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Ben Southwood: Welcome to the
Works in Progress podcast.

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My name is Ben Southwood.

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I'm one of the editors
at Works in Progress.

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I'm here with Aria Schrecker, another
one of the editors and Saloni Dattani,

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who's another one of the editors,
and also runs the podcast Hard Drugs.

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Today we're gonna talk about
some of the extremely long lived

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animals that exist out there.

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There are animals just out living
there like lobsters and axolotls

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and naked mole-rats that can live
or regenerate in surprising ways.

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And it might be possible for us as
humans to learn from these animals, learn

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their secrets, and also live longer,
but possibly, hopefully without having

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to be naked and bald, underground or
live with a heartbeat many times slower

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than our own in extremely cold water.

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Aria, what got you onto the
subject of longevous animals?

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Aria Schrecker: I want to live forever
that's the starting point here.

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And there are lots of people who are
spending lots of money on different

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research labs that are trying to
figure out, what is a secret to

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human longevity or aging, and can
we figure out a way to overcome it?

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And I think if you have some biological
knowledge, I have an A-level, but if you

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are trying to figure out, okay when you're
talking about all of these different

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hormones and chemicals and genes which
of these actually, what do they do in the

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real world and what can we - how could
they possibly be applied to human beings?

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I think the most intuitive way to get
a grip with that is to see okay, there

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are some animals with these adaptations.

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There are things that are actually
happening in nature and if we understand

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them, we know which of those things
might then apply in people as well.

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So that's the logical
reason for being interested.

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There's a fun reason, which is animals
are  cool, and I like to know fun

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facts about animals and this is another
reason to know fun facts about animals.

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Saloni Dattani: Do you have
a favorite long-lived animal?

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Or a fun fact about them?

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Aria Schrecker: I am particularly
compelled by naked mole-rats.

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I think naked mole-rats are maybe
the weirdest animal I've come across.

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So they're eusocial
mammals, which is strange.

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Saloni Dattani: What is eusociality?

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Aria Schrecker: So they're basically
creatures where each one has a

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really specialized role in its hive.

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So in ants you'll have the breeding
queen, and then you'll have the

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worker drones and all kinds of
that - have it with bees as well.

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And you do have it with naked mole-rats.

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So naked mole-rat colonies
usually have one breeding queen

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and usually three breeding males.

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And then all of the others they're
known as socially infertile as

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opposed to actually infertile, but
they don't reproduce at all and you

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get weird hive-bullying behaviors
where it'll be that more dominant

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females will encourage more submissive
females to do work by shoving them

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and also things that about them.

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Other interesting things about
naked mole-rats, they don't really

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regulate their temperature at all.

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They will at very high temperatures,
they will start to have other

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physiological normal things that
animals will do to cool themselves down.

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But at low temperatures, they don't warm
themselves up, except again, socially,

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they warm themselves up by huddling.

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They don't seem to have any of the other-

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Saloni Dattani: Does that mean their
body just works at any temperature

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or do they just happen to be in
environments that are stable?

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Aria Schrecker: They're largely
from very warm places in Africa,

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so it doesn't come up that much.

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But anything below 29 degrees Celsius,
they'll just keep getting colder

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and they'll keep getting colder, and
they'll just change the amount of

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activity they do in response to that.

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Saloni Dattani: Do they hibernate?

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Aria Schrecker: I don't know.

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I don't think so.

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I didn't read about them hibernating
on their Wikipedia page, so

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I'm going to gently say no.

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Ben Southwood: So they just
run at a lower clock speed when

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they're at a lower temperature.

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They just  speed up when there
was a higher temperature?

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Aria Schrecker: Yeah.

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It seems to be.

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Saloni Dattani: That's so fun!

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A sloth.

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Ben Southwood: So eusociality
means just very, very social.

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They basically put the interests
of the overall group ahead of

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their own personal interests.

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I see.

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Saloni Dattani: Got it.

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Aria Schrecker: Yeah, I feel eusocial
animals, the way I think of them

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anyway, is they're one step closer
to each animal as a cell and the

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entire hive or colony is the organism.

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Saloni Dattani: Right.

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Aria Schrecker: And I think they make
more sense if you think about that.

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Ben Southwood: In bees and ants,
that works because everyone

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is a clone of each other.

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They're effectively a clone.

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If you're

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a worker, you are basically a clone
of all the other workers and you've

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also only got one chromosome-

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Aria Schrecker: I know that there are
complicated genetic relationships there,

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because I know that sisters, though this
is maybe  a type of ant rather than a type

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of bee, but it's another type of eusocial
creature where the sisters are, because I

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think of their, they don't have complete
chromosomes are more related to each

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other than they are to their own children.

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Where they have only 50% of the
DNA, whether they're 75% each other.

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And so the best reproductive strategy
for them is to farm their mother

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for more siblings, through a selfish
gene way of thinking about this.

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Ben Southwood: And what I was building
to with that is do naked mole-rats

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also have the strange genetic
thing or are they more like us?

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Aria Schrecker: I don't think so.

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They're more like us.

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Saloni Dattani: Do they live long?

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Aria Schrecker: So

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they live weirdly long for a rodent.

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They're the longest lived

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rodents but it seems their environment
is actually quite dangerous.

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Saloni Dattani: What
eats a naked mole-rat?

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Aria Schrecker: Snakes mostly.

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Saloni Dattani: Oh, that's sad.

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Aria Schrecker: But in captivity I don't
think - in captivity, a naked mole-rat

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has never died of anything that is age.

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They just seem to keep
going and keep going.

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So I think the oldest one in
captivity is now in its forties,

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and everything seems okay.

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Saloni Dattani: I read a study that
contradicted the general trend even though

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it seems some of them live really long,
and I think the disagreement was basically

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that the people who studied how long
naked mole-rats live only looked at those

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that had already survived to a given age.

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Then after that they
didn't have that many.

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They were like let's look at naked
mole-rats who have lived to this

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age, or were born after that and
look at their mortality rates

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Aria Schrecker: in that sample.

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So the conventional opinion, I think,
is that naked mole-rats - for most

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creatures, each year that they live,
their odds of dying go up and they go up.

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So usually your safest age is
your first reproductive years.

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So I don't know, it varies so much
from animal to animal - like one, it

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would be about that for naked mole-rat.

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And then each year your risk of dying goes
up and up and up and up and up and up.

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So you have fewer and fewer older ones.

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But I think the conventional opinion
is for naked mole-rats, they're odds

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of dying are stable  over each year.

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You are saying that that is only
true for the naked mole-rats

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that made it to a certain age.

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Saloni Dattani: I'm saying that it's
not true, and that it seemed like

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it was true because people were only
looking at a very selected sample.

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Aria Schrecker: Okay.

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But it's not that the very selected
sample is just the older naked mole-rats?

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Saloni Dattani: Yeah.

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Ben Southwood: So naked mole-rats, we're
not sure if it's actually true that

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they live very long, but they might do.

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Saloni Dattani: But some of them do.

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Yeah.

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Ben Southwood: But some of them do, and
the potential to live very long is very

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interesting to us anyway, because it
might just be that we can just get those

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naked mole-rats and learn from them.

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I think we need to categorize the
kinds of different long lived animals

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because I think you've got quite a
lot of long lived animals that can

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go through, and I think there are
multiple different categories right?

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So naked mole-rats,
what category are they?

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Aria Schrecker: I think
they basically standalone.

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There is another eusocial rat that
I think has some of its features.

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Ben Southwood: Another
long-lived eusocial rat.

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Aria Schrecker: I'm not sure.

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Ben Southwood: Okay.

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Well, I'm thinking, of the long
lived creatures, some of which you're

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gonna tell us about, I imagine they
fall into categories of why they're

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long lived or maybe they're all long
lived for the same reason, but if

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they fall into categories, I would
love you to give us those categories.

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Aria Schrecker: So I think naked
mole-rats are probably a subset of

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what I'm gonna call the group that
we are part of which is highly social

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mammals with interesting cancer
adaptations and maybe slower metabolisms.

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But that's not necessarily the massive
part of the reason for their longevity.

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Ben Southwood: So we don't have a core
reason because I guess you're about

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to tell me that some animals live long
because they have a very slow metabolism.

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Aria Schrecker: Yes.

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I'm about to tell you that.

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That's a core category.

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Ben Southwood: And then you might tell
me another category is that others just

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don't get diseases for some reason.

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Aria Schrecker: That's not a category,
but it would be a nice category to exist.

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Ben Southwood: What are
the other categories?

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Aria Schrecker: Other, I'll
tell you the other categories.

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Okay.

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So category number one, this is probably
just one kind of creature, but it

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definitely is distinct from the others,
which is that it can go back to its

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embryonic stage and then respawn again.

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So that's it's a particular kind
of jellyfish, which I'm actually

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not gonna attempt the pronunciation
of because I've never looked it

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up it's a Latin word, you know?

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And so basically them, and I think maybe
one of their cousins that is slightly

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less common can, under extreme stress,
they can go back to their embryonic or

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polyp stage, which is very, very durable.

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And then it can wait out whatever the
whatever the problem is and come back.

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The problem is usually that the water's
really polluted, it's too hot, it's

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too cold, I think sometimes blunt force
trauma can also get it to do this.

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But also that can also kill
them because they're tiny.

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Saloni Dattani: Right,
that could go either way.

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Aria Schrecker: But yeah, and then
basically after that point they

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can then respawn again, so it's
unclear if they even have memories.

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They can respond to electric
shocks and maybe learn that those

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electric shocks are bad, but that
is even now a little bit suspect.

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So maybe that's longevity and maybe
it's just a system spinning up and down.

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There's another adaptation, which
lobsters are the core kind, but I think

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axolotls are also maybe sort of like
this, which is they seem to have really,

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really good regeneration properties,
and so with a lobster, you can cut off

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bits of a lobster and it'll regrow you
can definitely do that with axolotls.

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You can do that with some forms
of worm as well, lobsters are the

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only ones that then use that to
have really, really long lifespans.

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Lobsters are bizarrely long lived for
the kind of creature that they are.

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Saloni Dattani: How long do they live?

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Aria Schrecker: So the oldest known
lobsters are hundreds of years old.

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Over 200 years old, probably.

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Definitely late hundreds.

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Saloni Dattani: How do we know that?

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Do they have, I don't
know, markers or something?

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Aria Schrecker: That is
a really good question.

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Ben Southwood: We've
got a really good story.

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I've heard this one, Aria
told me this one before.

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We've got a really good story about how
we know the age of another creature.

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Saloni Dattani: I think
I've read that one.

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Ben Southwood: One.

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I'm not gonna spoiler that one,
but the lobster one I think we

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Saloni Dattani: I think we carbon
date them or something like that.

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Ben Southwood: And we've got a
good story about how the lobster,

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the oldest lived lobster died.

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Yes.

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Aria Schrecker: Yeah.

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The oldest lobster that we ever found.

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So basically, I wouldn't be surprised
if it literally is just lobsters

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grow and they never stop growing.

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They get bigger and bigger
and bigger over their lives.

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So you just find a really big one,
and then you can map roughly, which

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might be why some of the oldest living
is a little bit of a suspect number.

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00:11:08,839 --> 00:11:11,689
Because it's okay, we can map that
assuming that this didn't grow

225
00:11:11,709 --> 00:11:13,379
really, really quickly, it's this old.

226
00:11:13,409 --> 00:11:13,569
Saloni Dattani: Yep.

227
00:11:13,929 --> 00:11:16,780
Aria Schrecker: But yeah, so the
oldest lobster that we ever found was

228
00:11:16,780 --> 00:11:23,280
caught just by a shipping people and
it wound up in a lobster restaurant.

229
00:11:23,580 --> 00:11:25,110
And I guess the people at the
restaurant were like, this

230
00:11:25,110 --> 00:11:26,920
is a bizarrely large lobster.

231
00:11:27,160 --> 00:11:34,860
So they kept him on display as a mascot
but then PETA, the charity, PETA, did

232
00:11:34,860 --> 00:11:36,849
a campaign that was like you've gotta
release him, you've gotta release the

233
00:11:36,849 --> 00:11:38,389
oldest lobster back into the wild.

234
00:11:38,609 --> 00:11:41,920
And probably he was just released
into the wild starved to death

235
00:11:41,920 --> 00:11:46,540
because the problem with lobsters
is they don't die the normal way.

236
00:11:46,540 --> 00:11:49,250
They don't get more and more
diseases as they get older.

237
00:11:49,450 --> 00:11:53,440
They just at some point they need to
shed their shell and regrow it and

238
00:11:53,440 --> 00:11:56,690
the bigger they get, the harder it
is for them to eat enough calories

239
00:11:56,690 --> 00:11:58,260
in order to energetically do that.

240
00:11:58,560 --> 00:12:01,660
So when lobsters die of old age,
they starve to death basically.

241
00:12:01,660 --> 00:12:02,020
Saloni Dattani: That's really sad.

242
00:12:02,349 --> 00:12:03,700
Aria Schrecker: So he's probably
starved to death because

243
00:12:03,700 --> 00:12:05,050
this was 2006 or something.

244
00:12:05,655 --> 00:12:08,835
Ben Southwood: So we have; category
one is that we can turn ourselves

245
00:12:08,835 --> 00:12:12,745
back into an undifferentiated mass of
our stem cells, and then regenerate

246
00:12:12,745 --> 00:12:14,835
ourselves, maybe isn't that good.

247
00:12:15,155 --> 00:12:18,915
It would be quite cool, but you
would probably think of it as dying.

248
00:12:19,774 --> 00:12:21,885
Aria Schrecker: Well, that's a glimmer
of hope in there, in that if you

249
00:12:21,885 --> 00:12:23,644
can do that with individual tissues

250
00:12:24,154 --> 00:12:26,714
that is actually very helpful.

251
00:12:26,774 --> 00:12:26,954
Saloni Dattani: Yeah.

252
00:12:27,254 --> 00:12:30,375
Ben Southwood: Segment two
is regenerative abilities.

253
00:12:30,375 --> 00:12:33,635
So you can either regrow your arms,
or regrow a tissue or something.

254
00:12:33,635 --> 00:12:34,225
That's category one-

255
00:12:34,314 --> 00:12:35,004
Saloni Dattani: We can regrow our liver.

256
00:12:35,454 --> 00:12:35,724
Ben Southwood: There we go.

257
00:12:36,145 --> 00:12:39,235
So we've got a bit of that, we're like a
lizard, but not the tail, we got liver.

258
00:12:39,690 --> 00:12:41,784
Aria Schrecker: And the benefit
of that would also be if you can

259
00:12:42,365 --> 00:12:46,724
think about it in terms of your
cells,  your DNA is incredibly robust

260
00:12:46,724 --> 00:12:48,524
when you keep being able to do it.

261
00:12:48,534 --> 00:12:53,645
So usually as you age, you have more
and more complications in your DNA.

262
00:12:53,855 --> 00:12:57,254
Each time each cell is copying it
and makes some mistakes, lobsters

263
00:12:57,254 --> 00:12:58,264
don't seem to have those mistakes.

264
00:12:58,264 --> 00:13:02,185
So if we have that great cell regeneration
and everything is coming from fresh

265
00:13:02,405 --> 00:13:04,194
stem cells or blastocysts, I think.

266
00:13:05,240 --> 00:13:07,694
Ben Southwood: And we're not
growing inevitably anyway, so

267
00:13:07,694 --> 00:13:08,785
that's not a big problem for us.

268
00:13:08,785 --> 00:13:11,714
We're not gonna have an
issue with calories in there.

269
00:13:11,774 --> 00:13:11,984
Aria Schrecker: Yes.

270
00:13:12,155 --> 00:13:18,355
It's really obvious that if lobsters had
human's ability to control the world,

271
00:13:18,555 --> 00:13:20,165
they just would stop dying, right?

272
00:13:20,204 --> 00:13:22,710
Or we'd fight or we'd finally
find out another thing.

273
00:13:22,865 --> 00:13:25,260
Ben Southwood: Or if they had automatic
hormones that kicked in saying, you're

274
00:13:25,260 --> 00:13:26,760
adult now, you don't need to grow anymore.

275
00:13:26,760 --> 00:13:27,849
Which is what we have, right?

276
00:13:28,829 --> 00:13:35,369
So those category one polyp stage, go back
to stem cells, category two, regenerate.

277
00:13:35,790 --> 00:13:36,480
Category three?

278
00:13:36,560 --> 00:13:39,290
Aria Schrecker: Category three, and
this is a very, very big category.

279
00:13:39,800 --> 00:13:40,579
Most of the creatures that you've

280
00:13:42,599 --> 00:13:47,310
heard of that you hear have weirdly long
lifespans fit into this which is that they

281
00:13:47,310 --> 00:13:49,290
just have really, really slow metabolisms.

282
00:13:49,349 --> 00:13:50,209
They don't do anything.

283
00:13:51,470 --> 00:13:56,129
I think of them as creatures that have
basically the same life in total that

284
00:13:56,279 --> 00:14:00,000
you would expect a species of their
kind, but they just have it on slow.

285
00:14:00,270 --> 00:14:00,540
Saloni Dattani: Right.

286
00:14:00,670 --> 00:14:02,010
So they're on slow motion.

287
00:14:02,040 --> 00:14:02,400
Aria Schrecker: Yeah.

288
00:14:02,520 --> 00:14:02,710
Yeah.

289
00:14:02,730 --> 00:14:03,310
Basically.

290
00:14:04,029 --> 00:14:04,129
Saloni Dattani: Like a sloth?

291
00:14:04,759 --> 00:14:04,780
Aria Schrecker: Yeah.

292
00:14:04,939 --> 00:14:05,419
Like a sloth.

293
00:14:06,419 --> 00:14:06,979
Ben Southwood: You're a bit
preoccupied about sloths.

294
00:14:07,905 --> 00:14:09,680
Aria Schrecker: I actually,
I wish I knew how long sloths

295
00:14:09,680 --> 00:14:11,719
live for, but I have no idea.

296
00:14:11,770 --> 00:14:12,670
Saloni Dattani: Isn't that a risk?

297
00:14:12,670 --> 00:14:16,629
Because what if some other animal just,
I don't know, quickly killed them and

298
00:14:16,629 --> 00:14:18,220
they wouldn't be able to react fast?

299
00:14:18,430 --> 00:14:18,730
Aria Schrecker: Yeah.

300
00:14:18,730 --> 00:14:21,210
I think this probably is a
problem for creatures like this.

301
00:14:21,280 --> 00:14:22,540
Ben Southwood: They're
mostly quite big, right?

302
00:14:22,540 --> 00:14:23,839
Aria Schrecker: Yeah,
they're mostly quite big.

303
00:14:23,839 --> 00:14:29,550
So we're thinking the Greenland
shark, the Bowhead whale the

304
00:14:29,690 --> 00:14:34,079
Aldabra tortoise, and they're
basically the biggest of their kind.

305
00:14:34,099 --> 00:14:37,619
So I think it's interesting that the
Greenland shark and the bowhead whale

306
00:14:37,660 --> 00:14:41,349
both have this, the Greenland shark
lives for much longer, but it's quite

307
00:14:41,349 --> 00:14:42,789
a bit smaller because it's a shark.

308
00:14:43,029 --> 00:14:44,359
And then the bowhead whale is massive.

309
00:14:44,629 --> 00:14:46,390
It's 70 tons, I think.

310
00:14:46,839 --> 00:14:49,899
They eat one meal a year and
then they just sit in really,

311
00:14:49,899 --> 00:14:51,510
really, really cold water.

312
00:14:51,510 --> 00:14:53,079
They wait for their prey to come by them.

313
00:14:53,079 --> 00:14:53,980
They don't do anything.

314
00:14:54,069 --> 00:14:56,420
And the Greenland shark can
live for about 500 years-

315
00:14:57,139 --> 00:14:57,500
Saloni Dattani: That's crazy.

316
00:14:57,520 --> 00:14:59,580
Aria Schrecker: -doing this, and
probably it's the same number of

317
00:14:59,580 --> 00:15:02,815
meals that we do in that time,
which is  it's weird thought.

318
00:15:02,875 --> 00:15:03,485
Maybe fewer.

319
00:15:04,350 --> 00:15:06,660
Saloni Dattani: Wait, is this
the one that we have the story

320
00:15:06,660 --> 00:15:07,930
about how we know how old it is?

321
00:15:08,020 --> 00:15:08,260
Aria Schrecker: No.

322
00:15:08,260 --> 00:15:11,160
So the bowhead whale is the one where
we didn't realize they were super long

323
00:15:11,160 --> 00:15:15,190
lived, and then some people were, I
guess illegally trying to kill the

324
00:15:15,190 --> 00:15:19,200
whale and I guess they succeeded;
they were hunting it, they found it,

325
00:15:20,060 --> 00:15:21,540
again this is the early two thousands.

