.380
weight you feel better but during the time that you have that weight on you for a lot of people
00:34:13.360
they feel totally fine they go to the doctor the doctor's like you know there's there's doctors that
00:34:17.840
will pursue optimality with you like look like this is unsustainable don't do this to yourself
00:34:21.920
but many doctors i want to say most like as long as your fundamental current in the now blood work
00:34:27.800
looks like not admissible to hospital yet they're like yeah and they always say the same i'm trying
00:34:33.800
to lose some weight you know okay you leave the doctor's office you go have mcdonald's and you
00:34:38.660
forget about it two years later come back to doctor and you're totally fine 15 years later you go in
00:34:43.080
get some blood work and they're like you have like three different types of cancer and you're like
00:34:46.140
huh i didn't see that one coming you should have but you and uh mike what is the mechanism by which
00:34:54.060
obesity um is unhealthy how does that work like how long do you have you know well i guess i suppose
00:35:01.900
the i i what i'm asking is i think we sometimes get very confused and and i think a lot of people
00:35:09.700
just feel that obesity is mostly a an appearance thing so really i think a lot of people do feel
00:35:15.860
that okay yeah wow and and i think that's partly because it's a way of putting that out you know
00:35:20.980
the reality of your mind and there's been times by the way just if people are watching a lot of
00:35:25.900
these free three people in normal shape or slagging off fat people i there were times in my life when
00:35:30.200
i was fat um and i think def i was young at the time but my concern was definitely not about the
00:35:38.500
health implications right of course um so what but but how does it work why does being fat because the
00:35:44.720
reason i ask this is a there have been cultures in history where being obese was considered
00:35:49.940
attractive or at least desirable particularly places where there's not been a lot of food
00:35:55.040
availability not our kind of modern obesity no true thickalicious yes massively obese no not so much
00:36:02.000
no agreed there just weren't even people like but the other thing is you know carrying fat is a
00:36:06.980
desirable thing from an evolutionary perspective to some degree absolutely right so why is it bad for us
00:36:12.640
yeah there's a bunch of reasons one is it's actually being fat is quite bad but getting fat is really
00:36:19.800
bad because when you're getting fat you're having excessive calories put into you and it means the
00:36:25.460
amount of fats and oftentimes um carbohydrates in your blood gets really high and high blood fats
00:36:33.040
cause a lot of uh cardiovascular problems they clog up the arteries like in the literal sense many times
00:36:39.280
and then high degrees of carbohydrate in the blood sustainably both are directly deleterious to various
00:36:45.800
structures like having a high glucose amount in the blood vessels close to your eyes makes you go blind
00:36:51.780
all this other crazy and also it causes you to slowly over time get really bad at managing the
00:36:56.840
glucose and it causes you to be diabetic and then so that's one of the main ways in which obesity hurts
00:37:01.620
you but when you have lots of fat cells there's another way in which it hurts you the fat cells
00:37:08.360
secrete a bunch of different hormones and those hormones affect how the rest of your body works
00:37:15.560
most of those effects are not good fat is not we used to think fat was kind of like an inert tissue
00:37:21.800
like it just sat there and you put away calories into it i just sat there it has a ton of hormonal
00:37:26.480
effects along axes of the rest of the body and it really fucks you up in a bunch of ways there's
00:37:30.780
another way in which it's bad high degrees chronic high calorie loads and being uh very very obese
00:37:39.280
both cause a massive increase in total body systemic inflammation and that low grade chronic
00:37:46.520
inflammation for lack of a better term i'm no medical doctor just fucks everything up and so
00:37:52.720
all of those effects combined and probably about 10 others i haven't mentioned
00:37:56.660
leads to obesity being real bad so it's literally like if you draw out a diagram it's tons of different
00:38:03.200
vectors from all places some of those vectors go to other causes and then they indirectly go in
00:38:07.900
and if the big circle in the middle is health then it's just just from all angles of attack obesity is
00:38:13.060
bad i haven't even talked about the joint stuff you were referring to earlier if you are very overweight
00:38:18.140
it ends up being first of all you have lower levels of physical activity almost always because it's
00:38:22.860
just harder to move around lower physical activity by itself is very bad for your health so that's
00:38:28.240
already a big problem and obviously the orthopedic concerns when you have hips especially knees
00:38:35.020
human ankles tend to be pretty good at what they do so they don't often just snap but people who have
00:38:39.660
been overweight for a long time also low in activity their knees just go straight to hell and like
00:38:45.180
we're getting there we will be with ai getting to where joint replacements are super easy to do
00:38:50.040
but like you guys know people who've gone through joint replacement surgery it's not like you're not
00:38:54.120
waving the flag after that sure i can't wait to go skiing again i broke my arm it's not something i
00:38:58.500
want to do again so i imagine a joint replacement a little bit more uncomfortable 100 and a part of what
00:39:04.100
seems to cause either arthritis or arthritic like ailments is the systemic inflammation so if you have
00:39:10.100
any proneness to arthritis and you happen to be obese you now have way more proneness for it and if you
00:39:16.580
have arthritis and you are obese and the doctor says eat less move more you're like move more fuck
00:39:20.860
that that's not happening and then eat less where the hell am i gonna go and then eat less is good
00:39:27.100
advice in the technical sense of like it's not wrong but when people don't arm you with the advice of
00:39:32.400
how to choose foods that can keep you full and at the same time can keep the calories nice and low
00:39:37.960
and provide all the nutrition you need just eat less turns into real shitty advice because you're like
00:39:42.500
okay cut the mcdonald's cheeseburger in half eat that half like i'm still hungry okay i'll start
00:39:47.360
tomorrow and eat the other half so a lot of times the kind of treatment people get at doctor's offices
00:39:52.100
is phenomenal and super helpful and a lot of times it's um they're just kind of like yes kind of stuff
00:39:57.500
