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Joe Rogan Experience #1349 - David Sinclair

David Sinclair, Ph.D., A.O. is a Professor in the Department of Genetics and co-Director of the Paul F. Glenn Center for the Biology of Aging at Harvard Medical School. His new book "Lifespan: Why We Age And Why We Don't Have To" is now available.

Joe RoganhostDavid Sinclairguest
Sep 11, 20192h 19mWatch on YouTube ↗

EVERY SPOKEN WORD

  1. 0:002:04

    Metformin/DHEA/Growth Hormone study and the promise of age reversal

    1. JR

      (clears throat) David Sinclair, Lifespan: Why We Age & Why We Don't Have To. I'm so happy there are people like you out there, 'cause I don't wanna age. I'm aging, clearly, but, uh, I'm not interested in it. I don't like it.

    2. DS

      Yeah. Well, I don't know anybody who does, uh, Joe Rogan. Thanks for having me back on.

    3. JR

      Thanks for coming back. The first one was a, a smash hit, man. People loved it. Uh, all my friends were very excited. But, uh, I had a question for you right off the bat, um, regarding Metformin. There was actually an article, I'm sure you saw it, recently, um, like within the last couple of days, that was going around through all the mainstream papers. It was, uh, talking about how for w- the use of Metformin, uh, DHEA, and w- was there something else as well that was taking two years-

    4. DS

      Human growth hormone.

    5. JR

      ... human growth hormone, taking two years, two biological years off of people's lives in terms of their, their age, which are natural eight, which are actual ... I'm 52, it would make me 50.

    6. DS

      Right. Even 49.5, according to the study.

    7. JR

      Ooh.

    8. DS

      Yeah.

    9. JR

      That's what I'm looking for.

    10. DS

      Yeah, that was a-

    11. JR

      Get back to the fours.

    12. DS

      ... that was a good study. Uh, it, you know, it's only nine people, so we have to repeat this. Um-

    13. JR

      Were they studs? Did you get like nine super athletes or did you get like schmoes that don't exercise?

    14. DS

      Uh, I, as far as I know, these were just, uh, regular-

    15. JR

      Schmoes?

    16. DS

      ... schmoes, yeah.

    17. JR

      (laughs)

    18. DS

      Which is good news for schmoes like me.

    19. JR

      Yes. Good news. Yeah. Well, I mean, that's what you want. You don't want like ... Some people just respond better. They're, they have super bodies, you know?

    20. DS

      Well, the gre- great thing about that, uh, study is first of all, I, I was with the first, uh, the main author on that paper, uh, while it came out. I was over in Israel, uh, as part of my journey up the, the great rift of Africa, ended up in Israel. Anyway, the guy there, uh, Steve Horvath is his name, uh, he and I and a couple of other guys are trying to figure out, uh, not just why we age, why we don't have to, but is aging, uh, truly reversible? And that's what this study suggests is that it's not just about slowing down aging, but one day we could be 80, but biologically 30.

  2. 2:044:59

    The Horvath epigenetic clock: how “biological age” is measured

    1. JR

      Now, when we're talking about the biological age, how is that measured? Is this measured by the length of the telomeres? Is this measured by physical performance? Is it measured by a combination of these factors?

    2. DS

      It's none of that.

    3. JR

      None of that?

    4. DS

      It's something brand new.

    5. JR

      Ooh.

    6. DS

      Most people don't know about it. So it's called the Horvath Clock. And what Horvath and others have discovered is that if you read the DNA and you don't just look at the letters A, C, T, G, if you look at what's on the letter C, cytosine it's called, there are chemical modifications. And those chemicals change as we get older in very linear and predictable ways. If you use a computer, AI, you can say, if I took your blood sample right now, I could read your DNA, look at those chemical groups on the Cs, and I could say you are, okay, you're 52, you might be 46 according to that clock. Uh, and also I could predict when you're gonna die.

    7. JR

      Whoa.

    8. DS

      Scary thought, right?

    9. JR

      Yeah, like a fortune teller.

    10. DS

      Yeah. But the good news is, well, now that we know what's not just, uh, measuring aging, we actually think that clock is part of the aging process, we're learning how to reverse it too.

