Latest / Deep Transformation / What We Can Do for Our Brains: Practical Ways to Cultivate Healthy, Agile Minds & Also Reduce the Risk of Dementia
Transcript
- 0:00In this episode, Roger Walsh is the guest and I'm speaking to him about something.
- 0:04He's an expert on our aging brains and what we can do to prevent dementia and live long mentally active lives.
- 0:11As for normal, Roger is awesome and I think you're going to love this.
- 0:19Welcome to Deep Transformation, Self, Society, Spirit, Life Enhancing, Paradigm rattling conversations with climate cutting edge thinkers, contemplatives and activists with Dr.
- 0:30Roger Walsh and John Dupuy.
- 0:35I'm introducing our guest today because, well, because our guest today is Roger Walsh.
- 0:40We're going to be talking about cognitive maintenance and enhancement, especially as we age and what we can do about it.
- 0:47What does Roger know about that?
- 0:49He's a doctor.
- 0:50He doesn't just play one on the podcast.
- 0:51A real doctor as well as a psychiatrist and a PhD in neuroscience.
- 0:58And he got it at the same time he was in med school.
- 1:01Boom.
- 1:03He has also won several international awards for brain research and is a member of a research team which first demonstrated neuroplasticity in the aging brain, as well as being a professor of psychiatry at the University of California for
- 1:1940 years.
- 1:20He has a lot to say and I think this is going to be really helpful.
- 1:24It's been inspiring to me to prepare for this.
- 1:27So, Roger, I've looked at your notes and I'm very excited about this and I am no longer a spring chicken myself.
- 1:32I would say I'm an autumn chicken, maybe.
- 1:34So thank you for preparing this and take it away.
- 1:37Thank you very much, John.
- 1:39Yeah, this whole idea of care and maintenance of the brain or maintaining and hopefully in some cases even enhancing cognitive, which is a fancy word for information processing, but it's kind of research term.
- 1:54But maintaining our intellectual capacities, particularly as we age, is a topic which gets more interesting and compelling every year, both because we all keep aging and because the research gets more and more interesting.
- 2:08And there's a lot here now, you know, it's interesting, you know, back in probably a lot of us, when we were kids, there weren't a lot of adults exercising.
- 2:18And it was just assumed that as part of aging there was a certain degree of inevitable physical decline, loss of muscle mass, reflexes, agility, flexibility, et cetera.
- 2:32And yet what we've learned in the last few decades, and what has become evident at a population level is people have taken up more physical activity in adulthood.
- 2:43Is that a lot of what we thought of as, quote, normal aging is actually disuse, atrophy, that muscles atrophy when they're not used, that joints, tendons stiffen when they're not flexed.
- 2:58And now it's just an accepted part of the cultural wisdom that it really makes sense for all of us to have a regular physical exercise routine of some kind, which ideally includes several components.
- 3:14First, aerobic exercise to keep the cardiopulmonary fitness going.
- 3:18Second, muscle resistance training, I.e.
- 3:22Moving weights, working with weight machines, lifting a flexibility routine of some kind where we're stretching, for which yoga of course can be great.
- 3:33And then in addition, some sort of balance activity.
- 3:36Because we tend to lose balance skills as we age.
- 3:41And for every one of these things, it turns out that if we do the appropriate physical maintenance, then turns out we can retain a degree of muscle mass, flexibility, agility, reflex speed, et cetera.
- 3:58That is just much more than was thought possible.
- 4:01You know, the mass people who are competing at the master's level.
- 4:05I forget what the threshold for that is now.
- 4:07I think maybe in the 50s.
- 4:10But these are athletes who compete in mid or later life and some of their times and speeds and records are extraordinary.
- 4:18So in recent decades we've just gotten a whole new understanding of what's possible in terms of maintaining health and well being and physical function into aging.
- 4:29So that's really good news.
- 4:31And you know, general principle is, you know, the 20s are basically the last maintenance free decade.
- 4:37You got a free ride into your twenties.
- 4:39After that you got to start doing some work if you want to maintain yourself in optimal physical shape.
- 4:47And now the big revolution is we're beginning to recognize that there something similar is true for the brain and for our intellectual cognitive capacities.
- 4:59Again, there was this assumption that, you know, it was just a inevitable loss of mental capacity with aging.
- 5:06But the pictures become much more positive in several ways.
- 5:11One is that it's very clear that the brain, like the body, is a lose it or use it bargain.
- 5:18If we just settle into our routines, if we don't challenge ourselves intellectually, if we don't get adequate stimulation, then yeah, the brain does tend to decline in its processing capacity and speed and so forth.
- 5:37On the other hand, and here's really a double good news, turns out that what's good for the body is good for the brain.
- 5:44That is the degree we keep ourselves physically fit in all sorts of ways, from diet to exercise, et cetera, that also benefits the brain.
- 5:55So the old idea going back to the Greeks, a healthy mind and a healthy body turns out to have a lot going for it.
- 6:02But in addition, there are a variety of things we can do for ourselves to maintain our sharpness and our clarity and intellectual capacity and John will go through those.
- 6:16But I just also want to throw in one thing that's been an important theme in some of our podcast dialogues, and that is not only have.
- 6:25Do we now know that it's possible to maintain intellectual function, memory, et cetera, significantly better than we thought if we really look after our brains and challenge our minds, et cetera, but also we now know that psychological development
- 6:42or maturation can continue throughout much of the lifespan.
- 6:47So.
- 6:48So that at later ages, we can be operating in more kind of like more sophisticated operating systems, able to track bigger pictures, more connections, recognize more nuance, and hold a greater, A more.
- 7:05A richer understanding of ourselves and life than we used to.
- 7:09So I've said a lot.
- 7:10Maybe I'll throw it back to you, John.
- 7:13Well, one thing I wanted to point out that you're 80.
- 7:16I just turned 70.
- 7:17Donald Trump is 80.
- 7:19And I would just say, look at the difference between Dr.
- 7:22Roger Walsh and our president, who's in deep decline on a daily basis.
- 7:28And it's very sad to watch.
- 7:30It's very painful, and of course, it's causing all kinds of problems and hurting people all over the world.
- 7:35And one main ideas that I took away from the integral movement, Roger, was the idea of integral life practice.
- 7:41Okay?
- 7:42And I took that and I used that with my.
- 7:44My work with addicts.
- 7:45And of course, to teach it, you have to do it.
- 7:48So I became very dedicated to exercise, meditation, intellectual growth, emotional work, and relational.
- 7:56And you put those all together in a lifetime practice.
- 8:00It really helps.
- 8:00And if you're a younger person listening to this, it's much easier to.
- 8:04If you start this right away, you don't wait till you're 65 to start doing these practices.
- 8:09Because that's the reason I think I've been able to stay with it is because it was just what I do.
- 8:14After a while.
- 8:14I practice just.
- 8:15I meditate because I meditate.
- 8:17I work out because I work out.
- 8:19It's just what I do.
- 8:20And I think that's a wonderful foundation.
- 8:22And of course, your, you know, your exercises will change over time, but they need to be, you know, disciplined and rigorous.
- 8:27Rigorous.
- 8:28And you need to breathe hard and work up sweat.
- 8:31So that's my opening contribution, Roger.
- 8:33Okay.
- 8:34Yeah.
- 8:35And one of the things you're pointing to is that the cultural stereotype of aging really needs to change.
- 8:42And we had a wonderful dialogue on here with her gerontologist who introduced the concept of joy span, and her name was Carrie.
- 8:52She gave a wonderful dialogue about the possibility of containing positive attitudes and well being.
- 8:57Throughout the lifespan.
- 8:58Carrie Bernard, wonderful, wonderful gerontologist.
- 9:01And she wrote a book by the name of Joyce Banner.
- 9:04We had a wonderful interview with her.
- 9:05So a general principle was that so much depends on attitude and that one of the things we really need to do is to update the cultural stereotypes of aging, Because a cultural stereotype is not a very positive one.
- 9:19It assumes that there'll be some intellectual loss, some narrowing of personality and interest.
- 9:25And actually, it's very clear that a lot of the shifts that occur with aging the result of lifestyle choices.
- 9:35And there's enormous difference between individuals.
- 9:38And, you know, we can do a lot, but we do get the genes we're born with, and so we can't guarantee anything.
- 9:46We can't, you know, with our lifestyle and so forth.
- 9:50But we can shift the balance.
- 9:52There's a wonderful T shirt I saw that said, eat healthy, exercise regularly, die.
- 9:58Anyway, there's that to it.
- 10:02And we can tip the balance.
- 10:04We can definitely do things which make it less likely that we'll die early and make it much more likely that we'll live into a later life in good health with sharp minds and a wonderful joy span.
- 10:17So add to that T shirt.
- 10:20Die.
- 10:20Well, all right.
- 10:22You know, you can take this brain and spiritual stuff that we polish and work on into passing through from this body into whatever that is, that mystery that awaits us.
- 10:32Yeah, yeah.
- 10:34So, general context for our discussion that our brains are much more plastic than we once thought.
- 10:42They're not completely plastic, but this whole new concept now of neuroplasticity, which recognizes that the brain is constantly remodeling itself depending on the kind of stimulation and nutritional support, et cetera, it gets.
