 Dr. Michael Greger coming to you live from my treadmill as I do every month to answer any questions. You may have in fact a lot a New treadmill as of yesterday very excited to be giving it a spin today For those who I'm familiar with my work every year I Read through every issue of every English language nutrition journal in the world So busy folks like you don't have to I think of all the most interesting those ground-breaking most practical findings New videos and articles that upload in every day to my nonprofit site nutrition facts org everything on the website is free There are no ads no corporate sponsorships strictly non-commercial not selling anything just put up as a public service as a labor of love as a tribute to my grandmother Whose own life was saved with evidence-based nutrition? Ah So so glad to be here today. Let us go through the list I see someone is commenting on my cherry blossoms picture Very right there Thanks to a very kind donor. They actually sent me a beautiful beautiful print of cherry blossoms And so I haven't put up on the wall yet, but I'm at least kind of tilting it up against the couch All right, so let's do this Let me scroll to the beginning before it all gets to too crazy First question we have today is from a blade at 35. Does the immune boosting effects of broccoli sprouts help protect against severe COVID-19? Fantastic question. First of all, where's this question coming from? Well this double-blind randomized placebo-controlled trial of broccoli sprouts Showed that broccoli sprouts compared to alfalfa spouts was through the placebo control in the study Significantly cut down and virus-induced inflammation Cut down on and boosted natural anti natural killer cell activity antiviral killer cell activity Brought down viral tighters So helped your body beat off the virus, but of course COVID-19 is not the flu and and unlike other common viruses Those who are immunocompromised do not seem to suffer a more severe course of COVID-19. That's because Your own immune system may be the main driver of lung damage inflammation on the second week of symptoms Your body can trigger what's called a the virus trigger what's called a cytokine storm where your body? Kind of overreacts kind of an autoimmune reaction and attacking the coronavirus your lungs can get caught in the crossfire and and Kind of in burning down the village in order to save it. We may not survive the process so that's why certainly encourage people to you know in terms of general recommendations for eating and living healthy so Stay active and Again, I have sleep stress management staying connected. I'll be a remotely with friends and family eating healthfully But we can go out of the way to eat any specific Supplements or foods to boost particular elements of the immune system till we really know more about this virus Of course having said that what are the comorbidities for a COVID-19? hypertension obesity Diabetes a heart disease all of which can be prevented arrest even potentially Reversed with healthy enough plant-based diet and lifestyle. So this is the time to take better care of ourselves We have a little perhaps a little more control over our environment to clean out the pantry start that exercise program We always wanted to do Surround ourselves with healthful Wonderful foods. All right, let's see what else we have on the docket here Okay this is first The next one I have on my list and this is from Maysatch my Dad has multiple cancer started chemo already. See already. What does he have to eat every day? It depends what types of cancer? What types of cancers? And since different foods affect different cancers differently But I would certainly encourage Him to look under such facts that organ type in his particular cancer and or cancers and find out what there is in terms of not Just prevention, but survival though the American American AICR American Institute for Cancer Research one of their ten or so tips on Dealing with cancer is that the same diet and lifestyle interventions that prevent Cancer should also be instituted in terms of prolonged survival and so So any so things that may prevent that cancer may also help as well. In fact, that's going to be my next book How not to age it but coming out to December 2022 and then December 2025 Should be my book on cancer survival All right, so we have Cindy saying Good afternoon from Pennsylvania. Good afternoon from good afternoon from Washington State Pennsylvania See what else we have on here I lean mincey says if you were loved one with diagnosed with breast cancer, what would what all would you do recommend? It depends what stage what type? There's different types of breast cancer Some of which yeah, they shouldn't be considered cancer at all like Dr. Carcinoma and C2 I've got videos on that And so it very much would depend on what type of cancer you have All right here here I can show everyone the questions we have coming through and I will click one at random and see what happens Gerard Solaris. Oh It looks like Gerard is oh, I see mark is responding to Gerard Christian says does local honey really work for seasonal allergies. Oh, that's interesting. I I it's not something I've run across Honey is effective for canker sores and video on that But in terms of these analogies, I do not know But you look at up yourself I'm pub med with National Library of Medicines my database largest medical database in the world See if there's anything juicy on there. It was not on there Probably there's no science on it Peter Cunnington Cunnington says if we don't stop on my culture, how long? Could it be able to really worse bad? Okay? pandemic Um Stop indoor change on a black culture certainly the according to the CDC the leading contender for the next pandemic after COVID-19 is A bird flu virus with a h7 and 9 Killing about 40% of the people it's infected so far Imagine