Latest / Gladden Longevity Podcast / Stem Cells and the Science of Longevity - Episode 318
Transcript
- 0:00And so as a company, we thought, is there a way that we can support the health of your own stem cells?
- 0:06So not doing the medical procedure, but can we actually make your stem cell system function better?
- 0:11Because as you know, one of the original hallmarks of aging is stem cell exhaustion, which means that stem cells will, as we get older,
- 0:20will reliably undergo certain transformations in their efficacy.
- 0:25So they just don't do as good of a job in helping our body repair tissues.
- 0:29So not only are stem cell, is stem cell exhaustion one of the hallmarks of aging, but they are subject to the other hallmarks of aging as well.
- 0:38So genomic instability, telomere shortening, excessive DNA damage, loss of proteostasis, which is protein balance.
- 0:46And in fact, that is one of the really unique characteristics of stem cells in general is that
- 0:52stem cells maintain their proteins way, way better than every other cell in the body.
- 0:58so as you know, the immune system is temporarily separated.
- 1:03So you do not want an immune system that is activated 24 hours a day.
- 1:07And in fact, there's plenty of good evidence that shows that stimulating your immune system too often is actually going to make it turn against you.
- 1:15So we know that with autoimmunity.
- 1:16But we do have different types of molecules that are working at different rates.
- 1:22and intensity is at different times of day.
- 1:52Welcome everybody to this edition of the Gladden Longevity Podcast.
- 1:55I'm your host, Dr.
- 1:56Jeffrey Gladden.
- 1:56And as always, we're here answering life's biggest questions like how good can we be?
- 2:02How do we make 100 to new 30?
- 2:04How do we live well beyond 120?
- 2:05How do we live young for a lifetime?
- 2:07And then how do we develop that 300 year old mind?
- 2:10Today, we're going to have a really interesting conversation with a physician.
- 2:13name is Dan Pardi and
- 2:15He works for a company called Quality of Life Sciences, which I've known about for probably a decade since I first came on the market with their first product in 2015.
- 2:25But he's been doing some research around supporting stem cells, not necessarily stem cell procedures, but the stem cells themselves to enable procedures to be better than they
- 2:38would be otherwise.
- 2:38And we have a really fascinating conversation where we go down the rabbit hole on sleep.
- 2:43go down the rabbit hole on stem cells and we go down the rabbit hole on the impact of the psycho spiritual space on all this as well.
- 2:51And numerous other technologies get brought up, but I think you're really going to love this podcast.
- 2:55was a really interesting conversation with a very knowledgeable, wise individual.
- 3:01So I hope you love it.
- 3:02Welcome everybody to this edition of the Gladden Longevity Podcast.
- 3:05I'm your host, Dr.
- 3:06Jeffrey Gladden.
- 3:07And today I'm here with Dr.
- 3:09Dan Pardi And Dr.
- 3:10Pardi is a representative of Qualia.
- 3:14He does a lot of medical directorship there.
- 3:16And Dan, welcome to the show.
- 3:18Jeff, thanks so much for having me on.
- 3:20It's really nice to be here.
- 3:21Yeah, great.
- 3:22So tell us a little bit about Qualia and about you and Qualia, how you guys got together, what Qualia's mission is, kind of what's the story there, what's this all about?
- 3:32Yeah, that's a good question.
- 3:34So I'll start with Qualia.
- 3:36This company started in earnest around 2015.
- 3:39The founders, James and Daniel Schmockenberger, were working on a Neutropic product, which they first called Qualia.
- 3:49That was originally the product name.
- 3:52Yeah, I remember when that came out.
- 3:53So no tropic is, you know, basically a brain enhancing product, cognitive enhancement product.
- 3:59Yeah, and the distinction between a regular cognitive enhancer and a neutropic is a neutropic also is good for the brain.
- 4:06So juxtapose, adderall, which yeah.
- 4:09And so that was the goal.
- 4:11And the way that they addressed formulation was with the idea of complementing the entire system that is doing thinking.
- 4:20that instead of just, let's say,
- 4:22adding one or two ingredients that have evidence behind them to support some part of the process, how could we address it in a way that enabled the entire system to perform
- 4:31better?
- 4:32So this could include things like precursors to neurotransmitters, phytochemicals and botanicals that affect enzymatic systems that will maybe keep a neurotransmitter in the
- 4:41synapse longer, handling inflammation and oxidative stress.
- 4:45So that approach to formulation
- 4:48was the foundation principles that the company started with.
- 4:52The product was very successful and then, and I met them pretty early on.
- 4:56So I joined the company less than six months ago and I'll get into that story in a moment.
- 5:00but I was a early user of Qualia.
- 5:04Now it's called Qualia Mind.
- 5:06And you know, whether or not you use products as a lot about what you
- 5:09you do you, would you want to be a part of the company?
- 5:11And if I didn't use the product or didn't like it, I probably wouldn't, but I benefited from that product for a long time.
- 5:16And I was working on a startup and I was also working on my PhD simultaneously.
- 5:21And I felt that.
- 5:22uh
- 5:23the benefit that you saw from the product?
- 5:25Yeah, was clear.
- 5:27imagine caffeine, the most ubiquitous neutropic on the planet.
- 5:31You do experience a cognitive boost through alertness, but there is also a crash.
- 5:37And the simplest formulation of a neutropic would maybe be the addition of a theanine, which is stonin T, which then can take away some of the anxiety of the stimulation that is
- 5:48caused by the caffeine.
- 5:50So that's like the foundation idea there.
- 5:52And what I noticed is that I experienced very clear thinking across the day, no crash, I slept well at night, which I thought was a real benefit.
- 6:02And the way that they instruct usage of the product is to take it five days a week and then don't take it on the weekends.
- 6:07So when I first started to take it, I did notice a consistent, persistent effect on my thinking ability.
- 6:13And I wondered if then when the weekend came after the first couple of days of taking it, if I would feel like a crash then.
- 6:19And not only did I not feel that crash, I actually felt even more uplifted on days where I was not taking it.
- 6:25And that made me think that this was truly having a nootropic like effect.
- 6:29was making the brain smarter or healthier.
- 6:31Yeah.
- 6:33So the fact that you felt more uplifted on days you weren't taking it, does that make you think about modifying the dosing schedule for yourself?
- 6:40Like maybe take it every other day or something like that?
