#1 Harvard Doctor: The Most Harmful Foods Causing Brain Disease (EAT THIS) | Dr Georgia Ede

01:29:51
https://www.youtube.com/watch?v=HUvBy0VMLDY

Summary

TLDRThe video features Dr. Georgia Ede, who discusses the profound effect of diet on mental health, arguing that poor dietary habits are the root cause of many mental health issues. Dr. Ede explains that mental health disorders like depression and schizophrenia are linked to brain damage caused by dietary imbalances, especially due to excessive intake of refined carbohydrates, which lead to dangerous glucose spikes. These spikes cause inflammation, oxidative stress, and neurotransmitter imbalances. Dr. Ede champions a dietary approach over traditional medications, which she claims can adversely affect brain health. She emphasizes reducing carbohydrate intake and increasing animal fat consumption as part of brain-healthy diets, such as ketogenic or carnivore diets. Dr. Ede also warns against the often negative effects of commonly prescribed statins on brain health, as they can cross the blood-brain barrier and interfere with cholesterol production critical for brain function. She advocates for a holistic view of health, where dietary choices lay the foundation for better brain and overall health rather than relying solely on medication. Additionally, Dr. Ede questions the supposed benefits of plant-based foods and spices, highlighting that many are biological irritants. Ultimately, she advises that food is foundational to health, and better dietary choices can greatly improve one's mental well-being.

Takeaways

  • 🧠 Mental health is deeply connected to diet and brain health.
  • 🍽️ Reducing refined carbohydrates can stabilize neurotransmitters.
  • 💊 Many medications can adversely impact brain function.
  • 🥩 Increasing animal fat intake is recommended for mental health.
  • 🌿 Not all plant foods and spices are beneficial; some can irritate.
  • 📈 Excessive glucose spikes lead to aging and brain issues.
  • 🚫 Statins may negatively affect memory and cognition.
  • 🔬 Inflammation and oxidative stress are detrimental to brain health.
  • 📚 Knowledge is key in making informed dietary and health decisions.
  • 🔄 Dietary changes can help reduce reliance on psychiatric medication.

Timeline

  • 00:00:00 - 00:05:00

    Dr. Georgia Eid, a Harvard-trained psychiatrist and author, emphasizes the importance of cholesterol for brain health. She critiques popular misconceptions about healthy diets, particularly around carbohydrates leading to glucose spikes, and discusses the negative impact of statins crossing the blood-brain barrier. Her advocacy focuses on dietary changes over medications to address mental health issues, offering a holistic approach to brain protection.

  • 00:05:00 - 00:10:00

    Dr. Eid highlights that mental health issues are not just emotional disturbances but involve physical damage to the brain. She argues that wrong dietary habits, especially excessive carbohydrates, cause detrimental glucose spikes, affecting mental health significantly. She promotes a high-fat diet adjusted according to personal tolerance as a part of her dietary recommendations.

  • 00:10:00 - 00:15:00

    Eid stresses that mental and mood disorders, while related, are different; mood disorders involve one's outlook on life whereas mental health issues could include broader challenges. Yet, the root often lies in dietary habits affecting chemical balances in the brain. She points out the global scale of mental health disorders and differentiates between adaptive and maladaptive forms of conditions like anxiety and depression.

  • 00:15:00 - 00:20:00

    The conversation revolves around societal expectations of declining brain health over time, which Eid refutes, suggesting poor diet contributes to diminished mental states. She distinguishes mood disorders as specifically involving mood fluctuations and emphasizes the common misconception that suboptimal mental function is normal. Proper diet can achieve better mental outcomes.

  • 00:20:00 - 00:25:00

    Eid asserts that mental health disorders have physical bases in brain health, with inflammation and oxidative stress as common factors. She warns against excessive carbohydrates that lead to glucose spikes, disrupting neurotransmitters and promoting insulin resistance. Eid claims that dietary changes can improve mental health significantly, sometimes as effectively as or better than medication.

  • 00:25:00 - 00:30:00

    She elaborates on the convergence of serious mental health issues, noting shared internal factors despite different outward symptoms. She suggests dietary corrections based on avoiding standard dietary guidance focused on grains and reducing meat, which might exacerbate conditions by increasing inflammation and oxidative stress.

  • 00:30:00 - 00:35:00

    Eid challenges traditional dietary beliefs, advocating for a diet rich in fats over carbohydrates for optimal brain health. She shares her personal dietary transformation experience, which went against conventional advice yet drastically improved her health. Her findings suggest that commonly held notions about 'healthy eating' are not supported by science and criticizes nutrient-void plant-based diets.

  • 00:35:00 - 00:40:00

    Discussing optimal diets, Eid mentions 'meat-centric' diets which can incorporate various plant foods depending on personal tolerance but stresses that carbohydrates are not essential. Her analysis supports a high-fat intake, which stabilizes glucose levels internally rather than relying on external carbohydrates. This approach prevents harmful glucose variances that can disrupt brain chemistry.

  • 00:40:00 - 00:45:00

    Eid argues that genetic predispositions play a minor role in mood disorders, emphasizing environmental and lifestyle factors especially diet. She believes dietary changes can help reduce chemical imbalances more effectively than medication. She also warns against the abrupt adoption of ketogenic or carnivore diets which may shock the body's system without a gradual transition.

  • 00:45:00 - 00:50:00

    The discussion touches on society's fear of brain diseases, comparing mental health issues as brain disorders causing actual damage. Eid discusses how modern misconceptions about carbohydrate and sugar intake lead to brain inflammation, oxidative stress, and neurotransmitter imbalance, urging for dietary changes as primary interventions rather than medication.

  • 00:50:00 - 00:55:00

    Focusing on dietary influences, Eid emphasizes removing refined carbohydrates to combat brain inflammation and neurotransmitter imbalance. She presents the idea of bodily adaptation to generate glucose from within, removing reliance on dietary carbohydrates which can lead to destabilizing glucose levels frequently.

  • 00:55:00 - 01:00:00

    Eid highlights the brain's cholesterol dependency for optimal function and warns of the adverse effects of statins on cognitive functions. She posits that statins affect the brain's ability to produce necessary cholesterol, resulting in cognitive issues like memory lapses. Her advice is a food-first approach to improve brain health naturally, advocating dietary adjustments over reliance on medication.

  • 01:00:00 - 01:05:00

    Eid notes potential cognitive impairments from statins, arguing against their general prescribing, especially in complex brain health scenarios where dietary changes can yield better results. She stresses that medication should be a secondary approach if dietary changes can naturally stabilize brain chemistry.

  • 01:05:00 - 01:10:00

    The potential abrupt effects of dramatic dietary changes underscore the importance of a gradual transition, especially for those on medications. Eid recommends careful monitoring and adjustment under professional guidance, particularly when transitioning to low-carb or ketogenic diets to avoid adverse reactions like medication sensitivity.

  • 01:10:00 - 01:15:00

    Eid discusses the role of fats as crucial to brain health and advises a high-fat, low-carb diet to stabilize biochemical processes within the brain. She emphasizes that fats construct the cellular architecture necessary for proper brain function, disputing the misconception that fats are detrimental to health.

  • 01:15:00 - 01:20:00

    Eid recommends a careful approach to dietary changes, highlighting that the brain and body's physiology requires time to adapt to new insulin levels and metabolic states. Such changes in diet can lead to rapid health improvements but only if done under careful progression with professional guidance.

  • 01:20:00 - 01:29:51

    Finally, Eid dismisses common claims about plant-based superfoods, advocating for energy derived primarily from fats and proteins to support brain health optimally. She argues for subtraction of harmful dietary elements rather than addition of unverified beneficial foods, encouraging a reevaluation of mainstream dietary beliefs.

Show more

Mind Map

Video Q&A

  • Who is Dr. Georgia Ede?

    Dr. Georgia Ede is a Harvard trained psychiatrist and the bestselling author of "Change Your Diet Change Your Mind."

  • What negative effects are associated with statins according to Dr. Ede?

    Statins can cross the blood-brain barrier, leading to potential memory problems and cognitive issues.

  • How can diet affect mental health?

    Diet can significantly impact mental health by influencing neurotransmitter balances, inflammation, and oxidative stress.

  • What type of diet does Dr. Ede recommend for mental health improvement?

    Dr. Ede suggests a diet high in animal fats and low in carbohydrates, which can include paleo, ketogenic, and carnivore diets.

  • Is there a genetic determinant for mental disorders?

    Genetic factors can influence risk, but most mental disorders are not directly caused by genetics.

  • What does Dr. Ede say about plant foods and spices?

    Many plant foods and spices can act as irritants and might not provide the beneficial effects often claimed.

  • What are advanced glycation end products (AGEs)?

    AGEs are harmful compounds formed when excess glucose binds to proteins, contributing to aging and brain dysfunction.

  • Why is dietary carbohydrate considered optional by Dr. Ede?

    The body can make its own glucose from proteins and fats, making dietary carbohydrates unnecessary for survival.

  • What impact can high-fat diets have on neurotransmitters?

    High-fat diets can help stabilize neurotransmitters by reducing inflammation and providing essential nutrients.

