关于癌症代谢疗法、线粒体健康与生活方式的深度探讨 The Diary Of A CEO 2026-07-16

绝密信封与癌症代谢疗法

Host: 你的面前现在放着一个信封,信封的正面清清楚楚地印着“机密”字样。请问那个信封里面到底装的是什么?

Original English

Host: You have an envelope in front of you there that says confidential on the front of it. What is in that envelope?

Professor Thomas Seaf Freed: 那是一份目前还处于禁运保密状态的论文,因为全世界都认为这将是一项非常重大的突破,并且它将会成为《科学前沿》(Frontiers in Science)杂志的一篇头条主打文章。之所以如此重要,是因为这是一种能够非常有效地控制和管理癌症的策略。而且我们已经掌握了大量确凿的证据,能够让这些不幸患病的人们活得长得多,极大地延长他们的生命。我们给那些原本已经绝望无助的人们带来了希望。

Original English

Professor Thomas Seaf Freed: It's a paper that's under embargo because the world thinks it's going to be very important and it's going to be a lead article in the frontiers in science because this is a strategy to manage cancer effectively and we have a lot of evidence to keep these people alive a hell of a lot longer. We have given hope to the hopeless.

Host: 而且,在治疗癌症以及其他各种代谢类疾病方面,你拥有着一种其他任何人都未曾有过的独特视角。

Original English

Host: And you have a perspective on treating cancer and other metabolic diseases that others don't have.

Professor Thomas Seaf Freed: 是的,没错。但现在面临的问题是,整个医学界和科学界都不理解我所说的关于癌症起源的理论。所以,一切的根源都要回归到线粒体上,所有的癌症中的慢性疾病,全都是由于对线粒体的损伤所导致的,而科学事实正在清清楚楚地告诉我们这一点。然而,癌症研究领域至今依然没有接受这个事实。这真是一个令人痛心的悲剧。

Original English

Professor Thomas Seaf Freed: Yes. But the problem is the field doesn't understand what I'm saying about the origin of cancer. So everything comes back to mitochondria and all chronic diseases in cancer are the result of damage to this and the science is telling us this. But the field of cancer has yet to accept it. That is a tragedy.

Host: 你对此感到非常愤怒吗?

Original English

Host: Are you pissed off about this?

Professor Thomas Seaf Freed: 哎,谁遇到这种情况能不愤怒呢?在这个国家,每天足足有1700人因为癌症而失去生命。这就相当于每个小时就有70个人死去。而且,情况每一年都在变得越来越糟糕。人们到底什么时候才能清醒过来?

Original English

Professor Thomas Seaf Freed: Well, who wouldn't be? There's 1,700 people a day in this country dying from cancer. That's 70 an hour. And it gets worse every single year. When is the people going to wake up?

Host: 那么,请给我开个处方吧,告诉我到底应该如何调整我的生活方式,才能保持我的线粒体健康运作?

Original English

Host: So give me a prescription of how I should live my life to keep my mitochondria healthy.

Professor Thomas Seaf Freed: 所以说,这一切归根结底,都取决于你到底采取了什么行动来维持线粒体的健康和活力,从而降低患病的风险。但是,我们如今正身处一个全新的生活环境之中,在这个环境里,我们周围充斥着极其大量的深度加工的碳水化合物、身体极度缺乏运动、承受着巨大的情感压力,还有着非常糟糕的睡眠习惯,因此你正在日复一日地慢性损伤着这个细胞器。然后,如果你去观察一下家养的宠物狗,你会发现,癌症现在已经是家养狗的头号致死杀手了。但是,在野外生存的狼却极其罕见地会患上癌症。然而,狼在野外是一直在奔跑活动的,吃的是纯天然的食物。相比之下,狗却被关在某处的公寓里,每天只有一个遛狗人带它出去溜达一次,对吧?紧接着你会发现,这只狗变得肥胖不堪,并且全身长满了癌症。

Original English

Professor Thomas Seaf Freed: So it all comes down to what you do to maintain the health and vitality of the mitochondria that reduce the risk. But we are now in a new environment where we have massive amounts of highly processed carbohydrates, inactivity, emotional stress, poor sleep habits and you chronically damage this organel. And then if you look at the domestic dog, cancer is the number one killer of the domestic dog. But wolves in the wild rarely have cancer. But the wolf is out running around eating natural foods. Yet the dog is in an apartment somewhere gets a dog walker once a day, right? And the next thing the dog is obese and full of cancer.

Host: 并且我希望能给听众们提供一些切实可行、可以立刻着手思考的行动建议。

Original English

Host: And I want to give people actionable things that they can think about.

Professor Thomas Seaf Freed: 所以这就是真正至关重要的地方。这是一张通往健康的生物能量学路线图。这就是我们所称之为的“预防区域”。当你处在这些健康区域的时候,你是极难患上癌症或者各种慢性疾病的。

Original English

Professor Thomas Seaf Freed: So this is what's really important. This is a bioenergetic road map to health. This is what we call the zone of prevention. It's very hard to get cancer or chronic diseases when you're in these zones.

频道订阅呼吁与节目承诺

Host: 那么让我们来详细谈谈这个话题。这对我来说真的是超级有趣的。我的团队刚刚给了我这份报告,以此来向我展示,正在观看这个节目的你们之中,到底有多少人点击了订阅。而且,有些观众告诉过我们,根据这份数据的显示,你们竟然在不知不觉中被系统随机取消了对本频道的订阅。所以,我想在这里向大家请求帮个忙,请你们现在、立刻检查一下,看看你们是否已经按下了那个订阅按钮,如果你是这档节目的常客,并且你也很喜欢我们在这里所制作的内容的话。这档节目现在正逼近一个非常具有重大意义的里程碑——那就是在我们的订阅者数量上。所以,如果有什么既简单又完全免费的事情,能够让你来帮助我们,帮助我的团队,以及这里的每一个人,好让这档节目能够继续保持免费,能够让它年复一年、周复一周地持续不断改进的话,那件事就是——仅仅需要按下那个订阅按钮,并且仔细地反复检查一下你是不是真的已经按下了它。这将是我唯一会向你们提出的请求。我们能不能达成这个约定呢?如果你这样做了,我也会告诉你我将会做出什么样的承诺。我将会保证,在每一个星期里,在每一个月里,我们都将会变得越来越拼命,越来越努力地去奋斗,拼尽全力去为你们请来你们真正想看到的嘉宾,带来你们真正渴望聆听的精彩对话。自从这档节目开始创建以来的最起初,我就一直恪守着这个承诺,而且我也绝对不会让你们失望。请大家多多帮帮我们。我真的非常感激不尽。好了,让我们继续回到节目中来吧。 (播放音乐) (伴随着歌声)

Original English

Host: So let's talk about that. So this is super interesting to me. My team given me this report to show me how many of you that watch this show subscribe. And some of you have told us according to this that you are unsubscribed from the channel randomly. So favor to ask all of you, please could you check right now if you've hit the subscribe button if you are a regular viewer of the show and you like what we do here. We're approaching quite a significant landmark on this show in terms of a subscriber number. So, if there was one simple free thing that you could do to help us, my team, everyone here, to keep this show free, to keep it improving year over year and week over week, it is just to hit that subscribe button and to double check if you've hit it. Only thing I'll ever ask of you. Do we have a deal? If you do it, I'll tell you what I'll do. I'll make sure every single week, every single month, we fight harder and harder and harder and harder to bring you the guests and conversations that you want to hear. I've stayed true to that promise since the very beginning of the DEO, and I will not let you down. Please help us. Really appreciate it. Let's get on with the show. [music] [singing]

线粒体与癌症起源的科学

Host: 托马斯·塞弗里德(Thomas Seaf Freed)教授,你这一生到底倾尽心血致力于去做的事情究竟是什么呢,托马斯?

Original English

Host: Professor Thomas Seaf Freed, what is it that you've committed your life to doing, Thomas?

Professor Thomas Seaf Freed: 嗯,我们现在正把我们的毕生精力投入到如何有效管理和控制癌症之上,呃,而且是不带任何毒性副作用的方法,这是建立在我以及这领域的其他学者所做的大量科学研究的基础之上的。

Original English

Professor Thomas Seaf Freed: Well, we're right now committed our lives to managing cancer effectively uh without toxicity which is based on based on the science that I and other others have done in this field.

Host: 在治疗癌症和其他各种代谢疾病方面,你拥有着一种其他任何人都未曾有过的独特视角。我是说,这有别于现在所谓的主流医学界。

Original English

Host: You have a perspective on treating cancer and other metabolic diseases that others don't have. the mainstream should I say.

Professor Thomas Seaf Freed: 哦,是的。嗯,主流医学界肯定没有掌握这种视角。但是,它是确确实实建立在扎实的科学基础上的。我的意思是,我的所有工作,都是建立在奥托·瓦尔堡(Otto Warburg)——那位著名的德国科学家,在1920年代、30年代和40年代所提出的理论基础上的。他非常清晰明确地展示并证明了,癌症实际上是一种线粒体代谢性的疾病。

Original English

Professor Thomas Seaf Freed: Oh yeah. Well, mainstream doesn't have it for sure. But it's based on science. I mean I'm my work is based on what Otto Warberg the famous German scientist said from the 1920s30s and 40s. He clearly showed that cancer was a mitochondrial metabolic disease.

Host: 所谓的线粒体代谢性疾病,到底意味着什么意思呢?

Original English

Host: What does that mean mitochondrial metabolic disease?

Professor Thomas Seaf Freed: 好的。这就意味着,这种疾病的根本起源,实际上是潜伏在一个被称为“线粒体”的细胞器当中的。它,它是存在于细胞的细胞质之中的。它过去一直被称为,而且现在依然被称为细胞的“动力工厂”。它主要负责给细胞提供所需的全部能量。

Original English

Professor Thomas Seaf Freed: Okay. It means that the origin of the disease resides in the organel called the mitochondrian. It's it's in the cytoplasm of the cell. It used to be called still is the the powerhouse of the cell. Gives the cell the energy.

Host: 我想我们刚好准备了一个线粒体的模型。我的团队成员能帮忙拿一个线粒体模型进来吗?

Original English

Host: I think we have a mitochondria. Could one of my team bring in a mitochondria?

Professor Thomas Seaf Freed: 好的,这儿有一个,你现在这里有一个线粒体的模型。哦,拿过来了。

Original English

Professor Thomas Seaf Freed: Well, this is you have a a mitochondria in here. Oh, here we go.

Host: 你们在这儿一人分到了一个模型。

Original English

Host: You got one each here.

Professor Thomas Seaf Freed: 是的。嗯,你看,这就是你所看到的那个微小细胞器的样子。它看起来似乎是一个豆子的形状,但实际上它内部是一个呈现管状的复杂网络。这些全都是一根根细微的管子。

Original English

Professor Thomas Seaf Freed: Yeah. Well, see, this is the little organel that you see. It looks like a bean shape, but it's actually a tubular network. These are tubes

Host: 而且,它们在细胞内部是具有高度动态响应性的,会根据呃,内部的各种活动,以及外部环境的改变而做出非常动态的反应。

Original English

Host: and they respond dynamically inside the cell to uh both internal uh activities as well as external activities.

Professor Thomas Seaf Freed: 所以你必须清楚地意识到,在生命受孕成形的那一刻,呃,所有供给那个正在发育中的胚胎的线粒体,都是从母亲那里的细胞质中全部传承下来的。

Original English

Professor Thomas Seaf Freed: So you have to realize that at the time of conception uh all of the mitochondria for the developing embryo are in the cytoplasm from the mother.

Host: 存在于细胞质之中?

Original English

Host: The cytoplasm

Professor Thomas Seaf Freed: 线粒体并不存在于细胞核之中。它们存在于细胞质的细胞质液里。哦,也就是在细胞核的外部区域。

Original English

Professor Thomas Seaf Freed: the mitochondria are not in the nucleus. They're in the cytool. Oh, outside of the

Host: 在细胞核的外部,但在细胞的主体内部。

Original English

Host: outside of the nuke, but in the cell body itself.

线粒体如何决定生命的命运与衰老

Professor Thomas Seaf Freed: 所以,所有这些线粒体,它们共同决定了我们生命的命运走向。它们将会决定你在这个地球上到底能存活多长时间,如果、如果你没有遭遇什么不幸的意外事故或类似的情况的话。它们都是有着一个明确的“保质期”或失效日期的。不同的物种在不同的时间段走向死亡。你是不可能找到能够活足足400年的人类的。小鼠大概能存活两年半左右。大象呢,你知道的,能够活得跟我们人类差不多一样长,诸如此类的吧。但是,所有这一切的寿命长短,都是由这个小小的细胞器所决定的。所以你可以看出来我现在脸上已经有了很多皱纹和类似这样衰老的痕迹。这就是因为长期生活在这个地球上所留下的印记,也是因为对这个细胞器的长期磨损和消耗所造成的,而这个细胞器原本是能够让我们高效地制造和利用能量的。

Original English

Professor Thomas Seaf Freed: So all of the mitochondria, they determine our destiny. They will determine how long you will live on the planet if if you don't have an unfortunate accident or something like this. They have an expiration date. Different species die at different times. You don't find people living 400 years. Mice live about two and a half years. Elephants live, you know, as long as we do or whatever. But that's all determined by this organel. So you can see I have wrinkles and this kind of thing. This is from living on the planet and this is from wear and tear on this organel which allows us to make energy efficiently.

Host: 所以,随着年龄的逐渐增长,当这个关键的细胞器开始发生衰退和崩溃的时候,呃,你就会走向死亡,你死于自然的老去。

Original English

Host: So when this organel starts to falter with age uh you die you die from old age.

Professor Thomas Seaf Freed: 如果你希望自己能够顺利活到一个正常的预期寿命,那么这个细胞器就必须得到精心的保护和充分的尊重。但是,在现代的各种饮食习惯、各种不良生活方式以及我们今天所处的普遍生活状态中,我们、我们、我们正在非常严重地损害着这个细胞器,然后这个细胞器就会通过疾病的形式将其受损的状态展现出来。对这个细胞器所造成的损害——它实际上是细胞内部的一个微小的管状网络。但是请让我再补充一些别的非常重要的事情。它不仅仅是控制着细胞内部的微观环境。它其实还控制着所有邻近的细胞。肝脏细胞的周边邻里、肺部细胞的周边邻里、结肠细胞的周边邻里、大脑细胞的周边邻里、胆囊细胞的周边邻里、以及神经元细胞的周边邻里。但它们全都是来自于细胞质中的同一个根源,并且它们决定了你整个身体在宏观系统层面的总体代谢健康状况。它是一个系统性的——它们在各个细胞之间,乃至在各大组织之间,呃,互相进行着沟通与交流。我可以非常确切地告诉你,这个极其微小的细胞器,它甚至掌控着(吸鼻子)细胞核里很大一部分究竟能发生些什么。它负责发号施令,告诉细胞到底应该在什么时候进行分裂。它也负责发号施令,告诉细胞到底应该在什么时候减缓速度。

Original English

Professor Thomas Seaf Freed: This organel has to be protected and respected if you would like to live a normal lifespan. But in diets and lifestyles and way we are today we we we damage this organel and this organel then can present itself damage to this organel which is a tubular network inside the cell. But let me say something else. It not only controls the internal environment of the cell. It also controls the neighboring cells. The liver neighborhood the lung neighborhood the colon neighborhood the brain neighborhood the gal neighborhood the neuron neighborhood. But they're all come from the same origin in that cytoplasm and they determine the overall metabolic health of your body. It's a systemic they communicate uh with each other across cells across tissues. I'll tell you this organel controls [snorts] a lot of what goes what that nucleus does. It tells the cell when to divide. It tells the cell when to slow down.

Host: 它听起来在某种程度上就像是一个发号施令的大脑,但同时,它又很像是一个提供动力的引擎室。

Original English

Host: It's kind of like a brain but also like an engine room.

Professor Thomas Seaf Freed: 它的确有点像你说的那样。不可否认地,不可否认地,其中类似于大脑掌控的那一部分功能真的非常非常神秘,呃,在某种意义上来说,对于它究竟是如何精准控制细胞乃至整个身体命运的机制依然是个谜。

Original English

Professor Thomas Seaf Freed: It's kind of like that. Certainly certainly the brain part of it is really mysterious uh in the sense of of how it controls the destiny of the cell in the body.

Host: 那么,对于疾病、病痛、癌症等等,对于这个微小的细胞器在这些有那么多人饱受折磨的慢性疾病、病痛和各类癌症中所扮演的确切角色,我们目前究竟了解到了什么程度?

Original English

Host: So sickness sickness disease cancer what do we know about the role that this little thing plays in these chronic diseases and illnesses and cancers that so many people suffer with?

环境损伤与癌症的形成机制

Professor Thomas Seaf Freed: 是的。那么,这正是那个变得极其容易受到损伤的细胞器。嗯,并且它可能会在很多很多种完全不同的情况下遭到各种破坏。呃,对于癌症来说,这就是(清嗓子)我们已经花费了极大精力和大量时间去研究的领域,并且我们现在已经将我们的研究拓展到了整个慢性疾病的广阔议题中,因为每一种、每一种慢性疾病,在特定器官特定细胞群体中,都有可能对线粒体表现出完全不同形式的健康受损特征。但是,在癌症的具体案例中,也就是我们所说的这被认为是最为严重、最为可怕的慢性疾病,它给人们造成了极其巨大的创伤,呃,带来了最沉重的情感痛苦,但我们已经非常清晰地基于许多、许多大量的研究工作证明了,来自我们生活环境中的任何多种负面因素的组合,都有可能会损伤特定器官中特定细胞群体里的这个微小细胞器。举个例子来说,当你谈到那些所谓的致癌物质时,它指的是一种能直接导致癌症的化学物质。那么,那种化学物质到底是如何导致癌症发生的呢?它通过对内部的蛋白质和脂质造成非常严重的破坏来实现这一点。这些你看到的微小弯曲的波浪状结构,全都是极其脆弱精密的内部细胞膜。它们、它们包裹并包含着这些蛋白质和脂质,正是这些物质使得我们能够在日常呼吸的时候顺畅地产生身体所需的能量。好的,你现在正在呼吸。我也正在呼吸。我把氧气吸收到体内。这些氧气在体内作为一种电子的最终接收器而发挥作用,这就使得三磷酸腺苷(ATP)能够,呃,从这个微小的细胞器中产生并释放出来,千万别忘了,它是一个极其复杂的管状网络。

Original English

Professor Thomas Seaf Freed: Yeah. Well, this is the organel that becomes damaged. Um and it can be damaged in many many different ways. uh for cancer is what [clears throat] we have spent a lot of our time on and now we've moved into the whole chronic disease issue because each each chronic disease can have different manifestations of ill health to the mitochondria in a particular population of cells. But in the case of cancer which is what we call the most serious of the chronic diseases creating the most trauma uh the most emotional distress but we have clearly shown based on on many many works that any multiple things from our environment can damage this organel in a particular population of cells in a particular organ. For example, when you talk about carcinogens, it's a chemical that causes cancer. How does that chemical cause cancer? It damages the proteins and the lipids. These little squiggles are delicate internal membranes. They they contain the proteins and the lipids that allows us to generate energy when we breathe. Okay, you're breathing. I'm breathing. I take in oxygen. Oxygen serves as a kind a a final acceptor for electrons that allows ATP uh to come out of this little and don't forget it's a tubular network

Host: 而且ATP也就是身体运作所必需的通用能量货币。

Original English

Host: and ATP is the energy currency.

Professor Thomas Seaf Freed: 它确实是化学层面上的能量交换货币。它使得我们能够让体内的各种酶顺利发挥工作,允许……

Original English

Professor Thomas Seaf Freed: It's the chemical energy currency. It allows us to enzymes to work allow...

细胞代谢与线粒体的能量机制

Speaker A: ……这让细胞内的所有代谢机制得以以最佳状态运作。

Original English

Speaker A: ...allows all the metabolic machinery inside of a cell to work optimally.

Speaker B: 我向你复述一下,好确认我理解得对不对。氧气之所以进入体内,是因为我在呼吸。然后我进食,在那个线粒体中,它会进行一个过程,并释放出 ATP 作为能量。

Original English

Speaker B: So just to play this back to you so I know I'm clear. Oxygen comes in because I breathe in. I then eat food in in that mitochondria. It does a process and it spits out ATP as the energy.

Speaker A: 没错,一个良好的能量代谢过程产生的废物应该是二氧化碳和水。打个比方,当我们在汽车发动机里燃烧汽油时,我们分解了辛烷,打破了辛烷中的碳氢键,然后发生内部爆炸来驱动活塞,对吧?排气管里排出的是分解过程中产生的大量废物。我们在细胞内部做的是一样的事情。我们在燃烧碳氢键,而且碳氢键的燃烧是一个渐进的过程。所以它不是一次瞬间的爆炸,而是以一种非常精确的方式分解碳氢键,产生 ATP,进而驱动神经元以及身体其他部分的整个运转机制。

Original English

Speaker A: Well, and the waste products of a good energy metabolism would be CO2 and water. So, when we burn gasoline in an engine of a car, we break down the octane, the carbon hydrogen bonds in an octane and we have an internal explosion that drives pistons. Okay? The exhaust is a lot of waste products from breaking down the M that we're doing the same thing inside the cell. We're combusting carbon hydrogen bonds and that combustion of carbon hydrogen bonds is a graded process. So it's not an immediate explosion. It's a you're breaking down the carbon hydrogen bonds in a very precise way producing ATP which then drives the entire machinery of the neurons and the rest of the body.

Speaker A: 它可以对能量压力、情绪压力做出剧烈的反应。总之,我之前给你举了一个致癌物的例子,比如睡眠呼吸暂停综合征患者经历的间歇性缺氧。他们会停止呼吸 30 秒或更长时间,这就产生了氧化生锈(ROS),而这正是致癌物的作用方式,即产生 ROS。这些被称为活性氧类物质,它们会破坏那些脆弱的细胞膜。然后,如果情况过于急剧、压力过大,整个细胞就会死亡,细胞失去能量,我们就会看到细胞凋亡或坏死。但是,如果这是随着岁月流逝(几个月、几年)逐渐发生的慢性过程,这个细胞器就会失去产生足够能量的能力。但有趣的是,细胞会通过利用我们进化史上遗留下来的那些古老途径来进行补偿。在地球上的所有生命在有氧环境中进化出来之前,在没有氧气的黑暗环境中,这些细胞疯狂地生长。它们是单细胞生物,无节制地增殖。它们没有线粒体。它们只有细菌,而这个细胞器最初的来源,就是一个有细胞核且在细胞质中进行发酵的细胞,与这个作为线粒体前身的细菌发生融合。现在,你就有了两种不同的能量形式。你拥有细胞质中的能量,即古老的发酵;然后你有了这种新形式,它可以吸收氧气,并且比那些古老的机制更高效地产生能量。

Original English

Speaker A: It can respond dramatically to energetic stress, emotional stress. Anyway, I gave you an example of a carcinogen uh intermittent hypoxia like people who have sleep apnea. They stop breathing for 30 seconds or more in that general and then they that creates rust RO and that's what carcinogens do ROS. These are called reactive oxygen species. They damage those delicate membranes. And then what happens if it's too acute, too stressful, the whole cell will die. the cell loses its energy and we get uh apoptosis or necrosis cell death. But if it's gradual chronic over years, months, years, this organel loses its ability to produce sufficient energy. But the the cell compensates interestingly enough by using these ancient pathways heirlooms of our evolutionary past. So um because all life on the planet evolved in in oxygen but without oxygen in the dark uh these cells grew like crazy. There was no they were single cells. They unbridled proliferation and all this kind of stuff. They didn't have mitochondria. They had bacteria and the bacteria which this organel came from was a fusion between one cell uh that had a nucleus and and was was fermenting through the cytoplasm and this bacteria which is the mitochondria came in and now you have two different forms of energy. You have um the energy in the cytoplasm, the ancient fermentation, and then you have this new form which can take in oxygen and generate energy much much more efficiently than the airlumic.

线粒体基质与无氧发酵途径

Speaker A: 听着,这是我们的重大发现之一,说出来你可能都不信。你看到中间那个空间了吗?

Original English

Speaker A: Listen, one of our big discoveries, if you can believe it. But you see that space in the middle there?

Speaker B: 嗯。

Original English

Speaker B: Yeah.