- 10:58And so we have more capacity for maintaining intellectual capacities and developing, say, emotional wisdom and other personality characteristics that we might want significantly more than we thought.
- 11:15Again, there are biological limits, but there is also significant plasticity.
- 11:21And, Roger, would you say that the brain is analogous to a muscle?
- 11:25In other words, you just don't do anything with your muscle.
- 11:27You're gonna, you know, you're gonna atrophy, and it's gonna go blank.
- 11:31But if you work it, it can keep going a lot.
- 11:33Yeah, that's a good metaphor, and it's one that's increasingly used.
- 11:37Again, the use it or lose it statement holds for the brain as it does for the body.
- 11:42And we can look at the ways with which we can support our brains.
- 11:46You know, we all have one, and it's really good to keep it in good shape.
- 11:51So I think of this as kind of care and maintenance of the brain.
- 11:54And general principles come down to a variety of different things.
- 12:00First there's lifestyle choices and then there's diet.
- 12:05And here we're getting into the point about what's good for the body is good for the brain.
- 12:09Then it's really important to minimize environmental risks like pollution.
- 12:14And we'll get into those.
- 12:16Then there's the big thing that the multibillion dollar industry, some of it, a little of it valuable, a lot of it questionable, on supplements, they certainly have their place.
- 12:28Then there's the question of medical interventions for treating things such as, for example, diabetes, which can be really tough on the brain, not to mention the body, a number of other things.
- 12:42And then there's some cutting edge approaches that are quite promising too.
- 12:46So would these be smart drugs you're talking about as part of this medical intervention?
- 12:50Well, not so much.
- 12:52Smart drugs is a kind of pop term.
- 12:55It's not very well defined.
- 12:58And there are a lot of things out there on the Internet, you know, kind of labeled smart drugs, promising all sorts of things.
- 13:05But I would say buyer beware.
- 13:07No evidence that you're aware of that they're actually coming out with pharmaceuticals that can help our brains function.
- 13:12Well, no, there are things which can definitely help, but we'd want to be a bit more precise about what we really mean by help.
- 13:20The idea that you can just pop a pill and get instantly smarter.
- 13:24No, wouldn't that be nice?
- 13:26Unfortunately, believe me, I'd be taking them if they worked.
- 13:30But no.
- 13:32So.
- 13:33But there are a lot of useful supplements and some medications depending on people's medical conditions.
- 13:41John, maybe you just take a look.
- 13:42Begin by looking at lifestyle factors that can enhance both brain and mind.
- 13:49Keep us sharp and keep our brains in good shape.
- 13:52And one of the nice things about a lot of these things is it seems that when intellectual function is maintained, there are underlying neural changes that also show up.
- 14:06For example, jumping ahead.
- 14:08Meditation is one practice that has been found to have an enormous number of benefits, both physical and mental.
- 14:17And there are thousands and thousands of research studies showing the benefits of a regular meditation practice.
- 14:24But for the actual research studies on the effects of meditation, on psychological well being, on intellectual capacity, et cetera, there are now a lot of studies showing that, for example, it enhances memory, even raises IQ points a little,
- 14:44and increases perceptual sharpness.
- 14:47People are able to detect more nuanced experiences.
- 14:52They're able to pick up very subtle cues, emotional cues in other people's faces.
- 14:57In fact, advanced meditators have now shown you're able to develop 20 capacities that psychologists formerly thought were impossible.
- 15:06For example, incredibly sharp perception, lucid dreaming, that is the capacity to be aware while dreaming.
- 15:14Very quick perceptual processing, picking up things very quickly.
- 15:19And that all goes along with a variety of changes in the brain that they've been able to measure.
- 15:25And so there's physical changes in the brain that can be.
- 15:28Yeah, actual physical change, including even measurable changes in parts of brain size and also different measures of neural connectivity between different parts of the brain.
- 15:38So all of which is to say that I'm just using meditation here as an example of a lifestyle or intervention or way of living.
- 15:49Having a regular meditation practice has a lot of.
- 15:52First has physical benefits like lowering blood pressure, but also has a host of psychological benefits and detectable effects on the underlying neural structure.
- 16:04So meditation is one practice.
- 16:06It's just really helpful for care and maintenance of the brain.
- 16:10So we started with that as an example of the interventions affect both mind and intellect and the underlying neural structure.
- 16:18If we move to one of the things that approaches lifestyle factors that best known.
- 16:23I think of these things as TLCs, therapeutic lifestyle changes.
- 16:28And of course the best one is exercise.
- 16:32Exercise is probably the best thing we have got for maintaining the brain and the body.
- 16:39I mean, if you got to pick one thing, exercise is probably it because it seems to help everything.
- 16:45You know, in our heritage, from our Greek ancestors, the western civilization, gymnasiums were just built into it.
- 16:53You know, Socrates had a great body until he died.
- 16:57He had to commit suicide, drink hemlock or lead the city.
- 17:00He chose a hemlock.
- 17:02But that was just built into.
- 17:04You see these statues, you don't see pot bellies, you don't see jelly rolls.
- 17:08They really had an idea of what the human body could be like, both feminine and masculine.
- 17:14And that's I think one of the real gifts that we've gotten from the Greeks, among many other things.
- 17:20Yeah, certainly seemed like they appreciated that.
- 17:24And of course I assume it was an agrarian culture.
- 17:27So I assume a lot of people were doing heavy work as well.
- 17:30So yeah, exercise really valuable.
- 17:33And it looks as though almost any amount of exercise is valuable for the body.
- 17:39But we were talking before about differences between the well balanced exercise routine would include aerobics, I.e.
- 17:49Pushing yourself to your panting, plus strength training, plus balance, plus stretching.
- 17:58So those four components, and it turns out that those are also valuable for the brain, that aerobic exercise really increases, for example, the blood vasculature of the vessels in the brain.
- 18:12Brain gets more oxygen.
- 18:14So that helps with Global cognition.
- 18:17But it turns out that strength training is also very valuable for the brain.
- 18:23So balance things like Tai Chi, which has been found to be beneficial.
- 18:28Interestingly, they all have slightly different emphases.
- 18:32For example, if I can remember correctly, strength training is really good for global mental functioning, whereas Tai Chi is very good for executive functions, which are the kind of higher order things we call into play when we're thinking
- 18:49through a difficult problem, planning a series of actions, meetings, et cetera.
- 18:54So it turns out these different kinds of exercise have overlapping but somewhat different effects on the brain and mind.
- 19:04And just as it makes sense to have a well rounded exercise routine, also makes sense to have a well rounded exercise routine for care and maintenance of the brain.
- 19:15So there's an interesting follower up there and you're a big exerciser, John boy.
- 19:20You go to, I don't know how many times I've called you and you're saying, oh, I'm on my way to the gym, I'm on the.
- 19:27Yeah, I'm on the machine.
- 19:29I would also say that exercise is really good for treating the effects of depression, something that I have struggled with.
- 19:36And as you get older, if you don't take care of your body, I think besides your brain getting less useful, you get depressed, you don't see the meaning, what's happening here?
- 19:45Why am I here?
- 19:46And I've been down that dark tunnel quite a bit in my life, and I've found that exercise has been essential for just maintaining that I can just be here, you know, and still contribute.
- 19:57Oh, that's so important, John.
- 19:59I'm, I'm really grateful that you brought it up because it's absolutely true.
- 20:04Turns out that exercise is about as effective as antidepressants for treating depression.
- 20:11And that exercise is also prophylactic, meaning it reduces the likelihood of getting depression or having another depressive episode.
- 20:21And I will say that a couple of things.
- 20:25One is, it turns out that your emphasis about the importance of treating this with exercise and maybe medications is really important because untreated depression is associated with greater intellectual loss with aging.
- 20:43And that's a really sad one because here's a treatable disorder, sometimes challenging to treat, but with the right combination of medication, social stimulation, support and exercise, the vast majority of people can significantly improve.
- 20:58So here's a preventable cause of intellectual loss and even dementia that isn't being adequately treated in the culture at large.
- 21:10One of the great tragedies, of course, of our medical system is that so many people don't get adequate psychiatric mental health care and don't have access to people and could benefit from the kind of regimes we're talking about.
- 21:24Yeah.
- 21:25And it takes.
- 21:26You just gotta develop mental discipline and drag your butt to the gym or wherever you exercise, even though you don't feel like it.
- 21:32You know, it's just a thing.
- 21:34If you make it a practice that becomes ingrained, you don't have to think about it.
- 21:38So, well, I gotta work out today, and this is the body parts I'm gonna do.
- 21:41This is how long I'm gonna do aerobics and I'm gonna stretch and do these things.
- 21:45But if you.
- 21:46If you just build that into your life and it's hard getting started, right?
- 21:50It's like this movable object is really hard to move at first until it gathers some momentum and then it really rolls.
- 21:57So this is something to.
- 21:58To really make a goal and really stick to it, whether you feel like it or not.
- 22:04Just drag your butt to the gym.
- 22:06Yeah, and you made an important point there, John.
- 22:08That's getting started that can be hard.
- 22:11And making healthy lifestyle practices a regular practice is really, really helpful.
- 22:20So since we've started on this, it's probably good to just mention a few things about initiating healthy habits or initiating new habits.
- 22:28One is it's really valuable to set initial, small, achievable goals.
- 22:36So many people set these grand, particularly New Year resolutions.
