Full Transcript Introduction to Alzheimer's and Inflammation 0:00 Hello and welcome back to the Reversing Alzheimer's Summit. 0:03 And have we got a treat for you today? 0:05 We are with Doctor Robert Silverman. 0:07 He is one of the leading educators in the field of chronic inflammation 0:11 and all the different ways in which it turns into a range of chronic illnesses. 0:15 And he has a special interest in Alzheimer's and is going to be bringing 0:18 you some incredible insight into what's going on physiologically in the body 0:23 to create Alzheimer's and then what can be done to reverse it. 0:26 So welcome back. Thanks so much for being part of the summit. 0:29 Thanks for having me. 0:30 I appreciate being here, and I'm really excited 0:33 about the opportunity to to drop some knowledge 0:35 bombs on Alzheimer's, how to prevent it, how to reverse it, 0:40 and how to make people healthier, not sweat it. 0:42 Beautiful. 0:43 Well, tell us a little bit about let's start with chronic systemic 0:47 inflammation, which I think is when Doctor Berk has shared with me. 0:51 It's ultimately that's where in the business of identifying 0:54 where that inflammation is coming from and removing it. 0:57 But it seems like this is the central to this emerging paradigm in understanding 1:02 where where Alzheimer's comes from and how to avoid it. 1:05 Without question, chronic systemic inflammation is, as you said, 1:09 a central driving factor in age related 1:12 cognitive decline in neurodegenerative diseases, i.e. 1:15 just like Alzheimer's. 1:16 And believe it or not, even in Parkinson's, it acts as a bridge 1:20 between peripheral immune activation 1:22 and brain health by breaking down the blood brain barrier, 1:25 triggering neuroinflammation and accelerating neuronal damage. 1:29 Interestingly enough, inflammation, I believe, 1:32 is the backbone and the ruination for many of our health care issues. 1:36 If I had a credo to share with everybody post chiropractic career, 1:41 it would be I want to manage and modulate inflammation, 1:44 and that inflammation is from the body, from the inside out, 1:47 which we like to refer to now as inflammation. Right? 1:52 Yeah, absolutely. 1:53 Yeah. You mentioned the blood bank barrier. 1:54 But ultimately, you know, there's there's a number of barriers, right, 1:57 that are in the body that play a role in this. 1:59 And I think the the blood brain barrier is sort of a new area for most people. 2:04 But the gut brain, you know, the gut barrier is certainly, you know, 2:08 something that has been, well studied 2:09 and is certainly sort of a foundational piece of, functional medicine.
Gut-Brain Axis and Neuroinflammation 2:12 What what are your thoughts on, intestinal permeability and dysbiosis 2:16 and the role that they play in neuroinflammation? 2:19 I think you hit the nail on the head when you talked about the gut. 2:23 So most people look at Alzheimer's, Parkinson's, 2:26 these neurodegenerative diseases, as diseases of the brain. 2:29 They're not they're actually a full body failure. 2:33 So much so that they're called not just neuroinflammation and neuro autoimmunity. 2:39 They're actually 2:40 something that I would like to refer to from the gut to brain axis. 2:43 Whatever you do, you got you do to your brain. 2:45 Whatever you do to your brain, you do need God. 2:48 I believe that the gut is the epicenter of your health. 2:51 80% of your immune cells are in your gut. 2:53 It's where your macro micronutrients are absorbed. 2:55 When you got this compromised, all hell gets broken loose. 2:59 So a great example would be something, like you said, like a dysbiosis 3:03 and an leveling of good and bad bacteria. 3:06 You need about 85% good bacteria to avoid dysbiosis. 3:10 If you have the majority of bad bacteria, you have a break in the intestinal lining 3:16 that break in the intestinal lining leads to the release of something 3:19 called LPs lipopolysaccharide. 3:22 Lipopolysaccharide actually encodes bacteria, and it's called an endotoxin. 3:28 When it gets through the gut and into the bloodstream, 3:31 it's really what I like to refer to is el diablo. 3:34 In Spanish it means the devil. 3:36 So that idea of LPs and bad bacteria being exposed 3:40 leads to inflammatory markers, and an increase in inflammation. 