Episode Transcript
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0:00
The breakthrough that's happened in the
0:02
field of genomics in the last
0:04
10 years is realizing that chronic
0:06
diseases, cognitive decline, heart disease, diabetes,
0:08
obesity, depression, anxiety, autism, they're not
0:10
because of one gene. You can
0:13
use your genomics to determine do
0:15
they have problems with getting enough
0:17
blood flow to the brain, and
0:19
even within that, is it because
0:21
they don't make enough nitric oxide,
0:24
or is it because they're hypercolagulable?
0:26
Do they have mitochondrial membrane issues?
0:28
Do they? have issues with transporting
0:30
coaling. Your DNA holds the blueprint
0:33
for your health and Dr. Sharon
0:35
Houseman Cohen is the scientist decoding
0:37
it. Harvard trained
0:39
physician, 25 years in integrative medicine,
0:41
co-founder and chief medical officer of
0:44
Intel XDNA, the precision genomics tool,
0:46
unlocking the future of personalized health.
0:48
This particular gene is involved in a couple
0:50
of things. These are the kinds of things
0:52
that you can learn about using Intel
0:55
XDNA. She's not just studying the
0:57
science, she's rewriting the playbook. From
0:59
cognitive decline to cardiometabolic disease, autism
1:01
to the so-called unsolvable cases. Her
1:03
work is helping top physicians crack
1:06
the code on root cause medicine. It
1:08
gives me a more targeted approach. We
1:10
are able to really get to the core
1:12
depth and the breadth of what Intelix DNA
1:14
provides. Intelix DNA isn't just a
1:16
tool, it's a revolution. Dr. Houseman
1:18
Cohen's research is fueling cutting-edge studies,
1:21
including those led by Dr. Dale
1:23
Brettison, proving that DNA-driven medicine isn't
1:25
the future. It's happening now. In
1:27
comparison to other genomics tools,
1:30
intellects is by far the
1:32
best. Longevity seekers, health disruptors,
1:34
the next frontier of medicine
1:37
is here, and Dr. Sharon
1:39
Hausman-Cohen is leading the way.
1:41
I've done gene therapy to
1:43
reduce my age by about
1:45
nine years. Why do you
1:48
think we can't change our
1:50
genetics? You're listening to the
1:52
human upgrade with Dave Asprey.
1:54
master's degree in
1:57
cell biology, and
1:59
your It seems like we've had
2:01
a genetics fetish over the past
2:03
30 years and we discovered DNA
2:05
and we got into all this
2:07
stuff and we all got our
2:09
genetics done and I got a
2:11
report back and it said your
2:13
0.1% strange Russian shamanic tribe and
2:16
you have a 10% increase in
2:18
risk of something that isn't a
2:20
very big risk anyway and it
2:22
was sort of a big yawn.
2:24
How useful are genetics for longevity?
2:26
I think you have to look
2:28
at the right things. And so
2:30
when genetics started, people started with
2:32
pharmacogenomics, people started with cancer genetics,
2:34
and then neutrogenomics came along, and
2:36
all of them had their place.
2:38
But if you're really wanting to
2:40
look at longevity, you have to
2:42
understand cognition. You know, what makes
2:44
up longevity? Heart, bones, brain. And
2:46
you can't just look at one
2:48
gene variant. So it's sort of
2:51
like the bucket of all of
2:53
your genes as useful for longevity?
2:55
Yes, and I think that looking
2:57
at some of the genes that
2:59
are less common, but clinically significant,
3:01
and that's another huge piece, is
3:03
if you just look at genes
3:05
and you're like, okay, I have
3:07
a copy of, I'm going to
3:09
pick on MTR because it's a
3:11
pretty pop gene, well, 45% of
3:13
people have a copy of MTR,
3:15
so how important could that be?
3:17
You know, yes, methylation is important,
3:19
but... If you have somebody that
3:21
has cognitive decline, you can use
3:23
your genomics to determine, do they
3:26
have problems with getting enough blood
3:28
flow to the brain? And even
3:30
within that, is it because they
3:32
don't make enough nitric oxide? Or
3:34
is it because they're hypercuagulable? Do
3:36
they have mitochondrial membrane issues? Do
3:38
they have... issues with transporting coalene
3:40
or but... Wait a minute. Do
3:42
you have my genetic profile? With
3:44
that list, literally I have nitrogoxide
3:46
genes, I have sulfation genes, I
3:48
have MTHFR, I have blood flow
3:50
issues to the brain, and there's
3:52
one other in there. So are
3:54
these common... problems or am I
3:56
just like am I fucked? Well
3:58
some of no no so so
4:00
I'm I'm pretty sure your brain's
4:03
working really quite well pretty happy
4:05
but I think that some of
4:07
them are common so the gene
4:09
that relates to Colleen for example
4:11
it does give you about a
4:13
60% increase risk of cognitive decline
4:15
and that one's fairly common that
4:17
one's like 40% of the population
4:19
but Some of them are common,
4:21
some of them are less common.
4:23
There are gene variants that, so
4:25
the one that relates to mitochondrial
4:27
membranes. It can give you more
4:29
than double the risk again of
4:31
dementia. It's 2.7 times the risk,
4:33
and that one's in like 25%.
4:35
But no one gene causes Alzheimer's.
4:38
And I think that the breakthrough
4:40
that's happened in the field of
4:42
genomics in the last 10 years
4:44
is realizing that chronic diseases... cognitive
4:46
decline, heart disease, diabetes, obesity, depression,
4:48
anxiety, autism, they're not because of
4:50
one gene. They're not sickle cell
4:52
or tasex. They're because of a
4:54
combination of gene variants interacting with
4:56
each other, but also with diet,
4:58
lifestyle, the environment, and together by
5:00
understanding the components, you can then
5:02
improve these specific things that may
5:04
run in your family or that
5:06
you're at risk for. I'm a
5:08
friend who's been on the show
5:10
and been an inspiration for me
5:13
is a Bruce Lipton. A cell
5:15
biologist turned biology of belief, epigenetics
5:17
guy, and some people have noted
5:19
that biohacking, when I first defined
5:21
the word, it's a restatement of
5:23
epigenetics, particularly around longevity, and epigenetics
5:25
being the environment, affects chains. Can
5:27
you separate epigenetics from genetics? I
5:29
think epigenetics is an answer to
5:31
genomics or genetics. And so if
5:33
you think of your, so genetic
5:35
diseases are ones that are inherited,
5:37
you know, mom has one copy,
5:39
dad has one copy, you get
5:41
it. But genomic issues are things
5:43
that are small changes in your
5:45
DNA that increase your risk for
5:48
something, but they're not what we
5:50
call pathogenic. They don't cause it.
5:52
And epigenetics is how we respond
5:54
to it. So let's take T&F
5:56
Alpha. So there's lots of different
5:58
kinds of inflammation. But T&F Alpha
6:00
causes leaky blood brain barriers. It
6:02
causes leaky blood gut barriers. And
6:04
some people make much more T&F
6:06
Alpha because they have an overactive
6:08
promoter. So if you have a
6:10
gene variant that makes that T&F
6:12
alpha promoter four to five times
6:14
more active, you can't change it.
6:16
Your promoter is kind of hyperactive.
6:18
But what you can do is
6:20
use things, diet and lifestyle, to
6:23
decrease the transcription and kind of
6:25
slow the transcription and the expression
6:27
of T&F alpha down, and you
6:29
might need that more than someone
6:31
else. So lion's main mushroom is
6:33
great for T&F alpha. even chili
6:35
peppers is really good for T&F
6:37
alpha, sulforaphane, and there's many different
6:39
things. And so the way that
6:41
I think of epigenetics is how
6:43
do we respond to our genome
6:45
to say, oh, nothing I can
6:47
do about it. Well, that's not
6:49
the biohacker way. It's like, let's
6:51
understand it and become empowered by
6:53
it because there's so many things
6:55
that can help your longevity and
6:58
how do you know which ones
7:00
are right for you? Rizzveritrol can
7:02
increase the expression of clotho, which
7:04
is an important longevity gene, but
7:06
if you're already the high clotho
7:08
type of genotype, that may not
7:10
be the most important thing for
7:12
you, even though it's important for
7:14
many people. So with genes, if
7:16
you have both alleles and it's
7:18
MHFR, you know that whatever environmental
7:20
things you do, you're not going
7:22
to turn off a gene when
7:24
it can't be turned off because
7:26
it's all you have, right, and
7:28
you can't turn on something that
7:30
isn't isn't isn't present. So epigenetics
7:33
has great power, but what you
7:35
can do and what I do
7:37
is, well, I know that my
7:39
body will over-produce this. or under
7:41
produce it. Therefore, I will block
7:43
it, right? And it becomes complex
7:45
at one level, but if you
7:47
look at symptoms, like I've, for
7:49
most of my life, I've had
7:51
really strong muscle tension between my
7:53
shoulder blades, upper back, to the
7:55
point in my 20s, it felt
7:57
like a candle burning there. And
7:59
it was a lot of pain,
8:01
like probably seven out of 10,
8:03
just all the time. And some
8:05
of this has to do with
8:08
liver and toxins, and I get
8:10
rid of those. But ultimately for
8:12
me, it's a catacolamine issue and
8:14
the way my body makes things
8:16
like adrenaline and cortisol and no
8:18
adrenaline. And I finally figured it
8:20
out and some of its genetic
8:22
and if I take the right
8:24
substances, I am golden. I have
8:26
no muscle tension and I have
8:28
no pain in my body. I
8:30
could have done that, you know,
8:32
geez, 40 years ago, had we
8:34
had the right genetic screening and
8:36
understood the pathways. Now we understand
8:38
those things. but I didn't do
8:40
it with genetics, I just did
8:43
it with symptoms. How far along
8:45
the path are we of using
8:47
genetics to be able to turn
8:49
off symptoms? Like are we a
8:51
third of the way? Are we
8:53
all the way? I think it
8:55
depends on what topic. We're making
8:57
great headways in certain fields. Because
8:59
I came from a neuroscience background,
9:01
we do a lot of neuroscience
9:03
with Intellix DNA, which is the
9:05
company where I had the research.
9:07
So we do a lot, we've
9:09
done a lot with cognition, a
9:11
lot with autism, a lot with
9:13
mental health. But we also, in
9:15
uncovering the foundations of all of
9:18
health, looking at the detox pathways
9:20
extensively and inflammation and many other
9:22
things, we actually have surprisingly been
9:24
able to help a lot with
9:26
pain. Patients where they're pain, you
9:28
can have three patients, your pain
9:30
maybe because you have all this
9:32
high adrenaline, different genes, and there's
9:34
a lot of different adrenergic receptors
9:36
and compte and such, but I
9:38
had a patient and she literally
9:40
was limping in and she was
9:42
a photographer and she said that
9:44
by the end of the day,
9:46
she would have to crawl. up
9:48
her stairs because she was in
9:50
so much pain. Wow. And in
9:53
her, and she really wasn't somebody
9:55
who wanted to do 20 things.
9:57
And in her genomics, it became
9:59
really clear that she had something
10:01
called factor two, which gives you
10:03
increased fibrinogen, which makes it so
10:05
you don't get enough blood flow.
10:07
Yep. I had that. She did
10:09
not transport B12 into her brain
10:11
or CSF well. And that's pretty
10:13
common. That's about 18% of the
10:15
population. TCN2, but then she also
10:17
had seven times the risk of
10:19
gluten intolerance. And she had a
10:21
few other things, but just by
10:23
having her get rid of gluten,
10:25
adding some picnogonol and lumbrokines to
10:28
address the vibranogen, and B12, in
10:30
four days, she was able to
10:32
literally run up the stairs, and
10:34
she hadn't done that for years.
