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Episode
The Science of Stress Adaptation: Why Some Get Stronger While Others Burn Out
~72 min
Episode Brief·YouTube

The Science of Stress Adaptation: Why Some Get Stronger While Others Burn Out

Ben Greenfield
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TL;DR

The four things you'd lose by not watching

4 items

TL;DR

The four things you'd lose by not watching

4 items
1

Adaptive medicine focuses on challenging the body with environmental hormesis (e.g., cold, heat, hypoxia) and allowing for proper recovery to improve physiological function and health.

2

Inspiratory Muscle Training (IMT) for 30 resisted breaths daily can significantly lower systolic blood pressure by up to 9 points and improve lung/cardiovascular function.

3

Increasing CO2 tolerance through nasal breathing, breath holds, or even CO2 inhalation devices can calm the nervous system, improve blood flow, and enhance oxygen delivery.

4

Prolonged fasting and ketogenic diets are presented as the most robust non-pharmacological interventions for cancer, primarily by creating a metabolic environment hostile to glucose-dependent cancer cells.

Protocols

Concrete recipes — what, when, how much, and why

8 items

Circadian Rhythm Alignment for Travel/Shift Work

WhatAlign stimulatory inputs (light, movement, eating) with desired active periods and recovery inputs (darkness, rest, fasting) with desired rest periods.
WhenDuring travel or shift work to rapidly adapt to new time zones or schedules.
DoseAdjust light exposure, meal timing, and activity levels to match the new desired schedule.
For whomIndividuals experiencing jet lag, shift workers, or anyone needing to quickly adapt their internal clock.
WhyThis approach leverages the body's natural circadian ratios (light/dark, movement/rest, eating/fasting) to reset the internal clock, preventing 'metabolic jet lag' and optimizing function.
CaveatsThe host mentions a strategy of eating only at home time zone meal times for frequent travelers, but the expert's method focuses on adapting to the new zone.

To effectively align the circadian rhythm, especially during travel or shift work, one must consciously manipulate the three key ratios: light vs. darkness, movement vs. rest, and eating vs. fasting. For instance, upon arriving in a new time zone, exposing oneself to bright light and engaging in movement during the local morning hours signals the body to wake up. Conversely, minimizing light exposure and prioritizing rest during local evening hours promotes melatonin release and sleep. Crucially, meal timing plays a significant role; eating at the new time zone's meal times helps reset the metabolic clock, preventing 'metabolic jet lag.' This integrated approach ensures that the body's internal systems are firing on all cylinders, regardless of geographical location or work schedule, by providing the appropriate stimulatory and recovery cues at the right times.

“you line those stimulatory aspects up when you want to be active and the recovery aspects up when you need to rest is by far the best adaptive approach for circadian rhythm alignment so you're firing on all cylinders no matter what where you're at or where you're going.”

Also said
““Light especially in the early morning anchors the clock. It tells the brain that it's time to get up and get after it and then also sets a timer for melatonin release later in the day which improves sleep.””— Explains the role of light in setting the circadian clock.
““if your eating balance your fast fed cycles are off it's like metabolic jet lag.””— Highlights the importance of meal timing for circadian alignment.

Inspiratory Muscle Training (IMT)

WhatBreathing through a small hole or against resistance to strengthen inspiratory muscles.
WhenDaily.
Dose30 resisted breaths per day.
For whomAnyone looking to improve respiratory function, lower blood pressure, or enhance athletic performance.
WhyStrengthens breathing muscles, improves lung and cardiovascular function, leading to better oxygen efficiency, lower blood pressure (up to 9 points systolic), and improved athletic performance. Lung function is a strong predictor of longevity.
CaveatsThe last few breaths should be challenging but controlled and repeatable. Can be done with puckered lips, a straw, or a dedicated inspiratory trainer.