    11. JR

      Hmm. Now is this just one modality, this, this combination of gr- growth hormone? Is this one w- way of going about it? Are there other ways of going about it? Growth hormone, DHEA, Metformin, is there anything else?

    12. DS

      Well, that's the first that's ever been shown to really-

    13. JR

      So it's just those three things?

    14. DS

      ... reverse. But I'm sure there's gonna be many more discovered. We've only had this Horvath Clock over the last few years in humans, uh, being used widely. Uh, but I think as we use this clock, uh, we're gonna figure out that a whole bunch of stuff that we do and things that we can do and combine will not just slow aging, but reverse it. And not just by two and a half years, eventually, and some of the technology that I talk about in my book, we think could turn the clock back by a decade or more.

    15. JR

      Whoa. Now what things are you talking about that could possibly turn it back a decade or more?

    16. DS

      Well, so the-

    17. JR

      And who do I have to blow?

    18. NA

      (laughs)

    19. DS

      Sorry. (laughs)

    20. JR

      Uh, yeah, you can blow me, but-

    21. DS

      (laughs)

    22. NA

      (laughs)

    23. DS

      Yeah, you may have to do it a few times.

    24. JR

      (laughs)

    25. DS

      But, uh, the, uh, the amazing thing about, uh, where we are now today with aging, um, and we're right on the cutting edge, so it's great to be able to share this with your listeners, is this clock, it's, uh, changes on the DNA, right? What I'm saying, uh, uh, in my theory of, uh, of aging is that it's not the DNA that we lose. That's the old theory. You know, the old idea that antioxidants hurt the DNA.

    26. JR

      Yes.

    27. DS

      Just throw that out for a while, uh, maybe forever. What I think is going on is it's the DNA is getting modified and the cell can't read the DNA the way it used to. Okay? That's really important. And so the clock is not just a clock, it's not a clock on the wall, it's also if you move the hands of the clock, time changes. That's what I think is going on.

  3. 4:596:50

    Antioxidants disappoint; resveratrol, sirtuins, and how to take it

    1. JR

      Could we pause right here for a moment and explain what you were saying about antioxidants?

    2. DS

      Well, antioxidants have been the biggest disappointment, uh, in the aging field. Um, doesn't stop, you know, 40 million people every day buying drinks with antioxidants in them. But antioxidants have, with very few exceptions, failed to extend the lifespan of any organism.

    3. JR

      But you are a proponent of resveratrol, at least you used to be. Are you still?

    4. DS

      I still take it. Um, and we still study it in my lab. But what's ... You brought this up, it's really important. Resveratrol was originally thought to be an antioxidant, and it is a mild antioxidant, but the way it really works, we know this is a fact from my lab, is that it's stimulating the body's defenses against aging and disease because it's, it's binding to these enzymes that we work on called sirtuins, and these are the defenders of the body.

    5. JR

      And you were saying the ... If I remember correctly, you take resveratrol, you take a powdered form, actually bought exactly what you take, and you mix it with yogurt in the morning. Is that, is that how you do it?

    6. DS

      Yep. A teaspoon.

    7. JR

      What, what's the dose that you take?

    8. DS

      Well, it probably comes out to about a gram in the morning.

    9. JR

      A gram?

    10. DS

      Yeah.

    11. JR

      Okay. So if someone's taking capsules.

    12. DS

      Well, it depends. If they're c- probably capsules of 250 milligrams, that'd be four in the morning.

    13. JR

      Okay. So you take four?

    14. DS

      Yeah. You know, I'm still alive, so that's... it's a good sign.

    15. JR

      Right. You look good.

    16. DS

      Oh, thank you.

    17. JR

      Do you, um... is it important to take it with fats? Is that why you take it with yogurt?

    18. DS

      Yeah. Yeah. Either high protein, which is, uh, s- you know, a Greek yogurt suffices, or fat. But water, it'll... it's like brick dust, it won't dissolve and it won't get absorbed.

    19. JR

      Okay. So would a, a glass of whole milk, maybe, would be okay?

    20. DS

      Yeah. That's great.

