消费健康意识的觉醒与驱动力
[主持人]: Huberman 博士,欢迎来到 A16Z 节目。我想谈谈过去五年发生的变化。自从你创办播客以来,消费者对自身健康的关注度激增。作为投资者,我们过去认为人们只愿意在所谓的“虚荣药物”(如脱发药、伟哥)上花钱,但现在情况完全变了。你认为主要的驱动力是什么?你在其中扮演了什么角色?
Original English
[Host]: Dr. Huberman, welcome to the A16Z show. I want to talk about what's happened over the last 5 years. Like since you launched your podcast, there's been an extreme increase in consumer interest and focus on their own health. Like as an investor, we used to kind of think people were only willing to spend on what we'd like call sex or vanity drugs like Propecia, Viagra, and that has totally changed in the last 5 years. I'm curious what you think the major drivers of that have been and what your role has been in it.
[Andrew Huberman]: 我认为主要的驱动力是一些突破性补剂改变了人们对医疗保健的看法,让他们决定需要更加自主地管理健康。另一个原因是健康健身行业与主流医学及自我护理的碰撞。我成长时,只有健美运动员和士兵才举重,甚至有人告诉我停止举重后肌肉会变脂肪。
但在 80、90 年代到 2000 年代初,世界开始接受健康的健身体育模式。疫情期间,无论是否接种疫苗,每个人都想知道能吃什么来提高免疫系统,第一个突破口是维生素 D。随后,随着力量训练的普及,人们开始关注蛋白质需求、咖啡因以及现在的**肌酸(Creatine)**热潮。COVID 敲响了警钟:我们每个人都要为自己的健康负责。
Original English
[Andrew Huberman]: So I think the major driver was there were a few breakthrough supplements that changed the way that people think about healthcare and decided they needed to be more self-directed in their healthcare. I think the other thing is that the health and fitness and industry collided with mainstream medicine and just self-care. What happened during the pandemic was everyone wanted to know what they could take to improve their immune system and their health. And the first thing that sort of broke through was vitamin D. Then, as resistance training came in, it inevitably brought with it an interest in protein needs. And then gradually now the creatine craze. What became very clear is everyone realized some bell went off: We are all responsible for our own health.
昼夜节律与心理健康
[Andrew Huberman]: 封锁期间出现的许多心理健康问题其实是**昼夜节律生物学(Circadian Biology)**的紊乱。英国一项针对 80,000 多人的研究显示,白天的光线越亮,夜晚的环境越暗,心理就越健康。这对于 OCD(强迫症)、焦虑和抑郁患者尤为重要。
我的目标是给人们工具来控制自己的昼夜节律和即时焦虑。比如长呼气呼吸法,通过“呼吸性窦性心律不齐”机制,利用**迷走神经(Vagus Nerve)**减慢心率。这些简单的机制科学工具是我们在世界范围内推广的核心。
Original English
[Andrew Huberman]: A lot of the mental health issues that we saw during the lockdowns were disruption in circadian biology. There's a really beautiful study with more than 80,000 subjects out of the UK that shows that the brighter people's days are and the darker their nights, the healthier they are mentally. And so it was so important to me to give people tools to be able to control their circadian biology, momentary anxiety with things like long exhale breathing which just simply reduces heart rate. We know through something called respiratory sinus arrhythmia involves the vagus nerve.
科学传播与政治立场
[主持人]: 你如何看待 MAHA(让美国再次健康)在这场健康觉醒中的角色?
[Andrew Huberman]: 我刻意没有加入任何委员会,以保持言论自由。我认为他们改善食品供应、鼓励健康行为的方向是正确的。但同时,我认为 mRNA 癌症疫苗是变革性的救命技术。现在的挑战是媒体的两极分化,无论是左翼还是右翼,往往为了点击率而攻击另一方,不愿承认对方做得对的地方。我的立场是:任何促使人们走向健康、改善睡眠和饮食的行为都是好事。我不在任何阵营,这让我感到自由。
Original English
[Andrew Huberman]: Well, I very deliberately not joined a MAHA panel to maintain the flexibility that I want to say what I believe. I think that some of the things they're doing are directionally right trying to food supply, get people embracing healthy behaviors. At the same time I for instance think that the mRNA vaccines for cancer are a transformative incredible life-saving technology. The challenge has been that we've got right-wing media and we've got left-wing media. I love that I don't belong to any camp. I feel very free.
