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My old mate Professor Grant Schofield and I delve into the fascinating concept of hormesis and its impact on human health. We discuss the newly launched Hormesis Lab and explore how controlled exposure to stressors can enhance resilience and promote longevity. From the hormonal effects of light exposure to the physiological benefits of exercise, this conversation uncovers the science behind becoming robust through strategic stress. What You'll Learn: Understanding Hormesis: Hormesis is the process of exposing your body to mild stressors to increase its resilience against future stress. Light and the Body: Discover how different types of light, including visible and non-visible wavelengths, penetrate the body and impact health. Learn about the role of vitamin D in glucose homeostasis and immune function, and why it’s essential for overall well-being. Exercise as a Hermetic Stressor: Explore how exercise functions as a stressor and boosts longevity, with a focus on VO2 max and muscle strength. Understand the physiological mechanisms activated during exercise, like myokines and their widespread health benefits. Effective Training Techniques: Zone 2 and VO2 max training methods are explained for optimising cardiovascular health and enhancing endurance. Strength and resistance training guidelines are provided to improve muscle mass and overall functionality. Nutritional Importance: The importance of protein intake is highlighted, particularly in maintaining muscle mass and facilitating recovery and growth. Key Takeaways: Hormetic Stress: Leveraging mild stress can build resilience and improve health outcomes. Light Exposure: Adequate light, particularly in the infrared spectrum, can support mitochondrial health and potentially aid in neurodegenerative conditions. Exercise Strategy: A balanced exercise routine, incorporating both aerobic and strength training, is crucial for long-term health. Protein Needs: As you age, higher protein intake is necessary to compensate for the natural decline in muscle mass and synthesis. Role of Hormesis in Longevity: Understanding and applying hormesis can be a transformative approach to improving health and longevity. Resources: For more in-depth information and resources, including links to studies and equipment recommendations discussed in the podcast, be sure to check out the notes provided. Stay informed about innovative approaches to enhancing health and unlocking your potential through hormesis. Support and Share: If you found this episode enlightening, please consider subscribing, rating, and leaving a review on your favourite podcast platform. Your support helps us continue to bring expert insights to a wider audience. Share this episode with someone who might benefit from the discussion around hormesis and its life-enhancing potential. 01:08 Understanding Hormesis 03:13 Stoic Quotes and Hormesis 03:58 The Importance of Stress Resistance 06:31 Light and Its Effects on Health 07:12 Vitamin D and Sun Exposure 11:49 Infrared Light and Mitochondrial Health 15:19 Melanin and Brain Health 22:56 Exercise and Longevity 28:27 Understanding VO2 and Training History 29:30 The Role of Muscle Strength in Longevity 29:56 Hormetic Mechanisms and Myokines 33:16 Practical Training Guidelines 33:54 Zone 2 and High-Intensity Training 40:27 Strength Training for Longevity 45:54 The Importance of Protein Intake See omnystudio.com/listener for privacy information.
This week, for our 200th episode, Mikki brings back her first guest on the show, Professor Grant Schofield, to get an update on his most recent project, a new book looking at the Future of Medicine.As always, this is an informative and informal chat about health, nutrition, lifestyle and wellness with a ton of practical tips that the listener can take away.Grant Schofield is the Professor of Public Health at Auckland University of Technology, Director of the University's Human Potential Centre, former Chief Scientific Adviser to the Ministry of Education in New Zealand, co-author of four best-selling books and Chief Science Officer for PREKURE.Professor Grant's career has focused on preventing the diseases of modern times, and seeing what it takes to help people live a long, healthy and happy life.He lives and breathes the motto “be the best you can be”, and sees this as a game-changer for the health system – capable of transforming the current health (sickness) model, to one in which we aspire to be well. He is redefining public health as the science of human potential; the study of what it takes to have a great life.Grant is well known for thinking outside the box and challenging conventional wisdom in nutrition and weight loss, as well as physical activity and exercise.He brings his fluency across several scientific disciplines – from human physiology, to psychology, to peak performance – to his role at PREKURE, where he delivers world class training in lifestyle medicineGrant's What the Fat books can be sourced here: https://profgrant.com/books/You can find Grant through the following avenues.Grant Schofield Blog: https://profgrant.com/Human Potential Centre, AUT University: https://humanpotentialcentre.aut.ac.nz/Pre Kure https://prekure.com/ Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenSave 20% on all NuZest Products WORLDWIDE with the code MIKKI at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk ooff your first order
Today I sit down for a long chat about the future of medicine, and specifically primary prevention, for extending healthspan. We discuss the different evidence-based lifestyle practices that we both use to improve our healthspan.See omnystudio.com/listener for privacy information.
Thi sis part 2 of the latest podcast with my old mate, and MBB favourite, Prof Grant Schofield. He joins me for a wide-ranging discussion on brain health. We chat about things such as anti-depressants vs natural interventions, what sort of things damage the brain and then Grant teaches us about his latest deep-dive into the research on the role of glutamate on brain health, and it's truly fascinating.We end with some PracAdemic tips for keeping your brain in tip-top shape.
He's back by popular demand! My old mate Prof Grant Schofield joins me for a wide-ranging discussion on brain health. We chat about things such as anti-depressants vs natural interventions, what sort of things damage the brain and then Grant teaches us about his latest deep-dive into the research on the role of glutamate on brain health, and it's truly fascinating.We end with some PracAdemic tips for keeping your brain in tip-top shape.
These days it's easy to feel fear, frustration, or fatigue when it comes to COVID-19. In this episode, Damian speaks with Professor Grant Schofield to synthesise a refreshing perspective that helps us relax and steer ourselves through these transitional times. Expect to learn what you can do to elevate your immune response, while appropriately assessing risk. Grant is a researcher, author, public speaker, Professor at AUT(Auckland University of Technology), and director of the university's Human Potential Centre (HPC) in Auckland, New Zealand. If you're interested in a bit of clarity around Covid, and you value an evidence-based alternative perspective that will help your family to feel vibrant and connected then it's time to listen in. Go to the full show notes DISCLAIMER: This podcast is for informational purposes only and not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician.
Professor Grant Schofield is a person who thinks deeply about health and wellness. On a personal level, Grant has been a mentor of mine for some time now - pushing and encouraging my thinking and celebrating the deep learning that comes from pondering the deepest of ideas together. I hope you enjoy this conversation with Grant and that it expands your mind as much as it did mine. For those who are new to Grant, he is the Director of The Centre for Human Potential at AUT and former Chief Scientific Adviser to the Ministry of Education in New Zealand. He is also the author of four best-selling books. Thank you Grant for your willingness to make education palatable for the majority of our society.
Today is a podcast share with the quite legendary Professor Grant Schofield from New Zealand and his PreKure Podcast and I think it's probably the most important public service broadcast that either of us have done in some time, if not ever, so please share this episode with all your family and friends. In this episode we discuss the lifestyle factors and outcomes that have a massive impact on your health outcome if you do catch covid – and this is especially important given that we are now transitioning to living with the disease and the UK Govt had been advised by an expert panel that everyone will catch it, eventually. Given that knowledge, what should you do to prepare yourself?Check out heaps of resources and courses that Grant's involved at Prekure.com
Professor Grant Schofield joins Jimi to get right to the heart of how to achieve great mental fitness. As an expert in human potential, Grant's views on the current state of the health system and, in particular, the mental health system offer some food for thought in both a figurative and literal sense. Grant believes that we have historically overlooked some crucial evidence to how a person can maintain peak mental fitness - including food and lifestyle factors that can benefit our bodies in both a physical and psychological way, more than pharmaceuticals or talk therapy ever can. Questioning the long-held belief that serotonin is solely responsible for mood disorders, Grant introduces us to his research around certain neurotransmitters and other contributing factors and the impact that they have on us in both a physiological and physiological sense. Outlining some fascinating evidence, Grant reveals that we don't need to rely on prescription medications to reach a state of great mental fitness but by understanding the role that stress, inflammation of the body and brain, poor sleep and poor diet have on our overall wellness highlights where we should be actually be focusing our attention. Both Jimi and Grant agree that the days for talking about and bringing awareness to mental health are gone. Now is the time to start taking action and in this episode, they may have just come up with the solution…perhaps even creating an entirely new profession within the health system. - LINKS profgrant.com prekure.com jimihunt.com - If you enjoyed this episode, please consider sharing it on your social media or with a friend. It helps us and it just may help them.
Are you having a hard time achieving good health? Do you find that no matter what you try, you can't seem to hit your fitness goals? It's not really your fault — wellness is hard to achieve when the food industry sells unhealthy food. Fortunately, there's a way out. In this episode, Prof Grant Schofield shares how we can optimise our metabolic health in the modern environment. He discusses the advantages of being metabolically flexible, especially for athletes. We also talk about how sugar addiction and chronic stress can lead to severe physical and mental consequences. Likewise, we delve into the importance of making research more understandable for people. If you want to improve your health and achieve a state of healthy metabolic balance, then this episode is for you! Get Customised Guidance for Your Genetic Make-Up For our epigenetics health programme, all about optimising your fitness, lifestyle, nutrition and mind performance to your particular genes, go to https://www.lisatamati.com/page/epigenetics-and-health-coaching/. Customised Online Coaching for Runners CUSTOMISED RUN COACHING PLANS — How to Run Faster, Be Stronger, Run Longer Without Burnout & Injuries Have you struggled to fit in training in your busy life? Maybe you don't know where to start, or perhaps you have done a few races but keep having motivation or injury troubles? Do you want to beat last year's time or finish at the front of the pack? Want to run your first 5-km or run a 100-miler? Do you want a holistic programme that is personalised & customised to your ability, goals, and lifestyle? Go to www.runninghotcoaching.com for our online run training coaching. Health Optimisation and Life Coaching If you are struggling with a health issue and need people who look outside the square and are connected to some of the greatest science and health minds in the world, then reach out to us at support@lisatamati.com, we can jump on a call to see if we are a good fit for you. If you have a big challenge ahead, are dealing with adversity, or want to take your performance to the next level and want to learn how to increase your mental toughness, emotional resilience, foundational health, and more, then contact us at support@lisatamati.com. Order My Books My latest book Relentless chronicles the inspiring journey about how my mother and I defied the odds after an aneurysm left my mum Isobel with massive brain damage at age 74. The medical professionals told me there was absolutely no hope of any quality of life again, but I used every mindset tool, years of research and incredible tenacity to prove them wrong and bring my mother back to full health within three years. Get your copy here: https://shop.lisatamati.com/collections/books/products/relentless. For my other two best-selling books Running Hot and Running to Extremes, chronicling my ultrarunning adventures and expeditions all around the world, go to https://shop.lisatamati.com/collections/books. Lisa's Anti-Ageing and Longevity Supplements NMN: Nicotinamide Mononucleotide, an NAD+ precursor Feel Healthier and Younger* Researchers have found that Nicotinamide Adenine Dinucleotide or NAD+, a master regulator of metabolism and a molecule essential for the functionality of all human cells, is being dramatically decreased over time. What is NMN? 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Here are three reasons why you should listen to the full episode: Discover how to become metabolically flexible and fat-adapted. Find out the truth about the keto diet and its effect on your metabolic health. Learn how chronic stress can lead to severe brain damage. Resources Gain exclusive access and bonuses to Pushing the Limits Podcast by becoming a patron! Harness the power of NAD and NMN for anti-aging and longevity with NMN Bio. Listen to other Pushing the Limits episodes: #183: Sirtuins and NAD Supplements for Longevity with Dr Elena Seranova #189: Understanding Autophagy and Increasing Your Longevity with Dr Elena Seranova Connect with Prof Grant: Website | Facebook What The Fat? Book PreKure: A place where you'll learn about health & wellness From Prof Grant's blog: Who cares about what humans have eaten in the past? How to reverse the diabetes epidemic in 3 years. Fast This Way by Dave Asprey Patrick McKeown and James Nestor Huberman Lab Podcast by Dr Andrew Huberman Episode Highlights [03:34] Prof Grant's Background Grant liked science and sports from his early childhood. He wanted to study physical education in university, but his family told him to take up engineering. He eventually ended up studying physiology and psychology. Grant then got into triathlons while he started his academic and research career. He focuses on fitness, nutrition, sleep, and well being. He has written books on fasting and diets for reversing sicknesses and enhancing performance. [10:41] Metabolic Flexibility Can Be Trained A long time ago, humans used fat as a primary fuel source when resting and moving around. In contrast, the modern, average person doesn't burn fat, especially when at rest. Grant thinks that people can reverse this and train to be metabolically flexible. People who have metabolic inflexibility tend to have a low supply of readily available energy. Grant prescribed a diet and workout training programme to a client. This person eventually became fat-adapted and broke a record in the triathlon he joined. [17:54] The Truth About the Keto Diet The initial process of getting into the keto diet is strict, but after around three weeks, however, it becomes sustainable. Unless you have therapeutic reasons to do so, you don't need to stick to the keto diet all the time. Some people believe that the keto diet isn't good because our genetic ancestors had short lifespans. Grant and Lisa argue that the cavemen's lifespans were shorter because of other reasons. [24:18] The Addictiveness of Food Lisa thinks that the quality of our food is horrific: a lot of processed food is unhealthy and addictive. Grant also observed this through his research. Sugar, in particular, is often overused in our food. Sugar addiction can be especially harmful because our bodies are not predisposed to coping with it. The food industry has many tactics to make unhealthy, addicting food sound healthy. Listen to the whole episode to hear Grant's research and battling the food industry's tactics. [34:57] The Metabolic and Mental Health Crisis Mental health problems are becoming more and more prevalent amongst New Zealand youth. Because of the faulty healthcare system, the youth often turn to medicine for their mental health problems. We have a metabolic crisis involving obesity, diabetes and the brain. Our metabolic balance can be interrupted by antidepressants. Instead of taking medicine, Lisa thinks the youth should be taught how to manage their health better. [43:41] About Glutamate and Stress Our brains produce glutamate when we are stressed. There is an inhibitory system called GABA that inhibits the effects of glutamate. When you are chronically stressed, this amino acid keeps getting pumped out and can overwhelm your brain. Too much glutamate in our system can kill our brain cells and damage the brain. You can combat glutamate toxicity through various methods. Learn how when you listen to the full episode! [58:02] Making Science Understandable for Everyone Lisa mentions the works of Patrick McKeown and James Nestor. Grant applauds their approach of translating science into something understandable while not dumbing it down. Lisa thinks that most health systems treat most people as idiots and don't explain the science behind health well. [1:03:26] Grant's Parting Advice It's difficult to reach a state of good health and homeostasis in our current world. However, it's not impossible. Grant advocates for everyone to use their voice to overwhelm the industries that promote unhealthy living. 7 Powerful Quotes From This Episode ‘The thing is, with addictions, of course, is that people go because everyone is not addicted to it, doesn't mean it's not a thing.' ‘Sugar is definitely one of those things that is one of the hardest addictions I think, not that I've been addicted to anything else but it's a bloody hard addiction to get rid of and stay on top of.' ‘We're fighting a war here, and we've got kids that are already diabetic and before they're even teenagers, and this is a coming huge disaster for the healthcare system.' ‘We've got a metabolic crisis with obesity and diabetes, but guess what? The most important metabolic organ is your brain.' 'Now I understand the need for health fundamentals like sleep, hygiene, and movement, and exercise, and sunshine, and the right diet, because diet is a huge piece of the puzzle because your gut and your brain are connected.' ‘We weren't designed for long-term stress. We're designed for acute fight or flight.' ‘Let's treat people as if they have got a brain in the head. Just because they don't know the jargon. You can explain the jargon.' About Prof Grant Prof Grant Schofield is a Professor of Public Health at Auckland University of Technology and the director of the university's Human Potential Centre (HPC). His research and teaching interests include wellbeing and chronic disease prevention. Prof Schofield is committed to unlocking people's peak performance through consulting. His motto: 'be the best you can be'. Grant has been interested in human health and performance ever since he started his career. He first took up psychology, went into sport and exercise psychology, then into public health. Prof Schofield has a diverse background and has an interest in biology, medicine, public health, and productivity management. He covers various health topics in his blog and book. If you want to connect with Prof Grant, you can follow him on Facebook. Enjoyed This Podcast? If you did, be sure to subscribe and share it with your friends! Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends so they can learn how to optimise their health. Have any questions? You can contact me through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram and YouTube. For more episode updates, visit my website. You may also tune in on Apple Podcasts. To pushing the limits, Lisa Full Transcript Of The Podcast Welcome to Pushing the Limits, the show that helps you reach your full potential with your host Lisa Tamati, brought to you by lisatamati.com. Lisa Tamati: Well, hi everyone and welcome back to Pushing the Limits. This week I have another wonderful professor with me who is going to share some insights and the latest research and I'm really, really excited for this interview. I have Professor Grant Schofield, who is the Professor of Public Health at Auckland University of Technology. He's also the director of the University's Human Potential Center, located at Millennium Campus up in Auckland. His interests lie with dealing with chronic disease and well being and prevention around degenerative diseases, obesity, metabolic disorders. He's a very, very interesting man, he's written a number of books along with his team. I think you're going to really enjoy this conversation. We're pretty frank and upfront about our beliefs, and they're very much aligned so I really enjoyed this talk with Professor Grant Schofield. Before we head over to the show, just a reminder to check out our patron program, www.patron.lisatamati.com, and I'd also love you to check out our flagship epigenetics program. Our epigenetics is all about understanding your own genes, and how to optimize them for your best health. So looking at areas from your food, to your exercise to the what times of the day to do things, your chronobiology, that's called looking at your mood and behavior, your what parts of the brain you use most dominantly, and this is a very powerful program that has changed really, hundreds of lives. We've now used it for a number of years in the corporate space, as well as in the athletic space, as well as with people dealing with different health issues. So if you want to find out more, go to lisatamati.com and hit the work with us button and you'll see our Peak Epigenetics program. We've also got out Running Hot Coaching. Don't forget that, www.runninghotcoaching.com is the website to go for our online run training system. It's all personalized, customized to you to your next big goal, you get video analysis, a consult with me all in the basic package and plan for your next event, including everything from your strength to your mobility workouts, as well as your run sessions and advice around eating and mindset. So check that out at runninghotcoaching.com. Right, over to Professor Grant Schofield at the Millennium Center in Auckland. Well, hi, everyone, and welcome back to Pushing the Limits. Today, I have a superstar. I have a guest that I'm really, really excited about speaking to because this is a very learned gentleman and an elite athlete and someone who I greatly admire. I have Professor Grant Schofield to guest. Welcome to the show. I'm glad to have you, Grant! Prof Grant Schofield: Hey, Lisa. Yeah, thanks for having me. And, yeah, I've been following you from a distance for years. And you know, just enjoying your achievements love, and it's so great to have you on the show. Lisa: And likewise in reverse. So thank you very much. It's a real honor. So today we, I reckon we just gonna dive into some of the stuff that you've been researching and what's on your mind at the moment, because you've got so many areas that I could go down, you know, looking at high fat diets and obesity and diabetes and prevention. Then we can look at the weight paper that you've just recently released, which I've, I just studied and went, ‘Wow, that was all about glutamate and toxicity and all that'. Well, that's new, that was all new to me. So which direction and firstly, give us a bit of an introduction to you in your background and your sporting career and all of that sort of stuff. Grant: Yeah. So, like, I'd always, something that always interests me in my life is things that I was sort of good at, and I was only good at it because I like doing them was, not so much school, but science and biology. I just liked it. I just like learning about that stuff. I was right from the very start of school and this is just something that continued to happen. I also like doing sports. I was just like one of those kids who is into the sports and I was okay. It was like, every New Zealand kid plays rugby. I wasn't that great, but I played it, you know, I've got on the 15 rugby and all this sort of stuff and that sort of thing. And the school I said also had rowing as a sport, which Yeah, and they did a performance level. So it was to win the national championships. And they so, the crews I was in, trained hard. And there was high-performance aspects, as long as they were in hindsight of nutrition and psychology and training and the broad range of things that good teenage athletes get involved with. Then of course, they don't finish as when you finish the school, and I sort of found myself, thought I'll go to uni. My dad was an engineer and he thought I should go to, I wanted to go to do physical education. That was the main thing I was interested in, and my family sort of pulled me out of it and told me I should have gone to engineering. I lasted a week in there. It obviously wasn't for me. But I ended up in a degree studying physiology and psychology, just a science degree because that's what I found interesting. And then I went from, not really been that interested all of sudden getting these A-pluses. I didn't think I was brainy. But it was just, you know, I was just used to go to lectures, and not really take notes, and just listen and ask questions, and it was really interesting. But because I wasn't that mature, there was never a point in my life early on where I was like, Grant Schofield is now capable of getting a decent job where someone's going to employ him, and he's going to make some difference to the world. That wasn't a thing, right? Lisa: Yeah. Grant: So I couldn't finish this one degree and go and get a job because I wasn't capable of doing any work. I didn't think I could at the time. But that's the reality in hindsight, right? So. Of course, this is the early 90s. And this sport of triathlon was coming on the scene where I live in New Zealand, there was these great personalities like Erin Baker, another woman, Erin Christie, another one, Rick Wells, and, just to a young person, and then I ended up, you know, going out training with quite large, and a lot of these people, and I just got into the sport. The thing is about endurance, especially longer, it's as you know, what, you need to be sort of mentally tough, the pain's a lot softer than something like rowing or, or, you know, measuring 3,000 meters running or, you know, 400-800 meter swimming, these are sports with a piano actually does fall hard on you. And so that sort of softer pain of the— Lisa: Softer, longer. Grant: Longer. Lisa: There's all the pains that come with it, yeah. Grant: But it's more of a, it's more of a thinking person sport, right, because you get to work through that. Whereas, you know, in a 400-meter is something that you don't get to work through anything. It's just falling on you, the cut score is coming in. And so I really love that stuff. And so I just did more and more of I just want to do nothing but that. The mindset of the endurance ethic that just wants to do more and more and more. Luckily, I sort of carried on with my studies and then started my academic career. And then I became a psychologist, I'm actually quite useless at psychology because, mainly because I want to give people the answer. And of course, you know, good psychological counseling is about asking open-ended questions, reflective listening, and waiting for the client to come up with a solution, which is absolutely hopeless. As my wife would tell you— Lisa: You're an action orientated guy, like no, there is the solution here. Grant: Yeah. This is why this is the problem for us. It's this sort that out. By then, by the early 2000s, when it really just dawned on us that our kids didn't look like we did when we were kids. Lisa: Yeah. Grant: You can look. I actually was reflecting on the other day, I looked at my photo of Twizel Primary School, Year One in 1974. And, yeah, by modern standards, people will be wondering if those kids are properly fed, why the teachers are so lean. And you compare that with a modern day Year One primary school class, or later, and it's a different world we lived in. So that was the early 2000s, that world had unfolded, right? So didn't, wasn't the same. Lisa: It's scary. Grant: And as fit as I used to be, they weren't the same shape they used to be and we wondered why. And so that was really the field that welcomed me, which was that topic of nutrition. Lisa: Wow. So that's where you got into, yeah. Grant: Yeah, yeah, just didn't mean to. And then, you know, all of a sudden, I guess my research career's followed my curiosity around the world. So when you're, when you've got young kids, you're interested in young kids. When you've got teenagers, youngsters, young teenagers, When I was racing, elite, high performance, triathlons, we're interested in that. And thankfully, being an academic, it allows you to, especially in my field, allows you the freedom to roam around those and understand those different things. So I've sort of had a, maybe it's a short concentration span, but effectively just a curiosity to keep rolling my research career and practice. Lisa: It's really good that you can do that with an academic career sort of go go like this and still stay— Grant: You can't go off into sort of, you know, rocket propulsion or something, but, you know, yeah, as long as I stick it to the main things, which are being sort of fitness, nutrition, sleep, well being, then those sort of four things combined, have really been my wheelhouse. But in different, the settings, and the context seems to often change. And then you just, you'll do some work and you'll discover what you think an answer is, or not an answer is, it's a dead end or it's actually got places to go, then you're sort of done with it, and you're on to the next sort of variation of something. So that's sort of been my life. So the latter stuff is really, we've done a lot of work on low-carb and keto diets, fasting, written quite a few books on that. Lisa: Yeah, What the Fat? and— Grant: And yeah, yeah, and so that's been really interesting for me, you know, for, for reversing things like diabetes at one end of the spectrum, sort of net, sort of metabolic dysregulation, through to the other end of a high performance. I'm an athlete, so I coach still, you know, being able to triple their ability to burn free fatty acids at a given intensity and really have a pretty much inexhaustible fuel supply. Before that, they would, you know, really run out of glycogen and struggle through the enjoyment and performance of an event. So— Lisa: Let's start with that one, just if I may interrupt you there, because it's, you know, something that's fascinated me. When I was, you know, active career, I'd never become fat-adapted as an athlete. Your take is that, should endurance athletes be always fat-adapted? Or is it a genetic thing some people are good at, and some people are less so? What is your take on it now, like, given the knowledge that you have and the experience? Grant: So I think that the normal human condition, if you wander up to a Paleolithic human before we started farming grains and wheat and stuff, that sort of hunter gatherers that they would have enjoyed this metabolic flexibility to use fat as a primary fuel source when are resting and moving around low intensities, and then as they got higher and higher intensity, then they would have supplemented that fat burning with extra energy produced from burning glucose in the body. But that doesn't exist. So commonly, and so we're just in the normal human state that lets you burn fat in some circumstances, and carbs and fat in other circumstance. But if you went down to the local Westfield shopping mall and went to the food hall, and you you bought all those people up to my lab and put them on our metabolic card and measured there, because you can measure both breath by breath gas analysis and understand whether they've been in primarily fat or carbohydrate or whatever mix of. So we do that sort of graded exercise tissue stop at risk, just breathing into the tube. The machine's analyzing fat and carb burning, and as you increase your intensity, like running speed or power on the bike, then you just see this greater change. Now, your average person off the street in the food hall doesn't burn fat, even at rest. So they're metabolically inflexible. Yep. And then the question is, can you train that? And can you train that even on high performance athletes? I think the answer is yes, and I'll give you a good example. There's a young fellow I trained, Matt Kurt and what I mean, saying this. I've trained him for a few years now. So he came from a CrossFit background. He was a fit young man. Yeah, he would be eating mostly carbs, actually. Lisa: Yeah, we were all told back in the day. Grant: Yeah, totally. So he wanted me to help him prepare for an Ironman triathlon. And so I started training him and say, on an April one year so over in New Zealand winter, didn't really mention diet, because we couldn't seem to get to that but we sort of got on the on the idea that he had to go bike riding, and what running would look like, and it was learning the sports. And by December, he did his first triathlon, which was a 70.3, sort of half Ironman, with a view to going through the Ironman in New Zealand three months later and beginning of March, and he did pretty well actually, like it came fourth overall in the amateurs, so he is talented young man, and he's a swimmer. He could hit a bike, he could run a bit. But I knew he was a cub and I was like, I need to put you in my lab and we need to measure your fuel burning on that. So in early December, we got them in there and his peak fat oxidation was about half a gram, a minute, at about 165 watts in the box. So it's not very good power, output is not going to be very fast. And he's only getting because a gram of fat has about nine calories, he's spending half of one of those a minute over 60 minutes. He's got about 400 to 500 calories an hour available from fat, and you know, he's going to be racing at 1200 calories an hour. Lisa: Yeah. Grant: So over several hours, yeah. He's simply is going to run into all sorts of trouble, because he's got this deficit of 800 calories an hour, he needs to find from glucose. He's got probably 2000 calories that he's got in his muscles and liver. He can consume another couple of 100 by eating gels and stuff, or bananas or something. So he's woefully short. And so it means he can just make a half, I mean, over four hours. We probably have eight or nine hours, he's going to grovel home. He's going to be a really bad mess. And that's what you see. It's always frustrated me. I got things like Ironman Triathlon, they sort of, 8-15 hour events, or 17 hour events for people. And I think the saddest thing for me is, first of all this, two thirds of the fittest still mimics the general population, which is overweight. Lisa: Yeah. Grant: And virtually all of them run out of glucose or glycogen and their body, sometimes during the bike or shortly into the run. And so the whole marathon experience for them is a very unpleasant affair. They don't like doing it, they finally make it, it's been a real drain on, and they've had so much support from their friends and family over that preparation period, and it was all avoidable. So with Matt, within a mile, we're like, what this is going to happen with you, Matt. So we're stuck on a strict keto diet for three weeks, his training over that period was fairly low intensity, we didn't really go for any intensity up until after the new year period. And then just sit them on to Iron Man training, and that includes his long run and his long bike which he did weekly, and I've been doing them fasted. Yeah, so with just water. People find that a little bit extreme but his intensity is really low. We'd go out and do you know, like a six hour bike in the end that with no food, and he'd be fine. Lisa: And that's the thing, you're adapted. Grant: You get adapted. And so going back into the lab just before Iron Man, and he'd improved his maximum fat oxidation from half a gram a minute at 165 watts or something, to 1.1 grams a minute at 260 watts. Lisa: Wow. Grant: So now he's able to supply 800 calories an hour from fat, and he can do it at 260 watts, which is actually a reasonably competitive pair out, but he's going to get along at you know, 39, 40 calories an hour. Lisa: Wow. Grant: And yeah, and so in his first, second ever triathlon, in his first Iron Man, he does, he finishes, I don't know, the top 10 and 9 hours 22. So good effort. Lisa: That's amazing. Grant: Yeah, we come back the next year, now with a bit more training on his belt, and he can he manages 8 hours 50. Wow. And this year, he comes back and he wins the entire age group race by half an hour, breaks the course record by seven minutes and does 8:27. And I got him back in the lab straight after that. And what we saw as further fed adaptation over that two-year period, so now he is able to burn 1.8 grams a minute of fat at 310 watts, and that's an astonishing power output. So 310 watts, yeah, you're doing 42 Ks an hour, on a decent course. And that's, he rode 4 hours 29 480 Ks, it's an astonishing time, especially for a guy who's working full time as a teacher. Lisa: That's insane. Grant: So that's what we mean by being metabolically flexible, and, and becoming a real fat-burning machine. Lisa: But what about the arguments about you know, I mean, keto diet is a very difficult diet for people to, if we're talking about the general population now, and it's quite a hard diet to stick to, long term. What about adherence to things? Do you have to be strictly keto? Do you have to be really low on your carbs in order to get the ketones and be in ketosis and to get this fat adaptation? Is there any middle ground? Can you— Grant: Oh, yeah, yeah. It's a great question. I mean, the series of questions you got there, Lisa, are just crucial. And the answer is, initially getting into that. as I'm, for that three, it's very strict. And so that's three weeks. After that, it's very much cyclical. So we generate nutritional ketosis and fat burning by fasted long workouts. And on other cases during the week, we're adding carbohydrates quite a bit. So it's definitely not a strict ketogenic diet at all. And we'll have off periods where he's just eating whatever. In fact, I have trouble trying to get him off the ketone to be a bit more loose, frankly. But that's, that's an athlete, not a normal human, in that sense. This is why I introduced the idea of fasting and intermittent fasting and I'm quite keen on that. And for me, what the fast what I tried to sort of mimic what I felt was an easy, sustainable, cyclical way for me to eat that generated fat burning. Lisa: And pursued it with autophagy? We're all talking about intermittent fasting and I do it like an intermittent fasting, a short-ish intermittent fasting. Is that going to this, I'm not gonna get into ketosis doing an intermittent fasting. Grant: So I just, I would do this sort of pattern of Sunday, try and be reasonably good on the low carb, just eat whatever I wanted. But try and be okay with it. Monday, do some restricted eating windows. So you know, might be, a longest window. Someone who's experienced like me, I could just have one meal that day, and the Tuesday I just did the same thing. So you know, and when I hit a meal I made sure it was super filling, super nutritious, I was calling that super meals. So that's my, that's my Monday and Tuesday, my hard parts of the week, right I worked hard and I concentrated hard on my freshly generated nutritional ketosis. By Monday lunchtime, despite the weekend, Saturday being quite poor, I was back in full ketosis. I made a bit of an effort, I managed to sort of hang on to some stuff with no real particular restriction but trying to keep the carbs down for Wednesday, Thursday. By the end of Friday, everything had sort of gone pretty loose. And Saturday it was, could be, sometimes off the route is completely out of nutritional ketosis and plenty of carbs, even the odd bit of alcohol, which I'm not encouraging, by the way, but that just seems to happen sometimes. Lisa: Yeah. And we've got to live, too, Grant: Yeah, yeah. So I'd be completely out of ketosis and in no shape for that at all. But by Monday morning, I'll be back in again. So I just get this period. Lisa: So you can do that. It's been my question today is like, do I, if I go to keto, you know, go the keto diet. Do you have to do it as a religion? This is me. And then you get people like Dave Asprey and and if you read his book, Fast This Way, and that, he talks about cyclic keto, and how that's even better than just being straight keto, because keto itself can have some negative benefits. Dr Grant: Yeah, I completely agree. And so unless you're wanting to be on keto, for some sort of therapeutic resume, I said, you know, glioblastoma, brain cancer or brain injury like a TBI, I think so. Interesting thing, some other cancers, or you're in chemotherapy, then I don't see any reason to be in that state all the time. But the point is having a bit of bollock machinery to be able to be and easily get in and out. My hypothesis is the Paleolithic one, which is really that humans are metabolically flexible, it's the normal human condition and to see modern humans that have really lost their orchestration of the metabolism to, to burn fat as a primary fuel sources as a sort of denying your own humanity type situation without being too dramatic about it, really. Lisa: But yeah, if we, I was reading one of your blogs, and you hit another, Dr Lisa Te Morenga, I think it was, saying, oh, but you know, like, if we look at from an evolutionary perspective, the caveman because this is an argument that I've had with people too, oh, but the cavemen didn't live very long, so therefore, it's not a good diet. To say that that's, but that's not a bit