In short
How inflammation may influence mood and mental health; headlines on sugary drinks and stomach cancer risk; whether short-term vegan/plant-based eating can slow biological aging; and the TikTok “ferritin face” trend for low iron.
Guests
Ella Mills and Rhianna Lambert (hosts). No other guests are interviewed in the provided transcript.
Guest backgrounds
Ella Mills and Rhianna Lambert are health/wellness podcast hosts with nutrition expertise; they discuss clinical and research findings and reference nutrition science and inflammation/immune links.
Key claims
- Elevated inflammatory cytokine IL-6 in children predicted later depression; immune-mediated inflammatory disease correlates with prior depression/anxiety.
- One sugar-sweetened drink/day showed higher stomach cancer risk in US cohorts, especially where high fructose corn syrup is used.
- Four weeks of vegan/plant-based eating (matched calories) shifted DNA methylation/epigenetic aging markers and immune cell profiles.
- “Ferritin face” describes appearance changes linked to iron deficiency.
Notable examples
- IL-6: ~5,000 children followed to age 18.
- Sugar-sweetened drinks: 112,000 participants; 278 gastric cancer cases.
- Vegan study: 50 adults; changes in DNA methylation and neutrophils.
- Ferritin face signs: pale/washed-out skin, dark under-eyes, dry/cracking lips, hair thinning.
Written by AI. May contain mistakes. Listen to the episode to check what was said.
Chapters
Tap a time to open that second in VOMeditation App Recommendation
0:30 to 2:20
Discover the benefits of a meditation app that promotes daily practice.
“And I've just seen the most unbelievable results as a result of that.”
Summer Reflections and Routine
2:45 to 4:28
Ella and Rhianna share their thoughts on summer, routine, and personal updates.
“And after a decade in this wellness industry, we both know how overwhelming and confusing health information can be.”
Upcoming Topics and Trends
4:28 to 8:20
A preview of topics including inflammation, plant-based diets, and the 'Ferritin Face' trend.
“And I was like, that must feel so creepy for her.”
Navigating Weight Loss Conversations
8:20 to 11:50
Ella and Rhianna discuss the challenges of talking about weight loss in a healthy way.
“I'm taking loads of different leaps of faith.”
Health Headlines: Sugar and Stomach Cancer
11:50 to 14:01
Analyzing a study that links sugary drinks to increased stomach cancer risk.
“But then when I see Ella and we start talking, I'm like, yes, we're back.”
Sugary Beverages and Health Risks
14:01 to 16:57
Learn about the health implications of high fructose corn syrup in sugary drinks.
“And it feels, I think, really relevant at the moment because in America, the stats are that two-thirds of adults drink these types of beverages a day.”
Cultural Differences in Sweeteners
16:57 to 19:53
Discover how different countries use sugars and their implications on health.
“Glucose can circulate and is broken down differently.”
Understanding Sugary Drink Claims
19:53 to 25:04
Examine the claims about sugary drinks and their effects on life expectancy.
“See, I prefer a Battenberg, but there you have it.”
Inflammation and Mental Health
27:11 to 28:00
Explore the relationship between inflammation and mental health.
“Just remind us when we're talking about inflammation, what are we actually talking about?”
Understanding Inflammation and Mood
28:00 to 29:42
Explore how inflammation affects the immune system and mood disorders.
“So when your body's under threat or you're coming down with something, inflammation almost helps your white blood cells circulate really quickly around the body and, you know, do what they need to do to repair or fight.”
Show all 19 chapters
Link Between Diet and Mental Health
29:42 to 31:36
Discuss the interplay between diet choices and their impact on mental health.
“And despite these children having no signs at all of depression at this point, they were then more likely to experience depression by 18.”
The Role of Immune System in Mental Health
31:36 to 33:36
Examine how the immune system can influence mental well-being and mood.
“And we talked about weight loss a minute ago, when you're talking about weight loss, it's a lot more tangible, right?”
Chronic Conditions and Fatigue
33:36 to 36:56
Investigate the connection between chronic conditions and fatigue symptoms.
“But that's not to say that if you just eat a healthy meal, you're suddenly going to feel incredibly better.”
Factors Affecting Mental Wellness
36:56 to 38:11
Discuss various lifestyle factors that influence mental health and inflammation.
“And ultimately, like we're really struggling with almost all of them.”
Vegan Diet and Aging
38:11 to 40:41
Explore a study on how a vegan diet impacts biological aging and inflammation.
“Anyway, on to our third, I feel like this episode is going to go on forever, guys, hope that's okay.”
Plant-Based Nutrition Benefits
40:41 to 42:00
Learn about the advantages of plant-based nutrition for long-term health.
“So they weren't just relying on one vague measure of aging.”
The Importance of Plant-Based Nutrition
42:00 to 46:20
Learn about the benefits of incorporating more plant foods into your diet.
“And I think to say like, this isn't about becoming fully vegan, almost certainly.”
Understanding Ferritin Face and Iron Deficiency
46:20 to 50:38
Discover the concept of 'ferritin face' and its connection to iron deficiency in women.
“from vogue i hope not well i i somehow on my phone have like accidentally i think signed up for i think it's like a Google health headline notification.”
Closing Thoughts and Next Episode Preview
50:38 to 52:28
Wrap up the discussion with a preview of the next episode on stress and digestion.
“with that menstruation age in younger women.”