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  • 00:00:00
    we are made of saturated fat bread meat  and cholesterol if the brain can't build
  • 00:00:04
    cholesterol molecules it's in trouble curcumin  like so many other plant compounds it's and
  • 00:00:09
    irritant Dr Georgia Eid a Harvard trained  psychiatrist and the bestselling author of
  • 00:00:13
    change your diet change your mind she's on  a mission to fight chronic disease and fix
  • 00:00:17
    your brain and it starts with food mental  health disorders are brain disorders major
  • 00:00:23
    depression bipolar disorder schizophrenia and  of course dementia it's not just that your
  • 00:00:28
    emotions or your behavior avors are being  affected the brain itself is experiencing
  • 00:00:34
    damage most people are eating too many of the  wrong carbohydrates with every meal and snack
  • 00:00:39
    they're getting these dangerous glucose spikes  in the bloodstream therefore also in the brain
  • 00:00:44
    simply because you had the wrong information  about what a healthy breakfast is supposed to
  • 00:00:49
    look like if people have the right information  about what's causing the chemical imbalances
  • 00:00:53
    in the first place you can do a lot more with  dietary changes in ways that no medicine can
  • 00:01:00
    because I was Keen to understand your thoughts  about statins the problem with statin drugs is
  • 00:01:04
    that all of them cross the bloodb brain barrier  I've had many patients over the years who have
  • 00:01:10
    started a Statin medication they start to have  problems with their memory they start to having
  • 00:01:14
    problems thinking clearly these are sometimes  people in their 30s and 40s protection of the
  • 00:01:18
    brain is not about addition it's not about adding  magical things to your diet it's about subraction
  • 00:01:24
    do you think that people if they want to treat  mood disorders that they need to do a high fat
  • 00:01:28
    diet well it depends on what you mean by high fat  this episode with Dr Georgia Eid is a topic that
  • 00:01:36
    is very personal to me the brain and mental health  now I suffered from a mental health disorder from
  • 00:01:42
    a very young age and I really wish I knew this  information 20 years ago and that's really why
  • 00:01:48
    I started this health podcast to understand  how the food that we eat our diet affects our
  • 00:01:54
    overall health and of course learning from the  best experts and it's absolutely incredible how
  • 00:02:00
    much we have grown over the last year so if you're  enjoying these episodes if you're learning from
  • 00:02:05
    these episodes please hit the Subscribe button  together we can take control of our health thank
  • 00:02:11
    you Dr Eid welcome thank you so much for having  me Reena now you wrote a bestselling book change
  • 00:02:20
    your diet change your mind which goes against  everything that a doctor would do in terms of
  • 00:02:26
    treating mood disorders like depression ad HD and  anxiety and Dr Eid even you say that if somebody
  • 00:02:34
    is diagnosed with a mental health issue or IM  Moon disorder you don't have to live with that
  • 00:02:38
    diagnosis for the rest of your life you don't  have to be on medications you don't necessarily
  • 00:02:43
    have to take pills for the rest of your life  if you fix your diet so today Dr ID is going
  • 00:02:49
    to share her 25 years of clinical experience and  provide a very simple three-step approach to fix
  • 00:02:56
    your brain from these common health issues we're  also going to talk about the best foods to eat
  • 00:03:01
    and we're also going to talk about a very common  medication that's prescribed every day that could
  • 00:03:07
    be damaging your brain so Dr Eid my first question  if somebody's just watching this and they wake up
  • 00:03:14
    every morning feeling not very motivated they  feel that they have brain fog they feel anxious
  • 00:03:20
    as a Harvard trained psychiatrist do you think  that's normal no that is not what we should expect
  • 00:03:26
    we actually because we've been fed the wrong  information about nutrition for Generations we
  • 00:03:35
    have been feeding our brains improperly our entire  lives and therefore you know we really don't have
  • 00:03:41
    any idea how much better we could feel if we start  to feed the brain properly which is the foundation
  • 00:03:46
    of my work and even though it's not all about diet  it's largely about diet and you know I'm sure you
  • 00:03:53
    and I will talk in more detail as you were saying  about what what we mean by a brain healthy diet
  • 00:03:58
    what a brain healthy diet should actually look  like but most people are walking around with
  • 00:04:05
    suboptimal mental health even though they may not  realize it we think it's normal to have trouble
  • 00:04:11
    getting through the day you know to feel tired  after meals to become easily irritated by minor
  • 00:04:18
    stresses in life to have difficulty bouncing back  from losses or traumas and you know we expect our
  • 00:04:27
    brains to function less well over time we expect  our brains to deteriorate over time and our memory
  • 00:04:32
    to start to fail us this is what we've been led  to believe is normal but it is anything but we
  • 00:04:39
    have we can expect so much more of not just our  brains but also our entire bodies if if we feed
  • 00:04:46
    our brains and bodies correctly absolutely  so we're talking about mental health issues
  • 00:04:51
    or mood disorders what is the difference between  the terminology just so that we're talking about
  • 00:04:56
    the correct terminology mental health issues or  mental health in general and mood disorders are
  • 00:05:03
    they one and the same so all mood disorders are  mental health issues but not all mental health
  • 00:05:08
    issues are mood disorders so mood disorders are  a certain type of mental health issue so mental
  • 00:05:14
    health issues can be anything from concentration  problems to sleep problems to um energy sort of
  • 00:05:21
    difficulty with mental stamina uh productivity  could also be anxiety irritability mood swings
  • 00:05:30
    uh memory problems uh lots of different types of  things mood disorders themselves are specifically
  • 00:05:37
    about uh about in terms of your outlook on  life depressed mood or mood that is that is too
  • 00:05:45
    energized or too high so you're either your mood  is either up or it's down or but sometimes it can
  • 00:05:52
    even be a mixture of both but mood has to do with  how you feel about yourself and the rest of the
  • 00:05:58
    world whether your outlook is positive or negative  um I think that's a big part of how you would
  • 00:06:03
    Define a mood order mood disorder so these include  depression um bipolar disorder um and depression
  • 00:06:11
    with psychotic features these are examples of  mood disorders absolutely and I've got a list
  • 00:06:17
    here uh just so that people can understand because  sometimes we think about mental health disorders
  • 00:06:22
    and we just think it's normal to F down it's  normal not to feel great but it actually isn't
  • 00:06:27
    and it's it's not normal to not feel optimal in  life and and not feel happy so as Dr ID was saying
  • 00:06:34
    anxiety disorders depression bipolar migraines or  headaches are not normal ADHD IBS panic disorders
  • 00:06:44
    Eating Disorders these are not normal physiology  of the brain of the human body is that correct
  • 00:06:51
    that's absolutely correct so if we have this we  have to really look at our diet and we're going
  • 00:06:55
    to talk about what we need to be eating but  first I want to understand how how common are
  • 00:07:00
    these mental health issues in our society well if  we're looking at from a Global Perspective nearly
  • 00:07:07
    one billion people in the world now have uh mental  health conditions so serious that it qualifies uh
  • 00:07:14
    under the category of disorder which means that  it's so serious as to interfere with some aspect
  • 00:07:21
    of the person's ability to function so that's  and those are just the people that we know about
  • 00:07:26
    of course there are many other people who are  suffering from from from mental health disorders
  • 00:07:31
    who have not been diagnosed because they haven't  come to our attention so um this is likely to be
  • 00:07:37
    an underestimate and so uh some I think that one  of the most important things to understand about
  • 00:07:44
    disorder versus mental health issue is that  you can have anxiety for very good reasons
  • 00:07:52
    and that can be useful and important in your life  it anxiety we have an anxiety kind of as an alert
  • 00:07:59
    system we have the ability to feel anxiety  um for a reason uh and so there's there there
  • 00:08:06
    are functional forms of anxiety and dysfunctional  forms of anxiety so you need for example if you're
  • 00:08:13
    a parent and your child runs into traffic you  need to feel anxious about that so that you can
  • 00:08:17
    be motivated to to do something about it um but  it's but but you shouldn't be feeling on a regular
  • 00:08:23
    basis as though you are worrying about things  that have happened in the past that you can't
  • 00:08:27
    do anything about or things that might happen in  the future but have not happened yet and so when
  • 00:08:33
    and it shouldn't be disabling you it shouldn't be  interfering with your ability to function anxiety
  • 00:08:37
    should help you function not interfere with your  ability to function or paralyze you and so anxiety
  • 00:08:43
    can be a good thing but you can have too much of  a good thing for no reason so the same thing with
  • 00:08:50
    depression it it's normal to feel depressed or  down if you've gone through a serious loss you're
  • 00:08:56
    grieving uh you're adjusting to a really uh to a  change in your life that that you hadn't expected
  • 00:09:02
    it's disappointing to you that also is perfectly  normal but it shouldn't last a long time and it
  • 00:09:08
    shouldn't paralyze you it shouldn't stop you from  functioning in your daily life or U you know keep
  • 00:09:15
    you in bed for many days or um or cause you to  want to harm yourself so all biological conditions
  • 00:09:24
    whether they're they exist in the brain or the  rest of the body exist on a spectrum from normal
  • 00:09:29
    and adaptive and functional and useful uh to  to disorder and it's all a matter of degree
  • 00:09:37
    so and and there really is no sharp line of  demarcation between these two things I think
  • 00:09:43
    you know most of us have come to expect to live  some most of us have not come to expect to live
  • 00:09:49
    at this optimal level uh where our mood our  energy our concentration our memory are all
  • 00:09:56
    optimally functioning most of most of us have  come to expect a much lower level of function
  • 00:10:02
    we're kind of just getting by um and that's still  not considered a disorder disorders are really
  • 00:10:08
    disabling and you know profoundly um impairing of  our ability to function absolutely and that's why
  • 00:10:15
    your work is so important people when they think  about the brain they're really scared of getting
  • 00:10:20
    Alzheimer's or dementia Parkinson's disease um in  your opinion as a harbard trained psychiatrist for
  • 00:10:26
    the last 25 years is mental health health issues  as dangerous as getting a terminal brain disease
  • 00:10:33
    so mental health disorders are brain disorders  and they often uh particularly in more serious
  • 00:10:40
    um conditions such as major depression bipolar  disorder schizophrenia uh and of course and of
  • 00:10:46
    course dementia they're it's not just that your  emotions or your behaviors are being affected
  • 00:10:52
    the brain itself is um is uh experiencing damage  and so so for example inflammation of the brain
  • 00:11:02
    is occurring in these conditions deterioration  of the brain is occurring the actual delicate
  • 00:11:09
    infrastructure the architecture of the brain  is deteriorating in these conditions and we see
  • 00:11:15
    that people for example with major depression  and bipolar disorder in schizophrenia they are
  • 00:11:20
    at a much higher risk for developing dementia  later in life um that we see when we look at
  • 00:11:27
    um special um IM of the brain um that we can see  that certain structures in the brain are smaller
  • 00:11:34
    because the cells that are in those structures  let's say for example the hippocampus which is
  • 00:11:39
    the brain's learning and memory Center which we  know deteriorates in Alzheimer's disease is also
  • 00:11:46
    smaller the size of the hippocampus is also more  likely to be smaller in people with these major
  • 00:11:52
    mental health conditions which we don't think of  as as pre-dementia so uh all of things that are
  • 00:12:00
    underlying uh major mental health conditions  if we look at all these different conditions
  • 00:12:06