- 6:44You know, the way, I didn't feel stimulated, but I didn't feel depleted.
- 6:48So that I thought was a, those were on days where I was not taking it.
- 6:54So Saturday and Sunday.
- 6:56It didn't feel stimulated, but you didn't feel depleted.
- 6:58So what did you mean by you felt more uplifted?
- 7:00What does that mean on the days you weren't taking it?
- 7:03Yeah, so even compared to my own recollection of what my, let's say, weekends were like after a hard week of steady mental work, I felt an elevation even beyond what my regular
- 7:17baseline was.
- 7:18Okay.
- 7:18So I get it now.
- 7:19So really what you're saying is that if you had a baseline and you took the quality of five days a week, you went from let's call it one to six.
- 7:26And then on the weekend, you still felt like you were at three.
- 7:29Is that kind of what you're saying?
- 7:31Something like that?
- 7:31Okay.
- 7:32Got it.
- 7:33Okay.
- 7:34All right.
- 7:35Cool.
- 7:35um
- 7:37my first experience with the compounds, excuse me.
- 7:40And we stayed in contact.
- 7:42So I had Daniel Schmoktenberger on my podcast, Human Noise Radio.
- 7:46He talked about the science of nootropics.
- 7:48They had me on talking about the neuroscience of sleep.
- 7:52So I doing my PhD in neuroscience at the time.
- 7:54And we just stayed in touch.
- 7:57I liked what they were doing and vice versa.
- 7:58And so then in December of 2024,
- 8:02James Schmachtenberger, the CEO, was in Austin where I live now.
- 8:05And he said, hey, let's grab coffee.
- 8:07So we did.
- 8:07And he said, we're looking for somebody who can help lead the education on the therapeutic areas that we work in and also on the formulations that we're creating.
- 8:17And that started the conversation, which eventually led to me joining the company as the chief health officer.
- 8:22Okay, nice.
- 8:23Nice.
- 8:23That's good.
- 8:24And we won't go through all of your past history, but you've been involved with a number of other companies previously in sort of similar roles.
- 8:32Tell me a little bit more about the, the PhD.
- 8:35What were you really focused on in the PhD?
- 8:37So
- 8:38Yeah, so I had worked for a pharmaceutical company that had a product for narcolepsy, which is a neurological condition where individuals who are afflicted with it are missing
- 8:48certain neurons in the brain called hypocretin neurons, probably due to an autoimmune attack on those sensitive cells.
- 8:56And if you think of hypocretin cells as, let's say, a symphony conductor that is telling other parts of your wake network when to be on, like during the day,
- 9:05Mm-hmm.
- 9:05That's why narcoleptics manifest a very unique sleep-wake pattern.
- 9:09They can get enough sleep and be awake to the same amount of hours as a normal person, but it's more like a cat.
- 9:17So they're up for a few hours and then they have to sleep.
- 9:20Then they sleep for a few hours and then they can be up again.
- 9:23And so as a result, narcoleptics do endure a lot of sleep loss because they're trying to live in modern society that doesn't comply with that kind of strategy.
- 9:32that pattern.
- 9:33Yeah.
- 9:33So I worked there in medical affairs.
- 9:35started the medical affairs department at the company, ran research grants, scientific publications, helped grow that department to about 25 people overall.
- 9:44And then I had some questions of my own.
- 9:46did publishing on the product sodium oxybate.
- 9:50so I threw some prodding from Jed Black, who is somebody that I had collaborated with on several papers.
- 9:55He was the second director of the Stanford Sleep Clinic ever.
- 9:58And he was subtly encouraging me to do my PhD.
- 10:02And so I ended up having this relationship where I had two mentors at Stanford, Jamie Zeitzer and Jed Black.
- 10:08Jamie Zeitzer is a circadian biologist and then two mentors out of the Netherlands at Leiden University.
- 10:15So the head of diabetes and then also a neurologist named Hartjohn Lemmers.
- 10:19And interestingly, when I started my PhD, I had specific questions to ask or to address, but I knew that I didn't want to become a sleep researcher.
- 10:26Yeah.
- 10:27previously worked with Dr.
- 10:28Dean Ornish looking at multifactorial lifestyle programs to affect different disease outcomes.
- 10:33I knew I wanted to get back to that.
- 10:35How do we harness all these different factors that matter in health to then help have a better pattern of life?
- 10:41So just to complete the narcolepsy, conversation.
- 10:45you basically helped prove the efficacy of a particular drug to counteract the, well, narcolepsy, just so people know is basically this sort of uncontrollable urge to fall
- 10:55asleep.
- 10:56that can happen, you know, almost at any time.
- 10:58Um, right.
- 10:59Because the symphony conductor to keep you awake is kind of taking a nap.
- 11:02No pun intended.
- 11:03So um yeah, so how did the drug work?
- 11:07Yeah, so the drug is fascinating.
- 11:09It's known as GHB, gamma hydroxybutyrate, very similar to BHB, beta hydroxybutyrate.
- 11:15But this has a very storied history.
- 11:17So it used to be sold in GNCs.
- 11:20Bodybuilders would take it to stimulate both sleep and growth hormone.
- 11:24It had been used as a drug of abuse because it will promote feelings, hedonic feelings, so people like how it feels.
- 11:31even had been associated with date rape, because people would, because it makes you sleep, so people would use it nefariously.
- 11:37All the while, there was this other group of people that were advocating for its judicious use in narcolepsy, and there wasn't any good medicines for that particular condition.
- 11:50And so I stayed at the company for almost a decade because it was just such an interesting place to be.
- 11:56And I love the work that I was doing, but
- 11:58While sodium oxalate does not seemingly address hypocretin directly, it does make symptoms of narcolepsy a lot better for, and quality of life better for people.
- 12:08So they sleep better at night and they feel more alert during the day.
- 12:11So is it like a GHB sort of analog of some sort or?
- 12:16You know, it's called sodium oxybet, which is a version of gamma hydroxybutyrate.
- 12:21So that is just a way that it is delivered as the sodium salt of GHB.
- 12:28And the way that you take it is it only lasts for a few hours, but it robustly promotes slow-wave sleep.
- 12:33And so all other hypnotics, at least at that time, not only they might help a person go to sleep, but they reduce the amount of deep sleep that a person get into.
- 12:43And in narcoleptics in particular, that you would see a five-fold increase in the amount of slow-wage sleep that they were getting.
