How To Use Food To Improve Your Mood, Overcome Anxiety and Protect Your Memory with Dr Georgia Ede #464

Jun 25, 2024 Episode Page ↗
Overview

Dr. Georgia Ede, a Harvard-trained psychiatrist, discusses how diet profoundly impacts mental health. She outlines five problematic foods for brain health and emphasizes that what we cut out of our diet is more important than what we put in, highlighting the power of dietary change.

At a Glance
23 Insights
1h 44m Duration
13 Topics
5 Concepts

Deep Dive Analysis

Introduction to Nutritional Psychiatry and Personal Journey

Brain's Fundamental Needs: Nutrients, Protection, and Proper Fuel

Limitations of Traditional Psychiatric Tools and Rising Mental Health Issues

Five Most Problematic Foods for Brain Health

Refined Carbohydrates: Impact on Blood Glucose and Brain Function

Understanding Refined Seed Oils and Their Harmful Brain Effects

Alcohol's True Impact on Brain Health and the Red Wine Myth

Economic Considerations and Affordability of Whole Foods

Challenging Conventional Views on Grains and Legumes

Mediterranean Diet: Benefits and Limitations for Brain Health

Therapeutic Potential of Ketogenic Diets for Mental Illness

Dr. Ede's Clinical Study on Ketogenic Diet for Treatment-Resistant Patients

Adopting a Curiosity Mindset for Dietary Experimentation

Naked Carbohydrates

These are refined carbohydrates like sugars, flours, and syrups that lack fiber and other nutrients, causing an unnaturally steep and rapid spike in blood glucose because they are pre-digested and don't require the body to break them down slowly.

Advanced Glycation End Products (AGEs)

Formed when excess glucose in the bloodstream sticks to important molecules like proteins, DNA, and fats, crippling and disfiguring them. AGEs are a main driver of premature aging in various tissues, including the brain, and can gum up brain cell signaling.

Factory Fats (Refined Seed Oils)

These are oils extracted from seeds (like soybean, cottonseed, canola) using industrial processes involving high pressure, heat, and explosive solvents. They are unnaturally high in linoleic acid, an omega-6 fatty acid, which the brain burns for energy, leading to increased inflammation and oxidative stress.

Anti-nutrients

Naturally occurring defensive toxins found in grains and legumes that protect the plant's embryo. These compounds can hold onto minerals and vitamins, making them less available for human absorption, and can pose risks to thyroid, gut, and immune health by breaching barriers and aggravating the immune system.

Curiosity Mindset (Diet)

An approach to dietary changes that encourages individuals to experiment with different foods and observe their personal effects. This allows people to discover which dietary strategies best suit their unique biology and lifestyle to achieve optimal well-being.

?
What does the brain truly need for optimal health?

The brain needs all essential nutrients, protection from damaging ingredients, and proper energy fuel. It functions best when given what it needs and when damaging elements are removed from the diet.

?
Why are refined carbohydrates harmful to brain health?

Refined carbohydrates cause unnatural, steep spikes in blood glucose, leading to the formation of Advanced Glycation End Products (AGEs) that damage brain cells and signaling, and trigger chronic inflammation and oxidative stress, which destabilize neurotransmitter and hormone systems.

?
What are refined oils and why are they problematic for the brain?

Refined oils, also called factory fats or vegetable oils, are industrially processed seed oils unnaturally high in linoleic acid. When the brain burns linoleic acid for energy, it generates significantly more inflammation and oxidative stress than it is equipped to handle, potentially causing damage.

?
Is alcohol beneficial for brain health, particularly red wine?

No, alcohol is a toxic, addictive liquid that causes tremendous oxidative stress and inflammation in every organ, including the brain. The idea that red wine is beneficial, often linked to resveratrol, is not supported by evidence, as the amount of resveratrol in wine is negligible and overridden by the alcohol's damaging effects.

?
Why are grains and legumes considered problematic whole foods?

Grains and legumes are low in nutrients (often requiring fortification), high in starch (problematic for metabolically unhealthy individuals), and contain defensive toxins and anti-nutrients that protect the plant's embryo but can pose risks to human thyroid, gut, and immune health, and reduce nutrient availability.

?
Can a healthy, whole-foods diet be affordable?

