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The Science of Your Gut Sense & the Gut-Brain Axis | Dr. Diego Bohórquez

In this episode, my guest is Dr. Diego Bohórquez, PhD, professor of medicine and neurobiology at Duke University and a pioneering researcher into how we use our ‘gut sense.’ He describes how your gut communicates to your brain and the rest of your body through hormones and neural connections to shape your thoughts, emotions, and behaviors. He explains how your gut senses a range of features such as temperature, pH, the macro- and micronutrients in our foods, and much more and signals that information to the brain to affect our food preferences, aversions, and cravings. Dr. Bohórquez describes his early life in the Amazon jungle and how exposure to traditional agriculture inspired his unique expertise combining nutrition, gastrointestinal physiology, and neuroscience. We discuss how the gut and brain integrate sensory cues, leading to our intuitive “gut sense” about food, people, and situations. This episode provides a scientific perspective into your gut sense to help you make better food choices and, indeed, to support better decision-making in all of life. Access the full show notes, including referenced articles, books, people mentioned, and additional resources: https://www.hubermanlab.com/episode/dr-diego-bohorquez-the-science-of-your-gut-sense-the-gut-brain-axis Thank you to our sponsors AG1: https://drinkag1.com/huberman Joovv: https://joovv.com/huberman LMNT: https://drinklmnt.com/huberman Helix Sleep: https://helixsleep.com/huberman InsideTracker: https://insidetracker.com/huberman Huberman Lab Social & Website Instagram: https://www.instagram.com/hubermanlab Threads: https://www.threads.net/@hubermanlab Twitter: https://twitter.com/hubermanlab Facebook: https://www.facebook.com/hubermanlab TikTok: https://www.tiktok.com/@hubermanlab LinkedIn: https://www.linkedin.com/in/andrew-huberman Website: https://www.hubermanlab.com Newsletter: https://www.hubermanlab.com/newsletter Dr. Diego Bohórquez Academic profile: https://medicine.duke.edu/profile/diego-v-bohorquez Lab website: https://gutbrains.com The Gastronauts Podcast: https://thinkgastronauts.com/podcast Publications: https://gutbrains.com/articles X: https://x.com/gutbrains YouTube: https://youtube.com/@thebohorquezlabatdukeunive9762 TED Talk: https://youtu.be/utFG8GEvmfg Nature Neuroscience profile: https://www.nature.com/articles/s41593-023-01373-w Timestamps 00:00:00 Dr. Diego Bohórquez 00:02:37 Sponsors: Joovv, LMNT & Helix Sleep; YouTube, Spotify & Apple Subscribe 00:06:49 Gut-Brain Axis 00:11:35 Gut Sensing, Hormones 00:15:26 Green Fluorescent Protein; Neuropod Cells & Environment Sensing 00:26:57 Brain & Gut Connection, Experimental Tools & Rabies Virus 00:35:28 Sponsor: AG1 00:37:00 Neuropod Cells & Nutrient Sensing 00:43:55 Gastric Bypass Surgery, Cravings & Food Choice 00:51:14 Optogenetics; Sugar Preference & Neuropod Cells 01:00:29 Gut-Brain Disorders, Irritable Bowel Syndrome 01:03:03 Sponsor: InsideTracker 01:04:04 Gut & Behavior; Gastric Bypass, Cravings & Alcohol 01:07:38 GLP-1, Ozempic, Neuropod Cells 01:11:46 Food Preference & Gut-Brain Axis, Protein 01:21:35 Protein & Sugar, Agriculture & ‘Three Sisters’ 01:25:16 Childhood, Military School; Academics, Nutrition & Nervous System 01:36:15 Plant Wisdom, Agriculture, Indigenous People 01:41:48 Evolution of Food Choices; Learning from Plants 01:48:15 Plant-Based Medicines; Amazonia, Guayusa Ritual & Chonta Palm 01:56:58 Yerba Mate, Chocolate, Guayusa 02:00:22 Brain, Gut & Sensory Integration; Variability 02:06:01 Electrical Patterns in Gut & Brain, “Hangry” 02:12:43 Gut Intuition, Food & Bonding; Subconscious & Superstition 02:22:00 Vagus Nerve & Learning, Humming 02:26:46 Digestive System & Memory; Body Sensing 02:32:51 Listening to the Body, Meditation 02:40:12 Zero-Cost Support, Spotify & Apple Reviews, YouTube Feedback, Sponsors, Social Media, Neural Network Newsletter #HubermanLab #GutHealth #Science Title Card Photo Credit: Mike Blabac - https://www.blabacphoto.com Disclaimer: https://www.hubermanlab.com/disclaimer

Andrew HubermanhostDiego Bohórquezguest
May 27, 20242h 42mWatch on YouTube ↗

CHAPTERS

  1. 0:00 – 18:00

    Defining the Gut-Brain Axis Beyond the Microbiome

    Huberman introduces Dr. Diego Bohórquez and frames the episode as a deep dive into gut sensing distinct from the microbiome. Bohórquez explains the historical notion of a hormone-only gut-brain axis and reframes the gut as an externally exposed organ that must rapidly sense and judge everything we swallow.