Transcript
Automatic transcript. May contain errors.0:00Plan B is a backup birth control option that's there for you when things don't go according to plan. It specifically works after unprotected sex and before pregnancy occurs by temporarily delaying ovulation. Plan B is available nationwide at all major retailers and through delivery apps like DoorDash. No ID, prescription or age requirement. It's the number one OBGYN recommended brand of emergency contraception and it won't impact your future fertility. That's Freedom the B. Use as directed. I am genuinely so excited about today's sponsor because it's the way. honestly if you have listened to me anytime over the last few months you know I have become a little bit evangelical about this app and I honestly recommend it to everyone my friends my family people on Instagram everyone and she recommended it to me so it's true I've heard so much about it it's just because it has had such a big impact on me I've meditated on and off for 15 years or so now but using the way is honestly the first time I've become so consistent with this daily practice.
1:04And I've just seen the most unbelievable results as a result of that. The app is just incredible. And what I love is every day you open it and there's a meditation waiting for you. So you don't scroll, that you don't have to choose between hundreds of options. There's no wondering what to do. It just takes you on a path. Well, I think that's why it works so well, because most of us just don't need more big decisions every day to make, Ella. No, exactly that. We've got decision fatigue, haven't we? So this is so nice because you just follow this path of meditation. which is led by Henry, the founder, who's just the most amazing teacher.
1:37And he makes it seem somehow just incredibly simple, but exceptionally profound at the same time, which is a very rare skill. And I've been using it too. Yes, I've now finally begun my meditation journey and I've been doing some of the shorter practices on busy days because I completely understand why you talk about it so much, Ella. It really is a nice intro in for me. Yeah, it is. And I'm so glad. Anyway, it's helped me feel so much calmer, less reactive, more present it all sounds like huge claims but I just say please please please try it if you're struggling with stress or overwhelm you just got to give it a go and the lovely thing is that everyone listening can definitely try it themselves exactly so you can get a 30-day free trial so just try it every day per month it'll change your life all you do is head to thewayapp.com forward slash wellness scoop yeah that's thewayapp.com forward slash wellness scoop
2:35Welcome to The Wellness Scoop, your weekly dose of health and wellness inspiration. As always, hosted by us, I'm Ella Mills. And I'm Rhianna Lambert. And after a decade in this wellness industry, we both know how overwhelming and confusing health information can be. And that's why we're here to cut through the noise with our podcast.
3:02it's so nice to see rey i feel like it summer has gone on and i don't mean to be ungrateful for it because there's been so many amazing bits but the summer holidays for me feel like they have reached an eternity and i really miss routine and i really miss being in person with rey and this is the last day of the school holidays and so i i like really want to be grateful but oh my god I can't wait for routine I can't wait to see re in real life. I know and I've got so much to tell you and catch up we'll have to wait till after we've recorded this episode but life is life is a million miles an hour so Ella would you like to share with everybody what we're going to be discussing today?
3:41I would okay today we're going to be talking about an interesting new study looking at inflammation and how it may affect depression anxiety or mental well-being whether eating more plants could help us age better probably know the answer to that but always good to get some more evidence. Do sugary drinks really double your risk of stomach cancer? There's some big new topics to talk about in that. And this meme that's going around of whether or not a Coke, as in a Coca-Cola, really does take 12 minutes off your life every time you have a can. Then on our trends, what is ferritin phase? We had cortisol phase.
4:14Apparently this is the new TikTok thing. We're going to talk about that. But obviously that relates to low iron, which is a very important topic, particularly for women. And so we're going to look at as well when you should actually get your iron levels checked and yeah the be all and end all and then really yesterday we were in London and we were rushing for the train made it just about and as I was like rushing and one of those things I'd gone like back to school shopping PE shoes you know all that kind of stuff the handles the bag are broken so I was like under my arm it was really hot and sweaty I was like come on children anyways and then I went past this lady and she was like oh my god I'm listening to you right now.
4:50No way. And she got on a scoop in. Yeah. And I was like, that must feel so creepy for her. I was like listening and I'm suddenly like, hey. If you're listening now, you were the lady when Ella had all her bags. I know. I was like some like flabby, stressed, sweaty. Yeah, probably not my best self. Anyways, I thought you'd like that. Demonstrating real life. I love it. I love it when you all come and say hi and that you tune in I think it's wonderful and also we are just real people here just um you know behind the scenes trying to hold it all together like everybody else Ella apart from the fact obviously you're desperate to get back into routine how are you I am medium I would say if you asked my husband this morning he'd be like she's complaining about much I don't know I feel I don't know I'm not like yourself yeah you know the main thing is I feel like I'm really out of yeah routine and like new house, new area, new school starting, new kind of everything, new commute into London.
5:49I don't think I'm the best person with newness. And so it feels right. Like I don't genuinely, and I'm not saying this, like I don't have any regrets. I feel like we've done a hundred percent the right thing, but it's just this, yeah, all the newness and I'm not saying I think that's affecting my nervous system. So I'm not sleeping very well. And that, you know, when you don't sleep well for weeks on end, you do feel a bit nuts, don't you, sometimes? I just think change as a human being is such a difficult thing. And I don't think anybody is actually equipped naturally to be able to handle massive life changes just like it's a breeze.
6:24You know, I think we all massively, any transition, any life transition, even the seasonal transition and shifts can affect people, let alone massive life changes. I hear you. I understand. I think when you're going through something that's very different in your environment it's yeah it's hard to feel like yourself again yes I'm excited for like the girls to actually start their school have a bit more time be able to exercise get outside and again I don't want to be ungrateful for my children I just want to be honest because I feel like I'm a generally very positive person so I don't want people to be like oh my god she's lying but I love my kids but I'm like desperate for a day by myself I can understand that mine are back now already my little one just started school and it's been a really big emotional roller coaster.