Speaker A: 那叫做基质。那是三羧酸循环(TCA 循环)发生的地方,这个循环分解我们吃下的食物。但它们内部保留着一个古老的发酵机制部分,因为在氧气出现之前,所有的生命形式都是发酵生物。它们在没有氧气的情况下产生能量,因为当时没有氧气。我们不得不等待那些细菌通过光合作用产生氧气。所以所有的生物最初都是发酵生物,后来这个细胞器进入体内,能够吸收氧气并非常迅速地产生能量。但在那个基质的循环中,存在着一条进化史上遗留下来的、在没有氧气的情况下产生能量的小途径。我们的细胞质中也有这种机制,因为它们可以在细胞质中进行发酵。但在我们与塞梅尔维斯大学的 Christos Chinopoulos 的合作中发现——他是研究那条小途径的世界顶尖专家——当这个细胞器受损时,这些古老的通过发酵获取能量的途径就会苏醒。它们试图弥补这个细胞器因为效率下降而流失的能量。那个空间开始通过谷氨酰胺(另一种发酵燃料)释放出 ATP。它竟然在这个原本进化出来用于高效产生能量的复杂细胞器中,产生古老的能量。所以你刚刚问我,如果这个细胞器受损会怎样?如果对氧化磷酸化的破坏……

Original English

Speaker A: That's called the matrix. And that's where the KB cycle, the TCA cycle, which breaks down the food that we eat. But they have an ancient part of a fermentation mechanism inside because before oxygen came every all life forms were fermenttors. They they produced energy without oxygen because there was no oxygen. We had to wait for those bacteria to make oxygen through a photosynthetic process. But all organisms were fermenttors in the beginning after this organel came in and was able to take in oxygen make energy really really quick. But in that matrix they have a uh in the cycle there's a little pathway there that makes energy without oxygen from the evolutionary past. So we have it in the cytoplasm of the cell because they can use they can ferment in the cytoplasm. But this organ that our big discovery with the work of of Christounis from semlice university he's the world leader on that little pathway. When this organel becomes impaired, these ancient pathways of energy through fermentation arise. Okay, they they try to replace the lost energy from the efficiency of this organel. That space starts throwing out ATP from glutamine. It's another fermentation fuel and and it's making it's making ancient energy in the sophisticated organel that was that was that that evolved to make efficient energy. So let me let me tell you. So you get you asked me what about damaging this organel and what happens if the damage to oxidative phosphorilation

Speaker B: 那是什么意思?

Original English

Speaker B: what does that mean?

Speaker A: 意思是通过氧气获取能量[清嗓子]……

Original English

Speaker A: Which means energy through oxygen [clears throat]

Speaker B: 破坏如果过于急剧,细胞就会死。

Original English

Speaker B: is too acute the cell will die.

Speaker A: 氰化物就是一个完美的例子。如果你让一只老鼠或一个人喝下掺了氰化物的饮料,你会死的,因为氰化物会与即将利用氧气产生能量的蛋白质结合,然后整个系统就宕机了。

Original English

Speaker A: Cyanide is a a perfect example of this. You take a mouse or a rat or a person and you drink Kool-Aid, the cyanide laced Kool-Aid, you die because what happens is that cyanide binds to the protein that's going to um um use oxygen for energy and the whole system shuts down.

Speaker B: 基本上就是把你憋死了。

Original English

Speaker B: Suffocates you basically.

Speaker A: 对,你会瞬间毙命。还有其他一些化学物质也能迅速致死。但对于慢性疾病来说,通常不是对这个细胞器施加急剧的压力,而是一种慢性的压力。在癌症中,特定组织(无论是骨骼、肺、膀胱还是大脑)发生的情况是,它们逐渐用这些古老的发酵途径来补偿能量。所以这个细胞器向细胞核发出信号:“我快窒息了,我得不到足够的能量。”于是细胞核打开细胞表面的转运蛋白,引入燃料,通过我们所说的非氧依赖性机制来提升能量。这是一个依赖氧气的细胞器。它的大部分能量来自我们的呼吸,我们所有的细胞都在利用氧气,而我们呼出的二氧化碳和以尿液形式收集的水(你可能还会把其他废物排到里面),这就是高效的代谢稳态。这个细胞器不仅使细胞,而且使整个身体处于一种代谢稳态中,所有系统都在以最佳效率运转。但是,伴随着慢性破坏——吸烟、缺乏运动,你可以列出所有可能引发癌症的不同因素,任何种类的致癌物、微塑料、永久性化学物质、草甘膦等等——任何这些会长期破坏这个细胞器产生能量能力的因素。病毒、致癌病毒、炎症、慢性炎症。任何这些因素都会破坏这个细胞器产生足够能量的复杂能力。这就是为什么我们解决了致癌悖论。

Original English

Speaker A: Yeah. You die in instantly. Um and there are other things that can kill uh can kill uh quickly aid and a variety of other chemicals but for chronic diseases it's usually u not an acute stress on this organel it's a it's a chronic stress and in cancer what happens in a particular tissue whether it's bone lung bladder brain they gradually compensate with these ancient fermentation pathways so so this thing this organel cell signals to the nucleus I'm suffoc I'm not getting enough energy. Um so the nucleus turns on the transporters on the surface of the cell to bring in fuels that will elevate energy through what we call uh oxygen independent mechanisms. This is an oxygen dependent organel. This gets most of its energy because we breathe, all of our cells are using oxygen and the CO2 that we're blowing out and the water that will be collected in the form of urine when you might put uh other waste products in there. That's efficient metabolic homeostasis. This organel makes not only the cell but the whole body in a state of of metabolic homeostasis where all systems are working at optimal efficiency. But with chronic disruption, uh, smoking, uh, lack of exercise, you can go right down the list of all of the different things that can elicit cancer, any kind of carcinogens, microplastics, forever chemicals, uh, uh, uh, glyphosate and any of these kinds of things that would chronically damage uh, the ability of this organel to produce energy. Viruses, ankcoenic viruses, inflammation. you have chronic inflammation. Any of those things damage this the sophisticated ability of this organel to produce sufficient energy. That's why that's why um uh the ankcogenic paradox which we solved.

致癌悖论与癌症的本质

Speaker B: 什么是致癌悖论?

Original English

Speaker B: What's the ankcogenic paradox?

Speaker A: 这个悖论最初是由 Albert Szent-Györgyi 提出的,他是一位匈牙利科学家,我记得他因为发现维生素 C 获得过诺贝尔奖。他对癌症和生命系统非常感兴趣。他说这里存在一个悖论。他说,我们知道环境中的多种因素都能引发癌症。我们已经找出了这些致癌病毒、慢性炎症、致癌物、间歇性缺氧、罕见的生殖细胞突变。他说我们不明白的是,任何这些诱发因素引发细胞生长失调(即癌症)的共同病理生理学机制是什么。当你谈论癌症时,人们是怎么说癌症的?它是失控的细胞分裂,是细胞生长失调。而这个细胞器决定了细胞什么时候该分裂,什么时候不该分裂。它掌控着细胞的命运。那么,当这个细胞器发生慢性损伤时会发生什么呢?它就会退回到这些古老的途径,也就是在环境中有氧气之前就存在的途径,在那种状态下,所有细胞的生长都是不受调节的,因为它们没有这个调节系统,即来源于细菌的线粒体。

Original English

Speaker A: That was the paradox that was first put out by Albert St. Gorgi Hungarian [clears throat] uh scientist who received a Nobel Prize I think for vitamin C. He said he said he was very interested in cancer and living systems. He said there's a paradox. He said we know multiple things in the environment can elicit cancer. We've identified these ankcogenic viruses, chronic inflammation, carcinogens, intermittent hypoxia, rare rare germline mutations. He said we don't understand the common pathophysiological mechanism by which any of those provocative agents would elicit disregulated cell growth which is cancer. When you talk about cancer, what do people say what is cancer? It's cell division out of control. It's disregulated cell growth. This organel determines when cells should divide and when they should not divide. It regulates the destiny of the cell. So what happens when this organel becomes chronically impaired? It falls back on these ancient pathways, these or or these or um uh pathways that existed before oxygen came into the environment where all the cells were disregulated in the growth because they didn't have this regulatory system which is the mitochondria coming from a from a bacteria.

Speaker B: 那么我换个方式向你复述一遍,只是为了确保我确实理解了。

Original English

Speaker B: So let me play that back to you in a way just so I you know make sure I understand.

Speaker A: 我知道这有点深奥。

Original English

Speaker A: I I know it can be kind of deep.

Speaker B: 好的。所以我面前的这个线粒体里,有一个古老的机制,因为这来源于……

Original English

Speaker B: Okay. So in this mitochondria here that I have in front of me, there is an ancient um because this came from the

Speaker A: 细菌。

Original English

Speaker A: bacteria

Speaker B: 在很久很久以前由细菌融合而成。

Original English

Speaker B: a fusion of bacteras a long long time ago.

Speaker A: 对。

Original English

Speaker A: Yeah.

Speaker B: 那个古老的细菌……

Original English

Speaker B: The old bacteria

Speaker A: 大约在几十亿年前……

Original English

Speaker A: about several billion years ago

Speaker B: 曾经非常自私,只想着自己。它过去是自己生长的,不跟任何东西交流。它有着自己一套生长和繁殖的方式,跟其他任何东西都毫不协调。那个东西依然留存在里面的某个地方。尽管现在在它的现代形态中,由于发生了融合,它的生长会顾及到更庞大的有机体,但当它受到破坏时,它就会退回到那种古老、自私的生长方式中,而这就是导致癌症的原因。所以,如果它承受了压力,这些压力可能就是你描述的那些致癌物质造成的,那么有时它就会退回到那种状态……

Original English

Speaker B: used to be very selfish and just think about itself. It used to grow on its own and didn't communicate with anybody. Had its own way of growing and multiplying that was really not um in cohesion with anything else. That is still in there somewhere. And although now in its modern form because there's been that fusion it grows thinking about the wider organism um when it becomes damaged it falls back on that old selfish way of growing and sometime and that's kind of what can cause cancers. So if you if there's stresses on this which could be all the car carogenic things you described then sometimes this falls back on that

古老生存机制与癌症本质

Thomas: 这种倒退回类似史前的、自私的生长方式,细胞不再顾及整个生物体。

Original English

Thomas: ...prehistoric selfish way of growing where it doesn't think about the wider organism.

Thomas: 这种说法很接近。就我们思考的方式而言,我们并不清楚其中的原理,我们只知道当细胞退回到那些古老的代谢途径时会发生什么后果。现在的实际情况是这样的。人们从奥托·瓦尔堡(Otto Warburg)那里得知,他说癌症是细胞内的能量问题。为什么细胞会开始发酵并产生大量的发酵代谢废物,也就是乳酸?即使在有氧气,甚至100%氧气的环境中,它们仍然在发酵。为什么?这本来是不应该发生的。当任何人屏住呼吸或者心脏病发作时,让我告诉你一件非常了不起的事,这也是引导我们关注整个问题的另一个信息。当人们心脏病发作时,他们停止了呼吸,心脏骤停,血液中会立刻充满这些发酵代谢废物——乳酸,以及我们现在知道的另一种废物,琥珀酸。哇。这两种代谢废物。如果你不能在短时间内恢复呼吸,你就会死亡。

Original English

Thomas: It's close um um in the sense of thinking we don't know about that we just know the consequences of what happens when it falls back on those ancient pathways. Now here's the situation. People knew from Otto Warberg said cancer is a energy problem in the cell. This why would the cells start to ferment and produce a massive amount of fermentation waste product which is lactic acid. Even in the presence of oxygen, 100% oxygen, they're still fermenting. Why? That shouldn't happen. Uh when you and I hold our breath or have a heart attack, let me tell you something. This is really remarkable and this is another piece of information that got us on this whole thing. When people have heart attacks, uh they stop breathing, the heart seizes, okay, the bloodstream immediately fills with these fermentation waste products which are lactic acid and the other one which we now know is suinic acid. Okay. Wow. These two waste products. Now, if you don't start breathing in a short period of time, you're going to be dead.

Stephen: 嗯。

Original English

Stephen: Mhm.

Thomas: 人之所以会死,是因为你大脑里的神经元无法长时间靠这种发酵能量维持。一旦你对心脏进行胸外按压,不管怎样只要病人的心脏再次开始跳动,那些乳酸和琥珀酸的废物就会消失。它们消失了,因为你现在又在呼吸了。当环境中有氧气,并且线粒体能够利用环境中的氧气时,你就不需要发酵了。至于癌细胞,瓦尔堡说这是最奇怪的事情。这些癌细胞即使在100%的氧气中也继续发酵。它们为什么要这么做?他推测这是因为细胞器受损了。在这些癌细胞中,细胞器发生了不可逆转的损伤。当时他没有电子显微镜。他没有我们今天拥有的这些复杂工具。所以他当时完全是基于生物化学理论进行推测。他是个生物化学家,他说,如果有氧气,你不应该,也不该产生发酵作用,应该关闭发酵,这些细胞应该恢复正常的代谢稳态。他说这是因为这个细胞器里有某种东西遭到了不可逆转的破坏。当时很多人攻击他,说,哦,我们没有任何证据来证明这一点。这里有一个奇妙的发现。有些癌细胞仍然在吸收氧气并产生ATP(三磷酸腺苷)。因此,瓦尔堡肯定是错的?不。我们证明了,癌细胞确实吸收氧气,但它并没有大量通过ATP制造能量。它利用氧气产生ROS(活性氧),这些自由基会造成进一步的损伤,并导致所有人都想追踪的DNA突变。这都是损伤的下游效应。

Original English

Thomas: And you and what you die because the neurons in your brain cannot sustain this kind of fermentation energy for very long. As soon as you the heart you you give them cardiac massage and whatever the guy's heart starts beating again. The lac the waste products of lactic acid and suinic acid go away. They disappear because you're breathing now. You don't need to ferment when you have oxygen in the environment. And it's and the mitochondria can can utilize the oxygen in the environment. cancer cells to Warberg said it's the weirdest thing. These cancer cells um continue to ferment even in 100% of oxygen. Why are they doing that? And he speculated that this organel was damaged. Irre irreversible damage to the organel happened in these cancer cells. He didn't have an electron microscope at the time. He didn't have the sophisticated tools that we have today. So he projected that all on biochemistry at that time. He was a biochemist and he said you don't should not produce fermentation if you have ox oxygen should shut that off and these guys should return to a normal metabolic homeostasis. And he said that's because there's something irreplace irre irreversibly damaged in this organel. So a lot of people attacked him and they said oh we don't have any evidence for that. Here's the beautiful thing. Some cancer cells continue to take in oxygen and make ATP. Therefore Warberg must be wrong. Uhhuh. We showed that that we showed the cancer cell takes in oxygen, but it's not making energy through ATP in any great amount. It's using it for ROS react these radicals that further damage and cause the DNA mutations that everybody is chasing. It's all downstream effects of damage.

Stephen: 那么,用通俗的话来说,这意味着什么呢?因为我知道我的很多观众……

Original English

Stephen: So what does this what does this mean in simple terms? Because I'm aware a lot of my

Thomas: 它的意思是,好,我们有了失控的细胞生长。这最终就是我们要处理的问题。我们无法控制这些细胞如何分裂。我们向它们投掷各种疯狂的东西,试图毒死它们、用放射线照射它们,或者用手术切除它们。我们正试图做一切事情来阻止这种失控的细胞生长。

Original English

Thomas: Well, it it means I say, okay, so so I have disregulated cell growth. That's ultimately what the problem we're dealing with. We can't control how these cells are dividing. We're throwing all kinds of crazy stuff at them. Trying to poison or radiate surgically remove them. We're trying to do everything to stop this disregulated cell growth.

Stephen: 嗯。

Original English

Stephen: Mhm.

Thomas: 所以当我们用电子显微镜观察这个细胞器时,我们发现这些嵴(cristae)通常消失了。你会看到所谓的“幽灵线粒体”。空有个外壳,里面什么都没有,或者如果里面有东西,也是完全变形的。我们知道生物学中有一个基本原则:结构决定功能。如果结构是不正常的,功能也必然不正常。所有的生物学家都知道这一点,除了肿瘤学家。他们似乎不明白。

Original English

Thomas: So when we look at this organel under the micro under the electron microscope, we find these cry are often missing. You have what they call ghost mitochondria. You got the shell but nothing inside or if they're inside, they're all deformed. So we know there's a foundational principle in biology. Structure determines function. If the structure is abnormal, the function will be abnormal. This is known to all biologists except oncologists. They don't seem to understand it.

Stephen: 肿瘤学家是做什么的?

Original English

Stephen: What's an oncologist?

Thomas: 就是那些研究癌症的人。

Original English

Thomas: Those are the people who study cancer.

Stephen: 那么,你是做什么的呢?(笑声)

Original English

Stephen: So, what are you then? [laughter]

Thomas: 我是一个生物学家。

Original English

Thomas: I'm a biologist.

Stephen: 你是一个生物学家。

Original English

Stephen: You're a biologist.

Thomas: 是的。我的意思是,既然我们知道如果细胞器受损,你就无法通过氧化磷酸化有效地产生能量。

Original English

Thomas: Yeah. I mean, when we know that if the organel is damaged, you're not going to be able to produce energy efficiently by oxidative phosphorilation. Okay.

Stephen: Thomas,我认为你在这条路上走得比我的很多观众都远。对我来说,听到细胞里有一个能量引擎,而且有数万亿或数十亿个,它们还会相互交流,当它因为我的生活方式选择而受到压力、受到伤害或损坏时,能量生产和效率就会发生改变,这可能会导致它以某种方式死亡或发生故障。对我来说,我明白了。

Original English

Stephen: I think you're a bit further down the road, Thomas, than a lot of my viewers are. for me hearing that there's this energy engine in my cells that and there's trillions of them or billions of them and they also communicate with each other and when this becomes stressed or hurt or damaged because of lifestyle choices that I make energy production and inefficiency will change and that could cause this to die or malfunction in some way that is as for me I go I've got it

Thomas: 很好,向前迈出了一大步,现在我们以此为基础继续。是的,现在我们在这个基础上继续。好,情况是这样的,我们讨论过癌细胞,我们观察过的所有癌细胞,在那个细胞器的数量、结构和功能上都存在缺陷。我查看过,我也发表过那篇重要的论文。我花了一年多的时间梳理早期的电子显微镜文献,瓦尔堡当时没有这个机会,因为那时候还没有那样的技术。所以他只能基于生物化学进行推测,但我回溯了那些资料,我看了各种癌症中线粒体的电子显微照片,它们都被破坏了。有几个风险特征,嵴都不见了。我和一些最顶尖的专家合作,比如 Aris Mendy Marillo,他是拍摄癌细胞精美电子显微照片的世界级领军人物。在他的那些极其清晰的照片下,你可以看到所有的损伤。我们有几篇论文,但让我告诉你另一件事,Stephen,在细胞质中,这些细胞器也与其它细胞膜接触,比如内质网。细胞内有许多我们称之为细胞器的结构,你有细胞核,你有线粒体……有些其它膜之间存在着紧密的接触,也就是我们看到的线粒体相关膜,如果你在电子显微镜下看,它们也是不正常的。

Original English

Thomas: okay that's a major step forward now we build upon that yes now we build upon that okay so so here's the situation we've discussed cancer cells all of them that we have ever looked at have defects in the number structure and function of that organel okay I have looked at I published that big paper where I spent uh over a year of my time going through the ancient the well the early electron microscopy literature warberg didn't have that opportunity because that technology was not there for him. So he speculated that based on the biochemistry, but I went back and I looked at these um electron microraphs of mitochondria in various cancers and they're all damaged. There is few of them that risk Christ are gone. I work with some of the best like Aris Aris Mendy Marillo uh who is a world leader in beautiful electron microscopy of of cancer cells and you can see and and all the damage uh under his magnificently beautiful and one we have a couple of papers but let me tell you something else Stephen in the cytoplasm these organels are also in contact with other cellular membranes like the endopplasmic reticulum there's a lot of we call organels inside a cell you have the nucleus you have the mitochondrian you you you have loss. There's intimate contacts between some of the other membranes, mitochondrial associated membranes we see and they're also abnormal when you look at them under the electron microscope.

Stephen: 它所交流的对象也是不正常的。

Original English

Stephen: The ones it's talking to are abnormal.

Thomas: 是的。你可以看到线粒体本身是不正常的,并且与它们接触的细胞膜也是不正常的。这种紧密的接触……稍后我会谈谈钙信号传导,它控制着细胞的命运。为什么细胞会失控生长?首先,它在发酵。这意味着它正在从氧化磷酸化以外的来源获取能量。你可以拿一个癌细胞,用氰化物或叠氮化物处理它,或者在没有这些物质的情况下,它依然活着。它仍然在生长,因为它没有使用氧气途径。它们没有使用氧气,而是退回到了不依赖氧气的机制上,也就是我们所说的发酵。

Original English

Thomas: Yeah. The ones you can see the the mitochondria are abnormal and the membranes that contact them are abnormal. Okay. And that intimate contact uh I'll get into the calcium signaling a little bit later which controls the destiny of the cell. Why the cell is growing out of control? Well, first of all, it's fermenting. Okay, that means it's getting energy from sources other than oxidative phosphorilation. You can take a cancer cell and and treat it with cyanide or aid or in absence of and it's still living. It's still growing because it's not using the oxygen path. They're not using the oxy falling back on on on oxygen independent mechanisms which are called fermentation.

Stephen: 所以我的理解是,线粒体出现了故障,这意味着它不再像它应该的那样充分利用氧气途径。总是保留有一定的残余水平……并且它找到了另一种制造能量的方式,这就是它存活下来的方法。

Original English

Stephen: So I understand that to be that there's a malfunction in a mitochondria which means that it no longer uses its oxygen pathway as sufficiently as it should. There's always some residual level and it finds another way to make the energy which is how it survives.

Thomas: 是的。

Original English

Thomas: Yes.

Stephen: 然后它停止了与细胞其余部分的交流。

Original English

Stephen: And then it stops communicating with the rest of the cell.

Thomas: 实际上,它与细胞核进行交流,以打开闸门,引入那些驱动这种发酵能量的燃料。

Original English

Thomas: Well, it actually communicates with the nucleus to open up the floodgates to bring in the fuels that drive this fermentation energy.

Stephen: 它变得越来越贪婪。

Original English

Stephen: It gets more and more greedy.

Thomas: 必须如此,因为你拿走了一个高效产生能量的细胞器。像有氧情况下,能产生34到36个ATP。现在你试图用只产生两摩尔能量的燃料来替代它。

Original English

Thomas: It it has to because you're you're taking an organel that produces energy highly efficiently. Okay. Um like 34 to 36 ATPs with oxygen with oxygen. And now you're you're trying to replace that with fuels that give you two uh two moles of energy. Uh

Stephen: 所以它的效率很低。

Original English

Stephen: so it's inefficient

Thomas: 非常低。然后你只能从燃料中获得两份能量,或者总共得到四份。所以你必须摄入大量的燃料,为了弥补效率上的不足,你必须拥有庞大的后勤支持,也就是大量能提供这种能量的燃料供应。

Original English

Thomas: very and then and then you get you get two out of the in so you're getting four. So you you you have to take in in order to make up the efficiency you must have a tremendous logistic you must have tremendous supply of of the fuels that will give us energy

Stephen: 它们是……

Original English

Stephen: which are

Thomas: 葡萄糖,这种糖类……还有氨基酸中的谷氨酰胺。

Original English

Thomas: glucose the sugar and the amino acid glutamine

Stephen: 好的。

Original English

Stephen: okay

Thomas: 我们的身体里充满了谷氨酰胺,它是我们血液中最丰富的氨基酸,是进化为我们提供的。因为如果我们停止呼吸,我们就会利用这种燃料来维持细胞存活。我们的肠道是由谷氨酰胺控制的。我们的免疫系统也使用谷氨酰胺。

Original English

Thomas: okay our bodies are loaded with glutamine that's the most abundant amino acid in our bloodstream and evolution provided that for us because if we stop breathing we use that fuel to keep the cells alive we our gut is controlled by glutamine Our immune system uses glutamine.

Stephen: 什么是谷氨酰胺?

Original English

Stephen: What is glutamine?

Thomas: 它是一种氨基酸。

Original English

Thomas: It's an amino acid. Okay.

Stephen: 是我们从食物中制造出来的。

Original English

Stephen: Which we make from food.

Thomas: 是的,我们可以从食物中制造。没错。它们被称为必需氨基酸和非必需氨基酸。必需氨基酸是我们必须摄入的,我们必须吃含有这些氨基酸的特定食物。谷氨酰胺被认为是一种非必需氨基酸。它是……

Original English

Thomas: Yeah. Which we can make from food. True. Or they call essential and non-essential amino acids. Essentials are from that we must eat. We must have certain foods that provide these. Glutamine is considered a non-essential amino acid. It's

癌细胞的能量代谢与线粒体损伤

Guest: 在生物化学上,它被称为非必需氨基酸,因为我们可以用糖来合成它。

Original English

Guest: An essential amino acid biochemically called non-essential because we can make it from sugar.

Host: 但基本上,它是我们体内最丰富的氨基酸。我想我现在明白了。

Original English

Host: But basically, it's the most abundant amino acid in our body. I think I get it now.

Host: 好的,给我点反馈。告诉我,让我来考考你。就在这下面应该有一个按钮。如果上面写着“已订阅”,说明你已经订阅过了。如果写着“订阅”,那就意味着你还没订阅。如果你还没订阅,能不能帮个忙,点击一下那个按钮?这对我们节目的帮助超出你的想象。根据算法的推荐,你经常看我们的节目,但还没有点击过那个按钮。非常感谢大家的支持。

Original English

Host: Okay, feed me back. Tell me, let me test you. There should be a button just down below here. And if it says subscribed, you're already subscribed. If it says subscriber, that means you're not yet. And if you're not subscribed, please could you do us a favor and hit that button? It helps the show more than you know. And according to the algorithm, you're someone that watches our show, but you haven't yet hit that button. Thank you so much.

