In short
GLP-1 drugs (e.g., semaglutides like Ozempic/Wegovy/Mounjaro) and their potential cancer-related benefits, including reduced metastasis and recurrence, plus discussion of mechanisms (GLP-1 receptors on blood vessels and possible tumor GLP-1 receptor expression), and safety/side-effect context (e.g., thyroid cancer concern in animals; muscle loss risk; need for medical supervision).
Guest
Dr. William Li, internationally renowned physician/scientist/author (Eat to Beat Disease; Eat to Beat Your Diet), president and medical director of the Angiogenesis Foundation; developed 40+ treatments affecting 70+ diseases; focuses on angiogenesis and “food as medicine.”
Key claims
Observational/clinical data suggest GLP-1 use is linked to ~30% lower heart attack/stroke risk and reduced cancer spread across cancers (lung ~45%, breast ~50%, colon ~45%, liver ~30%); recurrence risk after successful colon cancer treatment reduced ~25%. Tumors may express GLP-1 receptors; those tumors reportedly show ~30% lower death risk. GLP-1 may reduce chemotherapy side effects (neuropathy, neutropenia) and be anti-inflammatory.
Notable examples
peripheral arterial disease study in Naples showing GLP-1 mobilizes stem cells; thyroid cancer risk in rodents but “no” increased risk in a newer human clinical study; gut microbiome producing natural GLP-1 (butyrate; A. muciniphila supported by polyphenols like pomegranate/cranberry/concord grapes).
Written by AI. May contain mistakes. Listen to the episode to check what was said.
Chapters
Tap a time to open that second in VOIntroducing Dr. William Lee
0:45 to 2:14
Introducing Dr. William Lee and his expertise on GLP-1 and cancer.
“This episode today is about providing access to the latest, again, cutting edge information that has emerged now that we have accumulated years of data on their use.”
The Emergence of GLP-1s
2:14 to 4:32
Discussion on the rise of GLP-1 drugs and their impact on health.
“You've got some cutting edge new research regarding a relationship between GLP-1 and cancer.”
The Science of GLP-1
4:32 to 5:28
Explaining the biological discovery and function of GLP-1 hormone.
“it's really on the tip of a lot of people's tongues.”
From Gila Monsters to GLP-1 Drugs
5:28 to 8:34
The fascinating origin of GLP-1 drugs from Gila monster venom.
“biology actually helps us give us context.”
Effects of GLP-1 on Weight Loss
8:34 to 10:55
Exploring the unexpected weight loss effects of GLP-1 drugs.
“So now, first of all, the places that humans look for stuff, you know what I mean?”
Health Risks and Benefits of GLP-1
10:55 to 12:20
Analyzing the health risks and benefits associated with GLP-1 usage.
“I mean, these are people who are heading to the ICU sooner or later or dropping.”
Impact on Heart Health
12:20 to 14:00
Examining GLP-1's effects on heart health and its unique benefits.
“You hear about like people losing their features of their face because they have, you know, like the ozempic face or whatever.”
Understanding GLP-1 and Angiogenesis
14:00 to 16:58
Learn how GLP-1 interacts with blood vessels and its potential benefits.
“It was far less benefit from that than you could get from GLP-1.”
GLP-1's Role in Cancer Prevention
16:58 to 19:18
Explore recent studies on GLP-1 and its impact on cancer progression.
“And by the way, this is in a large clinical data a set and they're measuring the stem cells from blood samples.”
Significant Findings on Cancer Spread
19:18 to 19:50
GLP-1 reduces the risk of cancer spreading significantly, a groundbreaking find.
“It reduced the spread of colon cancer by 45%.”
Show all 29 chapters
GLP-1 and Cancer Recurrence
19:50 to 21:14
Discusses how GLP-1 can lower the risk of cancer recurrence after treatment.
“And this is an accidental side effect discovery.”
Biological Mechanism Behind GLP-1
21:14 to 26:05
Investigates the biological implications of GLP-1 on cancer cells and receptors.
“What the heck is going on with the cancer?”
Potential Revolution in Cancer Treatment
26:05 to 27:05
GLP-1 may present a revolutionary approach to cancer treatment and survival.
“I'm a clinician who's been involved with drug development.”
The Power of Walking for Health
28:01 to 29:52
Learn how walking can significantly reduce the risk of various health issues.
“noting that walking for an average of 30 minutes or more per day can lower the risk of heart disease and stroke by 35 % and lower the risk of type 2 diabetes by 40%.”
Exploring GLP-1 and Cancer Risks
30:39 to 42:00
Understand the relationship between GLP-1 medications and cancer risks.
“what we need is time, you know, and as time is going on, just being able to see all of these either warning signs, or as you just mentioned, a potentially beneficial side effect that wasn't expected.”
Understanding GLP-1 and Body Fat
42:00 to 44:20
Learn about the relationship between GLP-1 drugs and the importance of body fat.
“I'm not advocating that everybody gets on a GLP-1 or microdose or DIY or anything like that.”
Challenges of Weight Loss and Medication
44:20 to 47:20
Explore the complexities of weight loss, medication, and long-term health effects.
“all that kind of stuff, which is awesome.”
The Importance of Medical Guidance
47:20 to 49:20
Understand the importance of consulting with a doctor before starting GLP-1 medication.
“stroke and cardiovascular disease and heart failure.”
Natural Production of GLP-1 in the Body
49:20 to 51:40
Discover how the body naturally produces GLP-1 and its regulatory effects.
“because it turns out, if you rewind back to where we started, I told you that the body naturally makes GLP-1.”
Gut Health's Role in GLP-1 Production
51:40 to 54:30
Learn how gut health and microbiome influence GLP-1 production.
“And what I tell them when it comes to food is, make sure you're taking care of your gut health.”
Promoting Healthy Gut Bacteria
54:30 to 56:00
Explore strategies to foster healthy gut bacteria for better GLP-1 production.
“to think about if you are intentional about it.”
Optimizing Gut Health for Longevity
56:00 to 58:00
Learn how to enhance gut health through lifestyle choices and the importance of sleep.
“Well, you want to stay active, exercise.”
The Power of Natural Foods
58:00 to 1:00:06
Discover how natural compounds and whole foods can optimize health without pharmaceuticals.
“And then you want to enjoy your life along the way.”
Cacao: The Key to Health Benefits
1:00:06 to 1:02:10
Understand the benefits of cacao and dark chocolate on health and mood.
“And I think science and the health of science or the science of health, both together, are actually quite a creative act, right?”
Anandamide and the Brain
1:02:10 to 1:06:20
Explore how cacao affects brain chemistry and contributes to feelings of happiness.
“Well, like many plant-based foods, got polyphenols.”
Latest Research on Food and Medicine
1:07:06 to 1:09:27
Dive into emerging research on food as medicine and the importance of credible science.
“And it's my wife's favorite beverage from Peak and Chocolate.”
Exploring Cancer and Health Innovations
1:10:16 to 1:10:58
Discussion on the evolution of cancer treatment and the role of food and lifestyle.
“There's so much for us to explore and to process and to consider in this conversation, all the way from the Gila monsters and the development of pharmaceuticals to their rampant use in our society today.”
Understanding Cancer Causes and Prevention
1:10:59 to 1:13:14
The host discusses environmental causes of cancer and the need for solutions.
“And that's another innovative field that Dr.”
Engagement and Call to Action
1:13:15 to 1:14:06
An invitation to subscribe and stay updated on health content.
“And this is why I'm so grateful for you being a part of this community.”
Transcript
Automatic transcript. May contain errors.0:00Shawn Stevenson:You are now listening to The Model Health Show with Shawn Stevenson. For more, visit themodelhealthshow.com. Welcome to The Model Health Show. Today, you're going to learn some cutting-edge new science connecting GLP-1s to cancer prevention, to reducing the recurrence of cancer, and much more. But what about the potential side effects of GLP-1s? We're going to dive into the data on that as well. And I'm telling you, everybody needs to know this stuff. Now, because of the exceedingly fast shift in our culture with GLP-1 drugs, this conversation warrants some caveats. And this is not especially for me an advocacy for these drugs or against them.
