Transcript
HhCNXXNp0ys • Reduce Your BIOLOGICAL AGE, and Live A Longer & BETTER LIFE | Kara Fitzgerald on Health Theory
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Kind: captions Language: en people who meditate regularly are biologically younger people who meditate regularly are biologically younger but just one meditation experience can still have favorable influence dr cara fitzgerald welcome to the show thank you i am thrilled to be here i'm really excited to have you you are dealing with an area that i have become absolutely obsessed with which so methylation which we'll we'll explain to people what that is in a minute but the idea of my epigenome is really controlling how my genetics express themselves and that becomes really important that had been on my radar for a long time but i couldn't imagine what was actually happening and so your book is called younger you which phenomenal book thank you and it really goes into detail on this idea of what methylation is and i think even though like for anybody hearing that for the first time i promise we're going to bring you in you're going to love it by the end of this and you will understand why it matters but walk us through the what i'll call the three layers genetics epigenetics and then what methylation is and what brings them all together yeah for sure so you know genetic our genetic material is static it's not changing we inherit some from mom and some from dad and and it's kind of packaged relatively carefully and and it doesn't change you know and and can you explain the packaging part that's where this all starts to get interesting and people that know it well sort of throw that one off the cuff how how is one's dna which i assume is what you mean yes yeah well i mean we have a lot of it you know if we end to end i think it what wraps around the world twice if we did like all if we spread it all out from all of our cells one single strand within a cell is about six feet it's i mean it's a ton it's like it's you know but it's it's it's microscopic um we have to wrap it up extraordinarily carefully to fit it into a cell i mean it's just it's mind-boggling uh and so then so it's it's wrapped around proteins called histones and then histones are grouped in four so there's just rap rap rap rap rap grouped in four and these little groups of four are nucleosomes and then they're packaged together in what's called a chromatin and then ultimately a chromosome what's extraordinary is that wrapping helps regulate so this is the epigenetics that you're talking about so we have to we need to open it to allow a given gene to be expressed and then we kind of wrap it and tuck it back in or we keep it on and so again gene dna genetics epi above the gene so it's all of these variables that go into um allowing genes to turn on and turn off it's all of the all of the biochemical marks or imprints whatever you want to call them and there's you know many of them a hundred plus that are in working together engaged in allowing genes to be on and off and is it the sirtuins that are doing the actual reading of the dna and putting the um the methylation markers on the dna is that what does that no the methylation markers are placed down on the cytosine nucleotide using dna methyl transferase and then it's and there's a family of dna methyl transferase enzymes that will do it at different times i mean i think this is where we can get in and have our lifestyle actually influence what happens during cell division all right so to bring this back up a level for people that probably now feel like i've drugged them down in the weeds too much so what what became really interesting for me is to okay we've got this careful packaging of the dna yeah and the way that we express or fail to express a gene within our dna is by wrapping it so essentially hiding it and saying don't read this yes and in your book you said something really interesting which is that if the dna are the the language of our genetics the um methylation is the punctuation and so it says stop reading here line break this is a new paragraph so this is an eye cell this is a heart cell this is a skin cell and oh by the way you're in the eye so i sell express yourself and so you've got all of that in one sort of without methylation would be one run-on sentence yeah that's right and so the methylation goes in and says and god knows what would be turned on yeah it would just be a big mess and we think that this big mess is part of the aging journey but yeah you begin losing your punctuation yeah and now or it's distorted it's not it's not where it's supposed to be the word is misspelled or out of place in the wrong paragraph see that's really helpful for me so once i had that paradigm that understanding of okay my the dna says you know your eye should be this big versus my eyes a different size my heart cell functions like this yours functions like that so we each have our own um way that all of this is going to express like you said half from mom half from dad but then over the process of aging that gets oh i forget the word wonky it goes wonky i think to use the word my scientific word is wonky so that begins to break down um when it's breaking down what exactly is happening the methylation marks are literally just missing so a few things are happening and that's an awesome question i think mechanistically we have some idea but why it's happening is a really hot topic right now in the scientific community so when you look at the epigenome of a younger individual as compared to an older individual it's it's it's fascinating like genes that are on in youth are inhibited in age and um it tends to be that genes that are helpful and beneficial and are on in youth and then genes that are actually and those same genes are turned off in age but it's predictable across all of us i mean you can't avoid these changes i think unless we're working on it right now so you can't avoid them yet right that's right we can't avoid it well and we're starting to learn i mean this is what i wrote about we're starting to learn you know lifestyle interventions that can help you know prevent the extent of the breakdown and rewind them in some cases yeah that's right that's right as looking at the biological age clock so the question i think is with this predictability is it just uh damage from wear and tear in life or is there some sort of a programmed element to this that's driving the aging journey are we programmed