Guest: 当系统崩溃时,线粒体会退回到那种史前时代的代谢途径,开始以一种效率极低的方式制造能量,而不是像平常那样利用氧气。它开始转而依赖葡萄糖和谷氨酰胺来产生能量,这是一种效率低得多的能量来源。因此,它变得有点贪婪。它需要多得多的原料才能制造出等量的 ATP(也就是能量)。

Original English

Guest: When we fall, the mitochondria falls to that prehistoric pathway where it starts making energy in a really inefficient way without using oxygen in the same way. It starts relying now on glucose and glutamine to produce that energy which is a much less efficient source of energy. So it gets a bit more greedy. It needs much more to make the same amount of ATP which is energy.

Host: 嗯。

Original English

Host: Mh.

Guest: 所以这些癌细胞会变得非常非常贪婪。它无法再以相同的方式对氧气做出反应,它们变得更加自私。它们开始不由自主地增殖,完全不顾及更广泛的生物整体。

Original English

Guest: So a cancer cell can be very greedy. It's not responding to oxygen in the same way and they're a bit more selfish. They start sort of multiplying without thought of the broader organism.

Host: 是的。是的。

Original English

Host: Yes. Yes.

环境因素与儿童癌症的发病机制

Host: 那么我的问题是,这一切是如何发生的?

Original English

Host: So the question I have is how does this happen?

Host: 是因为线粒体的功能障碍吗,我到底做了什么导致了这种情况?你知道我为什么问这个问题吗?

Original English

Host: Malfunctioning of the mitochondria, what is it that I've done? You know why I ask this question?

Guest: 好的。嗯,我明白。

Original English

Guest: Okay. Well, I understand.

Host: 因为连儿童都可能患上这些癌症,或者是 90 岁的老人也可能得癌症。而且在我看来,一个三岁的孩子显然还没有自己做出过什么可能导致癌症的生活选择……

Original English

Host: It's because children can get these cancers, or a 90-year-old can get the cancer. And it doesn't appear to me that a three-year-old has necessarily made life choices yet that could...

Guest: 但是就像我说过的,当你考虑到环境中的“永久性化学物质”(forever chemicals),也就是我们在技术先进的现代社会中日常使用并排放到环境中的那些东西,它们是可以穿透胎盘屏障,进入这些儿童的器官之中的。你必须要综合起来看。癌症的发生通常是多种因素交织的结果,因为别忘了我提到过致癌物。有些致癌物质是脂溶性的,有些致癌物能够轻易侵入并在发育的早期阶段造成损伤。人们总是会问,你该如何解释一个仅仅六个月大的婴儿也会得脑癌?是啊,他能做什么呢?他既不抽烟也不喝酒,更没有成天去参加派对。然而,他大脑中的线粒体和一部分细胞群却受损了。而正是这种损伤,随后引发了细胞不受控制的生长,因为负责控制细胞何时该分裂、何时不该分裂的正是这个细胞器(线粒体)。然后,能量从哪里来?你要如何让一个原本高度精密、制造能量极其高效的细胞器,在受损后还能继续提供能量?于是,这个细胞器会向细胞核发送一种被称为“线粒体应激反应”(或逆向信号传导)的信号。细胞核作为响应者,会去满足这个细胞器的需求。接下来,细胞核会启动那些你经常听说的“致癌基因”(oncogenes)。它们会打开闸门,大量引入葡萄糖和谷氨酰胺,让细胞以一种失调的方式不断生长。所以正如你所说,它们退回到了那些古老的无氧发酵途径中去了,在那种状态下没有任何监管,因为在那个史前时代,这种细胞器(线粒体)还没有成为问题的一部分,更没有参与到这种监管机制中。

Original English

Guest: But as I said when you consider forever chemicals that are in the environment, things that we have that we use in our technologically advanced societies can get through the placental wall and get these into these children's organs. You know, you have to put it together. Usually, it's a constellation of things because don't forget I said carcinogens. Some of these carcinogens are fat-soluble. Some of these carcinogens can get in and damage those during early stages of development. People always say how you explain brain cancer in a six-month-old baby. Okay. What did he do? He wasn't smoking and drinking and partying all the time, but the mitochondria and a population of cells in his brain became damaged. And that damage then led to this disregulated cell growth because the organelle controls when cells should divide and not divide. And then, where's the energy coming from? How do you take a highly sophisticated piece of an organelle that makes energy so incredibly efficient, and now we're using energy? So this organelle signals to the nucleus, called mitochondrial stress response retrograde signaling. The nucleus acts as a respondent to what this organelle wants. So the nucleus then activates oncogenes, which you've heard a lot about. They open the floodgates to bring in the glucose and glutamine that allow the cell to grow in a disregulated way. So as you said, they go back to these ancient fermentation pathways where there was no regulation because this organelle was not part of the situation, the regulation.

导致线粒体受损的生活方式与环境因素

Host: 那么,是哪些生活方式因素极大地增加了这种损伤发生的概率呢?

Original English

Host: So what are the lifestyle factors that are drastically increasing the probability of this happening?

Guest: 并不一定完全是这个人做了什么,在所有病例中,这更关乎于这个人“暴露”在了什么环境之下,从而诱发了这一切。这就是所谓的“致癌悖论”(oncogenic paradox)。我们已经证明了,炎症会产生各种细胞因子。当你体内有炎症发生时,它们就会损害这个细胞器(线粒体)高效制造能量的能力。众所周知,慢性炎症是癌症的一个重大危险因素。慢性炎症、间歇性缺氧、以及致癌物。

Original English

Guest: It's not necessarily what the person did in all cases, it's what the person was exposed to that could have elicited this. That's the oncogenic paradox. So we have shown that inflammation produces these cytokines. When you have an inflammatory heat in inflammation, they damage the ability of this organelle to make energy efficiently. Chronic inflammation is known to be a risk factor for cancer. Chronic inflammation, intermittent hypoxia, carcinogens.

Host: 什么是“间歇性缺氧”?

Original English

Host: What's intermittent hypoxia?

Guest: 就像睡眠呼吸暂停综合征那一类的问题。奥托·瓦尔堡(Otto Warburg)曾经明确指出,细胞的间歇性缺氧会破坏氧化磷酸化的效率,从而导致代偿性的发酵。所以你必须进行代偿,因为我得告诉你,如果不去代偿,你就会死。我是说,那个细胞就会死掉。当我们观察世界上癌症患病率最高的人群时,你会发现这似乎并不发生在某些国家,比如尼日尔、冈比亚、尼泊尔,这些国家在癌症发病率排行榜上始终处于垫底的位置。相反,像澳大利亚、新西兰和美国这样的高收入国家,却有着最高的癌症发病率。这到底是为什么呢?

Original English

Guest: It's like sleep apnea, that kind of thing. Warburg had clearly shown that intermittent hypoxia on cells would damage the efficiency of oxidative phosphorylation leading to a compensatory fermentation. So you have to compensate because let me tell you, if you don't compensate you're dead. I mean the cell dies. When we look at the populations around the world that have the most prevalence of cancer, it doesn't appear to be some of the countries like Niger, Gambia, Nepal consistently rank at the very bottom for cancer incidents. Conversely, high-income countries like Australia, New Zealand, and the United States have the highest rates of cancer. Why is that?

现代生活方式与远古基因的冲突

Guest: 这是因为我们的现代技术。在生物学上,我们仍然是“旧石器时代的人类”。由于经历过饥荒年代,我们的生物学机制让我们能够极其高效地储存能量。然而,我们现在所处的是一个全新的环境——我们摄入了海量的、高度加工的碳水化合物,我们缺乏运动,我们承受着情绪压力,我们还有糟糕的睡眠习惯。当你把所有这些因素叠加在一起,再加上对致癌物以及其他不良物质的暴露,你就在慢性地损害你的这个细胞器(线粒体)。如果你损害的是肺部,或者别的什么器官,某个特定器官里某一群细胞的细胞器受到了慢性损伤,结果就是会引发细胞的失调生长。你知道我在图表那篇论文里发现了什么吗?那就是:如果你能保持线粒体的健康——因为别忘了,我们在 50 万年前的旧石器时代祖先,或者就像你说的那些生活在低发病率国家的现代人,他们遵循着传统的生活方式,受到现代饮食和生活方式问题的干扰极少,他们的总体癌症发病率就非常低。这也是著名的人道主义医生阿尔伯特·史怀哲(Albert Schweitzer)所发现的。他当年专门在非洲部落中寻找癌症病例,然后他说这非常不可思议,发病率极低。为什么西方社会有这么多的癌症,而这些非洲人却很少得?这些非洲人到底做了什么?因为他们遵循着传统的生活方式在生活。他们有大量的运动。他们吃的全是有机食物。而且他们没有承受现代社会人们所面临的那种压力,也没有暴露在同样的化学物质中。结果你就会发现,他们的癌症发病率非常低。

再举个例子,所有的狗都是从狼进化而来的。野生环境下的狼极少患癌症。而对于家犬来说,癌症却是它们的头号杀手。家犬做了什么导致了这种差异?狼在野外奔跑,吃着纯天然的食物。而狗呢?狗被关在某个公寓里,每天只被遛狗人带出去一次,对吧?紧接着,这些狗就变得肥胖,并长满了肿瘤。所以,一切的根源都在于:你做些什么来维持线粒体的健康和活力?这能降低风险,这也是我将要展示给你的图表所揭示的内容——降低慢性损伤线粒体的风险。

Original English

Guest: It's because of our technology. We are still paleolithic man and our biology has allowed us to store energy efficiently because of times of famine. We are now in a new environment where we have massive amounts of highly processed carbohydrates, inactivity, emotional stress, we have poor sleep habits. You pile all those together with the exposure to carcinogens and whatever, and you chronically damage this organelle. In some organs, you can get breast cancer, if it's a lung, if it's a whatever it is, that organelle becomes chronically damaged in some populations of cells in a particular organ and you can elicit disregulated cell growth as the result of that. You know what I find is in the paper that we have with the chart, if you can keep your mitochondria healthy... because don't forget Paleolithic man, our ancestors from 500,000 years ago, or modern men like you said in these countries living according to traditional ways with minimal interference from modern diet and lifestyle issues, have lower amounts of cancer in general. And this is what Albert Schweitzer found, the famous humanitarian physician. He was specifically looking for cancer in African tribes and he said remarkably it's extremely low. What are these guys doing where western society has a lot of cancer and these Africans have living according to the traditional ways. So they have a lot of exercise. They're eating all organic foods. They're not under the same kind of stress or exposure to chemicals that modern societies have. And you find out you have very low cancer.

Like for example, dogs are all evolved from the wolf. Wolves in the wild rarely have cancer. The domestic dog, cancer is the number one killer of the domestic dog. What is the dog doing that the wolf isn't? The wolf is out running around eating natural foods. The dog is in an apartment somewhere, gets a dog walker once a day, right? And the next thing the dog is obese and full of cancer. So it all comes down to what you do to maintain the health and vitality of the mitochondria that reduce the risk, and that's what this chart I'll show you has—reduce the risk of damaging this chronically.

Guest: 好的。这可以在很大程度上解释为什么现代社会正在与各种慢性疾病作斗争。不仅是癌症,我们还有 2 型糖尿病,我们有肥胖症,我们有高血压,我们甚至有一大堆神经精神方面的问题。如果你能保护并保持这个细胞器的健康,你就能降低患病风险。现在人们会说,好吧,那癌症一定也是遗传的,因为我们继承了某些使我们处于更高风险的基因,比如导致乳腺癌的 BRCA1 基因,或者是导致其他多种癌症的李-佛美尼综合征(Li-Fraumeni syndrome)。在这堆论文里,有一篇是鲍勃·卡普兰(Bob Kaplan)写的,他仔细梳理并审查了所有的基因风险。

Original English

Guest: Okay. So that can explain in large part why modern societies are struggling with chronic diseases, not only cancer. We have type 2 diabetes, we have obesity, we have high blood pressure, we have a whole host of even neuropsychiatric problems. If you can protect and keep this organelle healthy, you reduce risk. Now people say, well, cancer has to be genetic because we have inherited genes that put us at higher risk like the BRCA1 for breast cancer and the Li-Fraumeni for a variety of other cancers. Our paper in this pile done by Bob Kaplan, he went through and looked at all the genetic risk.

Host: 是哪一篇论文?

Original English

Host: Which paper is it?

Guest: 嗯,是发表在《肿瘤学》(Oncology)杂志上的其中一篇。但是,这些突变中没有一个是达到 100% 外显率(penetrant)的,这意味着它们只是次要的风险因素。所谓的“主要风险因素”,是指每次只要这个突变存在,100% 的人都会得病。因为我研究过泰-萨克斯病(Tay-Sachs disease),我研究过先天性代谢缺陷。在那些疾病中,这些基因突变 100% 是导致疾病的原因。但对于癌症而言,没有任何一种基因突变是 100% 外显的。并不是说只要你有那个基因,你就 100% 会得癌症。它们中的大多数都被称为“不完全外显”(incompletely penetrant)。那么,这告诉了我们关于癌症本质的什么信息呢?

Original English

Guest: Um, it's one of the ones published in oncology. But none of these mutations are 100% penetrant, meaning that they're secondary risk factors. A primary risk factor would be every time that mutation is there, 100% of the people... because I work in Tay-Sachs disease. I work in inborn errors of metabolism. Those mutations are 100% responsible for that condition. There's no gene mutation that's 100% penetrant. You have that gene, you're going to 100% get cancer. Most of them are what they call incompletely penetrant. So what does that tell us about the nature of...

Host: 那么,这说明了什么?

Original English

Host: Well, it tell... (Interrupted/Trailing off)

Guest: 然后我们回过头去看,鲍勃所做的就是回溯并审视了所有那些基因突变,发现每一个突变都以某种方式干扰了那个细胞器中氧化磷酸化的效率。

Original English

Guest: And then we went back, what Bob did is he went back and he looked at what every one of those gene mutations in some way disturbs the efficiency of oxidative phosphorylation in that organelle...

Host: 在线粒体中?

Original English

Host: In the mitochondria?

Guest: 在线粒体中。我们仔细审查了所有的证据、所有的风险因素,以及所有的遗传学数据,就在第一页那里……

Original English

Guest: In the mitochondria. We looked at... we have all the evidence, all the risk factors, all the genetics, just the front page there...

线粒体损伤与细胞反应

Expert: 我本来打算向你展示硬数据的,但你笑了,所以不管怎样,所有这些都会损害能量通过这个细胞器的效率。比如致癌物,比如病毒感染。像肝癌和乳头瘤这样的病毒,它们的产物会进入这里并破坏它,或者它们会在这个细胞器内复制,破坏效率,引起代偿性发酵,通过异常的钙信号导致细胞生长失调,导致细胞不再对邻近细胞有反应。这清楚吗?如果我能让你明白这一点,我们就能让所有人都明白这一点。

Original English

Expert: I was going to show you the hard data but you got [laughter] so anyway that all of them damage this the efficiency of energy through through through this organel. So that's like carcinogens, that's like um viral infections. The viruses that like hepatoma and papilloma, they they their their products will go in here and damage it or they will replicate inside this organel, screwing up the efficiency, causing a compensatory fermentation, causing the disregulated cell growth through abnormal calcium signaling, causing cells to no longer uh be responsive to their neighbors. Is that clear? If I can make you understand this, we can make everybody understand this.

让复杂概念易于理解与 Whisper Flow 赞助

Host: 是的。所以,我花很多时间去问为什么并要求澄清的原因是,因为当我做这个节目时,我会走到现实世界中去,我会遇到听节目的听众。

Original English

Host: Yeah. So, the the reason I uh spend a lot of time asking why and asking for clarification is because when I do the show, I then go out into the real world and I meet the people that listen.

Expert: 是的。

Original English

Expert: Yeah.

Host: 其中一群听众是年轻的罪犯。当我去拜访他们时,我向他们指出了我认为会帮助他们的几期节目。然后其中一个年轻的罪犯对我说:“我听不懂那期节目,因为你用的词太高级了。”

Original English

Host: And one of the groups of people that listens are young offenders. And when I went and visited them, I pointed at the episodes that I thought would help them. Yeah. And a young one of the young offenders said to me, "I can't listen to that episode because the words you used were too big."

Host: 我记得我心里想,“好吧,我经常听到这种说法,但你猜怎么着?现在我们有了人工智能,你可以直接把这些话放进人工智能里,它会为你把它变得通俗易懂。所以这是一个我们以前没有的工具。”所以,我经常使用那个工具。我说,当你听到我这样说话时,不要认为我很傲慢,这些是当你在学术界时使用的术语。

Original English

Host: And I remember thinking to myself, "Okay, that I get that all the time, but guess what? Now we have AI and you can take this statements and put it into AI right on the and and it'll it'll it'll dumb it down for you. So So that's a tool that we previously did not have. So So I use that all the time. I said when you hear me speak like this, don't think I'm arrog I I I these are the terms that we use when you're part of the academy.

Expert: 是的。

Original English

Expert: Yeah.

Host: 好吧。但我们现在可以采用这些术语,人工智能可以在综合这些信息方面做得非常出色。哦是的,我现在知道他在说什么了。但是如果没有那个工具,那么它就会像你说的那样,“好吧,我什么都听不懂。”

Original English

Host: Okay. But we can take those terms now and AI can do a wonderful job in in in synthesizing. Oh yeah, I know what he's talking about now. But without that tool, then it becomes like you said, well, I can't understand anything.

Host: 我有60秒的时间,我将向你展示由于我们的赞助商 Whisper Flow,我能完成多少事情。对于那些不知道它是什么的人来说,它是我投资的一家公司,可以在任何应用程序或设备中将你的语音转换为文本。我将在我们的 Slack 频道发布消息,奖励本周进行最多实验的团队成员。“大家好,这是本周的实验者。祝贺 SEO 预告片团队的 Dire,也就是 Aunt、Liv、Dom 和 Cam。你们赢了。”好的,现在我要打开 Gmail。这是一个创始人在邮件链上的邮件,我想将我的团队与其联系起来。我只需要说“添加我团队的电子邮件”,Whisper 就会完全照做。现在,给每周为我安排日程的 Juan 发一条简短的消息。“嘿,Juan,我可以在周三两点录制吗?其实,不用了。你知道吗?我们改在周三下午三点录制吧。”Whisper Flow 的速度是打字的四倍,而且使用起来非常简单。所以,如果你想尝试一下,你所要做的就是前往 whisperflow.ai/stephven 今天就去下载它。

Original English

Host: I've got 60 seconds and I'm going to show you how much I can get done because of our sponsor called Whisper Flow. And for those of you that don't know what it is, it's a business I invested in that turns your speech into text in any app or device. I'm going to post into our Slack channel, which rewards whichever team member conducted the most experiments this week. Hi everyone, here is this week's experimentter of the week. Congratulations to the Dire of SEO trailer team which is Aunt, Liv, Dom, and Cam. You guys have won. Okay, now I'm going to open Gmail. So, here is one of our founders on an email chain that I want to connect my team with. All I have to say is add my team's emails, and Whisper will do exactly that. Now, a quick message to Juan, who does my schedule every single week. Hey, Juan, can I record on Wednesday at 2? Actually, no. Do you know what? Let's record at 3 p.m. on Wednesday. Whisper Flow is four times faster than typing and it is incredibly easy to use. So, if you want to give it a go, all you have to do is head to whisperflow.ai/stephven to download it today.

睡眠的重要性与 Eight Sleep 赞助

Host: 如果你了解我,并且以前听过这个播客,你就会知道我对睡眠有多么痴迷。我在睡眠方面经历了一段旅程。我认为这是我有幸掌控的最重要的事情。而这正是我们的赞助商 Eight 所提供的。它是一种非常非常智能的睡眠材料。这是 Eight Sleep Pod 的功能。它会在你睡觉时监测你的身体。并且通过他们的人工智能,它利用数十亿、数十亿小时的睡眠数据为你调整温度。会员报告称深度睡眠增加了多达34%,入睡速度提高了多达44%。我和我的未婚妻 Melanie 睡在床的不同部分,它会将我那部分床调整到适合我的身体,将她那部分床调整到适合她的身体。所以如果你想了解更多关于这个睡眠舱的信息,请访问 8 sleep.com/stephven。这是一个巨大的机会。我不是在开玩笑。试一试吧。

Original English

Host: If you know me and if you've listened to this podcast before, you'll know how obsessed I am with sleep. I've been on a bit of a journey with sleep. I see it as the single most important thing that I'm have the privilege of having control over. And that's exactly what our sponsor eight are. It's a very, very intelligent piece of material to sleep on. Here's what the Eight Sleep Pod does. It monitors your body while you're sleeping. And with their AI, it adjusts the temperature for you using billions and billions and billions of hours of sleep data. And members have reported up to a 34% deeper sleep and falling asleep up to 44% faster. Me and my fianceé Melanie sleep on different parts of the bed and it adjusts my part of the bed to my body and her part of the bed to her body. So if you want to learn more about this pod, go to 8 sleep.com/stephven. Big opportunity. I am not kidding. Give it a try.

如何保持线粒体健康以预防疾病

Host: 我真的很想确保我勾选了原因因素这个框。所以你提到了压力,你提到了睡眠。

Original English

Host: I really want to just make sure I tick off the box of um cause factors. So you mentioned stress, you mentioned sleep.

Host: 据我所知,我目前没有患癌症。但愿永远不会。但我还是想尽我所能降低这种可能性。是的。

Original English

Host: I currently don't have cancer as far as I'm aware. God forbid. Um but I but I want to do everything I can to prevent the probability. Yeah.

Host: 根据我的理解,这意味着保护我的线粒体功能。

Original English

Host: And I from what I've understood that means protecting my mitochondrial function.

Expert: 是的。

Original English

Expert: Yes.

Host: 通过过一种生活方式,我不在线粒体上产生这种疯狂的氧化应激。

Original English

Host: By living a lifestyle where I'm not creating this sort of like crazy oxidative stress on the mitochondria.

Expert: 对。

Original English

Expert: Right.

Host: 所以给我开个处方,告诉我该如何生活以保持我的线粒体健康。

Original English

Host: So give me a prescription of how I should live my life to keep my mitochondria healthy.

Expert: 嗯,这就是为什么我们开发了葡萄糖酮指数计算器。这是第一个可以让人们知道他们线粒体健康水平的生物标志物工具,因为当你从碳水化合物燃料转换到脂质燃料时……

Original English

Expert: Well, that's why we developed the glucose ke ketone index calculator. the first biomarket tool that can allow people to know the level of health of their mitochondria because um when you shift from carbohydrate fuel to lip lipid fuel,

Host: 什么是脂质燃料?

Original English

Host: what's lipid fuel?

Expert: 脂肪。

Original English

Expert: Fat.

Host: 所以是酮,

Original English

Host: So ketones,

Expert: 酮是脂肪酸的水溶性分解产物。(清嗓子)

Original English

Expert: ketones are a water-soluble breakdown product of fatty acids. [clears throat]

Host: 好的。所以我们储存脂肪组织。我们储存脂肪,

Original English

Host: Okay. So we store atapose tissue. We store fat

Expert: 也就是腹部脂肪,

Original English

Expert: which is the belly fat

Host: 全身的。我们在外部有脂肪。

Original English

Host: all over. We have fat on our on the outside.

Expert: 是的。所以外部的脂肪在那里是因为作为一个物种,我们必须在最恶劣的环境中生存,而且食物并不总是有的。所以我们必须在各种饥荒和各种没有食物的情况下生存下来。我们的身体是如此……它是一台经过数百万年磨炼、变得极其高效的机器。所以葡萄糖是黄金糖。好的。你无论是燃烧它还是将它作为脂肪储存起来。好的,这就是关键。但是当你没有摄入糖分时,那些储存的脂肪现在会进入血液,进入肝脏,就像拿一根树枝放进碎木机里一样,结果就产生了这些小型的水溶性酮体。它们是长链脂肪酸的分解产物。它们可以替代糖为大脑、肌肉以及身体内除了红细胞以外的大多数其他细胞提供能量,它们可以替代葡萄糖的能量。好的?所以,这就是我们进化的方式。但是我们现在所处的环境,有着大量高度加工的碳水化合物,我们不想把它们尿出来,除非你有糖尿病之类的病。所以,我们把它们作为脂肪储存起来。所以我们现在有一种肥胖流行病,这是我们物种进化出的储存能量能力的结果。因为如果我们无法在五十万年前储存脂肪,我们早就灭绝了。你和我现在的这次对话也就永远不会存在。

Original English

Expert: Yeah. So on the outside that was there because as a species we had to survive in the most harsh environments and we were um food was not always there. So we had to survive all kinds of famine all kinds of absence of food. Our bodies are so our it's a machine that was home over millions of years to be super efficient. So glucose is gold sugar. Okay. You either burn it or you can store it as fat. Okay, that's that's the key. But when you have you're not bringing in sugar, that stored fat now moves into the bloodstream, goes to the liver, and it's like taking a branch and putting it in a chopper and you outcome these little soluble ketone bodies. They're breakdown products of longchain fatty acids. They can replace sugar for the brain, for the muscles, for most other cells in the body except ariththraittes, but they can replace they can replace the energy of glucose. Okay? So, uh, and that's how we evolved. But we're now in an environment where we have massive amounts of highly processed carbohydrates and we we don't want to pee them out unless you have diabetes or something. So, we store them as fat. So we have an obesity epidemic as the result of our evolutionary ability to store energy which kept us alive as a species because if we were unable to store the fat in 500,000 we would have all been extinct. You and I this conversation would never exist.

