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>> Dr. Terry Simpson: M why is it that some of you gag at Brussels sprouts?

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Okay, maybe that's just me. While others

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munch arugula like it's candy. Today, we're diving

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into the world of bitterness. Why it exists, why your

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stomach can taste it, how bitters went from medicine to

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cocktails, and why gin and tonic isn't

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just a refreshing drink. It's actually

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a medical treatment.

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I am your Chief Medical Explanationist, Dr. Terry Simpson,

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and this is Fork you Fork

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University, where we make sense of the madness, bust

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some myths, and teach you a little bit about food and maybe

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some bitter medicine.

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Bitterness is nature's way of saying,

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hey, maybe you don't want to eat that now. It didn't

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work when mom fed me Brussels sprouts, but it is a,

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uh, built in warning system, like your body's version of

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a car alarm, except instead of just

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annoying you, it's trying to keep you from poisoning

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yourself. Historically,

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many toxic plants have bitter

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compounds. So our ancestors who were pretty good

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at detecting bitterness were less likely to snack

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on something deadly. So congratulations.

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Your picky eating habits might just be a leftover

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survival benefit. I knew those Brussels sprouts

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were not meant for me. But here's where it

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gets weirder. While some bitter compounds

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are toxic, others are packed with health

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benefits. Think of foods like kale,

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coffee, dark chocolate,

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turmeric, all bitter, all loaded with

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antioxidants and nutrients. The problem?

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Not everybody's taste buds

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agree. Have you ever wondered why some people can

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sip black coffee and smile, while others, if you

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give them a cup of black coffee, react like they just licked a

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9 volt battery? It all comes down to

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genetics. In fact, it's a gene called the

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TAS2R, uh, 38, that

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determines whether you're a supertaster, meaning bitter

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flavors hit you like a freight train, or a non

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taster, meaning you're oblivious to

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them. Supertasters experience

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bitterness so intensely that food like Brussels

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sprouts and grapefruit are borderline

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inedible. Non tasters, on the other hand, can drink

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a bitter ipa, beer and black coffee without

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a second thought. And then there's the rest of us. We're all

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somewhere in between, politely tolerating kale in

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the name of health. Now, here's a plot

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twist. Your bitter taste buds

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aren't just on your tongue. Your stomach

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has them too. Yep, your stomach can

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taste bitterness. And when it does, it actually

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reacts when these bitter

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compounds hit these stomach receptors. And that's what the bitter

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tastes are. They slow down

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digestion. Which means that

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bitter foods can help you feel full longer because

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your stomach holds onto them instead of rushing

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them through. This is one of the reasons why a meal

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packed with bitter greens keeps you satisfied with while

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that sugary breakfast cereal leaves you starving an hour

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later. But that's not all. But wait, there's more.

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Those stomach taste buds also act as

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bodyguards against potential foodborne

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threats. If your stomach detects

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something bitter, especially if it wasn't supposed to be

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bitter, it pumps the brakes on digestion.

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The idea is to keep those potentially harmful

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compounds from reaching the small intestine too quickly,

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where they can do damage. Think of it like airport security.

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Before anything moves on, your stomach is running a

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background check. So imagine this.

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These bitter compounds have something deadly in

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them, and your stomach is going to create more

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acid and not let things through. And that

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acid is going to try and destroy that, whether it's a bacteria

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or a virus or whatever. And if it doesn't

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let it through like it's truly a bad bug,

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you will end up bloating and bloating and bloating and getting more

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nauseated. And finally, your stomach will expel

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them violently. We call that vomiting.

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Speaking of bitterness and digestion, let's talk about

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bitters. You know those little bottles that the

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bartenders dramatically shake into your Old

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Fashioned, or in my case, a Manhattan. Before

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bitters were the secret ingredient in cocktails, they were

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actually medicine. Yep. Bitters started

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out as, as an herbal remedy for digestive

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issues. And they've been used for centuries to

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help with bloating, nausea, and sluggish

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digestion. Monks in the Middle ages created

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bitter herbal tonics to help with digestion.

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Basically, it was an early form of Pepto

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Bismol, but with more wormwood

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and fewer weird pink bubbles. By the 1800s,

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bitters had become, uh, a staple for apothecaries, early

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pharmacies. And people would take a few drops of them before meals

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as a digestive to aid in digestion. And

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some of those famous brands of bitters today, like

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Angostera or Peychaud's, were originally sold as

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health tonics before bartenders figured out they could

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make that alcohol taste even better.

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And here's why they bitter compounds

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in these herbal extracts activate those

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stomach taste receptors we talked about earlier,

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delaying gastric emptying and helping break

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down food more efficiently. So while today

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you might think of bitters as a fancy cocktail ingredient, they

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actually have a long history of keeping people's

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digestive enzymes in check. It's

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medicine with a side of booze. What's not to

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love. And during prohibition,

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in New Orleans, or New Orleans if you happen

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to be from there, bitters were held by pharmacies

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and people would actually be able to legally buy

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bitters as their medicine. You

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know, get drunk on, uh, the government's time.

