WEBVTT - #1892 The 'Old-Fashioned' Disease That's Rampant - David Gillespie 0:00:00.600 --> 0:00:03.240 I get a team. It's David Gillespie, Tiffany and Cook. 0:00:03.279 --> 0:00:07.960 It's me, Fatty Harps. It's the Youth Project, he high Harps. 0:00:09.200 --> 0:00:11.520 You've just been complimented by the great man who likes 0:00:11.520 --> 0:00:14.480 you in your glasses? Are you thirty percent smarter with 0:00:14.520 --> 0:00:14.880 those on? 0:00:15.160 --> 0:00:18.880 I definitely, I definitely feel thirty percent smarter, And I'm 0:00:18.920 --> 0:00:20.600 just basking in the compliments. 0:00:21.200 --> 0:00:24.560 Are you long or short sighted or something else? 0:00:24.880 --> 0:00:25.239 I don't know. 0:00:25.880 --> 0:00:29.160 I don't know, like middle mid range blurriness, that's what 0:00:29.200 --> 0:00:29.640 I get. 0:00:30.160 --> 0:00:34.680 Wow, So like if you're like sixty centimeters or thirty 0:00:34.720 --> 0:00:36.800 centimeters away from the screen, is it blurry? 0:00:37.240 --> 0:00:41.080 Nah? Further like a longer design. The only time I 0:00:41.159 --> 0:00:43.920 notice it is when I'm out, maybe at the gym 0:00:44.040 --> 0:00:46.400 or at an event, and I'm kind of interacting with 0:00:46.440 --> 0:00:48.960 people across the room and I'm like, I can't really 0:00:49.000 --> 0:00:50.959 see your face. 0:00:53.240 --> 0:00:56.560 Contact. That's a good get out of jail free card. 0:00:56.600 --> 0:00:58.160 That is nice. 0:00:58.400 --> 0:01:02.600 It's not nice because I feel like really isolated in 0:01:02.680 --> 0:01:05.679 those moments because I'm not sure if I'm in the. 0:01:05.680 --> 0:01:10.440 Room with people, you know, it's your ghosting. Excuse why'd 0:01:10.440 --> 0:01:12.360 you ghost me? Tiff I couldn't see you in my 0:01:12.440 --> 0:01:15.680 middle distance vision thing. Think you hear it was on 0:01:15.720 --> 0:01:18.399 the podcast. 0:01:18.600 --> 0:01:20.560 I think also it's got to do with how much 0:01:20.680 --> 0:01:23.440 light is in the room. Don't you like when it's daylight? 0:01:23.800 --> 0:01:29.040 It seems it's much like brighter daylight versus semi lit rooms. 0:01:29.200 --> 0:01:31.959 When it's when it's not great light, I find it 0:01:32.040 --> 0:01:33.319 really hard to see people. 0:01:34.760 --> 0:01:37.400 I don't like driving at night either. Might wear them 0:01:37.400 --> 0:01:38.920 at night, Probably should wear them at night. 0:01:39.760 --> 0:01:43.240 Probably should. You're probably probably breaking the law by not 0:01:43.319 --> 0:01:45.440 doing it. Hey you Giles boy? What's news? 0:01:46.360 --> 0:01:48.960 Yeah, all sorts of things. We're going to talk about 0:01:49.000 --> 0:01:51.480 gout today, aren't we just really change? 0:01:52.320 --> 0:01:54.840 I saw that, I saw your article and I thought, oh, 0:01:54.880 --> 0:01:56.680 that's a good old fashioned condition. 0:01:57.600 --> 0:02:00.000 Well, i'll tell you why I wrote about it, because 0:02:00.280 --> 0:02:02.680 I didn't put it in the article. But I like 0:02:02.800 --> 0:02:05.240 watching I think we've talked about this before, but I 0:02:05.320 --> 0:02:09.679 like watching that SPS show alone, which is basically, you know, 0:02:10.360 --> 0:02:12.720 people starving to death and who starves to death the 0:02:12.800 --> 0:02:17.200 last is the winner. And one of the blokes on that, 0:02:17.240 --> 0:02:18.840 I think, one of the blokes who's in the final 0:02:18.880 --> 0:02:22.440 four at the moment, had this really bad attack of 0:02:22.520 --> 0:02:28.120 gout and they were pointing out probably the reason is 0:02:28.160 --> 0:02:30.440 because he's been subsisting on eels, which is just about 0:02:30.440 --> 0:02:33.760 the only thing he can catch. And it reminded me 0:02:33.919 --> 0:02:37.880 about the story of gout and how it originally was, 0:02:38.760 --> 0:02:42.520 you know, a rich man's disease, and people who could 0:02:42.880 --> 0:02:45.560 afford access to eels and swans and things were the 0:02:45.600 --> 0:02:47.240 only people who got it. 0:02:47.440 --> 0:02:47.800 Ones. 0:02:48.080 --> 0:02:51.840 Oh, the Royal diet. You know, swans the protected species. 