MIT EGYÜNK, MENNYIT IGYUNK? – Beszélgetés dr.Schwab Richárd gasztroenterológussal / F.P. 91.

Az utóbbi években rengeteg életviteli jó tanács ömlik ránk mindenhonnan: hogyan táplálkozzunk egészségesen, hússal vagy inkább húsmentesen együnk, bevihetünk-e állati eredetű tejtermékeket és fogyaszthatunk-e hagyományos pékárut, szabad-e alkoholt innunk és ha igen, miből mennyit, napi vagy heti rendszerességgel kell-e mozognunk, és – különösen -, hogy hány órát szükséges aludnunk.
Azt már podcastunk vendégétől tudjuk, hogy az egészségtelen életmód kikezdi és jelentősen tönkre is teszi a bélflóránkat, amin bizony igen sok minden múlik. De hogyan lehetne csökkenteni a kockázatokat? A többi között erről beszélgetünk dr. Schwab Richárd belgyógyásszal, gasztroenterológussal, akitől azt is megtudjuk, hogy nyolc éven át hogyan és miért volt ő az ismert nagyvállalkozó, Demján Sándor egyik legfontosabb munkatársa – nem orvos minőségében.

Együttműködő partnerünk a KARE Design, amely az alábbi linken elérhető: https://www.kare24.hu

Hogyan támogathatja a munkánkat?

Legyen a patronálónk, és a támogatása mértékétől függően egyre több előnyhöz juthat:
https://www.patreon.com/FriderikuszPodcast

Egyszeri vagy rendszeres banki átutalással is segíthet. Ehhez a legfontosabb adatok:
Név: TV Pictures
Számlaszám: OTP Bank 11707062-21446081
Közlemény: Podcast-támogatás

Ha külföldről utalna, nemzetközi számlaszámunk (IBAN – International Bank Account Number):
HU68 1170 7062 2144 6081 0000 0000
BIC/SWIFT-kód: OTPVHUHB

Akármilyen formában támogatja munkánkat, köszönjük!

Kövessenek, kövessetek itt is:
youtube: https://www.youtube.com/c/FriderikuszPodcast
Facebook: https://www.facebook.com/FriderikuszPodcast
Instagram: https://www.instagram.com/friderikuszpodcast
Anchor: https://anchor.fm/friderikuszpodcast
Spotify: https://spoti.fi/3blRo2g
Google Podcasts: https://bit.ly/3fc7A7t
Apple Podcasts: https://apple.co/3hm2vfi
Deezer: https://www.deezer.com/hu/show/1000256535

– Now we’re back with a new podcast, and today we’re going to have not one, but two, because in the next episode after the big interview, I’m going to announce something new, something new that will hopefully be a treat for many.

But before we go into all those details, I invite you to subscribe to us on our YouTube page by clicking on the ‘Subscribe’ button just below the screen on the left, and then click on the little bell icon next to it, but you can also subscribe if you follow us on

Facebook, by clicking on the ‘Follow’ button under the header. And now, two short extracts from the two interviews we’ve had today. – If you look at the structure of society, you have the innovators, you have the early adopters, you have the late adopters and you have the masses.

So it will reach the public health level when the masses, So when it reaches the level of mandatory lung cancer screening, I don’t want to be pessimistic, but I think it’s decades away from the reality of today. Our job as innovators is to discover the rain-sensing wiper and make it

Available to those who are open to it and think it makes sense. – I had some live performances in mid-December where people were giving me feedback that they saw it and on how good it was, and it was like,

I believed it and I didn’t believe it, but then in January I had a lot, a lot, a lot of feedback on live performances. – Do you regularly tour the country with live performances? – I’ve been travelling around the country regularly, especially since I’ve been here with you, and ever since then.

And what is very striking is that about two to three times as many people come as before. So I felt that it was very interesting for people, it really moved a lot of people in the country, and there are very good feedbacks about how many aha-experiences were created.

– As for our first topic today, perhaps never has there been so much talk about conscious eating and living as there is today, but 20-30 years ago, neither the shelves of supermarkets were full of organic and sugar-free products, olive oils, boxed sprouts and hummus creams.