    such as severe OCD or or major depression bipolar  disorder schizophrenia if and even Alzheimer's if
  • 00:12:15
    we look at these serious mental health conditions  they may look very different on the outside but
  • 00:12:20
    on the inside there's they actually have a  lot in common and this is where it's actually
  • 00:12:26
    very helpful to understand that because it may  seem impossible to figure out what's going on
  • 00:12:33
    um hopelessly complex but actually it the closer  you look the more similar these conditions uh uh
  • 00:12:42
    can appear to be and the good news about that is  that if you can understand what those similarities
  • 00:12:50
    have what's driving those similarities why why do  we see inflammation in so many of these cases why
  • 00:12:56
    do we see something called excessive oxidative  stress inside the brain this is why we're always
  • 00:13:03
    told to eat more antioxidants um is that we're  under too much oxidative stress why do we see you
  • 00:13:09
    we see inflammation we see oxid stress and we see  something called insulin resistance pre-diabetes
  • 00:13:15
    I'm sure many of your viewers and listeners  already know a lot about these conditions uh
  • 00:13:20
    nutrient deficiencies is another underlying cause  neurotransmitter imbalances so-called chemical
  • 00:13:26
    imbalances in the brain most mental health  conditions you see the same pattern of problems
  • 00:13:32
    and the good news is as dire as that sounds is  that you really need to look no further than
  • 00:13:40
    the standard dietary recommendations that we've  been given for so long to to find the ingredients
  • 00:13:47
    that directly promote all of those drivers of of  poor mental health and so if you have the right
  • 00:13:54
    information about diet you can actually turn turn  the things around for yourself rather quickly in a
  • 00:14:01
    lot of cases um and so that that's why I wrote  the book is to show people how powerful this
  • 00:14:07
    connection is between their food choices and their  mental health and mental health is brain health so
  • 00:14:14
    if we feed the brain properly it will perform so  much better for us than we have come to expect as
  • 00:14:21
    Dr Aid mentions mental health is brain health and  what we eat is so important to optimize our brain
  • 00:14:28
    and along with diet Psychotherapy which means talk  therapy is as important to help understand thought
  • 00:14:35
    patterns and deal with stressful situations in  life and there have been times in my life that
  • 00:14:41
    I needed extra support whether it be my Early  Childhood dealing with childhood trauma or
  • 00:14:47
    recently my dad's diagnosis of a terminal brain  disease there are definitely times that we need
  • 00:14:52
    extra support from experts and that's why I have  better help as a sponsor of today's video better
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    to help will connect you to a licensed therapist  who is trained to listen to you and give you
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    to our family and friends because it could be out  of judgment or maybe they might not understand
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    minute body on the sign up page and get a special  discount on your first month Dr Eid you are a
  • 00:15:43
    Harvard trained psychiatrist you have been helping  patients for 25 years but you yourself weren't
  • 00:15:50
    that healthy at age 40 can you tell us what  happened in your personal history yes so you know
  • 00:15:57
    I I think think of myself as having had relatively  good health in my 30s and 40s um and it wasn't
  • 00:16:04
    always the case I grew up overweight I always had  a weight problem I was always on the various kinds
  • 00:16:09
    of diets um and you know at times would have  depression anxiety things like that but really
  • 00:16:15
    nothing that anybody would have considered very  serious um but certainly under tremendous amount
  • 00:16:21
    of stress in medical school and things like that  I certainly had my had my stretches of time um
  • 00:16:27
    and and going through certain you know losses and  Rel relationship stressors as as many of us do in
  • 00:16:31
    our younger years all of those things affected me  um uh my mood but never to any serious extent and
  • 00:16:39
    so never to the extent that I you know was taking  medication or was in the hospital and so um but I
  • 00:16:46
    eventually figured out uh if I exercised regularly  and I was careful with my diet that I could I
  • 00:16:54
    could actually feel quite a bit better and I did  that for many years I exercised Rel religiously I
  • 00:16:59
    F I counted calories I ate kind of a low fat lower  cholesterol High higher fiber diet primarily to
  • 00:17:07
    to control my weight um I I really thought of  food choices I think as many women do uh as as
  • 00:17:16
    primarily affecting and helping me control my  weight I never it never crossed my mind that
  • 00:17:22
    what I was eating could uh determine my my mental  health or or any of my patients either so it was
  • 00:17:31
    really my early 40s I already been practicing for  about 10 years at that point that I came across my
  • 00:17:37
    own health issues and these were things that a lot  of my middle-aged and older patients especially
  • 00:17:42
    women in my practice were facing also and I had  no idea how to help them with these things things
  • 00:17:48
    like chronic fatigue and fibromyalgia and IBS  and migraines and it was it was so um it was
  • 00:17:58
    so so difficult for me to get through the day  when I was dealing with all of these things
  • 00:18:03
    that you know I went to see lots of Specialists  I was working at Harvard at the time I saw lots
  • 00:18:06
    of very caring and very intelligent and very um  uh thoughtful Specialists uh who were trying to
  • 00:18:14
    help me they did all kinds of tests um and told  me that everything was normal which of course it
  • 00:18:21
    wasn't uh but they they had no answers for me and  and and none of them asked me what I eat which was
  • 00:18:28
    interesting and they all sent me home uh with the  same recommendations about lifestyle exercise eat
  • 00:18:37
    a high fiber lowfat diet you know um be careful  with saturated fat and meat and those sorts
  • 00:18:43
    of things eat more plants eat more fruits and  vegetables all I was already doing all of those
  • 00:18:47
    things so I really was left to my own devices  to try to figure out what I was going to do uh
  • 00:18:54
    because the conventional Medical Care system which  I had honestly C I mean I practiced conventional
  • 00:19:01
    medicine and really had a lot of respect for  conventional medicine uh they were at a loss
  • 00:19:06
    to help me so I had really no other choice and I  just kind of instinctively started experimenting
  • 00:19:12
    with my diet to see if I could at least help with  the IBS symptoms and long story short through a
  • 00:19:19
    period of about six months of trial and error and  journaling uh about keeping a food and symptom
  • 00:19:24
    Journal I ended up with a diet that was almost  compl completely upside down in backwards from
  • 00:19:30
    what we're told is good for us and that was the  diet that completely reversed all of the physical
  • 00:19:38
    health symptoms that I had been wrestling with  migraines chronic fatigue fibromyalgia IBS but
  • 00:19:45
    not just that my mental health improved as well  in ways I wasn't even trying to accomplish and in
  • 00:19:52
    ways I hadn't even realized needed to happen  so I was concentrating on my mood my energy
  • 00:19:58
    my concentration my sleep my mental stamina my  productivity all of it was noticeably better and
  • 00:20:07
    really better than it ever had been and that got  my attention as a psychiatrist I thought well you
  • 00:20:13
    know this diet which is supposed to theoretically  kill me be really bad for me seems to be really
  • 00:20:22
    good for the brain but I I couldn't recommend this  to my patients because I it really flew in the
  • 00:20:29
    face of of of everything that I thought everything  I'd ever been taught about nutrition although
  • 00:20:36
    that wasn't much um everything we've been led to  believe about nutrition so I couldn't I couldn't
  • 00:20:43
    go to my patients and say hey I have found a  wonderful way of eating that I think is going
  • 00:20:48
    to be helpful to you let's begin today because I  didn't know anything about I I I worried that the
  • 00:20:54
    diet would be dangerous for my patients and I did  really didn't understand I wanted to understand
  • 00:21:01
    how it could be that this diet that is supposed  to be so dangerous for me which was very high in
  • 00:21:08
    animal protein animal fat and and and cholesterol  was very low in fiber low in plant Foods uh didn't
  • 00:21:15
    contain any whole grains didn't contain any any  dairy products didn't contain rainbows of fruits
  • 00:21:21
    and vegetables didn't contain legumes I I thought  well how could this diet be good for me I need I
  • 00:21:29
    really want to get to the bottom of this I became  intensely curious intellectually curious about how
  • 00:21:37
    trying to understand this Paradox and so I started  studying nutrition for the first time really
  • 00:21:43
    deeply studied nutrition I I I'm still studying  nutrition 15 years later uh and love it I fell in
  • 00:21:50
    love with nutrition science and what what I came  to understand uh which I know this has happened to
  • 00:22:00
    quite a few of us including yourself what I came  to understand was that the the the information
  • 00:22:07
    that that we have been led to believe about what a  healthy diet should look like is almost completely
  • 00:22:14
    Incorrect and there is no science behind the  majority of the recommendations that we walk
  • 00:22:22
    around thinking I mean I mean most people on the  planet have these particular ideas is in their
  • 00:22:28
    minds about what a healthy diet looks like that  it needs to contain whole grains that it should be
  • 00:22:33
    based in grains and legumes that the more plants  you eat the better the less meat you eat the
  • 00:22:37
    better uh be careful with saturated fat uh plant  proteins are superior to animal proteins you must
  • 00:22:44
    eat a wide variety of fruits and vegetables uh  every day um all of these beliefs about nutrition
  • 00:22:53
    there's no science behind them whatsoever  there's no logic behind them there's no biology
  • 00:22:58
    behind them there's no rationale so when you  actually look at what foods when you look at
  • 00:23:04
    the biology of food the individual foods that we  that are that make up the diet and you look at
  • 00:23:10
    the biology of the brain the biology of the body  brain metabolism uh digestive the digestive system
  • 00:23:19
    the biochemistry of how we break Foods down all of  these things um support the diet that that you and
  • 00:23:28
    have come to understand is the the healthiest  for people um all of the information that we have
  • 00:23:36
    about whole grains and legumes and rainbows of  fruits and vegetables and plants are are healthier
  • 00:23:42
    plant foods are healthier than animal Foods all  of that information comes from untested theories
  • 00:23:49
    that come from uh questionaire based guesswork  essentially the way I boil it down in the book
  • 00:23:58
    is it's really wild guesses and wishful thinking  about what we should eat rather than the biology
  • 00:24:05
    of food the biology of the body the biology of  the brain which which is is screaming at us from
  • 00:24:12
    every direction that the opposite is true and if  we pay attention to that um we are easily let it
  • 00:24:19
    becomes quite obvious what we need to eat if once  you remove all of these unscientific studies which
  • 00:24:28
    unfortunately the Lion Share of what we're told is  is good for us when you remove when you understand
  • 00:24:33
    which studies those are and and that you need  to just remove those from your from your from
  • 00:24:38
    your database about what you're thinking if you  remove all those so-called nutrition epidemiology
  • 00:24:43
    studies from your from your thinking you create  an an epidemiology free zone you end up with very
  • 00:24:52
    clear very logical very simple rules about what  human beings are supposed to eat uh to support
  • 00:25:00
    Optimal Health so you alluded to what you were  eating something that is very opposite to what
  • 00:25:06
    we've been told to eat let's give it a label is  it the carnival diet well let me just say that
  • 00:25:13
    it is a meat Centric diet so this is a diet that  must include at its core uh animal Foods uh and
  • 00:25:23
    and what you include beyond that and I and I make  this case in the book what you include beyond that
  • 00:25:29
    is really up to you um Bas based on your metabolic  uh your metabolic tolerance how much carbohydrate
  • 00:25:37
    you can safely tolerate which plant foods you  can safely tolerate um I'm not convinced that we
