Latest / Gladden Longevity Podcast / Unlocking the Secrets of Nutrigenomics - Episode 350
Transcript
- 0:00You eat and things that you do can help turn genes on or off.
- 0:03So that is the neutrogenomic or that is the thing that you will never
- 0:07be able to measure in other tests.
- 0:08So if you eat broccoli sprouts,
- 0:11it's gonna turn the the sulf sulfirophane that you get from broccoli sprouts when
- 0:15it digests will be helping to activate your oxidative stress systems,
- 0:20your antioxidant systems, and your detox systems.
- 0:22So little things like that that you can really be quite specific.
- 0:26Today I have the honor of talking with Annalise Smith.
- 0:28She works with an organization called 3X4 Genetics or 3x4 Genetics.
- 0:34She's a nutritionist by trade,
- 0:36but ~ has really kind of progressed into the genetic space.
- 0:39And we talk a lot about systems biology in this conversation,
- 0:42which I think is quite honestly the hottest topic in medicine at this point in time.
- 0:47And you're gonna see how this weaves itself into concepts around nutrition,
- 0:51hormone replacement. I think you're gonna find this
- 0:53a really interesting conversation.
- 0:55He went from
- 0:55saving hearts as a cardiologist to rewriting the entire aging playbook.
- 1:01Dr. Jeffrey Gladden believes 100 is the new 30,
- 1:04and he's got the science to back it up.
- 1:06This is the Gladden Longevity Podcast.
- 1:09Thank you very much.
- 1:09Welcome to the show, Annel. Yeah,
- 1:12it's good to have you here. So let's talk a little bit about how you
- 1:17got so involved with genetics.
- 1:19~ you've gone down a path with nutrition,
- 1:22some other things as I saw, and ~ what led you into this ~ area?
- 1:30So I yes, I'm trained as a a dietitian and I worked for many years with
- 1:35my patients in my private practice and found nutrigenomics quite early on,
- 1:40maybe already twenty years ago.
- 1:41I ~ I went to a talk and was quite interested and
- 1:47I found myself ~ just being able to go to more talks because I'm
- 1:53I'm in South Africa. So there was a company who started out here and
- 1:56I just managed to learn a lot about it at the time.
- 1:59And working with the company. And in my practice,
- 2:02I found that that was a really interesting thing to follow because
- 2:08I as a nutritionist or as a dietitian,
- 2:10it was often really hard to tell if you're on the right path because
- 2:15you are trying to put the whole recipe together.
- 2:18And there's not too many tests that you can do to figure out,
- 2:21you know, you can obviously do blood levels and things,
- 2:24but in in nutrition you want to often be more preventative.
- 2:28So when I started working in genetics,
- 2:30it was really a place that I found it gave me more confidence to know what
- 2:35I want to look at, where vulnerabilities are and to to take it forward.
- 2:40So I started in those days just looking at new genomics and then as time went
- 2:45on learned more about it. And then about ten years ago started really digging into
- 2:51it. ~ and I think there was quite a big wave in neutrogenomics then and found myself
- 2:57Where I am today.
- 2:59Okay. Yeah. Our courses kinda parallel each other a little bit in that I think
- 3:05I got really involved with it in about two thousand fourteen,
- 3:08in terms of looking at it. I was I was impressed because ~ you know,
- 3:13one of the problems I think with diets in general is that they all start with
- 3:18the food instead of with the individual.
- 3:19And so understanding yeah,
- 3:23maybe it's a good food, but maybe not as good food for this person,
- 3:26right? So
- 3:27Being able to sort that out, I think,
- 3:29lets us some higher degrees around precision and and I think if you're listening
- 3:34to this, there are a million diets out there,
- 3:37and the real question is what's the one that fits you?
- 3:39~ and it's not it's not the easiest thing to figure out.
- 3:45~ you've got to really kind of understand your genetics and your gut biome,
- 3:49your gut, your digestive system,
- 3:51how you're digesting foods, whether you're digesting them appropriately.
- 3:55~
- 3:56Then you gotta understand the immune system and inflammation and things going
- 3:59on there, interactions with foods and and then ~ back to the genetics again
- 4:04in terms of what nutrients you need and what quantities to make everything work
- 4:08well. So it's a it's actually a a complex field,
- 4:12even though ~ you know people tend to gloss over it and say,
- 4:17well, it's about macros or it's about you know this and that or whatever.
- 4:20~ it's really quite ~ quite interesting.
- 4:24So
- 4:25You're now working with ~ a neutrogenomic company,
- 4:29it looks like. and they're doing some interesting things,
- 4:33right? Three by four, ~ if I'm not mistaken.
- 4:36Yeah.
- 4:37That's correct. Three X three X four,
- 4:39like your ex girlfriend. Yes. Mm-hmm.
- 4:41Yeah. So tell us a little bit about that journey.
- 4:43How did you get associated with three X four or three by four or th whatever?
- 4:48Yeah,
- 4:48so it's quite interesting. So I ~ when at the time that I was really interested
- 4:53in genomics, there was nowhere to go.
- 4:54I just didn't know where to study,
- 4:56because you can study genetics,
- 4:58~ but new genomics was quite a new field.
- 5:00And getting that translation done,
- 5:02exactly what you were saying now,
- 5:03to finding out it's not just one SNP,
- 5:05right? It's not that there's a diagnosis.
- 5:07You wanna be looking at ~ con ~ groups of SNPs or gene variants,
- 5:13how do they influence metabolic pathways?