that helped us survive till now. You know, like we— Grant: I think that's a complete straw man of an argument, by the way. Lisa: Yeah, I think so too. Grant: I mean, I think, you know, I mean, first of all, while the average lifespan, is fairly low for people, it's just for other reasons! Lisa: It's for other reasons. Grant: So if you didn't have those reasons, your actual survival was pretty good. And actually, the important thing to remember is that Paleolithic humans didn't have chronic disease. So they didn't have this, these, what is it a New Zealand at the moment, 12 years of disability in their life before they died, which, so subtract 12 off your lifespan, to get your health span, to health span, span with the same thing. And also question about that. Lisa: We don't have infant mortality, like they did. And we didn't have lions chasing us, and we've got all these other things that make us live longer. But now we have to take even more care of our metabolic state, in order that we don't have these long term. And I mean, I've been living with the consequences of mom's metabolic disorders, leading to an aneurysm, for the past five years, and trying to undo the damage. You know, what I'm talking about is like, in that decline that we see with so many people for over decades, sometimes, and it's just a horrific way to go out for starters. Grant: You know, I don't think anyone, if you ask them when they're in good health, about how they want the rest of their life to track, says they want to be in poor health with a low health span. I don't think that's a topic that people raise as being a good thing. Lisa: No. Grant: It's my experience. When I ask even people who aren't doing many healthy behaviors of what they want, then they'll say health, family, friends and happiness, whatever that means. But they, yeah, Lisa: yeah. And I think this is the discussion that we need to be having, so that we find out what the optimum diet is. People I know, I've struggled with my diet over the years. One of the reasons I started running was because I wanted to eat more, because I love food. And then, then I suddenly, at some point, I realized, this hypothesis of calories in calories out is absolute bullshit. This isn't working and that really came to you know, people who hear my podcasts and hear me say when I ran through New Zealand, and I just suddenly woke up. I was running 500 kilometers a week. Yeah, and I was getting fatter because I was in a complete state of chaos. You know, my hormones were up, my water retention, all of that sort of— Grant: High amount of inflammation, probably. Lisa: Huge amounts of inflammation. And I ended up flaccid, losing muscle mass and getting fatter and having a slower metabolic rate. I could have sat on the couch and eaten chips and gotten better, you know, in shape? Grant: Yeah. Lisa: So that's when a light bulb went for me, and then it also had other reasons like genetically I'm not really made for the long distance stuff, I'm more the high intensity, shorter, sharper, is more suited to me. So I was doing that wrong as well, because some people, it's better to be doing the long. But I think having these discussions where we really dig in, and you've done the research, you know, what, from an evolutionary perspective, what we need to be eating. The state of our food now is horrific. Then you, you add into all that the whole addictive nature of all the stuff and the additives, or preservatives, the MSGs for all of the sugars that are added to our phones, and people are up against it. Like, you know, you can't even— Grant: Yeah, I agree. Those two topics that might be worth going into those, I've got two— Lisa: Yes, please. Grant: —sort of bases, working in both those areas, the first you mentioned, like you go out, the state of our food supply. So what we've been doing recently is we've been going to primary schools around the place. And we've been taking photos of all the year sixes' lunchboxes. And whatever you think, particularly on what we call that social gradient, that sort of tipping of rich versus poor at the bottom end of that, whatever you think the food supply's like, I don't care what you think about how bad it is. It's worse than you think. Lisa: Yeah. Grant: I actually cried, I actually physically cried. Lisa: That's what our kids are getting to eat every day. Grant: Yeah, and how that's not a priority. Just remember that the biggest cost to our healthcare system for our kids is having to anesthetize them to extract teeth because they're rotten at age five, and we can't walk around too much if they're not anesthetized. So yeah, I mean, what society treats its most vulnerable like that? Just one little rant: in kids healthcare, we have to go and do fundraising and buy raffle tickets to pay for the hospitals for kids. And we don't do that with adults. That sort of fundraising for that is despicable. It's not a government that cares. Lisa: Not to mention the whole bloody ambulance service. Grant: Yeah, there's all of that, wouldn't I fund that? There's all of that stuff as well. So that's just a mess of how, frankly, Ad the second thing is I've got another student who's just really got into this, the addiction side of food. And as a former psychologist, she goes through and look at the, some, you know, use this Diagnostic and Statistical Manual DSM, DSM-5 is the latest version, which is a way of characterizing disorders. And you look at the substance misuse disorder, which is really around addictions. And you know, if you change the word alcohol or methamphetamine or tobacco for sugar, yeah, then, you know, the sorts of things you know, sometimes feel withdrawal sometimes. I eat more than I should change unprofessional behavior and makes things worse in my life. You go across all 11 criteria, and you go, Yeah, it's pretty plausible. That's a real thing. Yeah. And the thing is, with addictions, of course, is that people go because everyone is not addicted to it, doesn't mean it's not a thing. So there's this, there's a lot of alcohol drunk where people don't turn into alcoholics It doesn't mean there's not such a thing as alcoholics. And there's, you know, for many people, it becomes a substance they can't control using and I feel the same things about sugar in your ultra processed food in general really. Lisa: Yeah. And the sugar I mean, the I mean like people like you I know you've done a lot of work with a Pacific Island population and Maori and so on, we have a predisposition to you know, not being able to cope with the sugars and more cardiovascular disease and more metabolic disorders. So even more Prater the stuff because we've already and haven't had I don't know hundreds of years of of having it to a certain degree in I mean, I've struggled no sugar is definitely one of those things that is one of the hardest addictions I think, not that I've been addicted to anything else but it's a bloody hard addiction to to get rid of and stay on top of. Grant: Something like smoking or alcohol like the absence of is part of it is hard but just slightly easier because it's contained whereas sugar's so ubiquitous in the food supply, you can't stop it. It's very hard, you know, all of a sudden you put some chili sauce on your something and you're damn near 75% sugar, you know, like? Lisa: You don't even realize it unless you start baking them and making everything from scratch.- And then you know, not to mention all the MSGs and the additives, preservatives, emulsifiers that are you know, destroying our guts and causing us to want more. I mean, there's a real reason why you can't eat one chip. If you eat one chip, you've eaten the packet, Grant: Well, that's certainly my experience. But strangely, and I had an argument with a dietitian the other day about this, there's a total open quote and short of eating. And it's like her hypothesis was, well, the whole reason we I was like, Look, there's no point having salted chips in my house, because they'll last five minutes, I'll eat the whole lot. Yes. Oh, no, no, no, the way you should overcome that is just have dozens of packets on there and just eat yourself silly and then you'll get over it. That's just bullshit in my experience Lisa: Pretty much done that, and that didn't work. That doesn't work. I've heard that theory too. I think that's absolute rubbish, and not something that I'd recommend for starters, because you're gonna start on an either like, that's like, you know, a little bit good, then we must have just have some more. Yeah. Lisa: That's ridiculous. Really, they still think that. You know there's a whole movement? You're kidding? Okay. But how do we help people? Because people are unaware of the addictive nature of their food and we're so like, I don't have a big garden full of organic veggies. I never time, all the knowledge and I used to having my dad used to do my garden and then it was good. But now I don't. Most of us don't have access to good quality foods. What the hell do we do? We go into a supermarket and it's just so easy to pick up a pre-made sauce, you know, tomato sauce, or Bolognese sauce instead of, you know, buying a bloody lot of tomatoes and making it. But yeah, but we've fallen into this trap. And now we're addicted all of us. Because the big food industry wants you to eat more of its crap. Grant: Yeah, they've conspired both on research and practice. And then just in all practical ways. In fact, I wrote a paper with a couple of superstars actually a guy, Aseem Malhotra, who's a cardiologist, in London, and Rob Lustig, who's pretty famous, a pediatric endocrinologist from San Francisco about the the tricks that the food industry has pulled, which are pretty much the exact same ones as Big Tobacco have over the years, you know, creating bogus interest groups, false advocacy, sponsoring athletes, list goes on. Lisa: I'm a part of that machinery, unfortunately, you know, when I was a young athlete being sponsored by Coca Cola— Grant: I didn't, I was told, I was told not to come back to, I'm in New Zealand. I spoke there one time, a couple of years ago, because I had to guard the sponsors product, which was Nutrigrain, Kellogg's Nutrigrain, which is four and a half staff health rating food, that's, you know, a third sugar. It's just a disgrace. Yeah, that was not welcome again. Lisa: When you see famous sports teams, I won't name any, but they're nutritionists on the telly telling you to eat stuff that really is not what you want your kids eating. And you're like, ‘Wow, that's wrong on so many levels', you know? Grant: I'll tell you a story about that. I don't know if I should tell this story. Years ago, I gave this talk on a sort of update on physical activity and health for the first-time executives of Coca Cola over this Waipuna Lodge in Auckland. I'd finished my talk, I was just at the back. And the head and corners in and go on. The next guy that got was a corporate guy from the US about how they're going to discredit various nutrition people and active tactics. I went around, and I sort of sat there and listened to it. And I was like, ‘Oh', and then about halfway through, I was like, ‘Shit, I'll make sure I get out of here alive'. Yeah, but there was like an active discussion about, about the tactics to deal with scientists who were dissonant to the view, to the worldview, which I thought was a really interesting, Lisa: This is a reality. And this is what's happening not only in the food industry, it's also happening in the pharmaceutical industry. It's also happening in many industries that we in the public are not, and when you've got people like you that are brave enough to stand up and say stuff, you get attacked. I'm quite surprised that my podcast hasn't been taken off here yet. But anyway. Grant: Yeah, that's right. And yeah, it will heavily wind but people will be, there's forces in play there. You don't want to get too conspiratorial because it sometimes requires a degree of organization that doesn't, that we're capable of, but yeah, I think in the food industry case and pharmaceutical industry, the evidence has been there for a long time. Lisa: Yeah, yeah. And I think, my approach to it now is like, we are possible, light a candle toward the good information rather than fighting and banging your head against the, you know, because otherwise you can end up in a very bad place. But okay, so we know that there's all these addictive forces, if you like, at play. And so because you just look around town, you know, in the obesity and they are boys they're looking like girls and, you know, the hormone regulation is just obviously affected and fertility rates are going down. We're fighting a war here, and we've got kids that are already diabetic and before they're even teenagers, and this is a coming huge disaster for the healthcare system when you're in public health. Grant: Yeah, yeah. The present one that I've become much more interested in because it's, I think it's become more obvious today for a bunch of reasons. I'll tell you a few stories as mental health, particularly Youth Mental Health. I've been an academic for a few decades. And, you know, a decade ago or two decades ago, okay, students will get seconds, some would have some mild mental health problems, but it wasn't really a thing that you would see very much. Now at the moment, all the time I get students, students like it's dropping out of the degree now because of their mental health. They've got anxiety. And these are really smart, intelligent, switched-on people with, these are the top of the socioeconomic ladder, we don't know how much worse it is at the bottom. I didn't even get there in the first place. That youth suicide rate in New Zealand, it keeps getting talked about as the tip of an iceberg for a major problem. One of the women that I work with, mid-20s, beautiful, intelligent woman. Yeah, we're talking about SSRIs, antidepressants, because I've been on those I could have knocked me over I said, are, you know, is it a common thing for your friend group and that sort of thing? She goes, I pretty much everyone I know is on them. Yeah, yeah. And, and so we've got this— Lisa: It's a good sequence, isn't it? Grant: Because the brains are metabolic. We've got a metabolic crisis with obesity and diabetes, but guess what? The most important metabolic organ is your brain. Somehow, again, here we are, asleep at the wheel, we've got this, you've got this treatment gap. So even if we could treat them with anything effective, which is doubtful. From our current system, yeah, they can only treat half the half of the 910,000 people in the country of 5 million. Because 910,000 is the number of serious mental health problems. Wow. Half of them don't get any treatment whatsoever, because there is no treatment. You bring the mental health crisis line, which we've had to do. And they will say, are they killing themselves right now? And that's just like, no, that's like— Lisa: ‘Okay, we've got time.' Grant: Yeah, then okay, we're not doing it, I think. And we'll go to your doctor. If you go to your doctor, you know that there's a nine month wait to see a psychologist?. It's just unacceptable. Lisa: And what's the answer? The course, the easy answer for the doctor is to give them a SSRI. Grant: Which doesn't work very well. No. neuroplasticity, if they're a young person, causes them harm. Lisa: Closes down hormones. And does it different. Grant: Yeah, 100%. Lisa: Just interrupting the program briefly to let you know that we have a new Patron program for the podcast. Now, if you enjoy Pushing the Limits, if you get great value out of it, we would love you to come and join our Patron membership program. We've been doing this now for five and a half years and we need your help to keep it on air. It's been a public service free for everybody, and we want to keep it that way. But to do that we need like-minded souls who are on this mission with us to help us out. So if you're interested in becoming a patron for Pushing the Limits podcast, then check out everything on www.patron.lisatamati.com. That's P-A-T-R-O-N dot lisatamati.com. We have two Patron levels to choose from. You can do it for as little as $7 a month, New Zealand, or $15 a month if you really want to support us. So we are grateful if you do. There are so many membership benefits you're going to get if you join us. Everything from workbooks for all the podcasts, the strength guide for runners, the power to vote on future episodes, webinars that we're going to be holding, all of my documentaries and much, much more. So check out all the details: patron.lisatamati.com. And thanks very much for joining us. Grant: So to me, the unacknowledged metabolic crisis here we can see obesity. We can measure diabetes. Yeah, and those are problems. But you know, to me the most perverse one, especially having, you know, teenage kids myself and that sort of thing is this youth mental health thing. It's despicable. Like my dad, yeah, good for him. He had metastatic prostate cancer and was sorted with this keto diet, but the amount of access to expensive treatment, he was able to get in his 80s. Compared to a young woman in her early 20s, who has a serious mental health problem that's going to affect her, and even around for the rest of their lives, who can get none. It's perverse, who spends their money on health that way? Yeah, like, I want my dad to get his treatment and get better and everything, which he has, but, what sort of society prioritizes that over these young people? Lisa: Yeah, and what can we do? Like why, there is a lot of I mean, I talk research a lot, and I know that your research is also pointing in this direction, that there's a lot of health fundamentals that we can get right, that can actually help people without costing anything even, without having to be a pharmacological intervention. How about we try to teach people how to manage themselves? And I mean, I've had, I was on antidepressants for over 20 years, and I could not get off them, because they are addictive. It took me three years to get off them, and thank God I did. I, in my early 20s, had relationship crises, was put on them, just stayed on them because I didn't know any better. What are, what implications that's had for me, and then trying to get off them. And of course, your body starts to downregulate your own if you're not producing your own. I've got off them now, and I'm fine, and so on, and I'm helping other family members off them. But that was the first port of call. Now I understand the need for health fundamentals like sleep, hygiene, and movement, and exercise, and sunshine, and the right diet, because diet is a huge piece of the puzzle, because your gut and your brain are connected. And there's a lot of, like you say, a fix. When you have a bad diet, and you have bad nutrition, you're going to have more mental instability, if you want to put it that way, you're going to have more problems, than if you're on a good, really robust, solid, good diet. That's going to affect your mental health. And what are our kids, they're not giving any of that information, or any programs around it. Grant: Yeah, and you interfere with one aspect of metabolic homeostasis with an antidepressant, and you're surprised that it doesn't work very well, and there's unintended consequences. What we're trying to do is, and humans, I think, all want to be in the state, we're trying to return ourselves to a sort of metabolic homeostasis where things are balanced and well-regulated. For the most of the body, that's the primary target, there is a sugar in your blood and the insulin in your blood, because if those aren't right, then you're an inflammatory environment and pro-growth and no chance to, you know, being that autophagy of tightening things up. So that's the big metabolic picture. But in the brain, I've just started to stitch together a much more, I think coherent view of what's going on. Because the balance of neurotransmitters in the brain is important. I just think with the low fat revolution, we pick fat, not carbohydrates. We pick the wrong one of the three. Yeah, well, this is alright, we pick serotonin as the neurotransmitter to manage, we need to get it back to where it started more quickly. That's what reuptake inhibitors do. And actually, sorry? Lisa: You've written a paper recently on glutamate and its role in all this. Can you explain about it? Grant: I have, six months ago, I had heard of glutamate because I, trying to, from psychology, and frankly, I'd forgotten what it did. Until one of my smart students reminded me that glutamate is the most important and most prevalent excitatory neurotransmitter in the brain. It's about 90% of your neurotransmitters, it runs in tandem with an inhibitory system called GABA. And so these two things operate together. The inhibition fine tunes the excitation. And not only that, the glutamate gets recycled onto glutamine and then back into GABA and they rely on one another to be in a sort of, you know, good, healthy relationship, right? And so what happens is, when there's over-excitation, which chronic stress does, then glutamate because it's excitatory neurotransmitters, just keeps getting pumped out. Pumped out, pumped out, and it hits its receptor in the other side of the synapse, between neurons. That receptor, it's called the NMDA receptor, it's downregulated. So it stops seeing the glutamate as much as it could be, which causes even more glutamate to be produced. And then this glutamate starts to seep out of