  • 00:25:44
    need to include anything beyond meat if we don't  want to but I think many of us can be robustly
  • 00:25:52
    healthy if we include a decent amount of plant  food in the diet but we do need to understand
  • 00:25:58
    that not all plant foods are created equal not  all of them are equally um uh um nutritious not
  • 00:26:06
    all of them are equally safe uh many plant foods  have more risks than benefits particularly the
  • 00:26:13
    plant foods that we are told to base our diets on  which are the the grains beans nuts and seeds form
  • 00:26:21
    the foundation of the Mediterranean diet of the  plant-based diet of vegetarian diets vegan diets
  • 00:26:27
    if you structure your diet that way you are basing  your diet on the uh some of the least nutritious
  • 00:26:38
    and riskiest plant Foods um that are available  absolutely we're going to talk more about step
  • 00:26:44
    by step foods not to eat foods to eat and what to  focus on um do you think that people if they want
  • 00:26:50
    to treat mood disorders that they need to do a  high fat diet well it depends on what you mean
  • 00:26:54
    by high fat so um higher fat than we are used to  eating yes absolutely so yes I mean the majority
  • 00:27:01
    of the calories from a healthy diet should come  from fat and not from carbohydrate that is optimal
  • 00:27:08
    you can the dietary carbohydrate is is completely  optional of the three macronutrients fat protein
  • 00:27:15
    and carbohydrate the only macronutrient that  is entirely optional in the human diet is
  • 00:27:21
    carbohydrate and the reason for that is that uh  we can make all of our own glucose glucose is
  • 00:27:27
    the simple sugar in the bloodstream um and there  are many organs throughout the body including the
  • 00:27:32
    brain that do need some glucose at all times  in order to function at their best that does
  • 00:27:39
    not mean that you need to eat carbohydrate to  generate that glucose and provide that glucose
  • 00:27:46
    for for your cells because because of a process  called gluconeogenesis which just means making
  • 00:27:53
    glucose from a scratch so we can make all of our  own glucose from protein and fat smoothly reliably
  • 00:28:01
    uh for the rest of our lives without any Peaks  or valleys or drama um from protein and fat so
  • 00:28:08
    you can choose to get your your you can choose to  create glucose out of dietary carbohydrate you can
  • 00:28:14
    bre you can eat starches and sugars break those  Foods down and create glucose and generate your
  • 00:28:20
    glucose that way or you can choose to generate  your glucose from inside your body out of protein
  • 00:28:26
    and fat so dietary carbohydrate is optional the  and I think one of the really interesting things
  • 00:28:34
    about about this is that it's not just that it's  optional it may be suboptimal it may be better
  • 00:28:42
    for you I would argue to make your own glucose  rather than to than to generate rather than to
  • 00:28:49
    get most of your glucose from dietary carbohydrate  because when you make your own glucose your B it's
  • 00:28:56
    a demand driven system your body knows exactly  how much you need at any given moment uh depending
  • 00:29:03
    on the circumstances so you're not going to get  you know uh steep unnaturally spikes in glucose
  • 00:29:10
    that could be damaging to every organ in your body  you're not going to go to Dangerously hypoglycemic
  • 00:29:15
    levels the body knows what you need and so if  you're taking in carbohydrate from outside the
  • 00:29:22
    body in many cases you don't really know exactly  how much you need or or what or what kinds are
  • 00:29:29
    best for you there's a lot of confusion about  how much carbohydrate we should eat and what
  • 00:29:34
    types and so you're very likely going to be taking  in more than you need sometimes often most of the
  • 00:29:42
    time and of the wrong types and so it's going to  be causing a lot of instability uh in your blood
  • 00:29:52
    glucose levels that is completely unnecessary  if you generate it from within then you can
  • 00:29:58
    trust your body your evolutionary biology to know  exactly how much you need and so I think there is
  • 00:30:04
    an advantage to creating your glucose from within  as Dr ID mentions there is zero requirement for
  • 00:30:11
    dietary carbohydrates in our body and to optimize  your brain and overall health we need to eat a lot
  • 00:30:18
    of fat and a lot of protein and a great way to  do this is to follow a carnival diet even for
  • 00:30:24
    90 days I followed a carnival diet for the last 4  years and I have seen incredible improvements not
  • 00:30:31
    only in my mental health but also in my physical  health but 4 years ago when I started I had no
  • 00:30:37
    support my doctor was telling me you're going  to get a heart attack from eating all of this
  • 00:30:42
    saturated fat and so much red meat and that's  why I started a community which has now grown to
  • 00:30:48
    over 12,000 members so if you're thinking about  starting a carnival diet I would love to invite
  • 00:30:53
    you to join our go Carnival Community every week  we have board certified Carnival and keto doctors
  • 00:31:00
    to help answer your most common medical questions  we also have coaches fat loss challenges loads of
  • 00:31:07
    meal plans and lots of free and paid features  to help you get the best results so if you'd
  • 00:31:13
    like to join just head to go carnival.com and  there's a special discount for your first month
  • 00:31:18
    let's talk about the cause of these mental health  issues or mood disorders do you first think that
  • 00:31:25
    any of these mood disorders are caused by genetic  predispositions of people you know most conditions
  • 00:31:32
    that humans face have a genetic compon they're  influenced by our genes but they are not by and
  • 00:31:38
    large caused by our genes so I like to say you  know your DNA is usually not your destiny um so
  • 00:31:46
    you know our our genes are paying attention to our  lifestyle um and but but most of these conditions
  • 00:31:54
    are not determined by by your DNA and we know this  from twin studies so you know if if if there's an
  • 00:32:02
    identical twin so identical twins share DNA almost  all of their DNA and so you would expect if if a
  • 00:32:10
    condition were completely genetically determined  that if one twin had schizophrenia or bipolar
  • 00:32:16
    disorder or a major depression or OCD that the  other twin uh would absolutely have that condition
  • 00:32:22
    and we do not see that in twin studies um so the  risk is actually much lower than 100% in most
  • 00:32:29
    cases it's much lower than 50% so genes have genes  are influencing our risk or vulnerability for
  • 00:32:37
    certain conditions but they are not determining  there there is no Gene for schizophrenia there is
  • 00:32:42
    no Gene for bipolar disorder there is no Gene  there's no genetic test that I can offer you
  • 00:32:49
    even now in 2024 that can help me understand why  you might be suffering from a mood disorder or a
  • 00:32:57
    memory disorder disorder uh and and so it's really  almost um uh it's really not useful to think about
  • 00:33:06
    it that way because even if even if there were  even if we understood exactly which pattern
  • 00:33:13
    of genes was going to increase your risk for a  certain condition what are you going to do with
  • 00:33:18
    that information that's not helpful information  you can't do anything about the genes you were
  • 00:33:25
    born with but you can do a lot quite quickly about  the environment those genes are are living in and
  • 00:33:35
    the the signals that they are receiving so your  genes are paying attention to what you eat and
  • 00:33:41
    they're turning on and turning off based on the  on the environment that you are creating for them
  • 00:33:48
    so even if your condition has a a major genetic  component to it which it usually doesn't um you
  • 00:33:56
    can influence the degree to which you're suffering  from that condition by creating a healthier
  • 00:34:01
    environment for your entire body by by by eating  differently and and changing other aspects of your
  • 00:34:07
    lifestyle and and You' said yourself I know in  other interviews that it's not all about diet um
  • 00:34:13
    there are other other things that you need to do  to fully to to to to to to work towards optimal
  • 00:34:20
    mental health but diet is I'm convinced the single  most important place to start because it lays that
  • 00:34:30
    metabolic and nutritional Foundation uh from which  you can do additional work uh mindfulness work
  • 00:34:36
    Psychotherapy work um U Better energy for exercise  all kinds of other influences um that um that that
  • 00:34:45
    you'll want to work on to to achieve optimal  mental health if you don't have that good solid
  • 00:34:50
    nutritional and metabolic Foundation it will be  harder for you to use those other tools and um in
  • 00:34:57
    in the most effective and efficient way absolutely  the reason why I ask that question is because
  • 00:35:01
    people watching they might think well my mom or  dad has depression my mom or dad has bipolar oh
  • 00:35:06
    I'm going to get it I can't do anything about it  but as Dr ID is saying you absolutely can so I
  • 00:35:11
    want to move on to the the real cause which you  talk about which is chemical imbalances so your
  • 00:35:17
    brain has neurotransmitters which are chemicals  which are signal signaling messages that's how
  • 00:35:22
    they talk to each other um and chemical imbalances  occur in the brain over time from various factors
  • 00:35:29
    let's first talk about the neurotransmitters  in the brain that make somebody feel good and
  • 00:35:34
    happy there's three of them can you name the main  three neurotransmitters well if we're thinking
  • 00:35:40
    about depression say for example the ones that we  usually hear about the most are serotonin dopamine
  • 00:35:46
    and norepinephrine perfect um so that is the main  neurotransmitters that we need to work on so if
  • 00:35:52
    they're not functioning properly you're going to  have these mood disorders or mental health issues
  • 00:35:56
    and people Di them with a label but they're  kind of kind of coming from the same source
  • 00:36:01
    as you alluded to earlier let's talk about how  these neurotransmitters become imbalanced you
  • 00:36:07
    mentioned it earlier on but let's really spell  it out so dopamine serotonin nor epinephrine or
  • 00:36:13
    noradrenaline how do they become imbalanced in  the brain so uh you know we really for the past
  • 00:36:20
    75 years since the 1940s and 50s uh that's really  when we started to think about chemical balances
  • 00:36:28
    as being the main biological cause of mental  health conditions you know when I was when I
  • 00:36:34
    was training to be a psychiatrist back in the  before the turn of the century now in the 1990s
  • 00:36:40
    when I was training to be a psychiatrist I was  taught What's called the bioc psychosocial model
  • 00:36:45
    of mental of the causes of mental illness meaning  that mental illness has had psychosocial causes
  • 00:36:52
    things like stress and Trauma and your mother and  that was I was taught to address those things with
  • 00:36:59
    Psychotherapy and I was taught they had biological  root causes but the biological root causes that we
  • 00:37:05
    focused on and that we've been focusing on for 75  years were these so-called chemical imbalances in
  • 00:37:10
    neurotransmitters like serotonin and dopamine but  we never really stop to talk about or think about
  • 00:37:18
    well what causes those chemical imbalances in the  first place and it really is um the brain is a
  • 00:37:26
    beautifully sophistic icated organ uh incredibly  complex um uh the and and these neurotransmitters
  • 00:37:35
    are just one tiny piece of the puzzle but even  if you only look at neurotransmitter balance you
  • 00:37:42
    can find this beautiful connection between how we  eat and how our neurotransmitters are produced and
  • 00:37:50
    how they how they are balanced or unbalanced so a  fantastic example and I lay this out in the book
  • 00:37:58
    is you know if if say let's say you're eating too  many of the wrong carbohydrates too often so let's
  • 00:38:04
    say that you've just had a nice big bowl of cereal  for breakfast or a sweetened yogurt or a glass
  • 00:38:10
    of juice and or a bagel and you take in so what  you're doing is you're taking in quite a bit of
  • 00:38:16
    refined carbohydrate so these are naked glucose  molecules that turn instantly into a tsunami of
  • 00:38:23
    glucose in the bloodstream those glucose molecules  will cause an a steep exaggerated spike in your
  • 00:38:30
    blood glucose levels after after you eat or drink  those those uh those Foods or Beverages and that
  • 00:38:38
    gets passed on to the brain so every time your  blood sugar spikes uh your brain sugar also spikes
  • 00:38:44
