Latest / The You Project / #2213 The Disease of Kings - David Gillespie
Transcript
- 0:00Speaker 1: I'll get a champions's stated and it's Craig. I would
- 0:05Speaker 1: not be David. I would be Craig. So when I
- 0:06Speaker 1: said it's David, probably should have started with it's Craig.
- 0:10Speaker 1: Let's go David. Now lime in Queensland.
- 0:15Speaker 2: Yeah, good to be here.
- 0:17Speaker 1: Uh, you've been a busy boy. You've been. We won't
- 0:20Speaker 1: say what because it's top secret, but you've been. FIGI
- 0:24Speaker 1: you had no what is You didn't tell me what
- 0:27Speaker 1: your impression was, apart from the fact that you got
- 0:30Speaker 1: treated like right, put your teeth in harps, like royalty,
- 0:34Speaker 1: and so raid around like someone fancied. Did you enjoy Fiji,
- 0:40Speaker 1: to be honest, not really.
- 0:42Speaker 2: Yeah, you know it's hard to live it up in
- 0:48Speaker 2: a place where you are being treated like royalty. When
- 0:50Speaker 2: you look out the window and see a third world country,
- 0:55Speaker 2: you know it's Yeah, there's a lot of incongruities in Fiji.
- 1:00Speaker 1: Yeah. I saw that too, and I went there and
- 1:03Speaker 1: we were driving through, like you said, a third world reality.
- 1:07Speaker 1: And then I don't know where you stayed, but we
- 1:09Speaker 1: got to this bridge and it went, it went over
- 1:13Speaker 1: this little waterway and onto this little island that had
- 1:17Speaker 1: all of these.
- 1:18Speaker 2: Resorts yeah, where all the big resorts are all the
- 1:21Speaker 2: big yeah.
- 1:21Speaker 1: Yeah.
- 1:22Speaker 2: Yeah.
- 1:22Speaker 1: So you drive, yeah, you drive out of like the
- 1:26Speaker 1: slums and then into Hollywood. And I didn't say I
- 1:31Speaker 1: wasn't without guilt. I'm like, oh, this is yeah, like
- 1:35Speaker 1: you said, there's a lot of incongruity here, there's a
- 1:38Speaker 1: lot of disc connection and yeah. So you're in razzle
- 1:41Speaker 1: dazzle and you get back to go back to the
- 1:44Speaker 1: airport and it's yeah, it was an interesting experience. I
- 1:48Speaker 1: didn't I was there for like I told you, a
- 1:50Speaker 1: day because I went to do literally a forty five
- 1:52Speaker 1: minute gig, which is ridiculous in itself. But I don't
- 1:55Speaker 1: know what it was like for you. But it was swelteringly.
- 1:58Speaker 2: Hot for me, so midwinter for me. All the locals
- 2:03Speaker 2: were getting around in jumpers because it was twenty three
- 2:05Speaker 2: degrees so talking about how cold it was, it seemed
- 2:12Speaker 2: fired to be. But they were telling me it was cold.
- 2:15Speaker 1: Favorite place in the world that you've ever been that
- 2:18Speaker 1: you didn't think you would love it, but you did
- 2:20Speaker 1: love it. What's that place?
- 2:23Speaker 2: You know? This is going to sound really really parochial,
- 2:26Speaker 2: but since I was knee hide or grasshopper, I have
- 2:31Speaker 2: always gone to a beach in Queensland, col King's Beach
- 2:34Speaker 2: at Caloundra, which is near Brisbane to the north. And
- 2:40Speaker 2: I've been to a lot of places, beaches and resorts
- 2:44Speaker 2: and so on all over the world, and I honestly
- 2:47Speaker 2: can't find anywhere as good as that. It's just clean,
- 2:55Speaker 2: it's beautiful and hard to get past. Really.
- 3:00Speaker 1: Apart from the beauty and the esthetics and the nature,
- 3:03Speaker 1: which is very understandable, what about culturally or experientially where
- 3:09Speaker 1: you Because I went to somewhere that I'll tell you
- 3:11Speaker 1: about in a sec that you know, it just looked
- 3:14Speaker 1: like being in rural Victoria, to be honest, but I
- 3:16Speaker 1: loved it so much. Is there a country that where
- 3:19Speaker 1: you just loved the the energy or the culture or
- 3:23Speaker 1: the experience that you had there.
- 3:26Speaker 2: Yeah, there are. I spent a fair bit of time
- 3:30Speaker 2: in southern Germany in my youth, and you know, sort
- 3:35Speaker 2: of down towards between the border between Germany and Austria
- 3:39Speaker 2: near Saltzburg and that sort of it's a sort of
- 3:43Speaker 2: rural part of Europe, and yeah, I like the attitude
- 3:48Speaker 2: of the people there and the end. Yeah, it's it's
- 3:54Speaker 2: if I had to choose somewhere other than here to live.
- 3:56Speaker 2: That'll probably be it.
- 4:00Speaker 1: We're talking before that. Fiji claims to be the happiest
- 4:06Speaker 1: place in the world. Yep I thought for a minute
- 4:10Speaker 1: it was Nepal. Wasn't Nepal meant to be the happiest
- 4:14Speaker 1: where people are the happiest and the least stressed. Maybe
- 4:17Speaker 1: that's changed. I think I think they.
- 4:20Speaker 2: I think they do these these surveys every year, and
- 4:23Speaker 2: they're hardly hard science.
- 4:26Speaker 1: I would say, I guess, I'd say, no science, no science.
- 4:32Speaker 2: Yeah, And but you know, they come up with predictable
- 4:35Speaker 2: places as being happy, you know, where people or at
- 4:39Speaker 2: least the rest of the world probably perceives people as
- 4:41Speaker 2: having no stress. And genuinely, one thing about Fiji you
- 4:45Speaker 2: can say is the people are very happy. I mean
- 4:49Speaker 2: they seem happy, you know, they don't seem stressed about much,
- 4:54Speaker 2: so you could see where you might get that impression.
