Evolutionary Anthropology (METABOLISM) with Herman Pontzer - podcast episode cover

Evolutionary Anthropology (METABOLISM) with Herman Pontzer

Jan 31, 20241 hr 28 minEp. 372
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Episode description

*Content warning up top: This episode discusses sensitive themes like diet culture, caloric intake, the psychological & physical effects of food restriction and includes many listeners’ personal experience with the term “obesity." It may be triggering for those with a history of or sensitivity to disordered eating. We also discuss the Body Mass Index, still used by medical professionals, but acknowledged by many sociologists to be rooted in structural oppression.*Let’s explore our human machinery. And talk about Brazilian butt lifts. Professor of Evolutionary Anthropology and metabolism researcher Dr. Herman Pontzer gives us the data on mitochondrial backstories, muscle mass and hormones, our expanding brains, the flaws of the Body Mass Index, humans’ relationships with nutrition, why crash dieting can change your metabolism, perspectives on sticky medical terms, isotope magic, how much exercise hunter gatherers get, carnivore diets, scales, and what to do if you're grappling with sadness. Visit the Pontzer Lab websiteBrowse Dr. Pontzer’s papers on ResearchGate and follow him on Instagram and XBuy Dr. Pontzer’s book, Burn: New Research Blows the Lid Off How We Really Burn Calories, Stay Healthy, and Lose WeightA donation went to Hadza FundMore episode sources and linksSmologies (short, classroom-safe) episodesOther episodes you may enjoy: Pyrotechnology (FIREMAKING), Entomophagy Anthropology (EATING BUGS), Kalology (BEAUTY STANDARDS), Genicular Traumatology (BAD KNEES)Sponsors of OlogiesTranscripts and bleeped episodesBecome a patron of Ologies for as little as a buck a monthOlogiesMerch.com has hats, shirts, hoodies, totes!Follow @Ologies on Instagram and XFollow @AlieWard on Instagram and XEditing by Mercedes Maitland of Maitland Audio ProductionsTranscripts by Aveline Malek and The WordaryWebsite by Kelly R. DwyerTheme song by Nick Thorburn
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Transcript

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Speaker 1

Oh hey, it's that cardigan that you left in anewber Ali ward here with an episode about our squishy, juicy machines and how they run. Just to content warning up top. So this episode discusses really sensitive themes like diet culture and coloric intake, and the psychological and physical effects of food restriction. And it includes many listeners personal experience with the term obesity as well, and the content may be triggering for those with a history of or a sensitivity

to disordered eating. We also discuss the body mass index, which is still used by medical professionals but acknowledged by many sociologists to be rooted in structural oppression and racism. And that's something that many scientists and health professionals don't condone. So those are some warnings. Let's get into it. So I've wanted to interview this guy. I know I say this like every episode, but for years. So we're going to dive into it. Metabolisms, how do they work? What's up?

Who am I? What's going on in there?

Speaker 4

So?

Speaker 1

This guy did his undergrad work in anthropology, got a PhD from Harvard University in biological anthropology, and has been a professor of anthropology for nearly twenty years, during which time he's been an Associate Research Professor of Global Health at Duke Global Health Institute, and he's now a Professor of Evolutionary Anthropology at Duke University. He knows what's up. His CV is twenty three pages long. I was like

looking through his list of papers. It gave me actual vertigo, and then I found out where the same age and I don't like to think about it. He's also written several books, including the twenty twenty one release Burn New Research blows the lid off how we really burn calories, lose weight and stay healthy. And yes, we're going to address the science and the culture of all of it, and also just a quick morning We do discuss of course calories, some diet culture in this episode, as well

as weaponized language. We discuss all of that just so you know. But first, just some thank yous to patrons of ologies at Patreon dot com slash Ologies who spend one burning hot dollar a month to join and they can submit questions to Ologists before we record. Also thanks to everyone who's out there wearing ologies merch from Ologiesmarch dot com for no dollars though you can really help

us out and leave a review. And also I read your reviews, and if you do not believe me, thank you for the recent one from RATTERI whose MRI technicians let them listen to ologies while getting an MRI, and so that this podcast is like a weighted blanket where you learn cool facts. Thanks Rattery. Hope all's well, Okay, evolutionary Anthropology. We're going to get to it. How did

humans evolve? Ancient menus, mitochondria trivia, How science can help you talk to your body, perspectives on some sticky medical terms, isotope magic, how much exercise hunter gatherers get, carnivore diets, flim flam scales, the history of the body mass index, and what to do if you're in kind of a bit of a slump according to Science, with author professor, metabolism expert and evolutionary anthropologist, doctor Herman Poncer. I'm i'm

this episode. I'm I don't know. I wish that we had like a full twenty four hour marathon to do this episode because I have so many questions. Okay, we'll start with the easy one. If you could say your first and last name in the pronounce you use.

Speaker 4

Sure, I am Hermann poncer he.

Speaker 1

Him his got it and doctor of.

Speaker 4

Course, sure, I mean between friends whatever.

Speaker 1

What ologists do you call yourself?

Speaker 4

Yeah, let's say, let's call it evolutionary anthropology.

Speaker 1

Okay, first off, you're an expert in metabolism. And first off, metabolism, what even is it? Where does it come from?

Speaker 5

Yeah?

Speaker 4

So you know you are made of thirty seven trillion plus or minus cells, and every one of those cells has work to do all day. They've got to bring nutrients in and break them down and build them back up, and all that work takes energy, and all that energy together is what we call your metabolism.

Speaker 1

And when you are looking at say your fitbit or your or ring or whatever, and it says, based on your height and weight, you probably burn seventeen hundred calories a day or twelve hundred or whatever. Does it have any idea what the fuck it's talking about? Or is that so off?

Speaker 4

It's a little bit better than a random number generator.

Speaker 1

It was just a little.

Speaker 4

So it gets this much right. It is most of what you burn every day, even if you're an active person, Most of the calories you burn every day are just it's not about avity it's about all the other stuff your body's doing. As we're talking here, Every fifth breath, I think, is the oxygen needed to feed your brain.

Speaker 1

Right, So twenty percent of your breathing goes to fueling your brain, whether you're filling a whiteboard with physics theorems or watching my dog breath because she's old and precious.

Speaker 4

It's true that your brain uses a lot of energy, and so we can all feel good about that. Your brain runs a five k every day. It's two hundred calories a day, so you know, it's most of the energy you use is not activity. And so when you have a fitbit or something like that and it's trying to you know, kind of ballpark or guess your energy expenditure based on activity is really missing a large part

of what's going on. It does have your height and weight in there, and it's true that the bigger you are, the more cells you're made of, the more calories you burn, So that part is more or less right, But even there, there's so much variation in person a person that it's it's just a real wild gas.

Speaker 1

Okay, I mean, I understand BMI is not really accurate at all.

Speaker 4

Right, Well, depends on what you're trying to measure, right, BMI is great for knowing your BMI.

Speaker 1

So BMI side note stands for body mass index and mathematically, it's your body mass in kilograms divided by the square of your height in meters, and medicine's optimal BMI land somewhere between eighteen point five and twenty four point nine. This is a little fun fact. So the body mass index was invented in the eighteen thirties by an Austrian scientist named lambern Adolphe Jacques Coudelaie, who surprise, was an astronomer,

not even a medical doctor. And this was during a time when physicians were just beginning to learn that germs exist and that blood letting doesn't solve all the ailments. So the inventor of the BMI, this astronomer, also influenced early proponents of eugenics. So the color coded BMI charts the doctor's office. Really I don't seem to include that kind of trivia, But as we've mentioned before, so any legit MD can tell you that, of course BMI does not tell the whole story, and it's not fair to

a lot of folks. But nevertheless, as a broad ballpark of cardiovascular or paying creatic risks or joint issues related to body masks. Doctors we've had on the show have said it's a very rough and far from perfect metric.

Speaker 4

You know, it's if BMI is trying to get at your fat percentage, which is what most people you know, that's kind of how we use it. We think about if you have a high BMI, it means you're carrying too much fat. But of course you know you're height

and weight, you don't. Those numbers can't tell you if you're carrying a lot of muscle versus a lot of fat, for example, And so people who carry a lot of muscle tend to you know, you'll have a higher BMI because your weight will be higher, even though really your body fat might be low if you're an athlete or

something like that. So, yeah, BMI is problematic. It's an imperfect measure, but it's one of the best ones we have, and it does do a pretty good job and aggregate at the population level figuring out who is at higher risk for different diseases. You know, if I know any one thing about you, I'm not going to know enough, right, But if I know, put all those data points together,

then I can start to put a picture together. BMI is just one thing about you, but when I put it in the context of other stuff about you, then I can begin to put a real picture of your health together.

Speaker 1

So does metabolism depend a lot on your muscle mass or your lean to lipid ratio? I also like, what if you have big heavy bones? How does that work?