Inspiratory Muscle Training (IMT) involves breathing against resistance, which can be as simple as puckering your lips or using a straw, or a dedicated device like the Breather Fit. The core mechanism is that this resistance significantly increases the negative pressure required to pull air into the lungs, acting as a strength training exercise for the diaphragm and other inspiratory muscles. This leads to improved lung and cardiovascular function, translating into tangible benefits such as enhanced oxygen efficiency, a notable reduction in systolic blood pressure (up to 9 points), and better athletic performance. The expert emphasizes that lung function is a powerful predictor of overall health and longevity, making IMT a highly impactful and time-efficient intervention, requiring only 30 resisted breaths daily. The benefits are also shown to be durable, persisting for weeks after the training ceases.

Mechanism

The added resistance increases negative pressure inside the lungs by up to 28 times, effectively providing a 'pressure workout' for the breathing muscles. This strengthening improves the efficiency of air intake and subsequently cardiovascular function. The sustained benefits (up to 6 weeks after stopping) suggest a robust adaptive response.

“all it takes is 30 resisted breaths a day. That's it. Just 30 breaths a day to get all those benefits.”

Also said
““This added resistance increases the negative pressure inside the lungs, which is needed to pull air into them by up to 28 times compared to normal breathing.””— Explains the physiological mechanism of IMT.
““The benefits of reduced blood pressure, the studies showed that even after the participants stopped, those results remained for 6 weeks after.””— Highlights the long-lasting adaptive benefits of IMT.

CO2 Tolerance Training

WhatPractices that increase CO2 levels in the body to improve tolerance, leading to vasodilation, nervous system calming, and better oxygen delivery.
WhenRegularly, can be incorporated into daily activities or specific breathwork sessions.
DoseNasal breathing during zone 2 cardio, breath holds (inhale or exhale), or controlled CO2 inhalation via devices.
For whomAnyone seeking improved blood flow, nervous system regulation, better oxygen efficiency, or enhanced athletic performance.
WhyHigher CO2 levels dilate blood vessels, improving blood flow and oxygen delivery, while also calming the nervous system. This enhances HRV, lowers resting heart rate, and creates a relaxed state.
CaveatsInitial CO2 inhalation can feel like oxygen starvation or anxiety, but the calming effect comes after. For breath holds, the goal is CO2 tolerance, so inhale/exhale hold doesn't matter as much as the CO2 buildup.

Training CO2 tolerance is a powerful method to leverage the body's natural responses to carbon dioxide. When CO2 levels increase, blood vessels dilate, which significantly improves oxygen delivery to tissues and organs. This vasodilation also contributes to a calming effect on the nervous system, promoting a more relaxed state and improving metrics like Heart Rate Variability (HRV) and resting heart rate. Simple methods to achieve this include nasal breathing, especially during moderate-intensity exercise, as the nose naturally slows breath and retains CO2. Breath holds, whether on an inhale or exhale, also effectively raise CO2 levels, training the body to remain calm as these levels climb. For more advanced users, devices that deliver controlled percentages of CO2 can passively increase tolerance, leading to benefits like increased vascularity and an anxiolytic effect.

Mechanism

CO2 acts as a potent vasodilator. When its levels rise, blood vessels expand, allowing for more efficient blood flow and oxygen transport to tissues. Simultaneously, increased CO2 has a direct calming effect on the nervous system, shifting it towards a more parasympathetic state. Training CO2 tolerance means the body becomes more accustomed to higher CO2 levels, allowing these beneficial physiological responses to occur without triggering panic or discomfort.

“So, ultimately, what you people want to do when they train CO2 is to improve their solid tolerance to it, which is CO2 tolerance, and that's trainable.”

Also said
““When CO2 levels rise, our blood vessels will dilate, and this improves oxygen in efficiency, and it tends to calm the nervous system.””— Explains the direct physiological benefits of higher CO2.
““Better HRV, better resting heart rate. It has all sorts of benefits just because it has that calming, relaxing state on your your nervous system along with better blood flow and everything that I've just mentioned.””— Lists specific health markers improved by CO2 tolerance.

