How Not to Age with New York Times best-selling author Dr. Michael Greger [Episode #873]
This week’s topic: How Not to Age with New York Times best-selling author Dr. Michael Gregor
I am so excited to have the amazing Dr. Michael Greger on our show today. He has created yet another amazing book called How Not to Age, the Scientific Approach to Getting Healthier as You Get Older. And I have to say that this is one of my favorite nutrition books in quite a while. I do read quite a lot of books and there is so much great information. Listen in as Dr. Michael Greger shares…..
Topics Covered
Chapters
03:04 The Power of Nutrition for Aging
06:11 The Benefits of Green Smoothies
09:03 Cooking Oils and Fertility
12:00 Debunking Myths about High Protein Diets
13:54 The Importance of Protein Quality
22:55 Addressing Concerns about Anti-Nutrients
27:01 The Dangers of High Fat Diets
29:01 Promoting Healthy Eating in Schools
29:56 Plant-based diets for children
30:51 The focus should be on avoiding nutrient excess
32:17 The power of fruits and vegetables for longevity
33:36 The importance of legumes, nuts, and whole grains
35:15 Epigenetics and the body’s ability to reverse aging
37:48 The role of diet and lifestyle in epigenetics
39:09 The benefits of a plant-based diet for longevity
41:15 The truth about coffee and its effects on health
44:14 The truth about soy consumption
45:15 The impact of diet on skin health
48:00 The myth of bone broth and collagen
50:14 Reducing meat portion sizes
51:08 The truth about sugar and fruit consumption
53:04 Dr. Greger’s work and where to find more information
About Dr. Michael Greger
A founding member and Fellow of the American College of Lifestyle Medicine, Michael Greger, M.D., is a physician and internationally recognized speaker on nutrition. His science-based nonprofit, NutritionFacts.org, offers a free online portal hosting more than 2,000 videos and articles on myriad health topics. Dr. Greger is a sought-after lecturer and has presented at the Conference on World Affairs and the World Bank, testified before Congress, and was invited as an expert witness in Oprah Winfrey’s defense in the infamous “meat defamation” trial. A graduate of Cornell University School of Agriculture and Tufts University School of Medicine. Dr. Greger is also an acclaimed author. How Not to Die, The How Not to Die Cookbook, How Not to Diet, and How Not to Age became instant New York Times Best Sellers. More than a million copies of How Not to Die have been sold. All proceeds Dr. Greger receives from the sales of his books and speaking honoraria are donated directly to charity.
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Dr. Michael Greger Websites:
Dr. Michael Greger’s Book
How Not to Age: The Scientific Approach to Getting Healthier as You Get Older
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Transcript:
Note: The following is the output of transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate. This is due to inaudible passages or transcription errors. It is posted as an aid, but should not be treated as an authoritative record.
Kimberly Snyder (00:00.996)
Hi loves and welcome back to our Monday interview show. I am so excited to have the amazing Dr. Michael Greger on our show today. He has created yet another amazing book. This one is called How Not to Age, the scientific approach to getting healthier as you get older. And I have to say that this is one of my favorite nutrition books of the last while and I do read quite a lot of books. This book is incredible and I’m very excited to get into it today with Dr. Michael, who is a physician. He’s a New York Times bestselling author. He’s a graduate of Cornell. He’s an internationally recognized speaker on nutrition. So Dr. Michael, thank you so much for being here with us today. After reading your book, I feel like I could speak to you for weeks and still have more questions.
Michael Greger, M.D. FACLM (00:54.24)
Let’s do it! I hope to help inspire some of your viewers to live longer, better lives.
Kimberly Snyder (00:57.508)
I love it. And so just a reminder, we are now on video as well. Dr. Michael and I are here. You can watch us on our YouTube channel. You can continue to listen if you’re a long -term listener and you like to listen while you’re walking your dog or driving. We’re still going to be on Apple, Spotify. We will link to the show notes where you’ll learn more about Dr. Michael’s book and his work over at mysolluuna.com as well as other articles, podcasts, recipes I think you would enjoy. All right. Let’s get right into it, Dr. Michael. Thank you again for taking some time and congratulations on putting together. Let me see here. What is it? 800 pages? Oh, no, 500 pages of this incredibly dense, readable, but I will say fascinating book.
