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  • The idea of slowing down the ageing process and living healthier,

  • more productive lives is hugely appealing.

  • It's led to a growing trend for people looking to take control

  • of their own biology, optimising their bodies

  • and minds through biohacking.

  • But how safe and ethical is it?

  • And are there more natural ways of boosting your biology?

  • In this film, we're going to hear from both the biohackers

  • trying to push human health and wellbeing to its limits,

  • and those taking more traditional scientific approaches.

  • Dave Asprey is an American entrepreneur

  • and the self-described father of biohacking.

  • I fully expect, and this is not a made-up number,

  • to live to at least 180 years old

  • unless something like a tree falling on me takes me out.

  • A lot of people ask, can we really hack the ageing process?

  • And we are now on the cusp, with literally about 50

  • different innovations to control biology of ageing coming online

  • all at the same time.

  • And I have 100% certainty that within a few years,

  • our new innovations that come in happen faster than our ageing.

  • It's certainly true that the scientific understanding of ageing

  • has progressed rapidly in recent decades, but why is that?

  • I think one of the really big surprises that's come along

  • about ageing is how malleable it is.

  • There are... Especially in animals.

  • And I think what's come as a huge surprise is that sometimes

  • the same thing will extend the healthy lifespan of a fly

  • but also of a mouse.

  • And what that's telling us, of course, is that some

  • of the underlying mechanisms of ageing that we're interfering with

  • are in common between these animals.

  • So I think that's why ageing has opened up, really, to research

  • in recent years - the discovery that we can use these short-lived things

  • where we can get the answers more quickly to understand

  • what's going on in the creatures that we really care about,

  • particularly ourselves.

  • As the science of ageing and longevity becomes more advanced,

  • we're learning how to not just slow down gradually

  • the effects of ageing, but truly reverse many aspects of ageing.

  • We believe the cells in our bodies have youthful information

  • when we're born and over time they lose that information.

  • We've discovered that there's information in the cell

  • to reset the system in the way that you could reboot a computer

  • with fresh software.

  • For example, we've recently reprogrammed the eye of an old mouse

  • to be young again and those old mice get their vision back.

  • And that's just the beginning, I believe, of being able to turn

  • the clock back, literally, to make younger tissues in the body.

  • There are several companies within the growing longevity industry

  • who are working on developing regenerative therapies

  • to combat the diseases of ageing.

  • One such company is Elevian, who are investigating how a protein

  • found in young blood might have surprising

  • regenerative capabilities.

  • Our co-founders were part of a team that really made some

  • important discoveries - that young blood can rejuvenate aged animals

  • and vice versa - aged blood can accelerate ageing in young animals,

  • and out of that work, they identified this little known factor

  • called GDF 11 that decreases with age, and what we and other labs

  • have now found is that a very similar dose range of GDF 11

  • can be used to treat

  • and prevent dozens of age-related diseases.

  • This research, which originally began on mice,

  • is still in its early pre-clinical stage.

  • Any drug development process which arises from it

  • has to be thorough, which can take years.

  • Elevian estimate that they are about a year away

  • from beginning human clinical trials.

  • For those impatient to slow down their ageing process

  • and not keen to take part in experimental trials,

  • there are steps that people can take in their daily lives.

  • In many ways, our fight during ageing is in our own hands already.

  • It's really clear that if you can, you should take as much exercise

  • as is healthy,

  • and also eat a healthy diet and not eat too much.

  • Dr David Sinclair believes certain stresses on the body

  • can actually be good for longevity.

  • If you do the things that trick the body into thinking

  • times could be tough - short bouts of skipping meals,

  • so hunger, fasting, but also losing your breath.

  • So running on a treadmill, doing a lot of heavy weight lifting.

  • We also think that these are another way to promote the body's defences.

  • And the combination of all of those things actually is known

  • to extend lifespan by keeping people healthier for longer.

  • Some biohackers are determined to go further

  • and are willing to trial experimental therapies

  • on their own bodies.

  • I decided that I wanted to try every extreme intervention I could -

  • the stuff that billionaires are doing,

  • so that I could write about it and so that I could benefit from it.

  • I've had my bone marrow taken out, spun down to get stem cells

  • and reintroduced the stem cells throughout my body.

  • There's 150 supplements a day that are part of my regime

  • but no-one really needs to do that.

  • I am a guinea pig to see which ones work

  • and I'm constantly experimenting.

  • There are different degrees of how far people want to go

  • to slow down their ageing process.

  • The most advanced I've ever seen,

  • if you want to call it advanced, was there are a few people

  • that have tried reprogramming their body with gene therapy

  • and giving themselves hormones that are delivered by DNA.