- 12:49And so they would feel a lot more restored.
- 12:52Yeah, that's fascinating.
- 12:53mean, that's a slow getting slow wave sleep is an issue for people as they go through the aging process.
- 12:58So it sounds like people without narcolepsy could potentially benefit from this.
- 13:02that did you think about that or I'm sure you thought about it, but did you kind of pursue any of that or.
- 13:10So my role in medical affairs was to run a research grant program.
- 13:15And for that, I set up a way for academics to submit a grant proposal to study this for all sorts of reasons.
- 13:22And we would review it with a committee, the proposals.
- 13:25And we were looking at things like fibromyalgia, essential tremor, aging, uh even at that time.
- 13:34So this was early in 2000s.
- 13:36There was all, because you know, well, that sleep is going to affect everything, all sorts of outcomes in the body.
- 13:42The interest in a compound that could promote deep sleep was interesting for a lot of different reasons.
- 13:48We even did a paper on Parkinson's disease showing that it improved different symptoms of Parkinson's disease too.
- 13:54Now, and that was, none of those necessarily became what the drug was approved for.
- 14:00But to answer your question, does this potentially have other therapeutic utility?
- 14:04I think the answer is pretty clearly yes.
- 14:06It just hasn't gone through the rigorous steps there for different, for approval of the FDA.
- 14:12Okay, interesting.
- 14:13So gamma hydroxy butyrate.
- 14:15So the actual drug is called sodium.
- 14:17Sodium oxyvate, same exact compound.
- 14:21That's another official name of the drug.
- 14:25oxidate, okay.
- 14:26Well, that's interesting because, you know, when you think about slow wave sleep and you think about all the benefits that it has.
- 14:33Interestingly enough, you know, there's so much repair, the whole glymphatic system works during slow wave sleep, right?
- 14:39The ability to kind of take out the trash, so to speak, the ability to kind of consolidate, you know, neuronal function, rejuvenate.
- 14:49There's just so much that goes on in slow wave sleep ah that is really, really critical to ongoing brain function.
- 14:57I mean, I can imagine that it could be really
- 14:59a nice adjunct for anybody going through the aging process, but certainly anybody with a neurodegenerative disease where they kind of were robbed of that, any kind of restorative
- 15:08activity, right?
- 15:09And then they've got a pathology on top of it, right?
- 15:12So if you had a combination therapy where you're giving them the restorative piece they need, but then you're also working on, whatever else you're working on, it seems like that
- 15:20could be a really great combination.
- 15:22I don't know.
- 15:23Correct me if I'm wrong, but it's even for a concussion, right?
- 15:26mean, getting somebody, cause I've had concussions and I remember the last concussion I had was snowboarding.
- 15:32I down a mogul field that I wasn't actually prepared to go down and got caught off balance and, you know, pitched on my head.
- 15:39I don't know how far I fell, but you know, it was, was a long fall before my head actually hit and it was a pretty icy mogul.
- 15:46and my HRV the next day was one.
- 15:48Right.
- 15:48And normally I run normally I run an HRV of like 70, 80, you know, sometimes over a hundred, you know, that kind of thing.
- 15:54Right.
- 15:55But it was literally one.
- 15:56And I was, you know, I'd really, and I know I've had concussions in the past, all my athletic stuff.
- 16:01won't go into that.
- 16:02But the point is, you know, your brain just has such a hard time recovering and your sleep is disrupted.
- 16:08Right.
- 16:09Your slow wave sleep is trashed.
- 16:10And it just seems like a drug like this could be really
- 16:14a great adjunct to any other healing modalities for the brain.
- 16:17I don't know.
- 16:18That's kind of what I'm sensing.
- 16:20Yeah, so sleep in general, I describe it as both a health behavior, but also a marker of health.
- 16:27And you just described that you were suffering from a impairment in your health due to the concussion and your sleep suffered because of it.
- 16:36But not only is it interesting that the compound will robustly enhance low-wave sleep.
- 16:42but also the chemical structure of it is very similar to BHB, beta hydroxybutyrate.
- 16:48And we do know that BHB is something that has evidence for protecting the brain after concussion.
- 16:55That's right.
- 16:56And it simulates BDNF production and other things, if I'm not mistaken.
- 17:00Right.
- 17:01So, I mean, if you're activation of healing elements in the brain from this, at the same time you're providing it with slow wave sleep and the benefits that come from slow wave
- 17:09sleep, lymphatic drainage and all the other stuff.
- 17:12my gosh.
- 17:12I don't know why.
- 17:13I don't know why this isn't, you know, and what's fascinating is you're talking about some nefarious use of it.
- 17:19um
- 17:20which I suppose is giving it a bad name.
- 17:22But, you know, if people are responsible human beings, right, not taking advantage of other human beings, it seems to me like it could be like a super useful thing to do.
- 17:33Yeah, I wrote, one of the papers that I wrote was disambiguating the usage of drug GHB that is made on the street with what we know about, because a lot of the effects of, let's
- 17:44say, GHB that was made in some, know, bathtub somewhere, those effects were then associated with GHB.
- 17:53And because of the Oxycontin crisis, the FDA was really concerned about this getting into the hands of people and them having another major issue on their hands to deal with, which
- 18:03I am sensitive to.
- 18:05I understand that that doesn't matter.
- 18:07sensitive to that.
- 18:08Nobody wants, yeah, right.
- 18:11I know that.
- 18:12Yeah.
- 18:13could this actually be something that actually helps a lot of people age better?
- 18:17so I think a good parallel is steroids and anabolic steroid usage.
- 18:22So have we...
- 18:25even testosterone replacement therapy versus anabolic steroid therapy.
- 18:30Right.
- 18:30So yeah, there's a place for it and it's a dose dependent scenario and it's many things you go into actually optimizing testosterone replacement therapy, managing metabolites, et
- 18:42cetera.
- 18:43And we know too much of a thing is really a bad thing.
- 18:46The body really likes an economy of balance for sure.
- 18:49But it seems like this could actually bring the body back into balance and actually give it an opportunity.
- 18:54I'm curious, have you ever taken it yourself?
- 18:56I mean, with all the work you've done.
- 18:57Yeah.
- 18:57So funny enough, I had taken it when you could buy it at GNC legally.