- 4:59Speaker 2: And but I don't put much stored by these things
- 5:03Speaker 2: that The best survey I saw of this sort was
- 5:07Speaker 2: I came across when I was researching the book about
- 5:14Speaker 2: I think it was one of the psychopath books I did.
- 5:16Speaker 2: But the survey was interesting because it was talking about
- 5:21Speaker 2: how happily, how people rate their level of happiness, and
- 5:26Speaker 2: it was comparing types of community, so rather than comparing countries,
- 5:30Speaker 2: it was comparing types of community. And what it seemed
- 5:35Speaker 2: to find universally is that people in the most individualistic societies,
- 5:41Speaker 2: so that is where it's everyone for themselves, are the
- 5:44Speaker 2: least happily, sorry, the least happy in general. So that's
- 5:48Speaker 2: places like the United States, which is the most individualistic,
- 5:51Speaker 2: followed closely by Australia, the United Kingdom and so on,
- 5:55Speaker 2: they're the least happy. And people who are in societies
- 5:59Speaker 2: that are very strongly based on community ties. So and
- 6:03Speaker 2: that's not all the it's not happy clappy, that sounds
- 6:06Speaker 2: that's what it sounds like a bit terbal journal. But
- 6:09Speaker 2: I'm talking about the reality, which is that people are
- 6:12Speaker 2: heavily dependent on community. There are large families, They depend
- 6:16Speaker 2: on each other, they rely on each other, they share everything.
- 6:22Speaker 2: So societies that are like that tend to self rate
- 6:26Speaker 2: as being happier than societies that are individualistic. And I
- 6:33Speaker 2: guess that's consistent with what we know about our biology,
- 6:36Speaker 2: which is for most of evolutionary time, humans consisted lived
- 6:41Speaker 2: in groups of no more than one hundred and fifty
- 6:43Speaker 2: people where you're a fair chance of knowing all of
- 6:45Speaker 2: them and being probably related to half of them, and
- 6:49Speaker 2: so you could trust everybody and you knew that they
- 6:55Speaker 2: were bound by a lot more than just you know,
- 7:00Speaker 2: feeling good about you. It's the same sort of thing.
- 7:05Speaker 2: If people know they can be recognized and found, they're
- 7:08Speaker 2: much more likely to behave well in groups than if
- 7:12Speaker 2: it's anonymous, which is why road rage exists. People think
- 7:16Speaker 2: they're anonymous when they get in a car and you
- 7:20Speaker 2: get a glimpse of their true self, whereas when they're
- 7:23Speaker 2: identifiable standing there in front of you, they're more likely
- 7:27Speaker 2: to behave.
- 7:29Speaker 1: Yeah, there's a sociologist called Dumbar. I'm sure you've heard
- 7:32Speaker 1: of Dunbar's number, or maybe not. No, Yeah, so it's
- 7:38Speaker 1: called Dumbar's number. And you're right. The ideal seems the happiest,
- 7:42Speaker 1: the most practical and functional size of community is that
- 7:47Speaker 1: is what you said. It's about one forty fifty. So, yeah,
- 7:51Speaker 1: that's used quite a little bit in sociology and human
- 7:55Speaker 1: behavior across the thing. But I went to Van. Have
- 8:00Speaker 1: you ever been there?
- 8:02Speaker 2: Don't think so.
- 8:04Speaker 1: So the capital is place called Port Vila, Hampton Street,
- 8:11Speaker 1: no port Vila capital, like the main road makes Hampton
- 8:14Speaker 1: Street look like Hollywood, And I mean that respectfully. It's
- 8:18Speaker 1: so well when I went, it was a few years ago,
- 8:21Speaker 1: but so nineteen fifty five. But the people happiest people
- 8:27Speaker 1: I've ever met. And I went to an island, one
- 8:29Speaker 1: of the islands called a Spiritu Santo, very Latin and
- 8:36Speaker 1: very like no power, no electricity per se. They had
- 8:41Speaker 1: generators and we stayed in a essentially a one or
- 8:45Speaker 1: two star resort. But it was the most beautiful place
- 8:49Speaker 1: on earth. But they cooked like most of the meals
- 8:53Speaker 1: in the ground, like the fish and all kinds of stuff.
- 8:57Speaker 1: And I remember just I met this guy called Mackenzie
- 9:04Speaker 1: and we struck up a friendship of sorts. And it'd
- 9:07Speaker 1: never been off the island. I can't remember how big
- 9:10Speaker 1: the island was, but like no bigger than say, I
- 9:14Speaker 1: don't know, five or six seven kilometers by two, like tiny,
- 9:18Speaker 1: this tily tiny speck in the ocean. Here's the happiest
- 9:21Speaker 1: dude I've ever met. And no idea of anything in
- 9:25Speaker 1: the world, Like I've never seen television, never heard radio.
- 9:30Speaker 2: And yeah, I guess that's the point out that I
- 9:36Speaker 2: came to in writing The Recovery Plan is happiness isn't
- 9:42Speaker 2: about adding things to your life to make you happy.
- 9:47Speaker 2: People think it is. People think, you know, if I
- 9:49Speaker 2: only added a BMW, i'd definitely be much more happy
- 9:52Speaker 2: than I am now, Or if I added a million dollars,
- 9:55Speaker 2: I would be definitely more happy. Yes, but it isn't,
- 10:01Speaker 2: you know, when you look at the studies on this stuff,
- 10:03Speaker 2: it isn't about adding things because there's always someone who's
- 10:07Speaker 2: got more. There's always so it doesn't matter who you are,
- 10:11Speaker 2: even you know, unless perhaps you're an elon mask. There's
- 10:15Speaker 2: always someone who's got more of whatever it is you desire.
- 10:18Speaker 2: And as soon as you get that thing, you are
- 10:20Speaker 2: then frustrated that you don't have the next level up.
- 10:23Speaker 2: And so happiness is mostly about removing things that cause unhappiness.
- 10:31Speaker 2: If we self rate our happiness, most people rate themselves
- 10:37Speaker 2: if they're feeling normal about six out of ten. It
- 10:41Speaker 2: doesn't mean that they're aesthetic, it doesn't mean they're euphoric.