a virus infecting billions that were death is nearly a flip of a coin if it retains its Human virulence thankfully is not yet learned how to transmit person to person But if it did You thought COVID-19 was bad that's about a hundred times deadlier than COVID-19 was just like thank you last time I checked about a point four percent Fatality excuse me so Sooner we don't know enough about the biology of pandemic viruses to be able to predict accurately, but obviously the more billions of Chickens and pigs that we create on this planet Billions more spins there will be at pandemic roulette It's not worth risking the lives of billions of people for the sake of cheaper chicken. Let's see. What else we have on docket here Steven Friedman says some video concerning Monkford and Stevie a non-nursure sweetener said That oh, yeah, they caused a spike in blood sugar so cool And at the end of the day total calories are the same as if you are in total blood sugars, too As if you had sugar if you had sugar worth of thought was oh, we're not coming to the videos now. Wow, okay, sorry I apologize that the there is a length the This sound like it was a fairly good question. It was getting somewhere exciting But unfortunately I keep them short so I'd be able to read them all I can try to guess what they're saying does it because it withdraws absorb. Is that somehow make things different? I'm presuming. No, so you'd have I Assume you'd have that same Issue And Monkford and stevia our Components are absorbed as well. So the the Importance of the absorption of erythritol is to separate it from xylitol another sugar alcohol Which is not absorbed and has caused this what's called osmotic diarrhea And although worth withdrawal if you'd enough of it in fact I have a video coming out saying going through like if you're a Child of this weight. This is how much worth so you can get away with before starting to show gastrointestinal symptoms and have that for adults as well, and it's not that high but But I forget exactly what the number is but keep an eye out for the video Next up we have Pete oh Peter's back. How bad can next pandemic be well as I just described 87 and 9 the leaving candidate the next virus 40% human fatality rate so far of the few people that have been infected That's You know, there's there is h5 there was h5n1 which is very fatality rate about 60% But that has been around for a while it has yet to jump the species barrier and transmit human to human But you can imagine if instead of this, you know one and You know, you know, I think we're you know now we're looking at about about I don't know one in 5,000 chance of dying from COVID these days to give you a sense of kind of the risk versus benefits and I mean, you know Imagine a virus that infects under a third of humanity that You know with a future percent fatality rate. So then we're talking about, you know, really, you know Civilization ending as we know it doctors not showing up to work grocery stores not being restocked Water filtration coronation dies, you know, energy grid goes down. I mean You know all the supply chains are gone So that's why we really need to change the food system before it's too late. Oh And happy Earth Day everyone speaking of keeping our Earth healthy Emily John C says can toddlers young children eat diet of 8 to 10 10 They need higher fat plant intake by 8 to 10 what they're talking about It's 8% carbohydrate 10% protein 10% fat Which is a proximate to that of something like the Okinawa Japanese who There's a second longest living population in the world although the first longest living population world has numbers nowhere near that and that's the 7-day Adventist vegetarians in Loma Linda, California, which eat Fat intake much closer to that of kind of standard American diet around 30% But having said that all the time Children particularly young children have such itty-bitty tiny Some exit. There's no way That they're gonna get enough calories enough nutrition By low calorie density foods And so that's why you really have to be concentrating high calorie density healthy foods And there's a wonderful book out recently from Brenda Davis Just from what's it called? It starts with an R right Oh darn it okay, hold on clicking on our website I'm sure it's it like I don't want to say it wrong here. Okay books books Norrish Take it back didn't start with an R starts with an N. I check out the book nourish for raising healthy children Okay, next up we have ITD says one of my thoughts on N. Oh neat Nicotinamide And metformin for stuff. Oh, this is so exciting. This is exactly what I'm working on now. So I'm working on how not to age And there's all sorts of these wacky wacky new supplements and drugs I'm on the market now That some people are taking to try to expend not only their health band, but their lifespan And I'm gonna be chapter having chapters on each Stay tuned So it's all about risk versus benefits and I will find out and report back I'm not trying to be cagey, but I've just got every article ever written about the N. M. N and an R and And we'll find out what science says. I'm all excited But your way ahead of me. I'd never heard of those before starting this book Okay, Ashley pierce says how do I stop recurring strep? Strep throat my nine-year-old been on baker's yeast for six months Not really around other kids. It gets true up. You know allergies can't cause it There's a specific bacteria that does it every six to eight weeks strep throat So I guess my first question would be Is it actually strep throat you can actually get a very quick test that you doctor's office to see what it is if they're just getting sore throats Every six to eight weeks then you can certainly look at allergic causes But if they're actually getting this specific bacterial infection Frequently then I'd be concerned about their immune function and would definitely