Transcript
uF5NAj83wc0 • A Conversation with Dr. Jason Fung | Dr. Li and Friends
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Kind: captions Language: en dr william lee here physician author and scientist uh i am actually i'm doing this video series to bring on my friends and colleagues people that i actually know and uh share in a lot of stuff in common to have a conversation about um things that we care about and you know so so you guys can actually be a little bit of a fly on the wall and hear what do people like us actually talk about in in real life and um today i'm actually joined really pleased to have my good friend dr jason fung who's in canada he's an md like me he's a nephrologist um you know kidney kidney guy uh you know i i used to always marvel uh when i was in medical school with the people who do nephrology because the kidney seems simple but it's incredibly complicated and actually controls you know your whole kind of like destiny of how well you do like you can live without a lot of other stuff but your kidneys pretty much you know like you don't have those in good shape you're you're you're you're doomed um uh so anyway i brought uh jason because he's one of these um like me somebody that was trained um in the factory uh but somehow we wound up busting out and realizing that there was so there was a whole other world out there that we had to get in touch with so uh jason uh great to have you uh uh uh great to have chat with you and and um one of the things i wanted to actually talk to you about because you you always i was just telling you before we started taping i went to the mediterranean to do some research for my next book it's on metabolism and i was searching stuff online and i was thinking about metabolism and i was thinking about somehow it was almost like the the the youtube gods actually knew that i was thinking about it and lo and behold they started serving up your videos so i watched a few but um here i was in the summer time in the mediterranean is a beautiful surrounding beautiful environment and i was thinking about this whole idea of fasting so summer i usually have a little bit of a less structured day my summer pattern is very different than my regular school year pattern or whatever you want to call it um and then when you're on vacation a lot of people go on vacation also very unstructured so how do you what like how should i be thinking about summer structuring of of fasting or eating or not eating and how do you do it um yeah thanks for uh having me on first of all william it's great to be here actually and i i love your your uh characterization of the the factory because it really is it's like a mass production um and and and so so yeah the fast thing is something which is very flexible and i think that's really what we're all looking for in the summer like you know if you think about the school year for example you know it's very structured through september to sort of june for for many people and then you sort of let loose in the summer so there's less uh sort of guidelines and stuff and that's where fasting is really really helpful because you don't really have to do it a set way that is you could fast one way and then next week do it a different way and then the week after do it different ways so for example um i went on vacation too uh just recently in greece and um wait you were in greece yeah i was in greece maybe that's why the youtube fed us we were we were at the same maybe we're in the same wi-fi [Laughter] where in greece did you go i went to athens and then i went for a few um a few days in santorini no kidding i was exactly on santorini get out of here i'm at okay now it wasn't youtube it was probably the wi-fi that actually did it i was in athens and i was in santorini i go to this little village called ia uh i don't know if you saw in the summer yeah i went by it was uh i was in which was oh that's a beautiful area with a gigantic walk out with the church on the very end of it uh it's like a little amazing amazing town i think that's the highest spot on that island so we're going to talk okay we're definitely going to talk about what we ate in santorini but tell me about the okay the less structure stuff you want on vacation and how did you handle it so so the thing is that you can do whatever you want right so it's um you know i was with my family there so it was uh you know and some days there was breakfast uh which was included and some days not so the thing about the fasting is that you're not set by any rules so on the days that i had breakfast i don't normally eat breakfast because that's just what i'm used to these days so i don't sort of want it to require but because it's there and you know i had a later breakfast and then that was sort of it's okay because you can make it up on the other side if you want to still keep to that fasting regimen you can eat earlier and then sort of stop eating uh in the afternoon it's very hot anyway so it's it's sort of easy to do i find it a bit difficult to eat too much when it's hot it's i just find everything uncomfortable right so um and i think a lot of people are like that right so that's that's the advantage and then once i got back i just went back into my usual regimen i actually wound up gaining some weight because i was on holidays i was eating a lot of sort of um you know trying all different things some of which were very uh stuff that i wouldn't normally eat for example like like like what would you not what would you not normally eat like baklava it was a classic there of course i'm going to try it right there of course you're going to try it by the way you know the interesting thing about baklava if you were to break it apart you know i think it's besides the butter and super sweet honey i mean there's other good stuff in there like the walnuts and stuff like that so i always i i think that it's it's interesting how some of these desserts you know they start off with them just some good dietary fiber in it but it's got like then pounded with sugar