0:02:51.840 --> 0:02:54.840 Only kings can eat the swans in the UK. 0:02:55.120 --> 0:02:56.960 I thought it was too much beer. 0:02:58.560 --> 0:03:05.239 No, well, maybe a bit of alcohol is definitely implicated 0:03:05.280 --> 0:03:08.600 in it, but the big like, it's an interesting thing 0:03:08.639 --> 0:03:12.160 because it's been around since since we first started noticing 0:03:12.160 --> 0:03:14.960 things in medicine. The people have had this kind of 0:03:15.560 --> 0:03:18.720 acute attacks of arthritis. So it's not like normal arthritis 0:03:18.760 --> 0:03:21.720 where it sort of builds over time and just gets 0:03:21.720 --> 0:03:26.040 worse and worse and worse. Gout is something that you 0:03:26.160 --> 0:03:29.360 have acute attacks of and when you have the attack, 0:03:31.000 --> 0:03:36.480 it's unbelievably painful. So the fellow on the Loan Show 0:03:36.480 --> 0:03:39.200 who had it, he said it felt like someone had 0:03:39.200 --> 0:03:44.560 broken his ankle it and then he showed his foot 0:03:44.600 --> 0:03:46.880 and it was swollen up. You know, to sort of 0:03:46.920 --> 0:03:49.960 the width of his leg, you know, around his ankle 0:03:50.000 --> 0:03:53.800 and his foot, and it looked horrifically painful. And that's 0:03:53.800 --> 0:03:57.440 what gout's like, you know, for the curious amongst your listeners. 0:03:57.480 --> 0:03:59.120 I've actually put a photo of what it looks like 0:03:59.200 --> 0:04:04.560 in the article, so you just, I guess, warning if. 0:04:04.440 --> 0:04:07.280 You don't like warning, Robinson warning. 0:04:08.800 --> 0:04:12.880 Yeah, so so gow. It's been around a while. It 0:04:13.040 --> 0:04:17.880 was noticed, yeah, pretty much by the earliest people who 0:04:17.920 --> 0:04:23.240 looked at medicine, even old Hippocrates and so on. Notice 0:04:23.279 --> 0:04:26.040 there was this thing. But the other thing he noticed 0:04:26.200 --> 0:04:30.160 was it affected only really two classes of people, men 0:04:31.240 --> 0:04:37.039 and women who had who had gone past menophorse, and 0:04:37.360 --> 0:04:41.080 in both cases only if they were particularly wealthy. So 0:04:42.520 --> 0:04:45.720 it seemed like a really weird disease. So there's this 0:04:45.800 --> 0:04:50.880 disease that can really give you extremely painful attacks in 0:04:51.160 --> 0:04:53.880 usually in your lower extremities, although sometimes in your hands 0:04:53.920 --> 0:04:58.320 as well, so in your ankles, your feet, your big toe, 0:04:58.400 --> 0:05:05.520 and so on, really really debilitating, but only seemed to 0:05:05.560 --> 0:05:12.080 affect rich people, and then only men or women who've 0:05:12.080 --> 0:05:16.960 gone past menopause. So it was a bit mysterious. But 0:05:16.960 --> 0:05:19.160 because it only really affected rich people, no one cared 0:05:19.200 --> 0:05:22.520 much because it wasn't a large percentage of the population, 0:05:22.800 --> 0:05:25.520 and even with the rich people, it was sort of 0:05:26.000 --> 0:05:28.280 felt like, well, they deserved what they got. It was 0:05:28.320 --> 0:05:35.919 pretty quickly diagnosed as being a result of an affluent lifestyle. Obviously, 0:05:35.960 --> 0:05:39.400 something about you know, the way those people were living 0:05:40.160 --> 0:05:42.320 was causing this thing, but they didn't really nail it 0:05:42.360 --> 0:05:47.600 down much more than that until I think it was 0:05:47.600 --> 0:05:52.159 about the eighteen hundreds. Yeah, mid eighteen hundreds when people 0:05:52.200 --> 0:05:54.840 started experimenting and seeing, well, you know, can we get 0:05:54.839 --> 0:05:57.400 to the bottom of this and the reason why they 0:05:57.440 --> 0:05:59.799 were starting to worry about it in the mid eighteen hundreds, 0:06:00.160 --> 0:06:04.320 starting to not just be a rich people disease. So 0:06:04.560 --> 0:06:07.120 nobody really much cared if King Henry the Eighth had gout. 0:06:07.279 --> 0:06:10.520 I guess he cared, and probably the people who were 0:06:10.560 --> 0:06:14.800 required to treat him cared, but no one else much 0:06:14.880 --> 0:06:20.320 cared that he had gout and he did so. But 0:06:20.520 --> 0:06:22.800 once it started to be a problem that affected a 0:06:22.839 --> 0:06:25.560 lot of people, which it really was starting to be 0:06:25.800 --> 0:06:31.200 by the eighteen fifties, people started looking at it and saying, well, 0:06:31.200 --> 0:06:34.560 what is this disease, what is causing this, and what 0:06:34.720 --> 0:06:38.919 exactly about rich people's lifestyles and now increasingly more and 0:06:38.960 --> 0:06:42.640 more of the middle class is causing this. So they 0:06:42.640 --> 0:06:46.800 went looking and fortunately the mid eighteen hundreds was sort 0:06:46.800 --> 0:06:51.280 of the dawn of medical science. They did things like experiments, 0:06:51.320 --> 0:06:54.880 and there was one particular chap by the name of 0:06:55.160 --> 0:06:59.760 Sir Alfred Bearing Garrett. It's a nice, nice set of 0:07:00.040 --> 0:07:03.080 names he's got there. He thought, I'll do some experiments 0:07:03.120 --> 0:07:06.840 here and see if I can figure it out. What 0:07:06.960 --> 0:07:10.320 he figured out was that there was a difference in 0:07:10.360 --> 0:07:13.960 the blood of people who had gout and people who 0:07:13.960 --> 0:07:17.920 didn't have gout, and he proved this using a piece 0:07:17.960 --> 0:07:24.679 of string. Surprisingly, so what he would do is put string, 0:07:24.960 --> 0:07:27.160 like just leave a piece of string in the blood 0:07:27.240 --> 0:07:30.720 plasma of people who had gout versus people who didn't. 0:07:30.720 --> 0:07:31.920 I don't know how it came up with the idea 0:07:31.920 --> 0:07:35.440 of a piece of string, but it was actually pretty 0:07:35.480 --> 0:07:38.240 clever because what happened with the people who had gout 0:07:38.880 --> 0:07:42.400 is that crystals formed on the piece of string, and 0:07:42.440 --> 0:07:46.520 what happened on people who didn't there's nothing. So the 0:07:46.600 --> 0:07:51.480 string just got bloody and wet, but there were no crystals. 0:07:51.520 --> 0:07:55.440 For me. He then analyzed, what are these crystals that 0:07:55.480 --> 0:08:00.040 are forming and found out that they came from some 0:08:00.520 --> 0:08:02.800 a chemical which by then they knew was in our 0:08:02.800 --> 0:08:07.560 bloodstream called uric acid. Now, uric acid is something that's 0:08:07.600 --> 0:08:11.600 produced as a normal part of being human and eliminated 0:08:11.640 --> 0:08:14.400 by the kidneys as a normal part of being human. 0:08:14.840 --> 0:08:18.240 But for some reason some people had a lot more 0:08:18.280 --> 0:08:23.760 of it in their bloodstream than others. So they said, well, 0:08:23.840 --> 0:08:25.400 what do we know about uric acid? Where does it 0:08:25.400 --> 0:08:31.880 come from? The answer was it comes from meat. So 0:08:32.120 --> 0:08:35.600 if you have a good, steady supply of access to 0:08:35.679 --> 0:08:39.680 meat and seafood, and particularly some of the more exotic 0:08:39.679 --> 0:08:45.040 seafoods like eels, then you would have a fair amount 0:08:45.080 --> 0:08:49.840 of something called purines in your diet, and purines are 0:08:49.920 --> 0:08:54.800 metabolized to uric acid. Now, as I say, if you've 0:08:54.840 --> 0:08:57.600 got a good function in kidneys and not overdoing it 0:08:57.640 --> 0:09:01.040 on the meat front, it probably didn't matter. But if 0:09:01.040 --> 0:09:03.040 you were King Henry the eighth and you know, sitting 0:09:03.080 --> 0:09:06.080 down to a feast every night and eating more meat 0:09:06.080 --> 0:09:08.920 than the average punter saw in a year, then you 0:09:09.000 --> 0:09:11.600 might be in a bit of trouble. So that helped 0:09:11.600 --> 0:09:15.560 to explain in one go, there you go, obvious answer 0:09:16.320 --> 0:09:19.720 this is why this thing was only really a disease 0:09:19.760 --> 0:09:26.319 of the rich, and you know, was starting to become 0:09:26.400 --> 0:09:30.320 more prevalent in society because access to meat was starting 0:09:30.320 --> 0:09:33.360 to be more of a thing by the mid eighteen hundreds. 