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A portion of this video is sponsored by
00:00:02
Radio Code. For centuries, cancer has
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been thought of as an insidious disease,
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an insatiable force consuming the body
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from the inside out. In the 1600s,
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physicians even tried feeding it,
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literally. Applying raw meat to tumor
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areas in a desperate hope that cancer
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would select stake over patient. With
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morbid fascination, the idea of somehow
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controlling cancer's hunger has
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permeated everything from old wives
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tales recommending fasting. I feel like
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a new man to their modern-day
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equivalent, your friendly neighborhood
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wellness guru. And it was a so-called
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wellness warrior. Bel Gibson admits she
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made up the whole story. But is there
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any meat to this idea? Well, maybe. And
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it comes from a kind of unexpected
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place. Fat. Those extra holiday pounds
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may have inspired a team at the
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University of California, San Francisco,
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who just published their latest findings
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in Nature Biotechnology on how fat may
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be our first weapon capable of starving
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cancer. No radiation, no chemo, just fat
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doing what fat does best. Welcome to a
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series that I'm calling on the shoulders
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of giants. Because to me, when you want
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to peer into the distance and understand
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the future of what is possible, you need
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to look down sometimes to see whose
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shoulders you're actually standing on.
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So, let's cut the fat, reach for another
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Dorito, and start at the beginning. How
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do we understand cancer's hunger for the
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very first
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time? In the early 1900s, German
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physiologist Otto Warberg was fascinated
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by how cells generate energy. In
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particular, the differences between
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normal and cancerous cells and what
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allowed cancer to grow so quickly. At
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the time, scientists knew that cells
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needed glucose and oxygen to survive.
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But the exact process, like glycolysis,
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the KB cycle, or any of those other
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things that haunt us from high school
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biology class, was still reasonably
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mysterious. Warberg set out to measure
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how much oxygen cancer cells consumed.
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In a petri dish, he laid healthy cells
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and slices of tumor in a carefully
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prepared nutrient solution and connected
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them to his customuilt monometer to
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track their oxygen use. The results
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stunned him. Healthy cells consumed
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oxygen at a rate he had seen time and
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time again. But the tumor cells barely
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used any oxygen at all. Believing this
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was maybe a mistake, potentially due to
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lack of nutrients in the solution, he
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topped up the glucose levels in the
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petri dishes and ran the experiment
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again. This time, the results were even
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more surprising. In the presence of
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excess glucose, cancer cells stopped
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using any oxygen at all. But how could
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this be? Confused, Wahberg began adding
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various testing agents to his solution.
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When he added phenol red, he saw an
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immediate bright yellow hue filled the
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petri dish. His fast growing cancer
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cells were thriving in a pool of acid.
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Chemical analysis revealed it to be
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lactic acid, the compound also produced
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by muscle cells under extreme exertion.
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But this wasn't just a minor increase.
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In some cases, Wahberg recorded up to a
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70fold rise in lactate production
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compared to normal cells. Then came the
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real revelation. He measured glucose
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uptake across both cell types. Normal
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tissue consumed about 16 mg of glucose
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per 100cc of medium. Tumors over 70 mg,
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a four-fold increase. Wahberg for the
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very first time had proven that cancer
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was genuinely a disease of voracious
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appetite. But the core mystery remained.