- 22:41You know, I'm going to lose £20, go to the gym, you know, so many times a week, and it's like, okay, well, maybe, maybe start with getting to the gym for a brief time, a couple of days a
- 22:54week, and build up.
- 22:56So one thing is small, manageable initial goals build up slowly and a commitment to regularity.
- 23:05Get social support from your spouse, your friends, tell them what you're going to do, ask for the help, ask them to ask you how you're doing with it, et cetera.
- 23:15Those kind of things really make a difference.
- 23:18So it becomes something that you look forward to.
- 23:20Roger.
- 23:20It's not always just drag your butt to the gym.
- 23:22It's like, hey, I gotta go to the gym, you know, and it's a time I do a lot of my listening to podcasts and, and whatnot while I'm doing cardio, which is kind of boring, personally.
- 23:32And I do cardio first because I don't like it as much.
- 23:35And I, you know, I strict for dessert.
- 23:37I get strength training and stretching, which I enjoy more.
- 23:40So I do all the cardio first and I listen to you and all these different brilliant people that we've had on this podcast.
- 23:48And so that's.
- 23:48I look forward to it.
- 23:49I get to really dive into this and I find my brain is really awake while I'm listening to this stuff.
- 23:55And pretty soon a half hour is just like, is done, you know, and I might add a little more.
- 24:00So that's been helpful for me.
- 24:02Yeah, you always seem pretty happy when you're heading to the gym.
- 24:05I call you.
- 24:06Oh, sorry, I only talk a few minutes.
- 24:08Going to the gym.
- 24:10Yeah.
- 24:12So let's see, we've talked about exercise and meditation, another key thing for lifestyle.
- 24:20It's just getting more and more important that friendships really make an enormous difference in terms of not only our psychological well being, not only reducing the risk of depression and loneliness, but in maintaining intellectual sharpness.
- 24:39And that social isolation is deadly.
- 24:42And it can be social isolation exacerbated by hearing loss when people are deaf.
- 24:48That's an incredibly large risk factor for subsequent intellectual loss and dementia.
- 24:55So social connections turn out to be really important for all kinds of psychological well being and for intellectual maintenance.
- 25:06And it's also hopefully one of the most enjoyable things just to be with people and to get stimulated by conversations, et cetera.
- 25:18And unfortunately in our culture there's a lot of loneliness, a lot of isolation and loneliness, particularly in people with less resources.
- 25:30So this is one of the tragedies of our time, that our modern lifestyle tend to separate people.
- 25:38And that of course is exacerbated by the Internet and media which want to entrap people, spending more time on their phones and screens rather than actually meeting with real live human beings the old fashioned way.
- 25:57So the pandemic didn't help that at all.
- 25:59Roger, A lot of young people were really hurt by that time where they couldn't hang out with other people.
- 26:04It really affected them psychologically and spiritually.
- 26:08And I might add that, that our friendship that has developed over the years has become a big part of my life.
- 26:14It just started and I got this idea about the podcast and we kind of started and kind of stumbled because of pandemic and all.
- 26:21And then it got going.
- 26:23So not only is the relationship and we talk about this a lot, it's the preparation for these podcasts.
- 26:29We really have to do our homework, you know, and we've been doing these series with, ah, Almas for gosh, it's over two years now and he's not easy reading.
- 26:41I just get in there and, you know, if I get three pages done in one sitting, I'm very happy.
- 26:46And I've also found that I can because of That I can read and study for longer than I used to.
- 26:52Before we studied this project, it was getting down.
- 26:54I could only do it for about an hour.
- 26:57Then I would kind of get fuzzy.
- 26:59But now I can do three hours, three and a half hours.
- 27:01So I've really noticed a positive change in my ability to focus intellectually.
- 27:05And of course, it's spiritual food too, when you're dealing with Hamid or age.
- 27:10Almost wonderfully said.
- 27:12Given that there is significant research showing that the average attention span has shortened dramatically over the last decade with the increased use of screens and multitasking, et cetera.
- 27:26Gloria Marks at the University of California, Irvine, just has a series of studies showing that people are interrupted during a day so many times by so many screens and notifications that we have a continuously fragmented attention, as it's
- 27:43called, or acquired attention hyperactivity disorder.
- 27:48So this is an issue.
- 27:50And it's beautiful to hear you describe the way your own engagement with both the interactions we've been privileged to have with Hamid Ali and the preparation, the reading has really strengthened your capacity for sustained attention because that's a
- 28:10really important factor.
- 28:11That's one of the things that meditation, of course, cultivates.
- 28:14It cultivates and trains attention and the capacity for sustaining it.
- 28:19So I know you have a meditation practice, so they probably go hand in hand.
- 28:24We should also mention, since this is very close to what you're saying, the value of staying mentally engaged and active.
- 28:31For example, it turns out that after people retire, if they move from an active work in which they're getting a lot of intellectual stimulation and demands, and then just go into, you know, more sitting around watching TV and
- 28:46playing golf, then intellectual, very quickly sharp measures decline.
- 28:53Yeah.
- 28:53Very quickly go down.
- 28:54Yeah.
- 28:56So remaining intellectually active in ways that you enjoy are really valuable.
- 29:02And then of course, there's the factor of sleep, which is incredibly important.
- 29:07And again, that suffered in our screen saturated culture.
- 29:12But it turns out that good sleep is really important for maintaining a brain and mind.
- 29:20Turns out that during sleep, the brain clears a lot of toxins, including some of the constituents that make up the plaques and tangles that are part of the Alzheimer's neuropathology.
- 29:33But there are a couple of things about sleep to know that aren't so well known.
- 29:37One is, yes, it's really get a good amount of sleep.
- 29:40And it turns out that really short sleep or really long sleep is not so helpful.
- 29:46There's some.
- 29:47Once again, the Goldilocks rule that a middle way is beneficial.
- 29:52But in addition, it turns out that regular times for sleep are really important and we have the these bodies and minds and brains that are attuned to a 24 hour rhythm and hormones get released in anticipation of sleep
- 30:11and whole physiology and neurophysiology changes according to the time of day.
- 30:19So if it turns out that it's really helpful to have a regular time to go to sleep, obviously none of us maintain it rigidly, but there's benefit in having a regular sleep rhythm.
- 30:32And the second thing is it's turning out that light pollution during the night is really not good for us.
- 30:41We are designed to be in dark.
- 30:46That's how our forebears live for as long as they're being humans on the planet.
- 30:52Well, it turns out, of course, we live in societies in which there's increasing amounts of light pollution and you turn off the light, but you're probably still getting light through the curtains and so forth.
- 31:05What does that do, Roger, when you don't get darkness and you're too exposed to light?
- 31:11Yeah, well, it does a lot of things and the answers are still coming in, but it turns out it's not good for physical health.
- 31:18And it looks like it may increase the risk of a number of disorders, but it also looks like people who are regularly exposed to nighttime light pollution have an increased risk of dementia.
- 31:31So this is not a little thing.
- 31:33And so the recommendation is to darken the bedroom, if you can do that, and or to wear a sleep mask.
- 31:42And for a lot of us it's not possible to have bedrooms which are completely dark, but very simple thing to wear a sleep mask, which can handle that very easily.
- 31:52Roger, can I bring in something?
- 31:53Yeah, please.
- 31:54It's a little more psychological, existential, having purpose, I think, you know, brings all this together.
- 32:01And I know that this podcast has been very important in my life because like I really think that we are contributing.
- 32:07I really believe that.
- 32:08And the very fact that's deeply imprinted in my soul makes me get up in the morning and helps me to do all the other practices, helps me to exercise, it helps me meditate.
- 32:17Because it's not just about me.
- 32:19It's about serving and helping others.
- 32:21And in my makeup that's that's very essential, very important to have a mission that is hopefully noble and benefits others to keep going.
- 32:32Yeah, beautifully said, John.
- 32:34And yes, let me take this opportunity to just publicly acknowledge you for the priceless gift you've given me and suggesting and inviting me to co host this podcast with you because it's turned out to be one of the
- 32:47great gifts of my life to have these, be able to have really in depth conversations with remarkable people and to feel really good that we are getting people whose work is really making a contribution and getting them and
- 33:01their ideas out into the world.
- 33:03And that feels really great.
- 33:05Maybe I'll take this opportunity to ask our listeners, please help us if you would, by liking the podcast subscribing and telling your friends, because we really feel extraordinarily privileged to be able to dialogue with the people we're dialoguing
- 33:22with and to get their ideas out.
- 33:25And you can help get their ideas out further.
- 33:27So thank you.
- 33:28And you're pointing here to something which isn't on the list but probably should be, John, and that's service, service and contribution.
- 33:37Because it's turning out that service of some kind, volunteering, helping neighbors, whatever form it takes, contributing to others has enormous benefits, both psychological and even physical.
- 33:56And it even turns out that people who volunteer regularly live longer.
- 34:03I mean, it's pretty amazing.
- 34:06But you said it gives people a purpose.
- 34:09Just living for your own well being is not a big enough project to give life purpose.
- 34:16Doesn't get me out of the bed in the morning.
- 34:17I just stay in bed.
- 34:20Right.
- 34:21But thinking that one is actually going to do something for others can be very inspiring and it really has an impact.
