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Junk food, binge drinking, mindless scrolling.
Do you ever wonder what it's doing to your brain?
For some reason, we remember to look after our skin,
our appearance and our fitness,
but we never think to look after the thing
that we actually rely on most,
the thing that makes us human.
So I've been diving into the science of brain health
for a while now to build the ultimate brain care routine.
Because firstly, I wanna minimize the risk
of cognitive decline as I age.
Our brain is our single biggest asset.
And so for me, I wanna improve my own focus
and reduce brain fog
and just generally increase my mental performance.
But even as a former doctor
who's literally studied this stuff for years,
it can still get pretty confusing
with all the different evidence, supplements
and everything else that's out there.
So after going through a ton of research
from papers and books and podcasts,
I've kinda realized that there are five key areas
that we need to focus on
if we wanna optimize our brain performance today,
but also our brain health in the long term and the short term.
Part one, the fuel.
Now, as with lots of self-help advice,
there is usually an old Greek dude
who said it first a thousand years ago.
One of the great scientists of the Middle Ages,
Maimonides, said,
"'No disease that can be treated by diet
should be treated with any other means.'"
And our brains are no different
because what we eat makes a huge difference
to our brain health and performance.
And even though the brain is only 2% of our body weight,
it actually uses up and consumes around 20%
of our total energy expenditure.
Now, through what's known as the gut-brain axis,
our brain and our gut are closely connected
and they're in constant communication.
And I recently interviewed
one of the UK's leading dieticians on gut health.
If you wanna learn more about that,
that'll be linked down below.
But the moral of the story
is that taking care of our brain
really begins with paying more attention to what we feed it.
Now, back in the day, I used to eat really terribly,
especially as a student and a junior doctor
where I didn't really have the time or the motivation
to cook for myself,
and I couldn't afford to have healthy takeout meals
all the time.
And this is actually largely known as the
"Western diet"
Now, the Western diet is low in fruits and vegetables
and very high in saturated fat and sugar and salt.
And it's basically poison for our brain.
And on top of increasing the risk
of cardiovascular disease and obesity,
there are studies that show that the Western diet
leads to decreased cognitive function, brain damage,
and can even contribute
to neurodegenerative conditions like dementia.
So taking a look at my dietary intake
was the obvious starting point
when building a brain care routine.
This meant putting an end to the burgers and the soft drinks
and the other tasty stuff
and transitioning to what is known as the Mediterranean diet
as much as I can.
Now, the Mediterranean diet is unsurprisingly inspired
by the food habits of people
who live in and around the Mediterranean.
And actually when researchers have looked
at the so-called blue zones,
which are the areas in the world
that have the highest proportion of centenarians,
i.e. people over the age of 100,
and then they analyse what they're doing
in terms of their diet and their activity and everything,
they find that broadly all of these people
are basically following a Mediterranean diet.
And the Mediterranean diet consists
of a lot of fruits and vegetables,
whole grains, nuts, fish, olive oil, beans, lentils,
tofu, chickpeas, eggs, oatmeal, avocados,
and other generally plant-based foods.
And in complete contrast to the Western diet,
the Mediterranean diet has actually been linked
to a host of health benefits,
including reducing the risk of diabetes and cancer.
But the cognitive benefits
are what make the Mediterranean diet
the ultimate brain care fuel.
And following the Mediterranean diet
is associated with better memory,
lower risk of neurodegenerative conditions,
and improved cognitive function all around.
It's kind of like premium oil for your brain,
which improves your brain performance in the short term,
and it fights off cognitive decline,
hopefully in the long term as well.
And initially when I discovered
this Mediterranean diet stuff, I was like,
hey, cool, I'm gonna make a list of all these foods,
I'm gonna make sure I eat all the foods.
But broadly, we all know what healthy eating is.
We all know what eating like an adult actually is.
And so the simplest heuristic that I've found
when I go to a restaurant or when I order takeaway
is just do I in my heart of hearts
know that this thing is broadly healthy?
If the answer is yes, I'll order it,
and if the answer is no,
then I will broadly try around 80, 90% of the time
to not order that thing
and go for a healthier option instead.
Now, this is a bit anecdotal,
but I found that, for example, for lunch,
I've noticed a significant difference
in the way that I feel when I eat something
that's broadly Mediterranean versus something that's Western.
So sometimes, for example, for lunch, I'd be like,
you know what, I'm gonna have a banter,
I'm gonna go for a burger and chips,
and then I have this like brain fog and tiredness
for the rest of the afternoon.