One could even call it a lifestyle school, the systemic body of recommendations that Richard Schwab and like-minded experts in the field of conscious nutrition have put forward in relation to diseases, or rather health, of the digestive system, i.e. the oesophagus, stomach, small and large intestine, liver, pancreas, bile and bile ducts.

I talk to my guest on this topic about what he thinks we have been doing wrong, what we need to do differently in our diet and lifestyle, and what it will take to achieve, if not the two kilos a day weight loss, and not eternal life, at least the miracle of undisturbed

Sleep, capacity of intense daily activity and well-being. I warn you in advance, this will not be an easy lesson. Our guest is Richárd Schwab, gastroenterologist and internist. Do you, who has a healthy life at the centre of your thinking, wherever you are, whatever you are doing, find yourself looking at

Certain situations through the lens of illness and health? – I’ve been involved in molecular genetics for most of my life, in addition to being a medical doctor, and it’s basically these, molecular diagnostics and bringing new genetic techniques into the clinic, that have defined my interests. And it was an accident actually that

I fell into this through gut flora and the microbiome. – But the end result is definitely a healthy life, the pursuit of it, right? – Yes. – Was there a personal motivation for you to become a doctor and become involved in nutrition? – The career choice itself is linked to a sad event.

My mother, I was four years old when she was diagnosed with breast cancer, and Sándor Eckhardt, a legendary oncologist, was her doctor, and I actually admired the way he lived and the way he turned to patients and the way he turned to my mother,

The way we turned to him, the way we hoped and trusted, and he did do everything for my mother, and that’s the kind of person I wanted to be or the the type of profession I wanted to be involved with, and I’m very happy that we even

Had a joint article together, by the way. And in fact, my career was later defined by these encounters, so I was often in a situation where I met a person I wanted to follow and then I was stuck there with them. – At the beginning of the conversation I usually introduce my

Guests with a short biography, and in your case I start with a short biography too. Richárd Schwab was born in Székesfehérvár in 1971, aged 53, to economist parents. He graduated from the Attila József High School in Székesfehérvár in 1989, and it was a decisive moment for him that Ignác Semmelweis,

Who became one of the world’s best-known Hungarian doctors as the saviour of mothers, was a student at the same high school. Richárd Schwab graduated in medicine in 1995, and went on to complete two specialisations in internal medicine and gastroenterology, the field of medicine dealing with the digestive system and its diseases.

For ten years, he worked at one of the busiest gastroenterology centres in Hungary, as a student of Ákos Pap, a domestic leading figure in the field of experimental and applied research in invasive endoscopy and pancreatic diseases. In addition to clinical patient care, Richard Schwab has extensive

Experience in drug and diagnostic development, and has been involved in the pre-clinical and clinical development of several new drug substances, and in the sale of international licenses. He spent several years at universities in Basel, Vienna and London. In 2003, he and his colleague István Peták founded a private healthcare

Company, where they work on the development of diagnostic procedures that can be used to treat diseases in a personalised way. In 2008, with the support of the Demján Sándor Foundation, he also obtained an MBA, a business degree with excellent grades. In 2006, the Hungarian Gastroenterological Society awarded him the Imre Magyar Prize in

Recognition of his medical and scientific achievements. Between 2010 and 2018, he worked for the well-known entrepreneur Sándor Demján. In 2018, together with his partner László Mechtler, he founded Mind Private Clinic, of which he is still one of the professional leaders. He speaks English and German and has two young daughters in primary school.

Was everything about right? – Yes. – I will then give the floor to our supporters for a few seconds before we talk. – In the next hour or more, I will talk with gastroenterologist Richárd Schwab about the right and wrong way of eating, drinking, sleeping, exercise, in other words,

The ideal lifestyle to follow and its many pitfalls. In your field, too, the changes have been so rapid and so radical in just the last half century that, by way of introduction, I would ask you to list some of the golden rules of nutrition that were

Considered unquestionable even in your childhood or youth, but which are now rejected in the light of new scientific findings. – Alcoholism, for example, has always been a huge problem, but a glass or two of beer or a couple of glasses of wine in the

Evening didn’t seem to be harmful, and there were studies and experimental data or descriptive data that even showed that it was beneficial for cardiovascular disease. Well, that’s been disproved. Another one of these paradigms that is actually not yet challenged in the professional recommendations, but I think it will happen.