0:09:33.600 --> 0:09:37.960 So four people prior to that really subsisted on vegetables. 0:09:38.520 --> 0:09:41.640 There were vegetarians without even trying to be, and probably 0:09:41.640 --> 0:09:45.000 didn't want to be, And so they were eating the 0:09:45.120 --> 0:09:47.360 vegetables because they didn't get access to meat. And the 0:09:47.440 --> 0:09:49.520 rich people were eating the meat because the last thing 0:09:49.520 --> 0:09:51.240 in the world they were going to do was eat vegetables. 0:09:51.679 --> 0:09:56.319 That was what poor people eat. So it's an interesting version, 0:09:56.320 --> 0:09:58.720 by the way, just sidetrack the interesting version about bread. 0:09:59.040 --> 0:10:05.120 So back those times, the rich people ate the white 0:10:05.120 --> 0:10:10.080 bread because that was the expensive to make bread to 0:10:10.120 --> 0:10:12.720 get that good, and the poor people ate the stuff 0:10:12.760 --> 0:10:15.599 that was full of grains and crap. And then you 0:10:15.760 --> 0:10:20.000 fast forward to today and it's completely inverted anyway, and. 0:10:19.960 --> 0:10:22.160 The one that's full of grains and crap is ten 0:10:22.200 --> 0:10:23.000 times is. 0:10:22.920 --> 0:10:26.640 Ten times the price of the white bread. That's right anyway, 0:10:27.240 --> 0:10:30.680 So they thought, okay, job done, We've solved gout, we 0:10:30.760 --> 0:10:34.280 know what causes it. Here we go, don't eat meat. 0:10:34.960 --> 0:10:37.599 They also found that alcohol did have an effect, and 0:10:38.480 --> 0:10:42.480 they also subsequently discovered that eating drinking alcohol out of 0:10:42.559 --> 0:10:44.720 lead crystal made it even worse because there was a 0:10:44.720 --> 0:10:47.840 different kind of type of gout that was associated with 0:10:47.840 --> 0:10:50.920 the lead poisoning in the crystal because it damage the kidneys, 0:10:50.920 --> 0:10:52.959 et cetera. Et cetera. Don't need to worry too much 0:10:52.960 --> 0:10:57.480 about that. They had it nailed perfect theory, one wrong, 0:10:59.160 --> 0:11:02.360 but we didn't figure it out for a good one 0:11:02.440 --> 0:11:05.600 hundred years, well, actually more like two hundred years after that. 0:11:06.559 --> 0:11:08.920 It's not that it was completely wrong, one hundred percent wrong. 0:11:08.920 --> 0:11:12.559 It was probably unfair. There is a way to produce 0:11:12.640 --> 0:11:16.400 excess uric acid by consuming too much meat. It's just 0:11:16.520 --> 0:11:19.080 that doctors running around in the nineteen sixties and nineties, 0:11:19.080 --> 0:11:21.760 seventies and ninety eighties and ninety nineties and telling people, well, 0:11:21.840 --> 0:11:24.360 the reason you're getting gout is because you're eating too 0:11:24.440 --> 0:11:27.880 much meat was just nonsense, because what was happening in 0:11:27.920 --> 0:11:32.079 those decades is gout was going from nothing very important 0:11:32.120 --> 0:11:34.720 at all that affected a few old, rich people to 0:11:34.960 --> 0:11:39.559 suddenly it's affecting very large percentage of the population. So 0:11:39.679 --> 0:11:41.840 if you look at some of the numbers in the UK. 0:11:42.559 --> 0:11:48.079 It went up sevenfold in fifty years from nineteen sixty, 0:11:48.440 --> 0:11:53.480 so nineteen sixty to twenty ten, sevenfold increase in gout. 0:11:53.600 --> 0:11:56.679 It is now ad epidemic proportions. It is the most 0:11:56.720 --> 0:12:01.320 common form of arthritis in Western society. It is growing 0:12:01.559 --> 0:12:05.800 extremely rapidly. So we're all having too many steak dians 0:12:05.880 --> 0:12:11.240 and lobster thermidors. No, so our access to meat, if anything, 0:12:11.400 --> 0:12:15.760 has declined in the last one hundred years, you know, 0:12:15.800 --> 0:12:18.520 because of the obsession about eating too much saturated fat 0:12:18.520 --> 0:12:21.640 blah blah blah blah blah. So we're eating a lot 0:12:21.760 --> 0:12:26.160 less red meat, a lot less things like lobster and frauns. 