Expert: 除了我们储存能量的能力之外,我们绝不可能作为一个物种存在,而且我们在这些细胞器中高效地燃烧能量。所以这整个是一个非常高效的机器。因此,当我们失去这种能力时,当我们在环境中有这么多能量,加上压力,不运动,所有这些,我们储存越来越多的脂肪,我们产生了一个对这个细胞器非常有害的环境。

Original English

Expert: We would never have existed as a species except for our ability to store energy and we burn energy efficiently in these organels. So this is all a very highly efficient machine. So when we lose that ability, uh when we have so much energy in the environment, stress, no exercise, all this, we store more and more fat, we produce an an environment that's very damaging to this organal.

Host: 嗯,你再说一遍。那么压力是如何影响它的呢?

Original English

Host: Well, say that again. So how does stress impact that?

Expert: 压力会升高皮质类固醇。当你处于压力之下时,你卷入一场打斗,你陷入一场争论,或者你因为一笔糟糕的生意而感到压力,无论什么。皮质类固醇的升高会使血糖升高,从而导致全身性炎症。短暂地对某事感到生气是可以的。但是这种慢性的压力,慢性的就像看手机、末日滚动,一边吃着大 Twinkie(奶油夹心蛋糕)一边做着所有这些疯狂的事情,末日滚动,吃 Twinkies,不运动。所有这一切在某些细胞群中对这个细胞器产生了压力。

Original English

Expert: Stress elevates corticosteroids. When you're under stress, you get into a fight, you get into an argument, or you're stressed out by business deal going bad, whatever. uh corticosteroids elevate elevate blood sugar contributing to uh systemic inflammation. It's okay for a short period of time to be pissed off at something. But it's the chronic stress, the chronic like looking at the cell phone, doom scrolling, all this kind of crazy stuff while eating the big Twinkie, doom scrolling, eating Twinkies, not moving. All of this creates uh stress on this organel in some population of cells.

Expert: 它使其工作得更辛苦。这是破坏性的,因为你产生了活性物质,这些物质损害了这个细胞器有效产生能量的效率,这要么会逐渐杀死细胞(如果它无法使用代偿性发酵),要么使你容易患上癌症。所以无论哪种方式都是不健康的。所以我们有了慢性疾病。癌症是慢性疾病领域的第一大恶犬。我的意思是,它是人们最害怕的。2型糖尿病,心血管疾病,你知道,痴呆症,所有这些都是在某种程度上对这个细胞器造成损伤的一部分。就像我说的,对于帕金森病,当那个细胞器受到损伤时,黑质的细胞就会死亡。它们无法用发酵来补偿。所以它们直接死亡了。癌症在大脑的神经元中非常罕见。大脑的神经胶质细胞主要形成这些脑肿瘤,但神经元(清嗓子)无法用发酵来补偿,所以它们会死亡。所以你,你……

Original English

Expert: It makes it work harder. It's damaging because you produce reactive species that damage the efficiency of this organel to produce energy effectively and that either will kill the cell gradually if it can't comp use compensatory fermentation or predispose you to cancer. So either way is unhealthy. So we have chronic disease. Cancer is the number one big dog in the chronic disease world. I mean it's the one that people fear the most. um type two diabetes, cardiovascular disease, you know, dementia, uh all of these are part of damage to this organel in one way or another. In like I said for Parkinson's disease, when that organel gets damaged, the cells of the substantion aigrate die. They are incapable of compensating with fermentation. So they up and die. Cancer is very rare in neurons of the brain. Neurons the gal cells of the brain form these brain tumors mostly but neurons [clears throat] can't compensate with fermentation so they die. So you you

细胞代谢异常与线粒体健康

Speaker B: ……要么发生代偿性的古老发酵,导致细胞失调生长,也就是我们所说的癌症,要么就会发生细胞死亡,从而导致慢性疾病。

Original English

Speaker B: either get compensatory ancient fermentation leading to disregulated cell growth which we call cancer or we get cell death leading to chronic diseases.

Stephen: 那么睡眠呢?睡眠又是怎么影响这些的?

Original English

Stephen: What about sleep then? What's going on with sleep that's causing

Speaker B: 如果我们睡得好,睡眠就是一种能够恢复线粒体能量效率的方式。

Original English

Speaker B: sleep is a way we can restore the energy efficiency of the mitochondria

Stephen: 如果我们睡足了的话。

Original English

Stephen: if we're well slept.

Speaker B: 对,如果我们的睡眠质量很高。你知道,当晚上睡了个好觉后,每个人都会感觉很好。你的身体感觉焕发了活力,因为你没有在感到压力。你减少了这个细胞器在代谢环境中所需应对的压力。如果你整晚熬夜,处于一种高压状态,并且在身体特定器官的特定细胞里,从未让这个细胞器休息过,你知道的,你就会得神经精神类疾病,你可能会得消化系统疾病,你可能会得癌症,可能会得2型糖尿病。我们在那篇论文里列出了这一切,所有不同的压力,所有能够长期或急性损害氧化磷酸化的各种因素。

Original English

Speaker B: If we have good sleep. Yeah. You know everybody feels good when you have a good night's sleep. your body feels rejuvenated because you're not you're not stressing out. You're reducing the ability of this organel to manage the the the the metabolic uh environment. uh if you're up all night and you're and you're like stressed out and you're never given this uh organel in a particular cell in a particular part of the organ of the body, you know, you you get neuroscychiatric problems, you can get digestive problems, you can get cancer, you can get type 2 diabetes, you have a whole and we put it in the paper there, all the different stress, all the different things that can chronically uh or acutely damage oxidative phosphorilation.

Stephen: 所以睡眠基本上就是让线粒体稍微休息一下。

Original English

Stephen: So sleep basically gives the mitochondria a little bit of a break.

Speaker B: 是的。老实说,睡眠让你的整个身体都得到了休息。但是,如果你把这些负面因素堆积在一起——比如缺乏锻炼。你觉得我们的祖先,你知道,追捕并杀死一头大水牛或猛犸象有多困难?我的意思是,做完这样的事情后你会筋疲力尽。事实上,你在追逐这些动物时,你会把它们从群体中分离开来。另外有一件非常有趣的事情,去年以色列发表了一项研究,他们研究了穴居人的饮食习惯。这些穴居人会吃掉兽群中最强壮的动物,这也间接导致了这些动物的灭绝。他们发现,如果你能吃掉兽群中最强壮的成员,你就能获得那头水牛、大象或不管他们吃什么动物的活力。因为他们知道,那个生物在当时生命阶段的骨髓和生理状态,能为你提供它所拥有的力量。

当你因为想变得强壮而吃掉兽群中最强壮的成员时,你就会把老弱病残的动物暴露给捕食者,从而导致了物种的灭绝。这就是以色列那篇重要论文的内容。他们研究了这些50万年前的穴居人,研究他们当时的饮食习惯之类的。所以,人类间接导致了其他物种的灭绝,部分原因,或者说并不是部分原因,正是因为他们吃掉了兽群中最强壮的个体。因为他们觉得,如果我吃掉那些强壮的动物,我也能变得一样强壮。从某种程度上说,他们是对的。但所有这一切都与你的肌肉、大脑的能量效率,以及你的恢复能力和耐力有关。我告诉你,这些人的身材都非常健美。他们不会死于2型糖尿病、癌症,对吧?或者痴呆症。他们死于感染、受伤和极高的儿童死亡率。可以说,我们大多是在用现代生活方式杀死我们体内的“旧石器时代祖先”。但当你让身体回到低葡萄糖和酮体状态时,你实际上正在恢复到祖先的那种状态。这就是我们开发“葡萄糖酮体指数(GKI)”的原因。

Original English

Speaker B: Yes. It's a it's it gives your whole body a break, let's be honest. So, so, but you you pile those things on together. Lack of exercise. Our ancestors, what do you think our ancestors, you know, how hard it is to run down and kill a big buffalo or a woolly mammoth? I mean, you're you're exhausted after doing something. As a matter of fact, you chase these animals, uh, you separate. And this is another thing that was really interesting. Came out of Israel. I think it was last year. They looked at the cavemen, what they were eating. they were eating the the strongest members of the herd uh leading to the indirect extinction of these animals. They found out that if you can eat the strongest member of the herd, you'll get the vitality of that uh of that or buffalo or elephant or whatever the hell they were eating because they knew the marrow and the and the the physiology of that of that organism at that point in its life could provide you with the strength that that had. Now, when you eat the strongest members of the herd because you want to be tough, you're putting the old and the young at vulnerable to predators leading to the extinction. Uh, and this is what a big paper came out of out of uh, Israel. They looked at these cavemen, what they were eating like 500,000 years ago or whatever they're doing. So, humans indirectly caused extinction of other species in part in not in part because they were eating the toughest guys in the herd. So, because they felt that if I eat those guys, I'm gonna be strong too. And in a way, they're right. But all of it has to do with the energy efficiency of your muscles, your brain, your ability to be resilient, endurance. I'm telling you, these guys were chiseled. They they weren't dying from type 2 diabetes, cancer, right? Dementia. They were dying from infections and injuries and child mortality. Uh we're mostly killing our paleolithic ancestors. But when you bring your body back into a low glucose ketone, you're actually going back like you were. This is why we developed the glucose ketone index.

即将发表的新研究与GKI的诞生

Stephen: 你面前的那个信封里装的是什么?

Original English

Stephen: What is in that envelope in front of you?

Speaker B: 嗯,这是一篇尚未解禁的论文,因为大家都认为它将会非常重要,世界也会认为它非常重要。这篇论文确实很重要。它里面讲的是,这是一种保持这个细胞器健康的方法。因此,这是一种管理身体能量效率的方法。

Original English

Speaker B: Well, this is um it's a paper that's under embargo because they they think it's going to be the world thinks it's going to be very important and um and it is. So, and what it is, this is a um a way to keep that organel healthy. So this is a way to manage uh um energy efficiency in the body.

Stephen: 并且这篇论文还没发布呢。

Original English

Stephen: And this hasn't been released yet.

Speaker B: 还没发布。对,即将发布。它将成为《Frontiers in Science》(《科学前沿》)杂志的头条文章。不仅如此,这篇论文最初是写给科学家看的,但后来期刊决定为所谓的“年轻大脑”制作第二个版本。也就是让8到12岁或14岁的孩子们对其进行综合简化。我的一位同事说,这可能才是大多数人会去读的版本。因为他们不想了解发生在这个细胞器内部的那些复杂的生物能量学原理,来解释为什么这个图表有意义。

Original English

Speaker B: It hasn't been released. Okay. It's coming out. It's a it's going to be a lead article in the frontiers in science. And not only that, we the paper the paper was written uh for the scientists and then the journal decided to make a second copy for they call young minds. So letting kids that are like 8 to 12 or 14 years old synthesize it down and and and one of my colleagues said that's probably what most people will be reading because they don't want to know about the bioenergetics that actually goes on inside this organel to explain why this chart means something.

Stephen: 并且你研究这个已经有一段时间了。

Original English

Stephen: And you've been working on this for some time.

Speaker B: 是的,我建立了“GKI”。让我给你讲讲这个故事。有一位名叫特鲁迪·杜庞特(Trudy Dupant)的美国女律师,她得了某种脑干肿瘤。在我写了那本书之后——那里那本是我唯一的一本书——无论如何,特鲁迪想使用这种代谢疗法。通过这种疗法,她多活了10多年,我们一直维持着。尽管很不幸她最终还是去世了,但我当时一直在进行测量,因为我们知道肿瘤细胞需要糖才能生长,奥托·瓦尔堡(Otto Warburg)证明了这一点,其他许多人也证明了这一点。而且它们无法燃烧酮体,因为要燃烧酮体产生能量,你需要非常高效的线粒体。

我们正常的细胞可以燃烧酮体来获取能量,如果你能在这个细胞器中有效地燃烧酮体,它会给我们带来巨大的能量,我们实际上可以减少氧气呼吸的同时获得更多能量。但是如果细胞器受损了,它们就不能利用酮体。它们不能燃烧脂肪酸或酮体,这也是为什么细胞内会储存脂滴。斯蒂芬(Stephen),这是这里的其中一篇重要论文。你无法相信人们是如何误读这些信息的。他们看到细胞质中的脂肪酸滴就说:“你看,癌细胞需要所有这些脂肪酸。”不,它们不能。脂肪在那里是为了保护它们。如果癌细胞试图燃烧这些脂肪,它们就会自爆死亡。所以那里储存了脂肪。它们不能燃烧脂肪酸或酮体。因此,我知道癌症需要葡萄糖,并且我知道癌症不能燃烧脂肪酸或酮体,因为这个细胞器损坏了。

所以,我开始独立测量特鲁迪体内的葡萄糖和酮体。她采用手指采血的方式,把信息发给我说:“哦,这是我的葡萄糖,这是我的酮体。”

Original English

Speaker B: Well, I I I built the GKI. So let me tell you the story. There was a woman uh an American woman a lawyer Trudy Dupant who uh developed um a kind of a brain stem tumor and after I wrote my book that book there that's my only book anyway Trudy Trudy wanted to use this metabolic therapy she stayed alive much longer over 10 years with this we kept the she eventually passed away unfortunately but so I was measuring because we knew that the tumor cells needed sugar to grow out of Worberg showed that and many other people show that and they can't burn ketones because because the fatty you need a very efficient mitochondria to burn ketones for energy. Our normal cells can burn ketones for energy and that gives us tremendous uh uh we can actually breathe lower oxygen more energy if you have efficient if you can burn ketones efficiently in this organel. But if the organel is damaged, they can't use the ketones. They can't burn fatty acids or ketones, which stores lipid drops. It's one of these big papers here. These Stephen, you can't believe how people misinterpret information. They see droplets of fatty acids in the cytoplan say, you see the cancer cell needs all that fatty acid. No, they can't. It's there to protect them. If they try to burn it, they blow this up and die. So there is a storage of fat. They can't burn fatty acids or ketone bodies. So, I knew cancer needed glucose, and I knew cancer couldn't burn fatty acids or ketones because this organel is is broken. So, I'm measuring glucose and ketones independently in Trudy. She's doing the finger prick thing, sending me the information back and saying, "Oh, here's my glucose. Here's my ketones."

Stephen: 好的,所以我面前放着一个酮体葡萄糖测量仪。

Original English

Stephen: Okay, so I have a a ketone glucose reader in front of me.

Speaker B: 对,对。

Original English

Speaker B: Right. Right.

Stephen: 如果我把血滴在这个试纸上,它会告诉我我的葡萄糖水平。如果我把血滴在另一个试纸上,它会告诉我我的酮体水平。

Original English

Stephen: If I put my blood on this strip, it tells me my glucose levels. If I put my blood on this strip, yeah, it tells me my ketone levels.

Speaker B: 对,没错。但是如果你分别独立地去看它们,

Original English

Speaker B: Right. Right. But if you if you look at them independently,

Stephen: 葡萄糖是非常不稳定、容易波动的。

Original English

Stephen: glucose is very volatile, very variable.

Speaker B: 这就是为什么我开发了“葡萄糖酮体比例(GKI)”。因为特鲁迪有一个供残疾人使用的专属停车位,因为她用拐杖。她的脑干胶质瘤导致她无法像正常人那样有效地行走。结果有人占了她的停车位。她非常生气。所以她跑上楼,测了一下血糖,结果是186毫克/分升(mg/dL)。这是非常非常高的水平。我知道她一直在进行生酮饮食,于是她给我发邮件说:“我要死了,我的癌症要快速生长了,这到底是怎么回事?”她说:“我的血糖竟然到了186,你知道的,它本来应该是——你告诉过我应该在60,或者说50到65,在这个区间内。”然后我问她:“那你的酮体水平是多少?”她回答:“哦,酮体还是一样,你知道,刚才测的是0.4毫摩尔或者0.9毫摩尔。”我说:“那并没有变,对吧?只是糖变了而已。”

所以我对和乔什·菲登鲍尔(Josh Fidenbower)一起工作的学生们说,我告诉乔什,试图把这两个指标分开独立测量会让人很困惑,很难弄清楚。所以我们决定做的是统一单位。因为葡萄糖的单位是毫克/分升(mg/dL),而酮体的单位是毫摩尔(mmol/L)。所以我们必须将葡萄糖转换为毫摩尔,然后除以以毫摩尔为单位的酮体,这样你就会得到一个不会到处乱跳的数值,它非常稳定。所以,正因为特鲁迪那位癌症患者,我们开发了这个比值。

后来,我们意识到这个比值其实反映了你的线粒体究竟有多健康。所以当你拥有这些低比值时,你就仿佛身处在旧石器时代人类的状态中。你回到了那个我们不会患慢性疾病的区间,因为我们没有会引起那些疾病的细胞器损伤。所以,想想旧石器时代的人,他们去哪儿弄糕点吃?他们从哪里去弄蛋糕、糖果和其他各种甜食?他们根本没有。他们不吃那些东西并不是出于个人选择,而是因为环境条件的限制。因此,通过我们新的认识,我们了解到旧石器时代的人始终处于某种程度的生酮状态,因为……

Original English

Speaker B: And this is why I developed the glucose ketone ratio because Trudy had a parking spot that was for handicapped because she had a cane. Her brain stem gloma was preventing her from walking as effectively as normal people. So she somebody took her parking spot. She was So she ran upstairs and took her blood sugar and it was 186 milligram per deciliter. It was very very high. So and I know she was on a ke ketoic diet and and she emails me and says I'm going to die. My cancer is going to grow fast. What's going on? She said my blood sugar is like 186 and you know it's supposed to be you told me it was supposed to be 60 or you know 50 65 or in that zone. She says so I said what's your ketone level? Oh, it's still, you know, like you just had point4 millmer or I think it was 0.9 millmer. I said, well, that didn't change, right? No, just the sugar changed. So, I said to the students that were working with Josh Fidenbower, I said, Josh, this this trying to measure these two independently is a You can't this is hard to figure out. So, what we decided to do in miller because glucose comes out in milligram per deciliter whereas ketones come out in millimmer. So we had to convert glucose to millimmer and divide it by the ketone in millimmer and then you get a number that's not all over the world. It's very stable. So so we were able to because of Trudy that one cancer patient we developed the ratio of of this. Then later on we realized that this ratio is a statement of how healthy your mitochondria actually are. So when you when you have these low ratio you're in paleolithic man. you're back in the zone where we didn't have chronic diseases because we didn't have damage to the organel that would cause those diseases. So, paleolithic men think where are they getting their pastries? Where where are they getting their cakes and sweets and all this other they didn't have it. They weren't there because of of choice. They were there because of circumstance. So, our new and we learned paleolithic man was always in some sort of a state of some ketosis because

制定比例图表 (Ratio Chart)

Speaker A: 他们有一段时间会没有食物吃。他们的体力活动非常多。他们没有慢性疾病,但他们有其他种类的疾病。所以,后来,我的学生 Derek Lee、我自己,还有 Christo Shinopoulos,我们开始制定一个比例图表。当你用你的血糖值除以你的酮体值时,你就会得到这些数字。

Original English

Speaker A: they wouldn't have food for periods. They were very active in their exercise. They had they didn't have chronic diseases, but they had other kinds of diseases. So, so then um my my my my student um Derek Lee, myself and Christo Shinopoulos, we started to make a ratio chart. Now, these are the numbers that you get when you divide your sugar by your ketones.

Stephen: 好的。

Original English

Stephen: >> Okay.

Speaker A: 就是用我的血糖除以我的酮体。所以,如果我现在用这个小工具测一下我的血糖……

Original English

Speaker A: So, my sugar by my ketones. So, if I did my glucose measure now on this little

Stephen: 好的,让我们看看你的 GKI (葡萄糖酮体指数) 是多少。

Original English

Stephen: >> Okay, let's see what your GKI is.

Speaker A: 哦,你想让我现在测吗?好的。

Original English

Speaker A: >> Oh, you want me to do it? Okay.

Stephen: 好的。什么?你测了血糖。你的酮体是 0.4 毫摩尔 (millimolar)。

Original English

Stephen: >> Okay. What? You had a glucose. You had a a ketone was 0.4 millmer.

Speaker A: 是的。

Original English

Speaker A: >> Yeah.

Stephen: 好的。你的血糖是多少?

Original English

Stephen: >> Okay. What was your sugar?

Speaker A: 我还没看。

Original English

Speaker A: >> I haven't.

Stephen: 所以,我们可以做除法了。我们现在就可以做除法,然后告诉你你的数值是多少。

Original English

Stephen: >> So, we can divide. We can do the divi division right now and tell you what you have.

Speaker A: 你可以买到这些小巧的酮体……

Original English

Speaker A: >> You can get these little uh ketone

Stephen: 哦,是的。这是一个 Keto-Mojo 血糖酮体测试仪。现在你也可以买到它们用来……

Original English

Stephen: >> Oh, yeah. It's a keto mojo. And you can also get them now for for uh

Speaker A: 哇,这些家伙做这个很熟练。

Original English

Speaker A: >> Wow, these guys skilled at doing this.

Speaker A: 信不信由你,我旅行的时候都会随身带一个这个。[笑声]

Original English

Speaker A: >> I travel with one of these, [laughter] believe it or not.

Stephen: 是的。

Original English

Stephen: >> Yeah.

Speaker A: 所以,我一直都有一个。

Original English

Speaker A: >> So, I I have one all the time.

Stephen: 哇。

Original English

Stephen: >> Wow.

Speaker A: 90。

Original English

Speaker A: >> 90.

Stephen: 90。好的。所以,你必须要除一下。你必须要除。你现在没办法直接得到——这个仪器难道不能按个按钮就直接显示 GKI 吗?因为现在新款的都有这个功能。所以,你得用 90 除以 18,然后你会得到一个数字。

Original English

Stephen: >> 90. Okay. So, you have to you have to divide. You have to divide. You're not getting the Doesn't this give you the push button and give you the GKI right away? Cuz the new ones have it. So, you have to divide 90 by 18 and you get a number.

Speaker A: 嗯,5。

Original English

Speaker A: >> Uh, five.

Stephen: 5。那么,用 5 除以 0.4。

Original English

Stephen: >> Five. So, divide five by 0.4.

Speaker A: 12.5。

Original English

Speaker A: >> 12.5.

Stephen: 好的。所以,你在这个位置。12.5。你处于底部的“预防区” (prevention zone) 里。啊,不错。

Original English

Stephen: >> Okay. So, here you are. 12.5. You're down here in the in the in the prevention zone. Ah, nice.

旧石器时代人类与代谢区域 (Paleolithic Man and Metabolic Zones)

Speaker A: 好的。所以,所以你……这基本上就是旧石器时代人类主要生活的状态。旧石器时代人类生活在黄绿区,因为他们没有机会获取那些会让你的蓝色血糖指标飙升、并压抑酮体的东西。当你的血糖冲破天际时,你的酮体就会非常低,因为现在是胰岛素在推动血糖上升。所以,那很好。嗯,12 对吧?

Original English

Speaker A: >> Okay. So, so you This is where Paleolithic man mostly lived. Paleolithic man lived in the yellow green zones because they didn't have access to all of the things that would drive up your blue blood sugar and keep your key when your blood sugar goes through the roof your ketones are really low because insulin is now driving it up. So So that's good. Um 12, huh?

Stephen: 对,我之前尝试了一周的纯肉饮食 (carnivore diet)。

Original English

Stephen: >> So I I did the I did the carnivore diet for a week.

Speaker A: 呃,吃大块的肉眼牛排。你喜欢肉眼牛排吗?

Original English

Speaker A: >> Uh eating big ribe eyes. You like ribeye steak?

Stephen: 是的,当然。[笑声] 肉眼牛排、培根煎蛋、羊肉。我,我尝试了一周,然后,嗯,我成功降到了 10。

Original English

Stephen: >> Yes, of course. [laughter] ribe eyes, bacon and eggs, lamb. I I so I did it for a week and um I was able to get down to 10.

Speaker A: 好的。

Original English

Speaker A: >> Okay.

Stephen: 好的。其实我本来可以降得更低的,但我太喜欢肉眼牛排了,以至于我吃得有点太多了。没错吧。你必须得……[笑声] 有点纪律性。是的。

Original English

Stephen: >> Okay. And I could get lower, but I was loving the ribeye so much I ate a little too much of it. Right. You have to [laughter] be have some level of discipline. Yeah.

Speaker A: 所以,[清嗓子] 呃,所以,所以但是人们……人们,这就是我们所说的“预防区”。当你在这些区域里时,是很难得癌症或慢性疾病的,因为你保持了这个细胞器相当健康。当你持续生活在这些区域里时……

Original English

Speaker A: >> So, [clears throat] uh so so but people people this is what we call the zone of prevention. It's very hard to get cancer or chronic diseases when you're in these zones because you're keeping this organel quite healthy. When you live in these zones consistently,

Stephen: 你,你其实不需要“持续”地生活在里面,因为人类,我们是作为一种清道夫物种进化而来的。我们会暴饮暴食,因为我们知道食物不是每天都有的。

Original English

Stephen: >> you you don't have to live consistently because humans, we we evolved as a scavenger species. We would engorgorge ourselves because we knew it wasn't happening every day.