that cleft and to just general space. And the trouble with it— Lisa: It's toxic. Grant: It's toxic, and this is called glutamate excitotoxicity. So this is not a theory, this is a thing. And it starts to kill brain cells, and the trouble with it, first of all it atrophies neurons, which is never good, and they're not there anymore when they die. But those dying neurons themselves spill out glutamate, into more glutamate into the space, and you get this downward spiral of— Lisa: Neurodegeneration. Grant: Neurodegeneration, exactly right. And so the most interesting thing in my mind about this, and this is why I'm so excited about it is because, and you'll see this. So the most obvious is a concussion or mild TBI, traumatic brain injury, is that what causes your initial brain cell death is just an insult, right? You bang your head, right? So you get that glutamate excitotoxicity. The initial effects of the concussion is mild, but the long-term effects of the concussion because of the glutamate excitotoxicity are severe. That's why concussions get worse and worse and worse for time after they've happened. Lisa: Okay, thanks that somebody's saying that! Because people go to the hospitals with a concussion and they go, no, there's, you've had a mild concussion, go home and rest. And that's it. It's like we there's so much we can do— Grant: 100% there's so much we can do. And I think we already do it when it gets really severe, right? So if you're in hospital with ischemia, lack of oxygen in the brain from a heart attack, or sometimes in some hospitals, that neonatal hypoxia, so newborns become deprived of oxygen. One way that they deal with that is they induce hypothermia, because cold exposure, especially in those areas, helps reduce glutamate. And they provide intravenous magnesium because magnesium antagonises as a receptor and allows glutamate to get back to its homeostatic levels more quick, and it's highly effective. And the animal studies are very, very convincing. And it's near a clinical practice for things like spinal cord injury. And then you start to think about other ways that the brain gets damaged. So Alzheimer's and dementia is an interesting one. So for other reasons, including high glucose, we start to lose brain cells. But as soon as you start to do a little bit excitotoxicity, then exacerbates the problem massively. A mild or severe stress, which results in post traumatic stress disorder, is another way of damaging the brain initially through chronic, elevated glutamate but it rolls onto itself. And this is solved, then it's not a problem. Lisa: This is why stress and trauma— Grant: And chronic stress, you're just stressed out, your fight or flight response is up more than it should. And it goes on a long time. The two to three minutes that it's designed to be up for is actually days, months, years, same thing. And so you've got these different pathways, getting brain damage. Lisa: Brain damage is happening as well. Grant: When you take, if you if you scan people with major depressive disorder, you autopsy people who've committed suicide, then you see severe atrophy and things like the hippocampus and prefrontal cortex, important areas. And it's caused by chromatic toxicity. But the reason why that's interesting is that there's a lot you can do about it. And so we mentioned cold water therapy, just getting in cold water, especially you can breathe slowly and deeply through your nose, which downregulates the nervous system, as medical therapy for depression, right? Yeah. So and potentially I think for TBI and concussion and Alzheimer's and that sort of thing, because it helps with that. But so is aerobic exercise for the same reason. So is a whole range of nutrient supplements, particularly magnesium, particularly you have to take them in the form of magnesium citrate or magnesium l-threonate. And the clinical trials of magnesium citrate and depression is a more effective medication than an antidepressant. And there is no real side effects. So magnesium, zinc, omega-3 fish oils, B complex vitamins, vitamin C, vitamin D, all anti-inflammatory, antioxidant type. Lisa: And all stuff that I'm on every day, and my mum's on with her brain injury on, all the time. Grant: That's right, because and they are downregulating glutamate transmission and achieving a glutamate GABA balance in a better way, as does presence of ketones in your blood occasionally, as does any sort of diet that's anti-inflammatory, and any diet that's inflammatory, exacerbates the problem. So— Lisa: So for things like brain injuries, like someone like mom who was in a coma and they were putting a ba- basically a glucose strip into the, you know, into feeding tubes. That's just like causing more damage than if we'd had ketones present if we'd had— Grant: 100%, because you're, there's also a fuel cri- an accompanying fuel crisis on the brain where it can't— Lisa: Uptake the glucose. Grant: —uptake the glucose in the normal fashion, but you can use ketones. So you've got the glutamate part going on, and you've got the glucose fuel crisis. So you know— Lisa: And isn't the same with Alzheimer's, and they, it's a, when you get insulin resistance, you also get the glucose not being able to be uptaken in the brain, and therefore the brain starving for glucose. Prog Grant: Yeah. So ketogenic diet for that group is actually a pretty therapeutic diet, that would be the one situation that would be, you know, granted, for keto is hard. I mean, obviously, it's a hard population group to work with them on that, but that doesn't make it not therapeutic. That's another whole— Lisa: No, and that's what I put, you know, like with mum's brain injury, once I started to realize that from the research I was doing. I was doing I had her on as good as possible, keto diet for that first couple of years. Not so much now, because she's got autonomy so it's harder regulate. But she does do intermittent fasting, and she has got all the supplements, and she has got a very, low-carb diet, as much as I can get it to do it, when she's not sneaking things around my back. But this is just so crucial for all of these degenerative diseases, and I'm really excited about this glutamate thing, because it's only just come on my radar through your research, and I think that this is perhaps gonna go to the next level. Are you continuing the research on this? Grant: Yeah, and I'm really interested in, I haven't been that interested in micronutrients through my career. I sort of felt while you're eating whole foods, you know, that should be the template. And I still think that, but I increasingly started to think, especially my colleague, Julia Ruckledge, who's a professor of psychology at University of Canterbury, in her work with micronutrients. She uses fairly high doses, but how effective those have been in her clinical trials with various aspects of mental health. And just as I see also random other outcomes like they just happened to be doing a clinical trial when the Christchurch earthquake happened, and they're only halfway through it. So the randomization wasn't quite complete. They noticed at the end of the trial that the people in the micronutrient supplementation group, about 19% of those ended up with some sort of post traumatic stress from the Christchurch earthquake. Lisa: Yep. Grant: Those without, who are in the placebo group, 69% have post traumatic stress. And this is consistent with other research around, you know, the stress of natural disasters, natural disasters, and that sort of thing. And all sorts of things go wrong in the brain. And it's just, there's a mess of effects. If you could get this from a pharmaceutical, the pharmaceutical company would be all over it. But, you know, inexpensive micronutrients. So, you're interested in those really. Lisa: So that improves your resilience. Basically, you've got the right vitamins and minerals and things in your body to do the work that's needed to be required. Have you ever heard about the research of ketamine and post traumatic stress? When that ketamine is able to stop the formation of the memories, the traumatic-ness if that's a word? Grant: Yeah, so, so yes, yeah. Lisa: Because it's part of that there'll be part of that glutamate thing, wouldn't it? Grant: Ketamine is, antagonizes the NDMA receptor, as the same mechanism magnesium roles a play, plays a role on. And so ketamine is a little bit more of a difficult substance to think about it because it's an analgesic and it's sort of that pre-anesthetic and acidic and it really spaces people out. But you're right across PTSD, single treatments have been shown to be highly effective. Single treatments with major depressive or otherwise intractable have shown to be temporarily effective. The most interesting one, for me, I was just talking to an ethicist the other day about this. He was talking about ketamine with chronic pain sufferers, and about half of the people they treat with ketamine with chronic pain, they have an instant and complete alleviation of the chronic pain. And they give them ketamine at a subclinical dose for five straight days. I don't know the ins and outs of that. Lisa: Because it stops the pathways from— Grant: I don't know what, I'm think
Grant Schofield is a Professor in public health, specialising in the prevention and treatment of chronic disease. In this episode, Grant digs a bit deeper into the science of science and why understanding the question 'is it even true?' needs to be asked a bit more in a 'Fake News' era.
In this presentation - we dive deep into acute and chronic stress and why we need one and should avoid the other at all costs. I'm joined in this presentation by Professor Grant Schofield who is mentoring me through my academic journey to explore the ancient breathing techniques that have been forgotten in our overstimulated and overwhelmingly busy world.
We deal with a lot of stress every day. From balancing our responsibilities to merely reading the news, stress is an inevitable part of life. But contrary to popular belief, stress isn’t always the enemy. A healthy amount of stress allows us to grow more resilient to tougher conditions. Too much stress, however, can lead to the downfall of our well-being. Especially during these exceedingly stressful times, we need to manage our stress levels and build resilience. In this episode, Paul Taylor joins us to share how we can better respond to stress and build resilience. He explains how too much stress can damage the body and the role of genetic predispositions in our health. Paul also gives us tips on training yourself to handle stress better. Finally, we talk about reframing negative self-talk and forming good habits. If you want to learn more about how to build resilience and handle stress better, then tune in to this episode. Get Customised Guidance for Your Genetic Make-Up For our epigenetics health program all about optimising your fitness, lifestyle, nutrition and mind performance to your particular genes, go to https://www.lisatamati.com/page/epigenetics-and-health-coaching/. CUSTOMISED RUN COACHING PLANS — How to Run Faster, Be Stronger, Run Longer Without Burnout & Injuries Have you struggled to fit in training in your busy life? Maybe you don't know where to start, or perhaps you have done a few races but keep having motivation or injury troubles? Do you want to beat last year’s time or finish at the front of the pack? Want to run your first 5-km or run a 100-miler? Do you want a holistic programme that is personalised & customised to your ability, your goals and your lifestyle? Go to www.runninghotcoaching.com for our online run training coaching. 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The medical professionals told me there was absolutely no hope of any quality of life again, but I used every mindset tool, years of research and incredible tenacity to prove them wrong and bring my mother back to full health within 3 years. Get your copy here: https://shop.lisatamati.com/collections/books/products/relentless For my other two best-selling books Running Hot and Running to Extremes chronicling my ultrarunning adventures and expeditions all around the world, go to https://shop.lisatamati.com/collections/books. Lisa’s Anti-ageing and Longevity Supplements NMN: Nicotinamide Mononucleotide, a NAD+ precursor Feel Healthier and Younger* Researchers have found that Nicotinamide Adenine Dinucleotide or NAD+, a master regulator of metabolism and a molecule essential for the functionality of all human cells, is being dramatically decreased over time. What is NMN? 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Here are three reasons why you should listen to the full episode: Train yourself to build resilience and handle stressful situations better. Discover ways to deal with negative thoughts. Learn Paul’s tips on creating good habits. Resources Pushing the Limits Episode 183 - Sirtuins and NAD Supplements for Longevity with Dr Elena Seranova You can also watch Episode 183 on YouTube Watch my interview with Dr Seranova on The Interplay Between Autophagy and NAD Biology. Learn more about NMN supplements on NMN Bio. Stopping Automatic Negative Thoughts Man's Search for Meaning by Victor Frankl Connect with Paul: Website | LinkedIn The MindBodyBrain Project with Paul Taylor The Better You Program by Paul Taylor Episode Highlights [05:13] About Paul’s PhD in Resilience Paul is studying psychophysiological resilience. Gratitude, empathy and mindfulness are necessary. But they are not sufficient factors in studying resilience. Paul is looking at the interaction between resilience, mental well-being and burnout in military guys. Paul is developing a new measure of resilience. It uses self-reports, cognitive batteries and biological measures. [07:57] What Stress Does to Your Brain Consistent exposure to stress changes the brain, both structurally and functionally. These changes make people less able to control their emotional responses. People suffering from anxiety, depression, PTSD or burnout were found to have significant maladaptive changes in their brains. [17:38] Daily Stressors That Damage Us Aside from life traumas, the smaller daily stressors can also be damaging for us. Paul believes that modern life is characterised by input overload that puts us in a constant state of stress. Our resilience and responsiveness to stress depend on factors such as genetics, social support and nutrition. Listen to the full episode to learn more about how nature and nurture inform how stress is processed in the brain. [22:40] Training Yourself to Build Resilience The Goldilocks Effect proposes that for optimal performance, stress levels must be just right. Specific training and repetition can help people arrive at an automated response regardless of their genetic predispositions. Learning arousal control strategies can make you act effectively under pressure. These strategies are also used routinely in training military, police or firefighters. Breathing is one easy arousal control strategy. Specifically, techniques like box breathing and resonant frequency breathing help manage stress. Listen to the full episode to learn more about breathing techniques and the autonomic nervous system. [29:49] Using Attention in Stress Response Our attention tends to be internally focused if we’re anxious, depressed or stressed. If you’re not in danger or no external threat, shifting your attention outward can help minimise your stress. You can shift your attention to your breathing or the things you can sense. Paul says that we all have an ‘inner gremlin’. It’s a character that is responsible for negative self-talk, anger, anxiety and depression. Instead of listening to it, you can shift your attention to the “inner sage” or the best version of yourself. This process of “self-distancing” has been found to reduce people’s emotional intensity. Listen to the full episode to find out how to create a character based on these figures. [35:58] Discharge, Recharge and Reframe When you’re feeling overwhelmingly anxious, first find a way to discharge your stress hormones. Paul finds that even 30 seconds of intense activity helps in discharging. Then you recharge by focusing on your breathing. Lastly, reframe your perception by thinking about what your best character would do. [40:44] Dealing with Automatic Negative Thoughts You are not your negative thoughts. You can choose not to listen to them. In Japanese psychology, our automatic negative thoughts are stories we tell ourselves. What matters is what story we pay attention to. The concept of Hebbian learning suggests that every time you’re repeating a thought, you’re strengthening it. Interrupt your maladaptive and unhelpful thought patterns and create new healthier ones. Watch your thoughts with curiosity and remember that you have a choice over the ones you can focus on. [48:10] The Importance of Getting Outside Your Comfort Zone The small circle-big-circle analogy is used to describe comfort zones. The small circle is your comfort zone and the big circle is where growth and adaptation happens. Since the Industrial Revolution, humans have stopped adapting to their environment. Paul thinks that learning how to be comfortable with being uncomfortable is key to growing stronger and building resilience. However, you can’t go outside your comfort zone and push yourself too hard all the time. You also have to allow yourself to recover physically and mentally. [53:05] On Recovery Seeking comfort is done during recovery. Recovery isn’t the same as relaxation. Recovery is doing stuff that energizes you. If you don’t take the time to recover, you’ll run the risk of burnout. Balancing recovery, proper nutrition, good sleep hygiene and high-intensity training drives stress adaptation. [1:01:52] How to Make Good Habits and Stick to Them As humans, we are more driven by immediate rewards. Temporal discounting is what happens when our brains ignore rewards that are far off in the future. Temporal discounting gets in the way of making good habits and achieving our goals. In making good habits, it is important to understand your values and connect your behaviours to those. Breaking big goals into smaller and more manageable goals makes it easier to follow through them. Engaging in enabling behaviour also helps in priming your brain to make your habits. 7 Powerful Quotes from This Episode ‘And so this is what happens when people get burnout or anxiety, depression, PTSD, is that there are adaptive changes that turn maladaptive. And it's basically because the brain is being overwhelmed with stress, either way too much stress in the case of trauma, or just complaints, daily bombardment with stress, and not enough recovery’. ‘So that resonant frequency breathing or box breathing can be really really useful and to deal with stuff in and of the moment. Just, it's basically autonomic nervous system control through breathing’. ‘So if we take a step back, people who have anxiety or depression or just have a busy mind, you know, they've got a lot of negative self talk going on, they want to get rid of it, right? But these three approaches, and I say, look, getting rid of it, it's not really the objective. It's really about where you focus your attention’. ‘I like to talk about shifting your attention to the concept of your inner sage, which is what the Stoic philosophers talked about, you know, that's the optimal version of you. And that's either my best self, me at my best or some sort of other character that I'm consulted’. ‘If you're sitting listening to this, think of your biggest achievement in your life, something that you are most proud of. And I guarantee you, for almost every listener, it will involve stress and being out of your comfort zone. But we need to hang with the tension long enough for adaptation to happen’. ‘You only get bigger, faster, stronger, because you hang with the tension long enough for adaptation to happen right’? ‘And I find that there are a lot of high achievers who are at risk of burnout because they're just on, on, on. And not enough serotonin focused stuff, just contentment, relaxation, connection with others time in nature, all of that sort of stuff’. About Paul Paul Taylor is a former British Royal Navy Aircrew Officer. Paul is also a Neuroscientist, Exercise Physiologist and Nutritionist. He is currently completing a PhD in Applied Psychology. He is developing and testing resilience strategies with the Australian Defence Science Technology Group & The University of Tasmania. In 2010 Paul created and co-hosted the Channel ONE HD TV series Body and Brain Overhaul. And in 2010 and 2015, he was voted Australian Fitness Industry presenter of the year. Paul also has an extensive background in health and fitness. Additionally, he has experience in leadership, management and dealing in high-pressure situations. His former roles include Airborne Anti-submarine Warfare Officer and a Helicopter Search-And-Rescue Crew Member with the Royal Navy Fleet Air Arm. He has also undergone rigorous Combat Survival and Resistance-to-Interrogation Training. In 2012, he practised what he preaches about resilience training and became a professional boxer. Want to know more about Paul’s work? Visit his website or follow him on Linkedin. Enjoyed This Podcast? If you did, be sure to subscribe and share it with your friends! Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends, so they can learn to build resilience. Have any questions? You can contact me through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram and YouTube. For more episode updates, visit my website. You may also tune in on Apple Podcasts. To pushing the limits, Lisa Full Transcript of Podcast Welcome to Pushing the Limits, the show that helps you reach your full potential with your host Lisa Tamati, brought to you by lisatamati.com. Lisa Tamati: Well, hi, everyone, and welcome back to Pushing the Limits. I’m your host, Lisa Tamati. Today I have the legend Paul Taylor. Now Paul is a former British Royal Navy air crew officer. He's also a neuroscientist and exercise physiologist and a nutritionist. And he's currently completing a PhD in Applied Psychology, where he's developing and testing resilience strategies with the Australian Defence Science Technology Group and the University of Tasmania. This guy is an overachiever. He's done a whole lot of stuff in his life. In 2010, Paul created and co-hosted the Channel One TV series Body & Brain Overhaul. And in 2015, he was voted Australian Fitness Industry presenter of the year. This guy has been there, done that, and you're going to really enjoy the conversation today—all around resilience. He has so much knowledge, and he is with us all today. So I hope you really enjoy this episode with Paul Taylor. Now before we head over and talk to Paul, I just want to remind you, if you're wanting to check out our epigenetics, what we do with our gene testing program that we have, where you look at your genes, understand your genes and how to optimise your genes, and how they are being influenced by the environment and how to optimise your environment, then please head over to my website, lisatamati.com. Hit the Work with Us button. Then you'll see peak epigenetics, peak epigenetics and click that button and find out all about it. Every second week, we have a live webinar where we actually take you through what it's all about, what's involved and how it all works. So if you want to find out about that, just reach out to me. You can reach me at any time and the support@lisatamati.com. If you've got questions around in the episodes, if you want to know a little bit more about any other guests, or you want to find out about anything that we do, please reach out to us there. I also want to let you know about the new anti-ageing and longevity supplement NMN that I'm importing. I had a couple of episodes with Dr. Elena Seranova, who's a molecular biologist who shares all the information about this incredible supplement and how it upregulates the sirtuin genes in the body and helps create more NAD. Lots of big words but very incredible. The information in those episodes is really incredible. And if you want to try out this longevity and anti-ageing supplement, have more energy, it helps with cardiovascular health, there's even some evidence now starting to looking into fertility. It works on a very deep level in the body and helps upregulate the sirtuin genes which are longevity genes, helps with DNA repair mitochondrial biogenesis, lots of really good stuff. You probably didn't catch all those words, but go and listen to those episodes. The product is called Nicotinamide Mononucleotide. It’s fully natural, there’s no downside to this. Very safe to take and will slow the ageing process. If you want to find out a little bit more head on over to nmnbio.nz, that's nmnbio.nz. Right, enough for today. I'm going to send you right now over to Paul Taylor who's sitting in south of Melbourne. Lisa: Well, hi everybody, Lisa Tamati here at Pushing The Limits. Super excited to have you. I'm just jumping out of my skin for excitement because today I have the legendary, Paul Taylor with me. Paul, how are you doing? Paul Taylor: Hi, I'm bloody awesome. How the devil are you? Lisa: Very excited to meet you. Paul is sitting in south of Melbourne, he tells me, in Wine Country. Is that right? Paul: That's correct. Like any self-respecting Irishman, I moved to where they make the wine. Lisa: An Irishman who lives in Australia, who is ex-British Royal Navy e-crew, neuroscientist, nutritionist, exercise physiologist—a bit of an overachiever, Paul. Crikey, could you do a little bit more, please? You're not doing enough. Paul: Well, I’m currently doing a PhD in Applied Psychology, just to sort of finish it—round it all out. And I need to keep myself out of mischief. Lisa: Crikey. I feel very intimidated right now. But I am very excited to have you on the show. Because I have come across you from our mutual friend Craig Harper, he is awesome. And I've been listening to your lectures and your work and your learnings, and just going, ‘Wow, this guy puts everything into such a lovely way - with stories and good analogies’. And so, I wanted to share you with my world, over here with my audience. So today, I wanted to do a bit of a deep dive. But before we get into it, so you are doing a PhD in resilience. So, can you elaborate a little bit on the PhD you’re doing? Paul: Yeah, so what I'm looking at is psychophysiological resilience, because I'm just bloody sick to the back teeth, hearing that resilience is all about gratitude, empathy, and mindfulness. And that stuff, it's important. But as I say, it's necessary, but it's not sufficient. And there is a large component of resilience that has to be earned. And that's the sort of stuff that I realized from my time in the armed forces.So, the positive side stuck is important. But there is a lot more to it. And I actually wanted to explore it and do the research on it. And I'm very lucky that one of my supervisors, Eugene, is the principal scientist at Defence Science Technology Group. So, they work a lot with the military. And I'm actually doing—I'm just finishing off my first study with the military. So, it's pretty cool for me, having left the British military 16 years ago. Now, I’m doing resilience interventions with the Australian military. Lisa: Wow, I mean, it just sounds absolutely amazing. What sort of things are you—because I agree, like, the gratitude and all that very, very important—but it is, you can't just decide. Like, positive thinking, ‘I'm going to be positive thinking’. It's like a little bit more complicated than that. We need to look at things at a deeper level. What is it that your PhD is actually researching? So, what is the study that you've just done, for example? Paul: Yeah, so the one that we're doing, we basically—it's a pilot study. So, what we call a proof of concept. So, taking a bunch of military guys, and they've gone through training, so I did a full day's workshop, 34 hours with the guys. And then they went on to my app, to be able to sort of track behaviours and log habits and interact with each other and put the tools to the test. And so they did—they've done a survey on mental well-being, another survey on resilience, and another survey on burnout. So I'm actually looking at the interaction between your resilience levels, your mental well-being and your burnout, or risk of burnout in the workplace. And what I'm hoping to do in further research is to develop further the model or the measurement criteria of resilience. Because at the minute, in the literature, it's just measured through a questionnaire, and it's pretty poor, really. Lisa: Wow, yeah. Very subjective. Paul: Yes, it just gets very subjective. And it's also influenced by—if you're doing a resilient survey, it's influenced by who is actually going to see that right. So, if you're doing it for your employer, a lot of people will actually think, ‘Oh, I better not answer this in a certain way, because there may be ramifications’. So there are limitations with any self-reported questionnaire. But more lately, there's been some biological measures of resilience that have come out of University of Newcastle, which I'm actually going to be working with that group. So, they've actually lived in something called an acoustic startle response, which is basically you'd be sitting with your headphones on, doing some sort of task. And every now and then there'd be this light noise going off in your headphones, and you'd be all wired up. And they'd look at your heart rate, your blood pressure, your galvanic skin response. And you see there's a spike from your autonomic nervous system, right? And what they have actually shown is that people who have higher levels of resilience on these self-reported questionnaires, they actually—they acclimatized or they adapt quite quickly to that noise, whereas those who have got lower resilience or who maybe have PTSD or anxiety or depression, they don't habituate to it. So, they're still getting that response, right. So, and this is about what is actually going on in the brain, and particularly an area called the amygdala, that I'm sure we'll get into. So, I'm looking at a sit back and develop a triangulated measure of resilience. We're taking that maybe acoustic startle and some of the self-reports stuff, and then performance on a cognitive battery when you're under pressure, right? So, trying to then get a triangulated measure or a new measure of resilience. That’s a very long winded—yeah, so we can measure it a bit more objectively. Lisa: Yeah, yeah, yeah. And like, because you're working with, like, in Special Forces, I think, in the military. So these are guys that are under immense pressure situations. And looking at our military and vets and stuff, and a lot of them come back with PTSD, and all sorts of mental health issues. And these guys that are coming into this are tough characters, these are not—and then they're coming out with problems. And even not in military, but just in things like my husband's a firefighter. The stuff that they get to see every day. Like he's a really strong, resilient, resourceful human being, but I'm seeing the load, the PTSD sort of load that's coming up over years and years and years are starting to have some bigger ramifications. Do you see that people that are like super hardcore tough, amazing, but when they are going into these repeated situations and being because usually like exposure therapy is one of the things we do to lower our stress response. If you don't like spiders, and you have to hold a spider every five minutes, you're going to get used to holding a spider, and it no longer will cause a response. By the same token, are you seeing this going flip the other way? Where you're actually getting worse from exposure? Paul: Yeah, so there's a lot of academic research in this area, looking at not just PTSD, but also burnout. So, for me, there's that, there's a continuum of workplace burnout is linked in a way to post traumatic stress disorder, right? It's just that the exposure isn't as extreme. There's not that trauma, but it's the insidious, consistent exposure to stress that actually changes the brain. It changes the brain both structurally and functionally. So what I mean by that is what we're seeing in both PTSD and anxiety and depression, by the way, and workplace burnout, with the advent of brain scanners, they're able to take a bunch of people and follow them for a long period of time—six months, a year, two years. Ask them about their stress levels, and then look and see, does the brain change over time? And what they're actually seeing in that people who are suffering from burnout or anxiety or depression or PTSD, there are significant, as I said, structural and functional changes in the brain. So what I mean by that from a structural perspective, the amygdala, the part of the brain, one of its job is to sense and respond to stress, and it actually becomes bigger. And so there's increased cells, increased connections and hypertrophy, it's just like your muscles with hypertrophy. And I'll come back to that in a second why this is, right. But in concert with that, areas of their prefrontal cortex, that rational planning judgment part of the brain, and also, another area called the anterior cingulate cortex—they're actually shrinking. There’s damage to those neurons and there's less activity in those areas. And what this means functionally, is it means it's a less-connected brain. And it means it's a brain that is less able to control emotional responses. So basically, the amygdala is starting to hijack the brain. The neuroscientist, Antonio Damasio, he's the first to show in his lab that with that repeated— if your amygdala becomes sufficiently activated, it can actually secrete chemicals to block your frontal lobes. Basically, it says, ‘Talk to the hand. I’m in control of this brain’. Right now we all know that as losing our shit, right? Things are hijacked. But when this is happening repeatedly, what's happening is that there are neuroplastic changes in the brain. Right? And we know that this even happens in unborn children, in fetuses, that if they're exposed to chronic stress in the third trimester, the amygdala will grow bigger and more sensitive. And if we think about it, it's an amazing adaptive response. Because it's basically, they're getting inputs through the placenta and stress hormones. If we're adults, we're getting input saying, ‘This is a dangerous word’. Right? Lisa: Got to be vigilant. Paul: Yeah, the brain is all about survival first, right? It's all about survival. So, and sometimes that adaptive response is maladaptive. Right? In that there are changes that no longer serve us, right? And so this is what happens with people get burnout, or anxiety, depression, PTSD, is that there are adaptive changes that turn maladaptive. And it's basically because the brain is being overwhelmed with stress, either way too much stress, in the case of trauma, or just bombardment. Daily bombardment with stress, and not enough recovery. And I know as a lead athlete, you know about the balance between stress and recovery and just dealing with what you’ve got. Lisa: Never got it right. Paul: And then you don’t, right? Lisa: Burnout was my best friend. Yeah, there's a huge—because I studied genetics, there’s a huge genetic component to this as well. Paul: There is, yeah. Lisa: When you're looking at how long your adrenal, your stress hormones, for example, stay in the body, your COMT gene, your—the RD2 gene, the RD2B gene. Once they actually get the adrenaline, is it going to stay here in the body very long? Or is it going to be out? And they call it like the warrior gene and the worrier. Paul: Worrier and warrior. When I say it, people go, ‘What’s the difference’? I go... Lisa: Warrior as in a Maori warrior, and the other one as in worrying, worrying yourself to death. And there’s a genetic predisposition. And then you couple that with environmental, being overwhelmed with either an event or a series of events, or like you say, the constant bombardment. Because there's a question in my head, like, you and I, there’s history, we've both been in some pretty freakin’ scary situations in life. And those are certain traumas that you've been through and you've carried. But then there is a daily shit that goes on. Like something that I'm dealing with currently is like, I don't know, but the level of anxiety sometimes is like as high just because I feel like a computer with a million windows open. And it's got inputs coming up. And there's so many—you're trying not to drop the ball, and you're wearing so many hats on so many levels. So that's a different type of anxiety. And it's—and that one that like the big, major ones that you've been through, they sort of self-explanatory that you've got problems with those. But these little ones can be quite damaging too, daily on the mind. Paul: Absolutely. And I like your analogy about having a million windows open. And that's really modern life, is it's just input overload for a lot of people. And it's, even we know that reading the news a lot, and the negativity particularly around COVID is just bad juju, right? Particularly if you are predisposed, or you have underlying anxiety. Then we've got kids, we got that juggle, we got kids and parents, right? And we got work stresses, we got money worries, we got relationship issues. These are all things that our ancestors didn't really have to deal with. Right? And our stress response system has evolved over the last 2 million years in our ancestors in response to certain challenges. Right, so three minutes of screaming terror on the African savanna when you're being chased by a lion—that's your fight or flight mechanism. And then longer term or really traumatic stress, but mostly longer term stress, like famine. And that's the HPA axis and cortisol. And as you rightly said, different people are different. There's genetic predispositions to which one is dominant, how quick the clearing is. But there's also that, as you rightly say, and a lot of people don't understand this, is that the interaction between nature and nurture. That just because you have a certain variant of a gene, it predisposes you—it doesn't mean you're going to develop that, there needs to be that event. And then we know that those events, when they happen early in life, tend to have a bigger impact. Right? Lisa: So children exposed to trauma are in much deeper in the shit than others Paul: Can be. Unless they have the presence of a caring, supportive adult, often, they can get through it and end up being more resilient. Or they've got a certain variant of a gene, that when they're exposed to stress as a kid, they end up more resilient as an adult. So, it's a really complicated thing. And the thing that I also talk about a lot of people don't, is it also depends on other environmental factors going on. Like what's your nutrition like? Like, what's your sleep like? What's your exercise like? All of those things are hugely, hugely important. It’s a really complicated story, as to whether someone and develop some psychopathology because of exposure to either trauma, or just that insidious day to day stress—what we call de-stress versus used stress, which I'm sure we'll get into. Lisa: Yeah, now that's absolutely exciting because I mean, I preach a lot about doing the fundamentals right. Getting a sleep—at the basis of everything is good quality sleep. And that's not easy. It's not always an easy simple thing. Paul: But check if you're under stress, right? Lisa: Yeah, yeah, because your brain won't bloody turn off. And studying the gamma and dopamine and adrenaline and norepinephrine and all these chemicals that are running out and they're actually controlling us to a large degree, or at least when we're unaware of their influence on the body. But there are things that we can actually do to actually help regulate our own physiology. So I mean, guys and girls in the armies, in the military, have to do this. Or even like I watch my husband and my brother—they’re firefighters—when they're under an emergency situation, three o'clock in the morning, called to a bloody accident, someone's trapped in a burning car type of situation. Like, my husband's just so cool and calm and collected in that moment, like he's completely present. And in daily life, he's quite a shy, introverted dude, right. But when the shit hits the fan, I've seen his like, he doesn't put on a cabbage head. When I looked at his genetics, he doesn't have that predisposition to having adrenaline much. He doesn't have much of an adrenal response. So he'll come up for a minute, and then he'll be back down very quickly, and he’ll be able to control it. And he also understands, I've taught him more about breathing and all that sort of jazz to help regulate your cortisol and all of that sort of stuff. But it is a predisposition. My predisposition, I have a hell of a lot of adrenaline, testosterone up the wazoo, dopamine. I tend to start really responding and taking action. But I have to actually turn on the prefrontal cortex. I have to really focus on that and not just fly around like a blue ass fly going just running into the burning building without thinking about what the hell I'm doing. So, two different responses—and both are very good responses in a way, if you can learn to manage them and control them and bring them on at the right time. Paul: Yeah, and look, that's where the training element comes into, right? And so, irrespective of what your underlying genetics are, through military training or police or firefighters, they are trained in these situations routinely. And the brain sort of habituates to it and you learn strategies to be effective under that pressure, what we call arousal control strategies, right. So, whether that is—an arousal control can be both ways can be—for people who are generally low, can be getting them up to the right level of arousal. And for people who are a bit too overactive, bringing their arousal down, so they're in that peak performance zone. Let's say the neuroscientist Amy Ornstein talked about Goldilocks and the Goldilocks effect of stress in the brain. That it can't be too little, because when you're bored or you're under arousal, your performance is just not going to be optimal. But also it can’t be too much. And everybody's got a level of arousal that is too much. Lisa: Wow. That's a cool analogy. I like that, Goldilocks. Paul: It's a wonderful analogy. And she's shown, looks at the neurotransmitters that are involved in that—and particularly looking at dopamine and noradrenaline, or norepinephrine, as some people call it, how they're really important in that regulation. But as I say, training, specific training and repetition, can really help people just to get into an automated response. And no matter what their genetic predisposition. Lisa: So if someone is prone to a lot of anxiety, and