10:36
But then there was another patient.
10:38
And she's a makeup artist and
10:40
she would get pain in her
10:42
arms and muscle cramps and dropping
10:44
things. And for her, the secret
10:46
was she couldn't make co-cutin, but
10:48
also couldn't recycle co-cutin to its
10:50
antioxidant form, to the UVQH form
10:52
or vitamin E. So for her,
10:54
getting rid of her pain was
10:56
vitamin E and UVQH. And again,
10:58
for you, it was things that
11:00
lower your cortisol. So I think
11:03
that... Oh, you had low cortisol.
11:05
Yeah, I had to increase nor
11:07
adrenaline. Oh, okay. So difficulty converting
11:09
like dopamine to nor padrennour adrenaline
11:11
or such. Yeah. And so there's
11:13
everybody is different. And so I
11:15
think that genomics can take us
11:17
a long way towards getting well,
11:19
but the science is still in
11:21
its infancy. So we have a
11:23
list of 100 different topics that
11:25
we're working on that actively, but
11:27
there's hundreds and hundreds and hundreds
11:29
more. It feels like to me
11:31
maybe we're 10% of the way
11:33
into this knowledge. I think that
11:35
that's reasonable. And so what we
11:38
do is we start with the
11:40
common things. I'm not going to
11:42
start, someone asked me if I
11:44
would work on, you know, it
11:46
was something that, oh, it was
11:48
a lipidemia. nothing wrong with helping
11:50
people with lipidemia, but it's not
11:52
common. And so I'm like, well,
11:54
we're still working on fertility and
11:56
heart disease and diabetes and cognitive
11:58
decline. And so we'll put it
12:00
on the list, but it's not
12:02
happening in tomorrow. You're a longevity
12:04
doctor and I don't know if
12:06
you read my longevity book or
12:08
not, but I said, look, there's
12:10
these big four killers and subsequent
12:13
books in the space have called
12:15
them the horsemen of the Apocalypse.
12:17
I didn't do that felt a
12:19
little bit too alarmist, but... It's
12:21
heart disease, it's cancer, it's Alzheimer's
12:23
and its diabetes. And if we
12:25
just handle those things, then you
12:27
get to the weird people like
12:29
me who have 18 different weird
12:31
genetic pathways. And I honestly think
12:33
I would be disabled. I bought
12:35
disability insurance when I was 26,
12:37
because I'm like, so many things
12:39
don't work and the doctors are
12:41
useless and maybe out of, I
12:43
don't like to hurt all the
12:45
time and feel dumb. I struggled
12:48
my way out of it and
12:50
I'm lucky that I made a
12:52
bunch of money in my 20s.
12:54
I lost it. But I managed
12:56
to figure out the combinations and
12:58
learn the pathways. I didn't do
13:00
it genetically. I did it via
13:02
systems biology and understanding this leads
13:04
to this, leads to this, and
13:06
there's a blockage here. And it
13:08
was a lot of work and
13:10
no one should ever have to
13:12
do that. A.I. is pretty good.
13:14
But now that we have the
13:16
type of work you're doing with
13:18
genetics, I have the ability to
13:20
say well. Here's the top three
13:23
things that make my life not
13:25
as good as I want it
13:27
to be. Maybe it's brain fog,
13:29
right? Maybe it's pain, and maybe
13:31
it's the arthritis I was diagnosed
13:33
with when I was 14, or
13:35
it's low energy, right? And when
13:37
people come through at upgrade labs
13:39
and they do a survey, so
13:41
well, what matters do you? Was
13:43
it cognitive function or longevity? You
13:45
got to pick one, and like,
13:47
why don't I want both? I
13:49
mean, yeah, do them, do them,
13:51
do them, and I do them,
13:53
and I want both. I want
13:55
both. Right, and I can say,
13:58
well, all right, I want to
14:00
look at this report through the
14:02
lens of let's not hurt anymore,
14:04
or I want my brain to
14:06
not keep forgetting words. And how
14:08
do you guide people? people though
14:10
and they get a report to
14:12
know like this is the one
14:14
that matters for you. Well that
14:16
was actually one of my goals
14:18
as well. So people would come
14:20
to me bringing their 23 and
14:22
me and say I've got a
14:24
family history of Alzheimer's or I've
14:26
got macular degeneration in my family
14:28
or heart disease or whatever it
14:30
was and there was no tool
14:33
out there that mapped out by
14:35
topics that we as human beings
14:37
as well as physicians want to
14:39
think about. So the way that
14:41
we use genomics is genomics is
14:43
in our cognition and memory report,
14:45
for example, we'll put together all
14:47
the gene variants that increase and
14:49
decrease the risk of Alzheimer's or
14:51
cognitive decline by at least 20%.
14:53
Some of them may be 200%,
14:55
some may be 80%. And then
14:57
we'll look at what does the
14:59
gene variant do, and then what
15:01
does, what can you do to
15:03
modulate that with diet, lifestyle, supplements,
15:05
medications, medications, but additionally, because I'm
15:08
a functional medicine physician, physician, physician,
15:10
physician, physician, detox, inflammation, extensive detox,
15:12
extensive inflammation, lots of pathways, nutrients,
15:14
GI, and usually if you address
15:16
those foundational gene variants and then
15:18
you look at the ones associated
15:20
with the specific diseases, you'll find
15:22
answers. But some of the people
15:24
who've been diagnosed with Alzheimer's, their
15:26
gene variants aren't in Alzheimer's pathways.
15:28
They're in brain ischemia pathways, things
15:30
that affect oxygen or in things
15:32
that affect the myelination of the
15:34
nerves. white matter changes. So we
15:36
went broad and then we started
15:38
using it with doctors, physicians across
15:40
the country, showed that we can
15:43
get results of improvement in cognition,
15:45
and then we went to the
15:47
next topic. And so we built
15:49
it by topic. And so that's
15:51
what we're saying. We now cover
15:53
a good 40 or 50 common
15:55
topics, but we don't cover. every
15:57
single esoteric disease state that someone
15:59
could have. And I think that's
16:01
okay because most people, even if
16:03
they feel really well, if you
16:05
dig in... They do have several
16:07
esoteric things. They just don't rise
16:09
to the level of importance that
16:11
it's worth dealing with. Well, and
16:13
also there's overlap. So I had
16:15
a colleague who has strong family
16:17
history of multi-systems atrophy. Scary. Yeah.
16:20
And but there's not, we hadn't
16:22
mapped that out. But when we
16:24
went into his genomics, he had
16:26
so many oxidative stress pathways that
16:28
I was then like, well, this
16:30
is a big part of what's
16:32
going on in your family. and
16:34
then people who have autoimmune pathways.
16:36
So there's different specific interleucans, inflammatory
16:38
molecules, as well as T&F Alpha,
16:40
that increase the risk for leaking
16:42
gut barriers and autoimmune disease. So
16:44
we're finding by using the principles
16:46
of functional medicine, we're optimizing the
16:48
human beings that even have issues
16:50
that we hadn't thought of, and
16:52
we'll continue to add more. I'm
16:55
actually really excited about this state
16:57
of what we can do with
16:59
DNA. Do you worry that if
17:01
you have a 23 in me
17:03
or something like that? Well, you're
17:05
not really getting the full human
17:07
genome. As far as I can
17:09
tell, I was one of the
17:11
first maybe thousand people to have
17:13
my full human genome mapped maybe
17:15
back in 2013 or something. And
17:17
it's just a big binder of
17:19
crap. I don't know what to
17:21
do with that. But how important
17:23
is a full sequencing? And what
17:25
are people actually getting when they
17:27
think they're getting them full sequencing?
17:30
That's a really great question. So
17:32
a lot of people have done
17:34
either whole genome sequencing or whole
17:36
exome sequencing, and then they get
17:38
the results and they're like, this
17:40
wasn't useful. So it's not about
17:42
quantity, it's about quality. Because most
17:44
of the whole genomic sequencing products,
17:46
they're using a tool that reports
17:48
on the pathogenic gene variants, because
17:50
they can't report on everything. There
17:52
are, you know, a few million
17:54
SNPS that have been associated it
17:56
with something in the literature. So
17:58
they're filtering for genes that have
18:00
been labeled by the NIH, National
18:02
Health Institute, as pathogenic. And that's
18:05
a problem because most of the
18:07
things that we care about, longevity,
18:09
again, all the chronic illnesses, those
18:11
aren't caused by pathogenic genes. So
18:13
I feel like they're not particularly
18:15
useful tools. And so with, again,
18:17
with the genomics that we are
18:19
doing, we don't report on a
18:21
million SNPS. What would you do with
18:23
it? We report on 700 SNPS,
18:26
but there are ones that have
18:28
been highly curated. to be very
18:30
highly clinically significant and associated with
18:32
these common things. Because what I
18:34
want to know when I'm working
18:37
with the patient is if they have
18:39
a family history or they have a high
18:41
blood sugar or a family history
18:43
of diabetes, tell me the five
18:45
biggest contributing factors. Do they not
18:47
make inkerton well? Well, then I'm
18:50
going to use the inkerton memetics,
18:52
the GLP ones, whether it's the
18:54
oral ones or the different injectable
18:56
ones. I'm going to give them
18:58
way protein because that helps you
19:01
make more inkerton. Or do they
19:03
have a channel that doesn't let
19:05
insulin in? Or do they have
19:07
a different regulator that affects their
19:09
mitochondrial biogenesis affects insulin? So on
19:12
and on and on, I want
19:14
something that's actionable. So even though
19:16
we've gotten to become a society
19:18
well more is better, I actually think
19:20
taking an intelligent approach to the
19:23
genomics and saying, let's... take the
19:25
most important things, address them first,
19:27
the most clinically significant, let's figure
19:29
out how to address them. And
19:31
that's been a lot of my
19:33
area of research is going, how
19:36
can we address them, and then
19:38
see what the results are. And we're
19:40
having, again, good results. So it's a
19:42
different approach. I bet we'll have to
19:44
do your genomics and you'll see the
19:47
difference. I'll come in. You're here in
19:49
Austin. So we should have done that
19:51
before and so we could talk about
19:53
my report. This is getting, I
19:55
would put this in the
19:57
realm of biohacking, it's just
19:59
exceptionally. focused and detailed and
20:01
I'm gonna look at like the
20:03
NIH genes for disease well avoiding
20:05
diseases is cool but how many
20:07
super power genes has NIH labeled?
20:09
No. That's not their goal. No,
20:12
that's not their goal. So you'll
20:14
find out you know if you're
20:16
a carrier for Duchane's muscular dystrophy
20:18
or cystic fibrosis and you'll find
20:20
out a lot of rare genes
20:22
but that's not their goal to
20:24
help the average person and so
20:26
if you're already 10 or 20
20:28
or 40 or you know, whatever
20:30
age you are, if you had
20:32
a pathogenic a pathogenic gene variant
20:34
causing a rare disease that was
20:36
like dominant where it was causing
20:38
it, you probably would have figured
20:41
that out. You know, if your
20:43
child is born and they're seizing
20:45
and there's all kinds of funny
20:47
things about them, that person needs
20:49
whole genomic sequencing and a geneticist.