- 10:45Speaker 2: It just means they're not unhappy, they're content, they're wombling along.
- 10:53Speaker 2: And what affects that is sure, there's the occasional euphoric
- 10:58Speaker 2: spike if you get a head of dopamine because you
- 11:02Speaker 2: just won lotto or something, and that might push you
- 11:04Speaker 2: to ten, but then you're back down to six pretty
- 11:06Speaker 2: much straight away. But you can degrade that six to
- 11:12Speaker 2: a fairly consistently low two or three by having things
- 11:16Speaker 2: that introduce anxiety into your life. So introduce anxiety depression.
- 11:21Speaker 2: And we've talked endlessly about the things that do that.
- 11:25Speaker 2: Mostly the apps that you carry around in your pocket
- 11:27Speaker 2: are designed to do exactly that. By the way, we
- 11:30Speaker 2: should talk about this next week, the massive lawsuit that's
- 11:33Speaker 2: going on against Meta at the moment in California. That
- 11:38Speaker 2: is I think it's twenty nine states ganging up on them.
- 11:43Speaker 2: That is very reminiscent of the first big tobacco cases.
- 11:47Speaker 2: We won't do it today because I haven't done enough
- 11:49Speaker 2: research on to talk about it sensibly, but maybe bookmark
- 11:52Speaker 2: that for next time.
- 11:54Speaker 1: All right, we'll do that. Speaking of what you were
- 11:56Speaker 1: just talking about, sometimes there's just weird synergy us put
- 12:00Speaker 1: posts that I put up. I put this up today
- 12:04Speaker 1: on Insta. It's one of my whiteboard ramblings, and it says,
- 12:09Speaker 1: sometimes success is less about what we can acquire, achieve
- 12:13Speaker 1: and change and more about what we can let go of,
- 12:16Speaker 1: un learn, own up to and be happy without. There
- 12:20Speaker 1: you go. How about that you read in my mind
- 12:23Speaker 1: that synergy do It also seems.
- 12:25Speaker 2: Like I read you your inst which of course I don't,
- 12:27Speaker 2: but there you go.
- 12:29Speaker 1: Of course you don't, and would you You've got exactly
- 12:33Speaker 1: that's what I want. You've got your own whiteboard in
- 12:36Speaker 1: your head. You've probably got thirty of them. So today
- 12:39Speaker 1: we're going to talk about something that's completely irrelevant to
- 12:43Speaker 1: our preamble, but that is you've written. It's on substack everybody.
- 12:49Speaker 1: It went up about literally four minutes before I jumped on,
- 12:53Speaker 1: maybe eight minutes, called the Disease of Kings. That's the
- 12:56Speaker 1: name of the post. Rather me intro it or try
- 13:00Speaker 1: to do a snapshot of it, tell us what that's
- 13:04Speaker 1: about and why you wrote it.
- 13:06Speaker 2: Okay, So there's been a bit of publicity this week
- 13:09Speaker 2: and I'm not sure whether it's National Kidney Disease Week
- 13:12Speaker 2: or not. I probably should have figured that out, but
- 13:14Speaker 2: I know there's been a bit of publicity about kidney
- 13:16Speaker 2: disease this week in Australia, and there's good reason for that.
- 13:22Speaker 2: Kidney disease is out of control in this country. It
- 13:28Speaker 2: is a seriously debilitated, debilitating disease and has increased. I
- 13:34Speaker 2: think it's like sixty percent in the last I did
- 13:38Speaker 2: have the stat there, Yeah, sixty percent between twenty eleven
- 13:42Speaker 2: and twenty twenty four in Australia. And the couple of
- 13:47Speaker 2: things about this kidney disease. You can lose ninety percent
- 13:51Speaker 2: of your kidney function and not notice it, so completely
- 13:54Speaker 2: symptom free. But when that last ten percent goes, you
- 13:58Speaker 2: go from symptom free to needing dialysis. And as treatments go,
- 14:03Speaker 2: dialysis is about the ugliest of them all. It certainly
- 14:08Speaker 2: doesn't leave you a lot of time for the rest
- 14:10Speaker 2: of your life because you are stuck in a hospital
- 14:13Speaker 2: for hours on end, multiple days a week, having your
- 14:17Speaker 2: blood cleaned by a machine. And so it growing at
- 14:24Speaker 2: the rate it is where it now occupies. It is
- 14:27Speaker 2: now responsible for fourteen percent of all hospitalizations in Australia.
- 14:31Speaker 2: So everything that puts people in hospital, fourteen percent of
- 14:36Speaker 2: the hospitalizations are caused by this one thing, which is
- 14:40Speaker 2: chronic kidney disease needing dialysis. And that's not even all
- 14:45Speaker 2: of the disease, that's just the bit that needs treatment.
- 14:48Speaker 2: By the way, there is no cure for this other
- 14:51Speaker 2: than a kidney transplant, and the dialysis treatment is essentially
- 14:58Speaker 2: a life sentence for as long as you have to
- 15:00Speaker 2: have those kidneys. And with increasingly more and more people
- 15:05Speaker 2: having the disease, the chances of you being the recipient
- 15:09Speaker 2: of a kidney transplant, you know, vanishingly small.
- 15:14Speaker 1: So yes, yes, And as.
- 15:16Speaker 2: Bad as all of that is, it's five times as
- 15:19Speaker 2: bad in the Aboriginal and Torrestraate island of population. So
- 15:24Speaker 2: it is a significant disease state which is affecting Australians,
- 15:30Speaker 2: and not just Australians but those of the Austrans stats
- 15:33Speaker 2: because we're Australian.
- 15:35Speaker 1: The interesting thing.
