Latest / Stuff You Should Know / The Inflammation Theory of Disease
Transcript
- 0:01Speaker 1: Welcome to Stuff You Should Know, a production of iHeartRadio.
- 0:11Speaker 2: Hey, and welcome to the podcast. I'm Josh, there's Chuck.
- 0:14Speaker 2: Jerry's here. We're all swollen in red and that makes
- 0:17Speaker 2: this a brand new episode of Stuff you Should Know.
- 0:21Speaker 1: You know, I haven't told you this yet, but this
- 0:24Speaker 1: is a very special episode, my friend. Oh yeah, because hopefully,
- 0:29Speaker 1: if all goes well, this is the very last episode
- 0:33Speaker 1: I will be recording in my basement.
- 0:36Speaker 2: Oh. This is the end of an era.
- 0:38Speaker 1: Chuck, the end of an era that started obviously in
- 0:43Speaker 1: March twenty twenty and it's been three just a little
- 0:48Speaker 1: over three years in the dark basement.
- 0:53Speaker 2: Dank. Don't forget Dank.
- 0:54Speaker 1: It is dank, and I am very excited. You know this,
- 0:57Speaker 1: But I'm going to be moving into my my brand
- 1:00Speaker 1: new home studio. That is a very cool space that
- 1:05Speaker 1: is built under my staircase.
- 1:08Speaker 2: I have two words to describe it, high falutin.
- 1:13Speaker 1: Well it was. I was inspired by David Diggs. I
- 1:16Speaker 1: saw his He has a record listening room heavy digs
- 1:20Speaker 1: of Hamilton Fame and other things. But he has a
- 1:24Speaker 1: record LP vinyl listening room glassed in and built in
- 1:28Speaker 1: under his staircase and I was like, oh wow, I
- 1:33Speaker 1: see the future.
- 1:34Speaker 2: Yeah, that's pretty good. Plus also nobody knows what to
- 1:37Speaker 2: do with the under the staircase thing.
- 1:39Speaker 1: That's a great use of it wasted space. So now
- 1:41Speaker 1: there's a recording studio under there. Jerry is coming over
- 1:45Speaker 1: tomorrow with our colleague Josh Than Yeah tech tech wizard,
- 1:51Speaker 1: and they're going to get it all set up and
- 1:53Speaker 1: we're going to do some testing. And I'm just super
- 1:57Speaker 1: excited to be moving into a bright, well lit, beautiful space.
- 2:01Speaker 1: And I will put pictures of this studio on my Instagram.
- 2:06Speaker 2: Chuck the podcaster, be sure to like be squinting from
- 2:09Speaker 2: the new light that you're exposed to you in your
- 2:12Speaker 2: new setup.
- 2:13Speaker 1: And also very quickly. I don't know if you've checked
- 2:15Speaker 1: your mail or where your Governor's award was being shipped,
- 2:19Speaker 1: But mine just got here today, buddy.
- 2:21Speaker 2: Yeah, mine says it's on the way according to fed X.
- 2:25Speaker 1: Yeah, so we got the Governor's award. They shipped them
- 2:27Speaker 1: to us and I just unboxed it and it's really
- 2:30Speaker 1: cool and heavy and feels like a real award. And
- 2:33Speaker 1: that is going to be displayed in the new studio.
- 2:36Speaker 2: Oh yeah, totally. Well, congratulations Chuck on your award.
- 2:39Speaker 1: I'm very very well you got the award too.
- 2:42Speaker 2: Sure I can still congratulate you, and congratulations on what
- 2:45Speaker 2: you thought. I was congratulating you on your new setup.
- 2:48Speaker 1: Some may say that you are more than fifty percent
- 2:50Speaker 1: responsible for that award.
- 2:53Speaker 2: No, no, exactly fifty percent down the middle, where's Jerry Finnet? Oh, man,
- 2:59Speaker 2: geez the b it's ten percent. I hate fractions because.
- 3:02Speaker 1: You know we always go one hundred and ten percent.
- 3:04Speaker 2: Yeah, I guess. I guess we're each thirty three and
- 3:06Speaker 2: a third responsible for it. And then who knows who's
- 3:09Speaker 2: making up that extra hundredth of a percent?
- 3:12Speaker 1: All right, So anyway, announcements are out of the way.
- 3:15Speaker 1: Let's talk inflammation.
- 3:17Speaker 2: Okay, that's that's the most straight ahead segue I've ever
- 3:21Speaker 2: heard us too, But thank you for that, because we
- 3:23Speaker 2: are talking about inflammation, and I think everybody's basically heard
- 3:26Speaker 2: of inflammation. But the inflammation that you've heard of is
- 3:29Speaker 2: like what happens when you sprain your ankle or cut
- 3:31Speaker 2: your finger or something like that. Yeah, what we've discovered
- 3:34Speaker 2: is that there's another kind of inflammation. It's the same inflammation,
- 3:38Speaker 2: but there's just different parameters to it that take it
- 3:42Speaker 2: from being like a really important part of a healthy
- 3:45Speaker 2: immune system and turn it into a thing that will
- 3:50Speaker 2: kill you basically over time. And it's actually they're finding
- 3:55Speaker 2: that inflammation is a common factor in so many different diseases,
- 4:00Speaker 2: from heart disease to depression to diabetes, all sorts of stuff,
- 4:09Speaker 2: I mean, just the gamut types of cancer. That there's
- 4:12Speaker 2: they basically come up with a new unifying theory of disease,
- 4:16Speaker 2: the inflammation theory of disease that if you if you
- 4:20Speaker 2: look close enough, in almost any especially noncommunicable diseases, but
- 4:24Speaker 2: those two there, there's inflammation and that that's really what's
- 4:29Speaker 2: screwing you up.
- 4:30Speaker 1: Yeah, that's it. Goodbye, goodbye. Yeah. It's called chronic inflammation.
- 4:36Speaker 1: And the word inflammation and big thanks to Dave Ruse,
- 4:39Speaker 1: yeah for this. This is very thorough.
- 4:42Speaker 2: I thought of biblical time machine fame.
- 4:44Speaker 1: That's right. The word inflammation is Latin and root of
- 4:49Speaker 1: course in flammatio, and it means to ignite or to
- 4:53Speaker 1: set fire in Latin. And that is really kind of
- 4:57Speaker 1: straight down the middle as far as what inflammation and
- 5:00Speaker 1: feels like, and in fact, the descriptors of the four characteristics,
- 5:06Speaker 1: and we'll touch on the fifth of inflammation goes all
- 5:09Speaker 1: the way back to our old buddy Galen, the Roman
- 5:13Speaker 1: physician from the first century AD.
- 5:15Speaker 2: He pops up almost as much as our friend Pliny.
- 5:19Speaker 1: Did they know each other, Were they contemporaries?
- 5:22Speaker 2: There's plenty I don't. Well, Pliny was in the first
- 5:26Speaker 2: half of the first century, I think, and yeah, I think. Yeah,
- 5:30Speaker 2: they were probably good friends.
- 5:32Speaker 1: They were drinking buddies.
- 5:33Speaker 2: They probably played cornhole together.
- 5:37Speaker 1: That has many implications. I know, they might beat beer drinkers,
- 5:42Speaker 1: they might have their Saturday spree.
- 5:45Speaker 2: What else.
- 5:46Speaker 1: They might be handy with a saw so they build
- 5:50Speaker 1: their own. Sure, they may like football games and tailgating.
- 5:54Speaker 2: Yeah, there was a lot wrapped up in corn hole playing. Yeah.
- 5:58Speaker 1: So Galen is the one who who kind of nailed
- 6:00Speaker 1: it out of the gate way back then and said
- 6:02Speaker 1: that if you are inflamed, you will have redness, you
- 6:06Speaker 1: have swelling, Sure, you will have heat check, you will
- 6:10Speaker 1: have pain out, and then you have My friend Josh
- 6:14Speaker 1: emailed me today and just saying no, Josh Clark and
- 6:19Speaker 1: said that there's also a fifth one, buddy, and you
- 6:23Speaker 1: have loss of function. But I'm going to amend your
- 6:25Speaker 1: email to impaired function, okay for reduced function.
- 6:29Speaker 2: Yeah, which is like if you have if you have
- 6:32Speaker 2: that sprained ankle and it's inflamed, you're not walking around
- 6:35Speaker 2: on that ankle, you're basically not using it for the
- 6:38Speaker 2: time being, or you're barely, very gingerly using it. So yeah,
- 6:41Speaker 2: impaired function makes actually a lot more sense. Way to go.
- 6:45Speaker 1: Sure, and this is all good stuff like this acute inflammation.
- 6:48Speaker 1: And we've talked about it before plenty of times, and
- 6:51Speaker 1: oh boy, lots of podcasts pollin autoimmune disorders, like actually
- 6:57Speaker 1: autoimmune you probably touched on it, but that's as we'll
- 6:59Speaker 1: see a different thing. But acute inflammation is a good thing.
- 7:03Speaker 1: This is when your body mounts a defense and you know,
- 7:06Speaker 1: if you sprain that ankle, or if you cut your hand,
- 7:10Speaker 1: or if you have stripped throat or something, then your
- 7:14Speaker 1: body basically says, all right, you know, we need to
- 7:17Speaker 1: go to that wound with a lot of stuff with
- 7:21Speaker 1: T cells, with B cells. I think they're basically all
- 7:26Speaker 1: lumped into this group called inflammatory mediators.
- 7:29Speaker 2: Right, yeah, well they are the ones that release inflammatory mediators,
- 7:33Speaker 2: I believe, So like these are the cells that go
- 7:35Speaker 2: and do stuff like eat other cells or eat pathogens
- 7:38Speaker 2: and spit them out or carry them into the lymph nodes.