7:11Yeah, it is mega. It's the first time in six years, just to put it out there to everyone. I'm sure most of you will know the feeling or, you know, if you don't, it means for six years, I've basically had someone else around every Wednesday and Friday and then suddenly now they're not there. Well, just a few weeks, and then you'll have your next psychic. And then I'll have the next little one. but um no life is really busy for me at the moment i just wanted to say as well a big thank you to everybody who tuned in last week and has pre-ordered ready set cook so the big scary move because i haven't oh i will have done today this comes out monday the 7th so i will have announced it on social media today but i wanted to give wellness scoop listeners the exclusive the week before and I was getting all muddled with my dates.
8:00But thank you to everyone that believes in the cause for children's nutrition and getting kids cooking more. Those of you that haven't tuned in, you don't know, I announced that I'm releasing a book for children, which I've never done before in over 10 years called Ready, Set, Cook. I'll pop the link in the show notes. But that was very emotional. And I feel like announcing that has been career changing, Ella, to be honest. I'm taking loads of different leaps of faith. Ella sat down with me, just so everyone knows. She spoke to me the other week. We often share this on the podcast, how there are certain subjects that can be quite triggering for us to discuss.
8:40Do you know when we discussed the weight loss and the current inspiration in the industry with different names being in the media and how Ella and I have always, would you use that language that we've shot I would say we've shied away from discussing weight loss oh my gosh I have been like I said this to Rhi the other day even when we used to get you know this is in the early days of delicious yellow see people who were you know really new to eating a plant-rich diet and eating you know it's very natural loads of home cooking you know loads of beans and all the rest of it which when I started delicious yellow was incredibly novel and you get this amazing feedback from people being like i bought your books or i'm using your app i've cooked like this for the last couple of months i feel amazing but if they ever included in feeling amazing that they'd lost some weight and it was in a really like positive healthy way um maybe some just slightly excess weight that they didn't feel great about and there was maybe more linked to not as healthy dietary choices we would never i mean you can hear me like being so choosy about my words now we would never ever share that feedback anywhere because we never you know there was this absolute fear of talking about weight loss and people because people had this real feeling I would say kind of in the public um whether that was in the media or certain people within the social media space that healthy eating was an eating disorder and that the two was so conflated for a while that it made it really impossible to ever talk about healthy eating and weight loss in the same sentence because there was this you know and I found that on a personal level incredibly difficult like I was definitely accused you know of yeah prompting eating disorders and by yeah being a huge advocate for eating well and I think we have moved past that now But not everybody has.
10:28And I think that fear of triggering anybody in a negative way lingers with the both of us. A hundred percent. And we were talking about this the other week because I wanted to launch, because my master's degree, ironically, is in obesity risks and prevention. And when I set up the Retrition Clinic and I started clinical practice, I've helped clients of weight loss for years, years. But I never speak about it online because like Ella, I don't want to trigger that it's a conversation, it's difficult, but I fill with the current landscape with GLP-1s and the media. And of course, obesity now, we've got to remember, it's moved up to one in three in primary school age children.
11:09The rates are going up. I feel like it's something we have to talk about. So I've designed this weight loss course as well on nutrition plus. I've invited Giles Yeo to come and do a talk, Professor Giles Yeo, who will discuss molecular endocrinology and all the genes and all those different areas and Federico Amati to do GLP ones. I'll discuss weight loss. And it's been something that I've never done. And Ella was like, this is crazy. She's like, this is going to help so many people. She's like, why, why aren't you, why, why don't you just put it out there? So I'm doing it. I'm putting it out there.
11:43Children's nutrition book, my weight loss course is up. And I feel like it's a moment for big leaps, Ella, September. And that's what I'm doing. So again, there'll be a link to that. I'll pop in the show notes but um I feel that this podcast has really given us because of you listeners thank you so much to everyone that the lovely lady that stopped Ella with her bags of her kids all of you make us feel like we can actually have nuanced discussions that help yeah a hundred percent and also can I just say I know I was really whiny this morning I'm so happy to be here yeah this is like pep in my step pep in my sleepy step because I was also so tired I was like oh we've got podcast recording, but I could literally fall asleep on the desk right now.
12:25But then when I see Ella and we start talking, I'm like, yes, we're back. I'm like, here we are. This is why we do what we do. So let's move on to our health headlines that matter.
12:39As we keep saying, oh my goodness me, there's so many headlines at the moment. This one was a big one made headlines. You know, the one we pulled out, one sugar packed soda a day doubles risk of stomach cancer compared to drinking one a month. Study reveals that was in the independent, but this was really picked up kind of across the board. And that is a scary headline that one sugar packed soda a day would double your risk of stomach cancer. But I think when you break it down, it's slightly less so, and it's a much more relevant actually in some countries versus others. It's less relevant here in the UK, but it's still super interesting and also quite scary.
13:15So we wanted to break it down. Rhi, over to you. It does sound striking. And the data suggests that one sugar sweetened drink a day was associated with a two and a half times higher risk of stomach cancer, but that's compared to drinking less than one a month. So what's so interesting is that this was a large study sample size. So there were 112 ,000 people and they were plucked from two major long running US studies. 278 of those people did sadly develop gastric cancer during the follow-up as well. But I just want to reiterate here that the overall diet is definitely something that's more likely than this one drink.
13:55Just while we go on, just to throw the nuance out there, we don't know what the overall diet was of these people. We can delve into that a bit more now. And it feels, I think, really relevant at the moment because in America, the stats are that two-thirds of adults drink these types of beverages a day. now we refer to them as sugar-sweetened beverages. Now that basically means your Coca-Cola, Pepsi, Fanta, whatever. Is Fanta even around now? Do I, am I that out of touch? Is Fanta a thing? I don't know. I used to like Fanta. I used to like Lilt. I don't know if that's even around anymore. It reminds me of like summer holidays when I was a teenager.