maybe depression, what are some of the practical—like, if we start talking a few practical strategies now for people dealing with different issues — and let's start with anxiety and maybe depression—what are some of the things that they can do when their amygdala hijacks you? How do you get a grip on yourself and actually change the physiology? Because you feel some big noise happens, or an earthquake happens, or something and you've got that adrenaline just poured out and you’ve got all this stress cortisol and all that, how do you bring yourself down quickly, get yourself under control? So you don't end up in a panic attack, for example? Paul: Yeah, so there's both short-term strategies and there's long term adaptive strategies, right? So, and I'll go into both of those things. First of all, it's important to understand what's going on, right? So this is about the autonomic nervous system. And there are—some of your listeners will be aware of this, but there's two branches of the autonomic nervous system. There's the sympathetic nervous system, and the parasympathetic. And the sympathetic is probably badly labelled because it's not very sympathetic, right? It's the one that increases stress, right? So, and if we think about the response that's going on—so in the brain, the amygdala senses a threat, it sets off a general alarm. And then, the hypothalamus is involved in this, the sympathetic branches is fired up. And for some people, it fires up more than others. But for everybody, when that's fired up, and the vagus nerve is really quite important in this, that's the nerve that connects the brain to the heart, the lungs and all the visceral organs, right? So and the blood pressure goes up, heart rate goes up in order to pump blood to the muscles to give you the fight and runaway, right. And additionally, breathing gets faster and shallower. And then, we know your digestive system is affected and all the blood that is in your digestive system, digesting your food... Lisa: Your peristalsis. Paul: It’s shunted away. It’s shunted away to the working muscles, right, we know the immune system is temporarily switched off, the reproductive system’s temporarily switched off because there's no point in ovulating or creating sperm when you're being chased by a lion. It’s a waste of energy, right? If we think for a second about the long-term consequences when people are in a chronic state of overarousal, even if that's just low baseline overarousal. So, I have a suppressed reproductive system. This is why people who are chronically stressed, and they become infertile. Right? Boom. And this is why they develop digestive system issues like irritable bowel syndrome and stuff like that, which we know can change your microbiome. And then there's a two-way interaction, which we'll talk about later. And the immune system becomes suppressed. That's why people develop—they get sick, and they take longer to recover, whether it's from a wound, whether it's from training load, or whether it's from any type of illness or injury. And then heart damage can happen, right, and with that chronic stress. So that's over activation of the sympathetic branch, and particularly the vagus nerve, right? What we now know is it's only taken our scientists about 3,000 years to catch up with the knowledge of Yogi's, right? Yeah, exactly. Certain breathing patterns can affect your heart and your brain. And I used to think, all that breathing, I used to think it was fluffy bullshit. Until I get into the science—and Jesus, how wrong was I? Lisa: Me, too. I must admit, and now I'm doing it 100 times a day. Paul: Yeah, exactly. So, techniques like box breathing. I'm sure your listeners have probably heard you talk about it. Lisa: Repeatedly. Paul: Yeah, breathe in like the sides of a box. Breathe in for four or five seconds, hold for four or five, out for four or five, hold for four or five. And you can also do a modified box breathe, which is in for four, hold for four, out for six, hold for two. And I'll talk about that in a second. There's also something called resonant frequency breathing, which is also really, really beneficial and can actually enhance your what's called heart rate variability, which is a kind of a window into overall stress on the body. So, reso-frequency being—you need some equipment to measure it effectively. But generally, everybody listening is probably between four and a half, five breaths and seven breaths a minute. And it's been shown that if you get within one of that, then you could. So I teach people, just generally six breaths a minute, right? So that's 10-second breath cycle, but breathe in for four and out for six. Because the longer breath out—when you breathe in, you are up regulating your sympathetic nervous branch, right? When you breathe out, you're activating the parasympathetic nervous branch. So, the long breath out is really, really key, which is why I talk about the modified box breathing as well. So that resonant frequency breathing, or box breathing can be really, really useful to deal with stuff in and of the moment. Just—it's basically autonomic nervous system controlled through breathing, that’s it. Lisa: Control your physiology in seconds. Paul: And the other thing that goes in concert with that, and my wife uses a lot of this, she's qualified in Acceptance and Commitment Therapy in Japanese psychology. And we're both fans of stoic philosophy. And it is about attention, and all three of these great agree that attention is key. So if we take a step back, people who have anxiety or depression, or just have a beasty mind, they've got a lot of negative self-talk going on, they want to get rid of it, right? But these three approaches, and as they say, look, getting rid of it, it's not really the objective. It's really about where you focus your attention. So, if you think of your attention, like a light, and when you're in that stress response, your attention, and it is very internal focused, if you're anxious or depressed, or you're stressed about something that's on that particular thing. But it's an internal experience that you're having. So just shifting your attention outward. If you're not in danger, this is—you just have an anxiety, depression, whatever, just look for the colour blue. That's one thing. Just shine the light of your attention somewhere else. Lisa: Like a naughty kid who’s having a tantrum. Just distract them. Paul: Yeah, absolutely. And I call that part of the brain your inner gremlin, that’s responsible for anxiety, depression. And but also just negative self-talk and self-criticism, and anger — all of these things. And the key thing to understand is your gremlin’s like a chameleon, right? It can take many guises. But it's like, if you remember the movie Gremlins, when you feed Mogwai after midnight, it becomes energised and turns into the Gremlin. So, when you shine the light of your attention on the gremlin, it becomes energised. So this is where you just shift your attention either to where's the colour blue or what can I smell? Lisa: Or breathing. Paul: Or we like to—or your breathing—yeah, that's another great combination. And I like to talk about shifting your attention to the concept of your inner siege, which is what the Stoic philosophers talked about. That's the optimal version of you. And that's either my best self, me at my best, or some sort of other character that I'm consulting. Lisa: Ah, yes, I heard you talk about this on Craig’s show. And I was like, that analogy that you use, like there was one with your son, Oscar. And him talk, having Derek, I think it was... Paul: Yeah, that’s right. Yeah, Derek. Yeah, yeah, yeah. Lisa: So creating a character around these two polarizing figures. I’m always talking about the lion and the snake in my head. Or Wonder Woman in this chicken shit, who’s me. And we all have this positive, amazing self. And we have the self that's full of self-doubt and imposter syndrome, and I can't do this, and angry, and negative, and cynical. And so it's creating a character. So tell that story a little bit. Paul: Yeah. So the character thing is really, really powerful. And so I get people to—you've got to bring this character to life, right? So there's a little exercise, which I'll share with you. And you can share with your listeners where, so I call them your inner Gremlin and your inner siege, right? Or you can say whatever you want. So, what do they say first thing in the morning, right? You write that down. Generally your inner Gremlin is the one that says, ‘Press snooze’ or ‘Not another bloody day’, right? But then you go, what do they say when they're faced with a challenge? And then you write down their character strengths and particularly, you focus on your inner siege, what are the character strengths that you have when you're at your best? And then I like to do a thing called plus ones. Like what are ones that you'd like to develop or have more of? And you write down. So, if it's calm under pressure or being more empathetic, I'm going to write down that my inner siege is calm under pressure, is more empathetic, right? And then drawing the characters is a brilliant thing because it brings it to life. And Oscar when he drew the characters, he drew Derek and he drew Flash, who has now actually being replaced with Richie. A little side story. I actually bought a book called The Real McCaw from Richie McCaw because I am a big fan of the All Blacks, and particularly Richie McCaw. And I bought his book, and I was wanting to read it, and it friggin’, it disappeared, and I couldn't find where it was. And one night, I went down to Oscar’s room. He was supposed to be asleep, and he's there reading. And he's reading that book. He'd nicked it from me, and he had a highlighter. He's 10 years old, and he's highlighting stuff what Richie McCaw said, right. So now, his inner siege is called Richie, right? But when he drew these original ones, he actually did a speech bubble for Derek and it said, ‘I will crush the good ones and I will be the king of Oscar’s head’. How cool is that? Lisa: And he’s 5 or something. Paul: No, he was seven at a time. Lisa: 7. Oh my god. But I mean, the hard cold, maybe 6, actually. But sometimes kids are so insightful. Because that's what happens, right, is that when that negative character takes a hold of the negative self-talk, it does crush the good self-talk, kind of becomes the king of your head. If you choose to let it, right? Paul: So my inner siege is called, Jeff. So when I'm struggling, or I need to get myself up, I just go ‘What would Jeff do right now’? Right? And so this is a process in psychology called self-distancing, where you're taking yourself out of the emotional state, and you consult a character or my best friend or whatever, and it actually shows it reduces the emotional intensity. And research shows that people make better choices. They're more courageous, and they make better choices, right. And so that's one, I think, really useful way to shine the light of your attention. So, the process that I use, depending on who's around, right, if someone's having a bit of an anxiety or just a bit of negative stuff, I like discharge, recharge, reframe. So think about it, it’s stress hormones, right? If somebody’s having an anxiety, get it out. You got to discharge those stress hormones. When you run away... Lisa: Go for a run. Paul: ...you come back to homeostasis, right. And I find, even 30 seconds of intense activity is enough. So, you discharge the stress hormones, then you recharge by your breathing, right. So you're doing that breathing and you're focusing on your breathing. And then, so your amygdala hijack is gone now. Use you're focusing on the breathing, and then you reframe and you go, ‘Okay, what would Jeff do right now’? Or ‘What would my character do right now’? Or, if I've written down all my character strengths, what action do I need to take right now to display those characteristics? Right? So the Japanese psychology, Morita Therapy, there's this beautiful term called, arugamama, right? It is what it is. And then they say, ‘What needs to be done’? And the stoics are very much like that — what do we need to do right now? So it's very action focused. Right? And so that is something that I think works for me well. Lisa: Yeah. Because it sort of removes yourself so that you're looking—it's like looking down on yourself. Because this brain of ours is like a thought factory, it just keeps going and talking and chattering and go, go, go, go. And yeah, emotions take over, amygdala often is in control of our prefrontal cortex. And if we can separate ourselves and sort of hover over ourselves—and I've been looking into stuff like what happens after death because I just recently lost my dad and all those questions. ‘How do I connect to my dad on the other side’? All of that sort of jazz that nobody can bloody answer, really. Paul: Yeah, if you get the answer, let me know. Lisa: Yeah, I’m working on it. I'm really trying to get it out. But a lot of talking about the connection to the other side and opening up those channels, and to me, it's like, okay. So just from a brain point of view, if I just separate myself out from my brain, like, if you believe that we are a spiritual being and so our brain, our body, we're just walking around in this earthly body, but we have a higher self, if you like. So, it’s this higher self looking at that brain going, ‘Oh she's running that stupid program again that she learned when she was seven. It's no longer relevant here, I need to change the recording, and I need to change up’. So it's just giving yourself a way of separating yourself from the actual emotions that your body is feeling, your physiology is feeling like now. And for me, a lot of it is, when I get anxious and stuff, I will just go and sprint for 50 metres. Like you say, it doesn't have to be long, it might be 2 minutes. It just comes back, reset myself. Sometimes if it's a really bad situation or whatever, I'll have a little cry that discharges more energy. And then I pick myself up and we'll get on with it, and we'll do a breathing, and we'll get back into gear. And just having those little tools in your toolbox can really help you manage the day-to-day crap that comes at us. And even in the big situations, the really traumatic ones, I've used those situations regularly—just remove myself for a minute from the situation, go and get my shit together. And then come back into the situation. And that can really help if you have the luxury of doing that. So, I think these are really, really important because people often think, well, they look at someone like you and all your achievements and all stuff that you've done—or even in all the races that I've done. ‘No, never. I could never do that’. And that's your automatic negative thoughts coming in, your angst, as Dr. Daniel Amen talks about, they just pop up. And you need to realize that that isn't you, that's just your brain doing its thing. And you can choose not to believe that brain when it tells you you're not good enough, or you're not sexy enough, or you're not pretty enough, you're not strong enough, whatever the case may be. You can go, ‘No, I'm not listening to that’. And I'm diverting, and what you're saying, is divert your attention. Paul: Yeah, absolutely. And those answers are automatic negative thoughts. In Morita Therapy, Japanese psychology, it's basically, it’s a story. It's a story that we tell ourselves, and there are a number of different stories. And it depends what story we pay attention to. And because when you pay attention to a particular story, when we think about what's happening in the brain, that self-concept, or that idea that ‘I'm not good enough’, is basically what we call a neural net in the brain, right? It's a bunch of neurons that are firing together for a concept or a thought or a particular line of thinking. And the Scottish neuroscientist Donald Hebb showed in the 1950s, it's called Hebbian Learning. And it's a well-accepted way of the brain works, nerve cells that fire together, wire together. Right? So every time you're repeating that thought, or paying attention to it, you're strengthening it. And he showed that eventually, after a certain amount of repetitions—and we don't know the magic number—but that circuit becomes what's called long-term potentiation. This means that this circuit is primed for firing. And it means that then even neutral information is more likely to fire off that circuit, right? And every time you're paying attention to it, you're strengthening it. So, the other approach is to go, ‘Thanks, Gremlin’, or ‘Thanks, brain. Thanks for that story that you're telling me. But it's not helpful right now’. Right. And that's where you focus on another story, or a particular affirmation that people might have. A different story, I've got this, whatever, it's another neural net. And every time you're focusing on it, and paying attention to it, you're strengthening it, right? So it's about interrupting the old and maladaptive, unhelpful thought patterns... Lisa: That we all have. Paul: ...and actually creating new ones. And every time you catch yourself—this is why the first part of all of this is about being the watcher. It's about being the watcher in your own brain. And for lots of people, this is a frigging revelation, that they can actually watch their thoughts, and do it with curiosity. And go, ‘Wow, there's an interesting negative thought. And that's an interesting negative’... Lisa: Great example! Paul: Yeah. And then be curious and go, ‘Well, what would a more positive thought actually be’? Right? So you can trick yourself into having these positive thoughts and every time you're doing it, you're laying down and strengthening those networks in the brain, right? So like anything, like you didn't become awesome at what you did by doing it once and then boom, that's it. It's about repetition, repetition, repetition. So, really the first step is being the watcher, and then just repeatedly intervening, and going, ‘Actually, I have a choice’, right? And what's called in Acceptance Commitment Therapy, the choice point. And Viktor Frankl talked about it, the Jewish psychiatrist who was imprisoned in Auschwitz. And I read his book as a 17-year-old, had a pretty profound effect on me. He said, in between stimulus and response, is the space where we have the ability to choose. And he talked about the last of human freedoms, is your ability to choose how you react to your circumstances, whether they be external circumstances or circumstances in your head, we all have that ability to choose how we're reacting, right. And choosing what we actually focus on. And it's this light of attention, that I think is really, really powerful. So when we wrap it all up in those characters, and then we're repeatedly doing it, and then people are waking up in the morning, and actually spending a few minutes saying, ‘Okay, who am I going to be today? What version of me is going to interact with the world’? And every time they observe negativity going, ‘Well, I say I've got a choice right now. What would Jeff do right now’? Right? Before they walk into their office, and just before you walk in the door, just think, ‘What do I need to do to express those characteristics of my best self’? And especially when you come home, particularly if you've had a shitty day, you just spend 10 or 15 seconds going, ‘Okay, there's a choice here and what version of me, do my partner, my little kids want to see walk into the room’? Right? And it's just that little mental rehearsal, as you'll have done hundreds of thousands of times as an athlete and every world class athlete does this mental rehearsal because that shit works. Get your game face on. Lisa: Get your game face. I have this analogy and I've told this story before on the podcast but when I was doing this race in the Himalayas and absolutely terrified, 222 K's of extreme altitude... Paul: Jesus Christ! Lisa: And I’m an asthmatic with a small set of lungs, who did mostly deserts for a particular reason. And I was absolutely packing myself, and I got my crew together like two days before and I said, ‘You have to protect me, my brain. You have to like tell me how amazing I am. Every time a negative thought comes up, I want you to sort of shout it down for me and protect me from everyone else’. And on the day of the actual event, they did that and they really helped me get my shit under control because I was really losing it. Like I was just terrified I'd had a concussion in the build-up, I'd had to rip some ligaments, so I hadn't had a good build up. And it was the scariest thing I've done at the time. And I've done some other scary crazier shit but that was pretty up there. And on race day, you wake up and you have that moment for a second where you go, ‘Oh shit. It’s that day’. That day you've been preparing for, for a year and a half, but it's that day and you've got to get up and face down 222Ks in the mountains in extreme temperature, extreme altitude, and no air and things. And I'm putting on my gear, and then that person changes. When I put on my running gear... Paul: That’s your thing. Right. Lisa: It’s my thing. That's my ritual. Paul: That’s your siege. Lisa: When I put on a number, there's a different person in front of you. And that person is a freaking warrior. Paul: Machine, yeah. Lisa: Yeah, in my head. I’m not, but I am in my head, in that moment, I am Wonder Woman. I'm Gal Gadot. I can do any freaking thing and