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If cancer cells weren't oxidizing
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glucose, what were they doing? In
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healthy cells, glucose is broken down
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through glycolysis, then shuttled into
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the mitochondria, powerhouse of the
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cell, for oxidative phosphorilation, a
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highly efficient process that for each
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molecule of glucose produces over 30
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molecules of ATP, the energy used by
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cells. But in cancer cells, Warberg saw
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something else entirely, a reversion to
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a primitive, inefficient pathway. They
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were stopping at glycolysis, producing
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just 2 ATP per glucose, and dumping the
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rest as lactic acid. Warberg proposed
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something radical that this switch
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wasn't a symptom of cancer. It was the
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cause. Warber believed that damaged
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respiration, a defect in the
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mitochondrial function, forced cells to
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adopt glycolysis as default and that
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this shift was what triggered
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uncontrolled cell growth. This idea
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would become known as the Warberg
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effect. That cancer would throw
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efficiency to the wind and take a growth
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at all costs approach. While not
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completely universal, this increased
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glucose consumption is seen in 70 to 80%
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of cancers to varying degrees. We can
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actually see cancer's hunger in real
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time thanks to a technique called
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posetron emission tomography or PET
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imaging. It works by injecting a patient
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with radioactively labeled glucose,
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essentially glowing sugar, then tracing
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where in the body that glucose gets
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consumed most rapidly. That bright spot
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in the pancreas is a tumor so
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metabolically active that it's
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comparable with the brain and heart in
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terms of glucose usage. It's not just
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growing, it's feasting. In this second
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image taken after several rounds of
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chemotherapy, that bright spot is gone.
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The tumor's metabolic signal has
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vanished. Hopefully a sign that the
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treatment has worked. Up until his
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death, Wahberg was convinced of just one
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thing. That cancer's hunger could be its
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greatest weakness. And that became a
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very compelling idea. Could the
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treatment for cancer be as simple as
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just limiting its energy supply? We'll
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answer that question, but first I have
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to thank the most relevant sponsor
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Radiocode for sponsoring the channel.
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Now, back to the
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video. Wberg's research didn't just
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influence science. It lit a spark in
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public imagination. The idea that you
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could starve cancer by cutting off its
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fuel supply became deeply appealing,
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especially to those seeking alternatives
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to mainstream medicine. The earliest
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approaches were surprisingly
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straightforward. If cancer cells thrive
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on glucose, could removing sugar and
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carbs from the diet cut off their
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supply? Enter the ketogenic diet.
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Originally developed in the 1920s to
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treat epilepsy, keto gained a new life
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among cancer diet advocates. By
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eliminating carbohydrates and replacing
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them with fats and proteins, the theory
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went you could lower blood glucose and
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starve the tumor. On the surface, it
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sounded entirely scientifically
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possible. But trial after trial failed
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to show any consistent benefit. Not for
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tumor shrinkage, not for survival, and
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that wasn't unique to keto. Every
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so-called anti-cancer diet followed the
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same pattern. big promises,
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disappointing results. One of the most
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prominent examples, the Budwig diet, was
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deeply influenced by Warberg's theories.
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Dr. Johanna Budwig believed cancer was
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caused by faulty cellular respiration,
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specifically that cells weren't
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absorbing oxygen properly due to a lack
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of essential fatty acids. Her solution,
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a blend of flax seed oil and cottage
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cheese, equal parts delicious, as
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entirely unlikely to work. She claimed
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it could restore healthy fat metabolism
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and oxygen uptake in cells. But while
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her recipe may have made headlines, no
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scientific study ever showed it could
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impact cancer's outcomes. It was wishful
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thinking wrapped in scientific language.
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The alkaline diet went down a similar
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path. It claimed that certain foods
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could shift the body's pH and neutralize
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the lactic acid buildup around tumors,
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but it mistood something fundamental
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that the acidity is a byproduct of
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cancer metabolism, not the cause. And
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more importantly, the body tightly
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regulates pH regardless of what you eat.
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Again, no evidence of benefit. And then
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we got into slightly more dangerous
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examples like Bel Gibson's whole pantry
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movement. She built an entire wellness
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empire on the claim that she'd cured her
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cancer with diet and lifestyle changes.
