What's the deal with the sun?

30 Jul 2026 · 55 min · 19 chapters

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In short

The episode answers “what’s the deal with the sun?” by covering sun size facts, whether you need sun exposure, and how to think about sunscreen, vitamin D, and mood/health effects.

Guests

Emily Oster (economist and data expert) and Perry Wilson (medical doctor). No other guests appear in the transcript.

Key claims

  1. Sunscreen: Influencer claims that sunscreen causes melanoma are rejected as confused epidemiology (reverse causality/confounding by indication). Sunscreen blocks UVA/UVB; UVA is emphasized for aging, UVB for DNA damage/cancer. A randomized Australian trial found lower squamous cell carcinoma with daily SPF 15.
  2. Tanning beds: treated as essentially the same as sun; not recommended.
  3. Vitamin D: UVB makes vitamin D3 in skin via a multi-step kidney/liver pathway. Sun can raise vitamin D, but randomized trials of supplements show no clear health benefits; low vitamin D is framed as a lifestyle biomarker, not a causal fix.
  4. “Perineum/butt-sunning” and testosterone: dismissed as ineffective and risky; psoriasis UV therapy guidelines cover genital areas due to higher genital tumor risk.

Notable examples

  • “1.3 million Earths fit in the sun” and extreme gravity leading to white dwarf/black hole thought experiments.
  • AHA document: coffee/caffeine generally supported; coffee not advised to be avoided in atrial fibrillation.
  • Measles: vaccine hesitancy and local clustering; measles R0 ~12–15.
  • FDA peptides: panel approval criticized for ties and limited safety/efficacy data.

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

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The Size and Nature of the Sun

1:19 to 4:00

Discussion about the sun's size, mass, and interesting facts.

“Did you know that the sun is bigger than all the planets in the solar system?”

Introduction to the Episode Topic

4:00 to 5:03

Introduction to the episode's main topic on the sun and wellness.

“And I think it's a good open because a lot of people might be wondering, like, hey, this episode's about the sun.”

Health News: Coffee and Cardiovascular Health

7:39 to 11:39

Discussion on new research about coffee and its effects on heart health.

“I noticed that the cardiologists have finally come out in support of one of my more central personal habits, which is consumption of coffee.”

Measles Outbreak and Vaccine Hesitancy

11:39 to 14:00

Exploration of rising measles cases and the implications of vaccine hesitancy.

“in the last two years than in all the years from 2000 through 2024 combined.”

Vaccination and Measles Discussion

14:00 to 14:54

Discusses the effectiveness of vaccinations against measles and misconceptions regarding vaccines and autism.

“department says, quote, vaccination is the best defense against measles.”

FDA's Action on Peptides

14:54 to 18:20

Explores the FDA's recent actions on peptides, their safety concerns, and the implications for consumers.

“Well, you know, perhaps people will respond to the existence of measles by vaccinating at higher rates, which we do see happen.”

Introduction to Sun Exposure

18:20 to 19:25

Introduces the topic of sun exposure and its significance for health and wellness.

“That's it for the health news of the week.”

Changing Attitudes Towards Sun Exposure

19:25 to 20:38

Discusses the evolution of societal attitudes towards sun exposure from the 1980s to now.

“And in the 1980s, we had a lot of sun exposure.”

The Controversy of Sunscreen

20:38 to 21:36

Examines the controversial views surrounding sunscreen usage and its implications for skin health.

“So the sun is on my mind and it's very hot.”

Mechanism of Sun Damage and Sunscreen

21:36 to 24:51

Explains how UV rays from the sun can damage skin and the role of sunscreen in prevention.

“Because sunscreen is weirdly controversial, actually.”
Show all 19 chapters

Debunking Sunscreen Myths

24:51 to 28:07

Addresses common myths about sunscreen and its relationship with skin cancer rates.

“And I will say the debate on both sides is basically about cancer.”

Understanding Sunscreen and Cancer Risk

28:07 to 30:21

This segment discusses how sunscreen use correlates with cancer rates and the importance of randomized trials.

“And so you sort of spend more time in the sun and you don't reapply as often as you should.”

Types of Sunscreens: Mineral vs Chemical

30:21 to 33:16

An overview of different sunscreen types, their effectiveness, and concerns regarding chemical sunscreens.

“Sunscreen reduces the risk of skin cancer.”

Debunking the Sunning Myth

33:16 to 39:32

Exploration of the popular but misguided practice of sunning sensitive areas of the body.

“Whatever will make it easier for you to use.”

The Role of Vitamin D and Sun Exposure

40:01 to 42:04

Discussing how sunlight contributes to vitamin D production and its vital health benefits.

“Fastest according to UCLA Speed Test based on speed test intelligence data second half 2025.”

Understanding Vitamin D Synthesis and Sun Exposure

42:04 to 48:25

Learn how sunlight influences vitamin D synthesis and the importance of UVB exposure.

“This is called ergocalciferol, but it's generally not sold in stores.”

The Impact of Vitamin D on Health Outcomes

48:26 to 53:04

Explore the connection between vitamin D levels and various health conditions, and the limitations of observational studies.

“you need to take a vitamin D supplement.”

The Sun's Role and Vitamin D Supplementation Debate

53:05 to 55:12

Discuss the balance of sun exposure for vitamin D and the controversies around supplementation.

“My guess is that sun exposure will not turn out to be the most important feature here.”

Question of the Week: Organs You Can Live Without

57:25 to 1:00:40

Explore which organs humans can live without and the implications of their removal.

“And if you have a question, you can go to wellnessactually.fm and leave us a recording and we will try to answer it.”
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Transcript

Automatic transcript. May contain errors.

0:00This is an iHeart Podcast. Guaranteed human. If you're someone who's tracking your sleep, your steps, and your macros, then you already know that what you eat is kind of everything.

0:10Emily Oster:You should also know that Sprouts Farmers Market can help make eating for longevity easier. Sprouts has all the high-quality, nutrient-dense organic foods and cutting-edge supplements you need. So whether you're focused on protein, gut health, or optimizing how you feel day-to-day, it's all there. And here's what no other grocery store can offer. an in-store wellness expert to help you find exactly what you need. So whether you're after longevity or on any other health journey, it's easier at Sprouts Farmers Markets. Zach, nice vacation spot, but without T-Mobile 5G home internet, it's scary here.

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1:18Emily Oster:Want to drive? CarMax. Emily, the sun is really big. Did you know that the sun is bigger than all the planets in the solar system? I did know that, Perry. Yes. But say more about how big the sun is. 99 % of the mass in the solar system is in the sun. It's that big. It's almost everything. Everything else is a rounding error. And okay, this doesn't have to do with wellness. but I wanted to give some fun sun facts before we got into our episode about the sun. And one thing that I kept coming across was that you could fit 1.3 million Earths inside the sun. That's how big it is. That's a lot of Earths.