  • To me, that's a risk. I definitely wouldn't go there

  • because these effects are irreversible,

  • and if there was a cancer-causing issue,

  • then, really, you're not going to live longer, right?

  • There is scepticism among many in the mainstream scientific community

  • around the role that biohackers can play

  • in better understanding our biology.

  • Do the risks of this self-experimentation

  • outweigh the potential rewards

  • or is there a middle ground that could help to push

  • the boundaries of optimising our health?

  • The idea of allowing for...

  • ..more use of experimental therapy under informed consent

  • in a way that all data must be shared

  • so that we as a community can learn from it,

  • I think that's a really exciting idea.

  • Biohacking has become a global movement and we are out there

  • asking the hard questions and doing the things

  • that a lot of scientists would like to do

  • but they're not allowed to do,

  • because we still have autonomy over our own bodies.

  • And when we talk about our results, when we share them online,

  • scientists see them and go, "Interesting",

  • and then that provides fuel for studies.

  • The problem becomes when people start doing things

  • which are not evidence based.

  • You know, for which the information really just isn't out there.

  • Then I think obviously, you know, as with anything else,

  • it can get dangerous.

  • If you don't have the information on which to base a decision

  • to do something but you go ahead and do it, I mean,

  • that's risky by definition.

  • I think somewhere in between there is a happy intermediate.

  • I'm a scientist so I like to see what happens to my body

  • when I do X, Y or Z, but of course I'm very careful.

  • I measure what happens

  • and make sure that I'm hopefully not doing myself any harm.

  • Many of those trying to hack the ageing process

  • are also interested in trying to optimise their immune systems.

  • In fact, there are biohackers experimenting with procedures

  • such as faecal transplants - taking someone else's poo as a medicine

  • in an attempt to cure a range of ills.

  • Though less extreme, supermarkets and pharmacy shelves

  • are heaving with so-called immune boosting pills and supplements.

  • But is it even possible to alter how the body responds to disease

  • through consuming someone else's poo or by eating a blueberry pill?

  • And what are the risks?

  • The immune system is part of an interconnected system

  • running all the way through our body, involving all our tissues,

  • from our skin all the way through to our toes.

  • And in fact, the gut has one of the largest resident populations

  • of immune cells in our body.

  • Most of the body's immune cells are found in the lining

  • of the intestine, and the microbes in our gut play a crucial role

  • in keeping those immune cells of our body healthy.

  • They do that by providing the key chemical signals

  • that they get once they digest the good foods that we eat.

  • So a healthy gut microbiome is obviously crucial

  • to a healthy immune system.

  • The immune system is considered to be an organ, but unlike every

  • other organ in your body, it's one where components of the system

  • can migrate around the body.

  • You don't expect that with cells from your lungs or your spleen

  • or any other solid organ, but the beauty of the immune system

  • is it has a property of immuno-surveillance.

  • Immunological surveillance is when the cells of the immune system

  • come together to co-ordinate a response to an external threat

  • such as disease.

  • For example, your lymph nodes - the glands that swell up

  • when you are sick - are a sign of your immune system at work.

  • We often hear messages encouraging us to boost our immune system.

  • So, could we just take a pill to do that?

  • When you do meet an infectious threat,

  • our immune response has to react quickly to contain the threat

  • and eradicate it, and you don't want it to stay on

  • because if it stays on, it's damaging.

  • And that is what happens in allergy and autoimmune disease,

  • which are overactivity of the immune response.

  • So there is no wonder pill that's going to restore and boost

  • one part of the immune response to help us be super-powered

  • because it's also interconnected and the risks of getting it wrong

  • are really quite dramatic.

  • So, instead of boosting our immune system,

  • we should focus on supporting it.

  • Everything that we know already which is good for our health

  • will also benefit our immune system.

  • More exercise taken at regular intervals

  • has been shown to boost your immune function.

  • That's been shown and that's published data.

  • Unfortunately, the modern lifestyle is not very good

  • for our immune system.

  • Our diets of convenience foods and fatty foods that are low in fibre

  • alongside sedentary lifestyles with little exercise,

  • high stress and not too much sleep, too much screen time.

  • All of these combine to make our immune response

  • not work as it should.

  • Getting enough sleep and reducing stress

  • can help our immune system operate at an optimal level.

  • And even though one blueberry won't work miracles,

  • getting a variety of the right foods is very important.

  • To help your immunity, you need to be feeding up your gut microbes,

  • and the best way to do this is to make them more diverse,

  • give them more species.