326
00:15:21,760 --> 00:15:26,350
And then they realize- they find a
Victorian harpoon is embedded into

327
00:15:26,350 --> 00:15:28,570
the whale or a little bit of it.

328
00:15:28,790 --> 00:15:33,760
And they realize that someone had tried
to kill it about a hundred years before.

329
00:15:33,940 --> 00:15:34,210
Saloni Dattani: Wow.

330
00:15:36,069 --> 00:15:39,450
Aria Schrecker: And they'd failed and
they were like 'Wow, this creature's been

331
00:15:39,450 --> 00:15:42,389
swimming around for ages.' And now we
think that they live for about 200 years.

332
00:15:42,700 --> 00:15:45,660
But we actually know, because
they live in the coldest oceans

333
00:15:45,720 --> 00:15:49,020
and quite deep, we actually know
surprisingly little about them.

334
00:15:49,170 --> 00:15:50,159
Ben Southwood: They're not
exactly moving around through

335
00:15:50,159 --> 00:15:51,390
our field of vision very often.

336
00:15:51,420 --> 00:15:51,839
Aria Schrecker: Yeah.

337
00:15:51,839 --> 00:15:52,500
Ben Southwood: You've gotta find them.

338
00:15:52,680 --> 00:15:55,980
Aria Schrecker: We don't know, for
example what their litter sizes are, there

339
00:15:55,980 --> 00:15:57,750
are really, really big ranges on this.

340
00:15:57,750 --> 00:16:00,089
That's the thing that for animals
that don't live at the bottom

341
00:16:00,089 --> 00:16:02,880
of the ocean we obviously just
immediately know this kind of thing.

342
00:16:03,160 --> 00:16:05,310
So we know yeah, we don't
know very much really.

343
00:16:05,310 --> 00:16:09,145
Ben Southwood: So categories one, two, and
three are; Undifferentiated polyp state,

344
00:16:09,494 --> 00:16:14,440
regenerate bits, and move very slowly and
live in the cold, and be large enough that

345
00:16:14,460 --> 00:16:15,870
people don't eat you during that time.

346
00:16:16,090 --> 00:16:17,050
Aria Schrecker: Yeah, basically.

347
00:16:17,190 --> 00:16:20,819
And clams, which are technically the
longest living creature, are in that

348
00:16:20,969 --> 00:16:24,810
category, they probably live for 500
years, but they literally do nothing,

349
00:16:24,810 --> 00:16:26,240
and vegans will sometimes eat them.

350
00:16:26,640 --> 00:16:26,910
Saloni Dattani: Okay.

351
00:16:27,815 --> 00:16:29,310
And are there any more categories?

352
00:16:29,310 --> 00:16:29,640
Is that it?

353
00:16:29,970 --> 00:16:32,140
Aria Schrecker: There's the final
category, which I think is a bit

354
00:16:32,140 --> 00:16:35,230
more complicated because it's
more- you can kind of imagine it

355
00:16:35,240 --> 00:16:36,810
is the ecological niche that it is.

356
00:16:36,860 --> 00:16:40,720
So this is the weird thing that we and
naked mole-rats share, and also elephants

357
00:16:40,740 --> 00:16:44,700
share, which is that we seem to be very,
very social creatures that are very

358
00:16:44,700 --> 00:16:48,040
helpful to others of our own species.

359
00:16:48,330 --> 00:16:49,190
And so therefore

360
00:16:51,520 --> 00:16:55,290
seem to live much longer than other
animals that are similar to us.

361
00:16:55,530 --> 00:17:00,329
So humans live much longer than
other apes and chimps and stuff.

362
00:17:00,630 --> 00:17:04,400
And apes and chimps also live much
longer than other categories of mammal.

363
00:17:05,100 --> 00:17:06,130
Elephants are like this.

364
00:17:06,420 --> 00:17:12,349
And it seems the ways in which we
biologically manage to do this are

365
00:17:12,790 --> 00:17:17,059
because it's convergent evolution of
longevity it's not exactly the same,

366
00:17:17,090 --> 00:17:22,020
but we have some genes that we call
that seem to protect us from cancer.

367
00:17:22,109 --> 00:17:22,349
Saloni Dattani: Right.

368
00:17:22,349 --> 00:17:25,200
Aria Schrecker: And we get unusually
little cancer for animals of our

369
00:17:25,200 --> 00:17:29,889
size but we have two of those genes,
elephants have 16 of those genes.

370
00:17:29,889 --> 00:17:31,330
Naked mole-rats have some of those genes.

371
00:17:31,590 --> 00:17:34,939
And actually some of the, obviously
these categories are fuzzy, some of

372
00:17:35,009 --> 00:17:38,230
the animals with very slow metabolisms
also have some of these genes as well.

373
00:17:39,330 --> 00:17:40,270
So it's things like that.

374
00:17:41,150 --> 00:17:47,100
And if you look actually over the entire
animal kingdom, having a bigger brain

375
00:17:47,100 --> 00:17:50,729
and having more neurons is pretty well
correlated with having a longer lifespan.

376
00:17:51,419 --> 00:17:55,819
I suspect because being a social
creature probably means that you adapt

377
00:17:55,829 --> 00:18:00,399
the bigger brain but also probably
means that you are better served

378
00:18:00,419 --> 00:18:04,490
by living longer, and learning from
other animals and that kind of thing.

379
00:18:04,490 --> 00:18:07,739
So the bigger brain is more useful only
if you have a social community and also

380
00:18:07,750 --> 00:18:10,949
a long lifespan in which to exploit that.

381
00:18:11,129 --> 00:18:13,649
So it's a complicated set of things
that all seem to go together.

382
00:18:14,179 --> 00:18:17,260
Saloni Dattani: This is a question
that I have, which is that, some

383
00:18:17,260 --> 00:18:20,070
of this longevity, especially
in humans, isn't that because

384
00:18:20,070 --> 00:18:23,639
we've made lots of innovations
that have helped us live longer?

385
00:18:24,030 --> 00:18:25,729
And I guess it's part of the
thing that you're describing.

386
00:18:25,779 --> 00:18:27,419
Aria Schrecker: You will know
far more about that than I do.

387
00:18:27,689 --> 00:18:31,779
I think It seems implausible to me
that it's only that on the basis that

388
00:18:31,939 --> 00:18:36,600
even if you look at our natural hunter
gatherer times, I still think we live a

389
00:18:36,690 --> 00:18:39,929
weird amount of time for how big we are.

390
00:18:41,209 --> 00:18:45,440
Creatures usually live longer the
bigger they are, and there are - tigers

391
00:18:45,440 --> 00:18:50,179
for example are the animal that I
think - tigers are bigger than us but

392
00:18:50,179 --> 00:18:54,360
they're not that much bigger than us,
and a tiger life expectancy is 25 years.

393
00:18:54,809 --> 00:18:58,980
And it seems once you'd made it
out of extreme childhood mortality,

394
00:18:59,159 --> 00:19:00,780
humans even as hunter gatherers were

395
00:19:03,149 --> 00:19:03,460
living longer than that.

396
00:19:03,725 --> 00:19:06,915
Ben Southwood: There's obviously a
distinction as well between, when we're

397
00:19:07,080 --> 00:19:10,845
talking about longevity, what actually
matters to us as people living in the

398
00:19:10,845 --> 00:19:13,534
world is how long am I likely to live?

399
00:19:13,715 --> 00:19:16,714
Which factors in a bunch
of social considerations.

400
00:19:16,714 --> 00:19:20,115
Like, if I live in a country with lots of
disease and poor healthcare institutions,

401
00:19:20,115 --> 00:19:22,814
I'm gonna live for a shorter period of
time, it doesn't really matter to me

402
00:19:22,964 --> 00:19:28,514
that theoretical maximum limit of human
lives is X. But when we're thinking about

403
00:19:28,514 --> 00:19:32,435
longevity, we're also often thinking
about how long can this animal live?

404
00:19:32,725 --> 00:19:38,024
And even if you're trying really hard,
I gather in captivity, you can't keep

405
00:19:38,024 --> 00:19:40,034
a tiger alive more than about 40 years.

406
00:19:40,034 --> 00:19:43,064
Something will get it, even if
you're trying really, really hard.

407
00:19:43,070 --> 00:19:47,935
Whereas with humans in captivity
you can keep 'em alive for

408
00:19:47,965 --> 00:19:49,784
80 years quite reliably.

409
00:19:49,784 --> 00:19:50,024
Saloni Dattani: Right.

410
00:19:50,175 --> 00:19:51,314
Ben Southwood: That's our maximum now.

411
00:19:51,584 --> 00:19:51,824
Yeah.

412
00:19:51,824 --> 00:19:52,245
90.

413
00:19:52,274 --> 00:19:56,175
Saloni Dattani: Well, in Hong Kong, the
life expectancy right now is 88 years.

414
00:19:56,294 --> 00:19:56,504
Ben Southwood: Fair point.

415
00:19:56,504 --> 00:20:00,405
Saloni Dattani: Pretty high,
but I guess I see these as, it's

416
00:20:00,405 --> 00:20:01,644
part of a distribution, right?

417
00:20:01,784 --> 00:20:06,615
People live different lengths of
their lives, some people live much

418
00:20:06,615 --> 00:20:11,085
longer than others and we've been
able to move the entire distribution.

419
00:20:11,535 --> 00:20:16,365
So on average, life expectancy has
risen, but also the people who live

420
00:20:16,365 --> 00:20:20,445
the longest are living longer than
before and I think there's pretty

421
00:20:20,445 --> 00:20:21,645
good evidence of both of those.

422
00:20:21,824 --> 00:20:25,264
Ben Southwood: Here's a question I have
then, because I don't know the answer

423
00:20:25,264 --> 00:20:30,585
to this, my impression could easily be
correct is that the actual longest ever

424
00:20:30,585 --> 00:20:34,974
life hasn't really gone up that much over
the last thousand years as far as we know.

425
00:20:35,135 --> 00:20:39,174
So they thought there were people who
had lived a hundred years, a thousand

426
00:20:39,174 --> 00:20:42,384
years ago and maybe they were wrong,
these were all lies, and then you could

427
00:20:42,384 --> 00:20:45,314
tell me, but they thought there were
some people who'd lived a hundred years

428
00:20:45,405 --> 00:20:47,055
and now we can get to a hundred years.

429
00:20:47,055 --> 00:20:49,755
Basically maybe we can get to 112 now?

430
00:20:49,855 --> 00:20:51,714
It's the actual verified
maximum or whatever?.

431
00:20:51,764 --> 00:20:55,905
Saloni Dattani: So I think that
it's hard to find the longest lived

432
00:20:55,905 --> 00:20:58,814
people, and that's quite hard to
do historically as well because

433
00:20:58,814 --> 00:21:00,314
they had poor records and stuff.

434
00:21:00,645 --> 00:21:05,054
But if you look at people who live over
a hundred years old, that fraction has

435
00:21:05,054 --> 00:21:09,195
increased over time, so there's pretty
good databases where they've actually

436
00:21:09,195 --> 00:21:11,175
verified when was this person born?

437
00:21:11,774 --> 00:21:12,425
When did they die?

438
00:21:12,425 --> 00:21:16,264
And that fraction has been increasing
over time and it's also, it's mostly

439
00:21:16,324 --> 00:21:21,735
women who live that long, which is
very similar to how women tend to have

440
00:21:21,735 --> 00:21:23,894
longer lifespans on average than men.

441
00:21:24,374 --> 00:21:29,175
But I think that makes me think
that it's just really rare to

442
00:21:29,175 --> 00:21:30,975
see people right at the extremes.

443
00:21:31,034 --> 00:21:33,584
And that means that it's hard
to tell if there's been a change

444
00:21:33,584 --> 00:21:36,225
over time, even though I would
guess that there probably is.

445
00:21:36,225 --> 00:21:38,895
If you can increase the number
of more than a hundred year old

446
00:21:38,895 --> 00:21:42,505
people, then you probably are also
increasing the longest lived people.

447
00:21:43,455 --> 00:21:48,435
Aria Schrecker: I have a question;
so I hear that people basically age

448
00:21:48,445 --> 00:21:54,135
bimodally and that one subset of
the population, basically by the

449
00:21:54,135 --> 00:21:57,055
time they're 60, they're starting to
accumulate lots and lots of different

450
00:21:57,065 --> 00:22:02,055
diseases, and they'll get diabetes or
whatever, they'll stack and they'll

451
00:22:02,055 --> 00:22:05,625
stack and they'll have several decades
of accumulating these problems until one

452
00:22:06,155 --> 00:22:07,450
of their problems eventually kills them.

453
00:22:07,999 --> 00:22:12,140
And that the other subset of people
basically live totally healthily until

454
00:22:12,140 --> 00:22:14,659
they're in their nineties and then
suddenly something will kill them.

455
00:22:14,929 --> 00:22:17,600
Is that accurate or is that
a massive oversimplification?

456
00:22:17,870 --> 00:22:19,470
Saloni Dattani: I haven't
heard, I would guess that these

457
00:22:19,470 --> 00:22:21,240
are just extremes of a range.

458
00:22:21,379 --> 00:22:26,179
Because one thing that you do see and
I think this maybe goes to the point of

459
00:22:26,399 --> 00:22:30,830
why this episode is even interesting,
is that when people live longer, they

460
00:22:30,830 --> 00:22:34,280
tend to live healthier, and people
who live longer tend to be healthier.

461
00:22:34,280 --> 00:22:36,110
They tend to get diseases later as well.

462
00:22:36,169 --> 00:22:37,100
Aria Schrecker: If you die at 90.

463
00:22:37,100 --> 00:22:42,050
Do you still spend 10 years before you
are 90 with loads of chronic problems?

464
00:22:42,409 --> 00:22:46,120
If you die at 60, do you also
spend about 10 years like that?

465
00:22:46,550 --> 00:22:48,919
Saloni Dattani: So you start
getting diseases later on.

466
00:22:48,925 --> 00:22:49,175
Aria Schrecker: Yeah.

467
00:22:49,175 --> 00:22:49,375
Okay.

468
00:22:49,399 --> 00:22:49,669
Saloni Dattani: Yeah.

469
00:22:49,669 --> 00:22:52,500
The total amount of time you spend
with a disease might be different.

470
00:22:53,229 --> 00:22:58,185
But the longest lived people, people
who live over a hundred years old,

471
00:22:58,485 --> 00:23:03,584
and there's this big study in Sweden,
I think that looks at this, they tend

472
00:23:03,584 --> 00:23:07,185
to have developed cancer much later
than other people who died earlier.

473
00:23:07,245 --> 00:23:11,420
Ben Southwood: So would you say then,
so I've heard lots of times, lots

474
00:23:11,420 --> 00:23:17,115
of people have made the case to me
that basically we're just dragging

475
00:23:17,145 --> 00:23:18,554
the end of people's lives out, right?

476
00:23:18,564 --> 00:23:24,675
So we hit the ability to get to 80
years for whatever reason at some

477
00:23:24,675 --> 00:23:29,995
point in the past, and then now we
just add on extra years of being ill.

478
00:23:30,425 --> 00:23:36,249
So health span doesn't go up much at all,
we just drag out people being demented

479
00:23:36,259 --> 00:23:39,780
and  having cancer in hospital, but
we just, we keep whacking the little

480
00:23:39,780 --> 00:23:41,310
moles to keep them just about alive.

481
00:23:41,310 --> 00:23:44,399
Saloni Dattani: I think this is the common
perception, and I think this is why people

482
00:23:44,399 --> 00:23:47,440
are skeptical of attempts to live longer.

483
00:23:47,470 --> 00:23:51,470
They just think I don't wanna live
longer because I'll just have more

484
00:23:51,470 --> 00:23:53,480
unhealthy years at the end of my life.

485
00:23:53,500 --> 00:23:54,850
But I don't think that's true.

486
00:23:55,080 --> 00:23:59,689
So I think that as I said, people who
live longer tend to live healthier lives.

487
00:24:00,219 --> 00:24:03,260
There are a few exceptions to that,
we haven't made that much progress

488
00:24:03,290 --> 00:24:05,250
on Alzheimer's disease for example.

489
00:24:05,490 --> 00:24:08,790
And that, you know, if you get at a
certain point, you're gonna live with that

490
00:24:08,790 --> 00:24:11,900
for how many ever last years you have.

491
00:24:12,240 --> 00:24:12,990
But that could change.

492
00:24:12,990 --> 00:24:16,440
We could get a new drug that actually
treats or prevents Alzheimer's and

493
00:24:16,440 --> 00:24:18,660
that would actually change the picture.

494
00:24:19,260 --> 00:24:23,620
Aria Schrecker: How much of the improving
lifespans is tackling childhood mortality?

495
00:24:23,639 --> 00:24:25,020
Diseases that people
get when they're young?

496
00:24:26,370 --> 00:24:28,334
Maybe it's actually really
difficult to decompose that.

497
00:24:28,434 --> 00:24:30,024
Saloni Dattani: No, it's actually not.

498
00:24:30,134 --> 00:24:35,405
So what you would look at is, you would
look at mortality rates across different

499
00:24:35,405 --> 00:24:39,794
age groups and how that has affected
the life expectancy metric that you get.

500
00:24:40,094 --> 00:24:45,584
So in the past, most gains in
life expectancy were because of

501
00:24:45,584 --> 00:24:47,024
reductions in child mortality.

502
00:24:47,294 --> 00:24:49,245
Child mortality used to be
really high in the past.

503
00:24:49,245 --> 00:24:56,475
So 200 years ago, it would be about 15%
of kids would in France or Western Europe

504
00:24:56,564 --> 00:24:59,674
would die in infancy, that's really high.

505
00:24:59,874 --> 00:25:00,164
And that makes up such a

506
00:25:04,025 --> 00:25:06,765
- if you think of the life
expectancy metric, it's

507
00:25:06,764 --> 00:25:09,495
basically a summary of your risks of dying

508
00:25:09,495 --> 00:25:10,604
Saloni Dattani: across your lifespan.

509
00:25:10,995 --> 00:25:16,184
And if your risks at infancy are so
high that massively reduces the average

510
00:25:16,184 --> 00:25:17,684
life expectancy that people have.

511
00:25:17,954 --> 00:25:20,954
And so if you're able to reduce
infant or child mortality, that

512
00:25:20,954 --> 00:25:22,485
makes a massive difference.

513
00:25:22,664 --> 00:25:25,034
And that has in the past
made a huge difference.

514
00:25:25,215 --> 00:25:29,024
But at a certain point, those rates
are already so low that reducing

515
00:25:29,024 --> 00:25:34,394
them doesn't get you very much, and
so from the 20th century onwards

516
00:25:34,664 --> 00:25:38,715
in Western European countries and
North America, most of the gains in

517
00:25:38,715 --> 00:25:42,644
life expectancy have actually been
improvements in middle age and old age.

518
00:25:42,975 --> 00:25:48,344
So we've actually made quite a lot
of improvement in reducing, let's

519
00:25:48,344 --> 00:25:54,374
say, cardiovascular disease, cancer
mortality, infectious diseases especially.

520
00:25:54,674 --> 00:25:58,935
And those things have actually made a big
difference since the mid 20th century.

521
00:25:59,639 --> 00:26:01,449
Aria Schrecker: No reason, you'd know
these numbers off the top of your

522
00:26:01,449 --> 00:26:06,329
head, but to get an intuitive model
if I made it to 18 and I made it to

523
00:26:06,329 --> 00:26:12,649
18 before the Industrial Revolution,
versus I made it to 18,  in the early

524
00:26:14,829 --> 00:26:15,289
20th century, right?

525
00:26:15,359 --> 00:26:20,379
How much longer, how much more likely
would I expect to get into proper old age?

526
00:26:20,699 --> 00:26:24,119
Saloni Dattani: I think the
gain is more than 10 years.

527
00:26:24,119 --> 00:26:30,149
So you would have, so if you look at 60
year olds, for example, 60 year olds in

528
00:26:30,149 --> 00:26:32,219
the early 20th century, I think had a

529
00:26:32,219 --> 00:26:35,339
life expectancy of another 10 years, now

530
00:26:35,339 --> 00:26:37,679
Saloni Dattani: they have a life
expectancy for another 20 years.

531
00:26:38,589 --> 00:26:44,909
I think it's much bigger than that at
if you're 18 but yeah, there are still

532
00:26:44,909 --> 00:26:46,589
big gains even after child mortality.

533
00:26:46,659 --> 00:26:51,189
Ben Southwood: So I think that there's
a divide between - when people think

534
00:26:51,199 --> 00:26:56,489
about aging, there's a divide between
people who think that maybe there is

535
00:26:56,489 --> 00:27:01,574
an underlying cause for everything,
and the only valuable thing we can

536
00:27:01,574 --> 00:27:03,304
do is tackle that underlying cause.