Speaker 4

Yeah? Well, those are all good questions. So the biggest factor is how much what we call fat free mass you carry you versus your fat mass, and so all your organs and muscle aside from fat, fat's an organ too. But aside from your fat, all of those organs you know, your liver and brain and kidneys. They all burn a lot of energy. So the more of that that you are, and the less fat that you are, the more calories

will burn. It again in size, So to put it in real terms, you have the same two people that both weigh let's say one hundred and fifty pounds, but one of them is thirty percent body fat and the other one is only ten percent body fat. They weigh the same amount, but the person's only ten percent body fat. More of them is lean tissue. It's it's organs and muscle, and so that person who's only ten percent body fat will burn more calories than the person who's thirty percent

body fat, just because fat's pretty quiet. It doesn't do a whole lot each day, and so it doesn't burn the many calories.

Speaker 1

Let's rewind though, Can we go back to the fat as an organ? What? Yeah, what's that about?

Speaker 5

Yeah?

Speaker 4

Yeah, I mean fat's not just hanging out. It makes hormones. It pulls in nutrients out of your blood as storage, and then it sends them back into your blood when you need them later for energy. It's doing jobs that other tissues don't do. So yeah, you need it.

Speaker 1

Is it true that you don't get more fat cells, they just get more capacious or just get more stuffed? What's it?

Speaker 4

Yeah? Yeah, Usually when you were adding fat, you're not growing more fat cells as much as you're just packing the fat cells you have with lipids, right, So your fat cells have this enormous capacity to just get bigger by pulling in fat.

Speaker 1

So what happens when you get a BBL do they You have the same number of fat cells, but it's just maybe in different places that you find sesthetically more desirable when that's a Brazilian buttleft.

Speaker 4

Left. That's now, so isn't that one of the there's some of those where they take other people's fat, but this is one where you take your own fat. This is your They take your own fat.

Speaker 1

I think.

Speaker 4

Yeah.

Speaker 1

I think they take like your muffin top and they put it in your boobs or your butt or your face. I mean, I don't know if there's like a Jack Sprat website where you're like, I've got a little too much if anyone wants it, I don't have enough. Like a Facebook marketplace tab I don't know. So you have, you're retaining your fat cells, but they're just in different parts of the body.

Speaker 4

You see. Now, this really is a two way street, Alley. I'm learning from you things I didn't know that. I think that. I love that. It's just like you turn it yourself into Plato and you just push things.

Speaker 1

Around my greedom.

Speaker 4

Yeah, I mean, so one thing to think about there is when they do that. Yeah, they're taking cells, right, They're not taking like just stuff, you know what I mean. I think people think about fat as being this kind of like inert stuff that's not alive. It's alive, man, and so they're moving that around. I can imagine that's got some interesting consequences for how everything works.

Speaker 1

And yes, okay, so a Brazilian butt lift or BBL. It's the redistribution of at apost tissue that's abducted from your stomach or your thighs and then it's purified and whisked away to a new part of the body. And the relocation it might change your life where it might be a mistake, your mileage maybury. One Beauty magazine urged those considering the procedure to first google BBL done wrong and friends. This may lead you to scroll image searches

and stumble upon the saggy tragedy called diaper booty. And it does look how it sounds, But unfortunately, there may be more risk than just your booty, as explained by the twenty seventeen article in the Journal of Esthetic Surgery titled Report on Mortality from Gluteal Fat Grafting, which warns that despite the growing popularity of gluteal fat grafting, significantly higher mortality rates appear to be associated with gluteal fat

grafting than with any other esthetic surgical procedure. So it's risky. What's happening here? Okay, So I looked into this and stray lumps of your fat can break free and then just enjoy a trip through your arteries resulting in a pulmonary embolism. And we're seeing more and more reports of deaths from this procedure as people are traveling to potentially sketchy clinics for beauty tourism. Also for more on harmful beauty standards here all over planet Earth. You can see

the two part colology episode. We'll link do in the show notes. But yeah, in terms of metabolism, if you store any more fat, it's likely to wind up wherever your fat cells were surgically relocated.

Speaker 4

They're basically trucking some cells. Sounds like from your muffin top as I understand it too.

Speaker 1

Your cut so fat cells are more chill and muscle cells are maybe burning more energy. They're a little bit more active. Is this a mitochondrial thing? We always hear that they're the powerhouse of the cell.

Speaker 4

Oh, very good, yeah, thank you. So mitochondria determine how much oxygen you can bring in. You need oxygen to be able to make atp ATPs the molecule that your cells actually use as energy, and it's actually it's a rechargeable battery. So you have ATP, which is I dentozine triphosphate and that's converted from a dentozine diphosphate, and so basically you're taking this two phosphate molecule at a phosphate making a three phosphate molecule. It's all interesting stuff, but

basically you're recharging this molecule. So you run on rechargeable batteries when they're charged up, they're called ATP, and you need oxygen to do that conversion to charge up your batteries, and the more mitochondria you have, the more you can do that. So yeah, that's how that's all linked. And your muscles certainly have more mitochondria than your fat cells. Yep, that's right.

Speaker 1

So not everyone is able to manipulate their body composition for all kinds of reasons, from physical disabilities to mental health challenges. There are economic factors. I totally get that, But if you're someone who can and wants to get slightly more jacked, maybe you want to flex it yourself in the mirror. I don't know. Maybe you want to have an easier time helping people put their carry ons in the overhead bins, but you can also do it

if you need a reason for the mitochondria. So this twenty fifteen study in the Journal of Medical Science and Sports Exercise titled Resistance exerc Size Training Alters Mitochondrial Function in Human Skeletal Muscle does contain a spoiler and it reports that the loss of mitochondrial competency is associated with several different chronic illnesses and that endurance exercise it's long

been known to increase mitochondrial function. However, as the title said, they looked into resistance exercise as well like weightlifting and body weight exercise and yoga, and that also appears to be a means to augment the function of muscle mitochondria and if you can get stronger, it could be an act of love to your future self, as detailed by the study Effects of Exercise on Mitochondrial content and Function in Aging Human Skeletal Muscle, which was published by the

Journal of Gerontology, and it notes that exercise enhances mitochondria electron transport chain activity in older human skeletal muscle. What does that mean? You'll feel better longer. So present day you might be groaning bewildered in front of a kettlebell, but future you is like, get in there and get a bitch, do it for us. But let's go in the other direction in time. Let's travel back in time to our harrier shorter ancestors. Where did these Where did

our systems change or evolve? When did we start veering off how much we use our body and what we're eating? Where did things get too far too fast?

Speaker 5

Wow?

Speaker 4

Well, I mean, how far back do you want to go? Right? Like? First of all, mitochondria are these are like a bacteria that you caryotic cells basically engulfed and started using as a power source. That happened like two billion years ago or something like that.

Speaker 1

It's a long time, Is that that's true? How did I ever know that?

Speaker 4

Yeah, you're a chimera. We all are mitochondria, our little bacteria relics. Isn't that wild? Yes?

Speaker 1

I didn't realized that we were running on other animal batteries, that's wild.

Speaker 4

Yep.

Speaker 1

I never knew that. In all of the cell biology I took for years and years, I don't think I ever grocked that. Oh my gosh. Okay, so we engulfed these bacteria.

Speaker 4

Okay, yeah, well I'm not you, but billions a year ago, a couple of billions ago anyway, and so that's when the whole kind of story starts. And then man, then I'm around two hundred and twenty million years ago. You get reptiles that decide to burn their metabolisms faster, and you get warm blooded animals that we call mammals today. So there's a big step there. Primates get started about sixty five million years ago, after the dinosaurs get knocked out.

It's and then our story where apes, you know, apes are kind of like a twenty million year old story, and our lineage is like seven million years. We're like a seven million year old branch from that with all these little dead ends and crazy things like Lucy and all these other species. And then our particular species, Homo sapiens, well, our group, the genus Homo, is about two and a half million years old, and that's when we think our

kind of modern metabolism starts shaping up. And so that's faster metabolism separates us kind of physiologically from the other apes, so we burn our energy faster. Than other apes do, and we think that that's to help support our big brains. We're more active than other apes are. We have bigger babies more often than other apes do. We live a lot longer, and that takes energy to invest in your body.

So probably your modern metabolism kind of starts shaping up over the last two million years and everything is going great, and then you know, we build ourselves these crazy zoos that we live in today, and everything kind of goes to pieces. That's the short story.

Speaker 1

And when you say that we our metabolisms are speeding up, is that because our brains get bigger and they're kind of like a V eight versus a V six, like just using more fuel.

Speaker 4

No, we get more expensive parts. So it's the V eight versus the V six. We have a bigger brain, our rective systems are running faster, so we can have these bigger babies more often. We are more physically active, and so you need to be able to have a diet that's got a high enough energy content and be able to digest it down and absorb those nutrients. You have to turn those nutrients into atp to burn those So the whole system kind of has to get ramped

up to be able to support a faster metabolism. And so we see that happening over the past two million years or.