3:44 That increase in inflammation actually works in a circulatory system 3:48 because it's systemically, it compromises that good old blood brain barrier, 3:52 which we referred to before. 3:54 It allows LPs to get into the blood brain barrier 3:57 and once it does that, the immune system is dysregulated in the brain, 4:01 which is the true definition of Alzheimer's. 4:04 And it starts to cascade into planning. 4:07 Now, believe it or not, most amulets, which is the thing that we're worried 4:11 about and packing come from the gut. And they don't. 4:14 It ends in the brain. It doesn't start in the brain. 4:16 So I believe that Alzheimer's is a gut issue, 4:21 adversely affecting the brain, 4:23 and that it's bidirectional, it's neuro autoimmune. 4:26 And believe it or not, it is autoimmune as well. 4:30 Interesting. 4:31 I heard last year Doctor Bateson referred to Alzheimer's 4:34 as network insufficiency, and it sort of ties 4:37 into what you're saying and actually into the functional medicine methodology. 4:40 Right. 4:40 Which is that as the networks break down and become insufficient, 4:44 then you end up with this disease. 4:46 And this is quite the paradigm shift from from where we've been 4:50 with like looking for, let's say, single molecules 4:54 that can target specific pathways to a more full body diagnosis. 5:00 Right. The body is all interconnected. 5:01 And I think that's something that we need to express to everybody. 5:05 And I think Alzheimer's is that great example 5:09 of a neurodegenerative disease that's a full system failure. 5:13 And what's most interesting, I really want to piggyback on what I said earlier. 5:16 It's an immune dysregulation occurring ultimately in the brain. 5:22 So your immune system gets confused and starts to attack brain particles. 5:27 And it has to plaque. 5:28 And that plaque is an milliard to things that we'll talk about later. 5:31 If we get into the idea of testing and not guessing. 5:35 Yeah. Beautiful. 5:36 Well, tell me some of the things that, like, you know, you worked on, on guts, 5:39 you know, for your whole career, like, what are some of the things that you 5:42 recommend if you recognize that the permeability 5:46 of the gut digestive disorders 5:48 may be at the sort of front end of the causal chain for, 5:52 you if you're listening to this or someone you care about or some of your patients, 5:56 what are you some of your favorite tools to to sew that up? 6:00 I love testing the gut 6:02 barrier panel, so I love to test for and look for expression of overexpression 6:06 of Candida, xylene, occluded and lipopolysaccharide LPs. 6:11 So Candida is a yeast. 6:13 When Candida is overgrown, I like to refer to it as cf0. 6:17 Small intestinal fungal overgrowth not to go down a rabbit hole. 6:21 Candida communicates with your immune system and it can cause 6:24 dysregulation and cascade that whole concept of inflammation. 6:29 Flick the switch. 6:30 So for me, Candida is an amplifier of inflammation 6:34 and a leader towards or a dictator of neuroinflammation. 6:39 Online signaling is the big kid in a in the blogs. 6:42 Online is a protein enzyme found by Alessio Fasano. 6:45 What does that mean to everybody? 6:47 There's something that we call tight junctions. 6:49 So if everybody looks at my hand here's 6:51 a junction, here's a junction and epithelia junction. 6:54 And you got together they make tight junctions I can't see you Zainudin. 6:59 Or provides a functional pull on these tight junctions
Dietary Strategies to Reduce Risk 7:02 and pulls them apart when Zainudin pulls enough 7:05 there's something that's expressed called the clued in, 7:08 which is the structural tear in the tight junctions. 7:11 When these tight junctions are compromised, 7:14 there are specific things that pass like that shouldn't pass, like large 7:18 indigestible food particles, bacteria, viruses and pathogens. 7:23 Again, they get into the bloodstream, starting that cascade. 7:27 So if I could piggyback on that a little bit, I would talk 7:30 about the idea of the microbiota through a compromised got leading 7:34 to LPs production communicating with the gut on both sides. 