Whereas if I go for something like a chicken
or a fish salad, then generally,
I'll just feel way better throughout the day.
Now, when it comes to diet,
a lot of people have questions around supplements.
In the US in particular,
supplements are an absolutely huge industry.
And the general idea behind supplements
is that yes, of course, it is better
to get everything from your normal diet.
But if we look at studies in the UK, for example,
they show that like 99.9% of people
do not follow the gold standard Mediterranean diet.
And I know I certainly don't 100% of the time,
which is why I personally take some supplements in my life.
And the evidence-based one that I recommend
is in fact Heights,
who are very kindly sponsoring this video.
Now Heights is a fully evidence-based
brain care smart supplement.
It's two capsules that you take every morning.
And in those two capsules is a ton of micronutrients,
like vitamins and minerals,
that are associated with improved brain function.
But also a few more things that you might not be familiar
with like blueberry extract,
and it's got some algae-based omega-3 oil in it as well,
which again has loads of evidence.
Now I've been taking Heights for over two years now.
I've interviewed a bunch of their team,
the scientists behind them on my podcast.
And what I love about them is that they're so evidence-based
in everything they do.
Like on their website, they literally have an article
for every single ingredient that's in the smart supplement.
And it tells you exactly what the evidence-base is.
It tells you how strong the evidence-base
for that particular recommendation is.
And it explains and justifies
why they've picked the particular dose of micronutrient
that they've got in the smart supplement.
And for the last few months,
I've also been taking their smart probiotic,
which is for gut health.
And again, on the website,
they've got tons and tons of evidence
and papers and links and everything.
They've got experts behind it around like
why this is actually a really good thing to take.
And if you decide you wanna sign up
and you use the coupon code at checkout,
then you will get an extra 15%
off the already discounted quarterly subscription.
Anyway, if you're interested in potentially trying out
a smart supplement or smart probiotic,
or if you just wanna see the evidence-base behind it,
then check out the link in the video description.
And thank you so much Heights for sponsoring this video
and let's move on.
Part two, the body.
So we've cleaned up our diet at this point,
and now we need to get our brain
and our body working together.
And it's really all about movement.
And we usually think of our mind and body as separate,
but they actually affect each other quite a lot.
Studies have shown that physical activity
strongly affects your cognitive function.
So taking charge of our bodies
can help our brains operate better.
Now, the science of the effects of physical exercise
and brain health are actually pretty well understood.
But in short, physical exercise literally changes
the neuronal connectivity of your mind.
And this happens through a protein
that's produced in the brain called BDNF,
brain-derived neurotrophic factor.
And this little molecule is active
in the key areas of the brain,
which are involved in learning, memory, and higher thinking.
And BDNF also modulates some of the pathways in the brain
that regulate the structure
and the function of the neurons themselves.
Now, what a bunch of studies have found
is that physical activity increases the production of BDNF,
which is probably why physical activity
has been found to improve cognitive function
and memory acquisition and retention and learning.
Now, the amount of BDNF produced
is actually a function of the volume of physical activity.
And this is the maths equation that works this out.
Essentially, the exercise volume
is a function of the intensity of exercise,
the duration of exercise, and the frequency of exercise.
So all of those things are important
for boosting up your BDNF.
And there's also some literature that suggests
that exercises that include open skills, like badminton,
where you're sort of reacting and responding to things,
increase BDNF more than closed skills like running,
where you're kind of repeating the same action
over and over again.
So if you're thinking of exercises being like,
oh, I've got to go for a two-hour run,
no, you don't necessarily need to do that.
You actually can just play football or badminton
or do whatever sports or basically do anything
that moves your body that gets you this exercise volume.
And so for me, what this looks like is that,
firstly, I try and lift weights about three times a week.
And I do that with a health coach called Dan.
I'll link him down below if you want to check him out.
And then on top of that,
I've recently started taking kickboxing lessons,
which I do a couple of times a week.
And on top of that, I'll have the occasional game
of squash or badminton with a friend,
and I'll try my best to get that magical
10,000 steps in every day.
We just need to incorporate more movement into our lives
because it's good for our body
and it's also good for our brain.
Part three, sleep.
So we spend a third of our life sleeping,
and so optimising this time is key
if you want to make the most
of the other two thirds of your life.
We all know that being constantly tired isn't great for you
and in general just sucks, but how bad really is it?
Well, it turns out that chronic sleep loss
puts you at an increased risk of hypertension
and diabetes and obesity and stroke,
which are all pretty bad.
And there's even suggestion from studies in mice
that prolonged sleep loss can lead to brain damage.