    the higher the blood sugar the higher the brain  sugar they're not identical and what's actually I
  • 00:38:49
    think quite fascinating is that uh it is true that  the brain does need some glucose at all times to
  • 00:38:56
    function optimally but but it doesn't need much  in fact the blood brain barrier which separates
  • 00:39:02
    the general circulation from the interior of the  brain it keeps the brain glucose level about 80%
  • 00:39:10
    lower than the blood glucose level on purpose it  really doesn't need a lot of glucose so when you
  • 00:39:17
    but but in so in any case when you've got too much  glucose in your bloodstream you will also have too
  • 00:39:23
    much glucose in the brain because they rise and  fall together when you've got too much glucose in
  • 00:39:29
    the brain that extra glucose literally sticks it  sticks to proteins and lipids and DNA molecules
  • 00:39:38
    all kinds of important uh uh cellular components  of the brain and kind of caramelizes them and
  • 00:39:44
    cripples them into these dysfunctional sticky  clusters these are called Advanced glycation end
  • 00:39:51
    products they're also for short the acronym which  is I think is quite useful is ages these are ages
  • 00:39:59
    and the reason why that's a useful acronym is  because um it's well established that ages are
  • 00:40:05
    a main driver of premature aging of the brain and  many other tissues throughout throughout the body
  • 00:40:13
    so when you get these sticky clusters piling up  in the brain that that's a problem because then
  • 00:40:19
    brain cells can't communicate or function properly  but fortunately the brain has an immune system and
  • 00:40:26
    so there are IM immune cells that are patrolling  the neighborhood looking for problems and these
  • 00:40:31
    immune cells see the they detect these clusters  they say okay something's wrong we need to clear
  • 00:40:38
    these away so they sound the alarm they basically  they on purpose they release these SOS signals
  • 00:40:47
    inflammatory cyto kindes and oxygen-free radicals  so these inflammatory cylin are just little
  • 00:40:53
    Messengers that deliberately create inflammation  and oxygen-free radicals are are there to
  • 00:41:00
    deliberately create oxidative stress again that's  why we're always told to eat more antioxidants
  • 00:41:05
    we've got too much oxitive stress so these are  like little Bulls in a china shop you know they
  • 00:41:10
    will essentially everything they randomly bump  into they will damage if you let this go on
  • 00:41:15
    for too long you do need to sound this alarm but  you don't want to be in this emergency State all
  • 00:41:20
    the time it's a special State meant for emergency  situations when you get this burst of inflammation
  • 00:41:28
    and oxidative stress um what's happening then  is that there's the there many things happen
  • 00:41:36
    but this there's a key pathway that regulates  lots of different neurotransmitters in the
  • 00:41:41
    brain including seratonin and melatonin that's our  our circadian our sleep hormone dopamine and then
  • 00:41:50
    these really two these major neurotransmitters  in the brain that a lot of people may not be as
  • 00:41:56
    familiar with but which which are very important  called glutamate and Gaba glutamate and Gaba so
  • 00:42:02
    you can kind of think of Gaba as the brain's  breake petal it's the calming neurotransmitter
  • 00:42:07
    alcohol increases Gaba so people feel calmer after  they drink alcohol um benzodiazapine medications
  • 00:42:13
    like Adavan and Xanax and clopen these also  activate Gaba and are calming so the calming
  • 00:42:21
    neurotransmitter Gaba and then the the excitatory  neurotransmitter the stimulating neurotransmitter
  • 00:42:26
    is called glutamate so the balance between  glutamate and Gaba essentially determines
  • 00:42:34
    your brain's overall activity level at any given  point in time how activated your brain is are you
  • 00:42:40
    alert are you paying attention are you anxious are  you are you are you activated or are you calm and
  • 00:42:46
    peaceful or even sleepy so this is a big big part  of what determines your brain's overall activity
  • 00:42:53
    level it turns out that whenever you get wave of  inflammation or oxidative stress that is having
  • 00:43:00
    a profound impact on this regulatory pathway so  instead of having you know you've got just the
  • 00:43:08
    right amount of Serotonin just the right amount  of melatonin and just the right amount of dopamine
  • 00:43:12
    just the in a nice balance between glutamate and  Gaba where everything is kind of in your peaceful
  • 00:43:16
    calm focused Zen State what you get is this  tremendous imbalance uh sudden dramatic imbalance
  • 00:43:25
    uh and you you you get you get less serotonin you  get less melatonin you get more dopamine you get
  • 00:43:31
    less Gaba and up to 100 times more glutamate than  your than you had before that's your excitatory
  • 00:43:39
    that's like the brain's gas pedal and now your  brain is in emergency mode you you may not be
  • 00:43:46
    able to sleep you may have manic symptoms you may  your brain is going to be in overdrive you may be
  • 00:43:52
    anxious you may feel panicky um and you may not  be able to concentrate your brain is on high alert
  • 00:44:00
    now it's one thing if this just happens every once  in a while um under appropriate circumstances but
  • 00:44:06
    most people are eating the wrong too many of  the wrong carbohydrates refined carbohydrates
  • 00:44:12
    with every meal and snack typically six times  a day they're getting these dangerous glucose
  • 00:44:19
    spikes in the bloodstream therefore also in  the brain you're getting these sticky clusters
  • 00:44:24
    piling up you're getting waves of inflammation  and oxidative stress and you are destabilizing
  • 00:44:29
    multiple neurotransmitters simply because you  had the wrong information about what a healthy
  • 00:44:35
    breakfast is supposed to look like and so this  is the science behind this is is is very well
  • 00:44:44
    established and so this is something we we've  known for quite a long time so if people have
  • 00:44:51
    the right information about what's causing the  chemical imbalances in the first place you can
  • 00:44:56
    do do a lot more with dietary changes you can help  yourself stabilize your Chemistry from within in
  • 00:45:04
    ways that no medicine can because even the most  effective psychiatric medications which still
  • 00:45:12
    don't help most people um even the most effective  ones we have can only at best influence maybe two
  • 00:45:20
    or three of these neurotransmitters and and even  when even when they' are able to do that the price
  • 00:45:27
    you pay for the relief that you may get is often  tremendous in terms of the side effects you're
  • 00:45:33
    going to experience and these medicines some of  are most effective medications for example the
  • 00:45:40
    anti-yo medications the so-called antic psychotics  which are now prescribed for lots of different
  • 00:45:45
    things not just psychosis but bipolar disorder  depression insomnia agitation anxiety mild mood
  • 00:45:52
    swings lots of people take these medicines these  are medicines like um uh the the the generic names
  • 00:45:59
    are Med are like resperidone or lanzapine um uh  uh aripiprazol there are lots of medicines in this
  • 00:46:09
    family copine and these medicines uh can increase  your glucose and insulin levels within minutes to
  • 00:46:17
    hours of the very first dose and set you on a path  towards insulin resistance type 2 diabetes and
  • 00:46:24
    obesity very quickly that's a big price to pay so  um if if you I mean really I think a first Do no
  • 00:46:34
    harm I'm not I do use medications in my practice  still even to this day they have their place they
  • 00:46:40
    they we still need medications in our work for  emergency situations for people who aren't able
  • 00:46:46
    to change their diets or their lifestyle or who or  who choose not to and and for conditions that have
  • 00:46:52
    nothing to do with diet there are mental health  conditions that aren't rooted in dietary change
  • 00:46:57
    dietary problems medications are still important  but um the I I think it's much more I really have
  • 00:47:06
    come to be convinced that a food first Do no  harm policy is the best approach uh in most
  • 00:47:16
    uh cases Why not start there and then see whether  see how far that takes you and then if you if you
  • 00:47:23
    then need to go further in terms of medications or  other lifesty changes other types of interventions
  • 00:47:29
    by all means explore those but why not start  by giving by feeding the brain properly first
  • 00:47:35
    and taking yourself off of this chemical roller  coaster that you can't feel it happening but why
  • 00:47:45
    not why not try to stabilize your Chemistry from  within before trying to do it uh with medications
  • 00:47:51
    so we need to get off carbohydrates refined  carbohydrates not all carbohydrates because
  • 00:47:56
    I think with we don't necessarily have to do  a carnival diet we don't necessarily have to
  • 00:48:00
    do a ketogenic diet um and and you spoke about  medications I was Keen to understand your thoughts
  • 00:48:06
    about Statin and their effect on the brain what  are your thoughts about that yeah so you know I'm
  • 00:48:11
    not a cardiologist I of course I'm a psychiatrist  but the reason why I have uh learned so much about
  • 00:48:17
    Statin and think so much about statins is because  uh is because the brain is rich in cholesterol for
  • 00:48:26
    a reason so you know what is all that cholesterol  doing up there uh so the the brain is is really
  • 00:48:33
    rich in cholesterol because it is rich in  membranes so membranes uh the m the m this
  • 00:48:40
    a substance called myelin which uh insulates all  of our brain circuitry uh essentially myelin is
  • 00:48:47
    just tightly coiled membranes wrapped around our  our Electrical uh connections inside of our brain
  • 00:48:54
    and they they are myin is very important without  that insulation nerve signals wouldn't wouldn't be
  • 00:49:00
    transmitted quickly enough or safely enough you  get a lot of short circuiting within the brain
  • 00:49:06
    so myelin is just tightly wound membranes and  membranes are rich in cholesterol that's just
  • 00:49:12
    one reason why we need a lot of cholesterol in  the brain uh cholesterol it forms is uh helps
  • 00:49:19
    guide developing nerve endings to their final  destinations when the brain is developing or
  • 00:49:24
    when new connections are forming um cholesterol  is really important for the the um uh the the
  • 00:49:31
    synap where the synapses where where brain cells  connect with each other and where they're trying
  • 00:49:37
    to communicate with each other cholesterol plays  a very important role in in synapse function uh in
  • 00:49:43
    brain cell communication uh lots lots of other the  the membranes that wrap mitochondria mitochondria
  • 00:49:50
    do many important things but one of the important  one of the things they're most famous for is
  • 00:49:56
    generating energy mitochondria have not just  one membrane but two they're a very special
  • 00:50:01
    double membrane system and those membranes require  lots of cholesterol so the brain needs a lot of
  • 00:50:08
    cholesterol and so um uh cholesterol isn't just  something bad to be bludgeoned into submission
  • 00:50:14
    with a medication cholesterol is a vital molecule  um essential for all cellular life so all of our
  • 00:50:23
    cells require cholesterol so now it's really  fast fting about cholesterol is that uh the
  • 00:50:30
    it's the the molecule itself cholesterol is too  big and bulky to cross the bloodb brain barrier
  • 00:50:36
    and enter the brain so the brain must make every  single molecule of cholesterol that needs itself
  • 00:50:43
    from scratch so I like to say you know why would  the brain go out of its way to make a cholesterol
  • 00:50:50
    that's to make a molecule that's bad for us it  wouldn't it's really smart it's a brain it knows
  • 00:50:57
    what it's doing the problem with statin drugs is  that all of them to a greater or lesser extent it
  • 00:51:03
    depends on which one we're talking about but all  of them cross the blood brain barrier all of them
  • 00:51:09
    interfere with cholesterol production in the brain  all of them and and I've had many patients over
  • 00:51:15
    the years um who have started a Statin medication  based on the advice of their cardiologist or their
  • 00:51:22
    primary care doctor who um have been trained  to look at LDL cholesterol on a lipid panel
  • 00:51:29
    unfortunately zero in on that number and uh almost  to the exclusion of of all else and think oh that
  • 00:51:36
    LDL is too high you need a Statin medication  they prescribe the Statin uh the patient starts
  • 00:51:42
    the stattin and within days and this has  happened more times than I can count so I'm