14:33Anyway, so obviously I don't think anyone's going around thinking, oh my gosh, Coca-Cola, it's so healthy. But what was interesting here in and this is really the crux of the difference from country to country is that what the researchers in this study were particularly interested in were these drinks that were sweetened with fructose and specifically then high fructose corn syrup and I'm just going to pause there for to explain to us what high fructose corn syrup is. Basically with all the discussions we've had on UPFs and the degree of processing that different items can undergo it's one of the most heavily processed forms of sugar you can add.
15:12And actually, we don't have it in the UK. So we do not use high fructose corn syrup here, purely because we know it can have a negative impact on our health. Now, I don't know why that's still allowed in the States. And I would have thought by now, perhaps they would have changed that, but clearly not. It's one of the first things that is pulled out when you know people compare an American item to a UK item, and they look at ingredient lists, and they look at different numbers and we talk about artificial sweeteners and ingredients, but it has such a fast impact on your insulin and it's very difficult for your liver to break down.
15:51Your liver will do its job, but when you're drinking a large proportion of this at one go, it is difficult for your body to handle. And yeah, we don't use it here, Ella. Exactly. So if you look at Coca-Cola, for example, in the US, it's sweetened with high fructose corn syrup and it's not over here. And what the researchers found, and that's why the high fructose corn syrup is so relevant, is that it was the higher total fructose intake from these drinks that was the association with these higher rates of gastric cancer. So that's your headline right there essentially. And what the researchers are suggesting is that it's the high intakes of high fructose corn syrup that potentially contribute to increased fat production, insulin resistance, and inflammation, which could in turn play a role in this cancer development.
16:39And now we often talk about how you can't just take an animal study and say that will happen in humans. We know that. But interestingly, it's shown in animal studies to indirectly fuel tumor growth through changes and how the liver processes fats, which is really interesting. So it doesn't necessarily mean that that's what's happening in adults, in humans, but there is just this interesting, it's building on existing research and thoughts that people have and ideas as to what these drinks might be doing for us but as I said more relevant for our US listeners because it's very rarely used here interestingly on labels as I understand from my research is that when we have it here it's not called high fructose corn syrup it's called glucose fructose syrup but it's the same thing do you understand that to be true that's what my research was telling me whilst the percentages of glucose and fructose are variable and there is a marginal difference in the two, which just to give you a little bit of biology, fructose is metabolized in our liver.
17:42Glucose can circulate and is broken down differently. And essentially it's the load on the liver at a certain time. And I think what's so important to reiterate here as well is that this study is talking about people that have these items daily. So if this is how you're hydrating by reaching for your can of Coke, that's not hydration that's a healthy form of hydration. And I think that's really, really important to remember. So it doesn't suddenly make all sugary drinks bad, does it, Ella? It's just the fact that I think it's really important that we do draw upon the fact that, you know, these drinks aren't marketed as being healthy, but they've become everyday items for some people.
18:26And it's really important to remember that even though we're not saying it directly causes cancer, it does elevate your risk of poor health if you're having them every single day. It does. And in the UK, as I said, very rarely used. Interestingly though, and I find this so random, one of the products, like a more mass market product that uses the glucose fructose syrup that we're saying is this almost identical, not quite, but almost identical version that we have in the UK is a Cadbury double decker. I still do those. It's so interesting because Cadbury's have had to change their makeup as well, haven't they?
18:59Because of the amount of cocoa available. You said it's called chocolate flavoring, isn't it? It's not chocolate. And also Mr. Kipling. Yeah. In the UK, we have this thing called Battenberg cake. Oh, my gosh. I love it. It was like one of my favorite things. Do you? Oh, my brother used to love it. Freaks me out. Oh, so just to explain to everyone listening, they're like checkered windows of cake. Actually thinking about it must sound quite revolting, but I used to love it. so sweet pink and yellow checkered square looks like a little chess board and around it you have like um like an iced royal cake you have marzipan that goes around the edge and it's in a long loaf that's surrounded with marzipan obviously not great for your health but tastes absolutely as i think delicious that is a battenberg cake and that's what mr kipling and one of those old um brands i think my grandparents used to buy their like fondant fancies oh i loved those when I was little.
19:53That was our favorite trait. See, I prefer a Battenberg, but there you have it. So it's very interesting. It's obviously used in the food industry more widely than we'd realized and it is not a great addition. I think we can agree. No, clearly not. And again, adds to a bigger picture, surprise, surprise, but more research to show sugary drinks have been previously linked with obesity, type 2 diabetes, cardiovascular disease, as well as a higher risk of several types of cancer. But as Rhi said, none of these things also exist in a vacuum. We know that sugary drinks aren't obviously the only dietary factor associated with stomach cancer.
20:29We've also got, as we know, processed meats, heavily grilled or charred foods, and also our low fiber fruit and veg intakes. So I think the headlines sound way scarier than the science when you look at it. But I do think particularly for American listeners, it's an interesting note to be mindful of high fructose corn syrup, which you probably already you. Yeah, you probably did already know. And lots of you will be very frustrated, I'm sure, because you've probably been asking for this ingredient to be changed for a long time. But how does it link on Coca-Cola? So there's the viral 12 minutes off your life claim that is circulating, 12 minutes calculated exactly.
21:09So how did we come to that number, Ella? Yeah, I don't know if you guys have seen it, but we've seen it kind of doing the rounds a bit on social media, being like, yeah, every time you drink a can of Coca-Cola, you lose 12 minutes of your life, which seems quite extreme. So I was looking at like, why, where did this come from? Because this is obviously not like a clinical study. And basically where it originates from is a study from 2021 at the University of Michigan. And it created something called the Health Nutritional Index. And researchers analyzed more than 5 ,800 different foods and estimated how individual servings could expect healthy life expectancy.