7:38 Incidentally, now that I'm talking about the gut, I'm a gut guy. 7:42 I'm also a chiropractor. 7:44 The largest nervous system in the body is the enteric nervous system with the gut. 7:49 So when your gut is compromised that God is communicating with your brain 7:53 through something called the vagus nerve and is communicating 7:56 through the whole body and sending disease signals through the body. 8:02 Wow. Yeah, that's really, really interesting. 8:04 We've actually in our, in our mastermind where we have doctors 8:07 who are working on this is reversing Alzheimer's every day. 8:11 We've got a few characters who, you know, came from 8:14 functional neurology, chiropractic, sort of subspecialty. 8:18 And I've added in some of this, you know, precision medicine approach and, 8:22 you know, getting fantastic results because you're dealing with 8:24 both the physiological and, and the biochemical. 8:27 And that seems to make a big impact. 8:29 You mentioned the gut. 8:31 Obviously there are different, 8:33 different dietary strategies that have proven successful 8:36 with reversing Alzheimer's. 8:38 And I'd love to get your thoughts on what are some dietary principles 8:41 that you think can reduce Alzheimer's risk, and 8:44 what what should we be thinking about when choosing how to eat? 8:47 Well, the dietary ideas are. 8:49 I believe that food is a potential to for health information. 8:53 That's good food. 8:54 Bad food is a potentiated for inflammation. 8:57 So obviously food is our opportunity to communicate 9:00 with the outside world appropriately. 9:02 So some dietary restrictions. 9:03 Number one thing I would do to avoid or treat or deal with Alzheimer's 9:08 is decrease the induction of ultra processed food. 9:12 The average American consumes 57% of the calories by ultra processed food. 9:17 Ultra processed food has a five year shelf life, but it won't give you 9:21 five years of your decrease. 9:22 The idea of ultra processed food that would be number. 9:27 Acronym called GG. 9:29 GG no. Gluten. Yes. No. Gluten. 9:32 Because gluten is shown to be very deleterious 9:34 to one's overall fact, especially here in America. 9:37 Then the P would stand for the ultra processed food. 9:40 And number three the S the sugar. 9:42 I would definitely not add sugar to anything. 9:45 If it comes in a fruit, that's fine, but if it's added, I would avoid that. 9:49 For an avoidance of Alzheimer's disease, DNA is another acronym I love to use. 9:55 No dairy dairy shown to be very ruinous to the overall health. 9:59 Nicotine. 10:00 I don't care about these nicotine patches. 10:01 I know people talk about cognitively. 10:04 I would have to pass an artificial sweeteners. 10:07 Artificial sweeteners may be the bane of our existence. 10:10 If you're going to use an artificial sweetener, use a stevia. 10:13 Use a monk fruit. 10:14 Avoid all the colorful stuff that you get in the Starbucks coffee. 10:18 As far as a diet regiment, you and I both know precision 10:21 medicine requires us to do individualized and personalized. 10:25 However, the brain functions better on fat, and if that's the case, 10:28 a ketogenic diet would be a great choice to get those ketone bodies 10:33 to keep ketone body would be something called beta hydroxy butyrate. 10:38 So low sugar, low fake foods, more real foods. 10:42 Those are the dietary easing restrictions that everybody has Monday 10:45 morning applications and implementations for. 10:49 Nice I yeah I appreciate you sharing that. 10:50 We'll come back to some of the lifestyle stuff. 10:52 I'd love 10:52 to just pick your brain on one thing, which is, you know, a lot of patients 10:56 are mainly focused on their genetic risk for this disease, right. 11:00 Because maybe it goes down in the family and there's a lot of talk about that for 11:04 what do you what's your particular take on, on on genetic risk versus 11:09 some of these like dietary lifestyle sort of epigenetic factors? 11:14 I think it's good to test with the genetics, as you said, ApoE4. 11:18 So you have three options. 11:19 When you take an AP test, you can have AP two, 1% of the population has that. 11:23 God bless you. You won't have Alzheimer's. 11:26 Most people have 75% have AP three. 11:29 So you're kind of like an Alzheimer's neutral.