Michael Greger, M.D. FACLM (01:48.416)
I’m so glad you enjoyed it. My aim was really to provide really the most comprehensive anti-aging book ever written covering every possible strategy for slowing down the aging process for the longest, healthiest life based on the best available balance of evidence. And the good news is we have tremendous power over our health, destiny, and longevity, and that the vast majority of premature death and disability is preventable with a healthy enough diet and lifestyle.
Kimberly Snyder (02:16.868)
Wow. And I will say, even though this is quite a long book, the way that I consumed it was I kept it on my kitchen counter. And when I had moments like drinking a cup of tea or there was a little bit of space before picking up my child from school, I would read a section where there was about inflammation or, you know, you have a section on skin, a section on hearing. So,
Michael Greger, M.D. FACLM (02:34.83)
I love it.
Kimberly Snyder (02:40.452)
It’s a wonderful guide. I recommend keeping this in your living room or somewhere where you could read it section by section because people say, oh, I’m busy. I don’t have time to read. And I say, when you have a book and you start to read it and there’s all these aha moments, you start to just work it in in sections. And so that’s how I would recommend consuming this wonderful book.
Michael Greger, M.D. FACLM (03:04.142)
Yeah, that’s what I intended to do. And so look, regardless of what you’re interested in— I talk about preserving your bones, bowels, bladder, and circulation, hair, hearing, and hormone balance, immune function, joint health, mind, and your muscles, sex life, and skin, teeth, vision— on down the list. And so it’s like, well, if I just care— let’s assume you care about some of the more kind of superficial attributes.
Or if you care about the whole section on blocking some of the aging pathways to actually slow the aging process and decrease the risk of age -related disease. If you’re interested in what do the longest, healthiest populations around the world eat, I wanted to basically cover the entire field. And so, for anyone who’s interested in anything, I want it to be the reference book on aging.
Kimberly Snyder (03:53.924)
That’s right, doctor. And also we’d say, you know, a lot of us care about having beautiful glowing skin. But as we talk about, you talk about in the book, the skin is the largest organ. The skin can reveal a lot of imbalances in the body or deficiencies or our overall vitality or circulation. There’s a lot that goes on even if we are interested, the pathway, it may be wanting to look good. You can get a lot of data about your health as well from these organs, including the skin.
Michael Greger, M.D. FACLM (04:21.358)
In fact, the skin used to be the largest organ in the human body, but it is no longer. Care to guess what is the largest organ now? Our fat stores, our adipose tissue, because of the obesity epidemic, actually our body fat forms a discrete organ, and it’s actually larger than the skin when you add it all up, unfortunately.
Kimberly Snyder (04:27.012)
We used to be.
Kimberly Snyder (04:36.132)
Oh.
Kimberly Snyder (04:40.228)
Oh. Oh my goodness.
Kimberly Snyder (04:50.084)
Oh my goodness. So there are so many topics. I wrote a list of questions. I want to flow. Let’s get right into it, doctor. I had to say though, as someone who has been plant -based now for over 15 years, our community is largely plant -based. Our community has also been drinking the glowing green smoothie for, which is my signature green smoothie. It’s one that I’ve made on Dr. Oz. Good morning America. I want to go straight to this.
Michael Greger, M.D. FACLM (05:12.014)
Nice!
I love it, I love it, I love it, what’s in it, what’s in it?
Kimberly Snyder (05:18.084)
So it is 70 % greens, so a mix. I encourage people to mix and match the basis water and then 30 % high fiber fruit and lemons for that extra vitamin C. So there’s always pear and apple and then again, mix and match. But I wanna go right to this study, doctor that’s on page 95 here. And of course this was Dr. Joel Furman’s green smoothie who I love very much as well.
Michael Greger, M.D. FACLM (05:24.462)
Nice.
Michael Greger, M.D. FACLM (05:28.814)
Ugh, I love it. Bring it.