I’m telling myself the story, I'm telling myself the story in order to create the chemicals in my body that I need just to get to the freaking start line and not run the other way because I'm terrified. And then, once you start and you're in the battle, you're in the battle. You're in it. There's no way out but through. And then you have to bring in all the guns. Over the period of the next 53 hours, I had to bring out all of the stock, sort of things, to get through every crisis that came. And these voices in your head are pretty freaking loud after 50 something hours out there. Paul: That they bloody well are, yeah. Lisa: Yeah, but when you go—because one of the other analogies that I wanted to bring up that you talked so well about in one of the interviews was the small circle and the big circle. And the small circle is your comfort zone. That's you, that's the life that you're living when you're in your comfy world and you're not pushing outside the zone. And you’re staying safe because you're too frightened to jump out into the big circle is what you can be, and your potential. But out there, in that big circle, it's freaking scary, it's hard work, it's terrifying, there’s risk of failure, there's all sorts of things. And everybody wants to be that big person that does these, lives this full life, that reaches their—none of us will reach our full potential, but we're reaching a heck of a lot of potential. And not living in the safe, little comfortable, ‘I'm scared’ world. And pushing yourself every single today to do shit that hurts, that’s hard, scares the crap out of you. And then coming back and recovering. Paul: It’s critical, right? And I called that big circle, our scientists will refer to that as the zone of productive disequilibrium, right? Lisa: Those are scientists’ words? Paul: Yeah, exactly. So you're out of balance, you're out of whack. But it is where adaptation happens. And this is the problem. So we are by our very nature, we are comfort seekers, right. And just because all of our history has been of discomfort, and so it's pretty natural that we're comfort seekers. The problem is that we have an ancient genome in a modern world. Our genome hasn't changed in 45,000 years, right. And for the vast majority of our human history, we had lots of discomfort, life was uncomfortable, and we became the dominant species on Earth, largely because we adapted better to environmental stressors and pressures than other species right. Now, what's happened in the last 100 years since the Industrial Revolution, particularly in the last 30 years, is that we have stopped adapting to our environment, and we've started changing it. And recently, we've changed our environment to such a level that we're no longer optimally matched to it genetically, right. So when we seek comfort, we get soft, we develop a soft underbelly. And this is what a lot of the positive psychology people do not talk about, is that getting comfortable with being uncomfortable. And you can just do this, quite simply, if you're sitting listening to this, think of your biggest achievement in your life, something that you are most proud of. And I guarantee you, for almost every listener, it will involve stress and being out of your comfort zone. But we need to hang with the tension long enough for adaptation to happen. And lots of people spend most of their life in that little small circle, the comfort zone, and they dip their toe into the uncomfortable zone of productive disequilibrium. They go, ‘This is uncomfortable. I'm getting right out of here’. No good shit ever happened in your comfort zone. Right? Lisa: It’s a quote from Paul Taylor, ‘No good shit ever happens in your comfort zone’. You gotta put that one on the wall. Paul: It’s like past 2am. Right? That's the thing, no good shit happens there. So, it is about seeking discomfort. And one of my things, which you actually exemplify much better than me, but it’s that get comfortable with being uncomfortable. Right? Yeah, that's really key. And I think we have, as a generation, particularly in the West, we have got comfortable with being comfortable. And we are comfort seekers. Lisa: Getting cosy all the time. Paul: It's all, it's served up to us everywhere. And we're prompted to buy things and do things that make us comfortable. And it's natural to want to go there. But it's not self-serving. Lisa: But our biology isn't, our epi genome isn't suited. Paul: Absolutely not. Lisa: Getting out of that thermoneutral zone, for example, like cold showers, cold water, hot. All of these things that are outside the neutral zone are where the change happens, from a physiological point of view. If I hop into a sauna, I'm going to create heat-shock proteins, I’m gonna sweat. That's going to cause all this cascade of events in my body that will make me stronger. The next time when I go to the gym and I work out with weights, then I'm going to be sore and I'm going to be breaking down the tissues. What happens is a cascade of events that makes me stronger for next week. Paul: And here's the thing, right, that if somebody wants, if somebody goes one, if someone hasn’t been trained for ages and particularly, they’re bloke. And they go riding got to get back and then they go to a CrossFit class or F 45 hard core. And they go, ‘Jesus. That was ridiculous. I'm never doing that again’. But then you're not going to adapt, right? You only get bigger, faster, stronger, because you hang with the tension long enough for adaptation to happen right. Now, seeking comfort, we should do that when we're in recovery, right? But a lot of people, and we should really define the difference between recovery and relaxation. Right? Recovery isn't sitting with your feet up with a bottle of wine watching Netflix, right? Recovery is stuff that is actually energising you, right? It’s doing the breathing stuff, it’s doing the meditation, doing the tai chi, the qi gong, those sorts of things, yoga. Or for some people, it's drawing, it's reading a book, it's connecting with others, it's gardening, it's spending time in nature. These are all things that really help us with that balance between stress and recovery. And when, if we get that right, the stress becomes used stress. And if we are just exposed to that too much or don't get the recovery, right, it's de stress. And then we can go into burnout/overtraining syndrome, which then when you look at the physiology between overtrained athletes and burnt out executives and depressed people, it’s almost identical. Lisa: Yeah. And like, I've had to try to get my head around this because when you're an athlete—and I grew up in a household where being tough was cool. And physical toughness and mental toughness were what was valued and what was rewarded in my family. So therefore, I have this complete construct in my head that if you're not tough, and you're not hard ass all the time, then you're useless. And I had to deconstruct that a little bit because that lead me to burnout, that broke me, that lead to hell of a lot of pain in sickness and all sorts of things. Now, as I'm hopefully older and wiser, I know that my body also has a full on and it has to have a full off. And that recovery is really important. And that recovery can be cuddling the cat, it can be going to the beach with my husband and just staring at the waves for half an hour to recover. It doesn't have to be something epic, and it can be something like the sauna
Today I have a conversation with Professor Grant Schofield. Grant is a Professor of Public Health (Auckland University of Technology) and director of the university’s Human Potential Centre (HPC) located at the Millennium Campus in Auckland, New Zealand. His research and teaching interests are in wellbeing and chronic disease prevention especially reducing the risk and eventual mortality and morbidity from obesity, cardiovascular disease, and diabetes.
Today's guest is an ex-professional triathlete & now Professor of Public Health, who has published hundreds of articles and several bestselling books. He is shaking up the world of nutrition with his evidence-based approach and for me, is the go to guy when discussing metabolic health. He's also a mate of mine and author of a quite brilliant blog.Professor Grant Schofield runs the Human Potential Centre at Auckland University of Technology, where his research crosses disciplines such as psychology, biology, medicine, public health, and productivity management. The cornerstones are nutrition, exercise, sleep, neuroscience, psychology and wellbeing and we get into some of these things in this podcast. The main topics of discussion are:· Raising free-range kids – straight off the bat· Grant's reflections on his ironman past and how it impacted his health: 11:07· Metabolic benefits of low carb eating: 15:22· The Good, the bad & the ugly of exercise 21:25· Cardio, strength training, autophagy, telomeres and longevity 25:22· Exercise, ice baths and saunas 32:26· MAF – a shocking but evidence-based approach to aerobic training 34:00· Why we all need to do resistance training: 44:02· The nutrition wars: 46:43· The guy who fasted for 382 days 52:20· Grant's dietary advice for metabolic health 54:30· Nutrition, cholesterol & high blood pressure 57:00· Fasting summary 1:00:22If you're interested in finding out more about grant, go to profgrant.com to check out his blog and find links to his books, or click here for his amazon author page. Don't forget to hit subscribe on the podcast to get notified of new releases and if you are enjoying the podcast, please leave us a review.
Low Carb Metabolic Health & Performance | LYF Podcast Metabolic health is a cornerstone of good health and longevity, as well as performance in work, play, or competition. Low Carb is the key to improvements in metabolism and mitochondrial energy. Professor Grant Schofield is so experienced in practical lifestyle changes toward a low carb, fat burning metabolism, and his successful published books, businesses, jobs and titles attest to his knowledge. Grant is also very experienced with athletes, low carb, fat burning, and optimal performance and energy production, having been a professional athlete himself and researched countless hours in this field. This was a fascinating discussion with Grant about some basic metabolic health issues, and we covered some great questions that are often overlooked. There is so many practical tips and information in this podcast, but if any of your thoughts are still unanswered please contact us with questions. Just a few the questions we asked Grant.. Why and how does eating a whole food low carb diet in healthy proteins and fats improve sports and everyday performance. What is the adaption period to fat burning and how would you mitigate any sugar withdrawals etc. What is insulin resistance and how do we know if we have it? Why does Cholesterol and saturated fats get a bad rap? Supplements and key foods that you recommend for people going whole food low carb? Dexa scan and visceral fat. Respiratory Quotation testing for athletes. Autophagy and Fasting - Who would and who wouldn’t benefit from Fasting? Who is Professor Grant Schofield ? Here in his own words.. "Hi, I am Grant Schofield, Professor of Public Health (Auckland University of Technology) and director of the university’s Human Potential Centre (HPC) located at the Millennium Campus in Auckland, New Zealand. My research and teaching interests are in wellbeing and chronic disease prevention especially reducing the risk and eventual mortality and morbidity from obesity, cardiovascular disease, and diabetes. I live by the motto “be the best you can be” and have a strong commitment to peak performance in which I also do consulting work. I’m also the Chief Education Advisor Health and Nutrition. I’ve been interested in human health and performance for my whole career. I started in psychology, went into sport and exercise psychology, then into public health, especially physical activity, then obesity. There have been some twists and turns along the way, which are the reasons for why I do what I do – click here for a little story of my path. I want to know how we can be the best we can be. This crosses disciplines such as biology, medicine, public health, and productivity management. The cornerstones are nutrition, exercise, sleep, neuroscience, psychology and wellbeing. In my blog, I cover these topics under the broad heading of the Science of Human Potential. Please contact me through this blog or at the university through the following link Click here to find out about my books. Click here for my Amazon author page." Grants credentials are impressive, and he has published 4 books, about to be 5. He runs a coaching business for health coaches, along with his wife Louise Schofield, called PreKure, that is HCANZA accredited. PreKure also has a huge outreach program in the community (online) that is free for anyone to sign up and follow along to make lifestyle changes to improve their health, particularly those with, or at risk of developing, Diabetes.
A Professor of Public Health, Grant Schofield is well-known for his work around low carb and ketogenic eating. Here, he chats with The Fitness Industry Podcast's Katrina Cochrane about fasting, nutritional ketosis and autophagy; resisting junk food promotions; and the huge impact that switching 10% of the nation's health budget from treatment to prevention could have.
So you’ve got insulin resistance. We know that it’s so important to address our insulin resistance, not only for our PCOS symptoms but also for our overall health in general.Because let’s be real, when we’re elderly, we want to be as active and mobile as possible and just drop dead. We don’t want to be decrepit, falling apart and dealing with chronic issues for years and years before we die.So what happens if you just don’t address it? What are the long term complications of leaving it be and just going on something like the Pill? Is it fine or could it have dire consequences on our longevity and long term health?Because insulin and insulin resistance is something I harp on about all the time, I thought it was really important to address this question. I see so many women go on the Pill thinking that it’s the be all and end all (FYI, it’s not). Yes, changing your lifestyle might be difficult - especially at the beginning - but is it really worth leaving your insulin unmanaged now if it’s going to cause so many problems and even reduce your longevity? I talk about how important it is to eat and move to manage your PCOS as well as managing stress, sleep and supplements but for this episode, I really want to hone in on that WHY.So for this episode, I spoke with the wonderful Prof. Grant Schofield of PreKure. Grant is also the Director of The Centre for Human Potential and Professor in Public Health at Auckland University of Technology, was Chief Scientific Advisor to the New Zealand Ministry of Education and an author of four best-selling health books.He's a wealth of knowledge when it comes to preventative medicine and public health and has a particular interest in chronic diseases.All my insulin resistant PCOS ladies, this one's for you - and even if you don't have insulin resistance, it's definitely worth tuning in to. This episode is for you if:Have insulin resistance or pre-type 2 diabetesHave trouble trying to shift weight and it seems to come on out of nowhereYou’re eating ‘healthy’, exercising and following the guidelines but there’s no change in your symptomsSome things we cover in this episode:Long term complications of insulin resistanceManaging your exercise to get the most out of itPreventative medicineWhat glycation is and why it’s important to insulin resistanceWhy the food pyramid doesn’t actually cut it for everyone - especially for women with PCOSInflammationThe catabolic stateClare and Grant talk about their time as athletes and how the practices in those situations can be detrimental to someone with insulin issuesLinks to our programs:The PCOS ProtocolEggducatedReferences and Resources:Grant’s website - ProfGrant.comPreKure - PreKure.com
George Henderson is an independent researcher who has published research papers out of the Auckland University of Technology, often alongside one of our previous guests Professor Grant Schofield. George also has a tremendous blog called Hopeful Geranium which documents his research on human physiology, stemming from his impressively self researched, diet induced recovery from hepatitis C, which is of course a virus. Immune response to new viruses Probiotics The micro biome and immunity Omega-3 sparing effect of saturated fat Metabolic risk factor in viral disease George can be found at: Twitter - https://twitter.com/puddleg Blog - http://hopefulgeranium.blogspot.com/ Website - https://prekure.com/ Ally can be found at: Twitter - https://twitter.com/paleocanteen Twitter - https://twitter.com/paleoally Instagram - https://www.instagram.com/paleocanteen YouTube - https://www.youtube.com/c/AllyHouston
Grant Schofield is Professor of Public Health, and Director of the Human Potential Centre in Auckland. We talk about: Doing the most good with the least harm Downsides of lockdown Is lockdown the best long term solution? The importance of good testing Looking for a real public discussion on the science Grant can be found at: Twitter - https://twitter.com/grantsnz Websites - https://profgrant.com/, https://prekure.com/, https://whatthefatbook.com/ Ally can be found at: Twitter - https://twitter.com/paleocanteen Twitter - https://twitter.com/paleoally Instagram - https://www.instagram.com/paleocanteen YouTube - https://www.youtube.com/c/AllyHouston
Smurf and Smurfette are Age Group Triathletes, juggling their professional careers as an Educational Leader and a Doctor with Ironman Triathlon training. This week, we welcome Professor Grant Schofield. Grant has an immense amount of experience in the LCHF Performance space as an athlete, coach, researcher and advocate. His involvement includes his roles at Auckland University of Technology, Endure IQ and PreKure. Smurfette chats with Grant and covers everything from training to racing as an LCHF athlete.Showlinks- www.smurfandsmurfette.com.au- joshua@smurfandsmurfette.com.au- salome@smurfandsmurfette.com.au- www.facebook.com/smurfandsmurfettetri- Instagram @smurfandsmurfettetriSupported by wynrepublic.com.au, www.sfuelsgolonger.com, https://fuerzacoffee.com, runlikeagirl.ca and swozzi.com
Hear from Professor Grant Schofield and former addict and self taught expert in nutrition George Henderson as they share their stories and the plans for Flippin Health. __________________________ Protein Power - https://amzn.to/2q2guig Michael Eade's blog - https://bit.ly/2rth5d7 Dr. Atkins' New Diet Revolution - https://bit.ly/34sBcqB
Grant Schofield is Professor of Public Health, and Director of the Human Potential Centre at AUT Millennium. His research and teaching interests range from understanding and improving lifestyle behaviours such as sleep, nutrition, and physical activity, to wellbeing epidemiology and human performance. He maintains a "multi fluency” across psychology, physiology, public health, epidemiology, and human performance. Professor Schofield takes a "think outside the box" approach to his work in tackling the big health problems of our times. He is known for challenging current beliefs in his field. His current project base and large group of talented postgraduate thesis students show an exciting range of these challenges. Dr Caryn Zinn is a dietitian and academic at AUT. Her research and clinical practice focuses on whole food amidst a holistic lifestyle approach to health. She has co-authored 4 books as part of the What The Fat? Series. To say that Grant and Caryn know their stuff is a bit of an understatement. In this episode Art & Matilda deep dive into nutrition with Grant and Caryn sharing what they have learnt (and unlearnt) throughout their careers. From the low fat farce, keto cowboys, fasting, veganism and functional food for medicine to the credibility of some ‘scientific’ studies and the importance of researching beyond the headlines. We cover some really interesting topics safe in the hands of academics who have the credentials to back up their claims. If you have not already make sure you get your hands on a copy of their book here: https://whatthefatbook.com/buy/ Brought to you by: Roar Collective Hosts: Art Green and Matilda Rice Producer: Tess Novak Sound Technician: Matt Eller Music: Ricky Simmonds
Hear from Professor Grant Schofield about different exercise settings, as well as the basics to consider in exercise prescription.
Don't miss this interesting Q and A with Dr Caryn Zinn and Professor Grant Schofield.
Improve your BS meter. Dr Simon Thornley and Professor Grant Schofield discuss how to be a critical thinker.
Professor Grant Schofield, questions the real impact of exercise on the worlds most harmful diseases.
What does it really mean to bit fit? Professor Grant Schofield and the team at PreKure look further into the ideas around physical activity and exercise.
Richard sits down with New Zealand Author and Academic Professor Grant Schofield to talk about his books "What the Fat" and "What the Fast" and how fitness is medicine.
Professor Grant Schofield joins Duncan Garner on The AM Show on TV3 to talk about PreKure and how lifestyle medicine is the medicine of the future. It is the answer to increasing not just the human lifespan but more importantly the human healthspan.