to die exactly which is as predictable and sort of elegant in its structure as you know developing a human during embryogenesis or early infancy when we're when you know infants are are just aging at this accelerated price they're like super humans you know i have a toddler at home and actually she's turning four but um so she's moving out but [Laughter] but just watching her so thinking epigenetically and watching my kid you know when she was an infant sort of heel like you can see her skin knitting before before your eyes i mean it's or her learning new language or her going from sitting to standing to walking i mean it's all happening at this record pace and it's and this developmental uh this accelerated developmental place is part of her epigenetic journey you know as part of her aging journey and that changes over time and then we hit maturation and sexual maturation puberty etc and then you know women hit pre-menopause and or and perry and post and on and on and all these are driven epigenetically and then we've got this aging phenomena where things break down where you know we're at risk of developing cancer and dementia and cardiovascular disease and diabetes etc and when you look at the epigenome it looks like it's it looks like it's programmed in there it's something that you know all of us thinking about it would like to change and have some control over yeah so that's a really interesting blend of the philosophy and the science so if we are pre-programmed to die what are the markers that do that so i really want to understand this the the idea of methylation so i'm realizing now as i'm formulating this question that i have created an image in my head of like a dollop of glue basically that just says you know stop here one is is that what it looks like because your book goes into this idea very extensively of methyl donors so things that you eat that generate they're they're building blocks of the goop as i'm imagining it yeah um that creates the ability for the body to put those markers so you have material needed to put markers yes and then you have the um placing of the markers in a way that promotes longevity versus dying yeah so help me understand those two elements so what is it that gives us the methylation and then what in this paradigm where we assume it's pre-programmed even if we're just doing a thought experiment right now yeah um where does it get moved from and to that begins this experience of aging so methylation there are hundreds of of methyl transferase enzymes these guys are putting some methylation's a whole bunch of different things like a lot it's a carbon and three hydrogens they're you know ubiquitous in in nature and our body just you know we evolved using methyl methyl groups for a lot of things a lot of really important stuff the same at the molecular level how do they end up being so many different things well by the it depends on what enzyme is is using it so there's a methylation cycle that's worrying in our body all of the time and this is where we're using b12 and folate and betaine and and and choline etc to produce the universal methyl donor so this is a cofactor this works with the enzyme and it's called esodential methionine so methylation cycle is worrying to our body and incidentally we become less effective at this as we age for a variety of reasons and we can talk about that and secondarily global hypomethylation of the epigenome is actually is a phenomenon so if you were to weigh or if you were to weigh all the methyl groups on our dna you know in an aging individual as opposed to a young individual they'll have less a net less so globally they're just producing less less and therefore it's being used on and one thing correct me if i'm wrong methylation is used to repair dna so if it breaks and it broke somewhere where now a missing piece of punctuation is gone i need to re-methylate that to say oh yeah remember you're an eye cell so i need to hide yes we do in part yes and the folate cycle which is part of the methylation group gets in there and helps with dna repair too there's there's a lot of there's a lot of pieces in the dna repair puzzle so so methylation cycle is always is always worrying along we're making this cofactor acid sami we call it and then cme works with the methyl transferase enzymes all the hundreds of them in the body and you know my focus has been dna methylation um and so cme is used there so we want to keep this methylation cycle worrying efficiently all the time at any level like my my my kiddo my toddler you know she needs to be accessing loads of methyl groups as well like we just all through life i mean this is one of the reasons that we prescribe folate during pregnancy you know and even preconception like we really want to be thinking about making sure this is happening so um methylation needs to be moving forward but we we don't and we'll talk about this we don't necessarily just want to throw a ton of vitamins at it um you know we'd all we would have already discovered the fountain of youth right if that was going to be successful we could just take a ton of folate and well the reason that we even connect those ideas is because the vitamins are the precursor that allows helping make it yeah so so but we want to eat these in our food and in some cases take vitamins so we want to be thinking about the methyl donor cycle we want to make sure we've got enough sam we want to make sure methylation is happening and we do that you know just keeping our methylation cycle humming and then on the other hand we want to work on directing where those muscle groups are going and that is what we think uh may be the role of polyphenols you know of the culture you get from plants yeah that's right they seem to influence the dna methyltransferase enzymes and perhaps uh support placement of methyl groups where we want them to just put a point on that for a second so from an evolutionary standpoint we have evolved to eat plants and the idea of thinking of these as signaling molecules i think becomes very important so literally it gets inside your body and it will say so i've heard it referred to as nutrition partitioning so it's like nutrient partitioning so hey it's i'm a traffic cop right so i'm saying you go here you go over here but it's something i eat is it that it's the presence of certain polyphenols tells my body to do the direction or the mere presence of those polyphenols do they make the polyphenols make