Genetics, Lifestyle, and Epigenetics 11:33 If your lifestyle not as we used the word lifestyle is bad, 11:35 you're going to go forward towards Alzheimer's. 11:37 If your lifestyle is good, you're going to reverse and go away from Alzheimer's. 11:41 The concern is ApoE4. 11:43 If you have ApoE4 and if you have two people force, 11:46 you increase your incidence of Alzheimer's by 8 to 10%. 11:50 There was a famous Instagram. 11:52 I don't know if I can say his name now, Peter Tila with Chris Hemsworth, 11:56 and he was talking about the fact that Hemsworth has the two ApoE, alleles, 12:02 but he leads such a healthy lifestyle, works out, etc. 12:05 things that will delineate for everybody. 12:07 Was it a major issue? 12:08 However, I do believe that genes all the gone. 12:10 You've heard this before, but they do not fire the gun. 12:13 It's your lifestyle, your environment. 12:15 They're going to dictate your outcomes, your genetics are maybe 25%. 12:20 They are player. 12:22 But your decision and your choices in life will lead you down your health path. 12:27 Beautiful. 12:28 Well, let's jump into some of those. 12:29 So you mentioned some of the dietary stuff, 12:31 but what what are some of the lifestyle things that you think are critical 12:35 and that you recommend for your patients who are either looking 12:38 to prevent this or showing early signs of cognitive impairment? 12:42 Well, for me, I like to as I said, I would always love to check for the ApoE 12:45 e4 because not necessarily because I want to scare anybody. 12:49 I just don't think I'm American boy and Americans. 12:52 And I'll say this sometimes don't respond unless you show them the, 12:56 the key to downstairs if you. 12:58 Well, I would also do something. 13:00 I would do exercise because I think that's a key. 13:02 Lifestyle had both resistance flexibility in aerobic. 13:07 My goal 13:08 there is not only to have muscle mass, which is a metabolically active organ, 13:12 to increase something called BNF, Bdnf brain derived neurotrophic factors 13:17 allows your brain to provide itself with neuroplasticity, 13:21 and you can rewire neurons if you have any damage. 13:24 The key to a mediterranean diet or any kind of low 13:27 sugar and no ultra processed food diet is great. 13:30 I'm a big believer and plan forward meaning about 80% plants and 20% protein. 13:35 I think of Tom Brady won seven Super Bowls. 13:37 He may have something on his diet as well. 13:40 Intermittent fasting. 13:41 Really robust and intermittent fasting. 13:43 Let's not get crazy. 13:44 12 to 16 hours of a fast per day, 8 to 10 hour window of eating. 13:49 You know these one meal a days. 13:51 Those on ads. 13:52 I don't like them. I don't I don't want to hear to it. 13:55 Just close the window a little bit. 13:57 Eat early in the day and early in the day. 13:59 You know, the caveman had it right. 14:01 You know, when the, sun came up, they ate. 14:03 When the sun went down, they went to sleep. 14:06 Choose foods that are low in the glycemic index, like under 35. 14:09 So low sugary foods, my GPS and IRS. 14:13 I'm a big believer in premium probiotics. 14:15 I can give you a plethora of supplements if you like. 14:17 Heal the gut. 14:18 Make sure, 14:19 believe it or not, in your cooking environment, you cook at the right 14:22 temperatures and light and the right times make the necessary lifestyle changes. 14:28 To reiterate exercise sleep critical lifestyle hack. 14:32 When you sleep, your brain goes to about 40% of its size. 14:36 It squeezes out its metabolic waste. 14:38 So get good sleep. 14:39 7.5 to 9 hours of sleep is required. 14:42 Reduce stress. 14:43 Don't be like me. 14:44 Don't be a type triple A, I admit to it. 14:46 And you know what do brain training as we age? 14:48 You know, I'm 16. I'm playing with my third language now. 14:51 The things that we do and should do to keep ourselves sharp. 14:56 But remember, lifestyle is the driver for a health outcome. 15:01 Yeah. 15:01 Not that so true. 15:03 And, thanks for sharing. You know some of those tips. 15:05 I know that it can become a little bit like a broken record in a certain way 15:09 because this paradigm requires participation. 15:12 But ultimately it's one thing to reverse cognitive decline. 15:16 It's another thing to maintain that reversal over years and years. 15:19 And that's really what we're talking about. 15:22 Right? 15:23 So to be clear, Alzheimer's, we've shown in the data 15:26 through Bateson, through Dean Ornish, through Isaacson. 15:28 At Mount Sinai, you can stop and reverse the symptomology
