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Mark Hyman, MD

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Resveratrol -- Eat Whatever and Live to 120?

Posted: 04/03/10 08:00 AM ET

"Live to 120 years old by eating as much as you want and drinking lots of red wine!"

That's the intriguing finding of a recent study from Harvard researcher David Sinclair and his group.

The only catch is that you'd have to drink about 1,500 bottles of wine a day to get those results. Of course, that would kill you pretty quickly -- before you'd have a chance to reach age 120! Still, those are important findings ...

In fact, Dr. Sinclair thinks they're so important that he started a company to produce a pharmaceutical derivative of the active compound in red wine, resveratrol.

Although his findings have merit, I think he is misguided in his attempt to find a "magic pill" that will allow you to eat whatever you want and live forever. The body is much more complex than that.

This week, I'm going to explain why a magic pill WON'T work -- and provide 10 tips that really WILL help you live longer and prevent all the diseases of aging.

Why "Magic Pills" Don't Work

Don't get me wrong. Dr. Sinclair is on the right track. But I believe he's focused on the wrong thing. In looking for that "magic pill," he's not taking into account the bigger picture.
That approach will always fail.

Sure, there has been a lot of fanfare about this new "drug" resveratrol that can extend your life span and let you eat whatever you want and have the fitness of a trained athlete without any exercise. But that's wrong on a couple of counts ...

First, resveratrol isn't a drug at all. It's a natural plant defense molecule, or "phytonutrient," that's found in grapes (and therefore red wine), as well as in peanuts, berries, and a Chinese herb called hu zhang.

Second, all the excitement reinforces the idea that a single molecule (whether from a drug or a plant) can solve all our health problems. In functional medicine we look at ALL the systems of the body. We need to consider resveratrol as just ONE of many healthful plant compounds.

You see, resveratrol is just one of thousands of polyphenols, which make up just one class of phytonutrients. These phytonutrients act in many ways, the most important of which is as a genetic control system, turning on and off genes that help us stay healthy.

This is the science of nutrigenomics -- which describes how food is information that tells our bodies what to do, not just a source of calories we need for energy.

I believe that all the excitement about resveratrol is misguided. Everyone is looking for a quick fix, and scientists (especially ones who start pharmaceutical companies to market their discoveries) are looking to make a quick buck.

There is nothing wrong with either. But in order to find the real secret to longevity and to healthy aging and fitness, we need to look at how this compound works and learn from that how to keep ourselves healthy.

The secret lies in our mitochondria.

Mitochondria: The Real Secret to Healthy Aging and Lifelong Fitness

Mitochondria are the little organs in every cell that turn oxygen and food into energy.

For now, let's examine two recent studies that shed light on these mighty little organs that hold the key to health, weight loss, and longevity.

In the first study, published in Nature, Dr. Sinclair and his colleagues gave one group of mice a diet high in fat (60 percent of calories). What happened then was interesting ...

In middle age they all became obese, got diabetes and fatty livers, and died early.

Another group of mice were fed the same diet, but also received resveratrol at a dose of 24 mg/kg of body weight. That's the equivalent of the amount of resveratrol found in about 750 to 1,500 bottles of wine a day! What happened to those mice was even more interesting ...

They still got fat -- but lived longer and did not develop diabetes. They were also more agile and had more endurance than the rats that didn't get the resveratrol. Interestingly, their cholesterol profiles didn't improve -- BUT they didn't get heart disease, showing that cholesterol is not the big evil we think it is.

Let's take a closer look at what these findings really mean.

In this study, resveratrol produced changes associated with longer lifespan and produced the following biologic effects:

• It increased insulin sensitivity, leading to better blood sugar control.

• It reduced levels of insulin-like growth factor-1 (IGF-I), a molecule related to the growth hormone that promotes cancer growth.

• It increased AMP-activated protein kinase (AMPK), a signaling system in the body that controls insulin sensitivity and can prevent diabetes.

• It increased peroxisome proliferator-activated receptor coactivator-1 (PGC-1) activity. This is a critical signaling system that turns on genes that improve blood sugar control and improve mitochondrial function.

• It increased the numbers of mitochondria, which boosts the capacity to turn food into energy and burn calories.

• It improved motor function, making the old rats more agile.