it into my bloodstream they influence the behavior of the enzyme so going back to the dna polyphenols in my bloodstream yeah they should be yeah some of them would be measurable yeah i mean some of them are transformed by our our microbiome and they become secondary compounds but yeah this episode is sponsored by athletic greens get a free one-year supply of vitamin d and five free travel packs with your first purchase simply visit athleticgreens.com impact theory now enjoy the episode it's so weird this is so complicated this is like some alien invasion type stuff that's really fun but really like the more i'm beginning to understand it and trust me i am well aware my knowledge is so surface compared to yours but the more i understand this more i'm like god man this is like really intricate yeah and because it's so intricate and complicated i'm really surprised that what i eat can have such a profound impact in fact i want to give people one of the punch lines of the book you did an eight-week intervention which is like a blip a blip that's so short and in eight weeks you were able to get people to see on what they call the horror bath clock yeah which is a clock of biological age uh to go backwards three years yes which is insanity in eight weeks just based did you i can't remember exercise was part of it yes so it's diet and exercise a modest exercise prescription meditation twice daily 10 minutes minimum diet we we gave them additional greens powder some more of those polyphenols we gave them a probiotic and we wanted them to sleep well so we focused on sleep hygiene as well so those five variables we worked with that's so bananas to me and so the oftentimes i'll have a conversation with somebody before the camera starts rolling and then we'll hit on something so interesting i'm like you know we should say that on camera and that's when we'll start you said i should be testing all of my um internal biological markers because i do all this weird stuff whether it's cold exposure yeah i mean you you you do it yes i do the reason that i haven't is one time like if somebody would just show up at my house and draw blood or whatever i would do it like no problem and then the other is i have one really bad strategy and that's i am i am always trying to ask how much stress can i endure and so when i think about longevity i know like i don't drink i don't smoke i don't do drugs but i do stress yeah and so i'm a little worried about what my horowath clock is going so you haven't done your biological age yet i haven't i i do want to and admittedly it is the friction of having to leave but if i wasn't worried about the answer i would have gone out of my way to figure it out um but stress does concern me and i steer by how well i sleep and so when i get into a period where my because i never set an alarm literally i mean i had a 4am flight i would set an alarm but barring that yeah i wake up when i wake up yes but as i get stressed or excited my sleep will reduce sure and so i'm always a little especially right now i am i'm really going hard at this particular moment yeah and so i'm a wee bit uh are you meditating though like yes yeah you do yeah i don't like when they say if you uh don't have five minutes to meditate you're the person who most needs meditation yes i believe in that so aggressively that yeah i meditate even in fact i meditate more in my hyper stressful periods than i do when my life is more even keel because i am so aware one quality of life is so hugely impacted by meditation and then to my performances yeah yeah yeah let's really get deep on it for a second i don't know let's assume that you're right that we are pre-programmed to die yeah and so now i'm looking at it from an evolutionary standpoint i'm saying okay it's a really stressful environment if it's a really stressful environment we gotta get rid of these old [ __ ] because they're gonna take resources so let's just speed things up a little bit yes and uh get them out of the way so that we have enough resources for the next generation if i'm right that would make predictions such that people would live for a shorter period of time now i'm setting you up but if i'm right would it not predict that if you were pregnant let's say during a stressful time that those children would live shorter lives that it's been demonstrated i mean it's already been demonstrated like you can look at the dutch hunger winter or i mean of course there was food famine another kind of a stress i mean we certainly see total life stress you know maternal stress and experience even you know a generation now grandparents and and probably further out um it will absolutely influence epigenetic expression towards um earlier mortality as well as an increased incidence of the chronic diseases of aging so stress plays a huge role we translate in the mother stress both dad's dad's right there so let me when we talk about stress i want to say psychic stress but i also want to include physical stress in there so physical stress could be changed change to eating you know excess food or insufficient food i mean i want to i just want to kind of expand that but but yes in the realm of epigenetics dad's a big player granddad's a big player great granddad is a big player so i remember the first time i heard somebody say that trauma can be passed on yes and i was like uh-huh it's like photosynthesis i mean i sort of think about it it's like like psychic this psychic experience is translated into biochemical marks that then influence pass on like because how it would have to then be encoded in the sperm and the egg yes yes on to their dna is that encoded into the sperm in the egg and do you predict if we can't already will in the future somebody be able to look at sperm and say this you would you would pass on stress or whatever yes so moshe saif who was a co-author and an advisor on our on our study would it says that yes that there will come a time that we'll be able to predict outcome in offspring by looking at patterns from mom and dad or even looking at patterns in utero that and that we'll be able to actually change those patterns so that we can forego some of the fallout that we would otherwise succumb to that is crazy the thought that i could go in and work with a fertility doctor to say okay look at my the current state of my sperm and see like is this going to be a problem am i going to pass something on this is where we're going like that's actually going