537
00:27:03,644 --> 00:27:05,984
That's because you might think
there's an underlying cause and it's

538
00:27:05,984 --> 00:27:07,014
still worth doing the other stuff.

539
00:27:07,444 --> 00:27:09,434
But the most valuable thing is
to tackle this underlying cause.

540
00:27:09,644 --> 00:27:12,974
And then other people who think that
there are just lots of different ways

541
00:27:12,974 --> 00:27:17,114
that your body becomes unhealthy,
decrepit, and dies, and if we can

542
00:27:17,114 --> 00:27:20,934
just tackle them individually,
we can have big benefits as well.

543
00:27:20,984 --> 00:27:22,214
Would you say you're in the second camp?

544
00:27:23,204 --> 00:27:26,564
Saloni Dattani: I would say so far, most
of the gains have come from the second.

545
00:27:26,924 --> 00:27:30,944
I don't know if the first could also
be true, maybe there is some secret

546
00:27:31,859 --> 00:27:35,189
thing that if we unlock, we can live
forever or we can live much longer.

547
00:27:35,489 --> 00:27:38,249
And I can imagine that there are certain
things that would help with that.

548
00:27:38,249 --> 00:27:41,879
So improving our DNA repair
mechanisms, or reducing our

549
00:27:41,879 --> 00:27:43,349
metabolism or something like that.

550
00:27:44,029 --> 00:27:48,289
I could see that having very broad
effects, but I don't think we've found

551
00:27:48,299 --> 00:27:52,799
that and I also think there's still a lot
you could gain from just using the second

552
00:27:52,799 --> 00:27:54,599
method of just whacking all the moles.

553
00:27:54,899 --> 00:27:55,874
What about you, Aria?

554
00:27:56,459 --> 00:27:57,029
Do you have..?

555
00:27:57,149 --> 00:27:59,129
Aria Schrecker: Oh, I'm a total
centrist on this issue actually.

556
00:28:00,029 --> 00:28:06,329
I think there will probably be
some massive gain that we can get

557
00:28:06,329 --> 00:28:09,809
from one of the things that you can
hint at with longevity research.

558
00:28:09,969 --> 00:28:12,989
Maybe cellular reprogramming or
DNA repair or something like that.

559
00:28:13,229 --> 00:28:17,389
And you'll get a lot of gains on lots of
things, but there'll be some, a handful

560
00:28:17,389 --> 00:28:19,499
of systems that are still held back.

561
00:28:19,710 --> 00:28:22,664
So I suspect we did that,
but our skin would still age

562
00:28:22,824 --> 00:28:23,674
a whole bunch or something.

563
00:28:23,684 --> 00:28:26,804
Or our skin would age slightly more slowly
because part of it's caused by the DNA

564
00:28:26,804 --> 00:28:29,975
repair, but some of it is just caused by
being subjected to light or something.

565
00:28:30,545 --> 00:28:32,794
So I suspect there's a little bit of both.

566
00:28:33,124 --> 00:28:38,864
The thing that I think, I wonder if I
could imagine being a  problem is we

567
00:28:38,864 --> 00:28:42,104
can do loads and loads of stuff for
our bodies, and lots of our brain is

568
00:28:42,274 --> 00:28:45,935
our body and stuff like that, but there
is maybe a RAM problem that we hit up

569
00:28:45,935 --> 00:28:49,535
that becomes a weird, we didn't know
that this would come up kind of issue.

570
00:28:49,655 --> 00:28:50,475
Saloni Dattani: Wait, what do you mean?

571
00:28:50,485 --> 00:28:52,994
So if you could increase
the RAM in your brain?

572
00:28:53,044 --> 00:28:55,544
Aria Schrecker: Yeah, I don't
really know how the brain works,

573
00:28:55,544 --> 00:28:58,634
but I imagine the brain works a bit
like a computer and at some point

574
00:28:58,634 --> 00:29:00,734
you just run out of memory storage space

575
00:29:00,734 --> 00:29:01,184
Aria Schrecker: or something.

576
00:29:02,234 --> 00:29:04,274
Ben Southwood: I think that my
memory's already going in the early

577
00:29:04,274 --> 00:29:06,094
ones to make space for the new ones.

578
00:29:06,669 --> 00:29:07,584
Aria Schrecker: I mean,
that must be how it works.

579
00:29:07,584 --> 00:29:08,049
Ben Southwood: I'm not worried about that.

580
00:29:08,099 --> 00:29:09,239
Aria Schrecker: That must
be how it works a bit.

581
00:29:09,299 --> 00:29:13,739
Even if you were just a simple algorithm
that worked sensibly, it would obviously

582
00:29:14,009 --> 00:29:15,439
be that you can withdraw the stuff.

583
00:29:15,520 --> 00:29:16,690
It's why Anki decks work, right?

584
00:29:17,030 --> 00:29:21,300
You withdraw the stuff that you
use repeatedly and that you know,

585
00:29:21,300 --> 00:29:22,939
that you use more recently, right?

586
00:29:23,079 --> 00:29:25,199
That is how you would program
it if we were a computer.

587
00:29:25,779 --> 00:29:29,759
Ben Southwood: So you said maybe
our skin would continue aging.

588
00:29:29,919 --> 00:29:32,699
But it seems to me one of the areas where

589
00:29:32,699 --> 00:29:35,489
Ben Southwood: we have made the
most progress on aging, especially

590
00:29:35,489 --> 00:29:39,269
in recent years, and especially if
you look at the extreme cases, so

591
00:29:39,599 --> 00:29:44,359
celebrities and rich people, it seems
that we've made incredible progress.

592
00:29:44,660 --> 00:29:50,399
Normal people, well, people on the
internet, people like me will see pictures

593
00:29:50,399 --> 00:29:53,754
every day of 'This is what a 20-year-old
looked like in the 1980s.' They look

594
00:29:54,464 --> 00:29:56,494
like a 50-year-old, and it's crazy

595
00:29:57,054 --> 00:29:59,144
and so it seems to me,
that might not be one

596
00:29:59,144 --> 00:30:03,764
Ben Southwood: of the areas where
we're - people's hair and skin seem

597
00:30:03,764 --> 00:30:07,854
to be an area they care about a
lot and maybe they are tackle-able.

598
00:30:07,874 --> 00:30:11,894
One way of looking at things is we're
all doomed to aging and death unless

599
00:30:11,894 --> 00:30:13,094
we can find the secret formula.

600
00:30:13,214 --> 00:30:16,154
Another way of looking at things is
we've tackled hair and skin, we've

601
00:30:16,154 --> 00:30:17,674
tackled all the diseases that we know.

602
00:30:17,784 --> 00:30:19,634
Each year we are coming up with
new ways to tackle disease.

603
00:30:19,784 --> 00:30:20,634
But what else is there?

604
00:30:20,674 --> 00:30:23,455
We all our organs are still
working individually sorted.

605
00:30:23,455 --> 00:30:27,224
All our problems, our list of
problems that are caused by aging

606
00:30:27,554 --> 00:30:28,634
are just a list of problems.

607
00:30:28,634 --> 00:30:30,934
And if you can tackle all of them in
principle, then you've kind of got the...

608
00:30:32,054 --> 00:30:35,985
Saloni Dattani: I think this is
there's this key, or the disagreement

609
00:30:35,995 --> 00:30:40,994
is something about just how much
risk we accumulate with age.

610
00:30:40,994 --> 00:30:47,864
So for most organisms as you age, you have
an exponentially increasing risk of death.

611
00:30:48,659 --> 00:30:53,429
I think the question with longevity
is, is there a way to prevent that

612
00:30:53,429 --> 00:30:54,643
from rising at all?

613
00:30:54,643 --> 00:30:56,159
What we've seen so far

614
00:30:56,159 --> 00:31:00,259
Saloni Dattani: is that it still
rises, but starts out at a lower level.

615
00:31:00,479 --> 00:31:02,899
So at each age you're
kind of delaying death.

616
00:31:03,389 --> 00:31:05,589
But is there a way to just
prevent death entirely?

617
00:31:05,589 --> 00:31:08,939
And I think that's what people
who believe this first idea, that

618
00:31:08,939 --> 00:31:10,259
there's some secret, would say.

619
00:31:11,759 --> 00:31:17,229
Ben Southwood: I think an area that would
be interesting to think about is that yes,

620
00:31:17,249 --> 00:31:20,789
most of the stuff we've done on longevity
is this second type we're talking about,

621
00:31:20,789 --> 00:31:22,589
which is tackling specific problems.

622
00:31:22,679 --> 00:31:22,859
Saloni Dattani: Right.

623
00:31:22,919 --> 00:31:25,979
Ben Southwood: Making it much less likely
that you'll die of cancer, heart disease.

624
00:31:26,079 --> 00:31:26,199
It's crazy how if

625
00:31:28,439 --> 00:31:33,449
you watch any film, read any book, talk
to your family of people who were men

626
00:31:33,449 --> 00:31:37,489
in their fifties in the 1960s and 1970s,
they just died all the time, randomly,

627
00:31:37,649 --> 00:31:40,379
they'd be in the peak of life and
just suddenly die from a heart attack.

628
00:31:40,419 --> 00:31:41,414
Saloni Dattani: They didn't have AEDs
(Automated External Defibrillators) back

629
00:31:41,414 --> 00:31:43,799
then, they had just barely invented CPR.

630
00:31:43,919 --> 00:31:44,219
Ben Southwood: Yeah.

631
00:31:44,219 --> 00:31:46,589
They were just constantly
dying of heart attacks.

632
00:31:46,649 --> 00:31:46,739
Saloni Dattani: Right.

633
00:31:46,929 --> 00:31:48,669
Ben Southwood: And now that
just doesn't seem to happen.

634
00:31:48,749 --> 00:31:52,499
You would think it was really surprising
and horrifying if a man in their

635
00:31:52,499 --> 00:31:54,389
fifties or sixties was killed with

636
00:31:54,629 --> 00:31:56,309
a heart attack in a
normally healthy person

637
00:31:56,309 --> 00:31:57,269
Ben Southwood: without comorbidities.

638
00:31:57,899 --> 00:32:04,499
But there are some tidbits, some
tidbits towards these animal solutions,

639
00:32:04,589 --> 00:32:07,009
these deeper potential solutions.

640
00:32:07,049 --> 00:32:12,089
And if you follow academic research,
you'll see there are findings of

641
00:32:12,319 --> 00:32:17,504
everything all the time; ranging from
green tea to any compound that exists,

642
00:32:18,214 --> 00:32:19,474
finding that they increase longevity.

643
00:32:19,714 --> 00:32:27,404
But followers of the replication crisis
will know that a lot of this stuff is

644
00:32:27,404 --> 00:32:32,234
basically just dubious, and they didn't
pre-register their findings, they

645
00:32:32,314 --> 00:32:34,064
p-hacked a result, blah, blah, blah, blah.

646
00:32:34,584 --> 00:32:40,284
But there is an interesting set of
studies where they are using normal

647
00:32:40,284 --> 00:32:44,534
mice, doing pre-registered studies
and then just going through all of the

648
00:32:44,534 --> 00:32:48,224
standard compounds that people think
might extend life and trying them.

649
00:32:48,224 --> 00:32:50,074
And by the way, green tea, no result.

650
00:32:50,124 --> 00:32:55,534
No effect in their randomized control
trial on mice, but my reading is

651
00:32:55,534 --> 00:32:57,374
that they have found four compounds.

652
00:32:57,404 --> 00:32:58,835
Aspirin also did not extend life.

653
00:32:59,755 --> 00:33:01,334
Four compounds that extend life in mice.

654
00:33:01,334 --> 00:33:03,804
Obviously we're not mice, but
we're enough close to mice that

655
00:33:04,904 --> 00:33:05,734
maybe they have some effects.

656
00:33:05,734 --> 00:33:08,080
So I'd like to talk about these
four compounds, also because

657
00:33:08,080 --> 00:33:09,029
I can't remember all of them.

658
00:33:09,509 --> 00:33:11,369
Saloni Dattani: Well, just to give
the name of the thing that you

659
00:33:11,369 --> 00:33:16,649
mentioned, it's the US's National
Institute of Aging's program called

660
00:33:16,649 --> 00:33:18,309
the Interventions Testing Program,

661
00:33:20,909 --> 00:33:21,149
ITP.

662
00:33:21,149 --> 00:33:24,029
And they get a bunch of different
labs in different countries or

663
00:33:24,329 --> 00:33:27,459
different places to run the same tests.

664
00:33:27,469 --> 00:33:30,869
So they're testing the same compound,
different types of mice, different

665
00:33:30,869 --> 00:33:35,230
labs, and they see if there are
replicable results and I think

666
00:33:35,230 --> 00:33:40,859
there were four, I only remember
two - rapamycin, and acarbose, I think.

667
00:33:40,859 --> 00:33:41,849
And there's something else.

668
00:33:41,849 --> 00:33:44,069
I think maybe Metformin?

669
00:33:44,069 --> 00:33:46,620
Ben Southwood: And then also
one of the flozins, I think.

670
00:33:47,010 --> 00:33:47,650
Saloni Dattani: Oh yeah.

671
00:33:47,699 --> 00:33:48,219
Ben Southwood: Extended life as well.

672
00:33:48,299 --> 00:33:50,790
Saloni Dattani: One of
the SGLT2 inhibitors.

673
00:33:50,879 --> 00:33:53,219
Yeah, we had a piece on SGLT2 inhibitors.

674
00:33:53,219 --> 00:33:54,239
Ben Southwood: That's the
reason I know about it.

675
00:33:55,434 --> 00:33:58,829
Saloni Dattani: It was initially a
kidney disease drug or maybe a diabetes-

676
00:33:58,829 --> 00:34:02,149
Ben Southwood: No no diabetes
first, and then it got the kidney-

677
00:34:02,149 --> 00:34:04,569
and then it got a heart disease
and the kidney disease indication.

678
00:34:04,984 --> 00:34:10,819
Saloni Dattani: Basically it removes
excess blood sugar and something else from

679
00:34:10,819 --> 00:34:16,649
your urine, from your blood, and it means
that you excrete more in your urine salt.

680
00:34:16,649 --> 00:34:16,920
Yes.

681
00:34:17,040 --> 00:34:21,839
Ben Southwood: So SGLT2 reuptakes
sugar from your urine so that you don't

682
00:34:21,839 --> 00:34:24,519
waste calories by urinating them away.

683
00:34:25,559 --> 00:34:27,659
And SGLT2 inhibitors
stop you from doing that.

684
00:34:27,689 --> 00:34:27,839
Saloni Dattani: Right.

685
00:34:28,589 --> 00:34:32,299
So you excrete more, that reduces
blood pressure, reduces the pressure

686
00:34:32,299 --> 00:34:34,539
on your kidneys and heart and that

687
00:34:34,674 --> 00:34:36,239
- 
Ben Southwood: And reduces
blood sugar so that you don't

688
00:34:36,540 --> 00:34:37,769
take as many diabetic problems.

689
00:34:37,769 --> 00:34:42,080
It's a, turns out that reducing
your blood sugar has a - and it also

690
00:34:42,080 --> 00:34:43,889
extends life by about 10% in mice.

691
00:34:44,559 --> 00:34:44,779
Saloni Dattani: Right.

692
00:34:45,960 --> 00:34:47,489
Ben Southwood: On the
one hand, that's great.

693
00:34:47,909 --> 00:34:52,290
That's amazing; imagine we could extend
all of our lives by 10% on a drug that is

694
00:34:52,290 --> 00:34:56,540
quite simple and easy to make and will be
out of patent in 10 years or something.

695
00:34:57,029 --> 00:35:03,439
On the other hand, it'll be quite
disappointing if 10% is the max we can

696
00:35:03,439 --> 00:35:05,109
get out of these metabolic improvements.

697
00:35:05,290 --> 00:35:06,899
Maybe if you stack the
other metabolic drugs.

698
00:35:06,899 --> 00:35:08,849
So acarbose, the other
one you mentioned, right?

699
00:35:09,330 --> 00:35:12,959
It stops you from digesting
carbohydrates, but you don't make amylase.

700
00:35:12,999 --> 00:35:18,409
Amylase is what digests most
carbohydrates, it effectively turns

701
00:35:18,469 --> 00:35:20,740
every carbohydrate you eat into a fiber.

702
00:35:21,770 --> 00:35:25,200
So, if you are eating
200 grams of rice every

703
00:35:25,200 --> 00:35:27,200
day, you're getting 200 grams of fiber,

704
00:35:27,240 --> 00:35:31,020
Ben Southwood: five times the really
high targets that people are going for.

705
00:35:31,319 --> 00:35:34,740
So one third of people withdraw
from the drug for gastrointestinal

706
00:35:34,740 --> 00:35:35,549
reasons straight away.

707
00:35:35,680 --> 00:35:35,980
Saloni Dattani: Okay.

708
00:35:36,089 --> 00:35:40,839
Ben Southwood: And the other two thirds
I suspect either develop machine-like

709
00:35:40,870 --> 00:35:44,979
gut bacteria systems that can churn
through so much fiber so that it

710
00:35:44,979 --> 00:35:46,629
doesn't become really troubling.

711
00:35:46,639 --> 00:35:47,069
It'll be that.

712
00:35:47,490 --> 00:35:51,790
Or they just stop eating carbs
altogether because you don't get any

713
00:35:51,790 --> 00:35:53,790
gastrointestinal symptoms if you do it.

714
00:35:53,820 --> 00:35:53,910
Saloni Dattani: Right.

715
00:35:53,910 --> 00:35:56,100
And they might live
longer for that reason.

716
00:35:56,280 --> 00:35:56,580
Ben Southwood: Exactly.

717
00:35:56,700 --> 00:35:59,940
So I suspect that what this is finding,
the fact that all of these things go in

718
00:35:59,940 --> 00:36:03,999
the same direction, is that there is a
metabolic effect, we know that animals

719
00:36:04,379 --> 00:36:08,370
live longer with, when they have slow
metabolisms, we know that humans live

720
00:36:08,370 --> 00:36:12,290
longer or we have reasonable evidence that
humans and other species will live longer

721
00:36:12,290 --> 00:36:15,480
if you control the calories and then if
you give them drugs that mimic controlling

722
00:36:15,480 --> 00:36:17,040
calories, they also live a bit longer.

723
00:36:17,240 --> 00:36:19,890
So maybe we can get 10
to 20% out of these.

724
00:36:20,010 --> 00:36:24,570
And the upside version of the drugs
would be, I can take a drug but

725
00:36:24,570 --> 00:36:25,870
still eat all the food I like eating.

726
00:36:27,540 --> 00:36:29,735
Aria Schrecker: There's another clue
on this as well, which is there's a

727
00:36:29,735 --> 00:36:34,440
big study of Ashkenazi Jewish people
who lived to over the age of a hundred,

728
00:36:34,730 --> 00:36:41,749
and they found that a lot of them had
a gene that imitated some diabetes

729
00:36:42,249 --> 00:36:46,254
outcomes as well, basically controlling
their - they were just better at

730
00:36:46,254 --> 00:36:48,984
controlling their blood sugar and insulin.

731
00:36:49,814 --> 00:36:52,245
Saloni Dattani: Well also
GLP-1 agonists, right?

732
00:36:52,334 --> 00:36:52,354
Yeah.

733
00:36:52,725 --> 00:36:57,560
a lot of these are about some  weight loss
or some  diabetes you know, reduction.

734
00:36:58,299 --> 00:36:59,769
And so that seems like.

735
00:37:00,479 --> 00:37:03,855
It also just  gets to the point where
some of the interventions that you

736
00:37:03,855 --> 00:37:07,605
could have in your life to live longer
are fairly simple things that people

737
00:37:07,605 --> 00:37:11,024
have recommended for ages and ages,
which are exercise, lose weight.

738
00:37:11,634 --> 00:37:13,490
Ben Southwood: It's so distressing when
you discover those things are true..

739
00:37:14,029 --> 00:37:15,690
You're oh, damn, there
aren't any secret methods.

740
00:37:15,810 --> 00:37:17,145
I just have to do all the boring stuff.

741
00:37:17,535 --> 00:37:19,665
But, and if you're already doing it,
then it's particularly distressing.

742
00:37:19,815 --> 00:37:20,865
You can't improve things anymore.

743
00:37:20,895 --> 00:37:21,105
Saloni Dattani: Yeah.

744
00:37:21,270 --> 00:37:25,495
Aria Schrecker: And I think there's
a study in, I think it's chimps which

745
00:37:25,565 --> 00:37:32,384
shows that if you are already calorically
restricting the chimps, then the

746
00:37:32,384 --> 00:37:34,975
extra, I think it's
one of the big diabetes

747
00:37:34,975 --> 00:37:35,245
Aria Schrecker: drugs.