2:04Emily Oster:And that's all over the place. But I was like, wait, is that really true? Because it's not like the Earths would just sit there. Do you know what I mean? I always sort of imagine it was like if the sun were like a jar and the earth was a gumball. That means it's like 1.3 million gumballs. Is that right? Do you know what happens if you put a million earths together? It's like they all have gravity and they start crushing in on each other. And it turns out, again, right now we're physics actually. It turns out that as you add earths into a big ball, these really interesting things happen. So after 333 Earths, adding additional Earths actually makes the volume of the Earths smaller.

2:52Emily Oster:333 Earths, because the Earths is made primarily of iron, is when gravity can pull the atoms together or the nuclei of the atoms together, even though the electrons are trying to fight against it, right? So it like is actually getting denser and denser and denser. Sucking it in. Okay. So by the time you're at 334 Earths, the thing is just getting smaller. When you get to 333 ,000 Earths, that gravity exceeds the electron degeneracy pressure, and all those Earths form a white dwarf star. So it just sits there being a white dwarf star about the size of the Earth. So 333 ,000 Earths end up being about the size of the Earth.

3:36Emily Oster:It's the size of one Earth, but very hot. If you took the 1.3 million Earths that the internet says you can stick inside the sun and actually put them in the sun, you would get a black hole. And the size of that black hole would be 11 ,500 meters across about the size of New Haven, Connecticut city limits. That is totally fascinating. And I think it's a good open because a lot of people might be wondering, like, hey, this episode's about the sun. What is the sun? You know, and we'd like to provide some information at the top. And I also thought about a way to provide people information. And you went with science and I went with they might be giants.

4:18And so let me just give you a little clip in song from the best song ever written about the sun by they may be giants. Sun is a mass of incandescent gas, a gigantic nuclear furnace where hydrogen is fused into helium at temperatures of millions of degrees. It goes on from there. And if you have any children who are interested in the sun, I highly recommend that you have them listen to that song instead of listening to Perry's description, even though I did think it was very interesting.

4:53I'm Emily Oster. I'm an economist and a data expert.

4:56Emily Oster:And I'm Perry Wilson. I'm a medical doctor. It's Thursday, July 30th, 2026, and this is Wellness Actually. Because you're getting a staggering amount of health and wellness information nowadays from every source imaginable. And some of it is awesome. And some of it is, well, actually bullshit. Fortunately, we're both people who know how to read studies, how to parse the data, and can tell you what's worth thinking about and what you can safely ignore. But before we dig in, a note that this podcast is for educational purposes and should not be construed as medical advice. We don't know your unique situation, so talk to your doctor for personal health decisions.

5:36Here comes the sun. This week, we're asking, what's the deal with the sun? Perry and I will give the official smash or pass. Do we even need the sun anyway? And then we'll get to your questions of the week. It's too hot. But first, let's do the health news roundup after the break.

6:01If you're someone who's tracking your sleep, your steps, and your macros, then you already know that what you eat is kind of everything. You should also know that Sprouts Farmer's Market can help make eating for longevity easier. Sprouts has all the high-quality, nutrient-dense organic foods and cutting-edge supplements you need. So whether you're focused on protein, gut health, or optimizing how you feel day-to-day, it's all there. And here's what no other grocery store can offer, an in-store wellness expert to help you find exactly what you need. So whether you're after longevity or on any other health journey, it's easier at Sprouts Farmer's Market.

6:36Emily Oster:I think something that makes me well-studied to be a nurse is my empathy. Growing up with a big family, I think I've always kind of been a caregiver. When you care give, you get to know the family and the patient, and you get really close. And Rasmussen University, they did a very, very good job of giving us the resources that we need. So just being able to apply the knowledge that I've retained to my daily life has been so amazing. Learn more at rasmussen.edu. Hey, it's Ryan Reynolds here for Mint Mobile. Now, I was looking for fun ways to tell you that Mint's offer of unlimited premium wireless for$15 a month is back.

7:15Emily Oster:So I thought it would be fun if we made$15 bills. But it turns out that's very illegal. So there goes my big idea for the commercial. Give it a try at mintmobile.com slash switch. Upfront payment of$45 for three months,$90 for six months, or$180 for 12-month plan required. $15 per month equivalent. Taxes and fees extra. Initial plan term only. Greater than 50 gigabytes may slow when network is busy. See terms. And now let's do the health news of the week. My first question for you, Perry. I noticed that the cardiologists have finally come out in support of one of my more central personal habits, which is consumption of coffee.

7:55And the cardiologists of America have said, coffee's great. Why did they say that now?

8:02Emily Oster:I guess people were kind of down on cardiology and they were like, you guys are such wet blankets, always telling us not to drink alcohol or like eat fatty foods or whatever, and they needed to get some street cred. So the American Heart Association has released a formal document on caffeine and the cardiovascular risks and benefits. And it goes through decades of research into the substance. But I'll summarize in saying they basically gave a thumbs up to coffee, to ingesting caffeine in the form of coffee, noting across several studies that there's stuff in coffee that might be healthy even beyond caffeine.

8:40Emily Oster:and sort of are equivocal on, you know, caffeine supplemented beverages and gels and energy drinks and things like that. But overall, some of the sort of myths that got dispelled in this document, number one that was surprising to me even was they talk about generally coffee being less likely to promote atrial fibrillation, the most common cardiac arrhythmia. We always sort of counsel people with AFib or we used to counsel people with AFib like, oh, don't avoid coffee if you're trying to stay out of AFib. AHA says not true. In fact, the current guidelines advise specifically against telling people not to drink coffee if they have atrial fibrillation.

9:19Emily Oster:Some other interesting stuff, they note a randomized controlled trial which showed that coffee increases LDL cholesterol. That's the bad cholesterol, but not if you pass it through a paper filter. There's a substance in coffee that raises cholesterol but gets adsorbed into paper filters. So maybe that's an argument against French presses, although that is a nice form of coffee that I like. I love finding things though, Emily, like I have a list of three things. I wonder if you can guess these. There are three things in life that are pleasurable and science also tells you that they're good for you.

9:54Emily Oster:Like most things, it's like, ah, you know, it's not that pleasurable, but you got to do it. Eat your broccoli, right? So coffee is one of them. I have two more. What are your other two? I'm curious what you're – so the only other two I've been able to think of are sleep and sex. Coffee, sleep, and sex. That's it. Everything else, if it feels good, it's bad for you. Yeah, that sounds right. I mean people will be like, oh, exercise. Like I love exercise. No, you don't. Come on. I do actually. No. I will tell you. I do actually love exercise. It's the endorphins they say. But if you could just lie around eating Doritos.

10:30No, I totally would not do that. But I will go with, yeah, yeah, coffee, sleep, sex, and exercise on my head. Here was what I will say about this coffee thing. Very nice. I broadly think that there's a lot of good stuff in this report. I will say I am always very frustrated that these reports seem to rely on both observational and randomized data and not, like, distinguish them. I mean, coffee makes you live forever is like a standard headline that shows up in a lot of coverage of garbage observational studies. These guys, like some of what they're saying is based on randomized trials. Some is based on observational data.