follow up with their pediatrician Happy Earth Day to you too Says to last meet Mpl says thoughts on hormonal hormonal breath breast cancer hormonal BC for health good health. I'm not sure what you what the BC stands for thoughts on because I Please I mean just I apologize. I'm not up on the new hip internet logo if that's indeed what that is All right, I see hope ITD is back What are my thoughts on? Oh, we did that are we already did that? Okay next up? Johnny Lopez is one of the most what is the most incredible placebo study you've seen. Oh my god. Well, look Yeah placebo effects Shocked me any time. I made a while. Okay, but they the wildest stuff is these kind of objective of finding so when someone Experiences a you know Pasebo effect for something like 5 my algea or Irrable bowel syndrome where there's kind of these subjective complaints Where basically there's no you just have to kind of trust the patient just tell you know It's describing, you know, and there's just what it is like But then there's objective things like there's a huge placebo effect for epilepsy childhood epilepsy Like give people give kids a sugar pill and actually have fewer seizures Like that's not something they have control over that's not some kind of subjective thing They have a seizure that don't so that's pretty remarkable. But of course the bigger of the Cibo effect is the larger effect size you have to show with Actual treatment to make sure it's not just the placebo effect, but hey the pseudo effect works. Why don't we do it? Well, we can certainly do it but as long as it's Informed consent, but what's wacky is it even in studies where you tell people this is a placebo There's nothing actually in this but there's a like a char and it says placebo on it You have people take a pill every day for whatever And they still experience a placebo effect. It still helps even though they know it's a placebo So that's like an ethical way You could do a placebo effect as opposed to the way doctors would typically do it which is, you know Underdosing some drug which really wouldn't have an effect other than the Cibo effect Okay, next up Okay, sin Louie Lou who I have lupus treatments available. Oh, tell me about it. Oh Yeah treatments available for lupus can be brutal What should I be doing? I've got a bunch of videos on lupus In fact just a new one talking about this kind of green smoothie diet And so yeah, check it out go to nutrition fact the door type in lupus and all will be revealed Mitchell Wilkins says any health benefits of non-alcohol. Oh, that's interesting. I've never heard of athletic brewing brewing Is that a maybe a brand or something? health benefits So, you know, I don't know actually how I Non-alcoholic beers are created. Are they actual like normal beers and then they remove the alcohol Is it like decaf coffee where they like make actual beer and then just remove the alcohol? or is the is the process making it different such that somehow they The yeast just don't make the alcohol or something. So that's a good question. I don't know but there are certainly physiological effects to hops There's actually a phytoestrogen a very powerful phytoestrogen in hops And so I type in hops into nutrition facts or and you'll learn all about it So, but I don't know if that would be I assume non-alcoholic beers have the same thing, but I'm just not sure All right, what do we got next? We got McKenna Kirk Catsey Do I have any short-term effect? Well, do you have short-term effects with insufficient B12 rules? Oh So I presume clinic clinical effects you actually feel differently In the short term from insufficient B12 you may not which makes it so insidious But you can start showing these club subclinical Issues in terms of rising Assisting something which you wouldn't really feel but may have a negative consequences. So so a regular reliable source of item B12 is critically important and So for those eating plant-based diets, for example, I would recommend either sufficient right in B12 fortified foods or taking one 2000 microgram B12 tablet once a week get all the B12 you need Super cheap safe easy convenient And critically important and there's also daily dosing and all sorts of other things and I will but that's all on My latest series of B12 videos Next on the list Severin says hey through an annual following all the guidelines wonderful Hope a blunt based diet eating. Oh portfolio foods. Oh, but LDL still 85 Still 85 plus regular threads above out above average above normal. Okay So triglycerides being hard for someone eating healthy. I would encourage you to Switch away from powdered grain products. So I say wait a second. I'm a whole food plant based diet Well, guess what whole wheat flour is completely whole food by base right nothing bad added doesn't good take away Of course, I talk about all chapter and whole not to diet something good has been taken away and that is the structure and so I Would encourage you try moving to intact grains like growths instead and see if the triglycerides don't fall And and so Yeah, so portfolio diets really the best in terms of reducing LDL And then you know, I've just got a bunch of videos on random little things you can do to reduce your cholesterol So for example coffee consumption even paper filter coffee can raise your cholesterol a little bit Little things like that. We can just experiment around you can even in fact give a little meter Just like a little blood sugar meter Relatively cheap and you can just see as you poke your finger and put a little drop of blood And those where your cholesterol is and you get the effects of the dietary changes within a week So you're like, all right, you know, I'm gonna give up coffee a week Just see what happens to my cholesterol, you know keeping the same thing But then I'll just or then okay, obviously coffee wasn't it okay? Well, so hmm this time I'm