20:51
If you are, you know... I've
20:53
done okay in life but my
20:55
brain's not as sharp as I
20:57
want it to be and my
20:59
blood sugar is still a little
21:01
bit high even though I try
21:03
to exercise and eat well and
21:05
there's a family history of heart
21:08
disease and I get depressed every
21:10
now and then are anxious. That's
21:12
genomics because genomics is the science
21:14
of small changes in your DNA
21:16
that by themselves are not disease
21:18
causing but together along with diet
21:20
lifestyle and the environment can be
21:22
and each other can be disease
21:24
contributing. and can be addressed. You've
21:26
probably heard that mitochondria make the
21:28
energy in your body that you
21:30
use to be yourself. And you
21:32
might have heard that damaged mitochondria
21:34
are a primary cause of aging.
21:36
In fact, I wrote a New
21:38
York Times best-selling book on longevity
21:41
about how I'm going to live
21:43
to at least 180 and mitochondria
21:45
are at the very, very center.
21:47
And I use something called urolithin
21:49
A in the form of timeline.
21:51
to support my goal to reach
21:53
at least 180 years. you and
21:55
I are going to live way
21:57
longer than anyone expects. And for
21:59
me, timeline is a part of
22:01
my strategy because I know that
22:03
if I have young mitochondria, I
22:05
will have the energy of youth
22:07
for as long as I want
22:09
it. This is something that is
22:11
our human birthright. So go to
22:13
timeline.com/Dave and get 10% off your
22:15
first order of mightopur. There's a
22:17
new technology for improving your performance,
22:19
improving how your cells work. And
22:21
it's pretty cool. It's working at
22:23
the quantum level. Now, I've had
22:25
all kinds of people send me
22:27
quantum ballpoint pens and all sorts
22:29
of nonsense because people abuse the
22:31
quantum word, but there is convincing
22:33
evidence that reality is based on
22:35
quantum systems. We know for a
22:37
fact that your brain is a
22:40
quantum system, and there's a few
22:42
studies that support that and all
22:44
kinds of science. So it makes
22:46
sense that you can use quantum
22:48
stuff. to affect biology, except that
22:50
sounds like a really hard thing
22:52
to do. Well, enter my friends
22:54
at Lila Quantum Tech. They make
22:56
biohacking tools that actually make waves
22:58
in scientific circles because you'd almost
23:00
think they couldn't work, except in
23:02
dozens of studies, they do work.
23:04
And they've got a range of
23:06
cool products, like necklaces that harmonize
23:08
the energy around you. I actually
23:10
brought those in for my employees
23:12
across all my companies, because I
23:14
think it's worth it. and the
23:16
Lila quantum block that you can
23:18
use to charge items with quantum
23:20
energy. In these randomized double blind
23:22
studies, which is the gold standard,
23:24
Lila's products improve blood quality and
23:26
heart rate variability, and heart rate
23:28
variability is also at the core
23:30
of biohacking because it's a sign
23:32
of how well your body recovered.
23:34
I use my Lila quantum tech
23:37
pretty much all the time in
23:39
one form or another, and I
23:41
can feel the difference. You can
23:43
get 10% off your order by
23:45
going to lilaq.com/Dave. I know it's
23:47
a big claim. to say that
23:49
something works by quantum, and I
23:51
love it that they back up
23:53
their claims with real world. results.
23:55
You have to believe it works,
23:57
you can measure it. I've done
23:59
gene therapy to increase my fallest
24:01
talent levels and reduce, for the
24:03
average person, reduce my age by
24:05
about nine years. It's great. I
24:07
want to change my genome to
24:09
be more highly functional. How soon
24:11
can I do it? Well, I
24:13
think there's two levels to that
24:15
question. So unless you have access
24:17
to crisper, you can't actually... change
24:19
your genome. Everyone has access. I
24:21
mean, Jay Zainer has been on
24:23
the show. I think I've known
24:25
Jay for a long time. I'm
24:27
one of the first people to
24:29
do CRISPR editing at home. A
24:31
very controversial. I mean, any of
24:34
us have CRISPR. But what you
24:36
can do, so I actually went
24:38
to college with Jennifer Doudna, so
24:40
I'm not going to try to
24:42
do home CRISPR. I'll let. I'm
24:44
not recommending that for anyone. For
24:46
real. But what we can do,
24:48
and that's really, some of this
24:50
work is really understanding that, yes,
24:52
you can't necessarily change your DNA,
24:54
but if you understand your DNA,
24:56
you can change transcription and expression.
24:58
So really what we're doing is
25:00
taking the knowledge of our DNA
25:02
to change how much of it
25:04
goes into proteins. When part of
25:06
how this work started, we were
25:08
working on, we were working already
25:10
on cognition and cardiac and kind
25:12
of adult neuroscience and lots of
25:14
other things. And I was at
25:16
a conference that PLMI that Jeff
25:18
Blent had hosted that was. Jeff,
25:20
he's been on the show. Yeah.
25:22
It was for thought leaders on
25:24
genetics and genomics and a colleague
25:26
of mine from Australia who had
25:28
her first degree molecular biology and
25:31
then got into genetics and nutrition
25:33
as her second PhD. was because
25:35
her child was born with autism.
25:37
And she was like, and the
25:39
child, well her child wasn't born
25:41
with autism. Her child developed autism
25:43
around age two and she's like,
25:45
well, if what we've been doing
25:47
in diet, environment, exposure to inflammation,
25:49
etc., could trigger this, then we
25:51
can figure out how to untrigger
25:53
it. I reverse my autism. It's
25:55
a hell of a lot of
25:57
work, but it's doable. Absolutely, we
25:59
have hundreds and a hundred, well
26:01
thousands at this point of children
26:03
that their score, their ATEC score.
26:05
has gone from the autistic range
26:07
back into the normal. Because why
26:09
would a disease go from one
26:11
out of every thousand or even
26:13
10,000 children to one out of
26:15
every 35 in one lifetime? Well,
26:17
it's because of the interactions. So
26:19
I don't think you can actually
26:21
change, you know, if you're swabbing
26:23
somebody, their DNA sequence will be
26:25
the same, but you can certainly
26:28
change their phenotype, how they feel.
26:30
They don't have to be depressed
26:32
anymore or have brain fog. Why
26:34
do you think we can't change
26:36
our genetics? Well, the actual DNA,
26:38
the code? Why not? Well, that's
26:40
kind of like, usually if you're
26:42
changing, how would you change the
26:44
DNA in every cell in your
26:46
body? I'm talking about changing the
26:48
code, not just the expression. Yeah,
26:50
I'm not changing the code, not
26:52
the expression. Well, every cell in
26:54
my body gets refreshed about every
26:56
seven years, right? Maybe some stuff
26:58
in the bones a little bit
27:00
longer than that. And some of
27:02
the cells turn over every 48
27:04
hours. So what's stopping us? I
27:06
think it's just a different, I
27:08
think that we're talking about similar
27:10
things, but a little different. I
27:12
do think we can change how
27:14
our DNA affects us, but I
27:16
think that if I were to
27:18
code... What's the law hanging through?
27:20
Let's put on our future as
27:22
half. Science fiction here. I think
27:24
that I think you would have
27:27
to figure out how to get
27:29
into every cell in the body,
27:31
or maybe you would just change
27:33
it with some kind of... I
27:35
mean, that's how viruses work, actually,
27:37
as they do change our DNA.
27:39
So I guess you're right, there
27:41
are things that can happen that
27:43
change your DNA. I'm not sure
27:45
that all of them are good.
27:47
No, I'm not sure. I'm not
27:49
sure they're all good either by
27:51
a long shot. We know a
27:53
lot of our non-coding DNA came
27:55
from viruses and there. Liz Paris
27:57
has been on the show and
27:59
I know a project she's working
28:01
on around using viral vectors to
28:03
introduce beneficial changes to our DNA,
28:05
by the way, with full informed
28:07
consent and not doing it to
28:09
people via mosquitoes and ticks and
28:11
all the weird shit that dark
28:13
people are thinking about. I'm actually
28:15
thinking it's possible and I've already
28:17
made temporary changes to my genetics
28:19
using a miniscircle technology where I've
28:21
instructed the cells in my body.
28:24
Use this new code to make
28:26
this longevity protein, but that's only
28:28
good for a couple years, right?
28:30
And then those cells die and
28:32
they don't pass it on. And
28:34
I'm thinking, all right, I know
28:36
that I have dysfunctional pathways here,
28:38
and maybe we get a signal
28:40
in, so only some of my
28:42
cells are better off than they
28:44
were before as they get refreshed.
28:46
Is this even in the realm
28:48
of possibility? I think that it
28:50
hasn't been something that I've worked
28:52
on. So my response, for example,
28:54
to something again, so like the
28:56
number one longevity proteins, clotho, Foxo3,
28:58
ApoE2 is actually a benefit for
29:00
longevity, so ApoE4 is kind of
29:02
negative, is to say, okay, if
29:04
we know, so you take the
29:06
person who feels like they're aging
29:08
too fast and you do their
29:10
genomics and you find out that
29:12
they have, they're in the 2%
29:14
of the population that's really low
29:16
clotho, Well, we can do things
29:18
to increase their expression of it,
29:21
even down to exercise. Aerobic exercise
29:23
is great for clotho, but anaerobic
29:25
is not. So weightlifting is not
29:27
good for those people. If they're
29:29
going to do it, they need
29:31
to sandwich it between aerobic. That's
29:33
where Rizveratrol works, to help, because
29:35
sertuents, clotho, clotho, and clotho interact.
29:37
I mean, even the people who
29:39
are kind of hacking longevity and
29:41
it won't work. So you want
29:43
to understand some of the foundations
29:45
for each person and I think
29:47
that your your interest in changing
29:49
And do they, it's very interesting,
29:51
I've been approaching it by going,
29:53
well, what do we know? I
29:55
mean, there's, you even, you know,
29:57
we know that clotho makes it
29:59
so people, it regulates all the
30:01
other anti-accident pathways. So talking to
30:03
someone about increasing spiralina in their
30:05
diet, if they are very low
30:07
clotho, so that they can have
30:09
more anti-accidants, decreasing oxidative stress, not
30:11
smoking's pretty obvious, so. It's fascinating.
30:13
I looked at cloth that was
30:15
one of the most important proteins
30:18
when I wrote my longevity book,
30:20
which is superhuman. And you couldn't
30:22
buy anything to do it. We
30:24
didn't know as much when I
30:26
wrote that, except there was one
30:28
probiotic that made a lot of
30:30
it. So I illegally imported that
30:32
from Japan. And I'm like, okay,
30:34
maybe that's the way. But now
30:36
we know a lot more. And
30:38
soon we'll be able to increase
30:40
clotho probably with some of these
30:42
gene therapies. Right. In the meantime,
30:44
like I'm saying, just change your
30:46
lifestyle. But if you don't know
30:48
you're weak, you wouldn't know. And
30:50
this is what your company does,
30:52
right? Right. Because again, you and
30:54
I, we could probably say supplement
30:56
Jeopardy and list a thousand different
30:58
supplements and how they work. But
31:00
what most people want to know,
31:02
some of bioheckers, they might be
31:04
willing to do 20 different things,
31:06
or people who really want to
31:08
optimize longevity or brain health. But
31:10
most people want to know. If
31:12
I'm going to do five things
31:15
or 10 things, what are the
31:17
top 10 of diet lifestyle supplements,
31:19
nutrients, nutrients? You mean they're not
31:21
the same for all of us?