- 5:16How do these metabolic pathways influence each other?
- 5:18And so, like you said, it's it's actually can become quite complicated.
- 5:22And at that time, I was so interested,
- 5:24and I just knew I I just didn't know what I was doing.
- 5:26So I I thought I needed more help.
- 5:29And I found ~ Dr.
- 5:33Yeel Joffi, who at the time was testing it.
- 5:35She was building the genetic test,
- 5:37and we decided to start a clinic together in Cape Town to have people come
- 5:41to us who wanted to know more about.
- 5:43their genetics and we started there.
- 5:45And as time went on, we we realized that we ~ the test we were using
- 5:51was just a list of SNPs for us and we were doing a lot of other things with it.
- 5:54And so 3X4 was born out of really frustration as clinicians
- 6:00to see what you know, sort of we were building spreadsheets and putting SNPs into
- 6:04pathways. so we really used a systems biology approach.
- 6:08And so that's where the test started.
- 6:10And I've so I'm just a founding member.
- 6:12Yeah, got it. So you've touched on a couple of really important things here.
- 6:16I think, you know, a lot of people have had their genetics tested
- 6:19and the reports they get back are basically with SNPs,
- 6:22SNP, ~ little S or plural.
- 6:26~ it's a single nucleotide ~ polymorphism,
- 6:31essentially. And so it's basically the way we think about it
- 6:35is it's the configuration of the gene.
- 6:37It was kind of you inherited half of it from mom and half of it from dad.
- 6:41don't necessarily know which half came from where,
- 6:44but it can predispose you to you know,
- 6:49either tolerate a food or be intolerant of food,
- 6:51or ~ need a food or need a nutrient.
- 6:54~ need less of that nutrient or need a very specific kind of nutrient,
- 6:59~ depending on the configuration of each of those SNP.
- 7:03So to your point, when we started all this,
- 7:05it was looking at each individual SNP and trying to make
- 7:08~ sense of those and then kind of in our minds weave those together into
- 7:12an integrated plan. You introduced a second idea which we're incredibly enamored
- 7:18with here, which is a systems biology approach to longevity,
- 7:23is how we're looking at it, through really the five different circles that
- 7:27we look at, life energy, psycho spiritual space,
- 7:29~ longevity itself, the hallmarks of aging,
- 7:32health, of course, all the
- 7:34organ systems and subsystems and then performance,
- 7:37which is, you know, being fast,
- 7:39agile, strong, et cetera. And then the environments where we reside
- 7:42in and integrating all of those into sort of the ecosystem for the individual.
- 7:47And of course a piece of that is genetics filters across all those circles.
- 7:53~ how you handle toxins in the environment,
- 7:56~ what kind of athleticism you're you're best at,
- 8:00things like that, ~ certain health predispositions.
- 8:04dispositions, predispositions around managing ~ some of the hallmarks of aging,
- 8:09like mitochondrial function or oxidative stress or inflammation or things like this.
- 8:13And then Life Energy has SNPs that are incorporated there too,
- 8:18with anxiety, depression, ~ things like that,
- 8:21how you handle those things. ~ so it becomes rapidly very complex when you're
- 8:28looking at ~ you know, hundreds of SNPs ~ and you're integrating them across
- 8:34in at least our world, five different circles,
- 8:37and then ~ looking for what I call the elegant solution where
- 8:41you basically are looking for what's the what's the minimum impact
- 8:44or what's the minimal ~ input that we can have to get the optimal output,
- 8:50right? Because it's easy if you just line up all the SNPs to end up with
- 8:53a hundred pills and that's not necessarily or or a hundred recommendations.
- 8:57Is that not s not necessarily what a person can actually implement.
- 9:00So
- 9:01The systems biology approach I really think is the future of medicine.
- 9:05~ and instead of slicing everybody up into their,
- 9:08you know, composite organs, if you will,
- 9:11~ we can look at them as an entire system.
- 9:14So I really applaud the fact that you're that you're doing this.
- 9:17The way we're doing it is with AI.
- 9:19I'm curious how you're doing it on your side.
- 9:21It may be a lot of clinical expertise and,
- 9:24you know, limiting the field of view to where you can actually manage that
- 9:27and do things or I'm not sure what you're up to,
- 9:30but
- 9:31Maybe you can explain that to us.
- 9:33Yes. So that has changed quite rapidly,
- 9:35hasn't it? So I guess what we have done up to now is build those gene variants into,
- 9:41like I said, pathways. So we start upstream.
- 9:43So we're looking at cellular functions which you've mentioned,
- 9:46which would be sort of things like oxidative stress,
- 9:48inflammation, methylation, ~ so how these genes influence those cellular processes.
- 9:54And it's really important to be able to look at genetics to to
- 9:58see where your vulnerabilities are in those processes.
- 10:00So like you said, if you want to
- 10:02start figuring out where you want to start,
- 10:04which would be your ~ like you say,
- 10:06your minimal for your maximum output.
- 10:08That is often of always a good place to start.
- 10:11And then moving into how the systems speak to each other.
- 10:14So ~ if we think about what my favorite topic at the moment
- 10:19is the neuroendocrine axis is where you think about it's not just that
- 10:24the hormones are declining, for instance,
- 10:26as you're aging, it's also what's happening on a neurological basis.
- 10:29So how do these
- 10:31The manufacture, the transmission,
- 10:34and ~ even the breakdown of those neurochemicals are influenced by genetics.
