Transcript
QWpnOg9M4eo • How To Prevent Vision Loss As You Age - Start Doing This Today | Dr. William Li
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Kind: captions Language: en how can you manage vision loss you know I'm in my 50s it's something that I'm concerned about I know a lot of our listeners have reached out to our team about this specifically through your diet what what's the your Paradigm or the principles or your approach uh towards towards that yeah such a great question and I'm so glad we're talking about Vision uh Jim because that actually was one of my first passions as a scientist and also as a doctor in fact I wanted to be at one point I thought about becoming an opthalmologist and eye doctor because I was so fascinated by this little ball uh we've got two of them in our uh in our heads and they are Direct Communications to our brain so everything that we appreciate about the world and frankly about ourselves you know we associate with what we can actually see in fact vision is one of these senses that is the most precious sense to us but we don't think about it until we start to lose it or we need to we start having problems right so if you think about General Health as something that you that many people take for granted until you start to lose it and that's all you can think about so to within Health our vision health is like that it's just something we assume it's part of who we are every single day until you start having problems then you're like wait a minute what's going on I can't see as well so I'm a scientist I'm a what we call a vascular biologist so I study blood vessels and blood vessels are connecting every single organ in your body uh from your mouth to your brain to your eyes to your heart to your lung and your livers and so the idea of food being something our nutrients being delivered from what we eat through our bloodstream to our eye is absolutely vital for the ongoing health of our vision and to prevent vision loss and I'll come back to that talk about how do we do that but the other thing is I'm a clinician I'm internal medicine and what that means is I take care of men and women young and old healthy and sick and because vision is one of my passions and brain health is something that I'm intensely interested in and have actually been working on from a dementia perspective from a cognition perspective listen anybody who sort of our age range probably knows if not our direct parents then the parents of our friends our good friends who are actually struggling with you know the cognitive and functional issues of Aging this is uh something that my research has actually been directly influencing it because the eye is connected to the brain in fact the eye is the opening to the brain uh from a visual signal perspective this is why what protects the eye also protects the brain this is why the eye in fact is a window into some of the problems of the brain and most doctors don't look in the eye only an opthalmologist really does that so and again I'm internal medicine so I cover the whole gamut and I became a food is medicine researcher because I have a background doing medical therapy development as you actually mentioned in my intro um I was looking at blood vessels as a common denominator of disease and by looking at ways to Wrangle the common denominator you know like what is it that underlies connects all these different diseases from vision loss to cognitive dysfunction and dementia to obesity to diabetes to cancer to heart disease Well turns out to be blood vessels and so what I is I did a deep dive into the space to ask what Medical Treatments biotech treatments can we actually um uh Wrangle can maneuver help produce squeeze out uh using Innovation and that became such a successful uh Enterprise I then started to ask well you know what happens if we start throwing food into the same system and what I discovered is that when we started throwing food and food extracts into these drug development systems to help keep blood vessels healthy including I found that about 50% of the foods that we were actually testing were as or more potent than the drugs that we were developing and so I'm one of the ogs when it comes to food is medicine and I love to talk about it because while treatments you know you write a prescription as a doctor for people you know it's the right drug for the right person at the right time but not it's not it not everyone can get the treatments they need food is medicine is something that we do for ourselves it's very empowering that we can actually you know use knowledge modern knowledge to be able to make those daily decisions that can actually help prevent disease so you don't need the doctor to do that intervention or if you're actually having the doctor to do intervention you can actually do something for yourself in addition to what the prescription actually does so this all kind of comes all the way comes all the way down to the fact that our vision is a is a window to our brain our vision is a sense that we prize the most um you know if you lost your sense of smell yeah you know you're probably okay with it like you had a cold you start losing your vision all of a sudden like that sets off panic and so we can eat to preserve our vision there are foods that are now known to be very important to contain the secret sauce to helping us preserve our vision and by preserving our vision as it turns out the research is showing it also helps to preserve our brain function our cognition why don't we start by defining the term that I use in the intro angiogenesis and so what is it and what role does it play in overall uh brain health and and vision okay angiogenesis angio is blood blood vessel Genesis is how they how the body grows them so angiogenesis is simply how our body grows and protects blood vessels and what's really amazing is that uh we've got 60,000 miles worth of blood vessels packed into our adult bodies Under the Skin through all of our tissues all the way down to the bone and even inside the bone we've got more circulation and our blood vessels are the highways and byways that bring the oxygen that we breathe and the nutrients that we to to feed every single organ including our eyes and especially our brain okay that's really the connection so when we have healthy blood vessels very good circulation our vision is actually good when we've got good circulation in our brain our cognition is actually good and guess what happens when we start to have problems Vision the most common causes of vision loss and cognitive loss is actually interference with the circulation of both our eyes and our brain not surprisingly both are in our heads and our skull connected to each other and so this you know sort of like what feeds the brain feeds the eye what ails the brain also can ail the eye as well so let's you know use that as kind of a jumping off point to thinking about what research is teaching us the most common cause of vision loss over the age of 60 is uh diabetes for people with diabetes is diabetic blindness all right high blood sugars uh kind of marinate uh in your bloodstream all of the blood vessels and when blood vessels are overly marinated with high blood sugar and all the the consequences of what high blood sugar can do including to your insulin and all the other hormones and metabolites in your body you know what the blood vessels do they actually start to shut down and when the blood vessels shut down it Sparks new blood vessels to try to heal the shutdown areas and when that happens in the eye it causes a big problem and here's