- 7:41Speaker 2: But the inflammatory mediators are what they release, and those
- 7:44Speaker 2: are like hormones like histamines and brady Kinan's right. And
- 7:48Speaker 2: then those mediators are the ones that are actually having
- 7:52Speaker 2: like effects on your body. They're the ones that like
- 7:55Speaker 2: dilate your blood vessels to bring more blood to the area,
- 7:59Speaker 2: which makes itmer and red or they also they also
- 8:04Speaker 2: irritate your nerve endings, so that's where the pain comes from.
- 8:08Speaker 2: That's the mediators that are doing all the stuff that
- 8:10Speaker 2: your body is experiencing as like acute inflammation. But they're
- 8:15Speaker 2: brought to that site, I believe, by white blood cells, right.
- 8:18Speaker 1: And the reason and we're saying it kind of like
- 8:20Speaker 1: everyone knows, because I think everyone kind of knows this, sure,
- 8:23Speaker 1: But the reason why your capillaries are expanding around the
- 8:27Speaker 1: ankle sprain or around the cut or whatever is is
- 8:30Speaker 1: basically just saying like, hey, we need to get more
- 8:33Speaker 1: blood there, so take the express train. We're gonna puff
- 8:36Speaker 1: up and no stopping along the way, and let's just
- 8:40Speaker 1: get as much good stuff in there as fast as
- 8:41Speaker 1: we can.
- 8:42Speaker 2: Yeah, which also accounts for fluid collection, which is another
- 8:46Speaker 2: kind of sub feature of inflammation, which which I've never
- 8:51Speaker 2: really thought of before, but it makes sense. And then consequently,
- 8:55Speaker 2: your lymph note do you know when those get kind
- 8:57Speaker 2: of swollen when you're sick, that's because all that inflame
- 9:01Speaker 2: stuff that those macrofages are eating and carrying out take
- 9:05Speaker 2: them to the lymph nodes, and your lift notes get
- 9:08Speaker 2: swollen from over work and eventually go back down once
- 9:12Speaker 2: they drain out all of that crud. And the same
- 9:14Speaker 2: thing to you also chuck for your running nose.
- 9:17Speaker 1: My running knows that I have right now.
- 9:19Speaker 2: Yes, it's because your mucous membranes are inflamed, and by
- 9:24Speaker 2: bringing more fluid to the site, it's easier to more
- 9:29Speaker 2: quickly flush out all that crud.
- 9:32Speaker 1: Yeah. Do you remember when I went to the hospital
- 9:34Speaker 1: in New York when we were had our initial book
- 9:39Speaker 1: push that didn't become the book.
- 9:41Speaker 2: Yeah, with our buddy Steven. I was thinking about it.
- 9:43Speaker 2: Not a week ago.
- 9:44Speaker 1: Really, Yeah, So remember I went to the hospital. What
- 9:48Speaker 1: hospital was it, I can't remember, you know, one of
- 9:50Speaker 1: the New York City hospitals, right like Manhattan. Yeah, it
- 9:54Speaker 1: was what did I end up having I can't even
- 9:56Speaker 1: remember now.
- 9:57Speaker 2: I thought it was like a like some sort of
- 9:59Speaker 2: terrible astritis or something like that.
- 10:01Speaker 1: I don't remember. That probably blocked it out of my mind.
- 10:05Speaker 1: But long story short, after they had sort of healed
- 10:08Speaker 1: me from this and they were like, all right, you
- 10:09Speaker 1: can go. And I woke up from my drug induced
- 10:13Speaker 1: stupor in my hospital bed. I felt behind my ear
- 10:17Speaker 1: and I had a like a ping pong ball behind
- 10:20Speaker 1: my ear.
- 10:20Speaker 2: And I was like so disconcerting, what is this?
- 10:23Speaker 1: And I would go to the nurse and I was like, hey, man,
- 10:25Speaker 1: what is hair Bab Sammy Davis Junior hair Bab? I
- 10:29Speaker 1: have a golf ball behind my ear? And he he was.
- 10:33Speaker 1: He kind of gave me a look like what is
- 10:35Speaker 1: it with you? Like are you a hypochondriac? And I
- 10:38Speaker 1: was like, no, dude, look at it. It's huge. And
- 10:41Speaker 1: I think he could just sort of dismissed it and
- 10:42Speaker 1: was like, yeah, it's probably just some sort of a
- 10:44Speaker 1: swollen node from whatever this was, and you don't worry
- 10:49Speaker 1: about it.
- 10:49Speaker 2: Yeah. No, I remember you coming to lunch and being
- 10:51Speaker 2: like I was just roundly mistreated by like this nurse.
- 10:55Speaker 1: Who was he was great actually, but he was just
- 10:57Speaker 1: basically like, don't sweat it, please leave. We need Yeah,
- 11:00Speaker 1: for sure, But anyway, that was my body again, just
- 11:04Speaker 1: puffing up when something happened exactly.
- 11:07Speaker 2: So that's part of your acute immune response. You get
- 11:10Speaker 2: dilated blood vessels, you get more blood there, it's easier
- 11:13Speaker 2: for the white blood cells to get in and out
- 11:15Speaker 2: of those vessels. You got irritated, nurse, you have pain,
- 11:18Speaker 2: you got fluid collecting all the stuff that happens when
- 11:21Speaker 2: you cut yourself or you sprain an ankle. I don't
- 11:24Speaker 2: know why I keep going to that, but it's a
- 11:26Speaker 2: good one. It's a good one, and that's normal. That's
- 11:30Speaker 2: your acute immune inflammatory response. Is that's a normal part
- 11:35Speaker 2: of getting rid of a pathogen or treating an injury
- 11:38Speaker 2: or a good thing like that. Yeah, your body's under
- 11:40Speaker 2: some sort of stress and your immune system goes swarm
- 11:44Speaker 2: swarm and inflames the area to help repair it more.
- 11:48Speaker 2: It also one of the reasons why it gets warm
- 11:51Speaker 2: and one of the reasons also why you might feel
- 11:53Speaker 2: tired if you have a particularly bad infection, is because
- 11:56Speaker 2: your body is diverting a lot of your energy and
- 12:00Speaker 2: tabolism too, fighting off whatever that is or treating that site,
- 12:04Speaker 2: whatever it is, so you don't have like the energy
- 12:07Speaker 2: to do cartwheels or anything because it's being used otherwise, again,
- 12:12Speaker 2: totally normal. The problem is is if this keeps going on,
- 12:17Speaker 2: even if it drops down to a lower level, if
- 12:20Speaker 2: it continues long after it should have stopped, now you've
- 12:24Speaker 2: got problems. And this is the basis of that unified
- 12:27Speaker 2: theory of disease, that chronic inflammation, systemic chronic inflammation that
- 12:31Speaker 2: you're talking about.
- 12:32Speaker 1: Yeah, sci or ci ski Ski that's what they call them.
- 12:40Speaker 1: The BIZ Sure one example of this, and we're going
- 12:42Speaker 1: to go over a lot of different examples, but one
- 12:45Speaker 1: example is, you know, sometimes you have infections that don't
- 12:48Speaker 1: go away and your body mounts that immune response, but
- 12:51Speaker 1: it's not just like, okay, we cured your or we
- 12:55Speaker 1: got rid of your bronchitis for an now or whatever.
- 12:58Speaker 1: There are long term infections that are very persistent. Hepatitis
- 13:02Speaker 1: is one, HIV is another, they think long COVID maybe another.
- 13:07Speaker 1: Where your body has this immune response and it mounts it,
- 13:11Speaker 1: but it doesn't go away completely, so it doesn't wipe
- 13:14Speaker 1: out all those pathogens and so it just stays around.
- 13:18Speaker 1: So your body has sort of a low level inflammatory
- 13:22Speaker 1: response always happening in the case of these long term infections,
- 13:26Speaker 1: and your body is just sort of constantly trying to
- 13:30Speaker 1: fight it.
- 13:31Speaker 2: Right, So that's one that's a you can at least
- 13:34Speaker 2: trace it back to a cause in that instance. Right. Yes,
- 13:38Speaker 2: there's another thing that triggers chronic systemic chronic inflammation. That's
- 13:42Speaker 2: oxidative stress, which we talked about in our Free Radicals episode.
- 13:46Speaker 2: Is the free radical theory of aging. Wrong, Remember it
- 13:49Speaker 2: came out but in the last couple of years.
- 13:50Speaker 1: Right, it's a good one.
- 13:51Speaker 2: Yeah, it was. But we talked about oxidative stress, which
- 13:54Speaker 2: is where free radicals these radically free little molecules that
- 14:01Speaker 2: borrow electrons from whatever is around it. They're super reactive molecules,
- 14:06Speaker 2: and by borrowing an electron, that cell or that other
- 14:09Speaker 2: molecule needed that electron. So it's now in disrepair, it's
- 14:15Speaker 2: not functioning correctly, maybe it's dying. It's a problem. And
- 14:19Speaker 2: free radicals another term from is reactive oxidative species, reactive
- 14:24Speaker 2: oxygen species. I think they're normal, like we produce those
- 14:29Speaker 2: just from everything from like breathing to the immune system. Right,
- 14:34Speaker 2: but they're supposed to be in balance. We have antioxidants
- 14:38Speaker 2: naturally produced, and we can also absorb them from food
- 14:41Speaker 2: that neutralize them. They go up to them, they say,
- 14:43Speaker 2: take my electron, and they're now neutralized. They're not going
- 14:46Speaker 2: to take it from a nearby cell or something like that.