Yes, a healthy whole-foods diet can be affordable and even save money in the long run. Inexpensive options like eggs and fattier cuts of meat are highly nutritious, appetite regulation improves leading to less food consumption, and better health reduces medical expenses.

?
How effective are traditional psychiatric medications?

Traditional psychiatric medications are important tools for acute situations or when dietary changes aren't possible, but data shows they fail most people by not providing enough meaningful relief. Many also carry significant metabolic side effects, like increased risk for type 2 diabetes, obesity, and cardiovascular disease.

?
Can diet changes help with severe, treatment-resistant mental illness?

Yes, dietary changes, particularly a whole-foods, mildly ketogenic diet, have shown powerful therapeutic benefits for people with severe, chronic, and treatment-resistant mental illnesses like schizophrenia, bipolar disorder, and major depression, leading to significant improvements in mood, clarity, and even clinical remission in many cases.

1. Fundamentally Restructure Diet

To achieve real, noticeable, and meaningful change in mental and physical health, one must fundamentally restructure their diet from the ground up in ways that make biological sense, rather than just sprinkling superfoods or making minor adjustments.

2. Remove Brain-Damaging & Destabilizing Foods

Adopt a ‘first do no harm’ strategy by subtracting ingredients from your diet that cause inflammation, oxidative stress, insulin resistance, and destabilize hormone patterns and neurotransmitters, as this is more important than adding special foods.

3. Eliminate Ultra-Processed Foods

Aim as much as possible to cut out ultra-processed foods and introduce as many whole foods as possible, as this is a core dietary principle that holds true for everyone.

4. Adhere to Whole Food Principles

Follow whole food principles by getting the ‘junk’ out of your diet, regardless of specific dietary preferences (e.g., plant-based or animal-based).

5. Eat Foods Without Ingredient Labels

Avoid foods that require ingredient labels, as whole foods (like broccoli, eggs, or peaches) have one ingredient and are found in nature, helping to avoid processed foods and marketing tactics.

6. Avoid Five Problematic Foods

Avoid or remove five problematic food categories from your diet: refined carbohydrates (sugars, flours, cereal products, fruit juice), refined vegetable/seed oils (soybean, cottonseed, grapeseed, canola), alcohol, grains, and legumes, as these are considered most damaging to brain health.

7. Maintain Healthy Glucose Levels

Pay attention to and keep your glucose levels in a healthy range, as this is a fundamental principle for good metabolic, physical, and mental health, and can be measured at home.

8. Distinguish Healthy vs. Factory Fats

Learn to distinguish between whole, natural, healthy fats (unprocessed, found naturally in plants and animals) and factory-made, refined fats (seed oils), prioritizing the former.

9. Avoid Non-Essential Risky Fats

Avoid concentrated sources of linoleic acid (omega-6 fatty acid found in refined seed oils) in your diet, as it carries more risk than benefit and is not essential if consuming animal fats.

10. Be Honest About Alcohol Risks

Be honest with yourself about alcohol, understanding that it carries more risk than benefit, to avoid self-deception about its health effects.

11. Trial Alcohol Elimination (30 Days)

If you have mental health issues, explore your relationship with alcohol by removing it from your diet for 30 days to assess its impact on how you feel and your life.

12. Prioritize Whole Grains for Metabolism

If consuming grains, choose whole, intact grains (not refined) to protect metabolic health, as their fiber matrix slows carbohydrate digestion and reduces blood sugar spikes.

13. Include Legumes in Vegan Diet

If choosing a vegan diet, include legumes, especially carefully prepared ones, as they provide essential amino acids and protein.

14. Trial Grain/Legume Elimination

If you’ve made significant dietary changes and improved but are still struggling, consider a short trial period without whole grains and legumes to observe further health impacts.

15. Reteach Food Rules & Experiment

Reteach yourself what food rules actually work, understanding which foods to eat and avoid, then experiment with a new dietary approach for a few weeks (e.g., six weeks) to see how you feel and if it helps reduce or eliminate psychiatric medication.

16. Adopt Curiosity & Biological Sense

Adopt a curiosity mindset to experiment with and explore various dietary changes that make biological sense, to see how they personally affect you if you’re not feeling your best.