Speaker 1

So we think, so one point four billion years ago you're far off. Slimy little ancestors engulfed bacteria and they made it ours and used it as a rechargeable battery

that runs on hot dogs and flat white lattes. And then as we branched off into mammals, which branched off into apes, which branched off into the genus Homo millions of years ago, and then Homo sapiens three hundred thousand years ago, we started growing these bigger brains and babies and needed a faster engine, burning up more fuel to

get us through our journeys of life. And in his book Burn, doctor Poncer describes his working with the Hadza hunter gatherer tribe in northern Tanzania, and I'll read you

an excerpt of his description. He writes, the one thing we knew for certain going into the Hadza Energetics project was that life as a hunter gatherer is tough, like other hunter gatherers, and like all people prior to twelve thousand years ago, the hods that have no domesticated animals or plants, no machines or cars or guns, no modern conveniences to help them get by. Every morning, they wake up with the sun and set out into the wild

savannah for the day's food. Women typically go in groups, relying on their encyclopedic knowledge of the plants around them and the latest info on what's in season to find productive groves of berries or tubers. Several species of wild tubers form the core of the hods of diet, and a woman can spend two or three hours on any given day digging them out of the hard, rocky soil

with a sharpened wooden stick. They can easily cover five miles or more on a foray, often with a child and a sling on their back, and loaded down with twenty pounds of hard won tubers. On the return trip back at camp, women are often busy tending to kids, preparing food, or collecting firewood. Men usually leave camp alone, preferring to hunt by themselves to improve the odds of sneaking up on a zebra, baboon, antelope, or anything else

unlucky enough to cross their path. They aren't picky just about everything except snakes and other reptiles are on the menu. Had Some men make powerful bows with giraffe sinew strings and add a glob of poison to the shaft of their arrows just below the sharp iron tip, poison strong

enough to kill a zebra with a single shot. Men regularly break from hunting to collect wild honey, climbing thirty feet into the crown of massive ancient baobob trees and hacking into the giant hollow limbs to plunder and angry hive. They'll bring the game or honey back to camp, covering ten or fifteen miles round trip, to share with the community. He continues, We've quantified the amount of physical activity that the Hatsa adults get each day, and the results are staggering.

Both men and women average more than two hours of hard work each day, roughly ten times more than the average American. That's in addition to the walking. They get more physical activity in a day than the typical westerner gets in a week. The kids and old folks are active too. Kids are often tasked with fetching water, which can be half a mile from camp, and men and women in their sixties, seventies, and even eighties are out

most days foraging like they did in their prime. This impressive amount of physical activity isn't unique to the Hatsa, he writes. All hunter gatherers lead lives that would make Westerners melt. And while you wouldn't know it from our cushy, urbanized existence today, this extreme level of physical activity was the norm for all humans only a few thousand year years ago. So yes, herman has spent a lot of time across the world pondering your pancreas and butt muscles. So how did he land this gig?

Speaker 4

Well? I got into this because I wanted to understand how people evolve. And there's nothing you can understand. If you had to pick one thing to know about an organism, you'd pick us metabolism. In my opinion, it tells you the most in the smallest amount of time about what an organism is all about. And so I just want to know how humans, how the hebuid body works. Now

it got this way. I never had any intention of doing any public health stuff, and then we started to get all this really interesting and kind of useful data. One hundred gatherers and activity levels and how that affects metabolism, and all of a sudden, I was like, oh, well, I guess we do have things to share and to contribute in the public health space. And so then it's been a lot of that ever since and it still is today.

Speaker 1

At what point did we go from maybe small packs of us to bigger villages and start hunting and gathering versus agriculture. How did our metabolism and our needs and our fuel change.

Speaker 4

Yeah? So, okay, So hunting and gathering is if you think about the genus Homo, it is a hunting and gathering genus. So that's two and a half millionaires. That's before Homo sapiens shows up. We're like the latest hunter gatherer model, but we're from a family of hunter gatherers. All the genus Homo is all hunting and gathering, and that changes things because all of a sudden, you're sharing

food a lot. It's crazy to think about this, but there's no other species where half of the group goes and forges on plant foods and the other half of the group goes and pretends they're carnivores and goes after animal foods, and then at the end of the day they all share it back a camp at the end of the day. That's a really crazy way to make a living.

Speaker 6

Want my pickle.

Speaker 4

But what it does is you can always depend on the plant foods, so you have this dependable safety net food or staple. And then the animal foods a game that you go after, have tons of of fat and protein and they're really nutritious. You know, you won the lottery kind of packages. You get a zebra or a draft.

You combine those together, man, and that's unbeatable. And that's why the last two million years has been all about the genus Homo just taken over and our metabolism kind of responds to that, right, So that's that shared energy economy is the fuel we needed to evolve these faster metabolisms and our bigger brains and all of it. You know what, such humans, apart from other apes, we're really social with these big brains. We share all the time,

we're really cooperative. All of that happens over the last two million years, and it's all tied directly to the foods we're eating, the ways that our bodies are using it, and the hunting and gathering way of life.

Speaker 1

And then agriculture ten thousand years ago.

Speaker 4

Yeah, that's a good bell park. Yeah, ten or twelve thousand years This is really crazy. Agriculture people figured it out all around the same time, independently all over the world.

Speaker 1

Really.

Speaker 4

Yeah, so like people in the America's figured it out. Uh, you know the ASTech in Maya that's famously and in the Fertile Crescent the Tigris and Euphrates rivers that you've probably heard of it if you were my generation learned about in social studies in Ear East and then of course in the East Asia that they figured that out there too, and probably other places in Africa. And so yeah, it's one of these like kind of good ideas. Isn't that amazing that sometimes you have these great ideas and

they get you know, figured out independently. It's just kind of like the time has come for them. And agriculture is one of those ideas.

Speaker 1

What a trend watch the hottest thing right now? Agriculture?

Speaker 4

That's right? Are you still going out there to get your food?

Speaker 1

And for more about where fire plays into our history and its role in our brain size hundreds of thousands of years ago. Yeah, we have a whole episode dedicated to that. It's called pyrotechnology, so we'll link that in the show notes. But going forward to the switch to golden fields of wheat and rye, it didn't happen as fast as like a TikTok home interior trend, which I'm sorry goes too fast for anyone to keep up with,

and it's wasteful. That's neither here nor there. But rather agriculture took up until six thousand years ago to hit Ireland and the UK, and of course some places continue with hunting and gathering longer, with changes gradually occurring with livestock and plant crops, and then more massive changes as those lands were colonized. How about grains? So did we tend to veer toward grains because of storage reasons and because it was more predictable? Did we kind of shift

our carbohydrate to protein? What happened there when we became agrarian?

Speaker 4

Yeah, so a bunch of things happen. The foods narrow first of all, because now you're dependent on a few crops that you know, you really spend a lot of your time and energy getting, and so that the diet kind of narrows. You're certainly eating a lot of carbs in pretty much every early farming culture that we know of.

But that's not such a new thing. There's this idea out there that hunter gatherers, we're eating all this meat and they hardly had any carbs, and as far as we can tell, that's completely bogus's that's just isn't true.

Speaker 3

Totally bump one.

Speaker 4

Hunter gathered diets in the past were really really diverse. Depending on where you lived in the world, different foods might be available to you. And so yeah, if you live in the Arctic where nothing grows, then surprise, surprise, yeah, you're gonna eat a lot of meat and fish. But elsewhere in the world people eat a variety of diets and a lot of it's pretty carb heavy, so that the carb content probably wasn't the new feature. It was more about a couple things. First of all, you start

farming and the food becomes even more dependable. You can start kind of manipulating these animals and plants to provide more energy per bite. And so you know corn, for example, as a classic when you go from this little smaller than your pinky kind of a head of grass and turns into the corn cobs that we know today domesticated animals today on farms carried twice as much fat as wild animals do. Right, So the wild game that we would have hunted has only half the fat that you'd

have on a domesticated animal. And so we start manipulating these these species. And by the way, we're manipulating their metabolisms too. This is you know, if you're me, everything's a metabolism story. And guess what happens. We take all these extra calories and populations explode because we turn those

calories into babies, and so populations grow, villages grow. But at the same time, now we're like living really close together in population gen disease that we never used to, and people start getting sick, and so you see like contagerous disease. You see people actually get shorter because they spend their childhood sick with all those contagious disease, rather than being able to sort of be less exposed to that in a smaller hunter gatherer camp. So I mean, it just changes everything.

Speaker 1

What's with all these babies? Okay, Well, our changing diet enabled our species to make more babies, of course, but also feed those babies earlier with grainy mush and earlier mush feeding meant shorter periods of breastfeeding, which means that a person is fertile again sooner, and that means more babies. So as a species, grain meant success until then it didn't. When did we get kind of too rich for our

own good? I mean, if we think of a calorie, if we think of fuel, we're essentially like sitting on an oil mine most of the world to the point we are today. Are we too wealthy with energy?