Dr Louise Schofield and Professor Grant Schofield talk about hgow to be a great health coach.
Dr Louise Schofield and Professor Grant Schofield explores discuss the golden seven rules for behavior change in health.
Dr Louise Schofield and Professor Grant Schofield look at the major theories of motivation and then how you apply these through motivational interviewing.
Dr Louise Schofield and Professor Grant Schofield look at what positive epsychology for behavior change is and what the best tools in positive psych are.
Dr Caryn Zin and Professor Grant Schofield work through nutritional basics of marco and micro nutrients.
Professor Grant Schofield looks at a brief history of nutrition politics and science to understand why we eat the way we do.
Professor Grant Schofield looks at the hormones which control how we eat and explains what causes insulin resistance and why insulin resistance is such an important factor in human health.
Dr Caryn Zin and Professor Grant Schofield discuss what the different dietary approaches are and what works for who.
Dr Caryn Zin and Professor Grant Schofield talk about how you work with a client (or yourself) to understand exactly what you are eating.
Dr Caryn Zin and Professor Grant Schofield discuss some great behavioral tools straight from the dietician consulting room which are shown to be highly effective in changing and managing a healthy diet.
Dr Caryn Zin and Professor Grant Schofield explore our current dietary guidelines and make some improvements through the new Prekure guidelines.
Professor Grant Schofield joins me to discuss obesity, low carb, fasting and confusing public health messages. As a professor of public health, Grant focuses on reducing the risk and eventual mortality and morbidity from obesity, cardiovascular disease and diabetes. In this episode, he explains the complex role hormones play in our bodies, benefits of fasting/restricted eating and some of his top tips for getting started. You can also watch this episode at www.DrRonEhrlich.com. ----- WANT TO TAKE CONTROL OF YOUR HEALTH? Join me in my online health programs. ----- CONNECT WITH ME You can ask questions via social media using my Instagram or Facebook or YouTube page.
Professor Grant Schofield has a powerful conversation with much-loved TV builder John 'Cocksy' Cocks about his battle with terminal cancer. When you are closer to death there is some very revealing information about how to live.
Professor Grant Schofield and Dr Caryn Zinn Dietitian breakdown the facts and myths behind different diets out there. Learn more about your diet you fuel yourself with about why we eat what we eat. #PreKure #PreventionIsCure
Professor Grant Schofield & Dr Caryn Zinn from www.prekure.com are experts in nutrition. In this podcast they blow our minds by breaking down all the different ways we eat. This episode is sponsored by Float Culture - http://floatculture.co.nz/ Check out my YouTube channel for the video version of the podcast: www.youtube.com/PleaseBlowMyMind --- Send in a voice message: https://anchor.fm/pleaseblowmymind/message
Will you get sick if you only eat meat for 6 months? Professor Grant Schofield joins Will Fleming to talk about The Carnivore Diet. This episode is sponsored by Float Culture - http://floatculture.co.nz/ Check out my YouTube channel for the video version of the podcast: www.youtube.com/PleaseBlowMyMind --- Send in a voice message: https://anchor.fm/pleaseblowmymind/message
LISTENER QUESTION: (00:16:23) How to prepare for a race where both cold and heat adaptation are required. WORKOUT OF THE WEEK: (00:26:21) We talk to Ali Wilson, one of our FITTER coached age group athletes, about her experiences at the recent Kiwiman Xtreme Triathlon. Ali was first female home and 2nd overall. She tells us about the race and how it compared with her Kona experience where she raced to 2nd in her age group. HOT PROPERTY INTERVIEW – GRANT SCHOFIELD: (01:03:29) We bring back Professor Grant Schofield to talk about his new book ‘What The Fast!’ "Want to drop a few kilos, stay sharp and get your health on track? By simply not eating breakfast and lunch on Mondays and Tuesdays and supercharging your dinner meals, you will become a super-faster. Super-fasting allows for super wellbeing, from effortless weight loss to enhanced immune and brain function. Become a super-faster and unlock the biology of super aging to live a long, healthy life." SID TALKS: (01:38:27) Sid’s back and we do a Commonwealth Games roundup. LINKS: Grant Schofield at https://whatthefatbook.com/ and on Facebook at https://www.facebook.com/whatthefatbook More about Laura Siddall at https://laurasiddall.com/ Follow Sid on Facebook at https://www.facebook.com/LauraSiddallTriathlete/ Follow Ali Wilson on Instagram at https://www.instagram.com/alw2r10/ CONTACT US: Learn more about us at http://www.fitter.co.nz Like us on Facebook at http://www.facebook.com/fittercoaching for the latest news and information Mikki Williden can be found at https://www.facebook.com/mikkiwillidennutrition
The Fat Professor: Prof Grant Schofield is a Professor in Public health and advisor to the Ministry of Education. The low carb, healthy fat diet is an approach to eating that essentially tips the whole low fat food paradigm upside down. It's an approach that is being recommended by Professor Grant Schofield, a respected PhD public health academic of 20 years. Professor Schofield's research and practice is driven by the central place that real food plays in our health and wellbeing, along with a desire to “help the world change” and help people “be the best they can be”. One of three authors of the instructional book What The Fat? and affectionately known as The Fat Professor, Professor Schofield is at the forefront of challenging the widespread fat phobia that has pushed us to eat a diet full of processed, carb-laden food. I heard Professor Schofield speak on the theory of metabolic disease and nutrition and the eye, at Queenstown's Snow Vision D
Dr Jeffry N. Gerber, MD, FAAFP is a board-certified family physician and owner of South Suburban Family Medicine in Littleton, Colorado, where he is known as “Denver’s Diet Doctor”. He has been providing personalized healthcare to the local community since 1993 and continues that tradition with an emphasis on longevity, wellness and prevention. In this interview, Dr Gerber describes the major root causes of cardiovascular disease, the most important of which is insulin-resistant Type 2 Diabetes. Worried about your heart disease risk? Get a coronary artery calcium (CAC) score. Your CAC score (and the rate of progression of your CAC score) is probably the best easily-available predictor of cardiac events. A recent paper from the CARDIA study also showed that an elevated CAC score was highly predictive of long-term heart disease risk in younger adults (18-30 year-olds). Here’s the outline of this interview with Dr. Jeffry N. Gerber, MD: [00:01:27] Clinical experience. [00:02:27] Interest in low-carb diets. [00:03:21] Presentation: Ivor Cummins: “Roads to Ruin?” The Pathways and Implications of Insulin Resistance. [00:03:38] Book: Diabetes Epidemic & You by Joseph R. Kraft. [00:04:23] Professor Grant Schofield and Catherine Crofts, PhD. Podcast: Hyperinsulinaemia and Cognitive Decline with Catherine Crofts, PhD. [00:05:08] Hyperinsulinemia and CVD. [00:06:39] The 2 hour insulin test < 30 UI/mL. [00:07:20] Fiorentino, Teresa Vanessa, et al. "One-hour postload hyperglycemia is a stronger predictor of type 2 diabetes than impaired fasting glucose." The Journal of Clinical Endocrinology & Metabolism 100.10 (2015): 3744-3751. [00:07:51] < 5 UI/mL fasting insulin. [00:10:40] What causes CVD? [00:11:49] Carl von Rokitansky. [00:12:02] Rudolf Virchow. [00:12:19] Blog: Dr. Malcolm Kendrick. [00:13:49] Russell Ross. [00:15:40] List of things that cause CVD. [00:16:44] Nitric Oxide. [00:17:43] Jerry Reaven. [00:19:19] Vega, Gloria Lena, et al. "Triglyceride–to–high-density-lipoprotein-cholesterol ratio is an index of heart disease mortality and of incidence of type 2 diabetes mellitus in men." Journal of Investigative Medicine 62.2 (2014): 345-349. [00:20:17] The Framingham study. [00:21:53] LDL-P and advanced testing. [00:22:32] CAC score. [00:23:41] Intimal media thickness. [00:26:11] Ordering a scan. [00:26:41] 64-slice EBCT machine. [00:27:08] Valenti, Valentina, et al. "A 15-year warranty period for asymptomatic individuals without coronary artery calcium: a prospective follow-up of 9,715 individuals." JACC: Cardiovascular Imaging 8.8 (2015): 900-909. [00:28:15] Soft plaque. [00:28:57] CT angiogram. [00:29:44] Don't let perfect be the enemy of very good. [00:30:34] How to get a zero score. [00:31:28] Industrial seed oils. [00:32:02] D3/K2, magnesium, vitamin C. [00:33:29] Statins. [00:33:47] Absolute risk reduction data. [00:34:13] Ridker, Paul M., et al. "Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein." New England Journal of Medicine 359.21 (2008): 2195. [00:34:40] NICE guidelines for prevention of cardiovascular disease. [00:36:45] Studies: Puri, Rishi, et al. "Impact of statins on serial coronary calcification during atheroma progression and regression." Journal of the American College of Cardiology 65.13 (2015): 1273-1282, Sattar, Naveed, et al. "Statins and risk of incident diabetes: a collaborative meta-analysis of randomised statin trials." The Lancet 375.9716 (2010): 735-742, and Preiss, David, et al. "Risk of incident diabetes with intensive-dose compared with moderate-dose statin therapy: a meta-analysis." Jama 305.24 (2011): 2556-2564. [00:37:22] Interview: Calcification and CAC with the Expert: Professor Matthew J. Budoff, MD, FAAC, Part 1 and Professor Matthew J. Budoff Part 2: Primary Care Physicians and CAC. [00:37:41] Book: Eat Rich, Live Long: Mastering the Low-Carb & Keto Spectrum for Weight Loss and Longevity by Ivor Cummins and Dr. Jeffry Gerber – February 6, 2018. [00:38:50] Four body types: Skinny, insulin-resistant type, the overweight, typical T2 diabetic type, the overweight, insulin-sensitive type, and the metabolically healthy type. [00:40:50] Conference: Low-Carb Breckenridge 2018. [00:41:28] Dr Rod Tayler. [00:42:25] Dr Andrew Mentee and the PURE study. [00:42:46] List of speakers at Low-Carb Breckenridge 2018. [00:43:06] IHMC STEM-Talk Episode 41: Dr David Diamond talks about the role of fat, cholesterol, and statin drugs in heart disease. [00:44:15] Dr Jeffry N. Gerber, MD, FAAFP. [00:45:27] Rebuttal: 9NEWS – Explaining the science behind the keto diet with Dr Jeffrey Gerber.
ADS 0026: The Fat Professor, Grant Schofield – Nutrition for Youth Athletes My guest on the show today believes that children thrive on a diet based in evolutionary biology and not that of the modern-day food supply. His name is Grant Schofield and he's a Professor of Public Health at AUT University, as well as […]The post EP 26 – The Fat Professor, Grant Schofield – Nutrition for Youth Athletes appeared first on AUT Millennium News.
ADS 0026: The Fat Professor, Grant Schofield – Nutrition for Youth Athletes My guest on the show today believes that children thrive on a diet based in evolutionary biology and not that of the modern-day food supply. His name is Grant Schofield and he's a Professor of Public Health at AUT University, as well as […]The post EP 26 – The Fat Professor, Grant Schofield – Nutrition for Youth Athletes appeared first on AUT Millennium News.
Professor Grant Schofield and comedian Robin Ince join host Dr Michelle Dickinson for a fascinating and entertaining discussion about how going against the norm by eating fat and limiting carbohydrates can reduce levels of obesity, cardiovascular disease, and diabetes.
ONE STEP AHEAD: Aqua Alert. A new app to help track your water intake. WORKOUT OF THE WEEK: Stride rate for running. HOT PROPERTY INTERVIEW - GRANT SCHOFIELD: Professor Grant Schofield is a respected PhD public health academic of 20 years. Dubbed 'The Fat Professor' he is at the forefront of challenging the widespread fat phobia that has pushed us to eat a diet full of processed, carb-laden food. In his latest book 'What The Fat? Sports Performance: Leaner, Fitter, Faster on Low-Carb Healthy Fat' Prof Grant focuses on the science and practice of low carb eating for peak athletic performance. "Retraining your body and brain and turning on your fat burning almost seems like an unfair advantage when it’s applied to the sporting environment. For decades the brightest minds in the athletic performance nutrition field have had carbs pegged as the ultimate good guy - forget everything you were taught by your old-school sports performance nutritionist and learn how to become the ultimate fat burning athletic machine". 5 MINUTE FOCUS: Meredith Kessler gives us her race tips for Ironman 70.3 Taupo. GEEK OUT: This week our geeky contributors 'The Prof and The Plews' talk to us about a recent paper published in the British Medical Journal Open Sports and Exercise Medicine - 'Rethinking the Role of Fat Oxidation - substrate utilisation during high intensity interval training in well trained and recreationally trained runners'. CONTACT US: Find out more about us at http://www.fitter.co.nz Like us on Facebook at https://www.facebook.com/fittercoaching/ for the latest news and information. Mikki Williden can be found at https://www.facebook.com/mikkiwillidennutrition
ONE STEP AHEAD: Meal frequency and metabolism. WORKOUT OF THE WEEK: Using perceived effort to gauge intensity in workouts. ENDURANCE PERFORMANCE SUMMIT, AUT MILLENNIUM | 27 JUNE 2015: We bring back Kelly Sheerin to talk about some of the speakers featuring at the upcoming Endurance Performance Summit. The summit will bring together top athletes, coaches, scientists and practitioners to present and share their knowledge, skills and experiences on a variety of topics relevant to improving running, cycling and triathlon performance. Professor Grant Schofield will be talking about the science behind LCHF (Low Carb High Fat) eating for endurance performance and Mikki Williden will be giving the practical application and hot tips on fat adaptation and how athletes can adopt this into their everyday practice. http://autmillennium.org.nz/special/enduranceperformancesummit TRAINING PEAKS ENDURANCE COACHING SUMMIT | 28-29 JULY: We talk to AJ Johnson, Content Manager and Power Analyst for Training Peaks about their first Endurance Coaching Summit to be held in Boulder, Colorado on 28-29 July this year. The world's top endurance coaches, industry experts, and thought leaders come together to discuss successful business strategies and the latest in science based coaching. http://summit.trainingpeaks.com/ ANCESTRAL HEALTH SOCIETY NEW ZEALAND SYMPOSIUM | 23-25 OCTOBER: This week Mikki talks to Jamie Scott President of The Ancestral Health Society of New Zealand. The Ancestral Health Society is a community of scientists, healthcare professionals, and laypersons who collaborate to understand health challenges from the evolutionary perspective of our ancestors. They will be holding their first international symposium on the shores of the stunning Lake Wakatipu, Queenstown, New Zealand from October 23rd – 25th, 2015. For more information visit their website here http://ancestralhealthnz.org/ THE GEEK OUT: Does doping improve performance in sport? CONTACT US: Find out more about us at http://www.fitter.co.nz Like us on Facebook at https://www.facebook.com/fittercoaching/ for the latest news and information. Mikki Williden can be found at https://www.facebook.com/mikkiwillidennutrition
Today's guest is none other then Professor Grant Schofield from Auckland University of Technology and is the director of the University's Human Potential Centre (HPC). We have wanted to bring Grant on the Fat Black podcast for a long time and have spent some time reading his blogs and work, so I was quite excited to finally get him on the show and talk many things LCHF and how this ex professional Triathlete is making a storm down in New Zealand to change dietary guidelines for better health. With better health we can create better performances. In Todays Episode We Cover: Gran't roller-coaster ride that led to his LCHF hypothesis. The mental side of LCHF. Why having metabolic flexibility leads to great Ironman potential. CARB Phobia is hurting you. Something scary that many of todays iron distance 'athletes' will likely have. The rules. What Real Food really is. You are undoing this and you need to up it. Bacon Vegetarian and Veganism WTF Book And of course more awesome. Links from todays Episode: http://www.whatthefatbook.com www.profgrant.com https://twitter.com/grantsnz https://www.facebook.com/Prof.Grant/ Show Sponsors: TriTravel Smith Optics Vespa
Two university professors and two celebrity chefs discuss how New Zealand food has evolved over the past fifty years, argue about the effect of our diet on our health, and share their ideas of the national Kiwi dish with an amused and engaged audience at Auckland Museum. Featuring Al Brown, Professor Rod Jackson, Professor Grant Schofield, and Anne Thorp with Jesse Mulligan in the chair.
#18 Unless you've had your head under a rock recently, you probably know that Saturated Fat has been getting a lot of good press. If you want to learn why eating saturated fat is good for you, the best foods for exercise and why The Heart Foundation is not the way forward, then this episode is for you. This is the full interview with Professor Grant Schofield. Professor of Public Health (Auckland University of Technology) and director of the university’s Human Potential Centre (HPC) located at the Millennium Campus in Auckland, New Zealand. In this weeks episode:- Clearing up the confusion regarding saturated fat [003:05] The South Pacific Islands study. Why one got sick & one remained healthy[006:25] Why the Australian Heart Foundation have got it wrong [010:30] What fats should we be really eaint [016:17] What we should really be eating for sport & exercise [023:10] and much more… www.180nutrition.com.au