Hello everybody and welcome to the vP Life Podcast brought to you by vitalityPRO.
Speaker:My name's Rob and I'll be your host on today's episode.
Speaker:Today we're joined by Tony Pemberton.
Speaker:Tony, who owns and operates Epic Genetics, is a qualified epigenetics coach and
Speaker:content creator based in the south of England, who made the transition from
Speaker:the engineering world to the functional health space several years back when he
Speaker:realized that if he wanted to solve his own health challenges, then he would
Speaker:have to do so without relying on doctors and the medical system in general.
Speaker:During our discussion, Tony and I talk about what epigenetics actually
Speaker:are, the different types of epigenetic tests that are currently on the market,
Speaker:and how they're actually not just the fluff tests I thought they once were.
Speaker:We end off with Tony's thoughts on the mTOR blocker rapamycin
Speaker:and the various peptides he uses as part of his own protocols.
Speaker:As usual, we get through a lot during today's episode, so be sure
Speaker:to check out the show notes and transcripts should you need them.
Speaker:Then finally, our little podcast is slowly gaining traction, and we'd
Speaker:love it if you could leave us a review wherever you listen to podcasts.
Speaker:This will help us to grow, reach more people, and allow
Speaker:us to host future guests.
Speaker:And with that, on with the show.
Speaker:Good morning, Tony.
Speaker:Thank you for joining us on our podcast today.
Speaker:We'll be discussing a lot, I know, but would you just like to quickly
Speaker:introduce yourself, uh, who you are, what you do and all that good stuff?
Speaker:Uh, yeah.
Speaker:So, uh, my name is Tony Pemberton.
Speaker:I'm the founder of Epic Genetics.
Speaker:So my company, we predominantly look at DNA, like, uh, different SNPs,
Speaker:you know, areas to look at on that.
Speaker:And then, uh, following on from that really, I'd like to go deep into
Speaker:epigenetics, so looking at how your genes are expressing, and then also
Speaker:the gut microbiome too, just looking at changes in that and certain
Speaker:lifestyle factors that can affect that.
Speaker:Okay, that's awesome.
Speaker:Let's start with the basics.
Speaker:I suppose genetics is often seen as the code or the quote unquote blueprint
Speaker:that our bodies use to create.
Speaker:Enzymes and proteins and the building blocks of what is essentially us,
Speaker:but epigenetics are different.
Speaker:Can you sort of explain at a high level what epigenetics are?
Speaker:So, yeah, so epigenetics is looking at your DNA sequence
Speaker:and how that is expressing.
Speaker:So certain genes are methylated, you know, that means they're turned off and
Speaker:then you've got ones that you definitely don't want to have them methylated,
Speaker:for example, tumor suppressing genes.
Speaker:And as we get older, that this is how people measure biological aging through
Speaker:methylation is looking at that sequence and how that gene is expressing.
Speaker:So it becomes more and more defunct, how that gene is methylated, those
Speaker:certain, um, how it's encoding itself.
Speaker:Cool.
Speaker:Okay.
Speaker:So that's pretty fascinating in and of itself.
Speaker:I believe someone, I suppose, one of the key features or
Speaker:traits you might say about.
Speaker:Epigenetics are that they are reversible.
Speaker:As you just mentioned, you sort of, your body goes through this process
Speaker:of methylation and things can be methylated and turned on and turned off.
Speaker:And to me, this is pretty exciting because it's, it seems to indicate
Speaker:that our genetics are maybe not set in stone as we once thought they were.
Speaker:Is this something you, you would agree with?
Speaker:Can we sort of modulate our genetics based off this?
Speaker:theory of epigenetics to help us sort of turn on and off
Speaker:certain processes as we age?
Speaker:Yeah, for sure.
Speaker:I think, like, I mean, people throw around different figures, but around,
Speaker:they say about 80 percent of your health outcomes is lifestyle related.
Speaker:So, you know, related to your epigenetics, whereas 20 percent is your hardware,
Speaker:you know, encoded in your, DNA, but then it breaks down even further.
Speaker:When you go into something like cancer, they're, they're, they're saying it's
Speaker:around 93 percent of cancer is down to lifestyle factors, not, you know, some
Speaker:faulty gene that means you get cancer.
Speaker:Yes, there is 7 percent estimated that is.
Speaker:You know, there is genetic components of cancer 100%, but the
Speaker:rest of that, that 93%, they're all factors that can be changed
Speaker:through having the right lifestyle.
Speaker:I suppose that is, that applies to other disease states as well,
Speaker:like your neurological conditions.
Speaker:I know, obviously, if you have, with regards to genetics, your, your APOE gene,
Speaker:uh, depending on whether you're at what's called a three, three or three, four, or
Speaker:four, four, that's going to alter your.
Speaker:your propensity maybe for actually developing the condition.
Speaker:Do you think that That is something that also can be modulated by these
Speaker:lifestyle interventions as well?
Speaker:For sure, yeah.
Speaker:Because with the APOE4, I mean, when they look at tribal communities, compared
Speaker:to the people on a Western diet, there is still a factor involved there,
Speaker:but it's nowhere near as significant.
Speaker:So there's something in the Western lifestyle.
Speaker:That is, you know, affecting the way those genes are expressing.
Speaker:So, and there, there's not just the APOE4 gene that relates to Alzheimer's.
Speaker:There are, there's lots of other factors.
Speaker:Of course.
Speaker:I don't think there's any disease where it's one particular gene monogenetic.
Speaker:It's, it's a, all these diseases are polygenetic.
Speaker:There are, it's a lot more complicated than that.
Speaker:But yeah, for sure.
Speaker:Genetics do have their role.
Speaker:Yeah.
Speaker:Yeah, I suppose.
Speaker:In my world, which is biochem, you would look at this sort of
Speaker:molecular reductionism, sort of taking a complex process and reducing
Speaker:it to just one single mechanism.
Speaker:And we know that With outcomes data, that is, that's very rarely the case that a
Speaker:disease process or a biological process is not the, just the result of a one
Speaker:single mechanism in the body and, uh, people in the, in the diet space who are
Speaker:very sort of troubled about their diet, I think, tend to get stuck on that as well.
Speaker:People will, will pick a.