0:12:26.200 --> 0:12:29.320 It's on that are also sources of this. So how 0:12:29.360 --> 0:12:31.720 on earth would we be getting an epidemic if those 0:12:31.760 --> 0:12:36.199 things were the cause. Answer is, you know, when facts 0:12:36.240 --> 0:12:41.240 meat theory facts win and siders started looking at this 0:12:41.960 --> 0:12:45.480 in sort of around two thousand and seven, two thousand 0:12:45.480 --> 0:12:51.040 and six and discovered there was a much more interesting 0:12:51.080 --> 0:12:55.120 correlation in the data when they started looking closely at it, 0:12:55.520 --> 0:12:59.840 and that is it was a straight line between sugar 0:13:00.520 --> 0:13:04.640 and gout. Of course, the total or sugar consumption of 0:13:04.679 --> 0:13:10.319 the person exactly predicted their chance of having gout. And 0:13:10.679 --> 0:13:13.800 in fact, if you had if you compared men who 0:13:13.960 --> 0:13:17.000 So they first studied men because they're the important ones. 0:13:17.840 --> 0:13:20.800 And oken and authorized by David Gillespie. 0:13:22.000 --> 0:13:26.600 So forty six thousand men. They looked at the data 0:13:26.640 --> 0:13:29.080 on that had lifelong data from these forty six out 0:13:29.120 --> 0:13:33.600 they're all health professionals, so nurses and doctors, and found 0:13:33.679 --> 0:13:36.240 if you compared a bloke who was having two or 0:13:36.280 --> 0:13:38.319 more sugary drinks a day with a blow who was 0:13:38.360 --> 0:13:41.920 having one or less, he'd have an eighty five percent 0:13:42.120 --> 0:13:46.720 higher chance of having gout, so double the risk. In 0:13:46.760 --> 0:13:49.320 other words, just by doubling the amount of sugar you 0:13:49.360 --> 0:13:53.320 were consuming, and the trend stuck, you could predict exactly 0:13:53.880 --> 0:13:55.760 whether a person was likely to have gout or not, 0:13:55.920 --> 0:13:58.880 just by knowing how much sugar they were consuming. So 0:13:59.080 --> 0:14:02.440 there goes the old eating too much steak and lobster. 0:14:03.200 --> 0:14:06.560 And now we have the real culprit, which is sugar. 0:14:07.200 --> 0:14:09.880 Now at that point they hadn't identified the mechanism, but 0:14:10.000 --> 0:14:12.240 now we know a little bit more about sugar, it 0:14:12.320 --> 0:14:16.320 was pretty clear. So sugar is as we've talked about before, 0:14:16.400 --> 0:14:19.880 it's half fructose, half glucose, the fructose half of sugar 0:14:20.280 --> 0:14:24.640 gets metabolized by the liver essentially in such a fashion 0:14:24.640 --> 0:14:30.360 that it directly produces uric acid. So it's almost as 0:14:30.400 --> 0:14:32.120 if you said, you know, look, I just want to 0:14:32.120 --> 0:14:36.280 invent a chemical process that manufactures uric acid on demand. 0:14:37.120 --> 0:14:41.640 The answer would be consume a lot of fructose. Well, 0:14:42.120 --> 0:14:45.160 and that's what's going on. So we know that for 0:14:45.200 --> 0:14:51.160 absolute certain that's what's behind the massive growth in gout. 0:14:51.360 --> 0:14:54.280 It's why such more people in the population have it 0:14:54.320 --> 0:14:57.880 now than have ever had it before in humankind's history, 0:14:58.160 --> 0:15:00.400 and it's why it's gone from a large new relevant 0:15:00.480 --> 0:15:04.680 rich men's disease a few hundred years ago to affecting 0:15:05.400 --> 0:15:09.800 really large percentages of the population. Now, did you say, 0:15:09.840 --> 0:15:15.280 it's the fastest growing format, the most most prevalent form 0:15:15.520 --> 0:15:21.600 of arthritis in the population. So it is at epidemic 0:15:21.640 --> 0:15:27.760 proportions and still accelerating. So, by the way, in that 0:15:27.800 --> 0:15:29.720 same study, they also just to make sure it wasn't 0:15:29.760 --> 0:15:33.000 either know, the bobbles or whatever in the fizzy drinks 0:15:33.280 --> 0:15:39.080 causing this. Compared people who had diet drinks and they 0:15:39.080 --> 0:15:42.320 didn't have gout, zero chance of gout for them, They 0:15:42.320 --> 0:15:45.120 also compared people who had fruit juice instead of soft drink. 