to happen yes yes yes yes that is bananas yes so what's happening then is you're saying that my there is some global marking on my dna via the methylation that then or i guess it doesn't have to be global although i would assume it will be because it's going to be expressing itself in my body but then it's also going to express itself in uh pregnancy yeah so here's the thing and let me just say too there's some cool research on the heritability of exercise habits and how you can hand down some of that to your offspring so you can change the methalone that's what we call the the methylation genome you know you can change the methyl one favorably or not i suppose if you're a non-exerciser and and hand down some of those benefits to offspring yeah that is fascinating um so here's what here's what happens this is my understanding we uh so our your methylation marks you and your wife conceive you have a fertilized eggs your egg you know your methylation marks her methylation marks are handed handed down but then they're largely removed so 1011 translocation enzymes actually remove methylation marks you know from the fertilized eggs for the most part like we remove the bulk of them so don't be old that's like the punch line of that moment yeah you're just you're just you're cleaning the slate you're allowing you're allowing the you know a genesis of a new a new human there's but not come let me just finish this not entirely there's some of you some of your methylation patterns translate over as do your wives your wife and and that is the heritability portion of of dna methylation so it's not all lost and so that might be your exercise habits or you know some of the stress that you've experienced and that actually might carry a few generations back that means that there's what i'll call intelligence imbued in that system where there's a decision-making process that says remove these don't remove these yeah so what you know what gets to stay and what doesn't there's something called the imprint home and that is that's being studied by randy jourdale so you know the goody mice studies probably right because of you yes but it's worth telling they're really important because this is so crazy the most cited thing in science yes it's so fascinating so i'll tell about that paper in a second but just to kind of wrap this up the imprint home is some of what can be inherited from mom and dad some of the methylation patterns that can be inherited from mom and dad and randy is actually really interested in studying that now because some of them can translate into pretty serious diseases so so he wants to work on that but also in the imprint time can house the benefits of exercise if you've had a good habit you know good exercise habit and some you know some other really cool stuff too you said that there is uh a signature for trauma an epigenetic signal signature for trauma but there's also then one for wisdom and we think so yeah that to me is this is so much more complicated than people think yeah yeah so resilience so trauma we we've studied trauma i think that there's a sort of an obsession with studying trauma patterns not just in the epigenome but you know beyond that and so we know trauma can be carried carried over trauma can be established in early life and then and then it can translate as chronic disease later on and it can translate to you know having a really poor stress tolerance i mean can translate into all sorts of things so yes trauma has a strong influence resilience does too but we know less about how that translates that's what we need to study and that goes back to the idea that moshe sef posited where you know if we understand these patterns well we can look at you early on or or or look at an embryo or or you know a fetus and decide you know these are resilience patterns and if they're not we can correct them etc i mean you know the era of epigenetics and epigenetic diagnostics is just just just beginning and it's it's just going to continue to grow but we should be putting energy towards studying um resilience and what that looks like and then to your point studying wisdom so honestly we're in such a rabbit hole but let me just say because you talk about the yamanaka factors quite a bit i know you i've seen you talk to david sinclair at least twice and and you're always yammering about his his yamanaka research and and and and reversing aging causing aging by messing up epigenetics and then reversing aging cleaning it up with these three of the four yamanaka factors that clean up methylation specifically they bring it back to a more youthful pattern so we have to ask ourselves in this quest for youth and this was something that i posed at the very end of my book if we're going to turn back the hands of time by decades are we going to by extension you know remove the molecules of wisdom that have have embedded in our dna so you know i was listening to you guys talk about if you had a life-threatening illness you might just go for the yamanaka factors to see if you can turn it back would you learn would you lose some of this extraordinary knowledge that you've obtained on your journey i mean you've done some amazing work in your life and some of that is biologically embedded in your epigenome i mean what are we doing by turning back the hands of time are we at risk of losing some of these um you know these marks of wisdom these these beneficial changes as well that's one thing i found really interesting about your book and we're not going to forget the mice so people follow oh right okay um is in the book you talk about unintended consequences and so you lay out this incredible book which you know we'll we'll get into some of the things that you should be eating and all that stuff in a minute but um you lay out this incredible plan for how people can reverse the biological clock you'll never be able to reverse the chronological clock obviously but um that your biological aging you can move backwards and then you say but hey be careful because we don't know where all of this is going yet and so you do have to be very thoughtful about those unintended consequences yeah um and you guys have talked a lot about you know teratomas or tumors and cancer and so forth but yeah i wonder you know i wonder about some of the you know the less understood shifts that happen with maturation etc and this is why i'm obsessed with whole food so like i try never i do supplement vitamin d when there's