to watch out for and the doctor checks his clock because there's 15 minutes left uh there's one minute
00:40:01.680
left with you and he has this next patient 15 minutes off you go um i don't want to say i'm blaming
00:40:06.340
doctors for this though because uh they get doctors get a lot of and in the comment section no doubt
00:40:11.140
there'll be horror stories about how terrible doctors are about nutrition the thing is for as
00:40:14.660
long as i can remember uh doctors almost always will tell you when your weight is out of the chart
00:40:20.960
bounds and that you should control it and bring it back are they nutritionists no have they ignored
00:40:25.700
the problem obesity absolutely not here's another fun contentious thing i love being on the show by the
00:40:30.220
way because i could just say shit without you guys don't get offended and also english people don't
00:40:34.040
get offended at much um one of the big things that many people have been looking for in obesity and
00:40:41.980
in health is one external cause to fucking just blame like seed oils no offense seed oils people
00:40:50.840
you guys are great uh artificial sweeteners additives big pharmas somewhere in there with their top
00:40:58.300
hats and their canes doing something bad to children i don't know and if we can just blame this one thing
00:41:03.700
and remove it we can still eat whatever we want we can just not have an exercise routine we can not
00:41:11.220
take care of our sleep health and all that andrew huberman stop scrolling on your phone close your
00:41:15.740
eyes make a dark room all that stuff wake up on time and because we've excised this one external factor
00:41:21.600
these aliens come down to earth and they like do the scanning of our water they're like oh you guys
00:41:25.580
have hydrochloropeptide in here and they get it out and everyone's like they just like get healthy
00:41:29.840
and awesome hair grows back um the reality is the vast majority of the reason why people who become
00:41:37.080
obese haven't reduced their obesity there are many many reasons the vast majority of it is that giving
00:41:44.220
a factor is just real low people just don't care enough and it's so weird to say because you're like
00:41:51.480
blaming the victim i don't know if there's any victims in obesity because like cheetos are not like a
00:41:56.460
you know a gun with the smoke coming out you're also holding the gun that's kind of weird but it's
00:42:01.900
really strange position to have to tell people you know it's not the poison in your water it's not the
00:42:07.960
fact that mega food corporations are like oh man if we just get everyone obese then dot dot dot profit
00:42:13.880
i don't know how that works it's the fact that when you go to the store and you're feeling like
00:42:18.180
eating something tasty you don't give a shit and you buy the stuff that's tasty and someone's like what
00:42:22.300
about the calories and you're like they've done a bunch of different studies actually one in new
00:42:27.080
york new jersey area where they had calorie labels on fast food and then no calorie labels very good
00:42:32.880
control almost no effect for almost everyone really oh yeah that's so interesting because it does affect
00:42:39.560
me when i look at it i'm like okay well you know this is if i eat this this is like two-thirds of my
00:42:44.700
daily intake maybe i shouldn't and look at how you look sexy well thank you uh although i'm scared now
00:42:50.920
good good it's healthy the point you made though i think about the food system i i can see logically
00:42:56.560
how people make those conclusions because if people are fatter they're going to eat more calories and
00:43:01.540
if they eat more calories they spend more money on food and therefore do you see what i'm saying
00:43:04.840
yeah i honestly i do see what you're saying i think that food company executives are not as strategic
00:43:11.940
and machiavellian and fourth order thinkers as people think a lot of times the the opposite is true
00:43:18.240
where they actually mostly look at like quarterly earnings reports right that's how the real business
00:43:24.500
were world works at scale and if you make a bunch of super awesome obese food obesogenic food people
00:43:31.680
get fat your corporation might not even be around in that next generation to profit off of that as a
00:43:37.580
matter of fact if you think about economically you're cross subsidizing your competitors like your
00:43:42.120
competitors could never want to make people fat they say we don't want to make people fat but then fat
00:43:46.620
people still eat more food so they get in and benefit off your whereas you're paying the cost
00:43:50.380
to make people fat and then you also have to i guess sell to people again it might not quite add up
00:43:55.460
what i think is happening is as simple as this food corporations try to sell you a bunch of different
00:44:00.900
stuff and some combination of things that are for the average consumer very reasonably priced
00:44:06.500
very delicious end up just people just buying more mcdonald's and all the other restaurants
00:44:11.640
and fast food have experimented with a bunch of different healthy menu options over the years i mean
00:44:15.360
like dozens yeah and most of them like i remember when the salads came in i have never seen anyone
00:44:20.800
eat a salad in mcdonald's bro like what is that even for like because here's the thing mcdonald's
00:44:25.520
and all these other systems like these food systems these restaurants they're very um evidence-based
00:44:30.580
and very logical and have crazy supply chains and they have like a stack in their menu like it's
00:44:35.220
regional but there's an average stack there's like 20 items they can offer you and their kitchen
00:44:39.560
doesn't support the economics of 25 items they could just all of these are a waste right so if there's a
00:44:44.320
stack of 20 items they look at purely at roi like return on investment so everything has a place in
00:44:49.440
the stack if you throw a fucking salad in there and it stacks out at like what would be number 40
00:44:54.020
like if you're the salad division product manager and you go to the meeting with the boss like later
00:44:59.580
that month he's like how are salads doing you're like well according to the numbers nobody gives a
00:45:03.160
he's like like what is he supposed to do what is but lose his job to stand up for salad because if
00:45:09.120
mcdonald's quarterly earnings go down they're going to look and be like where can we save money like
00:45:12.620
well i know nobody buys the salad they're like all right johnson you got a promotion no more salad
00:45:16.940
it a lot of the healthy food at fast food restaurants is like super well-intentioned here's the thing
00:45:22.920
capitalism we're all capitalists here yeah yeah venezuelan you love communism right yeah of course
00:45:28.320