- 14:49Speaker 2: If that gets out of balance, you've got oxidative stress
- 14:53Speaker 2: where you have more cells than you should being damaged
- 14:56Speaker 2: by these free radicals because you have more free radicals
- 14:58Speaker 2: than you should. And then the immune response says, we
- 15:02Speaker 2: got a problem over there. Let's get this area inflamed.
- 15:05Speaker 2: That's right, and that's oxidative stress. That's another reason that
- 15:09Speaker 2: you could point to for systemic chronic inflammation. The problem
- 15:14Speaker 2: is chuck. There's also there's also types of chronic inflammation
- 15:18Speaker 2: that have no reason whatsoever, like the body's just not
- 15:23Speaker 2: doing what it's supposed to do. It's basically confused in
- 15:26Speaker 2: your suffering as a result.
- 15:28Speaker 1: Yeah, and we talked about, you know, autoimmune disorders, and
- 15:33Speaker 1: we haven't done one on rum it's what arthritis yet,
- 15:35Speaker 1: but I think that's probably coming.
- 15:37Speaker 2: Sure.
- 15:37Speaker 1: Lupus is another example. I mean, we talked about allergies
- 15:41Speaker 1: and how that's that's an overblown immune response to yourself. Yeah,
- 15:47Speaker 1: so in these cases, you're you know, your white blood
- 15:49Speaker 1: cells are being dispatched to you know, whatever you would
- 15:53Speaker 1: consider like the point of origin. I guess, and the
- 15:57Speaker 1: body makes a mistake and said, all right, well I
- 15:59Speaker 1: gotta I gotta start inflaming myself, and it inflames healthy
- 16:04Speaker 1: tissues and healthy organs, and a lot of damage can
- 16:07Speaker 1: be caused in a big, big way.
- 16:10Speaker 2: Yeah, because again, like this immune response, this inflammation shouldn't
- 16:15Speaker 2: be happening anyway. It's targeting healthy stuff. It's turned on itself.
- 16:19Speaker 2: Your body's turned on itself. That's problematic in and of itself.
- 16:23Speaker 2: But because your body's still producing all the same things
- 16:26Speaker 2: that your immune system is now mistaking as like foreign
- 16:29Speaker 2: invaders or pathogens, it's constantly going to be mounting this
- 16:34Speaker 2: inflammatory response, and so you're going to have systemic chronic
- 16:38Speaker 2: inflammation from that as well.
- 16:40Speaker 1: All right, shall we take a break, I think so
- 16:43Speaker 1: all right, we're gonna take a break. I'm gonna move
- 16:45Speaker 1: into the new studio. Oh wait, best tomorrow, sorry very eager.
- 16:49Speaker 1: Oh wait, we'll be right back. All right, So we're
- 17:19Speaker 1: back talking inflammation. This is Inflammatalk with Josh and Chuck
- 17:25Speaker 1: and not every chronic disease or everything that can kill
- 17:30Speaker 1: you is linked to chronic inflammation. But yeah, you go
- 17:34Speaker 1: over the list, it's like the most the major killers
- 17:39Speaker 1: of humans you can usually link to chronic inflammation, high
- 17:43Speaker 1: blood pressure, heart disease, type two diabetes, chronic kidney disease, IBS. Inflammatory,
- 17:51Speaker 1: the word is even in there, inflammatory, bowel disease, asthma.
- 17:55Speaker 1: Other you know, we'll talk about lung cancer later and
- 17:59Speaker 1: colon cancer later, but those are a couple of kinds
- 18:02Speaker 1: of cancer. We mentioned rheumatoid arthritis. But there are some
- 18:07Speaker 1: surprising things in here that we're going to go over
- 18:10Speaker 1: here in a few minutes. What is depression, Another is
- 18:13Speaker 1: Parkinson's and dementia yep. And then the final one on
- 18:18Speaker 1: Dave's list, it's a very thorough list, is non alcoholic
- 18:21Speaker 1: fatty liver disease. And this is basically, you know, all
- 18:25Speaker 1: the doctors have gotten together now, they all got together
- 18:28Speaker 1: in one room and they said, we've got a situation
- 18:31Speaker 1: on our hands where we can officially all agree, like
- 18:36Speaker 1: the inflammation theory of disease is sort of coalescing, and
- 18:41Speaker 1: we we're pretty sure about all this.
- 18:43Speaker 2: Right, there's an outstanding chicken or the egg question though,
- 18:46Speaker 2: that they've yet to answer, and that is the inflammation.
- 18:49Speaker 2: Is chronic inflammation the cause of these chronic diseases or
- 18:53Speaker 2: is it a symptom of these chronic diseases And they
- 18:56Speaker 2: don't know yet. I'm going to put a substantial amount
- 18:58Speaker 2: of my money on it's the cause. Yeah, I don't
- 19:02Speaker 2: think it's the symptom. I think the way that we've
- 19:03Speaker 2: been approaching disease is the idea that inflammation would be
- 19:08Speaker 2: a symptom of it, like you have some problem, some
- 19:12Speaker 2: external problem that's coming into your body that's causing wreaking
- 19:16Speaker 2: all this havoc. It's actually not right. So let's say
- 19:19Speaker 2: you're talking about sugar. You eat a bunch of sugar.
- 19:21Speaker 2: The sugar itself is not causing problems in your body.
- 19:25Speaker 2: The sugar is triggering inflammation and chronic inflammation in some cases,
- 19:29Speaker 2: and that's the problem. That doesn't mean sugar is blameless
- 19:32Speaker 2: because your body's still responding to it and it's it's
- 19:35Speaker 2: just going to do that every time you eat sugar.
- 19:38Speaker 2: But it's not the sugar itself. So I think the
- 19:41Speaker 2: inflammation is the cause of the disease.
- 19:44Speaker 1: Yeah, I think I'm with you. Let's go over this
- 19:48Speaker 1: first really interesting example of something that we kind of
- 19:52Speaker 1: thought we had figured out and now we know so
- 19:54Speaker 1: much more about, and that is Alzheimer's disease. I'll give
- 19:58Speaker 1: you a we've do we do one specifically on Alzheimer's.
- 20:03Speaker 2: I think it was dementia. I don't. I think it
- 20:06Speaker 2: was I don't. I don't remember.
- 20:08Speaker 1: Okay, well, I know we've talked about it. But the
- 20:09Speaker 1: quickest refresher Alzheimer's is a type of dementia, and it's
- 20:14Speaker 1: neuronal death. Is what's going on. We have a couple
- 20:16Speaker 1: of things in the brain that function well until they don't.
- 20:20Speaker 1: One is called amyloid beta proteins. These are little clusters
- 20:24Speaker 1: around your neurons in a healthy brain, and they aid
- 20:27Speaker 1: in neural growth and repair, doing a really good job.
- 20:31Speaker 1: But when they become misfolded, then all of a sudden,
- 20:35Speaker 1: it becomes We've talked about amyloid plaques, and that's what
- 20:39Speaker 1: they are. These plaques form and they're basically misfolded versions
- 20:44Speaker 1: of ordinarily good amyloid beta proteins, and these are outside
- 20:48Speaker 1: the neurons. There's also something inside the neurons called taulproteins,
- 20:53Speaker 1: and these are also great. They do great work, big
- 20:55Speaker 1: fan they aid in neuron structure and kind of keep
- 20:59Speaker 1: them nice and strong from the inside. But these can
- 21:02Speaker 1: also become misfolded. But they're misfolded on the inside and
- 21:07Speaker 1: all of a sudden it becomes what's called a neurofibrillary
- 21:10Speaker 1: tangle or a towel tangle.
- 21:12Speaker 2: That sounds bad.
- 21:13Speaker 1: It does sound bad, And we've known for a while now, like, hey,
- 21:16Speaker 1: if you have amyloid plaques and these towel tangles in
- 21:19Speaker 1: your brain, then that is what is causing this Alzheimer's disease,
- 21:25Speaker 1: the type of dementia. But now they've zeroed in and said,
- 21:28Speaker 1: you know what, we think it's really this neuroinflammation that's
- 21:32Speaker 1: going on in the brain that's the real root cause.
- 21:35Speaker 2: Yeah, that's actually a good example of this inflammatory theory
- 21:39Speaker 2: of disease. Creating a chicken or egg question about those
- 21:44Speaker 2: tau tangles and amyloid plaques, Like, we used to think
- 21:47Speaker 2: that that was the problem, but now is that just
- 21:49Speaker 2: a symptom of it. We're not sure. But there's a
- 21:53Speaker 2: couple theories on how neuroinflammation would cause Alzheimer's, specifically and
- 21:59Speaker 2: one of them is that it's based around microglia cells.
- 22:02Speaker 2: We talked about macrophasias that go around and eat like pathogens.
- 22:06Speaker 2: This is the brain's version of that, a really specialized
- 22:09Speaker 2: version that goes around and like cleans up the brain,
- 22:11Speaker 2: eating neurons that are problematic or have stopped functioning or
- 22:16Speaker 2: it's just their time to go. And they do a
- 22:18Speaker 2: really good job normally, but over time, especially when we
- 22:22Speaker 2: get old, those microglia can also turn on healthy neurons
- 22:27Speaker 2: and which would make Alzheimer's and all of the loss
- 22:31Speaker 2: of function and cognitive ability and behavioral changes in autoimmune condition, right, Yeah,
- 22:38Speaker 2: which is not exactly what you think of when you
- 22:40Speaker 2: think of Alzheimer's.
- 22:43Speaker 1: Yeah, But here's the thing is, they've done some interesting studies.