11:10I just wish they would talk about the randomized trials. Like here are the things we actually know. And here are some, you know, associations which you should take with a grain of salt. And I think they don't do that because they don't have the same skepticism that I do for observational data. But anyway, that's my problem.

11:27Emily Oster:I hear you. And that skepticism comes through loud and clear. Let's move on to a rather bleak record that we have. There have been more measles cases reported in the United States in the last two years than in all the years from 2000 through 2024 combined. mind. Emily, what's going on with measles? Yeah, there's some actually other ways to look at that data, which I think are even more disturbing. Like there was a single week in January when there were more measles cases than the yearly count for all but a few years in the past 20 years. So we're having a very unusual outbreak set of measles. What is happening is pretty clear.

12:15We are in a period of increased vaccine hesitancy. Vaccine rates have been going down for a long period of time. And that means we have a lot of kids who are unvaccinated. Measles is super, super, super contagious. The R0 is something like 12 to 15, which means any individual person with measles can spread it to, is expected to spread it to 12 to 15 other people. If everyone was unvaccinated, that's way, way, way higher than almost any other viral illness that we talk about. And so it's just really, really contagious. Yeah, the flu is like 1.5. Yeah. It was just super, super contagious. And if you have a school where 50 % of the kids are vaccinated, which we do have some of, then one kid gets measles, a lot of people get measles.

12:57And so, you know, look, I mean, there is an obvious solution for this. It is for more people to get vaccinated. It's not rocket science. We have a great, great way to fix this problem. Vaccine hesitancy continues to rise. Otherwise, the CDC currently features a website that says that autism has something like vaccines have not been shown not to cause autism or something incredibly misleading that is totally wrong. And the whole thing is very frustrating.

13:28Emily Oster:Yeah, it is. If you look at vaccination rates nationwide for measles, they look OK. You know, 93 percent of kindergartners or something like that. But one of the problems in infectious disease epidemiology is that infectious diseases spread locally. And so the problem is it's not 93 % everywhere. It's 100 % in some places, and it's 80%, 75%, even lower in other places. And those tend to cluster together, which is why you see all these outbreaks. And yes, despite, I will say, officially, the HHS says, the Health and Human Services department says, quote, vaccination is the best defense against measles.

14:10Emily Oster:Okay, folks. So there you go. That's their official word. But of course, they also put up this website. And yeah, Emily, it says, basically, it's like, while there's no evidence that vaccines cause autism, there's no good evidence that they don't cause autism, which even that's not true. Like we have plenty of studies showing no link. So much. And also proving a negative, like you can always kind of say that It's like, you know, I can't prove to you that there's not a whale orbiting the earth right now. Like there could be, like it's possible. We just didn't detect it yet, right? Like, which is just such wishy-washy stuff.

14:45Emily Oster:No medical science is ever going to be 100 % on anything, but we're actually pretty darn close when it comes to vaccination. Totally. All right. Well, you know, perhaps people will respond to the existence of measles by vaccinating at higher rates, which we do see happen. And so I guess there's a self-limiting aspect here potentially. Last thing we want to talk about was peptides. The FDA is back for your peptides. If you are a listener to this show, please go back and listen to our episode on peptides. And one of the things we said there was you can't get peptides in America. You have to get them from overseas manufacturers.

15:24The FDA heard us and they were like, oh, we should make those.

15:27Emily Oster:Why are we outsourcing all of our unproven injectables to China? An FDA panel has voted to authorize several peptides, which people may have heard of, including on our prior episode, such as BPC-157. That's part of the Wolverine stack, by the way. Fabled Wolverine stack. KPV and TP500 for bulk compounding. That gives compounding pharmacies here in the US the ability to mix that into stuff that you can then inject into yourself. A bit of controversy here because the staff at the FDA recommended against this. They cited lack of safety and efficacy data, which we, of course, highlighted in our prior episode.

16:10Emily Oster:There's some interesting rat data on some of these things, but in general, we expect there to be human safety and efficacy data before the FDA approves something. The panel that voted to approve it had, it won't surprise you to hear, been recently reconstituted by RFK Jr. The new members include six people who run businesses selling peptides. Okay. Yeah. I don't know. Okay. I understand that you want expertise. And a lot of times, experts do have relationships with industry. That's true. But the people that run HHS, including RFK, really criticize the FDA for having people with industry ties on these panels.

16:51Emily Oster:And now they have people who run clinics in Florida that make money injecting overseas peptides on these panels. Okay. So to play devil's advocate on this question of whether we should approve these, I think there is an argument which the panel made, which is that people are already using these and they're getting them from these unsafe overseas sources. And if we provide them in the US, they will get them here and that will be safer. For me, that trades off against the fact that if you provide them here in the US, many more people will use them. Yeah. And it's also, it's like, that's like cool mom energy, right?

17:25Emily Oster:It's like, I know you guys are going to be drinking. I'd rather you drank here. Like, and I got you a bunch of vodka. Like I just, that's the FDA. I got you some White Claw and some social tonics so you can try things out. Yeah. I don't know. The FDA is supposed to. It's not a regular mom, the FDA. It's cool mom. It's cool. It's cool FDA. Just like do safety and efficacy. That's like your whole thing. Like prove that a drug works, prove that it's safe. That's what we have to do. And maybe these things do work, but you got to run the trials. It feels like the bare minimum. And this is what they complain about with vaccines.

17:57Emily Oster:They're like, ah, they haven't gone through adequate trials, which again is untrue. But in this case, it is true, but all of a sudden it doesn't matter because we can make a lot of money with these things that aren't going to be covered by insurance being sold in wellness clinics without any evidence except for social media clout. All right. Well, so before you buy your Wolverine stack, please listen to our last episode about the data. Thank you. All right. That's it for the health news of the week. And now let's dive into the sun. Not literally. Let's dive into information about the sun. Do you know what would happen to the sun if you were to put a human body into it?

18:35I don't think you could get that close to the sun without - Like magically.

18:38Emily Oster:Like if you magically transported a human body into the sun, you know what would happen to the sun? Nothing? Nothing. Nothing. Nothing at all. Nothing would happen. Do you know what happened to the human? Not anything good. Nothing good. It's not good for the human. Not good for you. All right. So I think it's worth asking the question, why are we talking about the sun? What does it mean to ask, what's the deal with the sun? And obviously, we should say the sun is crucial for life on Earth. Not controversial. That's not controversial. But on Instagram, there are some more controversy about the sun.

19:12not about whether we should have it, but about your relationship to exposure to it. And so in particular, I read an increasing sense that maybe we should be more exposed to the sun, right? Like we just like to back up, I was born in the 1980s. And in the 1980s, we had a lot of sun exposure. You know, one time I got a sunburn so bad that my face blistered because we weren't just like wearing that much sunscreen. And now it's like my kids are in like a hat and full on sunscreen and like a long sleeve bathing suit. There were no long sleeve bathing suits when we were children. Now everyone's in like a parka, like a beach parka.