Exercise, Sleep, and Brain Health 15:32 of Alzheimer's if it's mild to moderate. 15:37 So I mean, for me, that's illuminating. 15:40 That's exciting. 15:40 I feel ebullient on my ability 15:43 now to work with Alzheimer's patients because of that data. 15:47 Yeah. All right. 15:48 Well we've got into the lifestyle stuff. What would you say? 15:50 You know, some of your favorite supplement recommendations 15:53 for, you know, for, for patients who you see on the way? 15:56 Obviously, it's a, it's a personalized approach 15:58 and depending on, you know, what is driving the pathology. 16:02 But, are there any other things 16:03 that you think could be be useful and relevant across the board? 16:07 Absolutely. 16:07 I am actually going to give you the list from the record doctor Dale brightest. 16:12 I'm going to add some that I've added since then. 16:15 We talked about methylated B vitamins, vitamin C, 16:18 vitamin D, D3 with K2, of course vitamin E, resveratrol 16:23 A, C, low L-carnitine, coenzyme Q10, 16:26 omega three fatty acids, curcumin. 16:30 I probably would add saffron in there. 16:31 Also, it's the new hot nutrient. 16:33 It's an herb just like curcumin. 16:35 Pro resolving mediators should take a second on pro 16:38 resolving mediators because a lot of people, 16:41 even though it's been out for ten years, really 16:42 still haven't wrapped the head around what it does. 16:45 It allows for the resolution of inflammation. 16:50 It's a fractionated omega three fish oil, so it allows 16:53 for the homeostasis between the initiation or the resolution of inflammation. 16:57 If you cook like Rob and turn on one of the pilot 17:01 lights, on your stove, on your oven, and you forget it, 17:05 all the pilot lights will light. 17:07 That's like what's happening inside your body 17:08 and ultimately your house will go up. 17:10 But if as long as I have a pro resolving mediator, it will stop that fire 17:15 from burning and shut the pilot lights off in your body. 17:18 So it's really the only thing that I know that allows for true 17:22 resolution of inflammation, magnesium, something like magnesium L 17:26 three and eight has shown to decrease brain aging by 9 to 14 years, 17:31 and some adds to it would be choline. 17:33 Choline comes in the yolk of an egg. 17:35 So obviously I'm pro yolk and egg. 17:37 Choline actually allows the decrease in neurodegeneration because it switches 17:42 your micro glial cells, which are vacuum cleaners from an M1 to an M2 one. 17:47 And I just say it allows your micro glial cells to go 17:51 from a pro-inflammatory state to an anti-inflammatory state. 17:55 Zinc. 17:56 There was a study with zinc of over 500,000 adults 18:00 that showed a decrease Alzheimer's by 29 degrees. 18:04 I'm big on pre and probiotics and of course 18:06 maybe the hot subject a hot topic of the now creatine. 18:10 So creatine without question is a great choice. 18:12 If you want to have a cognitive effect on creatine, you need ten grams or more. 18:16 The first five go to muscles. 18:18 Muscles are really greedy in their need for creatine. 18:21 You add another five and get to ten. 18:23 You're going to start having some cognitive improvement. 18:26 By the way, women. 18:27 You may have to dose higher than men even though you weigh less than us 18:31 because you don't have the muscle storage where creatine is necessary. 18:35 It's shown to be quite effective for reducing the. 18:40 And maybe the secret sauce of it all would be. 18:42 I believe it's a Swiss Army knife of health. 18:44 I use it a lot for God. 18:46 I use it a lot for all time. Doc, I think I missed it. 18:48 What did you say was the Swiss Army knife? 18:50 BPC 157 the PSA? 18:54 I love it because without question it helps with the got you help 18:57 you got you help. Your brain. 18:59 But it also has some great over medicinal factors. 19:03 I think it's the peptide of choice. 19:05 Interesting. 19:06 Yeah. Really great. Great. 19:08 Clues there and, appreciate that. 19:10 So give us a, give us a look at like, someone comes in geo clinic. 19:13 They've got mild cognitive impairment. 19:15 What would you do in order to have the highest chance of success? 19:19 Like what information are you looking for at the beginning? 19:22 You know what? 19:23 How are you getting people engaged into the lifestyle? 19:25 How are you thinking about supplementation? 19:27 Like, what is, what is a journey 19:29 look like if you were doing it, say, for someone, even in your own family?