0:49Shawn Stevenson:This episode today is about providing access to the latest, again, cutting edge information that has emerged now that we have accumulated years of data on their use. Plus, you're going to discover the surprising relationship between cancer cells and fat cells help to fuel or starve them both. It's the process of angiogenesis. And today you get to learn about all of this from the world's leading expert on this subject, Dr. William Lee. Dr. William Lee is an internationally renowned physician, scientist, and author of the New York Times bestsellers, Eat to Beat Disease and Eat to Beat Your Diet.
1:42Shawn Stevenson:His groundbreaking research has led to the development of more than 40 new medical treatments that impact care for more than 70 diseases, including diabetes, blindness, heart disease, and obesity. Dr. Lee is a president and medical director of the Angiogenesis Foundation, and he's leading global initiatives on food as medicine. Let's dive into this conversation with the incredible Dr. William Lee. This episode is going to be out of this world, literally. We've got some incredible new insights. We've got the one and only Dr. William Lee here with us. How are you doing today? I'm doing great. Thanks for having me back on.
2:26Shawn Stevenson:Always a pleasure. Of course, of course. You've got some cutting edge new research regarding a relationship between GLP-1 and cancer. Please talk about that.
2:38Dr. William Li:Well, I think like the rest of the world, I've been swept into the interest of GLP-1 because everybody, 30 million people actually are taking it. Some for diabetes, many for weight loss, and it's actually become a vanity drug of choice and kind of a runaway success. And because my background is in research, I'm a physician in internal medicine, I care about the responsible use of pharmaceuticals, right? And because I've been involved with drug development through the Androgenesis Foundation for 30 some years, I know a lot about how drugs sometimes have side effects that we don't want, But occasionally we have side effects that we do want.
3:31Dr. William Li:And GLP-1 happens to be one of those drugs that are generating. You do hear about the negative side effects, but the positive effects are now coming out like artillery fire, particularly in a cancer research meeting. and I'm just telling you, I'm a person who works on the thin air of science and discovery of how the human body works, but I have to say in the last 10 years, I haven't heard anything quite as startling and as amazing as what GLP-1 can do potentially for cancer patients, but it tells us a lot about how important this peptide hormone that our body makes a little puff of after we eat foods, the profound effect on maintaining health and preventing disease.
4:26Shawn Stevenson:Let's dig in because this is one of those subjects, obviously it's on, it's really on the tip of a lot of people's tongues. A lot of people are interested in it. As you mentioned, being a vanity drug, that's just kind of exploded in popularity, but also having these really viable treatments for people who are struggling with diabetes, with obesity, and what I love about your work and you know we've been connected for many many years is that you're looking at first and foremost how do we do this through our lifestyle how do we do this with food and we've talked about this before and encouraging the production of this incredible compound that we make but now we see that these kind of therapeutic amounts of it can potentially reduce the risk of cancer or treat cancers give us some of the details all the above before we dive
5:17Dr. William Li:into cancer though, I think it would be helpful for anybody watching and listening to have a little bit of grounding on where this whole GLP thing came from, because the history of the biology actually helps us give us context. So most people don't realize this, but because there's a lot out there about peptides and hormones, but GLP-1 is a hormone and it was discovered, the human version of the hormone was discovered in 1986 in Boston at Massachusetts General Hospital. There's a bunch of researchers that go, oh, look, we found this hormone called GLP-1 tied to metabolism. And how it works is that this is how it was discovered.
5:58Dr. William Li:The gut called L cells in the gut, L's in Larry cells, whenever you eat food, the body senses the intake of nutrients. The intestines go, let's release a little bit of this GLP-1 hormone. little puff comes out and that gets into our bloodstream from our gut. As insulin rises, the GLP-1 makes all of our cells, like our muscle cells and fat cells, able to take in glucose better. So the blood sugar goes down and then a little bit more of this puff of hormone goes to our brain and says, hey, dude, man, you've had enough to eat. Let's slow it down. So it suppresses appetite. And that's the loop that in the late 80s led to the development of the drug, the whole drug class of GLP-1s to lower blood glucose, suppress appetite, and use that entire principle to develop a diabetes drug, right?
6:57Dr. William Li:Makes total sense. And the reason I want to say this is because it's all about the mechanism of action. So much of grounding our understanding in science has to do with understanding the why. So fast forward from 2006 to 2000, from 1998 to 2006 or so, drug companies began developing this drug. It took a while, 20 years to actually come up with the drug version. You know where the drug version came from? It's an effing amazing story. Have you ever seen, do you know what a Gila monster is? G-I-L-A, Gila monster. Is this something in the desert? Lives in the desert. It's a honking big lizard. It looks like it's made with red and black beads.
7:48Dr. William Li:Really beautiful. And it is the most venomous lizard in America. When it bites you, it doesn't take a chunk out of you. It sinks its fangs in and it just kind of nibbles and it milks out venom into your bloodstream. and uh and it turns out in the venom of the gila monster is a peptide that is a mimic of human glp1 and drug companies figured that out that because it's a lot easier to make than human glp1 and that's how the first where the first glp drugs came from from the gila monster all right so So that's a little interesting kind of natural science twist to this story. And it was designed to lower blood sugar for diabetes.
8:36Dr. William Li:Makes total sense.
8:37Shawn Stevenson:So now, first of all, the places that humans look for stuff, you know what I mean? Like the Gila monsters, the Gila monsters, they're out there minding their business in the desert. It's just like, let's analyze what's in their blood or in their saliva. And we find these compounds. I'm telling you. There are so many medications that are derived like that. Like, I think like lisinopril is derived from like snake venom or, you know what I mean? Just like the list goes on and on.
9:04Dr. William Li:And now people are looking at bees and, you know, propolis and, you know, all the other things that the natural world is a gift to humanity. And I think that's partly why we need to protect the natural world because there's so much we haven't discovered yet. but i only say this because a lot of people just sort of say well i'm gonna go online and order some glp1 or microdose myself and diy it that's the vanity kind of movement of it's like become the botox of of weight loss right but i but i think that people need to understand there was like a real scientific basis by understanding how this hormone actually works well listen people got on lots of people of a diabetes got on glp1s and guess what people notice they lost a lot of weight to far more weight loss than you would get just from having better blood sugar, better metabolism.
9:58Dr. William Li:And so then researchers, including the drug company researchers, basically said, what's going on here? And they realized when they ran clinical trials that indeed you get good weight loss, massive weight loss. And for people who are not familiar with the pharmaceutical industry, one of the holy grails of drug companies for decades has been looking for a single drug that could cause you to lose weight. They've tried it. The stuff that came out basically sucked, had all kinds of nasty side effects. There was one called Orlistat that you took it and it just made you cream out your tail end, your tailpipe.
10:43Dr. William Li:And yeah, you lost weight because you're having diarrhea all the time, like all no-gos. And suddenly here was something that improved your metabolism and also caused you to lose weight, pretty well tolerated by most people. And it was intended initially for people with morbid obesity. Okay. Medical reason. I mean, these are people who are heading to the ICU sooner or later or dropping. Okay. And so those people, I mean, we all have in a medical community, we all have empathy for the real deal of morbid obesity. sure, they should actually get it. But then the word spread in today's world, you can't keep any secrets.
11:21Dr. William Li:The algorithm's listening through the walls, you know, so everybody knows that there's something that helps you lose weight. And then for reasons that still kind of define my understanding, medical community just sort of let it come through the sieve. And yeah, so let's give it, let's give it to people. So now people can get it pretty easily with almost no medical management. You know how many people have actually have tried a GLP-1 now or on a GLP-1 now in total? 30 million people have tried or are on a GLP-1. 30 million. In the U.S. I believe that's sort of pharmaceutical numbers worldwide. But, you know, obviously a lot of it's driven by U.S., which is the biggest market for it.