Speaker:a food group or a plant toxin, and then they will sort of demonize the, that
Speaker:entire sort of, well, the food category as a result and say, you cannot eat spinach
Speaker:because oxalates and you're going to die when, uh, and, uh, and obviously when you
Speaker:look at the outcomes data, so beyond just that mechanism, that, that plant compound
Speaker:could also have so many other benefits.
Speaker:Anyway, that that's, sorry, that's a tangent already.
Speaker:And we've not even started.
Speaker:So just moving on to testing quickly, cause I'd really like to sort of
Speaker:take a deeper dive into what testing is when it comes to epigenetics in
Speaker:any case, but there's a lot going on in that space at the moment.
Speaker:I'm testing, I mean, and maybe it's, I suppose you, what you would call the Bryan
Speaker:Johnson effect, but everybody is trying to seemingly quantify absolutely everything.
Speaker:And genetics are no different.
Speaker:Can you sort of tell us what epigenetics are looking at and how they're different
Speaker:from more traditional genetic tests maybe?
Speaker:Yeah.
Speaker:So say the epigenetics is looking at certain factors.
Speaker:It could be your immune system, certain immune system cells.
Speaker:It can even be, some of these reports look at clinical factors, like, uh, you
Speaker:know, you might see from a blood test, like, um, your fasting glucose, HbA1c.
Speaker:But they're looking at, uh, epigenetic biomarker proxies of that.
Speaker:And so which can give a longer trajectory and it could actually even
Speaker:be more indicative of health outcomes, like longevity than the traditional
Speaker:clinical factors for normal blood.
Speaker:But yeah, I mean, just going down into that deeper, I mean, looking at your
Speaker:epigenetics, they're, they're, they're looking at it, they're, they're,
Speaker:they're comparing, I mentioned about telomeres, but, um, they're looking
Speaker:at a study, how it actually affects.
Speaker:Aging or health outcomes and the, now the third generation clock.
Speaker:So like you're DunedinPACE that has about 60 percent relevance to, uh,
Speaker:your, the health outcomes of yourself, whereas telomeres, which is used to
Speaker:be the kind of gold standard people would rave on about, it's only about 2.
Speaker:8%.
Speaker:So it's not insignificant.
Speaker:It doesn't, it's still important to know that.
Speaker:And especially if you're telomeres.
Speaker:Getting a very short, you know, bottom fifth percentile, that can
Speaker:be a risk of certain cancers too.
Speaker:But yeah, looking at epigenetics, if you think of the epigenetics, as I was saying,
Speaker:like, it's like your software of your DNA, where your DNA is your hardware.
Speaker:So, and then as you get older, that's how they measure the biological
Speaker:ageing, what areas are turned off.
Speaker:And yeah, going, getting, getting deeper into it, they, a lot of these tests
Speaker:are now looking at these epigenetic biomarker proxies and they're able
Speaker:to give like organ system ages.
Speaker:So that's quite a useful thing for people to know what areas of their body.
Speaker:are particularly inflamed, for example, your liver, your kidneys.
Speaker:But then also just other factors to these biomarker proxies for all kinds of things.
Speaker:So you might find out, um, you know, for example, there's a metabolite for uridine,
Speaker:which your body, you might be low in that.
Speaker:So without doing that test, you might find out if you just did a biological
Speaker:age, Oh, I'm aging slowly, but the same, it might be the same intervention.
Speaker:If you're aging fast, the most.
Speaker:kind of a well known one is calorie restriction.
Speaker:So, and that's where finding out the why you're aging is that's the real kind
Speaker:of, uh, interesting area at the moment.
Speaker:And do you, in your experience, I mean, I'm sure you do other testing.
Speaker:Are you finding that these, these proxies are sort of then potentially matching up
Speaker:with the more traditional markers that are sort of found in, well, uh, I suppose
Speaker:the traditional serum makeup, if, for example, you have And this is beyond my
Speaker:realm of expertise, but if you've got a liver that is according to your epigenetic
Speaker:test as sort of in a state of just very broadly speaking, ill health, do you find
Speaker:that correlates with then direct markers of liver inflammation of that you would
Speaker:raise ASTs, ALTs, et cetera, that you would find in more traditional tests?
Speaker:Yeah.
Speaker:Yeah.
Speaker:I mean, like I say, it gives a longer term picture.
Speaker:So I mean, for example, I've mentioned about fasting glucose.
Speaker:If you look at the actual biomarker proxy, the number, I mean, these come out in
Speaker:the American units they use, but, uh, or HbA1c, the reading is not exactly the same
Speaker:because, you know, you're looking, fasting glucose is that reading for that day.
Speaker:Obviously HbA1c is a longer trajectory.
Speaker:But they're both, um, they're extremely relevant and I mean, they're showing
Speaker:that some of these methylation patterns can be even more accurate, uh, or more
Speaker:indicative to, um, to health outcomes.
Speaker:But to answer your question that, uh, yeah, I think that it really does,
Speaker:um, depend on what you're looking at and say, yeah, I've seen plenty of
Speaker:things where it flags up, say, uh, kidney distress and then they go for
Speaker:a blood test and, uh, yeah, you know, your blood urea, nitrogen is high.
Speaker:That kind of thing.
Speaker:So it does tally over.
Speaker:So good example of myself, HbO1c was showing my epigenetic proxies that
Speaker:were showing as healthy, but my fasting glucose wasn't, and it's exactly
Speaker:the same as in my serum blood tests.
Speaker:I've managed to correct that over time now, getting my fasting glucose down.
Speaker:But yeah, these things, that's why I really like them is because you might
Speaker:not test it as so frequently as just a traditional blood test, but it's But it
Speaker:gives you an area if you're to test, even just say once a year, gives you an areas
Speaker:to focus on during that year, all these weak points of mine, let's test them a
Speaker:little bit further and focus on them.
Speaker:So, so actually come to think of that's pretty cool because what these tests are
Speaker:then doing is they're, they're removing the obstacle, which, what, which is fairly
Speaker:common in traditional blood tests, which is that you're only seeing that particular
Speaker:mark at a certain point in time.