- 19:01And, um, I remember reading about it and it promoting both deep sleep and so supporting recovery from hard workouts.
- 19:09And, you know, I played around with it a little bit, but I didn't notice that much.
- 19:14So one of the issues of the compound is that it wears off.
- 19:18So it only supports sleep for three hours.
- 19:21So you have to wake up and narcoleptic will wake up in the middle of the night and take a second dose to get.
- 19:26a more sleep for the rest of night.
- 19:28Now, could that be solved?
- 19:29Could they make an extended release formulation?
- 19:32Exactly.
- 19:33Good problem.
- 19:35Yeah, go ahead.
- 19:36well, the other thing is, you know, we typically go through a couple of sleep cycles a night and that's the first sleep cycle where, you know, a lot of the heavy hitting gets
- 19:43done in terms of either growth hormone release or the glymphatic system being activated.
- 19:47So even if it worked for the first three hours, you know, it seems like there still could be significant health benefit from that.
- 19:54um So, you
- 19:57Sleep is such an intimate dance.
- 19:58So if you have something that, let's say, robustly increases low-wave sleep, you might, as a result, suffer from reduced REM sleep on the back end of the night because of it, and
- 20:10vice versa.
- 20:10And so those are very different neurochemical states.
- 20:14Unlike wakefulness, where you're trying to promote overall alertness during the day, sleep is these different...
- 20:21is the different states that you're trying to go in and out of across the night.
- 20:25Therefore, it's really difficult to try to intervene upon, let's say, one aspect of sleep architecture, like slow-wave sleep or REM sleep, without messing up the other, that
- 20:34delicate balance.
- 20:36So it's a challenge.
- 20:37It's definitely a challenge.
- 20:39Yeah.
- 20:41Yeah.
- 20:42Is this like a scheduled drug or is it something that's
- 20:46Yeah, it has a bifurcated schedule.
- 20:48at the time, forgive me because it's been over a decade since I've worked in this space, but at the time when it was approved, was schedule three for appropriate use.
- 20:58And of course, as you know, as a medical doctor, you're able to prescribe off label.
- 21:03But one way they have tried to control that is with exorbitantly high prices.
- 21:07So narcolepsy is considered a rare disorder.
- 21:10so insurance pays for sodium oxybate for those
- 21:13people that have that condition.
- 21:14But there were other people that were clamoring for it as well.
- 21:18And they'd have to pay out of pocket because they did not have the diagnosis of narcolepsy.
- 21:22right.
- 21:22So what's the cost, like $100 a pill or something?
- 21:26so it's a liquid that you take because you actually take grams of this.
- 21:32yeah, you're taking the, the titration is aiming to try to get you up to three and a half grams of GHB twice a night.
- 21:40so six to seven grams across the night, much, much higher than what you see with, you know, almost every other drug, but you know, imagine what, how much BHB or beta
- 21:51hydroxybutyrate that you take.
- 21:52if somebody's trying to take that.
- 21:53for therapeutic usage for all the different things people are exploring that for.
- 21:57That's like five to 10 grams multiple times a day.
- 22:00It's more of a food in some senses, food level dosing.
- 22:04But yeah, that's part of the challenge as well.
- 22:06But now I think it's close to thousands, like tens of thousands of dollars per month.
- 22:12Yeah, yeah, it's crazy.
- 22:14Yeah, that's really crazy.
- 22:15Okay.
- 22:16Well, interesting conversation.
- 22:17So ah this is, this would be considered a detour, but an interesting one, right?
- 22:22um Okay.
- 22:25So I think one of the things that you wanted to speak to was some things that quality is working on in the stem cell space or helping to augment or do something in that space.
- 22:35Do you to chat about that for a minute?
- 22:37Yeah, yeah.
- 22:38So we've recently come out with a stem cell product and it's quite different than how people mostly think of stem cells.
- 22:44So most people think of stem cell therapy and in medical sense.
- 22:49you, let's say get some stem cells extracted from your own body.
- 22:53Those are considered autologous stem cells.
- 22:55They're concentrated and put back into an area where you have, let's say pain or you're not healing.
- 23:00And that is a whole different...
- 23:02field, but those can be extracted either from bone marrow.
- 23:05So you have a little surgical procedure where you extract it from the iliac crest, which is a common site in which the stem cells, yeah, the top of the hip.
- 23:16Yeah, exactly.
- 23:17That bony prominence that you can feel right in the front of your body.
- 23:20Or mesenchymal stem cells, another type of stem cell that can be extracted from fat tissues.
- 23:26Exactly.
- 23:27Yeah.
- 23:27But, you know, even
- 23:28going beyond that, like what are they in general?
- 23:31What's their purpose in the body?
- 23:32They're a major part of our repair system.
- 23:34And so as a company, we thought, is there a way that we can support the health of your own stem cells?
- 23:41So not doing the medical procedure, but can we actually make your stem cell system function better?
- 23:46Because as you know, one of the original hallmarks of aging is stem cell exhaustion, which means that stem cells will, as we get older,
- 23:55will reliably undergo certain transformations in their efficacy.
- 24:00So they just don't do as good of a job in helping our body repair tissues.
- 24:04And that's generally what we find.
- 24:06an accumulation of damage and I believe there can be some telomere shortening that occurs for them as well too.
- 24:11So they lose some of their potency when the telomeres are shorter than they can't divide as many times.
- 24:16And you can think of the stem cell really as a conductor in an orchestra as well as playing several instruments, but it's actually conducting and along with the immune
- 24:23system, I will say the immune system is part of that conducting process too, right?
- 24:27In terms of dragging all the stuff there that needs to be there, but
- 24:30Once the stem cells show up, they're kind of conducting the regenerative elements of it, whether you have exosomes or peptides or other things going on, right?
- 24:37So that's one way to think about it.
- 24:39Yeah.
- 24:40It's a great point, Jeff.
- 24:41So not only are stem cell, is stem cell exhaustion one of the hallmarks of aging, but they are subject to the other hallmarks of aging as well.
- 24:50So genomic instability, telomere shortening, excessive DNA damage, loss of proteostasis, which is protein balance.
- 24:58And in fact, that is one of the really unique characteristics of stem cells in general is that
- 25:04stem cells maintain their proteins way, way better than every other cell in the body.
- 25:10It's one of the reasons that they're some of the longest living cells in the body.
- 25:14In fact, some people call them forever cells.
