Q&A 458: Fructose, Triglycerides, Heart Health, Heart Testing, Keto Risks, Statins

In this episode of the Ben Greenfield Life show, the official guide to fructose, triglycerides, heart health, heart testing, keto risks, statins, why you should eat like a pig, and a whole lot more.

Well, hello folks, if you're watching the video version of this podcast, fancy spanking camera setup in my office. I'm waving at the camera right now. Hello. You can check out the show notes@bengreenfieldlife.com 458 and yes, if you heard right, there actually was a brand new paper about how we humans should indeed eat like swine. And I'll be talking about that. So welcome to this show. This is a solo Q and A show. If you have a question that you would like to leave for this show and I am addressing a few listener questions today, namely on, on yogurt, oregano, whether oregano kills good bacteria in the gut, and also a question about sunflower oil. You can actually leave your question by visiting the shownotes. Go to BenGreenfieldLife.com458 you leave your question there. Sometimes if you hit me up on socials, I might see some of those questions and be able to put them into the podcast. But usually going to the show notes is the best way to leave your actual question. So that being said, the way these episodes go, if you're a first time listener, welcome. I go through some news flashes, a lot of different articles and updates and papers that I come across in my morning readings that are sometimes sent to me or sometimes introduced to me and sometimes come across in all these different digests that I follow as well as the research journals that I read. And then also I respond to listener questions. So that being said, let's jump right into today's news flashes. All right, so as you probably gathered from the introduction and the title to this podcast, I'm kind of a little bit infatuated with heart health and metabolites in general because, well, frankly, I'm gonna. I'm gonna open the kimono for you. I actually have had recently what's called a clearly test done. A clearly test C L E E R L Y. Now this is important because I think that lipid testing is going to be a thing of the past in probably five years compared to more advanced diagnostic imaging. One of the reasons for that is because when you get a cholesterol panel, it's really not showing you what's in your tissue, right? That's a blood measurement of your cholesterol. It could correlate to how much cholesterol is, say, in your brain increasing risk for Alzheimer's or how much plaque is potentially building up in your heart. But when you measure your cholesterol and you get those values back, it's not actually indicative of what's building up from a tissue standpoint. And that's very important. And I'll be doing a more comprehensive heart health episode in the coming months to dig into some of the subtle details surrounding what I've just described. But long story short is I personally went and did a cleerly test C L E E R L Y Now this is an AI driven test that is based on non invasive coronary CT scanning to measure the amount of plaque buildup in the coronary artery. So its aim is to detect heart disease before symptoms arise. Because this is important to know. The first symptom for more than half of coronary artery disease patients is actually a heart attack. And that's a pretty unpleasant way, especially if it's one of the widowmaker varieties of heart attacks for you or a loved one after you've deceased to find out that there was something going on with your heart, that all the lipid panels, all the LDL and HDL and triglyceride measurements on the planet didn't actually indicate to you was going to occur. Because there are a lot of people walking around with pretty healthy lipid panels who actually have some type of blockage, some type of plaque buildup, in many cases unstable plaque, which can be the more concerning variety. So this clearly scan is in my opinion, one of the best ways to actually truly see what's going on in terms of plaque buildup in your heart. So the way that it works is you go into a doctor's office and they use what's called coronary computed tomography angiography. So yeah, there is a little bit of radiation involved with this test because they actually do have to use radiative imaging to see what's going on. So when you do this test, what they're using is a diagnostic scan or imaging of the heart that then goes on to use AI.

To basically predict the amount of no plaque, mild plaque, moderate plaque or severe plaque in the arteries. And this is very significant because it is really the only way to directly measure the levels of atherosclerosis that might be occurring. So this has been studied and I'll link to a really impressive study in the show notes. It's called AI Evaluation of Stenosis on Coronary cta. So what they're looking at is comparing whether this coronary angiography is actually able to, based on some of the artificial intelligence based solutions built into it, allow you to truly know what's going on in terms of plaque buildup in the heart. And it has been identified as a very accurate and robust non invasive tool for the identification and exclusion of cardiovascular disease, namely the type of cardiovascular disease that's related to plaque buildup in your arteries. So I went in and got this test done.

First of all, I know that some of you might be concerned about the amount of radiation that might be occurring in response to a test like this. And yes, you do get exposed to radiation. And no, it's false when you hear people say, oh, you're getting exposed to far more radiation when you travel on an airplane or go through an airport scanner. The fact is you'd have to take about 500 transcontinental flights to get exposed to the, the same amount of radiation that you would get exposed to during one of these clearly scans. Yet I think that doing one of these every three to five years is actually pretty prudent in my opinion, because at this point, I truly believe it's the best diagnostic stand that you can do to actually know what's going on in your heart. Can you actually take care of that radiation exposure? Mitigate it somehow? Well, it's also false that all these different herbs out there can protect you from the effects of radiation. Like people talk about alpha lipoic acid and mistletoe and ginkgo and apple pectin and all these things that you should take in response to radiation. It's possible that those might have a mild effect. But the only, the only supplement, so to speak, that I think really truly works and has effective evidence behind it for radiation is simply iodine. For example, I have two bottles in my pant of life extensions, potassium iodide. It's a pretty hefty dose of iodine. I still take it once per week just because, you know, I travel a lot, I go through a lot of airport scanners, et cetera. You know, there's a lot of non ionizing and ionizing radiation that we're just naturally exposed to during the course of our lifetimes. So I use it as almost like a preventive agent. If you're interested more about iodine and the other effects that it can have in terms of improving metabolism, improving thyroid health, et cetera, go back and listen to my podcast episode with Dr. Leland Stillman. Dr. Leland Stillman and I talked quite a bit about iodine. So if anything, you can take potassium iodide for a few days leading into a clearly scan. And after a clearly scan, if you want to address some of the, some of the radiation that you're going to get exposed to during this thing. But nonetheless, I still do think that it is a prudent test to do. And just so you know, that radiation is, is measured in what's called millisieverts. Millisievert. So 1 millisievert would be equivalent to the average amount of radiation that a person receives in a year. And I believe one of these scans exposes you to something in the range of anywhere from 5 to 15 millisieverts. So it's pretty significant the amount of radiation you naturally get exposed to over the course of a year or over many, many transcontinental flights on an airplane, for example. So that all being said, I went in and got this clearly scanned done and I did this a few months ago. My results showed a high amount of plaque in my arteries. Now, some of this is based on genetics. Some of it is due to a robust history of masochistic amounts of endurance exercise, which, as Dr. James O' Keefe has demonstrated, definitely has a law of diminishing returns when it comes to heart health. Once you exceed a certain number of minutes of endurance exercise per day, you see arterial stiffening and inflammation and plaque formation that occurs that dictates that more endurance exercise is not better. It's something right around the range of more than 90 minutes of the type of marathon type training, you know, Ironman triathlon type training per day that would result in unnecessary stress on the heart. Now, the interesting thing is that a lot of the type of plaque, or if you've gotten, let's say, a calcium scan score, the type of elevated calcium that you might see in the arteries of an endurance athlete is more stable, it's more tightly packed, and it's less likely to result in some of that plaque breaking off and causing something like a stroke