not enough sun but if there is sun then i don't supplement and i go get the sun because there's probably things that we don't understand about the skin is doing something when it actually feels the radiation you know on it let's talk about athletic greens my friends the all-in-one daily drink to support better health and peak performance to help each of us be at our best ag-1 by athletic greens simplifies the path to better nutrition by giving you the one thing with all the best things one tasty scoop of ag-1 contains 75 vitamins minerals and whole food-sourced ingredients including a multivitamin multi-mineral probiotic greens superfood blend and more in one convenient daily serving and right now athletic greens is doubling down on supporting your immune system they're offering our audience a free one-year supply of vitamin d and five free travel packs with your first purchase simply visit athleticgreens.com impact theory that's athletic greens.com impact theory and get your free one year supply of vitamin d and five free travel packs today athleticgreens.com impact theory all right guys take care and be legendary all right so walk us through the mice yeah yeah um it's interesting to me in the longevity space um because i come from functional medicine i come from you know i have a nutrition background i'm a naturopath by training and we're obsessed with these things um so nutrition has this extraordinarily profound generationally um powerful influence on gene expression and randy girdle showed it randy jourdal and and waterland in 2003. it's interesting to me because that was when we mapped the genome we figured out the gr the human genome in around 2003 and we started to realize it wasn't it didn't house all the answers that our genes aren't our destiny in that same year journal and waterline published their gudi math study um which incidentally they couldn't publish i think it took them 16 different journal submissions and finally to a really low tier journal they were accepted yeah people were like yeah whatever you know their peer reviewers did not buy what they saw wow didn't buy it didn't accept it so what they showed they used in a goody mouse which is which has the goody gene expressed and in animals and in mice this means that they this when this gene is on they're they're blonde and they're obese they're very visual they don't look like a normal you know house mouse and they die from you know obesity related causes i mean it's just it's pretty extraordinary so this you can get this mouse and and do research studies on them and it was actually waterline journal credits waterline for the idea of testing um nutritional intervention in in this mouse model like can they methylate and inhibit the gene and so that's what they they set out to do actually they initially set out to shut they initially wanted to look at what methyl donor deficiency would look like so insufficient methyl donors was their first study is and the mice died they just did they didn't fast normally they died yeah they just died immediately yeah they didn't survive at all the offspring so these were in pregnant goody mice dams and they gave them they fed them a methyl donor deficient diet and offspring were dead on arrival whoa yeah so that's how important these methyl donors are in our diet like they're exquisitely important so that was study one and they didn't publish that was just communication that i had with randy girdle so study two was let's increase methyl donors let's give these pregnant aguti mice some folate some b12 some choline some betaine let's give them that and lo and behold that goody gene was hypermethylated and shut off so a lot of methyl groups a lot of the st the glue or whatever your glue blobs shut the gene off and their offspring were brown like they look like wild mice they just like normal wild mice but here's the kicker so these are just nutrients that give to the pregnant and dams and they reverted the offspring to what they call pseudo-agouti and it went on for generations so once one laboratory looked at how many generations and calculated five i think journal and waterland went back three in their lab so nutrients given to the pregnant mouse resulted in a generational influence on gene expression for five generations yes five generations in one so i no longer had to sort of hypermethylate them and they would keep coming out as normal brown mice yeah or on a continuum so it's not an oil it's not an all or nothing like some might have a little speckle of blood like it you know it's it's a continuum of how hypermethylated that gene is but in general there is a trend towards turning off hypermethylating and inhibiting that gene and therefore restoring these mice to the sort of brown wild type mice and and and shutting down the the diseases that they were vulnerable to whoa now yeah big deal i mean that's how powerful nutrients are and that study was ignored at first they didn't believe it it just seemed it just didn't seem possible they could influence genetic expression yes yes yes that's so nuts that's really let me tell you another kicker this is a crazy story so another postdoc in journal's lab looked at this same model so again the goody mice the goody pregnant mice and gave them genistein's the soy isoflavone so a soy phytophytochemical same effect as the methyl donors so a polyphenol nothing to do with that methylation cycle that i talked to you about at the beginning nothing to do with b12 and folate etc but somehow changed methylation shut off the aguti gene griddle me that i was going to say so i don't i don't even understand enough to know how weird that is so it's pretty weird because it didn't so the dna methyl transferases lay that you know use cme to put methyl groups onto the gene to shut that gene down but genistein is a polyphenol it's it doesn't influence dna it doesn't it it isn't making sami it isn't giving the ingredients to shut it down so it's doing something else and they speculate that it actually repositions the gene sort of making the the available methyl groups able to get in there and act so it's doing something else and they speculated yeah just maybe just like opening it opening that goody gene up for you know ready access to the the fewer methyl donors in circulation or something so so journal in his lab said look you guys you know we think nutrients are beneficial you know and of course they are but i was taught we just peed them out you know there's