Speaker A: 现代人每天都生活在盛宴之中。而这就是为什么我们会……我们会有各种慢性疾病大爆发。这是“红区”,是患慢性疾病和癌症的“高危区”。而且当你审视肥胖流行病,你看看所有这些现象,这些人正在……这就好像我们偶尔去“红区”拜访一下可以。但我们不想“生活”在红区里。

Original English

Speaker A: >> Modern man is live is living in the feast every single day. And that's why we're are we have an out all the chronic diseases. This is the red zone is the zone of risk for chronic diseases and cancer. And when you look at the obesity epidemic, you look at all these things, these guys are and it's it's like we can visit the red zone. We don't want to live in the red zone.

Stephen: 那么如果我要去“拜访”红区,它的表现大概就是吃高碳水化合物饮食,大量的糖分。

Original English

Stephen: >> So if I was to visit the red zone, it would look like meeting high carbohydrate diets, lots of sugar.

Speaker A: 是的。不运动。

Original English

Speaker A: >> Yeah. No exercise.

Stephen: 不运动。

Original English

Stephen: >> No exercise.

Speaker A: 是的。基本上就是现代人的生活方式。

Original English

Speaker A: >> Yeah. And basically modern man.

Stephen: 而且还一天吃五顿饭,比如总是吃零食。

Original English

Stephen: >> And also eating five meals a day, like snacking all the time.

Speaker A: 是的。哦,那样的话你就会,你知道的,我们有……是有文献记录的案例的。我们见过高达 500 的。

Original English

Speaker A: >> Yeah. Oh, then you'd be, you know, we have uh there's document cases. We have them up to 500.

Stephen: 你能达到 500 的 GKI?

Original English

Stephen: >> You can get GKIS of 500.

Speaker A: 你会看到有些人的,你知道,血糖水平大约在 400 或 500 毫克/分升。我是说,你可以算一下,而且酮体是 0。我的意思是,你……你……你算算这个数学题。这简直难以置信。

Original English

Speaker A: >> You have people with, you know, blood sugars about 4 or 500 milligram per deciliter. I mean, you could do the and zero ketones. I mean, you you do the you do the math. It's it's unbelievable.

Stephen: 你的意思基本上是说,我想保持我,我的血糖水平……然后你想,你想保持一定水平的酮体……而且越高,还有就是让我的酮体水平尽可能地高。

Original English

Stephen: >> You're basically saying, I want to keep my my blood glucose levels

and you want to you want to have some level of ketones and high and my ketone levels somewhat as high as I can.

营养性生酮与病理性酮症酸中毒 (Nutritional Ketosis vs. Ketoacidosis)

Speaker A: 唔,这是……你也不想走极端,因为听到这些的医生们就会说:“哦,他这是要搞出酮症酸中毒 (keto acidosis) 啊。” 人们,饶了我吧。酮症酸中毒是指你的酮体水平达到了 15 到 20 毫摩尔/升的时候。你在开玩笑吗?你的数值是多少?0.4。这叫做“营养性生酮” (nutritional ketosis)。我们就是这样进化而来的。当你患有 1 型糖尿病,你无法控制血糖或……或胰岛素,你没有胰岛素反应时,你就会出现高水平的血糖和高水平的酮体。这,这是一种病理状况。大多数的 2 型糖尿病,这些全都是基于氧化磷酸化受损的病理。所以这张图表的作用是,这是第一次——我们把它汇总出来是因为我们做了所有这些,论文的第二部分 (B) 讨论了生物能量学。我们在癌症中发现的是,如果你能进入“绿区”,即你的血糖处于低水平而你的酮体升高了,你就能把这些肿瘤细胞狠狠地揍一顿。因为,它们……它们……你正在夺走驱动它们失调的细胞生长的两大主要燃料之一。明白吗?而且随着……随着……随着酮体的上升,你体内其他的正常细胞会变得超级健康。肿瘤细胞无法利用酮体的价值,因为在肿瘤细胞里用来进行这个过程的那个细胞器,在结构上和功能上都已经被破坏了。我这一点说清楚了吗?

Original English

Speaker A: >> Well, it's you don't want to go because people then have the physicians listening. They go, "Oh, he's going to go with the keto acidosis." People give me a break. Keto acidosis is like when you have ketone levels of 15 to 20 millmer. Are you kidding me? What is yours? 0.4. That's called nutritional ketosis. That's how we evolved. When you have type 1 diabetes where you can't control sugar or or or insulin, you have no insulin responsive. You're going to get high levels of sugar and ketones. This is this is a pathological condition. Most of type two diabetes, these are all pathologies based on damaging oxidative phosphorilation. So what this chart does is for the first time and we put it together because we did all the B in the paper discusses the bioenergetics. What we're finding in cancer is that if you can get into the green zones where your blood sugar is low and your ketones are elevated, you hammer the hell out of these tumor cells because they they they you're taking away one of their two primary fuels driving disregulated cell growth. Okay? And as the and as the and as the ketones go up, the rest of your cells in the body are getting super healthy. The tumor cells can't tap into the value of a ketone because the organel needed in the tumor cell to do that is corrupted structurally and functionally is am I clear about that?

Stephen: 是的。

Original English

Stephen: >> Yes.

Speaker A: 好的。所以,酮体会让你变得健康,也就是你身体的正常细胞变健康,但它不能被用来帮助癌细胞,因为你需要一个拥有良好结构和功能的细胞器来燃烧它们。所以它们就被边缘化了,如果酮体上升,对那个……对那个癌细胞在某种程度上其实是有毒的。所以,但它们依然还活着。呃,癌细胞现在丧失了能力。在那里面。呃,我们,我们展示了你可以消除异常的炎症,你可以消除血管生成素 (angiogen),消除异常的血管。你把一个狂躁愤怒的肿瘤,变得没那么狂躁、没那么发炎,呃,呃,变成一种更迟缓、怠惰的肿瘤,但它仍然存在。那不是因为别的,而是因为维持这个癌细胞继续运作的另一种燃料,是谷氨酰胺 (glutamine)。好吧。所以,现在当你让病人处在这个“绿区”时,这是为了“管理”癌症。现在,Stephen,这就是,预防是指永远不需要去面对我目前谈论的这种局面。如果你生活在黄区,患癌症或慢性疾病的可能性就已经降低了。明白吗?但是现在假设外面有个可怜的家伙。他一辈子都生活在“红区”。他现在想要管理他所患的癌症。他,他必须得降到绿区里,并尽可能久地留在那里。但癌症仍然会生长,因为它能够获取到谷氨酰胺。懂吗?而且谷氨酰胺总是……这里是血液。看看,看看,你体内有这么多的血液。癌症需要那个。所以,你总是有过剩的谷氨酰胺。因此,现在你必须得引入药物了,像重定向的药物 (repurposed drugs),来靶向,靶向“谷氨酰胺分解作用” (glutaminolysis),就像这边这篇 BMC 的大型论文里提到的一样。

Original English

Speaker A: >> Okay. So ketones will make you healthy, the normal cells of your body, but cannot be used to help the cancer cell because you need a good structural functional organel to burn them. So they become marginalized and if the ketones go up, they're actually toxic to that to that cell to some extent. So but they're still alive. Uh the cancer cells are now incapacitated. there. Uh we we showed you get rid of the abnormal inflammation, you get rid of the angioen, the abnormal blood vessels. You're taking an angry tumor and making it much less angry, much less inflamed, uh uh more indolent uh kind of a tumor, but it's still there. It's not because the other fuel that's keeping this cancer cell going is the glutamine. Okay. So now when you have the patient in this green zone, this is for management. Now, Stephen, this is prevention is is never having to deal with what I'm talking about. If you're living in the yellow zone, the probability of getting cancer or chronic diseases is already reduced. Okay? But now you have some poor guy out there. He's living in the red zone his whole life. He wants to manage the cancer that he he has. He he has to get down in the green zone and try to stay there as long as he can. But the cancer will still grow because it has access to glutamine. Okay? And glutamine is always here's the bloodstream. Look at look at you have this much blood. Cancer needs that. So you always have a surfitit of glutamine. So you have to come in now with drugs and the drugs like repurposed drugs to target the the glutaminolysis with this one here this BMC big paper here.

Stephen: 嗯嗯。

Original English

Stephen: >> Mhm.

靶向葡萄糖与谷氨酰胺 (Targeting Glucose and Glutamine)

Speaker A: 好的。这篇论文,加上我们关于生酮饮食治疗儿童高级别神经胶质瘤 (high-grade glioma) 的那篇新论文。所以一旦,一旦你降到这个区域,你就要介入靶向谷氨酰胺的药物。我研究过一种,那就是甲苯咪唑 (Mebendazole)。好的。我是怎么意识到这一点的?人们知道甲苯咪唑对癌症有某种治疗效果,但除非你展示出具体机制,否则他们是不信的。那篇论文就展示了机制。它同时靶向葡萄糖和谷氨酰胺。那就是这个,它靶向葡萄糖和谷氨酰胺,也就是驱动肿瘤失调生长的这两大燃料。好了。这就是,这就是线粒体。所以它从糖分中获取细胞质里的葡萄糖……呃,并把它发酵,然后同样地,氨基酸谷氨酰胺也进来了。你必须要阻断糖酵解 (glycolysis),并且阻断……这两条通路。你必须同时一起限制葡萄糖和谷氨酰胺的可用性。是的。

Original English

Speaker A: >> Okay. This paper and the new one we have with the ketogenic for the high childhood um high-grade gloma for kids. So once once you get down here, you come in with drugs that target glutamine. I've looked at one and that's Mbendazol. Okay. How did I come to that realization? People knew that embendazol had some therapeutic benefit about cancer, but they don't believe it until you show the mechanism. That paper shows the mechanism. It targets glucose and glutamine. That was this one targets glucose and glutamine, the two fuels driving the disregulated growth of the tumor. Okay. So here's the here's the mitochondria. So it's getting the glucose and the cytoplasm from the sugar uh and making and it's fermenting that and then also the the amino acid glutamine comes in. You have to block the glycolysis and the gluc these two pathways. You have to restrict availability of glucose and glutamine together at the same time. Yeah.

Speaker A: 我只谈论那些我在自己的实验室里测试过,并且发表过此类论文的东西。所以,你必须得明白,癌症领域的人并不理解,如果没有葡萄糖和谷氨酰胺,癌症是无法生长的,而且它也无法切换去利用脂肪酸或酮体。

Original English

Speaker A: >> I speak only about things that I have tested in my lab and published papers on like this. So you have to real the cancer field doesn't understand that the cancer can't grow without glucose and glutamine and can't switch to fatty acids or ketone bodies.

Stephen: 但这依然不能杀死癌症,不是吗?它只是会……

Original English

Stephen: >> That's still not going to kill the cancer though, is it? It's just going to

Speaker A: 是的,我们从来不使用“治愈”(cure) 这个词,因为其中一些肿瘤……现在我告诉你,我们有些像来自英格兰德文郡的 Pablo Kelly 这样的人,他患有胶质母细胞瘤……呃,他没有接受任何放疗或化疗。他只做了代谢治疗。他……

Original English

Speaker A: >> Yeah, we don't ever use the term cure because some of these tumors, now let me tell you, we have people like Pablo Kelly from Devon, England, he had the glyobblasto uh he didn't take any radiation or chemo. He just did metabolic therapy. He

生酮饮食与化疗的协同作用

Guest: ……活了 10 年。他被诊断出患有无法手术的胶质母细胞瘤(glioblastoma)。他们想用放疗和药物毒杀他。他说不。他是那种崇尚自然疗法的人。然后,嗯,他,他活了 10 年,而且肿瘤变得可以手术切除了。他接受了四次减瘤手术,一个最初被描述为无法手术的癌症被切除了四次,因为一旦我们采用代谢疗法,肿瘤的边界就清晰了。哇,一位神经外科医生说:“我想我能把它切出来。” 但他从未,从未完全摆脱它,他带着它活了 10 年。还生了几个孩子。他在最后一次减瘤手术中死于脑出血。他从不是死于肿瘤。

Original English

Guest: lived for 10 years. He was diagnosed with an inoperable glyopblast. They wanted to irdiate and poison him with the drugs. He said no. He was one of these naturalistic kind of guys. And um he he lived for 10 years and the tumor became operable. He had four debulking surgeries on an originally described inoperable cancer cut out four times because once we put the metabolic therapy the circle the demarcation of the tumor. Whoa. A neurosurgeon says I think I can get this out. But he never never got rid he lived with it for 10 years. Had a couple of kids. He died from a cerebral hemorrhage on the last debulking surgery. He never died from the tumor.

Host: 但是您在说,您在说这两种方法是协同起作用的。您在说化疗能在——

Original English

Host: But you're saying you're saying that the two work together in in tandem. You're saying that the chemotherapy works in

Guest: 现在的关键就在这,这是另一回事。所以我们所做的,嗯,这非常有趣。如果你让患者进入营养性生酮状态,营养性生酮状态会促进药物输送到肿瘤细胞中。它实际上让你能使用更低剂量的药物,并且你,你,并且你能获得更大的效果。治疗效益会随着剂量的降低而增加。

Original English

Guest: the Now that's where that's another thing. So what we do u this is very interesting. So if you put the patient in nutritional ketosis, the the ketogenic state of nutritional ketosis facilitates the delivery of drugs to the tumor cell. It actually makes you can use lower doses of drugs and you and and and you get bigger effect. The therapeutic benefit increases with lower dosing.

Host: 所以当您进行这些化疗、放疗时,您希望处于生酮状态。

Original English

Host: So you want to be in ketosis when you do these chemotherapy, radiation therapy.

Guest: 对的。然后你可以使用低得多的剂量。这就是我们在诊所正在做的事情。我们接收胰腺癌患者。这些家伙活了四五年。我们在做什么?还有晚期乳腺癌以及所有这些晚期癌症。我们让他们进入某种程度的生酮状态,然后再使用标准药物,顺铂、卡铂,随便什么药物,但你大幅降低了剂量,然后他们获得了巨大的……那个,那个,嗯,而且这篇论文的标题就是“生酮饮食作为提高治疗功效的代谢载体”。目前的大量研究表明,处于生酮状态可以作为一种辅助疗法,增强化疗杀死癌症的效果,同时保护健康细胞。

Original English

Guest: Yeah. And then you use much lower doses. This is what we're doing in a stimul clinic. We're taking pancreatic cancers. These guys live in four and five years. What are we doing? And advanced breast cancer and all these terminal cancers. We put them into some level of ketosis and then you come in with the standard drugs, cis platin, carboplatin, whatever you want to do, but you cut the dosages down big time and then they have tremend the the uh and this is what the title of the paper is ketogenic diet uh as a metabolic vehicle uh for enhancing therapeutic efficacy. The current body of research suggests that being in a state of ketosis can act as a helper therapy, enhancing the cancer killing effects of chemotherapy while simultaneously protecting healthy cells.

Host: 是的。是的。对。对。

Original English

Host: Yeah. Yeah. Right. Right.

Guest: 思想进步的肿瘤学家目前正在将生酮饮食与标准放化疗结合使用,以最大化其疗效。

Original English

Guest: Progressive oncologists are currently using ketogenic diets alongside standard chemo to maximize its efficacy.

Guest: 没错。这就是我们在伊斯坦布尔正在做的事,而且,而且,而且,而且在希腊也在做。我们在做,我们在做完全一样的事情。所以你,你可以运用这个——

Original English

Guest: That's right. That's what we're doing in Istanbul and and and also in in in Greece. We're doing we're doing those same things. So you you can use this

Host: 当您进入禁食或生酮状态时。您的健康细胞基本上会进入地堡模式。它们减缓分裂,保存能量,并建立起防御。然而,癌细胞并没有这种进化上的关闭开关。它们继续试图快速分裂。当有毒的化疗袭来时,您受到保护的健康细胞能更好地存活下来。而暴露在外、快速分裂的癌细胞则受到了全面打击。

Original English

Host: when you enter a fasted or ketogenic state. Your healthy cells essentially go into bunker mode. They slow their division, conserve energy, and build up their defenses. Cancer cells, however, do not have this evolutionary off switch. They continue trying to rapidly divide. When the toxic chemotherapy hits, your shielded healthy cells survive it much better. While the exposed rapidly dividing cancer cells take the full hit.

Guest: 对的。

Original English

Guest: Yeah.

Host: 哦,好的。有意思。

Original English

Host: Oh, okay. Interesting.

精准医疗与代谢压力的结合

Guest: 是的。换句话说,您利用手头的工具让治疗发挥更好的作用。当今癌症领域的问题在于,他们没有以正确的方式使用这些工具。现在,让我给你举另一个例子。如果你采用免疫疗法,你听说过这些东西,嵌合抗原受体,PD-L1,PD-1,PD-L1 抑制剂,它们被称为精准医疗,对吧?所以看,它们被设计用来攻击细胞表面的一个分子,或者阻止该细胞产生抗药性。

Original English

Guest: Yeah. In other words, you make with the tools you have work better. The problem in the field of cancer today is they're not using the tools in the correct way. Now, let me give you another example. If you take imunotherapies, you hear about these things, chimeic acid, G receptor, PDL, PD1, PDL1 inhibitors, they're called precision medicines, right? So look, they're designed to attack a a molecule on the surface or stop that cell from uh being resistant.

Host: 嗯。

Original English

Host: Mhm.

Guest: 如果你试图攻击,而他们经常做的是,在你化疗和放疗失败后才来找你,然后他们会对你使用免疫疗法。代谢压力使你的肿瘤缩小,让它变得非常惰性,

Original English

Guest: If you would try to attack and what they do often times, they come at after you've failed chemo and radiation, they then come at you with an imunotherapy. The metabolic pressure shrinks down your tumor, makes it very indolent,

Guest: 变得没有侵袭性,而你身体的其余部分是健康的。你没有变秃头。你没有牙龈出血。你的微生物组没有被彻底破坏。所以,然后你可以引入低剂量化疗加免疫疗法,因为在那个残留的肿块中,它们之所以能经历这一切存活下来,可能都有某些共同点,对吧?所以现在你可以引入精准医疗,并有可能解决问题。我觉得这很令人着迷。上面说化疗会产生巨大的氧化应激,也就是在肿瘤内部造成损伤。为了修复损伤并存活下来,癌细胞需要大量的葡萄糖。因此,如果患者处于生酮状态,肿瘤的葡萄糖供应基本上就被切断了。它不能,癌细胞不能修复由你化疗引起的 DNA 损伤,从而导致肿瘤更快死亡。嗯,是的,有意思。

Original English

Guest: non-aggressive, and the rest of your body is healthy. You're not going bald. You're not bleeding gums. Your microbiome isn't blown to hell. So, and then you can come in with lowdose chemo imunotherapy because what'sever left in that remaining residual mass, they may all have something in common for having survived all this, right? So now you can come in with a precision medicine and possibly resolution. I thought this was fascinating. It says chemotherapy creates massive oxidative stress, i.e. damage inside the tumor. To repair the damage and survive, the cancer cell requires massive amounts of glucose. So, if the patient is in ketosis, the tumor's glucose supply is essentially cut off. It can't the cancer cell can't repair the DNA damage caused by your chemo, leading to faster tumor death. Um, yeah, interesting.

Guest: 好了,别忘了还有一点,听听这个,还有另一件事人们会遇到。保护肿瘤细胞免受放化疗影响的,是发酵的代谢废物。这头狂暴的野兽排出的大量乳酸和琥珀酸,阻止了这些其他疗法发挥作用。所以如果你想让你的疗法奏效,你必须同时针对这两种燃料。而当你这样做的时候,现在这个细胞的护盾就消失了。这些东西即使对低剂量的化疗和放疗也极其脆弱。还有免疫疗法,看看如果你使用免疫疗法,你试图在野兽最强大的时候攻击它。你是赢不了的。而这就是正在发生的事情。你只能得到部分缓解。在今天的癌症领域,他们认为多活六个月就是一个重大突破。我们正在谈论的是多活五年、六年。这才是真正重要的。我刚刚,嗯,我正在读一些研究,想弄清楚肿瘤学家(即癌症医生)目前是否在推荐生酮饮食,上面说绝大多数主流肿瘤学家并不向他们新诊断的患者推荐生酮饮食。嗯,事实上,如果患者提出这个话题,许多医生会积极建议不要这样做,其首要原因是害怕恶病质(cachexia)。恶病质。是的。

Original English

Guest: Well, don't forget also, listen to this, and there's another thing people go in. What protects the tumor cell from chemo and radiation is the waste products of fermentation. The lactic acid and the suxinic acid that are dumped out of this raging beast prevent these other therapies from working. So if you want your therapy to work, you got to target those two fuels together at the same time. And when you do that now this cell the shield is off. These things are super vulnerable to even low doses of chemo and radiation. And the imunotherapies, look at if you have an imunotherapy, you try to attack the beast when it's at its strongest. H you're not going to win. And this is what happens. You get only partial response. They in the field of cancer today, they think living an extra six months is a major breakthrough. We're talking about living an extra five and six years. This is what's really important. I just um I was reading some research to figure out if oncologists so cancer doctors are currently recommending the ketogenic diet and it says the vast majority of mainstream oncologists do not recommend the ketogenic diet to the to their newly diagnosed patients. Um in fact if a patient brings it up many doctors will actively advise against it and the reasons for that number one is the fear of cacettia. Cexia. Yeah.

关于恶病质(Cachexia)的误解

Host: 恶病质。癌症。恶病质是一种严重的消耗综合征,患者会迅速流失肌肉和脂肪。这是一个巨大的问题,也是导致癌症患者死亡的主要原因。因为生酮饮食会抑制食欲,经常会导致体重减轻。肿瘤学家非常害怕严格的生酮饮食会加速恶病质并使患者虚弱。

Original English

Host: Cexia. Cancer. Cexia is a severe wasting syndrome where patients rapidly lose muscle and fat. It is a massive problem and a leading cause of mortality in cancer patients. Because the ketogenic diet suppresses appetite and often leads to weight loss. Encologists are terrified that a strict keto diet will accelerate cexia and weaken the patient.

Guest: 嗯,那是因为他们,他们没有听过我刚才说的关于生物学和生物化学的知识。好的。恶病质,癌症患者消瘦有两种方式。恶病质是肿瘤细胞从肌肉中调动能量的能力。它正在从你的肌肉中提取谷氨酰胺来喂养自己。驱动这头野兽的两种燃料之一就是谷氨酰胺。它们从哪里获取谷氨酰胺?它们不仅从血液中获取谷氨酰胺,它们还会分解你的肌肉作为,嗯,作为那个,那个过程的一部分。所以,当你让患者处于营养性生酮状态时,体重的减轻是治疗性的减轻。而恶病质是病理性的体重减轻。现在,你能减掉体重的唯一方法是你服用高剂量的化疗。

Original English

Guest: Well, that's because they they have not heard what I just said with respect to the biology and biochemistry. Okay. Cexia there's two ways you can lose in cancer patients. CEXIA is the ability of the tumor cell to mobilize energy out of the muscles. It's taking the glutamine out of your muscles and feeding. This is one of the two fuels that's driving the beast is glutamine. Where are they getting the glutamine from? They're getting the glutamine not only from the bloodstream, but they dissolve your muscles as a uh as part of that part of that process. So, when you put a patient in nutritional ketosis, the weight loss is therapeutic weight loss. CEXIA is pathological weight loss. Now, the only way you can lose weight is you take a high dose of chemotherapy.

插播广告

Host: 我经常旅行。所以,我在生活中定下了一条规矩,我旅行时只带一个登机箱。这样做的问题是空间不够大。这就是解决方案。它被称为 Extra 1% 旅行压缩袋。我与 Extra 合作制作了这个产品。通常情况下,我只能带几件我的黑色 T 恤。这成了一种权衡:我应该带哪件黑色 T 恤?你觉得我能在这里面装多少件?我们来试试:1、2、3、4、5、6、7、8、9、10、11、12、13、14。我们试试 15、16、17、18、19、20、21、22、23、24。好了,那是 24 件黑色 T 恤。奇迹就在这里发生。把它拉上拉链。确保它完全密封。然后你使用这个小装置。把它粘在上面。我现在可以带超过 20 件黑色 T 恤了,够我穿 3 个星期。所以,如果你经常旅行,并且你想买一个这个东西以便节省更多空间,并在外面待更长时间,请去 extra.com 并使用代码 DOAC,我们的系列产品可享受 9 折优惠。

Original English

Host: I travel all the time. So, I made a rule in my life that I'll only travel with a cabin bag. The problem with this is there's not much space. And here's the solution. It is called an extra 1% travel pack. And I teamed up with Extra to make this. Typically, I can only bring some of my black shirts. And it's a trade-off of which black shirt should I bring? How many of these do you think I can get in here? So, let's try 1 2 3 4 5 6 7 8 9 10 11 12 13 14. Let's try 15. 16 17 18 19 20 21 22 23 24. Okay, so that's 24 black t-shirts. Here's where the magic comes in. Zip it up. Make sure it's nice and sealed. And then you use this little contraption. Stick it on there. I can now take more than 20 black shirts with me, which will last me 3 weeks. So, if you travel frequently and you want to get one of these so you can save more space and be away for longer, go to extra.com and use code DOAC for 10% off our collection.