- 34:28People who contribute regularly, who volunteer, for example, are psychologically healthier, their well being levels are better, their blood pressure tends to be lower, and there is some initial data that their intellectual sharpness remains greater too.
- 34:47So I'm glad you brought this up.
- 34:49I don't have it in here as one of the factors because there isn't a lot of research on the intellectual effects of, of volunteering and service.
- 34:58But you're right, it gives life a purpose and it inspires us to do the other things.
- 35:04And I recently had a conversation with one of my older friends, a kind of mentor who was a very well known physician who's now 95.
- 35:14And he said, you know, he's a sharp as a tack and beautiful being.
- 35:20But he said, you know, yeah, I kind of hope I don't live to a hundred.
- 35:23I don't have a purpose anymore.
- 35:25I thought, wow, okay, here's someone who's made enormous contributions over a lifetime, but now he's living alone, his wife has died, he has some family support, but he doesn't have a purpose.
- 35:39Just what you were saying, John.
- 35:41And he's ready.
- 35:43He said, yeah, he's ready to let go.
- 35:46So it's like, yeah, okay, so that really, that got my attention.
- 35:50That really Got my attention.
- 35:52Here's someone I look up to who has done so much good in his life, and now he's at a point where he doesn't have a purpose, doesn't see a way he can contribute.
- 36:03And so he's feeling, why live?
- 36:06It's like, wow, okay.
- 36:09So that's making me look at, okay, how can, as I age, how can I find ways to be able to contribute and have a purpose?
- 36:17And I think those of us who have a spiritual practice, who meditate, who have a contemplative life of some form, that in itself gives a purpose because it does kind of give a sense of a connection to something
- 36:30greater than ourselves and a sense of aligning ourselves with the fundamental nature of reality.
- 36:37And he doesn't have so much of a spiritual practice, but.
- 36:40Yeah, well, all the great traditions ends up with service.
- 36:44You know, giving back.
- 36:45I mean, it just, you know, it's.
- 36:46It's one of the conscience, you see, in these true spiritual traditions is about.
- 36:50It's not about you.
- 36:51It's about we.
- 36:52It's about connection and giving back.
- 36:56Well said.
- 36:57Yeah.
- 36:57Beautifully said, John.
- 36:58You know, you're summarizing what took me three years to learn.
- 37:03You know, I spent three years writing a book, Essential Spirituality, the seven Central Practices in which I looked across the world's contemplative spiritual traditions.
- 37:13Because I really wanted to know, what do the greatest sages of history say are the qualities of heart and mind that we need to live wisely and well, and how do we cultivate them?
- 37:25And it seemed like across traditions there were seven kind of capacities or skills that they all recommended.
- 37:33Live ethically, transform your emotions, let go anger and hatred, cultivate love and compassion and joy, et cetera.
- 37:41But to come to your point, exactly as you said, all of them culminated in service and contribution.
- 37:51Not doing this for yourself alone, because if you're trying to do it for yourself alone, you're just feeding your ego.
- 37:58And the goal is to transcend one's limited self sense and ego and to become and serve something greater than yourself.
- 38:07And so service is both a practice and the goal and culmination and crown of all these practices.
- 38:16So thank you very much for bringing that in, John.
- 38:18Absolutely.
- 38:19Another thing, Roger, I noticed in the notes when I was preparing for this conversation, you talked about spending time in nature as part of the lifestyle that would contribute to the enhancement of our brain and our purpose and
- 38:32our ability to carry on and be alive and useful as we age.
- 38:37Yeah.
- 38:37And you've certainly spent a lot of time in nature John say that?
- 38:41I do, yeah.
- 38:43Much more than I have.
- 38:44Is there anything you'd like to say?
- 38:46Well, yeah, we have two homes.
- 38:47I'm right now in southern Utah, and our home here, which we've had, I don't know, a long time, but it is in southern Utah.
- 38:55There's 2500 people in the whole county, and there's 2500 square miles, and most of it's public land.
- 39:02National Park Service, blm, Forest Service.
- 39:05So you go everywhere, you know, most places, everything private property.
- 39:09If you don't own it or something, you can't go there.
- 39:12So it's been really, really useful for me, and it's been a big help with my depression over the years and just an incident that happened.
- 39:20And this will kind of expose me politically.
- 39:23But when Donald Trump won election for president a second time, I personally was devastated.
- 39:30And I just.
- 39:31Oh, my God.
- 39:32I mean, it was really, really heavy.
- 39:34And you know what?
- 39:36My poor country, the poor world, you know, we're gonna have to be subjected to this.
- 39:40So I got in my truck and grabbed my dog and then went to this isolated place out in the desert, and I just.
- 39:46We just walked and stayed out there in this beautiful red rock, amazing territory that we have around here.
- 39:54And I noticed it really helped.
- 39:56You know, I mean, it seemed like a psychic sponge.
- 40:00It just took a lot of the.
- 40:01The emotional and psychic toxins and got rid of it so that I could approach the subject with more, perhaps more centeredness or wisdom and.
- 40:11Okay, given that, you know, what are the next steps?
- 40:14But it was very remarkable how much that helped.
- 40:16Yeah.
- 40:17And it's striking.
- 40:18You're.
- 40:18You're echoing a theme that's found across history, that sages and spiritual practitioners seek support in nature.
- 40:26The shamans go into the wilderness.
- 40:29You and the Native Americans have done vision quests in the wilderness.
- 40:35Christian desert fathers retired to the desert.
- 40:38The Buddha sat in the forest.
- 40:40The Buddhist monks were moved into the forest for retreat.
- 40:43Jesus went into the desert for 40 days.
- 40:46Yeah.
- 40:46Before he started his.
- 40:48Well, his ministry, his life's work.
- 40:50So he came out of the desert with a vision.
- 40:53And.
- 40:53John, you've done a lot of work taking troubled kids into the wilderness.
- 40:59Yep.
- 40:59It's remarkable, you know, I mean, the first couple of weeks we'd be out there.
- 41:03Those were the hardest times.
- 41:05But eventually we started just shifting.
- 41:08And when you're living like that with other people in kind of a tribal, like, ancestral way and moving through the wilderness, and we made our fires with friction method.
- 41:17We didn't use matches or Lighters and.
- 41:19And we made our own shelters and everything.
- 41:21And in the last weeks of it, maybe the last month with a single group.
- 41:26I can't believe I'm getting paid to do this.
- 41:28You know, I had this band of brothers and sometimes sisters that were so close, and we just loved each other and.
- 41:34And I.
- 41:35There would be a moment in most of these young men or young women's experience, or they look around and they're kind of grubby, and they've been in the wilderness a long time and they're sunburned and their hair is
- 41:45looking dramatic.
- 41:46And they said, you know what'?
- 41:47Really beautiful here.
- 41:49And I said, wow, it's about time for you to go home.
- 41:52You finally got it.
- 41:53There's some connection that was made there.
- 41:55Very sacred kind of holy experience.
- 41:58Yeah.
- 41:59Beautiful.
- 41:59Beautiful work.
- 42:00And that was, as I understand, a major part of your integral recovery program, because you, of course, wrote the book Integral Recovery, about bringing a multidimensional approach to recovery from addiction.
- 42:11But as I understand it, that wilderness immersion was a central part of it.
- 42:15Yeah.
- 42:15So we need to protect our wilderness areas, and we're so blessed in this country.
- 42:19And Donald, my bless his heart, is trying to take a lot of these national monuments and stuff and cut off the land available and privatize it so people can make money, because it's transactional.
- 42:31If it doesn't make money, it's not worth anything.
- 42:33And there's something incredibly important, even in the.
- 42:36The John Muir and our great philosophers, they realize that the wilderness, with something very close to wisdom or very close to God, very mysteriously sacred.
- 42:47And we need to maintain that and protect the.
- 42:50The creatures and the land that we still have and take our kids into, go into it ourselves.
- 42:55It's a big help.
- 42:57It's more than a help.
- 42:58It's almost.
- 42:59It's just being human.
- 43:00It's being.
- 43:01I can't even find the words.
- 43:02I've never.
- 43:02And I've never been able to describe effectively the effects of immersion in nature.
- 43:08I had a lot of friends who were wilderness guides, and we always puzzled over, you know, we're.
- 43:12It's different.
- 43:13You know, we come back from these long trips feeling transformed and cleansed.
- 43:18It was really hard to get back into normal life.
- 43:22You know, for the first couple of days, you know, you had to reset your.
- 43:25Just emotions and your brain and your senses to living under a roof again.
- 43:30And, you know, phones and screens and people and electric lights and all this stuff.
- 43:35So, you know, if you can, and you're looking for an intervention for yourself, Find somebody that knows something about the wilderness and travel into it or do a vision quest or just go out there and sit for four
- 43:46or five days.
- 43:47You don't have to fast, just be there, watch what creatures show up and watch the stars and watch the wind and the weather and the sunlight.
- 43:54You can't do it virtually.
- 43:55You've got to, got to be there.
- 43:57Beautifully said, John.
- 43:58And.
- 43:59And even it's clear that even shorter periods, just a few hours in nature can be restorative for people.
- 44:08Absolutely.
- 44:09Healing and blood pressure goes down.
- 44:13Yeah.
- 44:14There's a term.
- 44:14We are biophilic.