- 22:47Speaker 1: They've done autopsies on patients that have, like you know,
- 22:51Speaker 1: we talked about the build up of these amyloid plaques
- 22:53Speaker 1: and everyone's like, that's what causes Alzheimer's. They've done autopsies
- 22:57Speaker 1: on these brains that had really far gone amyloid plaque
- 23:01Speaker 1: build ups but really not much neuroinflammation going on, and
- 23:05Speaker 1: the patients had no symptoms of dementia in these cases.
- 23:08Speaker 2: But I mean, isn't it possible it's just because they
- 23:10Speaker 2: were dead, they probably didn't have symptoms of anything.
- 23:14Speaker 1: Very funny, Go ahead, all right, Sorry I was holding
- 23:20Speaker 1: for applause. But then they looked at patients with not
- 23:25Speaker 1: very many plaque formations, so you wouldn't think that they
- 23:28Speaker 1: had dementia or Alzheimer's, but they had really high levels
- 23:32Speaker 1: of neuroinflammation. And these people had basically all the signs
- 23:37Speaker 1: and symptoms of advanced Alzheimer's.
- 23:40Speaker 2: That's pretty good evidence of that theory then.
- 23:42Speaker 1: I mean, it's kind of a reversal almost.
- 23:44Speaker 2: Yeah. I saw Another interpretation of the neuroinflammation theory of
- 23:49Speaker 2: Alzheimer's is that those amyloid plaques and tau tangles, right
- 23:54Speaker 2: as they build up in the brain, those microglias start
- 23:56Speaker 2: to attack them and try to clear them out, as
- 24:00Speaker 2: it should do. But because the brain is constantly after
- 24:04Speaker 2: a certain age or or whatever, producing these tangles and plaques,
- 24:08Speaker 2: the microglie are constantly attacking them. So you now have
- 24:13Speaker 2: chronic chronic inflammation in your brain, which is another explanation
- 24:18Speaker 2: of neuroinflammation for Alzheimer's.
- 24:21Speaker 1: Yeah, so like neuronal death happens, let's just face it,
- 24:27Speaker 1: and it happens more as you age. But like these
- 24:31Speaker 1: microglia cells that are misidentifying the normal cells. When I
- 24:36Speaker 1: read this stuff, it feels like science can figure this
- 24:40Speaker 1: out one day. It feels like they just did well
- 24:43Speaker 1: figure out how to fix it. Oh yeah, you know,
- 24:46Speaker 1: I mean, like how to switch something off. And I
- 24:50Speaker 1: know they're getting close with with with a lot of
- 24:52Speaker 1: this stuff, but I don't know, like so much of
- 24:54Speaker 1: this inflammation. As I was reading it, I just kept thinking, like,
- 24:58Speaker 1: they're going to figure this out at some point.
- 25:01Speaker 2: Yeah, And I was wondering, So, Chuck, I don't know
- 25:03Speaker 2: if we said this or not, but there they attribute
- 25:06Speaker 2: fifty percent of the deaths around the world in any
- 25:09Speaker 2: given year to chronic inflammation or a disease that is
- 25:14Speaker 2: connected to chronic inflammation. Right, Yeah, sixty seven million people
- 25:19Speaker 2: died in twenty twenty two. If they can figure out
- 25:22Speaker 2: chronic inflammation, you would ostensibly save the lives of thirty
- 25:26Speaker 2: three and a half million people in a year. Yeah,
- 25:29Speaker 2: which is amazing. But I'm also wondering, like, isn't that
- 25:32Speaker 2: gonna cause like one hell of a population crisis if
- 25:36Speaker 2: we have an extra thirty three million people every year
- 25:39Speaker 2: that we're going to be there previously, and great, their
- 25:42Speaker 2: lives are saved. But I guess my point is not like, oh, no,
- 25:46Speaker 2: they need to die. No, Instead, it's we would actually
- 25:49Speaker 2: need to prepare and look down the road at how
- 25:52Speaker 2: to deal with that because it would be a and
- 25:54Speaker 2: it'd be significant and fast if we figured out chronic inflammation.
- 25:58Speaker 1: Yeah, calling Norman Borlaw right exactly. Yeah, but something will
- 26:05Speaker 1: kill you eventually, but you're right, it would extend lives,
- 26:08Speaker 1: like a lot of lives.
- 26:10Speaker 2: Vastly and also I mean especially in the case of
- 26:12Speaker 2: something No, definitely not, but in the case of Alzheimer's especially,
- 26:17Speaker 2: it would vastly improve later life as well.
- 26:20Speaker 1: Quality of life.
- 26:21Speaker 2: Sure, yeah, I mean just like it'd be like night
- 26:25Speaker 2: and day if we could figure out chronic inflammation, even
- 26:27Speaker 2: for just Alzheimer's.
- 26:29Speaker 1: Yeah, I mean, well, I mean quality of life for
- 26:31Speaker 1: most of these if you talk about something like IBS
- 26:34Speaker 1: or Crohn's disease, like so much of this stuff is, yeah,
- 26:39Speaker 1: stuff that people these chronic conditions people just live with
- 26:41Speaker 1: every day that makes their life miserable.
- 26:43Speaker 2: Yeah. And if you're one of those fiscal conservatives and
- 26:48Speaker 2: you're like I don't care about any of this. How
- 26:50Speaker 2: does this? How are you going to make me care?
- 26:53Speaker 2: Buckle up? In twenty sixteen, just that year, just in
- 26:59Speaker 2: the United States, we spent one point one trillion dollars
- 27:03Speaker 2: directly on healthcare for diseases associated with chronic inflammation. Indirectly,
- 27:10Speaker 2: if you take like lost productivity and all that stuff
- 27:13Speaker 2: into account, it cost us three point seven trillion dollars
- 27:17Speaker 2: in twenty sixteen. Think about what you could do with
- 27:19Speaker 2: three point seven trillion dollars that you just suddenly had
- 27:23Speaker 2: in your pocket because we figured out chronic inflammation.
- 27:26Speaker 1: Yeah, we'd all just get that back, right.
- 27:28Speaker 2: Sure, they just distributed it to everyone, and we would
- 27:31Speaker 2: never have to work again, and things would just keep
- 27:33Speaker 2: going on smoothly.
- 27:34Speaker 1: You know what they in the business they call what
- 27:37Speaker 1: you just did? What hit him in the pocketbook?
- 27:41Speaker 2: Yeah, that makes sense. That's a pretty good term for that.
- 27:44Speaker 1: Yeah, I'll go. People still say pocketbook, right, that's a
- 27:46Speaker 1: modern relevant term. Yeah, Oh, I forgot my.
- 27:48Speaker 2: Pocketbook right in my goloshes.
- 27:51Speaker 1: My goloshes, my pocketbook. Do people not say goloshes where
- 27:54Speaker 1: they say wellies?
- 27:55Speaker 2: Yeah, they say wellies. Now, they definitely don't say rubbers anymore.
- 28:00Speaker 2: That was always weird.
- 28:01Speaker 1: I think yeah, I think that ended in like the
- 28:04Speaker 1: seventies or something.
- 28:05Speaker 2: Probably.
- 28:07Speaker 1: I don't feel like we should take our next break yet.
- 28:09Speaker 1: Do you should we talk about cancer first?
- 28:11Speaker 2: Hold on, I'm looking inside myself. No, I don't think
- 28:15Speaker 2: we should either.
- 28:16Speaker 1: Okay, well let's talk about cancer. We can start it
- 28:20Speaker 1: out with lung cancer. Everyone knows that when you smoke,
- 28:24Speaker 1: you have a pretty decent chance of getting lung cancer.
- 28:27Speaker 1: The question is like, what exactly is going on there?
- 28:30Speaker 1: And it's pretty easy. You inhale smoke along with other
- 28:33Speaker 1: things that are in cigarettes, and that really is going
- 28:37Speaker 1: to irritate the cells inside your lungs. That's going to
- 28:40Speaker 1: trigger that inflammatory response because your body is like, what
- 28:43Speaker 1: is going on? I shouldn't have this thing in my lungs?
- 28:45Speaker 1: And if you do this for years and years and years,
- 28:47Speaker 1: that's called chronic inflammation, and it's going to damage your
- 28:50Speaker 1: lung tissues over time.
- 28:52Speaker 2: Tissues tissue tissue. Sure, But the mechanism even further on,
- 28:57Speaker 2: like a deeper basis, is that smoke contains reactive oxygen species.
- 29:02Speaker 2: So that's going and running buck wild through your lung
- 29:06Speaker 2: tissue tearing stuff up. So not only is it messing
- 29:09Speaker 2: up your cells and creating inflammation some of those cells
- 29:12Speaker 2: it's messing up, it's also messing with their DNA too,
- 29:15Speaker 2: And when cells with broken basically DNA or altered DNA
- 29:22Speaker 2: start dividing and creating new cells, they pass along that
- 29:25Speaker 2: altered DNA. And if the DNA the genes that are altered, say,
- 29:29Speaker 2: are like tumor suppressing genes, all of a sudden, they're
- 29:33Speaker 2: not going to stop dividing. They're going to keep going
- 29:36Speaker 2: and going, and now you have a tumor. So it's
- 29:38Speaker 2: kind of like a one to two punch just from
- 29:39Speaker 2: cigarette smoke.
- 29:41Speaker 1: Yeah. Well, I mean, like we said, the inflammation is
- 29:44Speaker 1: going to increase the blood flow, increase that cell division rate,
- 29:48Speaker 1: so it's just like this sort of cycle spinning in
- 29:51Speaker 1: on itself.