748
00:37:35,595 --> 00:37:37,119
It doesn't really increase
their lifespan at all.

749
00:37:37,279 --> 00:37:39,585
So we're just hitting the same thing.

750
00:37:39,585 --> 00:37:39,765
Saloni Dattani: Yeah.

751
00:37:40,014 --> 00:37:44,624
I would guess that you can't completely
just add them all up, you can't stack

752
00:37:44,624 --> 00:37:47,595
them all up because some of them will
just tackle the same pathways and once

753
00:37:47,595 --> 00:37:49,274
you've reduced that risk, it's gone.

754
00:37:49,274 --> 00:37:50,625
You don't need to worry
about that anymore.

755
00:37:50,835 --> 00:37:51,075
Ben Southwood: But.

756
00:37:51,779 --> 00:37:54,209
We mentioned three drugs, all of
which tackled the one pathway.

757
00:37:54,310 --> 00:37:54,430
Saloni Dattani: Yep.

758
00:37:54,540 --> 00:37:55,799
Ben Southwood: But we've
got one other drug here.

759
00:37:56,069 --> 00:37:56,819
Tell us about rapamycin.

760
00:37:56,819 --> 00:38:00,240
Saloni Dattani: I don't know that much,
but I know that it somehow is involved in

761
00:38:00,240 --> 00:38:02,489
DNA cell repair or something like that.

762
00:38:02,539 --> 00:38:05,390
Aria Schrecker: Yeah, so
basically it tackles a part of

763
00:38:05,459 --> 00:38:06,609
your body that, as far as I can

764
00:38:06,609 --> 00:38:10,379
tell the acronym, it's mTOR, but the
acronym is just target of rapamycin.

765
00:38:10,379 --> 00:38:12,290
Ben Southwood: Mechanistic
target of rapamycin.

766
00:38:12,579 --> 00:38:13,979
It's oh, what does rapamycin do?

767
00:38:14,160 --> 00:38:16,520
Well, it targets the
mechanistic target of rapamycin.

768
00:38:16,689 --> 00:38:18,120
It goes the mTOR pathway.

769
00:38:18,819 --> 00:38:19,120
Aria Schrecker: Yeah.

770
00:38:19,330 --> 00:38:26,185
And that seems to be involved with
signaling about cell growth, and so

771
00:38:26,265 --> 00:38:29,440
rapamycin the drug - this is why I'm
starting to get confused, because it

772
00:38:29,440 --> 00:38:36,029
seems there is some link between some
of the different categories of animal

773
00:38:36,029 --> 00:38:40,360
that I've described that rapamycin
kind of sits in the middle of.

774
00:38:40,370 --> 00:38:43,680
So it's a drug that deals with
immunity and deals with cell repair.

775
00:38:43,680 --> 00:38:47,410
So if you take rapamycin, your
wounds don't heal very well.

776
00:38:47,669 --> 00:38:51,319
And in large amounts, it's an
immunosuppressant in people, and

777
00:38:51,599 --> 00:38:52,680
that's why we give it to people.

778
00:38:52,890 --> 00:38:55,979
But in small amounts, it seems
to make your immune system

779
00:38:55,979 --> 00:38:57,450
work better, especially in

780
00:38:57,450 --> 00:39:01,100
older people, and is somehow also related

781
00:39:01,100 --> 00:39:01,910
Aria Schrecker: to your metabolism.

782
00:39:02,160 --> 00:39:03,689
And that's clearly basically we're just

783
00:39:03,689 --> 00:39:05,339
getting to the limit of
how I understand that

784
00:39:05,339 --> 00:39:07,229
Aria Schrecker: cells work but it

785
00:39:07,229 --> 00:39:09,509
seems there is some relationship between

786
00:39:09,509 --> 00:39:11,620
Aria Schrecker: cell
repair and your metabolism

787
00:39:13,730 --> 00:39:15,419
that exists, which is why it may not be-

788
00:39:15,419 --> 00:39:17,835
Ben Southwood: May also turn off too
much growth is what you were suggesting.

789
00:39:18,105 --> 00:39:19,115
Aria Schrecker: And it
may also turn off growth.

790
00:39:19,525 --> 00:39:22,154
Basically if you grow very quickly,
you probably won't live very

791
00:39:22,154 --> 00:39:24,255
long, that seems to be
a general rule across

792
00:39:24,255 --> 00:39:25,005
Aria Schrecker: the animal kingdom.

793
00:39:25,005 --> 00:39:28,215
And also actually within humans
if you take growth hormone, it'll

794
00:39:28,215 --> 00:39:29,295
probably also decrease your lifespan.

795
00:39:29,355 --> 00:39:30,645
Saloni Dattani: Does that
mean short people are-?

796
00:39:31,664 --> 00:39:32,354
Aria Schrecker: Short people live longer!

797
00:39:32,484 --> 00:39:33,555
Short people do live longer.

798
00:39:34,144 --> 00:39:34,345
Saloni Dattani: I didn't know.

799
00:39:34,575 --> 00:39:38,085
I would've guessed that it's the
opposite because people who are

800
00:39:38,085 --> 00:39:39,825
taller tend to have better nutrition.

801
00:39:39,855 --> 00:39:42,395
Aria Schrecker: So I suspect
that in the modern west, if

802
00:39:42,395 --> 00:39:45,165
everyone is well nourished, then
smaller people do live longer.

803
00:39:46,215 --> 00:39:47,865
Saloni Dattani: So I'm gonna live longer?

804
00:39:47,935 --> 00:39:48,525
Aria Schrecker: Yeah, probably.

805
00:39:48,865 --> 00:39:49,275
Saloni Dattani: Okay, that's good.

806
00:39:49,275 --> 00:39:53,175
Aria Schrecker: And smaller dog
breeds also live longer than big

807
00:39:53,175 --> 00:39:54,209
dogs as well, which is interesting.

808
00:39:54,760 --> 00:39:57,134
Ben Southwood: That's definitely
observable if you know dogs.

809
00:39:57,195 --> 00:39:57,465
Aria Schrecker: Yeah.

810
00:39:57,774 --> 00:39:58,764
Saloni Dattani: That reminds me.

811
00:39:58,814 --> 00:40:03,045
I actually read this study
about how domestic pets are

812
00:40:03,045 --> 00:40:04,435
living longer than in the past.

813
00:40:04,784 --> 00:40:11,055
So there's this data set of millions
of domestic dogs and cats in the US,

814
00:40:11,414 --> 00:40:14,714
and over the last 10 years, they've
gained one year of life expectancy.

815
00:40:14,805 --> 00:40:15,194
Ben Southwood: Wow.

816
00:40:15,825 --> 00:40:16,065
Aria Schrecker: Why?

817
00:40:17,075 --> 00:40:17,865
Better nutrition?

818
00:40:18,254 --> 00:40:20,355
Saloni Dattani: I would guess
better healthcare, better medicine.

819
00:40:20,384 --> 00:40:23,234
Ben Southwood: If I had to guess, I
would've thought that it was just that

820
00:40:23,424 --> 00:40:26,955
Americans have got much richer  and
they're spending a lot more money on

821
00:40:26,955 --> 00:40:31,694
keeping their dogs alive when they're
reaching the end of their lives.

822
00:40:31,754 --> 00:40:35,385
Because usually we're a bit
more utilitarian about pets

823
00:40:35,385 --> 00:40:36,705
than we are about other humans.

824
00:40:36,794 --> 00:40:36,915
Saloni Dattani: Right.

825
00:40:37,035 --> 00:40:40,544
Ben Southwood: And we decide is
it worth $10,000 for an extra

826
00:40:40,544 --> 00:40:41,805
couple of years of dog life?

827
00:40:41,895 --> 00:40:45,975
I could get another dog and people,
when they have enough money, they

828
00:40:45,975 --> 00:40:48,435
have the choice, the freedom to say,
you know what, no, I want my dog.

829
00:40:48,435 --> 00:40:49,065
This is my dog.

830
00:40:49,065 --> 00:40:50,024
I love this particular dog.

831
00:40:50,384 --> 00:40:51,944
Not just any dog in general.

832
00:40:53,140 --> 00:40:58,470
Aria Schrecker: Also,  having been a
cat owner for a long while now, they

833
00:40:58,470 --> 00:41:01,010
are getting stricter about making
sure that you vaccinate your cats if

834
00:41:01,010 --> 00:41:02,430
you want to do anything with them.

835
00:41:02,430 --> 00:41:04,020
So it used to be that you would, you had

836
00:41:04,020 --> 00:41:05,879
vaccinated once and then
fine, it could go to

837
00:41:05,879 --> 00:41:08,310
Aria Schrecker: the kennel and it'd
be okay, and now you've gotta do an

838
00:41:08,310 --> 00:41:09,899
UpToDate certificate all the time.

839
00:41:10,709 --> 00:41:13,949
You can't be lax on your cat vaccines,
even if your cat doesn't go outdoors.

840
00:41:14,169 --> 00:41:15,480
So I assume there are also lots

841
00:41:15,480 --> 00:41:17,040
of structural reasons that people

842
00:41:17,040 --> 00:41:18,839
Aria Schrecker: are getting
more risk averse across society

843
00:41:18,839 --> 00:41:19,649
with their pets as well.

844
00:41:19,770 --> 00:41:22,740
Saloni Dattani: That reminds me of
other things that help us live longer.

845
00:41:22,740 --> 00:41:27,100
Flu vaccines actually very
effective at reducing the risks

846
00:41:27,100 --> 00:41:28,470
of heart attacks and strokes.

847
00:41:28,529 --> 00:41:31,830
People don't really know this,
but they reduce those by roughly

848
00:41:31,830 --> 00:41:33,180
the same amount as statins do.

849
00:41:34,169 --> 00:41:35,180
Statin's another great example.

850
00:41:35,759 --> 00:41:36,200
Ben Southwood: Yeah.

851
00:41:36,399 --> 00:41:36,649
Saloni Dattani: There are lots of things.

852
00:41:36,944 --> 00:41:40,070
Ben Southwood: The preventative ones
I think appeal to people more than

853
00:41:40,070 --> 00:41:44,290
the responsive, because the preventive
ones feel like you are healthier.

854
00:41:46,920 --> 00:41:47,380
What people want

855
00:41:49,850 --> 00:41:55,650
is not to age in the conception we have
-  I guess it's hard to put a finger on

856
00:41:55,650 --> 00:41:59,319
it because if you can not visually age,
and also survive , and also stay fit,

857
00:42:01,410 --> 00:42:03,570
you know, what is it that's,
what is it that's different?

858
00:42:04,249 --> 00:42:07,349
Aria Schrecker: I think you just
run life on slow, basically.

859
00:42:07,470 --> 00:42:13,570
Or maybe you get more conscious moments
per unit age, or something like that?

860
00:42:14,829 --> 00:42:15,840
Ben Southwood: I agree that that's
what people want, but I think it's

861
00:42:15,840 --> 00:42:18,499
very hard to map our intuitions.

862
00:42:18,920 --> 00:42:22,110
I think a lot of people have the
intuition that the things we have done

863
00:42:22,110 --> 00:42:24,120
so far have not slowed down aging.

864
00:42:24,669 --> 00:42:28,390
Which I think that it's very hard to
justify that if you compare it to any

865
00:42:28,600 --> 00:42:30,050
possible yardstick you could have.

866
00:42:32,010 --> 00:42:33,210
Aria Schrecker: I think
it's definitely slowed down

867
00:42:33,210 --> 00:42:36,660
aging; there are so many ways in which
it just feels obviously true that

868
00:42:36,660 --> 00:42:36,780
Aria Schrecker: we

869
00:42:36,780 --> 00:42:39,230
are younger than other people were when

870
00:42:39,230 --> 00:42:41,400
Aria Schrecker: they
were at our 'clock' age.

871
00:42:41,950 --> 00:42:42,210
Ben Southwood: Yes.

872
00:42:42,850 --> 00:42:46,890
So here's another thing people
say is that we're going through

873
00:42:46,890 --> 00:42:48,660
life stages more slowly.

874
00:42:49,049 --> 00:42:51,750
Now, do you think that's related
to the fact that we live longer?

875
00:42:52,109 --> 00:42:53,100
Do you think that we-

876
00:42:53,969 --> 00:42:56,179
Saloni Dattani: What exactly is the idea?

877
00:42:56,535 --> 00:42:59,100
Ben Southwood: So the claim is that
people get their driving licenses

878
00:42:59,100 --> 00:43:01,619
later, they lose their virginity later.

879
00:43:01,785 --> 00:43:04,194
They spend longer in education.

880
00:43:04,439 --> 00:43:05,819
Saloni Dattani: They hit
puberty later, apparently.

881
00:43:05,819 --> 00:43:10,109
Ben Southwood: Yeah, it was going
down for a century and now people

882
00:43:10,109 --> 00:43:11,189
are hitting puberty later as well.

883
00:43:11,310 --> 00:43:15,810
So if that's the case, you're telling
me lots of things are happening later.

884
00:43:15,870 --> 00:43:18,939
There are lots of people who, people used
to do their first job when they were 14

885
00:43:18,939 --> 00:43:20,700
or they would oft be in the world of work.

886
00:43:20,759 --> 00:43:20,939
Saloni Dattani: Right.

887
00:43:21,120 --> 00:43:22,980
Ben Southwood: At 14, get married at 20.

888
00:43:22,980 --> 00:43:24,419
Aria Schrecker: People are
definitely having children later.

889
00:43:25,429 --> 00:43:26,019
Ben Southwood: All of those things.

890
00:43:26,129 --> 00:43:28,109
I wonder if you think those things
are related by the fact we know

891
00:43:28,109 --> 00:43:29,580
we've got longer to spread out into?

892
00:43:29,580 --> 00:43:30,209
Saloni Dattani: Oh, I see.

893
00:43:30,209 --> 00:43:33,845
So you're saying- Well,
I guess there's two ways.

894
00:43:33,855 --> 00:43:37,045
There's one, we're living longer and
therefore we can delay these things

895
00:43:37,045 --> 00:43:38,295
and we don't have to worry that much.

896
00:43:38,295 --> 00:43:41,475
Or is it, we're delaying these
things, which helps us live longer.

897
00:43:41,804 --> 00:43:42,985
Aria Schrecker: Oh I think what Ben's

898
00:43:42,985 --> 00:43:46,685
saying is that we are
biologically at younger

899
00:43:46,735 --> 00:43:47,384
Aria Schrecker: life stages.

900
00:43:47,384 --> 00:43:49,465
So mentally we are choosing to not worry.

901
00:43:49,895 --> 00:43:49,984
Ben Southwood: No.

902
00:43:50,195 --> 00:43:50,785
That's the third possible-

903
00:43:51,025 --> 00:43:51,615
Aria Schrecker: I thought
that's what you were saying.

904
00:43:52,095 --> 00:43:54,295
Ben Southwood: Saloni's one is one route.

905
00:43:54,295 --> 00:43:55,875
Yours is another, and
mine was the third one.

906
00:43:55,965 --> 00:43:56,295
Aria Schrecker: Okay.

907
00:43:56,295 --> 00:43:56,305
Okay.

908
00:43:56,595 --> 00:43:57,645
Saloni Dattani: So which
one do you believe?

909
00:43:57,795 --> 00:43:58,695
Ben Southwood: Um, I don't know.

910
00:43:58,695 --> 00:44:01,185
I'd like to hear arguments
and I'll choose the best one.

911
00:44:01,185 --> 00:44:02,105
Saloni Dattani: I don't have a view.

912
00:44:02,125 --> 00:44:03,285
Aria Schrecker: Yeah, it
feels you just wouldn't know.

913
00:44:03,420 --> 00:44:04,525
Ben Southwood: They could
be unrelated as well.

914
00:44:04,755 --> 00:44:08,190
So I could totally believe, I
think that the baseline view

915
00:44:08,190 --> 00:44:09,285
would be that they're unrelated.

916
00:44:09,435 --> 00:44:13,484
The baseline view would be, or the
view that a typical person might say

917
00:44:13,484 --> 00:44:15,695
is that we have a coddling society now.

918
00:44:16,155 --> 00:44:19,814
In a totally unrelated way to
how we have done lots of medical

919
00:44:19,905 --> 00:44:21,225
interventions that make us live longer.

920
00:44:22,125 --> 00:44:25,345
Saloni Dattani: So I think there's
one version of it that I actually do

921
00:44:25,345 --> 00:44:29,765
believe that you know, coddling in
terms of reducing our risks of injury

922
00:44:29,765 --> 00:44:32,344
or accidents and things like that
actually does make us live longer.

923
00:44:32,674 --> 00:44:35,464
Ben Southwood: Yeah, so I've totally
changed my mind on this since having

924
00:44:35,464 --> 00:44:40,394
children, now that I've had children; now
it may possibly be because my children are

925
00:44:40,394 --> 00:44:45,454
more danger seeking than other children,
or they're a mixture of being extremely

926
00:44:45,584 --> 00:44:49,664
malcoordinated like me, or extremely
brave and danger seeking like Eloise,

927
00:44:49,664 --> 00:44:55,554
my wife, and when that crosses over, you
get children who go to hospital lots.

928
00:44:55,624 --> 00:44:55,734
Saloni Dattani: Right.

929
00:44:56,325 --> 00:45:01,294
Ben Southwood: But one of the things I- so
there's this view that people, it's in the

930
00:45:01,294 --> 00:45:06,004
water, and also I've recited it to myself
of: billions of people have had children.

931
00:45:06,154 --> 00:45:07,414
It's the most normal thing in the world.

932
00:45:07,414 --> 00:45:10,734
Keeping children alive must be very easy,
you shouldn't worry about it too much.

933
00:45:11,114 --> 00:45:12,574
Then I remember, no!

934
00:45:12,724 --> 00:45:15,844
Loads of children just died in
horrible accidents all the time!

935
00:45:16,324 --> 00:45:19,464
What's actually happening here is that
we have more free time, we have more

936
00:45:19,464 --> 00:45:24,814
wealth, and to some extent, coddling
is just rationally 'I love my children.

937
00:45:24,814 --> 00:45:28,554
I don't want any harm.' They could get
a traumatic brain injury and you could

938
00:45:28,554 --> 00:45:31,194
get a disfigurement across their face
and people might treat them different.

939
00:45:31,385 --> 00:45:32,984
All these  things can just happen.

940
00:45:33,654 --> 00:45:37,584
And it's just wrong to think that it
was all happening at the same rate.

941
00:45:37,744 --> 00:45:39,014
No, it was happening much more often.

942
00:45:39,329 --> 00:45:42,819
People were getting hit by buses and
cars and everything all the time.

943
00:45:43,229 --> 00:45:44,149
Saloni Dattani: I take that view as well.

944
00:45:44,949 --> 00:45:45,624
Ben Southwood: I've shifted so much.

945
00:45:45,624 --> 00:45:48,139
Aria Schrecker: From my own
family story, my mum was one

946
00:45:48,139 --> 00:45:51,990
of six in India in the sixties.

947
00:45:51,999 --> 00:45:55,669
So you can just imagine you just crank,
crank the clock back basically the

948
00:45:55,669 --> 00:46:00,659
Victorian era and okay, so she lost one
sibling to typhoid, but she did she lost

949
00:46:00,669 --> 00:46:04,460
another to just a car accident in a way
that I just don't think people would let a

950
00:46:04,460 --> 00:46:12,169
teenager ride a motorbike now, because we
know that 17-year-old boys can't - well I

951
00:46:12,169 --> 00:46:15,560
guess actually we do let 17-year-old boys
ride motorcycles, but most parents don't

952
00:46:15,560 --> 00:46:17,289
let 17-year-old boys ride motorcycles.

953
00:46:17,289 --> 00:46:21,259
Whereas in India in 1970 something,
it was totally normal to do that.

954
00:46:21,620 --> 00:46:21,740
Ben Southwood: Yeah.

955
00:46:21,740 --> 00:46:26,419
I think this is a, part of it is just
that, so part of it is that if you treat,

956
00:46:26,990 --> 00:46:29,450
there are a lot of things, ways in which
you want to keep your children alive.

957
00:46:29,720 --> 00:46:29,959
Saloni Dattani: Right.

958
00:46:29,959 --> 00:46:33,109
Ben Southwood: And probably that's
just a social wide thing of, 'We are

959
00:46:33,109 --> 00:46:36,679
coddling them collectively because we
are trying to keep 'em alive and trying

960
00:46:36,679 --> 00:46:40,549
to keep 'em healthy and whatever, until
they hit enough majority that they

961
00:46:40,549 --> 00:46:44,119
can be reasonably trusted to do it
themselves, or it'll be impossible to

962
00:46:44,119 --> 00:46:45,740
exercise control over them anymore.'