no harm you know you'll use what you need you get rid of the wrath right they showed five generations that these nutrients influenced and so their conclusion in that 2003. well it had this powerful favorable influence on these on on these mice on these good things it's doing bad things so so that's what they said you know we long thought these were basically inconsequential right i mean medicine we evolved not even paying attention you know physicians aren't even trained with nutritional training like we just don't even think nutri nutrients are a big deal at all and these guys completely changed that conversation and in their abstract the end sentence was we need to pay attention to how powerful these are you know because they can have unintended consequences so and then they show genosphene does the same thing and it's not even a methyl donor and so in that study the post-doc who wrote who who conducted that study said well you've got a vegan mom who's eating a whole lot of soy so you know loaded up on genistein maybe she's eating grains with folic acid you know fortified grains which were riddled with in this country you know and layer in a multivitamin a prenatal and you've got a ton of methyl donors or or or nutrients acting like methyl donors and and that may not be a safe phenomena now we know we need methyl donors in pregnancy no doubt about it um we need them throughout our lives we really need to be bathing our our genes in in healthy methylation but yeah it can get a little squirrely when we're using isolated micronutrients and dosing really high and layering layering in with other nutrients that have an influence on methylation that we don't even understand yet like genistein and so it goes back to your original point of diet you know whole food matrix eating how we evolved you know getting some vitamin d from the sun i mean just sort of having that be our touch point sort of you know our foundation and then layering on some of these interventions if we need them if there's a reason man being a pregnant woman does not sound stress-free it's like you can't be stressed because that's gonna pass on you've got to be hyper careful about what you eat you can't just blast your system with all these vitamins damn uh yeah well the re there is some cool research actually the the the folks that grow baby health are friends of mine and they've used they're using our program and layering it into what they're doing and they've got extraordinary birth outcomes like their incidents of common childhood illnesses or um you know gestational diabetes some of the complications of pregnancy they're like nil their incidents of autism in offspring from this from this clinic are i think you know maybe one if that i i put the stats in yeah they've published on them and they are using micronutrients they are using a prenatal so i want to clarify i don't want i don't want anybody to get anxious there absolutely is a place for these micronutrients in pregnancy and you get them from a whole foods diet and you avoid folic acid fortification and you know just pay attention how much soy you're eating eating et cetera so there's some some ducks to put in a row um but we still you know micronutrients are generally healthy in pregnancy wow all right let's get into the the do's and don'ts so let's set aside exercise for now and just talk about uh diet what should people be eating yeah so we wanna we want methyl donors like up the wazoo loads of methyl donors so we want to be doing um greens lots of greens we want to be doing you know leafy good greens spinach kale yeah yeah totally we want to be doing um we want to be eating some beets not a ton but maybe a couple of small beads they're pretty high in sugar and we just we don't need a ton of them um deep red gives us something betaine yeah betaine will help were the methylation cycle it will help with methylation beets uh seeds mushrooms shiitake enoki maitaki these are rich with choline folate they're like they're mushrooms are really extraordinary wild mushrooms just so gross are they growth i can't deal so okay fine so for those folks who like mushrooms eat mushrooms there are alternatives like so mushrooms you can't or you can take them encapsulate it if you want to if we can but is is is it a whole mushroom just like ground up yeah okay so it's not like it's a isolated compound from the mushrooms actually just encapsulated shredded mushroom yeah got it yeah you can you can get that you do that with liver as well right yes in fact that's how i ingest my liver because i don't cook it it's fair yeah liver is a multivitamin in a food matrix it is so extraordinary you don't need you don't need to eat a ton of it you don't have to have it every day if you get three servings a week you're getting just a massive amount of good folate and b12 etcetera is there encapsulated liver that you recommend yes it is i have a whole list of of products that i like in the in the resource section that we vetted for for purity new zealand source liver tends to it has in my research the cleanest reputation they seem to be doing a really good job so methyl donors eggs another beautiful source of choline that you want to be getting yeah so greens seeds some nuts uh fats and nuts have to be raw you know raw is better but i would because i'm cooking out some of the micronutrients or because they and the delicate fats so you know they're more beneficial in the raw state because like raw pumpkin seed sounds pretty gnarly they're not bad big pumpkin seeds are really good yeah that's right i do go with what you're going to consume so it's not like baked becomes bad for me it's just not as good don't eat like charred obviously don't eat really poor quality try to get a good quality but i use i eat roasted pumpkin seeds i love them i throw them on my salad you're going to get some nutrient for your bang for your buck in that structure and do we have like a short seed list of the good ones we really like pumpkin we really like sunflower sesame those are good so seeds mushrooms liver greens eggs salmon or other really fatty fish and those are going to keep that methylation cycle whirring those are some of the key ingredients that will keep methylation wearing mushrooms and then we've got these traffic directors the polyphenols and so those are all your colorful fruit and veg i mean some of our favorites are curcumin curcumin turmeric turmeric curcumin is an extraordinary those are the same