- 29:51Speaker 2: Yeah, and I think the inflammation is kind of like
- 29:54Speaker 2: I think COPD is like the inflammation without the tumor part,
- 29:58Speaker 2: and lung cancer is like the whole package. That's my
- 30:01Speaker 2: take on it.
- 30:02Speaker 1: Yeah. So we mentioned earlier that not all cancers are
- 30:05Speaker 1: due to inflammation, but one we can definitely sort of
- 30:08Speaker 1: look at now is colon cancer. If you have Crohn's disease.
- 30:12Speaker 1: If you have ulcer of colitis, then you are way
- 30:15Speaker 1: more likely to develop colon cancer. And like I said earlier, tho,
- 30:20Speaker 1: the word inflammatory is in the name there. It's an
- 30:23Speaker 1: inflammatory bowel disease because you're once again your immune system
- 30:27Speaker 1: is making a mistake and it's attacking those great healthy
- 30:31Speaker 1: gut microbes that are keeping your gut nice and balanced,
- 30:34Speaker 1: and that is going to cause that inflammation just to
- 30:37Speaker 1: stick around forever. Basically can lead to ulcers as well,
- 30:41Speaker 1: and that again just sort of like the lung cancer
- 30:45Speaker 1: that can damage the DNA in the same way we
- 30:47Speaker 1: were talking about with lung cancer and all of a
- 30:50Speaker 1: sudden you have a tumor.
- 30:51Speaker 2: Yep, And the same process can also happen with chronic
- 30:55Speaker 2: infections like tuberculosis and HPV, which is like I've always
- 30:59Speaker 2: been like, how a virus caused cancer. That's how it creates.
- 31:04Speaker 2: It brings chronic inflammation to the site of the cancer.
- 31:09Speaker 1: All Right, I feel like now we should take the break.
- 31:11Speaker 2: Yeah, I think you're right. I can find that too.
- 31:13Speaker 1: We'll be right back and talk about sort of a
- 31:16Speaker 1: surprising thing and how depression relates to this.
- 31:46Speaker 2: All right, Chuck, So you mentioned depression before the break,
- 31:49Speaker 2: and that is I mean, at least as surprising as
- 31:52Speaker 2: Alzheimer's potentially being caused by chronic inflammation. Agreed, There's a again,
- 32:00Speaker 2: a few interpretations of this that we'll get to. But
- 32:03Speaker 2: the reason that they're like, I really think not for
- 32:06Speaker 2: all of them, but that there's a significant portion of
- 32:09Speaker 2: people with depression who are suffering depression not because of
- 32:13Speaker 2: a neurochemical imbalance but because of inflammation. And the reason
- 32:17Speaker 2: that that group has kind of emerged as a possibility
- 32:20Speaker 2: is because there's always been about thirty percent of people
- 32:24Speaker 2: who've never really responded to SSRIs and other treatments for depression,
- 32:30Speaker 2: other chemical treatments for depression that target neurotransmitters and try
- 32:33Speaker 2: to restore balance in the brain. And if your chemicals
- 32:38Speaker 2: aren't out of balance, you're not going to respond to
- 32:40Speaker 2: those if the problem is that you have neuroinflammation. And
- 32:45Speaker 2: they're saying for at least about a third of people,
- 32:48Speaker 2: it's possible that it's neuroinflammation and causing depression.
- 32:51Speaker 1: Yeah, and you know, there's a lot of things to
- 32:54Speaker 1: go over here. One is, if you have an autoimmune
- 32:58Speaker 1: disorder and it's an autoimmune disorder, that causes chronic inflammation,
- 33:04Speaker 1: then you are way more likely to be diagnosed with depression.
- 33:07Speaker 1: That is again, that's sort of a correlation I guess
- 33:11Speaker 1: that we can look at right now. They have done
- 33:13Speaker 1: autopsies on people who have died by suicide that have
- 33:17Speaker 1: also shown elevated levels of neuroinflammation. And then this study
- 33:22Speaker 1: that our ol buddy Dave Rus found in cancer patients.
- 33:26Speaker 1: Forty different cancer patients that had no history of depression
- 33:30Speaker 1: at all in their life were treated with a chemical,
- 33:35Speaker 1: an inflammatory cytokine known as interferon alpha, which your body
- 33:40Speaker 1: naturally releases all the time as part of our inflammatory response,
- 33:45Speaker 1: part of our immune system. And when these patients said
- 33:48Speaker 1: no history of depression, these cancer patients were injected with
- 33:51Speaker 1: interfer on alpha, their moods were altered, and many of
- 33:55Speaker 1: them said, you know, I feel depressed.
- 33:58Speaker 2: Yeah, which is I mean, all of that put together especially,
- 34:01Speaker 2: is pretty strong evidence for that theory. The question or
- 34:06Speaker 2: the answer to the question like how is this happening
- 34:09Speaker 2: or how is this creating depression? Again, there's a couple
- 34:12Speaker 2: of theories. One is straightforward as well. The inflammation is
- 34:15Speaker 2: messing with some of your pathways that produce things like
- 34:19Speaker 2: happiness and pleasure and your ability to relax. That's pretty straightforward.
- 34:26Speaker 2: There's another kind of more roundabout one that says that
- 34:29Speaker 2: this chronic inflammation is triggering a sweeter cluster of behaviors
- 34:35Speaker 2: called sickness behaviors, where you're fatigued, you're anhdonic, which means
- 34:42Speaker 2: you can't experience pleasure, you don't eat very much, you
- 34:46Speaker 2: don't really feel like interacting with other people, and that
- 34:50Speaker 2: that is actually like that group of sickness behaviors kind
- 34:53Speaker 2: of evolved in humans to get us to just sit
- 34:56Speaker 2: down and relax and rest when we were sick, so
- 34:59Speaker 2: that our immune system could like take over and take
- 35:02Speaker 2: care of it without having to shuffle some of that
- 35:06Speaker 2: metabolism for us going for a jog or something, right,
- 35:09Speaker 2: And that the brain is is not really differentiating between
- 35:14Speaker 2: the two because you're not sick, but you still have
- 35:16Speaker 2: the sickness behaviors, and that they're saying that is that
- 35:19Speaker 2: specific variety of depression.
- 35:21Speaker 1: I really, you know how much we love when something
- 35:23Speaker 1: goes back to evolutionary advantage, right, And it's just so
- 35:29Speaker 1: cool to think about tuktok tuk tuk no feel good, right,
- 35:33Speaker 1: Tuck Tuck go and sit by himself and let and
- 35:36Speaker 1: let and let body fix itself. Sure, Tuck Tuck no
- 35:39Speaker 1: want to play rock ball, Tuck Tuck need time alone.
- 35:47Speaker 2: Tuk tuk need to dial up out of office email.
- 35:50Speaker 1: Yeah, so people say tuktuk depressed and tuk tuk say
- 35:54Speaker 1: no natural body response.
- 35:57Speaker 2: Right, but again, if you can attribute it to a sickness,
- 36:01Speaker 2: it might be confused for depression.
- 36:03Speaker 1: Yeah. I think that's really super fascinating.
- 36:06Speaker 2: Totally, and that actually the evolution thing really kind of
- 36:10Speaker 2: underscores the explanation for a whole other group of diseases
- 36:17Speaker 2: that are linked to chronic inflammation, things like heart disease,
- 36:20Speaker 2: type two diabetes, some types of cancer, kidney failure, a
- 36:26Speaker 2: lot of stuff that a lot of diseases I should
- 36:29Speaker 2: say that kill a lot of people and make even
- 36:31Speaker 2: more people suffer that are probably not very old. They
- 36:36Speaker 2: probably don't go very far back in our evolutionary history
- 36:39Speaker 2: because they're probably the result of just kind of the
- 36:43Speaker 2: trappings of industrialization. The food we eat, the environmental toxins
- 36:47Speaker 2: were exposed to, the work hours that we set for ourselves,
- 36:51Speaker 2: the stress that can kind of come from living in
- 36:54Speaker 2: the modern world, and that all of these new things
- 36:58Speaker 2: that we humans expose ourselves too don't really jibe with
- 37:03Speaker 2: the way that we evolve to live. And so we're
- 37:06Speaker 2: in this really rough transition period right now where our
- 37:09Speaker 2: bodies are like this is all wrong and this is
- 37:12Speaker 2: all disease, and we're like, no, this is the food
- 37:15Speaker 2: we eat now. And that evolutionary mismatch is One group
- 37:19Speaker 2: of authors of a really influential paper put it as
- 37:22Speaker 2: what causes that chronic inflammation and hence those diseases.
- 37:26Speaker 1: Yeah, I mean it makes sense when you think about it.
- 37:28Speaker 1: We have the same brain that tuk Took had when
- 37:31Speaker 1: they found uncontacted tribes, and uncontacted is a It doesn't
- 37:37Speaker 1: mean literally no one has ever talked to them. It
- 37:40Speaker 1: just means they're generally left alone.
- 37:42Speaker 2: They want to be left alone, so we leave them alone.
- 37:44Speaker 1: Yeah, but still we don't leave them alone because sometimes
- 37:47Speaker 1: anthropologists will go in there and spend time with them.
- 37:51Speaker 1: But what they're not finding in those tribes is type
- 37:54Speaker 1: two diabetes, and they're not finding ibs, and they're not
- 37:58Speaker 1: finding these like very sort of not to name check
- 38:02Speaker 1: another Chevy Chase movie, but they're not finding these modern problems.
- 38:07Speaker 2: Right, And so some people are like, well, hunter gatherers
- 38:10Speaker 2: typically don't have the same lifespans that we do, so
- 38:13Speaker 2: it's probably aging. It's that free radical theory of aging.
