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Control Stress for Healthy Eating, Metabolism & Aging | Dr. Elissa Epel

In this episode my guest is Elissa Epel, Ph.D., professor and vice chair of the Department of Psychiatry at the University of California, San Francisco (UCSF) and the author of a new book entitled “The Stress Prescription.” We discuss her work showing how stress impacts mood, eating behavior, mental health, physical health and aging. She explains stress intervention tools using “top-down” techniques (e.g., radical acceptance, mindfulness, reframing) and body-based methods (e.g., breathwork, including the Wim Hof Method), as well as exercise, meditation, body scans and environmental shifts proven to help people cease unhealthy rumination patterns. We discuss how stress can positively impact psychology and sense of purpose, how stress affects cellular aging, how our narratives of stressful events impact our mood and biology and how to effectively reframe stress. She explains science-based techniques to break stress-induced cycles of craving and overeating and thereby improve insulin sensitivity and metabolic health. Dr. Epel provides a wide range of tools shown to be effective in reducing stress and improving various aspects of our health. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman Thesis: https://takethesis.com/huberman Eight Sleep: https://eightsleep.com/huberman HVMN: https://hvmn.com/huberman InsideTracker: https://www.insidetracker.com/huberman Supplements from Momentous https://www.livemomentous.com/huberman Social & Website Instagram: https://www.instagram.com/hubermanlab Twitter: https://twitter.com/hubermanlab Facebook: https://www.facebook.com/hubermanlab LinkedIn: https://www.linkedin.com/in/andrew-huberman Website: https://hubermanlab.com Newsletter: https://hubermanlab.com/neural-network Dr. Elissa Epel UCSF profile: https://profiles.ucsf.edu/elissa.epel Personal website: https://www.elissaepel.com Lab Website (Aging, Metabolism & Emotion Center): https://amecenter.ucsf.edu Twitter: https://twitter.com/dr_epel Instagram: https://www.instagram.com/elissa.epel LinkedIn: https://www.linkedin.com/in/elissa-epel Articles The geroscience agenda: Toxic stress, hormetic stress, and the rate of aging: https://bit.ly/3nAgNhD THE IMPACT OF MEANINGFUL VOLUNTEER ENGAGEMENT IN AGING ADULTS: THE BALTIMORE EXPERIENCE CORPS TRIAL: https://bit.ly/3KpyJoa Potential role for adult neurogenesis in the encoding of time in new memories: https://go.nature.com/3U0gwkl The mindful moms training: development of a mindfulness-based intervention to reduce stress and overeating during pregnancy: https://bit.ly/3ZzueM3 Can Meditation Slow Rate of Cellular Aging? Cognitive Stress, Mindfulness, and Telomeres: https://bit.ly/3K4iF9Z A Mitochondrial Health Index Sensitive to Mood and Caregiving Stress: https://bit.ly/3nKMeWo Embodying Psychological Thriving: Physical Thriving in Response to Stress: https://bit.ly/3zrBnn5 Brief structured respiration practices enhance mood and reduce physiological arousal: https://bit.ly/3wEvGRf Stress and telomere shortening: Insights from cellular mechanisms: https://bit.ly/40WYFwD Neurogenesis in the adult human hippocampus: https://go.nature.com/3GdG7At Impact of the Baltimore Experience Corps Trial on cortical and hippocampal volumes: https://bit.ly/3ZBoCkB Effects of a Mindfulness-Based Intervention on Distress, Weight Gain, and Glucose Control for Pregnant Low-Income Women: A Quasi-Experimental Trial Using the ORBIT Model: https://bit.ly/3U6UBb7 Books The Telomere Effect: A Revolutionary Approach to Living Younger, Healthier, Longer: https://amzn.to/3m2dHTa The Stress Prescription: Seven Days to More Joy and Ease (The Seven Days Series): https://amzn.to/3m4zERB Timestamps 00:00:00 Dr. Elissa Epel 00:02:17 Sponsors: Thesis, Eight Sleep, HVMN, Momentous 00:06:18 Stress; Effects on Body & Mind 00:12:50 Tools: Overthinking & Stress 00:15:37 Acute, Moderate & Chronic Stress, Breathing 00:21:23 Stress Benefits, Aging & Cognition; Stress Challenge Response 00:31:04 Sponsor: AG-1 (Athletic Greens) 00:32:19 Tool: Shifting Stress to Challenge Response, “Stress Shields” 00:37:40 Stress, Overeating, Craving & Opioid System 00:48:55 Tools: Breaking Overeating Cycles, Mindfulness 00:54:44 Soda & Sugary Drinks 01:00:51 Smoking, Processed Food & Rebellion 01:05:29 Sponsor: InsideTracker 01:06:47 Tools: Mindfulness, Pregnancy & Metabolic Health 01:14:11 Body Scan & Cravings 01:17:28 Tool: Meditation & Aging; Meditation Retreats 01:23:35 Meditation, Psychedelics & Neuroplasticity 01:26:02 Mitochondrial Health, Stress & Mood 01:29:49 Chronic Stress & Radical Acceptance, “Brick Wall” 01:37:57 Tool: Control, Uncertainty 01:45:25 Stress Management, “Skillful Surfing” 01:50:25 Narrative, Purpose & Stress 01:52:49 Breathwork, Wim Hof Method, Positivity & Cellular Aging 02:03:11 Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter Disclaimer: https://hubermanlab.com/disclaimer

Andrew HubermanhostElissa Epelguest
Apr 3, 20232h 5mWatch on YouTube ↗

CHAPTERS

  1. 0:00 – 19:00

    Intro, Guest Background, and Episode Overview

    Huberman introduces the podcast, his affiliation, and his guest, Dr. Elissa Epel, a UCSF psychiatrist and director of the Center on Aging, Metabolism, and Emotions. He previews the episode’s focus on stress, aging, metabolism, stress-related eating, and sex and status differences in stress responses, and then reads sponsor messages.