12:04Dr. William Li:Now, I want to tell you something. When you give 30 million people free reign to try a drug, you're going to see what it really does in the real world population. Sometimes it's not good stuff. Like so you hear muscle mass loss and bone density loss. It's not universal. You hear about like people losing their features of their face because they have, you know, like the ozempic face or whatever. We've all seen, you know, celebrities who don't look so good anymore. but actually 30 million is a lot of people people who suffered those negative side effects are relatively few most people do lose a ton of weight but once you have that many people you got the attention of the medical community what's going on here so the first thing is that this blood sugar drug diabetes drug wound up actually being a weight loss drug with people were losing weight, they observed with so many people on it that people who were taking the GLP ones had a 30 % reduction in having a heart attack or stroke and deaths from the same.
13:16Dr. William Li:30%. We don't have, statins can't do that. We don't have any drugs that can do that, or do we? And so this was this observational large study, which has now continuously been validated, okay, that it actually lowers the risk of heart disease. And how does that make sense? So people say, well, you know, if you're heavy and you got a lot of body fat and you have high blood sugars, diabetes, it's a risk factor for heart attack. But when researchers controlled statistically for gender, age, race, comorbidities, and calculated how much benefit what you get normally from just losing weight or having better metabolism.
14:00Dr. William Li:It was far less benefit from that than you could get from GLP-1. So GLP-1 is doing something all by itself. Enter what I do, angiogenesis. So I run the Angiogenesis Foundation, Angiogenesis, for those of you listening who don't know what it is, angio blood, blood vessels, genesis, how our body grows blood vessels. We've got 60 ,000 miles worth of blood of vessels packed inside our body. These are the highways and byways for the oxygen we breathe, the nutrients we eat, the medicines we take, every organ, every cell in the body. Okay. Very important. Well, it turns out researchers have discovered that the receptor for GLP-1, that's the lock that you would put the key in, the peptide, the hormone is the key.
14:45Dr. William Li:The lock is the receiving end of it. So you put the key in the lock, GLP goes into its receptor, turn it, and you wind up starting the engines for the cell, turns out every blood vessel in the body has a GLP-1 receptor. So when you actually get GLP-1, it's not just making your, having less appetite and having your blood sugars lower, but you're activating all the blood vessels in your body. And this is where it gets interesting. What does it do to your blood vessels? Well, it right sizes, it appears to right size the health and physiology of your blood vessels. So we don't know everything about this This is all smoking hot, thin air research.
15:24Dr. William Li:Some of it is still, you know, still cooling out from out of the oven. But if your blood vessels are damaged, it seems to repair the blood vessels, get you back to homeostasis. If your blood vessels are abnormal, it seems to prune them away and block them from being abnormal. So like a lot of other systems in a body, it's about countering forces to make sure you stay in this Goldilocks zone of health. That's amazing when it comes to the vascular level, because it makes sense that you would actually have improvement in cardiovascular disease, heart and brain, right? So that's one of our current thinkings.
16:05Dr. William Li:And what I'm expressing here to you and to the audience is like, we don't know everything yet, but this is a plausible scientific explanation. Now, then recently, a study out of Naples, Italy, looked at people with bad blood vessels, clogged blood vessels. It's a condition called peripheral arterial disease. Basically, it's like you can have a heart attack of your legs, blockages of the blood vessels, your legs, and your heart, and your brain, but in the legs, it's called peripheral arterial disease. when you people on GLP-1, you know what that drug did? It mobilized their stem cells. So now you're actually getting a regenerative cell come out of the bone marrow to help to repair the blood vessels.
16:52Dr. William Li:Now, does that help us understand something new about GLP-1? You're damn straight at this. And it's this observation. And by the way, this is in a large clinical data a set and they're measuring the stem cells from blood samples. So this is like real deal. And it's one of the few drugs we know that can actually mobilize stem cells. Again, smoking hot research, you're not going to be reading about this and hearing about it in a lot of different venues because it is so new. Okay. So that's heart attack and stroke and cardiovascular health, which is cool. Blood sugar. Yes. Appetite suppression. Yes.
17:30Dr. William Li:Weight loss. Yes. Lowering cardiovascular disease. Yes. All right. Now that I told you that horse is out of the barn, that the GLP-1 receptors on all the blood vessels, where do we go next? We go to diseases like cancer, which depend on a blood supply. And I told you that GLP-1 seems to correct abnormalities of the circulation. And tumors try to hijack your blood vessels to feed themselves. So one of the natural questions is, does GLP-1 change the tumor behavior in any way? Again, if you're overweight, you've got diabetes, you got a lot of inflammation that will drive cancer. So if you lose weight and you have better blood sugar, better metabolism, stands to the reason that you would actually maybe do better for cancer.
18:23Dr. William Li:However, and this is like involving hundreds of thousands of patients presented recently at the American Society for Clinical Oncology. Largest cancer media in North America. Most impactful conference were cancer researchers from academic institutions that would not normally participate in any kind of mumbo jumbo stuff. All right. They're looking at rigorous data. They presented study after study after study showing that if you had cancer, they looked at 20 ,000 people. Okay. Half of them were on GLP-1s that you could, on average, for four cancers, reduce the risk of cancer spreading. That's one thing.
19:09Dr. William Li:If you've got cancer, you don't want it to spread. But if you were on GLP-1, it reduced the risk of the spread of lung cancer by 45%. Reduced the risk of spread of breast cancer by 50%. It reduced the spread of colon cancer by 45%. It reduced the risk of liver cancer spreading by 30%. And I'm giving a moment of silence here because it is a mic drop. If you have cancer, it's been found that if you're taking GLP-1 for other things, that the risk of your cancer spreading is significantly lowered. That, we don't have a drug to do that. We don't have a drug. And this is an accidental side effect discovery.
19:57Dr. William Li:Now, it went further. What about if you had colon cancer and you were treated successfully, right? So colon cancer, it's getting more and more common, more common in younger people. I mean, you know, I've heard of 16 year olds that are getting colon cancer now. It used to be like somebody you, something you get in your seventies. So, but you can treat it. Surgery, early detection, colonoscopy, some chemo, targeted therapies, immunotherapy, radiation. We have colon cancer is like breast cancer. It's never good, but we actually have pretty good ways of treating it. The one thing when you've treated it completely, you don't want it to come back.
20:41Dr. William Li:You do not want it to recur. And it turns out in a study of more than a hundred thousand people, okay, that if people were on a GLP-1, it reduced the risk of recurrence by about 25%. So, you know, and this is over five years. You can actually basically shut it down. It ain't coming back. We don't have a drug to do that either. Okay. That is quite remarkable that as a side effect, we notice this is another benefit. Now, why would that be happening? What the heck is going on with the cancer? And this is where, as a scientist, I mean, you and I talk about this all the time off camera and off the podcast.
21:24Dr. William Li:But listen, we got to go back to the biology. Like the science tells us everything if you look deeply enough. So do you know the Rand McNally atlas that people used to have to go on road trips? Of course. Okay, so Rand McNally, it's like, you want to know how to get around the Colorado Rockies, you order a Rand McNally, you flip open the pages back in the old days, and you look at all the roads, you look at the mountains, and then where the stops are. And you pretty much know everything you need to know about that terrain and the roadmap. Well, there is a cancer genome atlas. Have you heard about this?
22:06Dr. William Li:The cancer genome atlas is a Rand McNally. It's a roadmap of all the genes in known cancers. and they've cataloged this over decades. So we know the genetic markers and we know what the genes are. And you know what these researchers found? This is from the Cleveland Clinic. They found that tumors are actually expressing, making the receptor, some tumors for GLP-1. They are painting the target on themselves. And what they found when they dove into this, again, presented at ASCO, this recent cancer meeting, that the tumors who were making the GLP-1 receptor, painting the bullseye in themselves, people who had those tumors had a 30 % lower risk of death if they had a tumor that was expressing a GLP-1.