- 10:39And so when you know how that's happening,
- 10:42you know how it's going to influence all your HBA and HBG and H B
- 10:46~ T access accesses. So that's a really great idea to to know where your
- 10:53vulnerabilities are and to start there and then like you say,
- 10:58instead of having
- 10:59Otherwise everything looks important,
- 11:00doesn't it? Because there's so many ideas out there.
- 11:03So you want to know for that individual where would be the best place
- 11:06for you to start. If it's let's say I want to influence the synthesis
- 11:11of this neurochemical because I can see that the dopamine is
- 11:14low and that's influencing the ~ you know,
- 11:17sort of ability to have or you might have too much cortisol because
- 11:20I'm just using as one example.
- 11:22So it really helps you build that puzzle and not waiting for things to show
- 11:26up in labs.
- 11:28or even in symptoms that you can work in that manner to to support
- 11:33the individual early on.
- 11:36Yeah, I think that's right. And then ~ in our world there's another layer
- 11:41of complexity probably in yours as well,
- 11:43where we're actually measuring hormone metabolites and breakdown products
- 11:48and things like that. And what we found is that ~ just because you have
- 11:52a genetic pathway for a hormone doesn't always mean that the levels reflect that.
- 11:56~ in other words, there's there are other things in in play,
- 12:00right? So it it can become ~ a very complicated
- 12:06~ sort of rainforest of things that are all interfacing and interacting with each
- 12:11other that ultimately produce the final output.
- 12:14~ so it's a it's a really, really cool space.
- 12:18I'm so excited that with the advent of AI,
- 12:20we finally have enough sort of compute power to actually start to
- 12:25~ bring this forward in a in a meaningful way for people.
- 12:29So
- 12:30Yeah, so I I was thinking while I was answering you,
- 12:33what was your question? You wanted to know about AI.
- 12:35So yes, so we we obviously started off building those things and now with AI,
- 12:39we can generate recommendations for people that you know,
- 12:44because obviously if you work like I work in this field all day,
- 12:47every day, so I can look at somebody's gene variance and I can come up with a plan,
- 12:52but for most we want people to be able to have access to
- 12:55it through many practitioners who's gonna be using it.
- 12:58And we are obviously supporting them in that.
- 12:59But what we're doing with AI now is we helping to support practitioners
- 13:04to when they see the result that they will have ~ you know,
- 13:08use a lot of this resources that we've built ~ together with AI to then come
- 13:13up with a type of a plan, but not it's obviously not computer generated.
- 13:18They say this is because they still have the patient in front of them.
- 13:21So we can input what what is are the type of things that you want to do,
- 13:25what is the patient's environment,
- 13:27where do they come from?
- 13:28what are their genes and come up with the type of plan and then obviously assess
- 13:31it to see if it it will work for them.
- 13:33So yes, AI is so we're not just throwing it out there,
- 13:37but we are building great systems to to be able to do that.
- 13:42Yeah, yeah, exactly. I think it's critical.
- 13:44I think what's interesting is I think finally people are gonna get
- 13:48the health care that they always intuitively wanted.
- 13:50But ~ because we've ~ deconstructed medicine so deeply into
- 13:56all these different subcomponents,
- 13:58organ systems basically, it's been very hard ~ to put it back together.
- 14:03and certainly we've learned a ton by breaking it all apart,
- 14:08right? And but now I think
- 14:10We're at a point in history where we can actually start to take all
- 14:13the parts and put them back together into a unified field ~ kind
- 14:17of theory or approach ~ that again enables the person to thrive
- 14:23and to have ultimately to have confidence that they know they're getting what they
- 14:26need, ~ and not doing stuff that they don't need.
- 14:31Right. So I I think it's the most exciting time in medicine ever,
- 14:34quite honestly.
- 14:36Exactly. And I think that what you also describing is the patient having the buy-in,
- 14:41because if they if you can pinpoint what your lowest hanging fruit
- 14:45are initially and you're starting to get good results early on,
- 14:49they will also be more confident in in carrying
- 14:54on with that trajectory. And we have found so much that people when
- 15:00you engage with them, obviously through many w ways in personalization,
- 15:04adding genetics as well.
- 15:05That the bind from the patient is also so much better.
- 15:10That's right. Yeah, that's right.
- 15:12I think it's ~ and one s you know,
- 15:16in one sense, and this isn't completely true,
- 15:18but in one sense we're we've moved ~ beyond or in addition to kind
- 15:24of the population based studies of what works or doesn't work,
- 15:28right? Because you know, it may or may not work for you.
- 15:32Just because it worked in the population at seventy six percent,
- 15:36I mean
- 15:36Well, is it gonna work for me?
- 15:37That's the real question everybody's asking,
- 15:39right? So now with the amount of data that's available,
- 15:43~ and and there's data also being developed inside
- 15:50practices where you can sort of make interventions and see what's working
- 15:54and not working. So in working with practices that are using the AI,
- 15:59you continue to iterate and refine for that individual.
- 16:02~ it becomes an incredibly powerful tool.
- 16:06So
- 16:07Yes, exactly. So you obviously just comp documenting things that
- 16:13you were maybe bad at documenting before because you were so busy and there
- 16:17was so much going on. So that's y exactly.
- 16:20So you're ~ able to put those things together and AI can then start picking
- 16:24up things that you might have not been able to do just because you don't have
- 16:30the the power, the great power.