Speaker:. And correct me if I'm wrong, but what you're saying is that with these
Speaker:epigenetic tests, you can sort of almost look at them over the course of a, of
Speaker:an, uh, well, a predetermined time period and look at the health of the organ
Speaker:or the system in, in, in its entirety, opposed to just that one moment in time,
Speaker:as you would with a blood spot test.
Speaker:Blood test.
Speaker:Is that correct?
Speaker:Exactly.
Speaker:And then another good one is um, C reactive protein, you know, uh, whether
Speaker:it's high sensitivity or not, it's, it can, that can fluctuate a lot.
Speaker:And whereas when you're looking at the methylation patterns of that,
Speaker:it gives a much more stable reading.
Speaker:I think it's like 6.
Speaker:4 fold more indicative of chronic inflammation than just your
Speaker:traditional C reactive protein.
Speaker:And in other words, IL 6 as well.
Speaker:That's another good one that the report looks at.
Speaker:Okay, I'm definitely going to have to sort of take back some of my
Speaker:preconceived notions about these tests and do a bit more research.
Speaker:I think if we could just go through two terms quickly, because I think these
Speaker:come up a lot and people, I mean, I'm asked them, uh, on a fairly frequent
Speaker:basis, what they mean, but the difference between biological and chronological
Speaker:age, could you sort of briefly sort of help us break down what those are and
Speaker:then again, what a genetic test may be, may be measuring in terms of these ages.
Speaker:Okay.
Speaker:So yeah, chronological age.
Speaker:Okay.
Speaker:Obviously the, the date that you're born and how old you are, and it's, it's not
Speaker:a bad indicator of like, um, mortality.
Speaker:It's about 75 percent accurate of
Speaker:death say within the next 10 years, whereas it depends on, there's
Speaker:obviously a lot of different biological clocks out there and
Speaker:they all have different algorithms.
Speaker:But the main thing is having one that's validated and has, you know,
Speaker:50 years worth of biobank data to find out what happens to these patients.
Speaker:their clinical outcomes.
Speaker:But, uh, yeah, I mean, a good example is the OMIC clock,
Speaker:which is 92 percent accurate of death within the next 10 years.
Speaker:That's a great one for predicting mortality and looking at morbid.
Speaker:It doesn't, like I said, it's a relative risk.
Speaker:So that's why I urge people rather than it's better to find out when
Speaker:you're say 30 or 40, rather than 60 or 70, when if you've got.
Speaker:an age that's older and it's predicting your chance of death
Speaker:is say 50 percent above average.
Speaker:If it's 50 percent above average of a 30 year old, it's not that big of
Speaker:a deal as you know, you've got a lot of time to change it when you're 60
Speaker:years old, 50 percent above average is, is more relevant for sure.
Speaker:But yeah, there's, there's different clocks out there for, like I mentioned
Speaker:about the systems age one, the symphony age, which is again, another one
Speaker:that's more predictive of health like disease outcomes rather than mortality.
Speaker:And the same with the DunedinPACE, that's just looking at your trajectory
Speaker:and it can change quite fast that one, even within eight weeks.
Speaker:So if you were to quit smoking, you'd start to see positive changes.
Speaker:Whereas the biological age clocks, they can take a long time to reverse
Speaker:that, you know, that this is looking at decades worth of lifestyle choices.
Speaker:So that's why I'd be very wary of, you know, there are certain clocks out
Speaker:there that haven't had the validation.
Speaker:I'd be quite wary of things where you, where you can just change your biological
Speaker:age within a few months and you've shaved off something, some crazy number.
Speaker:Or you see people, although there are a few anomalies out there, but people
Speaker:that have, you know, 60 years old with a, you know, 30 year old biological age,
Speaker:something like that, where it's a few like decades out, it's rare that you see double
Speaker:digits, um, age reversals or acceleration.
Speaker:It does happen, but it's, it's pretty rare.
Speaker:Yeah.
Speaker:Yeah.
Speaker:Yeah.
Speaker:That was actually going to, that's a perfect segway into my next question.
Speaker:I was going to ask you just that, what you think of the different
Speaker:sorts of clocks in the market?
Speaker:Um, you've touched on most of them, but you also get the glycan age test that
Speaker:are looking at how specific sugars called glycans are affected by the environment.
Speaker:Do you think those are in any way sort of accurate or do you really, are you
Speaker:looking at the sort of the DunedinPACE?
Speaker:Is that correct?
Speaker:Clocks is for the most part as being the most accurate tool for the job.
Speaker:Yeah.
Speaker:Yeah.
Speaker:I think the DunedinPACE is the only third generation clock out there where it's had
Speaker:a longitudinal study and big sample size.
Speaker:Um, and then there's, yeah, like I mentioned a couple of
Speaker:others that Geray's doing.
Speaker:And there's also, um, there's, there's others out there, which, yeah, the
Speaker:glycan age, I think it is good.
Speaker:I mean, I speak to people in industry, it's, it's helpful, but the actual
Speaker:aging number, I don't think is, you know, the number it comes out with
Speaker:maybe is not the most accurate.
Speaker:I think it's more of a snapshot in time of say if your body's highly inflamed
Speaker:because you can have some really big numbers change, change in that glycan age.
Speaker:So you see you have women that do start HRT and you can, they can see
Speaker:their numbers drop by could be, you know, 15 years or even more in reality.
Speaker:They're not 15 years younger, or there's an interesting article in
Speaker:the times actually, where they're doing journalists, their glycan age.
Speaker:And he had someone in their early thirties who was, I think it was
Speaker:biological age was coming in at 70.
Speaker:So he may, I don't, I don't think it was the healthiest of people, but
Speaker:he certainly, you know, he doesn't look like a 70 year old I think
Speaker:it's more, like I say, linked to inflammation, that kind of thing.
Speaker:So it can be changed quite rapidly, but as an actual biological age
Speaker:number, I'm not so convinced.
Speaker:And then there's other clocks out there looking at saliva, which again, they don't
Speaker:have that biobank data hasn't been stored for 50 plus years looking at outcomes.
Speaker:And so.
Speaker:I mean, you can generate an algorithm from these things, but whether or
Speaker:not that actually translates to reality, that's a different story.
Speaker:And so that often what they're having to do is use your chronological age.
Speaker:to normalize the results with these, say, saliva ones.