17. Regulate Appetite with Proper Diet

Eat in a way that naturally regulates your appetite, potentially leading to eating only two or three times a day without constant hunger, due to better appetite control.

18. Prioritize Healthy Food Spending

Change your diet to be healthier regardless of economic situation, as it can save money in the long run by knowing which healthy foods (e.g., inexpensive animal parts like chicken legs, pork shoulder, eggs) are worth buying and which unhealthy foods to avoid.

19. Seek Support for Ketogenic Diet

If considering a ketogenic diet, seek support because it is a powerful intervention that can rapidly change blood sugar, blood pressure, and medication levels.

20. Energize Brain Properly

Ensure the brain is energized properly with the right types of fuel, as this is crucial for its proper functioning.

21. Trust Body’s Natural Function

Trust your body and brain to work properly by giving them what they need and nothing more, allowing evolutionary biology to do the rest.

22. Prioritize Lifestyle Change

Prioritize making lifestyle changes, as they are always worth it because feeling better leads to living more.

23. Apply & Teach Key Learnings

Take one key learning from the conversation to apply to your own life and teach one thing to someone else, as teaching helps both retention and others’ learning.

If you want real, noticeable, meaningful change in your mental health, in your physical health, you have to make real, meaningful changes to your diet.

Dr. Georgia Ede

For most of us, in the modern-day food environment, what we cut out of our diet is more important than what we put in.

Dr. Rangan Chatterjee

We become essentially caramelized from the inside out.

Dr. Georgia Ede

The brain is not designed to burn long molecules because those will, you can still, you'll still get energy out of it, but you'll also get a lot more oxidative stress.

Dr. Georgia Ede

There's no reason on earth to think that red wine would be good for your health.

Dr. Georgia Ede

The only thing you will find in common with all of these healthier populations is they're not eating junk.

Dr. Georgia Ede

Psychiatric medications fail most people. They don't bring enough meaningful relief to enough people.

Dr. Georgia Ede

The information that we've been fed about nutrition for decades has been wrong. It doesn't work.

Dr. Georgia Ede

Dietary Experimentation for Mental Health Improvement

Dr. Georgia Ede
  1. Identify foods with more risk than benefit, such as refined carbohydrates, refined seed oils, alcohol, grains, and legumes.
  2. Remove chosen problematic foods from your diet for a trial period (e.g., 30 days, or 6-12 weeks for more comprehensive changes).
  3. Observe and assess how these changes personally affect your mood, energy, clarity of thinking, and overall well-being.
  4. Based on your individual response and priorities, decide whether to reintroduce, reduce, or completely eliminate these foods from your long-term diet.
25 years
Dr. Georgia Ede's clinical experience as a psychiatrist Including 12 years at Smith College and Harvard University Health Services.
2-3 hours
Medical school nutrition education Amount of nutrition education Dr. Ede received in four years of medical school.
Over 1 billion people
Global mental health diagnosis prevalence Worldwide have some type of mental health diagnosis.
3 to 6 times
Increase in linoleic acid in modern diets Compared to historical levels.
1 milligram
Resveratrol in one glass of Pinot Noir A very small amount compared to clinical trial doses.
500 bottles
Bottles of red wine needed for clinical trial resveratrol dose Amount needed to reach even the lowest doses of resveratrol used in clinical trials.
Above 90%
Adult population with metabolic dysfunction in Western countries Reported prevalence in countries like the US.
31
Number of patients in ketogenic diet study Most treatment-resistant patients with schizophrenia, bipolar disorder, or major depression.
10 years
Average duration of illness for study patients Some patients had been ill for as long as 30 years.
5
Average psychiatric medications taken by study patients at admission Not unusual for chronic mental illness.
28 of 31
Patients able to stay on ketogenic diet for 2+ weeks Needed to start seeing benefits.
43%
Patients achieving clinical remission in ketogenic diet study From their primary psychiatric diagnosis.
64%
Patients leaving hospital on less psychiatric medication After the ketogenic diet intervention.
A third
Patients adhering to ketogenic diet or similar post-hospital Opted to stay on a diet pretty close to what they'd been in the hospital.
Almost two thirds
Patients continuing with certain dietary changes post-hospital Did not go back to their previous eating habits.