  2. 19:00 – 29:30

    What Stress Is—and Isn’t: Types, Responses, and Rumination

    Epel defines stress in technical and practical terms, distinguishing between good vs. bad, acute vs. chronic stress, and emphasizing that our interpretation and response matter more than the stressor itself. She explains how chronic cognitive engagement with threats—especially rumination—keeps the stress response alive long after events end.

  3. 29:30 – 43:00

    Tools to Stop Overthinking: Top‑Down, Body‑Based, and Environment

    Responding to Huberman’s question about managing stress-driven thought loops, Epel outlines three buckets of tools: cognitive strategies to shift beliefs and mindsets, body‑based strategies to change physiology (and thereby mental state), and environmental changes that provide safety signals. They also discuss the unique role of breathing as a bridge between conscious and unconscious control.

  4. 43:00 – 53:00

    Stress Dosage and Aging: Why Zero Stress Is Not Optimal

    The discussion turns to how stress relates to biological aging and telomeres. Epel describes research showing that chronic toxic stress accelerates aging, but total absence of stress is also associated with poorer cognitive outcomes. Moderate, manageable stress that includes challenge and purpose supports ‘optimal aging.’

  5. 53:00 – 1:11:00

    Threat vs. Challenge Response: Mindset, Physiology, and Aging

    Epel explains that not all stress responses are equal: threat responses are linked to vasoconstriction, slower recovery, and higher inflammation, whereas challenge responses involve increased cardiac output and better problem-solving. Mindset and self-talk can tip the body toward one pattern or the other, with measurable consequences for inflammation and telomere biology.

  6. 1:11:00 – 1:27:30

    Stress, Eating Phenotypes, and the Opioid/Reward System

    The conversation pivots to stress-related eating. Huberman notes he tends to under-eat under stress. Epel contrasts this ‘high sympathetic, appetite-suppressed’ profile with the more common stress-eating profile, where stress drives cravings for hyper-palatable foods, engages the reward and endogenous opioid systems, and promotes abdominal fat and metabolic syndrome.

  7. 1:27:30 – 1:44:00

    Sugary Drinks, Food Environment, and Public Health Strategy

    They drill into the outsized role of sugary drinks and processed foods in metabolic disease. Epel likens liquid sugar to a faster, more addictive delivery system, and describes UCSF’s decision to remove sugary beverages from hospitals. They also discuss how rebellion and exposing industry tactics can be leveraged to change behavior, especially in youth.

  8. 1:44:00 – 1:58:00

    Mindful Eating, Craving Regulation, and the Body Scan

    Epel shares practical tools for those with stress-driven or compulsive eating. She details mindful eating techniques, “urge surfing,” and environmental controls, and describes studies showing that a simple body scan—shifting attention inward—can significantly reduce cravings by interrupting the tight coupling between external cues and internal urges.

  9. 1:58:00 – 2:14:00

    Pregnancy, Mindfulness, and Multi-Generational Metabolic Effects

    Epel describes a long, complex trial of mindfulness and mindful movement training in pregnant women with overweight or obesity. While the intervention didn’t prevent excess gestational weight gain, it significantly improved glucose metabolism, infant health, and maternal mental health for years, suggesting that pregnancy is a powerful window for stress and metabolic intervention.

  10. 2:14:00 – 2:28:00

    Meditation, Psychedelics, and Long-Term Biological Aging Markers

    The discussion broadens to meditation and its measurable effects on inflammatory gene expression, telomerase, and aging. Epel references retreat-based and cross-sectional studies, and she and Huberman contrast daily meditation with psychedelic-assisted therapies, noting that both likely work through windows of enhanced plasticity that extend beyond the acute experience.

  11. 2:28:00 – 2:37:00

    Mitochondria, Daily Mood, and Energy Depletion in Caregivers

    Epel describes work with Martin Picard assessing mitochondrial health in mothers of neurotypical children and mothers caring for children with autism. Caregivers showed depressed mitochondrial function, but those who maintained more positive daily emotion, especially in the evening, had better mitochondrial indices, suggesting a real-time connection between mood and cellular energy systems.

  12. 2:37:00 – 2:54:00

    Radical Acceptance, Uncertainty, and Dropping the Rope

    They address how to cope with chronic, non-negotiable stressors like caregiving or unchangeable family situations. Epel introduces metaphors such as pulling a rope tied to a brick wall and surfing waves, emphasizing radical acceptance, wise discernment about where control is possible, and building tolerance for uncertainty as core resilience skills.

  13. 2:54:00 – 3:09:00

    Positive Stress and the Wim Hof Method Study

    In the final substantive section, Epel describes her interest in ‘positive stress’ (hormetic challenges) and an ongoing study comparing Wim Hof breathing and exercise to low‑arousal practices like mindfulness and slow breathing. Early results show that both high- and low-arousal interventions substantially reduce stress, anxiety, and depression, but via distinct physiological pathways.

  14. 3:09:00

    Closing Reflections and Resources

    Huberman thanks Epel, highlights her book The Stress Prescription, and reiterates the importance of combining body-based and cognitive tools to manage stress and aging. He closes with standard podcast housekeeping: where to find Epel’s work, how to support the podcast, and where to access Huberman Lab resources and newsletters.

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