Speaker:So then that starts to take out some of the, you know, the accuracy, basically.
Speaker:So you really want something that's replicatable that, you know,
Speaker:within a few percent like that.
Speaker:If you do two tests that day, they'll come in at basically the same age.
Speaker:Whereas if they're, and that's why some of these less trained clocks
Speaker:will have to use your chronological age to be able to calibrate it.
Speaker:Okay.
Speaker:And so you feel that these tests are now specific and sensitive enough
Speaker:to just follow up on what you've just said, that if you were to
Speaker:run these tests back to back, you would indeed get a similar result.
Speaker:If you were to run a true to, True age diagnostic tests, uh, sort of
Speaker:one after the other on the same day, you would get a similar result.
Speaker:As I know, that's often a case in some of these functional medicine tests,
Speaker:uh, like organic amino acids tests.
Speaker:And some of these stool tests, you can run back to back tests and
Speaker:see completely different results, even with the same company.
Speaker:Um, do you, do you generally, have you ever seen that to be an issue or is it?
Speaker:Yeah.
Speaker:Not really anymore.
Speaker:No.
Speaker:I mean, looking at the studies, I think, say with the DunedinPACE,
Speaker:it comes, it falls within that 4 percent threshold that day.
Speaker:And then if you look at a serum blood test for certain biomarkers,
Speaker:they generally fall within that same kind of threshold, like 4%.
Speaker:Okay.
Speaker:So they are really getting to the point where they are, um,
Speaker:able to create data that is both accurate and can be replicated.
Speaker:Yeah.
Speaker:I
Speaker:was just going to say, I mean, especially with that omic clock, because it's looking
Speaker:at so many different biomarkers, same in the symphony age too, but yeah, you don't,
Speaker:um, that omic clock, you don't see huge where someone does a test five months, six
Speaker:months, four months, even more like, um, like in between, you don't see these huge
Speaker:numbers going like things jumping around that starts to make you think, well, wait
Speaker:a minute, how, how sensitive is this test?
Speaker:When you see.
Speaker:Either all these 36 bar markers or you're overall age, where you
Speaker:see these massive changes, then you start to start questioning
Speaker:how, how accurate is this data?
Speaker:But yeah, with that, you don't see that happening.
Speaker:It's very, very like, it's a slow course thing, changing these numbers.
Speaker:Yeah, a lot of your, I'd like to sort of maybe tack on to a bit about your
Speaker:practice and how you work with people.
Speaker:A lot of your content also is about longevity.
Speaker:And I suppose I'd like to find out what tools you're using to help people
Speaker:sort of optimize themselves once they have sort of mastered the basics.
Speaker:What are you using sort of in your clinical practice to, to help
Speaker:people sort of dial it up to 11.
Speaker:Um, yeah, so certainly like looking at your NAD, I mean, the most basic
Speaker:thing, obviously, is just getting people metabolically healthy.
Speaker:That's like the fundamental, you know, getting the blood sugars
Speaker:in check, you know, insulin sensitive, lipids, looking at that.
Speaker:So all of that, you know, just very, very important.
Speaker:basic stuff.
Speaker:But then on top of that, it's, I mean, the, the easiest
Speaker:win is caloric restriction.
Speaker:It's another basic thing, but then that's easier said than done.
Speaker:And so it's trying to make swaps for people.
Speaker:It's just trying to get the low hanging fruit to start with.
Speaker:Cause as you said, you know, there's lots of supplements out there and
Speaker:people respond differently to them, but caloric restrictions, like
Speaker:they're the most well understood.
Speaker:method of slowing down aging.
Speaker:So it's just trying to find those empty calories, things that you
Speaker:don't necessarily give you any, you know, they might, you know, like
Speaker:drinking a, you know, pint of orange juice, you might enjoy the taste, but
Speaker:then it's a lot of calories there.
Speaker:So there's probably a more effective way of getting those micronutrients.
Speaker:Yeah.
Speaker:And a lot of sugar, which is going to obviously contribute to those AGEs
Speaker:as well, which is probably something glycan age, I suppose, would pick up on.
Speaker:Yeah.
Speaker:And what sorts of people are you typically working with?
Speaker:Are you working with a lot of people who are already in ill health or are they
Speaker:sort of individuals just coming to you trying to get into that optimal state?
Speaker:Um, yeah, it's more people trying to optimize.
Speaker:You do get people with certain conditions, but yeah, it's
Speaker:more the preventative thing.
Speaker:I think as, as it becomes more well known epigenetics, I think it's going to be, you
Speaker:know, you start to not necessarily get the people who are extremely health conscious.
Speaker:I think I'm starting to get the more mid range people
Speaker:that, uh, you know, they might.
Speaker:Might do a few things for health, but there's, there's still a lot to optimize.
Speaker:And that's, yeah, those kinds of clients I deal with is, you know, it's
Speaker:like, it's quite easy then because there's just so many things you can
Speaker:change and just see those numbers.
Speaker:improve, whereas obviously the more, more healthy you are, there's
Speaker:always things that anyone, you know, there's always things to improve.
Speaker:And yeah, when you look at these reports, it's not never a clean sweep
Speaker:of, you know, this thing, there's always going to be things that, you know,
Speaker:you're just trying to kind of win at, uh, you know, the average basically.
Speaker:So you might, You know, improve things, you know, 80, 90%, but
Speaker:there's always going to be things.
Speaker:So you just keep tweaking and tweaking, but it's like a kind of,
Speaker:you know, it's a journey, isn't it?
Speaker:And it's just like trying to not overwhelm people either, because, you
Speaker:know, you, I could tell them to take 20 different supplements, but for
Speaker:someone who's never taken a supplement , one, you're not going to know what
Speaker:is necessarily working the best.
Speaker:And then two, they're just more likely to get overwhelmed with it, maybe
Speaker:spend too much money and then end up just going from one extreme to the
Speaker:other and just quitting everything.
Speaker:So it's about trying to find those easy wins because yeah, you can be overloaded
Speaker:with information, but then, you know, that people are like, where do I start?
Speaker:Basically.
Speaker:Fair enough.
Speaker:That's a very well sort of rounded approach.
Speaker:If I could backtrack slightly, I'd just like to discuss intermittent fasting
Speaker:relative to caloric restriction.