21:44So essentially minutes of life lived in good health. And for a serving of sugar sweetened drinks, their model came up with roughly 12 minutes of healthy life lost. So it's not going to actually play out obviously in such a black and white way. But I think it is interesting that... Just soak out, it's 12 minutes. It's like the 10 ,000 steps a day from the Olympics. And then this study's just suggested 12 minutes. And obviously, if you smoke, if you don't eat well, you know genetic factors all of those will probably have a much bigger impact on your lifespan but yeah perhaps we need headlines like this although it is quite demonizing of a specific food but we can't pretend it's healthy yeah i mean there was more research and i was then looking into it so in the uk there was research looking at 123 000 people obviously big data set that found that drinking one sugar sweetened beverage a day was associated with a 50 higher risk for developing fatty liver disease.
22:42There was a big paper in Nature Medicine in January 2025 that looked at about 184 countries. In that, researchers estimated that sugary drinks were attributable to 2.2 million new cases of type 2 diabetes and 1.2 million new cases of cardiovascular disease globally in 2020. So kind of when you put this together with this increase in gastric cancer with this increase in risk for fatty liver disease type 2 diabetes cardiovascular disease etc it's just this interesting thing where like everywhere you go you see coca-cola you see pepsi you see all these drinks they're like everywhere you know even in like children's soft play and they are so normal and it's so normal to drink them it's too normalized yeah and it's weird if you don't drink them like as i said it you know i i definitely think people think my children are weird that someone can get to seven and never having tried any of these drinks and actually then when you start to look at the research you're like you know what i don't think we need these things in our lives what's um interesting is that these headlines are still circulating even though the sugar tax technically was labeled as a success so there was a tax on these beverages um countries that were heavily researched originally um were places like brazil I believe, Mexico of sugar sweetened beverages and obesity rates.
24:06And what a debate that sparked in the scientific community was that you had a few researchers came out saying, oh, sugar's the cause of obesity, which obviously we know it's not. It's in the overall diet, lifestyle and environmental factors. But it sparked this humongous debate between different scientists that were researching this. And that's why and when the sugar tax kind of came around. is at the same sort of time Carlos Montero developed his Nova Scale on ultra processed foods from one to four, because he was looking at rates in his country of obesity and thinking, well, you know, I think it's more than just the corn syrup or just the Coca-Cola.
24:44I think it's everything. But clearly these messages need to be out there in the public domain. So interesting headline. I don't like it when we talk about death. However, I think we've given that some background. Yeah, I do too. And I think although those headlines were kind of slightly out of context to an extent, I think when you look at the bigger picture, actually, I think probably the fear mongering is in a way not the worst thing, because actually, when we look at the impact of these drinks, and they are things that people drink on a regular basis, it's actually really shocking. Yeah, I agree.
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27:06That's freedom to be. Use as directed. It moves us on to a very different headline, headline two today, which discusses our mental health and again inflammation so I feel like when inflammation is used it's very clickbait I think people are fascinated aren't they Ella you know there's all sorts of books and diet plans and all sorts of things and I think everyone's a bit confused but this was in the Guardian this week. That's true and the headline was is it true that mental health is affected by inflammation and that just felt really important but before we get into the ins and outs of our mental health and the impact that inflammation may or may not have.
27:48Just remind us when we're talking about inflammation, what are we actually talking about? So the technical part of inflammation, so you don't really want your body to be in a permanent state of inflammation, but it is a normal immune response. So when your body's under threat or you're coming down with something, inflammation almost helps your white blood cells circulate really quickly around the body and, you know, do what they need to do to repair or fight. And you might have seen at school, those old images and textbooks that you've got AI now, which is, I mean, if I'd had these AI images of the immune system when I was at university, I think I would have, I would have aced it compared to probably the grades I did in the end get, because wow, it breaks it down.
28:32You see these amazing fighter cells getting really quickly to the site of infection because your blood vessels vasodilate so they get wider and bigger and you're inflamed and everything gets to the site it's like if you have a cut on your finger and you get that little raised red sore mound that develops around that cut that's the site of inflammation because it's all your white blood cells coming together very quickly to fight off what we need um but you know we also have lower levels of systemic inflammation which can occur constantly which is what we don't want So if we're carrying extra weight from obesity as we age, this naturally happens.
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29:11And there's one particular marker that scientists like to use, which are signaling molecules called cytokines, which are a type of immune cell that talk to one another inside the body. And this is where the study leads on, Ella, because some cytokines have shown that they affect the brain and how we feel. So the talking that goes on between the immune response and our brain, they might also be having this interaction. it's so so interesting and so that is the kind of hypothesis i think that people have right re of why inflammation might be then affecting our mood and um whether it can then contribute to mental health challenges depression anxiety etc and there were some really interesting associations that were brought up in this article so there was one study um now this was following children but it followed nearly 5 000 children and it found that those children that had high levels of the inflammatory cytokine IL-6 by nine.
30:08And despite these children having no signs at all of depression at this point, they were then more likely to experience depression by 18. And that's just one study. It's not just children. There was another study in adults that found a correlation between developing an immune-mediated inflammatory disease and having previously been diagnosed with a psychiatric disorder, including depression and anxiety. So obviously none of these are exact to telling us what's causing what, but it just adds to this interesting body of evidence that immune health and mental health are probably a lot more interconnected and interwoven than we once thought or that we maybe think of every day.