The Adapter Breath (Intermittent Hypoxic Breathing)

WhatA three-phase breathing technique involving resonant breathing, a hypoxic phase with repeated mini-breaths during a breath hold, and a Valsalva maneuver.
WhenIdeally repeated 3-5 times per session.
DoseResonant breathing (5s in, 5s out), 3-5 minutes hypoxic phase, 30-second Valsalva maneuver.
For whomAnyone seeking to improve mitochondrial function, oxygen efficiency, and overall cellular resilience.
WhyActivates over 100 genes for repair and cellular survival, improves mitochondrial function, increases circulating stem cells by 50%, and enhances oxygen efficiency by priming the entire system with a hypoxic signal.
CaveatsBriefly lowering oxygen is key; the hypoxic phase involves taking quick, shallow breaths when feeling the 'breaking point' to maintain hypoxia without fully re-oxygenating. A pulse oximeter can be used to monitor oxygen saturation, aiming for 80-90% in the hypoxic window, with temporary dips into the 70s being acceptable.

The Adapter Breath is a free and simple intermittent hypoxic breathing technique designed to harness the profound benefits of brief oxygen deprivation. It begins with resonant breathing (5-second inhale, 5-second exhale) to calm the nervous system. This transitions into a hypoxic phase lasting 3-5 minutes, where after an initial breath hold, one takes quick, shallow breaths whenever the urge to breathe becomes strong. This maintains a state of hypoxia without fully re-oxygenating, thereby triggering powerful cellular adaptations. The final phase is a 30-second Valsalva maneuver (increasing internal pressure), which trains baroreceptor sensitivity. This entire sequence, ideally repeated 3-5 times, activates over 100 genes responsible for cellular repair and survival, significantly boosts mitochondrial function, and can increase circulating stem cells by 50%. The expert considers it one of the best biohacks for mitochondrial function and oxygen efficiency, providing a 'minimum effective dose with huge upshot of adaptations to the whole system.'

Mechanism

Intermittent hypoxia, similar to what a fetus experiences, triggers Hypoxic Inducible Factor 1-alpha (HIF-1α), a master regulator of oxygen. This unleashes a cascade of adaptive responses, including the production of growth factors, enhanced mitochondrial biogenesis, and improved oxygen delivery. The pressure phase (Valsalva) further trains baroreceptors, improving the body's ability to adapt to changing pressures. This 'whole hypoxic signal' impacts the brain, heart, lungs, blood vessels, and mitochondria, leading to systemic adaptive benefits.

“I have developed a breathing technique called the adapter breath that's anybody can do. It's it's free. It's simple and it has three phases if you want to hear more about it.”

Also said
““it's one of the best biohacks for mitochondrial function and oxygen efficiency by far.””— Highlights the expert's high regard for hypoxia training.
““it's not uncommon to dip below into the mid to high 70s temporarily as your body will adjust and bring it back.””— Provides guidance on expected oxygen saturation levels during the practice.

Cold Therapy for Chemotherapy-Induced Peripheral Neuropathy

WhatApplying cold gloves and socks to hands and feet during chemotherapy sessions.
When15 minutes before chemotherapy, remaining on until 15 minutes after the session ends.
DoseApplied for the duration of chemotherapy plus 15 minutes before and after.
For whomPatients undergoing chemotherapy, particularly those at risk of peripheral neuropathy or hair loss.
WhySignificantly reduces or almost completely abolishes chemotherapy-induced peripheral neuropathy, a severe nerve damage side effect. Also helps mitigate hair loss when applied to the scalp.
CaveatsThis is a specific application to counteract chemotherapy side effects, not a general cold therapy for cancer treatment.

Cold therapy, specifically applying cold gloves and socks, has been shown to be remarkably effective in mitigating one of the most debilitating side effects of chemotherapy: peripheral neuropathy. This condition, characterized by excruciating nerve damage in the hands and feet, can persist for years post-treatment. The protocol involves applying these cold items 15 minutes before chemotherapy begins and keeping them on until 15 minutes after it concludes. Research indicates this can almost entirely prevent neuropathy caused by common chemotherapeutics. The underlying mechanism is vasoconstriction; the cold reduces blood flow to the extremities, thereby limiting the exposure of these sensitive nerve tissues to the toxic chemotherapy drugs. This same principle can be applied to the scalp to reduce hair loss. The expert emphasizes this as a prime example of using environmental hormesis to protect vital bodily functions during medical treatment.