or a heart attack. But nonetheless, it is concerning, especially if, let's say, you've done a whole bunch of endurance exercise, seen the light, and realize that it might not be all that great for you, stopped, but then are living with all of that leftover plaque in the arteries and perhaps even aggravating that with a high intake of oxidized fat, saturated fats, a dirty keto diet, which we'll talk about later, etc. It's something that you definitely need to worry about or at least be aware of, especially if you're an endurance athlete. And sure enough, my levels were around in the in the mid-400 range, which is pretty high for plaque. I'd love to see that below 100. And so as a result of that, I've actually been researching a lot of different arterial scrubbing compounds. You know, pomegranate would be one. There are, there are other fantastic supplements and I'm currently going through and testing many of them short term though. However, I am using red yeast rice extract, which is basically like nature's statin. I'm using niacin and I'm using CoQ10 because any type of statin, whether a prescription based statin or a natural statin like red yeast rice extract, can strip the body of its coenzyme Q10 levels and cause issues in the tissues, so to speak, and the mitochondrial health. So I have already started on addressing the buildup of plaque in my arteries, but that's what kind of got me down this road of being very interested in plaque formation and what one can do about that if, if you do a clearly scan and find out that it is indeed an issue. Another important thing to note is that in a lot of the research that I've done, these newer PCSK9 inhibitors appear to be a pretty safe and effective way to treat plaque when it comes to melting plaque, so to speak. And I am going to do a big podcast about this with a cardiac physician in the coming months. But it turns out that some of the PCSK9 inhibitors, and perhaps to a lesser extent some of the statin dosages that can be used in small to moderate amounts, have quite a few benefits that I think overcome any of the potential deleterious effects of statins, such as the stripping of coenzyme Q10 in the body or soreness or things of that nature. So what I'm actually doing right now is a test. I'm doing this protocol of red yeast rice extract, niacin, CoQ10, pomegranate and a few other arterial scrubbing agents. And then I'm going to go in and do a repeat clearly scan and lipid panel. And then I'm going to start on a statin, namely I'll be taking a small dose of what's called ezetimibe and a small dose of what's called rosuvastatin. I'll be taking about 10 milligrams of the rosuvastatin, about 5 milligrams of the ezetimide per day. And that's based on a pretty robust paper that showed that depending on the stage of plaque accumulation in one's heart. There are certain levels of statins that you'd want to take. For example, stage two, which is technically where I'm at, would be well treated by rosuvastatin, ezetimide, a small amount of aspirin which I'll get into soon, and then what's called Rivaraxaban. If it were a much, much more significant amount of plaque. You would also throw in cardiac rehabilitation, PCSK9 inhibitors, what's called bempedoic acid, ASA and a few other long Alphabet letter soup names that I'll link to a paper if you want to clarify this. So the paper is called Integrating Coronary Atherosclerosis Burden and Progression with Coronary Artery Disease Risk Factors to Guide Therapeutic Decision Making. I know that's a mouthful, but basically what they did was analyze all of the different statin based and medical based methods to get rid of atherosclerosclerotic burden. Because frankly this is not something plaque accumulation, what I'm referring to is not something that you're necessarily stuck with for life. You can literally melt it away. And I had one physician friend who was showing me his plaque score which was up in the 500s and he's since gotten it down below 100 using some of the statin based based approaches that I've talked about combined with a little bit more of like a Mediterranean diet, physical activity, etc. However, my take is I'm trying the natural route first and then I'll try the statin route and I'm just basically using myself as a guinea pig to see which one has the greatest impact on plaque score and on lipid panels. So ultimately that is the, the, the TLDR of how I've gotten to be so interested in heart health in the first place. Several of the things I'm going to mention on today's show are indeed related to heart health. So that all being said, let's address a couple of other things related to the heart while we are on this topic. So the first is let's say that you did not want the radiation and you weren't able to go in and get something like a clearly scan. There are companies such as Fountain Life which has several locations in the US There are companies like Next Health as well that can offer these type of clearly scans. There are also one off locations. For example, a friend of mine recently in Austin, Texas was asking me about where they could get this scan. In Austin, Texas there's a place called Austin Heart that does it. You would just google the name of your City plus clearly scan to see if it would come up. But a recent article actually indicated that an even less invasive measurement could also tell you some things about your heart that go above and beyond what a simple lipid panel or even more advanced lipid panel could tell you. The most notable that was recently published was a research paper on what's called plasma viscosity. Now, plasma viscosity measures the viscosity, or the thickness of your plasma. That's the liquid part of your blood, and it's affected by the amount of proteins in the blood. So protein levels in the blood can increase as a normal response to infection or inflammation, and plasma viscosity will increase when these proteins are produced abnormally. So when you measure the viscosity of the blood, it's a direct indication, and even more sensitive, I would say, when it comes to heart health, of your actual atherosclerotic risk compared to something like, let's say, C reactive protein, or even things like Apple B or your HDL to triglyceride ratio, this appears to be even more accurate than that. So you can actually ask your physician to order this test for you. It's a blood test that they do. They measure it by taking your plasma, and they calculate the force that's needed to send your plasma down this thin tube over a period of time. So normal plasma viscosity, the plasma would go down the thin tube more quickly, but the thicker or the more viscous your blood is, the slower the blood would travel down that tube. So this is probably one of the reasons that aspirin seems to be so effective for a variety of reasons, including heart health, because it can decrease plasma viscosity. And I'll talk about aspirin here shortly because there's some interesting things you should know about it. But basically, this plasma viscosity test in a recent paper basically showed significant correlation to indicating your risk of a cardiovascular disease event and also just all cause mortality in general. So the takeaway from this is that from here on out, if I do get a lipid panel, I'll be asking my doctor if they can also order a plasma viscosity test. And then in an ideal scenario, if you're throwing in something like diagnostic imaging with a clearly scan every three to five years or perhaps a little bit more frequently until you're sure that you've reduced your plaque burden. That's, in my opinion, kind of a gold standard for many of the type of things that you should look at for the heart. Now, if you go to BenGreenfieldLife, dot com hearthealth you'll find a podcast where I actually took a video camera and an audio recorder to a doctor's office about four years ago and talked about a lot of other things that can be used to find out everything that could be going on with your ticker, so to speak. And this included an electrocardiogram, both resting and with exercise, a blood flow score, nitric oxide measurements, an echo ultra or a ultrasound echocardiogram, which shows kind of like the thickness of the muscles in the heart. And so if I could go back and do that entire podcast all over again, I would have also done the clearly scan. However, everything that I talk about in that podcast episode is pretty decent as far as if you wanted to know everything that was going on in your heart, what to actually go and ask your doctor about ordering or doing for you. So, so that's, that's kind of the, the idea behind plasma viscosity and kind of a newer measurement that's come up as far as something that could be good for the heart. Now I also mentioned just a little bit ago, aspirin. Now aspirin is interesting because not only can it be used for, for treating something like plaque accumulation, but there was also a recent paper that shows that aspirin actually mimics everything that calorie restriction does for you. Right? So we get this age associated deterioration in cell function and overall organ function that is associated with what's called disabled autophagy, meaning your normal autophagic flux in the body. The extent to which your cells clean up is something