so that's all you'd gain wait tell me how you did this all right look i was we were in the exact same place and i was honestly this is after i watched your videos like it's crazy we could have just like texted each other we could have gotten together and just had a meal together yeah how did so look in greece people eat in a mediterranean in general people eat later that's just that the culture and i would imagine they probably get up you know like still reasonably early in the morning like not not terribly later so what is it like how do you think about because this is literally what i was trying to contemplate like are people who eat dinner late by their culture but still get up to go to work and stuff like that um are they less healthy because they're eating so close to their bedtime or how do we do is there any data like how do you think about that there's there's um there's some data and it's it's but it's very very uh confounded of course because it's all mixed in so not only the timing of the meals but what you eat and how much you eat it's all very much confounded because it's all sort of dictated by that location so is it is it the foods that you're eating or is it the amount that you're eating or is it the timing that you're eating because all of those are actually important factors yeah so just changing one single factor doesn't always change the other factors for example so some of the especially in europe for example like if you look at the portion sizes yes right you know if you're used to american portions you're like whoa this is like half of yeah i'm using that that's just what they eat like and shared food right exactly yeah so instead of getting your own big honking plate of a three inch whatever you know you're getting lots of little pieces of things that you can actually share yeah and and i think that um so that sort of family style eating is is sometimes a little bit better because a lot of times people when they eat they're trained to eat until everything's done so even if you're sort of full there's this sort of well you should just clean your plate like you don't want to yeah you don't want to waste it and of course that's from you know years of sort of you know or post-war messaging exactly and and you know it's expensive and you don't want to waste it right so you don't want to eat whereas the sort of if you're sharing then there's no obligation to finish it because you know and then a lot of times you'll have stuff left over and you'll just pack it or whatever to go but it's not an individual responsibility to sort of finish your plate yeah and that's part of the tradition of a lot of places and if you're less hungry you don't feel so i always thought it's strange because it's like whether you're hungry or not you eat the same amount because it's dictated by your pork by the portion size like if you go to restaurant it's the same portion whether you're hungry or not hungry most people will just finish that it's just sort of human nature um but it really shouldn't be that that doesn't make any sense from a physiologic standpoint if you're not hungry then you should be eating less so what's your what's your tip like how do you do it yourself like i was i was also thinking about this what are the cues that you personally sense when you just say yeah i'm gonna stop i think the best thing is one don't start because i've i and i've had this and i i this is i noticed this more on vacation because my meals are sort of they were more structured because of the environment and you know where you are and stuff and i noticed this few times that there were be times that i wasn't hungry at all i wouldn't you know i would have normally just not eaten like if i was at work you know and i'm not hungry i'm not going to eat and there's no reason to but because i was on vacation for example and other people wanted to eat so then as i started to eat what i noticed which was extremely funny i thought is that i wound up eating like almost a normal meal whereas i actually could have skipped that homie but once you start yeah it's actually very difficult to you know just stop it because that little bit of initial food gets you sort of into that it's sort of changes you from you know not wanting to eat and being full and i'm okay i don't need to eat too hey i'm eating i might as well finish this off finish my meal so it's always strange to me and and i know this this happens to a lot of people too is that if you start you wind up doing the whole thing as opposed to uh you actually i just could have skipped the whole thing now if i was trying to lose a lot of weight for example then it's super detrimental because you're eating you can't lose weight while you're eating so no matter what it is so you know if you're not hungry then don't start and and this is especially true um if you're in a place like greece and there's just other stuff to do like you might want to go hiking or if you're really hot you might want to go for a swim eating is not really what's foremost on your mind because you know there's just other beauty and just because there's three meals a day that we've been socially conditioned to have doesn't mean that you know we're robots to that you know uh they're and you know i think that that's that's such an important point um so when you found yourself eating despite your because of your environment but despite your which you might otherwise do um were you like how did what what are your own cues for for um limiting like stopping like do you do you feel like like how do you get your harahachi bun me like what's your 80 or 50 or whatever stopping point like what's your internal barometer on that i think the the the only thing is just to sort of try and do it mindfully just sort of thinking am i really hungry anymore um and of course external cues do play a big role in that and that's where sort of uh sharing meals is those are the external cues so you sort of gauge how much food is left and you know who's eating a lot then you can sort of scale back what you're