Mechanism

Cold causes vasoconstriction, reducing blood flow to the treated areas (hands, feet, scalp). This limits the exposure of these tissues to the toxic chemotherapy agents, thereby protecting them from damage. The expert notes that this is a perfect example of using environmental hormesis to protect function.

“What the results show is that it can almost completely abolish per chemotherapy induced peripheral neuropathy against the most commonly used chemotherapeutics.”

Also said
““I want to stress that this condition is excruciating. I've had patients describe it as if they were walking on glass or someone's holding a lighter under their foot.””— Emphasizes the severity of the condition being treated.
““when you apply cold to the surface, the blood vessels will constrict, which reduces blood flow. So, that means less exposure to the chemotherapy's toxicity to those affected areas.””— Explains the physiological mechanism of action.

Prolonged Fasting/Ketogenic Diet for Cancer

WhatAdopting prolonged fasting or a well-formulated ketogenic/carnivore diet to induce a state of ketosis.
WhenAs a non-pharmacological intervention for cancer.
DoseProlonged fasting (duration not specified, but implies multiple days) or consistent ketogenic/carnivore diet.
For whomIndividuals with cancer, particularly those with glucose-dependent tumors.
WhyCreates a metabolic environment hostile to glucose-dependent cancer cells, activates anti-cancer immunity, improves mitochondrial function, and disrupts cancer growth. Most cancers are glucose-dependent.
CaveatsNo human clinical trials for prolonged fasting as a cancer treatment exist. Some cancers are metabolically flexible and can use ketones. Not a guarantee, but a strong strategy. Cannot be achieved by simply drinking exogenous ketones while consuming carbs/protein.

The expert highlights prolonged fasting and ketogenic diets as the 'most robust non-pharmacological intervention for cancer' based on extensive animal studies, epidemiological data, and shared physiological mechanisms across mammals. The core principle is the metabolic theory of cancer, which states that most cancers are glucose-dependent. By shifting the body into a ketogenic state, either through prolonged fasting or a well-formulated ketogenic/carnivore diet, an environment hostile to cancer cells is created. Healthy cells, being metabolically flexible, can utilize ketones, while many cancer cells cannot, effectively starving them. This approach activates anti-cancer immunity, improves mitochondrial function, and disrupts cancer growth. However, it's crucial to note that this is a strategy, not a guarantee, as some cancers are metabolically flexible. The expert also cautions against simply consuming exogenous ketones while maintaining a high-carb diet, as this would still provide the growth factors (insulin, glucose, amino acids) that feed cancer.

Mechanism

The metabolic theory of cancer posits that most cancer cells are highly dependent on glucose for energy. By inducing ketosis through prolonged fasting or a ketogenic diet, the body shifts its primary fuel source to ketones. Healthy cells, being metabolically flexible, can readily adapt to using ketones, while many cancer cells cannot. This effectively starves the cancer cells while nourishing healthy ones, creating a potent anti-cancer environment. Ketosis also activates genes and compounds that disrupt cancer, enhances anti-cancer immunity, and improves mitochondrial function.

“I think we described as the most robust non-pharmacological intervention for cancer that exists.”

Also said
““Prolonged fasting in particular activates genes and compounds that disrupt cancer, activates anti-cancer immunity, and improve mitochondrial function along with a long list of other benefits.””— Details the specific anti-cancer mechanisms.
““most cancers are glucose dependent. They just love sugar. But some types of cancer are metabolically flexible and can utilize ketones.””— Provides important context and caveats regarding cancer types.