963
00:46:46,609 --> 00:46:46,789
Aria Schrecker: Yeah.

964
00:46:46,789 --> 00:46:50,069
I guess I intuitively agree with
your model, but I do think it is

965
00:46:50,069 --> 00:46:54,019
true that even though the world is
so much safer, we still don't let

966
00:46:54,079 --> 00:47:00,319
teenagers have the same freedom to
roam that clearly we did historically.

967
00:47:00,589 --> 00:47:03,720
You see those little maps where it's
family that grew up in the same house

968
00:47:03,740 --> 00:47:06,740
and it's grandfather was allowed
when he was seven years old to go all

969
00:47:06,740 --> 00:47:07,999
the way down to the creek and fish.

970
00:47:08,059 --> 00:47:08,419
Fine.

971
00:47:08,689 --> 00:47:10,769
That's obviously, that
actually seems insane.

972
00:47:11,184 --> 00:47:14,539
Ben Southwood: I had my first viral
tweet ever in 2012 by posting that map.

973
00:47:14,869 --> 00:47:15,499
Aria Schrecker: Oh really?

974
00:47:15,504 --> 00:47:15,744
Okay.

975
00:47:15,744 --> 00:47:17,250
Ben Southwood: Yeah, that specific
map, that he goes to Rotherham,

976
00:47:17,740 --> 00:47:19,039
he's allowed to go 11 miles.

977
00:47:19,369 --> 00:47:19,999
Aria Schrecker: There you go.

978
00:47:20,049 --> 00:47:23,539
Ben Southwood: And then the today
one is allowed to go to the end of

979
00:47:23,539 --> 00:47:25,409
the street with slight supervision.

980
00:47:25,840 --> 00:47:28,669
I think there are lots of
things going into that.

981
00:47:28,799 --> 00:47:33,660
I actually don't necessarily think
that one is coddling related.

982
00:47:34,180 --> 00:47:36,890
I mean, it is coddling related,
but I don't think it's just

983
00:47:36,890 --> 00:47:37,819
an increase in coddling.

984
00:47:37,970 --> 00:47:40,879
I think that although the world
is much safer in general, there

985
00:47:40,879 --> 00:47:43,399
are certain features of the
world that are totally different.

986
00:47:43,509 --> 00:47:47,790
So in 1911 there weren't motorways
between his house and Rotherham.

987
00:47:48,220 --> 00:47:48,419
Right?

988
00:47:48,419 --> 00:47:51,919
There's just a really dangerous thing
that younger, that people under the

989
00:47:51,919 --> 00:47:56,470
age of 10 are not reliably to be
trusted to stay safe from perhaps.

990
00:47:57,209 --> 00:48:00,230
So I think that's probably the
overwhelming thing, and I think if

991
00:48:00,230 --> 00:48:04,589
you find places where that isn't
the case, even at high levels

992
00:48:04,589 --> 00:48:06,604
of wealth Japan, for example.

993
00:48:06,634 --> 00:48:06,934
Saloni Dattani: Right.

994
00:48:06,934 --> 00:48:07,894
Ben Southwood: They'll
let children go out.

995
00:48:08,164 --> 00:48:08,404
Aria Schrecker: Yes.

996
00:48:08,404 --> 00:48:08,415
Ben Southwood: Yeah.

997
00:48:08,470 --> 00:48:09,439
And roam relatively freely.

998
00:48:09,439 --> 00:48:10,364
Aria Schrecker: And Japan
is actually very very safe.

999
00:48:10,574 --> 00:48:12,014
Saloni Dattani: Have you seen
that show where they do that?

1000
00:48:12,054 --> 00:48:16,535
They're kids that are one or three years
old just going out doing groceries.

1001
00:48:18,129 --> 00:48:18,649
Ben Southwood: I haven't watched it.

1002
00:48:18,729 --> 00:48:20,044
I have watched clips from it.

1003
00:48:20,194 --> 00:48:20,224
Okay.

1004
00:48:20,334 --> 00:48:24,064
And it's very funny how easily they
get distracted from their mission.

1005
00:48:24,874 --> 00:48:29,404
They have no long term ability
to keep to the same plan.

1006
00:48:29,584 --> 00:48:33,214
They're just immediate stimulus and
then they keep going home because they

1007
00:48:33,214 --> 00:48:34,595
forget what they're supposed to be doing.

1008
00:48:35,644 --> 00:48:38,554
Aria Schrecker: Other coddling
related ways that we have definitely

1009
00:48:38,624 --> 00:48:42,954
increased lifespans - I'm endorsing
them here, which is there are lots of

1010
00:48:43,094 --> 00:48:46,464
interventions that can actually stop
people from committing suicide by,

1011
00:48:46,734 --> 00:48:49,275
making it harder for them to unscrew-

1012
00:48:50,919 --> 00:48:51,299
Saloni Dattani: Pesticide caps, or?

1013
00:48:51,770 --> 00:48:55,480
- Aria Schrecker: pesticide caps and
stuff, or even just the American way

1014
00:48:55,480 --> 00:48:58,640
of taking paracetamol just makes it
easier for them to commit suicide,

1015
00:48:58,640 --> 00:49:01,399
the British way of paracetamol,
you've gotta pop each individual one.

1016
00:49:01,549 --> 00:49:04,339
Saloni Dattani: I think there's also
this innovation where pesticides now

1017
00:49:04,339 --> 00:49:06,825
make you throw up or something like that?

1018
00:49:07,694 --> 00:49:08,495
Aria Schrecker: Yeah
that would make sense.

1019
00:49:08,600 --> 00:49:10,189
And it probably is
actually quite easy to do.

1020
00:49:10,189 --> 00:49:10,520
Yeah.

1021
00:49:10,524 --> 00:49:10,584
Saloni Dattani: Yeah.

1022
00:49:10,819 --> 00:49:12,470
Ben Southwood: They have nets
on the Golden Gate bridge.

1023
00:49:12,610 --> 00:49:15,799
Aria Schrecker: There we go, that's
I guess coddling, that has definitely

1024
00:49:16,009 --> 00:49:18,670
increased the lifespans, or at
least it's definitely stopped some

1025
00:49:18,670 --> 00:49:20,320
people from dying that is good.

1026
00:49:20,520 --> 00:49:23,080
I think banning drunk driving,
that's obviously one of those things.

1027
00:49:24,649 --> 00:49:25,490
Saloni Dattani: Seat belts.

1028
00:49:25,490 --> 00:49:26,060
Aria Schrecker: Seat belts.

1029
00:49:26,839 --> 00:49:27,680
Saloni Dattani: Vaccines.

1030
00:49:28,079 --> 00:49:28,329
Aria Schrecker: Yeah.

1031
00:49:28,329 --> 00:49:30,629
We definitely have social
infrastructure that is pro-longevity.

1032
00:49:31,799 --> 00:49:32,129
Ben Southwood: Okay.

1033
00:49:32,129 --> 00:49:36,649
So we've talked about every possible
way that we stop people from dying in

1034
00:49:36,649 --> 00:49:40,850
accidental ways; stop their organs from
failing or from them being overtaken

1035
00:49:40,850 --> 00:49:44,919
by disease that leaves scars and
makes them worse or that kills them

1036
00:49:45,139 --> 00:49:47,770
and all things that, we've talked
about every conceivable one of those.

1037
00:49:48,830 --> 00:49:53,149
Are there any promising
things for the other method?

1038
00:49:53,330 --> 00:49:56,689
The point, the first way,
the underlying aging thing.

1039
00:49:56,930 --> 00:50:00,890
Do we have any promising -  you
go to bed at night thinking

1040
00:50:01,220 --> 00:50:02,779
they'll crack that in my lifetime?

1041
00:50:02,779 --> 00:50:05,810
Or do you go to bed at night
thinking, I probably won't die

1042
00:50:05,810 --> 00:50:09,229
of the same diseases that we have
now, but I will die of something?

1043
00:50:09,439 --> 00:50:12,049
Aria Schrecker: I think this belies
a whack-a-mole mentality, but there

1044
00:50:12,049 --> 00:50:15,049
are a couple of ways where I think
that we've fixed that, for the very

1045
00:50:15,049 --> 00:50:18,680
least, for the time when I get old,
I think I won't go through menopause.

1046
00:50:18,799 --> 00:50:20,730
That's one that I'm gonna say.

1047
00:50:20,880 --> 00:50:24,399
We've already started to give
lots of women HRT, who are

1048
00:50:24,519 --> 00:50:25,729
already of menopause age.

1049
00:50:25,950 --> 00:50:32,209
I just think between now, I'm almost
30 and when I'm 50, 60, I think

1050
00:50:32,209 --> 00:50:33,419
that is gonna get much, much better.

1051
00:50:33,529 --> 00:50:35,959
And I think that's a form of aging
that I'm gonna get to basically

1052
00:50:35,959 --> 00:50:38,339
skip out on so that's one thing.

1053
00:50:38,540 --> 00:50:42,720
I think I probably won't die of most of
the major cancers that people die of now.

1054
00:50:43,789 --> 00:50:45,994
I think that seems to be just
getting better and better and better.

1055
00:50:46,429 --> 00:50:48,169
I think I probably won't get diabetes.

1056
00:50:48,579 --> 00:50:49,959
Ben Southwood: And that might
get you to last long enough

1057
00:50:49,959 --> 00:50:51,209
until they find the magic cure.

1058
00:50:52,309 --> 00:50:52,549
Aria Schrecker: Yeah.

1059
00:50:53,089 --> 00:50:55,969
Saloni Dattani: I'm somewhat optimistic
about Alzheimer's disease as well.

1060
00:50:55,969 --> 00:51:00,559
I think if we just try enough stuff,
maybe we'll find something, but also

1061
00:51:00,559 --> 00:51:03,349
we'll probably just get better at
measuring the brain and understanding

1062
00:51:03,349 --> 00:51:05,689
it and finding medicines that work.

1063
00:51:06,049 --> 00:51:10,519
Ben Southwood: What did you think about
that viral nature study where they

1064
00:51:10,519 --> 00:51:14,749
said that people rarely get cancer
and Alzheimer's at the same time?

1065
00:51:15,680 --> 00:51:17,480
Saloni Dattani: I didn't read
that, but I just assumed it

1066
00:51:17,480 --> 00:51:19,070
was some statistical artifact.

1067
00:51:19,674 --> 00:51:20,025
Sadly.

1068
00:51:20,904 --> 00:51:22,865
Ben Southwood: Skeptical Saloni,
we should have you on everything.

1069
00:51:22,955 --> 00:51:23,305
Sorry.

1070
00:51:23,874 --> 00:51:25,024
It's probably just statistical.

1071
00:51:25,914 --> 00:51:29,350
Aria Schrecker: Naked mole-rats
probably don't even age that badly.

1072
00:51:29,350 --> 00:51:36,020
I think there is other stuff that you
can do in your personal life that mean

1073
00:51:36,020 --> 00:51:39,120
that you are probably getting to at
least grab some of those pro-longevity

1074
00:51:41,120 --> 00:51:42,660
slowing your aging rate stuff.

1075
00:51:42,830 --> 00:51:46,549
So the biggest one is if you're not
fat, you're doing so much more than

1076
00:51:46,759 --> 00:51:51,249
I guess the average person in a
developed nation now, and probably if

1077
00:51:51,249 --> 00:51:54,709
you are especially conscious of it and
you are staying at one of the lowest

1078
00:51:54,709 --> 00:51:58,439
possible healthy weights for someone
of your size, you're doing even more.

1079
00:51:58,909 --> 00:51:59,750
I think that helps.

1080
00:51:59,779 --> 00:52:04,860
I think the probably rapamycin
will end up being - I would put

1081
00:52:04,860 --> 00:52:09,620
money on it being a drug that lots
of people take in a few decades.

1082
00:52:13,509 --> 00:52:15,999
Ben Southwood: So the sad problem
is that it was already an existing

1083
00:52:16,069 --> 00:52:18,959
compound when people realized
that it would be useful for this.

1084
00:52:19,189 --> 00:52:25,430
So it's gonna be hard for us to get the
investment into the hard evidence that

1085
00:52:25,430 --> 00:52:32,450
we would need without the ability to
offer the exclusive sale rights, no?

1086
00:52:32,450 --> 00:52:33,499
Aria Schrecker: So I don't think so.

1087
00:52:33,499 --> 00:52:35,199
I think we are also gonna get new drugs.

1088
00:52:35,240 --> 00:52:40,209
Let's cast back to a piece in
issue 21 of Works in Progress,

1089
00:52:41,189 --> 00:52:45,849
Nature's Laboratory about how genes
seem to be a source of new drugs.

1090
00:52:46,169 --> 00:52:49,569
I think we are gonna get much, much better
at measuring people's genomes and picking

1091
00:52:49,569 --> 00:52:55,749
up statistical signals that show that some
genes help you live longer, which will be

1092
00:52:55,749 --> 00:53:00,029
a source of novel compounds that we learn
about, that we'll be like, okay, we're

1093
00:53:00,029 --> 00:53:02,980
gonna imitate the effect of this gene
because in almost everyone who has this

1094
00:53:02,980 --> 00:53:08,289
gene, they live an extra while, and they
don't develop these age related disorders.

1095
00:53:08,859 --> 00:53:10,850
We will find some of those
genes and we will start to

1096
00:53:10,850 --> 00:53:11,990
make drugs that replicate that.

1097
00:53:11,990 --> 00:53:16,129
So I think we will actually get to having
novel compounds, basically if the course

1098
00:53:16,129 --> 00:53:20,660
of science continues as it seems to, I
think we probably will get some all-cause

1099
00:53:20,810 --> 00:53:23,205
mortality tackling drugs from genomes.

1100
00:53:23,604 --> 00:53:24,109
That's one guess.

1101
00:53:24,159 --> 00:53:27,819
Saloni Dattani: That has actually
happened in a few high profile examples

1102
00:53:27,964 --> 00:53:33,034
of drugs that have come from that, from
studying some population or some family

1103
00:53:33,034 --> 00:53:36,964
that either has a very high risk of
dying early or lives longer for some

1104
00:53:36,964 --> 00:53:40,149
reason, and then trying to understand
what gene is linked to that and

1105
00:53:42,154 --> 00:53:43,504
then developing drugs against that.

1106
00:53:43,504 --> 00:53:48,284
So I think the famous one is PCSK9
drugs, which reduce cholesterol levels,

1107
00:53:49,154 --> 00:53:54,200
but then there's also various other
cholesterol and other drugs that are

1108
00:53:54,200 --> 00:53:55,530
in the pipeline for things like that.

1109
00:53:55,580 --> 00:53:59,900
Aria Schrecker: Big thing I'm hoping for
is an ozempic style thing, but instead

1110
00:53:59,900 --> 00:54:01,880
of meaning that you eat less it just

1111
00:54:04,650 --> 00:54:07,940
burns all the energy without it
going into your body and coming

1112
00:54:07,940 --> 00:54:09,020
out as fat in you somehow.

1113
00:54:09,049 --> 00:54:09,140
Saloni Dattani: Yeah.

1114
00:54:09,529 --> 00:54:11,190
Aria Schrecker: I know there's one
of those drugs that is meant to do

1115
00:54:11,190 --> 00:54:14,540
that, but it basically burns you from
the inside, so no one can take it.

1116
00:54:14,790 --> 00:54:15,290
Saloni Dattani: That was dangerous.

1117
00:54:16,424 --> 00:54:16,785
Aria Schrecker: I don't
want to take that one.

1118
00:54:16,785 --> 00:54:18,649
Saloni Dattani: There was previously
a weight loss drug that basically

1119
00:54:18,649 --> 00:54:22,369
made you just excrete all the
fat out, and it was dangerous.

1120
00:54:22,579 --> 00:54:27,149
Aria Schrecker: I had a crackpot idea
a while ago which is - so Vaseline

1121
00:54:27,539 --> 00:54:30,019
Petroleum, it's basically a fat.

1122
00:54:30,209 --> 00:54:31,879
I reckon if you fried your food in it...

1123
00:54:35,599 --> 00:54:37,039
Saloni Dattani: Wait, if we
fried our food in it, what?

1124
00:54:37,329 --> 00:54:39,889
Aria Schrecker: It would basically, you
would get basically the maillard reaction.

1125
00:54:39,899 --> 00:54:45,049
It would taste like fatty food but
you can't digest it, and people

1126
00:54:45,429 --> 00:54:46,829
- I'm always digesting Vaseline.

1127
00:54:48,229 --> 00:54:50,234
Ben Southwood: So we were
talking about acarbose earlier.

1128
00:54:50,234 --> 00:54:53,994
Now, I'm gonna forget the name,
but there's an equivalent for fat.

1129
00:54:55,284 --> 00:54:59,674
So acarbose, it works by stopping
you from producing amylase, so

1130
00:54:59,674 --> 00:55:02,044
you can't digest carbohydrates.

1131
00:55:02,044 --> 00:55:04,834
They effectively become a fiber,
because fiber is just carbohydrates

1132
00:55:04,834 --> 00:55:08,114
you can't digest basically or
fiber that gets through to the gut.

1133
00:55:08,504 --> 00:55:11,664
This one stops you from
producing what is it called?

1134
00:55:12,354 --> 00:55:14,384
The enzyme that digests fat?

1135
00:55:15,589 --> 00:55:16,009
Saloni Dattani: Lipase.

1136
00:55:16,585 --> 00:55:17,054
Ben Southwood: Lipase.

1137
00:55:17,064 --> 00:55:17,464
Lipase.

1138
00:55:17,494 --> 00:55:20,644
Yeah and so all your fat just
goes through to your gut.

1139
00:55:20,644 --> 00:55:25,994
Now I'd say that I would rather have the
gastrointestinal symptoms of acarbose,

1140
00:55:26,134 --> 00:55:30,344
which is just lots of bloating and
gas than what they call greasy stools.

1141
00:55:30,834 --> 00:55:31,364
Yeah which is-

1142
00:55:32,409 --> 00:55:33,129
Saloni Dattani: Floating stools.

1143
00:55:34,329 --> 00:55:35,209
Aria Schrecker: I don't
mind if they float.

1144
00:55:35,409 --> 00:55:36,809
I feel neutrally about whether they float.

1145
00:55:37,049 --> 00:55:37,249
Ben Southwood: Yeah.

1146
00:55:37,444 --> 00:55:38,854
Aria Schrecker: Well, it's
really hard to flush them.

1147
00:55:39,824 --> 00:55:40,304
I think I'll work at it.

1148
00:55:40,304 --> 00:55:42,489
I can figure that one out.

1149
00:55:42,689 --> 00:55:43,149
I'll be okay.

1150
00:55:43,404 --> 00:55:45,804
Ben Southwood: Obviously, I brought
this topic up, so it is inevitable that

1151
00:55:45,804 --> 00:55:49,324
it would be slightly unpleasant, but
point is that it's slightly unpleasant.

1152
00:55:49,544 --> 00:55:53,694
You can do that, but to the extent
that you, and this reduces your calorie

1153
00:55:53,914 --> 00:55:56,184
intake, but an enormous fraction.

1154
00:55:56,294 --> 00:55:58,554
All the fat you're eating
is just going through.

1155
00:55:58,894 --> 00:56:00,034
Right so you can do this.

1156
00:56:00,154 --> 00:56:02,854
That's an option that's open to
you right now it's a generic drug.

1157
00:56:02,914 --> 00:56:03,454
However-

1158
00:56:04,114 --> 00:56:04,719
Aria Schrecker: This is not diet advice.

1159
00:56:04,789 --> 00:56:08,314
Ben Southwood: The downside - well,
no, it's perfectly safe, again it was

1160
00:56:08,314 --> 00:56:11,524
approved through the normal process
then on very large studies and then

1161
00:56:11,524 --> 00:56:12,844
post-market, very large studies.

1162
00:56:13,114 --> 00:56:14,274
Everyone knows how it works.

1163
00:56:14,774 --> 00:56:20,654
So there's no health downsides,
it's just quite unpleasant to have

1164
00:56:20,654 --> 00:56:23,614
lots of actual oil in your stools.

1165
00:56:23,814 --> 00:56:28,364
So that would be a downside of
your petroleum jelly frying.

1166
00:56:28,504 --> 00:56:30,304
Aria Schrecker: Well, I was a little
as well bit worried that one of the

1167
00:56:30,304 --> 00:56:33,514
potential problems with it when I was
looking into it was that it might just

1168
00:56:33,694 --> 00:56:36,144
coat the inside of your intestine and then

1169
00:56:37,384 --> 00:56:40,055
- 
Ben Southwood: I think it will
probably just go through when

1170
00:56:40,055 --> 00:56:41,094
you don't have any lipase.