• And finally, the resveratrol helped prevent the effects of aging by modifying 144 out of 153 metabolic pathways that are controlled by genes.

This all sounds good. And it is! But the most important thing that these findings tell us is ignored by Sinclair and his colleagues.

They tell us that aging and disease are controlled in large part by SUGAR and insulin function in the body!

In a moment I will explain how you can use this information to reverse disease, lose weight, and live longer and healthier. But first, let me tell you about the second study, which in some ways was even more dramatic.

That study, which was published in Cell by Johan Auwerx from the Institute of Genetics and Molecular and Cell Biology in Illkirch, France, tested much higher doses of resveratrol in mice. These doses were 18 times higher than those in the first study. That's 400 mg/kg of resveratrol -- equal to about 360 daily capsules of resveratrol for a 130-pound person!

Imagine achieving the fitness of a trained athlete, staying thin, preventing diabetes and heart disease, and living to 120 years old -- all while eating a high-calorie, high-fat diet (and taking 360 pills a day of resveratrol)! That's the equivalent of what happened to the rats.

Specifically, the rats fed the high doses of resveratrol along with their high-calorie, high-fat diet showed the following effects:

• They did NOT gain weight, and reduced the size of fat cells.

• They didn't develop pre-diabetes or metabolic syndrome.

• They increased the number of energy-producing mitochondria in their muscle cells.

• Their metabolic thermostat was turned up and they increased fat burning by increasing thermogenesis.

• They increased their endurance and aerobic capacity (without exercise).

• They maintained their cells' sensitivity to insulin, resulting in better blood sugar control.

Plus, they had enhanced muscle strength, reduced muscle fatigue, and improved coordination. And resveratrol increased the activity of PGC-1 alpha, which in turn controls genes that affect blood sugar control -- with no bad effects on their organs.

This seems incredible! But it's all very plausible if you understand the root causes of obesity, aging, and disease. Those causes are blood sugar control and the health, number, and function of your mitochondria.

It's unlikely that taking ONLY resveratrol -- even at high doses -- will allow us to live a life of sloth and gluttony and be disease-free forever. But what these studies do tell us is VERY important.

When we view these findings from a systems perspective -- understanding ALL the influences on blood sugar control, insulin, and our mitochondrial function -- we can create a lifestyle and program that works to keep us healthy, thin, and young.

Recently, I was at a conference on longevity and aging and had a chance to converse with Dr. Leonard Guarente from the Massachusetts Institute of Technology. In 1995, Dr. Guarente discovered a gene called SIR-2 in yeast that controls longevity. He was a teacher of David Sinclair, who authored one of the recent studies on resveratrol I discussed above.

I asked Dr. Guarente what REALLY was at the root of the effects of this master gene that controls longevity (called SIRT-1 in humans). Resveratrol works through this gene. His answer was quite simple. It was ...

... SUGAR!

This gene has its master effects on aging by improving how the body controls sugar and insulin sensitivity.

This isn't really surprising. All the effects of aging are increased by worsening blood sugar control -- even before you get diabetes. People with diabetes have smaller and more poorly functioning mitochondria and get cancer, heart disease, and dementia at far greater rates than the general population.

So if we could fix our blood sugar control and boost our mitochondria, we could live longer and disease-free.

Considering this, let's look at the big picture again ...

Taking a magic pill just won't do the trick. That's especially true if you factor in all the other real-life insults that affect us, such as poor diet, stress, environmental toxins, and a sedentary lifestyle -- all of which affect blood sugar control and mitochondria.

Instead, you need to know ALL the factors that DAMAGE your blood sugar control and mitochondria. And you need to know ALL the factors that IMPROVE or boost your blood sugar control and mitochondria.

These are just the back-to-the-basics principles of functional medicine that I've been talking about for years -- identify the bad stuff and take it away; identify the good stuff and add it.

So what can you do to live longer and stay disease-free -- other than drink 1,500 bottles of wine or take 360 pills of resveratrol a day? Here is just a partial list!

Ten Tips to Help You Live a Longer and Healthier Life

1. Balance your blood sugar. I outline how in UltraMetabolism: increase your intake of whole foods that contain lots of fiber, such as beans, whole grains, vegetables, fruits, nuts, and seeds.