30:45And one of the things I personally have always found really interesting, I don't know if you feel the same in my career, is this sense that like, okay, so take today, okay, I'm really tired, I'm overstimulated, I kind of can't quite be bothered sort of thing. And it's so much easier to just eat some crisps and eat some bread and get a takeaway. And I'm not demon, we all have days like that. So, you know, I'm not demonizing it, but it's hard in those moments to kind of imagine that those decisions are just like, you know, you're thirsty and you see a Coca-Cola and you like the taste, you grab one, that that would affect the inner workings of your brain.
31:27It's one of the things I always felt was really frustrating when it came to nutrition and inspiring people to shift their diet is that like, you don't have this tangible impact. And we talked about weight loss a minute ago, when you're talking about weight loss, it's a lot more tangible, right? Like shift your diet. And in a month's time, you'll be able to have like a really clear difference probably in terms of a number on a scale or the way your genes fit, et cetera. But when it comes to the inner workings of our mind, our body inflammation, etc. We don't have that. And so I think it is important to talk about how these things might affect us on a more kind of cellular level.
32:05What do you think? It's like a tale as old as time. It's like a chicken and egg. It's the constant debate in life, isn't it? With the actions we take every day, the outcome of how we feel, is it really cause or effect? It's the constant question that scientists ask again and again. But it makes absolute common sense. I'm sure every scientist, every immunologist would agree there is 100 % a connection between these illnesses or diseases and the impact, of course, on our mental health and our brain chemistry. perhaps how the, I mean, we know, for instance, when in motherhood, and I was looking at this the other day, because your brain changes and it changes with every pregnancy you have or a degree of trauma that you have, you can awaken that area that becomes hypervigilant, the state, you know, there's so many chemistry changes that aren't measured.
33:01And I think what's really interesting here and perhaps most fascinating is that the studies on people with rheumatoid arthritis have found that cytokine blocking drugs, so anti-inflammatory drugs, can improve their mood as well as treating the underlying inflammatory disease. And arthritis is one of those really brutal diseases that people live with. And we just need to learn so much more. And scientists now know that there is this relationship. I think our immune system and mental health, it makes absolute sense. But that's not to say that if you just eat a healthy meal, you're suddenly going to feel incredibly better.
33:41We're talking, of course, over the 80, 20 % of the time, over the course of time. And it makes sense because our gut bugs and our immune system, let's remember the link. Our bugs that live in our gut, they're trained by our immune system. They live and reside in the same area. And if they're getting good food in your microbiome is getting good food, it makes perfect sense your immune system may be able to respond differently. And then different signals that are involved of our serotonin production, the happy hormone that are also attributed to you by our gut bugs can perform better and do their job.
34:19I honestly think the first trial that we had, I think it was in around lockdown time with Professor Jacka, Felicia Jacka, and she did the SMIRS trials. And we talk about it a lot in nutrition research because she showed that there were links between the Mediterranean diet and reduced rates of depression and depression being more effective than clinical therapy and interventions for depression. so there there is a link between how we live how ill we are how poorly we are and our mental health it just i don't think we can deny it really interestingly on a kind of gentle segue from that actually is that um there was some new information published yesterday which is that um there's a new breakthrough that they some scientists have had looking at Interestingly, to add on to what we were just saying, ME, long COVID, PTSD, rheumatoid arthritis, as you just mentioned, and multiple sclerosis, all conditions which have this, well, it's very different and have very different causes.
35:26They all suffer from chronic exhaustion. That's a kind of common thread. And profound fatigue, brain fog. So, as I said, triggered by different events, could be a viral infection, could be psychological trauma. and they've previously been considered very separate and related disorders. But by examining the DNA structure inside the cells of people living with these five diseases, scientists found the diseases appear deeply connected because all five showed signs of a similar, they called it systems failure of the body's immune response. And I think it's so interesting. And I had something called postural tachycardia syndrome, which is very similar to ME and very similar to non-COVID and had this chronic exhaustion that was so crippling and, you know, completely changing my diet and having this obsessive focus on gut health and rebuilding my immune system and rebuilding my gut health and also looking at kind of mental wellbeing and stress reduction had such a profound impact on my symptoms.
36:23And it was always very confusing as to why in the more research we've had, the more interesting and kind of clear it's become as to why that could have been the case. And it's not a magic answer. But anyway, I just thought it's super interesting. The immune system is, it's so important, goodness me. So important. And when you are living with an impaired one, you know, for any reason, shape or form, you know, that is, that is going to add, like you said, another level. And let's look out for more research in those areas, as Ella said, because it's undeniable, the link. And interestingly, I remember speaking to Professor Daniel Davis and he wrote in this article that although, you know, that of course there are several lines of evidence that point towards an overlap between the immune system and mental health that, you know, as scientists, we haven't worked out yet who specifically could benefit and which parts of the immune system are involved or how safely they can be targeted.
37:14So, if we could obviously pinpoint this in time with research, how fascinating that would be if we could learn where the exact impact is taking place and we could really help people because Ella and I will discuss it later on I mean there have been I know we say it like Ella said but there are hundreds of headlines and I keep seeing you know there was another one about mental health crisis yesterday children and rates and all sorts of things rocketing and it makes sense to Ella and I that in a world where our environment and our diet are declining that mental health poor mental health is increasing.
37:50Yeah, because, you know, as we talk about, you know, we take just inflammation in this sense, like it's not just obviously about your diets, regular movement, stress management, loads, obviously, of plants and fiber as part of our diets, good sleep, it's, you know, it's not smoking, it's maintaining a healthy weight, it's all of these factors together. And ultimately, like we're really struggling with almost all of them. It's very interesting. Anyway, on to our third, I feel like this episode is going to go on forever, guys, hope that's okay. On to our third And the final headline of today, which was this headline comes from The Independent, going vegan for just a month, slowed signs of aging in the body, study finds.