31:23
Yeah. I would argue that probably
31:25
the top two are the same
31:27
for the vast majority of people.
31:29
It would be a broad spectrum
31:31
mineral supplementation just so your genes
31:33
could have the zinc and all
31:35
the other things they need to
31:37
do their thing and the fat
31:39
soluble vitamins. But even that some
31:41
people have a vitamin D blockade,
31:43
they need more or whatever, right.
31:45
Right, right. There could be very
31:47
different levels needed. So there's about
31:49
9% of the population that don't
31:51
make this carrier for vitamin D,
31:53
this GC protein, and they need
31:55
about 50,000 I use of vitamin
31:57
D a week to... their levels
31:59
in that 40 to 60, whereas
32:01
somebody else might only need 14,000
32:03
a week to keep it at
32:05
the same levels. And you can
32:07
test vitamin D levels, but when
32:09
you understand why someone needs more,
32:11
it just helps you come up
32:14
with a kind of a lifelong
32:16
plan, so that you're not going,
32:18
why am I needing so much? Or
32:20
some people, again, their peripheral thyroid levels
32:22
can look great. But it's a different
32:24
gene that converts T4 to T3 in
32:26
the brain than it is in the
32:28
periphery. So if you know that about
32:31
yourself, then, and your hypotheroid, or
32:33
even if you're just kind of
32:35
subclinical, you're going to want a
32:38
supplement or a prescription that has
32:40
T3 in it to keep your
32:42
brain optimal. But for somebody else,
32:45
they don't need that. It's so fascinating.
32:47
We just didn't understand this stuff for
32:49
so long. And you see people walking
32:51
around and their doctor says, oh, you
32:53
know, your vitamin D, you know, take
32:55
the US RDA. I had been one
32:58
of those in my early 20s and
33:00
I'm fortunate that I got
33:02
invited to run a non-profit
33:04
longevity group and suddenly Dr.
33:06
Cannell from the vitamin D research
33:08
institutes there, I got my blood tests.
33:10
Turns out I have the genetics, I
33:12
need 15,000 I use a day to
33:14
keep my levels at about 90. Yeah,
33:17
so you probably don't make it and
33:19
break it down more quickly and don't
33:21
have that carrier protein. And that can
33:23
be huge. You had said that when
33:25
you were younger, you had pain. That
33:27
is a huge factor for pain, because
33:30
vitamin D's job is to turn things
33:32
off. And so one of the things
33:34
that turns off is inflammation. It also
33:36
turns off auto-immunity. It also turns off
33:38
cells going rogue, which is why it's
33:41
so important for cancer. So every single,
33:43
there's so many pathways that are so
33:45
important to our overall longevity, our
33:47
overall health and well-being. I believe
33:49
that we all have a right to any
33:52
information about what's going on in our biology
33:54
and that nowhere in the Constitution does
33:56
it say that anyone has the right to
33:58
limit my access to that. information and I
34:00
didn't hire any regulators to do that or
34:03
even empower them to do that. It feels
34:05
like a power grasp. If you could provide
34:07
the reports direct to consumers right now without
34:09
somebody saying you're not allowed to do that
34:11
would you do it? Yes but we would
34:14
also provide training. Okay. But it would be
34:16
you know one of the things is even
34:18
Even our physicians, so Dr. Breton, which many
34:20
of your listeners probably know who don't Breton's.
34:23
He's been on the show, he's a friend.
34:25
Yeah, I love Dr. Breton's work. In their
34:27
research, they're using our report, our brain optimization
34:29
report, because it helps them get where they're
34:31
going for optimizing. But even the doctors who
34:34
are at the top of their game doing
34:36
research. we want to train them so that
34:38
they get the most out of the report
34:40
because most of us, whether it's a person
34:43
on the street that's a computer programmer or
34:45
a physician, we didn't get the study of
34:47
genomics in our education. So we can really
34:49
help by helping kind of get good education
34:51
as well. Yesterday I went to ChatGPT, the
34:54
latest model, and I said, hey, if I
34:56
upload my genomics report, can you... help me
34:58
out with mthf r and it said absolutely
35:00
i can identify all the snips and i
35:02
can tell you what's going on or what
35:05
to do about it Isn't that enough training?
35:07
Well, let me tell you, I was working
35:09
on where we are about to release our
35:11
women's health and fertility report. Oh, it's so
35:14
good. It's really exciting. It's very, very exciting.
35:16
Are you working on that? Are you working
35:18
with Anne Shippey on that? Yeah. Well, Anne
35:20
is writing a book on fertility, and we've
35:22
talked extensively about the genomics, so she can
35:25
include some of that in her book, and
35:27
she uses on genomics. But it is exciting.
35:29
We can talk about that we can talk
35:31
about that because we can talk about that,
35:34
because we can talk about that, because we
35:36
can talk about that, because we can talk
35:38
about that, because it, because it's the whole.
35:40
you know, assisted reproductive technology. That was my
35:42
first book was on fertility and Dr. Shipi's
35:45
been on the show close friend doing preconception.
35:47
I love it that you guys are working
35:49
together. Yeah, and oxidative. stress and coagulation and
35:51
so many things, nutrients all relate, but one
35:54
of the things is we were working on
35:56
using, we were talking about chatGPT, and so
35:58
I was working on that and I thought,
36:00
well what happens if I pop this gene
36:02
that's supposed to be relating to hormones and
36:05
hot flashes into, and I used one of
36:07
the tools that's supposed to be one of
36:09
the better ones for science for AI, and
36:11
It came up with completely wrong information that
36:14
thought it was a gene related to hypertension,
36:16
giving me all these things. Enough that I
36:18
was like, let me just go double check,
36:20
you know, making sure I didn't type the
36:22
number wrong. I didn't. So you do have
36:25
to be a little careful because it might
36:27
have a lot of information on common gene
36:29
variants, but it thought that this gene that
36:31
related to hormone transformation related to hypertension. And
36:34
I'm like, hmm, we're not quite there yet.
36:36
So that's my comment. We're not quite there.
36:38
I'm not ready to turn my health care
36:40
decisions over to CHATGPT yet. I'm 100% with
36:42
you. I find it's a better guide than
36:45
most Americans get in the three minutes they're
36:47
going to have with a GP. However, it's
36:49
not that good. And if you were to
36:51
train your own AI, which you're probably already
36:53
doing, so that you could better help the
36:56
physicians who you've trained. the next three years
36:58
of medicine is going to be your doctor
37:00
working with an AI that's trained on a
37:02
specific set of things so that the combination
37:05
of the healer and the data and the
37:07
analytics and the patient and the condition becomes
37:09
very different. Yes. So if we can and
37:11
I think that is where medicine is going
37:13
where we can filter what data set we
37:16
want the AI to learn from so that
37:18
we know that it's so again one of
37:20
the things we're proud of at italics DNA
37:22
is we have. 20,000 references in our report.
37:25
And so it's all evidence-based, actionable from what
37:27
this gene variant does to the interventions. Well,
37:29
if we can train a computer, of course,
37:31
to help keep all those references in mind
37:33
and keep the whole thing, yes, that'll make
37:36
it a lot. faster so
37:38
that somebody can be
37:40
like okay well kind
37:42
of help me go
37:45
through this report and
37:47
find everything that relates
37:49
to infertility or miscarriage
37:51
and you know count
37:53
me synthesize it and
37:56
I do think that's
37:58
the future of medicine
38:00
using personalized medicine tools
38:02
genomic tools labs and
38:05
using computers to help
38:07
us come to conclusions
38:09
a little faster than
38:11
our brains can work
38:13
or at least the
38:16
most of us can.
38:18
And then we use
38:20
the computer to 3d
38:22
print new DNA that
38:25
snort that goes in
38:27
and rewires all the
38:29
problems right? Maybe
38:31
in our great grandchildren's. We can
38:33
always hope. All right what about
38:35
mitochondrial DNA? What do you do
38:37
about that? So the mitochondria are
38:40
interesting and just in case most
38:42
of your listeners probably know that
38:44
mitochondria are that extra I call
38:46
it the backup power source so
38:48
you wouldn't plug an important computer
38:50
into a shoddy electricity source food
38:52
is a really shoddy energy source
38:54
for a human because evolutionarily you
38:57
might go a long time without
38:59
it. So mitochondria can take our
39:01
oxygen and you know different nutrients
39:03
and things and make energy. So
39:05
mitochondria have their own DNA they
39:07
don't have very many of many
39:09
genes in a mitochondria but there's
39:11
also genes in the human genome
39:14
that affect the mitochondria's DNA. And
39:17
we right now sequencing the actual
39:19
mitochondria's DNA is a little harder.
39:21
So we do a lot of
39:23
we have a few of the
39:25
mitochondrial genes we don't have all
39:27
of them but we do have
39:29
some of the important ones like
39:31
cox1 affects cognition and that's mitochondrial
39:34
but we also have things like
39:36
mitochondrial membrane gene variants that are
39:38
actually in the human genome. One
39:40
of the mitochondrial membrane gene variants
39:42
is kind of the neighbor to
39:44
APOE4 on chromosome 21 and so
39:46
you we have some of that
39:49
but I do think that mitochondrial
39:51
membrane mitochondrial medicine is a huge
39:53
topic not taught in medical school.
39:55
I had to learn it I
39:57
learned it when I started to
39:59
work with the autism world because
40:01
it's really important there. But it's important for
40:03
Parkinson's. It's important for people who have mold-related illness. So anything
40:06
chronic ultimately seems like metaconder
40:08
are at least involved, if not
40:10
causal. Absolutely, and I think that it's
40:12
because there are so many things that
40:15
damage your mitochondria. So I always tell
40:17
my patients that the big A's damage
40:19
your mitochondria. Antibiotics, which so many of
40:21
us get, aging and anesthesia. And
40:23
then in addition to it, we
40:25
know that mold doesn't start with
40:27
A, but it also is a
40:30
big mitochondrialochondrial insult causes insults, and
40:32
then there's many other things. So
40:34
I do think that we need
40:36
to pay attention to mitochondria, especially
40:38
people with anything brain or energy
40:40
related. I would totally agree that
40:42
it's been a big focus for
40:44
me. And one of the areas
40:47
that I believe that you'll end
40:49
up doing... is looking at the
40:51
mismatch of mitochondrial DNA and nuclear
40:53
DNA. And for listeners, nuclear DNA
40:55
is your DNA from your entire
40:58
cell. And then the mitochondrial DNA,
41:00
I think of it like the wiring of
41:02
the cell. So if you have the
41:04
building plans in your DNA for a
41:06
warehouse, but then you get the wiring
41:08
plan for a restaurant, like they don't
41:10
match very well. Is there anything where we're
41:12
going to be able to do about that?
41:15
Well, again, I think that what I'm
41:17
trying to do with my research. is,
41:19
and some of it's not using genomics,
41:22
some of it's using, there's other mitochondrial
41:24
tests, but help people understand where
41:26
is the fault. So if it
41:28
is, so if it's the p-par
41:31
pathways, which people think of as
41:33
diabetes pathways that relate to mitochondrial
41:35
biogenesis, that might be pushed by
41:37
alphilippoic acid, but if it's the
41:40
mitochondrial membrane proteins, that might be
41:42
benefited by giving things that the
41:44
membranes need to repair like phosphatatal
41:46
colon and... Ethnolomy, mine, different kinds
41:49
of things for different causes. And
41:51
so I like to say, what
41:53
can I do to get the
41:55
best understanding possible? Methylene blue can
41:58
help with Cox 1. CoQ10. can
42:00
help bypass some of the electron
42:02
chain. And I think that we used
42:04
to kind of take a disease state.