- 15:38Speaker 2: And what this article is about is how science has
- 15:41Speaker 2: come to understand why it's really just about the sugar
- 15:48Speaker 2: and nothing else. There's no doubt about this. The mechanism
- 15:51Speaker 2: is clear, the science is clear. It's just sugar. It's
- 15:55Speaker 2: caused by fructose and the way we metabolize fructose in
- 16:00Speaker 2: our body when we consume fructose. Now, just a reminder,
- 16:06Speaker 2: fructose is one half of table sugar. So table sugar
- 16:09Speaker 2: consists of two simple sugars, glucose and fructose joined together
- 16:14Speaker 2: to cause it to and that makes molecule called sucrose.
- 16:17Speaker 2: As soon as we can consume sugar, we split those
- 16:19Speaker 2: two molecules in half. The glucose gets metabolized for energy,
- 16:23Speaker 2: and we have terrific control systems for that. We don't
- 16:26Speaker 2: consume too much of it, and it is used productively
- 16:31Speaker 2: by every cell in our body. Fructose cannot be used
- 16:34Speaker 2: by any cell in our body and is turned immediately
- 16:37Speaker 2: into fat by our liver. The turning into fat bit
- 16:43Speaker 2: has a byproduct called uric acid, and uric acid sounds nasty,
- 16:51Speaker 2: and it is because it crystallizes in our bloodstream. And
- 16:56Speaker 2: when uric acid crystallizes in our bloodstream ends up messing
- 17:01Speaker 2: up our coffee filter basically, which is our kidneys. So
- 17:05Speaker 2: our kidney's work is a filter on the bloodstream. Lots
- 17:08Speaker 2: of really fine little blood blood vessels. You fill that
- 17:13Speaker 2: full of crystalline needles that rip them apart. You can
- 17:18Speaker 2: start doing enormous damage.
- 17:19Speaker 1: There's usually a.
- 17:20Speaker 2: Sign that this is occurring before it happens with another
- 17:24Speaker 2: disease called called gout, which now is also exponentially rising
- 17:30Speaker 2: in Israel population. Gout very very painful arthritis of the
- 17:36Speaker 2: toes and lower extremities, and that's the crystals collecting in
- 17:39Speaker 2: your joints at the bottom of your body, and it's
- 17:43Speaker 2: the first sign that this is going on. So gout
- 17:46Speaker 2: is a good sign that there may be a problem
- 17:48Speaker 2: with the kidneys because it's all on the same pathway.
- 17:53Speaker 2: The reason I call this the disease of Kings is
- 17:55Speaker 2: that King Henry the Eighth famously suffered from gout made
- 18:01Speaker 2: him very, very cranky. Now, he was one of the
- 18:05Speaker 2: first ever sugar hounds, so you know, of course, you know,
- 18:10Speaker 2: he lived from you know, I think fourteen ninety one
- 18:13Speaker 2: to fifteen forty seven, which was yeah, yeah, you knew that.
- 18:18Speaker 2: So he was the dawn of the age of sugar.
- 18:22Speaker 2: So that was when sugar first started to enter the
- 18:28Speaker 2: United Kingdom, well in England. At the time, nobody was
- 18:32Speaker 2: buying it from the local lolly shop. The stuff was
- 18:36Speaker 2: outrageously expensive because it had to be very very carefully
- 18:42Speaker 2: made and imported, and it was treated like gold dust,
- 18:46Speaker 2: so only very very rich people, for example, the King
- 18:50Speaker 2: of England, could afford to be eating any sugar at all,
- 18:53Speaker 2: let alone in any serious quantity. He famously liked it
- 18:58Speaker 2: so much that He would order up banquets of sugary
- 19:03Speaker 2: treats and then consume them all. This is a guy
- 19:06Speaker 2: that then in his twenties was considered a bit of
- 19:10Speaker 2: a hunk. He was a thirty five inch waist. We
- 19:14Speaker 2: know that because he had a suit of armor made
- 19:16Speaker 2: for him when he was twenty three and they had
- 19:17Speaker 2: to know his waist slide to do it. He was
- 19:20Speaker 2: six foot two, very athletic, he had loads of jousting
- 19:26Speaker 2: and in general very fit guy. But that's not the
- 19:31Speaker 2: image we remember about him. Most people, if they think
- 19:35Speaker 2: of King Henry the Eighth at all, probably you think
- 19:37Speaker 2: of the pictures of him when he was in his forties.
- 19:41Speaker 2: He was very obese man by then, weighed in yeah,
- 19:47Speaker 2: some say somewhere north of one hundred and sixty kilos,
- 19:51Speaker 2: had a fifty four inch waist and.
- 19:56Speaker 1: Terrible, terrible gout.
- 20:00Speaker 2: So he'd been chowing down on sugar, one of the
- 20:03Speaker 2: few people in England that could afford to do it,
- 20:05Speaker 2: had all his teeth rotted out.
- 20:06Speaker 1: By the way.
- 20:07Speaker 2: This started a trend amongst the aristocracy, which I think
- 20:09Speaker 2: I've mentioned to you before. People who couldn't afford to
- 20:12Speaker 2: eat sugar had had their teeth blacked with tar so
- 20:17Speaker 2: that it looked like they could.
- 20:20Speaker 1: Look on my teeth to write it out. They also
- 20:24Speaker 1: wooden benches or something.
- 20:26Speaker 2: Yes, that's right, yes, God, well, they are the people
- 20:30Speaker 2: who really needed and they were the ones who actually
- 20:32Speaker 2: could afford the sugar. But if you want to be
- 20:35Speaker 2: in the early sixteenth century, then you got yourself some
- 20:41Speaker 2: tar and blacked out your teeth so that it looked
- 20:42Speaker 2: like you would afford sugar anyway. So the king was
- 20:46Speaker 2: having feasts of all the sugar. It was making him fat,
- 20:49Speaker 2: It gave him gout and probably also gave him kidney
- 20:52Speaker 2: disease by the time he died in his early fifties.
- 20:56Speaker 2: So the gout was then called the disease of kings,
- 21:03Speaker 2: and for many many years after that, right up until
- 21:07Speaker 2: probably the early two thousands, if you were to ask
- 21:12Speaker 2: a doctor what causes gout, they would say to you, Oh,
- 21:18Speaker 2: that's people who feast a lot on meat and drink
- 21:22Speaker 2: lots of alcohol, like King Mary Henry the eighth did.