19:50And so then the Instagram has pushed back a little and be like, hey, we're not, you know, there's, you're wearing too much sunscreen. Instead, you should eat a lot of watermelon because that's just as good as sunscreen. Okay. Here's an idea for you. Instead of lathering on chemically filled, unnatural sunscreens, what if instead you drank some watermelon juice? It's true. So watermelon juice acts as a natural sunscreen. Watermelon has something known as lycopene in it, which contains antioxidant and anti-inflammatory properties that help hydrate and nourish the skin to protect it from the sun.

20:22It's well known that hydrated and nourished skin is far less likely to be damaged from the sun. So I think that's what we're going to kind of talk about here, like exposure to the sun, health, vitamin D, sunscreen, mood disorders.

20:35Emily Oster:I love it. What questions do you have about the sun? It's the summer. So the sun is on my mind and it's very hot. No, I think there's a lot of good stuff to talk about here. When you mentioned when we were kids, totally. I once got a sunburn on my forehead and my skin was going to peel off but hadn't yet. So there was a layer of skin that was kind of loose. And I was like 11. And I remember looking in the mirror and raising my eyebrows and all these wrinkles appeared on my forehead. And I thought, oh my gosh, I have become old. The sun has given me wrinkles. That's what everyone says the sun does.

21:09Emily Oster:And then three days or so passed and that dead skin all kind of fell off and I had a nice smooth forehead again. But that image burned into my memory. And then about 10 years ago, I was looking in the mirror and I raised my eyebrows and there they were again. For reals. For reals and reals. And the prophecy has been fulfilled. All right. So let's start, I think, talking about sunscreen. Because sunscreen is weirdly controversial, actually. Yeah. I don't know what happened there. I mean, I think we can unpack why it's controversial. Well, okay. Overall, there's money to be made in controversy, right?

Read the full transcript

21:50Emily Oster:If you're an influencer and you kind of are going to be a contrarian and say like, well, all the nerds at the ivory tower are telling you to wear sunscreen. I'm going to tell you not to. And by the way, you know, buy my product or whatever. Like there's always the grift and we should just say that. But I think we can find some other reasons that people are skeptical of sunscreen. The reason we wear, well, there's two reasons we wear sunscreen, really. One is to prevent skin cancer. And one is to prevent the solar aging. The fact that it's true, although it didn't happen to me when I was 10, the sun does age your skin.

22:25Emily Oster:And, you know, I think just I'll briefly touch on mechanism here. I think the only thing that we need to take home is that the sun, the bad stuff that comes from sunlight, not bad, the potentially damaging stuff are UVA and UVB wavelengths of light. If you go all the way back to our red light therapy episode, you'll remember that the shorter wavelengths have more energy. They can kind of do more damage, but they don't penetrate as deeply. UVB has that shorter high energy stuff that can damage DNA. and that's one of the mechanisms by which this causes cancer, whereas the UVA, which can get a little deeper, actually might be more responsible for aging, sunspots, wrinkling, and stuff like that.

23:11Emily Oster:And of course, sunscreen, we'll dig into a little bit of how sunscreen works, but sunscreen, if you're wearing a good one, will block both of these things. Both the sun and tanning beds provide the same thing. So sometimes people will talk about tanning beds being worse or better. I think that for the most part, what we are going to say here applies to using a tanning bed or being outside. Maybe there's some small differences here. Yeah. I would just think of tanning beds as the same as sun. There's a little weird stuff. There's an interesting article in Science Advances in 2025 about this that showed that the melanocyte mutation burden was higher and distributed more broadly in people who use tanning beds.

23:59Emily Oster:People who use tanning beds are also more likely to get multiple primary melanomas. So a primary cancer is like a cancer in a spot as opposed to metastatic, which has spread from somewhere else. And so multiple primaries is like getting cancer twice. These are all really kind of marginal on the edge stuff. I wouldn't like consider one being safer than the other. I will say, I don't think people should use tanning. Like if you are looking to be tan, there's a spray for that. You know, like if your goal is a physical tanning experience, like to look tan, you should just go spray tan yourself. Hey, there's also a peptide for that.

24:34There's also a peptide for that. Now you can probably get it. And so I think I would like sort of put that aside because for many people, the question is more, you know, I'm going to be outside. And then therefore, you know, should or should not, should I not protect myself? And I will say the debate on both sides is basically about cancer. So the reason that people that we think you should wear sunscreen is because of cancer. And a lot of the reason people think you shouldn't wear sunscreen is also about cancer, maybe some about endocrine disruption, but like cancer comes up on both sides of this and sometimes the same kinds of cancers.

25:13And the conversation is confused. Yeah.

25:18Emily Oster:Let me play you a clip from a typical influencer that people see online talking about the dangers of sunscreen. I am the single biggest hater of sunscreen on the planet. I stopped using sunscreen two years ago when I found out all the problems with it, and I'm never going back. For starters, the lie that we've heard is that sunscreen helps protect you from melanoma and skin cancer. Sunscreen wasn't invented until the 1930s, and I believe it wasn't brought to the United States until the mid-1940s, but it didn't get FDA approved until about 1980. Since 1980, we've seen an increase of over 700 % of melanoma cases.

25:51Hmm.

25:52Emily Oster:But I thought it was supposed to protect us from the sun. That's what all the dermatologists say. Who curated their education? Right. This guy's confused. This guy is shirtless too. Emily, is this, do we need to do this? Do we need to be recording our podcast without our shirts on? because apparently this is how you get engagement nowadays? Yeah. Are you going to – I think you should. We'll see how it goes. And then if we have to ramp up to me, we'll try that. Anyway. Okay. So the claim here is that sunscreen somehow causes skin cancer. That's confused. Yeah. I mean, so this influencer is like, oh, we started using sunscreen in the 60s and skin cancer rates have also gone up.

26:37Emily Oster:a classic ecological fallacy for the epidemiologists out there, but also a lot of reverse causality, like sunning and getting tan was not as much of a thing in the 1930s and 40s. In fact, until people could travel to exotic places and get tan and display that they were wealthy by being tan, they used to display their wealth, telegraph their wealth to others by being pale to show that they didn't have to like work in the fields and stuff. And so it was sort of the ideal of beauty to be very fair and pale and like, I've never seen the sun. And then that started to change as society changed and travel became easier.

27:15Emily Oster:People wore more sunscreen to avoid sunburns. People got more cancers because they were in the sun more often. That's really all it is. Yeah. I will also say detection rates for these things have gone up over time. And so So it is, you know, in 1850, if you got a melanoma, you just died. Nobody was like, hey, you know, let me screen you every six months for a weird mole and take it off and diagnose you. But then you're fine. You just died. And so it's a bit weird to say, you know, and probably you died from something else first anyway. So yeah. None of the chemicals in sunscreen have been associated with cancer.

27:51Emily Oster:None of them damage DNA. None of them have a mechanism by which they could cause cancer. If I'm really like waving my hands and I want to play devil's advocate, I could say, well, maybe wearing sunscreen gives you a false sense of security when you're out in the sun. And so you sort of spend more time in the sun and you don't reapply as often as you should. And maybe that's a risk factor. But you can't really blame the sunscreen for that, right? Like it doesn't cause cancer. And we have a fair amount of data that wearing sunscreen reliably reduces cancer. So I think the best data comes from Australia.