22:56Dr. William Li:Now, what does that mean? We don't know yet. This is all smoking hot research. This is thin air, okay? Like if you were a scuba diver, you'd be like, my tank's almost out of air. I gotta get as much information as I can on this stuff and then reload. So this is what research is like. We observe something, we got to reload to do the research. Now, what we think is happening is that in cancer cells, they might be, that are making the receptor for GLP-1, they might be painting themselves with a target. And now if you're on GLP-1, basically the treatment for blood sugar, obesity appetite suppression maybe some cardiovascular benefit it's not just the blood vessels and and and other body parts making the disease is making it and somehow the body knows or this hormone knows that it can just strike out like a sniper to take out that tumor cell making the receptor it's it raises so many interesting questions if we have a tumor biopsy i mean we know there's targeted therapies should we be sending a biopsy to the lab to look to see if it makes glp1 receptors because that might be an idea for what treatment you might want to select for the patient that's amazing then they looked at and this is all at asco looked at um breast cancer to see in women who are getting uh breast imaging for whatever reason no breast cancer in the beginning, any reason at all, if they were, they followed them over years, any woman getting any breast imaging, they found that people who are taking, the women who were taking GLP-1 had about a 30 to 50 % reduction in developing breast cancer.
24:45Dr. William Li:Now you got a preventative effect for breast cancer. And this is now being, you know, this is, I'm telling you, At this conference, it was study after study after study showing that this effect was coming up. So number one, there's a preventative effect we're seeing in some cancers. Number two, it prevents a cancer from spreading. Number three, improves survival. It might be the cancer painting its own target on itself. And we didn't even know that this runaway vanity drug could actually have a benefit for it. And the other thing that I found so mind-blowing is that, again, presented at this cancer meeting, people on GLP-1 getting chemotherapy had fewer side effects to chemotherapy.
25:38Dr. William Li:It's protective against neuropathy, which can happen this really debilitating, distressing tingling or pain of the nerves. Cut that way down. cut down the effect on knocking down your blood counts, neutropenia, which is a big problem. It knocks down your immune system. And it's anti-inflammatory as well, GLP-1s. So I'm not plugging the drug. I don't get paid by the drug companies to talk about it. But I'm a biologist. I'm a scientist. I'm a vascular biologist. This thing is present on blood vessels. I'm a clinician who's been involved with drug development. And, you know, we so often we just go black or white, good or bad.
26:19Dr. William Li:You know, we assign characteristics quickly. We pass judgment quickly on drugs and drug companies and everything. This is an example of where a drug that came through a discovery in the mid-1980s turned into a drug for diabetes 20 years later, then became a weight loss drug, then started showing benefits for heart disease. Now it's actually showing, you know, the biggest bullseye of all, which is improvement in survival, improvement in cancer response, lowering side effects, maybe prevention, preventing spread. This to me is one of the biggest jaw droppers I've seen in the last decade. And who knows, this might actually be the discovery of the century.
27:07Dr. William Li:I would be very surprised if the person who discovered, you know, the GLP-1 axis did not win the Nobel Prize because they deserve it.
27:16Shawn Stevenson:Wow, this is powerful. This is powerful. Longevity isn't just going to come to us. We've got to walk towards it. And walking is the key word in the sentiment. According to a study published in the journal PLOS Medicine, walking for just 11 minutes a day is enough to extend your lifespan by two years. Let me get that. 11 minutes, two years? Yes, please. While research from Australia's University of Sydney shows that swapping one hour of sitting for an hour of walking daily can slash your risk of premature death by about 14%. That could mean roughly nine additional years of life. How sway? Well, a big part of this has been affirmed by research that was published by the American Heart Foundation, noting that walking for an average of 30 minutes or more per day can lower the risk of heart disease and stroke by 35 % and lower the risk of type 2 diabetes by 40%.
28:11Shawn Stevenson:The researchers called it a wonder drug. If they were selling this and getting these kind of results, it'd be the biggest blockbuster drug of all time. And it's unlocked by simply walking. And what's at the foundation of this is that it's improving our insulin sensitivity. it's helping one of the most important aspects of life and durability it is triggering the creation of more mitochondria the energy power plants of ourselves that is utilized and unlocked when we are actually using our muscles the list goes on and on and on now what if we are able to not just get all this value from walking but habit stack habit stack that bad boy and help to get some rehabilitation to one of the most important aspects of human function and performance, which is our feet.
28:58Shawn Stevenson:When it comes to walking and human performance, our movement truly is built from the ground up. And each of your feet has 26 bones, 33 joints, 19 muscles, 107 ligaments, and each foot has over 200 ,000 nerve endings that are all there for collecting data about your movement. And we're muting all of this intelligence with these crazy iterations of boxed up shoes that are scrunching our toes together and muting again, muting this intelligence in our movement and our performance. And so for rehab and prehab for my feet and for my performance, one of my favorite things to do is not just to go walk, but it's to go walking wearing my Paluvas.
29:41Shawn Stevenson:Paluvas have an incredible stylish design with a wide toe box and science-backed five-toe functionality. And right now, you're going to get 10 % off of your new pair of Paluvas when you go to paluva.com forward slash model. Just use the code model at checkout for 10 % off. Again, that's paluva.com forward slash model, P-E-L-U-V-A.com forward slash model to take advantage. They are up-leveling things in a big way. You're going to notice how you're moving better, how you're feeling better, and how your performance is elevated once you start wearing and walking in your Paloovas. And by the way, they've also got some new court shoes for pickleball and things like that.
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30:24Shawn Stevenson:They've got their golf shoes as well. They've got designs for hiking. The list goes on and on. If you want to live an active life, definitely check out paloova.com forward slash model to show your feet some love. And now back to the show. And what we're seeing, what we need is time, you know, and as time is going on, just being able to see all of these either warning signs, or as you just mentioned, a potentially beneficial side effect that wasn't expected. And using the analogy of a target or a bullseye is such a great one for what I want to ask you about, because we potentially have a very powerful weapon in this battle against cancer, but we don't want to shoot ourselves in the foot.
31:12Shawn Stevenson:Correct. Right. And so it's having access and awareness and education around tools like this, around treatments like this, and really being mindful of the other end of the equation. right so you mentioned a little bit about um you know the potential for protecting our muscles and muscle loss sarcopenia right we have to be even more as the data is indicating even more proactive for people who are utilizing glp1s to protect their muscle gotta exercise gotta stay active so this isn't just this one-stop shop you just take this and all your problems are solved You got to work out it. You got to do the stuff as well.
31:54Shawn Stevenson:Yep. And so that part of the education, as well as, and I want to ask you about this as well, because we can see potential benefit. As you just mentioned, there's a myriad of benefits in relationship to cancer. So prevention, treatment, reducing the risk of reoccurrence, which is something that's not talked about enough. Incredible. one of the early concerns as the semaglutides were hitting the market, Ozempic, Wagovi, and this is from the Mayo Clinic, and this is a quote, Ozempic and other formulations of semaglutide like Wagovi have been associated with an increased risk of thyroid cancer. And according to their drug data, and so I want to make a clarity point here, quote, Ozempic has caused thyroid cancer in animals.
32:51Shawn Stevenson:It's unclear if this drug also increases thyroid cancer risk in humans.
32:56Dr. William Li:New data. It does not. So it's now that the nail has been putting a coffin on that in a recent clinical study that looked specifically for thyroid cancer. And the answer is no. So again, this is where we got to be careful about what kind of information from the lab is ready for prime time to be announcing. And I think this is true for longevity. This is true for, you know, all these other kinds of remarkable, even peptides, remarkable things that we hear about so easily with all the voices out there in social media. What's from the lab? Does it translate to humans? What kind of evidence is there?
33:33Dr. William Li:Does it make sense? And what's ready for prime time? And what needs a little bit more time in the oven to bake? You know, that's how I think about it.
33:41Shawn Stevenson:one of the things that I saw back when this data came out, and you actually go and look at the data, it was in regards to thyroid cells with these rodents having far more receptor sites for GLP-1. Like their receptor sites were operating differently than ours. And so, but it still had to do with this powerful, as you've been mentioning, the receptor sites for GLP-1, It's connected to so much more in our bodies than just this metabolic pathway that we might think about, you know? And so with your experience, your massive influence in this conversation around blood vessels and cancer and this, and I want to tie this all the way back to something that we don't often think about in this whole weight loss equation.