- 21:26Speaker 2: And it was rubbish, had no basis in science whatsoever.
- 21:31Speaker 2: It was just a guess. But it also was the
- 21:35Speaker 2: reasoning behind a lot of why we were told, you know,
- 21:38Speaker 2: our dial back on the animal fat and stuff like that,
- 21:41Speaker 2: you know, because it's going to make you fat and
- 21:43Speaker 2: give your gout and kidney disease and so on. Trouble is,
- 21:47Speaker 2: there was no biochemistry to back any of that up,
- 21:50Speaker 2: none whatsoever. It was just a flat out guess, and
- 21:54Speaker 2: a guess based on what they thought King Henry eight,
- 21:57Speaker 2: by the way, which is he was having all those feasts,
- 22:02Speaker 2: you know, showering down on chicken legs and turkeys and
- 22:07Speaker 2: all that sort of thing, duck swans. But the reality
- 22:14Speaker 2: wasn't that a that that wasn't true, That wasn't what
- 22:17Speaker 2: he ate, and well it probably ate that, but he
- 22:19Speaker 2: also ate an awful lot of sugar. But also that
- 22:23Speaker 2: there was no biochemistry to explain it. There was nothing
- 22:27Speaker 2: to explain how you got from consuming those things to
- 22:32Speaker 2: massive overdoses of uric acid which destroyed the kidneys. The
- 22:36Speaker 2: biochemistry caught up in the early two thousands, interestingly by
- 22:40Speaker 2: a guy who I mean, I hesitate to cite his
- 22:43Speaker 2: research if it wasn't so systematically reproduced so fellow by
- 22:48Speaker 2: the name of Johnson. Early two thousands in the United States.
- 22:52Speaker 2: He gotten onto this idea and he could prove it.
- 22:57Speaker 2: He could prove that if you gave animals and eventually humans,
- 23:01Speaker 2: I think he did the studies in humans as well,
- 23:04Speaker 2: a jolt of sugar, you know, had them drink a
- 23:08Speaker 2: large amount of soft drink or something. Then their blood
- 23:10Speaker 2: pressure would go off the scale, their uric acid levels
- 23:13Speaker 2: would go up, and you know, he theorized, okay, well,
- 23:19Speaker 2: what would happen if we take the sugar away. Did
- 23:21Speaker 2: these things reverse and then we can see that they're
- 23:23Speaker 2: directly associated. So he did that and their conditions were
- 23:27Speaker 2: improved immediately. So he took athletic I think one of
- 23:30Speaker 2: his studies was a group of US football like college
- 23:33Speaker 2: football players, gave them, gave them a load of sugar
- 23:37Speaker 2: to drink. They drank it, blood pressure went up, acid
- 23:40Speaker 2: levels went up, and then he took it away and
- 23:43Speaker 2: it all went back down again. He theorized and in
- 23:47Speaker 2: fact ended up patenting a drug that would lower uric
- 23:51Speaker 2: acid levels in the general population. So there was a
- 23:55Speaker 2: bit of a motivation behind his experiments. But that's not
- 23:58Speaker 2: to say what he found wasn't right, And it was
- 24:00Speaker 2: replicated many many times after that that.
- 24:06Speaker 1: And.
- 24:07Speaker 2: So the mechanism became really really clear, to the point
- 24:10Speaker 2: that by I think twenty twelve, the BMJ was publishing
- 24:14Speaker 2: really large consensus things that said, oh, well, we kind
- 24:17Speaker 2: of got this wrong. Turns out it's fructose that does
- 24:21Speaker 2: all this damage. So yeah, there's that. It hasn't really
- 24:27Speaker 2: made it down to the street level yet. In that
- 24:29Speaker 2: if you ask the average GP, they may or may
- 24:31Speaker 2: not blame fructose for gout or kidney disease. They may
- 24:38Speaker 2: still say, oh, that's alcohol and too much red meat.
- 24:42Speaker 2: But the reality is the science says no, it's fructose.
- 24:47Speaker 2: And you don't have to go too far to find
- 24:49Speaker 2: fructose in our modern diet. It's in everything on the
- 24:53Speaker 2: supermarket shelf, which is bad bad news for us, and
- 24:57Speaker 2: neatly explains why kidney disease is rising at the rates
- 25:01Speaker 2: that it is.
- 25:05Speaker 1: So I just had a quick search on how much
- 25:07Speaker 1: sugar the average Josie, So this is not exceptional. The
- 25:10Speaker 1: average Jozsie has eighty two grams of sugar a day, which,
- 25:15Speaker 1: depending on if it's four or five grams of teaspoon,
- 25:17Speaker 1: is sixteen to twenty tea spoons per day. Is the
- 25:22Speaker 1: average person not the bad person?
- 25:24Speaker 2: That's probably that's not all of course, Well that that's
- 25:30Speaker 2: also that's also rubbish. That number is probably added sugar, right,
- 25:36Speaker 2: which is a unique.
- 25:37Speaker 1: That's true, that's true.
- 25:40Speaker 2: That's a unique little term invented by the sugar industry
- 25:43Speaker 2: to try and diffuse these stats. If you actually go
- 25:45Speaker 2: to the underlying stats and figure out how much sugar
- 25:48Speaker 2: people are actually consuming, it ends up being about twice
- 25:51Speaker 2: that much.
- 25:52Speaker 1: Wow.
- 25:53Speaker 2: So because things that aren't included in numbers like that
- 25:56Speaker 2: are things like orange juice and so on that naturally
- 26:01Speaker 2: occurring sugars as they call them, but they are actually
- 26:04Speaker 2: higher in froctose than anything else. So when you get
- 26:09Speaker 2: past the smoke screen, I mean, the sugar industry has
- 26:11Speaker 2: been trying for several decades now to mess up those
- 26:14Speaker 2: statistics to the point where I think the ABS just
- 26:18Speaker 2: stopped counting it in nineteen ninety eight. So we don't
- 26:22Speaker 2: have reliable sugar consumption statistics in Australia. And if you
- 26:28Speaker 2: go to the US and look at equivalent statistics, it
- 26:31Speaker 2: works out at around about one hundred and fifty to
- 26:35Speaker 2: one hundred and sixty grams per person per day total
- 26:38Speaker 2: sugar consumption, half of which is fructose.