    21. JR

      But it has to have something to bind to, is that the deal?

    22. DS

      For sure. Yeah. In, in our studies, in humans and in mice, if we didn't give them high fat food, it barely got in. There was five-fold le- less.

  4. 6:508:54

    NAD biology: CD38, NMN/NR, and combining interventions

    1. JR

      Now, this study of metformin, DHEA, and human growth hormone does not include NMN.

    2. DS

      Right.

    3. JR

      So... but NMN is also effective.

    4. DS

      Ah. Well, let's delve in a little bit.

    5. JR

      Please.

    6. DS

      If you read the paper, uh, and I, I have, uh, it turns out one of the effects of this treatment was the reduction in the levels of a protein called CD38. CD38 resides on immune cells, and it goes up as we get older. And what they found, one of the biggest effects of the treatment was the levels of this CD38 protein went down. So what is the... CD38? This is the main enzyme in our bodies that degrades NAD. NAD is required for these sirtuin defenders to work. So one possibility is that, uh... and I'm sure it's complicated, but one way this could be working is by allowing your body to make NAD and store it, rather than degrading it as we get older.

    7. JR

      Interesting. So would supplementing with NMN, which is a form of NAD, correct?

    8. DS

      A precursor, yeah.

    9. JR

      Precursor. Would that, uh, enhance the effects, do you believe? Like, if they tried to do a new study?

    10. DS

      It could.

    11. JR

      Could.

    12. DS

      It could.

    13. JR

      Potentially.

    14. DS

      Um, each of these patients cost $10,000 for the treatment, so it's, it's not easy to do these studies.

    15. JR

      $10,000 for the entirety of the treatment? And the treatment lasts how long?

    16. DS

      Um, I don't remember how long they treated the patients for. Uh, but I do know, uh, that it wasn't cheap. That's why they only did nine, 'cause I... at first, I said to my friend Steve Horvath, "Nine patients? Are you kidding me? Why didn't you do 50?" And they went, "Well, we didn't have the money. That's the... that's the problem."

    17. JR

      Hm.

    18. DS

      Anyway, my point really is that we need to test a lot of different combinations. Include NMN, include, uh... there's one called rapamycin which is a little bit more risky and toxic, but there are better molecules in development. The question is, what is the best combination? And do you use it with exercise and fasting, um, or is it bad to combine them all together? We don't know yet.

  5. 8:5412:59

    Metformin and exercise: performance tradeoffs and “pulsing” strategy

    1. JR

      That's a good question, too, that I wanted to ask you, because one of the things that came out of the podcast was input from some other people that I know that are nutrition experts and performance experts that were skeptical about metformin. And they were saying that metformin, although it may have, uh, an anti-aging effect, it actually decreases physical performance in athletes.

    2. DS

      Well, that... there is a study that shows that. Uh, and resveratrol too, actually, uh-

    3. JR

      Really?

    4. DS

      ... can, can prevent the, the great gains from hard exercise. So here's the solution, uh, that I think, uh, is worth trying. A solution. And that is, uh, a theme that, that I have in my book and in my, uh, my research, and that is, we don't wanna be doing everything every day, necessarily. We wanna pulse it. We wanna shock the body and let it recover. We know that you can't just exercise. I mean, some people who've been on this show run 100 miles every, every weekend. But generally, you wanna hit it hard and let it recover, hit it hard and let it recover. So what I am planning to do, and actually have started doing, is on days that I'm exercising and recovering, I don't take metformin, and then when I'm just sitting around or on a plane, I do. And that way, I think that my body can have the best of both worlds.

    5. JR

      So when you are not exercising and you take it, you feel like it doesn't have a hit when you are exercising and not taking it? So it... somehow or another, whatever performance hit it has, it's temporary?

    6. DS

      Yeah. Right. So while-

    7. JR

      This is all just theoretical.

    8. DS

      It, it, it is. We're right on the cutting edge of human knowledge. We don't actually know what the best thing is. But my, my best guess is that we want to allow the body to recover, so I don't take metformin on those days, rather than taking metformin every day like a diabetic would.