- 16:34Yeah yeah. The yeah, the brain power or the bandwidth,
- 16:37~ to be able to to look at it all simultaneously,
- 16:41right? I think that's kind of the beauty of it.
- 16:43I think mm we can ~
- 16:48We're pretty good at posing the questions,
- 16:50~ but AI can even be helpful there in terms of refining questions.
- 16:54~ and we're pretty good at actually putting the pieces together.
- 16:58But what I'm impressed with is AI's ability to continue to enhance those conclusions
- 17:05or ~ in some cases challenge portions of the of the conclusions,
- 17:09but in many cases ~ enhance the conclusions,
- 17:13right? ~ and that to me is very exciting.
- 17:16So mm.
- 17:18Yes. But you still have to be there to see if that conclusion is make sense.
- 17:25So you still need people like like ~ like you and me to know,
- 17:31okay, that was that's what they said about that gonna
- 17:34Yeah.
- 17:35be.
- 17:37Yeah, no, that's right. the AI's not perfect,
- 17:40right, at this point in time for sure.
- 17:41And so ~ you know, clinical judgment superimposed and then obviously
- 17:46~ client feedback in terms of what's working,
- 17:49not working, ~ is super important and I I think that will continue
- 17:55to be p important. So what are you what are you most excited about now?
- 17:59What are you working on now? ~ what's the latest for you?
- 18:04So ~ I mean we obviously know that we are just at the tip of the iceberg where
- 18:09it comes to genetics and there's so much more that we can I mean,
- 18:13and part of it is is maybe affordability.
- 18:15So we are for f like for us, we're using a ~ a array,
- 18:19so an access ~ the ability to do a test for many people has become cheaper.
- 18:23But you do want to eventually maybe map the whole the the g you know,
- 18:28so the whole genome.
- 18:30And go and look at things that we haven't done before.
- 18:32So I mean that's obviously in the future.
- 18:34We we're not there yet because it's like really ~ having too much data
- 18:40and not really know what we're gonna do with it.
- 18:41So that's the future. But for now,
- 18:43we want to build out ~ obviously more of from from a company point of view,
- 18:50we definitely want to build out pathways,
- 18:51make it a bigger test and and look at more information.
- 18:55But
- 18:57The main thing is maybe what you what you were talking about now is is bringing
- 19:00in a way for people to not look at it and go,
- 19:03that's very interesting and put it down and and carry on with their lives,
- 19:07or not being able to carry on with the information beyond what their practitioner
- 19:11is telling them, but actually being able to use it in their everyday life,
- 19:16where they'd be able to sort of,
- 19:18you know, if they wanna something happens,
- 19:22I'm I'm tired to be able to look at my genes and say,
- 19:25what are the
- 19:26best things I can do if I have an injury or if I'm having a pregnancy
- 19:29or something that there's a way to always interact with your gene.
- 19:33So that's really what we are working on is to have for people to have everyday steps
- 19:37they can take that's unique to them and then when they need more help that they
- 19:42be able to go to to somebody who can support them in a more advanced way.
- 19:47Yeah. Do you have ~ do you have examples,
- 19:52any case examples you'd like to share with the audience?
- 19:55So we we've been speaking a little bit abstractly,
- 19:57but maybe making a little more ~ concrete.
- 20:01Of course, I maybe maybe if I because I used the neuroendocrine axis earlier
- 20:07as a example. So ~ I've had an example of ~ a case where
- 20:13~ s a patient ca well, that's a patient that we were trying to look after,
- 20:18so it was a a male ~ in his sort of maybe l early fifties starting to lose
- 20:25a bit of resilience, you know,
- 20:26nothing was wrong, you know, he was
- 20:28Just feeling a bit more tired,
- 20:29not sleeping so well, the weight getting up,
- 20:31libido but down. He went to get some blood tests done and his testosterone was low,
- 20:37had a bit of cholesterol going on,
- 20:39but that was it. So then he went and had
- 20:45he was given testosterone. So no wait,
- 20:47he was first given what's the other one?
- 20:52~ chlomed? The
- 20:54Lom it, vomit.
- 20:55yes.
- 20:56He was giving chlomate that and chlomophene,
- 20:58thank you. ~ that didn't really help.
- 21:00And then he w was treated later with testosterone.
- 21:03And of course, his testosterone levels went up in the blood because he was given it,
- 21:07but he still didn't feel that it was making a difference to ~ you know,
- 21:13sort of what he was. He was still not his energy wasn't great,
- 21:16he wasn't tired, so was still tired.
- 21:18So we went and looked at his genetics,
- 21:20and the three top things that we found with him was number one,
- 21:23he had
- 21:24A lot of oxidative stress going on.
- 21:26So that was so the way the test works is it will give you it it reads the genes,
- 21:31it's it's grouped in pathways,
- 21:33and then we can see where the most genetic vulnerability is for lack
- 21:36of a better word. So we sort of score it.
- 21:39So he had a lot of genes that influenced oxidative stress,
- 21:43so that was high. He also had genes that influenced how his his estrogen regulation,
- 21:49so his hormone regulation was specifically in terms of estrogen clearance.
- 21:53And I also must mention, besides the testosterone,
- 21:56he was also given DIM, which helps,
- 21:59you know, which is often given to help to regulate ~ estrogen in men.
- 22:03And then he was yeah. And then he was the other pathway
- 22:07was his neurochemical pathway.
- 22:10So what we those were really high.