- 25:17the way that they, the reason why they last so long is because they are mostly in the body.
- 25:24They're mostly living in this quiescent state.
- 25:26Think of it like
- 25:27hibernation.
- 25:27That's right.
- 25:28Yeah.
- 25:28They're in hibernation because yeah, they're there to be called upon when needed, but they're not, they're not actively doing anything.
- 25:37They're just kind of hanging out sleeping until they're called for.
- 25:40Right.
- 25:40So it's like sleeper cells.
- 25:42So with probably the wrong term, but that's kind of like that.
- 25:47Okay.
- 25:47sleeper cells that are ready to do a good thing when they're activated.
- 25:51But yeah, so they, and they're pretty fascinating because they can, they undergo this huge range of protein making capabilities.
- 26:00So like on one end, for example, hematopoietic, this is one type.
- 26:04These are the types of stem cells that come from your uh bone marrow.
- 26:08They can make red blood cells, are basically these oxygen carrying bags and they hardly have any proteins in them.
- 26:14And then on the other hand, you have plasma cells, which are turning out immune cells constantly, which is, you know, very high protein production.
- 26:21so loss of proteostasis is one of the hallmarks of aging, which is this loss of protein balance.
- 26:26And they do a really good job with that, but it's also one of the reasons why they're vulnerable because they live so long.
- 26:33If they do undergo some types of protein damage, then they themselves become, you know, less good at their job.
- 26:42that's right.
- 26:43Yeah, let's go to their job for sure.
- 26:45So it is interesting if you're listening to this to understand that we're talking now a little bit about the hallmarks of aging and there were initially nine.
- 26:53I think some people are talking about 12.
- 26:54I actually think there's about 16 when you actually go through and add them all up.
- 26:58But the most important thing to understand is that they all play together.
- 27:01So they all play together.
- 27:03So if you have a problem with one hallmark, it affects other hallmarks.
- 27:07And then the effect there affects other ones, which comes back and affects the initial one that was affected.
- 27:11for me, this is a little bit like the aging process.
- 27:14And one of the reasons it's an exponential decline is this interplay between the hallmarks sort of spinning up like a tornado, right?
- 27:22It spins up and gets faster and faster in terms of the disrepair, if you will.
- 27:26And that's why people age so much more between, you know, 80 and 90 than they do between 20 and 30.
- 27:31Right.
- 27:32And so there's this accumulated inertia around the interplay of the hallmarks.
- 27:38And I think one of the absolute keys to cracking the code on aging is to be able to interrupt that inertia and then recycle the different hallmarks back into a more youthful
- 27:48form.
- 27:48And there some that are more prime movers than others, let's say.
- 27:52like genomic instability, mitochondrial dysfunction, telomere shortening is another one, inflammation is another big one, oxidative stress is right there with inflammation,
- 28:00they're linked by the hip.
- 28:02So some of those are mitochondrial dysfunction, if I mentioned that, and stem cell exhaustion comes in there, but they all play a role.
- 28:10Proteostasis, autophagy, all of them play a significant role.
- 28:13And I think it's really one of the most fascinating things.
- 28:17in our practice to actually deconstruct the individual to understand which hallmarks are out of line, what ones are out of sync, and then seeing how if they are out of sync, how
- 28:26they interplay with each other and how if we start to impact these three, we can move them back and a fourth one moves on its own and that sort of thing.
- 28:33So this is part of what I call really interesting work that we do here in the age reversal world is uh focusing on those.
- 28:40So it's pretty fun.
- 28:42it's a prescient comment, Jeff.
- 28:44uh And it's good to talk about them individually because it enables us to then encapsulate or carve off a part of a much bigger challenge and issue and then talk about that
- 28:57discreetly and think about how we might be able to address it discreetly.
- 29:01But you're exactly right that they're all
- 29:04inner, they're all interacting with each other.
- 29:07Like we were talking a moment ago, even stem cell exhaustion is stem cells themselves are subject to the other hallmarks of aging.
- 29:15So the DNA damage, et cetera.
- 29:16And so, to add your point about how aging itself is this is an accelerating process, right?
- 29:23We're doing, we're getting, if we talk about DNA damage, you know, every cell in the human body, undergoes a million molecular lesions per day.
- 29:30That's a lot of DNA damage to clean up.
- 29:32Yeah.
- 29:33so as the DNA repair mechanisms undergo damage themselves, now the ability to clean up that damage is hindered.
- 29:42And so you can see how why, it's one example about why the aging process wouldn't be linear.
- 29:47It's not a linear decline, but is one that actually accelerates over the decades.
- 29:51Yeah.
- 29:52And so the excitement with the hallmarks, I'm sorry, go ahead.
- 29:55No, I was just gonna say it's such an important thing for the audience to understand this because we have a tendency to relate to aging in a linear fashion because it's
- 30:03chronological.
- 30:04And the interesting thing is that even though we see it, we know people age faster in their 80s or whatever than they do in their 20s.
- 30:10We have such a hard time relating to it.
- 30:12Like Dan, even if we ask ourselves, what are we gonna be like in 20 years?
- 30:17It's virtually impossible to imagine we're gonna be any different than we are today, right?
- 30:21So we're in this exponential game and most of the time we're actually applying linear solutions to an exponential problem, right?
- 30:29And so what we are really trying to get across to the audience is, hey, you're in an exponential game, you need an exponential strategy and a piece, you know, if we're talking
- 30:37about sleep or we're talking about stem cells or we're talking about, those are just pieces of a puzzle.
- 30:42And it's about linking all that together to actually address
- 30:45the hallmarks in a systematic way that gives you leverage on the system.
- 30:49That's kind how we think about it.
- 30:50So, yeah.
- 30:51Yeah, you know, we, we're really excited about the stem cell product that we just came out with.
- 30:57But what I'm most excited about is we were mentioned at the beginning is a combination of different products that are addressing declining and ID levels, the accumulating burden of
- 31:09senescent cells, which raises inflammation in the body.
- 31:12And then now supporting our regenerative process by supporting the health of stem cells so that you can actually replace tissues.
- 31:20because the visible signs of aging and the ones that are internal that might lead to functioning of your tissues is because we're just simply not replacing healthy tissue with
- 31:30tissue that had undergone damage.
- 31:33And so when you're young, there is almost a net zero effect of damage replacement.