Baking Soda for Fasting/Ketosis Support

WhatConsuming sodium bicarbonate (baking soda) during prolonged fasting or transition to ketosis.
WhenSpread throughout the day during prolonged fasting or when experiencing 'keto flu' symptoms.
Dose3-4 grams of sodium bicarbonate (about one teaspoon), spread out in smaller doses.
For whomIndividuals undergoing prolonged fasting or transitioning to a ketogenic diet, especially those experiencing 'keto flu' or concerned about muscle mass loss.
WhyReplaces sodium lost during ketosis (addressing 'keto flu' symptoms like fatigue, headaches, irritability) and buffers the metabolic acidosis caused by acidic ketones, preventing protein breakdown for pH regulation.
CaveatsSpread out doses to avoid gastric distress. For shorter fasts (24-48 hours), simple sea salt for electrolytes may suffice.

For those seeking the benefits of fasting or ketosis without the common drawbacks, baking soda (sodium bicarbonate) offers a simple solution. During prolonged fasting, as ketone levels rise, the body uses sodium to neutralize and clear these acidic compounds. A drop in sodium levels is a primary cause of 'keto flu' symptoms like fatigue, headaches, and irritability. Baking soda replenishes this lost sodium. Furthermore, ketones are acidic, leading to a mild metabolic acidosis. The bicarbonate in baking soda acts as a crucial pH buffer, preventing the body from catabolizing protein to produce ammonia for pH balance, thereby helping to preserve muscle mass. The recommended dose is 3-4 grams (about one teaspoon) of sodium bicarbonate, ideally spread out in smaller doses throughout the day to prevent gastric distress. For shorter fasts (24-48 hours), simple sea salt for electrolyte replenishment might be sufficient.

Mechanism

During prolonged fasting, rising ketone levels are acidic and need to be neutralized for excretion, initially using sodium. As sodium levels drop, this leads to 'keto flu' symptoms. Baking soda directly replaces this lost sodium. Additionally, ketones cause mild metabolic acidosis. The bicarbonate in baking soda acts as a pH buffer, preventing the body from breaking down protein to form ammonia as a compensatory mechanism, thus helping to preserve muscle mass.

“So, the mineral trick is good old fashioned baking soda.”

Also said
““When soda sodium levels drop, these are the symptoms of the keto flu. This is like fatigue, headaches, irritability. It's low sodium levels.””— Clearly identifies the cause of 'keto flu' symptoms.
““baking soda deals with both. It replaces the sodium and then the bicarbonate helps buffer that pH so you don't have to break down protein for the body to compensate.””— Explains the dual mechanism of action for baking soda.

Voodoo Flossing for Pain and Mobility

WhatWrapping an elastic band around a joint (e.g., knee, elbow) to create compression, then moving the joint through its range of motion.
WhenAs needed for pain relief, mobility improvement, or pre-activity joint preparation.
DoseWrap at 50% blockage (ensuring blood flow), move for a couple of minutes. Expert uses it for 2 minutes before snowboarding.
For whomIndividuals experiencing joint pain (e.g., tennis elbow, knee pain) or seeking to improve mobility and flexibility.
WhyLimits pain perception and retrains the nervous system that certain positions are safe, allowing for pain-free range of motion and improved flexibility.
CaveatsEnsure blood flow is not completely cut off (50% blockage).

Voodoo flossing, a technique involving wrapping an elastic band around a joint and then moving it, is presented as an effective method for pain relief and mobility improvement. The expert, who uses it for his knee before snowboarding, explains that the compression from the band, applied at about 50% blockage, helps to limit pain perception. This allows the individual to move the joint through its full range of motion, essentially retraining the nervous system that these positions are safe. The underlying principle is that flexibility is often restricted by the brain's perception of pain or instability, rather than purely muscle length. By reducing this perceived threat, the nervous system allows for greater movement and reduces musculoskeletal pain. It's a quick, simple, and portable practice, requiring only an elastic band.