Supplements and Targeted Support 19:33 That's a great question. 19:34 So first off, I'm a big believer in testing and not guessing. 19:38 So I would test for the genetics. 19:40 Number two, I would test something called the ATN test A stands for 19:44 I testing for amyloid T for tile tangles and for neural filament light. 19:48 This test can portend Alzheimer's 20 years in advance. 19:53 So if you're a 40 year old, it can tell you, when you reach my age of 60 19:58 that you're going to have Alzheimer's. 19:59 That gives you 20 years to get on the slide 20:03 and to try and stop it and reverse it. 20:06 Some of the other things in the plan obviously go over the diet, but 20:09 he would be five things that I would give anybody at 40 or a family member. 20:15 Number one, physical activities. 20:16 As we said before, weightlifting three times a week, flexibility training, 20:21 cardiovascular training, a quality nutrition strategy. 20:25 James, you and I are both going to eat non processed. 20:27 All you know no ultra processed foods. 20:30 But when we individualize it people can't see I'm six feet 185 pounds. 20:34 You're bigeye. 20:35 You're 65. 20:36 You have a lot more muscle mass than I do. 20:38 You and I probably eat the same amount of calories. 20:41 We have different, genetics. 20:42 Not only that, but we have different ethnicities. 20:45 So therefore, you know, to individualize and personalize, 20:48 it's going to be different. 20:49 So everybody's going to get an individualized and personalized, diet. 20:53 And that's what you like to call what you refer to as precision medicine 20:58 to supplements. 20:59 You know, 21:00 I gave you a plethora of supplements before if you have Alzheimer's. 21:03 I asked Dale brightest and he was on my podcast, 21:05 and I said, Dale, the reality is that a lot of supplements, man. 21:09 And he goes, it's Alzheimer's. 21:13 So to avoid Alzheimer's, it's much more inexpensive 21:16 because Alzheimer's, if you get it, is the most expensive health care disease 21:20 with direct and indirect costs on the market today. 21:23 So the supplements I would recommend for overall life. 21:26 Number one, omega three fatty acids. 21:27 You take two grams of omega three fatty acids. 21:30 You will ward off Alzheimer's for five extra years 21:34 and live five years longer with a better health span i.e. 21:37 longevity number two would be D3 and if you add 21:41 2008 years of D3, you're going to add three years to your life. 21:45 So a huge mega three years plus D3, essentially eight years. 21:50 But here's the secret sauce to it all. 21:53 The every cell in your body has a receptor site for D3 and omega threes. 21:57 So it tells you the master plan was to make sure you have exposure. 22:01 James lives on the West coast. I live on the east coast. 22:04 There's snow outside my window right now. 22:06 I'm sure it's sunny in 75 where you are so you can get some D3 by walking outside. 22:11 I got to go get these in a bottle. 22:13 So those two I'm a big believer in a premium probiotic. 22:17 Do not take a probiotic without a prebiotic. 22:19 That's my belief. 22:21 A methylated multivitamin and probably five would be creatine 22:24 as we talked before. 22:26 Again, sleep hygiene, mental and social engagement. 22:29 You know, one of the things James and I were talking about 22:31 before I came on is, hey, you're on all these podcasts. 22:34 I love the engagement. 22:36 I love to chat, I am Lucretius, I'm a New York City Jewish kid from the Bronx. 22:41 I like to chat and I like to share and listen. 22:44 And lastly, not just muscle mass, but to take that up one notch. 22:48 With all respect to Gabrielle, the line we want to talk about body composition. 22:52 So I from six feet one, 85 and 13% body fat, I check all the boxes, 22:57 but if I come back on part two next year and I'm 205 23:01 and 25% body fat with the same muscle, I just lost a big check. 23:05 So it's body composition. 23:07 So again, reiterate not to be redundant. 23:10 It's all about lifestyle. 23:13 Yeah yeah I appreciate you sharing that. 23:16 You know I'd like to get your thoughts on something 23:17 if we just, you know, shooting back and forth here. 23:19 I mean you've been committed 23:20 to, you know, this methodology of medicine for a long time. 23:24 And I guess the question I wanted to ask you is, do you feel like 23:27 maybe Alzheimer's is the disease that proves this methodology? 23:32 You know, and particularly 23:35 because there's no drugs that work, you know, no drug is ever performed in 23:39 a randomized controlled trial to reverse the cognitive decline that, you know. 23:43 And yet over here, we have something that does work, but 23:46 it's almost like if it took a disease of this nature to showcase the difference 23:51 between turning off a pathway and rebuilding back then, that works. 23:57 I think Alzheimer's is 24:01 exemplary of exactly what's wrong with the combination of the medicines, 24:05 if you will, because it's a full body failure. 24:08 Obviously, lifestyle nutrition can positively affect genetics. 24:12 We call that epigenetics. 24:14 And I think it's also showing cracks in different people's philosophy. 24:18 And it's unfortunate that it's the sixth leading cause of death in America today. 24:22 Second leading cause of women in Australia, 24:25 leading cause of women in the UK. 24:27 And it's the most expensive condition that we're fighting in health