- 26:42Speaker 1: Wow wow wow wow. So AD grams were probably similar
- 26:47Speaker 1: to them.
- 26:49Speaker 2: Yeah, So if you think about it, it's not hard
- 26:53Speaker 2: to get there. Like a bowl of cereal, glass of
- 26:57Speaker 2: apple juice for breakfast push back from the breakfast table.
- 27:01Speaker 2: You're already at twenty tea spoons of sugar. That's before
- 27:04Speaker 2: we go near a Mars bar or a coke. Yeah,
- 27:08Speaker 2: so it's really not hard to get large numbers in
- 27:13Speaker 2: sugar consumption. And like you say, those average numbers, there
- 27:16Speaker 2: are people considering consuming considerably more than that, and people
- 27:19Speaker 2: can consume considerably less than that.
- 27:23Speaker 1: Is. I know, once people have fucked their kidneys, it's
- 27:26Speaker 1: dialysis yep, for eternity. But people who have done some damage,
- 27:31Speaker 1: let's say ten out of ten is fucked, let's say
- 27:33Speaker 1: two or three out of ten is. They're on their way,
- 27:37Speaker 1: but they're not in significant distress yet. It's survivable. You
- 27:44Speaker 1: can't be undone. I don't know.
- 27:46Speaker 2: About undone, but the damage progression can be stopped. So
- 27:52Speaker 2: I remember I said that you can lose ninety percent
- 27:54Speaker 2: kidney function and still be perfectly fine and symptom free.
- 27:58Speaker 2: So we have big dondancy built into that system quite
- 28:02Speaker 2: obviously from the fact that we've got two of them,
- 28:04Speaker 2: and we can work with one for starters. So there's
- 28:07Speaker 2: a lot of redundancy in the system, and you can
- 28:11Speaker 2: function with fairly degraded kidneys and not have symptoms. But
- 28:17Speaker 2: I don't know that stopping sugar, I don't. I don't.
- 28:19Speaker 2: I'm not aware of any good science that says that
- 28:21Speaker 2: stopping sugar reverses any damage you've done. I guess if
- 28:26Speaker 2: the damage you've done hasn't resulted in you having symptoms,
- 28:30Speaker 2: then at least it's not going to get any worse
- 28:32Speaker 2: if you stop consuming the fructose.
- 28:35Speaker 1: Yeah. I wonder if just because Australia and America and
- 28:39Speaker 1: England are massive mass of consumers of diet soft drinks,
- 28:45Speaker 1: I wonder if that moves the needle in any way.
- 28:49Speaker 1: Not because there's no fructose.
- 28:51Speaker 2: Right, there's no fructose in diet soft drinks. They're a
- 28:55Speaker 2: whole different kettle of fish. I mean, well, Henry's was
- 29:01Speaker 2: scoffing this stuff down what four or five centuries ago,
- 29:05Speaker 2: and we're starting to worry about it. Now. Come back
- 29:08Speaker 2: to me in four or five centuries. I'll let you
- 29:10Speaker 2: know if the artificial sweetness are any better for us.
- 29:13Speaker 1: Well, I'm sure you'll still be alive. Yeah, you know what,
- 29:16Speaker 1: amazes me about the King Henry thing. Surely there was
- 29:22Speaker 1: even though it was five hundred years ago. Surely there
- 29:24Speaker 1: was some scientist or doctor or someone in his stratosphere
- 29:31Speaker 1: that went, oh, he eats all this stuff and he's
- 29:34Speaker 1: got this condition. Maybe there's a relationship.
- 29:39Speaker 2: Well maybe there was, but if there was, they certainly
- 29:41Speaker 2: didn't write about it, and they certainly didn't do anything
- 29:43Speaker 2: about it. Medicine at its time, at the time was
- 29:47Speaker 2: in its infancy. I would imagine they weren't worrying about
- 29:53Speaker 2: metabolism or whether certain foods had certain effects and others
- 29:56Speaker 2: had different effects, to the extent they thought about it
- 30:00Speaker 2: at all. The theory that circulated at the time was
- 30:04Speaker 2: he just ate too much. You know, there was no
- 30:08Speaker 2: consideration given as to why he ate too much. He
- 30:13Speaker 2: just ate too much. And as we now know, fructose
- 30:16Speaker 2: disables our appetite regulation so that it allows us to
- 30:21Speaker 2: eat too much of everything, not just more fructose, but
- 30:23Speaker 2: of everything, and that's part of the reason that it's
- 30:27Speaker 2: responsible for a fair chunk of the obesity that we see.
- 30:31Speaker 1: Yeah, I was trying, I'm just thinking right now, was
- 30:35Speaker 1: it Da Vinci that was chopping up people five hundred
- 30:40Speaker 1: years ago.
- 30:41Speaker 2: Yes, he used to do really nice drawings of it.
- 30:44Speaker 1: There was a medical research of sorts. He was a
- 30:47Speaker 1: pioneer that was about the same centur was it.
- 30:51Speaker 2: Oh, now you've got me on the knowe. It feels
- 30:53Speaker 2: about right, but I'd have to google it. This is
- 30:58Speaker 2: you know, we're without our researcher here. We're stuffed.
- 31:05Speaker 1: Although yeah, yeah, yeah, yeah, oh well anyway, so what
- 31:14Speaker 1: I mean. I know this is true because it's not
- 31:16Speaker 1: just true with fructose and kidney disease. But everything seems
- 31:23Speaker 1: to lag by ten or twenty years, doesn't it, like
- 31:26Speaker 1: between you know, where we get new science, we get
- 31:31Speaker 1: we figured things out, but there's no You would think
- 31:34Speaker 1: maybe there'd be a flow on into medicine within the
- 31:38Speaker 1: next two to five years, but it just doesn't happen.