主流肿瘤学的局限性

Host: 我认为这里的一些背景情况是,主流肿瘤学主要是基于,嗯,类似体细胞突变理论在运作,这是一种认为癌症从根本上说是由 DNA 突变驱动的基因疾病的信念。因为他们的训练主要集中在遗传学上,他们的治疗方法被设计为靶向 DNA 和细胞分裂,比如放疗、靶向基因疗法,而不是控制,嗯,细胞代谢。最后,正如之前提到的,我想我们之前讨论过这个问题,主流医学要求进行大规模的多中心双盲三期临床试验,然后一种方案才能成为护理标准。所以饮食干预很少能获得这种程度的资金支持。所以肿瘤学家缺乏——

Original English

Host: And I think some of the background context here is that mainstream oncology operates on the um sort of sematic mutation therapy, which is the belief that cancer is fundamentally a genetic disease driven by DNA mutations. And because their training focuses on genetics, their treatments are designed to target DNA and cell division like heradiation targeted genetic therapies rather than manipulating um cellular metabolism. And lastly, as mentioned, I think we talked about this earlier, mainstream medicine requires massive multic-enter double blind phase 3 clinical trials before a protocol becomes the standard of care. So dietary interventions rarely get the level of funding. So on ancologists lack

肿瘤生长的根源

Stephen: 我没听懂你的意思。

Original English

Stephen: You lost me.

Thomas Seyfried: 好的。拿一个肿瘤细胞的细胞核来说,一个正在疯狂生长的肿瘤细胞。是什么导致了那个细胞不断生长?是线粒体和细胞质,还是细胞核中的突变?好的。那么根据体细胞突变理论,是细胞核中的突变导致了细胞失调生长。你把那个细胞核取出来,放进一个去除了细胞核的正常细胞里。

Original English

Thomas Seyfried: Okay. The nucleus of a tumor cell, a raging tumor cell. What's causing him that cell to grow? Is it the mitochondria and the cytoplasm or is it the mutations in the nucleus? Okay. So according to the sematic mutation theory, it's the mutations in the nucleus that are causing the disregulated cell growth. You take that nucleus and put it into into a enucleated normal cell.

Stephen: 是的。结果并没有得癌症。

Original English

Stephen: Yeah. And there's no cancer.

Thomas Seyfried: 没得癌症,没有出现生长失调。

Original English

Thomas Seyfried: No can there's no disregulation.

Stephen: 那肯定有其他原因。

Original English

Stephen: There must be something else.

Thomas Seyfried: 然后你把正常细胞的细胞核取出来,放进肿瘤细胞的细胞质里,结果你得到了失调的细胞生长。

Original English

Thomas Seyfried: Then you take the nucleus of the normal cell and put it into the cytoplasm of a tumor cell and you get disregulated cell growth.

Stephen: 所以那肯定不是细胞核,而是其他的东西。

Original English

Stephen: So it must be something other than the nucleus.

Thomas Seyfried: 是的。是线粒体。

Original English

Thomas Seyfried: Yes. The mitochondria.

Stephen: 很有意思。而且这里写着——

Original English

Stephen: Interesting. And it says

Thomas Seyfried: 所以,线粒体掌控着我们的命运,而癌症领域却还没能理解并接受这一点。他们反而说:“好吧,在进行双盲交叉试验之前,我们什么都做不了。”你这是什么意思?科学已经告诉我们答案了。那只是你们在保护一个已经崩坏的系统而已。

Original English

Thomas Seyfried: so with mitochondria controlling our destiny and and and the the field of cancer has yet to understand it, accept it, and then say, "Well, we can't do any of this until we double the line crossover." That's just what do you mean? The science is telling us this. That's your way of protecting a broken system.

癌症研究的现状与问责

Stephen: 你对此感到很生气吗?因为你看起来确实很生气。

Original English

Stephen: Are you pissed off about this? Cuz you do seem pissed off about this.

Thomas Seyfried: 谁能不生气呢,Stephen?在这个国家,每天有1700人死于癌症。我不知道英国的情况。听着,这相当于每小时死70个人。而且情况每年都在恶化。我上次上这个节目的时候,你们用了一些旧数据。去查查今天的数据吧。现在是2026年了。美国癌症协会(American Cancer Society)表示,今年,也就是2026年,我们将有62万6千个生命因为癌症离开这个世界。这可是2026年,而且每年情况都在变得更糟。所以,当你们听到所有那些所谓的“突破”时——我们在波士顿有各种癌症相关的电视广告,说“一个突破接着一个突破”,各种各样的宣传纷纷上阵——但我们唯一看到的结果就是更多死去的癌症患者。为了癌症筹集资金,可是你们筹集的这些钱,问责机制在哪里呢?人们到底什么时候才能清醒过来?你不可能通过放射线照射和下毒来让人恢复健康。你必须去理解这种疾病的生物学和生物化学原理。我有相关的概念和证据,但那些在临床第一线与患者打交道的医生,他们才是必须把这些应用到临床上的人。所以,这里有两件截然不同的事情。一边是硬核科学,这是基础;另一边是有着自己执业诊所的临床人员,他们负责具体的实践。只有把这两者结合起来,你才能取得巨大的成功,或者说,取得了比目前任何方法都好得多的成功。

Original English

Thomas Seyfried: Well, who wouldn't be, Stephen? There's 1,700 people a day in this country dying from cancer. I don't know the English. Listen, that that comes out to 70 an hour. And it gets worse every single year. And the last time I was on the show, you guys use some old data. Look it up today. It's 2026. American Cancer Society says this year in 2026 we will have 626,000 souls leave the planet from cancer. Okay, this 2026 and every year it gets worse. So when you hear all the breakthroughs, we have we have television ads in Boston for the cancer. Breakthrough after breakthrough after breakthrough. All these different they come on and and and and all we do is get more dead cancer patients. Raise money for cancer. Where's the where's the accountability for all the money you're raising? When are the work when is the people going to wake up? You don't make someone healthy by irdiating and poisoning them. You've got to understand the biology and the biochemistry of the disease. I have the concepts and the proofs, but the physician who works with the patient on a clinic basis, they're the ones that must apply this to the clinic. So, there's two different things here. There's the hard science that's the that's the bedrock for this and then there's the clinical person who has the practice that practice does that. Together, you get great success or better I say success better than anything that's out there today.

Stephen: 美国癌症协会最近发布了针对2025和2026年的最新预测,数据展现了一幅引人深思的双面图景。越来越多的人被诊断出患有癌症。关于新增病例,ACS预测2026年将有超过211万新的癌症确诊病例。这大致相当于每天有5800个新增病例。

Original English

Stephen: The American Cancer Society recently released its latest projections for 25 and 26, and the data paints a fascinating dual-sided picture. More people are getting diagnosed with cancer. Um, new cases. The ACS projects over 2.11 million new cancer diagnoses in 2026. This translates roughly to 5,800 new cases every single day.

Thomas Seyfried: 预计在2026年,约有62.6万美国人将死于癌症。

Original English

Thomas Seyfried: Approximately 626,000 Americans are expected to die from cancer in 2026.

Stephen: 没错。每天大约有1700人死亡。肺癌仍然是导致癌症死亡的首要原因,预计其造成的死亡人数将超过结直肠癌和胰腺癌的总和。我刚才也想接着谈谈我们之前聊过的一个观点,那就是关于癌症的代谢疗法。

Original English

Stephen: Right. about 1,700 deaths per day. Lung cancer remains the leading cause of cancer death projected to cause more fatalities than colurectal colurectal and pancre pancreatic cancers combined. I also just want wanted to pick a point we were talking about earlier which is about the metabolic approach to cancers.

代谢疗法与生酮饮食的潜力

Stephen: 这里写着,这就涉及到了我们刚才说到的一点——你知道的,人们会告诉你,在应对癌症期间“你想吃什么就吃什么”。因为医院营养师的首要目标是防止患者在残酷的化疗期间体重下降,所以患者经常被告知能吃什么就吃什么,能咽下什么就吃什么。给癌症患者提供代餐奶昔是极其常见的做法,而这些奶昔通常富含玉米糖浆、精制糖、冰淇淋以及高碳水化合物的安慰食品,仅仅是为了维持他们的卡路里摄入。但从代谢的角度来看,这是一场悲剧。虽然这能保住患者的体重,但它同时也会让大量的葡萄糖和胰岛素涌入血液,直接滋养了肿瘤。尽管生酮饮食还不是标准的治疗方案,但整个大环境正开始慢慢转变。在世界范围内,有越来越多的少数派综合肿瘤学家和专业的代谢临床医生,他们在常规治疗的同时,积极开具治疗性生酮方案的处方。这些医生利用生酮饮食和禁食方案来保护健康细胞,并在施以剂量更低、靶向更精准的化疗之前,“净化”肿瘤。

Original English

Stephen: It says here and this is going to the point about you know people telling you to just eat whatever you want while you're you know managing cancer. Um because the primary goal of the hospital dietitian is to prevent weight loss during brutal chemotherapy regimes, patients are frequently told to eat whatever they can and eat whatever they can keep down. It is incredibly common for cancer patients to be handed meal replacement shakes which are often packed with corn syrups and refined sugars, ice cream, and high carbohydrate comfort foods just to keep their calorific intake up. From a metabolic perspective, this is a tragedy. While it keeps weight on the patient, it simultaneously floods the bloodstream with glucose and insulin directly feeding the tumor. Um, and while keto is not the standard of care, the landscape is beginning to slowly shift. There is a growing minority of integrative oncologists and specialized metabolic clinicians worldwide that actively prescribe therapeutic ketosis alongside conventional treatments. Those doctors use the keto diet and fasting protocols to protect healthy cells and um and and sanitize tumors before administering lower more targeted doses of chemo.

Thomas Seyfried: 是的,这正是我们研发的方向。那是我们的计划。那也就是我们正在做的事情。好吧。我们这么做是因为我们理解生物学和生物化学。这也是为什么我们要发展一个新的协会,叫做 MORE,即 MORE 联盟(MORE Alliance),代表代谢肿瘤学研究与教育(Metabolic Oncology Research and Education)。它把你刚才提到的内容以一种合乎逻辑的方式结合起来,以应对癌症。这种逻辑方法是基于数十年来硬核科学研究的,最初由奥托·瓦尔堡(Otto Warburg)发起,随后由我们在波士顿学院(Boston College)的团队继续推进。美国癌症协会表示,乳腺癌发病率在上升,前列腺癌在上升,胰腺癌、黑色素瘤以及与HPV相关的口腔癌的发病率也在稳步上升,这些都是严重的癌症。

Original English

Thomas Seyfried: Yeah, that's what we developed. That's our that's our plan. That's that's what we're doing. Okay. We we we do that because we understand the biology and biochemistry. And that's why we developed we're developing the new society called more the more alliance metabolic oncology research and education. This is bringing uh together what you just mentioned there in a logical approach to manage cancer. This is a logical approach based on the hard science of decades of research initiated originally by Otter Werberg and then continued by our group at Boston College. The American Cancer Society says that breast cancer is increasing, prostate cancer is increasing, pancreatic cancer, melanoma, HPV associated oral cancers are steadily increasing in the incidence of severe um cancers.

Stephen: 是的,在长达100年的时间里,胶质母细胞瘤的治疗一直没有取得任何重大进展。

Original English

Stephen: Yeah, there has been no major advance in managing glyopblast in 100 years.

Thomas Seyfried: 胶质母细胞瘤是什么?

Original English

Thomas Seyfried: What's glyobblasto?

Stephen: 那是……那种致命的脑癌。好的,它夺走了马萨诸塞州的泰迪·肯尼迪(Teddy Kennedy)——也就是肯尼迪参议员、约翰·麦凯恩(John McCain)、拜登总统的儿子博·拜登(Beau Biden)的生命。它夺去了许多人的生命,被视为一份死刑判决。

Original English

Stephen: That's the the the deadly brain cancer. Okay, that killed uh Teddy Kennedy from Massachusetts, Senator Kennedy, John McCain, President Biden's son, Bo Biden. It's killed a lot of various people and it's considered a death sentence.

Thomas Seyfried: 不,不,不。我们在让这些患者活下去。好吧,我们不是说我们治愈了癌症,但我们绝对能让他们活得更久得多。胰腺癌一直被认为非常致命。但我们在使用代谢疗法应对胰腺癌方面,正取得非常优异的结果。我们知道该怎么做,也知道如何去实施。我有与我共事的临床医生,有知道如何有效应对癌症的营养师。我们现在,就在今天,就可以做到。如果有人说:“Seyfried,把你的团队召集起来。让我看看你们能做些什么。”我愿意把我们的代谢疗法拿去和任何制药公司的任何临床试验进行对比。我们能让这些患者活得久得多,好让他们继续在这个社会里参与生活。但我们现在并没有去这么做。

Original English

Thomas Seyfried: No, no, no, no. We we we're keeping these guys alive. Okay, we're not saying we cure the cancer, but we can certainly keep them alive a lot longer. Pancreatic cancer always considered so bad. We're getting very excellent results in managing pancreatic cancer using metabolic therapies. We know what to do and we know how to do it. I have clinicians that work with me, dieticians that know how to manage cancer effectively. We can do it right now today. If someone were to say, Seaf Freed, get your get your group together. Let me see what you can do. I will put up our metabolic therapy against any trial from any of these pharmaceutical companies. We can keep these people alive a hell of a lot longer to participate in our society. We're not doing that.

如果你能改变体制

Stephen: Thomas,如果今天让你当上总统……

Original English

Stephen: If you were made president today, Thomas,

Thomas Seyfried: 美国的总统?

Original English

Thomas Seyfried: of the United States,

Stephen: 美国的总统。

Original English

Stephen: of the United States,

Thomas Seyfried: 还是别提这茬了。

Original English

Thomas Seyfried: don't go there.

Stephen: 我偏要提。

Original English

Stephen: I'm going to go there.

Thomas Seyfried: 那些家伙们……这么说吧,他们缺乏科学素养。[笑声]

Original English

Thomas Seyfried: Those guys are uh not, let's put it this way, they're not scientifically literate. [laughter]

Stephen: 但我必须让你想象一下。是的。没错。

Original English

Stephen: But I would have to be. Yeah. Right.

Stephen: 你,Thomas 教授,你现在是美国总统,你的首要目标就是把每天这1700名因癌症死亡的美国人的数字降下来。

Original English

Stephen: You, Professor Thomas, you're now president of the United States, and your primary objective is to bring down this 1,700 Americans that are going to get cancer a day.

Thomas Seyfried: 呃,是患上癌症还是死于癌症?

Original English

Thomas Seyfried: Um, is it is it get cancer or die from cancer?

Stephen: 不,是死于癌症。好的。在美国每天有1700人死于癌症……

Original English

Stephen: No, they die from cancer. Okay. 1,700 a day dying from cancer in the United

Thomas Seyfried: 每小时70人。你想想。

Original English

Thomas Seyfried: 70 an hour. Think about it.

Stephen: 你……你可以推行政策来阻止这一切的发生,并且帮助人们更好地去应对。你会怎么做?

Original English

Stephen: You you can put in place policies to stop this happening and to also help people manage it better. What is it you do?

Thomas Seyfried: 首先,我们不会把所有现有的东西都推翻。就像我说的,我们现在已经有了一套有效应对癌症的策略。

Original English

Thomas Seyfried: First of all, we wouldn't throw out everything. Just like I said, we have a strategy now to manage cancer effectively.

Stephen: 好的。所以,你,我们……

Original English

Stephen: Okay. So, you we're

改变健康现状:政策与教育

Guest: 我们不会放弃那些赚取了数十亿乃至上百亿美元的药物。我们只是打算以更低的剂量,在不同的……不同的情况下使用它们。

Original English

Guest: not going to get rid of the drugs that are making billions and billions of dollars. We're just going to use them at lower dosages in a different different

Host: 但我们同时希望能在最初的阶段预防它。嗯,说到预防,这就回到了我们的那张图表。我要把这些宣言写下来。那么,我们该如何防止这每小时 71 个死于癌症的人呢?

Original English

Host: But we also want to prevent it in the first place. Well, preventing it that comes back to our chart. I'm going to write down the manifesto. So, what what is what do we do to prevent these 71 people an hour dying of cancer?

Guest: 这就需要依靠政府政策了。

Original English

Guest: Well, that has to come from government policies.

Host: 好的。你刚刚升职了,现在你是美国的国王。所以你甚至不需要请示任何人。你会怎么做来防止这每天 71 人死于癌症?

Original English

Host: Okay. You just got promotion. You're now the king of the United States. So, you don't even need to ask anybody. What do you do to prevent the 71 people a day dying of cancer?

Guest: 那应该是教育。教育排在第一位。

Original English

Guest: It's going to be education. Education number one.

Host: 教育第一。

Original English

Host: Education number one.

Guest: 好的。你必须让人们知道这些。现在让我再告诉你另一件非常重要的事情。不应该由任何政府或政府官员来告诉任何人他们应该吃什么或不该吃什么,好吗?这张图表的力量在于个人层面。你在赋予患者权力。他们必须去了解。我们不会对某个人说,“哦,如果你继续吃垃圾食品,你就会处于高风险之中。” 那个人可能会说,“我不在乎,我会抽烟,我会继续……” 嗯,我们的政府不会去那个人的家里没收不良食品。不,不,不,不。那绝不应该发生。那些食物存在是因为它们能带给我们愉悦,但是有知识的人应该会这样说:“我喜欢偶尔吃一点,但我不能一直生活在那样的环境里。”

我们在美国做得很糟糕的另一件事是,那些生活在“食物沙漠”里的穷人,那里只有垃圾食品,这本身就是个悲剧,他们要去 Whole Foods(全食超市),那里有昂贵的肉眼牛排以及所有那些贵得多的东西。很多人根本买不起那些能让他们处于更健康的区间的食物。

Original English

Guest: Okay. You have to let people know that those. And now let me tell you another thing that's really important. It should not be any government or government official telling anyone what they should or should not eat. Okay? The the power of this chart is um personal. You're embolding the patient. They have to know. We're not going to tell somebody, "Oh, if you continue to eat bad food, you're going to have you're at high risk." And that person, I don't care. I'll smoke cigarettes and I'm going to Well, the government's not going to come into this guy's house and take away the bad food. No, no, no, no. That should never happen. Those foods are there because they give us pleasure, but they should be the the knowledgeable person would be to say, I'd like to have it every now and then, but I can't live in that environment.

And the other thing we do terribly in this country, the poor people in these food deserts where you only get crap food and and as a tragedy in itself there they to go to whole uh whole foods where they have the expensive ribe eyes and all this stuff that's much more expensive. A lot of people can't afford the kinds of foods that will put them in these better healthy zones.

个人选择与生物能量地图

Host: 所以我们要让健康的食物更具成本效益,更便宜。这些话说起来容易,但在实际中并不容易。那么,人们应该吃什么类型的食物呢?

Original English

Host: So we're going to make food healthy food more cost cost effective cheaper. Those are easy words to say, but in practicality it's not. Now, what kinds of foods should people be eating?

Guest: 嗯,我认为他们应该尽量避免高度加工的碳水化合物。好的,不去听这些的话,你还得加上锻炼。有很多我们能做的事情可以减轻这张图表上显示的炎症状况。这里的目标是,我们知道什么能让我们保持健康。那就是那个细胞器的效率。我们希望尽一切可能保持那个细胞器的健康。这样我们就能减少痴呆症,我们就能减少糖尿病,减少肥胖症。有人会说,“那 GLP 呢,我为什么不能……” 人类就是那种总是想要快速解决所有问题的人。对吧?

Original English

Guest: Well, I I think they should just try to avoid the highly processed carbs. Okay. You don't listen to this. You and and exercise. There's a lot of things we can do that would mitigate the the inflammatory conditions put on this chart. The goal here is we know what keeps us healthy. It's the efficiency of that organel. We want to do everything possible to keep that organel healthy. We will reduce dementia. We will reduce diabetes. We will reduce obesity. And they say, "Well, GLP, why don't I why don't do and human beings are are the kind that I want a quick fix for everything?" Right?

Host: Ozempic(司美格鲁肽)。用点 Ozempic 怎么样?

Original English

Host: Ampeg. How about some ampeg?

Guest: 这个 GLP 是什么?

Original English

Guest: Is this what is this GLP?

Host: GLP-1。

Original English

Host: GLP1.

Guest: 好吧。首先,我们还没有做过任何研究来了解 GLP 会把你放在图表上的哪个位置。我们确切知道的一件事是:它能降低血糖。但它会把酮体提升到什么水平呢?因为是酮体在保持细胞器的健康。所以,虽然降低了血糖,但我是否提高了能增强细胞器生物能量效率的酮体?我不知道会达到什么数值,这方面还没有人做过研究。我还没看到有任何相关论文发表。

Original English

Guest: Okay. We don't, you know, first of all, we haven't done any research yet to know where a GLP would put you on the chart. We do know one thing. It lowers blood sugar. How level how high of a level would it bring to ketone? Because it's the ketones that keep the organel healthy. So, I'm lowering blood sugar, but am I raising the ketones that enhance the bioenergetic efficiency of the organel? I don't know what number and hasn't been done yet. I don't I haven't seen any papers coming out.

Host: 好的。所以我们先把 Ozempic 放在一边,但你提到锻炼排在第三位。所以,我已经记下了:教育、消灭食物沙漠,好让人们能买到健康食品。

Original English

Host: Okay. So, we'll keep the zen peek off the table, but you're saying exercise number three. So, I've got I've got education, kill the food deserts so people can get healthy food.

Guest: 是的。嗯,远离超加工食品。第三点,锻炼。

Original English

Guest: Yeah. Um, stay away from the ultra processed stuff. Number three, exercise.

Host: 我们将给每个人免费的健身房会员,以及他们需要的任何其他东西。

Original English

Host: We're going to give everybody free gym memberships and whatever else they need.

Guest: 减轻压力,情绪上的压力。你必须……你必须做到这一点。这有很多方法。音乐疗法。你可以用很多不同的方式,比如冥想、朋友、快乐,所有这些都能减轻压力。我曾遇到一个来自韩国的人,我想是日本或者韩国。有一次我们开了一个大型会议,他并没有告诉我该做什么。他说:“嗯,你想得癌症吗?如果你的人生目标就是得癌症,那你必须一直吃垃圾食品,必须有糟糕的睡眠,确保你永远不离开沙发,整天坐在电视机前,看那些负面的新闻流(doom scrolling),做所有这一类的事情。确保你从不锻炼,还要确保你没有任何朋友,也不要感到快乐。” 他笑着说:“这样你就在一条通往癌症,不仅是癌症,还有所有其他慢性病的快车道上了。”

所以我刚才的意思是,你需要不去那样做。你们现在做得很好。你知道,没有多少人会每天测量他们的 GKI(葡萄糖酮体指数),但确实有些人喜欢测量那种东西。嗯,我现在再告诉你一件事。所以,他们把这些连续的血糖监测仪戴在手臂上。他们正在制造连续的血糖和酮体监测仪。所以相关的应用程序(Apps)现在正在推出。相信我,肯定有这类 App。在我的实验室里,我的学生 Lucas Lou 还有其他人正在开发这些 App。嗯,你可以拿出手机,给特定的食物拍张照片,然后应用程序就会立即把这个食物放在图表上的某个位置,这样你就会知道吃下它会让你处于哪个区间。

这非常有趣,而且这些东西正在变成现实。我们正在利用人工智能来实现……但这完全是关于患者赋权的,好吗?患者自己,个人本身来做出选择。没有任何政府、总统、国王或者随便什么人,应该去告诉人们他们该吃什么、怎么吃。患者应该熟悉这些,并具备这样的知识,知道“我要测试我的想法”。人们总是对我说:“嗯,直接告诉我们能吃什么吧。”这是他们唯一对我说的话。好吧,你想吃什么就吃什么。你自己弄清楚这会让你处于图表上的什么位置,然后你就知道了。所以人们说,“嗯,我吃不了生酮饮食。” 好吧,我们在希腊的团队,现在你来告诉我。他们在让脑胶质母细胞瘤患者存活下来这方面取得了巨大的成功。那是什么饮食呢?那是限制热量的地中海饮食。鲑鱼、沙丁鱼、橄榄油、牛油果和锻炼。那难道是……哦天哪,那是“最差”的饮食吗?那纯肉饮食呢?那上面浇着一点伯尔尼兹酱的肉眼牛排呢?这能让你的血糖保持在低水平,并提高你的酮体。如果你想通过植物来实现,各种选择都有,鱼、植物,还有那些素食主义者以及所有这类人。这提供了一幅通往健康的生物能量路线图。

Original English

Guest: Reduce stress, emotional stress. You got to you got to do that. And there's a lot of ways. Music therapy. There's a lot of different ways you can meditation, friends, happiness, all of those reduce stress. I had a guy from uh Korea. I think it was Japan or Korea. We did a big meeting one time and he he didn't tell me what to do. He says, "Um, you want to get cancer? If your job and if your goal in life is to get cancer, you got to eat crap food all the time, you have to have terrible sleep, make sure you never unass the couch, sit in front of the TV all day, look at doom scrolling, do all that kind of stuff. Make sure you never exercise, and make sure you don't have any friends or be happy. He says, [laughter] you're on a fast track for for not only cancer, but all these other chronic diseases.