- 44:16We are drawn to life and nurtured by exposure to it by natural settings.
- 44:23Yeah.
- 44:23So thank you.
- 44:24Beautifully said, John.
- 44:25Yeah, I said that.
- 44:27I used to say that there's no atheist after four weeks in the Utah Southern wilderness.
- 44:33You know, and you might not be a believer of this, but you might even be an agnostic, but there's no atheist.
- 44:40There's something greater here.
- 44:41There's something bigger than you and me, and it ignites that in the soul.
- 44:45Then you can follow that in whatever spiritual path that you're drawn to.
- 44:48That's a very interesting statement.
- 44:49You've said that before, but I just getting it in a new way.
- 44:53It's like, yeah, okay.
- 44:54What I'm hearing is that being in these vast natural settings, that's naturally kind of, I'm thinking it kind of attenuates our skin encapsulated egos and gets us in touch with something vaster.
- 45:11Yeah.
- 45:12The mystery, the sacred mystery.
- 45:14Beautiful.
- 45:15The one thing also I wanted to.
- 45:16Before we get away with this, Einstein donated his brain to science.
- 45:21And they finally, after many, many decades of several decades, they finally got.
- 45:26They dissected, they looked at what is this man?
- 45:28Obviously one of the great geniuses that our species has produced.
- 45:32And they found that he had a very much enlarged frontal lobes of the brain.
- 45:38And they were trying to account for it.
- 45:41And it turns out that Einstein was a lifelong violinist.
- 45:46They found similar things in these master musicians.
- 45:50I've been a passionate guitarist, mainly the blues, for, well, most of my life.
- 45:55And when I was 50, I took up electric guitar.
- 45:58And I said, am I too old to learn this?
- 46:01Because I'd always loved, you know, the music I grew up with with the Beatles and, and Hendrix and Eric Clapton, et cetera.
- 46:07Stevie won and I just dedicated myself to doing it.
- 46:12And you've heard me play on a couple of occasions, Roger.
- 46:15And I'm pretty damn good.
- 46:16You know, I'm not on the level of my heroes, but I can express a lot of emotion and, and through my fingers and my heart connecting with this instrument.
- 46:26And the guitar neck is almost infinite in complexity.
- 46:30I mean there's just no.
- 46:31They, I've got it all.
- 46:32You know, it's how you touch vibrato, the chords, the notes, the riffs, putting it all together.
- 46:38And it's just.
- 46:39Well, it's music and I mean there's no, there's no human beings that we've ever known of that haven't had some sort of music.
- 46:46It's just part of us.
- 46:48We have these beautiful instruments, piano and the guitar and all, you know, the whole thing in a symphonic orchestra.
- 46:55If you take that up and dedicate yourself with practice, it's the only way to get good.
- 46:59All the, all the great heroes were just practice junkies.
- 47:03Jimi Hendrix slept with his guitar.
- 47:05A guy who lived with him said he'd take it to bed with him.
- 47:07So.
- 47:08And it showed.
- 47:08So I just wanted to add that, that it's that complexity and the beauty of the sound and working these things out and practicing these things over and over till you get it seems to just transform one and been
- 47:20a huge help in my life.
- 47:22Yeah, it's a beautiful example of the power of.
- 47:25I think you're touching several things.
- 47:27One, I'm just getting a sense of how inspired you are by that and how much you've practiced and the nuance and how much learning there is in that.
- 47:35So it really feels like it's been just a wonderful way for you to develop another side of yourself.
- 47:42And I don't know the research on music well enough, but my understanding is it certainly has its psychological benefits and its effect on well being.
- 47:51Yeah, that would be interesting to research and look into.
- 47:55Yeah.
- 47:55Maybe we could shift to another major topic now.
- 47:58We've talked a bit about lifestyle, maybe we could talk about diet.
- 48:02And there are three things here to keep in mind.
- 48:06First is just fluids, fluid intake.
- 48:09You know, we've probably all heard that dehydration clouds the mind.
- 48:14And particularly as we age, we get more sensitive to dehydration.
- 48:18So staying hydrated is really important for immediate intellectual capacity and clarity.
- 48:25But it turns out quite recently there's been studies showing that long term dehydration, which is a risk for elderly people in particular because as we age, the first senses get less sensitive.
- 48:38So it's easy to get dehydrated without really knowing it, without feeling it so much.
- 48:43So it's really important, particularly as we age, to pay attention to regular hydration because not only for the Immediate benefit.
- 48:52But because it turns out the chronic levels of dehydration can produce significant cognitive loss.
- 48:58So this is turning out to have major long term importance as well as short term importance.
- 49:05So keep drinking.
- 49:07Yeah.
- 49:07When I was a wilderness guy for years, one of the things I had to teach right off with my students so they could maintain their health in the wilderness.
- 49:15And we were in deserts and very high altitudes.
- 49:18Drink water.
- 49:19It just became this mantra, Drink water, drink water.
- 49:22And before we do a hike, we'd all know, guzzle down something like this full of water.
- 49:27And I know we're going to get into plastics, but anyway, I didn't have them that much, but they certainly learned to once they became competent.
- 49:34In the wilderness, you understand how, how important water is.
- 49:37And we got our water from the land.
- 49:39It wasn't dropped off.
- 49:40So we had to find, you know, and you'd follow the, the, the cow trails and, and when the cattle just seem to wander around, but when they all get together and make a distinct trail, that means they're headed
- 49:53for water.
- 49:53So we could find water by following the footprints of these animals.
- 49:58So a little off dick, but interesting.
- 50:00Okay, well, I happily just go to the tap.
- 50:05But along with fluid intake, of course, is a big one that all of us know something about, which is diet.
- 50:13And there's an enormous amount of stuff out there on diet, and you can go crazy trying to figure it all out.
- 50:20So I can save you a lot of time here.
- 50:22I spent two years writing a big article on lifestyle and mental health, and part of that was on diet.
- 50:31So I spent a couple of years researching diet.
- 50:34So you can either spend two years or you can follow these three simple general principles.
- 50:41Well, I boil it down to.
- 50:43From two years of intensive study was three principles.
- 50:47One, eat primarily a vegetarian diet, and a vegetarian diet that's multicolored or so called rainbow.
- 50:57That is a vegetarian diet with lots of different colors.
- 51:00Colors indicate pigments.
- 51:02Pigments indicate various nutritional factors.
- 51:05So first eat a multicolored or so called rainbow diet, vegetarian diet with some fish.
- 51:13So this is now a pesco vegetarian diet.
- 51:16And ideally deep cold water fish like salmon, because these have a lot of fish oil.
- 51:25And the third thing is minimize excess calories.
- 51:28Turns out that one of the very few ways we have of actually slowing the aging process is reducing calorie intake.
- 51:39Almost everything we do for longevity is disease prevention.
- 51:43But caloric reduction actually does slow the aging process some.
- 51:50So again, we don't have to starve ourselves, but just, you know, we are a culture with an enormous Amount of obesity, largely, of course, because we are the victims of a multibillion dollar industry getting us to buy unhealthy
- 52:03food, so called ultra processed foods instead of natural foods, fresh fruit and vegetables and fish.
- 52:12So it's a constant battle not to overeat, not to consume empty calories.
- 52:18But it's also very important not only for our bodies, but for our brains too.
- 52:23And so I've worked out, I eat once a day in the evening.
- 52:28I don't know if that's good or not, but I just do.
- 52:31And I've learned I do get hungry the afternoon, but I could just look forward to dinner but once a day.
- 52:36Well, there's a whole new area now of that kind of interval fasting, or regular interval fasting, as it's called.
- 52:44And it does look as though it has some benefits for both body and brain.
- 52:50We don't have to go into the chemistry of it.
- 52:52But for people who are so inclined to do that, eating within a smaller window of the day, that is say from just over a smaller period, definitely not eating over the whole 16 hours turns out to be beneficial
- 53:09for again, body and brain.
- 53:11So yeah, so you're onto something there.
- 53:13So again, for diet, very simple, three principles.
- 53:16A rainbow collard, primarily vegetarian diet with some fish, a so called pesco vegetarian diet and minimize excess calories.
- 53:26Then the other thing with diet is we're all exposed to a lot of artificial sweeteners these days.
- 53:32Many of us use them instead of sugar.
- 53:34Sugar is problematic.
- 53:37But it turns out that some initial research evidence suggesting that artificial sweeteners are not good for brains and that they can accelerate brain aging.
- 53:48So probably good to minimize artificial sweeteners that doesn't include stevia, which is a natural sweetener.
- 53:55So Stevie is okay?
- 53:56Well, I have put it this way, I haven't seen any evidence that it's bad.
- 54:02It's not a terribly inspiring positive response.
- 54:06But the artificial sweeteners look as though they accelerate brain aging.
- 54:11And since we're talking about taking stuff in from the environment, maybe we could talk about environmental risks.
- 54:17Yeah, and unfortunately, we live in a chemical soup.
- 54:23We are exposed to thousands and thousands of chemicals, almost none of which have been adequately tested.
- 54:30The current approach that has of course been largely industry driven is that chemicals are used and released without proving their safety.
- 54:44That is, they may be subject to some testing, but there's no way adequate to prove they're actually safe.
- 54:51And there are just a slew of chemicals that we all swim in.
- 54:56You know, it's changing so fast.