42:07
This was how medicine was. Take this
42:09
topic of depression or cognitive decline or
42:11
anything. And psychists very significantly does this.
42:14
Okay, we'll give the diagnosis and
42:16
then this is our first line. This
42:18
is our second line. This is our
42:20
third line. And when I'm trying to
42:23
do, whether it's mitochondrial or whether it's
42:25
again a disease state like depression, is
42:27
go, well, I don't care. about all
42:30
the components that we might address,
42:32
I want to know for this person
42:34
how important are these specific components. You
42:36
were talking about MTR and that is
42:39
important for depression because without it, it's
42:41
not just about turning genes off, it's
42:43
also about making serotonin, making norphinephrine, but
42:46
a lot of people don't realize
42:48
that there is a sister to MTR
42:50
called BH4, tetrahydrobyopterin. And for people, you
42:52
know, for the 4% of the population
42:55
who don't have, don't make enough tetrahydra
42:57
biopteran because of their genomics, you can't,
42:59
we've had people where their depression, anxiety,
43:02
ADHD, PMS, goes away after years
43:04
or decades because now they know how
43:06
to address it. And that's a supplement?
43:08
Mm-hmm. Yeah. What's it called? What's it
43:11
called? It's called pteridine-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T-T- D-I-N-Teridine-4 I think,
43:13
or Separopteran. I know that New Beginnings
43:15
is one company that has it. There's
43:18
sometimes the compounding pharmacies also can
43:20
make it, but then you need a
43:22
prescription. That's cool. Yeah. The tetra hydro
43:24
family, because we're getting a little nerdy
43:27
here, it seems like those quite often
43:29
aren't supplements. I've been particularly interested in
43:31
tetra hydrofolate. When I wrote that first
43:34
fertility book, I'm like, well, if
43:36
you don't want a kid with autism,
43:38
because I was concerned I had it
43:40
and didn't want to pass on to
43:43
my kids, said you might want to
43:45
supplement with phalanic acid. And it's different.
43:47
than methyl folate and it's different than
43:50
foli casa which I don't think
43:52
should be on our food supply and
43:54
shouldn't. We can talk about that. It's
43:56
actually a huge detriment but we'll go
43:59
on to the phalanic acid first. Right
44:01
and this is the only way you
44:03
can get it unless you're eating a
44:06
lot of liver or maybe a
44:08
lot of romaine lettuce. A lot of
44:10
romaine lettuce. So like what do you
44:13
do and the funny thing is When
44:15
people have a poor reaction to creating,
44:17
like they can't sleep, it's usually because
44:20
you didn't have enough of this. And
44:22
it's an unknown supplement. But if
44:24
you're pregnant or you have a brain
44:26
that just needs it, getting that form
44:29
of folates important. How you get to
44:31
know? Probably knowing your genetics would be
44:33
helpful, right? So yes. So in our
44:36
genomics, there is a gene, FOLR1, a
44:38
folate, and again, the thing is
44:40
that I don't have all the numbers
44:42
memorized. I can say a gene, but
44:45
they're particular variants. So you can't just
44:47
go, well, do I have this gene?
44:49
Everyone has every gene. I'm sorry. You
44:52
talk about cognitive function longevity, and you
44:54
haven't memorized all the numbers in
44:56
the entire human genome? Memorized all two
44:58
billion RSIDs. But there are about 11%
45:01
of the population that have a gene
45:03
variant in their folate receptor. And to
45:05
go, again, I'm going to take the
45:08
nerdiness and bring it, dial it
45:10
back. You can't take folic acid, which
45:12
is the artificial folate that they're putting
45:14
in breakfast cereals and flour, that actually
45:17
can't cross the blood brain barrier. In
45:19
fact, it can gum up the blood
45:21
brain barrier and make it so your
45:24
methylpholate and phalanic acid don't cross
45:26
well. Well, most people can use methylpholate,
45:28
and that's their best brain source for
45:30
making their serotonin and norphinephrine and all
45:33
of their neurotransmitters, but 11% of the
45:35
population... have a variant that makes them
45:37
not transport methyl folate well. It's a
45:40
smaller percentage, only about 2% that
45:42
have two copies of the FOLR1 variant.
45:44
They need phalanic acid because that uses
45:46
a different carrier. So there's a second
45:49
carrier called the reduced folate carrier and
45:51
the phalanic acid bypasses the... receptor, that
45:53
FLLR1 receptor and uses the other one.
45:56
So these are the kinds of
45:58
things why genomics is so exciting. So
46:00
having an FOLR1 receptor variant, even one
46:02
copy of it, more than doubles the
46:05
risk of autism because getting enough folic
46:07
acid, whether it's methylpholate or phalanic, because
46:09
they can switch back a little bit.
46:12
super important to the brain. And
46:14
in the autism world, one of the
46:16
most common things for children who are
46:18
not speaking, our non-verbal, is to give
46:21
them methyl B12 and phalanic acid, and
46:23
it can do wonders, because you can
46:26
also get an autoimmune brain disease, autoimmune
46:28
antibodies against the folate receptor that
46:30
creates the same kind of thing where
46:32
you have then a brain, a cerebral
46:35
folate deficiency. But yeah, there's so much
46:37
science. And when people ask me what
46:39
I do, I say, my job. is
46:42
to take everything out in the literature,
46:44
that all this different information in
46:46
the literature that is published and make
46:48
it accessible so people can use it
46:51
to improve their health. Because I'm like
46:53
you, I'm a nerd. It's super cool.
46:55
In fact, another guy's been on the
46:58
show, another Austin guy, you probably know,
47:00
Brandon Crawford. just posted something about,
47:02
look, I'm fighting phalanic acid is reversing
47:04
autism and a lot of the kids
47:07
and he makes the 528I laser, they'll
47:09
be at the Biohiking Conference in May
47:11
28th, Biohacking conference.com guys, 4,000 people filling
47:14
up the Fairmont here in town. And
47:16
I'm going, okay, this is really
47:18
interesting and I look at my own
47:20
history. I have spina bifida. A cultist,
47:23
which about 20% of people have, and
47:25
it sounds all fancy. And if you
47:27
remember that movie, you know, it's one
47:30
of the bifidas. Remember that? Was that
47:32
Ricky Bobby? Anyway, that made me
47:34
laugh. But spinnabifidas, when there's a folate
47:36
deficiency, I didn't know, that made me
47:39
laugh. But spinnabifidas, when there's a folate
47:41
deficiency, I didn't use whatever. No symptoms.
47:43
not a big deal, but it means
47:46
that I likely have the genetics. And
47:48
so for me, getting my levels
47:50
correct has been a bit of hidden
47:52
myths. I know I have the issue.
47:55
But what happens when someone takes an
47:57
excessive amount of methylfolate? Well, you know,
47:59
methylfolate has been studied in pretty high
48:02
doses. So again, I don't know, it
48:04
depends on, if you take a
48:06
lot of methylfolate and you don't have
48:08
enough B12. you may get symptoms because
48:11
you're kind of pulling from other pathways.
48:13
So that's kind of the methylfolate steel-type
48:15
issues. And so some people don't do
48:18
well when they get large amounts.
48:20
But then there were studies done using
48:22
15 milligrams of methylfolate and people with
48:24
depression, and not only were there no
48:27
side effects, it was very effective. I've
48:29
never really, you know, again in the
48:31
autism world where you have to first
48:34
address B12, you know, if you
48:36
have someone and you give them either
48:38
phalanic acid or methylphalate and they get
48:41
hyper or they don't do well, I
48:43
always say take it back and look
48:45
at some of the other nutrients, but
48:48
some of the genes that relate to
48:50
spina bifida, for example, their homocysteine
48:52
and methylation related genes, MTR, MTR, MTR,
48:54
MTR, MTHFAR, there's lots of M's and
48:57
T's. And so those people might need
48:59
more and they also might do better
49:01
decreasing the folate, the artificial folates in
49:04
their diet, not using those processed cereals
49:06
because again you want to get
49:08
it into the spinal cord, but they
49:10
also need some of the genes also
49:13
require them to have... more colon or
49:15
more betane. And so I think it's,
49:17
some of them have B6 as cofactors.
49:20
Some people need more rapidly than. Yeah.
49:22
Right. And knowing that about myself
49:24
has created huge improvements in longevity, cognition,
49:26
energy, health, and it's taken a lot
49:29
of time and a lot of trial
49:31
and error because we didn't know all
49:33
the pathways now. And I. Like if
49:36
I could go back in time, if
49:38
I could choose when to have
49:40
all the crap wrong with my biology,
49:42
if I was 19 years old today,
49:45
I'd be like, you know what? Mom,
49:47
dad, I need some help, you know,
49:49
it's gonna cost me a few thousand
49:52
dollars in diagnostics. And I'm gonna cost
49:54
me a few thousand dollars in
49:56
diagnostics. And I'm gonna cost me a
49:58
few thousand dollars in diagnostics. And I'm
50:01
going to figure a few thousand dollars
50:03
in diagnostics. And I'm going to cost
50:05
me a few thousand dollars in diagnostics,
50:08
in diagnostics, in diagnostics, diagnostics, in diagnostics,
50:10
in diagnostics, and diagnostics, and diagnostics,
50:12
and diagnostics, and diagnostics, and diagnostics, and
50:14
diagnostics, and diagnostics, and diagnostics, and diagnostics,
50:17
and diagnostics. Here in Austin at our
50:19
patient facing practice for resilient health, we've
50:21
swabed children as young as two or
50:24
three weeks. I mean, that's not common.
50:26
That's not our typical patient. But
50:28
we have patients where they've helped themselves.
50:30
We had a woman who had been
50:33
unable to get pregnant. She had a
50:35
bad AMH, which is a fertility score,
50:37
failed IVF twice. She had MS. She
50:40
hired a surrogate. Her surrogate got pregnant.
50:42
She actually, the surrogate ended up
50:44
miscaring, but meanwhile we optimized her genomics.
50:46
She now has two healthy children. But
50:49
those are many people, I think most
50:51
people's children are precious children, but she
50:54
then was like, I want you to
50:56
tell me the roadmap for how I
50:58
can raise these children to have
51:00
the lowest risk of autoimmune disease and
51:03
the best health. So we swabbed her
51:05
kids when they were little and then
51:07
came up with a plan. And I
51:10
think that it's ultimately, I think that
51:12
we can improve the health. of
51:14
any person, of any age, by understanding
51:16
some of the most important things for
51:19
them to address. Some people, again, have
51:21
very different needs than others. I am
51:23
somebody who needs more B12 than other
51:26
people, but I also, you said, you're
51:28
low cortisol. I'm a very high
51:30
cortisol person. You probably wouldn't have guessed.
51:32
You know, high energy, high adrenaline person.
51:35
So for me... I wish I had
51:37
Ashwaganda when I was going through high
51:39
school. Right. You know, it made a
51:42
huge difference to me as an adult
51:44
because it let me lower my
51:46
cortisol 30% but you can't do everything
51:48
with trial and error and so people.
51:51
they're getting diagnosed with ADHD, they're getting
51:53
diagnosed with anxiety, instead of labeling children
51:55
adults, let's look at what's going on
51:58
and just address it. There's always a
52:00
reason for it. It's funny, I
52:02
actually just take cortisol. But like, just
52:04
the way some people take thyroid, my
52:07
body literally makes very little cortisol and
52:09
knowing that about myself is just amazing.