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But in the end, the only whole thing
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about it was how much she'd made up. She
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later admitted she'd never had cancer to
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begin with. Time and time again, these
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miracle diets failed the test of
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scientific evidence. Some were rooted in
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genuine scientific questions. Others
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were pure
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pseudocience. But none could outsmart
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the problem at the heart of cancer. It
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is exceptionally good at finding what it
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needs. As a tumor grows, it burns
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through nutrients faster than its
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surroundings can provide. The local
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tissue becomes hypoxic, oxygen starved,
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and the tumor responds by sending out
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molecular distress signals, veg F, or
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vascular endothelial growth factor. This
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triggers nearby blood vessels to sprout
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new branches, a process called
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angioenesis, delivering fresh blood,
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oxygen, and nutrients straight to the
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tumor's door. And this brings us to the
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brutal truth. This is the fundamental
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flaw in any whole body approach to
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starving cancer. Whether through diet,
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fasting, or anything else. Even if you
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put your entire body into a nutrient or
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energy deficit, cancer cells have
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evolved to protect themselves, they
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suffer less than the surrounding healthy
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tissues. Or put more simply, you starve
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before the cancer does. And to be clear,
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this isn't just a problem for
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alternative medicine. This is a
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challenge even for traditional
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clinically tested therapies. One of the
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most accidentally fascinating
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discoveries in this space come from a
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drug you've probably heard of. Metformin
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prescribed to lower blood glucose in
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diabetics. Metformin is one of the most
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widely used drugs in the world. Over 86
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million prescriptions were filled in the
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US alone in 2022. When researchers
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looked at cancer rates among diabetic
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patients, they noticed something
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striking. Those taking metformin were
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significantly less likely to develop
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cancer by anywhere from 30 to 50%
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compared to diabetics who weren't on the
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drug. But if a patient went on to
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develop cancer, that benefit
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disappeared. Metformin didn't improve
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survival rates, it couldn't stop a tumor
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that was already entrenched. So the
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question became, if cutting supplies off
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at the whole body level doesn't work,
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what if we flipped the problem around?
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What if instead of starving the entire
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system, we robbed the tumor right at its
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doorstep just before the nutrients ever
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arrived?
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In 2002, a group of radiologists and
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researchers split between the University
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Hospital Zurich and the University of
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Ottawa made an unexpected observation.
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While analyzing PET scans, they noticed
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a consistent strong signal lighting up
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around the neck and spine in some
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adults. At first, they assumed it was
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just muscle activity, which does uptake
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more glucose when active. But something
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didn't fit. The signal got even stronger
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when the subjects were exposed to cold
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temperatures. Curious, they compared the
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PET images with CT scans and realized
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this tissue wasn't muscle at all. It was
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brown adapose tissue, also known as
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brown fat. Now, brown fat is very
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different from white fat that most of us
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familiar with, the kind that simply
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stores energy. Brown fat burns energy.
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It generates heat, keeping the body's
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temperature stable, and is critical for
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newborns who can't shiver effectively
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yet. But the scientific consensus at the
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time was that brown fat virtually
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disappeared after infancy. Adults
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weren't supposed to have it. Yet, there
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it was, glowing brightly in the scans.
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Subsequent studies, particularly by a
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group of researchers in Japan, confirmed
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it. When healthy adults were kept in a
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19° C room, this is the room. Cool
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enough to trigger thermogenesis, but not
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cold enough to cause shivering. Their
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brown fat lit up on PET scans. Not only
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was it still present, it was
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metabolically active. At the Karolinska
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Institute in Sweden, researchers decided
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to take this discovery one step further.
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They wanted to understand how brown fats
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might interact with cancer. They
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designed a simple experiment. Mice were
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implanted with tumor cells and then
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split into two groups. One group was
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kept cozy, living at 30° C, a
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temperature that's warm enough that the
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body doesn't need to generate extra
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heat. The other group was moved to a
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brisk 4° C environment. Cold enough to
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activate thermogenesis, but not cold
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enough to cause constant shivering. Over
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the next several weeks, the researchers
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carefully tracked tumor growth and
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glucose uptake using PET scans, and the
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results were compelling. In the warm
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environment, tumors showed strong uptake
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of radioactive glucose, just as you'd
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expect. But in the cold exposed mice, it
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was a different story. The brown fat
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activated for thermogenesis, competing
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aggressively for glucose. And as a
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result, the tumors became starved with
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their primary fuel. The impact of which
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was dramatic. Tumor glucose uptake
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dropped significantly. By day 20 after
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tumor implantation, researchers observed
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an 80% inhibition of tumor growth
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compared to the warm group. And even
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more striking, the overall survival
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rates of cold exposed mice was double
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that of the warm group. But could this
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cold induced effect actually work in
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humans? In 2021, researchers tested the
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idea in a very limited but intriguing
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human study. They worked with a patient
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diagnosed with Hodkdins lymphoma,
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exposing them to mild cold, just 16° C
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for 4 days. PET scans showed clear
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activation of brown fat and more
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importantly a noticeable decrease in
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glucose uptake at the tumor sites. It
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wasn't a cure and it wasn't
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comprehensive, but it was the first real
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evidence in a human that brown fat could
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outco compete cancer for its fuel.