- 54:57Twenty years Ago, none of us had heard of forever chemicals or hormone disruptors.
- 55:03But now, for example, fertility, there's this, all this talk about the, the low fertility rates in our country and around the world with declining populations in China or Japan and et cetera.
- 55:19But part of that, by no means the main part, but a part of it is the fact that the sperm count worldwide has dramatically decreased in recent decades.
- 55:33I mean, think of that.
- 55:34The average sperm count and vitality rate of the sperm, that is percentage of healthy sperm has gone down steadily over the last few decades across the world.
- 55:48Plus you have more miscarriages these days, Roger.
- 55:52Is that attributed to chemicals in our air, our food?
- 55:56That's the main thought, yep.
- 55:58All you know, we have a, we are swimming in a soup of chemicals.
- 56:02There's hormone disruptors, certainly we're seeing more abnormal, for example intersex animal species with change genitalia and so forth, all thought to be as a result of chemical disruptors and other chemicals.
- 56:17So Anne probably should have bought this quote, but there's a quote by one of the France's leading environmental researchers, a woman who won, I think, the prestigious French research medal.
- 56:29There's a quote from her which says it is impossible to have a normal brain in these times because our brains are being contaminated by multiple chemicals, most of which we don't know what they do and certainly we don't
- 56:45know what they do in combination.
- 56:48But the average American, I mean, I can't remember the exact figure here.
- 56:53I think the average American has in their blood detectable levels of something like 70 plus different chemicals.
- 57:00Now what that's doing to us, we don't know, but it's probably not good.
- 57:05And we really need to move as a culture from the current legislative attitude of it's okay to release chemicals until they prove dangerous to a preventive one of nothing's released until it's proved safe.
- 57:22This is, you know, Roger, also this year because of the record high heat, in many places in the world there have been wildfires.
- 57:31When we drove here from Louisiana to Utah, we saw huge, huge apocalyptic looking flames.
- 57:38And then we got into where we live and there, there was smoke coming from California and you know, the Canadians were having bad wildfires.
- 57:48And we love you, Canada.
- 57:49Sorry about our president.
- 57:50We'll take care of it eventually.
- 57:52And yeah, Europe too.
- 57:53Is that, sorry, Europe.
- 57:54We've been kind of out of it too.
- 57:56But anyway, back to the smoke.
- 57:57And so I was talking to you on the phone and you said, yeah, wear the mask, all the smoke.
- 58:02Because even the, the natural Smoke in it from the.
- 58:05And no telling what else is burning also.
- 58:07That is something to be aware of.
- 58:08And so we basically stayed in the house and we have lots of mask around, so when we'd go out, we'd use that.
- 58:14And it was really, really bad.
- 58:16The smoke was really thick.
- 58:17Yeah.
- 58:18And unfortunately, John, you're pointing to one of the growing challenges of our time and something we're going to see more of with global warming.
- 58:24These huge fires in forests.
- 58:28And of course, maybe in cities too, but the kind of fires you're speaking of were there's enormous amount of smoke generated.
- 58:36And unfortunately, we now know that smoke particles can get directly into the brain in smoke.
- 58:45There are these very small, just a couple of micron large smoke particles that get into the brain in two ways.
- 58:52One, we inhale them, they get into the blood, and then the pass from the blood into the brain, but also we inhale them.
- 59:00And the olfactory nerve is the only sensory nerve which routes directly into the brain itself.
- 59:07So we inhale the smoke, it gets into the olfactory nerves and moves into the brain.
- 59:13So I was, you know.
- 59:15Yes, my response to you was, yeah, wear your masks.
- 59:19Because it's not a pretty picture what smoke does, not only to our lungs, but.
- 59:25But to our brain.
- 59:26And so this is a kind of pollution which we tragically need to be more aware of now.
- 59:33And I just encourage everyone, if you're in an area with a lot of traffic or with likelihood of smoke, get some N95 masks and have air purifiers in the home.
- 59:49This is just something we can all do for ourselves.
- 59:52And if you, if you're in an area close to, say, a lot of traffic, because air pollution from traffic is also problematic.
- 1:00:00Getting your air conditioners and air filters and air conditioners that recycle the air you're breathing can be really helpful if you're driving through these areas trying to get away from a fire and there's smoke everywhere.
- 1:00:12So that's a benefit of air conditioning.
- 1:00:14Good point.
- 1:00:15Yeah, yeah.
- 1:00:16And since we're on pollution, we should mention, of course, plastics, which are inescapable these days.
- 1:00:24And yep, we all have them.
- 1:00:26But it turns out, you know, we could talk a lot about the effects of plastics, but which we were only really just beginning to understand.
- 1:00:35There's a term plasticosis, meaning kind of medical effects of plastics, but it's really a whole new field because we just didn't appreciate how problematic these were or how universal.
- 1:00:49There's no place on the planet from the top of Mount Everest to the bottom of the oceans where you can't find plastic components.
- 1:00:57And plastic breaks down into microscopic particles, both microplastics, which are tiny little maybe visible things, but nanoplastic particles which get through anything.
- 1:01:10And it turns out we used to think they didn't get into the brain because there's a so called blood brain barrier.
- 1:01:17The brain, of course, being such an incredibly complex and sensitive organ, has a very sophisticated barrier which keeps out a lot of chemicals and toxins.
- 1:01:28And we used to think that plastic couldn't get in there, but it does.
- 1:01:32And sadly, the amount of plastic in brains is growing over time as the amount of plastic in the environment grows.
- 1:01:42And Roger, what, what are the effects of this?
- 1:01:44How does it affect our lives and our brains getting all this plastic in there?
- 1:01:48Well, we do not know, but I don't think, I don't know many people who say, oh yeah, I'd like more of that in my brain.
- 1:01:55It's not neuroplasticity, let's just be clear.
- 1:01:58It's, it's a whole different thing.
- 1:02:00Neuroplasticity is good.
- 1:02:02That's good, John.
- 1:02:02I hadn't thought of that.
- 1:02:05You wouldn't?
- 1:02:07Yeah.
- 1:02:07So this is a very challenging one.
- 1:02:10And unfortunately the petrochemical industries, the oil producers, are working very hard to make sure that legislation to reduce plastic production does not happen.
- 1:02:22There was an international plastics production UN sponsored, I think, conference recently and basically it got nowhere because the petrochemical countries and companies torpedoed it.
- 1:02:35But this is something we're going to have to face as a species because the amount of plastic in the environment just keeps growing and growing and growing.
- 1:02:44You know, it's only been around less than a century, so this is a whole new thing.
- 1:02:48So we can't avoid it, but we can do a few simple things like switching to glassware rather than plastic wherever possible, not microwaving in plastic.
- 1:03:00And I understand reverse osmosis water filters are good for filtering out plastic particles.
- 1:03:07So those are the kinds of things we can do.
- 1:03:10Yeah, we recently threw out all our plastic chopping mats that we use to prepare food.
- 1:03:14And we're back to wood ones.
- 1:03:16They're not as convenient, but it's good old wood.
- 1:03:20That was under your influence, by the way.
- 1:03:23Oh, well, okay.
- 1:03:26And let's see, on the.
- 1:03:27Just to round out the environmental pollutants of one kind or another, of course, avoid things like pesticides.
- 1:03:34A lot of them are neurotoxins and a lot of them should be banned.
- 1:03:39So.
- 1:03:40But again, the chemical industry is working hard to make sure they're not.
- 1:03:44So yeah, remember Rachel Carson, Silent Spring, really important book.
- 1:03:49And she talked about Silent Spring bringing no more birds because we were killing them with our air pollution.
- 1:03:55And that was a really powerful, powerful book.
- 1:03:57It really changed things and environmental laws that came out of the 60s.
- 1:04:01So.
- 1:04:01Thank you, Rachel.
- 1:04:02Yeah.
- 1:04:03Lesser.
- 1:04:04And there's growing awareness of this, but of course again is industries which are dedicated to making sure that the production of some of these things continues.
- 1:04:14So it's a problem.
- 1:04:15Maybe we can switch to.
- 1:04:16We've done diet and we've done avoiding intake of pollutants.
- 1:04:21Maybe we can switch now to supplements because of course there's a lot of hoopla around this and a lot of people on the Internet wanting you to buy their miracle cure all thing that will keep your brain humming
- 1:04:34or turn you into Einstein.
- 1:04:36But the actual evidence.
- 1:04:38So what do we know?
- 1:04:39What's the research show?
- 1:04:41Well, there's been long term debate about the relative merits of a small amount of alcohol, coffee and green tea.
- 1:04:51Those have been three big ones and research now is pretty clear.
- 1:04:55But coffee turns out is turning out to be quite beneficial.
- 1:04:59So for brains and looks as though that can help not only give us an immediate lift, but also help with the health of the brain and the intellect long term.
- 1:05:13Alcohol is a tricky one.
- 1:05:15There's some evidence that a very small amount of daily alcohol can maintain brain health, but that's.
- 1:05:21It's debated.
- 1:05:23So no one's advocating drinking for any brain benefits.
- 1:05:27But.
- 1:05:27And some people can't handle alcohol.
- 1:05:30And I used to tell my students, hey, if you can drink, cheers.
- 1:05:33But if you can't, you can't.
