You've probably heard about the importance of autophagy, but may have wondered what it is

By enhancing autophagy, we can live longer and in better health.

What is autophagy?

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Autophagy is the self-cleansing process that cells use to recycle junk molecules and organelles.

Cells constantly synthesize enzymes and structural molecules, which get damaged in the course of the life of the cell.
To function optimally, cells must break down and recycle these molecules that are past their expiration date and make new ones.

To do this, they use autophagy, a word derived from the Greek for "self-eating".
The term was coined by the Belgian scientist Christian de Duve, who not only got a Nobel Prize for his work on autophagy, but was also named a viscount. Image
The 2016 Nobel Prize in Medicine or Physiology went to Yoshinori Ohsumi, for his discoveries of mechanisms for autophagy. Image
When a cell lacks nutrients, autophagy increases, partly to supply necessary nutrients until a regular supply resumes.

Autophagy is "evolutionarily conserved", which means it occurs in virtually all eukaryotic cells, from yeast to insects to mammals.
How important is autophagy?

It is "essential" for life extension.

That is, every practice or method of life extension known also increases autophagy. Image
When organisms including humans are young, they're able to upregulate autophagy easily, but this ability declines with aging, resulting in accelerating accumulation of cellular waste.

This has been termed the garbage catastrophe of aging. tandfonline.com/doi/abs/10.117…
Rapamycin, the most promising life extension drug, increases autophagy through mTOR inhibition, and this may be a key way in which it fights diseases of aging and increases lifespan.

sciencedirect.com/science/articl…
Intermittent fasting, by stopping nutrient supply, increases autophagy, which may be central to its benefits. tandfonline.com/doi/full/10.41…
Exercise is also a powerful way to increase autophagy, perhaps even more powerful than short-term fasting.

The higher the exercise intensity, the higher the autophagy activation.

faseb.onlinelibrary.wiley.com/doi/full/10.10…
A ketogenic diet induces autophagy, although this area of research is fairly new.
tandfonline.com/doi/abs/10.108…
In old animals, an anti-lipolytic drug (a vitamin B3 analogue) has an anti-aging effect by increasing autophagy.

sciencedirect.com/science/articl…
In summary, many life extension effects converge on the induction of autophagy, which rids cells of junk.

Autophagy is the ultimate "cleanse"

It can be increased through fasting, exercise, diet, and various drugs.
Maximizing Longevity and Healthspan: Multiple Approaches All Converging on Autophagy

Exercise, fasting, rapamycin, and metformin all increase autophagy and extend lifespan.

frontiersin.org/articles/10.33…
Autophagy activation alone increases lifespan in mice nature.com/articles/ncomm…
"Garb-aging" is caused by cellular debris that leads to inflammation, and increasing autophagy can fight it.

Fasting and exercise, among other interventions.

sciencedirect.com/science/articl…
All lifespan extension paradigms can be explained by increased autophagy.

ncbi.nlm.nih.gov/pmc/articles/P…
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More from @Mangan150

Jun 25
Cholesterol is so important for brain health that the brain has its own synthetic machinery for making it.

The brain is only 2% of body weight yet contains as much as 25% of the body's cholesterol. Image
Blood levels of total and LDL cholesterol are lower in Parkinson's disease patients.

Ferritin (iron) levels are higher.

[PMID: 21282940]
Some statins, those that are lipophilic, can penetrate the blood brain barrier.

The effects of these statins has been described as "pleiotropic", meaning they do lots of things; since they lower cholesterol, presumably many of these things are not good. https://doi.org/10.1016/j.bbamem.2020.183340
Read 6 tweets
Mar 24
Big difference between:

1) Recognizing that most poor food choices contain carbs.

And

2) Claiming that all carbs are “bad”.

I’ve never had a client with a “carb problem” whose carb sources were potatoes, rice or fruit.

The real problem, as I see it, is processed food.
Image
Image
There’s a great lack of nuance on social media.

I am a big proponent of eating animal protein.

And I do think some people thrive on a carnivore or keto diet.

But the idea that everyone should stop eating all carbs forever is deeply flawed...

Undesirable and impractical for most people.

The point is to land on an approach that works for YOU.
As with all things, the devil is in the details.

The appropriate quantity of carbohydrates is going to vary.

Someone on weight loss journey will do better limiting their total carb intake, for example.
Read 4 tweets
Mar 16
The well-known negative correlation between water hardness and atherosclerotic heart disease can be explained almost entirely by lithium levels. Image
The inverse association of water hardness and cardiovascular disease has been found in many countries. Image
Psychiatric patients taking lithium had massively lower rates of seizures, AML, dementia, and heart attack, compared to psychiatric patients not taking lithium. Image
Read 4 tweets
Mar 4
How do you know if you're healthy?

Here's my metabolic health scorecard:

1. High blood pressure (without meds)
2. A1C over 5.6% without meds
3. HOMA-IR above 1.4
4. Triglycerides / HDL over 2
5. Overweight or obese BMI
6. High body fat %
7. Waistline > 50% of height Image
High blood pressure without meds:

While there is a genetic component, the root cause of high blood pressure is related to your weight and especially body fat %.
A1C higher than 5.6% without meds:

This one is easy to explain: once you get to an A1C of 5.7% or higher, you get into the pre-diabetic range.

Which is a big red flag.
Read 9 tweets
Feb 26
Why I never workout for more than 75 minutes per week…

And why you should (probably) train even less than I do.

Here's why: Image
What do I mean by working out?

Let's quickly define exercise:

Exercise is planned, structured, repetitive, and intentional movement.

Its role is to improve or maintain physical fitness.

Walking, tennis, swimming or biking leisurely are "activity", not exercise.
Generally speaking, exercise is "programmed" as either"strength" or "cardio".

We'll see why that's nonsense later in this thread.

For now, let's look at why most strength training routines are not the right tool for most. (They're for powerlifters/bodybuilders).
Read 19 tweets
Dec 15, 2023
Here's how I never workout for more than 75 minutes per week…

And why 99% of people should train even less than I do: Image
First things first, why should you listen to me on this topic?

I'm a 68 year old former microbiologist turned health coach who served 1000+ men and women.

Busy people come to me to get lean, fit & 2X energy in 50 mins/week without going keto, counting calories, or doing cardio. Image
I am NOT saying that you should train for 50-75 minutes per week and then sit on your rear end the rest of the time.

We need to distinguish between exercise (training) and activity.
Read 20 tweets

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