Testing, Prevention, and Hope for Reversal 24:30 care, as I said before, with direct and indirect causes. 24:34 So again, it's an exemplar of what's gone wrong with our medical society. 24:39 And I am pro medical doctor without question. 24:43 Yeah. 24:43 Beautiful. Well, I appreciate you sharing that. 24:45 You know, 24:45 I guess the final question I want to ask you, 24:47 because we haven't seen each other in person for a while. 24:49 I used to live in New York and not anymore. 24:52 But, you know, in the last few years, you know, 24:55 I've seen that you've really taken, you know, your message to the people. And. 24:59 Yeah, I just just love to hear from you. 25:01 Like what 25:01 you think has been the most resonant concept 25:04 that you've been bringing out into the world. 25:05 And, and, you know, 25:06 why do you think it's time for why you think people are ready to hear it? 25:10 Well, I appreciate the, open mic in the forum. 25:13 I really do appreciate it. 25:15 I would have to say the biggest thing that people are looking for 25:18 is who do they trust, 25:20 what's right, and how do I implement that? 25:23 Easy on Monday morning. 25:25 So one of the things that I try and do is I try and give content. 25:28 I try not to be the only talking head. 25:30 I'm always trying to do podcasts or summits like you try to get experts 25:34 like you on it and try and edit it in such a way that people have something 25:39 that's tangible. 25:40 You know, one of the biggest misconceptions about timers 25:44 is that they think it's a memory loss is a normal part of aging. 25:47 It's a great hidden layer to the idea of that's not the case. 25:51 It isn't. 25:52 We don't have to have memory loss. 25:54 Yes, we're going to die. 25:55 Yes, we'll get some gray hair, I have some yes, we'll get some wrinkles. 25:59 Yes. Our abs may not look as good at 60 as they did at 30 if we worked out at 30. 26:04 But the bottom line is we have to share the information. 26:07 And I think that summits like this 26:10 and social media give the real people 26:13 the opportunity against the proverbial influencers, if you will. 26:18 Yeah. 26:19 Well, look, I appreciate you stepping into it. 26:21 And, you know, and I know that this comes from decades of experience, 26:26 in treating patients and also, you know, going to conferences. 26:30 I remember I went for ten years in a row to the Integrated Health Symposium, 26:34 and I think I saw you probably there every year. 26:35 And, I haven't been for a number of years, 26:37 but because I don't really, like, go to New York in the winter. 26:40 But I know that you're, you know, fully committed to continue learning. 26:43 And yeah, I just want to share that it's not easy to work out how to communicate 26:48 these kind of complex and complicated concepts into sound bites, 26:52 but I think you're doing an amazing job in doing it, and really grateful 26:55 to have you 26:55 and some of your community here learning, you know, through this process. 26:59 It's a very hopeful moment, I think, for medicine, 27:03 because for the first time, maybe things that you've seen 27:06 in your practice ten years ago, as a one off experience can now be replicated, 27:12 randomized and organized 27:13 to prove to the rest of the medicine that there is value in this methodology. 27:18 I concur, you know, I was talking to a buddy of mine, 27:20 and it's when I graduated nearly 27 years ago 27:24 that somebody would say that you're treating and helping people 27:27 with neurodegenerative diseases, i.e., Alzheimer's. 27:30 I would say that's beyond my wildest dreams. 27:33 And to have the ability to do that and make that indelible mark 27:38 and see the profession on the precipice of a breakthrough, 27:42 it's quite, it's quite exciting, to say the least. 27:45 Exciting. 27:45 Well, look, doc, thanks so much for being part of the Reversing Alzheimer's Summit. 27:49 Your, you know, joining in 27:51 with a chorus of luminaries who are on the cutting edge of this topic. 27:55 And there's there's incredible, incredible sessions the rest of today. 27:58 The rest of this week. 27:59 You can catch the replay next weekend. 28:01 Doc, thanks so much for being part of the summit. 28:03 And thanks so much, everyone for listening. 28:05 And, where can where can people find out more about your work? 28:08 Where can they follow you? 28:09 Doctor Robert silverman.com is the website doctor Robert Silverman is social media. 28:14 I appreciate the opportunity. 28:16 Just remember to carry your body. 28:18 It's the only place you have to live now. 28:19 Thanks so much for being part of it and thanks everyone for watching. 28:22 See you next time.
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