    9. JR

      Mm-hmm. Now, what are... what is the... what's the hit? Like, what is happening? What's the mechanism behind the performance hit from taking metformin?

    10. DS

      Oh. We don't know.

    11. JR

      We don't know.

    12. DS

      But I'll... I can tell you the best, uh, explanation that I can give you. So metformin is a derivate of a plant molecule, the French lilac. So it's, it's not a crazy molecule, it's pretty natural. But what it does is many things in the body. Scientists will quite annoyingly argue about it for, for... they have for the la- past 40 years. Um, so there's no correct answer. But what I think is going on is that metformin is interfering with the mitochondrial... mitochondria in the cell. Mitochondria are the... we call them the battery packs. They're basically making chemical energy. Without that chemical energy, we'd be dead in about 20 seconds. So we need that for life. So metformin interrupts that energy production in the mitochondria. Uh, but you need the mitochondria to amplify after you've exercised. So they're, they're antagonizing each other. So why does metformin work? By inhibiting the mitochondria, the body gets a signal that it doesn't have enough chemical energy, it's not making enough. So it expands the number of mitochondria. These are ancient remnants of bacteria that entered our cells. And we have less if we sit around and... like we are now, and we have more if we exercise. And metformin, by telling the body, "Shit, we're running out of energy," the body responds and makes more mitochondria, just like exercise does.

    13. JR

      Hm.

    14. DS

      But I think if you're taking m- um, metformin and exercising, that inhibition is preventing the benefits, somehow, of what you get with exercise.

    15. JR

      Perhe- preventing it, how so? Like, what, what did the study... or what studies have been done, and what did they reveal?

    16. DS

      Uh, I don't remember the precise details of the study. It was, it was giving metformin every day to people who were, uh, in a controlled exercise, I think it was treadmill, um, a few times a week. Uh, but then what they measured was the mitochondrial benefit. Now that ... Uh, and I think they measured a bit of strength and endurance.

    17. JR

      It's so confusing if there's a mitoch- mitochondrial benefit but a performance hit.

    18. DS

      Well, no, they actually ... Metformin prevented the mitochondria from amplifying up.

    19. JR

      Oh.

    20. DS

      Right? So there, it must be, uh, interfering with the signal that you get from exercise, whatever that is. We don't know exactly what that is.

    21. JR

      So you'd really have to be some sort of a guinea pig to try to fuck with this stuff, to go back and forth from taking it and exercising, not taking it-

    22. DS

      Yeah. I'm, I'm-

    23. JR

      ... and exercising.

    24. DS

      I'm one of those guinea pigs.

  6. 12:5917:59

    Heat/cold exposure, hormesis, alcohol, and Sinclair’s travel/workout reality

    1. JR

      Yeah. And what do you, uh ... No disrespect, but how hard are you working out?

    2. DS

      Not enough. Not enough.

    3. JR

      Yeah. That's what I'm saying.

    4. DS

      I, I spend three hours a week in the gym. Uh, nevermind.

    5. JR

      That's not bad. That's-

    6. DS

      It's all in one day.

    7. JR

      That's mainten- Oh, one day?

    8. DS

      Yeah.

    9. JR

      Really? One day, three hours?

    10. DS

      Yeah. That's it.

    11. JR

      That's ridiculous.

    12. DS

      It is.

    13. JR

      Why are you doing it that way?

    14. DS

      'Cause I'm smart.

    15. JR

      But you're so smart. (laughs) That drives me crazy when smart people do dumb shit. Like I had Peter Hotez on the podcast, who's a, a brilliant man, and from the University of Texas. He's a, a researcher in, uh, tropical diseases and he's obsessed with diseases and the importance of vaccination, all these different things. Then he's talking about how his, his diet is terrible. He eats junk food. He's constantly eating Jack in the Box and shit. I'm like, "What the fuck, man?"

    16. DS

      Yeah. That's nuts.

    17. JR

      You're so smart and you're a guy who works on diseases. What's the number one cause of diseases?

    18. DS

      Oh, yeah. I don't, I don't get that. Some of my colleagues-

    19. JR

      Poor diet.

    20. DS

      ... eat the worst food and they study longevity.