2. Eat protein with every meal. This helps balance your blood sugar. Include nuts, beans, fish, lean animal protein, and omega-3 eggs in your diet.

3. Increase your intake of omega-3 fats. These improve blood sugar control by working on the same cell-signaling mechanisms as resveratrol. Eat wild fish (salmon, sardines, black cod, and herring) or take omega-3 fatty acid pills (1,000 to 2,000 mg of EPA and DHA a day).

4. Eliminate or dramatically limit flour products. That means anything with sugar from any source.

5. Find ways to relax every day. This prevents diabetes and controls your blood sugar by reducing levels of cortisol, the stress hormone.

6. To boost your mitochondria, you will need to exercise and build muscle. Try interval training, a technique of exercising fast (like sprinting) for one minute and then more slowly (like fast walking) for three minutes. Repeat this in cycles totaling 30 minutes twice a week.

7. Eat foods with phytonutrients. There are many protective ones other than resveratrol, including those found in green tea, pomegranate, and all dark, colorful fruits and vegetables.

8. Consider supplements that help protect and boost your mitochondria. These include Coenzyme Q10 (100 to 200 mg a day), acetyl-l-carnitine (500 to 1,000 mg twice a day), alpha-lipoic acid (100 to 200 mg twice a day), D-ribose (5 g once or twice a day), magnesium (150 to 300 mg twice a day), B-complex vitamins (daily), and NADH (5 to 10 mg a day).

9. Live clean and green. Limit your exposure to heavy metals, pollution, and other environmental toxins -- all of which poison your mitochondria.

10. Learn how to detoxify. Support your body's detoxification system and your liver function.

This is just a start of what you can do.

Just remember -- you will need to take a comprehensive approach to health, leveraging the latest research to help you improve your metabolism, stay thin, and live longer. There are no quick fixes. But addressing your whole system will give you a huge advantage!

Now I'd like to hear from you ...

What do you think about the constant drive to find a "magic pill" to cure all our health woes?

Have you experienced any instances of looking at the big picture of your health versus trying to solve all your problems with a "magic pill"? What were the results?

Have you tried taking resveratrol supplements? Did you notice any effects?

What are you doing to improve your mitochondrial function?

Have you experienced any health or weight loss benefits by getting your own blood sugar and insulin under control?

Please let me know your thoughts by leaving a comment below.

To your good health,

Mark Hyman, M.D.

Mark Hyman, M.D. practicing physician and founder of The UltraWellness Center is a pioneer in functional medicine. Dr. Hyman is now sharing the 7 ways to tap into your body's natural ability to heal itself. You can follow him on Twitter, connect with him on LinkedIn, watch his videos on Youtube and become a fan on Facebook.

 
 
 

Follow Mark Hyman, MD on Twitter: www.twitter.com/markhymanmd

"Live to 120 years old by eating as much as you want and drinking lots of red wine!" That's the intriguing finding of a recent study from Harvard researcher David Sinclair and his group. The only ca...
"Live to 120 years old by eating as much as you want and drinking lots of red wine!" That's the intriguing finding of a recent study from Harvard researcher David Sinclair and his group. The only ca...
 
 
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10:44 PM on 04/25/2010
I'm surprised Dr. Hyman didn't mention the other ways to get resveratrol. I discovered what i am sure was a melanoma. I didn't recognize it as such until i saw the cover of a medical journal showing exactly what i had. I got a copy which described the one of the few places where they appear and one was where mine was. So having read several yrs ago about a study which claimed that grapes worked better than a drug to prevent recurrence of breast cancer. I thought if it works on the inside it should work on the outside. So i taped a half a grape on it after several days it disappeared! I have since used that method on others as they occur. The original story claimed that whatever ingredient was in grapes it broke up tumors. I eat lots of grapes (organic of course) drink lots of organic grape juice and i'm healthier than i have ever been. no aches and pains I have tons of energy .I recently purchased a bottle of pure resveratrol and mix it with my fave moisture cream. Did i mention I'm closer to 80 than to 70? And I'd love to see 120. I have Miles to go before i meet my sell-by-date!
01:42 PM on 04/12/2010
Great to see more articles on the importance of mitochondrial function in the fight against aging!
01:05 PM on 04/08/2010
I do not think that hardships in life can ever be relieved simply by taking something like a "magic pill." If life were that easy, we would have figured that out years ago. I think that we should stop trying to find the easy way out and just work harder to achieve our goals (whether it be weight loss or getting some muscles on that body). That way, winning would be so much sweeter!
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HUFFPOST SUPER USER
SilentSolidarity
So what do you need? Besides a miracle.
03:43 PM on 04/06/2010
I think in 2050, we will have many innovations in biotech that make me live until 120. My job is to stay alive until that day.