that tends to decrease in its efficacy over time. Now this is why intermittent fasting can be a good life extension strategy. Because if done properly without excessive restriction of, you know, certain macronutrients, like, you know, never eating carbs or being a pre menopausal women and doing excess intermittent fasting or being a very lean, active, weightlifting male and, and not eating enough food for too long a period of time. Right. There are some issues with intermittent fasting, but overall it is a fantastic way to increase cellular autophagy, especially if the fast is longer than 16 hours. I'm not necessarily endorsing fasting longer than 16 hours every day. I think that something like a well timed one to four time a month, 24 hour, such as a dinner time to dinner time fast, is a good way to spark cellular autophagy. And then you can do a shorter, like 10 to 12 hour intermittent fast on a daily basis to get some of the other, you know, gut relieving benefits of fasting and some of the other longevity benefits of fasting. But nonetheless, aspirin appears to induce the same type of autophagy benefits that fasting does and that many of these calorie restriction mimetics like metformin or berberine or bitter melon extract can do. Now, the dosage of aspirin needs to be taken into account, because even though low dose aspirin can be very effective for this, if you're already on other blood thinning agents, like particularly fish oil would be the one that leaps out as the most commonly taken supplement that would thin the blood. You do need to be aware that there is increased risk of bleeding. And while a baby aspirin can definitely decrease your risk of a heart attack or a stroke, you want to be careful if you're combining with other blood thinning agents and that that's just something that you can talk to your doctor about, or you can analyze any other blood thinning agents that you're taking and make sure that you're taking a very low, low dose of aspirin, if that is the case. And so just to contextualize this for you, a low, low dose of low dose aspirin would be somewhere around 70-80mg per day. A slightly higher dose of low dose aspirin would be above that, like 80 milligrams all the way up to around 300 milligrams per day. A typical aspirin dosage taken for pain or inflammation or fever is like 600 plus milligrams. So when we're talking about low dose, you know, it's, it's close to 1/10 of what a normal dose for inflammation or pain would be. And you, you'd want to be on the low end of low dose if you're already taking fish oil or any other blood thinning agents. But what's interesting is, and this has influenced me to think a little bit more about, in addition to getting on red yeast, rice extract, niacin and CoQ10, getting on low dose aspirin is because it appears to bleed into other areas of your life, pun intended. See what I did there in terms of the longevity enhancing effects? So aspirin at low doses seems to be relatively risk free, especially if you're not getting a brand that tie in aluminum, which, which some of them are. You, you can, you can do a Google search for aluminum free or low aluminum aspirin to see some brands, but basically it acts almost like a calorie restriction mimetic which can Induce cellular autophagy. So good to know about aspirin. And so that's one thing that you can add to your list of something to look into as far as heart health and also cellular autophagy goes. Now another thing to look into, and this was also a recent paper that was just published, is ginger. So this was, this was a paper that came out a couple of months ago on the effects of ginger on human serum lipid profiles. What it found, long story short, is that ginger had a serious significant impact on triglyceride levels in, in, in human subjects. So the reason this is important is because there's something called your atherogenic index, which is your triglyceride to HDL ratio. Ideally that should be in my opinion, below one. Meaning like my, my, my HDL for example, is up at about 130. My triglycerides are around seven. So I have a very low triglyceride to HDL ratio. A ratio above 4 is considered to be pretty significant as far as increase for cardiovascular disease risk. And so the idea of lowering triglycerides through mitigating sugar intake, vegetable oil intake, overall calorie intake, excess fructose intake, et cetera, is a good idea. But it appears that throwing some ginger into the mix and using that frequently as an herb or a spice, if you want to call that, because it actually is pretty spicy in your cooking, is a good idea. And this isn't the first paper or investigation into ginger in correlation to heart health that has come out. Ginger has been studied since the 90s, as far as I'm aware, for reducing plasma cholesterol, for inhibiting LDL oxidation, for attenuating the development of atherosclerosis, and now it's shown for decreasing triglycerides. So I already use ginger quite a bit. Just in my, I date my day to day diet. I use a lot of just basically ginger root, ginger root tea. I, I'll blend ginger and.

Sorry, edit this out.

So I actually use ginger quite a bit already. So I'm not really needing to change much up there. I use ginger powder. I just have a, you know, a big, a big herbal glass container of ginger powder. I use dried ginger quite a bit when I travel as a cheap digestive hack. Not only do I travel with peppermint oil in my fanny pack, but I grab ginger root when I go to the grocery store. I chop up ginger root. I put that in a pot or a pan in water, which is especially good if I'm staying at a suite or an airbnb or a place where I have access to water that I can boil. And every morning I just wake up and I boil the water with the ginger tea and then I have that to sip on throughout the day. And then I also have the little, little ginger pieces that get all nice and soft in that water and I'll chew on those. And it's fantastic for gut health as well, as many of you know. But ginger also has a really great impact on the heart and it's pretty dirt cheap to just go grab some ginger root if you happen to be traveling somewhere organic, please. Because this is a root and can bioremediate certain things from the soil. But organic ginger root that you just boil in water each morning, whether you're at home or on the road, can be a really great way to easily get access to ginger pretty cheap. And then ginger powder that you use in cooking, for example, or some of these dried gingers that can also be a good way to do it. My wife likes the ginger chews, but in my opinion those are just a giant sugar bomb that you're chewing on throughout the day. So I think they're called the gin gins. I'll occasionally have one of those gin gins, but what I like better is some of these herbal supplement companies that'll sell like ginger lozenges or ginger chews with lower amounts of sugar or again, save money, cut out the sugar entirely and just go straight to the ginger root. And yes, you can put a little bit of like organic stevia or monk fruit extract into ginger tea and it's actually pretty tasty. A little bit of like a raw organic honey in there can be pretty good too if you're, if you're not concerned about the fructose. And I will get to the fructose here shortly because that's something else I want to tell you about. But before we do that, we've talked about ginger, we've talked about aspirin, and then also it turns out that there's a hidden benefit to so called dick pills as well. That's right. Viagra, which I think you know, this is based on memory recall, not something that I'm looking at as far as a paper, but I believe that Viagra was first investigated for its blood pressure lowering effects before it became rebranded as a men's sexual health agent. Although it works fantastically basically for women also in the blood flow, sexual performance, orgasmic departments. But Tadalafil, the active ingredient in Viagra and sildenafil is also acting similarly. It's what's called a PDE5 inhibitor, a phosphodiesterase 5 inhibitor. And essentially what that means is it's going to increase nitric oxide pretty dramatically, particularly in the nether regions, although it does have a full body kind of flushing, vasodilatory effect. And because of that, it opens up the arteries. So no surprises here that it turns out that both of these compounds, sildenafil and tadalafil, have been shown now to significantly reduce the likelihood of progression to heart failure, myocardial infarction, and death compared with people who were not taking either of those drugs. So they studied men for five years and found that they had a much lower risk of most heart disease risk factors if they were taking an erectile dysfunction pill. Now, could you skip the pharmaceutical prescription or the sketchy online dick pill pharmacy and get a similar effect from something like a nitric oxide lozenge or nitric oxide supplement? Most likely. You know, I've used the nitric oxide supplements before. I have used the, the Joy mode, which is a sexual performance booster with arginine and citrulline and things like that in it. And that's got vitamin C in it as well to, to lower the, the rate of breakdown of the nitric oxide. And I've also used Viagra. I think that Viagra is definitely the