thing turmeric is the spice that houses curcumin curcumin um so curry do you like curry can you do a curry i eat curry frequently awesome um golden milk is one of my favorites i love curry golden milk is a is a turmeric drink turmeric and a little bit of coconut milk and you know a little pepper and some other spices and it's just delicious it's a veer it's a time immemorial drink in india it's delicious um so methyl donors plus these polyphenol compounds that um appear to direct what where methylation is happening and we want to load up and you know again blueberries curcumin egcg and the other catechins in green tea i don't know what that is i know a green tea you know green tea so green tea is loaded with these phytochemicals that are you know gene whisperers dna methylation adaptogens whatever you want to call them i mean just helping with optimal epigenetic expression that's what we think okay and most of the research at the time of our book um is in vitro so in cell studies or in animal studies but they seem to be able to turn back on some of the genes that are shut off in the aging journey so these compounds have far-reaching beneficial effect they're anti-cancer they are anti-inflammatory they're anti-microbial and you know beneficial to our microbiome um they're anti-aging in a lot of ways analytics like quercetin what's this analytic synalytic helps helps inhibit production of the zombie cells those pro-inflammatory yeah so just just think colorful elements of your fruits and vegetables far and wide have this methylation adaptogenic effect seem to be able to direct dna methylation what's your take on fruit i think of fruit and vegetables as being so different i even think of berries as different fruit fruits yeah yeah most of the fruits have important compounds but we don't obviously because of the sugar impact you don't want to be eating tons of them so you need to be mindful um can i eat as many raspberries as i want you know if your blood sugar is in reasonable control i mean do you wear a continuous glucose monitor i have many times yep i'm not currently yep but yes so pay attention you know just pay attention to how your body responds like i we recommend blueberries on a daily basis as one of those or any dark berries raspberries would be in there um if you're going to load up on them you know you might want to just pay attention to your sugar and see how much you can tolerate it's going to be different for for all of us but if you have your raspberries maybe on a salad and you've got a higher fat dressing and some fiber in there you know each of it'll be different for each of us but super important information is contained in raspberries and all of these and we're just starting to understand how sophisticated the information is like i was reading a this is a cell study but curcumin in turmeric can inhibit mtor in multiple myeloma cells so in a cancer i know and it's a cell study so it can it can hypermethylate an the mtor gene in multiple myeloma cells in a cell study by by comparison curcumin has also been shown in cell studies to turn on a hypermethylated braca gene so braca the braca genes are major highly important tumor suppressor genes so they keep us clear of cancer a functioning bracket gene keeps us clear of cancer takes care of dna repair etc does a lot of stuff the bra a functioning bracka we're not talking about the brachial mutation but a functioning bracha gene can actually be hypermethylated and inhibited and then it's associated with all sorts of cancers so it by getting hypermethylated or hypo hyper so it's shut down and no longer available to do its work hypermethylation lots of methyl groups inhibit it from being on so curcumin will allow that to be re-expressed so an mtor it can shut it off in a multiple myeloma cell but braca it can turn back on to go do its good work all right so let me say that in layman's terms so mtor which is basically grow so hey body grow grow muscle grow tumors yes so we're shutting down mtor and then we are removing the errant punctuation that is making the the sentence impossible to read in the braca gene we're turning the bracca back on and allowing it to function that's cool so it does two two opposite things curcumin and turmeric does two opposite opposite things in cell studies it's amazing so do some of the other players like ludiolin or um quercetin um what else genestein so going back to soy that's a really important polyphenol i think of soy as being bad yeah i would say that if you can get an organic and perhaps fermented soy it's an important polyphenol i mean it's just got important potent power benefit for the most part beneficial power i just wouldn't as a guy need to worry about the estrogen no i don't think that there's there's enough and you don't want to swim in it you know have a serving of it every now and again if you if you like it we don't use it in the intensive part of the program but we do um allow it for vegans in the program or uh when you transition off of the intensive eight weeks you can include it and and they're important polyphenols so these guys are the traffic director so we want to load our body up with this collection of compounds and there's a 30 page nutrition appendix that will give you the details like all of the foods that you can access to get some of these really important epi nutrients as a category both of them were calling them epinutrients okay so there's a reason that your book is robust it is not brief in its um incredible description of what's going on and what we need to do to combat all of that stuff this is really really incredible stuff to me i want to run through just a synopsis and there's been a few things that we haven't gone really deep on that's probably worth just reminding people that they should be doing but so all right we've got our genetic code which isn't changing it's not going anywhere but you have the epigenome which is probably way more important like when you look at the genetics of a plant it's way more robust than the genetics of a human and yet humans are pretty damn complicated right because of this epigenetics of what is expressed what's not expressed yes what you eat yes has a huge impact on what's expressed going back to the my study it's pretty crazy that you can alter the pregnant mother's uh diet and it has a five generational impact that's so crazy i really think that's going to give women heart palpitations but if i can help them reframe