  • 00:51:48
    absolutely convinced this is a real this is a real  phenomenon they start to have problems with their
  • 00:51:53
    memory they start to having problems thinking  clearly they start to have problem s with word
  • 00:51:57
    finding I cannot tell you how many patients I have  worked with who they start the Statin they start
  • 00:52:03
    to have the struggle with finding words um being  articulate uh remembering things just a little a
  • 00:52:09
    little just a little off their game right these  are sometimes people in their 30s and 40s stop
  • 00:52:15
    the Statin their mind clears up within days start  the Statin back up again the cognitive impairment
  • 00:52:21
    occurs again this is a very real phenomenon and so  um uh uh it makes sense if you think about it the
  • 00:52:31
    way statins work is they interfere they turn down  the enzyme the activity of the enzyme responsible
  • 00:52:40
    for building cholesterol Mo molecules if the brain  can't build cholesterol molecules it's in trouble
  • 00:52:46
    it needs to build be able to build cholesterol  molecules you don't want to interfere with that
  • 00:52:50
    Statin medications have almost no there's the  science behind stat and heart disease prevention
  • 00:52:58
    is extraordinarily weak for whatever questionable  minuscule benefit you might be getting from
  • 00:53:09
    a Statin in terms of your cardiovascular risk  uh that tiny potential questionable benefit is
  • 00:53:17
    offset by a tremendous amount of risk not just to  brain health but to the the health of all of your
  • 00:53:24
    cells all cells need cholesterol and and you know  I think it's quite important to to understand this
  • 00:53:32
    that statin drugs increase your risk for type  2 diabetes this is very well established type
  • 00:53:39
    2 diabetes is very dangerous for your heart it's  a very powerful risk factor for cardiovascular
  • 00:53:45
    disease and and so you're you're getting much more  risk than benefit now as a psychiatrist I can't I
  • 00:53:53
    can't uh deprescribe somebody's Statin medication  that would be beyond my my scope of practice but I
  • 00:54:00
    can educate my patients and attempt to um share  this information uh and and the science and all
  • 00:54:08
    of the literature with the patients other doctors  to see if they might be willing to reconsider the
  • 00:54:15
    stattin and I can also educate my patients to say  you know all of us on your Healthcare team we may
  • 00:54:22
    have different opinions about whether or not you  should take a stattin we are all advisers you get
  • 00:54:28
    to make the final decision it's up to you whether  or not you want what what you think of this risk
  • 00:54:33
    versus benefit this is your life you get to so  listen to all of us do your own homework and
  • 00:54:39
    you decide uh I really do think that patients  need to view themselves as when they're going
  • 00:54:46
    to Physicians as a seeking consultation so a lot  of patients will say to me well I can't stop the
  • 00:54:52
    stat and my doctor won't let me and I think that  that's just a not as useful way of thinking about
  • 00:55:00
    the The Physician patient relationship I think  we are all advisers we give the best advice we
  • 00:55:05
    know how to give and then the patient you know  ultimately takes responsibility for what they
  • 00:55:10
    think makes the most sense for them based on  their goals and their preferences absolutely
  • 00:55:15
    I think people need to be empowered uh find  knowledge find doctors like yourself um like
  • 00:55:20
    Dr chaffy I did an interview with Dr chaffy  about dementia talking about how if patients
  • 00:55:25
    uh take take stattin they are cases where they're  getting Dementia or Alzheimer's where they go off
  • 00:55:31
    the stattin their Alzheimer's or mild Alzheimer's  disappear so talking about the knowledge that
  • 00:55:36
    we need to equip ourselves with let's talk about  fat fat for the brain why is fat so important for
  • 00:55:44
    brain health yes so so again the brain is very  rich in fat as well and it's not just it's not
  • 00:55:50
    canola oil up there quite a bit of it is actually  saturated fat um you it's so funny you know uh
  • 00:55:57
    we're taught to you know avoid saturated fat and  red meat and cholesterol we are made of saturated
  • 00:56:02
    fat red meat and cholesterol I mean if you look  if I mean that's what human beings are made of
  • 00:56:08
    so um it really doesn't make any sense when you  think about it but in any case um fat is very
  • 00:56:14
    important for all of our cells again membranes are  made of fat um but you know fat fat is not just a
  • 00:56:21
    structural component of all cells cell membranes  and other types of other components of cells
  • 00:56:26
    but fat uh certain types of fat uh uh serve very  very important uh unique functions in brain cell
  • 00:56:34
    signaling and brain cell development um in the  visual processing system in mitochondrial energy
  • 00:56:40
    production uh you know there and these are the  omega-3 fatty acids and and and and they even
  • 00:56:46
    form a very important role uh a central role  in our immune system uh so omega-6 and omega-3
  • 00:56:53
    the essential omega-6 and omega-3 fatty acids  play Vital roles in our immune system so these
  • 00:56:59
    are these are essential fats we must uh we must  consume these we can't make them ourselves so fat
  • 00:57:05
    is very important and even and and and fat uh we  think of fat as some unwanted substance that we're
  • 00:57:13
    just trying to get rid of as much as possible  but we do need fat um and and when a person has
  • 00:57:21
    too much body fat they they have excess they're  storing excess body fat all that is is stored
  • 00:57:28
    energy and and and believe me you want to store  energy as saturated fat because it's really the
  • 00:57:35
    most lightweight most compact most flexible uh way  to store fat it allows you to be to move about in
  • 00:57:42
    the world you do not want to store your fat your  energy the way plants do plants store their energy
  • 00:57:48
    as starch almost all of the energy in a plant is  stored you often in in in roots or large lumpy
  • 00:57:55
    starchy structure es called tubers you things like  potatoes and yams and carrots these are these are
  • 00:58:02
    starchy um underground energy storage organs  you C I mean imagine if we had to store all
  • 00:58:10
    of our energy this way we'd have to sort of drag  large lumps of starch behind us as we're moving
  • 00:58:15
    about in the world this is Impractical so we are  intelligently designed to have uh to have this
  • 00:58:23
    lightweight compact Flex ible almost Limitless  capacity to store energy on our bodies this is
  • 00:58:31
    a beautiful system and so fat is good the only  thing that's bad about fat is that if you eat the
  • 00:58:39
    wrong way you will accumulate too much of it but  it's only because your body is doing what you're
  • 00:58:44
    telling it to do it's it's it's taking all of the  extra calories that you're taking in uh let's say
  • 00:58:53
    for example let's say you eat a zero a fat diet  let's say that all you eat all day is let's see I
  • 00:59:01
    don't know potatoes let's say you eat potatoes all  day long or rice all day long there's no virtually
  • 00:59:05
    no fat in those Foods so you're eating a virtually  a zero fat diet can you still become fat of course
  • 00:59:11
    you can um the reason why is because when you're  taking in carbohydrate um you it if you can't burn
  • 00:59:21
    it right away or store it then you have to turn  into fat there's no other choice you the body will
  • 00:59:29
    not let go of excess energy if if it can help it  it's squirreling all that away for a rainy day so
  • 00:59:36
    now if you're not exercising a lot um then you're  not going to need a lot you you're not going to be
  • 00:59:42
    able to burn much um uh and and you can't store  much as as car we have very limited capacity to
  • 00:59:50
    store energy as starch our muscles store some  glycogen that's this that's our form of animals
  • 00:59:56
    store carbohydrate is glycogen it's a starch  just lots of glucose molecules stuck together
  • 01:00:02
    in our muscles and in our liver and a few other  places too but mostly that's where the starch gets
  • 01:00:08
    stored but we it's not very much we have maybe  if we're lucky a day's worth of of starch that
  • 01:00:15
    we can store and then we run out that's what fat  is for we can store months and months of energy as
  • 01:00:23
    fat so if you take in more carbohydrate than you  need at that moment that that you need to burn at
  • 01:00:28
    that moment or that you can store right away all  of the rest of that carbohydrate the liver turns
  • 01:00:36
    into saturated fat on purpose because that's what  it that's what you're telling it to do what else
  • 01:00:44
    you're not get what other choice is there so it's  it's storing a saturated fat for a rainy day so if
  • 01:00:51
    you're eating and and your insulin levels will go  up so insulin is is what tells you um uh insulin
  • 01:01:00
    is what tells you to store extra energy so when  your insulin levels are high and carbohydrates
  • 01:01:07
    raise insulin the most when your insulin levels  are high your fat storage system turns on when
  • 01:01:13
    your insulin levels are low fat burning turns on  if your insulin levels are too high you cannot
  • 01:01:18
    burn fat so let's say that you have 100 extra  pounds of body fat um if you're eating a high
  • 01:01:25
    carbohydrate diet your insulin levels are going  to be running too high too often because that's
  • 01:01:30
    what you're telling them to do you're taking in a  lot of carbohydrate and carbohydrate demands more
  • 01:01:35
    insulin than protein does and and and a fat barely  touches insulin at all really doesn't generate an
  • 01:01:43
    insulin response it's carbohydrate largely when  your glucose levels go up your insulin levels go
  • 01:01:48
    up your insulin levels go up insulin tells your  fat tells you to store fat if your insulin levels
  • 01:01:54
    are running too high too often your body can't  burn fat insulin levels have to come down to a
  • 01:02:00
    certain point in order for your you to be able  to access that stored energy so even if you have
  • 01:02:07
    a 100 pounds of extra fat on your body that you'd  love to lose your body can't even see it it can't
  • 01:02:15
    access it because your insulin levels are too high  it's not that you're eating too much fat you could
  • 01:02:20
    be eating no fat at all it's that you're eating  a high insulin diet and really if people get
  • 01:02:27
    nothing else from this book it's the importance  of eating a lower in a following and living a
  • 01:02:34
    lower insulin lifestyle we've most of what are  the problems that we have in our mental health
  • 01:02:40
    and physical health have to do with living a high  insulin lifestyle and and and and so easy we have
  • 01:02:49
    tremendous control over our insulin levels it's  almost entirely insulin is almost entirely driven
  • 01:02:56
    by our food choices so if you understand that then  you can have tremendous control over your mental
  • 01:03:03
    health your physical health your body weight your  intellectual future your mood your energy insulin
  • 01:03:09
    is a not just a simple glucose regulator it's not  just simply a blood sugar it's a it's a metabolic
  • 01:03:16
    hormone a master hormone and it's a growth hormone  you don't want to be in growth and storage mode
  • 01:03:22
    all the time this is really important for people  to understand so there are lots of different ways
  • 01:03:28
    as you were saying to improve the quality of  your diet to improve your mental health and the
  • 01:03:35
    the the I think the three Mo the three dietary  patterns that make the most sense to consider
  • 01:03:40
    biological sense are paleo diets ketogenic diets  and carnivore diets and uh and if you understand
  • 01:03:50
    how you know that those diets make a lot more  biological sense than the ones that we are advised
  • 01:03:55
    to eat um then you can you can really within days  to weeks experience remarkable improvements in
  • 01:04:03
    your physical and emotional health do you think if  somebody wants to improve their mental health and
  • 01:04:08
    optimize their brain should they do a carnival  diet just overnight no um at least that I would
  • 01:04:14
    not recommend that I but you know why I ask this  question because so many people they'll just I
  • 01:04:19
    mean I do a carnival diet I've been doing it for  the last four years it helps with my mental health
  • 01:04:24
    uh but I don't do it I didn't do it overnight and  many people do it overnight and that is not the
  • 01:04:29
    way you should do it I'm really glad you brought  this up Reena because this is um it's actually can
  • 01:04:35
    be uh quite dangerous to adopt uh such a dramatic  change in in diet uh that quickly this is true
  • 01:04:44