at least a great way to lose weight it is very that even the zoo animals didn't have trouble until
00:45:32.680
people started breaking into eating them you know about that like uh yeah during the more recent
00:45:37.040
venezuelan starvation episode people were breaking into the zoo to eat the animals that's like real
00:45:43.020
yeah yeah uh being from russia that was a fun little interjection of just depressing
00:45:48.660
i am russian right it's all in there yeah um the the fundamental situation is
00:45:57.600
food companies are just trying to do their best to give you whatever the hell it is you're going to
00:46:06.020
buy and because capitalism is accurately construed as greed motivated greed in the best way i think
00:46:14.700
for us if we were a little left of center be the most evil thing in the world um greed motivates you
00:46:21.620
to do anything to get the dollar right anything which means that companies don't care to make you
00:46:30.160
obese and as a matter of fact it's bad vibes for them to do anything to you that you won't like in
00:46:35.440
the short term or the long term mcdonald's does not want the pr of people turning around and be like
00:46:39.880
you've poisoned me for 20 years they don't want that shit but what they want is money and the easiest
00:46:46.100
way for them to get money is to be like hey francis what do you really want and you're like
00:46:50.920
number five with extra large fries and they're like what what are we supposed to do not give him
00:46:56.760
what he wants it's our job as a corporation to do what this man wants give him the extra fries
00:47:00.720
and that's it like that is my occam's razor for why the food system is the way it is because most
00:47:06.460
people don't give a shit they just like tasty things and also i've been a personal trainer for a
00:47:10.840
long time around a huge fitness company i used to be a college professor for a long time teaching
00:47:14.420
people how to be personal trainers talking to just like tons and tons of real people in the
00:47:18.680
real world and real people in the real world are beautiful awesome amazing in 50 different ways
00:47:23.800
but they just fundamentally for the most part don't give a shit about what goes in their bodies you
00:47:28.780
guys let's walk around new york you're gonna look at people eating all kinds of stuff like have you
00:47:32.040
really thought through this pretzel they're like what get out of here you know typically orchestra
00:47:36.480
and like if you can get people to give a shit the food corporations will pivot as quickly as
00:47:42.920
possible mcdonald's corporate they so much as there's so much a sniff out a health food phase
00:47:48.360
they got 10 candidate items and menus across the country the next month mcdonald's test kitchen
00:47:54.000
they're cooking up batches they don't care mcdonald's in two years could be a health food store
00:47:59.060
if mass amounts of global and american people demanded in the economic sense of i have the money
00:48:05.620
and i'm willing to give it to you so you get me this every company with pepsi wouldn't make a single
00:48:11.120
sugary beverage ever again it would all be artificially sweetened they don't care can you
00:48:15.380
imagine like being in charge of pepsico and one of your interns is like people are buying more diet
00:48:20.620
soda and less sugar they're like you're like take take a drink of your scotch you're like
00:48:24.840
my father didn't build this company to make sugar farmers bankrupt roll the regular sugar in
00:48:31.060
they're gonna do that they don't care in in the most sociopathic way they don't care but also in the
00:48:36.000
coolest way they don't care they're gonna give you what you want it just so happens to be that most
00:48:39.940
americans and people around the world they just want cheaper food they want to be tasty so for
00:48:44.220
health food people watching this if you make your health foods cheaper and you make them really tasty
00:48:48.360
and they have lower calories and they make you really full you're going to make a lot of money
00:48:52.500
and you're going to help a ton of people but the idea that like people are really health conscious and
00:48:57.120
just trying their best and they just get fooled by these advertisements for megacorps my face
00:49:01.660
advertisements never made me at mcdonald's it's that smell that you drive by you're like the hell's in
00:49:05.320
there i want it all if you're someone who values free inquiry and independent thinking which let's
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venice.ai slash trigonometry and see what you've been missing and now back to the show it's a great point
00:50:22.500
and i'm actually really glad that glad that you brought up the term big pharma because when we come to
00:50:28.760
america we notice the suspicion around big pharma nobody ever goes you know who's great big pharma
00:50:36.980
it's always like awkward cocktail party banter yeah exactly and it's just and the moment people start
00:50:43.660
getting a tad conspiratorial which you love to do in this country let's be fair nonsense you drop in big
00:50:49.800
pharma so why the suspicion around big pharma and what's really going on here man
00:50:57.760
there are legitimate critiques of big pharma most of them having to do with big pharma's cozy though
00:51:08.980
sometimes necessary relationship with government and making various regulatory structures exceedingly
00:51:14.860
complex so that little pharma can't compete uh that serves big pharma well in the game theoretic
00:51:21.840
locked in landscape of like well we can't really deregulate so if they're going to be regulators
00:51:27.120
we might as well grease them up to our advantage which every industry does big anything means that
00:51:33.700
the big players who got there earlier the pfizers the etc they have lawyers and other people in
00:51:39.120
washington lobbyists who are going to look at smaller upstart competitors and be like can we get the
00:51:44.320
legal system kind of to reflect that so those people don't like fuck up our profit stream
00:51:48.500
that happens for sure um we can blame big pharma for some of that i happen to be from a very highly
00:51:56.020
free market school of economic thought myself for my dilettante bullshit pretend economics that i don't
00:52:00.640
actually know but i place most of the blame in the hands of government because if you're gonna have
00:52:06.600
ultra powerful government with ultra heavy-handed regulation you as a major corporation can either go
00:52:13.020
in there and be like hey do this or you can just sit around and be like we'll just be happily
00:52:16.820
regulated by whoever goes in there and says that first you know like back in the soviet days i point
00:52:21.760
to you as if you and i lived in like the 50s or some like if you weren't ratting people out
00:52:26.260