1171
00:56:41,344 --> 00:56:44,854
Saloni Dattani: Well, I think the
better drugs that work on cardiovascular

1172
00:56:44,874 --> 00:56:48,844
- like cholesterol reducing drugs
and triglyceride reducing drugs are

1173
00:56:48,844 --> 00:56:52,824
better because they're not engulfing
-  they're not leaving fat in your

1174
00:56:53,014 --> 00:56:57,784
digestive tracts, but they mean that
you mop up more LDL cholesterol or

1175
00:56:57,784 --> 00:56:59,779
whatever, and that's probably better.

1176
00:57:00,604 --> 00:57:03,934
Ben Southwood: A favorite fact of mine
- So I spend a lot of time on the internet.

1177
00:57:04,174 --> 00:57:08,924
I spend a lot of time on the internet
consuming research about - consuming on a

1178
00:57:08,924 --> 00:57:13,684
superficial level research about health,
diet, all those sorts of things, and one

1179
00:57:13,684 --> 00:57:18,544
of the things that I discovered in all
of this is that in a lot of studies, raw

1180
00:57:18,544 --> 00:57:25,139
correlation between cholesterol levels
and lifespan is positive, not negative.

1181
00:57:25,139 --> 00:57:25,349
Right?

1182
00:57:25,469 --> 00:57:26,119
In a lot of studies.

1183
00:57:26,849 --> 00:57:31,939
And I was confused by this because
there are loads of drugs that reduce

1184
00:57:31,939 --> 00:57:33,439
cholesterol and appear to be good for you.

1185
00:57:33,549 --> 00:57:33,729
Saloni Dattani: Yep.

1186
00:57:34,249 --> 00:57:38,899
Ben Southwood: And so I presented this
to Stefan Guyenet, who is a nutrition

1187
00:57:38,899 --> 00:57:42,439
expert and wrote for Works in Progress
back in the day, and he said, yes,

1188
00:57:42,469 --> 00:57:45,689
strangely enough, having genetically
higher cholesterol is good for you,

1189
00:57:46,479 --> 00:57:48,199
but also reducing it is good for you.

1190
00:57:48,809 --> 00:57:52,229
And so clearly having genetically high
cholesterol is a signal of overall

1191
00:57:52,249 --> 00:57:53,449
body health in some sort of way.

1192
00:57:53,449 --> 00:57:57,029
And cholesterol itself is probably bad
for you, but it's the mechanisms of

1193
00:57:57,029 --> 00:58:00,469
action of how these things actually
work is slightly more confusing

1194
00:58:00,469 --> 00:58:01,609
than when we started using them.

1195
00:58:02,509 --> 00:58:04,879
Saloni Dattani: So we're gonna talk
about this in an episode of Hard

1196
00:58:04,879 --> 00:58:08,539
Drugs, but the problem with cholesterol
is not the cholesterol itself,

1197
00:58:08,539 --> 00:58:09,949
it's the particles that carry it.

1198
00:58:10,339 --> 00:58:15,529
And if those particles are small enough,
they get into your blood vessels and just

1199
00:58:15,649 --> 00:58:20,819
stick there, and that you know, causes
atherosclerosis, and that can reduce your

1200
00:58:21,089 --> 00:58:24,779
ability to circulate blood efficiently.

1201
00:58:24,889 --> 00:58:26,419
Ben Southwood: Let's say
it ages your blood vessels.

1202
00:58:27,060 --> 00:58:31,100
Saloni Dattani: Essentially, and
so it's not about the total amount

1203
00:58:31,159 --> 00:58:35,119
of cholesterol in your body that
is a marker for poor health.

1204
00:58:35,119 --> 00:58:39,349
It's about the type of cholesterol
particles and how big they are and

1205
00:58:39,399 --> 00:58:42,189
how, where they stick, things that.

1206
00:58:42,629 --> 00:58:45,349
So I think there is a way
around this that makes it work.

1207
00:58:46,039 --> 00:58:47,869
Ben Southwood: You mean
makes easy intuitive sense.

1208
00:58:48,079 --> 00:58:48,379
Saloni Dattani: Yeah.

1209
00:58:48,499 --> 00:58:49,429
And is also true.

1210
00:58:49,999 --> 00:58:50,179
Ben Southwood: Yeah.

1211
00:58:50,809 --> 00:58:54,679
So we talked about some drugs that seem
to extend the life of various different

1212
00:58:54,679 --> 00:58:56,509
groups of mice when we really test them.

1213
00:58:57,079 --> 00:59:00,889
There are some other things
that probably extend life.

1214
00:59:00,889 --> 00:59:04,429
I don't think that they've been tested
to the level where we can say with

1215
00:59:04,819 --> 00:59:08,179
really absolute certainty that in a
normal person they would extend life.

1216
00:59:08,449 --> 00:59:12,099
But I gather from the kinds of evidence
I've seen, they're pretty good.

1217
00:59:12,099 --> 00:59:14,629
So one coffee, right?

1218
00:59:14,629 --> 00:59:18,319
So I said before, green tea probably
doesn't extend life, or at least that

1219
00:59:18,319 --> 00:59:22,819
there's no compelling evidence that it
extends life, but coffee is pretty cool

1220
00:59:22,819 --> 00:59:30,199
in that, it seems like if you go in big
studies of a population, like Americans,

1221
00:59:30,359 --> 00:59:34,939
and then you look at how much coffee they
have per day from zero to say six cups,

1222
00:59:35,029 --> 00:59:38,599
it's pretty dose dependent on lots of
different diseases, especially kidney.

1223
00:59:38,789 --> 00:59:44,869
But on a range of different diseases,
it seems it's - then if you look at

1224
00:59:45,299 --> 00:59:49,809
again, they've never done a proper
randomized control trial on coffee,

1225
00:59:49,809 --> 00:59:52,969
because the cost of doing that would be
tens of millions or hundreds, millions

1226
00:59:52,969 --> 00:59:54,709
of dollars to get past all the stages.

1227
00:59:54,799 --> 00:59:56,929
And then everyone's already
allowed to sell coffee, so you

1228
00:59:56,929 --> 00:59:57,829
can't make any money from that.

1229
00:59:57,829 --> 01:00:00,859
So we've only got slightly less
good information than that.

1230
01:00:00,859 --> 01:00:03,709
But there are lots of small, randomized
control trials and they all, they

1231
01:00:03,709 --> 01:00:06,169
usually find the same results,
especially if you add them all together.

1232
01:00:06,229 --> 01:00:06,319
And

1233
01:00:08,919 --> 01:00:11,099
then there are bigger, cohort studies
where they're looking at people through

1234
01:00:11,099 --> 01:00:15,379
their life, how much coffee they have,
and they all find coffee extends life.

1235
01:00:15,379 --> 01:00:16,369
So maybe coffee is-

1236
01:00:16,369 --> 01:00:17,239
Saloni Dattani: I'm skeptical of this.

1237
01:00:17,284 --> 01:00:17,554
Ben Southwood: Okay.

1238
01:00:17,724 --> 01:00:18,394
I love, I love it.

1239
01:00:18,534 --> 01:00:19,069
Tell me why.

1240
01:00:19,129 --> 01:00:21,709
Saloni Dattani: Well, I would guess
that there is just a confounding

1241
01:00:21,709 --> 01:00:25,819
there, and that people who drink more
coffee are healthier and that if you

1242
01:00:26,029 --> 01:00:29,569
drink coffee, you wouldn't be able
to take various drugs and things that

1243
01:00:29,599 --> 01:00:31,119
you would need if you had a disease.

1244
01:00:31,819 --> 01:00:35,319
So I feel there are probably various
things that and I'd wanna look into

1245
01:00:35,580 --> 01:00:36,359
how they actually did those studies.

1246
01:00:36,884 --> 01:00:38,184
Ben Southwood: The reason why
I'm not convinced by you...

1247
01:00:40,504 --> 01:00:43,459
I'm open, I'm not gonna fall
down on the floor and be really

1248
01:00:43,459 --> 01:00:45,159
embarrassed if you prove me wrong.

1249
01:00:45,679 --> 01:00:51,979
You often do that in the past, but the
reason why I don't jump to confounding in

1250
01:00:51,979 --> 01:00:56,029
my own head, is that I just don't think
that the - the usual confounder that you

1251
01:00:56,029 --> 01:00:58,689
find is basically socioeconomic status.

1252
01:00:58,939 --> 01:01:01,679
So when you're doing these kinds of
big studies you usually just find

1253
01:01:01,679 --> 01:01:04,489
that anything good, so exercise,
for example; now I actually

1254
01:01:04,519 --> 01:01:05,920
think exercise does extend life.

1255
01:01:06,539 --> 01:01:10,279
But if you told me I can't trust any of
these studies because they're obviously

1256
01:01:10,279 --> 01:01:14,599
compounded, then I would say yes because
everyone I know in my own life, it clearly

1257
01:01:14,599 --> 01:01:16,110
correlates with socioeconomic status.

1258
01:01:16,110 --> 01:01:19,639
How much deliberate exercise people
do, and healthy eating, and there

1259
01:01:19,639 --> 01:01:20,349
are so many different things.

1260
01:01:20,529 --> 01:01:22,579
I just do not think coffee
has that correlation at all.

1261
01:01:22,789 --> 01:01:26,889
And if anything, I've lived a
life of people propagandizing

1262
01:01:27,039 --> 01:01:29,719
and intuitively believing that
having too much coffee is bad.

1263
01:01:29,839 --> 01:01:36,649
And so I would've guessed that in the US,
coffee drinking negatively, or is like

1264
01:01:36,819 --> 01:01:38,289
flat, or negatively correlates coffee.

1265
01:01:38,299 --> 01:01:40,819
Aria Schrecker: Conscientious
people are always giving up coffee.

1266
01:01:40,879 --> 01:01:44,589
Ben Southwood: Yeah, I just don't
believe that they will find that coffee

1267
01:01:44,879 --> 01:01:46,009
correlates with socioeconomic status.

1268
01:01:46,009 --> 01:01:48,399
Saloni Dattani: Well, it's also
expensive if you're having that many

1269
01:01:48,399 --> 01:01:51,949
drinks, I do think that, I would
guess that there is a correlation.

1270
01:01:52,219 --> 01:01:55,049
Ben Southwood: Interesting, well
we will have to look into this and

1271
01:01:55,049 --> 01:02:00,589
then I'll do an apology post on my,
'Saloni was right again, I was wrong.

1272
01:02:00,919 --> 01:02:02,449
Skepticism was the right answer.

1273
01:02:02,589 --> 01:02:04,999
It turned out that my wild
ability to believe..' Okay.

1274
01:02:05,089 --> 01:02:05,929
Let's try another one.

1275
01:02:06,379 --> 01:02:06,679
Saloni Dattani: Sure.

1276
01:02:06,799 --> 01:02:08,729
Ben Southwood: Having a walk
after you eat something.

1277
01:02:09,819 --> 01:02:12,469
I reckon having a walk after
you eat something might be good.

1278
01:02:13,359 --> 01:02:18,090
I think it might be you haven't got
acarbose, we did have a walk after you

1279
01:02:18,090 --> 01:02:21,739
ate something, in particular just after.

1280
01:02:21,739 --> 01:02:25,410
So one of the main hypotheses why all
these drugs metformin, acarbose, SGLT2

1281
01:02:28,049 --> 01:02:32,389
inhibitors, have a positive effect
on lifespan in the humans who take

1282
01:02:32,389 --> 01:02:36,109
them, which is obviously indirectly
through their diseases, and in the

1283
01:02:36,109 --> 01:02:39,979
healthy mice or rats or whatever
that we're giving them to, one of the

1284
01:02:39,979 --> 01:02:43,699
hypotheses is that it is not that they
slow down your metabolism overall,

1285
01:02:43,699 --> 01:02:45,289
they just reduce blood sugar spikes.

1286
01:02:45,379 --> 01:02:45,649
Saloni Dattani: Yep.

1287
01:02:46,209 --> 01:02:49,394
Ben Southwood: And walking, having
a walk after you eat reduces blood.

1288
01:02:49,494 --> 01:02:49,664
That's

1289
01:02:49,664 --> 01:02:49,835
like,

1290
01:02:49,864 --> 01:02:52,204
Ben Southwood: we know that it
does, it reduces blood sugar spikes.

1291
01:02:52,224 --> 01:02:55,535
Aria Schrecker: And a little extra plus
to that is that there's some evidence

1292
01:02:55,535 --> 01:03:00,469
that, and obviously most people do this
anyway, that if you eat the sugary things

1293
01:03:00,469 --> 01:03:03,709
after you have already started eating,
that has less of an extreme spike to

1294
01:03:03,709 --> 01:03:06,619
your blood sugar as well, because I
guess your insulin is already started

1295
01:03:06,639 --> 01:03:10,899
to run, and it's better to have ice
cream after your meal and not before.

1296
01:03:12,199 --> 01:03:15,139
Ben Southwood: Or have a salad before
you start eating, or whatever it is.

1297
01:03:15,179 --> 01:03:16,269
Or to have some fiber.

1298
01:03:16,409 --> 01:03:16,699
Saloni Dattani: Right.

1299
01:03:16,869 --> 01:03:19,969
I like to have dessert at the start
of the meal, because otherwise

1300
01:03:19,969 --> 01:03:21,109
I might get too full to eat it.

1301
01:03:21,484 --> 01:03:22,594
Ben Southwood: But
there's a second stomach.

1302
01:03:22,609 --> 01:03:24,829
Saloni Dattani: Now you've convinced
me that I shouldn't be doing that.

1303
01:03:24,919 --> 01:03:25,959
Ben Southwood: Well look
everything's a trade off.

1304
01:03:26,539 --> 01:03:29,589
What else do we have in this list of
potentially normal things you can do?

1305
01:03:29,619 --> 01:03:30,389
Aria Schrecker: Blood donation.

1306
01:03:31,245 --> 01:03:31,674
Ben Southwood: Ah blood donation.

1307
01:03:31,864 --> 01:03:32,389
Saloni Dattani: I don't
believe that one either.

1308
01:03:32,389 --> 01:03:32,539
Ben Southwood: Yeah.

1309
01:03:32,539 --> 01:03:33,620
No, I know you don't believe that one.

1310
01:03:33,620 --> 01:03:39,189
So, so we, this is a long time open
sore, between Saloni and me, ruining

1311
01:03:39,279 --> 01:03:41,759
our relationship is blood donation.

1312
01:03:41,879 --> 01:03:43,669
So blood donation.

1313
01:03:43,999 --> 01:03:45,649
Fair enough, fair enough.

1314
01:03:45,649 --> 01:03:49,439
Fair cop governor, it obviously
correlates with socioeconomic status.

1315
01:03:52,239 --> 01:03:54,529
Saloni Dattani: But also a lot
of unhealthy people are ruled out

1316
01:03:54,529 --> 01:03:57,969
from donating blood for various
reasons, like too high BMI whatever.

1317
01:03:58,189 --> 01:04:00,439
Aria Schrecker: But I'm told that
once you control for all of that,

1318
01:04:01,069 --> 01:04:02,329
blood donors still live longer.

1319
01:04:02,864 --> 01:04:04,519
Saloni Dattani: I haven't
seen a study showing that.

1320
01:04:04,649 --> 01:04:06,349
Aria Schrecker: I've seen a little
text on a blog and a hyperlink

1321
01:04:06,349 --> 01:04:08,019
to a study, that I can click on.

1322
01:04:09,129 --> 01:04:09,879
Saloni Dattani: I'd be skeptical.

1323
01:04:09,879 --> 01:04:13,909
I just think that healthier
people are more likely to donate

1324
01:04:13,909 --> 01:04:15,319
thing is actually really strong.

1325
01:04:15,354 --> 01:04:17,344
Ben Southwood: I'm open-minded on this.

1326
01:04:17,584 --> 01:04:23,209
When I liked to talk about this a lot more
than I do now, still like to talk about

1327
01:04:23,209 --> 01:04:29,449
it, but when I was really into it, my
theory was that it reduced iron stores.

1328
01:04:29,469 --> 01:04:32,239
That iron stores above a certain
level, it is established that there

1329
01:04:32,239 --> 01:04:34,449
is such thing as iron overload, and
that you can have too much iron.

1330
01:04:35,679 --> 01:04:36,889
The authorities agree on this.

1331
01:04:37,109 --> 01:04:41,849
The Ben version was that that level
was lower in terms of not complete

1332
01:04:41,859 --> 01:04:45,469
overload, but that there were
numerous deleterious effects that you

1333
01:04:45,469 --> 01:04:46,649
could experience beyond that point.

1334
01:04:47,139 --> 01:04:51,439
For reasons that, the suspicious thing is
that there are multiple different reasons

1335
01:04:51,439 --> 01:04:56,639
you could give, for example, bacteria like
eating iron, so it might be you get more

1336
01:04:56,639 --> 01:04:59,619
infections, right or various other things.

1337
01:05:00,169 --> 01:05:04,129
Now what I liked is that there were some
weird potential ways of looking at this.

1338
01:05:04,339 --> 01:05:10,169
For example, one study looked at
coal miners and compared coal miners

1339
01:05:10,189 --> 01:05:15,420
in ferrous deposits I coal that has
iron, and non ferrous deposits, and

1340
01:05:15,420 --> 01:05:18,679
found that black lung rates were
dramatically higher in the ferrous

1341
01:05:18,919 --> 01:05:21,779
- black lung being a standard disease
of coal miners - in the ferrous ones.

1342
01:05:21,779 --> 01:05:26,349
And I thought hmm, maybe this person
came into this with my view and

1343
01:05:26,349 --> 01:05:28,549
they were trying to substantiate it.

1344
01:05:28,549 --> 01:05:30,919
But if not, that's interesting.

1345
01:05:32,119 --> 01:05:38,959
A second interesting one is that cigarette
smokers seem to have much higher rates

1346
01:05:38,959 --> 01:05:44,179
of lung cancer than cannabis smokers,
and now there are lots of other things

1347
01:05:44,179 --> 01:05:48,169
going on there, but one interesting factor
is that cigarette smoke has a lot more

1348
01:05:48,169 --> 01:05:51,299
iron in it than Cannabis smoke does.

1349
01:05:51,530 --> 01:05:55,044
And it's possible that there are some
- obviously burning anything and inhaling

1350
01:05:55,044 --> 01:06:00,194
it, it's basically one of the canonical
bad things to do, but it's possible that,

1351
01:06:01,634 --> 01:06:03,274
I was wondering if that might be related.

1352
01:06:03,424 --> 01:06:09,064
And there were a number, but these days I
think that when you have lots and lots of

1353
01:06:09,064 --> 01:06:12,535
small interlocking reasons to belief that
something  rather than one big reason?

1354
01:06:12,785 --> 01:06:15,955
That's a reason for suspicion
because it might be that you

1355
01:06:16,024 --> 01:06:17,254
want to find the conclusion.

1356
01:06:17,254 --> 01:06:20,785
And then you are joining onto
things that individually are not

1357
01:06:20,785 --> 01:06:22,864
that convincing, but that join up.

1358
01:06:22,894 --> 01:06:25,344
But I'm still interested
in it as a hypothesis.

1359
01:06:25,414 --> 01:06:27,064
Saloni Dattani: I think
people should donate blood for

1360
01:06:27,064 --> 01:06:29,044
other people to live longer.

1361
01:06:29,104 --> 01:06:29,344
Ben Southwood: Yeah.

1362
01:06:29,515 --> 01:06:30,039
Saloni Dattani: Probably
not for themselves.

1363
01:06:30,699 --> 01:06:34,154
Aria Schrecker: I thought the other
mechanism by which blood donation

1364
01:06:34,154 --> 01:06:38,384
might work is, so big fish have
lots of heavy metals in them.

1365
01:06:38,664 --> 01:06:43,804
And basically that's because if you eat a
smaller fish, it's got heavy metals in it.

1366
01:06:43,804 --> 01:06:47,164
Your body has no way of disposing of
it, so if you are higher up the food

1367
01:06:47,164 --> 01:06:49,194
chain, you'll accumulate more of them.

1368
01:06:49,324 --> 01:06:50,914
And we're reasonably
high up the food chain.

1369
01:06:50,914 --> 01:06:53,504
We eat things with heavy metals in
them, and we don't really have a way of

1370
01:06:53,504 --> 01:06:56,739
disposing it except for literally just
getting rid of that part of your body.

1371
01:06:57,034 --> 01:07:00,305
Saloni Dattani: The thing that I don't
get though is how exactly it works,

1372
01:07:00,305 --> 01:07:04,534
because I would suspect that higher
concentrations of things are bad for

1373
01:07:04,534 --> 01:07:07,504
you, but if you're donating blood,
you're just reducing the volume.

1374
01:07:07,504 --> 01:07:08,854
You're not necessarily
reducing concentrations.