38:29Yeah, this was in The Independent. It's a really interesting one, again, following on from inflammation and the fact we've been discussing one little piece of the pie, which could be the nutrition. And a new small study, I will say, found that when you consume a vegan diet for just four weeks, it altered biological markers that are associated with aging and inflammation. Now, it is small and tiny, but we do have research like this, lots of research that when people consume more plants and vegetables, these sorts of biomarkers are explored and found. So the researchers in this particular headline that made it into the press examined blood samples from just 50 adults, half of them meat eaters and half of them vegans who consumed a similar number of calories or energy you know the same amount of energy in the meals each day okay and the calories we know calories you know they're not all equal and all the rest of it but it's important here because i think people often assume if you're going to like a plant-based diet you're a little bunny rabbit and you're just going to eat a nibble of you know crudités which is not the case um generally speaking i think but also very much not the case here so it's not like the um vegan group benefited from a reduction in calories versus the meat eating group, it was the same.
39:41And I think it's really important because after just one month, researchers found that there had been changes in DNA methylation, which really, can you explain to us what that means? Methylation is one of the most important areas that as nutritional scientists, we also like to look at because they're markers of epigenetic change, which means across our lives, I think I've used the analogy of the switch before, like a light switch, you know, different life experiences, stress, illness, many different things we can switch on. And we can estimate our aging by measuring the degree of DNA methylation, so changes within our DNA and biological aging.
40:23So it's like a chemical change that scientists look at. And it's really, really interesting. And to add on to Ella's point, that misconception that vegan diets is all about low energy, because actually to make the plate the same as the meat eater's plate, it would have had to been substantially bigger. It would have been piled up with a lot of lower dense energy foods to create the same amount of energy within the two groups. So they weren't just relying on one vague measure of aging. They actually used two different epigenetic clocks. So one estimated the biological age, like I've just explained, from DNA methylation.
41:00and both suggested that the biological aging had decelerated in the vegan group and there were also changes to the immune system Ella which leads on from our last headline. Yes exactly that so the vegan group appeared to have lower levels of neutrophils which is a type of immune cell that's involved in our inflammatory response and then higher levels of a type of white blood cell that helps regulate the immune response so that's obviously all really good news and I think what's crazy. Obviously, it's a really small study. So, you know, nothing can be set in stone, but it's only four weeks. And in that time, there was some really clear, measurable molecular changes.
41:39And I think what's so interesting, as we were just saying, so many of these things that feel whether you choose to have a chickpea salad or like a kind of on the go, not so healthy meal deal S thing. I don't mean to demonize something, but I just, as a really easy example, like you think it might not make all the difference, but actually there is such evidence that our nutrition really impacts our biology at a molecular level. And it's so interesting. And I think to say like, this isn't about becoming fully vegan, almost certainly. It's almost certainly the benefit here is coming from a huge amount of fruit, veg, whole grains, nuts, seeds, beans, legumes, other plant foods, which we know in study after study are associated with long-term better health.
42:23There was another study, a much, much bigger one, 105 ,000 people that showed the people whose diets were very rich in these plant foods with much less red and processed meat had an 86 % greater chance of healthy aging at 70. So I don't think people, you know, listeners really enjoy having dairy and they really enjoy having fish and meat. It's not like you can't eat those things for health but I think it is it's just one more example of why this abundance of plant foods is so incredibly important yeah plant-based nutrition the technical term doesn't mean vegan and it's been used by the food industry right a lot and the reason I wrote that book the science of plant-based nutrition is because I wanted to create an encyclopedia for people to try and encourage the fact that if you like your meat and you like your cheese, have a lower amount of it, but just include more vegetables and plants and fight.
43:20Again, it links back to fiber. It links back to diversity. It links back to color because we both know a vegan diet could also be full of ultra processed foods. It's how you choose to build the food upon your plate and food labels, the reason they can be so contentious is because it still is up to you you can eat a very healthy omnivore diet and a very unhealthy one just as you can with vegan diets so i think there's just so many misconceptions ella but what's so interesting is what you've said about seeing molecular changes in four weeks that ties alongside gut health research that comes out saying that when you change your diet to include more diversity in plants like the american gut project, it can take up to a week or two weeks to notice gut microbiome changes too.
44:07So you can influence heavily, probably your immune system, your gut health by just having more vegetables, diversity and fiber on your plate. Yeah. And I always think just interesting to know, or I've always found it interesting to know, as you said, that vegan and plant-based are not the same thing. And again, the researchers were really keen to emphasize that what we were talking about here wasn't vegan food as such. It was plant-based food in the sense of fruit, veg, beans, etc. Because obviously you can have a very processed vegan diet. And I think the thought is that that wouldn't give you the same benefit.
44:42And actually just for point of reference, vegan as a term was invented back in 1944, and it was created to separate vegans from vegetarians. So anyone who to have no animal consumption whatsoever and fully for animal rights reasons obviously huge respect for that whereas plant-based came from the 1980s from an american doctor called dr thomas colin campbell he was a professor of biochemistry at cornell and he created a plant-based diet as a way of describing a high fiber vegetable rich diet he interestingly later added whole food to it so It was a whole food plant-based diet. And he created that to distinguish a health-focused plant-based way of eating from a vegan or vegetarian diet, which, as I said, they predate it, but they were created for ethical, moral reasons.