28:26So there's a trial published in the late 1990s, 1 ,600 Australians. They were randomized to either daily SPF 15 or discretionary use, which just meant use it whenever you want. Since people don't do things, they use less over a period of about five years. There was a 38 % lower rate of, I never know how to say these words.

28:49Emily Oster:Squamous cell carcinoma. squamous cell carcinoma over eight years of follow-up. And there is a non-significant, but sizable reduction in the number of invasive melanomas. Melanomas is fairly uncommon. So there were only three invasive melanomas in the sunscreen group and 11 in the other group. And so that's not really enough to be statistically confident, but it is meaningful. I think that's our best. I think that's our best randomized data. It's a randomized trial. It wasn't even that much SPF. I mean, 15 is kind of on the low end of what we would probably use today. And it's good. The observational data, like influencers will pull out studies that you can find studies that show people use sunscreen have lower rates of cancer, studies that show that people use sunscreen have higher rates of skin cancers.

29:42So much of this is what we call confounding by

29:45Emily Oster:indication, right? Which is that people who are at higher risk use more sunscreen, right? Because it's not randomized. You see a similar thing. I'm almost like hesitant to say it. People who take statins have a higher risk of heart attack overall than the general population of people who don't take statins because people who take statins take them for a reason because they're at higher risk of heart disease. They're older, they have diabetes, they have high cholesterol. Whereas an 18-year-old who's perfectly healthy doesn't take a statin and is unlikely to have a heart attack. So this is all over the observational literature, which is why you need randomized trials.

30:20Emily Oster:We have one. Sunscreen reduces the risk of skin cancer. We call that reverse causality, but like in economics, this thing. I mean, this is just like an interesting, like there's different words for this. We call it reverse causality, which I like better because I think it's easier to say than confounding my indication and it makes more sense. Well, cheerfully withdrawn. All right. There are multiple kinds of sunscreen that one could use. There is mineral sunscreen. This is the sunscreen that makes your face white. It blocks with zinc or titanium dioxide. And you too can look like an 18th century consumptive.

31:01Queen Elizabeth covered her face in lead and you can cover your face in zinc oxide and achieve the same activity without the facial pitting.

31:10Emily Oster:Yeah. I was surprised actually to find, I didn't actually know this, zinc oxide has broader spectrum coverage. So the way these work, by the way, is just, it's a physical barrier. Like the UV reflects off the tiny particles of zinc or titanium and just reflects into a way towards someone else. Zinc does that both for UVA and UVB, whereas titanium is really UVB focused. And so some dermatologists will recommend to make sure that if you're using titanium alone, like you want to be using something else for UVA, particularly because you don't want that skin aging effects. For those of you who don't want to look like 18th century consumptives, these nanoparticle formulations that they have now are a little less white.

31:55Emily Oster:I don't know if you've tried them, Emily. They look okay. They're okay. And they seem to, and medically speaking, they're just as good as the other kinds. There are also chemical sunscreens, and that is anything you're using in a spray. There are other chemical sunscreens which are using chemicals to block the UVA and UVB light. They do not turn your face white. Some people are afraid of these due to concerns about endocrine disruption from some of the chemicals that are used in this. I will say that if you feed a rat very, very high doses of some of the chemicals in these sunscreens over their whole lifetime, it is not good for them and their reproductive system.

32:37But the kinds of level of exposure that you have as a person using this sunscreen is very different than if you are a rat who's primarily eating it. and in fact people have looked carefully at you know how much would you have to use sunscreen like over your whole life cycle to get to this exposure and it's like not feasible so I would say if chemical sunscreen is the thing that is easier for you or more acceptable you should use that and if you like the white stuff that's also great and if you want to just wear a lot of clothing instead that is also okay but less feasible for most people and especially for kids

33:16Emily Oster:Totally agree. Whatever will make it easier for you to use. For the chemical sunscreens, those chemicals also have different levels of UVA and UVB protection. The FDA has an official labeling for stuff that covers both, and it's broad spectrum. So you do want a sunscreen that has that broad spectrum coverage on it that's legally regulated. Also, you don't need SPF 3 billion. So they will sell very expensive SPFs like SPF 100. Does it really make any sense given what I understand to be what this means? But SPF 30 is the American Dermatological Society says SPF 30 or higher. So 30, 50, you do not have to have 99, which is expensive.

34:02Emily Oster:There is one part of sun hitting your skin that I debated putting in this episode, Emily, but I think we just have to talk about it. And that is, should we be sunning our perineums? Let me play you a clip from Mr. Health Nut. Oh, this is a good one. Okay, here we are guys. You guys ask about the butthole sunning all the time. And this is another one of my practices. I don't always talk about it. But it's well known that your sphincter or your butthole is one of the most sensitive or thin mucous membranes in the body. 30 seconds of sun on the butthole is like eight hours of sun outside with your clothes on.

34:51And so let's face it, the sun is the source of all energy. And so you're getting that sunlight up into the channels of the body. You're giving yourself a nice energetic electrical butt plug. For men, sun on your testicles or naked sun is good for testosterone boosting. This is just energy for the soul. My favorite part of that clip, Harry, is when he says he doesn't – people don't talk about it all the time. It's like that's true. That's true. We don't talk about this all the time.

35:23Emily Oster:Can you describe what you're watching for people who are listening to this in audio format? There's a man. He's both shirtless and pantsless, although you can't see too much. And his legs are over his head and it is obvious that he is exposing his butthole to the sun while explaining the benefits of doing so. This is in the zeitgeist in no small part because Tucker Carlson himself tried this. He had some documentary on being a man or manliness in America and somehow this incredibly unmanly thing. I look at this video and I'm like, this just does not scream macho to me. Apparently boosts your testosterone or something like that.

36:10Yeah. I should say your butthole and your perineum are actually not the same thing. So first of all, that's not the scientific word for your anus, but the perineum is the area between your either vagina or your scrotum and your butthole. So I guess all of that area could be sunned, but don't do it. Because you'll get sunburned. That's a terrible way to get a terrible, painful sunburn in a very uncomfortable area.

36:39Emily Oster:Absolutely. First of all, this doesn't work. There is some data that human testosterone levels peak in late summer, early autumn, but that has nothing to do with your perineum, and it probably doesn't even have anything to do with sun exposure. There's multiple factors that change testosterone levels, so that's nothing. And there is some risk here. So people with psoriasis can get UV therapy, so ultraviolet lights to treat the psoriasis. UV light is immunosuppressive to some extent. That's one of the reasons that cancers can develop with excessive UV exposure. But for psoriasis, you want to suppress the immune system.

37:15Emily Oster:And when they first started doing this, they found that people getting UVA and B therapy for psoriasis had a fourfold increase in genital tumors. And that was because the skin around the genitals is very thin, so that high energy UVB can penetrate to more important stuff than it can in the other parts of your body. And so now the guideline recommendations for people getting that therapy, even whole body UVA, UVB for psoriasis, is to specifically cover the genital area, the perineum. So don't do this. Okay. Should we take a break? I feel like we need a break. We're going to take a break. If you need to go sign your butthole, this is a great time.