Mechanism

The compression from the band is thought to decrease pain perception, allowing the nervous system to 'reset' its protective tension around the joint. By moving the joint through its range of motion while compressed, the brain receives signals that these movements are safe, thereby reducing the nervous system's inhibition and increasing flexibility. This aligns with the idea that flexibility is often limited by the nervous system's perceived threat rather than just muscle length.

Personal experience

The host uses voodoo flossing for his knee before snowboarding and finds it a 'total game changer.'

“you'll wrap around a joint and that limits the pain and allows you to kind of like retrain the muscle to move through pain free range of motion.”

Also said
““I learned this from Kelly Starrett and you you'll wrap around a joint and that limits the pain and allows you to kind of like retrain the muscle to move through pain free range of motion.””— Credits the origin of the technique and its core benefit.
““I was voodoo flossing my left knee every morning before I went out. Whole game. And we're talking just like 2 minutes.””— Provides a concrete example of personal use and duration.

What's new

Personal practice updates, fresh positions, predictions

4 items

Adaptive Medicine Philosophy

0:01:50

Adaptive medicine is a framework for health that views adaptation itself as medicine, based on the principle of 'challenge, recover, repeat' to improve physiological function.

Why this matters: It reframes health as robust function and disease as dysfunction, emphasizing proactive lifestyle interventions over reactive treatments.

Background

The concept arose from a 10-year quest to define health, spurred by the expert's mother's battle with cancer and the realization that pills, while useful for emergencies, don't build overall health.

The core idea of adaptive medicine is that health is synonymous with robust function in the body's essential systems, and disease is a dysfunction in those same systems. Therefore, any technique that improves function will improve health. This process is inherently adaptive, following a simple protocol: challenge, recover, and repeat. The challenges are often environmental hormetic stressors, applied at the right dose, followed by adequate recovery, ideally aligned with a functional circadian rhythm. This approach aims to transform an individual's life into 'living, breathing medicine' through their own behaviors, asserting that humans possess the inherent capacity to prevent, treat, and often reverse diseases by putting these principles into action.

Personal experience

The expert's mother's struggle with breast and ovarian cancer, despite trying 'almost everything,' profoundly influenced his development of adaptive medicine, shifting his focus from disease treatment to understanding and promoting health.

“The whole premise of adaptive medicine is that adaptation is in and of itself medicine. Because from a physiological perspective health is synonymous with robust function in the systems that we need for life and disease is dysfunction in those same systems.”

Also said
““I'm of the opinion that we have everything that we need to prevent, treat and often times reverse diseases. We just need to put that into action and that's what the book and the philosophy adaptive medicine is all about.””— Highlights the empowering and proactive nature of the philosophy.
““And that is the adaptive process which follows a very simple protocol. Challenge, recover and repeat.””— Summarizes the core methodology of adaptive medicine.

Intermittent Fasting as Circadian Rhythm Diet

0:12:00

Intermittent fasting (time-restricted eating) is primarily a circadian rhythm intervention, not just a caloric restriction strategy, impacting hormones and metabolism.

Why this matters: It distinguishes intermittent fasting from caloric restriction, highlighting its broader physiological benefits beyond just weight loss.

The expert clarifies that intermittent fasting, or time-restricted eating, should be understood as a circadian rhythm diet rather than merely a method for caloric restriction. While studies often compare them for weight loss with similar results, this overlooks the numerous other benefits of time-restricted eating. By aligning eating and fasting cycles with the body's natural rhythms, it positively influences cortisol balance, hormone regulation, and overall metabolism. The key distinction is that time-restricted eating provides the body with a crucial period of recovery, allowing systems to reset and function optimally, which has downstream effects on inflammation and overall health, irrespective of weight loss goals.

“time-restricted eating, which is commonly referred to as intermittent fasting, it's a circadian rhythm diet.”

Also said
““And as you probably know, if any one of those are off, your cortisol is going to be out of balance, your testos- your hormones are going to be out of balance, which impacts how you recover, how your metabolism runs.””— Explains the systemic impact of circadian rhythm disruption.
““I think having a period of time during a 24-hour cycle where you're not like, you know, shoveling food into your gaping maw is a It's a good idea regardless of whether you're interested in weight loss.””— Emphasizes the general health benefits beyond weight management.