So, so that's the what I just said is you need to not do that. you're doing a great job. You know, there's not many people are going to be measuring their GKI every day, but there are people who love to measure that kind of stuff. Um, now I tell you another thing. So, they put these things on your arm, these continuous sugar monitors. They're making continuous glucose ketone monitors. So, apps are coming out now. Believe me, there's apps. I have my Lucas Lou and some others are making these apps in my lab. and and um you can take your cell phone and and photograph a particular food item [laughter] and and the food item immediate you put places you're put the food item on the chart so you'll know eating that will give you what zone you'll be in if you eat it.

So um it's really interesting and and these things are coming. We're using AI to so but it's purely patient empowerment. Okay. The patient themselves, the person themselves make the choices. No government president or king or whatever you want to say should ever tell people what and how they should eat. The patients should be familiar with this and have the knowledge to know I'm going to test what I think. So people say to me all the time, "Well, just tell us what you can eat." That's all they say to me. Okay, eat whatever you want. You figure out where on the chart you're going to be and then you'll know. So people say, "Well, I can't eat ketogenic diet." Well, our our group in in Greece, now you tell me. They got the brain cancer tremendous success in keeping brain glyopblastoma guys alive. What was the diet? It was a calorierestricted Mediterranean diet. salmon, sardines, olive oil, avocado, and exercise. That is that like oh man, that that's the worst diet. What about the carnivore diet? What about the the ribeye with a little sauce bernese on top of it? This keeps your your blood sugar low and elevates your ketone. If you want to do it with plants, everything you got fish, plants, you get the vegans and all these kind of people. This is a bioenergetic road map to health.

食品毒素与代谢差异

Host: 让我来举几个具体的例子。这太棒了。高果糖玉米糖浆和精制食品怎么样?

Original English

Host: Let me just give some specific. So this is amazing. What about high fructose corn syrups and refined?

Guest: 天哪,那是最糟糕的垃圾食品。千万别碰那些。

Original English

Guest: Oh man, that's the worst kind of crap. You don't take that.

Host: 那工业种子油呢?

Original English

Host: What about What about industrial seed oils?

Guest: 嗯,你知道,人们谈论种子油,

Original English

Guest: Well, you know, people talk about seed oils,

Host: 比如菜籽油和大豆油。

Original English

Host: canola and soybeans.

Guest: 我不确定。但是每一项……还有另一件事。你和我并不相同。我们有各自独立的代谢方式。嗯……年龄、种族、性别、所有……宗教信仰,各种各样的事情决定了你的生活内容和方式。而且我也无法确定,你吃的东西和我吃的东西,或者你做的运动,最终会把我们放在图表上的哪个位置。

Original English

Guest: I DON'T KNOW. BUT every there's another thing too. You and I are different. Uh we have an individual metabolism. uh age, race, sex, all all the religion, all kinds of stuff determine what and how you live. And I can't be sure uh what you eat and what I eat or what you exercise where it's going to put put us on the chart.

Host: 合成农药。我在这里读到,它会使患淋巴瘤的几率增加惊人的 41%。

Original English

Host: Synthetic pesticides. I was reading here that it's in increases the chance of lymphoma by a staggering 41%.

Guest: 它们都会破坏氧化磷酸化,使细胞面临代偿性发酵的风险,并导致细胞生长失调。令人惊叹。问题,问题在于……这个领域的人并不理解我所说的关于癌症起源、它在机制上是如何发生的、这个细胞器是如何控制细胞生命的。他们对线粒体的生物学和生物化学了解得还不够。你们应该请像 Nick Lane(尼克·莱恩)那样的人来上这个节目,他来自英国。我的意思是,像 Doug Wallace(道格·华莱士)以及其他一些人,他们是线粒体生物学家。他们理解这类东西。我想给人们一些他们可以思考的可操作的建议。所以,嗯,这就是为什么我会问你那个关于你成为国王的问题。

Original English

Guest: They all damage the oxidative phosphorilation, putting the cell at risk for compensatory fermentation, disregulated cell growth. Wow. The problem, the problem. The field doesn't understand what I'm saying with respect to the origin of cancer, how it happens mechanistically, how this organel controls the life of the cell. They don't know enough about the biology and biochemistry of the mitochondria. You ought to get guys on here like Nick Lane, he he from England. I mean, these guys like Doug Wallace and some of these guys, they're mitochondrial biologists. They they they understand this kind of stuff. I want to give people actionable things that they can think about. So, um that's why I was asking you this question about you becoming king.

Host: 禁食方案呢?

Original English

Host: Fasting protocols.

Guest: 嗯,间歇性禁食。

Original English

Guest: Well, intermittent fasting.

Host: 让我简单谈谈这个。你尝试过吗?

Original English

Host: Let me let me talk about that just briefly. Do you ever try it?

Guest: 尝试过。

Original English

Guest: Yeah.

Host: 你觉得怎么样?你喜欢吗?

Original English

Host: What do you think? You liked it?

Guest: 这取决于你说的禁食时间有多长。

Original English

Guest: It depends how long you're talking about.

Host: 好吧,我们说一周。

Original English

Host: Okay, let's go a week.

Guest: 哦,我知道了。我以前从未禁食过一周。

Original English

Guest: Oh, I know. I've not fasted for a week before.

Host: 好的。你知道吗……

Original English

Host: Okay. You know what

Fasting, the "Wall," and Metabolic Therapy

Guest: 这就是所谓的“撞墙期”吗?有个人刚刚把他的书寄给了我,很快就要出版了。他是个非常好的人,名叫 Veral Simck。他说人们会和他分享很多事情。所谓的“撞墙期”,就是当你断食大约三天,期间只喝水,你就会撞上这堵“墙”。那种感觉就像是:“天哪,我受不了了。身体感觉糟糕透顶。晚上睡不着,还出现了不宁腿综合征(Jimmy legs),各种问题都冒出来了。去他的,我不干了。”他发现,如果你只抿一丁点葡萄汁,就能顺利穿过这堵“墙”。在为癌症患者设计临床治疗方案时,我和我的临床医生朋友们是这样做的:我们会先让患者进行大约一周的零碳水饮食,让身体在这段时间内重新适应,把他们从“红区”拉出来,进入“黄区”。你绝对无法想象葡萄糖对大脑来说是多么容易上瘾的毒品。简直令人难以置信,就像可卡因一样。当你开始戒断时,你会开始发抖。所以,如果你不吃碳水化合物,只吃肉或其他东西,把你的葡萄糖酮体指数(GKI)保持在较低水平,然后再过渡到纯水断食,这对大脑造成的创伤就会小得多。可以说,你已经穿过了那扇“墙”的大门。一旦你知道了如何穿过这扇大门,整个过程就会变得容易得多。这对人们的帮助是巨大的,尤其是那些想要摆脱慢性病的人。知道吗?因为我们身边有很多只是单纯喜欢尝试这些东西的人。你知道,总有些人对什么事都容易过度狂热。但是,现在我们面临着肥胖症、慢性病和癌症的流行。所有这些流行病,在某种程度上都是滥用那个细胞器(线粒体)的结果。而我们有一套计划来减轻这种滥用,至少在专业医生的帮助下,人们有能力去做出改变。

Original English

Guest: is the call the wall? This guy, he just sent me his book. It's coming out. Very nice guy. Veral Simck. He say people share things with me. The wall is after about three days of not eating, just drinking water, you hit this wall and it's like, "Oh man, I'm just I can't deal with it anymore. It's just a terrible feeling in my body. I can't sleep at night. I got the Jimmy legs. I got all kinds of problems. Screw it. I'm not doing this." He found out if you sip just tiny amounts of a grape juice, you can get get through the wall. What we do for the cancer patients in the way we design our clinical procedures with my clinical friends, we do a zero carb diet for about a week uh while the body is readjusting getting getting bringing them out of the red zone getting into the yellow zone. You can't believe the power of glucose as an addictive drug on the brain. It's unbelievable. It's like cocaine. It it's it's and you know that when you start you start shaking and you go. So, but if you don't eat carbs and just eat meat or whatever to keep you in a low GKI, um then when you jump off to the water only fasting, it's much less traumatic to the brain. You've gone through the wall of the gate, so to speak. So, once you know how to get through the gate, you make this whole process a lot a lot easier. And that helps people enormously, especially those people that want to get rid of their chronic disease. Okay? Because or some, you know, we have a lot of people out there that just like to do all this stuff. You know, you got these these people that go overboard on everything. But, you know, right now we have an obesity, chronic epid cancer epidemic. All of these epidemics are the result of an abuse of that organel in one way or another. And we have a pl a plan to mitigate that abuse and at least people have an at least they're empowered to do it with the help of knowledgeable physicians.

Stephen: 我想继续探讨一下可操作性的建议。Valter Longo 博士广泛的临床试验研究证明,模拟断食的饮食方式能够大幅降低 IGF-1(胰岛素样生长因子-1)的水平,这会触发细胞的自噬作用,并且通过移除癌细胞的代谢屏障,实际上能让标准癌症疗法的效果提高多达三倍。

Original English

Stephen: I want to just keep on this point of actionable feedback. So, um Dr. Valter Longos Dr. His extensive research clinical trials prove that fasting mimicking diets drastically lower IGF-1 which triggers cellular autophagy and actually makes standard cancer therapies up to three times more effective by removing the metabolic shield of cancer cells.

Guest: 是的。这其中就包括葡萄糖的代谢废物——乳酸和琥珀酸(succinic acid),它们的水平都会下降。

Original English

Guest: Yeah. Which is the gluc the waste [clears throat] products of of of gluc which is the lactic acid and the suxenic acid that all goes down.

Stephen: 你会建议——再说一次,如果你是国王的话——你会建议这样做吗?

Original English

Stephen: Would you recommend again if you're king would you recommend that

Guest: 我绝对不会向任何人“建议”怎么做,我只能把知识传授给他们。然后由他们自己来做决定。

Original English

Guest: I would never recommend any I have to just give them the knowledge. Then the person has to make the decision themselves.

Stephen: 你认为这可能会有好处吗?

Original English

Stephen: Do you think it could be beneficial?

Guest: 当然。

Original English

Guest: Of course,

Stephen: 如果你是国王,你会让每个人都至少佩戴一次 CGM(连续血糖监测仪)吗?

Original English

Stephen: if you were king to um have everybody wear a CGM, one of those continuous glucose monitors, at least once.

Guest: 不会。

Original English

Guest: No.

Stephen: 绝对不会?

Original English

Stephen: Never.

Guest: 不会。我认为,如果你患有癌症,并且真的想保持在“绿区”,那么你需要知道自己的数据,对吧?听着,前不久我去了墨西哥,和那里的一位主治医生交谈。他也戴了这么个设备,对吧?他说:“每次我想出去聚会、想开心一下的时候,这该死的东西就会响个不停。” 那你能怎么办?把它扯下来扔进垃圾桶?(笑)所以说,当你正享受美好时光时,你不会希望有个人在你耳边喋喋不休。这就是为什么你现在选择通过扎手指来测血糖。你是那个做决定的人。你的手臂上并没有戴着一个设备在对你说:“Stephen,别那么做,别吃那个。”

Original English

Guest: No. I I think if you have cancer and you really want to stay in this green zone to know, right? Listen, I was down in Mexico not long ago. I was talking to one of the head physicians down there. He wore one of these things, right? He said, "Every time I wanted to go out and have a party, have a good time, this damn thing would be beeping." So what do you ripped it off and threw it in the trash? So [laughter] that you don't want somebody barking in your ear when you're having a good time. That's why what you're doing right now with this, you're choosing to prick your finger. You're the one making that decision. There's not something on your arm saying, "Stephen, don't do that. Don't do that."

Stephen: 但你知道吗?戴个一两次还是挺有用的,因为我突然意识到,我吃进嘴里的东西对我的血糖和血液有影响,而且我发现这种影响在 10 分钟内就会显现。然后,当我的血糖降下来甚至崩溃时,我想,“天哪,我觉得……” 我突然能够把我的行为和我的身体感受联系起来了。

Original English

Stephen: But you know what? It was useful to wear it once or twice because it even I could I suddenly realized that things I put in my mouth had an impact on my blood sugar and my blood which [clears throat] and also I realized that it had an impact in 10 minutes. And I thought and then and then also when my blood sugar came back down and crashed I thought oh gosh I feel I could suddenly pair my behavior to my feelings.

Guest: 是的。我完全见过这种情况。不仅如此,来自英国的 Andrew Scarborough,他已经是三期阶段后的 15 年了。他用扎手指的方法测过无数次血糖,现在他仅凭你刚才描述的那种身体感觉,就已经能知道自己的身体处于哪个区间了。但对于刚开始尝试的人,或者是被下达了绝症诊断的人来说,他们非常想进入这些“绿区”,他们想利用一切手段让自己在这个世界上活得更久,并且拥有更高的生活质量。这一点非常重要。你手臂上的那个设备可以帮助你保持在那个安全区间里,直到你完全掌握了自己的身体节奏,到时候你就可以自己选择什么时候去监测了。所以整个过程是有灵活性的。它不像我们现行的标准疗法,天哪,那简直就像刻在花岗岩上一样死板。如果你在治疗中偏离了标准疗法,你甚至可能会因此失去行医执照。而代谢疗法是以患者为驱动的,它是完全基于患者自身的。

Original English

Guest: Yes. Well, that that now I'm not I I no I I' I've seen that. And not only that, uh Andrew Scarboro from England who who has been doing this for for the stage three go uh he's like 15 years out. He's done this so many times with the finger prick and all this. He knows now already when his body is in these zones from the feeling that you just described. But for the people at the beginning and who are given a terminal diagnosis, they want to get into these green zones and they want to use the things that are going to keep them alive on the planet for a longer period of time with a higher quality of life. That is important. That thing on your arm can help you stay in that zone until you have this thing managed at which time you can choose when to do that. So there's flexibility in this whole process. It's not one like for example we have the standard of care which is written in granite for crying out loud. They get all they they if you do anything different from the standard of care you could lose your license as a physician. Metabolic therapy is is patient driven. It's driven on the patient.

Hyperbaric Oxygen Therapy and Chemotherapy

Stephen: 那高压氧疗法呢?2013 年有一项研究表明,在全身转移性癌症的小鼠模型中,虽然单独使用生酮饮食就能显著减缓肿瘤的生长,但将这种饮食与高压氧疗法结合使用时,会产生一种深刻的协同效应,肿瘤生长大幅减少,并极大地延长了生存时间。

Original English

Stephen: What about hyperbaric oxygen? Yeah. There was a study in 2013 that demonstrated that while the ketogenic diet alone significantly slowed tumor growth in systemic metastic cancer mouse models, combining the diet with hyperbaric oxygen therapy elicited a profound synergetic decrease in tumor growth and drastically increase survival times.

Guest: 是的,那篇论文是我们和 Dominic D'Agostino 一起发表的。听着,高压氧会在那些缺乏高效氧化磷酸化能力的细胞中引发氧化应激,也就是癌细胞。你可以通过放射线照射或使用毒药引发氧化应激来杀死癌细胞,或者你也可以让患者进入营养性生酮状态,然后让他们接受高压氧治疗,这样就能选择性地杀死癌细胞。当你对某人进行放射治疗时,你是在用各种各样的东西破坏他的整个身体。还有一件事,Stephen,你必须听好,仔细听。当患者去接受那些标准疗法,不管是放疗、化疗、免疫疗法还是别的什么,患者走进诊室说:“我在这方面(控制饮食)一直很努力。” 医生却会说:“哦不,那不管用。” 然后给你安排放射治疗或者其他治疗。(笑)结果身体状态直接飙升到了“红区”。这些治疗本身给身体带来了极大的压力,导致身体正是因为你给患者施加的这些治疗而进入了“红区”,这反而增强了肿瘤的生命力。

Original English

Guest: Yeah, we published that paper with Dominic D. Augustino. So we we put my So uh listen, hyperbaric oxygen will create oxidative stress in cells that do not have efficient oxidative phosphorilation. uh cancer cells. Cancer cells. So you can kill cancer cells by oxidative stress by irdiating or poisoning them or you can put a patient in in nutritional ketosis and then put them in hyperbaric oxygen and the cancer cells are selectively killed. When you irdiate somebody, you're damaging the whole body with all kinds of stuff. And there's another thing, Stephen, you got to listen to this and you listen carefully. when you go to these treat these standard of care standard when you use standard of care radiation chemo whatever they give imunotherapies or whatever so the patient comes in and he says I've been really working hard on this the doctor says oh no that doesn't work right gives you some radiation or gives you [laughter] flying up into the red zone the treatment itself puts so much stress on the body that the body itself starts going you go into the red zone from the very treatments that you're giving to the patient which is making strengthening the tumor else.

Stephen: 不过,你并不反对化疗,对吧?

Original English

Stephen: You're not against chemotherapy, though. Are you?

Guest: 不反对。我对化疗持积极态度,但它必须在正确的语境下使用。必须在你的身体处于上述营养状态(生酮状态)时使用。并且你可以使用低剂量,这样你就不会迫使肿瘤细胞对治疗产生更强的抗药性。

Original English

Guest: No. I'm I'm I'm positive about it, but it has to be used in the right context. It has to be used when your body is in this state of nutrition. And you can use low doses so you don't force the tumor cell to become even more resistant to the treatment.

Environmental Toxins and Microplastics

Stephen: 下一个切实可行的建议与你之前提到的内容有关,那就是微塑料和“永久化学品(PFAS)”。在 2023 年底,国际癌症研究机构正式将这些用于不粘锅和食品包装的永久化学品升级为一类致癌物,也就是对人类有明确致癌作用的物质。这是基于强有力的机制证据,证明它们会诱发“表观遗传”变化(即基因改变),并抑制免疫系统。所以你必须禁用这些永久化学品。

Original English

Stephen: The next thing which is actionable is what you talked about earlier, which is these microplastics and forever chemicals. In late 2023, the International Agency of Research on Cancer officially upgraded these forever chemicals which are used in non-stick pans and food packaging to a grade one carcinogen in humans, cancer causing in humans based on strong mechanistic evidence that it induces epigenetic which is gene alterations and suppresses the immune system. So you ban the forever chemicals.

Guest: 好的,那是一篇非常精彩的论文。我回过头去,仔细梳理了 Otto Warburg 的所有研究,指出了他在哪些地方是绝对正确的,以及在哪些地方他只是受限于当时还没有这些新信息。我谈到了永久化学品和微塑料,你猜怎么着?它们会破坏那个细胞器(线粒体)。它们进入细胞,造成破坏,引起活性氧(ROS)损伤,降低了氧化磷酸化的效率,从而导致细胞代偿性地增加对葡萄糖和谷氨酰胺的消耗,引发细胞的失调和异常生长。一切最终都归结于这个细胞器。所有的慢性病和癌症都是对这个细胞器造成损伤的结果。这就是为什么手里拿着这个小模型是如此重要。这是一个极好的教学道具,我得给我的课堂也弄一个。

Original English

Guest: Okay, this is a beautiful paper. I went back and I took what all of Otto Werberg meticulously went through all of his work showed where he was absolutely correct and where he just didn't have the the new information that would make him I talked about the forever chemicals microplastics guess what they damage the organel they get into they break they cause rosin damage they it reduce the efficiency of oxidative phosphorilation causing a compensatory increase in the utilization of glucose and glutamine and disregul related cell growth. Everything comes back to this organel. Chron all chronic diseases and cancer are the result of damage to this organel. That's why having this little thing here is so important. It's a great prop. I got to get one for my class.

Stephen: 你可以把它留着。嗯,下一件事是净化供水系统。受地表径流影响,当地供水系统中发现了重金属,并且最终会……

Original English

Stephen: You can keep it. Um the next thing is purifying the water supply. Um heavy metals are found in local water supplies to run off and ultimately are

水质污染与癌症代谢疗法

Professor Thomas: (在某些情况下是)致癌的。国际癌症研究机构(IARC)将砷和镉列为第一类致癌物,它们经常出现在未经过滤的公共供水基础设施中。因此,你也必须清理供水系统。

Original English

Professor Thomas: carcinogenic in some cases. The IARC classifies arsenic and cacadium as group one on carctogenics and they're frequently found in unfiltered public water infrastructure. So you clean out the water supply as well.

Steven: 是的。

Original English

Steven: Yeah.

Professor Thomas: 你知道这些东西都在进入我们的供水系统。人们把所有这些化学物质冲入下水道,然后它们又会渗漏回供水系统中。我们所研究过的每一种与肿瘤学或细胞生长失调相关的化学物质,都会长期破坏氧化磷酸化(oxidative phosphorylation)。因此,我们把整个焦点转回到这样一个问题上:即使我暴露在这些化学物质中,我能做些什么来保持这个细胞器(线粒体)的健康?如果我能像你尝试做的那样,进入那些状态(zones)。所以,即使你暴露在这些化学物质中,这个细胞器本身也具有令人难以置信的自愈能力。

Original English

Professor Thomas: You know all this stuff is coming into our water supplies. People flushing down all these chemicals into the into the which then leech back into the water supply. And every one of the chemicals that we have looked at that has been linked to oncology or disregulated cell growth all damage the oxidative phosphorilation chronically. So we're bringing the entire focus back to things what can I do to keep this organel healthy uh even if I'm exposed to these chemicals if I can do get into these zones like you're trying to do. So even if you are exposed to these, this organel has an incredible healing power in itself.

Steven: 托马斯教授,有什么最重要的事情是我们还没谈到,但本应该谈到的吗?

Original English

Steven: What is the most important thing we haven't talked about that we should have talked about, Professor Thomas?

Professor Thomas: 嗯,我的意思是,你已经涵盖了很多内容。我想要谈论的其中一件事,是转移(metastasis)。

Original English

Professor Thomas: Well, I mean, you've covered a lot. One of the things I I want to talk about uh is metastasis.

Steven: 那是什么?

Original English

Steven: What's that?

Professor Thomas: 那是指肿瘤在全身的扩散。

Original English

Professor Thomas: That's the spread of the tumor throughout the body.

Steven: 好的。所以,如果你的癌症只局限于一个部位,

Original English

Steven: Okay. So if you were to have a cancer that's just localized in one spot,

Professor Thomas: 你知道,开发出能够长期有效的疗法的可能性就会大大增加。真正夺走人们生命的问题在于扩散。如果肿瘤在乳腺,然后扩散到了肝脏、肺部和大脑,那你就遇到大麻烦了。肺癌会扩散到大脑、肝脏。大多数这些扩散到大脑或其他器官的癌症都会变得非常难以对付,这也是为什么会使用你想停掉的全身性化疗。我们所发现的是,你有一种干细胞——人们很喜欢干细胞。如果你听到“干细胞肿瘤”这个词,哇,干细胞肿瘤!干细胞肿瘤是不能转移的。我怎么知道?因为我就有一些干细胞肿瘤,被诊断为带有干细胞标志物的干细胞肿瘤。我培养过它们,它们生长得非常疯狂,会生成大量的血管,但它们无法扩散。

那么,你的体内是如何出现扩散性肿瘤细胞的呢?免疫系统介入,将肿瘤识别为一个未愈合的伤口,然后它与干细胞融合,于是你就得到了这些杂交细胞。它们被设定为在你体内四处移动。因此,它们是巨噬细胞-肿瘤细胞的杂交体。它们非常难以被杀死,但我们发现它们却异常敏感,它们是受谷氨酰胺(glutamine)驱动的。我们知道它们由谷氨酰胺驱动,而且它们需要葡萄糖,这就是为什么如果方法得当,代谢疗法(metabolic therapy)能够精准打击那些转移性癌细胞。在消灭它们的同时,再配合少量的免疫疗法。你也许就能达到我们所说的“消退”(resolution)。别忘了,我和我的同事(包括 Joe Maroon)建立了一种名为“按压-脉冲”(press-pulse)的治疗策略。我在你之前的节目中提到过。这种方法是,你“按压”降低肿瘤的葡萄糖,然后用“脉冲”杀死谷氨酰胺,这将精准靶向转移性癌细胞,同时增强那些已被肿瘤浸润的器官的健康和活力。

Original English

Professor Thomas: you know, the probability of developing a therapy that would be um long term is highly increased. The problem that kills people is the spread. So if the tumor is in the breast and it spreads to the liver and the lungs and the brain, you know, you've got a problem. Lung cancer spreads to the brain, the liver. Most of these cancers that spread to the brain or other organs become difficult and that's why you use systemic chemotherapy you're trying to stop. What we have found is that you have a a stem cell people love stem cells. If you ever hear the term stem cell tumor wow stem cell tumor stem cell tumors cannot metastasize how do I know because I have stem cell tumors diagnosed as stem cell tumors with stem cell markers. I've grown them. They grow very angry. They get a lot of blood vessels, but they can't spread. Okay, how do you get spreading tumor cells in your body? The immune system comes in, recognizes that as an unhealed wound, and then fuses with the stem cells, and then you have these hybrid cells. They are programmed to move around your body. So, they are a macroofagage tumor cell hybrid. So, and they're very hard to kill, but we found they're remarkably sensitive. They're glutamine driven. So we know they're glutamine driven and they need the glucose and that why that's why metabolic therapy done the right way can nail nail those metastatic cancer cells purging them with a little little bit of imunotherapy to go along with it. You might be able to to get what we call resolution. Don't forget my colleagues and I do Diagto Joe Maroon we built the press pulse therapeutic strategy. I mentioned that on your previous show. That's the way you you you press down the glucose of the tumor and then you pulse to kill the glutamine which will which will target the metastatic cancer cells enhancing the health and vitality of the organs already infiltrated by the tumor.