37:56And then come back and we'll talk about vitamin D. If you're someone who's tracking your sleep, your steps, and your macros, then you already know that what you eat is kind of everything. You should also know that Sprouts Farmer's Market can help make eating for longevity easier. Sprouts has all the high-quality, nutrient-dense organic foods and cutting-edge supplements you need. So whether you're focused on protein, gut health, or optimizing how you feel day-to-day, it's all there. And here's what no other grocery store can offer. An in-store wellness expert to help you find exactly what you need.

38:31So whether you're after longevity or on any other health journey, it's easier at Sprouts Farmer's Market.

38:37Emily Oster:My name is Arnold Bogarty, and prior to me enrolling in Rasmussen to become a nurse, I spent 16 years in the military, 12 in Special Forces as an Army Green Beret, and I was recommended to Rasmussen by a former student. She said she loved the culture. It was a family atmosphere. I went to visit the campus. The facilities were amazing. I knew before I left that that was the school that I was going to attend. Rasmussen University. Are you ready to be your own hero online and on campus? Learn more at rasmussen.edu.

39:10Emily Oster:Zach, nice vacation spot, but without T-Mobile 5G home internet, I feel so cut off. It's scary. Relax. Just breathe in the woodsy woodsy-ness. Zach! Don't open it. It's a monster. I just know it. Buddy, it's just our DoorDash driver delivering our T-Mobile 5G home internet. Here you go, guys. Thanks. Look, Donald, now you can get the fastest 5G home internet with same-day delivery powered by DoorDash. And it's easy to set up. See? Nothing to be afraid of. We're saved! It's scary how easy it is. Get T-Mobile 5G home internet delivered the same day. Powered by DoorDash. Just$35 a month with auto pay and a voice line.

39:55Emily Oster:Plus taxes and fees. Same day delivery for most internet eligible customers. See if it's an option during checkout. Fastest according to UCLA Speed Test based on speed test intelligence data second half 2025. All rights reserved. Welcome back. We are going to turn to vitamin D and whether the need for more vitamin D is part of why you should be exposed to the sun. Let me set the stage here by saying there are many vitamins, A, C, E, a bunch of different B vitamins. Most of these you get through your food. Vitamin D is one that you get some through your food, but also through exposure to the sun.

40:42Like other vitamins, if you do not have enough of this, it's very bad. So vitamins are, in general, substances that our body cannot produce on its own, so we must be getting from some outside source. Like extensive vitamin D deficiency is associated with rickets in kids. with kind of bone decay, you need vitamin D to support your bone. But you basically can't get enough of it through food. So most foods don't have very much at all. Your milk is fortified with that. But most people in the US are not getting anything close to the appropriate amount of vitamin D in food. And so they have to get it through the sun.

41:25Okay. How does it happen? Science Perry, how do you get vitamin D through the sun? It involves the kidneys. So I'm going to give this to you.

41:33Emily Oster:Yeah, it does. So you have in your skin a substance called 7-D hydrocholesterol, which is a cholesterol derivative, and UVB converts that to vitamin D3. So you've probably seen D3 supplements in the GNC or CVS or whatever. That's what it is. Vitamin D3 is not active. It has no physiologic effects, but it is a substrate that gets converted by the liver to 25-hydroxy vitamin D. That is also not active. You can get a prescription for that. This is called ergocalciferol, but it's generally not sold in stores. That 25-vitamin D goes to the kidneys and becomes 125-hydroxyl vitamin D. And that, and only that, is the biologically active form of vitamin D.

42:26Emily Oster:There's a prescription form of that as well called calcitriol, which is very expensive and has a lot of side effects. But basically, there's a lot of processes in your body that are designed to get you to vitamin D, and it all starts with UVB exposure. But I think what will surprise people is how much vitamin D you get from a little bit of sunlight. So the recommended daily intake for vitamin D varies. 200 to 400 international units is sort of typical. And you'll see supplements ranging from like 1 ,000 to 2 ,000 international units per day, vitamin D supplements. If you had UVB exposure for 20 minutes to your whole body, so imagine 20 minutes on the beach, if you're a light-skinned individual, and this is an important consideration, that produces approximately 10 ,000 international units of D3.

43:22Emily Oster:So about 10 times the dose you'd get from taking a vitamin. That's 20 minutes. It is also, I think, important to say at this point that you cannot overdose on vitamin D through the sun. So if you were outside for a very long time, like putting aside the sunburn risk and you say you were outside for five hours, and so it's going to be many bajillion units of vitamin D, that does not cause you to overdose. Whereas taking that amount in a supplement would actually be quite dangerous. Thank you for saying that. Yes. The sun degrades vitamin D3 in the skin. So as it's making it, if there's a ton there, it'll degrade and it puts the brakes on automatically.

44:08Emily Oster:But It ingested vitamin D3 is its own thing. People can absolutely overdose on this stuff. You can get something called milk alkali syndrome. Fascinating. You can get very high calcium levels, which can cause a lot of things, kidney damage, coma, arrhythmias, bad stuff. I think, though, the reason vitamin D comes up a lot is that we have a slew of studies linking low vitamin D level, measured vitamin D. And I'll just say, typically when people are measuring vitamin D in the blood, they're often measuring 25 vitamin D, that liver one before it gets to the kidney. It's just an easier test to run than the real vitamin D.

44:51Emily Oster:It's fine. But we have a slew of studies linking low vitamin D levels to a variety of diseases. And I listed a few. So low vitamin D level increases the risk of cancer. Low vitamin D level increases the risk of cardiovascular disease. The low vitamin D level increases the risk of diabetes. Low vitamin D increases the risk of falls, COVID, all-cause mortality. Looking at all that observational data, you'd be like, oh my God, vitamin D is the most important thing in the world. But Emily, we don't like observational data. What are the randomized trials of vitamin D supplementation show us? The randomized trials of vitamin D supplementation show us that but there's nothing.

45:35So there are actually a large number of randomized trials on all of the outcomes that you have listed. Some of it is the same trial looking at, and these trials are big, you know, 25, 26 ,000 people, true placebo control trials. And they just don't show anything. They just show no differences. When you supplement people with vitamin D, it doesn't look any different. Nothing different happens than if they weren't supplemented with vitamin D. And this is because the observational data is driven by bias, by the fact that the people who are taking the vitamin D are different from the people who don't take the vitamin D.

46:18And in fact, like before I get off my high horse about this, we have for many years been telling people to take vitamin D. Like vitamin D is good for you. Take vitamin D to prevent cancer. And so not only Is there this baseline, just like people who take more vitamins tend to be positively selected in various ways. But over time, we've like made that worse with our advice. So we tell people take vitamin D and the people who take the vitamin D are also the people who are doing all of the other things. And so the problem has gotten like worse and worse and worse over time. About a half of Americans take a vitamin D supplement now.