  2. 18:00 – 38:20

    Enteroendocrine Cells, Neuropods, and Direct Gut–Brain Synapses

    Bohórquez describes enteroendocrine cells scattered through the intestinal epithelium and how his lab discovered that many of them form synapse-like contacts with neurons. He recounts coining the term “neuropod” for their long basal processes and shows that these cells provide a rapid electrical line to the brainstem.

  3. 38:20 – 46:00

    Neuroepithelial Sensors Throughout the Body and Gut Architecture

    The discussion broadens from intestinal neuropods to similar neuroepithelial cells in other organs and sensory systems. Bohórquez outlines how the gut’s single-cell layer, valves, and compartments support both digestion and sophisticated sensing of the outside world within the body.

  4. 46:00 – 1:00:00

    Seeing Gut–Brain Connections Form and Function in Real Time

    Bohórquez explains how modern tools like GFP, optogenetics, and modified rabies virus allowed direct visualization of gut–brain circuits. He describes in vitro experiments where isolated neuropod cells and neurons spontaneously reconnect, and in vivo tracing that mapped gut sensors to vagal ganglia and brainstem.

  5. 1:00:00 – 1:21:00

    How Neuropods Sense Nutrients: Sugars, Fats, Amino Acids, and More

    The conversation details how neuropod cells detect different nutrients and qualities like temperature and pH, integrating multiple signals to generate a chemical-electrical code. Huberman and Bohórquez discuss glucose sensing as a model and highlight the staggering computational load of the gut.

  6. 1:21:00 – 1:41:40

    From Ice Cream to Optogenetics: Gut-Driven Craving and Sugar Preference

    Using elegant behavioral and optogenetic experiments, Bohórquez shows that gut signals strongly drive sugar preference even without sweet taste. He explains how silencing or activating neuropods changes animals’ ability to distinguish and value real sugar versus sweeteners.

  7. 1:41:40 – 1:49:00

    Pain, Visceral Hypersensitivity, and the Negative Side of Gut Signaling

    Not all gut signals drive pleasure. Bohórquez outlines work by others showing that specialized colon cells can trigger spinal pain pathways and visceral hypersensitivity, providing a cellular basis for disorders like IBS and other gut–brain interaction disorders.

  8. 1:49:00 – 2:08:00

    Gastric Bypass, Dramatic Craving Shifts, and Post-Surgical Addiction Risk

    A personal story about a woman’s post-bypass egg-yolk craving illustrates how changing gut anatomy reshapes sensing and preference. Bohórquez explains Roux-en-Y and sleeve gastrectomy, emphasizing sensory and hormonal shifts that precede weight loss and may alter addiction vulnerability.

  9. 2:08:00 – 2:18:00

    GLP‑1 Drugs, Hunger, and How Fast vs. Slow Gut Signals Interact

    The discussion turns to GLP‑1, Ozempic-class drugs, and how gut hormones interact with rapid neuropod signaling. Bohórquez positions GLP‑1 as a slower modulator of appetite and meal size, complementary to the rapid, choice-level influences of neurotransmitter release from neuropods.

  10. 2:18:00 – 2:30:00

    Protein Leverage, Fiber, and Why Some Plant-Based Diets Work

    Building on other researchers’ work, Bohórquez discusses how gut and microbiome sensing of protein and fiber shape intake. He sketches a mechanistic bridge between the drive for essential amino acids, overeating on low-protein processed foods, and thriving on high-fiber plant-based diets.

  11. 2:30:00 – 2:43:40

    From Amazonian Farm to Neuroscience: Bohórquez’s Personal Journey

    Bohórquez recounts growing up on the Ecuadorian Amazonian frontier, his time in a strict military academy, and his path through agricultural school and nutrition PhD into gut neuroscience. His background in plants, farming, and physiology deeply colors his scientific questions.

  12. 2:43:40 – 2:48:00

    Circadian Rhythms, Electrical Waves, and the Gut as an Organ of Time

    The pair explore gut-generated electrical waves and how they may synchronize with brain rhythms and circadian biology. Bohórquez notes interstitial cells of Cajal and enteric neurons as pacemakers and speculates that misalignment between gut and brain rhythms underlies states like hanger.

  13. 2:48:00 – 2:52:00

    Plant Wisdom, Ethnobotany, and Ritual Uses of Guayusa and Cacao

    Drawing on Amazonian traditions, Bohórquez discusses plants as repositories of ‘wisdom’ shaped over millions of years. He describes guayusa and cacao rituals, how indigenous people classify plants far beyond scientific taxonomy, and the idea that plants co-shaped human diets and culture.

  14. 2:52:00 – 3:04:00

    Vagus Nerve, Voodoo Death, and the Power of Learned Body Signals

    Huberman and Bohórquez examine the vagus nerve as a bidirectional regulator of arousal, not merely calm, and revisit Walter Cannon’s ‘voodoo death’ concept. They discuss how beliefs and social context can shape autonomic output and how sound and humming influence vagal tone.

  15. 3:04:00

    Gut Intuition, Shared Meals, and Navigating Life by Bodily Signals

    The episode closes with a reflection on gut feelings as genuine informational signals. Bohórquez and Huberman argue that ignoring subtle body cues can be costly, while shared eating experiences may literally synchronize physiology and decision-making between people.

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