34:33Shawn Stevenson:Well, by the way, a matter of fact, I'm just going to share some data on this. that weight loss is very powerful as an anti-cancer modality as well so according to the NIH at least 13 types of cancer significantly the risk goes up when we're overweight or obese this includes higher risk of colon cancer breast cancer pancreatic cancer two times higher risk of liver cancer two times higher risk of kidney cancer four to seven times higher risk of endometrial cancer if we're overweight or obese. And so addressing it on that front and what people don't think about, and I know I sure didn't in my university education, when we're talking about blood vessels, blood vessels are needed for us to grow, as you mentioned, to get oxygen and nutrients.
35:21Shawn Stevenson:And the same thing holds true for cancer cells. They'll hydract those blood vessels, as you've shared with us over the years. But fat cells are the same. Our fat cells need that nutrient supply for them to grow. And so we're looking at the potential of tapping into an intelligence and immunomodulation in a way, like what's actually getting fed and what we're starving, if that makes sense. So can you talk a little about that in the context of our fat cells? Oh, yeah.
35:52Dr. William Li:Well, so this is a really important and I think unappreciated, underappreciated aspect that fat, which everyone knows about, even a kid, you know, like a, like a grade school kid knows how to use the word fat. And then, and usually assigns a negative meaning to it. You go to the grocery store, you go to the meat section or wing by it. And you see, you know, a ribeye with a big thick rind of white fat and like, Ooh, I hope nobody buys that. Nobody eats that. Fat has a negative connotation in our modern society. However, biologically, and this is what's important, fat is actually an organ of the human body.
36:38Dr. William Li:Fat is one of the first cells that forms when your dad's sperm meets your mom's egg and you were just a bunch of a ball of cells. First organ system that gets laid down is blood vessels. Soon after, fat cells form. Long before you have a chin or an arm to wobble underneath or a midline to, you know, a waistline to have a muffin top, fat cells are forming. And you know where fat cells form? They form as a cuff around blood vessels. This is long before you had any visible, recognizable body parts, very early on. And the question is, why does that happen? Because fat performs an organ-like function.
37:23Dr. William Li:it's near the blood vessels because fat is our fuel tank for energy and that energy comes from the food that we eat which is turns into blood sugars and and it's in and sent through the blood vessels so you want the fuel tanks to be near the fuel pump to get actually to store the energy like a car you want to pull up to the gas station and make sure your tank your fuel tank cap is on the same side as the gas station pump, right? How many times have we done that? Oh man, it's on the other side. I got to go around. Well, you want to line them up just like fat cells do with blood vessels. And that, as we begin forming, you, you wind up actually seeing that fat actually plays not only a metabolic function for energy, but it also plays a hormonal function as every woman knows around menopause and obesity, like fat, fat, fat, the accumulation of fat can change the way your hormones work.
38:22Dr. William Li:And not enough fat also affects your hormones. Think about those women, ultra athletes that have zero body fat. What's the first thing that happens? They stop menstruating. your hormones are whacked okay you you need fat to be the um uh to be the negotiator of hormones in your body as well as the fuel tank for energy so this role of fat is fat's not bad fat is good until you got too much of it you got too much fat it now becomes inflammatory and it can leak out the fuel. And now you got like the using the gas station analogy. If you overflow your gas tank with fuel, look, the thing, a good thing about cars and gas, gas stations that you fill up your tank when it's full, there's a clicker goes click, no more gas comes out.
39:20Dr. William Li:Could you imagine if you didn't have the clicker, the gas kept on going there, you're distracted, the fuel comes right out of the tank, rolls down the side of the car, around the tires, spills out onto the ground, big pool of toxic, flammable gasoline, mess, fuel surrounding you. That is very dangerous. And that's exactly what happens in our body. When we overeat, we have too many calories. We are filling up the tank way more than the fat cell announced. Now look, gas tanks in cars are hard and they're structured, they're metal. It's basically like a rectangle or a square or a cube. Fat cells are round.
39:59Dr. William Li:The gas tank in a car can't expand, so it's just gonna spill out. Fat cells can expand 300%, and they can enlarge three times larger than they're supposed to. And then the body will make more fat cells, more fuel tanks, which can expand three times larger, 300%. Do that day in and day out, week after week, month after month, year after year. What do you think is gonna happen? to your waistline or the viscera in your body, your visceral cavity, you're going to accumulate a ton of visceral fat. You're going to get bigger because the fat cells, the fuel tanks are bigger. And now you actually have disrupted the physiology of hormone control, energy balance.
40:40Dr. William Li:And that's why fat is good until it's bad, just like so many other things in our body, right? So back to this whole idea about GLP-1 and lifestyle. Listen, we're all born, pretty much most of us, to have a normal physiology. Everything is doing what it's supposed to do. You know, the machine of the body is quite remarkable. Everything is hardwired to work well. You know, it's kind of like a complicated laptop. You go to the computer store. It doesn't matter whether you're on a PC or a Mac. What you pull out of that box, it's pretty amazing what it can actually do, right? And your laptop and my laptop, we get the same model, it's going to work exactly the same way.
41:29Dr. William Li:We can count on it. And that's how our bodies are engineered. That's how our fat system's engineered, metabolism's engineered that way. And it's only when we go off the reservation and lifestyle makes a huge difference and going off that reservation, that we need to find ways to debug, to reprogram, to clear out the viruses. Sometimes you need to take it back into the genius bar to get it looked at and find out how you're going to fix it. And so I think, you know, going back to this whole GLP-1 story, I'm not advocating that everybody gets on a GLP-1 or microdose or DIY or anything like that. If you weren't thinking about this, listening to this episode, what I want, the take-home message I'm trying to send is that we are learning something about these drugs, but we're learning something much deeper about biology of our body, how our bodies actually work.
42:20Dr. William Li:That's the question. That's the opportunity. And we should be respecting our body fat. We don't want to get too low. We want to get to just right. That Goldilocks zone, not too hot, not too cold, not too hard, not too soft, but just right. That's where we want to aim for. And if you want healthy aging, you want to get towards longevity, that's what you should be aiming for.
42:43Shawn Stevenson:Yeah. I love that so much because we wouldn't be here without our body fat. It's our human body fat in particular is incredibly intelligent. It's helped us to survive, but the conditions that we're in now today are not what we evolved in. And as you mentioned, having that capacity eventually create more fat cells, and they're all going to be signaling to do what fat cells do, which is I'm here to store energy. So of course, our fat cells do have this capacity to release or signal the release of satiety hormones as well once they're filled. But we know that that sensitivity can go down as well.
43:19Shawn Stevenson:And also those fat cells are still going to be sending signals because they need more fuel in here. And so this is one of those reasons why long-term weight loss, it can be a struggle. You know, like what happens when those fat cells have become accustomed to carrying a a lot of extra energy and now you've made more fat cells. And so the biology piece here and understanding what our bodies are doing and the intelligence and not trying to go to war against these fat cells, but respect them. How do we create conditions so that all this stuff works in synergy? And this leads me to asking you about, again, there's a huge movement today, thank goodness, where people are really owning the agency that they have for their health, right?
44:06Shawn Stevenson:We've outsourced our health a lot in recent decades and the environment around us has been conducive to rapid weight gain, to put it bluntly. And so people are really paying more attention to their nutrition, their lifestyle, all that kind of stuff, which is awesome. And then we have this, obviously, this movement of new medications. and we finally found one that is incredibly effective, incredibly effective. And now we're finding out what's happening long-term. Now, my question for you is, what happens once we start this process? Because the largest study that's been conducted on this subject, this was published in Diabetes, Obesity, and Metabolism.
44:51Shawn Stevenson:The title of this study is Weight Regain and Cardiometabolic Effects After Withdrawal from semaglutide. And so the researchers found that after withdrawal for a year, again, these people are losing, you know, 10, 20, 30 pounds. One year later, they regain two thirds of the weight and their cardiometabolic numbers go back to where they started and basically just progress back to that point. Very similar to conventional weight loss, right? We do all this stuff, we lose the weight, people gain it back, and then some. And so are we looking at a situation where in the context of weight loss, insulin resistance, diabetes, but specifically the reason that you know most people are using it for, which is the vanity piece, happen to be on this forever.