- 31:41Speaker 2: Well, there's a good reason it doesn't happen, which is
- 31:44Speaker 2: the analogy about parking ambulances at the bottom of a cliff.
- 31:48Speaker 2: Our medical system is an ambulance at the bottom of
- 31:51Speaker 2: a cliff. Yeah, it's there to deal with you after
- 31:55Speaker 2: you jump off the cliff. It's not about stopping you
- 31:58Speaker 2: jumping off the cliff. And so someone in that system
- 32:04Speaker 2: it does not have a lot of time to be
- 32:06Speaker 2: considering the research and wondering about what might cause this disease,
- 32:10Speaker 2: because they're so damn busy treating the outcome, which is,
- 32:16Speaker 2: you know, people dying of kidney disease.
- 32:18Speaker 1: Yes, I think chat GPT has got an issue with you.
- 32:25Speaker 1: As I told you, I just ran it through Chatters
- 32:29Speaker 1: because I only only got the article literally three or
- 32:33Speaker 1: four minutes before we were recording. These are quite accusatorial,
- 32:37Speaker 1: the questions that wrote, of which I haven't asked one.
- 32:40Speaker 1: By the way, your central argument that fructose is a
- 32:44Speaker 1: major driver of chronic kidney disease, what do you believe
- 32:48Speaker 1: is the strongest human evidence supporting that causal link? And
- 32:52Speaker 1: then it's like me, how much of that evidence, how
- 32:55Speaker 1: much of the evidence you're relying on comes from animal
- 32:58Speaker 1: or laboratory studies, and how confidently can those findings? But
- 33:02Speaker 1: it's very negative.
- 33:04Speaker 2: I would recommend that chat has gone take a look
- 33:06Speaker 2: at I think it's a twenty twelve article in the BMJ.
- 33:10Speaker 2: I can't remember who the authors were, which does a
- 33:14Speaker 2: really good job of analyzing all of the available evidence.
- 33:18Speaker 2: So yeah, but this is the interesting I find this
- 33:22Speaker 2: interesting about AI as well. I was talking to my
- 33:24Speaker 2: publisher during the last few weeks while we've been on
- 33:27Speaker 2: break because we're trying to think about the next book,
- 33:29Speaker 2: and she was telling me one of the real challenges
- 33:33Speaker 2: for the publishing industry at the moment is why would
- 33:37Speaker 2: someone buy a book when you can type the question
- 33:41Speaker 2: you want answered into a search engine and now you
- 33:45Speaker 2: get the AI answer. So you get a couple of
- 33:47Speaker 2: pages which summarizes everything you can possibly want to know
- 33:50Speaker 2: about it in a highly cogent way. So why would
- 33:54Speaker 2: you go out and buy a book about that? And
- 33:56Speaker 2: so one of the primary tests for publishers now he
- 34:00Speaker 2: is to do that exactly that. So if someone comes
- 34:02Speaker 2: to them with a proposal for a book, they type
- 34:06Speaker 2: the central question in the the book is going to
- 34:10Speaker 2: answer into Google and get the AI response, And if
- 34:15Speaker 2: the AI response is exactly what the person was proposing
- 34:17Speaker 2: to write a book about, then they say thanks, but
- 34:19Speaker 2: no thanks. So you've got to come up with a
- 34:24Speaker 2: contrary view to what the consensus as published by the
- 34:29Speaker 2: AI engines. We'll say, and I think we've just passed Greg,
- 34:34Speaker 2: We've just we've just had a whole episode about something
- 34:37Speaker 2: that the AI would have said differently.
- 34:41Speaker 1: Yeah, I'm actually reading the dot points. It's like Gillespie says,
- 34:47Speaker 1: it's quite there. Well, uh, that is that is very interesting.
- 34:54Speaker 1: That is something that I would think a lot of
- 34:57Speaker 1: my listeners, although most of my I think are very
- 35:01Speaker 1: health conscious, but there's probably a percentage that are overdoing
- 35:04Speaker 1: the fructose, and it's good to have that awareness. What
- 35:09Speaker 1: about just regular, good old fashioned whole fruit, of course,
- 35:14Speaker 1: well you get a free pass.
- 35:16Speaker 2: You don't get a free pass on it just because
- 35:18Speaker 2: it's supposedly healthy for starters. Fruit as we know it
- 35:22Speaker 2: has only really existed in the last fifty years. You know,
- 35:27Speaker 2: these the fruits that we see in supermarkets now have
- 35:30Speaker 2: been very intentionally bred to be bigger and sweeter tasting
- 35:35Speaker 2: than their natural counterparts. But apart from anything else, frutose
- 35:40Speaker 2: is nature's dessert, and if we were to try to
- 35:44Speaker 2: encounter it in nature, we'd have to pick it from
- 35:47Speaker 2: a tree and suck it out of a banana or
- 35:50Speaker 2: an apple or something, and we're just not going to
- 35:52Speaker 2: be doing that on any kind of a frequent basis.
- 35:55Speaker 2: Average human consumption of fructose was the equivalent of about
- 35:59Speaker 2: two tea spoons of sugar in King Henry's day, so
- 36:03Speaker 2: he was a big outlier on that scale, the man
- 36:07Speaker 2: in the street, and he was getting it from fruit
- 36:10Speaker 2: and a bit of honey if you've got lucky. The
- 36:14Speaker 2: average human consumption of fructose from those sources now is
- 36:18Speaker 2: about the same. It's about two tea spoons a day
- 36:21Speaker 2: from fruit and a bit of honey if they're lucky.
- 36:25Speaker 2: It's just we've added thirty eight tea spoons of sugar
- 36:29Speaker 2: to that total. So we're getting our cells up to
- 36:31Speaker 2: King Henry's kinds of totals, although he probably had even
- 36:35Speaker 2: more than that. And it's that that's doing the damage.