Speaker 4

Oh? Yeah, I mean there's a few ways to think about that. First of all, obviously, we had this global obesity crisis, and that's telling us right there. I mean, you don't have to go any further than that to know that we are eating more calories than we're bringing off. That's almost entirely driven by changes in our diet and the fact that we have just so many more calories

available to us. I'm talking and you from my home, I have a literally at arms reach, Like I don't know, I haven't counted up, but like it's I think it's a billion calories more or less. God, it's just the holidays, So you know, I could like eat a week of chocolate if I want to do right.

Speaker 1

Now, okay, before anyone gets worried, we'll discuss the term obesity at length in a minute. But in terms of caloric resources, so, poverty and food scarcity abound in so many countries, including whichever one you're in right now, and in the US, reports estimate that more than forty four million people face hunger, and that includes one in five children. Globally, estimates range from seven hundred million to two point four

billion people who experience hunger and food scarcity. So when we talk about a wealth of calories, that is by no means universal, far from it, and conflict in some regions can account for a lot of that, but unemployment and low wages are also huge drivers of food scarcity. So why do some of us have two too much

fuel for our physiological needs? Then our evolution has bargained for well, because just in like the blink of an evolutionary eye, our food sources have changed, and in the last one hundred years, what's become affordable, particularly in food deserts, is lower in nutrients but richer in fuel, like a higher octane than the engine we've evolved for the last two point five million years of our genus. So your ancestors. They did not have prescription antibiotics, they did not have

general anesthesia or X rays. But they also didn't have marshmallow peeps in every color.

Speaker 4

That's crazy, right, that's never happened. That isn't how life's supposed to work. And not only that, but the way we make the calories is really peculiar. So would you care to guess how many calories you know of fossil fuels? Basically, because this is what we did. We take all of this energy from the outside world, and right now we're hooked on fossil fuels to do this. Used to just be fire and stuff, but now it's at a whole

other level. Of fossil fuels. We take all that energy and we use that to make our food, right, to plow our fields, or to make fertilizer. Would you care to guess how many calories it takes to make one hundred calories of food?

Speaker 6

Oh?

Speaker 1

God, one hundred calories of food. I was going to guess five hundred, but then I opted because I figured that was too conservative. So I don't know what I'm doing here. A thousand, Yeah.

Speaker 4

That's about right, am I Right? Yeah, it's like a ten times more, just about eight times the energy it takes to make the calories on your plate. And that's can you just that's insane, right, No other species can survive if it burns more energy then it gets.

Speaker 1

So we should all just drink gasoline.

Speaker 4

Probably you heard it here first. People.

Speaker 1

It's not intended to diagnose or treat any illness. What about in terms of this epidemic of I'm going to air quotes obesity. I know that a lot of us might have a hard time with those words or those labels, or if you go into your physician, they might say very clinically like you're at this, you're at that, you're at this. But also socially, so many people have been objects of oppression. So how do we parse out what's healthy versus what's just body shaming?

Speaker 4

That is a great question, And you're absolutely right that there's way too much stigma and moralizing around this. I wish it were otherwise, but it is still the fact that people who are carrying more than is healthy in terms of body fat are at a greater risk for a whole lot of different diseases. Diabetes is probably the

main one, but heart disease, kidney disease. We saw with the COVID the first way, with the COVID pandemic, that people who were overweight had a much greater risk of serious complications with that, And so I wish I could tell you that, yeah, it's just all stigma and it's all cultural and we should just ignore it, But in good conscience, I don't think I can. I think there's just too many very solid studies out there showing very clearly that carrying a lot of extra weight is not healthy.

And when you carry that weight as fat, I think the fact that it's gotten so stigmatized is super well,

it's terrible on a personal level. There's a personal tragedy, there's a personal cost of that obviously, but it's also counterproductive to the public health intent you know, of some of these measures that end up being seen as stigmatizing, And when people just totally turn off because they're feeling like they're not being heard or they're feeling like it's more oppressive than helpful, then yeah, of course people are going to tune out. So that's how I parse it personally.

Speaker 1

I just I was not sure how to approach this episode because I want to be inclusive. I want to be sensitive, so I don't want to toss terms that you that feel painful or that are insulting. And also, the current scientific language for a range in body fat composition, or rather the less accurate BMI is as follows, underweight, healthy weight, overweight, and obese. And as Aubrey Gordon, who's the host of the podcast Maintenance Phase, she points out in her book what we don't talk about when we

talk about fat. This term obese has a dark etymology. It means having eaten oneself fat and the term has been weaponized against fat people for decades. And also side note, many people prefer the term fat, having reclaimed it, so the word obese means different things to different people. There is currently far from a consensus. So I wanted you all to inform me with your lived experience. I wanted

to hear what you had to say. So I asked listeners on X and Blue Sky, calling only for medical professionals or those who self identify as fat, what terminology they prefer when talking about body composition in a scientific and public health sense. And I think it was pretty pretty consistent. I know it was so so Hail Ali, says my optimologist has told me that I'm medically obese

and explained the requirements for being called obese. I'm okay with fat or obese, since there are requirements for being called obese and a club pres says, I like the term fat as a self descriptor. But Lord of Goats says, I don't speak for all fellow fatties, but at six one and three hundred and seventy five pounds, I'd say there's a clear distinction between clinical terms and social slang, and context matters. He says, no clinician should be using

terminology that was immediately lifted from social media. Okay, Sarah Sarah X says isn't overweight the correct term, factual and with less negative connotations than obese fat because you could also be underweight as well. But Confetti Noodles says, disagree with overweight. Fat is a neutral adjective and a neutral descriptor of body types. Additionally, overweight is a word that most fat acceptance folks avoid because it's like, oh, over

what weight exactly? But doctor Suzanne says if someone called me obese or fat, it would take me several days to recover from it. Overweight is as close as I can get without a full on meltdown. Zigzag one fifty six says, as a person who used to be three hundred and fifty pounds and is now two fifty, obese is fine. It's simply a medical term to describe when someone's BMI is over thirty, which is generally linked to

worsening health problems. To your Blue Earth says that I feel obese is mostly used by people who don't have good intentions at heart. They like fat, but sometimes the shocks people when you say it. Also, men use fat against you, they say. Kevin van Day says, I used to be around four hundred pounds, although now I've lost about half of that. But I never once considered obese to be a slur. If anything, I tended to use

obese over fat. Your XM says, I don't ever recall being bullied with the term obese, but fat ass for sure. Someone with the handle fat Man says couldn't care less about the term used overweight, obese, heavy, etc. Doesn't matter to me at all. The tone and the content of how a comment was made is far more important to me reacting negatively, So yeah, it's all over the map.

This was illuminating for me too, how much every answer varied, But my point is, no matter where you fall, open your minds to other sensitivities and also advocate for what feels right to you and feel free to communicate that tone and intent is also important, So for God's sakes, be nice to each other and take your judgments and

throw them in a volcano. Now. Luckily, our lead editor, the Wonderful and the Brilliant Mercedes Maitland, has an undergrad degree in anthropology and a Masters of Science Communication and happened to write her dissertation on exactly the subject, and the title of that distribution was investigating the availability of information on the evolutionary mismatch hypothesis in the media and

public health literature. So a lot of metabolic issues that doctor Pons is talking about can be boiled down to the evolutionary mismatch hypothesis. The humans did not evolve for this life, and Mercedes cites several studies explaining that it's important to note that the health recommendations provided by an evolutionary mismatch hypothesis framework already align with standard health advice.

They simply provide a higher level understanding of why those actions lead to better health, and participants in studies who were educated on the evolutionary mismatch hypothesis said that novelty led to curiosity and sustained interest, and it made it

easier to link the information to their own experience. She writes, So for all of us, zooming out from how you look or what a dick doctor might be barking at you, and looking at the history of our species can help us understand how our bodies work more because all people should not be held to the same standards of ability,

or of appearance or even metabolism. How much of that is just genetics and how much of that is your body composition, how much muscle you've been able to retain or build things like that.

Speaker 4

Well, okay, so that's a complicated story too. So it's a lot your genetics has a lot to do with whether or not you will struggle with your weight. And that's because, as far as we can tell, your likelihood of putting on too much fat has to do with the way that your brain responds to food. Right, And there's a lot of different genes and a lot of different gene variants that are going to be involved in

how your brain is wired. There's also, of course, the way you grew up and how you are exposed to food growing up, and so all of those things shape your brain. Why are your brain in your reward systems to respond to food in a particular way, And they're going to determine if you think about food all the time and kind of can't you know, can't miss the meal without feeling miserable. So your genes matter a whole lot.

But I'll tell you what. We all have the same Our grandparents' generation and their grandparents' generation had the same genes we have.

Speaker 1

But though we have the same genes roughly as our grandparents, we have a different number of seven elevens and corporations that take your money and build you sugar bombs so that your health insurance company can then make a profit off of your suffering. And Hermann says, that's where it's complicated, because the genes only matter in a bad environment. Did the seventies corn syrup explosion have a lot to do with health rates and life expectancy at all?