- 1:05:35I'm sorry, that's just the dice how it rolled in your case and you just can't handle it.
- 1:05:39It will control you and eventually lead to your death and doing all kinds of awful things to other people.
- 1:05:44So yeah, you know that better than almost anyone traveling.
- 1:05:48Yeah, I know a lot about dumb drugs, Roger, not so much about smart drugs.
- 1:05:52But I minor expert on the effects of dumb drugs.
- 1:05:56But one thing that is now the evidence is really solid for is green tea.
- 1:06:02It turns out that for every cup of green tea we drink per day, there's about a 6% reduction in the risk of cognitive decline with aging and the risk of clinical cognitive impairment.
- 1:06:17So this is not a small thing, which means, you know, if you drink say three to four cups of green tea a day, that's reducing your risk of cognitive loss by 20%.
- 1:06:28I mean this is a big impact, big effect.
- 1:06:32So I think I should get royalties of some kind.
- 1:06:36I have so many friends now drinking more green tea.
- 1:06:40You should absolutely.
- 1:06:41If any green tea companies are listening to this, send us a check.
- 1:06:45It would be greatly appreciated.
- 1:06:47Right.
- 1:06:48You know, green tea has been used almost as a sacrament in Japanese and the tea ceremony and Zen for a while.
- 1:06:54And, you know, I don't think it's.
- 1:06:56I think it's obvious how these two things, meditation and green tea, would go together.
- 1:07:00And they've been doing it for a long time, so there must be something behind that.
- 1:07:03Yeah, I hope.
- 1:07:04I'm certainly.
- 1:07:06I certainly feel it helps my meditation.
- 1:07:08So, yeah, I'm gonna.
- 1:07:10I'm gonna get.
- 1:07:10I haven't been drinking green tea for a while, but I'm gonna start again.
- 1:07:14Let's see.
- 1:07:15So good evidence for that.
- 1:07:17Here's a couple of things that have some evidence.
- 1:07:20It's not as strong, but there's enough.
- 1:07:23And you won't see this on the.
- 1:07:25If you look in the standard medical journals, you won't see these two listed because understandably, standard medical journals tend to be pretty conservative.
- 1:07:34They want a lot of research before they advocate something.
- 1:07:37And of course I should say that all this information is by no means a medical recommendation.
- 1:07:44That's not to say that any individual, anyone who's listening, should do these things.
- 1:07:50The best approach is to take this information and any other you find from reliable sources.
- 1:07:55And I emphasize reliable sources because there's a lot of nonsense around brain maintenance these days.
- 1:08:01Get all the information you can from reliable resources, take them to a healthcare professional who knows you and your situation and your medical status, etc.
- 1:08:11And come up with some program that works for you.
- 1:08:14So this is free information.
- 1:08:15I'm not.
- 1:08:16Obviously this isn't a medical relationship in which I'm specifically recommending it for specific people.
- 1:08:22All that's by way of saying that these next couple of bits of information or things to consider do have some research support, but it's not as solid as the green tea.
- 1:08:34You know, you've recommended a whole bunch of things here to change your lifestyle, to help our.
- 1:08:39Our cognitive and our lives that continue into as we age.
- 1:08:43And I just want to say one day at a time.
- 1:08:45You don't have to make all the changes in the next 48 hours, but just start knocking these things off.
- 1:08:51You know, get rid of your chopping plastic things and find water containers that don't look like this.
- 1:08:57I carry water around with me a whole lot.
- 1:08:59I'm a waterholic.
- 1:09:00But don't be too overwhelmed.
- 1:09:01Just if you just start Making progress, you know, one day at a time.
- 1:09:04You'll find it's inspiring.
- 1:09:05Yeah.
- 1:09:06Again, you're going back to the principles of skillful behavior change.
- 1:09:09John yes, exactly.
- 1:09:11So a couple of things that are worth knowing about and possibly considering.
- 1:09:16Two supplements.
- 1:09:17One is lithium.
- 1:09:19Lithium you may all have heard of as a medication.
- 1:09:23It's widely used for bipolar disorder, that's known as manic depressive disorder.
- 1:09:29And it's basically a mood stabilizer, but it's also a neuroprotective, that is it has significant laboratory evidence showing how it actually protects the brain against inflammation and degradation.
- 1:09:46So there are two kinds of evidence which make it look as though this might be a really helpful supplement to consider.
- 1:09:52The first is laboratory evidence showing it's neuroprotective.
- 1:09:56The third is epidemiological evidence which looks across, for example, this country or between countries and finds that there's a relationship between the amount of lithium in the drinking water and mental health.
- 1:10:13That's amazing.
- 1:10:13So the more lithium there is in the drinking water, the better people's mental health tends to be.
- 1:10:21And it looks like the less people are likely to experience cognitive decline.
- 1:10:30So it's not proof.
- 1:10:32These kind of correlations are not proof, but they are taken together, they're very suggestive.
- 1:10:39And the other thing which makes me feel comfortable, I certainly take it myself with using it, is that lithium is very safe.
- 1:10:47The therapeutic dose is something like 600 milligrams to 1,200 milligrams a day.
- 1:10:53The supplement dose is like 5 to 10 milligrams, about 1% of that per day.
- 1:11:00So here we have a safe drug.
- 1:11:02All drugs have side effects, but lithium's relatively safe, which people take as a supplement at just 1% of the therapeutic level.
- 1:11:12Is that what you do?
- 1:11:13Roger?
- 1:11:13That 1%, 5 milligrams twice a day, and it's freely available in the health aisles of the local stores.
- 1:11:22So anyway, to my mind, it's certainly worth considering.
- 1:11:26And as again, I said, you know, ideal for research is human studies where you give something and you have a control group, but you can't do that in.
- 1:11:37It's very hard to do those kind of long term studies with humans.
- 1:11:42It's very expensive and no drug company is going to do it because lithium's unpatented, anyone can produce it.
- 1:11:50So that sounds kind of cynical.
- 1:11:52Roger.
- 1:11:52Oh no.
- 1:11:53John.
- 1:11:54Well, we have a capitalistic system which companies depend on making a profit, so there's no profit for them.
- 1:12:02And that is ideally where government and medical research funding comes in to Provide the funding for those kind of studies which companies, for obvious reasons don't undertake themselves.
- 1:12:17But unfortunately our healthcare system has been, you know, the health research budgets being slashed.
- 1:12:23So I've seen over the years people that I've worked with that had bipolar disorder, these huge swings up and down that lithium has really helped stabilize them.
- 1:12:31And from what I've heard, they'd really not sure why it does.
- 1:12:34It, it just, they know that it does.
- 1:12:37Do you have any ideas what lithium's actually doing in the brain?
- 1:12:40Well, I'm no expert on the kind of neuropharmacology of lithium, so I can't really say.
- 1:12:46And in most cases, you know, most drugs do a lot of different things, so it's often hard to pin it down to what's this exactly.
- 1:12:54But you're right, clearly works can be very effective.
- 1:12:58Another thing to consider is magnesium.
- 1:13:03And as a society we tend to be somewhat magnesium deficient.
- 1:13:08So a magnesium supplement is a reasonable thing for one's physical health.
- 1:13:13But most magnesium doesn't cross the blood brain barrier.
- 1:13:17But there is a particular one called magnesium threonate and that one does cross the blood brain barrier.
- 1:13:25And so taking a couple hundred milligrams of that a day.
- 1:13:29There are some studies which has shown that that's been associated with enhanced cognition over a period of weeks.
- 1:13:37We don't have long term studies yet, but it's looking promising.
- 1:13:42And given that magnesium is very safe and we need it, it seems a reasonable thing to consider.
- 1:13:49Another thing to consider, but since you mentioned bipolar disorder, something that's beneficial for affective disorders as they're called, bipolar being one of them.
- 1:13:59Fish oils.
- 1:14:01Fish oils are just really helpful for the brain.
- 1:14:04They really just play a major role.
- 1:14:06The research does not show that they're particularly effective in maintaining intellectual function.
- 1:14:12To my surprise, I thought they would.
- 1:14:15But the research is not showing that fish oil is particularly effective for that.
- 1:14:18But in general for psychological, for mental, for brain health and mental health, fish oils are something we all should be considering.
- 1:14:29Let me ask you a question.
- 1:14:30This has puzzled me.
- 1:14:32A lot of the times when you're, you're taking fish oil, they come in plastic capsules, which ain't good, so we should just take a spoonful and ingest it like that.
- 1:14:44Yeah, for a couple of reasons.
- 1:14:46Yes.
- 1:14:46I hadn't thought of the plastic capsules.
- 1:14:49In fact, I'm not sure they're plastic capsules.
- 1:14:51I think they're gelatin capsules.
- 1:14:53Oh, good, that makes me feel a lot better.
- 1:14:56Thank you.
- 1:14:56But in any event, the amount of fish oil that's really beneficial for both hearts and brains.
- 1:15:04You need quite a few capsules.
- 1:15:06So it's worth considering just getting a bottle of the stuff and taking it.
- 1:15:11Maybe a teaspoon or a tablespoon.
- 1:15:12Anyway I mention it, it's not so much for the intellectual cognitive effects, but just it's so beneficial for so many parts of brain and mood disorders.
- 1:15:24Also seems to be helpful.
- 1:15:26Yes, indeed.