most powerful. And the only way I'm gauging this metric is, is literally by the, the hardness of said dick. But at the same time, the nitric oxide pills seem to work, work pretty well. And that Joy Mode stuff also, despite it being a central nervous system stimulant that if you take too close to bedtime is going to keep you awake, works pretty well. Also, there are also certain formulas. Dr. Mike Major, a doctor out of Phoenix, introduced me to a little lozenge I've talked about on podcasts before. It is a mix of tadalafil, amorphine and a certain peptide called PT141 that is fantastic for both libido and erectile quality all at once. And it's also great for women. Also, there are also companies, one being Newtopia, for example. Newtopia is mostly known as a nootropic or a smart drug company run by bioptimizers. The same company that makes some supplements that I like, Gluten Guardian, for example, great supplement that turns gluten into soup, basically, if you have it prior to eating bread or pasta or something like that. So a great friend for your trip to Italy or your next trip to the steakhouse. But anyways, Newtopia has a blend now of a nitric oxide precursor dick pill esque type of compound that I recently received in the mail. That one I've used a little bit of too. And it also seems to work pretty well. So ultimately it doesn't have to be Viagra or Sildenafil or Tadalafil, but what you should know is that that many of these supplements that can increase sexual performance have a direct positive impact on the heart. Now, the only thing that I'm concerned about here is that there are, to my understanding, many adolescents and teen boys and young men who don't need an erection pill, actually taking it for sex. There's a big, big difference between the type of erection that you get when you take particularly something like Viagra versus a normal natural erection. What happens, I think, psychologically is that guys get addicted to this stuff and can't really engage in confident sex unless they have this pill in their body because they're a little bit fearful about maybe, you know, the. The person that they've been having sex with suddenly seeing that or feeling that their dick isn't quite as hard as it used to be. And so that gives them performance and anxiety and issues, or they feel like they just can't get it up unless they take their supplement beforehand. So I want to issue a word of caution if you're a young man listening into this, that I do not recommend that you begin to rely upon these things as a crutch. In the same way that I don't think anyone in a healthy state should have to rely on coffee or some type of nootropic or smart drug as a crutch to get throughout the day, good sleep is better. The same thing with something like your erection quality. Fellas, if you're eating a diet rich in nitrates with arugula and you're working in beetroot and a lot of natural compounds, getting high amounts of vitamin C and making sure that your underwear isn't too tight and, you know, lifting weights with your legs, which triggers a lot of these androgen receptors in the legs. If you're doing all of these things, then the. The Viagra or the nitric oxide or the PDE5 inhibitor or the PT141 or whatever, that should be the icing on the cake. But please do not use my podcast as an excuse to think that you got to take some kind of fancy supplement every time that you want to have sex. I don't. But, yeah, there's certain Certain nights where, you know, I just know it's going to be a big date night with my wife, I'll take something like that. And then now that I know the benefits for heart health, I'm making sure that I make a point of especially when it comes to my plaque score and what I've seen as far as my own risk for atherosclerosis using some type of nitric oxide precursor or blood flow or vasodilatory agents on a daily basis. The other cool thing is if you have some type of a sauna practice, infrared sauna practice, etc, there's a very popular protocol called the niacin flush that that kind of is a protocol where you take a high dose of niacin before you go and get into the sauna because you increase your sweat rate, your removal of toxins, you increase your body temperature a little bit. And these types of of compounds have a similar effect as that high dose niacin. So it's great for, for kind of like going along with sauna like turkey and cranberries, so to speak, I suppose in this case beetroots and goat cheese. So there you have it. Okay, the next thing that I wanted to talk about while I am still, yes, still on the topic of heart health. Now I did mention earlier probably much of the chagrin of my don't ever go near a prescription and statins are the devil listeners that I am considering. Lotus statins. I'm going to do lotus statins. I already have them. I'm just doing a washout period where I compare them to red yeast rice extract. Again, just using myself as a guinea pig. So I know which one is better for me to be taking for life. But I do still think that statins are over prescribed. Now there was a recent article that came out that looked at a risk tool that was released by the American Heart association and what that risk tool is is it's what physicians use to identify people who should be prescribed cholesterol lowering statins. So this is a risk tool that combines age, sex, smoking status, cholesterol level, blood pressure and other factors to calculate your risk of having a heart disease or a stroke or a fatal coronary disease in the next 10 years. So the problem is that it turns out that when they looked at the calculated risk that would indicate that someone should be put on a statin to the actual incidence of heart attack, stroke or death from blocked arteries, the correlation was not that great and actually indicated a pretty significant risk for over prescription of statins and not just over prescription of statins at a low dose. That which is the exact protocol that I'm considering, again, 5 milligrams of 1, 10 milligrams of another, but a pretty high dose of statins that, considering some of the side effects and expenses of statins, would dictate that this risk calculator is not all that great. It strikes at the heart of the risk calculator and the severe overestimate of risks in this article. And it turns out that there are a lot of people who are at high risk based on this calculator who actually are not. And remember, they're not doing actual diagnostic imaging. They're not doing a calcium scan score, they're not doing clearly score. This isn't even based on your lipid panel. It's just looking at some of these factors that you would literally almost like type into a web browser or answer on a piece of paper. And those calculator risks would put you on a medication that you don't actually need to be on. The other thing that just shocks me about these calculators is they don't take into account diet and exercise. Right. Obviously, if you have a healthier lifestyle and healthier diet, those same inputs would add up to less risk. So being this age with this cholesterol level and this blood pressure would add up to a lower risk if you're exercising or avoiding trans fats or say, you know, eating a bunch of blueberries or something like that. So, long story short, the reason I bring this up is because it returns back to the value, in my opinion, of getting, getting actual data, getting actual diagnostic imaging and not just using some type of a American Heart association risk estimator to look at whether or not you actually do have cardiovascular risk or whether or not you should be, say, placed on a statin. And of course, the other very important thing to remember is that many people have normal lipid values, a low risk score on a test like this risk estimator by the Emergency American College of Cardiology and still have high levels of plaque. In some cases, that can be unstable plaque or a high calcium scan score, in which case your lipid panel isn't telling you much. This risk factor screening isn't telling you much. But the diagnostic imaging is where the real magic lies in terms of telling you what's truly going on with your heart. Now, I did speak incorrectly, I think, as I was describing that risk estimator tool to you, because it does actually tell you take into account your total cholesterol, your HDL cholesterol and your LDL cholesterol, that's it. But it doesn't, you know, take into account triglycerides, apoe, the cholesterol, particle size, inflammation, blood sugar status, et cetera. So that's just something to think about again when it comes to the weakness of something like a risk estimator. So that really wraps up most of what I wanted to tell you about heart health. Unless you think that fructose is related to heart health because it actually can be. Now fructose and the reason I want to bring this up is often vilified as poison, right? I think there's people, most notably Robert Lustig, who have really thrown fructose under the bus and I think made many of us fructose phobic. Now the interesting thing is that there are, there are studies that, and there's many of them and this most recent one is the one I want to point out to you. I'm going to link to it in the show notes@bengreenfieldlife.com458 that show that fructose containing