多肽药物与 GLP-1 的未来
[主持人]: 现在近七分之一的美国人正在服用 GLP-1 药物,20% 的人尝试过。你如何看待它的未来?
[Andrew Huberman]: 这就像当年的信贷让每个人都能开上好车一样。GLP-1 让人们无需过度运动就能达到健康体重。礼来(Eli Lilly)的 Retatrutide 进入了三期临床,人们可以在短时间内减掉三分之一的体重,且能保留一定肌肉。
虽然礼来在打击复合制药厂(Compounding Pharmacies)销售灰色地带的产品,但很多人已经在使用了。理论上,我们可以根除肥胖。我猜测五年内,超过一半来自肥胖高发社区的人会服用这些药物。与 80 年代的类固醇不同,GLP-1 的安全性似乎更高,容错空间更大。
Original English
[Andrew Huberman]: I see the GLPs the same way as credit. The GLPs make it such that people can be a healthy weight without having to exercise. But Retatrutide went through phase three at Lily, people can lose up to a third of their body weight in a pretty short amount of time. In theory, you could eradicate obesity. I'm guessing that more than half are going to be taking them. The margins for error seem to be greater.
灰色地带的多肽:BPC-157 与 Melanotan
[Andrew Huberman]: 除了 GLP-1,BPC-157(身体保护化合物)也非常流行。它能加速软骨和神经修复,但存在风险——如果你有肿瘤,它可能会促进肿瘤的血管化。
还有 Melanotan,它能让人由内而外变黑,并剧烈提升能量和性欲。但它风险很高,皮肤颜色的改变可能是永久性的,男性甚至有**阴茎异常勃起(Priapism)**导致神经受损的风险。我尝试过各种多肽,比如 Pinealin 曾让我每晚获得 3 小时的 REM 睡眠,但因为担心刺激细胞异常生长(如肿瘤),我停止了。
Original English
[Andrew Huberman]: BPC-157, body protection compound. It can improve cartilage growth, nerve regrowth, which is a little bit worrisome if you have a tumor. You don't want to vascularize the tumor. Melanotan, which makes people tan from the inside, raises energy and libido dramatically. But those drugs are very risky. The kind of oranging of the skin can be permanent. And there's the risk for men of priapism which can cause damage to the nerves.
专注力药物:Modafinil、Adderall 与新药
[Andrew Huberman]: 很多人为了专注而使用刺激物。**Modafinil(莫达非尼)**主要用于治疗嗜睡,增加警觉性。**Adderall(安非他命类)**其实并不直接增加专注力,而是增加警觉性,从而让你分配专注力。
有一种即将流行的新药叫 Sunosi,已获 FDA 批准用于嗜睡,在 ADHD 试验中表现良好,它的作用比其他药物更温和。但我更倾向于通过减少系统噪音来专注。过度依赖刺激物最终会缩短寿命,因为你会过度刺激交感神经系统。
Original English
[Andrew Huberman]: We all have heard of Modafinil, it increases energy when you have poor sleep. Adderall is more of an amphetamine type stimulant. There's a very interesting drug I think is going to become far more popular soon, which is already FDA approved called Sunosi. Seems to have a much gentler arc of alertness and focus. I think there's an excessive amount of stimulant use. You don't want to stimulate the sympathetic nervous system so much for so often. It can probably shorten your life.