Kimberly Snyder (05:45.156)
But you said, drinking the green smoothie each day without making any other change to the usual diets on astounding 40 % reduction in CRP within one week, claimed to be the fastest diet induced reduction in CRP ever reported in medical literature. So got the green smoothie CRP, C -reactive protein, biomarker of inflammation. Tell us about this. The fruits and veggies.
reducing inflammation, why inflammation is so important for us to track.
Michael Greger, M.D. FACLM (06:16.206)
And not just any fruits and vegetables, but as you noted, some of the healthiest fruits and vegetables on the planet, including dark green leafy vegetables, when with a green smoothie you can sneak them into breakfast and get greens three times a day. You know, aging can be thought of in part as an inflammatory process, a single blood test for inflammation like C -reactive.
Kimberly Snyder (06:27.3)
Yes.
Michael Greger, M.D. FACLM (06:42.094)
can predict physical and cognitive performance, as well as remaining lifespan in the elderly individuals. Thankfully, excess inflammation can be extinguished through changes in diet.
Those eating lower on the dietary inflammatory index and middle age more likely to age successfully, which is defined as living independently with no major disease, depression, or pain, and good overall self -perceived social, physical, and mental health. How do you do that? Well, we are avoiding pro -inflammatory food components, such as saturated fat,
which is concentrated in meat and dairy and processed junk. Endotoxins, NU5G, C, sodium. So I found a lot of processed foods. Salt is pro -inflammatory. So we’re minimizing meat, dairy, tropical oils, and salt, whereas going out of our way to eat anti -inflammatory foods such as beans, berries, greens, sodium -free tomato juice or tomato paste, oats, flax seeds, turmeric, ginger, garlic, cinnamon, cocoa powder, dill.
Kimberly Snyder (07:25.412)
Mmm.
Michael Greger, M.D. FACLM (07:44.654)
And then in terms of beverages, green or chamomile teas are the most anti -inflammatory beverages. And then any other foods that are high in fiber, high in anthocyanin, those bright berry pigments, or something called salicylic acid, which is the anti -inflammatory component of aspirin, we just found in a number of foods, particularly spices like cumin.
Kimberly Snyder (08:04.068)
So a couple things in there, doctor. We’re going to go, we’re going to go back and forth. This is fascinating. When you say tropical oils, you mean the palm oils, but not coconut oil, which can be a great cooking.
Michael Greger, M.D. FACLM (08:13.742)
Yes, coconut oil. There’s three tropical oils that increase your LDL cholesterol, your bad cholesterol. One is coconut oil, one is palm oil, one is palm oil. Coconut oil is great for your skin, for your hair, but not eaten because it can increase your LDL cholesterol, which is a primary risk factor for the number one cause of death of women, the number one cause of death of men, which is atherosclerotic heart disease.
Kimberly Snyder (08:22.5)
Mmm.
Kimberly Snyder (08:30.02)
Interesting.
Kimberly Snyder (08:39.684)
Wow, I’ve been cooking with coconut oil and other things. So what would you recommend we cook for, for high temperature heat that doesn’t get rancid?
Michael Greger, M.D. FACLM (08:41.71)
No, you’re killing me! You’re killing me!
Michael Greger, M.D. FACLM (08:48.942)
Well, I mean, look, you don’t need to cook with any kind of oil, right? You can saute in wine or broth or vinegar or water or anything. So, I mean, there’s no need. I mean, oil is just so high in caloric density, right? A tablespoon of oil, 120 calories. And so, God, for 120 calories, you could get literally cups of berries for that one little drizzle that you wouldn’t even fill up your stomach. So, yeah, I really would encourage people.
Kimberly Snyder (08:55.94)
Okay, so you’re more of the no oil camp. Got it.
Kimberly Snyder (09:03.204)
Yes. Yes.
Kimberly Snyder (09:10.212)
Yes.
Kimberly Snyder (09:14.372)
reducing the oil.
Michael Greger, M.D. FACLM (09:14.83)
to reduce the amount of oil in their diet. And there are some toxic byproducts produced by the high temperature exposure of oils, as well as the deodorization process in some of these refined oils that are associated with poor health.
Kimberly Snyder (09:23.812)
Mm -hmm.