eating because you know you see somebody else's is hungry or something like that right and that those are those sort of external cues whereas if you get your own plate then it's like okay i finish this amount of food otherwise i'm wasting um but but really trying to just take it slowly is is the main thing when you're eating too quickly and that's true i think in a lot of cases you wind up one not savoring the food but you wind up just you know you're not letting those satiety signals work before you go um so that's that's the main thing the other thing that's easy of course is that they don't um you know desserts is you you know you just want to stop that very quickly like yes i'll cheat a little bit you know just to just to try some of the local delicious and stuff but you know for most meals i just didn't uh you know if you stop dessert you're sort of like halfway there yeah you know i did the same thing i i somebody gave me some baklava i had like one little fork full of it to just to get the flavor and because i had to enjoy it uh years ago when i actually spent time living in greece during my gap year so i i did my gap year i think you and i talked about this you know and uh on a separate private conversation like before medical school i i went to italy and i went to greece and i was really interested in the culture and how they incorporated food as part of their identity and also how they view this continuum of food and health um and disease altogether um so you know i had eaten baklava before i took a little fork i didn't actually finish it because it was just like two i didn't feel like i needed to finish it so all right so uh that's super helpful like i kind of feel like i'm talking to the to the guy that i should have texted so that we could have actually compared notes while we're eating meal just figure it out all right so tell me was it i've been going into santorini for many years you'd be you'd be horrified how many times not horrified you'd be delighted to know how many times i've been there but um it's one of my favorite places i love the fact it's up on a cliff overlooking the sea um i go to a place that's very quiet and not very crowded and i and i actually hold up to write my next book there um because i needed to just have like peace and and quiet and in a night really an inspiring environment so was there anything there had you been there before no that's my first time okay was there anything that you ate there that was memorable like i always think about when i talk about my trips like something that that some memorable food like what was you what did you have that was memorable and why i think what i really enjoyed there one it was actually everything was delicious but they had this one thing there which was the seafood musaka which i thought was just really nice so musaka is sort of a shepherd's pie type dish right but with eggplant so there's a little bit of meat but there's a whole lot eggplant and i actually love eggplant um uh and then there's usually some kind of potato or something mashed potatoes so sort of like shepherd's pie but with a lot more eggplant in it and i actually really enjoy it it's in a creamy sauce usually and what they did here was that they changed the meat the usually beef or pork to seafood so there's like you know there's shrimp and squid and fish in a sort of tomato sauce with a lot of eggplant still and it was like this was really really good wow it was it was good it was like just a nice fresh taste did it still have a cinnamony flavor to it like um it was a more tomatoey because they changed the sauce to a tomatoey uh base yeah but uh you know it was it was really nice yeah you know so so it still had eggplant so basically i i explained moussaka is kind of like a lasagna you sure propose a good example i think it's like like when i make it it's like a lasagna you alternate layers and you put a little bechamel stuff on top and and one of the distinctive flavors of the traditional moussakas actually they use cinnamon there's cinnamon in it so you get a little bit of a unusual twist of the of the flavor i always found it to be very distinctive and there's a tomatoey thing but um uh i love the idea of trying with seafood uh yeah it was it was really interesting i guess the cinnamon probably wouldn't go so well with this yeah right so it was more of a tomatoey sort of a more bright uh you know yeah the the acid of the tomato sauce and i think a little bit of lemon and stuff so well more bright flavors than you'd see and no bechamel sauce right it's it was more of a tomato based uh sauce but then with the eggplant it really paired really nicely because i think eggplant and tomato sauce actually do play a pair quite nicely yeah well i would have never have thought of eggplant and seafood into a moussaka but i'm gonna go look at my recipe now i'm gonna go i'm gonna go i love this is what i love to do whenever i see something new i'll actually go uh check it out so um i was inspired by did you have any did you just sample any of the fava beans on santorini yeah yeah i had some of that and the tomatoes the local tomatoes that they grow there on the volcano yeah i love the fava beans they they cook them they puree them uh and they put a little bit of olive oil but what i what i thought was really interesting um it's it's basically a bean salad at room temperature it's not warm uh and uh but what they what they served it with that was interesting to me were caper leaves because capers grow wild on santorini and so i had little capers too but but they actually had these like pickled it's probably brined caper leaves uh that also have some of the quercetin and stuff bioactives actually from the capers themselves but it was sort of placed like a layer on top of the fava beans and so i ate them together and i thought it was just a really unusual novel for me uh way of getting two different flavors right so the yeah leaves um they weren't crunchy but they had some texture they had a little bite to it and it was briny uh and the fava