Speaker:Up until I suppose, relatively recently, actually, There was a lot of to be
Speaker:said about intermittent fasting, extending, uh, extending lifespan.
Speaker:And now again, as you've very eloquently put, it seems to just ultimately
Speaker:come down to chloric restriction.
Speaker:Is that something you feel, sort of with your view of the literature, do
Speaker:you feel that there are any benefits to intermittent fasting to sort of
Speaker:increasing autophagy or is it really just about sort of cranking the
Speaker:dial on getting that those calories.
Speaker:as low as possible, obviously, with respect to metabolic health
Speaker:and not pushing things too far.
Speaker:Yeah, I think that as you just said, yeah, I think the intermittent fasting
Speaker:is more about caloric restriction.
Speaker:But then obviously, it's within reason, you know, you don't
Speaker:want to extend things too far.
Speaker:I think I think maybe the occasional fast, but doing say for fasting 20 hours
Speaker:a day, you know, for months on end, I don't, I don't, I wouldn't recommend going
Speaker:having such a short eating window myself.
Speaker:I think maybe doing your three day fast, whatever it might be.
Speaker:Well, it depends on obviously you, how much weight you carry already,
Speaker:because if you're already quite slim and you do a five day fast,
Speaker:it's probably not the best thing.
Speaker:But, um, yeah, I think having is too short of an eating window.
Speaker:I, I think you, you, in some ways you're, you're more likely to overload yourself.
Speaker:And when you do break that fast, you might have a huge meal to start with
Speaker:and spike the blood sugar for one.
Speaker:And then that can cause oxidative stress in itself.
Speaker:So I think having a, you know, like quite a sensible eating window, so
Speaker:you are, you're not eating close to bed, you're not eating out of boredom,
Speaker:which pushes up your calories anyway.
Speaker:So you kind of, you're learning when, when you're actually hungry and when,
Speaker:when you're eating just out of boredom.
Speaker:boredom for a sec.
Speaker:But, um, yeah, I think, I think like 10 hour eating window, maybe eight hour,
Speaker:just seems to be the kind of all rounder I think that works for most people where
Speaker:you're, you're not eating close to bed and then, uh, you know, having your
Speaker:liver produce insulin during your sleep and then that has negative consequences.
Speaker:But, but at the same time, you've got a nice eating window where, you
Speaker:know, you're not maybe, you know, Overloading yourself or maybe have
Speaker:it because it like I say, if you have a huge meal, you tend to bloat out,
Speaker:especially when you're having proteins and starches all at the same time.
Speaker:It's one thing having a smaller meal with them together when you're having that
Speaker:and maybe having fruit at the same time.
Speaker:You've got all these different enzymes having to break down
Speaker:this food in one huge meal.
Speaker:It's yeah, it can be, um, not, not the ideal.
Speaker:I think
Speaker:fair enough when working with clients, do you sort of ever start
Speaker:them off on one specific sort of type of eating schedule or diets?
Speaker:Do you, do you feel that there's much to be said about utilizing
Speaker:things like carnivore or keto?
Speaker:Or do you sort of prefer a more well rounded approach from the get go?
Speaker:Um, yeah, so a more rounded approach.
Speaker:I mean, everyone's different.
Speaker:I mean, it depends on your gut microbiome as well.
Speaker:Some people, and so that's why there's a bit of nuance in there.
Speaker:But I mean, unless Like as a short term thing, if someone's majorly overweight
Speaker:and they're trying to lose weight fast, maybe they look at the keto kind of area.
Speaker:But I think, yeah, the more well rounded approach for a long term
Speaker:solution, rather than trying to just dramatically lose weight, because
Speaker:then people can put it back on when they go back into a normal diet.
Speaker:So I think, yeah, I don't particularly think, you know, eating huge amounts
Speaker:of protein is necessarily good, but then if you're not getting enough,
Speaker:then you're more likely to get hungry and then eat carbohydrates.
Speaker:So it's, it's trying to find that healthy balance, having
Speaker:lots of fiber in there too.
Speaker:Yeah.
Speaker:And I suppose this is a perfect sort of segue into my next question, which
Speaker:was when working with people, do you just rely on an epigenetics testing?
Speaker:I mean, we've already established you haven't actually, but what,
Speaker:let me rephrase that again.
Speaker:What other testing are you finding that is beneficial to
Speaker:working with, uh, with clients?
Speaker:Are you sort of solely working with.
Speaker:blood tests.
Speaker:Are you sort of looking at, uh, organic amino acids, testing stool testing,
Speaker:especially with regards to gut, obviously.
Speaker:And again, do you find that those sorts of tests correlate well
Speaker:with the epigenetic testing that we discovered discussed earlier?
Speaker:Yeah.
Speaker:Um, so another one is on top of the epigenetics is, yeah, you say the
Speaker:gut testing and that looks at the stool, which yeah, it does correlate.
Speaker:I've seen like, cause there are certain epigenetic markers, which look at
Speaker:metabolites from the gut and then you can actually flare up gut inflammation
Speaker:and then you look at their guts and then that actually corresponds with that.
Speaker:And then, yeah, so good diving into the gut, you know, you might find foods that
Speaker:You know, your, your gut particularly finds difficult breaking down and
Speaker:then, so it's not so like a, or just say in general, like protein or, um,
Speaker:carbohydrates or fat metabolism, you might find that those macros can, one of them
Speaker:in particular might, your gut might not be the best at breaking that down, but
Speaker:that doesn't mean don't eat those foods.
Speaker:It's just, you have certain food scores, which those gut microbiota
Speaker:actually seem to digest well so that it's just focusing more on those.
Speaker:within that macro, you can just find out different food scores from that.
Speaker:And it even breaks down into, um, uh, nutrients from foods, you know, like, uh,
Speaker:ellagic acid, you know, from pomegranate, some people will have the right, uh,
Speaker:biota to actually convert that metabolite.
Speaker:Speaking of pomegranate, what are your thoughts on urolithin A?
Speaker:And I would like to go back to gut testing.
Speaker:Yeah.
Speaker:So I think, like I said, I think only 30 percent or so, 30, people have are
Speaker:able to, you know, convert the ellagic acid into urolithin A, so I think I
Speaker:haven't actually tried urolithin A myself because I'm, I'm a good converter of it.