Let’s say you eat five meals a day. Eating five meals a day, even a couple of years ago, and even if you go deeper into biochemistry, keeping insulin levels stable was seen as a desirable thing to do, and today it’s clear, based on research data,

That it should be reduced as much as possible. – Or what we had also heard for decades before, that we should eat breakfast like a king, lunch like a citizen and dinner like a beggar. Are they all over? So they have been disapproved? – Well, specifically the begging one works. – For dinner.

– For dinner. I think we should talk about why we’re there, why the rules seem so inflexible here. Information is simply spreading at such a speed, and this is not a Hungarian phenomenon, internationally researchers routinely report breakthrough scientific results, and the application of this,

Especially in terms of lifestyle medicine, in terms of factors that affect our lifestyle, can be tested immediately. And it doesn’t go through the usual systematic work of more than ten years in drug development, which is stamped at the end in closed workrooms, and seems a bit like chaos.

– Here are the different views on meat consumption. Sometimes we hear that it is harmful, sometimes we hear that there is nothing wrong with it. Which position do you take? – If I had to make a general recommendation, I would say that

Eating less meat is probably more beneficial than eating a lot of meat. But we know African tribes who eat almost nothing but meat and have no cardiovascular problems. So you need to be able to make recommendations in a way that tries to be true for everyone, so the devil is in the detail.

Today in Hungary, a person with a sedentary lifestyle who buys meat products in a supermarket is certainly better off eating much, much less meat. – In the past, you may remember, there was a national slogan that milk is life, strength and health. And a few years ago,

Doctors have been saying a lot that dairy products are a very high risk. How can you find your way around? – Well, nothing is the same anymore. In a person with a healthy intestinal wall and adequate milk-digesting enzymes, i.e. lactase, this is not a problem, but simply civilisation diseases have

Led to a situation where a very large percentage of the intestinal wall is damaged, and in the case of damaged intestinal walls there is a problem with milk products, and here too we would or should concentrate on one component, namely casein, which is present in

Human milk in much smaller quantities than in cow’s milk. – What’s wrong with casein? – Two basic biochemical building blocks form a complex, a composite, that creates inflammation, and these inflammatory substances are actually developed by our immune system against bacteria, and when very large amounts of these structures that are not normally

Present in the human body are transferred, it simply creates inflammation, by a biochemically very evolutionarily conserved mechanism. – Again, I ask a different question. Eating a hot meal at least once a day, is that still important to you, doctors? – If you look at it from a very distant perspective,

It is not logical why it should have been. If our body needed to consume, say, one processed food a day, we would have to be some kind of processor. It is another matter whether it was evolutionarily advantageous. – Is hot food processed food? – Yes.

That was an advantage, because even when caveman discovered fire, he could draw energy from it in a more concentrated way, so he had more time for other things. So if we hadn’t eaten hot food, but just had to chew grass all day, we’d probably be where the chimps are.

Evolution would not have had time to grow us such a big brain, and our communication could not have evolved in this way. This has evolutionary significance, but not evident to what extent. – But today you say that’s not true. So in your opinion, that once a day hot food should not be eaten.

– No need, no need. – Medically, or more precisely in your opinion, how much should you eat a day? – There are people with eating disorders who don’t eat enough, well, they should eat, but they are a very small percentage of the population. So if you look at overweight people,

A big problem with overweight people is definitely that they eat too much. So there’s no question that fasting is recommended for all overweight people, it’s another question that if the person has diabetes, or is on insulin treatment, God forbid, they need to clarify with

Their doctor how this can be incorporated into their life. Whether we eat a fried meat or a head of lettuce, say, in the context of an obese person, is marginal to the current metabolic status of becoming obese-non-obese. So it is not a single meal that can change this, but a very systematic,

Long-term change in eating habits to change the otherwise obesity-prone flora. I will try to make it clearer. So the obesity-prone flora is providing us with energy as if it were exporting us oil. And normal flora is like green electricity. But this requires infrastructure.