0:15:45.360 --> 0:15:51.360 They got gout because fruit juices, of course, So it's 0:15:51.400 --> 0:15:53.840 been definitively nail. It's not in doubt at all. The 0:15:53.880 --> 0:15:56.080 bizarre thing is that even to this day, I mean 0:15:56.280 --> 0:16:00.840 that study, massive landmark study was put out I think 0:16:00.880 --> 0:16:04.040 around two thousand and eight in the British Medical Journal. 0:16:04.800 --> 0:16:07.480 Even to this day you'll have people saying that their 0:16:07.480 --> 0:16:09.760 doctor told them that they've got gout because they're eating 0:16:09.760 --> 0:16:12.160 too much meat. And this is why I looked at 0:16:12.160 --> 0:16:15.640 it again, because that's exactly what the bloke on alone 0:16:15.680 --> 0:16:18.400 said and he was wondering, well, I haven't really been 0:16:18.640 --> 0:16:23.000 getting access to any stakes. Yeah, why is my gaup 0:16:23.080 --> 0:16:26.760 playing up because he's fifty days into starving to deat 0:16:26.960 --> 0:16:35.080 So I thought that was really interesting. I guess the 0:16:35.200 --> 0:16:39.480 takeaway from all of this is that doubt is a 0:16:39.560 --> 0:16:44.040 canary in the sense that it's the first thing to 0:16:44.080 --> 0:16:47.960 happen to you when you consume too much fructose, aside 0:16:47.960 --> 0:16:50.480 from getting fat. Oh, by the way, interesting story if 0:16:50.480 --> 0:16:53.920 you go back then and look at the earlier studies about. 0:16:54.480 --> 0:16:56.560 Not allowed us say that anymore, David, I'm sorry. 0:16:56.640 --> 0:16:59.440 Allowed us say people get that. 0:16:59.440 --> 0:17:02.720 That's I'll be hearing from someone very soon. 0:17:03.560 --> 0:17:05.280 Under height, not overweight. 0:17:05.720 --> 0:17:09.000 There you go much better. Glad you tided that up. 0:17:09.240 --> 0:17:14.240 That's right. Yeah, So if people get underhyight, if you 0:17:14.359 --> 0:17:18.200 go back and compare England in the mid eighteen hundreds 0:17:18.200 --> 0:17:20.280 and when they were looking at this and worrying about it, 0:17:20.560 --> 0:17:23.199 and look at the sugar consumption, and look at the 0:17:23.200 --> 0:17:26.960 incidents of gout, and compare England to France. Now, England 0:17:27.080 --> 0:17:30.320 had control of all of the colonies that were producing sugar, 0:17:30.359 --> 0:17:33.040 the Caribbean, et cetera, et cetera. They had a lot 0:17:33.080 --> 0:17:35.199 more sugar in their diet than the French did, who 0:17:35.280 --> 0:17:37.760 had no access to any of this. The French also 0:17:37.800 --> 0:17:41.920 had no gout. Yeah, so that's an interesting They didn't 0:17:41.960 --> 0:17:43.600 notice that at the time. But now that we know 0:17:43.640 --> 0:17:45.080 the answer, we can go back and look at some 0:17:45.119 --> 0:17:48.080 of that data. But the important thing from the perspective 0:17:48.119 --> 0:17:51.360 here is, I mean, yes, gout is horrible and painful, 0:17:51.440 --> 0:17:55.840 but it's not going to kill you. The important thing 0:17:55.880 --> 0:17:59.080 here is it's a warning if you if your body 0:17:59.160 --> 0:18:01.920 is in a position where it is producing too much 0:18:02.040 --> 0:18:06.920 uric acid by consuming fractos, then it is also destroying 0:18:06.920 --> 0:18:11.159 your liver. It is also destroying your kidney. It is 0:18:11.200 --> 0:18:14.000 also likely making you overweight, sorry, under. 