beans are very smooth and so you had two different textures and two very different kind of flavors i just hadn't had it together before um i thought that was really uh unusual and then the other thing that i love always on santorini you probably did you try some of those volcanic tomatoes um i don't know if there are they call them local tomatoes so i don't know if they're from the volcano well when they when they grow them locally they because the the volcano soil is parched it's so hot there um that they wind up being really concentrated uh with uh of they're very sweet tomatoes and so i'm actually doing some research now i brought some of the dried stuff back i'm actually going to take a look at the lycopene levels and try to see if i can do some comparison of the dried versions to see uh what's on there what's in there so yeah that's great i love having conversations with friends who have been to the same places about foods um all right so listen just to wrap up i would love to um if you could tell me um so how is there anything like how do you do how do you handle getting back into a healthy eating pattern time wise with jet lag when you come back like how did you handle that yeah that's a really tough one so some people wind up um you know fasting until sort of you get to your destination because you know time zones are there seven hours there's a time difference so you wind up with a huge stretch the great thing about fasting is that you can simply not eat until you get to your destination and then sort of fall back into those things now it's easier obviously for sleeping if there's like an overnight thing but um that's that's sort of the key to a lot of it is um you know and it's almost the opposite of what most people do which is that you get to the airport you're bored so you eat and then you know they serve you meals on the plane so yeah yeah and you're not eating because it's good like you know right meals no kidding that's terrible so that's that's a great like very practical tip like a hack if you're going to be taking a long trip uh and and it's like the trip itself is an opportunity to fast just don't eat the the crappy stuff that that you might otherwise pick up at the airport or that they might try to serve you on the plane or that you might you know somebody might pass you like what that's a that's a great that's really great and then when you get to your destination you can kind of just like uh step right back into the pattern that yeah you step right back into it because obviously the with the time difference and the flight which was like you know 12 13 hours it's everything's all sort of jumbled up and you know but if you if you if you then simply just fall right into the pattern at your destination it makes the jet kind of coming back out of the jet lag a little bit easier so that's that's that's helpful and i suppose if you're jet lagged you don't have to go force yourself to go eat another meal no matter what time it is yeah go to bed go to sleep i mean or stay up until it's time to go to sleep and then just fall asleep but you don't actually have to force yourself uh to eat another meal yeah yeah so you you sort of time that you know your meals with your eating so that you can sort of just leave everything until you get to your destination i love it we you know like this so cool jason like i'm grateful for you as uh you just did like my personal travel consultant for uh healthy timing of eating and we were just in the same place so we know exactly what the travel time is and all that kind of the whole pattern uh thing so look um uh where can people learn more about you uh you can go to my um my website that's dr.jasonfung or you can go to my youtube channel which is under jasonfung and uh yeah you can follow me on twitter um so yeah you can find me there i i you know on youtube i'm putting out videos sort of every week or every other week or so so covering a lot of topics so that's that's a good place to what's your what's your most recent book you want people to know about um the the one i did the most recent one was cancer code which is sort of an exploration of not so much nutrition but more about how cancer develops because i think it's actually really really interesting story of what this disease actually is um so it's more of a scientific exploration rather than a how-to sort of thing it's it's it's about the science yeah i mean i mean that's part of that's part of how you and i got into the work we're doing now is really just curiosity and then poking into it and then we're now we're drawn deeply into it and then you kind of like put on your explorer's hat in your backpack and you're like wade into the jungle to try to figure it all out right so yeah that's right that's so so i i encourage everybody to read the cancer code but you also wrote the obesity code which really gets into how do you actually lose body weight and you know like my next book is really about metabolism so um you know it's a it's fantastic that um uh you know the science is continuously changing and it's really really interesting so for everybody watching check out dr jason fong f-u-n-g his youtube channel is super popular uh and his website and get his book and with that i mean uh by the way if you want to learn more about food as medicine you know which we started talking about um there's so much more please sign up for my newsletter come to my website dr william lee drwilliamleeli.com and you can find me on social i'm on tick tock i'm on instagram facebook twitter my handle is at dr william lee i wrote eat to beat disease there's a lot of stuff on there and now that we've revealed that we both um had a great time uh in greece eating greek food i encourage people to look up uh busaka recipes with eggplant and if you dare and if you eat seafood check out how you would actually make with seafood you've inspired me jason to actually check it out in fact i'm gonna do it right after we get done with this video so cool thanks so much william all right thanks very much cool