- 22:12So what we think what happened is he the ~ testosterone,
- 22:17because the clearance wasn't great in terms of his hormone pathway,
- 22:20so the ability to clear those big
- 22:23~ you know, sort of breaking down the ~ hormones and also then when he it
- 22:29got to his t est estrogen pathway to clear it was quite s poor.
- 22:33So those waste products from the hormone b balance pathway was heaping up.
- 22:37So that was maybe causing more oxidative stress,
- 22:40which could have by itself reduced his testosterone.
- 22:44The other thing was his
- 22:45Just inter let me just interject for a quick sec.
- 22:47So as you're listening to this,
- 22:50~ you know, testosterone replacement ~ is incredibly common.
- 22:55Maybe one of the you know, along with estrogen,
- 22:57progesterone for women, testosterone for men now has become incredibly common.
- 23:02The the interesting thing though is that ~ you know,
- 23:07men need estrogen, just like women need testosterone to be fully balanced.
- 23:11They just need it in different relative amounts.
- 23:14And genetically, some men will take their testosterone and turn it into estrogen.
- 23:20All estrogen comes from testosterone,
- 23:22quite honestly, through the biochemical pathways.
- 23:24~ but some men will aromatize the testosterone and make significantly more estrogen
- 23:30than other men will. Yes. Right.
- 23:32And so if you're taking ~ a fairly high dose of testosterone,
- 23:37looking at boosting your testosterone level,
- 23:39and yet you're converting a fair amount of it into estrogen.
- 23:43And you can see this in your genetics.
- 23:45You can also see it in tests that look at the metabolites of the testosterone,
- 23:49the estrogen, and then the estrogen metabolites.
- 23:51~ you can get an idea that just shooting for testosterone levels of a certain,
- 23:57you know, level, let's call it either total testosterone or free testosterone.
- 24:02If you're not looking at estrogen and its metabolites,
- 24:05you can actually be really overloading the estrogen ~ pathways because.
- 24:12You can end up with too much estrogen,
- 24:14which can have sort of feminizing effects for j for a man.
- 24:18~ you can also overload the detox pathways,
- 24:21which are responsible for breaking down the estrogen through the two,
- 24:25four, and sixteen hydroxy pathways,
- 24:27and then you have to be able to methylate it out of the two hydroxy
- 24:30and the other ones to get rid of it.
- 24:31So it's complicated. ~ and I think one of the great disservices that is done
- 24:37to men in general and to women also,
- 24:40~ we see this.
- 24:42Is that they're put on hormones and they're testing the blood levels
- 24:45or the saliva levels, but nobody's really looking at the metabolites
- 24:49or the relative ~ ratio of how much of this they're converting to that,
- 24:54which again is found in the genetics.
- 24:56So it becomes a little bit more of a complex issue.
- 24:59And if you've been, you know, using hormone replacement and not getting
- 25:03the results that you're after,
- 25:04I think the solution for you is to deconstruct the whole pathway.
- 25:09~ both genetically and then also to test for those metabolites
- 25:14and actually see what's going on.
- 25:16Because you can, you know, she was talking about diendomethane dim as a
- 25:20way to kind of maneuver estrogen metabolites out of unsafe pathways that
- 25:25can predispose to breast cancer or prostate cancer and down safer pathways.
- 25:29And of course if you don't methylate well,
- 25:31then you've got to it boost methylation to get rid of even the good metabolites.
- 25:35So it's I want you to understand and it's just as you
- 25:39May not be able to hold all that in your in your minds as you're hearing this,
- 25:42but it is a complex thing to replace testosterone.
- 25:47It is a complex thing to replace estrogen and progesterone,
- 25:50right? And DHEA and other things that are commonly used.
- 25:53It is a complex equation. ~ it's not just looking at the blood levels.
- 25:58And you can expose yourself to significant risk of cancer,
- 26:02either prostate, breast cancer,
- 26:04endometrial cancer, et cetera,
- 26:05if you're not.
- 26:07looking at this from a systems approach where you're looking at
- 26:10all the different pieces and doing it from the genetics up through
- 26:14~ the biochemical ~ levels of these different hormones and their metabolites.
- 26:19So I think I just want to make that point because I think
- 26:23you know hormone replacement is probably probably one of the earliest forms
- 26:27of quote unquote functional slash longevity medicine when people realized that they
- 26:32could feel better if they if they had hormones put back in.
- 26:36~ and what we've discovered also is that growth hormone is very important.
- 26:39~ not too much and not too little,
- 26:41but being able to boost growth hormone,
- 26:44we don't really give growth hormone,
- 26:45but ~ it's it's really the balance of all those hormones:
- 26:51growth hormone, IgF1, testosterone,
- 26:53estrogen, progesterone, DHEA, the metabolites,
- 26:57when you get that all dialed in,
- 26:59people can feel remarkable. I mean,
- 27:01you can feel amazing. You can have
- 27:03you know, bone density and muscle strength and a clear brain and,
- 27:06you know, lots of energy and things like that.
- 27:09But if you're doing hormone replacement therapy and you're not getting where
- 27:13you want to go, chances are it hasn't been looked at thoroughly enough
- 27:17to actually understand how to make it work for you.
- 27:20So I'll just point that out.
- 27:23Yeah, exactly. So that one size was all isn't it?
- 27:25Because you've putting it in one side and then it has to go through
- 27:28all these pathways and then coming out the other side.