45:31So actually, on a kind of like very literal sense, the two are completely different, completely, completely different. But how wild that now in the modern world, and that's what I think hasn't helped the cause formal plants on people's plates either is because these terms are often misunderstood still it's still the food labeling isn't it and it's not helped the situation so no and i think people feel like they have to go then 100 and that's just not necessarily appealing or feasible etc for the vast majority of people whereas more like more is more is more yeah it's so interesting our trend is funky today our trend is good um i have to be honest this was an ella find i hadn't seen this one and then i was like this is so crazy ferret in face ella do you have it from vogue i hope not well i i somehow on my phone have like accidentally i think signed up for i think it's like a Google health headline notification.
46:36Actually very helpful for the job. Very helpful for us. I don't think I meant to do it. Anyway, I sometimes get these notifications. So I got one the other day being like, have you got ferritin phase? I was like, what the hell is this? I mean, it is the most common deficiency for women and teenagers, iron. So I mean, it's going to go down well. Yeah, it made me laugh. So that, the what is ferritin phase and do you have it? As we said, that was from Vogue. But this has been picked up in all sorts of titles like BuzzFeed, Allure, et cetera. It's got traction on TikTok, you know, what's new there.
47:10And, you know, we obviously had cortisol phase before that we talked about, which is when you get kind of puffy from stress. Ferritin phase essentially is when you're looking like really pale or washed out because ferritin is, we're talking essentially about an iron deficiency here and apparently are signs of having your ferritin phase. So essentially having iron deficiency and how that might look up from an aesthetic perspective is a pale or washed out skin, a dull complexion, dark under eye circles, dry or cracking, skin and lips, hair thinning or shedding. Which obviously could be so many different things.
47:45I was about to say not necessarily low iron, right? No, although as someone who is currently anemic and taking 300 milligrams of ferrous sulfate in pregnancy, can I just say that that has stabilized my levels and I'm now officially just low in iron rather than deficient so it does work but yeah these obviously are symptoms and when I was anemic I didn't have cracking lips or hair loss so I just I take a lot of these things with a pinch of salt but it is really important to be aware of your health and if you do feel you have permanent dark circles and you are losing hair all these sorts of things should I think warrant a visit to your GP anyway.
48:24Cortisol phase felt like a kind of silly trend and ferritin phase is obviously silly in the sense of like, yeah, it was slightly ridiculous, but actually it's kind of underlining something that's really quite important. There was a JAMA report from 2024 that showed 34 % of women aged between 18 and 50 were iron deficient. And it's a real issue, isn't it? Yeah, I'd say it's higher because what we now know is that we've actually changed the markers for iron in this country as well, to what is classified as low for women, depending on their age and if they're menstruating, if they're pregnant, you know, that that marker and that number that we've been measuring for years could actually be incorrect.
49:05It could be wrong. And also, now we're talking more about women's health and we're learning more, things like heavy periods that perhaps before we just took for granted, we know now are not normal and you do deserve to access help with that. But that could also predispose you to requiring more iron than the average person anyway. I think there's just so many factors involved. Essentially, low iron stores, just to explain it as well, you can still have them without being classified as anemic because anemia means you don't have enough healthy blood cells to get the oxygen around your body. Whereas your ferritin, when you're looking at the two different blood test results, reflects how much stored iron you have, which is equally important but as women we go through these secular um you know levels changing consistently over a period of time and you know fatigue brain fog dizziness shortness of breath restless legs hair shedding all of these sorts of things can be happening yet you can have a blood test result that was saying that your iron's normal and it's just not right so it's being looked at it's another one of the women's health areas, Ella, that's being explored.
50:21For sure. And sometimes linking it to our appearance is the best way to get it to catch on and get people interested and curious and wanting to know more. And in that sense, it's great. I completely and utterly agree. And also it could be relevant in your 40s because people tend to associate iron deficiency, I think, with that menstruation age in younger women. But for perimenopause, there's also these unpredictable cycles throughout women's lives. And we know, of course, in some Asian cultures, people can experience menopause, I think it's like up to five to 10 years earlier than Caucasian. So for so many women around the world, this will be impacting them massively.
50:58So while this trend is a bit ludicrous, you know, you don't want to go around labeling someone like I'm naturally very pale. I guess anyone could think I have ferritin face all the time. You know, you don't want to label but what about people that naturally have darker skin, they're never going to get labeled with ferritin phase yet they could be more at risk of being iron deficient it's crazy it's very very true well Rhea I've never looked at you and thought oh she must have ferritin phase I don't know when you were describing it I was thinking of myself going hmm bit dull at the moment bit pale oh my god I know but they're basically you know the world health organization uses a marker just so everyone knows of below 15 milligrams per milliliters as a cutoff for iron deficiency in women well other studies have suggested it is below 30 so you're looking at double and in 2025 so last year a lancet review proposed that anything below 50 should prompt a closer look and this still hasn't caught on and so many women are being missed off the mark ella and it's not okay i love that no it's so good so yeah silly trend but actually a very important one in the end amazing well guys thank you so much for listening it's just so nice to be here with you on thursday's episode we are going to be talking about whether stress has a big impact on our digestion we're talking a bit about kind of back to school healthy shortcuts sort of thing creatine mct oil and a whole lot more as always um so we can't wait to see you then have a great day have a lovely week everyone thank you for listening bye
From the publisher
Can inflammation really affect our mood and mental health? Could eating more plants help us age better? And what on earth is “ferritin face”?
This week, we explore the fascinating connection between our immune system, inflammation and mental health, and unpack new research suggesting a plant-rich diet could influence markers of biological ageing. We also look beyond the scary headlines linking sugary drinks with stomach cancer, and dive into the viral “ferritin face” trend — including why low iron may be going unnoticed in so many women. Plus, why you definitely shouldn’t diagnose an iron deficiency from TikTok.
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