52:11
But the genetics behind that are not
52:14
ones that normally get tested. It's most
52:16
likely in the RCCX thing. If
52:18
you looked at RCCX. So we have,
52:20
so that also can relate to mold
52:23
and we do have some early research
52:25
with that. It's not one that we
52:27
have odds ratios for yet. I don't
52:30
think anybody does. And I think that
52:32
that's one of the problems when
52:34
you're creating. We're trying to start with
52:36
the things, we do have like the
52:39
ability to kind of like a research
52:41
tool, but in our formal report, we
52:43
haven't put RCCX yet because we don't
52:46
have odds ratios yet. But we do
52:48
have it on our radar. And
52:50
for me, it was, oh my gosh,
52:52
I have this one gene that stops,
52:55
what was it, dehydration progesterone, from converting
52:57
to cortisol, my liver doesn't do that.
52:59
Like, oh, that explains a huge number
53:02
of things that happened in my life,
53:04
not to mention all the other
53:06
things. Now, if you're listening to this,
53:09
you're like, Dave, you sound like you're
53:11
a train wreck. Pretty much biologically, yes.
53:13
Which is why if I can extend
53:16
my life and I can be 5%
53:18
body fat with a highly functional brain
53:20
and do all the stuff I've
53:22
done as a 300 pound autistic, you
53:25
know, pretty broken human as a young
53:27
person, it should be easier for you.
53:29
And it should be a lot more
53:32
affordable for you. And now that we
53:34
have tools. Like the ones we're talking
53:36
about today, it's kind of the
53:38
golden age to have a chronic illness
53:41
because there are specific things you can
53:43
do because even 10 years ago, we
53:45
didn't know these pathways, did we? No,
53:48
no. And one of the things to
53:50
put it in perspective, the human genome
53:52
wasn't sequenced till 2000 and... And
53:54
I think the final was 2003, was
53:57
we got the human genome sequenced and
53:59
it was the cost of close to
54:01
$3 billion. And so even after it
54:04
was sequenced, it took a couple decades
54:06
because for these genes, like when
54:08
I was talking about the one that
54:10
relates to tetrahydrobyopterin, we're about to publish
54:13
a paper because we have enough cases
54:15
of people that have benefited from this.
54:17
That two copies is 4%. So how
54:20
many people would you have to screen?
54:22
Well, if it's going to cost
54:24
thousands and thousands and thousands of dollars
54:26
to run someone's genomics, doing studies on
54:29
the less common genes was cost prohibitive,
54:31
and that's why the literature is exploding
54:33
now. So we started out, I remember
54:36
teaching about MTH of R. 15 years
54:38
ago I was talking about it
54:40
to people with depression and all kinds
54:42
of things because it was easy to
54:45
find people who had it and it
54:47
was you know it was so common
54:49
but now the literature is exploding and
54:52
what I want to know is I
54:54
want to know some of those
54:56
gene variants that I have that are
54:58
only in 2% 5% 7% because sometimes
55:01
they're the most impactful and that's what's
55:03
so exciting about this decade is that
55:05
literature is is exploding. It's exploding and
55:08
I think AI is going to make
55:10
it take less time than we
55:12
all think it will in order to
55:14
find like that weird thing. And it
55:17
could be even worse. Saying, well, I
55:19
have the COMT gene and I have
55:22
an MTHFR gene, but the combination of
55:24
those two with this other thing that
55:26
no one ever thinks about, like
55:28
that gives you a third eyeball syndrome
55:31
or whatever. No one's ever going to
55:33
see that, but I think AI will.
55:35
Well, and that's some of what our
55:38
research has done. Now, AI helps our
55:40
research team now because we still have
55:42
to vet everything. But we started
55:44
in 2016, and we were the first.
55:47
tool that I know of that looked
55:49
at combinations. So let's talk about APOE4
55:51
combinations because that's huge. Oh yeah, I
55:54
want to go. Well first, what is
55:56
APO versus APO2, APO3, APO4? So, okay,
55:58
so APOE is the gene name.
56:00
APO-like approach. E. And it is a,
56:03
it's a lipid carrier, but it also
56:05
relates to amyloid processing, but the apoee
56:07
protein also interacts with 1,700 promoters. That's
56:10
a big deal, given that we only
56:12
have about 3,000 genes that have been
56:14
identified. This interacts with all these
56:16
other genes, genes that relate to your
56:19
BD&F brain drive, you know, what I
56:21
call the fertilizer for the brain. Genes
56:23
that relate to hormones. So people who
56:26
have APOE2, they're the lucky ones that
56:28
make more APOE, it's really a gene
56:30
that just kind of upregulates your
56:32
APOE production, and they're going to have
56:35
actually 40% lower risk of getting Alzheimer's
56:37
and cognitive decline. APOE3 is what most
56:39
of us have two copies of it,
56:42
and that's the normal amount of APOE.
56:44
And then apoee for individuals, their apoee
56:46
is funky and there's less of
56:48
it. So the apoee protein should look
56:51
like this because of this one molecule
56:53
that got, that one amino acid that
56:55
got changed, it gets a cross-link, so
56:58
it looks like an A instead. So
57:00
it doesn't work well. So it doesn't
57:02
turn on and off all the
57:04
genes that's supposed to. And it causes,
57:07
again, problems with longevity, with sertuens. It
57:09
causes problems with growth factors for the
57:11
brain, with inflammation with inflammation, with inflammation
57:14
for the brain, inflammation, inflammation. However, in
57:16
overall, if you look at all
57:18
APOE4s together, it gives about 3.2 times
57:20
the risk of Alzheimer's with one copy,
57:23
14 times the risk with two. What
57:25
is the normal risk of Alzheimer's? It's
57:27
a good question because it gets muddled
57:30
with so many other kinds of dementia.
57:32
But ultimately... it is the most
57:34
very common cause of death. Like 20%?
57:37
Yeah, about 20% of people will have
57:39
cognitive decline when they get into their
57:41
late 70s or 80s. 14 times 20%
57:44
is more than 100. How's that work?
57:46
No, 14 times the risk compared to
57:48
someone who's in April 3.3. Okay,
57:50
got it. So everybody, there's a lot
57:53
of people who... they learn they have
57:55
a boy four, they get all scared.
57:57
Well, that's what drove us to better
58:00
map out the combinations because if you
58:02
have a boy four and 75% of
58:04
people who have a boy four
58:06
also have the mitochondrial membrane issues, that
58:09
together gives part of the risk, but
58:11
then there's a gene, it's called beautical
58:13
in esterace, if you don't have that.
58:16
30% of people who have apoe4 don't
58:18
have that BCAG gene variant, then your
58:20
risk gets cut in half. So
58:22
it's really only, so it's really 1.7
58:25
times the risk instead. Well that's a
58:27
huge difference. And then there's ones, there's
58:29
a T&F alpha, there's things that relate
58:32
to detox, there's all kinds of genes
58:34
that interact, and one area of our
58:36
research is to empower apoe4 individuals.
58:38
to say, hey, I might have APOA-4,
58:41
but it's not only about APOA-4, what
58:43
do I have with it and what
58:45
do I not have? So they can
58:48
truly decide what makes sense to help
58:50
optimize their brain health. And I have
58:52
APOA-4-4 patients in my practice, one
58:54
who's 81 years old, who's still in
58:57
the 92nd percentile for cognition. And so
58:59
it doesn't have to be this, oh
59:01
my gosh, I'm going to not have
59:04
my brain when I'm 80. You just
59:06
have to work at it. She works
59:08
at it. So you know what
59:10
it is, and then you block all
59:13
the appropriate pathways. When people get a
59:15
blood test, and they say, oh, you
59:17
have high apolipo protein levels, that's dangerous,
59:20
it's a genetic thing, you should go
59:22
on drugs, what do you think about
59:24
that? So I think there's a
59:26
lot of different apoproteins, and I think
59:29
you're talking a lot about the lipidology
59:31
with cardiac and some of those as
59:33
well. And I think that we're getting
59:36
more knowledge than that. So it's not
59:38
just what your LDL is, whether or
59:40
not you have cardiac risk. It's
59:42
your LDL oxidized, what are the size
59:45
of your particles. And so I think
59:47
that we need to throw out... medicine
59:50
from 30 years ago? Oh yeah, all
59:52
that. And bring it into the current
59:54
century. Yeah, I'm going to look at
59:57
my levels really quick here and
59:59
we'll just talk about that. Because I
1:00:01
don't care about the cholesterol stuff unless
1:00:03
it's oxidized or there's evidence. And small
1:00:06
particles. And it also depends on what
1:00:08
quality your endothelium is in. And so
1:00:10
many other things. There are people
1:00:12
who get more vascular inflammation. There's people
1:00:15
who build up calcium. So again, with
1:00:17
heart disease, there's really like 10 things
1:00:19
I like to know at least. What
1:00:22
are they? I like to know if
1:00:24
somebody has like LP Little A because
1:00:26
it can affect microclotting. There are
1:00:28
gene variants that affect calcification. I think
1:00:31
that's really important because if calcium builds
1:00:33
up in your arteries that's that increases
1:00:35
your risk of abdominal aortic aneurysms but
1:00:38
also premature heart disease. I like to
1:00:40
know some of the couple of inflammatory
1:00:42
pathways that combined with each other
1:00:44
can make you have up to four
1:00:47
or five times the risk of heart
1:00:49
disease. I like to know Compte, actually,
1:00:51
because those people who have the slow
1:00:54
compte that get the high adrenaline, they
1:00:56
need to be a little bit careful
1:00:58
about the super high adrenaline if
1:01:00
they have other cardiac risks because they
1:01:03
have more sudden cardiac death. Those are
1:01:05
some of the ones. There's things that
1:01:07
relate to haptoglobin type, which is important
1:01:10
if you have sugar. Well, there's a
1:01:12
haptoglobin. I know a lot. That's a
1:01:14
new one on me. So haptoglobin
1:01:16
was first popularized. by a cardiologist and
1:01:19
another physician named Baylandonine. And they showed
1:01:21
that if you're this certain haptoglobin type,
1:01:23
2-2, and you have high blood sugar,
1:01:26
it gives you a dramatically higher risk
1:01:28
of heart disease. And the reason I
1:01:30
care about it is, one, keeping
1:01:32
those people's blood sugar is really important,
1:01:35
but vitamin C is super important for
1:01:37
people who have the more detrimental haptoglobin
1:01:39
type. So there's just so many fun
1:01:42
things. And even Apoee can affect cardiac
1:01:44
risk. There's a marker in blood that
1:01:46
just, they call it apolipo protein.
1:01:48
And it's, you want somewhere between like
1:01:51
50, it goes up to like 200.
1:01:53
You're talking about apolipoprotein B? Yeah. So
1:01:55
talk about that in the context of
1:01:58
risk, because there are people out there,
1:02:00
one person in particular I'm thinking of,
1:02:02
who says, you can't extend human
1:02:05
life, but I'm a longevity doctor. And
1:02:07
it's like, if you have that, you
1:02:09
have to go on drugs right away,
1:02:12
go on statins, go on statins. And
1:02:14
it, is that a risk factor? Or
1:02:16
is that a risk factor? Is it
1:02:19
causal or is it just there?
1:02:21
It's a marker for small protein, for
1:02:23
a small LDL. So I think of
1:02:25
our lining of our arteries, it's called
1:02:28
the endothelial lining, and there's a lot
1:02:30
of things that affect making it healthy.