- 27:31So for this guy specifically, what you described there,
- 27:34he had in his estrogen pathway the ability to conjugate
- 27:40or to bind those estrogen metabolites to make them a water solution secrete.
- 27:45That was those enzymes were he actually had some deletions there.
- 27:49So those enzymes some of those enzymes were obviously
- 27:52making a big difference there.
- 27:54So those metabolites were heaping and obviously putting more and more
- 27:57in was ~ overloading the system.
- 28:01And then because those toxins hang around and they cause more oxide of stress,
- 28:06which causes damage. So that in itself was causing inflammation.
- 28:10So it was just not clearing. It's like not clearing the bathtub,
- 28:13like we often say, easily. So that was happening.
- 28:16So when we went and then said let's look at supporting that oxide of stress because
- 28:22We can easily do that through diet and lifestyle.
- 28:25What he was also trying to do,
- 28:26he was exercising more and more because he was trying to lose weight,
- 28:29also ~ contributing to his oxide of stress.
- 28:32So we looked at that. We looked at what he was doing around there.
- 28:35And the other thing was his neurochemical balance where the ~ the
- 28:40~ that was also, I mean, I'm not gonna go into all the details,
- 28:43but because of imbalances in those levels,
- 28:46it was also driving his HBR axis,
- 28:49which is his ~
- 28:50stress access, so the the cortisol was building up.
- 28:55He was also quite a s in a stressful job,
- 28:57like a lot of people at that, you know,
- 28:59and so that stress. So so then going back to say how can we
- 29:03~ regulate your neurochemical balance,
- 29:07we need to look at dopamine regulation,
- 29:09serotonin regulation, again, not through medication drugs,
- 29:13but really through how when are you exercising,
- 29:15what are you eating? So then we could balance that.
- 29:18And because we balance that, it also helped
- 29:20to balance the testosterone in a way because we know that HPG axis is going
- 29:26to be influencing that. So just bringing things a little bit into balance
- 29:29and not just hammering the the hormones,
- 29:32like you say, and seeing how what we can do to support it.
- 29:36Yeah, if you're listening to this,
- 29:37it may sound a little confusing,
- 29:38but essentially what she's saying is that your brain also has a big impact
- 29:42on your hormones and how much stress you're under has a big impact.
- 29:46This hypothalamic pituitary axis,
- 29:48hypothalamic pituitary, gonad axis.
- 29:50~ the stress that we carry in our nervous system will have a big impact
- 29:56on the adrenal glands and also on gonadal function and thyroid function
- 30:01and things like that. So ~ in many respects,
- 30:04a lot of it
- 30:05always comes back to helping people understand how to mitigate stress.
- 30:11And there's a lot that goes into that.
- 30:13We do a lot of that here in terms of walking people through the life energy circle
- 30:18and looking for at the psychospiritual space we call it to figure
- 30:21out where's the stress coming from.
- 30:23You know, we've all experienced traumas and so that's a piece of it.
- 30:27And then ~ you know there's really this kind of
- 30:30tryout of we do what we do in order to feel safe,
- 30:33in order to feel acceptable, and in order to to be lovable,
- 30:36right? And so if you if you look at it that way,
- 30:40it's like, okay, well what am I doing here in order if this didn't happen
- 30:43I wouldn't be lovable or I I won't be safe or these kinds of things,
- 30:48right? So you can start to actually get to some of the
- 30:52the underlying constructs that we carry mentally that predispose us to stress.
- 30:57And
- 30:59Managing stress is not about managing stress.
- 31:01For me, it's about rebuilding the constructs that are generating the stress,
- 31:05right? And replacing those with ~ what shall I say,
- 31:10more durable and maybe more healthy and more substantial constructs that
- 31:16that are allow us to feel safe,
- 31:19allow us to feel loved, ~ allow us to feel connected.
- 31:22and when you have that, then you can go through life ~
- 31:29unencumbered by past traumas, you can go through life knowing that you're lovable,
- 31:33knowing that you're loved, knowing that you're safe.
- 31:35And at that point, it's like, okay,
- 31:37well, now we're just we're here to have fun.
- 31:40So let's let's have fun, as opposed to,
- 31:42my gosh, if this doesn't happen,
- 31:44my world is going to crater, right?
- 31:46~ which is a really kind of a terrible way to live,
- 31:49but it happens for a lot of people.
- 31:50We get attached to an outcome.
- 31:51And if the outcome's not
- 31:53forthcoming in the way that we anticipated it,
- 31:55then that leads to stress. And why does it lead to stress?
- 31:58Because we don't feel safe. Why don't we feel safe?
- 32:00Because that outcome we were required by us in order to feel safe.
- 32:03So if it's not coming, then we don't feel safe.
- 32:06Well that's that's a losing proposition because there's always going
- 32:10to be an outcome that doesn't show up and there's always going to
- 32:12be another outcome after that one does show up.
- 32:14So then it's like, well that's you know that's a that's a treadmill I want
- 32:18to get off. So how do we get off that treadmill?
- 32:20Well, now you're coming back to okay,
- 32:22well, where where do you ultimately have safety?
- 32:23Where do you ultimately feel loved?
- 32:25Once you can give yourself that and figure that out,
- 32:28then the point of my little monologue here is that it has a massive impact
- 32:33not only on your hormonal system or your gut health,
- 32:36but it actually has a massive impact on the aging process itself.
- 32:40Every hallmark of aging is positively impacted by decreasing stress in the system.