- 38:16Speaker 2: That's what causes inflammation. It's not the food we eat
- 38:20Speaker 2: or anything. It's like, no, it's definitely the food that
- 38:22Speaker 2: we eat. It's definitely the environmental toxins. It's definitely the
- 38:25Speaker 2: stress because if you study all those things, they cause
- 38:30Speaker 2: that inflammation. And if you look at like hunter gatherers
- 38:33Speaker 2: or uncontacted tribes, like they're not eating that stuff, they
- 38:37Speaker 2: don't have that kind of inflammation, they don't have those diseases.
- 38:40Speaker 2: It's not to do with the lower life expectancy. It's
- 38:44Speaker 2: to do with the fact that they don't expose themselves
- 38:46Speaker 2: to the things that we expose ourselves. So industrialization has
- 38:50Speaker 2: kind of led to this brand new group of diseases,
- 38:55Speaker 2: chronic diseases that all seem to be stemming from chronic inflammation.
- 39:00Speaker 1: That's right. I wonder what happens when they give one
- 39:03Speaker 1: of those hunter gatherers a cheeto.
- 39:05Speaker 2: Oh dude, they go fuck wild.
- 39:07Speaker 1: Yeah, oh boy, No.
- 39:09Speaker 2: One can turn down a cheetoh. And once you have
- 39:10Speaker 2: a Cheetoh, You're like, give me ten more Cheetos and
- 39:13Speaker 2: then give me the bag. And now I'm moving to
- 39:15Speaker 2: Portland so I can have easy access to.
- 39:17Speaker 1: Cheetos right in street tacos.
- 39:21Speaker 2: Yeah. Good.
- 39:23Speaker 1: By the way, I mentioned, I apologize for Chevy Chase
- 39:25Speaker 1: because you're a well known hater of Chevy Chase.
- 39:29Speaker 2: Yeah, it's okay. I've got little bloody half crescent moons
- 39:34Speaker 2: in my palm from my fingernails, okay, because I was
- 39:36Speaker 2: holding my piece, But I appreciate that.
- 39:38Speaker 1: I just wanted to explain that to newer listeners. They
- 39:40Speaker 1: were like, why are you apologizing for Chevy Chase. Guess
- 39:42Speaker 1: Josh is on record is not being a big fan.
- 39:44Speaker 2: Well, I was raised to despise Chevy, right.
- 39:46Speaker 1: You're dad didn't like him, right, Yeah, And.
- 39:48Speaker 2: He literally raised me to hate Chevy Chase.
- 39:50Speaker 1: That's really funny. What was his beef again? Was it
- 39:52Speaker 1: just he thought he was a which is what he
- 39:55Speaker 1: was was a cocky sort of sob yeah jerk.
- 39:59Speaker 2: I'm sure he said SOB two probably so yeah. So yeah,
- 40:03Speaker 2: that was it. And my dad saw right through him, apparently,
- 40:06Speaker 2: because even at a time when Chevy Chase was beloved
- 40:08Speaker 2: and could star in like pretty big movies. My dad
- 40:12Speaker 2: was still like, Nope, that guy, he's not a good guy.
- 40:16Speaker 1: You know what is not bad, believe it or not,
- 40:18Speaker 1: is that new Fletch movie with John Ham.
- 40:21Speaker 2: I can imagine. So I could see it.
- 40:24Speaker 1: It was pretty good. Yeah, it was very under the radar.
- 40:28Speaker 2: Yeah, I noticed. I was like, when did that come out?
- 40:30Speaker 2: It just kind of showed up in Amazon Prime Movies.
- 40:33Speaker 2: Will think You'll like, I don't know about that Amazon Prime.
- 40:37Speaker 1: I think it's one of these that the studio kind
- 40:40Speaker 1: of just bailed on for some reason and didn't do
- 40:42Speaker 1: any marketing, which I don't get because John Ham's a,
- 40:45Speaker 1: you know, a big name, and Fletch is a big
- 40:47Speaker 1: name and it was a good movie.
- 40:49Speaker 2: Yeah, I don't understand it either.
- 40:50Speaker 1: It was very fletchy. All right, So let's talk about
- 40:53Speaker 1: some of these you talked about industrialization in the world
- 40:57Speaker 1: that we live in and these risk factors in our environment.
- 41:02Speaker 1: One is, you know, you don't have to be a
- 41:04Speaker 1: smoker to affect your lungs because you're walking around every
- 41:08Speaker 1: day as a human on modern earth, breathing airborne pollutants
- 41:13Speaker 1: that are doing some of the same things that smoking does.
- 41:15Speaker 1: On a lower level, you are eating microplastics. You are
- 41:21Speaker 1: if you're using the wrong soaps and shampoos. You can
- 41:24Speaker 1: have some nasty chemicals like the lights, slates, thelates, thollates.
- 41:31Speaker 1: Let I say, I said they lights to begin with.
- 41:35Speaker 2: Yeah, I mean it's all very melodic. All of them
- 41:37Speaker 2: are fine.
- 41:38Speaker 1: Well, when you start a word with p H, T
- 41:40Speaker 1: H anyone.
- 41:42Speaker 2: You're just being a jerk at that point.
- 41:45Speaker 1: But all of these things are just in our body
- 41:48Speaker 1: from walking around in the world unless you live like
- 41:51Speaker 1: a really clean lifestyle, which is you know, a great
- 41:53Speaker 1: thing to aspire to, and you're still like breathing air
- 41:57Speaker 1: exactly right.
- 41:58Speaker 2: You just you can't get away from it. And like
- 42:00Speaker 2: they're finding more and more, like microplastics are everywhere. I
- 42:04Speaker 2: can't remember what they're called forever, chemicals like teflon, they're everywhere.
- 42:09Speaker 2: It's just everywhere. This to me, if I'm going to
- 42:12Speaker 2: make another bet in this episode, this is the one
- 42:15Speaker 2: that's responsible for the most chronic disease. Microplastics, chemicals, industrial toxins,
- 42:23Speaker 2: air pollution. I think it's going to plant, it's going
- 42:26Speaker 2: to pan out to be plastics. We're going to find
- 42:28Speaker 2: the smoking gun because get this chuck. Industrialization has produced
- 42:32Speaker 2: one hundred and fifty thousand chemicals so far, and we're
- 42:35Speaker 2: adding two thousand new chemicals each year to our toolbox
- 42:40Speaker 2: to produce everything from food to paint. And the FDA
- 42:45Speaker 2: has a mandate to test these things before they approve them,
- 42:48Speaker 2: and it just isn't happening. I've read it would take
- 42:51Speaker 2: centuries for the FDA to test to catch up, and
- 42:54Speaker 2: they're just not ever going to. So these chemicals just
- 42:56Speaker 2: make it out and no one has any idea, especially
- 42:58Speaker 2: at first, whether they're harmful or not. We just kind
- 43:01Speaker 2: of find out the hard way.
- 43:03Speaker 1: Yeah, the food we eat obviously, you know, fried food,
- 43:08Speaker 1: sugary sodas, refined sugars, refined carbohydrates, trans fats, meat secured
- 43:16Speaker 1: with nitrates, booze, some people gluten, some people dairy. This
- 43:23Speaker 1: you know, this is going to create inflammation. That's called
- 43:26Speaker 1: an inflammatory diet. If you want to avoid that stuff,
- 43:31Speaker 1: then you know, the Mediterranean diet is a great place
- 43:34Speaker 1: to live. I was about to say start, but kind
- 43:36Speaker 1: of start and stay. Olive oil, lentils, tomatoes, leafy greens,
- 43:42Speaker 1: fatty fish, cigarettes for cigarettes, blueberries, strawberries, cherries, apples, almonds, walnuts,
- 43:50Speaker 1: those things are anti.
- 43:52Speaker 2: What you're naming all the foods.
- 43:55Speaker 1: That's not all the foods, that's all the good foods.
- 43:56Speaker 2: It's true.
- 43:57Speaker 1: You didn't hear me say twinkie and fried chicken.
- 44:00Speaker 2: Oh, it's true.
- 44:01Speaker 1: Just avoid those refined foods. Eat real foods. But those
- 44:05Speaker 1: foods that I listed out are literally anti inflammatory. So
- 44:09Speaker 1: they're not only just good for your body in general
- 44:11Speaker 1: and good for your heart and stuff like that, but
- 44:13Speaker 1: they have anti inflammatory effects.
- 44:14Speaker 2: Pretty neat and the opposite of the Mediterranean diet, that
- 44:18Speaker 2: Western diet, another name for it is the standard American
- 44:21Speaker 2: diet or SAD. And one other thing about it is
- 44:25Speaker 2: not only plentiful and things like fried foods and sugar,
- 44:28Speaker 2: it's also really low in fiber, which is a huge
- 44:30Speaker 2: problem too. And a lot of those foods that you
- 44:32Speaker 2: just listed off are very high in dietary fiber, which
- 44:35Speaker 2: is something that if you wanted to figure out where
- 44:37Speaker 2: to start, increase fiber in your diet and it will
- 44:40Speaker 2: help a lot.
- 44:41Speaker 1: Yeah, big time. Me with my gut issues, I've been
- 44:45Speaker 1: I've been trying to eat as much fiber as possible.
- 44:47Speaker 2: Good for you, man. The problem is is I hope
- 44:50Speaker 2: you're rich, and I hope you have a lot of
- 44:51Speaker 2: time to cook, because it's really tough to avoid ultra
- 44:56Speaker 2: processed foods otherwise. And that's really sad. That's a sad
- 45:00Speaker 2: state of affairs. Yeah, but that's kind of how it
- 45:04Speaker 2: is right now.