1:02:32
But between the cells, because they're kind
1:02:35
of like pavers on a sidewalk,
1:02:37
there's cracks. And if you have lots
1:02:39
of small particles, especially if they're oxidized,
1:02:41
they can go between the cracks. So
1:02:44
if you have a very high apobe,
1:02:46
that means you've got lots of small
1:02:48
particles. a one cup measuring cup and
1:02:51
you have little teeny pebbles in
1:02:53
it versus marbles you can fit a
1:02:55
lot more pebbles it's more dangerous so
1:02:57
it's a marker that you might pay
1:03:00
more attention to your other cardiac risk
1:03:02
factors if and it's a gene variant
1:03:04
if you have the gene variant that
1:03:07
makes you have the smaller apo
1:03:09
bees and you and again there are
1:03:11
things you can do one of the
1:03:13
things is to keep your endothelial lining
1:03:16
healthy there's different things that you can
1:03:18
do so the cholesterol so the macrophages
1:03:20
don't take up the cholesterol that
1:03:22
have to do with inflammation and to
1:03:25
me it's just one piece of knowledge
1:03:27
I wouldn't have I wouldn't have thought
1:03:29
of that as someone's main cardiac risk
1:03:32
to be honest I wouldn't either and
1:03:34
Paul Saledino and I talked about it
1:03:36
when he was on the show
1:03:38
and and there's one person out there
1:03:41
who's like no you have to go
1:03:43
on stands right away if you have
1:03:45
that and it seems alarmist I think
1:03:48
that the more tools we give patients,
1:03:50
that we give clinicians, that we give
1:03:52
cardiologists, the less they'll focus on
1:03:54
cholesterol. There's a molecule that most people
1:03:57
have never had checked in their blood.
1:03:59
blood that's soluble ST2 and it's kind
1:04:01
of the anti-inflammatory marker for the heart
1:04:04
and I'm much more concerned about the
1:04:06
person who instead of having their anti-inflammatory
1:04:08
cardiac pathways attached to the heart
1:04:10
muscle has it floating that's due to
1:04:13
a gene we look at that I'm
1:04:15
more concerned about that than I am
1:04:18
about cholesterol typically because that's been associated
1:04:20
with 4.9 times the risk of heart
1:04:22
disease and heart failure and you're going
1:04:25
to work on it with inflammation.
1:04:27
So I think it's about, let's take
1:04:29
a personalized approach to human health and
1:04:31
longevity. You said something really important. I
1:04:34
take 150 supplements a day. I've disclosed
1:04:36
a bunch of stuff on myself. I've
1:04:38
had people offer me tens of thousands
1:04:41
of dollars to go into my
1:04:43
supplement. room where I have all the
1:04:45
shelves all stuff I take so they
1:04:47
can copy me. And I'm like, don't.
1:04:50
You'll probably get a headache and disaster
1:04:52
pants. This is carefully designed from my
1:04:54
biology with dozens of longevity doctors and
1:04:57
functional medicine doctors and years of
1:04:59
research. And it seems absurd to recommend
1:05:01
that. So you have to say, well,
1:05:03
what are your goals? What are the
1:05:06
problems you have? Do you want to
1:05:08
live a long time? Do you want
1:05:10
your brain to work better? you come
1:05:13
up with almost like a counterbalance.
1:05:15
It's a dance. So I see people
1:05:17
out there saying, well, here's my 55
1:05:19
ingredients and my longevity thing. And they're
1:05:22
not even targeted at one pathway. I
1:05:24
love multi-formulas that do one thing. But.
1:05:26
What do you think about this? Are
1:05:29
these... So when someone comes into
1:05:31
me on 100 supplements or 50 supplements
1:05:33
or even 25, I say, let's start
1:05:35
with your genomics. Yes. And let's get
1:05:38
a better understanding of you, let's get
1:05:40
an understanding of what things you've noticed
1:05:42
about yourself and your body, what is
1:05:45
in your family and your genomics,
1:05:47
and let's build a protocol starting from
1:05:49
scratch. Not that there aren't going to
1:05:51
be things that you're already on that
1:05:54
we would, but let's at least start
1:05:56
by going, what's the most important. That
1:05:58
way, and again, somebody who has, I
1:06:01
mean, I have some patients that
1:06:03
have, because we do a quite a
1:06:05
bit of brain in our practice, who
1:06:07
have pretty bad genomics for cognitive decline.
1:06:10
And I tell them, if you're in
1:06:12
APOE44 and you're already having some
1:06:14
memory problems, we can help you, but
1:06:16
we're not helping you with three supplements.
1:06:19
You are going to have to do
1:06:21
more with diet lifestyle and supplements.
1:06:23
But I think that depending on
1:06:25
someone's health, being able to prioritize... can
1:06:28
be very beneficial because you are a
1:06:30
very disciplined person. There are a lot
1:06:32
of people who are like, I'm happy
1:06:34
to do seven things, I'm happy to
1:06:37
do 12 things, I'm happy to do
1:06:39
20 things. There are very few that
1:06:41
can do 100, so I feel like genomics
1:06:43
as well as labs and history is
1:06:46
a tool that can help you say,
1:06:48
okay, what if I were only going
1:06:50
to take a certain number of things
1:06:52
and not just supplements? Also, what foods
1:06:54
should I add? I mean, there's definite,
1:06:56
as I mentioned, like, chili peppers are
1:06:58
really great for T&F Alpha, but
1:07:00
for someone who's got all this
1:07:03
oxidated stress pathways with catalase, then
1:07:05
we might be doing more of
1:07:07
the antioxidant foods with spiralingen and
1:07:09
the allergies. For somebody else, with
1:07:12
some of the detox pathways, some
1:07:14
of them you regulate with pomegranate
1:07:16
juice and some you regulate with
1:07:18
vitamin C. I tell people that
1:07:21
genomics can be really helpful as
1:07:23
somebody wants to optimize longevity because
1:07:25
it lets you take your desire
1:07:27
to optimize longevity and make
1:07:30
a more focused protocol. And
1:07:32
then you can use testing. There's
1:07:34
a lot of biomarkers that you
1:07:36
can use to look at your
1:07:38
overall health. You're, you know, whether
1:07:40
you use glycanage or telmer length
1:07:42
or on and on, there's so
1:07:44
many markers. I use a lot
1:07:46
of CNS vitals, which is a
1:07:48
cognition test that also looks at
1:07:50
processing speed, visual memory, verbal memory,
1:07:53
do a baseline, then let me
1:07:55
optimize your brain or work with
1:07:57
a doctor that can use genomics
1:07:59
to opt. your brain and see how
1:08:01
the numbers do. Let's get data. I
1:08:03
love looking at outcomes there. And I
1:08:06
just, I worry that you take a
1:08:08
50 plus ingredient, a blend of whatever.
1:08:10
It's too little of everything. It's too
1:08:12
little of everything. Or, you know, maybe
1:08:14
it's a couple scoops of it. Problem
1:08:17
is, like, oh, you don't handle that
1:08:19
supplement at all. Or this one is
1:08:21
not enough for you. So what I
1:08:23
find is most of the time, people
1:08:26
are getting... not the results expected because
1:08:28
at least one ingredient wasn't right for
1:08:30
them. The personalization is important. You could
1:08:32
do it with genetics, which is your
1:08:34
approach. You could also do it with
1:08:37
metabolomics. What's the difference between genetics and
1:08:39
metabolomics? How do you know what to
1:08:41
use? That's a great question. So one
1:08:43
of the issues with metabolomics is what
1:08:46
it is, is the idea that we're
1:08:48
looking at some genetic expression. So what
1:08:50
in your metabolism. The reason that the
1:08:52
area of weakness for metabolomics is brain
1:08:54
health. And again, I started out doing
1:08:57
my PhD in neuroscience, so I always
1:08:59
am thinking about the brain. Because the
1:09:01
blood brain barrier, I don't think metabolomics
1:09:03
helps as much with things that are
1:09:06
cognitive. Because you can have, like in,
1:09:08
they've shown this in autism studies, you
1:09:10
can have a child that has 45
1:09:12
times the normal amount of T&F alpha
1:09:14
in their cerebral spinal fluid. but their
1:09:17
blood levels might only be minimally high
1:09:19
because something got into their brain and
1:09:21
is inflaming their brain. So I think
1:09:23
that metabolomics has its place and a
1:09:26
lot of people say, oh, it's better
1:09:28
than genomics. Things aren't better or worse.
1:09:30
They have different purposes, but even for
1:09:32
something like osteoprosis, and I consider bone
1:09:34
health part of longevity, you can't get
1:09:37
at everything going on your bones with
1:09:39
your blood. So anything that's from a
1:09:41
blood draw. is kind of a blood
1:09:43
biopsy and there's limits to what it
1:09:46
can help. So it has its place.
1:09:48
I don't use it a lot in
1:09:50
my practice to be honest because I
1:09:52
find genomics more useful. I'm a huge
1:09:54
fan of... more data is better and
1:09:57
let the computer sort it out. I've
1:09:59
had great learnings from metabolomics especially in
1:10:01
combination with my gut bacteria. Yes, gut
1:10:03
bacteria is definitely one where you definitely
1:10:06
need not genomics because you're not talking
1:10:08
about your DNA, although there are genes
1:10:10
that make you more prone to getting
1:10:12
more colonized with yeast and getting more
1:10:14
and having a worse immune system and
1:10:17
your first kind of gut exposure. I
1:10:19
agree that there are definitely areas that
1:10:21
you need other data. Yeah, so just
1:10:23
if you're listening to this and like
1:10:26
I have lots of money and I
1:10:28
really want to live a long time
1:10:30
and I'm into this longevity thing, you
1:10:32
probably need to know what's going on
1:10:34
in your gut, right? That's important. You
1:10:37
need to have, I believe, a metabolomics
1:10:39
report, like a viome sort of thing
1:10:41
to know what's actually going on in
1:10:43
there. And then also you need a
1:10:46
full genomic genomic analysis so that like,
1:10:48
like, my genes are capable of. And
1:10:50
these are things that they're doing. And
1:10:52
if you have all of that data,
1:10:54
now you're as fully equipped as you
1:10:57
possibly could be. And you know, if
1:10:59
there's a weird plant virus in your
1:11:01
gut or something that's tweaking a gene
1:11:03
that you know you have. And it's
1:11:06
more than any brain, even yours, is
1:11:08
going to be able to do. But
1:11:10
you have all the tools that support
1:11:12
your brain. Right. And I think that
1:11:14
using different tools together. The genes that
1:11:17
relate to OCD, some of them also
1:11:19
relate to your ability to fight infections.