Speaker:But yeah, for some people I hear they do, um, like one of my clients,
Speaker:he seems to like urolithin A.
Speaker:Yeah, no, it seems to sort of improve mitochondrial efficiency in people,
Speaker:in some folks anyway, I think.
Speaker:like everything though, it depends where their baseline is at the beginning.
Speaker:Once you sort of got the basic style, then like exercise and well, just
Speaker:healthy eating in general, I suppose you're going to see a less of a
Speaker:return on some of these interventions, but they all do have their place.
Speaker:Don't they just again, going back to the gut side of things, what
Speaker:common, or consistent themes are you finding that people are, are
Speaker:experiencing or issues that they are that are coming up on a regular basis?
Speaker:Is there a lot of candida, a lot of just general dysbiosis and overgrowth of
Speaker:certain type of bacteria or yeah, what are you finding in your patient population
Speaker:that is particularly consistent?
Speaker:Um, quite a lot of antibiotic damage.
Speaker:So I think that's down to not necessarily taking antibiotics, but.
Speaker:Antibiotics from food.
Speaker:You got to remember when you buy chicken or salmon, people eat a lot of
Speaker:salmon and, and that's, they, they use antibiotics to be able to put them so
Speaker:close together, if they're factory farmed, that ends up getting into the meat.
Speaker:So it can actually, that can show in that, um, sugar damage is another one.
Speaker:That was, yeah, you got gut microbiome is particularly renowned on, you
Speaker:know, eating sugar basically.
Speaker:Yeah.
Speaker:There's, there's a few like that, but yeah.
Speaker:Antibiotic is.
Speaker:Yeah.
Speaker:A lot, not a lot of people realize that they eat salmon and
Speaker:not realizing the amount in it.
Speaker:And so that's something I used to do even myself, but yeah, now just
Speaker:only wild salmon for that reason.
Speaker:I'd tell people the same.
Speaker:Cause it's also, if you look at the quality of the salmon itself, the fat
Speaker:content is huge in the factory farm stuff.
Speaker:And there's heavy metals in there too.
Speaker:So then that can actually, you can see markers for oxidative stress
Speaker:as well from those heavy metals.
Speaker:So it's just trying to minimize your contact with, with these kind of foods.
Speaker:I suppose that's quite poignant because that's just, just a change
Speaker:I've had to make recently, uh, recently as well after receiving some heavy
Speaker:metal tests come back and, uh, Yeah.
Speaker:High aluminum and high mercury go figure, but, um,
Speaker:And were you eating a lot of salmon were you?
Speaker:Yeah, definitely.
Speaker:Uh, well, I thought I was, I thought I was doing the right thing, but apparently not.
Speaker:And that was wild caught, um, not all the time, but the majority of
Speaker:it, but yeah, that was still coming back as, uh, as a high score.
Speaker:Are you finding a lot of sort of heavy metals patient again in your patient
Speaker:population or was that something that's not that much of an issue?
Speaker:No, I'm looking more at, um.
Speaker:markers of oxidative stress rather than the heavy metals.
Speaker:So, but yeah, that's certainly something yeah, to keep an eye on as heavy metals.
Speaker:I mean, there's a lot, there's so, there's so many avenues you
Speaker:can go down with this stuff.
Speaker:There'll be biomarkers you can really focus on, but yeah, I
Speaker:mean, that is an important one, as you say, to look at really.
Speaker:Right.
Speaker:A few rapid fire questions, if you don't mind.
Speaker:Let's start with NAD precursors.
Speaker:What are your thoughts on those?
Speaker:I think, uh, NAD precursors Yeah.
Speaker:Great.
Speaker:When you're younger, but as you get older, then I think it's
Speaker:about fixing that salvage pathway.
Speaker:And, uh, yeah, you could just take a huge dose of flushing niacin.
Speaker:I've seen that one of my guests who he managed to get his NAD to the
Speaker:highest level it's ever been, but then his DunedinPACE went up at the
Speaker:same time, he's doing 500 milligrams of flushing niacin, so that's causing
Speaker:liver issues at the same time.
Speaker:So it's, it's about how you get to that high NAD level
Speaker:rather than just the precursor.
Speaker:Next one, rapamycin.
Speaker:I know you're a fan of it.
Speaker:Do you think it's something that everybody should be, should be taking,
Speaker:or is it again, very case specific?
Speaker:I think it, yeah, it's probably one of the most well understood
Speaker:anti aging compounds out there because you're just inhibiting mTOR.
Speaker:So I think it's something that's been shown in mice that even if you start
Speaker:into kind of like middle age, so it's maybe equivalent of 40, 45 year old
Speaker:and humans, they still get a lot of those benefits of extended lifespan.
Speaker:So it's not something you need to necessarily rush into say at 30 years
Speaker:old, but it's something I think it really does help across the board.
Speaker:It's very, you know, it's, I don't think it's person specific per
Speaker:se because yeah, you were just slowing down mTOR in general.
Speaker:So it's slowing down that cellular peripheration.
Speaker:in which it correlates to say calorie restriction, which
Speaker:helps across the board as well.
Speaker:So I think it's very much a kind of, uh, a general, uh, anti aging,
Speaker:um, drug that most people can use.
Speaker:Yeah.
Speaker:Do you think it has other clinical use cases as well?
Speaker:I mean, it's being used a lot in And still on a pulsatile manner, well,
Speaker:it's starting to be used a lot in a pulsatile manner with people with certain
Speaker:autoimmune conditions where they've just got this excessive immune system activity
Speaker:that's oftentimes regulated by mTOR.
Speaker:Have you ever used it in that sense with anyone or have you just
Speaker:viewed, do you just view it as a sort of a longevity compound?
Speaker:Yeah, I'm more of the camp just doing it all year round.
Speaker:I mean, some people Like to, as you say, pulse it, you know, do it for
Speaker:cycles and then there may be, it might be cause they're trying to like put on
Speaker:muscle some certain points of the year.
Speaker:Whereas I'm trying to like, I think it's just trying to get that happy medium.
Speaker:But yeah, I think it's, it's one of those things you just need to keep an eye on.