Kimberly Snyder (09:32.452)
And you go into great detail. You mentioned chamomile tea, which is soothing, it’s relaxing, but you did mention that it’s not something you would recommend for women in their third trimester.
Michael Greger, M.D. FACLM (09:41.774)
Oh, yeah, it’s actually too anti -inflammatory. The way that a baby breathes in the womb is having oxygenated blood coming in from the mother through the umbilical cord, and then how does that pass into the body, since the lungs are kind of clogged up at that point, where there’s actually a portal. There’s actually a door open.
Kimberly Snyder (09:45.508)
Yes.
Kimberly Snyder (09:56.868)
Mm -hmm.
Michael Greger, M.D. FACLM (10:09.038)
for the fetus between the chambers of the heart so it can spread oxygenated blood throughout the body. That special channel is kept open with inflammatory compounds in the body, and then closes right on birth for that first breath. But if you are going out of your way to eat really anti -inflammatory foods during that third trimester, you can actually constrict that what’s called ductus—
Kimberly Snyder (10:20.772)
Mmm.
Michael Greger, M.D. FACLM (10:38.798)
and actually go against your own body’s abilities. Same thing you see with people taking aspirin. That’s why women in third trimester, they shouldn’t be taking aspirin, ibuprofen, things like that. Well, foods, some foods can be so potently anti -inflammatory, have the same kind of effects. Largely a theoretical risk, but there are case reports of people…
Kimberly Snyder (10:51.204)
Yes.
Mmm.
Kimberly Snyder (10:58.486)
Wow. So we do have a holistic fertility pregnancy course coming out, doctor. We interviewed Dr. Neal Bernard, who I’m sure you’re friends with as well. I know this isn’t the exact focus of your work, but since you’re so, and we’ll get back on track here, but since you’re so well -researched, are there any particular foods?
Michael Greger, M.D. FACLM (11:03.502)
going out of the way to eat lots of anti -inflammatory foods in the third trimester and running into problems. Oh great, he’s fantastic. Yeah, yeah.
Kimberly Snyder (11:28.356)
you would recommend for women in our community looking to conceive or to boost their fertility.
Michael Greger, M.D. FACLM (11:30.542)
Yeah, really the most important thing is avoiding dairy consumption. So, dairy consumption is associated with accelerated ovarian aging. This is a series of Harvard studies I talk about. In terms of what may help, actually oral DHEA, which is a steroid hormone, the only one available over the counter called dehydroepiandrosterone.
Kimberly Snyder (11:39.044)
Mmm, thank you.
Woof.
Kimberly Snyder (11:59.556)
So through algae? Oh, D -H -E -A, sorry, not D -H -A. Okay. Wow, incredible. Okay, doctors. We have one of the number one things, and I know you get this as well, is confusion. So…
Michael Greger, M.D. FACLM (12:00.43)
which has been found to improve in vitro fertilization rates among women in the late 30s. I think it’s the only supplement that’s ever been shown. No, no, so oral DHEA is available. DHEA is a hormone which is available over the counter.
Kimberly Snyder (12:27.716)
I’m reading your book and it’s talking about advanced glycation products and the poisons, the dangers of eating bacon and high fat. Yet now we see across social media by not everyone who’s doing a lot of scientific research, but people who claim to have these carnivore diets, these really high protein diets, even diets where they’re demonizing dark leafy green vegetables.
There’s diets out there which are making us people scared to eat vegetables. Can you talk a little bit about some of these very high animal protein diets and that does to our longevity? Yeah.
Michael Greger, M.D. FACLM (12:58.958)
Yeah, it’s amazing what you can find on the internet. You know, yeah, carnivore dieters are kind of the kind of flat earthers of the nutrition world, but you know, unlike all meat diets, you know, believing the earth is flat isn’t going to kill anyone, right? But like anti -vaxxers and climate change deniers, balking at the scientific consensus can sometimes be…
Kimberly Snyder (13:25.028)
Yeah.