1:11:21
And that makes complete sense because infections
1:11:23
can, if you can't accurately fight an
1:11:26
infection, and you then get your gut
1:11:28
microbiome off, that creates inflammation and that
1:11:30
can, because the blood gut barrier affect
1:11:32
the brain. And so you said you
1:11:34
need your, you know, you need your,
1:11:37
your genome. I say we need. an
1:11:39
informed genomic tool. Yeah, you need an
1:11:41
analysis of your gene from just a
1:11:43
bunch of numbers won't do anything. Right,
1:11:46
we need something like, you know, and
1:11:48
one of the things with Intallix DNA
1:11:50
that I think helps our patients and
1:11:52
doctors get better outcomes as you were
1:11:54
talking about, like the person who gets
1:11:57
the supplement, and they're like, oh, I
1:11:59
need alphilippo acid, this has it, and
1:12:01
it has 20 milligrams. We actually have
1:12:03
information about what doses were used in
1:12:06
the different studies, so that if you're
1:12:08
looking at a brain report, or a
1:12:10
blood sugar report, what dose of Burberine
1:12:12
was used to improve blood sugars? Because
1:12:14
again, you can't just take a little
1:12:17
bit of something and think it's going
1:12:19
to have the same effect as two
1:12:21
grams. It's fun you mention OCD and
1:12:23
infection. When I was a kid, I
1:12:25
had tons of strep throat and sinus
1:12:28
infections because I lived in a base
1:12:30
in a toxic mold and that's a
1:12:32
symptom of toxic mold. But then when
1:12:34
you have a lot of strep, it
1:12:37
makes proteins that create antibodies and antibodies
1:12:39
to those proteins also go after parts
1:12:41
of the brain, which causes OCD and
1:12:43
ODD, which I had. And if you
1:12:45
guys don't know what ODDD is. Think
1:12:48
of the Rage Against the Machine song.
1:12:50
If you, I wouldn't do what you
1:12:52
told me. It just makes it normal
1:12:54
to do that. And yeah, I was
1:12:57
able to turn off the information. I
1:12:59
like unpacked all that. But my God,
1:13:01
there's a lot of, a lot of,
1:13:03
Dave was a bad child in my
1:13:05
seventh grade report. And thank God my
1:13:08
brain worked well enough to get good
1:13:10
enough grades. Because otherwise I'd probably be
1:13:12
in. prison or something. And what you're
1:13:14
talking about is the pants, which is
1:13:17
when you get psychiatric symptoms from neuroinclamation
1:13:19
from different infections, and we used to
1:13:21
think it was just strep, pandas. But
1:13:23
now we know that it's both things
1:13:25
like mold, yeast, lime, strep, all kinds
1:13:28
of infections. And environmental bacteria from water
1:13:30
damage buildings, right? Absolutely. But one of
1:13:32
the fun things about that people who
1:13:34
get kind of the OCD from infections
1:13:37
is they tend to either make too
1:13:39
much T&F alpha, which affects the blood
1:13:41
brain barrier and the blood gut barrier,
1:13:43
or they have problems with a pathway
1:13:45
that's called their manospining lexin pathway, which
1:13:48
is the first line of defense against,
1:13:50
they might have a normal... level if
1:13:52
you were to check their blood, but
1:13:54
it might be that the gene protein
1:13:57
is misformed and doesn't work, and that's
1:13:59
your first line of defense against yeast
1:14:01
and lots of bacteria and mold. And
1:14:03
so the people who get the kind
1:14:05
of OCD from mold, they often have
1:14:08
problems with their immune system. So this
1:14:10
is kind of why I get, you
1:14:12
know, I was a physician, a family
1:14:14
physician, integrated physician for 30 years, and
1:14:17
now I... love training physicians across the
1:14:19
world and leading the research team because
1:14:21
it's so much fun for me to
1:14:23
go hear these different cases and go,
1:14:25
oh, this makes complete sense, this makes
1:14:28
complete sense, let's publish this, let's talk
1:14:30
about this, because we're making sense of
1:14:32
why did this woman have such severe
1:14:34
PMDD, why did this person have such
1:14:37
severe depression, even starting as a little
1:14:39
kid, or this person have ADHD that
1:14:41
didn't respond to stimulants, well, because their
1:14:43
ADHD wasn't caused. by low norphinephrine, it
1:14:45
was caused by more of a connective
1:14:48
pathway. Wow. One of the things that
1:14:50
is, just as a patient that's coolest
1:14:52
about this, is that if you're listening
1:14:54
to the show, like something's wrong with
1:14:57
it, no, you just have a harder
1:14:59
problem. And it's so validating to see
1:15:01
your pathways and to see, oh, it's
1:15:03
no, but I'm not trying hard enough.
1:15:05
And this was my thing. I'm like
1:15:08
I'm feeling out of warden business school
1:15:10
and like no matter what I do.
1:15:12
No matter what I do. No matter
1:15:14
what I do. I do. I do.
1:15:17
I do. And all these things, and
1:15:19
I remember when I got Dr. Daniel
1:15:21
Amund's brain scan, it's like, you have
1:15:23
holes in your brain, not actual holes,
1:15:25
but areas of zero metabolic activity as
1:15:28
a result of chemical exposure from mold.
1:15:30
I'm like, oh God, I have a
1:15:32
hardware problem. And if there's things that
1:15:34
have tormented you in your life, and
1:15:37
then you get your genomics report, like,
1:15:39
oh my God, I just needed this
1:15:41
one supplement. And like you said, in
1:15:43
four days, some people like, I got
1:15:45
my life back. Absolutely, and not everybody
1:15:48
do we get well in four days.
1:15:50
Just want to put that disclaimer. But
1:15:52
actually our co-founder and CEO, one of
1:15:54
the reasons that she was so dedicated
1:15:57
to building Intellic's DNA was so So
1:15:59
many people, including she had been told
1:16:01
she's more of an Ellers-Danlos type person
1:16:03
and people get labeled, oh you're just
1:16:05
complaining about pain, you're just complaining about
1:16:08
this, you've got fibromyalgia, and she was
1:16:10
like we have to stop the labeling
1:16:12
in medicine when people go to a
1:16:14
physician and they get labeled or the
1:16:17
person who's depressed, we'll just get over
1:16:19
it. Well if we can instead look
1:16:21
at the root cause or blaming a
1:16:23
child or a parent or a parent
1:16:25
because the child has ADHD, look at
1:16:28
the root cause and stop blaming people
1:16:30
and labeling and instead say we now
1:16:32
are in a time when we can
1:16:34
have the technology to understand and address
1:16:37
what's going on. And there's an epidemic
1:16:39
of physicians who don't have enough time
1:16:41
to deal with patients, so they just
1:16:43
make a really quick assessment. I remember
1:16:45
very well when I went into a
1:16:48
psychiatrist when I'm failing out of school.
1:16:50
And he looks at me, he looks
1:16:52
at me, you can tell what this
1:16:54
skeptical thing on the company, these supplements,
1:16:57
things don't work, but I'm feeling out
1:16:59
of class, so it's just not working.
1:17:01
And he's like, tech bro wants Adderall,
1:17:03
classical Palo Alto thing. And like, I
1:17:05
didn't even want Adderall, I wanted Modafino,
1:17:08
because I'd done my research. And it
1:17:10
was an awful label used for ADHD
1:17:12
back then, and it's one of the
1:17:14
most potent pharmaceuticalicals for cognitive enhancement that
1:17:17
isn't addictive like Adderall is. When I
1:17:19
came back and he saw my data,
1:17:21
which wasn't even genomics back then, we
1:17:23
didn't have the ability to do that,
1:17:25
he was like, inside your brain is
1:17:28
total chaos. I don't know how you're
1:17:30
standing here in front of me, you
1:17:32
have the best camouflage I've ever seen.
1:17:34
And I was like, I just relaxed,
1:17:37
I think God, someone believes me for
1:17:39
like the first time. And with a
1:17:41
genomics report like this, it's like, oh,
1:17:43
you're not crazy. There's nothing wrong with
1:17:45
you. It's just you're riding around in
1:17:48
a meat suit with dysfunctions. You have
1:17:50
a flat tire in your car. Well,
1:17:52
if you change your oil, it's not
1:17:54
going to fix it. But you put
1:17:57
air in the tire, you might like
1:17:59
it. And like, we're almost there for
1:18:01
humans, aren't we? Yeah. like now is
1:18:03
leaps and bounds beyond what it was
1:18:05
10 years ago, and I think it's
1:18:08
gonna continue to improve. And it's a
1:18:10
really exciting time to be a human
1:18:12
because you can, yeah, I don't yet
1:18:14
believe that we're gonna get to, for
1:18:17
most people, to 130, 140, but I
1:18:19
think what we can do is make
1:18:21
our years on this planet much healthier
1:18:23
so that we. are having a brain
1:18:25
that works. We're having the energy to
1:18:28
exercise and enjoy life and feel vital.
1:18:30
And so, you know, feel calm. And
1:18:32
so I think that it's a really
1:18:34
exciting time to be a human. It
1:18:37
is. And you said one important thing
1:18:39
for most people. And if we can
1:18:41
take one person... and we can do
1:18:43
10 years better than our current best.
1:18:45
We've meaningfully extended human life. And if
1:18:48
everyone else is working towards the goal
1:18:50
of extending their life as a side
1:18:52
effect, they just have a great health
1:18:54
span. I'm like, that's great. It kind
1:18:57
of makes me sad though, and people
1:18:59
say, our goal is health span. I'm
1:19:01
like. I want health span for twice
1:19:03
as long, thank you very much, and
1:19:05
I'll just take whatever I can get.
1:19:08
Right. Right. So it's just a difference
1:19:10
of framing of the longevity movement. Are
1:19:12
you on the health span until you
1:19:14
die at the average age, or are
1:19:17
you on the health span for extended
1:19:19
time? Right. And I think that you're
1:19:21
absolutely right. I think that if we
1:19:23
get the average lifespan extended... Five years
1:19:25
seven years ten years. That's huge long
1:19:28
as we take care of our world
1:19:30
along with it That's a side effect
1:19:32
of believing you're going to live longer
1:19:34
than you're supposed to you You're not
1:19:37
going to throw the plastic in the
1:19:39
ocean because you know you'll eat it
1:19:41
and you're not going to drink things
1:19:43
with plastic because they're you know hormone
1:19:45
disruptors and you understand how they affect
1:19:48
your they're big effects on epigenetics if
1:19:50
I am successful living to at least
1:19:52
180 and I eight unlimited microplastics. I
1:19:54
would be made out of Tupperware by
1:19:57
the time I'm 150. I don't want
1:19:59
that. Sharon, it's been a great pleasure.
1:20:01
Thanks for your just incredibly complex and
1:20:03
interesting work both. as a clinician, as
1:20:05
a researcher, I'm really excited to see
1:20:08
how genetics went from, you know, almost
1:20:10
useless at the very beginning of this
1:20:12
to something that has meaningful predictive power
1:20:14
for what you can do today. So
1:20:17
thank you. Thanks for having me. And
1:20:19
if there are any of your listeners
1:20:21
that want an Intellic's DNA report, they
1:20:23
can go to our website and you
1:20:25
can actually, we put in a special
1:20:28
thing for you guys where they can
1:20:30
click that what they're looking for is
1:20:32
a human upgrade consults, a longevity consult,
1:20:34
and that way they will find clinicians
1:20:37
that feel comfortable working with biohackers on
1:20:39
the topic of longevity. and doing an
1:20:41
initial one-hour consult to get them going
1:20:43
and then giving you the report and
1:20:45
the tools you need to continue to
1:20:48
explore and if you want to do
1:20:50
more you can but the one thing
1:20:52
is it does two L's and two
1:20:54
X's, I-N-T-E-L-L-X DNA because it's an intelligent
1:20:57
approach to DNA and my co-founder and
1:20:59
myself are both women so that's the
1:21:01
two X's. Awesome. Thanks for having me.
1:21:03
See you next time on the human
1:21:05
upgrade podcast. The
1:21:10
human upgrade, formerly bulletproof radio, was created and
1:21:12
is hosted by Dave Aspery. The information contained
1:21:14
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1:21:17
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1:21:19
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1:21:21
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1:21:23
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1:21:39
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1:21:43
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