- 31:38And so the function stays perfect.
- 31:40But when the damage replacement is diminished, then you start to see a decline in function.
- 31:47Yeah.
- 31:47Yeah, no, that's right.
- 31:48It's like, I don't know.
- 31:49I don't know what a good analogy is, but it's kind like whether you're repairing the roads or you're just partially repairing the roads after a while, they get pretty, pretty
- 31:56potholed.
- 31:56Right.
- 31:57And that's kind of what happens with aging.
- 31:58So.
- 31:59using that analogy.
- 32:00If let's say you only repair the roads 90 % every time that there's damage.
- 32:07At first, it doesn't seem like a big deal because you're like, you know, it's imperfect, but I can deal with it.
- 32:1210 years later, right.
- 32:16It's, it's undrivable.
- 32:17Yeah.
- 32:18So that's that's why it's such a big deal.
- 32:20And quite honestly, given our lifespan and given the number of, you know, insults that we experience every single day, even if you're at 99 percent, that accumulated damage and
- 32:30then it drops to 98, 97, 96, 95, 90, 85.
- 32:33You know, it's just this accumulation of the damage plus the decreased repair mechanisms are massive.
- 32:39So.
- 32:39As you're thinking about this, obviously from your perspective and you have, know, supplements can only do so much, so to speak, right?
- 32:46They're not going to be the be all and end all of everything.
- 32:48But through the lens that you're looking, you're addressing several different things.
- 32:53You want to just talk us through your strategy with that?
- 32:56it's really important to understand how stem cells work because, I'll talk a little bit more about ways in which stem cells age because it's informative to how you would design a
- 33:10product.
- 33:11So from a very high level, what's the stem cell cycle?
- 33:15So we talked about earlier that they're in hibernation most of the time and we want that because we want to preserve our pool.
- 33:21of regenerative tissues.
- 33:23But we also want to be able to activate those stem cells when needed.
- 33:27And so that process of activating these dormant stem cells is key.
- 33:32Once they're activated, they undergo proliferation.
- 33:35And this is the process where the stem cells will divide into daughter cells.
- 33:40And one of those cells is a clone.
- 33:43So you're basically reproducing your own regenerative pool.
- 33:46the other daughter cell becomes a progenitor cell, and that cell is destined to become some specific type of tissue in your body that reads replacement.
- 33:56And so in order to do that, the cells have to actually follow this chemotactic signal.
- 34:01meaning like they have to imagine that they've got a little nose on them.
- 34:05They have to find where the cookies are being on the shelf.
- 34:07They have to find where they need to go.
- 34:09And then they need to listen to very specific signals in
- 34:13the new environment that they're in to then turn into the right tissue.
- 34:18So imagine a stem cell being like a moldable lump of clay.
- 34:22It can become anything.
- 34:24But once you start to then form it into a plate or a cup or a bowl and it hardens, then it is now become that thing.
- 34:31It's locked in what we call itself fate.
- 34:34And when you get older, lots of interesting changes occur.
- 34:37So we talked about some of the reasons why they do occur, but
- 34:41there is a change in the resting state, for example.
- 34:44And in some ways, think of it like a Goldilocks principle.
- 34:48Some versions of aging stem cells is that they're too deeply asleep.
- 34:52So you can't wake them up.
- 34:54And because of that, then the repair process is hindered.
- 34:57But on the other hand, on the other side of the Goldilocks analogy here is that some of them are too shallow.
- 35:03They're not asleep enough.
- 35:05And so that they are woken up too easily.
- 35:08And what does that do to your stem cell pool?
- 35:10It exhausts it.
- 35:12Yeah.
- 35:13Right.
- 35:14And so the goal of us is, you know, for us here is not to just stimulate as much stem cell release into the circulation as possible, but rather to promote the health of the stem
- 35:26cells so that they can still do a right, a good job.
- 35:30supposed to do when they're called upon to do it?
- 35:32Right.
- 35:32Yeah.
- 35:33There are some companies out there that have products that are, constantly pushing stem cells out of the bone marrow.
- 35:40And we will use those products in the context of when we're trying to heal somebody, but it's not something that we want to be doing all the time.
- 35:47I know the company wants to do it all the time because that's how they sell their product.
- 35:51But we think that's actually misguided because you do have a limited reserve of these things.
- 35:55There is a reserve, reserve stem cell pool out there also that we won't go into on this podcast, but the point is you still can exhaust them.
- 36:04so it's pretty, pretty interesting.
- 36:06So it sounds like what you're doing is actually not trying to stimulate the release of stem cells from the bone marrow or fat per se, but you're looking to, how do we augment
- 36:16the health of the stem cells that are in this dormant state?
- 36:19Is that kind of what I'm hearing?
- 36:20Well, what I would say is there's m 15 different ingredients in the formulation, but you nailed it as the most superior goal of the product formulation is to improve the health of
- 36:33the system, which means we're not trying to override it and just say, we're going to cause a lot of release.
- 36:38Like in some cases, the amount of stem cells that are released is nine times higher than what's normal.
- 36:44And so that's not always a good thing to just continue to pump them out, like you just said.
- 36:49Another problem, for example, is that the cells themselves, like now that they're in the circulation, but they're receiving the wrong instructions on what to become.
- 36:59And so they start to turn into the wrong tissue.
- 37:02And a good example is where the microenvironment around in the muscle, a satellite cell, which is a type of stem cell that becomes new muscle tissues.
- 37:12those will now not turn into muscle tissue, but they'll turn into scar tissue.
- 37:17So imagine a 90-year-old person and how stiff they are.
- 37:20That is because the composition of their muscles has now become more populated by scar tissue.
- 37:27infiltrated with scar tissue and to some extent, fat replacement also can happen as they age.
- 37:32That's exactly right.
- 37:33Yep.
- 37:34you have, you start to, for mesenchymal stem cells, instead of producing all the different types of connective tissue that they make, you're making more fat.
- 37:42And that has to do with alterations in hormones and all, again, signaling, like the signaling environment changes.
- 37:49You also have a decrease in resilience.
- 37:51So a stem cell is halfway into becoming a useful functional tissue for you.
- 37:56And it dies along the way.
- 37:59It self-destructs because it's not strong enough.
- 38:01ah So all of that, all of those.
- 38:03about this?
- 38:04Tell us a little bit about how you keep these dormant cells healthy.