it that it can be a negative impact or it can be a positive impact as in the study was looking at the good things that you can pass on which is pretty incredible okay so we've talked about all that now let's give a quick breakdown what is the role of stress sleep and exercise right um incidentally we have what we call the younger you hybrid in here for pregnant women and preconception so we put together what we think is a good eating pattern so if you have palpitations ladies and you're if you need it just take a look at the book because you can totally eat for your genes your genes and your offspring so if we're not sleeping we're aging i mean you know sleep is an essential component of good epigenetic expression insomnia ages people and that's been demonstrated looking again at dna methylation um but it's a lot better so i just walk through all the hacks that i've used cold room you know going to bed on time not setting my alarm that's a big thing for me um i use melatonin and magnesium i find both to be helpful i use meditation so i do meditation sometimes i'll listen to rain like i'll just all sorts of different very dark room so we need to sleep we need to figure out how to get it it's really important with repair and anyway on and on stress is potently pro aging and again as you as as we've been talking about it can be generational um and it can it will influence mortality morbidity and mortality but i think stress is one of the most pro-aging um experiences that we can have and that we need to be paying attention to turning it off and not allowing it to drag us by the hair so stress is very pro-aging i think the clock that we used the horvath 2013 like the flagship sort of gold standard clock that we used in our study um a full 25 of those methylation sites are influenced by the stress response 25 there's no other factor that influence that this so singularly influences the clock as these what they call glucocorticoid response elements on the clock so that to me suggests that stress plays a huge role huge um sleep stress conversely the data on meditation on tai chi on yoga is extraordinary even a single exercise can have favorable changes like we can make a difference pretty quick if we continue to do it over time i mean just think cell division after cell division after cell division you can hand down these favorable changes so if we continue with our good habits we can have these lasting and really powerful improvements people who meditate regularly are biologically younger people who meditate regularly are biologically younger but just one meditation experience can still have favorable influence even yoga like a weekly yoga habit showed beneficial changes on the epigenome a weekly yoga habit so you know we got this we can we can do it you don't have to retire to the mountain you know and and and a zen monastery and practice eight hours a day like you just start wherever you are and you can make favorable changes but understand that the habit is obviously better same thing with exercise like a single exercise uh event can change dna methylation epigenetic expression favorably like one single time keep doing it and it's you know the benefit of it is so far reaching there was a paper that came out not too long ago really arguing that all of the benefits of exercise come from at the epigenetic influence as i said we can pass some of those down and the older you are the more bang for your buck you get with exercise exercise will turn back on those previously inhibited tumor suppressor genes as we age our risk for cancer rises exponentially and a piece of that is you know and again this is goes back to the program aging conversation is that we reliably shut down our tumor suppressor genes like these genes that keep us clear of plants or we start to hypermethylate them and inhibit them i mean what that is that about exercise turns them back on as do these polyphenols it's like exercises like a physical polyphenol isn't that wild it's not wild it's like it's like it exercises like eating a vegetable that's crazy i know it's so cool and it doesn't take a lot so one exercise event can be beneficial but then again the habit the lasting habit is good and we could have a whole nother conversation of are we doing high intensity are we you know doing something low and slow i mean what are we doing are we doing weights resistance training there was a study that came out not too long ago specifically beneficial for mitochondrial dna methylation so pretty cool i think we do what we love what we're good at what we're consistent with and our study a very gentle prescription of 30 minutes five days a week minimum perceived exertion 60 to 80 percent of max so not intense but it was the consistency that we thought was important over exercising can be pro-aging i mean anybody who compe is a competitive athlete i mean i know when i was i was a cyclist in in med school i was racing competitively and i would always crash at the end of my season you know i'd always have a upper respiratory infection always you know you just wear your yourself down with the stress of of repetitive you know really high intensity events and you know it's it's pretty common that you get a cold or you get sick for a while so over exercising can be a pro-aging but you know i still love high-intensity interval training i just you know i'm just a little bit more mindful about it and i do pay attention to my biological age and we can talk about that as well that will have to be on round two i cannot believe how fast this went that's this is so fascinating to me where can people follow you where can they get the book youngeruprogram.com or drcarafitzgerald.com so clinic and everything else drcarafitzgel.com book youngeruprogram.com and we also have an app where we have irb we're researching our institutional review board means we have permission to continue to do research so in our app which you can find at youngeru program you can jump in and join us on this continued research and the next you know data that we're looking at is awesome it's exciting and i just you know look forward to publishing on it soon i can't wait that'll be a lot of fun guys you will love the book check it out if you're as obsessed with aging backwards as i am this is another fun one be sure to check it out and speaking of things that you should check out if you haven't already be sure to subscribe and until next time my friends be legendary take care peace