- 32:45Yeah. And even if you go in for stem cells or exosomes or whatever else,
- 32:49you will get a much better response if you feel safe and you're
- 32:52in a very parasympathetic sort of zen state than if you go in stress.
- 32:56The body can't heal when it's stressed.
- 32:58So and and even if you get hormone replacement,
- 33:01if you're stressed, it's not going to work as well because the stress
- 33:04is overriding things, right? So again,
- 33:07a lot of this is comes down to you know,
- 33:10what's going on in our nervous system.
- 33:12So yeah.
- 33:14Yeah, and I mean that's how we put together,
- 33:16isn't it? Because p w if we're stressed,
- 33:18we're not supposed to be having babies.
- 33:20So there's that that thing about suppressing the h the those hormone systems when
- 33:25you're stressed and then that chronic stress.
- 33:27So ~ and and what's also interesting is just also knowing things about yourself.
- 33:33So I'm thinking where you were talking about getting stuck in a loop.
- 33:37So when we think about brain plasticity and how we could also influence that that
- 33:42pathway where
- 33:44~ if we know that we can like if there's ~ a bit more information about
- 33:50how your well I'm I'm obviously gonna talk about genetics,
- 33:53but how your genetics would influence your ~ neuronal pathways,
- 33:57your ~ brain derived neurotrophic factor,
- 33:59which is a protein that helps with the plasticity of the brain.
- 34:02I'm just using one example. So that also is something that you can do from your side
- 34:06to support you can ~ because we know exercise,
- 34:10some fasting, ~ having enough ~
- 34:13of certain nutrients like omega threes can support that neurochemical
- 34:17or those those neurotrophic factors.
- 34:19So little things like that to say what is import gonna be a little
- 34:22bit more important for me than the next person.
- 34:25Yeah, I think that's right. I think,
- 34:27you know, what she's really talking about here is if if optimizing
- 34:31our nervous systems and kind of reprogramming the nervous system to go into
- 34:35a a less stressed state and a more calm and relaxed ~ sort of zen state,
- 34:41let's call call it, the genetics play into that.
- 34:44So if you're actually doing things,
- 34:47taking things and eating things that ~ predispose you to
- 34:53allow those genetics to work in a favorable way,
- 34:55you'll have a much easier time of getting to that Zen state.
- 34:59You know, one of the things that we see ~ frequently is that people will come
- 35:03in and they're drinking alcohol and I don't have anything against alcohol,
- 35:06but we find that in certain people,
- 35:08~ because of their genetics, it actually makes them much more anxious.
- 35:12Not while they're drinking, but the next day,
- 35:15right? They have kind of a rebound in terms of anxiety.
- 35:18And then they drink again in the evening to
- 35:21com soothe themselves, right? But then they wake up anxious again the next day.
- 35:25So, you know, when you when you start to put together some of those patterns,
- 35:29and that can happen with THC, that can happen with alcohol,
- 35:32it can happen with other things,
- 35:33~ you know, if you're really interested to optimize your nervous system and by,
- 35:40you know, virtue of that, everything else in your body,
- 35:42~ then you have to look at, am I taking things in that's actually sabotaging
- 35:48the genetics that I have?
- 35:50So it's making it even harder for me to really bring my nervous system into
- 35:55a regulated state. Right. So that's a a good question for anybody that's listening
- 35:59to this to ask themselves. Yeah.
- 36:02Exactly, because it's like one of the genes we look at is called GABA.
- 36:05It's the GABA receptors. So that's GABA is an amino acid that helps calm your brain.
- 36:10And it's we've seen that or the in research they show that ~ when you have less GABA
- 36:15receptors, you can actually when you drink alcohol,
- 36:18you need to drink more ac alcohol to calm you.
- 36:21So those people tend to drink more because to get that effect.
- 36:25~
- 36:27But then like you say, so then there's that vicious cycle of having
- 36:30to drink more and more to get that effect and that anxiety that just perpetuates.
- 36:35The other thing is that you could maybe get high histamine levels from drinking
- 36:40alcohol, so the histamine is high and that causes anxiety because we know
- 36:44it also makes you more anxious.
- 36:47Yes. Yeah, champagne's the highest system we drink,
- 36:49right? So Yes. Yes. Yeah, and it's it's really interesting.
- 36:54You know, there's things like histamine,
- 36:56sulfur, different people's genetics,
- 37:00they're built in different ways.
- 37:01And when it comes to food, this is why I say that the diet is never about the food,
- 37:07it's really about the individual.
- 37:08Because, you know, garlic may be great.
- 37:10I mean, it may be great for your endothelium and your coronary arteries,
- 37:13but it may be exactly wrong for you.
- 37:15because, you know, it's activating anxiety or other things that you're unable
- 37:20to manage. So yeah. This is why this systems approach is really is really
- 37:25I think the whole is going to become the holy grail of of medicine,
- 37:28quite honestly. So cool.
- 37:31Yeah.
- 37:34Yeah, so I think that to bring that home with nutrition is we want to when
- 37:38we if we obviously lifestyle also have works like that where certain lifestyle
- 37:42habits or factors can activate certain systems.
- 37:46What we think about with nutrients,
- 37:48if we know what nutrient specific nutrients we need to maybe help activate certain
- 37:53enzymes, be of course we know maybe there's there's some genes that
- 37:58our coding for enzymes has too slow,
- 38:00but you can add some nutrients to help.
- 38:02They work better, that's the one thing.