- 38:07It's almost like you're sprinkling pixie dust in an incubator, you know, or something, right?
- 38:12Where these things are resting.
- 38:14Is that kind of the idea?
- 38:16Or they're not metabolically all that active in the resting state.
- 38:19So how do you influence that?
- 38:21Yeah.
- 38:22So one thing that we tapped into a few years ago, which was for a different product, but I'll use it.
- 38:27I'm going to illustrate it because it draws a nice parallel with what we are doing here.
- 38:32It was our Centalytic product.
- 38:33It's the most popular product that the company's ever had.
- 38:37the 30 sec, I don't want to go on too much of a tangent, but the 30 second overview is that we do have an increasing burden of these zombie cells.
- 38:45That's a nickname for them.
- 38:47And those cells will release a lot of inflammatory molecules into their surrounding.
- 38:51Another prime mover in all this.
- 38:53prime mover, and because your immune system has gotten older.
- 38:56Typically, when you're younger and those senescent cells are releasing these beacons, it's designed to say, immune system, come clear me out.
- 39:04Well, what happens when your immune system is weaker?
- 39:06And you now have all these beacons going off around the body that have a disproportionate effect on raising body inflammation.
- 39:12And so now your inflammatory burden is elevated.
- 39:15And so we do know through work from
- 39:18Jan van der Zandt and James Kirkland and others in the mid 2010s that a combination of different flavonoids like quercetin and facetin and others will target specific
- 39:29upregulated pathways in these senescent cells and cause them to die and clear them out.
- 39:33And so that, yeah.
- 39:35senescent cells don't want to die.
- 39:37It's important for the audience to understand this.
- 39:39They've actually turned off the pathways, these autophagy pathways.
- 39:43They're not cancer cells, but they, in a sense that they're dividing, but they've turned off the ability to kill themselves.
- 39:50So you have to go in and actually flip the switch for them to actually get them to die.
- 39:54Yeah.
- 39:54exactly right.
- 39:55What's interesting about that is that these upregulated survival pathways is allowing them to stay zombies, right?
- 40:03They're not functional, but they're not dead.
- 40:05But that also allows us to use ideas of synthetic lethality to target those upregulated pathways, which is not affecting your normal cells.
- 40:14So when you target those upregulated pathways, you can actually cause them to go to die.
- 40:19then you've cleared them
- 40:20So that protocol is to take a high dose of these compounds two days a month.
- 40:26So I do mine on a Saturday and Sunday, and then you wait a month.
- 40:29But it is that punctuated dosing versus every single day, which helped make us think about how do we intelligently construct a protocol where you're doing something some of the
- 40:41time, but not all the things all the time.
- 40:43That's right.
- 40:44And with our stem cell product, it's a four day in a row product where in my, you know, the way that I do it is I do my synolytic pulse clearing out senescent cells, lowering
- 40:53inflammation, because guess what one of the major inhibitors of stem cell function is increased inflammation.
- 41:00Now you do a regenerative pulse where you're not only releasing the stem cells, but you are, you know, for example, targeting inflammatory pathways.
- 41:08a couple of our product, a couple of the ingredients in our products.
- 41:11are they're acting, they're phenolic and polyphenolic compounds, which act on master regulators of inflammation, nuclear cap, effective beta, right?
- 41:21When they get into the cells, they bind that regulator inflammation and prevent it from translocating into the nucleus where it can now make things like TNF-alpha, interleukin
- 41:321-beta, IL-6, all these inflammatory markers that you can measure in the blood.
- 41:36And so that...
- 41:38lowering that inflammatory burden is part of the goal of now creating a you know, a friendlier neighborhood for the stem cells to exist and to do their work.
- 41:48So that's one idea.
- 41:50Yeah.
- 41:50that's a really, it's really important and it's important for the audience to understand this.
- 41:54One of the things that we've come, what we do in this clinic is we do use Centellitics, followed by Plasmaferesis in order to really clear out all the trash, right?
- 42:04Then you drop in some IgG, which actually tends to settle down the immune system.
- 42:08Then you can drop in, you know, all the other things that.
- 42:11tame inflammation and oxidative stress, including hydrogen and other molecules that have a salutary effect.
- 42:18Then you actually put in your stem cells, peptides, exosomes, whatever else you want to put in.
- 42:24Because now what you've done is you've cleaned up the milieu to where those things can actually work.
- 42:28Because if you take, here's the easiest way to understand it or the way that I understand it.
- 42:32can correct me if I'm wrong, but if you have a Petri dish full of old serum,
- 42:35full of all these inflammatory proteins and you drop in stem cells, healthy young stem cells, they can't work.
- 42:41They can't really do much.
- 42:42Whereas if you give young plasma, this was the whole idea behind young plasma.
- 42:46If you put it into young, non-inflamed plasma, all of a sudden those stem cells can really go to town.
- 42:52So the idea is if you're going through the aging process and you need a regenerative procedure done or a procedure, you know, something done, going through surgery for that
- 43:01matter, being able to clean out the senescence,
- 43:03take out the trash, put in the stuff at the right time, and then support it with ongoing peptide therapies and things like This is what we do.
- 43:11And there is one other piece to this that's really fascinating as you listen to this, and that is that there was a recent study that showed that people that are able to access a
- 43:20deep theta state in terms of their meditation, which is like a very slow, it's a slow wave just above sleep.
- 43:27It's called the hypnagogic state.
- 43:28It's just when you're almost about to fall asleep.
- 43:31Mm-hmm.
- 43:31people that are able to go into that very calm, relaxed theta state have a much better rejuvenation impact than they do if they're highly stressed, right?
- 43:40Because when you're highly stressed, a lot of sympathetic nervous system drives.
- 43:43So that parasympathetic nervous system development prior to going through the rejuvenation procedure and then activating as you go through it also has a massive impact is what we
- 43:53found, which is interesting.
- 43:54There was a study on Buddhist monks that showed that when they meditate and go into a theta state,
- 43:5810 or 15 minutes later, they're releasing their own autologous stem cells to heal themselves.
- 44:03Right?
- 44:03So it's, this is the mind has placed such a role here.
- 44:06I know we're talking about the biochemistry, but I want the audience to understand that you can, you can do things at home to teach yourself how to go into the state of states
- 44:14with binary obese.