they was ran you out and so it's like whoever gets the reins of communist power first that's kind of
00:52:31.960
who who's there so i don't blame the corporations as much as i do government for that for sure
00:52:36.380
they do have some blame 100 and so some of that is i think rightfully assigned
00:52:40.820
uh and and if that concludes my anti-big pharma rant and begins my much more impassioned pro-big
00:52:47.220
pharma rant i think one of the only people in the world certainly who has like youtube followers or
00:52:53.140
whatever that is like super pro-big pharma um i think everyone's actually pro-big pharma when the
00:52:59.460
pressure is high enough like imagine going to the hospital and you're like your arm bone is like out
00:53:04.880
you can see it my man yeah it's fun right you're like oh cool it wasn't out but but it was like
00:53:10.320
that oh it's also even more disturbing but it's under the skin you're like that's not how my arm's
00:53:14.680
supposed to look and imagine you're like an agonizing pain and the nurse is like we're going
00:53:19.500
to give you something for the pain you're like hold on hold on does big pharma make it and she's
00:53:23.900
like yeah man keep that out of my body dope my man it starts getting infected and they're like we
00:53:31.300
have antibiotics for you and you're like big pharma again like yes that's correct sir you're like nope
00:53:36.640
and then there you die in agony after hours and days of having ooze on your arm and it goes up
00:53:42.460
through your brain and then you die no one's actually against big pharma when it comes down to it
00:53:47.200
because big pharma makes revolutionary medications that keep all of us not infected free of pain when we
00:53:54.760
need to be do they up every now and again yeah hell yeah they screw up all the time like every
00:54:00.860
fallible human institution yeah but i guess mike the suspicion is um for for some people and i think
00:54:07.180
it's not unmerited is for example what we saw during the pandemic right it's like let's vaccinate
00:54:12.320
the kids when everyone knows there's no point vaccinating kids against covet right at least that
00:54:17.720
was my perception that was my view so the sense that the profit motive drives them to over prescribe
00:54:24.020
things oh pharma doesn't prescribe anything doctors do and doctors do not directly they do not directly
00:54:30.200
profit from prescribing more medications that is a huge myth nobody i know a ton of doctors my wife's
00:54:35.340
a medical doctor there's not like you write a bunch of scripts you know hey good job this month here's
00:54:39.280
money that just straight up doesn't happen the oversight for that is massive by the way now when
00:54:44.500
your people coming to your patients want a lot of drugs you can be a doctor that's like more like
00:54:49.640
hold on let's wait and see how this evolves you're like how many medic how many antibiotics and pain
00:54:53.780
pills do you need if you if you had like a smoking gun of pharma really very massively influencing
00:55:00.220
doctors to write more prescriptions as far as i've seen this just almost if not just completely just
00:55:06.160
not there it's just not there um what about the example i gave about look my view was that vaccines
00:55:14.120
were massively over prescribed during the pandemic to loads of people didn't need them
00:55:18.380
did you think that's something i think most of the i think it's a fair take i think most of the
00:55:23.180
people who in the public health space wanted everyone to have a vaccine uh weren't so much
00:55:27.740
concerned about everyone needing the vaccine they were concerned about spreading and so junior comes
00:55:33.000
home from elementary school he's fine but he coughs out there wasn't much there wasn't but these
00:55:38.580
people typically who are in the public health community and let's just call it call it what it is
00:55:42.760
like leftist care and women um they're like like come on that's who shares all the poor vaccine on
00:55:48.380
facebook um um they're incredibly neurotic uh and incredibly risk averse and so if they say like
00:55:55.920
okay one extra you guys see this like advertisement bullshit like even one life lost is a tragedy which
00:56:01.400
is so true but also from a policy perspective like you can't just think like that because it's always
00:56:06.720
trade-offs and it's like all of our freedoms as long as to save everyone no one really believes
00:56:11.000
that so we can get past that i think those people are more concerned about getting everyone vaccinated
00:56:16.700
so we could have completely crushed covet out of existence which was probably more likely than not
00:56:23.740
at some point uh but it turned out uh you know um vaccines were profoundly effective vaccines probably
00:56:30.780
on aggregate as far as i can tell saved about 20 million lives around the world which is like
00:56:35.640
several holocausts worth of lives um depends who you ask mine yes well in my view it never
00:56:40.980
happened anyway also vaccines aren't real and birds are robots yeah this is going down the whole
00:56:45.840
wormhole uh so yes that's not a dependable unit to some um so vaccines are on net aggregate really
00:56:52.180
really good yeah um and i don't think that there was much push from big pharma to over prescribe
00:56:59.240
vaccines i think that pr wise big pharma can't afford emails to people that even hint at like that
00:57:06.420
one whistleblower gets out from an email that the pfizer ceo is like let's push these vaccines
00:57:11.920
a little bit of the wrong way dude pfizer stock and the whole thing goes they have to be very very
00:57:18.460
easy but i've tried to talk to higher level pharma people and it's basically like talking to james
00:57:22.460
what do you do for a living they're like what do i not do i gotta get the out of here they're very not
00:57:27.940
transparent mostly because like everything is insanely litigious and there's a huge pr situation
00:57:32.360
did a lot of americans on the left want everyone forcibly vaccinated yes you want someone to blame
00:57:41.560
i'd blame them off no i'm happy blaming them they might have a little bit of blame yeah i just don't
00:57:46.820
think it's a huge fact so it's interesting to me because based on what you've described
00:57:50.720
you must i can't imagine you'd be super aligned with what the the current health uh government the
00:57:58.320
the health department and rfk uh talking about that doesn't sound like because he's talking about
00:58:04.640
changing the food structure which you don't seem to be too concerned about and likewise with vaccines
00:58:09.920
you know i get a different sense from you i think vaccines are one of the pinnacle achievements of
00:58:15.060
mankind and if vaccines have side effects which they do and are sometimes deleterious which they are
00:58:20.380