    21. JR

      Crazy. It's crazy. It's like they can't help their impulses. It's like there's so many people like that, that are obsessed with s- various aspects of health or performance, but they just, they just can't get it together.

    22. DS

      Well, I would work out more if I had time. I'm usually working 'til midnight, and after that, I'm not really keen to go to the gym.

    23. JR

      Yes, you do have an excuse. You have a crazy work schedule. You do have an excuse.

    24. DS

      Yeah. Well, I, I'm on planes a fair bit, so I try to exercise on the plane. It's pretty hard, and-

    25. JR

      Do you really? What do you do?

    26. DS

      ... in the bathroom ... Um, I stretch.

    27. JR

      You go to the bathroom and do squats?

    28. DS

      (laughs)

    29. JR

      So nobody thinks you're crazy?

    30. DS

      Yeah.

  7. 17:5934:56

    Africa origins journey: predators, tribes, and the “natural vs unnatural” debate

    1. DS

      Right, right. Well, uh, I was, uh, in Africa recently, and, uh, I gotta tell you, one of the ... When you, when you see a wildebeest get attacked and, and chewed on for 45 minutes by a crocodile-... uh, nothing better than, uh, going back to the camp and having a beer to, to calm down.

    2. JR

      (laughs)

    3. DS

      So I did a lot of that.

    4. JR

      So when you were on safari, um, how did you ... When, when ... Are you in one of those open Jeep deals?

    5. DS

      Uh, yeah, a lot of that. We did also some hiking. We had Maasai, uh, leaders that would go out and ... With a federal, uh, officer with a gun to protect us.

    6. JR

      Oh, Christ.

    7. DS

      Oh, it was fun. It's so much ... It's so different than being in a Jeep, to walk among the cats out there.

    8. JR

      Oh, yeah, man.

    9. DS

      You gotta do that.

    10. JR

      For sure. You're almost dead. Yeah. It's ... Like, you're right there.

    11. DS

      But you feel like you're alive. You know how ... You get the feeling of what it was like to be an early human.

    12. JR

      I've never encountered anything other than bears in the woods that are terrifying. I've never seen a mountain lion, uh, while, like, hunting. I've only seen two mountain lions ever. One was from my back porch in Colorado, and one was in the street in, uh, Santa Barbara. I was driving and I saw one run across the street.

    13. DS

      Right.

    14. JR

      And I didn't realize it was a mountain lion until I saw the tail. I was like, "Oh, shit." I thought it was a coyote or something, then I saw that long tail. Um, but while hunting, I've ... The only thing I've ever seen is a grizzly bear. I saw a grizzly bear once. I've seen black bears. Black bears are unnerving. Grizzly bears are terrifying.

    15. DS

      Right.

    16. JR

      They look at you like this.

    17. DS

      You could shoot at them and they'll still come.

    18. JR

      They just look right through you. They look like, "Am I eating you? What's going on with you?"

    19. DS

      (laughs)

    20. JR

      "Am I gonna eat you?" Like, they, they're trying ... Black bears are like, "Uh, should I get out of here? Should I run? Am I the boss or are you the boss?" Like, they're not sure. Grizzly bears are fucking sure they're the boss. They're just trying to figure out whether or not they should eat you.

    21. DS

      Right. And actually, uh, one of the things you realize when you're amongst these animals, it's a huge privilege for us to go for a walk without getting eaten.

    22. JR

      Yes. Yeah. We don't think about it that way because we're so used to being in parks and, "Oh, I'm out in nature." The fuck you are. You're not really in nature.

    23. DS

      Yeah.

    24. JR

      You're in some weird sort of nature preserve that we've sort of set up inside cities.

    25. DS

      Right. Right.

    26. JR

      S-

    27. DS

      And people ask me about my work, "Oh, isn't what you're doing unnatural?" Fuck natural.

    28. JR

      (laughs) It's so silly.

    29. DS

      What about our world is natural anyway?

    30. JR

      Well, brushing your teeth isn't natural either, stupid.

  8. 34:5648:38

    Religion, origin stories, and human behavior from Jerusalem to Kyrgyzstan

    1. JR

      That's exciting. Wow, that is so cool. So, what was the most unusual thing?