生物学的“读”与“写”:未来五年的健康科技
[Andrew Huberman]: 借用神经科学的术语,未来是关于对生物学的“读”与“写”。
- “读”(Read): 我们已经有睡眠监测和连续血糖监测(CGM)。我最期待的是实时皮质醇(Cortisol)监测。晨间皮质醇高峰对健康至关重要。
- “写”(Write): 五年后,我们不再是简单的调节室内温度,而是通过手掌和足底的高效散热技术直接冷却身体核心,让你在几分钟内入睡。
我也建议晚上摄入适量的淀粉类碳水化合物。皮质醇的任务是部署能量,摄入碳水能让皮质醇下降,改善睡眠。如果你在尝试生酮饮食却睡不好,试试晚餐吃碗米饭。
Original English
[Andrew Huberman]: Reading, I mean, people are wearing sleep sensors. But you can't write to the sleep system yet. In 5 years, you'll go to sleep with a little thing in your palm and your core body temperature will just drop. I'd love to see real-time cortisol sensing. Morning cortisol peak, getting that, you win 90% of the game. I can't sleep well unless I've had enough starches during the day. If you're going to have carbohydrates at any time, it should be within 3-4 hours before sleep.
AI 与人类:机制理解的重要性
[主持人]: AI 现在可以很好地提炼健康研究,你怎么看?你如何使用 AI?
[Andrew Huberman]: 我用 Claude 考查自己的知识。虽然 AI 能生成“获得优质睡眠的 10 件事”,但人们不去做,是因为缺乏对**机制(Mechanism)**的理解。当你理解了为什么要晒太阳(光子叠加系统),即使今天错过了,明天你也会补回来。理解机制能增加行为改变的可能性。我甚至不介意建立一个 AI 版的自己来主持播客。
Original English
[Andrew Huberman]: I use Claude to quiz myself. Claude is really good at generating tests for me on knowledge. When you understand mechanism, I think it gives a higher probability that somebody is going to implement the advice. AI could probably deliver that information, but I don't know that it can build the relationship well enough.
寿命逃逸速度与输血回春
[Andrew Huberman]: 对于长寿,我认为人类的生理极限在 120 岁左右,大多数人在 105 岁。我很关注斯坦福大学 Tony Wyss-Coray 的研究,关于年轻血液和运动后的血液中的再生因子。如果有技术能让我现在(50岁)保存并冷冻运动后的血液,等我 70 岁时再输给自己,我绝对会做。这比输注谷胱甘肽或 NAD 更有意义。
Original English
[Andrew Huberman]: I think it's pretty clear that the genetic upper limit is about 120 and for most of us it's probably closer to about 105. I'm very excited by Tony Wyss-Coray's work from Stanford about factors in young blood and in exercised blood that can rejuvenate the brain and body. I would bank a bunch of my own blood after exercise. I'm healthier now at 50 than I'm likely to be at 70.
章鱼与 AI:探索另一种智能
[Andrew Huberman]: 我家里养了一只名为“梵高”的星夜章鱼。我对头足类动物的视觉和智能非常感兴趣。我现在尝试利用 AI 和触摸屏,通过章鱼的**伪装图案(Camouflage Patterns)**来理解它的想法。
AI 可以学习将章鱼的变色模式与行为相关联,实现跨物种沟通。我不想教章鱼弹钢琴(那是人类的虚荣),我感兴趣的是章鱼如何理解这个世界,并让它告诉我。
Original English
[Andrew Huberman]: I have a pet octopus, Van Go. I'm trying to get the octopus to report to me what it's thinking. You have to do it based on the camouflage patterns. AI can actually learn a lot by correlating the behaviors of an octopus with its camouflage patterns. I'm interested in what the octopus understands about the world and can communicate that to me.
[主持人]: 感谢 Andrew Huberman 参加 A16Z 节目。
[Andrew Huberman]: 谢谢邀请。
📌 文中提及的人物和组织
人物: Andrew Huberman, Sam Altman, Bill Maher
公司/组织: A16Z, OpenAI, Eli Lilly, NIH
产品/模型: GPT-4, Claude, GLP-1, BPC-157
媒体/书籍: Huberman Lab Podcast