sugars are actually a near non issue unless you are in a state of caloric excess. Right. So this most recent paper included 169 trials that assessed 14 different food sources of caloric fructose at four different energy levels, right? A negative calorie intake and even calorie intake, an excess calorie intake and a very excess calorie intake. And basically what it showed was that if you are eating a high amount of fructose, but if you're still at a caloric balance, the fructose is a non issue when it comes to adiposity or triglycerides or heart health or anything like that. Meaning technically, and I don't endorse this because you're going to get pretty low on micronutrients and proteins and things like that in the long term. But technically, when we're just looking at, let's say weight gain and adiposity, if you're burning, let's say 2000 calories a day, you could literally drink 1999 calories of pure soda on a daily basis and not gain a pound and not get obese and not see an increase in adiposity or not see an increase in triglycerides. The only problem with fructose is when it is consumed, whether from natural or, you know, more unnatural high fructose corn syrup type of sources such as soda, the only time when it becomes an issue is when your calorie intake is in excess. And this most recent study was a pretty robust study of a lot of, of different other trials on fructose. And it just found the same thing. Fructose. Fructose is a non issue and many people even lose weight with high fructose intake as long as they're at a negative calorie balance. And of course, like I mentioned, if you're eating a whole bunch of fructose, you're cutting out the amount of protein that you could consume, you're cutting out the amount of low glycemic index carbohydrates, probably not getting as much fiber, probably not even getting as much omega 3 fatty acids or monounsaturated fats as you should. But I really want to tell you that you do not have to be guilty. Even if you're eating like, like, I don't know, three apples a day and a fresh juice, or, you know, you found out your kid had a coke at a birthday party but was, you know, running around burning 400 calories the whole time and jumping up and down on trampolines. Ultimately fructose is not that big of a deal. And I actually, I mean, I, I have probably the equivalent of nearly a tablespoon of raw organic honey per day or a little bit of fructose from like a kion energy bar which uses fructose as its main sweetener. I typically have a handful of berries each day. I am definitely not fructose phobic. I would say less fructose phobic than I've been in the past, just based on study after study that I see that shows that fructose is only an issue Even if it's 100 pure fruit juice or sugar, you know, soda, unless you're at an excess calorie intake. Now, the only thing I should note here is that there is a thing called fructose intolerance. Okay? Fructose intolerance means that you don't contain the enzymes in your body that allow you to break down fructose properly. It's called fructose malabsorption that you get as a result of this. Your cells of the intestine can absorb fructose normally. That leads to bloating, diarrhea, constipation, flatulation, stomach pain. And so that's actually something that apparently about, about 30 to 40% of people in westernized societies have. This would also be very similar to what's called fodmap sensitivity, where you tend to get bloating gas, small intestine bacterial Overgrowth, things like that. In response to, oh let's try this off the top of my head. Fructans, oligosaccharides, monosaccharides and polyol based sugars. So wheat, apple, onions, fructose energy gels, et cetera, make you super bloated and gassy and really do a number to your gut. Gut. So those would be two times if you have let's say sibo, small intestine bacterial overgrowth or fructose digestion intolerance. That would indicate that regardless of whether or not it's going to make you fat, fructose is probably going to at least make you pretty miserable. So there might be other reasons to avoid fructose, but it's definitely not the fact that fructose is going to make you fat. So. So yay for fructose, yay for Coke, yay for Pepsi. I'm just to going kidding. I think there's, there's better, cleaner sources of fructose like that amazing spoonful of raw organic honey that I drizzle over my salad at lunchtime, making me hungry. Okay, so the, the other, speaking of making me hungry, the other super fascinating and actually pretty entertaining article that came out in the journal Metabolites was called Eat like a Pig to combat Obesity. This was actually fascinating. I'm going to link to this article in the show notes, but you might be aware of this. Pigs are often studied for human related research because they are eerily close to a human when it comes to their digestive tract. So pigs and humans have a lot in common. In the wild, both would have consumed omnivore diets, scavenging a variety of plant products ranging from roots to fruits to eggs and insects and honey and the like. Eating meat when it was accessible, but not all the time. The digestive tract of a human and a pig is remarkably similar. That's why pigs are high on the list of candidates as cross species organ donors for humans. Metabolically we're similar. Like where do you think we get insulin from? Prior to the introduction of biotechnology produced insulin, pig derived insulin was the primary treatment for type 1 diabetes. When you have digestive enzymes, many of those digestive digestive enzymes are literally harvested from pig pancreases, porcine pancreases, swine pancreases. That's what's used to treat human pancreatic insufficiencies. Winston Churchill actually said he had an interesting quote they talked about in this paper. Winston Churchill said, I like pigs. Cats look down on human beings Dogs look up to them, but pigs just treat us as their equals. And physiologically, it turns out that Churchill was, was pretty accurate. Accurate in that statement. So what can we learn from pigs when it comes to how humans should eat and whether or not we should actually eat like a pig? So pigs actually do a fantastic job in intuitively predicting what is happening in terms of their total energy output versus their total energy intake. When a pig is studied, they will not eat ad libitum food, despite our stereotype of a big fat pig, if they are in their natural environment. Meaning a pig will eat approximately as many calories as it's burning if it's staying at a stable weight or if it's, if it's living in its natural environment. So this would even mean if it's cold out, a pig eats more. If it's warm out, a pig will often eat less. It will basically eat less. If it's moving less, it will eat more if it's moving more. Humans could actually take, take a note from pigs in that regard. Basically keep track of how much you're moving during the day, keep track of how much you're eating during the day. And if you don't want to gain weight, just don't eat more calories than you are burning. That's the number one thing. And pigs do it very well naturally. Now the next thing is pay attention to genetics, right? So in pigs, there's two different genetic examples I could give you. There's one called the patron pig, one called the Meishan pig. The patron pigs are typically very muscular. They look like they work out in the gym on a daily basis. And the Meishan pigs are typically chunky little pigs. They're almost like couch potatoes. Now in the patron pigs, the muscular ones, as you would imagine, they have much higher metabolisms, they have much greater energy burn, they often appear to be less obese. And it turns out that they actually eat a higher calorie intake for weight maintenance. Whereas the Meishan pigs, naturally, intuitively, like I mentioned earlier, eat fewer calories. And there are literally companies like, you know, the DNA company is, is one example that comes to mind. Kashif Khan runs that company. Shout out to Kashif. He just wrote a fantastic book. It's back over on my shelf there. It's called the DNA Way. I just read it. But you can get your DNA test and actually find out your fast twitch, slow twitch, muscle fiber composition, your propensity to obesity, your fat burning propensity, and kind of like a Meishan versus a what was the other kind of pig called a Meishan versus the patron pig. You can actually adjust your calorie intake or at least be aware of your metabolism based on genetics. And you can of course also go into something called a physiology laboratory and get what's called an indirect calorimetry test. It tells you how much carbohydrate and how much fat you're burning at any given intensity, including rest during the day. I used to, for five years I ran a physiology lab and I would do tests on people almost every day who wanted to just know how many calories should I eat to stay at maintenance calories or maintenance weight. And that's a, that's a fantastic test you can do as well. It's just called an indirect calorimetry test or a metabolism test. You should be able to google the name of your city and that test. Many universities will do them. Many universities have physiological labs, as do sports performance centers, etc. And there are even