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effectively starving a tumor. A glimmer
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of hope, maybe, just maybe, Wahberg's
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century old findings could still shape
00:13:04
modern cancer therapy. But there was
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obviously a problem. To maintain the
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effect, the patient would likely have to
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stand in what's essentially a walk-in
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fridge for weeks, possibly months. Hey,
00:13:13
look, a freezer man. While also avoiding
00:13:15
sugar or any excess glucose, not a
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perfect recipe for a body already
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weakened by battling cancer. So the
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question became, could we take these
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ideas and turn them into something
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practical? Something targeted,
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controlled, and therapeutic, something
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that didn't require living in a freezer.
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Woohoo! Look at that blubber fly. Nurse
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cancel my water clock. Just published in
00:13:35
Nature Biotechnology, scientists at the
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University of California, San Francisco,
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asked a bold question. Could we skip the
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freezing cold and still harness brown
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fat's metabolic power, or more simply,
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keep the hunger, lose the shivering?
00:13:47
Using crisper, they began genetically
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engineering white fat cells to behave
00:13:51
more like brown fat. By inserting
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upregulated specific genes from brown
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fat cells, they aimed to create a new
00:13:57
kind of cell, one that could outco
00:13:59
compete cancer for nutrients without
00:14:01
needing to be cold activated. They
00:14:03
called these hybrid cells the slightly
00:14:04
unattractive sounding beige fat. To
00:14:06
figure out what genes worked best, they
00:14:08
ran a transwell experiment where two
00:14:10
different cell populations share the
00:14:12
same nutrient pool but are physically
00:14:13
separated. One gene in particular stood
00:14:16
out. UCP1, a key player in
00:14:19
thermogenesis. When they tested UCP-1
00:14:21
modified fat cells against cancer cells,
00:14:23
the results were shocking. At the end of
00:14:25
the experiment, almost no cancer cells
00:14:27
remained. Meanwhile, the beige fat cells
00:14:30
were thriving. Worried this was an
00:14:31
error, they repeated the trial again and
00:14:33
again and got the same outcome every
00:14:35
single time. They had taken the
00:14:36
competitive fuel guzzling metabolism of
00:14:38
brown fat, supercharged it, and severed
00:14:40
its dependence on cold. From fat, they
00:14:43
had made a weapon. To test it in a
00:14:44
living system, they turned the most
00:14:46
efficient UCP-1 modified cells into fat
00:14:48
organoids, tiny lab grown clumps of
00:14:51
tissue that function like miniature fat
00:14:52
organs, and they implanted them next to
00:14:54
tumor sites, like a set of metabolic
00:14:56
love handles poised to siphon off
00:14:57
nutrients before they ever reach the
00:14:59
tumor. 3 weeks later, they compared
00:15:01
tumor growth with a control group. Now,
00:15:03
fair warning, if you're a little bit
00:15:04
squeamish, you might want to look away,
00:15:05
but here's what they found. Tumors
00:15:07
adjacent to the beige fat organoids has
00:15:10
shrunk by more than 50%. And they
00:15:12
weren't just beating one type of cancer.
00:15:14
They outco competed aggressive cell
00:15:15
lines from breast, pancreatic, colon,
00:15:18
and prostate cancer. No chemotherapy, no
00:15:20
radiation, simply by being better at
00:15:23
consuming glucose. Turning one of the
00:15:24
body's own metabolic tools into a
00:15:26
precision weapon against one of its
00:15:28
greatest flaws. The researchers called
00:15:30
it living cell therapy. And fat, it
00:15:32
turns out, is a perfect medium for it.