45:45Shawn Stevenson:Is there a way forward where these drugs can be utilized? Or is there a workaround for us to get some of these results without needing to be on these drugs for the rest of our lives?
45:57Dr. William Li:Yeah, those are all good questions. We don't really know, you know, the, the rebound that you're talking about and the, you know, like it's what I call it that there goes to neighborhood kind of effect, right? You spend all this time trying to get a community to be good. And then you get a couple of crack houses set up and that's it, you know, all of a sudden you're, you're back to where you were and all that work you did kind of got just got unwound. I think this speaks to that complex biology that you're talking about. Once you take this perfect machine that we most of us are when we're born, that perfect laptop out of the box, and you kind of take it off the reservation, you start dropping water on it, you drop it a few times, expose it to intense heat, download stuff you shouldn't be downloading, and the viruses get on there.
46:44Dr. William Li:Listen, it's hard to restore it back to its pristine state. So the fact is that there are, in medicine, many drugs that we do give over the course of a lifetime once we are off the reservation, right? So a great example of something simple is blood pressure. If you have hypertension, which a lot of people have, it's a silent killer. You know, you tend to see it after the age of 40. You know, even people who look healthy, who are fit, who are working out, they wind up just automatically, maybe someone's genetic. They wind up actually having high blood pressure to dangerous levels, which sets you up for stroke and cardiovascular disease and heart failure.
47:23Dr. William Li:And for those people, if you want to keep them in good shape, you got to give them some blood pressure medicines. We had a lot of them out there. They're not very expensive. They're pretty well tolerated. Most even a family doctor, GP knows what to do to manage blood pressure. And it's a lifesaver. And so we are used to thinking about chronic medication. Is that sustainable for an expensive drug that actually, you know, drug companies were having trouble keeping up with supply because the demand was so huge and it's expensive. OK. And yeah, maybe the federal government is going to cover it, but not for everybody.
48:00Dr. William Li:And, you know, and if you think about everybody who wants to prevent cancer and heart disease, we didn't even get to dementia yet. But there's actually benefits that look like they're happening for people from a brain health perspective and even potentially Alzheimer's. But dementia, for sure, with GLP-1, there's no way in heck we can actually afford to use a costly drug to treat everybody, nor should we necessarily. So back to this agency thing. actually before we go to the agency, I think I'm going to say again, really, really clearly. And I don't want to be beat around the bush on this. If you are listening to this episode or watching it and you're thinking of going on a GLP-1 drug, you must, you must talk to your doctor about it.
48:45Dr. William Li:This is not a DIY thing. Okay. I know microdosing is really, I know formulation. You can get it all kinds of places, but please talk to your doctor. I'm a doctor. Like I want my patients to be able to talk to me about it. And I will give them the best possible advice given their entire situation on what's safe, what's reasonable. And if you run into any complications, you want the Coast Guard to pull you out of the surf. And you can only do that if you're having your medical doctor involved with, you know, getting you on it to the first place. So that's my first thing I want to say. The second thing is really about agency.
49:21Dr. William Li:because it turns out, if you rewind back to where we started, I told you that the body naturally makes GLP-1. It's a normal human hormone, makes a little puff of it in order to be able to absorb that energy, the blood sugar, and also to your brain to tell you the wind down on the food. It takes a little time, so you don't want to be eating too quickly, but your body will respond to these signals, you know, like clockwork, literally. So what's the difference between natural GLP-1 versus a drug? Well, natural GLP-1 that your gut makes after you eat something only lasts for a few hours, max. Okay.
49:59Dr. William Li:The drug, the semaglutides, Ozempic, was it, Munjara, Wegovi, Jardians, you name it, they last for a week. So what I would tell you is that you get the puff from your body, just what you need, okay? And the drug is like a sledgehammer. That's why it's so powerful. That's why we might be seeing some of these ultra effects from it. And that's why you need to talk to your doctor about it. And that's why we don't know whether it's a good idea to scale this up for everybody and whether or not vanity is a good enough reason to be able to justify it for everybody. These, you know, listen, with medical discoveries, usually you wind up opening a little bit of a Pandora's box about some social conversations as well.
50:47Dr. William Li:Can we afford the cost of treatment? Should everybody get access to treatment? Once you scale it up, you're going to get these side effects that you might not have seen with a smaller population. Some of them might be really scary. Is that a responsible thing to do to unleash, you know, the, the Kraken, so to speak, and like everybody deal with it. I don't know. I mean, these are what science kind of like shows you something new and it inspires awe and wonder about our human body. For those of us who are working in this space, it's like, oh man, tomorrow is going to be a better day because yesterday we didn't know this, but tomorrow, wow, what can we do with this information?
51:28Dr. William Li:It's going to be wonderful. back to agency though but we all can control our body's production of glp1 again this is a whole other area of research turns out our gut microbiome can help our intestines our gut make glp1 um once again you can't escape from a healthy gut uh if i we've listened people ask me dr lee if you can tell people to do one thing to keep themselves healthy because there's so many things you can do What would that one thing be? And what I tell them when it comes to food is, make sure you're taking care of your gut health. Because that gut health has scalable impact for all the other systems of your body.
52:06Dr. William Li:One of them being GLP-1. So it turns out, and I think we talked about this in a past episode, there are healthy gut bacteria, 39 trillion of them in the gut. They live in the part of the colon. Most of them live in part of the colon called the cecum. That's the beginning of the ascending colon. So anybody who looks at the colon and it looks like an arch, you got the ascending part that goes up on one side, you got the transverse part that crosses the bridge, and then you got this ascending colon that goes down the arch for the other side of the arch. And then it goes to your rectum and then the poop chute, then it's a tailpipe.
52:43Dr. William Li:All right. That's how our gut is. A lot of the microbiome lives in the beginning of the ascending part of the colon called the cecum, spelled C-E-C-U-M, happens to be where the appendix is. And we used to think the appendix is a useless - Throw away. Throw away organ. But it turns out that we think that the appendix is related to the immune system, related to the gut microbiome. And like a PEZ dispenser, it might be the reload, like the ammo clip for more microbiome than when you need to restore it. So keep your appendix if you can. All right. Now, what's interesting is that the healthy bacteria are eating whatever we eat.
53:24Dr. William Li:So you don't want to be, we eat junk. We're also ditching the junk on our bacteria and they're eating the junk too. And that can actually screw up the neighborhood, right? So you don't want to, and so your healthy bacteria, when you eat fiber polyphenols, prebiotics, they pay us back by making their own metabolites called short-chain fatty acids. We've talked about this on the show. You've got plenty of episodes talking about healthy guts, but one of those short-chain fatty acids made by healthy gut bacteria called butyrate actually helps our gut produce GLP-1. So our gut bacteria, as a consequence of being fed by whatever we choose to feed it, will make the substance that will help our body create natural GLP-1, that little puff that we want, okay?
54:13Dr. William Li:Why shouldn't we optimize our puff if we know that this natural hormone is going to be important for us, maybe for prevention, maybe for cardiovascular health, maybe for survival. This is a way we can do it. And the gut is something that's pretty easy to think about if you are intentional about it. And of all the bacteria, one of the bacteria has been shown to produce glp1 which i've talked about before called acromantia mucinophila that is a glp1 producing bacteria bingo back to the basics it's back to that interconnectedness it's back to the machine all the parts working together and acromantia you can grow your own by eating the right polyphenols the elagitannins the pomegranates the cranberry dried cranberries the Concord grapes.
55:07Dr. William Li:Now there's an increasing number of foods that help to foster the growth, the natural growth of acromasia. Peach juice, summertime, love peaches. Hot chili peppers, you know, sprinkled onto a pizza kind of thing. Chinese black vinegar, recent discovery. You know, you go to eat soup dumplings at a restaurant. They always have a little canister of soy sauce. They got another canister of black vinegar. That black vinegar helps your body create the conditions to grow natural acromantia. Amazing, right? So acromantia, you can also get as a probiotic, obviously. And that's recent development. So you can actually have that.