- 45:06Speaker 1: Agreed.
- 45:07Speaker 2: So another one is sedentary lifestyle physical activity, right, Like,
- 45:12Speaker 2: I didn't know this, but when you exercise, when your
- 45:14Speaker 2: skeletal muscles contract, they actually release anti inflammatory proteins that
- 45:19Speaker 2: go throughout your entire body. Did you know that?
- 45:21Speaker 1: I didn't know that. But like, full stop, that's all
- 45:24Speaker 1: you need to say.
- 45:25Speaker 2: Yeah, because well I'm going to say some more.
- 45:27Speaker 1: Yeah.
- 45:28Speaker 2: The point is it's not sitting around that causes inflammation.
- 45:32Speaker 2: It's not exercising that allows inflammation to go on unchecked.
- 45:36Speaker 2: That's the kind of the explanation of that one. And
- 45:39Speaker 2: there's a lot of people who are not physically active.
- 45:42Speaker 2: Fifty percent of American adults aren't physically active. They get
- 45:45Speaker 2: less than one hundred and fifty minutes of moderate aerobic
- 45:48Speaker 2: activity each week.
- 45:50Speaker 1: Yeah, so like if you're I mean, I don't know
- 45:53Speaker 1: a lot of people that make a case against exercising,
- 45:56Speaker 1: but I have heard people say stuff like Oh, you know,
- 45:59Speaker 1: you go out and you you walk for forty five
- 46:01Speaker 1: minutes and all that that just burns up. Like they
- 46:04Speaker 1: just look at like how many calories that burns And
- 46:06Speaker 1: you know it may not be a ton of literal calories.
- 46:09Speaker 1: But there's so many other benefits to exercising totally beyond
- 46:13Speaker 1: just burning calories.
- 46:14Speaker 2: Yeah. And I mean we've talked about it before, like
- 46:16Speaker 2: exercise is not for weight loss, if that's what you're
- 46:19Speaker 2: trying to do. Exercises for things like anti inflammatory release,
- 46:23Speaker 2: your mental health. Yeah, all the other benefits you are
- 46:26Speaker 2: talking about anything basically butt.
- 46:28Speaker 1: Weight loss, yeah, plus plus a little bit of calorie
- 46:30Speaker 1: production or calorie burning.
- 46:32Speaker 2: But speaking of weight loss, another problem of a sedentary
- 46:36Speaker 2: lifestyle is excess weight and at a posts tissue, a
- 46:42Speaker 2: visceral adipost tissue, which you would call like belly fat,
- 46:47Speaker 2: your body says, okay, here's it. This is a normal level,
- 46:49Speaker 2: and if you exceed the normal level, your body takes
- 46:52Speaker 2: it as problematic and that causes inflammation in and of itself.
- 46:56Speaker 1: I know, man, that belly fat is no good.
- 46:59Speaker 2: No, it's true.
- 47:00Speaker 1: Any other kind of fat on your body, yeah, uh,
- 47:03Speaker 1: And there's something I'm working on I've lost fifteen pounds.
- 47:05Speaker 2: By the way, Hey, congratulations man, wow wee wait, yeah.
- 47:08Speaker 1: It's it's just a start, but I feel like, I
- 47:10Speaker 1: don't know, this feels more real than before.
- 47:14Speaker 2: Are you taking a long view of it?
- 47:16Speaker 1: I'm taking a I don't want to die view of it,
- 47:19Speaker 1: and I want to I want to look better at you.
- 47:22Speaker 2: Yeah, that's great, man. One thing I've been trying to
- 47:24Speaker 2: do the same thing, and one thing I've come up
- 47:26Speaker 2: with is anytime I'm like frustrated or impatient or I
- 47:30Speaker 2: just am not where I want to be, I've learned
- 47:33Speaker 2: to just tell myself, like, this is where I am
- 47:34Speaker 2: right now. I'm not always going to be here. I'm
- 47:37Speaker 2: going to have setbacks, I'm going to have advances, but
- 47:41Speaker 2: this is just what I am right now. And that's fine.
- 47:44Speaker 1: Man. That's a very healthy way to be.
- 47:48Speaker 2: It's helped me a lot, like a lot.
- 47:49Speaker 1: That's great.
- 47:50Speaker 2: It's helped get me through some real like problematic valleys.
- 47:53Speaker 1: Good good advice too.
- 47:55Speaker 2: Thanks.
- 47:55Speaker 1: We're just doling it out today. We totally are lose weight,
- 48:00Speaker 1: support yourself, quit smoking. Don't say that about my friend.
- 48:02Speaker 1: Quit smoking.
- 48:03Speaker 2: Yeah that's another one too.
- 48:05Speaker 1: Stress is a big deal. Obviously, if you are chronically stressed,
- 48:11Speaker 1: many many bad things will happen, but it is an
- 48:14Speaker 1: inflammatory trigger. The cortisol levels in your body, you know,
- 48:20Speaker 1: being sustained like that are really gonna mess with your
- 48:24Speaker 1: body as a whole, but definitely mess with their ability
- 48:27Speaker 1: to regulate, regulate inflammation and you know, trauma. They've even
- 48:32Speaker 1: found that, like childhood trauma much later in life can
- 48:36Speaker 1: be really tied to inflammatory markers.
- 48:38Speaker 2: Yeah, like we've we've always been like a well people
- 48:41Speaker 2: like eat to cope later on from like a childhood
- 48:44Speaker 2: trauma and more complicated. Yeah, it actually may be more complicated.
- 48:48Speaker 2: That might maybe that you have, you know, markers that
- 48:51Speaker 2: set you up to to have excess weight that it's
- 48:54Speaker 2: really difficult for you to lose because of inflammation because
- 48:59Speaker 2: you have a genetic code programmed in you from an
- 49:02Speaker 2: early age epigenetically and epigenetically it can also be passed
- 49:06Speaker 2: along from mom and dad to kid and set them
- 49:11Speaker 2: up without any childhood trauma, but their parents had trauma
- 49:15Speaker 2: that encoded it into their genes that they now passed
- 49:17Speaker 2: along to their kid who's going to struggle with weight
- 49:19Speaker 2: all of their life because their parents were neglected when
- 49:23Speaker 2: they were young.
- 49:25Speaker 1: Combine that with can your grandfather's diet affect what was
- 49:31Speaker 1: it affect your weight?
- 49:34Speaker 2: The name of that one weight or something I don't remember,
- 49:37Speaker 2: but it was just if you just look up grandfather's diet, which,
- 49:40Speaker 2: by the way, you should tell everybody at long last.
- 49:42Speaker 2: I think the soft opening is over soft opening, not
- 49:47Speaker 2: two words that should go together. But we just updated
- 49:52Speaker 2: with the help of our great friend Brandon Reid announcing Yeah,
- 49:57Speaker 2: you are you ready, because if not, we can edit
- 49:59Speaker 2: it out.
- 50:00Speaker 1: No, no, no, let's do it.
- 50:01Speaker 2: What we just unveil the brand new, updated Way to
- 50:05Speaker 2: Go version of stuff youshould know dot com.
- 50:08Speaker 1: Yeah, and as in brand new, it's sort of the
- 50:10Speaker 1: first time we've ever had a real website pretty much. Yeah,
- 50:14Speaker 1: you're fifteen years in, let's get a website.
- 50:16Speaker 2: Yeah for sure. So all of the episodes are there,
- 50:19Speaker 2: all of them, all fifteen hundred plus. You can just
- 50:22Speaker 2: keep scrolling until your eyes start bleeding.
- 50:24Speaker 1: The search is much better.
- 50:26Speaker 2: Yes, you can also search grandfather's diet and it's going
- 50:29Speaker 2: to bring up that episode. Also, there's like tour dates
- 50:34Speaker 2: about us. It's real like paired rounds, but it's got
- 50:39Speaker 2: everything that you need.
- 50:40Speaker 1: Yeah, we asked for something sort of simple and clean
- 50:42Speaker 1: and big. Thanks to Brandon, he killed it.
- 50:45Speaker 2: Huge, thanks to Brandon. Thanks a lot, man.
- 50:47Speaker 1: It's great speaking of websites and looking at them on
- 50:53Speaker 1: a screen, like how I did that? I do screens
- 50:57Speaker 1: can disrupt your sleep. All the artificial in our modern
- 51:00Speaker 1: worlds disrupts our sleep. Certainly if you have a shift
- 51:04Speaker 1: work job where you're alternating day and night or just
- 51:08Speaker 1: completely flipping and working nights only, this is going to
- 51:11Speaker 1: mess up with the natural circadian rhythm that Took Took
- 51:15Speaker 1: and our uncontacted friends have, which is it's dark, so
- 51:18Speaker 1: we sleep, it's light, so we wake up. And this
- 51:21Speaker 1: all effects and promotes inflammation. They've even done studies where
- 51:27Speaker 1: just shift work alone is a risk factor for cardiovascular
- 51:32Speaker 1: cardiovascular disease, type two diabetes, obesity, different kinds of cancer.
- 51:37Speaker 1: And that's just if you do shift work.
- 51:39Speaker 2: Yeah, And it's because your circadian rhythm is so intimately
- 51:42Speaker 2: tied to your immune system that if it gets out
- 51:45Speaker 2: of whack, your immune system gets out of whack real quick.
- 51:49Speaker 1: Yeah.
- 51:49Speaker 2: Aging also, I mean we talked about it earlier. We
- 51:52Speaker 2: also talked about in the free radicals theory of aging episode.