Speaker 4

I just want to first of all, say that the seventies corn syrup explosion, if it's not a band name. Yet it needs it needs to be immediately.

Speaker 1

It's definitely a jam band with too many carbohydrates and simple sugar. Yeah, yeah, it's a raspberry jam band.

Speaker 4

I love it so yeah. People always want to find the super villain, right, it's not. It's not carbs, it's not sugars, it's not I mean, none of those things are good for you, to be real clear, Like extra sugar doesn't helping anybody. But it's the kind of the combination of it all. It's the fact that you know, all that corn syrup goes in to these alt processed foods that are literally engineered to be over eaten. Right. That's how food companies make money is if you can't

stop buying their food. Ah, and so you know, and they're not. I don't even really blame them for it. That's like, you know, don't hate the player hit the game. I believe is the expression. Yeah, they're doing what they're built to do, which is to sell food. No, I'm sure they're not trying to make anybody sick.

Speaker 1

You sure about that? Are you sure about that?

Speaker 4

I don't want to believe that anyway they are though, because those foods are you know, as close to addictive as they can make them legally.

Speaker 1

I think where does your endocrine system come in in terms of what is it grellin and insulin, and also just as you age, your estrogen or testosterone changing, or your cortisol. They you always see those those ads on the internet that's like too much cortisol, You've got belly fat, and you're like, who does it have cortisol? There's a good pandemic. Yeah, where is where is your endercurrent system?

Speaker 4

Yeah? So okay, So that's a great example of again the sort of an other layer of complexity, but we can also use this to understand what's happening. So okay, So your endocrine system, that's your hormones signaling across tissues,

across organs. A hormone is a signal sent by one organ to another through the bloodstream, and so your indecomsystem is all about the hormones slashing back and forth or your body talking to itself, and those signals, those hormones are meant to regulate things like how hunger you feel, how full you feel, all sorts of not not just hunger in society, but those two. So they're going to be part of the kind of reward system. People are going to complain that I'm kind of mixing up neurotransmitters

and hormones, but I'll let them complain. That's okay. They're part of that reward system that either makes you feel so excited about food that you can't stop or not. But here's what's cool. There are also hormones that you are intestines make called encretance, and those hormones help you feel full and satisfied. And those are the hormones that

the new class of weight loss drugs mimic. This is why these weight loss drugs are working to sort of manipulate how full you feel, and therefore, you know, get control of your your hunger and society. And I you know, I'll be really clear, I don't have any investments or anything like that. I'm not going to make any money else of those drugs. Somebody's gonna make a lot of

money on those drugs. But it's kind of exciting because back in the nineties we started to discover the hormones around hunger and society, how hungry you feel, how full you feel. Carell and you mentioned, which is this hormone that your stomach makes when it's empty, makes you feel hungry. The other one is leptin. People might have heard of. Leptin is a hormone that your fat makes. Your fat makes leptin in response to getting chucked full of fat

and sugar. Well, fat only gets full of fat, but you can pull blood sugar out of your blood and turn it into fat and store it your so when your fat cells are getting filled, your fat goes ah, it makes leptin. That's how I pictured. Anyway, you can't actually hear your fat side, but if you could, and it makes lepton, and your brain hears that lepton, and it should be part of what makes you feel full. And they were gonna give people leptin and it was

gonna make them feel full and they'd stop eating. And it works amazingly if you're a mouse, oh yeah, bummer, it doesn't work so well if you're a humans. It's the same hormone with the same role, but for whatever reason, it didn't have that effect in humans. So they've been hunting around, right because there's a lot of these hormones, and that's what this new class of weight loss drugs is. They were like, oh, well, what about this hormone that your body makes after you eat.

Speaker 1

Does that last or does it have like a rebound effect? And also I understand that for people who are diabetic it's like a medical necessity in some case, but it's also really difficult to get because it's such an effective way to change your body mass.

Speaker 4

Yeah, there's all kinds of interesting societal questions about arout access with that. Is there a rebound? Yeah, it looks like if you are on it, you will lose as much weight as people lose like in bariatric surgery, which is kind of incredible. If you go off of it, you'll gain the weight back at least a lot of it. I don't know about all of it, and I'll just

say again, I'm just watching the science come out. I'm not involved in any of it, but just watching these studies come out, it's super impressive to see because it's the first time that we've had a weight loss drug that seems to really have this size of an effect. What we know now is that the effect is pretty sizable. If you stay on the drug, it lasts. If you come off the drug, it bounces back. Now, who's going to bounce back more? Who is going to bounce back less?

Is there something you can do with lifestyle interventions to be able to come off the drug but keep the weight loss. That's the frontier right now. That's where people are at right now.

Speaker 1

And Herman notes that these drugs, like someagletide, started off as diabetes medications that regulate insulin secretion, and if body composition is a factor in any cardiovascular health or diabetic conditions, these drugs can also help with that and lower high blood pressure or cardiometabolic diseases. Although my friends who are diabetic are not down with the general populace or a lot of celebrities taking this and gobbling it up while folks who have diabetes cannot get a hold of it.

That sucks, But again it's a bigger picture of total health assessed by a doctor who listens and doesn't like write off other concerns. Is just weight related because actual weight doesn't tell you everything about organ health, or your muscle mass, or even your metabolism. In fact, I'll tell you a little secret, the best thing I've ever done for my body was in my late twenties. I took my scale. I took it to an alley way behind my apartment, and I smashed it with a hammer, and

then I tossed it into a dumpster. Hard a number fluctuating every day and not reflecting muscle or water was doing so much damage psychologically, and so I switched it and I tried to focus on how many steps I was getting each day, because I knew the days that I went on walks, especially if I was outside, I felt less anxious and sad and have more energy. And if you can't take walks, We've done other episodes about how just going outside, being around a tree for a

few minutes can provide a psychological boost. But yeah, for me, scales are garbage, literal garbage. And actually went to the doctor this week and it was a gynecology clinic and they actually had their scale set to kilograms, which as an American, I was like, sweet, I don't know what that is about. I have no idea. I'm not gonna think about it or google it because that's not the point. Well,

when it comes to yo yo dieting, I know. The worst health I was ever in body mass wise, depression wise, like autoimmune stuff wise, was when I was trying to get skinnier and I just when given the opportunity I could eat like half a jar of peanut butter because I was just so pissed to be depriving myself. So I know that yo yo dieting is part of it is probably psychological, but how much, too, is that metabolic? And how do people avoid that if they're just like, fuck this?

Speaker 4

It is so hard? And what I hate is when people have these kind of conversations with folks like you and they say, well, here's what you'd have to do. You know, like there's one easy answer that people haven't already tried. So I'll just start by saying it's hard.

And my suggestion is too, if you are pissed off and feeling deprived on whatever food you know, whatever diet you're on or whatever nutrition plan you're kind of trying to stick to, then you're not on one that's going to be sustainable and you got to find one that's better. And you know, that's where I do think there's a place for or intermittent fasting or for low carb diets if you keep them they're done in a healthy way,

or for vegan diets or Mediterranean or whatever. But that's I know, it's hard, and.

Speaker 1

It's a lifestyle, not a diet, right, I know that I'd be like my goal weight and then I'd be like sweet go. It's like a double decker tago talk about that, I'm like, what happened?

Speaker 4

Why do I weird it?

Speaker 5

Yeah?

Speaker 1

Okay, first off, I love double decker tacos. Also, when I'm sick or I have a migraine, all I want is a diet doctor, pepper and Cheetos. And it's disgusting, but it's a decision made not by my body but

by my soul. But Hermann told me that we all have a little bit of magical thinking around this stuff too, and it's really hard in modern culture and with the food available to folks in food deserts, on lower incomes, and really anyone to track how much fuel we're putting into our bodies and how our individual endocrine and are a lot of systems are going to react to them.

And Hermann says that there's such a stigma around body image and health and so much undo blame on individuals that it turns into a mental challenge and a stress to just try to tally numbers and understand this really complex and impossible system that he's been studying for over a decade and if you have access to healthcare, talk to a trusted doctor and maybe get your thyroid or your blood sugars checked if you're feeling a little off. But okay, onward to some of the forty nine pages

of questions we got for Herman. I have so many questions from listeners. Can I lob them some at you?

Speaker 5

Oh?

Speaker 4

That's why I'm here, isn't it?

Speaker 1

Yeah? Yes, yes, okay, But first let's donate to a charity of the ologist choosing, and Herman said the choice was very easy and he'd like to go to the hods Of Fund. And the hods Of Fund provides healthcare to this hunter gatherer community by funding an ambulance for the critically ill, resources, food and medicine during hospital stays, as well as preventive healthcare like mistakes nuts to compat the Spreadamle area. And to find out more, you can

go to hudsofund dot org. So thanks to sponsor the show who made that donation possible.