    2. DS

      Besides Jerusalem?

    3. JR

      Is that the most unusual thing?

    4. DS

      Oh, that- that's the most insane thing, where all the religions are on top of each other, touching rocks and blessing the spring and-

    5. JR

      (sighs)

    6. DS

      ... humans are crazy.

    7. JR

      (laughs)

    8. DS

      They'll worship anything. Uh-

    9. JR

      Well, I'm sure you've seen ... Uh, I was in Germany once and, uh, I was there for UFC and I was flipping through the channels of the television and there was, uh, this live feed from Mecca. And, uh, this was pre-Instagram. I was not on Instagram. I definitely would've... 'Cause I watched it for hours. I just sat there in my room drinking a cocktail with my feet up watching this- these people circle around this... What is that, uh, square-shaped thing in the center of Mecca?

    10. DS

      Yeah, I forget. It was a-

    11. JR

      It was a religious object-

    12. DS

      Right.

    13. JR

      ... that I believe, I think says something to do with an asteroid. Like, there's a piece of some ... Find out if that makes sense. This is important to people. But they, uh, the- the- watching people circle. They're all wearing the religious garb, this Islamic garb that they have to wear. And they're all circling around this thing, like, for hours and hours and hours. And I'm like, it's oddly appealing. Like, part of you wants to go, "I recognize that there's gotta be a very strong sense of unity and community in everybody-"... agreeing that we are all going to treat this, this is a sacred object, this is a sacred place. We're gonna wear sacred clothes and we're all gonna follow this, this path. And this, and we're all gonna be together in this.

    14. DS

      Mm-hmm.

    15. JR

      Like, this, like, super reinforced sense of community that's actually ordained by God Himself.

    16. DS

      Yeah. Well, we all need that feeling. For-

    17. JR

      Yeah.

    18. DS

      ... for me, it's science and the fossils that, that I and my colleagues believe were the origins.

    19. JR

      Yeah.

    20. DS

      Everyone needs an origin story.

    21. JR

      Here it is. Uh, how would you say that? Ka-

    22. DS

      Kaaba.

    23. JR

      Kaaba? Kaaba. It's built around a sacred black stone, a meteorite that Muslims believe was placed by Abraham and Ismail, Ishmael, in the corner of the Kaaba, a symbol of God's covenant with Abraham and Ishmael and, by extension, with the Muslim community itself. Hmm, okay. Yeah, that-

    24. DS

      There's-

    25. JR

      So it is, it is actually a meteorite, which how, how incredible, right? Like, a little bit of science and a little bit of religion all wrapped up together. There's a discovery. So this, this is what it looks like. So you're watching this. Um, the channel that I was watching in Germany, again, this is probably, like, more than 10 years ago, 12 years ago, perhaps. And watching this circle around this, like, religious spot was very, very captivating.

    26. DS

      Yeah, the one that I remember, uh, most from, I think it was Jerusalem, yeah, uh, was people touching the stone where the crucifix was thought to be. And they were-

    27. JR

      Hmm.

    28. DS

      ... lined up for hours to just touch it for a, a few seconds. Uh, meanwhile, you know, the origin of humans, the fossils, there's maybe two or three people hanging out. No one really cares. Admittedly, it is out of the way. It's not in the middle of, uh, the Middle East. But still, it, it struck me that humans are more focused on these icons of religion rather than-

    29. JR

      Yeah.

    30. DS

      ... where I believe we really came from.

  9. 48:381:10:17

    Longevity limits, centenarians, and Sinclair’s father as a case study

    1. DS

      ... to do that. We'll continue to evolve. And one of the ex- the, the reasons that I wanted to see human origins is, uh, in my book I talk about, we've evolved to our natural lifespan. We're now at our maximum, 122 is the longest-lived human that ostensibly, uh, is on record. The, so without intervention, we've reached our maximum. But why not now give us what evolution failed to give us? Okay? Why can't we be like other species that are at the top of their game?

    2. JR

      Are there any factors, when you look at the oldest people that are alive, are there any common factors?