1375
01:07:09,004 --> 01:07:11,904
Ben Southwood: No, it reduces your iron
rate very significantly afterwards.

1376
01:07:12,304 --> 01:07:15,034
Losing that iron then your iron
gets spread out across your total

1377
01:07:15,034 --> 01:07:19,114
blood, and so your ferritin levels
go down significantly after.

1378
01:07:19,164 --> 01:07:20,604
Saloni Dattani: So there's no homeostasis?

1379
01:07:20,794 --> 01:07:22,744
Ben Southwood: No, you can't, you
don't replenish the iron straight away.

1380
01:07:22,944 --> 01:07:26,704
And so this is one of the underlying
reasons why people believe in it, right?

1381
01:07:27,314 --> 01:07:31,934
So, the hypothesis is something like
'We were made to just lose a lot more

1382
01:07:31,934 --> 01:07:36,064
blood' and so, for one thing is that
all the things I'm talking about, women

1383
01:07:36,064 --> 01:07:39,834
don't have these problems in the same
way that men do, premenopausal women.

1384
01:07:40,045 --> 01:07:42,424
And obviously they're losing a lot
of blood, and the hypothesis would

1385
01:07:42,424 --> 01:07:45,034
be that in the past people lost a lot
more blood, and they sweat a lot more.

1386
01:07:45,194 --> 01:07:47,224
So when you sweat, you lose
iron through the sweat as well.

1387
01:07:47,764 --> 01:07:51,374
And so then the people who believe in
these things, they'll attach in saunas

1388
01:07:51,765 --> 01:07:52,144
- 
Saloni Dattani: Got it.

1389
01:07:52,384 --> 01:07:54,794
Ben Southwood: Now we might be
skeptical that saunas extend life, but

1390
01:07:54,794 --> 01:07:57,955
if you already believe that reducing
iron extends life, then you're very

1391
01:07:57,955 --> 01:08:01,194
susceptible to believing that saunas
[extend] life, because you sweat out iron

1392
01:08:01,225 --> 01:08:03,204
when you're sa when you're in a sauna.

1393
01:08:03,455 --> 01:08:07,474
I wanted to ask about another thing
which is, so this, I'm interested

1394
01:08:07,474 --> 01:08:08,794
in this heavy metals theory.

1395
01:08:09,214 --> 01:08:15,654
So this heavy metal theory gets at one of
the core underlying questions that - the

1396
01:08:15,654 --> 01:08:19,834
animal's question is very interesting;
the animal's information that you

1397
01:08:19,834 --> 01:08:21,454
bring in is a very interesting answer.

1398
01:08:21,604 --> 01:08:25,414
Is there an inherent trade
off between lifespan and other

1399
01:08:25,414 --> 01:08:26,794
variables that we care about?

1400
01:08:26,944 --> 01:08:28,524
Is that just an inherent trade off?

1401
01:08:29,254 --> 01:08:31,084
Or can you have more of everything?

1402
01:08:31,819 --> 01:08:35,690
And the case in favor of the inherent
trade off thing would be obviously you

1403
01:08:35,690 --> 01:08:40,099
have to slow it down, your metabolism,
that's bad, fast growth is a trade off.

1404
01:08:40,279 --> 01:08:45,070
And also that, but then you go even
deeper and say what were we evolving for?

1405
01:08:45,070 --> 01:08:46,080
What was the goal here?

1406
01:08:46,080 --> 01:08:50,254
Because in principle, you would
expect that living as long as possible

1407
01:08:50,254 --> 01:08:51,499
is good for us, for a creature.

1408
01:08:51,639 --> 01:08:54,169
But most creatures don't try and
live as long as possible, which

1409
01:08:54,169 --> 01:08:58,240
suggests that after a certain point
it's a trade off against other goods.

1410
01:08:58,489 --> 01:09:03,769
Now, are those goods, those other
goods only relevant to humans in the

1411
01:09:03,769 --> 01:09:05,989
state of nature and not to us now?

1412
01:09:05,989 --> 01:09:07,009
Or are they trade offs?

1413
01:09:07,279 --> 01:09:08,509
Are they genuine trade offs?

1414
01:09:09,249 --> 01:09:15,289
The reason I ask this question is
that, one hypothesis about what might

1415
01:09:15,289 --> 01:09:18,829
be going wrong is that we've got
things in our cells called lysosomes.

1416
01:09:18,829 --> 01:09:22,459
They're storing up all the -  if
you can't really process

1417
01:09:22,459 --> 01:09:23,680
something, it's going in there.

1418
01:09:24,240 --> 01:09:26,719
Sometimes you've got really
slow rates that you can process

1419
01:09:26,719 --> 01:09:29,209
it, sometimes you don't.

1420
01:09:29,479 --> 01:09:29,779
Now.

1421
01:09:30,724 --> 01:09:34,535
One hypothesis you could build from
this is that we've got basically a

1422
01:09:34,535 --> 01:09:38,354
max lifespan limited by our intakes
of all of these different things.

1423
01:09:38,534 --> 01:09:41,854
But that's a good answer because if we
could just find some way of clearing them

1424
01:09:41,854 --> 01:09:45,844
out with the drug or something, then we
can just solve all our problems like that.

1425
01:09:45,865 --> 01:09:48,484
If that was the main, if the overload
of various different stuff we're

1426
01:09:48,484 --> 01:09:51,334
getting into us with the problem,
then that would be really solvable.

1427
01:09:51,455 --> 01:09:55,594
Aria Schrecker: So I guess what you say
actually prompts a slightly difficult

1428
01:09:55,684 --> 01:10:00,724
for me to reason about question here,
which is that clearly if- you can

1429
01:10:00,724 --> 01:10:03,154
understand why aging is sort of adaptive.

1430
01:10:03,174 --> 01:10:08,494
If you think about us as this human
species is together, we're all

1431
01:10:08,494 --> 01:10:14,134
coordinating together here, whereby
if we didn't age and die and pass

1432
01:10:14,134 --> 01:10:16,445
on our genes to the next generation,
we wouldn't be able to evolve.

1433
01:10:16,445 --> 01:10:20,945
We wouldn't be able to keep adapting and
so we should, from the perspective of

1434
01:10:20,945 --> 01:10:27,105
our genes value having two children, four
grandchildren, et cetera, et cetera as

1435
01:10:27,105 --> 01:10:31,714
much, and those genes also get to be a bit
extra selected and each time it goes on.

1436
01:10:31,954 --> 01:10:36,434
But it doesn't make sense to me at
least why then you wouldn't defect

1437
01:10:36,454 --> 01:10:39,574
against the rest of your species almost
by living much longer and taking up

1438
01:10:39,574 --> 01:10:41,924
a much larger proportion of humanity.

1439
01:10:43,414 --> 01:10:44,284
Ben Southwood: I mean yeah.

1440
01:10:44,284 --> 01:10:46,774
So when you were giving your,
this is intuitive to me.

1441
01:10:46,804 --> 01:10:47,014
Aria Schrecker: Yeah.

1442
01:10:47,085 --> 01:10:49,094
Ben Southwood: I was well that would
be intuitive for me if I believe

1443
01:10:49,124 --> 01:10:52,864
that natural selection operated
at the level of a whole species.

1444
01:10:53,074 --> 01:10:56,814
But given that I believe it happens at the
level of an individual gene or something

1445
01:10:56,814 --> 01:10:59,994
like that, that's the best way of thinking
about it, then I can't see that at all.

1446
01:11:00,314 --> 01:11:03,564
Your intuitive thing should be,
they wanna live as long as possible.

1447
01:11:03,574 --> 01:11:05,025
So there must be a trade off.

1448
01:11:05,194 --> 01:11:08,134
Aria Schrecker: There might be a little
sign here with the jellyfish that

1449
01:11:08,434 --> 01:11:13,134
I was talking about, where it seems
its population in the ocean seems to

1450
01:11:13,144 --> 01:11:16,225
be increasing quite, quite rapidly.

1451
01:11:16,614 --> 01:11:21,959
To the point that it is causing
problems to a bunch of - basically

1452
01:11:21,989 --> 01:11:23,299
to its own ecological niche.

1453
01:11:23,809 --> 01:11:27,504
It's flooding it, I guess at some
point it'll hit some Malthusian

1454
01:11:29,525 --> 01:11:33,054
point, but it might only hit that
point after the things that that

1455
01:11:33,064 --> 01:11:37,514
jellyfish eats is totally gone,
and it's habitat's totally overrun.

1456
01:11:37,684 --> 01:11:39,184
So it might cause its own extinction.

1457
01:11:39,424 --> 01:11:41,554
Saloni Dattani: We used to face
this trade off and now we don't.

1458
01:11:42,064 --> 01:11:44,035
Aria Schrecker: So maybe there's
something like that that happens, where

1459
01:11:44,394 --> 01:11:46,564
this animal might actually just die out.

1460
01:11:46,765 --> 01:11:50,674
It's gonna take up a massive
proportion of it's niche and then

1461
01:11:50,674 --> 01:11:51,634
it's gonna kill its niche off.

1462
01:11:51,924 --> 01:11:56,784
And that maybe has happened before
with other animals that have slightly

1463
01:11:56,984 --> 01:12:00,665
outdone their lifespan that they
were ought to have or something.

1464
01:12:01,065 --> 01:12:05,734
I feel if that were the case, we would
see it happen more often, which is

1465
01:12:05,734 --> 01:12:07,144
why I propose this and walk it back.

1466
01:12:07,294 --> 01:12:10,474
But this is why I find it difficult to
reason about, because you can make up

1467
01:12:10,924 --> 01:12:15,544
cases for why some things are adaptive and
why some things aren't adaptive, that I

1468
01:12:15,544 --> 01:12:17,794
find a little bit confusing to deal with.

1469
01:12:17,834 --> 01:12:21,904
Ben Southwood: At a certain point,
you could have an interest, I imagine

1470
01:12:21,904 --> 01:12:26,964
as an individual you could have an
interest in dying so that your personal

1471
01:12:26,964 --> 01:12:28,775
descendants were able to survive.

1472
01:12:29,224 --> 01:12:32,734
But they would have to be-
for each tier you go down,

1473
01:12:32,884 --> 01:12:34,084
there have to be more of them.

1474
01:12:34,384 --> 01:12:34,474
Aria Schrecker: Yeah.

1475
01:12:34,504 --> 01:12:37,414
Ben Southwood: At each tier for it to
be worth it on a pure genetic basis.

1476
01:12:37,535 --> 01:12:37,775
Right?

1477
01:12:37,775 --> 01:12:41,075
So you need to have more than two
children for it to be worth it

1478
01:12:41,075 --> 01:12:41,734
to die in favor of your children.

1479
01:12:42,234 --> 01:12:44,764
Aria Schrecker: Well, maybe just
spreading the risk itself means that

1480
01:12:44,764 --> 01:12:47,564
your genes have a better chance.

1481
01:12:47,785 --> 01:12:51,194
They're in more different
possible carriers.

1482
01:12:51,204 --> 01:12:53,074
So therefore it's more of us.

1483
01:12:53,140 --> 01:12:54,285
Saloni Dattani: But only half
of your genes are in the-

1484
01:12:54,334 --> 01:12:54,634
Aria Schrecker: That's true.

1485
01:12:54,634 --> 01:12:54,654
That's true.

1486
01:12:54,654 --> 01:12:54,974
So actually yeah.

1487
01:12:54,974 --> 01:12:59,075
You do need the I guess,
expected value for your genes.

1488
01:12:59,075 --> 01:12:59,654
Yeah yeah yeah.

1489
01:12:59,654 --> 01:12:59,915
You're right.

1490
01:12:59,959 --> 01:13:00,199
Yeah.

1491
01:13:00,785 --> 01:13:04,785
Ben Southwood: Yeah which, so but that
does seem, I can kind of imagine that.

1492
01:13:05,295 --> 01:13:06,264
That's the hopeful one.

1493
01:13:06,525 --> 01:13:10,714
If it's a competition of resources
one, then that makes complete sense

1494
01:13:10,714 --> 01:13:15,875
given what we've experienced where we
can actually have more of everything.

1495
01:13:16,884 --> 01:13:21,394
We get longer lived, healthier,
but we also are stronger.

1496
01:13:21,735 --> 01:13:22,655
We're also taller.

1497
01:13:23,035 --> 01:13:23,225
We're also smarter.

1498
01:13:23,225 --> 01:13:27,454
We seem to be getting all of the
variables we care about at the same

1499
01:13:27,454 --> 01:13:28,864
time over the last hundred years.

1500
01:13:29,044 --> 01:13:30,784
Saloni Dattani: Did you know
that we also have lower body

1501
01:13:30,784 --> 01:13:34,404
temperatures than in the past?

1502
01:13:34,714 --> 01:13:39,085
So the theory is that it's because of
less infection and less inflammation.

1503
01:13:39,434 --> 01:13:43,624
But if you look at, there's a
sample I think of spanning 50

1504
01:13:43,874 --> 01:13:47,184
years or so where our temperature
has dropped, our body temperature

1505
01:13:47,374 --> 01:13:49,504
has dropped by a degree Celsius.

1506
01:13:49,984 --> 01:13:50,884
Aria Schrecker: How do we know that?

1507
01:13:51,295 --> 01:13:55,234
Saloni Dattani: From the measurements
of body temperatures from decades ago.

1508
01:13:55,574 --> 01:13:55,954
Aria Schrecker: Really?

1509
01:13:56,219 --> 01:13:56,809
Saloni Dattani: Of people the same age.

1510
01:13:56,900 --> 01:13:58,059
Aria Schrecker: It's that recent?

1511
01:13:59,014 --> 01:13:59,674
Ben Southwood: That's pretty cool.

1512
01:13:59,855 --> 01:14:00,154
Saloni Dattani: Yeah.

1513
01:14:00,424 --> 01:14:05,029
Ben Southwood: I mean this, I do that
inflammation, which to me is just a blob.

1514
01:14:05,189 --> 01:14:07,070
I don't really understand what's going on.

1515
01:14:07,129 --> 01:14:07,299
Saloni Dattani: It is kind of a blob.

1516
01:14:07,740 --> 01:14:12,275
Ben Southwood: Inflammation is, that's
one of the most push upon things that

1517
01:14:12,275 --> 01:14:14,124
could generally deliver benefits.

1518
01:14:14,134 --> 01:14:19,894
Although as with all these things, it's
great to - a lot of the stuff we talk

1519
01:14:19,894 --> 01:14:25,775
about, 80 or 90% of its benefits are on
improving the worst off right now, and

1520
01:14:25,994 --> 01:14:29,344
if you are already in the healthiest
10%, then sometimes there are benefits,

1521
01:14:29,344 --> 01:14:30,495
but they're often not that large.

1522
01:14:30,495 --> 01:14:35,064
Like for GLP-1s, there might be upsides
to already slim people, but I'm not sure,

1523
01:14:35,254 --> 01:14:36,534
I'm not sure they have any proven yet.

1524
01:14:36,834 --> 01:14:39,345
And I think a lot of things are like that.

1525
01:14:39,834 --> 01:14:44,134
One thing I wanted to talk about
is are there groups of people

1526
01:14:44,134 --> 01:14:46,864
around the world who live a really
long time that we can learn from?

1527
01:14:46,984 --> 01:14:50,035
So, I've heard of this
concept, 'Blue Zones'.

1528
01:14:50,134 --> 01:14:50,744
Saloni Dattani: Oh yeah.

1529
01:14:51,094 --> 01:14:52,355
Ben Southwood: Tell me about Blue Zones.

1530
01:14:52,355 --> 01:14:53,224
Does anyone know about Blue Zones?

1531
01:14:53,254 --> 01:14:57,660
Saloni Dattani: So, Blue Zones
are the idea that certain groups

1532
01:14:57,724 --> 01:15:02,374
of people in very specific places
live extremely healthy lives.

1533
01:15:02,615 --> 01:15:06,355
And I think that the examples that
people give are Japanese people

1534
01:15:06,355 --> 01:15:10,834
in Okinawa, people in Sardinia in
Italy, and then there are a few more

1535
01:15:10,834 --> 01:15:12,125
that I don't remember the names of.

1536
01:15:13,664 --> 01:15:17,734
I have heard a lot of debunking
of this idea that - there are

1537
01:15:17,734 --> 01:15:21,184
probably people who live longer,
but those aren't examples of them.

1538
01:15:21,184 --> 01:15:26,764
And the ones that have been given as
examples also happen to be places where

1539
01:15:26,764 --> 01:15:29,224
deaths or birth registration is very poor.

1540
01:15:29,414 --> 01:15:33,574
They just have bad administrative data,
they're also poor, they correlate with

1541
01:15:33,574 --> 01:15:37,054
things that you wouldn't expect to
be correlated with longer lifespans.

1542
01:15:37,264 --> 01:15:40,804
But instead they're correlated with
things that imply that we don't

1543
01:15:40,804 --> 01:15:44,734
actually know how long those people
have lived and that their ages are

1544
01:15:44,734 --> 01:15:46,115
inflated because of that reason.

1545
01:15:46,204 --> 01:15:49,464
Ben Southwood: So I shouldn't start
eating the diet of a Sardinian.

1546
01:15:49,714 --> 01:15:51,094
Aria Schrecker: Yeah,
the Mediterranean diet.

1547
01:15:51,094 --> 01:15:51,424
Fake.

1548
01:15:51,934 --> 01:15:52,204
Fake.

1549
01:15:52,454 --> 01:15:54,304
Ben Southwood: The Mediterranean
diet might be fine, they

1550
01:15:54,304 --> 01:15:55,314
eat that in lots of places.

1551
01:15:55,514 --> 01:15:57,635
But if you are in Sardinia,
they have a kind of cheese

1552
01:15:57,645 --> 01:15:58,684
that has maggots coming out.

1553
01:15:59,824 --> 01:16:00,184
Aria Schrecker: Yum.

1554
01:16:00,894 --> 01:16:01,334
Ben Southwood: Live maggots.

1555
01:16:01,355 --> 01:16:01,775
Saloni Dattani: That's horrible..

1556
01:16:01,834 --> 01:16:02,074
Aria Schrecker: Yeah.

1557
01:16:02,919 --> 01:16:05,705
Saloni Dattani: So I wouldn't
take that recommendation.

1558
01:16:08,285 --> 01:16:11,744
The funniest one of this that I
saw was, so there are a bunch of

1559
01:16:12,464 --> 01:16:15,574
historical centenarians, people
who've lived over a hundred years old.

1560
01:16:15,875 --> 01:16:20,115
And there was one example of this
guy, Pierre Joubert or something,

1561
01:16:20,115 --> 01:16:24,875
some French guy who supposedly lived
113 years in the early 20th century.

1562
01:16:25,564 --> 01:16:27,094
And it turned out it was two people.

1563
01:16:27,094 --> 01:16:30,814
It was a man and his son who
both had the same name and people

1564
01:16:30,814 --> 01:16:32,375
just assumed it was the same guy.

1565
01:16:32,554 --> 01:16:34,074
Ben Southwood: There must have been
a bunch of people in the middle who

1566
01:16:34,074 --> 01:16:35,494
were like 'no, this one's a child'.

1567
01:16:36,449 --> 01:16:38,680
But by the end, you know,
a 60-year-old in 1904.

1568
01:16:38,980 --> 01:16:39,589
Saloni Dattani: I think it was

1569
01:16:41,619 --> 01:16:44,824
that they found his birth certificate,
it was actually his dad's birth

1570
01:16:44,824 --> 01:16:48,015
certificate, and then they found his death
certificate and that was the son's death.

1571
01:16:48,085 --> 01:16:48,994
And then they were oh, it's-

1572
01:16:49,144 --> 01:16:52,399
Ben Southwood: I feel quite bad for him
now because at significantly younger

1573
01:16:52,399 --> 01:16:55,149
than 113, everyone thought he was 113.

1574
01:16:55,919 --> 01:16:57,514
'Wow, you are really decrepit, man.'

1575
01:16:57,589 --> 01:17:01,189
Saloni Dattani: This goes to
your point where people seem much

1576
01:17:01,189 --> 01:17:02,650
older than they were in the past.

1577
01:17:02,650 --> 01:17:06,290
And that I can imagine would also
cause this confusion where people

1578
01:17:06,290 --> 01:17:08,980
are like 'Oh wow, this person
must be over a hundred years old'.

1579
01:17:09,119 --> 01:17:11,019
And it's no, they're 80.

1580
01:17:11,074 --> 01:17:12,185
Ben Southwood: I'm 25.

1581
01:17:12,254 --> 01:17:14,154
I just smoked a thousand
cigarettes every day.

1582
01:17:14,794 --> 01:17:18,950
Aria Schrecker: I once watched a
video of I think it was teenagers

1583
01:17:18,950 --> 01:17:23,399
answering some - it was school students
and it was maybe 1940 - something.