55:48Dr. William Li:These are ways that we can actually support our body's own natural GLP-1 production. And so back to this agency, back to the diet and lifestyle. How do you get good bacteria? Well, you want to stay active, exercise. You want to lower your stress. You want to lower your catecholamines. You want to be as chill as you can to allow your gut bacteria to recover. Because sympathetic stress, epinephrine, not good for your gut bacteria. Long periods of stress, what happens? Your gut feels weird. I'm having to run to the bathroom more often. You know, like that's what happens when we're in a position of high cortisol continuously.
56:33Dr. William Li:Got to reset back to basics. It's all connected, right? And sleep, our gut rebuilds itself during sleep. When we're sleeping, we think we're inactive. Well, physically, our whole body looks pretty inactive, just like a lump line in bed under the covers. But inside that shell of our skin, there's a ton of activity that's going on. The rebuild of our immune system, lowering information, the purging of our brain toxins, and the rebuilding of our gut bacteria, the rebooting, that's all going on. So the biology that I'm talking about coming from the discovery of beneficial side effects of a weight loss, popular weight loss drug class is leading us to rethink about what our body does all by itself.
57:24Dr. William Li:And then it naturally leads to what can we do on our own without a prescription, without an insurance company, you know, without medical supervision in order to be able to optimize ourselves. And this is about not high performance, like we're not talking about winning the World Cup, winning the Olympics. We're talking about winning the game of life. We got to just get through day by day, month by month. If you want longevity, you got to find ways to dodge the diseases that will take you out. And then you want to enjoy your life along the way. And that's why lifestyle and diet, I'm a big believer in finding those combinations that give you joy and pleasure in your life.
58:11Wow.
58:12Shawn Stevenson:I love this. You know, you said something that we simply just don't think about in the context of disease. And when it comes to our microbiome, when it comes to cancer prevention, the impact of stress, and there's a system in our brains that's wired for calm, wired for happiness, and chocolate has been found to influence that pathway. This was something that you were just recently sharing. And obviously it's been around for thousands of years, but the science is so cool to see it, to, to, to see clearly how, and you are the pioneer in this movement with food as medicine backed by science. And I just gave you a gift.
58:56Shawn Stevenson:My wife went and got you a mug that has the L for William Lee. Yeah. I'm very, very thankful. And I gave you some Nandaka from peak. And I know that we have a shared appreciation for Peak and how they do things. And so the highlighted ingredient in there is the highest quality cacao. There's Pu-erh in there. There's Lion's Mane in there. And it's just like one of those drinks that's really designed for longevity to support the microbiome and also calm and reducing stress. So talk a little bit about that.
59:30Dr. William Li:Well, okay. First of all, I think that unlike pharmaceuticals, natural compounds, and particularly whole foods, are actually a matrix of different substances together. And so when you talk about products that have lots of different ingredients to it, the people who make these are always very proud about their formulation. I sort of say this is our best attempt to mimic what Mother Nature naturally does by putting things together. The advantage we have is we can draw from different pots to combine them in new ways, right? That's creativity. And I think science and the health of science or the science of health, both together, are actually quite a creative act, right?
1:00:15Dr. William Li:So you were talking about cacao.
1:00:22Dr. William Li:Cacao defines what chocolate is. You can't have a chocolate really without cacao. In other words, it's not chocolate. But chocolate, the term, the name chocolate, the product, is a confection. It's a candy. It's made by adding different things to cacao. But cacao, and a lot of people don't realize this, makes chocolate a plant-based food by definition. Because cacao pods are plant-based. They're this big football-shaped pods that come out of trees. Have you ever played around with a cacao pod? Of course. It's cool. It's heavy. You can shake it. You can feel things rattling around in it. I mean, you can throw it like a football, actually.
1:01:00Dr. William Li:And it's also really interesting colored. You got the brown ones that look like chocolate. And then you've got these bright yellow ones, too. So again, Mother Nature is so interesting, so beautiful, actually. And I don't know if you ever did this. A friend of mine sent me a box of cacao pods, these footballs. And I didn't know what to do with it. So I had to look up and have a little AI guidance. So like, how can you make your own chocolate? Well, you know, you get these things to ripen, you cut open the pod. The seeds inside them are surrounded by a white colored skin. Looks like a bunch of teeth.
1:01:35Dr. William Li:Looks like a bunch of teeth. Like teeth. Yeah, yeah, yeah, yeah. It's like a bunch of teeth. Did you, have you tried to taste the fruit around? Of course, yeah. It's a little sweet and sour, like a little lychee, but a little bit of sourness to it. Actually, it's quite delicious. It's too hard, too much work to get at it. But anyway, you peel it off, then you dry out and ferment those seed pods, and then you crush them, roast them, and then you're on your way to having cocoa or cocoa powder or cacao. And that's the root base ingredient to make chocolate. All right. So like what's in it? Well, like many plant-based foods, got polyphenols.
1:02:16Dr. William Li:You got all kinds of bioactive. we haven't begun to identify even the tip of the iceberg is just the beginning but we do know there's proanthocyanidins those actually help to recruit stem cells like chocolate is one of those things that can mobilize stem cells naturally we talked about in a past segment pretty amazing that you can actually improve your circulation by eating chocolate that's kind of crazy and through stem cells like chocolate's a regenerative food yeah it is if you get the right dark chocolate and and And, you know, and this has been studied clinically in people who have cardiovascular disease.
1:02:56Dr. William Li:You can improve vascular function with dark chocolate. I find that to be mind blowing. You do that. But back to this whole brain effect for a second. There's a whole other class of substances in cacao, dark chocolate called anandamides. and anandamides, when you eat the dark chocolate, work on your brain and the part of the brain that it works on. You know what part, what receptor it binds to? The endocannabinoid.
1:03:26Shawn Stevenson:I'm sorry. Endocannabinoid system.
1:03:30Dr. William Li:Yeah. So it's a little bit of a thumb twister, even for me, but the anandamide from dark chocolate activates this receptor system, lock and key in your brain. it's called the endocannabinoid system and there's a couple of different types of receptors different types of locks and when you trigger the key into the lock the endo the anandamide from dark chocolate into the endocannabinoid receptor in your brain it actually produces feelings of elation feelings of joy anandamide is actually known as a also known as a bliss molecule makes you feel happy and that's probably one of the reasons why you know when you talk when I talk to people about, you know, food is medicine.
1:04:15Dr. William Li:And when I bring up chocolate, like everybody stands up and claps and cheers, like chocolate's a food that doesn't suck. Everyone loves it, right? Like you cheer on for like chocolate's good for you. Yeah. That's, you got some really positive attributes to it and anandamide and activating the endocannabinoid system brain, making you feel bliss and happiness is one of them. There's another food that actually has anandamide that, that activates the brain as well. That way, do you know what the other food is is it spirulina what is spirulina nope it's actually truffles hmm fascinating now these are the now i'm talking about chocolate truffles yeah those would too if they're made with dark chocolate i'm talking about truffles that pigs and sniff out of the ground yeah in you know in france and in italy you know they're listen this is a little bit of bougie food okay it's super expensive You're not having it.
1:05:08Dr. William Li:Nobody has it all the time. It's pretty potent. But these are little kind of fungus-like balls that are dug out of the ground. Pigs can smell them. They're seasonal, like in the fall and sometimes in the summer. Black truffles, white truffles. You've probably seen them on a menu in a restaurant, a fancy restaurant. Pasta with white summer truffles. Actually tastes very, very tasty. I have to say, I find it to be delicious, but it can be overwhelming if you have too much of it. It really affects your brain. You feel it. It also has anandamide. And so when you eat it, you also activate this part in your brain.
1:05:53Dr. William Li:And by the way, those endocannabinoids, those receptors are the same types of receptors that marijuana, THC, the real cannabis actually activates as well. So again, this whole lifestyle thing, understanding the biology of the brain, connecting it back to food, connecting it to behavior and mindset and mood, all of this is really part of the marvel of the human body. Yeah.
1:06:18Shawn Stevenson:Wow. Incredible. And it speaks to why humans have prized these foods for so long as well. Like our ancestors figured some stuff out about them. And I mentioned spirulina. I was thinking about phycocyanin and spirulina and the relationship with stem cells because I had the stem cell conversation still on my mind in relationship to GLP-1, which is again, another like mind blowing revelation that we're getting here first, exclusive here on the Model Health Show with Dr. William Lee. And by the way, if people are interested in that chocolate drink that I was talking about, Nandaka, go to peaklife.com forward slash model.