and they sometimes kill people which they do but what kills more people covid or any of the covid
00:58:25.840
vaccines well the russian sputnik vaccine who knows what the hell it did right and the chinese
00:58:29.400
vaccine that like people took but never did anything like that moderna uh pfizer all the all the top tier
00:58:35.740
u.s based vaccines they are like any drug will save and help most people some people will have very
00:58:43.920
mixed results and a few people though a few in a sample of 100 in a sample of the entire united states
00:58:50.720
we're talking about hundreds of tens of thousands of people will have very bad outcomes but on the
00:58:56.660
aggregate vaccines are phenomenal should we be forced vaccinating people there's a very interesting
00:59:03.200
discussion there are ways in which that discussion turns into a yes if there was a confirmed viral
00:59:09.820
strain confirmed that came out of india or some shit that had a 50 on contact within two days death
00:59:17.740
rate and a virality 10 times that of covid and someone in the u.s said don't force vaccinations
00:59:23.000
i'd be like i'm coming to your house i'm gonna go to india real quick i'm gonna cough on your bitch ass
00:59:26.840
out of here state of emergency flat out um during world war ii freedom of speech took a little bit
00:59:33.700
of a hit because like you could be a nazi spy we're fighting a global war it's real in the context of the
00:59:39.680
real situation of covid in the context of most vaccines i think the trade-off of giving government
00:59:44.380
that much power versus the actual effect that you're going to modulate is much more in the
00:59:49.160
direction of let's not do mandatory forced anything you know so i'm super at the same time
00:59:55.960
aligned with not anti but more vaccine skeptical people on the limitations on government power
01:00:02.440
in almost all cases except for super psychotic germ from india case i'm super against mandatory
01:00:08.160
kind of anything really for sure mandatory mandatory vaccinations we had in russia actually
01:00:12.940
and my parents uh pulled my sister and i out of school that day because they this is real fun
01:00:17.420
for people who don't know they would vaccinate children with the same needle okay the same needle
01:00:23.920
not like the same syringe but the cap no the same literal needle and this was like in the late 80s
01:00:29.940
when aids was getting to be a real party and so like that yeah like that is like bone chilling
01:00:34.860
all that no thanks uh but at the same time should we be recognizing that vaccines are incredibly
01:00:41.260
powerful and we should be aiming to make them better over time and more efficient and less
01:00:45.760
deleterious yeah 100 i guess what i'm asking is are you uh excited or are you concerned about
01:00:52.220
rfk being in charge of everything that's going on in this country with health or both at the same time
01:00:58.540
i'm curious i'm curious i don't know what he's going to do um there's a kind of a term in kind of
01:01:05.280
geopolitics war strategy of see what leaders do not what they say because like you know if you just
01:01:10.620
looked at what people said trump would be like what the hell there's an actual leader he's like
01:01:14.860
and does some good stuff you know and so uh with like rfk i kind of want to see what they kind of
01:01:21.740
crap out um for me uh i think the on the aggregate the new administration um especially doge
01:01:29.940
i with doge so goddamn hard minimizing the size of government cleaning out a ton of bureaucracy and
01:01:36.380
waste massively deregulating the economy it's just like things are pretty much like economically like
01:01:41.460
objectively correct things to do that just a lot of people on the left have a lot of feelings about
01:01:45.800
for some goddamn reason i think that's so wonderful that the inclusion of rfk who i think is genuinely
01:01:51.160
a really really good person who gives a shit and wants to help people in that administration to me is
01:01:55.680
kind of like all right let's see what he does but if he comes out hard against vaccines it's just
01:02:00.960
going to be in the wrong and like uh hopefully it doesn't hurt a bunch of people it's not likely that
01:02:05.060
it will um if he comes after the food system like they've been doing that for years anyway it's it's
01:02:10.680
not that it's going to do tons of damage it's just like a lot of money spent towards something
01:02:14.900
that's almost no effect where if you actually empowered so here's how i would handle this whole
01:02:19.640
thing if i was rfk i would just do all that cool kennedy shit you know epstein's island first
01:02:23.620
epstein's island i need a refill for my soul and then work um the first thing which epstein's
01:02:29.320
island does work i'll shut up i stop i have like a stack of 80 epstein's island jokes that just come
01:02:32.980
you fellas you fellas have been to the island you know how it is right
01:02:35.240
i wanted to go i got my application rejected like try again next year um i would say massively
01:02:47.060
deregulate the pharmaceutical industry massively and have just one really easy law
01:02:53.220
if you are a consenting adult and your doctor approves a prescription you can try any testing
01:02:59.120
phase medication you want like do you own your body or does the government own your body want to
01:03:05.400
find out which one it is try to take a drug from a manufacturer that hasn't passed uh all stages of
01:03:11.140
fda trials yet you're going to go to jail and stuff but it's my body and as a consenting adult with
01:03:17.420
doctor's approval if i can take a drug from any manufacturer then it turns out i have really great
01:03:23.420
results they get a ton of data studying brave young people who are young i'm not young anymore
01:03:27.000
god damn it where's my hair so it's it's going to be a huge win-win and then in addition to that
01:03:34.120
the deregulation of the space brings enough load of competition or a ton of money software money and
01:03:39.660
like that and then with ai you have this incredible wave which will happen anyway it'll just happen a few
01:03:45.240
years later with the current fda of insane innovation that makes medications orders of
01:03:50.680
magnitude cheaper more effective and less side effect prone that's the answer more pharma more
01:03:57.480
technology more intervention of the human body that is the way to get pharma to do the right stuff
01:04:02.620
as far as overall u.s health we have that one big problem people like to eat a ton of high calorie
01:04:09.780
tasty people like to eat it how do you go about that imagine having a a real drive policy wise in
01:04:17.760
the uk to get the motherfuckers up north to stop drinking pints every night what you're gonna do
01:04:24.260
you're gonna be like this has calories he's gonna be like oh sweet um it's bad for you cool everyone