0:18:13.800 --> 0:18:16.359 Height and much better. 0:18:16.480 --> 0:18:23.680 Yes, so that's the warning. You know, pay attention if 0:18:23.720 --> 0:18:26.440 you've got gout, because gout is not the real problem. 0:18:26.800 --> 0:18:27.840 It's just the symptom. 0:18:28.520 --> 0:18:34.080 Wow wow, And you think about like, isn't it interesting 0:18:34.119 --> 0:18:37.119 that And again this is not a slam on doctors, 0:18:37.160 --> 0:18:39.960 because there are great doctors and not so great doctors, 0:18:39.960 --> 0:18:43.639 but that there are probably still you know, doctors getting 0:18:43.640 --> 0:18:48.040 around and other medical professionals or health professionals telling people 0:18:48.080 --> 0:18:52.160 that that their gout is about excessive meat. 0:18:52.359 --> 0:18:55.000 Still, well, if they went to medical school before two 0:18:55.040 --> 0:18:59.239 thousand and eight, they wouldn't have learnt anything else. And 0:18:59.320 --> 0:19:01.960 if they haven't been keeping up with their eating and 0:19:02.000 --> 0:19:05.520 which most doctors don't have the time to do that, 0:19:05.560 --> 0:19:08.520 they're not going to hear a different story. So you know, 0:19:08.600 --> 0:19:10.880 if your doctor was trained before two thousand and eight, 0:19:10.920 --> 0:19:16.360 he thinks get out is caused by meat consumption. And 0:19:17.320 --> 0:19:19.800 I guess that leads us to the other question, which 0:19:19.800 --> 0:19:25.439 is the stopping eating sugar cure it? And the answer 0:19:25.480 --> 0:19:30.199 is yes, it does. But and this is always the 0:19:30.200 --> 0:19:33.240 butt with sugar. It depends how badly you've wrecked things 0:19:33.240 --> 0:19:40.240 in the meantime, So doubt causes damage to structures in 0:19:40.880 --> 0:19:44.800 tendon's muscles, et cetera, in the foot, if they've been 0:19:45.240 --> 0:19:50.320 irreparably damaged, then even though cutting back on the sugar, well, 0:19:50.359 --> 0:19:54.399 removing the sugar will certainly help and ensure that you 0:19:54.480 --> 0:19:59.840 are significantly reducing uric acid production, it isn't going to 0:19:59.840 --> 0:20:03.080 rep the damage for that something. You know, something else 0:20:03.160 --> 0:20:05.800 might be required, some other forms of medication, et cetera. So, 0:20:06.480 --> 0:20:09.480 and that's the answer you get in pretty much everything 0:20:09.520 --> 0:20:12.280 to do with sugar, which is will this cure my 0:20:12.359 --> 0:20:14.840 fati liver? Well, yes it will, but it depends how 0:20:14.920 --> 0:20:17.040 much damage has been done to the liver, like has 0:20:17.080 --> 0:20:21.760 scar tissued been created or not, Because stopping sugar will 0:20:21.760 --> 0:20:23.920 stop more being formed, but it's not going to fix 0:20:23.960 --> 0:20:26.080 the stuff that's already been scarred. 0:20:27.280 --> 0:20:32.639 Yeah, yeah, and I think it's still still people still 0:20:32.640 --> 0:20:37.439 hold like dried fruit and fruit juice up as healthy foods. 0:20:38.240 --> 0:20:39.320 Yeah, which they're not. 0:20:40.119 --> 0:20:43.960 My dad's a diabetic and you know, not a visit 0:20:44.080 --> 0:20:45.440 or two ago when I was up there, he is 0:20:45.480 --> 0:20:51.600 eating fruit. What are you doing? You know? Like that 0:20:51.720 --> 0:20:53.840 is just the worst thing that you can eat. 0:20:54.680 --> 0:20:57.639 Well, you go. Standard dietetic practice at the moment is 0:20:57.680 --> 0:21:00.680 still to give people fruit juice even though they're diabetic. 0:21:01.800 --> 0:21:04.440 So you go into a hospital ward where there are 0:21:04.440 --> 0:21:07.440 diabetic patients, they'll be being fed food that's you know, 0:21:07.560 --> 0:21:10.320 fruit juice and fruit and dried fruit. And I'm not 0:21:10.320 --> 0:21:13.280 saying exclusively that, but there's no account taken of the 0:21:13.320 --> 0:21:15.600 fact that the cause of this disease is over consumption 0:21:15.640 --> 0:21:21.040 of fractose. And that's a problem because, as I said, 0:21:22.040 --> 0:21:25.000 gout is at epidemic proportions. But it's just the effect 0:21:25.080 --> 0:21:28.679 we can see, you know, we can't see the kidney disease. 