46:53And if you look at what half it is, it's also the half that's exercising and eating vegetables and doing other things that not smoking. And so it just it's just a classic case where like the observational data is super is super misleading.

47:10Emily Oster:Even people even if you exclude people who are supplementing at all, you do find observationally that lower level like blood level of vitamin D associates with all these bad outcomes. But the way I often describe it is that vitamin D, your vitamin D level, if you're getting your vitamin D measured, it's very much a lifestyle biomarker. Like if you are the type of person who goes outside and gets sun and exercises and touches grass, like you're going to have, and it's a varied diet, right? With multiple sources of vitamin D in it, you're going to have a higher vitamin D level. Conversely, if you're a person who is sick from other things, who has nutritional deficiencies, who isn't getting outside and getting exercise, you're going to have a low vitamin D level.

47:55Emily Oster:It is a very nice marker of kind of overall health, but that doesn't necessarily mean that making the marker look better makes your health look better. It's the canary in the coal mine and bringing in a better canary or whatever doesn't fix the coal mine. That's a bit of a tortured analogy. Sorry, Canaries, you're all dying. I see where you were going with that. Yeah. So from the perspective of the sun, I will say, like, you know, you are probably getting enough vitamin D from your exposure to the sun already. And you don't need to either stand outside more in the sun for more vitamin D, nor do you need to take a vitamin D supplement.

48:33Emily Oster:Yeah, it is a bit harder, of course, in the winter and in certain climates where the sun doesn't shine as much. And it is certainly harder for darker skinned individuals. That melanin that protects the DNA in your cells from UV causing mutations also decreases the ability of UVB to help synthesize vitamin D. And so if you are darker skinned, there's more rationale for focusing on dietary intake of vitamin D. I'm still not very pro supplement of vitamin D just because even in the randomized trials, we don't see a signal across any skin tone for benefit, by and large. Totally right. I'm a negative on vitamin D supplements, even though many people are always telling me to take them.

49:19But I don't.

49:20Emily Oster:Don't take them. Don't do it. All right. So the sun necessary for your vitamin D, but you don't need more of it. Sunscreen, very important. And there are other ways in which we have evolved to like the sun. In particular, it makes us happy. People like to go outside and be in the sun. That's nice. Yeah. I mean, and we see this, well, we see it in observational data where, you know, people who spend more time outside have a lower risk of depression. Is that causal? I don't know. But we do have evidence on seasonal affective disorder, which responds to light therapy. So I think there's a sort of clear, randomized trial that supports a mechanism that light exposure makes us happier.

50:11Seasonal affective disorder is actually a big problem in a lot of these countries where it's really dark all the time. Yeah.

50:17Emily Oster:And it's interesting. It does not appear to be vitamin D mediated. So it's not that your vitamin D gets low and that's what causes sadness because vitamin desupplementation does not improve seasonal affective disorder. But the blue light therapy does. That's clear, as you say, from randomized trials. A lot of the mechanism apparently is circadian sleep disruption. And the blue light therapy is done early in the morning to sort of reset your circadian clock. And if there's any theme of the Wellness Actually podcast, it is that sleep is the most important thing and is tied to everything else. And so I think this is yet another example of that.

50:53Yeah. Sleep is very important.

50:55Emily Oster:I found a couple of other weird sun benefits that I'm curious what you think about, Emily. One is some fairly consistent links between low childhood sun exposure and subsequent multiple sclerosis. So multiple sclerosis is clearly diagnosed more in the northern latitudes And this is not just a rich country, poor country thing, because even across, for example, the United States, like the further north you are, the higher the risk of multiple sclerosis is. I don't have a great mechanism for why this would be, but like, it's not just one or two studies that have found this link. And I don't know.

51:42Emily Oster:What do you think? Do you think that there's an MS sunlight thing? It's a little hard to tell from the studies that are on this. Most of these are what's called a case control study. And so they identify, you know, because multiple sclerosis is not common. I mean, it's not vanishingly rare, but it's not like, it's not a common thing. So you don't see it that much in these large population studies. The way these studies often work is they will take a set of people who have the diagnosis and then find some other people without the diagnosis and, you know, compare them on feature, like questions they ask them, survey questions, other characteristics.

52:20That kind of study has all of the problems of basic observational data that these groups may differ in many other ways. It also has a problem that they differ in how you select them. And you're asking about stuff often that happened in the past. It's not a very strong empirical approach. It's sometimes the only approach that we have. And so I don't want to like say we should never look at this, but it feels as an approach, like something that would generate a hypothesis rather than prove one. And so this sort of, this feels like there's probably something more clever someone could do to try to get more of an answer here.

53:00We don't understand that much about MS and what drives people. It seems clear that there's genetic risks, but also the epigenetic issues and other things that happen. So it's an interesting research area. My guess is that sun exposure will not turn out to be the most important feature here.

53:18Emily Oster:Fair enough. If it gives people motivation to get their kids outside in the sun, all for the good, but make sure they're wearing their sunscreen. There is actually some better evidence that outdoor time reduces myopia. That's probably not just about the sun, but about being outside. Oh, sure. And some of that is from randomized data. Yeah, yeah, yeah. Yeah, I guess it turns out that, I mean, I guess our moms were right, which is like sitting too close to the TV is going to ruin your eyesight, right? Like when you're outside, you're forced to, what is it, accommodate your pupils to distance, which flexes those muscles a little bit.

53:57Right. Something like that. Yes. Anyway, it's good to go outside. Yeah, be outside. That's another theme of the wellness. Go outside and then also go to sleep, but not outside.

54:05Emily Oster:Right. Right. All right, Emily. I think it's time to decide whether this sun thing is all it's cooked up to be. Smash or pass the sun? I'm a smash. I mean, you know, it has its limitations, but I would say on the whole, I'm pleased that we have the sun around and I'm going to keep, I like to keep it. I agree. Smash. The sun is one of my top five stars in the galaxy. What is your second favorite star? Is it Alpha Centauri? Yeah. It's Rigel, actually, because that's where the pleasure planet is in Star Trek. That's for Tamar's husband. I will say I'm going to pass vitamin D supplements because we also talked about that.

54:58and I'm going to smash sunscreen. What about you?

55:03Emily Oster:I will pass on vitamin D supplementation and smash sunscreen. Yes. Amazing. All right, that's it for The Sun. Your mailback question of the week after the break. If you're someone who's tracking your sleep, your steps, and your macros, then you already know that what you eat is kind of everything. You should also know that Sprouts Farmer's Market can help make eating for longevity easier. Sprouts has all the high-quality, nutrient-dense organic foods and cutting-edge supplements you need. So whether you're focused on protein, gut health, or optimizing how you feel day-to-day, it's all there. And here's what no other grocery store can offer.

55:41An in-store wellness expert to help you find exactly what you need. So whether you're after longevity or on any other health journey, it's easier at Sprouts Farmer's Market.