Speaker 2

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Speaker 1

Okay, Let's get some burning questions off your chest, including this first one about metabolic speed, which was on the minds of Julie Scott, Olga Down and Eric Easton, Ann Marie Everheart, Michael Wegman, Linastot, Lisa Roll, Sophia A, Sharon, Tara Lee Johnson, Valerie Bertha first time question asker Angie Smith and Abigail lad uh Is in Denver.

Speaker 4

Hi, Abigail, I.

Speaker 6

Am curious about the idea that we can speed up or slow down our metabolism just with like products, particularly the Biggest Loser study. The Biggest Loser study showed that like extreme dieting caused a slowdown in people's metabolisms. But then there's been some sort of debunking out of that that I've seen, so it seems to be really conflicting, and I'm just I would love clarification.

Speaker 4

Well, so the first question was the easier one, which is are there products out there that can boost your metabolism? And the answer is no, okay, with a caveat.

Speaker 1

Okay.

Speaker 4

The caveat is there are some illegal things you can do that will boost your metabolism that are not recommended. And you know, so that's partly a joke. There are some illegal things you can do that would boos your metaboism, but you shouldn't do them because they'll kill you.

Speaker 1

Like, are those things you snort? Are those things you get illegally by prescription?

Speaker 4

Yeah? So moving on, there's I don't know actually, so they used to sell this one Africa. God, I'm blank on the name of it. That would speed of your metabolism. It made your mitochondria leaky, and so they would just burn through all this energy trying to charge your ATPs.

Speaker 1

Okay, So side note, I believe Harmond is talking about this drug known as two for dnitrophenol or DNP for short, and it's been used in things like bombs and pesticides, but taken by a live humans, it ups your metabolism by thirty to forty percent, which of course can melt away excess fat. It can also cause rapid heart rate, cardiac arrest, sell death, and hyperthermia, meaning you literally cook yourself. DNP can also very much kill you, so much so

that people have used it to unalive themselves. So yeah, no, not worth it. You are wonderful as you are, which is living and breathing, and so has.

Speaker 4

They had to stop selling it. But obviously it's super terrible and really dangerous to mess with your metabolism that way. So no, your coffee in the morning gives you like maybe like a little tiny little bump bum, but you cannot boost your metabolism. Everybody out there trying to boost your metabolism with whatever settlement you're buying, you're just being robbed. I'm sorry, Please, for your own sake, just stop. You can't even really boost your metabolism very much with exercise,

it turns out, what and that's one of the big surprises. Yeah, so when you're exercising, you burn more calories. That's true while you're exercising, and if you started your exercise program, then yeah, for those first few weeks, you know, you'll be burning more calories by the end of the day

than you were before you started it. But this really interesting phenomenon happens where your body adjusts and so after a few months you're not burning a whole lot more than you were when you started, and maybe not any more than you were and when you started. And so you know, that's some of the really surprising work that's come out of my lab and some others.

Speaker 1

So apart from field work, observations and interviews, what does this lab work entail? Okay, Well, in his book, Herman explains how difficult it was to do this research in decades past, when you'd have to essentially lock someone in a metabolic chamber and measure the ratios of carbon dioxide and oxygen in the room and also collect p from the entire state to analyze for metabolites of protein and stuff.

But then in the n nineties, when mass spectrometry analysis became more affordable, scientists were able to do this in called the doubly labeled water method, and they had used this before in smaller animals, but it was more affordable now to use in humans. And this involves people drinking a water sample with special non radioactive isotopes of hydrogen and oxygen and then later analyzing a PA sample, maybe two weeks later, to see how much carbon dioxide they

had produced based on what's left of the isotopes. So water, some PA, some mass spectrometry. So much easier than an air lock chamber, and yes, more affordable. And he writes in burn, So what's the bottom line, how many calories do we spend each day? It depends, of course, but not on the factors you might think.

Speaker 4

Here, here's a fun snapshot for you. We're talking about hundre gatherers before. So my lab our group did the first measurements of calories burned per day in a hunter gatherer group. We went and worked with these folks called the Hods in Nord of Tanzania, and they get more physical activity in a day than most Americans, getting a weak you know, hunting wild game and getting wild plant foods.

But despite that, despite that, to our enormous surprise, because we did not expect this going in, they burn the same number of calories every days as Americans do. What's going on, Yeah, because their bodies have adjusted to this really rigorous lifestyle and they're say with energy elsewhere. And your body will do that too if you start exercising a new exercise program, so you know, you might not sort of wipe out the entirety of the exercise bump, but a lot of it.

Speaker 1

And even if you increase your muscle mass by a lot, like of your weightlifting.

Speaker 4

Well, so that's interesting. So that's understudied. You know, most of the exercises people do to lose weight or like cardio, and you don't gain a lot of muscle mass, so that's not even a factor. If you do gain a lot of muscle mass, then what we would expect that is, you know for your size, Yeah, sure you're going to increase your energy expenditure because you've gotten bigger. Right back to this sole issue of Yeah, what is metabolismal it's your body at work. If there's more of you, yes,

you'll burn more calories. But for your size, we don't think your expenditureill go up that much.

Speaker 1

Wow, So it's mostly diet, as they say, oh, in.

Speaker 4

Terms of your weight. Yeah, I mean it's like it's not even worth worrying about exercise for weight.

Speaker 1

Hang on, very important message here.

Speaker 4

You should still exercise, by the way, it's really good for you, and some of those adjustments that your body makes and response exercise are probably some of the reasons exercise is so darn good for you. So I'm on team exercise one hundred percent. But we have to think about exercise and diet as two different tools for two different jobs. So diet's about diet for your weight and exercise for everything else.

Speaker 1

What about the serotonin component and the endorphins? Is it mental health? I understand that exercise can be as effective as some antidepressants.

Speaker 4

Yeah, yeah, yeah, that's absolutely right, And there's lots of great studies out there showing exercise interventions for depression is a really really good, like you say, as good as a lot of the drugs people take.

Speaker 1

Plenty of studies. Yes, so go ahead, get yourself a wing back chair, get a big cup of tea, and settle in for years of reading published studies. Cobwebs are going to grow on your arms because there's a lot.

But here are a couple samples. So the twenty seventeen to meta analysis titled is the Comparison between Exercise and Pharmacologic Treatment of Depression and the Clinical Practice Guideline of the American College of Physicians Evidence based in the journal Frontiers of Pharmacology, gave a recap of experiments and it found that three randomized clinical trials compared four months of exercise to just antidepressants, and that all of these studies

reported that exercise and standard antidepressant treatments were equally effective. And then another twenty fifteen study in the British Journal of Psychiatry called Physical Exercise for Late life Major Depression showed that the greatest improvements people had were with high intensity aerobics, followed by low intensity aerobics, followed by just antidepressants. And other studies showed that exercise and medication can be

an effective, too pronged intervention for major depression. So what is the message here, Well, it's not for me because I'm not board certified and shit, so you have to talk to a doctor and under no circumstances go off antidepressants on your own. And I say this as your friend, I say this as your internet father. And this spring, I've mentioned this before, but I went off a fexer to try medication for ADHD instead and for my hormonal issues. And guess who ended up in the er with a panic attack?

Speaker 4

That was me?

Speaker 1

Remember that that was me, And of course you don't remember, because I don't know if I mentioned it. But my point is, please do research, talk to a doctor, don't go cold turkey on your own, and also make sure that your loved ones know that you're changing any medication and that you have a lot of loving support, or better yet, maybe just consider adding exercise to your medications if you're physically able to, and see if you feel

more amazing. And if you're feeling like garbage and are feeding yourself garbage like I sometimes do, remind yourself that your body deserves fuel and nutrients, and that companies marketing you things are in it to make money, not to make you happy. But what happens if you do all this and you start to feel healthier. And then that second part. Yeah, so the slow down in people's metabolisms after they diet, that's a bit of a myth.

Speaker 4

No, So that's depressingly true. So you can slow your meaphilism, you just can't speed it up if you lose a lot of weight like they did in the Biggest Loser. People like people lost a human's worth of weight. It was talk about unsustainable. It was completely unsustainable the way they did it. And so the folks who managed to keep a lot of that weight off even six years later, their metabolic rate was still slower than you'd expect for their size. Their body was still kind of trying to

write the ship right, it's a survival response. Tons of weight right away, really fast your body. You're an evolved organism. We've been evolving for millions and millions of years. We have all these mechanisms in place that say, look, times are tough, we've got to tighten our belts and lower the metabolism until things get better again. And so that's real.

That absolutely is real. And people in the Biggest Loser who kept the weight off for six years, their bodies are still in that mode, and the people who gained all the weight back, well, their metabolism's recovered because their bodies were like, Yep, we did it. Good job, guys.

Speaker 1

And I imagine it's just evolutionary processes helping protect you from future famines.