Michael Greger, M.D. FACLM (13:27.918)
harmful to your health. Whereas if you go, for example, to the Two Health Initiative, which is an organization started by the head of the Yale Prevention Research Center, brought together hundreds of the top nutrition researchers around the world to create kind of an IPCC of nutrition. You want to know about climate? Ask the climate scientists. You want to know about nutrition? Well, let’s ask the people who have dedicated their entire lives to studying research, to studying nutrition, and they got hundreds of them.
including the current pastures of nutrition at Harvard, to agree to a consensus statement as to what is the single healthiest diet for human beings. Spoiler alert! It’s a diet centered around whole plant foods, and people can go to truehealthinitiative .org and read that consensus statement. And so, anyone suggesting otherwise really isn’t keeping up with the science.
Kimberly Snyder (13:54.052)
And so there’s a spectrum, right? And then there’s people that say, well, I’m an omnivore and I eat plants.
but I need, you know, there’s this belief that’s so deeply ingrained in our culture. I need a lot of protein. And then there’s some people saying, oh, the quality of, you know, animal proteins, there’s things missing in a plant -based diet, whether it’s the iron or whatever. What would you say to those people, doctor? Mm -hmm.
Michael Greger, M.D. FACLM (14:22.926)
When it comes to protein and aging, less may be more. Reducing protein intake, meaning restricting protein intake down to recommended levels, is the only thing I could find.
that could help block all 11 of the aging pathways, so boosting NAD, improving immunity, decreasing oxidative stress, decreasing inflammation, insulin resistance, as well as the cancer -promoting growth hormone IGF -1. Surprisingly, there’s no benefit to adding extra protein to the diets of older men and women in terms of muscle mass, muscle strength, physical performance. Instead, the excess protein most Americans get causes a drop in the pro -longgevity hormone FGF -21, a drop in testosterone, a worsening of the age -accelerating hormone
I, excuse me, enzyme mTOR. So we should strive to the recommended level of 0 .8 grams per healthy kilogram of healthy body weight. It comes out to be about 45 grams a day for the average height woman, 55 grams a day for the average height man. And in terms of this concept of protein quality, it’s really only relevant in the context of protein deficiency. 97 % of Americans recede RDA for protein.
Kimberly Snyder (15:31.268)
Hmm.
Michael Greger, M.D. FACLM (15:48.846)
And the people that don’t are eating these very restrictive kind of weight loss diets and not eating enough across the board, really. But in a famine context, there’s this bloated belly syndrome called quashiorcor, which is combined protein, calorie, malnutrition, that kind of situation, where there’s just not enough protein. Well, getting protein that more closely resembles our own is preferable. So the quote -unquote highest quality protein is cannibalism. But beneath that,
Kimberly Snyder (16:01.124)
Yes.
Michael Greger, M.D. FACLM (16:17.774)
and any animal will do, but all plants are complete proteins, meaning that they have all the essential amino acids, but some of them are limiting if you’re not getting enough protein across the board. But outside of a famine context, the quality of protein should reflect the clinical effects, which in this case, if you talk about what it actually does to your body, plant protein sources are far superior, replacing just 3%.
of daily calories from animal protein to plant protein is associated with a 10 % decreased risk of premature death. In the largest study of diet and health in history, the NIH AARP study and the Harvard cohorts of plant protein beat out every single type of animal protein, including fish, chicken, and dairy, for decreasing mortality risk. So we should eat recommended amounts of protein, and those should preferably be plant protein sources.
Kimberly Snyder (16:50.18)
Mm. Mm. I don’t know where this myth came about. You mentioned testosterone.
Michael Greger, M.D. FACLM (17:16.334)
No, so if you actually, if you randomize people to increase their protein intake, the testosterone drops. I mean, people just, I mean, it’s just, that’s what the science shows. Like, I mean, it’s just, people just don’t, yeah. I mean, you know, there’s so many kind of myths circulating around, but it’s,
Kimberly Snyder (17:19.364)
it’s been circulated, oh if I eat more meat then I’ll actually have higher levels of testosterone which is something that a lot of men are concerned about as they age. It’s there.
Michael Greger, M.D. FACLM (17:46.19)
These people just are not looking at the actual studies upon which the scientific record is based. Well, I really encourage people to get all their macroderms
Kimberly Snyder (17:48.772)
So if someone’s traveling, if someone’s pregnant or they are an athlete trying to build more muscle, what do you think about adding a vegan protein shake to the diet or times where you’re not able to get as much from your diet, you’re not able to cook as much?