    not just for carnivore diets it's also true for  ketogenic diets and for low carbohydrate diets
  • 01:04:51
    it's even true for stricter fasting protocols  and the reason why you don't want to jump uh
  • 01:05:00
    immediately from a standard diet which typically  contains at least 300 grams of carbohydrate per
  • 01:05:06
    day that's a very high insulin diet the reason  why you don't want to jump immediately from that
  • 01:05:12
    level of carbohydrate um uh uh consumption down to  a let's say a low carb diet of 50 grams a day or a
  • 01:05:19
    ketogenic diet of 20 grams of carbohydrate per day  or a carnivore diet which contains no visible car
  • 01:05:26
    four sources of carbohydrate the reason why you  don't want to do that is not only will your blood
  • 01:05:31
    sugar drop um very precipitously but your insulin  levels are going to plummet they're not going to
  • 01:05:38
    go down to zero unless you have type 1 diabetes  we won't talk about that but they're not going
  • 01:05:42
    to come down to zero you'll still have insulin um  but it's that it's that it's that steep sharp drop
  • 01:05:49
    in insulin from a very high peak to to a much much  lower number overnight that is tremendous shock to
  • 01:05:58
    the brain and body your physiology it's going to  it's going to take a while for your your uh all of
  • 01:06:05
    your Pathways your your biochemistry your your  acid base balance your your antioxidant system
  • 01:06:12
    uh your stress hormone levels your electrolyte  balance it's going to take your neurotransmitter
  • 01:06:18
    uh uh um balance it's going to take a tremendous  um it's going to take days to weeks for your
  • 01:06:25
    brain and body to find their new equilibrium and  kind of re to adjust to that to that shock and
  • 01:06:33
    so because you can't ad because you can't adapt  to that degree of insulin reduction overnight
  • 01:06:41
    you should not drop your insulin levels overnight  you're especially if you're take if you have any
  • 01:06:49
    health conditions of if you have blood pressure  problems blood sugar problem if you have diabetes
  • 01:06:53
    if you're taking medications for blood to lower  blood sugar if you're taking medications to lower
  • 01:06:58
    blood pressure uh if you have any kind of serious  health condition or you take any medications
  • 01:07:04
    because this tremendous change in your in your  physiology is going to affect how the medications
  • 01:07:12
    are processed in your body in some cases it can  affect the levels of those medications your blood
  • 01:07:17
    sugar can drop very uh uh very dramatically  your and um and your blood pressure can drop
  • 01:07:25
    dram atically now these are healthy changes  most people want their blood pressure to come
  • 01:07:30
    down most people want their blood sugar to come  down and so these are healthy change you will
  • 01:07:37
    lose if you're retaining fluid which high insulin  diets will will stimulate your body to retain too
  • 01:07:43
    much fluid you'll lose a lot of that excess fluid  when you drop your insulin levels but if you lose
  • 01:07:48
    too much fluid too quickly your blood pressure can  drop and you can even pass out and so what's the
  • 01:07:56
    take your time gradually gradually lower your  insulin levels this is really the the number one
  • 01:08:03
    problem with people trying to adopt a ketogenic  diet or a carnivore diet or even a simple low
  • 01:08:08
    carbohydrate diet too quickly nine times out of  10 when someone consults with me to say I tried
  • 01:08:16
    a ketogenic diet or I tried a carnivore diet or  I tried a low carbohydrated diet and I it made me
  • 01:08:23
    worse so I I stopped I stopped the diet so um you  know uh what what can I do that that diet's not
  • 01:08:32
    for me and I'll say well okay well um what tell me  how you did it nine times out of 10 they changed
  • 01:08:41
    their diet too quickly or they only stayed on it  for a few days and didn't give it enough time you
  • 01:08:47
    need to start low go slow but you need to go  all the way you need to give yourself the time
  • 01:08:55
    time it takes for your metabolism to make that  shift so that you can experience the benefits
  • 01:09:03
    now in some cases it's if in some cases it only  takes a few days to feel better in some cases
  • 01:09:08
    it's a few weeks and on the outside maybe three  months three or four months I kind of I usually
  • 01:09:15
    tell people three days three weeks three months  you're you're in usually in one of those camps so
  • 01:09:22
    I mean full adaptation to these diets can take  you know three months or longer six months is
  • 01:09:28
    really nice but uh a lot of that benefit a  lot of that transition happens in the first
  • 01:09:33
    few weeks and so uh but you really want to give  yourself that time so you want to start slowly
  • 01:09:38
    gradually lower your insulin glucose levels  that way you won't get a lot of the keto flu
  • 01:09:43
    symptoms you won't get you know a lot of you  won't feel lightheaded you won't feel like you
  • 01:09:48
    can't concentrate you won't feel exhausted your  body and brain will have time to slowly adapt so
  • 01:09:55
    that so that it will be more comfortable for you  um and there's a lot of information in the book
  • 01:10:01
    about how to do this in the book what I recommend  is gradually even for people who are who know
  • 01:10:07
    they want to head to keto or carnivore already I  still recommend uh uh starting with 90 grams of
  • 01:10:14
    carbohydrate per day for a couple of weeks uh  paleo style diet um with about 90 you know 25
  • 01:10:22
    30 grams of carbohydrate per meal so you can have  still have some starchy vegetable or fruit just to
  • 01:10:27
    clean up your diet and bring those insulin levels  down more gradually it really is almost all of
  • 01:10:36
    the problems that people have adjusting to these  diets have to do with adopting them too quickly
  • 01:10:42
    so we hear a lot of the time in the psychiatric  um in metabolic Psychiatry we often hear well oh
  • 01:10:49
    you need to be careful because there's a risk  of you could feel worse before you feel better
  • 01:10:53
    you could get more depressed you could you could  experience Mania or hypomania or you could feel
  • 01:10:59
    very anxious or you might not be able to sleep  those things are true but they are very uncommon
  • 01:11:06
    and very mild and very short-lived uh at worst  if you adapt if you adapt to the diet slowly
  • 01:11:14
    if you change your diet slowly um it almost never  happens so that's a really important question you
  • 01:11:22
    just asked and something that we don't often get  a chance to talk about during interviews like this
  • 01:11:27
    no because I always get asked that question well  I see that a lot in my community um so I'm going
  • 01:11:32
    to leave the link for your book change your your  diet change your mind in the show notes of this uh
  • 01:11:37
    episode I also wanted to ask about a study that  you co-authored in 2022 talking about ketogenic
  • 01:11:42
    diets and the effect on mental health disorders  can you share more about those results yes uh
  • 01:11:47
    so in 2022 I qu a study uh this was the work of  my um friend and colleague Dr Alber daa he is a
  • 01:11:55
    psychiatrist practicing in too France for more  than 35 years and he uh invited 31 of his most
  • 01:12:04
    treatment resistant patients these were people  with uh bipolar disorder schizophrenia and severe
  • 01:12:12
    major depression uh these were patients who had  been ill for an average of 10 years some for as
  • 01:12:19
    long as 30 years and these were patients  who were taking at the time an average
  • 01:12:25
    of five psychiatric medications this is not at  all unusual uh in in serious mental illness so uh
  • 01:12:33
    these volunteers agreed to come into the hospital  and try a Whole Foods mildly ketogenic diet uh in
  • 01:12:41
    the hospital under his supervision because nothing  else had helped them they had been hospitalized uh
  • 01:12:48
    most of them uh more than once uh in this very  same hospital system most of them by this very
  • 01:12:54
    same psychiatrist interest and so they'd gotten  lots of care over the years some of them had been
  • 01:12:58
    in his care for for decades so the they had a good  trusting relationship with him they came into the
  • 01:13:04
    hospital and 28 of those 31 patients were able  to adhere to the diet for 2 weeks or longer which
  • 01:13:12
    is what you need to do in order to start to see  benefits and all 28 of those patients regardless
  • 01:13:19
    of their diagnosis regardless of how long they'd  been ill regardless of how many medications they
  • 01:13:25
    were taking or which medications they were taking  all of them improved substantially in fact 43% of
  • 01:13:33
    them achieved clinical remission from their  primary psychiatric diagnosis and 64% of them
  • 01:13:41
    left the hospital unless psychiatric medication  the the the degree of improvement was 7 to 10
  • 01:13:49
    times greater than we typically see in studies  of anti-depressant and antis psychotic medication
  • 01:13:56
    so these results are tremendously hopeful offer  tremendous hope for people out there who think
  • 01:14:03
    they have tried everything um and you they've  been hospitalized and out of the hospital they've
  • 01:14:09
    taken medications multiple medications nothing has  seemed to work this suggests that there is hope no
  • 01:14:16
    matter how long you've been ill no matter how many  different types of medications you've tried or how
  • 01:14:22
    many times you've been hospitalized these interven  ions are well worth exploring these are powerful
  • 01:14:29
    biochemical interventions and uh with with the  power to help people in ways no medicine can let's
  • 01:14:36
    say people want to do a Paleo ketogenic Carnival  diet transition slowly but they're on medications
  • 01:14:43
    how do you titrate off or down medications how  do you have that conversation with your doctor
  • 01:14:50
    yes so this is a really important point and this  is why in the book I do recommend that people
  • 01:14:55
    uh consult with with their health care uh uh  professionals before they embark on any kind of a
  • 01:15:03
    lower carbohydrate diet because when you restrict  carbohydrate uh the the the brain and body
  • 01:15:08
    chemistry change they change in really good ways  really healthy positive ways but um it needs to
  • 01:15:15
    be it need you need to do it carefully uh and so  in order for it to be safe and comfortable so for
  • 01:15:20
    people who are taking say psychiatric medications  what we usually do um is we add the diet to the
  • 01:15:28
    medications so uh most people who come to see me  and all of the people who are in this study uh
  • 01:15:35
    and all of the people who are in the even more  recently published studies there's research uh
  • 01:15:40
    accumulating this area which is a really wonderful  development um you uh the beautiful thing about
  • 01:15:46
    dietary strategies is it it doesn't have to be  an either or it can be it can be in some cases
  • 01:15:52
    an and you can use them together so let's say  you're taking a you know two or three different
  • 01:15:58
    psychiatric medications again not at all unusual  and you wanted to try a ketogenic diet and I do
  • 01:16:03
    spell this out in the book um is you can add the  diet to the medications but you need to be working
  • 01:16:09
    with somebody who can closely supervise especially  that transition period because when you start the
  • 01:16:16
    ketogenic diet um the first couple of weeks there  can be there can be some adjustments that are
  • 01:16:21
    hard to sort through so we usually don't make any  changes to the the psychiatric medications during
  • 01:16:26
    that period of time but starting in week three  the the sometimes the psychiatric medications
  • 01:16:33
    can start to feel too strong and that's because  the ketogenic diet duplicates a lot of the effects
  • 01:16:41
    of the psychiatric medications so for example the  ketogenic diet improves the balance between gabet
  • 01:16:47
    and glutamate you so the brain's gas pedal and  brake pedal that we were talking about before well
  • 01:16:52
    let's say that you're taking a medication like  a benzo like Clon aapam which is the brand name
  • 01:16:57
    is clopin let's say you're taking that medication  for anxiety uh that also that also has the similar
  • 01:17:03
    influence on on on the gabag glutamate balance  it's going to feel suddenly as if you've got too
  • 01:17:09
    much medication on board because now you've got  the medication and the diet trying to do the same
  • 01:17:14
    thing this is just one of many different types of  examples so somebody who who who can uh work with
  • 01:17:22
    you to make sure that you're not developing what  look like side effectss of that medication even
  • 01:17:27
    though you haven't changed the dose the medication  can start to feel too strong and this can happen