- 38:04But we also know that y things that you eat and things that you do
- 38:08can help turn genes on or off.
- 38:11So that is the neutrigenomic or that is the thing that you will never
- 38:15be able to measure in other tests.
- 38:16So if you eat ~ broccoli sprouts,
- 38:19it's gonna turn the the sulf sulfirophane that you get from broccoli sprouts when
- 38:23it digests will be helping to activate your oxidative stress systems.
- 38:30your antioxidant systems and your detox systems,
- 38:32so little things like that that you can really be quite specific about.
- 38:37Yeah, I would say that of every nutrient that I've looked at from
- 38:41a nutrigenomic standpoint, ~ it's hard to beat sulforophane.
- 38:46~ I mean vitamin vitamin D is massive,
- 38:49right? Magnesium is massive. There's so many things that are massive.
- 38:52But I think sulforophane ~ may be one of those things that most people
- 38:57are not aware of. ~ and it you do find it in broccoli and br
- 39:00and broccoli sprouts have ten times more than broccoli,
- 39:03and broccoli seeds have ten times more than broccoli sprouts.
- 39:06And then you can get supplements that ~ have sulforophane accompanied with
- 39:11the enzyme that activates it, myranase called abmocol and abmocol extra,
- 39:15which is a an interesting supplement.
- 39:17But the point is that when you're taking high doses of sulforophane,
- 39:21it's anti-cancer, it's anti-dementia,
- 39:24it decreases detox, it decreases ~ you know,
- 39:28lots of different gene expressions that you don't want to have.
- 39:32~
- 39:33So it's one of the go to things that we put almost everybody on.
- 39:37~ is sulforophane, some fashion.
- 39:40Yeah.
- 39:41Yeah, I think we do too. I think we've got this,
- 39:45~ everybody walks out with at least some sulfurifane and something else.
- 39:49Right. Because it's got so many properties.
- 39:52Yes.
- 39:53That's
- 39:53right. Yeah, it's pretty magical.
- 39:54Well, cool. ~ so how do people find out more about about what you're doing?
- 40:00You got a website and some other things you're still talking with patients
- 40:05or or how so so tell us how people,
- 40:08you know, expand on understanding what you're doing.
- 40:11Yes, so the website is three x four genetics dot com.
- 40:15So three x four genetics dot com.
- 40:18And people can go on there to see ~ what we are about.
- 40:22There's it's very informative the website.
- 40:24We do have a discount code,
- 40:29I hope can say that for your ~ listeners,
- 40:31if ~ we we can share it afterwards.
- 40:34So if they would like to go onto our landing page.
- 40:37Yes I'll I'll share the
- 40:41It is ~ let me quickly give it to you.
- 40:44I'll
- 40:44put it in the show notes as well,
- 40:46but people
- 40:47It's Gladden G L A D E N twenty.
- 40:53Okay.
- 40:54And they will get a twenty dollar discount of our test.
- 40:58Okay, great. Perfect.
- 41:01And we do actually have a landing page for that as well,
- 41:03just to make it easier, which I'll show.
- 41:07Great. Yeah, if you haven't done genetics,
- 41:10I would really encourage you to do genetics.
- 41:13And I think you want to do it in a a way that's looking at it through
- 41:16a systems biology lens. ~ it's it's ~ and you know we we continue to learn more
- 41:23and more about genetics and how the genes and the SNPs if you will,
- 41:30are interplane with each other.
- 41:31~ because they're typically there are some
- 41:36You know, some mutations that are ~ strong enough to be definitive,
- 41:41right? Like for sickle cell or for TASACs or cystic fibrosis or things like that,
- 41:46right? It's a single a single polymorphism that ~ sets an entire health course.
- 41:51But for most other things, it's it's a combination of twenty,
- 41:55thirty, fifty genes that are all interplane with each other.
- 41:59that in aggregate are moving you towards either greater or lesser susceptibility
- 42:04for a particular thing like either dementia,
- 42:06heart disease, you know, cancer,
- 42:07some of these kinds of things.
- 42:08So the only way to get at that is with a systems biology approach,
- 42:12where you can start to see what is the interplay between all these different SNPs
- 42:16and genes and what is my actual,
- 42:17you know, real risk. And not to say that there aren't some isolated SNPs like BROCA
- 42:22and Palo Two and things like that that that
- 42:26you know, are associated with cancer,
- 42:28those are important to understand as well.
- 42:29But really a lot of this is polymorphic information,
- 42:33meaning it's multiple SNPs that are colluding together or working together
- 42:38to create a risk. So yeah, very important to look at it through that lens.
- 42:43Thank you. Yes. And I think that ~ what also listeners must remember is that
- 42:48w you only do it once. It's a very good investment.
- 42:50You do it once, your genes don't change.
- 42:52You can always go back to it, depending on what's happening
- 42:55and so your environment's always changing,
- 42:57you are changing, so those things change,
- 43:00but your genes stay the same. So if you've done it once,
- 43:03that is something you can always use in the future.
- 43:07Yeah, yeah, exactly. Well thank you so much,
- 43:10and I it's been really a pleasure chatting with you.
- 43:13You too, thank you very much. How do we live young for a lifetime?
- 43:16How do we make 100 the new 30?
- 43:19The answers are out there, and we're bringing them to you every episode.
- 43:23Make sure you're subscribed, check out more episodes right here,
- 43:27and follow us on social media so you never miss a breakthrough.
- 43:31Thanks for listening.