Michael Greger, M.D. FACLM (18:15.63)
They’re fat, carbohydrates, and protein from whole food sources. And so, instead of getting fat from oil, why not get fat from avocados, and nuts, and seeds? Instead of getting carbohydrates from table sugar or white flour, oh my god, let’s get it from whole plant foods. Let’s get it from sweet potatoes.
Kimberly Snyder (18:18.948)
and
Michael Greger, M.D. FACLM (18:39.342)
And instead of getting protein from protein powders, which is the isolated protein, just like table sugar is the isolated carbohydrate, or oil is the isolated fat, why not get that whole entire kind of protein package, right? I mean, the food industry loves to talk about individual nutrients, because then they could sell you breakfast cereal with fluorescent marshmallows and say, you know, now with 11 vitamins and minerals, right?
as if the only way I can get those vitamins and minerals is by eating day glow marshmallows. But one must realize that nutrients come as kind of a package deal. That’s one of the reasons why plant protein sources are preferable, is all the baggage that comes along with animal protein. Food is a package deal. As much as Burger King says you can have it your way, you can’t be like, yeah, I’d like the burger.
You know, I like the protein, the iron, hold the saturated fat, hold the cholesterol, right? But whereas the baggage that comes with plant protein, oh my god, it’s many of the nutrients that people are lacking, right? 97 % of Americans don’t reach the minimum daily recommendation for fiber intake. 98 % of Americans suffer from potassium -deficient diets, right?
Kimberly Snyder (19:56.804)
Yeah.
Mm.
Michael Greger, M.D. FACLM (20:01.742)
And so most Americans are getting 67 % more protein than they need, whereas our dietary deficiencies that are rife throughout America are due to the inadequate consumption of these nutrients, which are concentrated in whole plant foods.
Kimberly Snyder (20:15.236)
Yes, and it’s not so difficult. I think about, you know, when I add up what I eat in a day, when I look at the quinoa or I look at the beans or the just the broccoli, it all adds up. It all has these incredible, you know, amounts of protein in it. It’s not that.
Michael Greger, M.D. FACLM (20:31.822)
Oh yeah, yeah. Again, 97 % of Americans are getting more than the protein that they need. And so it’s like the question of people, wait a second, where are you getting your fiber from? Where are you getting your potassium from? Are you eating beans and greens? Otherwise, if you’re not getting pre -biotics, dietary fiber, resistance to hearts from whole grains and legumes, beans, split peas, chickpeas, and lentils,
Kimberly Snyder (20:44.932)
Yeah. Mm -hmm.
Michael Greger, M.D. FACLM (20:58.542)
you’re starving your microbial self, right? You’re starving the microbiome, and that has impacts not only on intestinal health, but throughout the body, on immune function, and mental health, and inflammation, on down the list. Yeah, so people eating plant -based diets actually get more iron, but it’s less absorbable, but that’s a benefit.
Kimberly Snyder (21:12.484)
And then what would you say to the mediator who says, well, if you’re plant -based, what are you doing about iron and absorbable iron, the non -heme iron? Are you getting enough iron in your body?
Michael Greger, M.D. FACLM (21:27.758)
The benefit is because there’s an iron overload syndrome called hemochromatosis, which can have very serious negative impacts, so we should never go out of our way to increase our iron intake until we’re made sure that we don’t have excess iron. Ideally, we should have low iron stores without impairing our ability to make blood, without becoming anemic. And vegetarians, vegans, those eating plant -based diets do not have higher rates of iron deficiency anemia.
compared to those eating meat, what they do have is lower stores of iron, which is good because iron is a pro -oxidant. It’s kind of a double -edged sword. You need enough to make blood, but once you make enough blood, then we want to have low iron stores. And this helps explain why people who get blood transfusions have lower rates of cancer, because you’re actually reducing iron stores. But for women who…
Kimberly Snyder (22:12.964)
Mm.
Michael Greger, M.D. FACLM (22:25.71)
during reproductive years are losing blood every month, then they are certainly at risk fo
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