- 36:39Speaker 2: It's not the two teaspoons you get from the occasional
- 36:41Speaker 2: piece of fruit or a bit of honey. It's the
- 36:45Speaker 2: sugar in everything that's the problem. So is the fructose
- 36:50Speaker 2: in fruit better for you than the fructose in everything else? No,
- 36:53Speaker 2: it isn't. Are you likely to ead large quantities of it?
- 36:56Speaker 2: Probably not unless you're fruitarian, and fruitar notably frequently die
- 37:02Speaker 2: of pancreatic cancer. So that's a topic for another day.
- 37:06Speaker 2: We can talk about the effect of fructose on the pancreas.
- 37:11Speaker 1: Let's park that for a minute. My last question has
- 37:14Speaker 1: got nothing to do with our conversation. But what you
- 37:16Speaker 1: just prompted a minute ago, how hard is it to
- 37:20Speaker 1: come up with a new topic, something that's fresh, and
- 37:23Speaker 1: something that's a bit sexy, and something that people might
- 37:26Speaker 1: want to buy and pick up off the shelf.
- 37:30Speaker 2: I found it actually really really easy because there's one
- 37:32Speaker 2: topic that I've been trying desperately to do properly since
- 37:36Speaker 2: I first wrote about it in twenty fourteen, which is
- 37:39Speaker 2: seed oils. I still haven't cracked how to communicate that properly,
- 37:42Speaker 2: because it is the most dangerous thing you can put
- 37:45Speaker 2: in your body. Makes fructose look perfectly benign by comparison.
- 37:52Speaker 2: I've done a terrible job of communicating it. I've written
- 37:54Speaker 2: at least two books about it, neither of which have
- 37:58Speaker 2: really taken off. And if you type in now what
- 38:02Speaker 2: I say about seed oil into Chatters, it'll come back
- 38:05Speaker 2: with a very scathing attack on Gillespian his evil senses
- 38:09Speaker 2: of things about seed oils. But the science is really
- 38:13Speaker 2: really clear. So I think my next book is going
- 38:15Speaker 2: to be yet another go at trying to make it
- 38:19Speaker 2: clear why this is so dangerous, because I think it's
- 38:22Speaker 2: more the most important health topic we've got.
- 38:27Speaker 1: Is there any. I'm sure there are lots of people. Well,
- 38:29Speaker 1: a lot of my listeners have not only heeded your
- 38:33Speaker 1: advice but implemented it into their nutritional operating system. Are
- 38:39Speaker 1: there any doctors that have become advocates or any nutritionis
- 38:43Speaker 1: like I think because they're taught differently. But is there
- 38:48Speaker 1: any shift in the kind of the paradigm on sugar? Yes, definitely.
- 38:55Speaker 2: When Sweet Poison came out two thousand and eight, I
- 38:59Speaker 2: think it was I was really much swimming against the tide.
- 39:04Speaker 2: I had the Heart Foundation attacking me, I had the
- 39:06Speaker 2: Dietitians Association attacking me, and I was really surprised. I
- 39:11Speaker 2: didn't think that what I was saying was all that extraordinary.
- 39:14Speaker 2: I was just saying you shouldn't eat sugar, which struck
- 39:18Speaker 2: me as pretty sensible advice. But everyone else thought I
- 39:22Speaker 2: was insane for saying it. And that's shifted a long
- 39:26Speaker 2: way now. I mean it's twenty years later, but it's
- 39:30Speaker 2: shifted a long way. You know, Now we have the
- 39:34Speaker 2: Heart Foundation has backed off on its criticism of it,
- 39:36Speaker 2: and in fact, you know, gets involved in anti sugar campaigns.
- 39:41Speaker 2: Dietitians Association doesn't dare say we shouldn't eat sugar. It's
- 39:46Speaker 2: changed a lot, and the range of sugar free things
- 39:49Speaker 2: you can now buy is massive compared to then there
- 39:52Speaker 2: was none, so that has moved. And I don't think
- 39:55Speaker 2: any sensible doctor would say to you there's nothing wrong
- 39:58Speaker 2: with eating sugar. They might not say it'll give you
- 40:01Speaker 2: kidney disease, as chatter implies. I'm still off the planet
- 40:06Speaker 2: with that, but they will say this is definitely not
- 40:10Speaker 2: a good thing to be consuming seed oils different kettle
- 40:16Speaker 2: official together. There's a group the paleo enthusiasts, who are
- 40:20Speaker 2: very much against seed oils, but they're often considered to
- 40:27Speaker 2: be a little bit out there by most mainstream people,
- 40:33Speaker 2: and some of the other things they believe in and follow,
- 40:37Speaker 2: to me, don't have good scientific backing. But there isn't
- 40:43Speaker 2: really any mainstream acceptance of what I'm saying about seed
- 40:47Speaker 2: oils at the moment. The chemistry is there, the science
- 40:51Speaker 2: is there, they can read it themselves, but a lot
- 40:54Speaker 2: of people are in denial about how bad it really is.
- 40:59Speaker 1: Well, somebody who went before you and did a pretty
- 41:03Speaker 1: good job. He was just a voice crying in the wilderness, Jesus,
- 41:08Speaker 1: not unlike yourself, just a voice in the wilderness, but
- 41:11Speaker 1: eventually they came. Was he against oils? Yes, quite famously.
- 41:18Speaker 1: It's in the it's the sixty seventh book, the Book
- 41:22Speaker 1: of the Book of Nutrition, just after revelation. That's right, mate,
- 41:27Speaker 1: it's always fun. Appreciate you. Thanks for the chat again,
- 41:32Speaker 1: and we do it one next week or the week after.
- 41:35Speaker 1: I mean, whenever you want. Whenever you want, we can
- 41:38Speaker 1: do that other one that you want to do.
- 41:40Speaker 2: Yeah, let's let's talk about the lawsuit against Meta, because
- 41:45Speaker 2: I think that's quite interesting. It's a big ginning me too.
- 41:47Speaker 1: All right, we'll suck BFE here, but thanks, thanks mate,
- 41:51Speaker 1: Absolute pleasure.