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But now let's talk about a bitter drink that was actually

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used as medicine. Gin and tonic. Now,

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I'm not telling you to replace your multivitamins with happy hour,

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but back in the day, gin and tonic wasn't just a

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refreshing cocktail, it was a

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legitimate treatment for malaria. So here's how it

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happened. In the 1800s, British soldiers and

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colonists in tropical regions were getting absolutely

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wrecked by malaria. And the best known

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treatment at the time was quinine, a bitter

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compound found in the bark of a tree.

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Quinine was incredibly effective at treating and

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preventing malaria. But there was a problem.

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It tasted awful. Imagine

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chewing aspirin mixed with tree bark and

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regret. So to make it more

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palatable, they mixed it with sugar, lime

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soda, water, and thus tonic water was

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born. But British soldiers weren't about to drink

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just tonic water. So they did what any

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reasonable person would do. They added gin. The

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result? The drink that kept malaria at

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bay while also making colonial life slightly

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more tolerable. Missing old England. And just like that,

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the gin and tonic became the most functional

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cocktail in history. The 4 o'clock

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high tea in many of the tropical

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sites, Africa, India was replaced

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with gin and tonics. Now, before you go

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prescribing yourself gin and tonic for medical reasons, let me

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clarify. Modern tonic water contains

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trace amounts of quinine, and malaria prevention

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has come a long way since then, but they still use it as an

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excuse to order at the bar. I'm drinking this one for historical

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and medicinal purposes.

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Finally, quinine also has a use in

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heart medicine and it's used for cardiac

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arrhythmias. Some of us are

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allergic to quinine. And if I were to

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drink a, ah, gin and tonic, for example, with normal

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quinine or some of the quinine filled ones like Indian

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fever, I will actually have fevers

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from that. Today's

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malarial parasites, by the way, are mostly

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resistant to quinine. So we just don't use it for that

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anymore.

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So before you start adding bitters to everything, let's go over some ground rules.

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Bitter bitters are not for everyone. In fact, for some people, they

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do more harm than good. Who should avoid

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bitters? Pregnant and breastfeeding

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individuals. Bitters contain compounds that can be harmful

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during pregnancy and they're infused with alcohol.

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They're not baby friendly children Again, they're alcohol

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based, not the children. So don't

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mix those into your kids. Grape juice or apple

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juice. People with gastrointestinal disease. So

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if you have ulcers, inflammatory bowel disease, or any condition that makes

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your gut sensitive, bitters can actually

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worsen the irritation. They can cause

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nausea, cramping, diarrhea, gas, and a sore stomach.

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In other words, bitters can be great for digestion if

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your digestion system is in good shape. But if you're dealing

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with some gut issues, maybe skip the bitters and talk to

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your doctor before adding that routine. So

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what have we learned today? Bitterness. One of the

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tastes on the taste bud exists to protect us. But

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not all bitter foods are bad. Some

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people taste bitterness more than others. Those are supertasters. Your

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stomach can taste it too. And bitters have been used in medicine for centuries.

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Oh, and gin and tonic started as a malarial treatment.

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So really drinking one is just historical

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appreciation. Finally, a note to my

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all famous Brussels sprouts. Brussels sprouts were

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crossbred, so the Brussels sprouts that you

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taste today are unlike the brussels sprouts

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I grew up with back in the 60s and

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70s. Those Brussels sprouts were extremely bitter. The ones

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today are far more sweet and more palatable.

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Although I still have that sense of dread

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whenever I see a Brussels sprout on my plate.

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Anyway, if you love the food science without the flub,

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subscribe to my substack on T.

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Simpson.substack.com and do check out

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the blog associated with

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this@yourdoctorsorders.com

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all right. Eating smarts always in

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style. This podcast was researched and directed by

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me, Dr. Terri Simpson. And uh, while I am a doctor, I am

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not your doctor. This is for information and hopefully

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some educational purposes. If you need a doctor, please see

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a board certified western trained doctor. I don't see private

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patients off my podcast. Please don't see a chiropractor or some

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eastern guy trained in the dark arts. This pod

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is distributed by my friends at Simpler Media. Shout out to

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my good friend the pod God, Mr. Evotera.

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Alright, have a sweet and maybe a bitter

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week.

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Hey Ivo, you know, in the old days when I enjoyed a Good

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Man Patins, the bitters just had to be perfect.

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Not too few, but there never

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seemed to be too many. And I recall

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you teaching me a little bit about bitters in

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beers. Uh, that was a few years ago, my

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friend. I think we've

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gotten old.

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>> Speaker B: Well, that's the damn truth. Although I

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wonder, do the hops in beer. The

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bittering agent.

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>> Dr. Terry Simpson: Hmm. Hm.

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>> Speaker B: Somehow slow down the aging process.

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More research needed, clearly. Cheers.