Speaker:You know, you don't want to affect your lymphocytes, you know, if
Speaker:you take too much or too little.
Speaker:So like, it's just trying to, uh, Try and find that sweet spot.
Speaker:And I mean, it's not something I generally, I don't only give that
Speaker:general information out on that one because my insurance doesn't
Speaker:cover me for something like that.
Speaker:So I just kind of, um, just say what I do basically and, um, keep
Speaker:it quite, nothing too specific.
Speaker:Of
Speaker:course.
Speaker:And do you think it affects anabolism or at least muscle retention, or was
Speaker:it just the ability to build muscle that it can potentially interfere with?
Speaker:Yeah.
Speaker:So the ability to, to build muscle that's, that's in theory, but then if
Speaker:you're doing it once a week, it's not like you're, you can't build muscle seven
Speaker:days of that week, there might be points.
Speaker:And that's where people get into the weeds of what day of the week do I take it?
Speaker:Do I take it if I'm resting over the weekend?
Speaker:Do I take my rapamycin then?
Speaker:I mean, how long does it inhibit mTOR for?
Speaker:And that's still kind of a little bit up in the air.
Speaker:But yeah, for sure.
Speaker:I think you can still definitely gain muscle on it.
Speaker:I've shown that.
Speaker:Yeah.
Speaker:And I just do it all year round.
Speaker:So it's, and I guess it's, um, some people might argue that even
Speaker:the quality, you know, you, you might not be as heavy and muscular.
Speaker:If you didn't take it, but then pound for pound, you, you, you know, you
Speaker:might actually be stronger because you haven't got, you know, your cells haven't
Speaker:proliferated to the nth degree where, so the actual, you know, your pound for
Speaker:pound strength might actually be better.
Speaker:Okay.
Speaker:So it's a, it's working at a tissue level too.
Speaker:And so let me see if I got this right.
Speaker:Is it then working to sort of clear up senescent muscle cells potentially?
Speaker:Yeah, so you've got muscle cells that maybe haven't actually formed right from
Speaker:the outset and then there's senescent or old ones you say like senescent cells.
Speaker:And then in particular, I think it's more people notice it for even fat loss,
Speaker:like they might, um, they might've had some fat that has been hanging around for
Speaker:the last decade around their midsection.
Speaker:A lot of people reported that being on rapamycin, they haven't
Speaker:really noticed much in the way of muscle loss, but they, that, that
Speaker:fat area has actually gone down.
Speaker:Interesting.
Speaker:And you don't think that's just a reduction in systemic
Speaker:inflammation potentially, or just an increase in AMPK signaling?
Speaker:Uh, yeah, I'm not sure.
Speaker:I think there's obviously fat cells have a higher propensity for senescence.
Speaker:Maybe it's just clearing out more of them.
Speaker:And then obviously the, yeah, the AMPK, you know, so you're not actually in
Speaker:growth, you know, constantly basically.
Speaker:So I think that may be.
Speaker:You know, um, improves insulin sensitivity and then downstream that
Speaker:could, you know, uh, reduce the, that those fat cells in the midsection.
Speaker:All right.
Speaker:Okay.
Speaker:Big one.
Speaker:Um, peptides.
Speaker:What are your go to ones at the moment?
Speaker:I know there's a lot going on with GLP 1 agonists, but there's also
Speaker:a few new ones making the rounds, such as SLU PP332, which seems to
Speaker:be one of these newest estrogen related receptor agonists, I think.
Speaker:I mean, that's definitely an outlier, but What are your thoughts on peptides?
Speaker:I know you use them personally.
Speaker:Are you using them with your clients?
Speaker:Yes, so I definitely use them personally, with clients I'm a bit more cautious,
Speaker:you know, like I, again, I, I just give general information because they're
Speaker:not really covered unless if you're talking about bioregulators, the ones
Speaker:that are very short chains of amino acids, which have been, um, kind of,
Speaker:uh, isolated from animal organ meat.
Speaker:So they can be sold as a dietary supplement.
Speaker:And then they're, they're very tissue and organ specific, the bioregulators.
Speaker:So they're quite an exciting one and it tends to be very low side effects,
Speaker:only being a few amino acids long.
Speaker:But the ones I'm really, um, hot on the moment, I really like the epitalon.
Speaker:And again, that's, it can be classified as sold as a peptide, but
Speaker:can be classified as a bioregulator.
Speaker:It's a, uh, it's only four amino acids long, that one.
Speaker:And that seems to help with regulating melatonin production.
Speaker:Um, And I've been showing it, I've shown it recently in a video
Speaker:twice where I did a cycle of it.
Speaker:And then you can see my sleep performance go up massively during that cycle.
Speaker:And then during the second one, you know, it's like the idea is to try and try and
Speaker:keep it to a normalized level and then so it gradually goes down and between cycles.
Speaker:And then another one is delta sleep inducing peptides.
Speaker:I've been doing them in conjunction at the same time.
Speaker:And it seems to have, uh, synergistic effect.
Speaker:So inducing more of that deep sleep, these areas that I'm particularly weak on.
Speaker:So that's why I've been covering those ones quite a bit.
Speaker:That's interesting on the DCIP.
Speaker:So you've noticed an actual improvement in deep sleep score
Speaker:and sleep scores with DCIP.
Speaker:Is that correct?
Speaker:Yeah.
Speaker:So increasing the sleep scores, which obviously relates to,
Speaker:um, restorative sleep as well.
Speaker:And then that number has gone up too.
Speaker:So yeah, it's definitely an For me, I mean, yeah, the recovery
Speaker:score is still important.
Speaker:We're talking about Whoop here, but yeah, I mean, other things like Auras
Speaker:have a similar thing where they've got readiness and A and N, so that's
Speaker:looking the recovery scores, obviously looking at heart rate variability,
Speaker:various different respiratory rate, that kind of thing, resting heart
Speaker:rate, but obviously the sleep score is something to really focus on too.
Speaker:I find that Even can be even more indicative of how my day is if
Speaker:the sleep score is high and the recovery score is, you know, like
Speaker:Amber, like say 50 percent or so 60 percent is not quite in the green.
Speaker:Generally, if I've had a good night's sleep, I'm generally okay,
Speaker:like it might, my body might not be primed for setting a personal best.