  • And I recommend 30 different types of plant a week,

  • which gives you all the fibre you should need.

  • Secondly, you should pick plants to eat that are high in polyphenols.

  • These are the chemicals that are naturally found in plants

  • and are actually rocket fuel for your gut microbes.

  • So things like brightly coloured berries,

  • strong flavours like coffee beans, dark chocolate

  • and even red wine contains polyphenols.

  • So if what you eat and your gut is so important for your immune system,

  • why are some people transplanting other people's poo

  • into their own stomachs?

  • Faecal microbial transplant, or, colloquially, a poo transplant,

  • is taking a sample of a stool from a normal person

  • and putting it into someone who's unwell.

  • This has been done for several decades for very bad infections

  • of the bowel like Clostridium difficile

  • and it cures 90% of people, and it's since started to be used

  • on a number of other conditions.

  • This is a fascinating area of research

  • but definitely not to be tried at home, says Tim.

  • I think this is an exciting new form of therapy, but it's always best

  • to do this within the confines of a medical clinic

  • where things can be supervised

  • and the risk of side-effects or infection is extremely low.

  • There are some people who take risks and do do it at home

  • and those risks will be multiplied considerably.

  • There's a lot of hype about faecal transplants

  • and you mustn't believe people who say that it works

  • in everything, in everybody, it certainly doesn't,

  • and there are many failures in clinical trials.

  • One of the ways we can effectively and safely manipulate

  • our immune responses is through vaccination.

  • What a vaccine is doing is essentially giving you

  • the parts of the germ that will stimulate the immune response

  • without actually getting the full-blown infection.

  • Another thing that we can do is actually try to switch

  • the immune response off.

  • For some diseases, we don't want a powerful immune response

  • because that's what's causing the damage.

  • This is exactly what's done in diseases

  • like rheumatoid arthritis, multiple sclerosis,

  • or is also being investigated in infections like Covid.

  • The good news is, whilst there's no one magic pill we can take

  • to optimise our immune response, the more scientists learn

  • about how our immune system works, the more they can develop

  • new drug treatments and therapies to combat a wide range of diseases.

  • The knowledge of science is actually leading to all sorts of wonderful

  • new possibilities to help treat us and win the war against infection.

  • As well as optimising our bodies,

  • many of us are also interested in boosting our brains.

  • In fact, for centuries, people have looked for ways

  • to increase their intelligence, concentration and creativity

  • through nootropics, or cognitive enhancers.

  • If you're currently sipping on a skinny latte,

  • you're consuming a form of nootropic right now.

  • Caffeine is a stimulant and famous for its ability to perk you up.

  • But so-called smart drugs are gaining popularity.

  • There's now a huge market for over-the-counter supplements

  • which claim, with very little scientific evidence,

  • to boost concentration and memory.

  • Some people go even further and seek out prescription stimulants,

  • such as modafinil, in a bid to improve performance at work

  • or while studying.

  • A 2017 study based on the Global Drug Survey,

  • an anonymous questionnaire, showed that 30% of Americans

  • had taken some kind of smart drug in the last 12 months.

  • That was up from 20% in 2015.

  • And they're not alone.

  • Large increases were reported across Europe as well.

  • But do these drugs actually work? And what are the risks?

  • Hanneke den Ouden is a cognitive neuroscientist

  • at the Donders Institute for Brain Cognition and Behaviour

  • at Radboud University.

  • Her lab has been studying how the state of our brain's chemistry

  • shapes how we act.

  • So, modafinil is in a category of drugs classed as psychostimulants.

  • Other examples are methylphenidate and, for example, amphetamine.

  • And psychostimulants act generally in a way to enhance activity

  • in your dopamine system.

  • Raised levels of a neurotransmitter called dopamine

  • can stimulate signals in the parts of your brain

  • associated with concentration and focus.

  • It also helps to reduce hyperactive and impulsive behaviours.

  • This is incredibly useful for people with ADHD, for example,

  • but it's also finding its way illegally into the hands

  • of those without a diagnosed medical condition.

  • In some recent studies, we've looked at how psychostimulants

  • affect decision making in a young, healthy population,

  • so not patients who are taking these for treatment.

  • Specifically, we study methylphenidate.

  • This is a drug that's maybe better known

  • by the brand name Ritalin or Adderall.

  • And what we found was that methylphenidate makes you better

  • across a number of tasks, and we think this might be the case

  • because we experience these tasks

  • as less, kind of, cognitively effortful.

  • But, says Hanneke, taking these brain-boosting drugs

  • without a medical prescription is risky.