- 1:15:27Let's see what else.
- 1:15:29Yeah, I think that's it for supplements.
- 1:15:31So maybe we move on to.
- 1:15:33I realize I'm downloading a lot of information here.
- 1:15:37Yeah, we're getting toward the end, Roger, but is there anything that you haven't covered that you think is important for people to know?
- 1:15:45Yeah, let's see a couple of things.
- 1:15:48One, of course, medical workup.
- 1:15:50Just have regular medical workups and get things checked because a lot of medical conditions affect our brains.
- 1:15:56Very important on the medical side, if you've got some hearing loss to get that corrected to get a hearing aid.
- 1:16:04Hearing loss is the biggest factor in increased risk of cognitive loss and dementia.
- 1:16:11Is that because it cuts down on your ability to connect with other people?
- 1:16:14Yeah, that's a big part of it.
- 1:16:16Yes.
- 1:16:17Yes.
- 1:16:18So it leads to a kind of social isolation.
- 1:16:20So get hearing tested and corrected.
- 1:16:24Visual loss, if you're really having a lot of visual loss, get that corrected.
- 1:16:29So that's really important.
- 1:16:31And one medication to avoid are antihistamines, particularly the early ones like Benadryl, which people use for both allergies and sleep.
- 1:16:44And turns out that using those long term is associated with an increased risk of cognitive loss.
- 1:16:49So if you do need something, use the more recent ones like Allegra, which doesn't cross the blood brain barrier but avoid long term use of the early ones.
- 1:17:00And one other thing that this will not make us popular with the anti vax people, but it turns out that vaccinations have a significant benefit in reducing subsequent dementia.
- 1:17:15For example, influenza, pneumococcal and tetanus diphtheria all reduce the risk of subsequent dementia.
- 1:17:23But the one with the biggest impact, biggest benefit is the shingles vaccine.
- 1:17:27That's right, Shingrix.
- 1:17:28And that has a significant like, I think it's like a 20% reduction in dementia in people who get that vaccine.
- 1:17:36This is a big thing.
- 1:17:38So, and I think just one more thing to mention, there's a new intervention which is looking promising.
- 1:17:46The evidence isn't conclusive yet, but it's promising.
- 1:17:50And that is, it's called olfactory enrichment.
- 1:17:53I mentioned before that the olfactory nerve, nerve for smell, is the only one which goes directly into the brain.
- 1:18:01Most other, our other senses have so called intermediate neurons before they reach the brain, but the olfactory nerve goes directly into the brain.
- 1:18:11And it turns out that loss of smell is associated for a number of reasons with increased risk of dementia.
- 1:18:20But it's also looking like olfactory enrichment that is exposing ourselves to a variety of odors of one kind or another on some sort of regular basis can actually heal the sense of smell and looks like it can enhance
- 1:18:37intellectual function in both normal people and in people who are at risk of cognitive decline.
- 1:18:45So.
- 1:18:46And is that something you would recommend to use in our bedrooms as we sleep?
- 1:18:50Is that the best way?
- 1:18:51Or in our offices or how could we do that?
- 1:18:53Let's see.
- 1:18:54Well, it turns out that it works when you, when you're sleeping.
- 1:18:59So.
- 1:19:00So there are now these.
- 1:19:01Now, you know, anyone can get an oil diffuser, they're freely available over, or they're readily available all over the place and just put some natural oils in them and have them going during the day or while you sleep.
- 1:19:14But there is also at least one more fancy machine, one called memory air, which dispenses I think, 28 different odors during the night.
- 1:19:24So there are options here.
- 1:19:26They're worth considering.
- 1:19:27Research isn't a slam dunk yet, but it's looking very promising.
- 1:19:32And there's one thing we haven't talked about, which is the effect of poverty.
- 1:19:36You know, it's very easy to talk about buying these supplements and making these lifestyle choices if we have resources, but it's a lot harder if you're living in poverty and just don't have the resources or time or flexibility
- 1:19:54available to do this.
- 1:19:55And one of the things that's increasingly clear is that inequality is not just a political nice thing to overcome inequality.
- 1:20:07The economic inequality really has a major negative impact on both mental health in those who are poor and disadvantaged and in what's called our social capital.
- 1:20:23That is the sense of connection and cohesion and collective well being of a community.
- 1:20:30And it turns out that the poor are much more at risk of intellectual decline and loss as they age than the affluent.
- 1:20:41So for all these reasons, one social consideration we should absolutely be giving attention to is reducing inequality.
- 1:20:51We are a society where inequality has accelerated dramatically.
- 1:20:57It's actually accelerated around the world.
- 1:20:59There's over a thousand billionaires who now own as much as wealth as the poorer half of the planet.
- 1:21:06We're become an increasingly unequal society.
- 1:21:10And what the research on Social capital shows is that we all suffer.
- 1:21:16We are less cohesive, we are less connected and collaborative as a community.
- 1:21:24And the poor suffer both psychologically and.
- 1:21:30Intellectually, and we suffer psychologically and intellectually.
- 1:21:34Those the haves that have enough to see all this and not be able to respond to it.
- 1:21:39Or you either have to close your heart or, you know, open your heart.
- 1:21:44And it's not healthy that any of God's children are going through this.
- 1:21:48And it doesn't have to be.
- 1:21:49We could do well said, John.
- 1:21:50It's a medical issue.
- 1:21:52It's a social issue.
- 1:21:54And as you point out, it's an ethical and spiritual issue.
- 1:21:58This should not happen.
- 1:21:59Read Matthew 25, chapter 25.
- 1:22:02He lays it all out, okay, which.
- 1:22:04Is he said, and the people are going to come to me and say, lord, Lord, you know, And I said, he'll say, go away, I never knew you.
- 1:22:10He said, what do you mean we didn't know you?
- 1:22:11We went to church every Sunday and blah, blah, blah, and said, how did we know?
- 1:22:14He said, well, I'm the poor, I'm the prisoner, I'm the orphan, I'm the immigrant.
- 1:22:20Even said the stranger.
- 1:22:21When you serve these people, you're serving me.
- 1:22:24And if you didn't quite get that, you really didn't know me.
- 1:22:28So there it is.
- 1:22:30Okay, that says it.
- 1:22:32Yeah.
- 1:22:32For a lot of reasons, we as a society need to do whatever we can to reduce inequality.
- 1:22:38So I think that's pretty much covers things.
- 1:22:41I got one last thing for you, Roger.
- 1:22:43Yes.
- 1:22:44Okay.
- 1:22:45Is there any evidence that you know of that having a pet or another species that you're very close to and a great deal of love and connection there.
- 1:22:56Does that help the brain in any way?
- 1:22:58That's a great question.
- 1:23:00I don't know the research on the brain, but I do know it certainly enhances, well, being people's sense of, you know, you're a great example of that, you.
- 1:23:11And you.
- 1:23:11You just love your dog.
- 1:23:13Yep, absolutely.
- 1:23:15Yeah.
- 1:23:15And it's true, particularly for elders who are people who are isolated.
- 1:23:19Having a pet is just a big thing.
- 1:23:23And I'd be very surprised.
- 1:23:24Thank you for asking this.
- 1:23:25I hadn't thought of it, but I'd be very surprised if it didn't help and maintain cognitive function.
- 1:23:31But I don't know any research on.
- 1:23:32And Roger, I just want to take this time to thank you from all of us for listening to this.
- 1:23:38And this has just been.
- 1:23:40It's been so helpful and so, so necessary.
- 1:23:43And it's.
- 1:23:43It's a real, you know, A real gift you've given us.
- 1:23:45So thank you very much, my friend.
- 1:23:47And maybe I'll just close by saying that I was stimulated to do this because I'm seeing more and more people are wrestling with cognitive loss.
- 1:23:56And I got a.
- 1:23:57On my birthday, I got a beautiful message from a dear friend from many, many years ago, one of my first loves who's saying, yeah, how are you doing?
- 1:24:05I'm having some memory problems, so it's like, okay, it's time for me to get this information out.
- 1:24:11Someday I'd like to get it out as a book, but that'll take a long time.
- 1:24:15Right now, what I can do is just download this and make it available.
- 1:24:20So thanks very much for giving me the opportunity, John.
- 1:24:23Thanks also to our manager, Heidi Mitchell, and our producer, Vanessa Santos, who, without them, we would be in deep trouble.
- 1:24:32This wouldn't be happening.
- 1:24:33It would not be happening.
- 1:24:35Thanks so much to all of you.
- 1:24:36Thank you very much for being a part of this conversation.
- 1:24:40We hope that you were moved, as we are moved, being part of it ourselves.
- 1:24:44We'd also like to see say that this is being funded by Roger and myself.
- 1:24:48It comes out of our pockets.
- 1:24:49So if you would like to help us to.
- 1:24:51Mainly to get this podcast out to more people, because the bigger audience have, which is steadily growing, but the more people we can reach and the more marketing we can do, the more positive effect we can have on
- 1:25:01the world.
- 1:25:01So we've done a couple of ways, but we'd like you to buy us a cup of coffee.
- 1:25:05Very simple.
- 1:25:06And I do that with podcasts that I support, and I find it's very satisfying.
- 1:25:11So thank you for your help, thank you for your presence and thank you for all you are and all you do.
- 1:25:16We love you.