01:04:29.400
dies anyway i what you got what you got left at some point you got to be like you can't drink this
01:04:33.920
anymore it's illegal we already know how prohibition works it's not fun like back alley beer dealers we
01:04:39.040
don't want that shit again as a free society in a free world we have to understand that we have to
01:04:44.520
try our best to help everybody but at the same time when people just kind of want to do their
01:04:49.160
fucking shit and pay the cost health wise we just got to be like this is what they're gonna do and
01:04:54.200
you can gingerly educate them you can tell them but heavy-handed government regulation restructuring
01:04:59.400
the food system all the shit it's some combination of doesn't work waste a lot of money and just kind of
01:05:04.300
antithetical to the principles of liberty which is like you want to like eat french fries cigarettes
01:05:08.740
and smoke them at the same time like rock on i'll light it for you i don't think you should be doing
01:05:12.780
that but you're the one paying the cost and freedom is a mother man being sleep deprived messes with
01:05:19.460
everything reaction time memory decision making even your emotions it's like walking around legally
01:05:25.860
drunk and the long-term effects just as bad as smoking most people reach for melatonin but here's a
01:05:32.600
problem melatonin is a hormone and most supplements give you doses 10 to 50 times higher than your body
01:05:39.680
naturally produces that's why you wake up groggy your sleep gets worse over time and your body
01:05:45.500
stops making melatonin on its own that's why i use evening being by verso it's melatonin free using
01:05:53.040
clinically studied ingredients to help you fall asleep faster stay asleep longer and get more deep
01:05:59.320
and rem sleep without messing with your hormones i've been taking it myself and honestly i'm falling
01:06:06.300
asleep faster and my mind actually switches off at night which used to be a battle shut it of course it
01:06:12.680
did head to ver.so and use code trigger to get 15 off your first order or click the link in the description
01:06:22.780
that's v-e-r dot s-o code trigger and i think there's one element that we haven't spoken about
01:06:32.460
which is the element of misinformation and that i actually find it really worrying mike when i'm in
01:06:38.700
this country and i talk to people and they bring up vaccines and i try and be open because i'm very
01:06:44.240
pro-vaccination i think this guy's i'm uh i have friends who who are very vaccine skeptical i don't
01:06:55.420
mean the covid vaccine i mean vaccine skeptical and i i i don't have the language to to win that
01:07:02.540
argument sure and i thought that what happened during the pandemic was bad among other reasons for
01:07:07.800
that reason yeah because it discredited vaccines that do work where the trade-offs are absolutely
01:07:13.560
worth it 100 and we've lost the language for it yeah yeah but that's a very important that and
01:07:21.760
that's another part of it but the thing that i find really worrying mike and it's not even a topic
01:07:26.420
of conversation because the study was discredited but and these have been intelligent people we talk
01:07:32.400
to where they go well you know the vaccines cause autism and i'm like what are we still having
01:07:37.640
this conversation here and that's really worrying for me and it's sad yeah because people are allowing
01:07:44.620
misinformation to dictate the choices not only over their body but over their children's bodies
01:07:50.320
is it true that there's no link between vaccines and autism yes like hasn't been debated in a generation
01:07:56.540
um if you want to say there's a link between vaccines and autism you have like an enormous hill to
01:08:03.580
climb by just looking at you know like um like uh you liked a girl back in middle school and you were
01:08:09.580
trying to look for signs of how she interacted with you that she likes you and every sign is like she
01:08:13.260
hates you and you're a creep but you're trying to like but but that one time she didn't yell at me
01:08:17.520
too much maybe it's because she loves me that's the uphill battle that like vaccine skeptics for the
01:08:22.420
autism thing have um it's it's it's also a really weird random hill to die on because if you said
01:08:29.220
like you know certain kinds of vaccines cause various immune function abnormalities like you have
01:08:34.100
a few decent studies 10 studies that say the other thing but that's something the autism thing was just
01:08:40.080
like almost whole cloth like folks who have like here's the thing if you have an autistic child
01:08:47.020
especially severely autistic i think there's nothing i can say in a podcast that's gonna be charitable
01:08:52.960
enough to how um even the words here are difficult to to kind of calibrate how big of a challenge you
01:09:00.180
have and um how much of a necessity there may be for finding someone to blame and i feel that a thousand
01:09:08.120
percent that much resentment and anger is two things 100 understandable and occasionally
01:09:16.540
vented at the wrong thing and i think the vaccines thing was just super convenient you know it's a big
01:09:22.700
crime happens and every criminal runs away and there's just some dupe on the corner police show
01:09:26.000
up like who the are you and it's vaccines with autism he's like i was just having a coke they baton
01:09:30.120
the out of him drag him into the car um that's vaccines and do we know uh do our cases of autism
01:09:37.000
rising and do we know why that is if it is uh it's complex issue we know one of the predominant
01:09:43.920
reasons not the only reason is increased awareness increased use of proper diagnostic criteria
01:09:50.520
there's another thing with autism that's more curious uh jesus you guys are dragging all the
01:09:56.120
politically incorrect out of me i swear to god i'm getting that's what we do yeah like you fiendishly
01:10:00.600
smile like yes yes more we've slagged off fat people i mean now we're getting to the good oh boy
01:10:06.780
so there has been a recent very profound rise of autism um i say mostly actually diagnoses but even
01:10:16.980
more claimed diagnoses because there are a lot of folks that have a high degree of neuroticism
01:10:27.540
a high degree of social interaction phobia mostly because either they are genetically just more prone
01:10:35.040
to be introverted and a little bit neurotic and or because growing up they had negative
01:10:40.200
socialization experiences with other children and middle school you know like middle school just
01:10:43.880
really you in the ass for lack of a better term like you were awkward looking or something i did
01:10:47.860
not mean to look at you there's only two of you who am i supposed to play um and uh you know you just