I'm a teetotaller.
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dmsdzinr
Progression wit a twist of sarcasm.
08:02 AM on 04/06/2010
So far there is NO real resveratrol that is proven to work for humans. There are plenty of SCAM drugs claiming to work. All they do is lighten the contents of your wallet!
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HUFFPOST SUPER USER
Gregory Ashby
the health maestro
05:07 PM on 04/05/2010
Yes, control your blood control life.
My first point on this:
This study, published online March 30 in the International Journal of Obesity, examined the influence exerted by the type of foods and specific timing of intake on the development of metabolic syndrome characteristics in mice. The findings revealed that mice fed a meal higher in fat after waking had normal metabolic profiles. In contrast, mice that ate a more carbohydrate-rich diet in the morning and consumed a high-fat meal at the end of the day saw increased weight gain, adiposity, glucose intolerance and other markers of the metabolic syndrome.
In agreement especially to step #5 my second point is:
Modifying your ability to balance stress and cortisol is just as much about your emotional state as well as your physical state. Your state of self-worth will affect your cortisol level just as much as physical stress.

Point three:
When you balance your blood sugar you limit any excess fat gain therefore keeping 11beta-HSD1 from
converting cortisone to the active form cortisol. When adipose tissue overexpression of 11B-HSD1
leads to viseral obesity, type ll diabetes, and hypertension. These are just a few of the negative effects
of excess cortisol.

So let me restate you mainpoint

BALANCE YOUR BLOOD SUGAR BALANCE AND SAVE YOUR LIFE
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Seán O'Nilbud
Drunken Master
10:38 PM on 04/05/2010
Remember while alcoholic drinks contain a lot of sugar, the alcohol acts like insulin, which is why alcoholics are diabetics. (Not me, it's amazing the tales told in waiting rooms).
04:48 PM on 04/05/2010
I'm trying 30mg of Resveratrol daily, not much compared to 24mg.kg for rats. I have noticed no difference. What made the most difference is one of the 5 star brands of sublingual methylb12 daily and adenosylb12. I am healing Subacute Combined Degeneration, using methylcobalamin in 3 injections SC of 10mg each, with 4000mcg of oral Metafolin daily in 5 doses and 30mg of adenosylb12 sublinguals as a single 2 hour dose weekly and having great success. There is not much room for mitochondrial improvment.. My mitochindria started funtioning very well with adenosylb12 , l-carnitine-fumarate (NOT acetyl) and Alpha Lipoic Acid. Prior to starting those I had very low energy, was unable to heal muscles form exercise and unable to increase muscle mass with exercise, all kinds of muscle pains and had no exercise tolerance or endurance. All of that changed suddenly when my mitochondria started functioning well and the adenosylb12 needed for new mitochondria to form and old mitochondria to function was supplied. All my muscle pain diminished rapidly, my arobic endurance doubled overnight as measure in minutes on a ski machine and my muscles grew in relation to exercise. Over the next few years I was 100% healed of FMS and CFS, and the SACD is 90% recovered from. I am the healthiest I have ever been in my entire life currently at 62. I also find b-complex twice a day a necessity along with the omega3 oils and all basic vitamins and minerals.
03:50 PM on 04/05/2010
Who in the hell wants to live to be 120?
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Donsta
The harder I work the luckier I get
03:52 PM on 04/05/2010
Every 119 year old.
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Seán O'Nilbud
Drunken Master
10:39 PM on 04/05/2010
Anyone with a mortgage, so they can enjoy a couple of years without payments.
03:49 PM on 04/05/2010
It is just so important to note that Resveratrol is one way to achieve what were originally discovered to be the benefits of a low calorie diet. The original research that showed longevity and which has been supported by follow-up research results indicates that people who consume fewer calories have an enhanced lifespan. It seems possible that this is caused by the stimulation of the Sirt1 gene, or it may simply be that the low calorie diet reduces inflammation. So many killer diseases are due to inflammation that reducing it may have a significant impact on the lifespan of the individual. While most of us really don't want to live a life of sever calorie restriction, the results are also seen in alternate day fasting, in which you eat normally one day and consume fewer than 500 calories the next. Do a search on this and include the term "Dr. Johnson" who is a leader in this field, and you will discover more. I have encountered many people who have enjoyed tremendous relief from allergies and also significant weight loss with this approach to their health, including myself.
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Jim bob
Be the change you wish to see.
03:32 PM on 04/05/2010
1. knowing about science doesn't mean you know about nutrition, or vice versa.
2. HHO is another one of those things that armchair scientists keep denying based on Newtonian physics. It works, too.
3. Scientists don't dismiss things without research as the commenters here are doing. So empirically speaking, you arent' scientists either, but people with opinions. That's ok but it isn't science.
4. my anecdotal evidence is, if you use the right brand, it works to energize you, make you look younger, and tone your muscles without doing much of anything else. I also used it on my two golden retrievers, who I want to live forever (as, in part, they don't go around pretending to know things they don't know), and they were greatly energized in the heat of a phoenix summer. It was the expensive kind, made not from grapes but another source (as grapes have a bad effect--as in, terminal--on dogs). But what does my anecdote count for against people who already know everything they want to know??
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Donsta
The harder I work the luckier I get
03:56 PM on 04/05/2010
4. my anecdotal evidence is, if you use the right brand