0:21:28.720 --> 0:21:31.120 We can't see the fatty liver disease until it gets 0:21:31.160 --> 0:21:34.720 to a point where it is really really dangerous. 0:21:36.840 --> 0:21:38.840 Have you ever I'm going to digress for a moment, 0:21:38.840 --> 0:21:42.120 But I've watched alone, like the American version a bit. 0:21:42.320 --> 0:21:45.320 I think I watched some of the Swedish version last week, 0:21:45.640 --> 0:21:49.840 some of the Australian I just look at those people. 0:21:49.880 --> 0:21:52.240 I feel like, whatever it is that they might win, 0:21:52.480 --> 0:21:55.240 it's not worth it. They're just killing their health. 0:21:55.720 --> 0:21:59.639 It's just I'm like, but I know some of them 0:21:59.640 --> 0:22:01.159 are losing a fair bit of Wait, you know, it 0:22:01.160 --> 0:22:03.320 could be a fairly extreme diet. 0:22:04.880 --> 0:22:08.040 Starting point. I guess if you go in there and 0:22:08.080 --> 0:22:10.320 you're in relatively good shape, as. 0:22:10.200 --> 0:22:11.719 In oh no, then you toast. 0:22:12.440 --> 0:22:15.880 No, you're fucked, You're fucked. I was talking to well, 0:22:16.119 --> 0:22:18.000 Tiff and I were talking to Tammy van Whistler. You 0:22:18.080 --> 0:22:21.360 may not know who she is, but she's arguably well, 0:22:21.359 --> 0:22:24.320 she's definitely one of Australia's best ever ultra endurance swimmers. 0:22:24.359 --> 0:22:27.320 She swam, you know, she's won a million things and 0:22:27.680 --> 0:22:31.920 world records and she swum, among other things, she swum lockness. 0:22:32.840 --> 0:22:37.520 And I wouldn't believe this, but this was recorded. So 0:22:37.680 --> 0:22:42.439 in a nine hour and six minute swim she lost 0:22:42.520 --> 0:22:45.000 ten kilograms swimming in lockness. 0:22:45.960 --> 0:22:48.920 Well, it is cold, it is like, so. 0:22:48.920 --> 0:22:52.720 That was the coldest swim she's ever done. And I'm 0:22:52.720 --> 0:22:54.840 not lying, am I? Tif ten K's right. 0:22:54.960 --> 0:23:00.240 Yeah yeah, And the is a zempi. 0:23:00.760 --> 0:23:04.320 Oh yeah, yeah, zeb's gone. Well at the moment, isn't 0:23:04.359 --> 0:23:06.200 it no better there at all? 0:23:06.520 --> 0:23:09.439 It'll well except for the blindness thing, and yeah, but 0:23:10.720 --> 0:23:13.200 you know, we can probably talk about that another time. 0:23:13.240 --> 0:23:18.960 But look, the problem with the way we work as 0:23:18.960 --> 0:23:21.600 a society here. I'm just getting my just pulling my 0:23:21.640 --> 0:23:23.200 soap box out here to get here. 0:23:23.560 --> 0:23:25.640 Just stand right up and talk up. Yep. 0:23:25.720 --> 0:23:30.399 That's is that we are always looking for the quick fix, 0:23:30.880 --> 0:23:36.720 and a zeenpeic provides the quick fix. And there's nothing 0:23:36.800 --> 0:23:39.480 quick or painless about swimming. How far did you say 0:23:39.560 --> 0:23:43.280 you sweb ten k's no, it's actually forty k's forty 0:23:43.359 --> 0:23:44.200 ks to lose. 0:23:45.160 --> 0:23:47.440 Yeah, yeah, yeah, yeah. 0:23:47.160 --> 0:23:51.640 So it's yeah, And no one's interested in that, And 0:23:51.760 --> 0:23:55.320 even less people are interested in not eating sugar for 0:23:55.359 --> 0:23:57.119 the rest of their lives, which to a lot of 0:23:57.119 --> 0:24:01.880 people sounds like a death sentence because sugar's addict and 0:24:02.720 --> 0:24:05.840 people if you say to people, I want you to 0:24:05.840 --> 0:24:08.200 stop doing something that you're addicted to for the rest 0:24:08.240 --> 0:24:10.480 of your life, most people will say sure, I could 0:24:10.520 --> 0:24:12.040 do that, and then find they can't. 0:24:12.720 --> 0:24:15.680 Yeah. Yeah, well yeah, And I mean a lot of 0:24:15.800 --> 0:24:19.040