01:10:54.340
kind of had a bad time and it kind of made you go into your shell you know and that um experience
01:11:00.500
also of bullying and being physically intimidated makes you neurotic makes you misinterpret or be
01:11:06.780
very difficult with facial expressions like some people don't have the confidence to look someone in
01:11:11.200
the eyes as they talk to them if they've been beaten enough and made fun of enough in their lives and
01:11:15.840
they're already genetically more neurotic and more introverted zero autism by the way they're perfectly
01:11:20.740
fluid with humor they understand every joke they get offended here's the thing is autistic people just
01:11:25.940
almost never really get offended because they don't really have a concept for how that works
01:11:30.720
you're like hey like you don't belong here they're like okay let me just fuck off you're like
01:11:34.940
okay and so those folks that have been basically kind of bullied had a bad time in childhood and are
01:11:42.460
not super pro-social um even though they want to be and they can read all the signals they have been
01:11:47.660
both misdiagnosed lately a ton as autistic and have themselves self-diagnosed there's almost like a
01:11:53.640
a bit of a pride with autistic diagnoses nowadays like with all diagnoses now oh of course yeah
01:11:59.540
like you guys know the channel youtube channel jubilee no it's a great channel they have like
01:12:03.680
all the people come together and it's like one one gay dude rates 20 people who claim to be gay as
01:12:08.880
the gay or not then they find out later everyone comes out that sort of thing and they had a bunch
01:12:12.820
of them with autism and like who's autistic and who's not they had autistic people rate which is extra
01:12:17.420
hilarious because they're like i don't i can't figure this out for myself and a lot of people
01:12:22.380
um it seems like they really uh identify with like their grade i'm like autism type whatever
01:12:29.240
and it seems like this in community there's also that the hollywood left thing made neurodivergent cool
01:12:35.120
i can't stand that term because all neurological and psychological qualities are rather normally
01:12:42.480
distributed there's no such thing as the average person it's a statistical abstraction
01:12:46.820
it's like everyone's different and so let's say i'm neurodivergent it's like well neurodivergent how
01:12:51.300
like i don't score as neurodivergent on any tests but i'm a weird fucking asshole and you're like that
01:12:55.680
guy's definitely something everyone's something so the whole term of neurodivergence has by some
01:13:00.900
people in the sort of hollywood peripheral left which obviously spreads to a lot of the rest of the
01:13:05.380
world has been planted as the seed of like hey you're special somehow and all these other things
01:13:10.540
about yourself you don't really love it's because of this one thing but it's a cool thing and it's new
01:13:14.680
and you're awesome and you're really like i don't know like albert einstein because he was maybe sort
01:13:17.880
of autistic and all of a sudden they're like yeah and so actually autistic people their levels may or
01:13:24.780
may not be rising but if they're rising it's probably not very high and probably uh due mostly to actual
01:13:31.960
diagnoses because you're like you guys know like we didn't have a term for autism back like 100 years
01:13:36.460
ago there were still autistic people they were just labeled categories that i'm not allowed to say
01:13:41.040
on public youtube like very bad words for people that are bad words because they used to be labeled
01:13:45.940
for those so better diagnostic criteria is mostly explanation but there is this other cohort of
01:13:50.540
people that are either claiming to be autistic and they're not or diagnosed by maybe not so diligent
01:13:56.980
psychotherapists as autistic when in reality they're really just some combination of introverted
01:14:02.020
and neurotic and sometimes from genetic perspectives or variables and other times just because they had a
01:14:07.980
really bad time growing up and they you get bullied your entire life um you don't look at people the
01:14:12.840
same way jokes are awkward everything is uncomfortable you do a lot of this stuff and it has nothing to do
01:14:16.980
with autism and so those people i think now some of those people have grouped themselves into autistic
01:14:21.460
because it's kind of a new cool thing to do a very similar thing has occurred with uh the the trans
01:14:27.420
situation but um that sucks yeah well no we can't let him go on that anti-trans advocate mike isratel
01:14:37.420
thank you so much well no so uh i guess the the real question i wanted to ask you before we wrap up
01:14:42.760
because we've been dancing around is what's the answer at an individual level to the fact that we've
01:14:50.180
never had this amount of incredibly tasty available cheap food ever uh how do we deal with that
01:14:56.700
two answers great question number one is look into all of the new pharmaceuticals coming out
01:15:04.020
because they're unbelievable it's probably true to say that the modern um weight loss drugs you guys
01:15:10.200
have heard of ozempic and all yes it's probably true to say that it's better for most people to be
01:15:14.600
taking it than not taking it it's damn near a health elixir i'm not kidding i'll get a lot of
01:15:19.320
come on that's not that's not typical let's be honest right usually you mentioned yourself there's
01:15:24.340
trade-offs with everything there are trade-offs with ozempic there are trade-offs which is hepatite
01:15:28.020
a new drug coming out soon called ritatratitis trade-offs as well yeah but actually the trade-offs
01:15:31.840
are diminishing and the positive effects are escalating and so the trade-offs do exist but
01:15:36.720
they're massively in the positive favor uh if you're obese or just for everyone yes actually if you're
01:15:42.680
obese but maybe low doses for most people okay that's great that sounds great great so tell us more
01:15:49.220
about that yeah so if you look through the literature on the effects of these drugs the
01:15:53.180
primary way by which most of them work is they just reduce your food consumption so you lose weight and
01:15:56.860
then the weight loss like kicks off tons of health benefits but it turns out these drugs have anti
01:16:01.540
profound anti-inflammatory effects psychological effects where they actually make you calmer they
01:16:08.040
reduce all kinds of noise in your head not just food noise and can make you less addiction prone
01:16:13.880
a lot of people quit smoking on these drugs just because they didn't feel like smoking anymore
01:16:17.700
and tons and tons of benefits they're still finding every few months more and more benefits of these
01:16:22.460