  • All medications have a risk of side-effects

  • and there's a reason that these are prescription drugs.

  • So when we run a medication study, for example, using psychostimulants,

  • we really extensively screen our participants.

  • We actually get a doctor to sign off on prescribing people

  • even a single pill. We often give people only a single dose.

  • We know, for example, that psychostimulants increase

  • your heart rate, and this can pose a risk for people who have underlying

  • heart problems like arrhythmia that they may not even know about.

  • Drugs don't affect everyone in the same way.

  • Drugs will help some people really well

  • and they will not help others at all.

  • And this is really the Holy Grail of psychiatry.

  • It's been for decades, probably.

  • How can we predict what drugs work for whom?

  • Hanneke says there have been virtually no studies

  • on the long-term cognitive effects of psychostimulant use

  • in non-patients, but boosting the dopamine levels in the brain

  • could cause long-term problems.

  • So, I talked about this finely tuned balance of our brain chemistry,

  • and when you disturb that system by adding a lot of dopamine,

  • then the system may in response, to try to regain that balance,

  • turn down its sensitivity to dopamine.

  • And so you could become dependent on taking the medication

  • to kind of get to your normal levels of your system.

  • And then finally there's another risk, and this is maybe even more

  • speculative but I think also very important to think about,

  • is that being really focused all the time

  • is not necessarily the optimal state for all situations.

  • We do know that being super-focused may actually reduce our creativity

  • and our openness to new ideas or out-of-the-box solutions,

  • and so I think that we don't want a society

  • of just hyper-focused people.

  • Rather than boosting your brain power through medication,

  • there's growing evidence that it can be boosted

  • through more natural means - namely meditation and mindfulness.

  • So how does that work?

  • One consequence of being human is the fact that we have these minds

  • that can kind of wander off and think about

  • all kinds of weird stuff, right? This is Laurie Santos.

  • She's a professor of psychology at Yale

  • and teaches a course called the Science of Well-Being.

  • The research shows that the simple act of meditating,

  • even, like, ten minutes a day if you're a novice,

  • can significantly reduce brain activation

  • in regions of your brain that tend to mind wander.

  • So it's literally changing the kind of default firing patterns

  • of your brain just through this simple act of meditating.

  • So why is mind wandering not so good?

  • Laurie says research shows that when our mind wanders,

  • it can make us unhappy.

  • The irony is that we're never fully present, right, and the enjoyment

  • that we get out of simple actions in life, whether that's eating

  • something delicious or doing the dishes or talking with a friend,

  • we really need to be present for that to kind of kick in.

  • We need to be there to savour it and notice it.

  • And this means that this act of mind wandering

  • seems to significantly decrease our wellbeing over time,

  • and that's why practices like meditation can be so powerful.

  • Meditation in a variety of different forms.

  • At least one of the benefits is that it kind of trains our mind

  • to be a little bit more present than is typical.

  • Not only does meditation stop the mind wandering,

  • it also builds up more connections between parts of the brain.

  • It effectively rewires your brain away from mind wandering

  • and towards the present.

  • And the effect lasts, according to a 2008 study, which found people

  • who had practised meditation were happier even eight weeks later.

  • Meditation doesn't just help us enjoy life.

  • A 2013 study by the University of California showed that a course

  • of meditation actually boosted test scores.

  • It also has a host of other benefits, says Laurie.

  • It increases concentration.

  • It increases our memory over time.

  • It has lots of physical health consequences.

  • You can see improvements in immune function after meditation

  • and things like that.

  • You know, these kind of markers of ageing and things like telomeres,

  • those kinds of markers seem to get better

  • for people who regularly meditate.

  • So if there are signs that it aids your brain power, happiness,

  • immune function and even DNA,

  • would it be too much to talk about meditation

  • as some kind of remedy for the human condition?

  • Sometimes people talk about this question -

  • is meditation sort of a panacea?

  • And honestly, as a scientist, we usually kind of get

  • a little worried when we see things that have all these benefits,

  • but meditation just seems to be one that, empirically speaking,

  • just does have so, so many benefits.

  • So there you have it.

  • It is possible to optimise our bodies and our brains.

  • Whilst DIY faecal transplants and the use of non-prescribed

  • psychostimulants are definitely not to be recommended,

  • there are clearly other things that can help many of us,

  • from vaccinations to meditation to regular old exercise,

  • and even though living to 180 will probably not be attainable

  • or even desirable, as the scientific understanding of our bodies grows,

  • the hope is that many of us will be able to look forward

  • to longer, healthier and happier lives in the future.

The idea of slowing down the ageing process and living healthier,

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