- 51:55Speaker 2: But one of the other ways that aging can create
- 51:59Speaker 2: chronic inflammation is something called immunosinescence, where your immune system
- 52:04Speaker 2: just stops functioning properly, opens you up to infections more.
- 52:09Speaker 2: But also your immune system goes haywire a little bit too,
- 52:13Speaker 2: and your t helper cells start turning on your healthy tissue,
- 52:17Speaker 2: which can also trigger chronic inflammation.
- 52:21Speaker 1: Isn't it interesting how much more you think about this
- 52:24Speaker 1: stuff as you get hold her. Yeah, totally remember thinking
- 52:27Speaker 1: about any of this stuff when I was in my twenties.
- 52:29Speaker 2: No, but hopefully we have some like twenties and thirties
- 52:32Speaker 2: people who are listening right now and are like, oh,
- 52:34Speaker 2: I'm going to take care of myself earlier than Josh
- 52:37Speaker 2: and Chuck started it.
- 52:37Speaker 1: Yeah, you two will age. Yeah, there ain't no stopping it,
- 52:41Speaker 1: so get ready.
- 52:43Speaker 2: Yeah. That reminds me of that Simpson's in the House
- 52:46Speaker 2: of Horrors. Lisa's going through. There's an old lady in
- 52:50Speaker 2: a rocking chair and she goes, behold the ravages of age.
- 52:57Speaker 2: I thought that would get a better response.
- 52:59Speaker 1: Well, was that the punchline?
- 53:02Speaker 2: Yeah, she was going through like a house of horrors
- 53:05Speaker 2: and like that, I got you one of the things.
- 53:08Speaker 1: Was to be like a monster and then the rabbage
- 53:10Speaker 1: get it. That is the punchline.
- 53:11Speaker 2: I didn't do a good job of explaining it. No.
- 53:13Speaker 1: I thought she was going to say they're ravages of age,
- 53:15Speaker 1: and then she would reveal something or something.
- 53:17Speaker 2: But she's just sitting in a rocker's she in herself.
- 53:20Speaker 1: Yeah, I totally get it now, I'm a little slow
- 53:23Speaker 1: on the uptake today. There is a test for inflammation
- 53:28Speaker 1: in general, a blood test called HS little HS big CRP.
- 53:33Speaker 1: It measures and something we've talked about quite a bit
- 53:36Speaker 1: on the show. See reactive protein. It's produced in the
- 53:39Speaker 1: liver and if you have a high CRP number, it
- 53:42Speaker 1: means you probably have a lot of chronic inflammation. It
- 53:45Speaker 1: doesn't pinpoint exactly what is inflamed, but it's still a
- 53:49Speaker 1: worthwhile test to have.
- 53:51Speaker 2: Yeah, no, for sure. And that's one of the things
- 53:53Speaker 2: that they're trying to crack is there's no reliable biomarkers
- 53:56Speaker 2: of chronic inflammation. That one's a pretty good one, but
- 54:00Speaker 2: there's not like a whole whole group that you can
- 54:02Speaker 2: be like, this is where it's happening, this is why
- 54:05Speaker 2: it's happening, This is how to fix it just based
- 54:07Speaker 2: on those those biomarkers. But there are some things you
- 54:10Speaker 2: can do to keep it from ever happening in the
- 54:13Speaker 2: first place, or to get to get it to go away.
- 54:16Speaker 2: I mean, one of the things if you start to
- 54:17Speaker 2: make some lifestyle changes, like it can turn diseases around,
- 54:22Speaker 2: like you can come out of pre diabetes, you can,
- 54:25Speaker 2: you can cure clear up some bowel disorders like it
- 54:30Speaker 2: can have like a really pronounced effect if you actually exercise,
- 54:34Speaker 2: if you try to maintain a healthy weight, cut out
- 54:38Speaker 2: highly processed foods, quit smoking, quit smoking, drink get that
- 54:42Speaker 2: good sleep yeah, cut down on drinking yeah. And also
- 54:46Speaker 2: being more social. Apparently this is bad news for the
- 54:50Speaker 2: introverts like me, because the more social you are, the
- 54:54Speaker 2: less inflammation you should have.
- 54:56Speaker 1: That's right, and then you can live as healthy life
- 55:00Speaker 1: as you can and just wait for your family's genetics
- 55:03Speaker 1: to kill you.
- 55:05Speaker 2: But that's probably why because the after genetics had some
- 55:08Speaker 2: inflammation coded into it, and now it's you know, you
- 55:12Speaker 2: can be mad at your grandpa.
- 55:15Speaker 1: I loved my grandpa, Well that's great, But the one
- 55:18Speaker 1: that I knew, I'm happy.
- 55:20Speaker 2: For you, I didn't really I knew. Yeah, I guess
- 55:22Speaker 2: I knew one of mine. He was great too. I
- 55:24Speaker 2: only met one of mine a couple of times, and
- 55:26Speaker 2: I was too young to really make an impression of him.
- 55:29Speaker 1: Yeah. Same went. My dad's dad died when I was
- 55:32Speaker 1: five or six, and my mom's dad died when I
- 55:36Speaker 1: was I think I like, I think I was like
- 55:38Speaker 1: twelve and he was great. And it's one of those
- 55:42Speaker 1: things where I was like, every once in a while,
- 55:44Speaker 1: I'm like, man, I wish I could have known Walter
- 55:48Speaker 1: as with me as an adult.
- 55:50Speaker 2: Oh yeah, definitely. Yeah. You and me grew up down
- 55:53Speaker 2: the street from her grandparents for years and years and
- 55:56Speaker 2: years and like interacted with them. They helped kind of
- 55:59Speaker 2: like raise her, like there were a secondary set of parents.
- 56:01Speaker 2: And I was like, I'm so jealous of that, you know,
- 56:05Speaker 2: like you're so lucky if you're exposed to that as
- 56:07Speaker 2: a kid.
- 56:08Speaker 1: Yeah. So here's my last bit of advice. Okay, if
- 56:12Speaker 1: you're sort of youngish and you love your grandma and
- 56:16Speaker 1: grandpa and you're just gonna think they're always going to
- 56:18Speaker 1: be around, they're not, so talk to them and ask
- 56:23Speaker 1: them questions.
- 56:24Speaker 2: Yeah, like what we're wearing galoshes?
- 56:27Speaker 1: Like, yeah, we were rubbers.
- 56:35Speaker 2: If your grandpa sounds like that he has neuro inflammation.
- 56:38Speaker 1: That means he's Abe Simpson.
- 56:39Speaker 2: Right, you got anything else?
- 56:42Speaker 1: I got nothing else.
- 56:43Speaker 2: If you want to know more about inflammation and chronic
- 56:46Speaker 2: inflammation in particular, just start reading about it. There's a
- 56:49Speaker 2: lot of interesting stuff out there. And since I said that,
- 56:52Speaker 2: it's time for listener mail, all right.
- 56:56Speaker 1: I'm gonna call this one. It's kind of fun to
- 56:59Speaker 1: hear from liners who started young and are now adults. Yes,
- 57:03Speaker 1: kind of ties into where we're just talking about. Hey, guys,
- 57:05Speaker 1: I remember listening to your podcast with my dad on
- 57:07Speaker 1: a long car trips to visit extended family when I
- 57:10Speaker 1: was younger. He's always been the type of dad to
- 57:12Speaker 1: get us curious about things so we could learn more
- 57:15Speaker 1: about what we're interested in. In Your guys show was
- 57:18Speaker 1: a great way to encourage that for me and my siblings.
- 57:21Speaker 1: I'm pretty sure the first podcast I listened to you
- 57:23Speaker 1: was from twenty thirteen, How Ghosts Work? Wow, And I
- 57:28Speaker 1: remember being horrified ten year old agast at Chuck's story
- 57:32Speaker 1: of the Old Lady in the Road.
- 57:34Speaker 2: Yeah, that was a scary story.
- 57:35Speaker 1: It was a good one. Now I'm twenty, I'm in college,
- 57:38Speaker 1: still tuning in to learn new stuff that I should know.
- 57:41Speaker 1: This podcast has been It's always so weird to hear this.
- 57:45Speaker 1: This podcast has been a memorable part of my childhood.
- 57:48Speaker 1: Who we heard and I wanted to thank you guys
- 57:50Speaker 1: for doing what you're doing. I hope you're doing well.
- 57:52Speaker 1: And that sincerely is from Kaya Powell.
- 57:57Speaker 2: Thank you so much for that, Kaya, Like we hear
- 57:59Speaker 2: that from people from time to time and it's just
- 58:02Speaker 2: wonderful every time. Kind of gives you chills, a little
- 58:04Speaker 2: bit done at huts.
- 58:05Speaker 1: That's right, like seeing the old ghost lady in the road.
- 58:08Speaker 2: I think about how much life has packed in between
- 58:10Speaker 2: age ten and age twenty, and we were there for
- 58:13Speaker 2: the whole time of't that neat? Well? Thanks for taking
- 58:16Speaker 2: us along your journey, Kaya, And if you want to
- 58:19Speaker 2: be like Kaya and write in for any reason whatsoever,
- 58:23Speaker 2: you can wrap it up, spank it on the bottom,
- 58:25Speaker 2: and send it off to Stuff Podcasts at iHeartRadio dot com.
- 58:31Speaker 1: You Know, Stuff you Should Know is a production of iHeartRadio.
- 58:35Speaker 1: For more podcasts my heart Radio, visit the iHeartRadio app,
- 58:38Speaker 1: Apple Podcasts, or wherever you listen to your favorite shows.