00:15:34
Fat cells are easy to extract. We've
00:15:36
been doing it through liposuction for
00:15:37
decades. They grow well in a lab, can be
00:15:40
genetically modified with precision, and
00:15:42
crucially, they're easy to re-implant
00:15:44
using wellestablished medical
00:15:46
techniques, as evidenced by the myriad
00:15:47
of enhanced buttocks that we've seen
00:15:49
parading around the earth. Not a topic I
00:15:50
thought I'd cover in this video. Most
00:15:52
importantly, fat plays nicely with the
00:15:54
immune system. We know this from decades
00:15:56
of cosmetic surgery. Reimplanted fat
00:15:58
generally integrates smoothly without
00:16:00
triggering serious immune rejection.
00:16:02
That makes it an ideal candidate for a
00:16:05
cell-based therapeutic. Now, of course,
00:16:07
there is still further work to be done,
00:16:08
refining the method, scaling it up, and
00:16:10
eventually moving through rigorous
00:16:11
safety and efficacy trials. And it's
00:16:13
very reasonable to ask questions like,
00:16:14
"What if the tumors respond by ramping
00:16:16
up angioenesis?" Or, "If you manage to
00:16:18
starve them a little, many cancers might
00:16:20
just switch metabolic gears, burning fat
00:16:22
rather than glucose." Tackling those
00:16:24
problems is maybe for the next
00:16:26
generation of scientists to solve. But
00:16:28
now, at least you know whose shoulders
00:16:30
you're standing on. We aren't there yet,
00:16:32
but the concept is here, and the biology
00:16:34
broadly is sound. So imagine a future
00:16:36
perhaps not too far off where instead of
00:16:38
flooding the body with radiation or
00:16:40
chemotherapy, we seed it with enhanced
00:16:43
cells engineered not to attack the
00:16:44
cancer directly, but to starve it, and
00:16:47
we turn one of the body's softest
00:16:48
tissues into one of its sharpest medical
00:16:50
tools, so that one day in the future,
00:16:52
cancer may be left out to
00:16:54
starve. There's a quote I often come
00:16:57
back to about standing on the shoulders
00:16:58
of giants. It's largely how I think
00:17:00
about science, and it's the bit that has
00:17:01
always been interesting to me. It's the
00:17:03
unbroken chain of curiosity, often
00:17:05
stretching back across generations of
00:17:07
the smartest folk that we have on the
00:17:08
planet. Someone asks a question, someone
00:17:10
builds a tool, someone else runs an
00:17:12
experiment. There's always full starts,
00:17:14
but everything seems impossible until
00:17:16
someone actually does it. That's the
00:17:18
part that's always drawn me in. Not just
00:17:20
the breakthroughs, but how we actually
00:17:22
get there piece by piece, standing on
00:17:24
what came before us. I feel super lucky
00:17:26
that here on YouTube as well as in my
00:17:27
day job, understanding the future of
00:17:29
what is possible and working alongside
00:17:31
those scientists to actually make it
00:17:32
happen is part of what I get to do. I'm
00:17:34
super grateful I get to play a small
00:17:36
role and that I get to share a glimpse
00:17:38
of those journeys with you guys here.
00:17:40
That's the part of this that I love the
00:17:42
most. There have been a lot of new folk
00:17:43
joining the channel recently since at
00:17:45
least my last long video. I know what
00:17:47
you're all actually here
00:17:50
for. We have some really cool stuff
00:17:52
coming up in the next few months. I'm
00:17:54
excited to share with you. The algorithm
00:17:56
thinks that you might like this video
00:17:58
next, so maybe check it out. Thanks very
00:18:00
much for watching and I'll see you guys
00:18:01
next time. Goodbye. I feel like a new
00:18:04
man.
00:18:06
Not a Dorito. Off-brand Dorito.