the reason why your eye my eye eyes I should say plural are crystal balls okay think about them they're a little bit smaller than a golf ball um and they're crystal clear from the front of the eye you get light wake up in the morning you see the bright sunlight that's light entering your eye going through um clear liquid all right it's like a fish tank with an aquarium the light goes right in goes through a hole the pupil and then goes right to the back of the eye and the back of the eye which is connected to the brain there is a carpet of nerves the ner carpet of nerves is called the retina you may have heard of the retina but it's really literally a carpet of nerves that can that is made of uh neurons okay brain cells effectively um interlaced woven stitched together with a circulation because the power it takes to process the re the uh definition that we want for our vision requires a lot of blood flow a lot of oxygen and so the nerves and blood vessels are laced together okay like a like a beautiful old-fashioned tablecloth and when the light signals hit that nerve signal and it's powered by the blood supply it allows that nerve signal to go straight into our brain okay right to the back of our brain and basically that's how we actually see now the circulation when it has to grow to overcome damaged blood vessels from a disease like diabetes or there's something called macular degeneration most common cause of blindness vision loss in people over the age of 60 um without diabetes so we're it's blood vessels are unhealthy and they do the same thing they react to their unhealthy state by trying to grow more of themselves in order to maintain the blood flow that is actually not adequate and when the blood vessels grow in the eye listen this is a crystal clear ball when blood vessels have extra blood vessels have to grow to compensate for problems and circulation that's where there's there's not a lot of room for growing new blood vessels and so when those new blood vessels grow they grow abnormally from diabetes or aging they leak now I told you there's fluid in the eye it's Crystal Clear but when blood vessels leak they're leaking cloudy fluid or they're leaking blood now immediately we put blood into this Crystal Clear aquarium it's kind of like dumping a you know ink into your fish tank what do you think's going to happen you're not going to be able to see through that ink right and all of a sudden you are losing vision and so the the most common causes of vision loss in the world are due to abnormal blood vessels unhealthy blood vessels and that's why some of the real breakthroughs that have come through the work I and other people have done is to develop anti-angiogenic blood vessel taming think about the lion tamer in the circus down boy okay down blood vessels back to normal beat them back in the shape prevent that leaking that is actually the uh biggest breakthrough in the treatment of vision loss to prevent diabetic blindness and blindness from aging from macular degeneration okay now to get those treatments done Jim you got to inject in the eye you got to put a needle in the eye which nobody volunteers for it works really well so the question is how can you avoid getting there to begin with as you were just saying at your age my age we don't want to ever get that Needle on the eye what can we actually do to help protect it and this is where diet comes in because our nutrition can help us keep blood vessels healthy and they can also help to tame those um blood vessels that might think about acting up and that's really where uh eating to beat vision loss is a reality today and before we get into some of these Foods uh our show is very very very tactical and my my promise to everybody is you know we keep it we keep it you know to a certain amount of time but then also give people practical pragmatic things that they can do that's simple and easy I just I want to get clear then so your eye which has these also neurons uh it's kind of like a like part of almost part of your brain that's outside of your your skull and as the foods could potentially protect and maybe prevent or mitigate like even uh it it's their neur protective and we've done a lot of episodes on certain foods that are good for your brain you know neuronutrition it could also be protective to your eye have has your research shown that we could actually even not even just protect but even reverse has that been seen yeah well actually by by actually taming blood vessels remarkably for people who have lost Vision we can actually in some cases reverse vision loss and restore lost Vision I have a patient and this is about 10 years ago when the these breakthrough treatments these are the injections came out before that there were no treatments okay uh I had a patient who was in her 80s her favorite thing was playing golf you know it requires a a good Vision to hit that ball and good coordination and she was so bummed when she had Immaculate generation she couldn't see the bul golf ball I got her on treatment and uh in about two months I got a call from her out of the blue and she's like guess where I'm calling you from Dr Lee I'm calling you from the golf course and I am playing my game and and really scoring and doing really well at it again you took me from not being able to see my the ball to being able to see again and in fact I'm like how did you get there her name was Gloria and she said you know because I I I knew she couldn't drive because of the vision L she was like guess what I drove myself as well I I got my license back because I could see again so this is dramatic stuff when you entame and keep blood vessels healthy and by the way the same foods and approaches that actually maintain vascular Health this is what we're talking about blood vessels that you wouldn't normally look when you look in the mirror when you've had a late night out okay and you see your eyes are bloodshot it just it's an example of how many blood vessels in your eye the ones that count for vision you can't see in the mirror they're behind the eye you know when you go to the eye doctor and they dilate your pupils and they put your chin on and they look deep they're really looking a part of your brain they're looking at that tapestry the neurons that are there interlaced with blood vessels we can see it all now what the so the key thing is that the foods that actually can be used to protect the approach protect that carpet of neurons interlace with blood vessels keeping those blood vessels healthy taming those abnormal blood vessels also turn out to be protective for the brain as well and so here is sort of a twofer right you were talking about like uh uh the the the eye and the Brain uh being uh outside of the skull here's a better way to think about it the brain like your skull is really a two-level house okay the brain is on the upstairs on the second floor and underneath the brain underneath the floor which is the bottom part of the skull to housing your brain on the first floor are your eyes so the part of your brain that's on the first floor are your eyes and then you go walk upstairs and now the brain's right there and so this connection just like in your house of the circuitry and the circulation between your eyes and your brain suddenly makes sense and what we eat can be good for the brain good for the nerves and what's good for the brain the blood vessels and the nerves and the Brain also good for blood vessels and nerves and the ey so this is a perfect topic for your audience it's really really interconnected and very practical too I love that