Speaker 4

Yeah, exactly every species will do this, just as far as we can tell, any species given the opportunity to put on extra weight will And it seems to be because it has just been a truism, a fact of life for the hundreds of millions of years that animals have been evolving, that you could always end up time, and so you always better be prepared.

Speaker 1

And yes, it's hypothesized that some people's bodies have a thrifty genotype and they're more efficient at surviving those lean times. But our relationship with processed and high calorie and low cost foods presents a challenge to tell our brains that we have to contradict hundreds of thousands of years of survival instincts and genetics every time we walk into a grocery store. Does cinnamon or ginger or any other herbs

or spices actually do anything for your metabolism? I myself put cayenne pepper and black pepper in my chai every day, but for flavor. But the idea that you can take like a capsasted pill and be like the kittie season, that is not true.

Speaker 4

Yeah, sorry, Cindy.

Speaker 1

What about individual variation? This was wanted to know by patrons Lovely Bites.

Speaker 3

R J.

Speaker 1

Dorige, Hannah Raidel, Matthew Welker, Amanda loves Kurt Quincy j Byurne missed the fish, Felipe Hamenaz School next Door, Monica Olvera, Margo Lewis, Sarah Morecom, Griffin Russell, Julie Scott, and member of the BFF audio asking tier on Patreon. Aaron Ryan says, Look, we're all thinking it. Why does my metabolism suck? Oh?

Speaker 4

I've got good news for you. Okay, it doesn't suck, all right.

Speaker 1

Some of us do have just.

Speaker 4

Because of our genes, or you know, maybe because of the way the conditions which we grew up. We're not entirely sure, but some of us do burn more calories than others. That's true, just inherently. But and we've done this study in our own lab, We've done done in other places. People who have slow metabolisms aren't necessarily more likely to gain weight. People who have fast metabolisms aren't necessarily less likely to gain weight. So we always blame

our metabolisms. But the fact of the matter is it really comes down to your brain. So your metabolism is great, it's your brain that's given you trouble, and it's giving you trouble because you know you're surrounded by all this really delicious food that you can't It's hard to pull yourself away from.

Speaker 1

So many people. Greg Lewis, Valerie Bertha, Ryan Walsh, Les Johnson, Cala Turnbill Matthew Wynn and Earl of Grahamlcan also Lena Schuster and Jolly Hamali, Rebecca Cloud, Daniel Kelly, Hannah Boyd, Average Pie, Lauren Arn, Renio Mandre, Margie and Dexter and CC papers all asked, in Greg's words, how does aging affect metabolism and does being an active senior make a difference? Does it slow down as you get older. I've read some of your research and I know the answer, but.

Speaker 4

Yeah, this is one of the most fun studies I got to be part of. Over the last couple of years, we've finally put together this like roadmap of your metabolism from birth till very old age, and so we know the answer to that. So first of all, as you grow up and get bigger, there's more of you, you burn more calories. Right, So bigger people burn more calories. Men tend to burn more cal than women because this gets back to the you know what kind of weight

are you carrying? Women tend to carry a bit more fat for a given body size. Men tend to carry a bit less. And so if you know fat is quiet, other tissues aren't. So men tend to burn them fit more calories just because the body composition difference. Once you control for that, men women are the same.

Speaker 1

So the numbers crunched in most studies are based on the model of sex assigned a berth But my non binary and transpals I see you.

Speaker 4

So bigger is more more fat free mass, you burn more calories. But once you control for that, So now we're talking about like a like we're thinking about this in terms of like pound for pound, Right, for a given size, how does your metabolism change, Well, it's really high when you're a kid from about one year old's at the peak. Right, one year olds are burning fifty percent more calories they need to expect for somebody their

body size, which is kind of incredible. And it's because of all the stuff that our cells are doing all day to grow and be active and develop. And then you peak at about one year old, and then you sort of slowly come down through childhood and teenage years, and in your early twenties you hit your adult level. So whatever you and I are at, Alley and Greg, you two and me and where all of us adults, we're at our metabolism kind of plateau, and we're going

to stay there. You're there from your twenties through your late fifties.

Speaker 1

Oh wow, late fifties.

Speaker 4

Yeah, it really doesn't change with menopause. It really doesn't change as testotal levels go down in men And I was really sure it did. I'm forties, I'm in my forties, and I was really sure that my metabolism must be slower than it was when I was thirty, And you know, it just doesn't look like that's true. And then after

sixty it starts to decline. So that decline is real, and so active seniors, it might be the case that's staying really active as a senior sixty years plus is a way to kind of keep that decline at bay What we'd love to know is, so, Okay, when we see metabolism starting to slow down around sixty, that's your cells becoming less active, right, they're slowly kind of turning down the volume nod there on everything they're doing. That's around the same time that people start to get sick.

Your likelihood of heart disease dementia really starts to kick up around the same time. And so that makes us think those things are related. And so if we can keep our cells more active, do we keep those diseases associated with old age at bay Man? Wouldn't that be cool to know? And wouldn't it be great to be able to use that kind of therapeutically. But that's next step and for.

Speaker 1

More inspiration to take Zooma classes until you're ninety other

than just having sweet sweet moves. You can see the twenty twenty one paper titled the Active Grandparent Hypothesis Physical Activity and Evolution of extended human health spans and lifespans, and it summed up several previous studies that showed that about twenty minutes a day of moderate physical activity or twelve minutes a day of vigorous aerobic activity reduces average otherwise sedentary person's relative risk of all cause mortality by

fifty percent. So you do that twenty minutes a day, twelve minutes a day of harder activity, your mortality rates go down by fifty percent, which if you live in the United States, that can help you dodge medical bills that could bankrupt you. So that's a plus. So the active grant parent hypothesis what is that? It's won by evolutionary anthropologists to answer the question doesn't nature just want your babies and then for you to die? Why would humans have evolved to be so active and not dead

after they reproduce? Well. Researchers found that in the Hatsa and other hunter gatherer societies, active grandparents will forge for up to six hours a day, taking that burden off of new mothers who are tending to the squirmy little babies. So the active grandparents out there foraging bring in more calories for the whole community, kind of like when Grandma sneaks to you an ice cream sandwich and you both

promise not to tell your parents. Also, before any of you write me letters I love you, but before anyone writes me a letter. Yes, calories is the same thing colloquially as a killo calorie. Technically a calorie is one one thousand of what we call a calorie. But yes, it's just confusing terminology. I don't make the roles. Denise and Scott want to know, is six meals a day to boost metabolism? Is that debunked? Six small meals?

Speaker 4

Yeah? Yeah, I don't even I'm not even sure exactly what they're talking about, but I can promise you it doesn't work.

Speaker 1

Okay, You'll see sometimes and like, how does this person who's definitely head like libosection, how do they do it? And they're like six small meals a day and you're like, okay, but then intermittent fasting goes completely against that. But I know people had questions about intermittent festing, such as Elliot Mcatarsny, Amanda Washington, Norma Vasquez, Lana Schuster, Monica Olvera, Denise since Cottology Files, and Elizabeth Firf Brownoff, Kate Munker, Aaron Gunderson,

Emily Staffer, Vanessa Fray, and Ellen Monroe. Does that slow your metabolism because you're not eating for twelve hours it's sixteen hours a day or is that not enough to mess it up?

Speaker 4

The bigger switch on your metabolism is, you know, think about it in terms of like days or weeks of energy balance. So if you're intermittent fasting, but you're not seeing the weight on the mathroom scale change really fast, right, Because when you're allowed to eat, you're eating enough that you aren't losing weight in a really hot, fast rate, then you're probably going to keep the metabolism impact pretty small.

Speaker 1

Okay, what do you do? Do you have a walking pad under your desk? Were you ever a chubby bunny as a kid.

Speaker 4

I, personally, you know, I've never had to really worry about my weight. I'm one of those annoying people who don't. And I was a really skinny kid. My mom was like trying to pack me full of food whenever she could. Honestly, I think it fits the research, which is, you know, I don't think about food very much. I just kind of don't care. I like good food more than that, I like nice meals with good friends. You know, my wife she'll tell you she thinks about you know, lunch

and dinner and snacks more often than I do. I think that's just true.

Speaker 1

And that is is that that's hardwired, that's hormonal, that's oh you hyd genetics questions, how do you write?

Speaker 4

Joe B.

Speaker 1

Mattzcato, Valerie, Bertha Pafka thirty four, Devin McPeek, Aaron Burbridge, Matthew Walker, Diana Moreno, Magdalena Castillo, Katherine Megovich, k Colincroft, Lannis j. And first time questionsker missus Noak. So, how much of your gene size is based on your gene size?

Speaker 4

And so those are the genes that are important as far as we can tell. I'm going to say all of them, certainly almost all of them are active in your brain. It's how you're wired. And it probably also you know, your brain isn't a static thing. That's when

people get brains wrong. Born with the brain that you have right now, right, your brain is a work in progress from the beginning, and so the genes that helped build your brain matter, but also the experiences you use to finish off and build those connections, and so probably both of them together. But by the time you're an adult, right, the cake is baked and your response to food is what it is, and you're kind of working with what you've got.