- 44:14And if you're using these other products, they're going to have that much more of a benefit for you.
- 44:18So, yeah.
- 44:20doing really great work.
- 44:22I loved how you articulate how you approach all of this and I couldn't agree more.
- 44:27And just to add on to what you're saying about the, essentially the internal milieu shaped by the sympathetic and parasympathetic state in the body.
- 44:38We know that the immune system, for example, is active in finding and killing pathogens at night.
- 44:45And one of the reasons why is that a variety of different types of immune molecules like integrins, they require a low sympathetic tone, so parasympathetic dominance, in order,
- 44:56like when those sympathetic neurochemicals or chemicals are circulating in the body, they don't allow the immune system to do its job of finding and adhering to the pathogens and
- 45:05then killing them.
- 45:06And that's why at night, it's such a state of restorative, you know, restorative.
- 45:11abundance, if you will.
- 45:13And the same is going for not only finding pathogens, but also healing tissues.
- 45:17They too require the right physiological state in order for them to do their jobs.
- 45:22And so even though it seems like how sometimes it can be amazing or shocking that the brain state is going to connect, but they're totally connected and it's creating a
- 45:33different hormonal milieu.
- 45:34So I think that your recommendation of practicing mindfulness and relaxation.
- 45:39is absolutely a part of the healing journey.
- 45:41So kudos to you.
- 45:42Yeah, we've been we've been impressed with just how deep that runs.
- 45:46It's almost like the master switch of the master switch is if you can put yourself into that data parasympathetic nervous system tone, then all the other stuff can really start
- 45:55to work.
- 45:55It's interesting about the immune system gobbling up pathogens at night.
- 45:59You know, I have a situation where if I feel myself coming down with something that actually happened this last week, I was visiting my my son and his wife and my four
- 46:05grandkids and my
- 46:07oldest grandson who was six was getting sick while I was there.
- 46:09But, you know, I'm like, I'm fine.
- 46:11You know, didn't catch anything.
- 46:12But a couple of days later, I feel like, you know what?
- 46:14Something's happening.
- 46:15And I and I I do meditate on a regular basis and I use a brain tap actually to put me in theta state all the time.
- 46:21You know, photobiomodulation and binaural beats.
- 46:24And I've actually learned how to go through the day in a state of state, which is actually cool, too.
- 46:28So you can teach yourself to do that.
- 46:30But the point is, I took a bunch of vitamin C, echinacea,
- 46:33some ZyCam and went to bed.
- 46:35Well, I took it at four in the afternoon when I started to feel this took it again at bedtime.
- 46:39And I wake up the next day and I'm perfectly fine, right?
- 46:42Perfectly fine.
- 46:43And yet that doesn't work for everybody.
- 46:45I think one of the reasons it works for me is because I have such a strong parasympathetic nervous system tone.
- 46:50When we measure it, it's like, you know, on a scale of normal between twenty five hundred and forty five hundred.
- 46:56I'm at like twelve thousand.
- 46:57Right.
- 46:57Because I've trained that parasympathetic nervous system tone.
- 47:00And I think you could
- 47:01speak to this maybe, that when you have that and your immune system is dialed in, you're probably also not only pruning senescent cells better as well as pathogens, but you may be
- 47:12killing off cancer cells better.
- 47:13I don't know.
- 47:14Is there data around that?
- 47:15That's as much of a question as anything else, if you know.
- 47:19Yeah,
- 47:19so as you know, the immune system is temporarily separated.
- 47:24So you do not want an immune system that is activated 24 hours a day.
- 47:28And in fact, there's plenty of good evidence that shows that stimulating your immune system too often is actually going to make it turn against you.
- 47:36So we know that with autoimmunity.
- 47:38But we do have different types of molecules that are working at different rates.
- 47:43and intensity is at different times of day.
- 47:45So for example, your natural killer cells are being released in response to, for example, food products that you consume and some types of foods like beta-glucans from mushrooms
- 47:55and oats, they're gonna bind to what are called payer patches in your gut.
- 48:01That makes complete sense.
- 48:02Your gut is a site in the body that is getting exposure to the outside world, food.
- 48:08And so it is aggressively sensing.
- 48:11for whether or not there is types of things that are coming into the body that are then going to make you sick.
- 48:16And so when these payer patches are stimulated, it's going to increase the activity of, it basically puts natural killer cells on alert and natural killer cells are gonna go and
- 48:27find pathogens and also cancer cells and do a better job of getting rid of both.
- 48:31And so absolutely you want that.
- 48:34And if, just to make a kind of parallel comment here, but.
- 48:36The parasympathetic state is something that's almost missing in modern society because we sit at a desk doing our thing and we are on all the time.
- 48:44Even though we don't make it feel stressed, we live in what we call like a task on environment.
- 48:50So we're always focusing.
- 48:51And in a way, I think a very banal but interesting explanation for meditation is just stepping away for a few minutes, breathing, allowing your body to go into a different
- 49:01state.
- 49:02and all of the complimentary things that happen in that parasympathetic state, you've now interrupted 16, 12 hours, whatever it is, of sympathetic drive and giving it these more
- 49:12naturalistic bursts of parasympathetic dominance for periods in that wakefulness state.
- 49:17And that is good for your health long-term.
- 49:20Yeah, that's a great point.
- 49:22The way I characterize that to clients now, I had an insight about this just a few weeks ago, actually, is that we spend a lot of our time efforting.
- 49:29Right.
- 49:30And so if you're going to go into a meditative state, you switch from efforting into receiving.
- 49:36Yeah.
- 49:36And when you're just here to receive, all of a sudden you become very present.
- 49:39It's like, oh my gosh, what a beautiful, what a beautiful planet this is.
- 49:43What an incredible thing to be able to have this lovely conversation.
- 49:46know, all of a sudden you get so much gratitude and appreciation because you're just here to receive so that you take the effort out.
- 49:52And when you take the effort out, it allows the parasympathetic to come forward and it's a much more beautiful way to live your life.
- 49:58So, yeah.
- 49:59Jeff, I know you've got a hard stop pretty much now.
- 50:01That's a beautiful way to end it, but really enjoyed chatting with you about this.
- 50:05And we should chat more sometime, because I like where you're taking me.
- 50:10Yeah.
- 50:11Yeah.
- 50:12Yeah, me too.
- 50:13you so much for your being on the show.
- 50:15uh