1584
01:17:23,709 --> 01:17:27,449
And I was surprised at how much like
adults all the teenagers looked as well.

1585
01:17:27,639 --> 01:17:31,989
So I do really think that those
teenagers were experiencing being

1586
01:17:31,989 --> 01:17:34,249
in their twenties, biologically.

1587
01:17:34,449 --> 01:17:38,539
Ben Southwood: It was a more people
had to go and work at such a young age.

1588
01:17:39,399 --> 01:17:43,069
And even if they didn't have children
super early, they got married early.

1589
01:17:43,369 --> 01:17:43,699
Saloni Dattani: Right.

1590
01:17:43,770 --> 01:17:46,069
They also smoked more, did more drugs.

1591
01:17:46,069 --> 01:17:46,199
Ben Southwood: Drugs.

1592
01:17:46,410 --> 01:17:46,819
Yes.

1593
01:17:47,130 --> 01:17:47,420
Yeah.

1594
01:17:47,659 --> 01:17:48,259
Did more drugs.

1595
01:17:48,259 --> 01:17:50,669
Now here's an interesting one,  it
seems to me drugs were basically

1596
01:17:50,929 --> 01:17:51,839
all invented in the 1960s.

1597
01:17:54,619 --> 01:17:55,459
There weren't people doing-

1598
01:17:55,459 --> 01:17:58,749
Saloni Dattani: Didn't people
do drugs during World War II?

1599
01:17:58,804 --> 01:18:01,434
Aria Schrecker: Didn't Victorians
hang out in opium dens?

1600
01:18:02,359 --> 01:18:02,779
Saloni Dattani: That's true.

1601
01:18:02,809 --> 01:18:05,119
Ben Southwood: So the drugs thing is
interesting because it's definitely

1602
01:18:05,119 --> 01:18:08,074
true from all the information I've ever
seen, we all know everyone smoked a lot.

1603
01:18:08,474 --> 01:18:13,139
But also people drank a lot more, people
can't internalize this, that people in

1604
01:18:13,139 --> 01:18:16,939
the 1970s were just constantly drinking,
and earlier you get earlier than that.

1605
01:18:17,590 --> 01:18:19,699
Saloni Dattani: Medieval people
would only drink beer basically.

1606
01:18:19,779 --> 01:18:22,139
Ben Southwood: People drank, but
people drank on the way to work.

1607
01:18:22,290 --> 01:18:23,979
A lot of the pubs would open
in the morning and they went

1608
01:18:24,159 --> 01:18:25,159
into a pint on the way to work.

1609
01:18:25,230 --> 01:18:27,019
Saloni Dattani: I will take
a contrarian take on this.

1610
01:18:27,019 --> 01:18:30,559
That might have been good, because
their water might have been so unclean.

1611
01:18:31,820 --> 01:18:34,919
Ben Southwood: You far enough, I'm
thinking of Victorians or something.

1612
01:18:34,919 --> 01:18:35,420
Saloni Dattani: Even then.

1613
01:18:35,729 --> 01:18:35,900
Ben Southwood: Yeah.

1614
01:18:35,900 --> 01:18:37,070
Okay early twenties

1615
01:18:37,070 --> 01:18:38,839
- 
 Aria Schrecker: They could
boil water and drink tea.

1616
01:18:39,619 --> 01:18:39,859
Saloni Dattani: Could they?

1617
01:18:40,759 --> 01:18:41,299
Aria Schrecker: Well, I assume so.

1618
01:18:41,959 --> 01:18:42,679
Ben Southwood: They did, sometimes.

1619
01:18:42,679 --> 01:18:43,279
Saloni Dattani: They had coal.

1620
01:18:43,639 --> 01:18:45,219
Ben Southwood: Tea and beer
were considered to be safer,

1621
01:18:45,250 --> 01:18:45,994
because they were both boiled.

1622
01:18:46,174 --> 01:18:47,234
Saloni Dattani: There are a
bunch of bacteria that still,

1623
01:18:47,359 --> 01:18:48,889
or viruses that still survive.

1624
01:18:49,519 --> 01:18:52,180
Ben Southwood: But the beer was
safer because it was boiled as well,

1625
01:18:52,180 --> 01:18:53,509
so it's gonna be the same as tea.

1626
01:18:53,690 --> 01:18:54,040
Saloni Dattani: Yeah.

1627
01:18:55,110 --> 01:18:56,089
Ben Southwood: But be, we
used to drink a lot more.

1628
01:18:56,209 --> 01:19:00,169
I think the drugs question is interesting
because I just don't know, I'm always

1629
01:19:00,179 --> 01:19:03,150
surprised when I discover people in
the past were abusing drugs heavily.

1630
01:19:03,320 --> 01:19:06,650
And so I do know, you know,
everyone knows that Blitzkrieg, the

1631
01:19:06,650 --> 01:19:09,819
Nazis, they were all using speed
as they invaded Eastern Europe.

1632
01:19:10,079 --> 01:19:13,400
Think in the sixties the Beatles
were using speed when they were going

1633
01:19:13,400 --> 01:19:15,660
and playing concerts in Hamburg.

1634
01:19:16,080 --> 01:19:18,240
I don't have a sense of how
much drug use there was.

1635
01:19:18,670 --> 01:19:24,749
But it does seem maybe, all the people
talking about drugs, like cocaine,

1636
01:19:25,160 --> 01:19:26,059
that definitely wasn't a big thing.

1637
01:19:26,989 --> 01:19:28,299
Saloni Dattani: Wasn't there that
thing, what was the treatment

1638
01:19:28,400 --> 01:19:29,769
for depression back then?

1639
01:19:29,769 --> 01:19:30,730
Wasn't there something?

1640
01:19:30,984 --> 01:19:32,389
Ben Southwood: There definitely
were people using heroin and

1641
01:19:32,389 --> 01:19:34,749
cocaine in medical contexts, right?

1642
01:19:35,269 --> 01:19:37,300
In the 1900s, there were certain
rich people getting obsessed.

1643
01:19:37,599 --> 01:19:39,679
Aria Schrecker: If the Bell Jar is
anything to go on, I guess historical

1644
01:19:39,679 --> 01:19:42,259
treatments for depression were insulin.

1645
01:19:42,789 --> 01:19:43,439
Saloni Dattani: Oh yeah.

1646
01:19:43,579 --> 01:19:43,969
Aria Schrecker: Yeah.

1647
01:19:44,150 --> 01:19:45,349
Saloni Dattani: Insulin shock therapy.

1648
01:19:45,349 --> 01:19:45,799
Aria Schrecker: Yeah.

1649
01:19:45,799 --> 01:19:47,840
Which seemed a very strange,
it was a really strange-

1650
01:19:48,889 --> 01:19:50,179
Saloni Dattani: put someone into a coma.

1651
01:19:50,240 --> 01:19:50,629
Aria Schrecker: Yeah.

1652
01:19:51,199 --> 01:19:52,669
Saloni Dattani: So people didn't
really know what caused it.

1653
01:19:53,309 --> 01:19:53,669
Ben Southwood: Yeah.

1654
01:19:54,309 --> 01:19:56,129
We're still not that good on that one.

1655
01:19:56,129 --> 01:19:56,649
That's one.

1656
01:19:56,680 --> 01:19:59,359
It would be nice to get people
to get some improvements on.

1657
01:19:59,539 --> 01:20:04,859
Saloni Dattani: So I have a question
for Aria and you, what is the long-lived

1658
01:20:04,999 --> 01:20:08,809
strategy by animals that you would
take if you wanted to live longer?

1659
01:20:09,320 --> 01:20:10,639
Out of the ones that we talked about?

1660
01:20:11,794 --> 01:20:12,934
Ben Southwood: I'm
obviously a lobster guy.

1661
01:20:13,214 --> 01:20:13,964
Aria Schrecker: You're a lobster guy?

1662
01:20:14,069 --> 01:20:14,969
Ben Southwood: I'm a lobster guy.

1663
01:20:15,184 --> 01:20:17,650
Aria Schrecker: You wanna get bigger
and bigger, and bigger, and bigger?

1664
01:20:17,650 --> 01:20:18,249
Ben Southwood: Bigger and bigger.

1665
01:20:18,769 --> 01:20:21,504
I come back here in a hundred years and
I'm taking up almost the entire room.

1666
01:20:21,504 --> 01:20:25,894
I have to keep working really
hard to get good money for food.

1667
01:20:26,044 --> 01:20:27,484
My food consumption is so high.

1668
01:20:27,984 --> 01:20:28,664
That's what I would like to do.

1669
01:20:28,849 --> 01:20:31,070
Aria Schrecker: You have to
have an IV drip of just straight

1670
01:20:31,119 --> 01:20:32,674
glucose so you can keep growing.

1671
01:20:32,824 --> 01:20:33,064
Ben Southwood: Yeah.

1672
01:20:33,064 --> 01:20:36,464
I would have to be eating extremely
nutritionally valuable foods

1673
01:20:36,754 --> 01:20:39,264
constantly, like a big dinosaur.

1674
01:20:39,274 --> 01:20:39,284
Saloni Dattani: Aria?

1675
01:20:41,379 --> 01:20:44,309
Aria Schrecker: I think, I feel a
big kinship with the naked mole-rats.

1676
01:20:44,959 --> 01:20:48,399
I feel like we're basically already
eusocial creatures as humans.

1677
01:20:49,639 --> 01:20:53,464
I go into the office and I guess I'm
working on my computer doing the very

1678
01:20:53,464 --> 01:20:57,544
important magazine making part of
the social order and everyone else

1679
01:20:57,544 --> 01:21:00,034
is doing all the other parts of the
social order that come together.

1680
01:21:00,244 --> 01:21:03,634
And I guess there isn't a queen naked
mole-rat that's shoving me to get

1681
01:21:03,634 --> 01:21:06,879
me to do work, but you know I feel
I'm basically already like them.

1682
01:21:07,089 --> 01:21:10,264
I also feel like I have no personal
temperature control already anyway.

1683
01:21:10,269 --> 01:21:10,539
Saloni Dattani: Okay.

1684
01:21:13,049 --> 01:21:13,839
Aria Schrecker: I'm just
most of the way  there.

1685
01:21:14,114 --> 01:21:18,724
Saloni Dattani: I would take the last one,
which is turn myself back into a fetus.

1686
01:21:19,144 --> 01:21:19,924
Start life again.

1687
01:21:20,974 --> 01:21:21,924
Ben Southwood: How many
times would you do it?

1688
01:21:21,924 --> 01:21:23,074
You could just keep, do it forever?

1689
01:21:23,074 --> 01:21:23,524
Saloni Dattani: Why not?

1690
01:21:23,734 --> 01:21:23,824
Ben Southwood: Yeah.

1691
01:21:23,824 --> 01:21:27,244
I suppose if you could do that then
when you were feeling like 'hmm.

1692
01:21:27,634 --> 01:21:31,749
I think it's, I think it's time guys',
you're on your deathbed and your death

1693
01:21:31,749 --> 01:21:35,419
bed is actually your regeneration bed,
and then a little baby comes and family.

1694
01:21:35,579 --> 01:21:36,009
Saloni Dattani: That would be great.

1695
01:21:36,559 --> 01:21:37,519
Ben Southwood: That would be fantastic.

1696
01:21:37,654 --> 01:21:39,534
Aria Schrecker: Would you consider
that to be like you continuing

1697
01:21:39,534 --> 01:21:41,084
to live if you just respawned?

1698
01:21:42,394 --> 01:21:44,584
Saloni Dattani: I think I would
see it as another chance at a

1699
01:21:44,704 --> 01:21:46,984
different experience at life.

1700
01:21:47,104 --> 01:21:49,444
Aria Schrecker: I would take
it over what we currently have.

1701
01:21:49,474 --> 01:21:49,714
Saloni Dattani: Right.

1702
01:21:50,044 --> 01:21:52,574
Aria Schrecker: But I'm not sure
I would really consider- I think I

1703
01:21:52,574 --> 01:21:55,774
consider that just a cheap way of
last minute creating one more child.

1704
01:21:55,914 --> 01:21:56,044
Saloni Dattani: Got it.

1705
01:21:56,444 --> 01:21:59,134
Well, so I don't necessarily
want to live longer.

1706
01:21:59,134 --> 01:22:00,444
I just don't wanna die.

1707
01:22:00,814 --> 01:22:02,954
So this feels like it
addresses that problem.

1708
01:22:03,784 --> 01:22:07,474
Ben Southwood: Do you think that getting
into a teleporter and then you come out

1709
01:22:07,474 --> 01:22:10,894
the other side is death or teleportation?

1710
01:22:11,674 --> 01:22:15,379
Saloni Dattani: I think it's
teleportation, because I've watched

1711
01:22:15,394 --> 01:22:19,194
enough Harry Potter movies where they
do that and they don't, philosophically

1712
01:22:19,400 --> 01:22:21,560
- 
Ben Southwood: But you wouldn't know
from the outside because they've

1713
01:22:21,560 --> 01:22:21,980
got copies of all the memories.

1714
01:22:23,239 --> 01:22:24,079
Saloni Dattani: They seem fine.

1715
01:22:25,440 --> 01:22:28,245
Aria Schrecker: I think copying all
the memories is getting - I genuinely

1716
01:22:28,245 --> 01:22:32,045
think the only people who think the
teleporter thing is death are people

1717
01:22:32,045 --> 01:22:35,735
who have thought about philosophy,
they've done the architecture thing

1718
01:22:35,735 --> 01:22:38,825
with philosophy basically, where they've
looked at too many buildings and now

1719
01:22:38,825 --> 01:22:40,135
they can only make ugly buildings.

1720
01:22:40,325 --> 01:22:42,215
They've thought about philosophy
too much and they can only

1721
01:22:42,215 --> 01:22:44,235
have clearly false opinions.

1722
01:22:46,320 --> 01:22:50,165
You're gonna announce yourself
as a 'It's death; continuity of

1723
01:22:50,165 --> 01:22:51,875
consciousness is very important thing'.

1724
01:22:52,385 --> 01:22:56,355
Ben Southwood: I don't have a theory
about it just on the pure intuition,

1725
01:22:57,785 --> 01:23:02,165
I think that it's easy to see that
if you put me to a teleporter, but

1726
01:23:02,165 --> 01:23:07,144
for some reason it delayed for a
month, or, the two person where I

1727
01:23:07,144 --> 01:23:08,285
actually come out of the first one.

1728
01:23:08,355 --> 01:23:10,355
There's another one there,
the other one there isn't me.

1729
01:23:10,445 --> 01:23:13,595
And it's independence of irrelevant
alternatives according to normal

1730
01:23:13,595 --> 01:23:15,065
standards of what is me and what isn't.

1731
01:23:15,065 --> 01:23:15,855
Aria Schrecker: The
other one there is you.

1732
01:23:17,144 --> 01:23:19,734
Ben Southwood: I think that, my personal
view is that if you think about it

1733
01:23:19,759 --> 01:23:24,070
enough, then you're committed to, I die
every time I go to bed in the evening,

1734
01:23:24,940 --> 01:23:26,440
and since I'm not committed to that.

1735
01:23:26,569 --> 01:23:28,369
Aria Schrecker: Or like, I've died
during the creation of this podcast.

1736
01:23:28,559 --> 01:23:28,679
Ben Southwood: Well, yeah.

1737
01:23:28,889 --> 01:23:29,860
every second I die.

1738
01:23:30,480 --> 01:23:30,499
Aria Schrecker: Yeah.

1739
01:23:30,889 --> 01:23:34,309
Ben Southwood: Given that it doesn't,
I think that it would be silly to

1740
01:23:34,399 --> 01:23:37,999
go to that conclusion, but anyway, I
don't know that, I'm not a philosopher,

1741
01:23:37,999 --> 01:23:39,534
so my opinion's probably very bad.

1742
01:23:39,534 --> 01:23:43,149
Saloni Dattani: I wonder if there's a
final way to live longer, which is, it

1743
01:23:43,159 --> 01:23:47,609
sort of reminded me of how astronauts
have, they age very quickly, right?

1744
01:23:47,629 --> 01:23:49,190
When they're out in outer space.

1745
01:23:49,530 --> 01:23:49,629
Ben Southwood: I didn't know that.

1746
01:23:49,759 --> 01:23:50,809
Aria Schrecker: I thought
it was the other way around.

1747
01:23:50,809 --> 01:23:53,569
I thought general relativity
meant they were zooming around so

1748
01:23:53,569 --> 01:23:55,279
fast that they age much slower.

1749
01:23:55,279 --> 01:23:57,209
Ben Southwood: That would only get,
that would only give them a few seconds-

1750
01:23:57,619 --> 01:23:58,989
Aria Schrecker: Oh yeah,
it doesn't give much.

1751
01:23:59,409 --> 01:24:01,374
Ben Southwood: Saloni's talking
about normal aging, aren't you?

1752
01:24:01,934 --> 01:24:02,244
Saloni Dattani: Yeah.

1753
01:24:02,244 --> 01:24:02,574
Yeah.

1754
01:24:03,094 --> 01:24:04,014
it does something.

1755
01:24:04,014 --> 01:24:06,704
And it just means their muscles,
their organs are weaker, et

1756
01:24:06,704 --> 01:24:07,184
cetera, because of gravity.

1757
01:24:07,269 --> 01:24:09,919
Ben Southwood: Well that's why we need to
have our inflatable space station Saloni.

1758
01:24:10,179 --> 01:24:12,764
So that we can have artificial
gravity so they can live longer.

1759
01:24:13,054 --> 01:24:13,264
Saloni Dattani: Yeah.

1760
01:24:13,264 --> 01:24:14,945
So is there a way to do the opposite?

1761
01:24:15,484 --> 01:24:16,905
Ben Southwood: Or put
us under more gravity?

1762
01:24:16,905 --> 01:24:18,335
Aria Schrecker: More
gravity means more life?

1763
01:24:19,985 --> 01:24:21,015
I guess we've never tried it.

1764
01:24:22,115 --> 01:24:25,204
Ben Southwood: My intuition is that
well, have we not ever tried it?

1765
01:24:25,294 --> 01:24:26,845
Aria Schrecker: There are parts
of the world where gravity,

1766
01:24:27,074 --> 01:24:28,884
because the shape of the earth.

1767
01:24:29,014 --> 01:24:33,034
Yeah, so you experience less gravity
if you are at the top of the Himalayas.

1768
01:24:33,544 --> 01:24:34,144
Saloni Dattani: Is that true?

1769
01:24:34,384 --> 01:24:34,714
Aria Schrecker: Yeah.

1770
01:24:34,714 --> 01:24:35,074
because you're

1771
01:24:35,894 --> 01:24:39,164
- 
Ben Southwood: It's like an orange, the
earth and the middle is the furthest

1772
01:24:39,164 --> 01:24:41,994
down, so you get the most at the poles.

1773
01:24:42,454 --> 01:24:43,984
Saloni Dattani: Does it, do we speed up?

1774
01:24:44,974 --> 01:24:45,194
Aria Schrecker: Yes.

1775
01:24:45,194 --> 01:24:45,294
Yeah.

1776
01:24:45,294 --> 01:24:46,084
You will speed up.

1777
01:24:46,619 --> 01:24:47,854
Ben Southwood: You'll be
spinning much quicker, because

1778
01:24:47,854 --> 01:24:49,054
we're going around our axis.

1779
01:24:49,414 --> 01:24:49,444
Saloni Dattani: Oh.

1780
01:24:50,134 --> 01:24:53,384
Ben Southwood: But to be honest,
you're way past my physics here.

1781
01:24:53,384 --> 01:24:56,494
I'll sound like a total idiot
when someone watches the podcast.

1782
01:24:56,544 --> 01:24:56,754
Aria Schrecker: Yeah.

1783
01:24:57,004 --> 01:24:57,414
Ben Southwood: Okay.

1784
01:24:57,494 --> 01:25:02,150
I think that we have tackled all of
the animal longevity based topics

1785
01:25:02,150 --> 01:25:03,259
that we're ever going to tackle.

1786
01:25:03,319 --> 01:25:04,069
Aria Schrecker: I think so, yeah.

1787
01:25:04,779 --> 01:25:05,709
Ben Southwood: Thank
you very much, Saloni.

1788
01:25:06,230 --> 01:25:10,369
Thank you very much, Aria, by the time
this podcast comes out, there will be

1789
01:25:10,369 --> 01:25:16,459
an article by Aria in Works in Progress
issue 22, telling you in much more detail

1790
01:25:16,459 --> 01:25:20,809
and with all the facts sourced and all
the numbers accurate and remembered

1791
01:25:21,049 --> 01:25:25,400
because they're written down about
longevous animals and their traits.