  • 01:17:32
    with lots of different types of psychiatric  medications those medications are going to
  • 01:17:36
    need to be thoughtfully and carefully adjusted  usually downward as you're adjusting to the diet
  • 01:17:43
    now the timing of that is very hard to predict  because everyone is so different everyone's
  • 01:17:49
    taking different combinations of medications  sometimes we need to adjust them sometimes we
  • 01:17:54
    don't um and it really depends on the dose  on the mixture of medicines on the on your
  • 01:18:00
    particular brain chemistry how sensitive you are  how rapidly you adopt it all so many different
  • 01:18:06
    factors and this is why I cannot tell I cannot  give kind of general advice about how that process
  • 01:18:13
    should unfold for any particular individual it's  going to be very different from one person to the
  • 01:18:18
    next this is why it's so important to work with  um a skilled professional um uh on your healthc
  • 01:18:25
    care team to have at least one person on your  Healthcare team who understands um the Dynamics
  • 01:18:31
    of that system that who understands that when you  start a low carb ketogenic or carnivore diet the
  • 01:18:38
    medications may need to be adjusted downward  and often need to be adjusted downward this
  • 01:18:43
    may need to start happening as early as week three  some but it but it it may also not need to start
  • 01:18:49
    until much much later some people sail through  this adjustment period without any medication
  • 01:18:56
    adjustment requirements but then when they get  to let's say 3 to 6 months out they're feeling
  • 01:19:02
    really good well of course then they want to try  to lower their medication because one of their
  • 01:19:06
    goals may have been to try to come off medication  and even in that case even if you haven't had any
  • 01:19:12
    issues of side effects arising you still need  to work very closely with whoever's prescribing
  • 01:19:18
    those medicines to very slowly and carefully  taper those medicines down because if you go
  • 01:19:24
    too quickly or if you change too many at once  uh that the you could really have serious and
  • 01:19:30
    sometimes even potentially dangerous withdrawal  effects so psychiatric medications need to be
  • 01:19:35
    very carefully monitored um while you're adjust  while you're adapting to the diet and even uh
  • 01:19:41
    long after you've adapted to the diet so I think  that that's a a very important thing for people
  • 01:19:46
    to to to understand it is very important as you  try different diets I wanted to ask you this is
  • 01:19:51
    really the last question um so if somebody is uh  doing ketogenic or Carnival diet and there's a big
  • 01:19:59
    question about spices because spices are derived  from Plants they're a potent plant toxin do you
  • 01:20:07
    think that might destroy the brain especially if  you want to optimize it the neurotransmitters do
  • 01:20:12
    spices have any link towards that well you know  there's no research on this you know this is not
  • 01:20:17
    these are not the kinds of questions that most  researchers study in clinical trials because
  • 01:20:23
    we're told we're often told you know the more  spices the better right that they're you know they
  • 01:20:28
    have these magical antioxidant anti-inflammatory  capabilities and so you want to not only just be
  • 01:20:33
    eating every color of the rainbow you want to be  adding lots of you know traditional spices to your
  • 01:20:39
    meals to to fight off inflammation and oxidative  stress um so there are lots of reasons why that's
  • 01:20:45
    not true but but in fact that the the opposite  may actually be the case so for example um uh
  • 01:20:55
    I I came across some research the other day uh  about circumin so circumin is a a molecule that
  • 01:21:03
    is extracted from turmeric turmeric is uh viewed  by many people in the nutritional Psychiatry space
  • 01:21:09
    as a superfood a brain superfood because it  contains curcumin which is uh supposed to have
  • 01:21:15
    these you know very powerful um anti-inflammatory  properties and it has been shown uh in a few uh
  • 01:21:22
    clinical trials to help with depression and  anxiety in some cases so uh you might think
  • 01:21:30
    well okay well curcumin's wonderful we should all  be eating circumin we should all be eating lots
  • 01:21:34
    of turmeric um and the more circumin you uh eat  the better you off you are but actually curcumin
  • 01:21:42
    um like so many other plant compounds really  it's an irritant and we absorb it very very
  • 01:21:49
    poorly so poorly uh that uh in order for these  studies to work work well they usually have to
  • 01:21:56
    manipulate the curcumin to try to get it to to  try to trick our bodies into absorbing more of
  • 01:22:02
    it because our bodies very wisely do not allow it  in and so that right there should be a clue that
  • 01:22:10
    you know maybe we don't need it and in fact maybe  maybe it might be potentially harmful because our
  • 01:22:16
    bodies our our our bodies do not absorb curcumin  well so researchers manipulate the curcumin and
  • 01:22:24
    they do all these different special things to it  to try to trick our bodies into absorbing more of
  • 01:22:29
    it and that's how you can get it to uh uh to try  to help with certain things like depression and
  • 01:22:35
    anxiety by fighting inflammation and so it's very  interesting though first of all what's causing the
  • 01:22:41
    inflammation in the first place that's something  you always want to understand um second of all
  • 01:22:46
    many of these plant molecules the way they work  is by actually irritating our system irritating
  • 01:22:51
    our liver enzymes so that our own systems our own  anti-inflammatory and own antioxidant systems will
  • 01:22:58
    be um uh spurred into action so a lot of these  cases it's not that the molecule itself that
  • 01:23:04
    we're taking in is doing the fighting it's that  it's that it aggravates us and and our system
  • 01:23:09
    does the fighting right so our system is the one  that's fighting off the inflammation and oxidative
  • 01:23:14
    stress but again what's causing that inflammation  and oxidative stress in the first place but I've
  • 01:23:18
    come across some uh cases of severe liver toxicity  documented in the literature from circumin and
  • 01:23:25
    even lethal overdoses of circumin circumin is not  uh necessarily good for us and and the other thing
  • 01:23:33
    to point out about um you know spices and  superfoods and things like that is that um
  • 01:23:40
    often the actual Whole Food a terate for example  that's not usually what's studied because there's
  • 01:23:47
    so little absorbable curcumin in the turmeric that  eating the turmeric as a whole food uh we don't we
  • 01:23:54
    don't see any documented benefits of that approach  you have to isolate and manipulate this molecule
  • 01:24:00
    that comes from turmeric in order to try to sneak  it past your defenses and see if you can get a
  • 01:24:06
    rise out of your body so and that that's using  that's what circumin is is a medicine extracted
  • 01:24:15
    from turmeric it's not a whole food um I think  it's a It's Kind of a Funny point but I think
  • 01:24:22
    it's worth making is that we often hear that food  is medicine but actually I think that's not a very
  • 01:24:29
    I'd like to challenge that idea I think you know  food is food and medicine is medicine food needs
  • 01:24:36
    to nourish really all food is is parts and energy  we need components to build our brains and bodies
  • 01:24:44
    and we need the energy to fuel those cells right  if you eat foods that that adequately nourish
  • 01:24:50
    and adequately energize your cells and step out  of the way and let evolutionary biology do the
  • 01:24:56
    rest your body and brain will work optimally for  you we don't need any help from these molecules
  • 01:25:04
    extracted from Foods there's no such thing as  a plant superfood there's no such thing and so
  • 01:25:11
    protection of the brain protection of the brain  against inflammation and oxidative stress and
  • 01:25:17
    insulin resistance is not about addition it's  not about adding magical things to your diet
  • 01:25:22
    it's about subtraction the power is in taking the  foods away that are doing the damage in the first
  • 01:25:28
    place the foods that are causing the inflammation  and oxidative stress and the insulin resistance in
  • 01:25:34
    the first place we have our own anti-inflammatory  system we have our own antioxidant system built in
  • 01:25:41
    and if we don't over stress it and over tax it it  will take care of us and so when people say oh you
  • 01:25:48
    need to eat more spices these are really good for  you um when you actually look at what's inside a
  • 01:25:54
    these are some of the most heavily defended  plant uh Foods or substances that that exist
  • 01:26:01
    uh um in in the food World these are very  pungent they're often very bitter they're
  • 01:26:05
    often very sharp and costic and uh and and those  are nature's Clues to toxicity those are supposed
  • 01:26:14
    to warn us be careful don't eat too much of this  maybe you don't want to eat any of this this is
  • 01:26:20
    going to give you a burning sensation on your  tongue or it's going to irritate your mucosa l
  • 01:26:24
    ings it's going to give you heartburn it's going  to be children don't naturally gravitate towards
  • 01:26:30
    bitter and sharp and pungent and spicy foods  and that's for a reason these foods are much
  • 01:26:37
    more risk than benefit I I I can't I I I think  you know there may be a place for plant derived
  • 01:26:45
    medications if you are in Dire Straits but I think  that intentionally consuming these substances on a
  • 01:26:54
    reg regular basis is probably doing more harm than  good what a fantastic answer well Dr Eid thank you
  • 01:27:01
    so much for providing this encyclopedia on not  just how to have a healthy brain but a healthy
  • 01:27:06
    life if we had more psychiatrists and doctors  like you the world would be a happier healthier
  • 01:27:12
    Place well I really do uh I really do encourage  clinicians out there who who don't yet incorporate
  • 01:27:21
    a lot of these principles these nutrition and  metabolic into their work to learn more about
  • 01:27:26
    them uh the research in the area is exploding uh  and there and and you and I teach a course I teach
  • 01:27:33
    a an a a CME certified course for clinicians  of all backgrounds to learn how to safely use
  • 01:27:41
    these dietary strategies in clinical practice if  this is something you're interested in doing with
  • 01:27:45
    your patients and again it's not an either or  strategy you don't have to uh necessarily set
  • 01:27:51
    aside uh all of the tools that you already using  in your practice you just incorporating these
  • 01:27:57
    metabolic principles is just going to augment  and give your uh to give your patients uh a much
  • 01:28:03
    stronger foundation for whatever other types of  interventions you use in your work whether it's
  • 01:28:07
    Psychotherapy or meditation or mindfulness or  whatever uh even medications it's going to give
  • 01:28:13
    them a stronger healthier foundation so um I I do  hope that more psychiatrist will become interested
  • 01:28:19
    in in this field I hope so too and all the links  for Dr Eid are her website her book um the study
  • 01:28:25
    that we mentioned about the ketogenic data is  going to be linked in the show notes down below
  • 01:28:29
    so you can reference those but Dr Eid thank you so  much and I'm sure we're going to see you very soon
  • 01:28:33
    thank you very much Rea it's been a pleasure thank  you for joining me on this episode with Dr Georgia
  • 01:28:38
    Eid discussing the impact of diet on mental health  and the Brain if you're learning from and enjoying
  • 01:28:43
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  • 01:29:00
    can also find me on other social media accounts  under the name of five minute body on Instagram
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  • 01:29:12
    I share health tips information and advice that I  hear from the best doctors and experts and if you
  • 01:29:19
    enjoyed this episode you will also enjoy another  episode I did with Dr Anthony cha discussing the
  • 01:29:25
    treatment for dementia Dr chaffy talks about how a  high fat ketogenic diet can actually help prevent
  • 01:29:33
    dementia and in some cases reverse mild dementia  he'll talk about the best foods to eat and why
  • 01:29:40
    Statin are actually causing an increased chance  for you to get dementia and the mechanism by which
  • 01:29:46
    this is happening thank you again for joining  me on this episode and I'll see you next week
Tags
  • Mental Health
  • Diet
  • Cholesterol
  • Statins
  • Brain Health
  • Ketogenic Diet
  • Carnivore Diet
  • Refined Carbohydrates
  • Neurotransmitter Balance
  • Oxidative Stress