    3. DS

      Actually, not really. They, they do seem to have a collection of gene variants that predispose them to get to that long. Uh, there's one called FOXO3 that if, if you've done your genome, we can have a look. Um-

    4. JR

      23andMe.

    5. DS

      Have you done it?

    6. JR

      I have.

    7. DS

      Oh, we should look at it.

    8. JR

      Why don't we check?

    9. DS

      We could tell. Um, you know, you need an A or a T at a certain position. Uh, I've got one of them out of two. Uh, my kid's got, uh, two of my kids out of three have both. So they, if they look after themselves, might have a better chance of living longer. But anyway, these long-lived people, they tend to live a long time no matter what they do. Uh, often they, uh, smoke 'til 90 years old.

    10. JR

      Really?

    11. DS

      Yeah.

    12. JR

      They quit at 90?

    13. DS

      There's a few cases of that, uh-

    14. JR

      And they live another 12 years?

    15. DS

      Right. Right, they-

    16. JR

      Or more, 22 years, right?

    17. DS

      Right.

    18. JR

      You said 122 years old, that guy?

    19. DS

      Well, that lady, that's one, one lady in France. Uh, but I, uh, one of my friends, his, his name is Nir Barzilai, he was with me in Israel, he's got a story of when he asked the centenarian lady, uh, the lady that lived over 100 that he knew, "Why didn't you quit smoking?" And she said, "Oh, all four doctors I went to told me to quit smoking, and they've all died, so I keep going."

    20. JR

      (laughs)

    21. DS

      (laughs)

    22. JR

      That's hilarious. She, what did she do for a living?

    23. DS

      Uh, Jeanne Calment? I forget, the French lady, I don't remember what she did.

    24. JR

      I would imagine that would play a part, like how stressful your occupation is and-

    25. DS

      Yeah.

    26. JR

      ... you know?

    27. DS

      She had a great sense of humor, that was probably part of it. Uh, she used to make jokes with the reporters all the time. Uh, one was, uh, "How many wrinkles do you have?" Uh, she says, "I've only got one and I'm sitting on it."

    28. JR

      (laughs)

    29. DS

      The, the o- the other one I think is even better is, a reporter who was young said, you know, "You're 116, I hope I see you next year for y- for your birthday." She says, "I don't see why not. You seem pretty healthy to me."

    30. JR

      (laughs) Wow, and she made it to 122. Now, have there been any anecdotal reports of people that lived longer?

  10. 1:10:171:20:08

    Fasting, sirtuins, and quantified self: Oura ring, Apple Watch, glucose tracking

    1. JR

      Do you do, um, intermittent fasting?

    2. DS

      Yeah, as much as I can. Uh, one of the other guys that was on this tour of Israel with me is Valter Longo, and he's the, arguably the world's expert on this.

    3. JR

      What a great name.

    4. DS

      Isn't it? He's an Italian guy.

    5. JR

      Valter?

    6. DS

      Longo.

    7. JR

      Longo.

    8. DS

      Yeah, like the coffee. Uh, so he-

    9. JR

      Sounds like a guy you call in when you got a real problem.

    10. DS

      (laughs)

    11. JR

      You know?

    12. DS

      Uh, yeah. Well, he's, uh, he's written a book, and he is the, probably the world's expert in human periodic fasting. Here's, for everyone who wants to know about what the best periodic fasting, uh, protocol is, there isn't one. We don't know yet. We're right on the cusp.

    13. JR

      Hm.

    14. DS

      There haven't been enough studies. But there are a few types. Um, I go through them in my book, so, 'cause we, we won't have time to go through all of it. But there's, uh, the, uh, what is it? The 18 or...

    15. JR

      18 hours.

    16. DS

      Yeah.

    17. JR

      Yeah.

    18. DS

      So you go eat. If you can go skip breakfast, have a late lunch, that's a good start. That's what I try to do every day. It's not always possible, like when you're in Africa and they're feeding you massive meals three times a day. But the, that's what you wanna do. Be hungry for part of the day. Um, or you can go a little more extreme and skip two days, or weeks.

    19. JR

      And what's the, what's the benefit of being hungry?

Episode duration: 2:19:26

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