1:06:57Shawn Stevenson:and you're going to get up to 20 % off there. So it's P-I-Q-U-E-L-I-F-E.com forward slash model up to 20 % off. And it's my wife's favorite beverage from Peak and Chocolate. You were telling me about some research around the microbiome when it comes to Pu-erh as well. So that's in there. And it's just tasty, good longevity-based, feel-good beverage. and listen having you here is always extraordinary there's always some revelation some new way of looking at something i appreciate you so much for staying on top of the data because i know you got a lot going on but you're just so curious as well and you were giving me the analogy before we got started about this octopus and the tentacles going this way and that way with this emerging research and innovation with what we're doing as humans when it comes to food, when it comes to medicine and seeing the intersection and how do we stack conditions in our favor?
1:08:00Shawn Stevenson:And that's what it's really all about. So again, we're seeing these targets with GLP-1s, but being aware enough to not shoot ourselves in the foot. So we're stacking conditions. How do we use this with efficacy in the right situations for the right people at the right times? And also stacking our conditions with food as medicine, what are those foods that are going to support our body's production with all of the satiety hormones, which I know scientists are working on trying to target those as well, adiponectin and CCK and all these other things. And right now we're at a very, very interesting and powerful time.
1:08:35Shawn Stevenson:And so I encourage everybody to stay up to date, stay connected with you. Where can people follow you? Where can they pick up your incredible bestselling books as well.
1:08:44Dr. William Li:Yeah, well, you know, I wrote two books, New York Times bestsellers, Eat to Beat Disease, Eat to Beat Your Diet. You can get them anywhere that books are sold on Amazon or whatever. But one of the things that I'm so glad you mentioned is, is I really try to stay on top of the bleeding edge science. And because there, this is a time, you know, one of the first times in history where anybody can get on there and spread information, which is a good thing, but misinformation is also everywhere. So I feel really strongly about contributing to the information that people can access by being a credible voice that is a scientist that I can parse through what's real and what's ready for prime time.
1:09:31Dr. William Li:And anybody who wants to keep up, you know, and follow on with what we're talking about here, come to my YouTube channel. It's at Dr. Dr. William Lee, L-I. I put out stuff every single week, new things every single week that are practical. Like that's a key thing is that, you know, I'm a science geek, so I can talk about all kinds of stuff that is in the clouds. But I think when it comes to communication, what's most important for what people want to know is what can I do about it?
1:10:00Shawn Stevenson:And that's what I put out in my YouTube channel. Amazing. Well, thank you for being here with us today. I look forward to many more conversations. Thank you. Always a pleasure. Of course. The one and only Dr. William Lee, everybody. Thank you so much for tuning into this episode today. I hope that you got a lot of value out of this. There's so much for us to explore and to process and to consider in this conversation, all the way from the Gila monsters and the development of pharmaceuticals to their rampant use in our society today. and for us to continue to question things, to analyze the data, and most importantly, for us to continue to find that balance and respecting the innovations when it comes to this pharmaceutical model, but also deeply respecting the evidence and the efficacy when it comes to food as medicine and our lifestyle practices and exercise as medicine and joy as medicine as well.
1:11:04Shawn Stevenson:And that's another innovative field that Dr. Lee has been doing some work in. He's been sharing some of the early data and it's fascinating. And so we are able to influence our biology in a myriad of ways. And for us to be open to the possibility of this pharmaceutical model really having some innovation when it comes to this field of cancer treatment. And cancer rates have obviously just grown precipitously in the last few decades for specific types of cancers. And, you know, and cancers are happening at higher and higher rates in younger and younger populations. We've got to find some solutions.
1:11:48And also, as important, we've got to address the environment that is causing the development of more and more cancers as well.
1:12:01Shawn Stevenson:because this stuff doesn't just happen. That was my fear. That was my fear and my belief when I was in college. Like, I hope cancer doesn't happen. And this is abandoning laws of physics and causality. There cannot be an experience or expression of something without a cause, cause and effect. And we know what many of these carcinogens and the environment that we have allowed to be created around us and the catalyst that they can contribute in the development of cancer, stacking conditions against us. And so we've got to address that piece and also address when lives are on the line, what can we do to help survivability?
1:12:44Shawn Stevenson:But also what was so interesting, one of the things that was so interesting is the reduction, 25 % reduction, if I remember correctly, that he mentioned in the recurrence of cancer. Like that's incredible. That's incredible. So again, this is something for us to keep our eyes on, also for us to remain skeptical. All right. And to continue to ask questions, to advocate for ourselves, for our family members, for our communities, and stay connected to cutting edge information like this and teachers like Dr. William Lee. And this is why I'm so grateful for you being a part of this community. and with that being said, we have a significant number of people who listen to the Model Health Show on a consistent basis who aren't subscribed.
1:13:36Shawn Stevenson:Hit the subscribe button so that you don't miss a thing, whether you are listening on Apple or watching or listening on Spotify, whatever platform you're listening on or even pop over to the YouTube channel so you can join us in the studio for these episodes. Subscribe there as well. Again, you don't wanna miss a thing. we've got some incredible, incredible world-leading experts and game-changing masterclasses coming your way very, very soon. So make sure to stay tuned. Take care, have an amazing day, and I'll talk with you soon.
From the publisher
Many prescription drugs come with a whole host of nasty side effects. But every once in a while, scientists discover that certain medications can unintentionally lead to benefits unrelated to the illness or condition they were originally designed to treat. Today, you’re going to learn about the newest example of this phenomenon.
Our guest, Dr. William Li, is a physician, scientist, and New York Times bestselling author. He’s back on The Model Health Show for a fascinating discussion on the unintended side effects of GLP-1 medications. You’re going to hear the latest science on how taking GLP-1 medications can impact cancer rates, cancer recurrence, and so much more.
In this conversation, you’re going to learn about the history of weight loss drugs like GLP-1s. You’ll learn the science behind how they work, as well as their positive and negative side effects. Specifically, Dr. Li is sharing cutting-edge science on the complex relationship between cancer and GLP-1s. You’ll hear the three ways that GLP-1s can improve cancer outcomes, plus how to support your body’s natural GLP-1 production. I hope you enjoy this conversation with Dr. William Li!
In this episode you’ll discover:
The side effects of GLP-1 medications. (3:32)
Why GLP-1 medications were created and how their use has evolved. (5:18)
What a Gila monster is and what is has to do with GLP-1s. (7:27)
The interesting history of weight loss drugs. (10:14)
How many Americans have used or are using GLP-1s. (11:42)
The effect that GLP-1s have on cardiovascular health. (12:53)
What angiogenesis is and its relationship to GLP-1 receptors. (14:11)
The four types of cancer that GLP-1s can prevent from spreading. (18:53)
How GLP-1s reduce rates of cancer recurrence. (20:44)
The preventative effect of GLP-1s on breast cancer. (24:16)
Why medications and their side effects are nuanced. (26:02)
How fat cells function like an organ. (35:53)
What this new science can teach us about how our bodies work. (42:00)
The importance of having healthy gut bacteria. (51:49)
How to support your body’s natural GLP-1 production. (55:49)
The health benefits of cacao. (1:00:17)
Items mentioned in this episode include:
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Piquelife.com/model - Doctor-approved, cutting-edge solutions for your head-to-toe health and beauty transformation. Get exclusive savings on bundles & subscriptions.
Eat to Beat Disease by Dr. William Li - Read the New York Times Bestseller!
Eat to Beat Your Diet by Dr. William Li - Learn how to heal your metabolism!
Connect with Dr. William Li Website / Facebook / Instagram / YouTube
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This episode of The Model Health Show is brought to you by Peluva and Pique.
Most shoes weaken your feet—these rebuild them. Peluva barefoot shoes are designed to restore natural movement, improve strength, and support long-term health. Get 15% off with code MODEL at peluva.com/model.
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