CO2 as a 'Bad Boy' Breathing Lever

0:22:00

Carbon dioxide, often overlooked in favor of oxygen, is a powerful physiological lever that improves oxygen delivery, calms the nervous system, and enhances blood flow.

Why this matters: Challenges the common perception of CO2 as merely a waste product, highlighting its critical role in health and performance.

While oxygen receives most of the attention in breathing, CO2 is presented as a 'bad boy' breathing component that is actually a powerful lever for health. When CO2 levels rise, blood vessels dilate, improving oxygen efficiency and calming the nervous system. Conversely, low CO2 constricts blood vessels, reduces oxygen delivery, and excites the nervous system. Training CO2 tolerance allows individuals to leverage these benefits, leading to better blood flow, a more relaxed state, and improved oxygen utilization. This can be achieved through simple practices like nasal breathing during exercise or breath holds, or even advanced devices that deliver controlled CO2.

Personal experience

The expert experimented with inhaling 7% CO2, expecting anxiety based on literature, but only experienced rosy cheeks and a subsequent calming effect, confirming its benefits.

“CO2 is considered the bad boy breathing. You know, everybody focuses on oxygen but to tell you the truth like CO2 is a powerful level lever that we all can push to improve oxygen delivery and this it's simple.”

Also said
““When CO2 levels rise, our blood vessels will dilate, and this improves oxygen in efficiency, and it tends to calm the nervous system.””— Explains the direct physiological benefits of higher CO2.
““You don't feel calm during. You feel calm after. Like during you almost feel like you're a little bit oxygen starved.””— Describes the subjective experience of CO2 training.

Carnivore Diet and Plant Defense Chemicals

0:48:00

While a carnivore diet can be beneficial for individuals with gut issues by eliminating plant defense chemicals, it might also mean missing out on hormetic stressors from beneficial plant compounds.

Why this matters: Provides a nuanced perspective on the carnivore diet, acknowledging its benefits for some while also pointing out potential trade-offs in terms of hormetic plant compounds.

The expert acknowledges that the carnivore diet can be highly beneficial for individuals with significant gut issues, as it eliminates many plant defense mechanisms that can be irritating. He personally adopts a carnivore diet for about three months annually. However, he also points out that this approach might mean missing out on the hormetic benefits derived from certain plant compounds like EGCG in green tea or curcumin. These compounds, at low doses, act as mild stressors that activate the body's internal defense systems, increasing antioxidants and repair pathways. The key is finding balance: while eliminating all plant stressors can be restorative for some, the goal of adaptive medicine is to introduce small, brief challenges to improve function. Therefore, a strict carnivore diet might need to be supplemented with carefully chosen, low-dose plant compounds or other hormetic stressors to achieve a full adaptive response.

Personal experience

The expert follows a carnivore diet for three months each year, primarily to consume a quarter of a cow, and finds it beneficial.

“Aren't you missing out on some elements of adaptive medicine if you're going strict carnivore? Yes and no.”

Also said
““For a lot of people that go on carnivore diet, and I understand that perspective, I go on the carnivore diet myself for about three months every year just because that's how long it takes me to get rid of a quarter of a cow.””— Illustrates the expert's personal, practical approach to the diet.
““The goal is not to eliminate every stressor. The goal is to expose the system to small brief challenges and to so it can improve function.””— Reiterates the core principle of adaptive medicine in the context of diet.

Recommendations

Products, supplements, and tools mentioned in the episode

3 items

The Breather Fit

Tool

An inspiratory muscle trainer used for resisted breathing.

vs alternatives

Presented as an alternative to puckered lips or a straw for inspiratory muscle training.

Personal experience

The expert uses it and finds it reliable, stating, "I use the Breather Fit. I'm not associated with this company at all. I just like it. It's been reliable for me."