Now, all this to say that sleep is super important
for your brain and your body,
which as we've already talked about, are closely connected.
And over the last couple of years,
I've interviewed so many sleep experts on my podcast
and listened to a bunch more
and read a bunch of books around sleep.
And they all basically agree
that sleep is the single best high performance drug
that we've got.
And if you're interested in learning more
about how to build an evidence-based sleep routine,
I have done a video where I compile all the evidence
that will be linked down below and up there as well.
Part four, exercising the mind.
All right, the next part of the framework
is one that can really make a difference
in your brain health, especially as we get older.
And just like we can train our body,
we can actually train our brain as well.
And challenging your mind
is actually one of the most important ways
that you can keep your brain healthy in the longterm.
Now, it's pretty amazing how the brain can reorganize
and regenerate itself even in adulthood.
And it does this through a process known as neuroplasticity.
Neuroplasticity is the ability of neuronal networks
in the brain to change through the development
and organization of neural circuits.
Basically, to cut a long story short,
your brain can rewire itself.
And this can really make a difference in brain health,
especially in later years.
And the way we activate neuroplasticity in our brains
at any age is by challenging ourselves
in a few different ways.
Now, there've been lots of studies
that have looked at the effects of cognitive brain games,
musical training, and language learning on the brain.
And these have broadly found that all of these things
lead to improved attention, memory, brain connectivity,
and processing speed.
And there's even a really interesting study
that looked at adults across 14 years.
And it found that the adults
that even read just once a week
had a reduced risk of cognitive decline as they aged.
There's also evidence suggesting that continually
educating yourself, whether it's in the classroom
or self-taught, can lower your risk of dementia
and cognitive deterioration.
Now, obviously, feel free to choose whatever works for you,
but generally, we wanna be making it a priority
to have some sort of daily routine or passion project
or a hobby that can challenge our brain.
Now, for me personally, I try to make time
for reading on my Kindle for about half an hour
before bed every night.
And generally, when I'm on the toilet
and I'm not replying to comments on social media,
generally, I am reading something.
And actually, one of my favorite ways of reading
is an app called Shortform.
I'll put that down below.
It's basically the best book summaries in the world.
And so if I'm curious about a book,
but I don't necessarily wanna devote
all the time to reading it,
I'll just blitz through the Shortform summary.
And then if I like it, then I will buy the book
and then read it properly.
Part five, lifestyle.
Now, most of this framework is built on morning routines
and diets and habits that are supposed to improve
our health and performance.
But it's not uncommon for the greatest gains
in our brain health to actually come
from just avoiding negative things.
In Latin, they call this via negativa, or the negative way,
which basically means removing negatives from your life
instead of looking for more positives.
Now, alcohol is one of those things that's so pervasive,
especially in Western society,
but no one questions the effects it has on the brain.
But for example, in this nationwide French study
with over 31 million adults,
almost 40% of early onset dementia cases
were alcohol related.
And even people who have only one or two drinks a day
can show negative effects on brain structure.
So when it comes to drinking,
the best amount of alcohol is no alcohol at all.
But if you're set on drinking,
you can avoid most alcohol related consequences
with a minimum of one or two drinks a day. And yes, there is some amount of evidence
around red wine being good for you.
And actually in fairness, a lot of these blue zone areas
do seem to drink quite a lot of red wine,
but that's complicated.
The evidence for this keeps on changing
and people keep on coming up with new conclusions and stuff. 369
with maximum one or two drinks per week.
So we're not gonna touch that.
Generally, it's safe to just not drink too much alcohol.
Now, another element of our daily life
that interestingly has a big impact on our brain health
is actually our social life.
Like we humans are social animals
and our brains can suffer when we are socially detached.
And being socially connected, especially in our later years
can actually reduce our risk of dementia
and cognitive decline.
So for me, I try not to get too caught up with work
because it's such an easy thing
to just default to all the time.
And I try my best to at least make time in the evenings
for date nights with the girlfriend
or like hanging out with my family
or like having friends over for dinner.
It's like, you know,
the whole social connection stuff generally.
Relationships are the single most important thing in life.
And we wanna make sure we are spending our time
with the people that we love
and having experiences that are meaningful and fulfilling.
So those are broadly the five big areas
of evidence-based strategies when it comes to brain care.
And if you enjoyed this video
and you wanna learn more for evidence-based strategies
to improve your health and happiness and stuff,
then check out this short playlist over here,
which has my evidence-based sleep routine
and my evidence-based skincare routine.
So thank you so much for watching
and I'll see you hopefully in the next video.
Bye-bye.