Here's my biggest problem. How do we know the right brand and the proper dosing? Without that knowledge it becomes a crap shoot as to whether we are wasting our money and time.
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RedRat
Ignorance is fixable, stupidty is forever
02:25 PM on 04/05/2010
"I believe that all the excitement about resveratrol is misguided. Everyone is looking for a quick fix, and scientists (especially ones who start pharmaceutical companies to market their discoveries) are looking to make a quick buck."
---------------------------------
Right on target. These people are just playing the average American, who knows virtually nothing about science in general and nutrition specifically, as suckers. They play on the ignorance of the consumer and also the wish that we all seem to have for quick fixes.
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HUFFPOST COMMUNITY MODERATOR
Puffin16
82.7% of all statistics are made up on the spot
02:19 PM on 04/05/2010
I prefer white wine over red. Any benefits to chardonnay?
03:40 PM on 04/05/2010
You mean apart from the obvious ones?
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Seán O'Nilbud
Drunken Master
10:41 PM on 04/05/2010
It's useless the red in the red wine is the go bit.
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sfdcubfan
Vegan ASPCA Supporter
01:44 PM on 04/05/2010
I went vegan back in July 2008, and I haven't had any colds/flu, etc. since that time. In addition, I've been doing the P90X workout since late summer 2009, have totally changed my body composition, stayed vegan, and have been in the best shape of my life (I'm 43). I supplement with Nature's Plus Source of Life vitamins, MegaFood D-3 (1,000 IU), and Lifetime Life's Basics Plant Protein (22 gms of hemp, yellow pea, brown rice and chia seeds). Plus, I add L-Glutamine to my morning recovery drink after P90X, and I think it's helping with muscle recovery.

I tried magic pills, and it's all a scam to me. As I get older, I understand it's up to me and what I put in my mouth, and how much effort I put into my exercising. It would be nice if something like resveratrol would be helpful, but only in conjunction with proper diet and exercise. I would take it if it'd cut back on my wrinkles, that you can be sure of, LOL! And if this molecule would help people with chronic illness, then by all means, feed it to them.
12:03 PM on 04/05/2010
Excellent article. Keep this one posted for a year - his analysis and recommendations are right on!
12:03 PM on 04/05/2010
There is a unique resveratrol supplement called Perfect ResGrape which is found here http://resveratrol-products.com/ . It is very different from the other resveratrol supplements because it largely contains pure freeze dried muscadine grape which means ALL the other phytonutrients are contained in the product. It also contains pure trans-resveratrol.