“I use the Breather Fit. I'm not associated with this company at all. I just like it. It's been reliable for me.”

Find The

CardiHaler

Tool

A device that delivers medical-grade CO2 for inhalation.

vs alternatives

A passive way to increase CO2 compared to breath holds or nasal breathing.

Personal experience

The host uses it for 15-20 minutes daily while checking emails, noting a vasodilator effect (rosy cheeks, vascularity) and a mild anxiolytic effect afterwards.

“He sent me this thing called the CardiHaler, c a r d i haler. And I've got a canister of medical grade CO2 on the floor underneath my desk here and it attaches to the cardihaler which pulls in the CO2 and then there's another tube that goes to a mask that I can put on just at some point during the day.”

Find CardiHaler

Tipping Over the Truth

Book

A book that lays out the metabolic theory of cancer.

“Great book I would recommend is Tipping Over the Truth by Travis Christofferson which lays this out.”

Find Tipping
Disclosed sponsorships1speaker disclosed

Fertility for Two

Service Sponsored · disclosed

A program for couples trying to conceive, focusing on improving both partners' health and fertility.

DisclosureThe expert, Dr. Cody Strohman, runs this program with his wife, Dr. Cindy.

Fertility for Two is a program co-founded by the expert, Dr. Cody Strohman, and his wife, Dr. Cindy. It's designed for couples who are trying to conceive, offering a holistic approach to improve both partners' health and fertility. The program is entirely online, allowing them to work with couples remotely from across the country. The name 'Fertility for Two' signifies their approach of treating both the male and female partners to optimize their chances of conception and to model healthy behaviors for their future children.

Personal experience

The expert's current primary focus is working with his wife on this program.

“most of my focus now is working with my wife, Dr. Cindy, through our program called Fertility for Two. We work with couples who are trying to conceive by helping both partners improve their health and fertility so they can expand their family and model healthy behaviors to their children.”

Also said
““Everything we do is online and we work with couples from all over the country.””— Highlights the accessibility of the service.
Find Fertility

Notable quotes

Lines worth pulling out — contrarian, specific, or perfectly phrased

6 items
“Health is synonymous with robust function in the systems that we need for life and disease is dysfunction in those same systems.”
This quote succinctly defines the foundational philosophy of adaptive medicine, framing health and disease in terms of function.
“I'm of the opinion that we have everything that we need to prevent, treat and often times reverse diseases. We just need to put that into action and that's what the book and the philosophy adaptive medicine is all about.”
This is a bold and empowering statement, reflecting the core belief that individuals hold the power to significantly impact their own health outcomes through behavior.
“if your eating balance your fast fed cycles are off it's like metabolic jet lag.”
This vivid analogy effectively communicates the impact of misaligned eating patterns on the body's metabolic clock, making a complex concept easily understandable.
“CO2 is considered the bad boy breathing. You know, everybody focuses on oxygen but to tell you the truth like CO2 is a powerful level lever that we all can push to improve oxygen delivery and this it's simple.”
This quote challenges conventional wisdom about breathing, elevating the importance of CO2 and positioning it as an underutilized tool for health.
“So, there I am one morning in the river just up to the neck just enjoying myself and I hear this breathing behind me. I turn around and about 10 ft away, I just see a beaver's head swimming at me and then just disappears under the water. And that was more frightening than the cold.”
This humorous anecdote provides a memorable and relatable reason for a shift in the expert's cold therapy routine, adding personality to the discussion.
“A person's flexibility is directly linked to their perception of pain.”
This statement offers a profound insight into the neurological basis of flexibility, shifting the focus from purely physical limitations to the brain's role in movement and pain.

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Topics covered

adaptive medicinehealth definitionnaturopathic medicinecancerlifestyle medicineenvironmental hormesiscircadian rhythmlight exposuremovement and resteating and fastingjet lagmetabolic jet lagintermittent fastingtime-restricted eatingcaloric restrictioncortisol balancehormone regulationbreathworkinspiratory muscle trainingblood pressure
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