some, some home tests now I think one's called the lumen that will approximate this for you at home. Pigs will vary in terms of their epigenetic programming, meaning that young pigs who are born with inadequate nutrition and hypoxia and in a stressed out environment tend to suffer from higher body fat content. So this can give give humans good indication of how we actually birth or bring young humans into the world. Right. We want to make sure mom is on something like a very nutrient rich Weston A price diet. And in a low stress state. We want to make sure that the child is in preferably like a low emf, really good oxygen, natural lighting type of environment so that they have very low amounts of stress early on in life paired with high intake of breast milk or colostrum or a good baby food or baby supplement. Like I like the serenity baby foods, for example, they have a fantastic baby formula and baby food pouch. I actually still eat their baby food pouches with my lunchtime salad along with that spoonful of honey because it's just so fantastic and nutrient dense. But basically the way that we treat our children early on in life, particularly when they're babies, is going to influence their propensity for weight gain later in life. We see the same same thing in pigs. Pigs who get inadequate nutrition, hypoxia are born in a high stress environment, et cetera, tend to have poor insulin sensitivity, more rampant fluctuations in blood glucose. And what they've actually shown however, is the number one thing that allows these pigs to develop normally is lowering the glycemic load of their diet, meaning that a pig or a human born in a high stress, low nutrient dense, low oxygen type of environment, one of the number one things that they could do is to eat a diet that has low sugar carbohydrates or low glycemic index carbohydrates, paired with preferably a decent amount of fiber and some fats to lower the glycemic index. And pigs seem to just naturally do this. The pigs that are born under more stress naturally, even without being given it, choose a diet with a lower glycemic index versus a higher glycemic index, which is just fast. Fascinating. So the, the next thing with pigs is that we find that they tend to choose especially because pigs, like humans, do have rampant fluctuations in blood glucose with an improper diet. But pigs seem to naturally choose slow digesting starches, like a high amylose maize. Starch is one of their favorite foods. And a substantial portion of that starch is what's called, called a resistant starch. It's fermented by microbes in the large intestine. And when that happens, volatile fatty acids are formed and also heat is formed, which can increase the metabolism and cause a higher calorie burn during the day. So if you're not familiar with things like resistant starches or high molecular weight starches, such as you would find things like sweet potatoes, purple potatoes, Japanese yam, things along those lines, you know, a of lot, a lot of roots and tubers. It turns out that these can be fantastic when it comes to your overall metabolism, the glycemic variability during the day. And so you know, that would be in contrast to very, very simple sugars like rice or, you know, or quick oats or wheat or something like that. So you'd want to choose foods that have a higher starch chain or that are even a resistant starch. And of course I mentioned rice. But if you, if you cook and cool rice, then cook it again, or soak some of the cooked rice in coconut oil, cool it and cook it again, you can actually lower the glycemic index of rice and cause more of that rice to have resistant starch aspects. And you can just google, you know how to turn rice into resistant starch or I'll include some helpful tips about that in the shownotes if you go to BenGreenfieldLife.com458 now eating patterns are also interesting. Pigs, when held in confinement with, with ad libitum, unrestricted access to food, will eat numerous times throughout the day. But they're not randomly spread throughout the day. Pigs have circadian timing. They eat a breakfast early in the morning, they eat a dinner late in the afternoon, and they almost have this diurnal feeding variation. They're not just eating and stuffing their faces all day long like humans with rampant access to hyper palatable foods often do. That big bag of potato chips or bar of dark chocolate or bowl of raw, raw almonds that you're mowing on throughout the day would put you into a state where you are seeing a large amount of variations in, in your glycemic index and also a high potential for what's called lipogenesis in pigs that results in slightly obese pigs when pigs are fed out of line with their natural diurnal variation. And in humans we see the same thing. So, you know, if you look at like primitive man, right, they arguably would spend the day gathering food to prepare a meal in the late afternoon, probably fueled by some type of leftovers they had for breakfast in the morning. And so our natural pattern probably matches those of pigs reasonably well. So eating a solid breakfast, either before or after workout, having something like a light lunch and a nutrient dense dinner, not too late, not too far before bedtime, or not, I'm sorry, not too close to bedtime, seems to be a pretty good idea. Now, pigs that are fed a hyper processed diet, a diet rich in, in foods that are easily broken down, high in sugar, high in fats, these pigs actually tend to see no surprises here, a pretty significant increase in weight gain and adiposity. As do pigs who are eating a hyper processed diet that is imbalanced in terms of micronutrients. The thing is, it's very difficult unless you're taking a lot of supplements to eat a hyper ultra processed diet and have normal physiology and metabolism. So the idea is that if pigs are eating a large variety of whole foods, low in glycemic index, high in resistant starches and controlled in calories, we humans should be trying to do the same thing as well. So if we feed pigs, or as we've seen now, young humans, hyper processed foods that are easy to break down, not only is it very easy to overeat a lot of calories before you're incretin hormones which control your appetite kick in, but it's also horrific for, especially in a young child, the growth of the teeth, the jaw, the bones, the structuring of the face, the chewing muscles, the satiety that can occur when you're chewing, the production of digestive enzymes and hormones related to digestion that can occur when you're chewing your food adequately. So ultimately the idea here is that hyper processed food is bad for a pig, as is food low in micronutrients. And it is for you as well. In addition to that, pigs have a high amount of fiber in their diet for their gut microbiota. And I'm certainly not fiber phobic. I think that it can cause a high amount of fermentation flatulation in some people. So you may need to choose your fiber sources accordingly and possibly try something like a low fodmap diet. But fiber is another hyper present component in a pig's diet. Next, the Mediterranean diet. Right. Textbooks will claim that the Mediterranean diet yields health benefits because of the consumption of olive oil and fish for the oleic and omega 3 fatty acids combined with vegetables and beans that are low in the glycemic index and whole grains. Well, it turns out that pigs also thrive on a very similar diet. And interestingly, in pork production, you may have experienced this if you've gone to a fancy restaurant and ordered a pork chop that is made of Iberica pork or what's called a Patanegra pig. These pigs are fed mostly acorns. Acorns are a very rich source of tannins. And the thing is that they simulate many of the same benefits of a Mediterranean diet. When they're fed to pigs, the pigs consume. You get a great tasting pig with a really healthy fat content. And it turns out that in humans, your own fat content and your own composition, although hopefully no one's going to eat you and turn you into into a pork chop, is best achieved through some semblance of something like a low glycemic index fiber rich Mediterranean diet. Now, interestingly, I talked about this with the guy who runs, his name's Brad. He runs a fire in a bottle podcast and website. We did a whole show about his croissant diet, rich in a lot of stearic acids. And we also talked quite a bit about pig and pig based fats. And the thing is that in, in pork production there are swine farmers. Swine, swine farmers, that's a tongue twister who will incorporate mayonnaise in the diets of their pigs because mayonnaise is high in unsaturated fatty acids, meaning it's liquid at room temperature. Now these unsaturated plant oils are something that society has been pushing for some time to replace animal fats like dairy based butter being replaced by plant derived margarine because the margarine has more un unsaturated fat, so it's easier to spread on bread. But we also know that these type of unsaturated fats are way more prone to produce free radicals during their oxidation. And so unsaturated fatty acids susceptible to oxidative damage, in contrast to more stable saturated fats, may pose some challenges to the body in terms of oxidative stress. Now, at the same time we also see that high