drugs the costs are pretty well known and pretty well understood some gi stuff if you take it wrong
01:16:27.400
some people it just doesn't uh meld with some people actually have increased probability of having
01:16:31.840
depression after taking these drugs that's a little bit more complex because sometimes they
01:16:35.740
kind of the only happy thing in their lives is tasty food and the food doesn't taste the same anymore
01:16:39.680
and so that that happens but on aggregate these drugs are super special and magical because they
01:16:44.940
seem to be net beneficial for most people and especially for people that are overweight there
01:16:49.980
are new drugs coming out all the time i would say look into them if you're trying to lose weight because
01:16:54.000
like well they were designed to help you and they're really awesome use them that's part one part two is
01:17:00.660
you might consider getting a little bit of an education about how nutrition works about how physical
01:17:08.000
fitness works but the best place to get an education for that now is my youtube channel i'm not kidding
01:17:12.000
also that's fine if you like really weird humor and ball people um just talk to any ai um i would say
01:17:18.800
google gemini is probably the worst because it's so filtered by social justice warriors that it's
01:17:23.480
actually not even that smart um i use chat gpt from open ai i think it's like drinking from an
01:17:28.800
infinite well of knowledge is the greatest thing that ever happened grok elon's shit is awesome
01:17:33.700
you just talk to gpt's and ask them like what should i be eating and how should i be working out
01:17:38.520
in order to get some some decent results and help me now that i'm taking this medication
01:17:42.160
it's going to hook you up like crazy and so yes take the medications they're amazing but also if you
01:17:48.040
really want to make a change you're not ducking personal responsibility it's just not going to happen
01:17:53.140
figure out what you need to know hire a personal trainer go look at some websites download some
01:17:57.960
fitness apps and make a commitment to yourself to say i'm going to do this thing and it's not always
01:18:03.380
going to be fun but putting my pants on in the morning isn't fun i want to walk around with my
01:18:07.540
dick out again the authorities continue to tell me that's misunderstanding it's bad you're going to
01:18:12.140
have to do some not so fun stuff but you're going to pay it forward because years and months even later
01:18:17.620
you're going to look better you're going to feel better you're going to be healthier so yes big
01:18:21.320
pharma is awesome and it's super super great that it's coming in a few years there'll be even better
01:18:25.880
drugs drugs for muscle building are on the horizon they're already untesting wonderful stuff yes to big
01:18:30.660
pharma but a lot of people have this big pharma versus individual responsibility it's both yes you
01:18:39.080
can take the drugs and you can go to the store and instead of getting a bag of cheetos you can get a bag
01:18:43.280
of apples i know the apples kind of suck you want to look good feel good you eat the apples for a few
01:18:49.040
months you feel much better a few cheetos here and there a few apples you're in a state of balance
01:18:53.180
everything is going really well before mike answers a final question at the end of the
01:18:57.860
interview make sure you click the link in the description head to our sub stack where you'll
01:19:02.180
see this what advice would you give someone for the simplest route to breaking poor eating and
01:19:06.860
exercise habit cycles how is training for strength gains different than training for size gains now this
01:19:15.460
is a nice surprise i'm a great fan of dr mike i hope he talks at francis into getting on the tea
01:19:20.580
oh geez mike what a pleasure it has been having you on the show final question always the same
01:19:27.920
what's the one thing we're not talking about that we really should be oh geez um
01:19:33.040
the coming i guess i'll keep it related the the coming era of wonder drugs is already upon us with these
01:19:45.140
drugs and he's not talking about fentanyl because that's already well so my favorite drug and it
01:19:52.060
needs to be chinese i need the good you know i don't need none of this fake stuff so um they're
01:19:57.800
actually so there's recently a pain drug that uh works locally and not systemically or so it works
01:20:05.520
on the peripheral nerves and not the brain and it has similar analgesic pain reduction effects to all
01:20:11.420
the crazy narcotics but zero of the addictive effects there's actually no mechanism for you to be
01:20:15.880
addicted to it and there's almost zero side effects so wonder drugs are coming for pain and the idea
01:20:20.900
that people used to use pain drugs and ruin their whole lives from abuse that is going to be something
01:20:25.100
we look on in probably about 10 years and go holy we used to feed these to people this is crazy
01:20:30.300
drugs so ai power drug discovery is just getting started and it's going to lead to drugs that do
01:20:37.880
crazy things exercise mimetics so you take a pill and almost every part of your body responds as if
01:20:44.240
you were exercising for two hours a day like like muscle drugs to help you build muscle now why why did
01:20:50.720
you look at me like judging eyes um you know build up your muscle a little bit there'll be drugs for
01:20:57.060
cosmetic effects to tighten up your skin to make you more look youthful there's going to be drugs for
01:21:02.040
almost every amazing thing that you can't imagine are coming because ai could understand things we're
01:21:07.280
barely capable of comprehending and making drugs for them with huge positive effects very tiny
01:21:12.560
negatives i think preparing people for a world in which drugs aren't this thing they're like i should
01:21:17.580
be taking fewer of them and are more this thing of like well are there any drugs that are going to
01:21:21.220
help me achieve what i want that are safe and effective uh looking at it more of as a tool and a
01:21:26.500
utility belt rather than this forbidden thing we shouldn't be taking clearly in the 1980s anti-drug uh
01:21:32.280
the stuff uh you know propaganda failed with me but i think that kind of stuff is is going to be here
01:21:37.680
the good news is we don't have to be talking about it because when the amazing drugs come out and all
01:21:41.400
your friends are on them you're just going to take them and you're going to be like this is sweet but
01:21:44.160
better to get to it earlier than later i guess mike an absolute pleasure join us on subset where we
01:21:50.920
carry on the conversations and we are going to find out the truth about vaccines and rfk
01:21:55.480
zofa asks a great question how is training for strength games different than training for size games