going to you know Eat oatmeal every morning. I'm just gonna see what happens blah blah blah And so you can see and you can follow and find out kind of tweak your diet till you really nail it And so and indeed for primary prevention We would want an LDL down about 70 meaning for people without heart disease people with heart disease Want to push it down even lower than that Jan McPetrie Cassidy says As if anyone's maternal clock can sit a 10 years younger than her age I'm 43 one of the baby. Um, I Yeah, that is not something that I've ever Hard about I don't I don't think one's diet would affect One's yearnings for children at any age I Might actually affect the age of menopause Which could affect the implications of having children at the later ages, but in terms of wanting the first place I don't know of any dietary or lifestyle correlates Okay, next up Juanita How many milligrams? Oh milligrams fiber doesn't add up actually need Okay, well in milligrams it would be 1800 milligrams of protein per gram per kilogram of healthy by the way or 0.8 grams. No, so 800 Pointing grams so 800 milligrams Pointing grams for healthy kilogram body weight. That's the Institute medicine recommendation For protein intake and in terms of fiber My review I'm encouraging people to shoot in fact my video yesterday said shoot for 50 grams a day That is about twice what's recommended so men when the recommendation a little different comes out to be about 30 But most people only get about 12 or so And so we really want to hit about 50. We evolved I'm getting an excess of 100 grams to just packing our digestive tract with whole plant foods all day long That's how our bodies evolved And what our organ systems are expecting yet? We are eating fiber deficient diets, and this is not just some like bowel regularity thing We're now realizing the importance of the byproducts of good bacteria fiber-eating bacteria in our gut like short chain confetti acids that are produced when we eat a lot of fiber and Absorb them to our system and have all sorts of effects on our body including mental health and immunity and inflammation all sorts of things Weight loss as well as I talked about and how not to die. So it really is important to To increase your fiber intake and that's and so fireworks found in all whole plant foods There's little or none in processed foods and none in animal foods But of all whole plant foods It's the drier foods where fibers most concentrated Some of my fruit it's like 80 90 percent water same thing with vegetables, right? It's mostly water So we're looking at the legumes and whole grains. So beans whoopies chickpeas and lentils Legumes have the most fiber per serving and also whole grains and I would encourage people to check out grotes And I talk about growths in my last book how not to diet and then I'm not to diet cookbook Actually have lots of recipes for growths. I had them this morning for breakfast Actually pierce says yes. Oh, oh, oh good. Ha we're back Strep and an ear infection for the past year every six eight weeks put her on and Okay, and upon next after-step test, but no Resolution no resolution of the strep. So if you have Strep throat and you do not clear it after antibiotics, then you have strep that bacteria that are resistant to the anabolic and they need to switch antibiotics And so to clear it and the reason it's so important is not just for those for the to clear the current symptoms, but I Strep bacteria can actually cause complications on later in life, which is why it's so important to treat it Okay, Alex F says after being on a plant-based diet for two years diagnosed with gallstones, please advise what can be done in fact One way plant-based diets can actually increase one's risk of gallstones is rapid weight loss So rapid weight loss by any means can cause gallstone issues and and which often happens when people switch over and Yeah, I talk about gallstones and how much that I how not to diet What can be done? Well, if they're not causing you any problems then don't do it I mean then then I mean this is the options once you have gallstones formed Unlike certain types of kidney stones that can be dissolved away with the help of changes in diet Gallstones don't go anywhere or you actually hope they don't go anywhere. Um, and So all you can do is prevent the the formation of new ones and And if they're not symptomatic, I would not get surgery, but there is a surgical option for those with with gallbladder attacks And I've got videos on what to do to help prevent gallstones on nutrition facts dot org Ters Elise Navarro says any food or something suggested to help with oh ovarian cysts or Endometriosis Well, I do have Well, so I have videos on PCOS polycystic ovary syndrome But not I don't think any unisolated ovarian cysts, which can be really painful and And do have videos on foods and diets for endometriosis But yeah, I have not seen much on kind of isolated ovarian cysts and diet lifestyle approaches But I will check it out if people are interested. Oh my god. I got one more minute Okay, I'm gonna see if I can get one more question in This is a Mauricio Says don't know of any natural treatments for MS. Yes, I do. And in fact, it is the most Effective treatment ironically is actually a natural treatment most effect treatment ever described in the period of medical literature Is a natural treatment. What's a natural treatment? It's so-called swank diet It's a diet low it's characterized by being low in saturated fat where saturated fat that found meat dairy and junk Check it just type in multiple sclerosis on nutrition facts that are you know, oh my doctor Roy Swank videos will pop up Thank you so much everybody happy Earth Day and For all of you signed up for the CBO link you got webinar tomorrow. I will see you tomorrow Otherwise, I'll see you next month on the Q&A or on my next webinar Bye everybody