saturated fat intake and there's actually a very interesting article that just came out that I'll link to in the show notes showing that if you're eating a low carb, high fat diet, but the high fat diet is comprised of a lot of oxidized fats or a high amount of saturated fats without much fiber and, and, and plant based compounds, it's actually pretty bad for you. The same can be said for pigs, the same can be said for humans. So technically you should avoid a high intake of unsaturated fatty acids, acid susceptible to oxidative damage. But at the same time, if you're eating a high intake of animal fats or saturated fats, you need to take into account all the other aspect of a pig's diet, namely the fiber intake, the low glycemic index, carbohydrates, the micronutrient density, the Mediterranean diet type of approach. I think that in most people, saturated fats painting with a pretty broad brush, even though you can again get a genetic test to look, look at this. I think that most people generally do best with about 8 to 10% of their total fat intake made up of saturated fats, and the rest composed of more monounsaturated and stable polyunsaturated fatty acids, extra virgin olive oil, avocado oil, macadamia nut oil. There's a guy interviewed on the podcast named Andreas who has a company called Andreas Seed Oils, which are cold pressed oil oils. All of those would be good and then dress it up a little bit here and there with like some bone marrow, some grass fed butter, some coconut oil, and some sources of fats that are, that tend to be a little bit more saturated. So I kind of just like scratch the surface of what is in this eat like a pig type of article. But it's very, very interesting just how much correlation there is between pig, pigs and humans and what we can learn from the natural diet of a pig that's not getting obese, getting diabetes and getting cardiovascular disease and how that actually applies to a human. So yes, I think in many cases you should indeed eat like a pig to prevent obesity and heart disease, meaning high intake of fiber, low glycemic index diet, high intake of monounsaturated fats. A Mediterranean esque approach, adjusting your calorie intake based on your level of physical activity during the day, maybe looking at your genetics and adjusting your diet based on your genetics and your metabolism. And then for the children in your life, making sure that they're not born into a high stress, low oxygen poor, micronutrient type of environment. And if they are, they're definitely when they're, when they're, you know, put on their, their diet for life eating a low glycemic index diet. So a lot there I realize, but it's, it's pretty interesting and again, I think you'd love this paper if you, if you read it and I'll link to it in the show notes. So next, and this is the last paper I want to get through before we turn to just a couple of the questions that I want to address real briefly now. This, this, this is interesting because there's been a lot of chatter about this recent study that came out entitled Low Carbohydrate Diets, Low Fat Diets and mortality in Middle Age and Older People, a prescribed prospective cohort study. Now the reason this has been getting a lot of attention is because it investigated the effectiveness of low carb diets and low fat diets for weight loss and cardiovascular benefits. What the news media headlines are mostly showing you is that it influences indicated that a low fat diet was far healthier than a low carb diet. And indeed a low fat diet could decrease the risk of early death by up to 34% while a high fat or keto diet could raise mortality risk by almost 30% even compared to a high carb intake. And for many of you who are on the low carb control your blood glucose, low glycemic variability, fight diabetes with more fats and less carbs bandwagon, this could be shocking news. However, very few people actually click through and read the actual study. I went through and read this thing cover to cover, so to speak, and they left out some pretty important parts in terms of the way that the news headlines treated this study. So first of all, yes, a high fat diet was found to be more deleterious compared to a high carb diet if and if the high fat diet was comprised of unhealthy carbs, a low amount of plants and a high amount of oxidized fatty acids and or saturated fats. Exactly what I was getting at when I was talking about that pig based diet. Now, a healthy low carb diet with adequate fatty acids, with adequate plant proteins, with adequate amounts of fiber, etc. Actually did not appear to be an issue at all in this study. Adequate protein was another factor for that to be the case because this study actually looked at both healthy and unhealthy low carb diets. Everything that all of the news headlines were saying about a low carb diet being inferior to a low fat diet failed to differentiate what this study found. When it came to a healthy low carb diet versus a healthy low fat diet, there were actually not a lot of advantages of either approach, provided that the diet itself was healthy. Low glycemic index, adequate fiber, adequate protein, low intake of saturated fats or oxidized fatty acids. You know, a diet rich in legumes and whole grains and nuts and plants. And it turns out that the problem here is the whole dirty keto approach, right? Extremely high intake of saturated fats, sometimes no attention paid to vegetable oils. You're just going to the fast food restaurant and having a couple burgers that you rip the buns off of and you throw away the french fries and maybe have a little bit of extra ketchup on the side and a piece of, you know, of a very humble butter lettuce. So the idea here is that yes, you can be healthy on a low carb diet, but you need to make sure that it is comprised of a lot of healthy foods. It is only the unhealthy so called dirty keto low carb diets that appear to be an issue in the same way that fructose only appears to be an issue when conceived or when consumed in caloric excess. So I think that if I did not have access to healthy foods, I would actually eat a lower fat, higher carb diet. I just keep things super simple. Rice, fruit, honey, you know, a salad here and there. And I'd avoid oxidized fats, I'd avoid poor quality meat, I'd avoid super high intake of saturated fats diets, I'd avoid a low intake of fiber. But if I could have my cake and eat it too, and this is what I've said many times on the podcast, and I'll end with this before addressing a couple of questions. I think one of the healthiest diets on the face of the planet, painting with a broad brush for a very large number of people from an epidemiological standpoint, is some semblance of a Mediterranean diet that is controlled in terms of the amount of ultra processed foods, sugars, and rapidly digestible starches. So some semblance of something like a low carb or a low to moderate carb Mediterranean diet with a whole bunch of healthy fats. If you just had to choose one diet, that's the one that I would eat. If you didn't know anything about your body, but you just kind of wanted to blindfolded, throw a dart at what you think could actually get by in life with a low risk of disease. So that being said, remember folks, read the whole paper. This paper actually had both an unhealthy low carb diet and a healthy low carb diet arm. And the healthy low carb diet arm turned out to be associated with lower total mortality risks. So something good to know. All right, I want to briefly address a couple of questions, and I'm going to be pretty brief on these. The first is from Michael. Michael says, I have questions about Dr. Davis's Sibo yogurt and the oregano protocol. I think I could benefit from both, but should they be separated or could I do the both of them in four weeks? This is important. It's kind of a classic question I've gotten a few times, and that is whether or not oregano kills off the good bacteria in the gut. The fact is, despite many natural news websites telling you that oregano somehow magically and intelligently, only allows the good bacteria to survive and just kills the bad bacteria. Well, oregano oil has some pretty potent antimicrobial properties. That's why it can be good for parasites and pathogenic bacteria. But it's effective. And multiple studies have shown this research in microbiology, that gram positive and gram negative bacteria are both killed off or damaged by oil of oregano. Now, it doesn't damage your gut walls. As a matter of fact, oil of oregano can help to prevent leaky gut, which is a problem that occurs when gut walls are damaged and creates holes that leak toxins in your body. So oil oregano can help with that. But pathogens suffer death from oregano oil and so does bacteria, thanks to its carvacryl component. So carvacrol significantly alters the bacterial cell wall, damages it in such a way that the bacteria's defenses, the shield wall is lowered. And then the oregano oil components, like the calcium and the intracellular substances, those attack and kill off the rest of the bacteria. And that can include the good bacteria. So basically what this means is that not only should you not consume oil of oregano at the same time, as you're taking your expensive Probiotic, but you should