Speaker:But if I've slept well, at least I'm still somewhat recovered.
Speaker:Yeah.
Speaker:And just to take a quick step back, bioregulators work off the premise
Speaker:that like feeds like, is that correct?
Speaker:So if you have a thyroid issue, you would take a thyroid bioregulator.
Speaker:Is that the general premise with bioregulators?
Speaker:Exactly.
Speaker:Yeah.
Speaker:So they obviously, they're affecting the gene expressions.
Speaker:That's touched such tiny chains of amino acids that they
Speaker:can actually have an effect.
Speaker:And you typically, you only do them for say 10 days, something
Speaker:like that, just to reset things.
Speaker:And then.
Speaker:I mean, from what I'm gathering, they're not like, you know, like a magic
Speaker:bullet that's gonna fix everything.
Speaker:But, you know, in conjunction with lifestyle, say with, you know, if you're
Speaker:taking iodine for your thyroid, that kind of thing, then it can be like a
Speaker:synergistic, uh, area to kind of focus on.
Speaker:Okay.
Speaker:That's awesome.
Speaker:Right.
Speaker:How are you?
Speaker:I don't want to take up too much more of your time, but how are you incorporating
Speaker:all of this into your life to sort of allow you to live your best life?
Speaker:I mean, we we've touched on a lot, obviously, but to, to ask the stupid
Speaker:question, what are you doing on a daily basis to sort of really dial
Speaker:in, dial in what you do to help you sort of function at such a high level?
Speaker:It's just about trying to prioritize things, I guess, like, you know,
Speaker:I do take a lot of supplements more than the average person.
Speaker:I mean, certainly not as many as Bryan Johnson, but, uh, yeah, it's really,
Speaker:you know, trying to have a strategy.
Speaker:So it's not.
Speaker:I mentioned earlier, when you get overwhelmed with these kind of
Speaker:interventions that some people can just say, well, I'm just going to
Speaker:quit it for a while or indefinitely.
Speaker:So yeah, it's trying to find a way of making it realistic where you're trying
Speaker:to cut down on steps wherever you can.
Speaker:So like with the supplements, just dividing them into daily, pillboxes and
Speaker:then doing that maybe like twice a day.
Speaker:So you're not doing some people might do supplements three times a day, which is
Speaker:just starts getting a bit overwhelming.
Speaker:So just trying to spread them out.
Speaker:Same with food as well.
Speaker:I mean, I be a healthy, it's very hard to buy things that
Speaker:are ready made that are healthy.
Speaker:So it's just trying to, if you can make food from scratch, again, trying to.
Speaker:make it, uh, you know, like cut steps where you can from making it from scratch,
Speaker:just trying to find easy ways of putting that food together or buying food where,
Speaker:for example, it's about trying to get your biodiversity up as well, because if
Speaker:you start focusing on, oh, this food is amazing, then over time that can affect
Speaker:your gut microbiome, the, uh, diversity of it, but also you might start building
Speaker:up an intolerance to that food as well.
Speaker:So it's about diversity too.
Speaker:And yeah, just having good, good general life patterns where you, during the
Speaker:daytime I'm quite like a, I wouldn't say a stressed person, but definitely I try
Speaker:and I'm all systems go during the daytime.
Speaker:And then it's just having that evening where you might try and get everything
Speaker:done at the end of work, then you do a life admin, things you need to get out
Speaker:of the way, and then it's just about relaxation, trying to switch off, which
Speaker:is easier said than done, but for sure that that does make a huge difference.
Speaker:Uh, I was noticing when I was working more hours, my speed of aging went up six
Speaker:points and then since that, since I've.
Speaker:Barely haven't changed very much and it dropped by like 11 points.
Speaker:So yeah, the, the stress and the poor sleep that all those do make a big
Speaker:difference on top of, you know, all the supplements and diet and things.
Speaker:But yeah, it's just trying to, uh, keep the stress down low.
Speaker:So really sort of dialing in the basics and not really worrying about
Speaker:the sorts of the extra bits until you really need them, I suppose, ultimately
Speaker:is the way you're looking at it.
Speaker:Yeah, yeah, exactly.
Speaker:You know, not stressing about foods, like, you know, ideally I'd have all
Speaker:my water is nice filtered, you know, properly filtered water, but in reality,
Speaker:you're not going to be able to, you might have to at some point drink tap water.
Speaker:I'm not, it's not the end of the world or foods with high in pesticides.
Speaker:It's just trying to minimize the ones that are the worst.
Speaker:And yeah, so if you, the bulk of your diet isn't laden with pesticides, then.
Speaker:then you're pretty much there rather than overstressing about the minute details.
Speaker:So it's the devil in the detail.
Speaker:You know, you just don't, you know, you need, it's, it's a slow learning process
Speaker:where you just learn to prioritize things, know the worst things, whether that be
Speaker:microplastics, you know, just try not to have things that are heavily laden fat
Speaker:that are surrounded with plastic, for example, heating up something in plastic.
Speaker:A lot of people I speak to don't, don't realize that it's just.
Speaker:Yeah.
Speaker:Trying to, uh, keep it to a non overwhelming level.
Speaker:So very much the Pareto's principle approach, the 80 20 and really sort of
Speaker:not fret too much over the small stuff.
Speaker:Yeah.
Speaker:That's, that's, that's amazing.
Speaker:Well, thank you very, very much for your time.
Speaker:I really appreciate it.
Speaker:No problem.
Speaker:Where can people find you if they want to work with you?
Speaker:Yeah.
Speaker:So my company is, uh, epicgenetics.
Speaker:co.
Speaker:uk.
Speaker:And, yeah, if you were to send, there's lots of information on there, I've got
Speaker:videos comparing all the different tests.
Speaker:I try not to provide too many different things because you could go down
Speaker:the rabbit hole with doing, there's so many different tests out there,
Speaker:but I just primarily at the DNA, epigenetics, and the gut microbiome.
Speaker:That's awesome.
Speaker:We'll be sure to link all of those in the show notes too.
Speaker:Tony, thank you very much for your time, we'll have to do this again soon.
Speaker:And yeah, I appreciate it.
Speaker:Thanks for having me.