Steven: 托马斯教授,我看了我们之前的对话,这相当令人心碎,因为评论区里全是那些自己正在与癌症抗争的人,或者是他们的亲人、妻子或丈夫刚刚被诊断出患有癌症的人。对于那些点击观看这个视频的人——我想可能有数百万人——你有什么话想对他们说吗?

Original English

Steven: I looked on our previous conversation doc professor Thomas and um it's quite heartbreaking because the comments sections are all people that are e either struggling themselves with cancer or a loved one of theirs their wife their husband has just been diagnosed with cancer. Is there anything for those people that have clicked on this video because I imagine they are in the millions.

Professor Thomas: 是的。

Original English

Professor Thomas: Yeah.

Steven: 你想让他们听到什么?

Original English

Steven: That you want them to hear.

Professor Thomas: 问题的核心是为什么……这是一个更大的问题。当你有科学依据,并且你有能够以最小毒性有效控制癌症的策略——不是说我们能治愈它,而是说我们能控制它——为什么这些没有被付诸实践?这就是问题所在。但对于那些,对于那些正在收看节目的观众来说……

Original English

Professor Thomas: Well, the thing of it is is why Well, this is a bigger issue. When you have the science and you have the strategy to manage cancer effectively with minimal toxicity, not to say we can cure, but to say we can manage it. Why is it not being done? That's the question. But to them to them who've tuned in.

Professor Thomas: ……这种我们正在进行的对话,正在让大众意识到,他们的亲人不需要为了那些通常被认为有利可图的行业的利益而被牺牲。换句话说,这些行业的盈利是建立在你的疾病之上的。许多评论说:“哦,你无能为力,你什么也做不了。”不,你可以采取行动。当你用知识武装自己,而人们却无视这些知识时,那就是一个问题了。

Original English

Professor Thomas: Okay. So these kinds of conversations that we have are allowing the populations to realize that there is their loved ones do not need to be sacrificed for the good of industries that are generally considered profitable. They in other words the profitability of the industries are based on your sickness. Uh and and a lot of those comments came, oh, you can't you can't do anything. Yes, you can do something about it. When you're armed with the knowledge and people ignore the knowledge, then there's a problem.

Steven: 人们在某种程度上需要自我主张(自我辩护/自我争取)吗?

Original English

Steven: Do people need to sort of self advocate to some degree?

Professor Thomas: 我认为是这样。

Original English

Professor Thomas: I think so.

Steven: 与……与医疗服务提供者?他们应该做些什么?

Original English

Steven: With with uh care providers, what do they

Professor Thomas: 是的。我认为这是一个非常微妙的问题。

Original English

Professor Thomas: Yeah. I I think that's a very delicate question.

Steven: 是的。

Original English

Steven: Yeah.

Professor Thomas: 问题在于肿瘤学家从未听说过这些东西。

Original English

Professor Thomas: That the oncologists never heard of this stuff.

挑战既有医学观念

Professor Thomas: 他们从未读过这些论文。他们在医学院从未接受过了解癌症生物学和生物化学的训练。他们被教导说这是一种遗传疾病。理论在科学中是如此重要。在长达 1800 年的时间里,人们信奉亚里士多德的著作、他的评论以及克劳狄乌斯·托勒密(Claudius Ptolemy)的数学计算,认为地球是太阳系的中心,所有的行星和太阳都围绕着地球旋转。这是地心说,对吧?哥白尼与托勒密的数学计算作斗争,他意识到,如果把太阳放在太阳系的中心,让地球仅仅成为另一颗行星,那么很多数学计算就说得通了。开普勒后来提出,它们不是圆形的,而是椭圆形的。伽利略用望远镜观测,成为了月亮的解释者,能够观察并量化……预测行星在特定时间会处于什么位置。

然后他们抓走了可怜的佐尔达诺·布鲁诺(Giordano Bruno)。你知道布鲁诺这个人吗?哦,你得知道布鲁诺,史蒂文。你必须要了解可怜的布鲁诺,他因为挑战地心说而被天主教会活活烧死。他成为了科学的殉道者。因此,当你面对一个根深蒂固的权力结构时——无论是宗教、是一个行业,还是其他任何东西——挑战它可能是非常非常危险的。

Original English

Professor Thomas: They have never read these papers. They were never trained in medical school to know the biology and biochemistry of cancer. It was told to be a genetic disease. Theories are so important in science. For 1,800 years, people thought the work of Aristotle, his comments and the mathematics of Claudius Talami said that the earth was the center of the solar system and all the planets uh and sun revolved around the earth. The geocentric theory, right? Capernicus struggled with the talami mathematics and realized that if he put the the sun in the center of the solar system and made earth just another planet, a lot of the mathematics made sense. Kepler comes in and says these aren't circles, they're ellipticals. Galileo takes the telescope, sees the moon's interpreter and was able to look at and quantify where where predict where planets would be at a certain period of time. Then they took poor Gillodono Bruno. You know about this guy Bruno? Oh, there Steven. You got to know Bruno. Your job is to know about the poor Bruno who was burned alive by the Catholic Church for challenging the the the geocentric theory. And he became a martyr of science. So when you have established power structure, whether it's a religion or whether it's an industry or whatever, challenging that can be very very hazardous.

Steven: 那么这对你来说危险吗?

Original English

Steven: Has it been hazardous for you?

Professor Thomas: 听着,不危险。我的意思是,我做我所做的事情,因为我喜欢……我只是收集越来越多的数据来作为支撑。对我来说,真正的“危险”是被蒙蔽或被打得措手不及。所谓被打得措手不及,是指有人拿着一份我从未考虑过的新数据来质问我。我不睡觉。我无时无刻不在思考这些事情,为了避免被盲点击中。我的学生们都在警惕任何新发表的论文,比如有论文说:“哦,癌细胞可以燃烧脂肪酸和酮体。”哦,真的吗?让我们回去解剖一下他们的对照实验,你会发现,在每一种情况下,培养基中总是存在一些葡萄糖和谷氨酰胺,使得它看起来像是脂肪酸在起作用。所以,这才是困扰我的地方。让我感到困扰的是,被一段会颠覆我们知识基础的数据击中。但到目前为止,我们还没有遇到这种情况。我们是站在生物化学领域的巨人奥托·瓦尔堡(Otto Warburg)的肩膀上。当所有人都认为癌症是一种遗传疾病时,他被抛弃了。我的这篇论文回溯并确切指出了瓦尔堡在哪里犯了错误,以及我们在哪里纠正了他的一些错误。这将整个领域带回了它应该处于的位置。它是一种线粒体代谢紊乱,我们能够解释该疾病的所有表型和特征。现在,有了这些知识,有逻辑的人和那些致力于帮助他人的人将会利用这一点。我们不是要抛弃所有这些有毒的化学物质。我们正在学习如何以一种不同的方式使用它们,这就是成功将会到来的地方。

Original English

Professor Thomas: Listen, no. I mean, I do what I do because I like I just collect more and more data to support. Hazardous for me would be getting blindsided. Blindsided would be somebody coming at me with a piece of new data that I have never considered. I don't sleep. I I think about this stuff all the time to avoid the blind side. My students are on the on the alert for any paper that comes out that says cancer oh cancer cells can burn fatty acids and ketone bodies. Oh, really? Let's go back through and dissect out their control experiments and you find in every case there was always some glucose and glutamine in the media making it look like the fatty acids. So, so that's what bothers me. What bothers me is getting hit with a piece of data that undermines what we're what we our knowledge base is. And so far we haven't had that. Okay, it's we're standing on the shoulders of Otto Warberg, a giant in the field of biochemistry. He was thrown under the bus when everybody thought cancer was a genetic disease. My this paper goes back and shows exactly where Warberg made his mistakes and where we have rectified some of that. Bringing the whole field back on where it should be. It is a mitochondrial metabolic disorder and we can account for all of the phenotypes and characteristics of that disease knowing that now with that knowledge logical people and people interested in helping others will will uh take advantage of that. We're not throwing out all these toxic chemicals. We're learning how to use them in a different way and that's where the success is going to come.

Steven: 那么,让我们来为那些自身患有癌症,或者家人目前正遭受癌症折磨的人做一个可操作的总结。什么是可以采取行动的建议?

Original English

Steven: So let's con let's conclude with a a actionable takeaway for people who are suffering themselves with with cancers um or have someone in their family right now that is suffering from cancers. What is the actionable takeway?

Professor Thomas: 嗯,我认为一旦这篇论文发表,如果他们有足够的动力,他们就可以开始采取行动了。

Original English

Professor Thomas: Well, I think the action will take once this paper comes out they can start taking action if they are motivated enough.

Professor Thomas: 他们可以阅读这方面的内容。他们可以去阅读相关信息,然后尝试去做……就像你正在做的那样,没有什么不同……

Original English

Professor Thomas: They can read about this. they can read about it and then try to like just like you're doing no different

Professor Thomas: 进入这些特定状态(zones),然后与他们的肿瘤学家以及知识渊博的专家合作,用符合标准护理的方法来治疗他们。是的,只要他们能够维持状态,然后我们进行非侵入性成像检查、PET 扫描、看看核磁共振成像(MRIs)。

Original English

Professor Thomas: get into these zones and then work with their oncologists, knowledgeable people to to to treat them with standards of care. Yeah. As long as they can remain and then we do non-invasive imaging, PET scans, see MRIs.

Steven: 好的。所以,具体来说,你所说的这篇论文,我会在评论区附上链接,供任何想要阅读的人查阅。这……

Original English

Steven: Okay. So, specifically what what you're saying is this paper, I will link it below in the comment section for anyone that wants to read it. This

GKI 测试与代谢管理

Stephen: 无论如何,这张图表在整个这期节目中都会一直显示在屏幕上,所以如果大家想仔细看看,随时可以截图保存。至于他们如何测试自己的GKI(葡萄糖酮体指数)指数,方法其实很简单:他们可以去购买像Keto Mojo这样的设备,这种设备在亚马逊上就能买到,价格大概也就20到30美元左右。

Original English

Stephen: graph will be on the screen throughout this episode anyway, so people can screenshot it if they want to have a look. And the way that they test what what their GKI index is is they can buy one of these Keto Mojo things which you can get on Amazon for $20 $30.

Stephen: 你只需要在手指上扎一下取点血。它就会马上给你显示出血糖的读数。是的。

Original English

Stephen: You prick your finger. It gives you the glucose reading. Yeah.

Stephen: 然后你再把这个数值除以18。

Original English

Stephen: You divide it by 18.

Thomas: 不,不需要自己算了。现在新型的机器上直接就有按钮。你只需要按下按钮,机器就会自动计算,即使是普通人也只需要按一下就能得到结果。

Original English

Thomas: No, no. The new machines have the button. You So even the people only have to do that.

Stephen: 好的。没问题。正如你在这里可以看到的,这确实是一个非常有趣的方法,它可以帮助你增加或者说改善你对这些指标的管理能力。

Original English

Stephen: Okay. Fine. And as you can see on here, this is an interesting way to sort of increase your your management improve your management of of some of these.

Thomas: 是的。不过,想要真正进入那些理想的代谢区间确实是一个很大的挑战。你知道,我并不是说这是一件轻而易举就能做到的事情。老实说,直接使用GLP-1抑制剂,伙计,那可比每天坚持做这些要简单太多了。

Original English

Thomas: Yeah. And then there's a challenge to get into those zones. Um, you know, I'm not saying this is easy stuff. GLP1 inhibitor, man, that's a hell of a lot easier than than than doing this.

Stephen: 而且我可能还是应该在这里提醒大家一句,在尝试这些方法之前,请务必咨询专业医疗人员的意见。

Original English

Stephen: And I should probably say always consult with a medical professional.

Thomas: 对。嗯,我认为这是必须的,因为你知道,许多患者身上不仅有一种疾病,他们往往伴随有多种并发症。他们可能同时患有糖尿病、高血压,或者是癌症。他们并不是那种除了癌症之外其他方面都完全健康的完美健康人。

Original English

Thomas: Yeah. Um, I I think uh because you know, a lot of people they have a lot of comorbidities. They have diabetes, high blood pressure, hypertension, cancer. They have a it's not a perfectly healthy person with cancer.

Thomas: 嗯哼。所以在你决定去挑战这种代谢管理之前,你必须清楚自己目前的身体状况究竟是怎样的,你也可能需要进行一些针对性的调整。这就是为什么需要有专门从事这项工作的医生来指导,他们可以帮你处理所有这些问题。我本人并不从事临床医疗方面的工作。

Original English

Thomas: Mhm. So before you go in to challenge that, you need to have what you look like you you might look, you know, you might have to be adjusted in some way. That's why the people who the physicians that are working with this can do all that. I I'm I'm not in the clinical thing.

Stephen: 而且,确实有一些人对处于高度生酮状态的生酮饮食反应非常糟糕。之所以这么说,是因为我之前收到过一位女士发来的私信,她说:“我丈夫尝试了生酮饮食,结果他直接晕倒失去了意识。我们不得不把他送到医院去急救。他身上还有一些其他的并发症。”

Original English

Stephen: And there are some people who respond poorly to the ketogenic diet is high states of ketosis because I've I've received DMs before from a woman who said, "My my husband did ketosis and he collapsed unconscious. He took him to the hospital. He had some comorbidity."

Thomas: 是的,没错,确实会这样。哦,还有另外一个原因就是,有些人可能患有肉碱缺乏症。肉碱的作用是防止脂肪酸被转化为酮体。

Original English

Thomas: Yeah. Yeah. Yeah. Oh, the other thing too is you got to be some people have carnitine deficiencies. Carnitine prevents fatty acids from being made into ketone bodies.

Thomas: 所以,如果是这种情况,补充肉碱确实可以帮助他们解决这个问题,但是,前提是你需要有一位专业的医生来诊断并了解你的具体情况。

Original English

Thomas: So, so, so they can be carnitine supplementation can help them, but you need a physician to know this.

获取能量与希望

Stephen: 我们的节目有一个闭幕传统,就是上一位嘉宾会为下一位嘉宾留下一个问题。留给你的这个问题是关于“能量”的:在你的一生中,什么事情给你带来了最大的能量?以及,你所经历过的最大的能量消耗又是什么?

Original English

Stephen: We have a closing tradition where the last leader question for the next and a question left for you is on the subject of energy. What in your life has brought you the most energy and what was the biggest energy drain you've ever experienced?

Thomas: 嗯,目前正在做的事情就在给我带来最大的能量。就是这个 [笑声]——好吧,不仅是此时此刻,而是整个理念。就是说,你发现大自然允许你深入探索我们所谓的生物学和生物化学,去了解人体究竟是如何运作的。而且你懂得如何利用这些知识,将其应用到那些正在饱受各种慢性疾病折磨的人们身上,从而给予他们改变命运的机会。因为在过去,这一切都充满了未知和神秘。哦,大家会问“我是不是进入生酮状态了?”“你的GKI指数是多少?”“我不知道。”但是现在,你有了一个可以量化的机会,让我们能够精确地掌握这些数据。所以,我们现在掌握了大量的证据。我认为人们应该感到受鼓舞。我觉得我们已经给那些原本绝望的人带来了希望,我认为这种希望本身就充满了力量。我们的目标绝对不是为了去赚十亿美元。我们的目标仅仅是让你知道,你通过这些方法,让所有这些可怜的灵魂活得比当初医生预测的寿命要长得多。我认为正是这种力量,以及这样的信念支撑着我们不断前进。因为当我们看到越来越多的人来找我,我会收到三四年前接触过的人发来的电子邮件,我当时甚至在想,“天哪,我以为你可能已经不在人世了。”但他却在信里说,“我现在过得非常棒。刚刚和我妻子度完假回来。”嗯,这就是令人充满力量的时刻。我会说,“那太好了。而且别忘了,Stephen,我们所有的研究资金都是来自私人基金会和慈善事业的支持。”

Original English

Thomas: Well, this is bringing me the biggest energy. This [laughter] well not this the whole concept. The idea that you have found uh mother nature has allowed you to look into the depths of of of what we consider the biology and biochemistry of how bodies work. and knowing how to take that and apply it to people that are suffering from all these different chronic diseases and giving them the opportunity to change that because before that it was mysterious. Oh, I'm do I'm in keto. What's your GK? I I don't know. Well, now you have a quantitative opportunity that gets us. So, we have a lot of evidence. I think people should be feel encouraged. I think we have given hope to the hopeless and and I think that's empowering and the goal here is not to make a billion dollars. It's just to know that you've kept all these poor souls alive longer than they were projected to be to be. And I think this power and that keeps us going because when we see more and more people coming to me, I get emails back from people three or four years ago and I said, "Gee, I thought you were a goner." And he says, "I'm doing really well. Just came back from a vacation with my wife." Well, that's empowering. I said, "Well, that's good. And don't forget, Stephen, all of our research money comes from private foundations and philanthropy.

Stephen: 那么,捐款是不是普通人能够帮忙支持你们研究的一种方式呢?

Original English

Stephen: So, so is that a way that people can help?

Thomas: 是的,绝对是。

Original English

Thomas: Yeah.

Stephen: 那他们应该去哪里提供帮助呢?

Original English

Stephen: And where do they go to help?

Thomas: 哦,可以去Travis Kristopherson的基金会。因此,我们在我发表的论文中,都会列出那些支持我们研究工作的基金会,通常都是私人基金会。所以,我之后会提供链接……

Original English

Thomas: Oh, Travis Kristopherson's foundation. So, we in my papers that we have the foundations that support our work, private foundations. So, I'll link

Thomas: 而且有时候,是的,请把链接放上去。有时候会有我认识的人,或者当我在向人们分发各种信息资料包的时候,我会跟他们说,请考虑一下进行捐款,但前提是必须是在这种方法对你确实有效的情况下。是的,千万不要向他们收取任何费用,如果这种方法对他们没有帮助,也不要要求他们付钱。但是,如果医生曾经告诉你只能活6个月,而六年后你依然健康地活着。也许你愿意向那个支持我们研究的私人基金会捐献一点钱来表达支持。

Original English

Thomas: and there are occasionally, yes, please link. There are occasionally people I know and I when I give kits of information to people uh I say please consider making a donation only if it works for you. Yeah. Don't charge them anything or ask them to pay something if it's not going to help them. If you were told to be dead in 6 months and six years later you're alive. Maybe you throw us a few shekels into the private found into the foundation supporting our work.

Stephen: 我会把那个基金会的链接放在下面的评论区。

Original English

Stephen: I'll link that foundation below in the comments section.

Thomas: 是的,我们有好几项研究是关于乳腺癌的,也有关于我们所采用的代谢疗法的总体性支持研究。所以,我们现在有很多项目正在进行中。我们感到非常兴奋。你可以去看看我们已经发表的所有论文。而且这并不是说只有那些顶级期刊才发表我们的文章,虽然有些确实发表在顶级期刊上,有些则发表在一些新创办的期刊上,但最关键的问题在于,我们正在把这些重要的研究成果公之于众。

Original English

Thomas: Yeah, we have a couple on breast cancer on on on general general uh um support on the metabolic approach that we have. So, we have a lot going. We're very excited. You can see all the papers we've published. Uh and it's not like um uh some of these are in top journals, some of them are in new journals, but but the issue is we're we're we're we're publishing this.

对话的影响与社区力量

Stephen: 我想说的是,你知道,我对科学以及医疗行业的医生们抱有极大的敬意。去获取信息吧,去和你的医疗提供者充分沟通。现在外面有太多的工具和资源可以利用了。去自己探索、自己核实吧。

Original English

Stephen: My thing is, you know, I great great great respect for science and doctors in the medical profession. Go go go get your information. Speak to your medical provider. There's so many tools out there now. Go and check for yourself.

Thomas: 是的。不过我认为,在肿瘤学领域,那里确实存在着一片充满错误信息或误解的广阔荒原,我们姑且这么称呼它吧。他们并不理解这些代谢相关的概念,而相比之下,你知道,那些做心脏手术、骨科手术或是关节置换手术的医生,他们在这类技术和知识上往往处于最前沿的状态。

Original English

Thomas: Yeah. Well, I think in the oncology field, that's where we have this vast wasteland of misinformation or misunderstanding, let's put it that way. They don't understand these concepts where, you know, people who have done heart work and bone work and replacements, those people are at the state-of-the-art with this kind of stuff.

Stephen: 好了,我们上一次的对话,已经触达了大约1500万人。在YouTube上,它获得了1000万次的观看,然后跨越各个音频播客平台,它又获得了大约500万次的播放。是的,关于向从业者咨询是很重要,但同时,它实际上也在评论区创造了一个庞大的人群社区,在这里,你知道,这是一个由正在苦苦寻找希望的人们组成的社区。

Original English

Stephen: Well, the last conversation we had, it's reached about 15 million people. So, on YouTube, it's got 10 million views and then across audio platforms, it's got another five or so million views. Yeah. practitioner about, but also it actually just creates a community of people in the comment section where, you know, this is a community of people that are searching for hope.

Thomas: 是的。

Original English

Thomas: Yeah.

Stephen: 当他们中的一些人阅读评论区时,他们实际上留下了这样的评论:“能够在评论区与其他人交流我正在经历的痛苦,以及在情感层面上这种经历有多么艰难,感觉真是太好了。”所以,这也是我特别想在这期节目中说的一点:如果你现在正在收听这场对话,并且你已经听到了这里,请随时进入评论区,去给其他正在痛苦中挣扎的人提供一些支持和关爱,因为你知道,在你得知自己确诊的那一刻起,当你开始在互联网上、播客里、甚至人工智能中到处寻找自己能做些什么的时候,那可能是一种极其孤独和无助的体验。所以,是的,请分享那些曾经帮助过你的东西,向那些在评论区里需要帮助的人指出哪些资源是严谨可靠的,并为他们提供情感上的支持。那将会是一件非常美好的事情。Thomas,非常感谢你所做的一切。嗯,你绝对是一位推动科学进步、将科学带入现实世界的勇士,也是在为这些缺乏治疗工具和希望的人们而奋战的勇士。如果你,我是说,我觉得我从来没有见过像这样的评论区,人们对你正在做的工作充满了如此深厚的感激之情。这是一项非凡而伟大的工作。愿你能长久地继续做下去。

Original English

Stephen: And as some of them read through the comment sections, they actually commented saying, "It was so nice to to speak to other people in the comment sections about what I'm going through and how it feels from an emotional level." So, this is something I actually wanted to say in this episode was if you're if you're listening to this conversation now and you've gotten to this point, do feel free to go into the comment section and just offer some support and some love to other people um who are struggling because you know it can be a very lonely experience the minute you find out you've got a diagnosis and off you go into the internet into podcasts into AI to try and figure out what you can do. So, yeah, do share things that have helped you point at different resources that are rigorous and offer emotional support to those that are in the comments section. and that would be a wonderful thing. Thomas, thank you so much for all that you do. Um, you're you're an absolute warrior for pushing science, the science into the world and for fighting for these people that don't have the tools. And if you I mean, I don't think I've ever seen a comment section quite like it in terms of the gratitude that people have for the work that you're doing. It is remarkable work. Long may you continue to do it.

Thomas: 嗯,非常感谢你。而且你知道,在这个过程中你扮演了一个非常重要的角色,因为这些信息过去并没有传播给大众,而最终能够促成改变的,正是大众的力量。所以他们会越来越需要这些信息,特别是当我们不断发表越来越多成功案例的病例报告时,这个僵化的系统终将会被改变,而我们需要做的就是不断修正和完善我们现在所拥有的,让它变得更好,我认为这就是支撑我们不断前行的动力。所以我短期内绝对没有停止这项研究的打算。我的学生们对这个研究领域也都感到无比兴奋。他们在波士顿学院正在学习相关的知识。所以,这是我们目前非常关注的一大重点领域,我们会继续坚持做下去。我要再次强调,科学素养对于你如何在这个世界上前行和生活是至关重要的。非常感谢你邀请我参加你的节目,我们会竭尽所能继续全力推进这项事业。

Original English

Thomas: Well, thank you very much. and you you know you play a very important part on this because this information is not disseminated to the the population and it's the population of people that will eventually make the change. So they're going to want this especially when we keep publishing more and more case reports of successful cases and the ch the system will change and we just have to modify what we have to make it better and I think that's what keeps us going. So I have no plans of stopping this anytime soon. My students are all excited about this. they they're learning about it at Boston College. So, this is a big emphasis that we have and we continue to do it. Again, scientific literacy is so important uh for uh how you um navigate through life and um thank you very much for your show and we'll we'll keep uh pushing this as as hard as we can.

Stephen: 谢谢你。YouTube现在有一套全新而疯狂的推荐算法,它们可以基于人工智能技术和你所有的观看行为数据,准确地预测出你接下来想看什么视频。而现在算法告诉我们,这个视频就是为你量身定制的完美选择。对于此刻正在观看的每个人来说,推荐的视频内容都是截然不同的。

Original English

Stephen: Thank you. YouTube have this new crazy algorithm where they know exactly what video you would like to watch next based on AI and all of your viewing behavior. And the algorithm says that this video is the perfect video for you. It's different for everybody looking right now.

📌 文中提及的人物和组织

关键字: mitochondrial-health cancer-prevention bioenergetics lifestyle-modification chronic-disease-risk