time your oil of oregano separately from something like high intake of fermented foods, yogurt, etc. Because it can kill off probiotics and good bacteria. So preferably, you should separate oil of oregano intake with any probiotic or fermented food by about, about two to four hours. You shouldn't take excess oil oregano in the same way. I don't think you should use excess, let's say ozone oil capsules because both of those can nuke the good bacteria in the gut. And so I do think oil of oregano is fantastic, but you want to separate it from fermented foods and probiotics by about two to four hours, preferably. And that's just how long it takes for the probiotics and the fermented foods to kind of empty out of your gastrointestinal tract before Oliver Reyno can can catch up and kill them off. Now, the Sibo yogurt, I have to mention that real quick because those of you who haven't heard about it, you got to listen to my podcast with Dr. William Davis. He talks on that podcast about the fact that he has worked with a lot of people with SIBO and even with cardiovascular disease, risk poor sleep, et cetera, and found that a certain bacterial strain called L. Rooteri can actually eradicate SIBO and cause a horrible a whole bunch of other beneficial side effects it can affect like restless leg syndrome and irritable bowel syndrome and fibromyalgia. And even the oxytocin that it produces can be fantastic for dream cycles and sleep parameters. And he shares this whole homemade yogurt recipe. Ever since I found this recipe two years ago, I actually, or somebody in my house makes it about every two weeks. It's a 36 hour fermentation process with a strain of bacteria called L. Rooteri. The SIBO version of this actually uses not just L. Rootari but lgasseri and Bachelor's coagulans, two other types of bacteria that help to control Sibo. So you're either doing a 36 hour fermentation using goat milk or coconut milk or whatever with one bacterial strain if you want the normal yogurt or three bacterial strains, I'll link to the paper on how to do this and the article about how I make this yogurt in the show. Notes, notes. But you ferment it for 36 hours, which gets you a super high bacterial count for like pennies on the dollar compared to what you'd spend for these expensive probiotics. And then when you're almost out of the yogurt, you just use a couple spoonfuls of it to repeat the cycle, start over again and make a new batch, just like you would do with Kombucha or kefir. It is one of the hollowed items in my refrigerator in a large glass mason jar. This yogurt I have have several spoonfuls of it throughout the day. And if you want to better wrap your head around it, how to make it and what it does, go listen to my podcast with Dr. William Davis, which I'll put in the show notes. But I definitely do not, for the reasons I've just stated, take something like oil of oregano or ozone oil or anything like that at the same time that I take that yogurt because I want to keep all those baby bacteria alive. The other thing that you should know is I recently stumbled across a supplement that apparently Dr. William Davis advised the making of this supplement. It's a blend of L. Rooteri, astaxanthin and hyaluronic acid. Because they found that Dr. William Davis yogurt was super good for the gut skin axis. And so what they did was they made this supplement. They combined it with collagen hydrolysates, which support collagen density and skin moisture and elasticity. They added hyaluronic acid, which helps with things like wrinkles and more radiant skin. They threw in astaxanthin, which is like an edible sunscreen with really good antioxidative effect for the skin, and then they have it in a capsule. Since I don't take or make my Sibo yogurt on the go, I'm now throwing a bottle of this stuff in my bag when I travel. So now I can get the benefits of this fantastic L. Rooteri bacteria and this oxiseutic stuff. It has a 40 million CFU count, or, I'm sorry, 40 billion CFU count, which is significant. And so I eat the yogurt when I'm at home and then this stuff, I'll link to it in the show notes made by Oxy Suitx. It's called Gut to Glow. I really didn't start taking it for the skin. I was just like, hey, I want to take something that's well formulated that Dr. Davis helped to make and that I can just take with me on the go when I don't have the time to make the yogurt or don't want to throw a giant mason glass jar of yogurt in the cooler. And try and sneak that through tsa. So basically that stuff's called Gut to Glow. And I'll link to my podcast in my articles about Dr. William Davis and the Sibo yogurt in the show notes. And then final last question. We'll keep this super quick. You may have heard me interview Michael Chernow. He makes this overnight oatmeal called Creatures of Habit, which is fantastic. It's like this very simple oatmeal packet with a whole bunch of superfoods and chia seeds and pumpkin seeds, and you just pour it into something like a mug or a glass jar jar, add some hot water or what I do is a little apple cider vinegar and water and I soak it in the refrigerator overnight and make overnight oatmeal. Brandon wrote in and said, isn't their product against what is considered healthy? All their oats have sunflower oil in them. You've taught me to avoid these oils. I'm so confused. Well, first of all, when it comes to their oats, because I asked, they're glyphosate free oats and then sunflower oil. It depends. I would not recommend high intake of sunflower oil in general just because of the linoleic acid acid content. But there's three different types of sunflower oil, each with a different fatty acid composition. So you have high linoleic sunflower oil, which is 70% linoleic acid, extremely high in omega 6 fatty acids, but also pretty sensitive to oxidation and temperature damage. Okay. Then we have mid oleic and high oleic sunflower oil that has more of the beneficial oleic acid and higher omega acid, a 9 fatty acid content, meaning that the fatty acid composition of a mid oleic and high oleic sunflower oil is superior to that of the high linoleic sunflower oil. And then finally you have high steric or high oleic sunflower oil, and that's solid at room temperature because of the stearic acid. It's that same type of fat that I was talking about in the pigs earlier that's often used in ice creams and packaged foods and industrial frying because it's a stable AT agent. Now, it's my understanding that the, the Creatures of habit overnight Oatmeal uses the sunflower oil varietal that is higher in the oleic acids and lower in the linoleic acids. And so I'm comfortable consuming this stuff. I again would not, I wouldn't recommend that you overdo your intake of sunflower oil in general because there is a drawback when you get to the very, very high levels of linoleic acid. But as a matter of fact, sunflower oil is rich in vitamin E. It can help even moderate amounts of linoleic acid can help to reduce LDL cholesterol and blood pressure. It can be really good for the skin and it can also help with infections because linoleic acid and oleic acid have anti inflammatory and immune boosting and infection fighting properties. And so I'm okay with low to moderate amounts of a healthy form of a sunflower seed oil. But again, you just want to make sure that you're sourcing it properly. And I know Michael Chernow. I interviewed him on the podcast. He's very committed to high quality ingredients and I wouldn't worry about having like a packet of this overnight oatmeal on it on a daily basis, for example. So gosh, we're running out of time. I actually have a phone call. I got to be on in five minutes. So I'm gonna have to wrap this bad boy up. Tell you guys what. I'm gonna link to everything I talk about in the show notes notes@bengreenfieldlife.com 458 that's bengreenfieldlife.com 458. You can also leave your question over there. There's a video version of this podcast if you'd just like to see my talking head chatting at you, my wide open gaping maw. And if you like this episode, leave us a leave us a kind review wherever fine find podcasts are found. Leave a comment in the show notes. I actually read them all. I love to read your guys's comments and see what you think and see what your questions and see what I did or didn't say the right way that you wanted to you wanted to hear about. And so you can go to BenGreenfieldLife.com458 I hope you enjoy these solo sodes. It's it's actually really fun for me to just get on here by myself and talk with you guys about a whole bunch of stuff I've been wanting to talk to you about. I promise you way more on the heart health front to come. I'm going to have at least a couple of podcasts that take a deep dive into diagnostic imaging statins, heart health in general on the show. But before I'm even in the process of establishing a pretty sweet partnership with a company that actually produces like these shotgun formulas for arterial scrubbing and heart health and so all sorts of cool things happening on the heart health front, so stay tuned for that. But in the meantime, you can visit BenGreenfieldLife.com458 for the show notes and all the goodies. Thanks for listening. Until next time, have an amazing.

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