Speaker 1

What about the guts? Patrons Catherine Fox, Bonnie M. Rutherford, Nathan Howard, Nicole Austin, Earl of Gramlican Tristan Berg, Jesse k and Catherine B. First time question asker. This one is for all of your simmering intestines as well as in a Ukley Emily isis hey Artemis random question? Yes, Karah dut damn it.

Speaker 4

I knew it was coming.

Speaker 3

No.

Speaker 1

Alana says this may be gross, but I'm so curious and wondering if there's any connection between metabolism. And they say bowl movements, I think they mean bowel movements, but that is let's hope. So that's a good typeot. But how does your digestion change your metabolism if it moves more slowly, do you have more society which I always thought was pronuncatiety or what's going on.

Speaker 4

There's a great study actually out over the summer that showed that we had people on two different diets, and the really highly processed food diet, their guts were able to absorb more calories more efficiently, and so they're getting more of the calories that they put in their mouths actually go into their body rather than into the toilet, right, And people on the high fiber called the microbiome, you know, but the microbiome happiness diet or something like that, it was,

that's not really it. It was something like the meant to help their microbiomes had more fiber, was harder to digest, and they absorbed fewer of those calories and more pass through them. And so there you go. You know, that's something that simple. You can see it in action. That absolutely, the way that your guts work, the efficiency with which you pullies out of your food and in your bloodstream, the kind of foods you're feeding yourself which will have

an effect on that. All of those factors are going to are going to play a role. This is the ultimate multiplayer game metabolism. And so to think that it's just one thing, it probably is never just one thing. But it's okay, it's not wrong to think about all the parts that work together. But they are just parts that work together, and the ones that are sustainable they make you eat fewer calories without feeling miserable.

Speaker 1

Does the carnivore diet drive you crazy? Because evolutionarily we evolve to eat the plants as well.

Speaker 4

What drives me crazy is when people want to sort of rewrite history and say, you know, it's not enough for them that the carnivore diet works for them. It has to be the one, single perfect diet to rule them all, and it has to be proven by the fact that, of course, don't you know, dummy, that we evolved to only eat meat. That just pissed me off, because the evidence is really clear that humans have been needing a lot of plants forever, except in certain special

circumstances like the Arctic. So like, man, why do you have to ruin what we know about human evolution? What took so long for people to figure out? And you got to run it just so that you can like enjoy your diet and be snooty. I don't get yeah again.

Speaker 1

For more on what hunter gatherers do eat, grab his book burn which is linked in the show notes, to learn about his years of research and befriending the Hods of community in northern Tanzania. And I burned through it in a few days and it's already influenced how I'm taking care of my bod and my bod which has been kind of a shit show of pneumonia and hormone chaos. Is thanking me for caring? Actually back to hormones, you know,

we had some great questions about hormone replacement therapy. You know, and I know that menopause itself and aging itself doesn't sell you metabolism, but anu Ya Joshi, Kate de Hadway, interstitial k learnarn Dione need him. Rebecca Rome, jen A, Britney Corrigan, Law, Lisa Rohl, and Kay Shannon, as well as Lisa Panic asked about during paramenopause and menopause having less testosterone does that affect your ability to build muscle mass?

Speaker 4

And oh yeah.

Speaker 1

We also had great questions from some trans listeners Keegan Newman, Wayne Halliburton, and Jude Scout Campbell, who asked, in Judes words, I'm a transmask person about to hit the two year mark on testosterone gender affirming hormone therapy. Both myself and pretty much anyone on tea ever experiences what feels like an increase in metabolism. Why does this happen? When will it chill out?

Speaker 4

Please?

Speaker 1

I'm hungry all the time, and who among us can afford that many groceries in this economy. Thanks.

Speaker 4

Yeah, So testosterone is what's called an anabolic hormone. It builds, It makes your bodies build, It makes your cells more active. That is why people dope with testosterone MidiX Okay, And

that's and they're illegal because they're incredibly effective. Right. And so if you are on testosterone for whatever reason, Yeah, your cells are more active, you're gonna be probably bringing more calories and certainly your body's going to send in the signals hey let's build some muscle, because that's what it's good at. So when it will it go away? Man? That's actually an interesting question. I don't know.

Speaker 1

And then if you're in menopausa for some reason, your estrogen goes up or down. I understand a lot of bird control pills and SSRIs can change your body composition a lot. So what's going on with the estrogen? Okay? I asked these estrogen and SSRI questions for y'all, Megan Bolton, Shelby Smith, Tyane cole Is, Lizzy Martinez Medal and Uncle Kendall m Kelsey Larson, and Britty Kaufman.

Speaker 4

We know what hormones are being given in those cases or what hormones are extra I don't know that. We have lots of great studies that are sort of counting calories in that context or measuring calories very well. And so this is just my impression of what's going to happen physiologically. And he mentioned SSRIs. Those are all kind of different systems. So just stosterone and androgens generally are muscle building anabolic hormones that are going to tend to

ramp that up. The hormones that are taken for oral contraception actually mimic the hormonal state of pregnancy, and so or the second half of the ovarian cycle, which is the same as the early parts of pregnancy. You've kind of kicked in some mechanisms sort of early pregnancy mechanisms

there to put on some weight. And then the SSRI thing seems to be back to the reward systems in the brain and that you're manipulating those systems, and one of the outcomes is going to be the way that you respond to the reward of food.

Speaker 1

So if you experience more cravings for carbohydrates as your depression lifts from antidepressants, you can keep an eye on intake, or you could not care and enjoy more pasta and smiling. I'm not a medical doctor even a little bit, but do whatever keeps you healthy and happy. But let's get back to misery. Last questions I always ask, are worst thing about your job? What sucks? What's hard?

Speaker 4

I love my job.

Speaker 1

There's got to be something that sucks. Paperwork.

Speaker 4

I'll tell you what. Yeah, I'll tell you what sucks. There is so much regulation right now around the actual performance of science in American universities. You know, I have so many trainings and regulatory things I have to do, and it's all well intentioned and you know, but there's so much of it. There's so much of it. We're paying this person at my university to talk to this person at my university. So that's the only frustrating thing

I think. I love to teach, and I love to do research, and I feel like I am one of the luckiest people I know in terms of the career I get to have.

Speaker 1

Do you ever lose sleep over it? And does that affect your metabolism?

Speaker 4

Yes? And yes?

Speaker 1

Oh so sleep does affect their metabolism?

Speaker 4

Oh yeah, if you get completely sleep deprived. Sure, yeah, I know.

Speaker 1

You love your job. Is there a certain moment or a certain factor of it is just your favorite.

Speaker 4

Just talking to you.

Speaker 1

Ali, Oh stop, I've asked so many not smart questions, and I really appreciate this is probably one of the most like frenetic episodes where I'm like, what about that questions?

Speaker 4

Honestly, So there's there's there's two things I love about my job, and one is I have had the amazing good fortune a handful of times in my career to be the first at least feels like the first person ever to see something or to figure something out. You know, it's the discovery. I think every scientist lose for that, and any science has been around a while and has had some success that has felt that and that's you live for that. I mean, there's nothing better than that.

And then the other thing I really do enjoy is talking to science, uh, you know, whether that's teaching, or whether that's writing, or whether that's predations like this. I love to be able to share that because I think that's you know, that's part of the job too, and it's a really fun one.

Speaker 1

Thank you so much for doing this.

Speaker 4

This is really fun.

Speaker 1

So ask informed people uninformed questions, and thank you so much, Doctor Herman. Poncer for the time that you spent with us and all the research that you continue to do again. His book is titled Burn. It's linked in the show notes, and we'll also link his labs website and his Instagram and his Twitter ex handles, so you can follow him there.

We're at Ologies on Twitter and Instagram, and I'm Ali Ward with one l on both and we have shorter, kid friendly cuts of our classic episodes and those are called smologies and they're available for free. They're at aliward dot com Smologies and Aaron Talbert admins Theologies podcast Facebook group. Aveline Malick makes our professional transcripts. Noel Dilworth is our

scheduling producer, Susan Hale is managing director. Kelly R. Dwyer makes our website and can make yours, and our lead editor in this episode produced and contributed a ton of excellent research from her own dissertation Sapiens. Indeed, Mercedes Maitland of Maitland Audio and Nick Thorburn made the theme music. And if you stick around it till the end of the episode, I tell you a secret. And this week is kind of weird, Okay. So I was working on

this right. I was listening to a playlist of like some new indie music and there was this one song called drop Dead by Katie Kirby, and no joke, there's a line about body mass indexes, and I was like, get out of my head music, what are you doing to me right now? It is creepy, but it was fun, So there you go. But yeah, put on a song, maybe, enjoy some fresh air, be good to your flesh machine, and most importantly, be good to each other.

Speaker 5

All right.

Speaker 1

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Speaker 2

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