55:51Emily Oster:I have been with Rasmussen University since 2013, all virtual. All of my professors throughout the entire journey have been nothing but supportive of making me reach my dreams. Rasmussen professors, they want to see you grow so that you can be what you went to school to be. I'm so thankful for Rasmussen University for being able to make it so easy and seamless. Rasmussen University. Find your seat and start now at rasmussen.edu. Hey, Donald. Really flying on that treadmill. I'm trying to run as fast as T-Mobile 5G home internet, Zach. Well, you better pick it up, because now T-Mobile has the fastest 5G home internet, according to Ookla Speedtest.

56:33Emily Oster:Really? How's this? T-Mobile's faster than that, bud, and it's still just$35 a month. Speed up! No! Plus, they've got a five-year price guarantee. Come on! Faster! How can I go any faster? Channel the speed of T-Mobile 5G home internet. Think 100-meter dash fast. Think drag racing fast. Think speed skating fast. Now let's bump up your speed a notch. Hey, whoa, whoa, that's too fast! You'll be all right, just walk it off. Get on the fast track. T-Mobile now has the fastest 5G home internet. And it still starts at just$35 a month with auto pay and a voice line. Plus a five-year price guarantee. Plus taxes and fees.

57:13Emily Oster:Fastest according to Ooglow Speedtest Intelligence. Date of second half, 2025. All rights reserved. Guaranteed for monthly price of 5G internet data on eligible plans. Find exclusions and details at T-Mobile.com. All right, let's move to our question of the week. And if you have a question, you can go to wellnessactually.fm and leave us a recording and we will try to answer it. All right, this week, here's a question. Hi, Emily and Jerry. Settle a bet between my husband and me. Which organs can you live without? Thanks. This is such a fun question. It's the kidney, right? You only need one of those.

57:49Emily Oster:I know they're your favorite, but it's not important. Oh, well, if we're saying we can only take out one, then you can definitely take out one lung. That's fine. You can take out half a liver, basically. Oh, sure. Yeah, yeah, yeah. Okay. So I only need one of my lungs. Come on. I was, yeah. I mean, I'm not saying it's going to be great, but you're fine. You can take out people's whole lung all the time for cancer and stuff like that. I thought this question was the whole organ system, in which case I was going to say kidney because of dialysis. Because we don't really have a dial. So kidneys clean the blood and dialysis can kind of take over that for people who have end stage kidney disease, which you would have if both your kidneys were removed.

58:35Emily Oster:It's not the greatest thing in the world. You're getting four hours of dialysis three times a week, but you'd stay alive. And we don't really have that. I'm trying to think. We don't really have that for anything else. I mean, I guess - No, what about your reproductive organs? We could take out your uterus, your ovaries, testes. Yep. Who needs them? No problem. Not using them all the time. Yep. Our producer, Tamar, says gallbladder. Sure, you can remove that. Is that an organ? Appendix? Is that an organ? Yeah, I don't think I would call it appendix. Or just like a useless end piece. An organ. Let's see.

59:08Emily Oster:Brain, you probably need - You need that. You know - Colon? Could you remove your whole colon? Yeah, you can take out your whole colon. That's done.

59:22Emily Oster:Spleen, absolutely. You can do without a spleen. Wow, we can remove a lot. We can take a lot of that. Why did you become a doctor? It's a minimal viable product for humanity. Let me ask you, Perry. Why did you choose to be a doctor specializing in one of the organs we don't need? Why didn't you pick an organ that is necessary? Oh, that does hurt a little bit. But it's a good point. Do you know why? It's because the kidneys are one of the few organs where you can very easily measure the input, which is blood, the output, which is urine, and infer the miracle that is going on inside. Try that with anything, any other organ.

1:00:00Emily Oster:It's very difficult. Spoken like a true lover of kidneys in the human. All right. So it turns out we don't need many of our organs. But yet somehow, let's just say there aren't, there's very few organs other than maybe your reproductive organs where removing them, even then probably those, where removing them like would not result in some change to how you would have to behave. Yeah, yeah, yeah. They're there for a reason. They're there for a reason. Evolution didn't, except for the appendix, which is a waste of time, most of our stuff is useful. Okay, that's it. Join us next week when we will ask, what's the deal with gluten?

1:00:44Wellness Actually is produced in association with iHeart Media. Our senior producer is Tamar Abishai. Our executive producer at iHeart is Jennifer Bassett. Our theme music is by Eric Deutsch. And our content is for educational purposes only.

1:00:59Emily Oster:If you like the show, help other people find us. Leave a rating and review on Apple Podcasts or your podcatcher of choice. And help us spread the word about the show. You can follow us on Instagram at wellnessactuallypod. And don't forget, we want to hear from you. Head over to wellnessactually.fm and leave us a question for our mailbag or suggest a topic for a future show. We'll let the influencers have the last word. The sun is a mass of incandescent gas, a gigantic nuclear furnace where hydrogen is fused into helium at temperatures of millions of degrees.

1:01:40If you're someone who's tracking your sleep, your steps, and your macros, then you already know that what you eat is kind of everything.

1:01:47Emily Oster:You should also know that Sprouts Farmers Market can help make eating for longevity easier. Sprouts has all the high-quality, nutrient-dense organic foods and cutting-edge supplements you need. So whether you're focused on protein, gut health, or optimizing how you feel day-to-day, it's all there. And here's what no other grocery store can offer, an in-store wellness expert to help you find exactly what you need. So whether you're after longevity or on any other health journey, it's easier at Sprouts Farmer's Market. I think something that makes me well-studied to be a nurse is my empathy. Growing up with a big family, I think I've always kind of been a caregiver.

1:02:20Emily Oster:When you care give, you get to know the family and the patient and you get really close. And Rasmussen University, they did a very, very good job of giving us the resources that we need. So just being able to apply the knowledge that I've retained to my daily life has been so amazing. Learn more at rasmussen.edu. The Hulu original series Furious is now streaming on Hulu and Hulu on Disney+. Starring Emmy Rosam as Alice Black, Furious follows a rookie FBI agent on the hunt for Catherine, played by Lola Pettycrew, a mysterious and calculating female serial killer. While Alice upholds justice, Catherine kills for it, terrorizing the rich and powerful men of New York in her pursuit of vengeance.

1:03:06With secrets that change everything, Alice discovers there's a thin line between Hunter and Prey. Watch the Hulu original series, Furious. Now streaming on Hulu and Hulu on Disney Plus for bundle subscribers. Terms apply. This is an iHeart Podcast. Guaranteed human.

From the publisher

This week, Emily and Perry discuss the Sun. Sure, it’s necessary for life on earth and occupies over 99% of our solar system’s mass, but seriously, what’s its deal? Specifically, with respect to vitamin D and sunscreen, two oddly controversial topics in the wellness space. How much sun should we safely be exposed to? What’s the value of sunlight for our mood, health, and overall well-being? And…should we be tanning our buttholes?

Plus: coffee is good for you, actually, the United States is a “cool mom” when it comes to peptide production, and yet another infuriating record set with measles cases.

Past episodes referenced:

What's the deal with peptides?

What's the deal with red light therapy?

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What's the deal with the sun?Wellness, Actually with Emily Oster & Perry Wilson, MD · 55 min
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