So if we basically have oil refineries, then it’s no use bringing in green electricity if there is simply no power line. So that’s how you can understand it. So if we have oil-producing bacteria and we eat salad, it will still produce oil, even if we eat salad.

And that’s why when a fat person starts eating a salad, he barely eats for weeks, apart from going mad with hunger and getting on the nerves of his environment, he doesn’t actually lose much weight. So it’s much more effective if the first step in this case is to start fasting.

And fasting means narrowing the window in which you eat. – Which in other words means intermittent fasting, where someone goes 12, 14 or even 18 hours out of 24 hours a day without eating. – It takes many forms, including not eating at all twice a week and eating normally on the other days.

– What is the point of such time-blind feeding? – If you look at the intestinal epithelial cells, they have two basic functions – to put it very simply. They either maintain themselves, just like a reactor, or they produce. And when there’s food, they’re in production mode,

And there’s a big biochemical switch mechanism, a protein called mTORC1, that either switches it into production or maintenance. – What does it depend on, that what does the body turn it into? – Whether there is something to eat. And maintenance is of huge importance, because otherwise a lot

Of damaged protein would have to be cleaned up during use. And the same system that does the enzymes for digestion and absorption, the same apparatus does this phenomenon called autophagy, where the cell surrounds these aged proteins with membranes, attaches a little digestive bladder, digests it inside, and then expels

It, and otherwise it can be reused as a nutrient. In other words, it’s like running a nuclear power plant without maintenance for years and years saying, “because we have to produce.” Well, it’s a mind boggling. And that’s what we have to understand, that we have to somehow

Consciously incorporate a period in our lives where we don’t eat. The 16 hours between two meals is where this phenomenon can start and is already working. – This particular maintenance function? – This maintenance function. If you only eat for 12 hours, so if you don’t eat for 12 hours

Between 8pm and 8am because you’re asleep, then if you eat for the other 12 hours, this maintenance function is barely functional. – Why does your digestive system need more rest than you sleep for? – The sleep that we now think is healthy, and we think that seven

Hours of sleep is healthy, is probably the way it has evolved with the evolution of human society, and our default state is what we think of as being awake, and rest is sleep, but it’s probably the other way round. So, evolutionarily, sleep is probably our default state,

And in comparison, when we are awake and hunting and eating, that is the altered state and not the other way around. So, in comparison, it seems that seven hours is the optimum now, but biochemically 7 hours is not the resting optimum.

– Let’s go into the scientific part of it, but I would ask you, as you are not lecturing to professionals, but to a civil audience, to try in your monologues, please, to make sure that we all understand what you are talking about. Let’s start with what you hear more

And more about these days, what is a microbiome? – The microbiome is the collection of organisms that live with us, so it’s not just bacteria, the microbiome includes viruses, fungi and other things, the archaea, so it’s the third or fourth group of organisms. For the time being,

We know most about bacteria, and the… – About the bacterial flora in the gut? – Not just in the gut, so living with us. So it’s from the lining of the nose, to the brain where bacteria live too. So we don’t seem to have sterile organs anywhere.

– What is the balance of gut bacterial flora? When is this the case? – Perhaps a better phrase is not balanced, but healthy. And healthy, we can define it very well, because it’s diverse, it’s very multifaceted. So, to give you an illustrative ecological example, 70 per cent of the poultry on the

Planet today are poultry that are grown for food. So this is a brutal loss of diversity. The same loss of diversity that we’re causing with this artificial, large-scale consumption strategy, with a lot of antibiotics and other animals and plants raised in very artificial environments, is coming back and destroying our flora.

So if we don’t eat a diverse enough diet of vegetables, for example, then the minerals that our flora needs to be healthy are not being ingested in a diverse enough way. And you can try to make up for this with supplements, but the experience is that you can’t.

– You’re saying that this gut bacterial flora is important, if not for its balance, then for its diversity, because it’s actually what gives us our harmony, our bodily harmony? – Absolutely, that’s right. – If you have a damaged gut flora, and many people have a damaged gut flora, how can you restore,

If not it’s balance, then it’s diversity? – This over-sterilisation, it’s clearly a problem. So, on the one hand, we try to keep our environment as sterile as possible by demonising infectious diseases, and on the other hand, we are distancing ourselves from nature, from the garden. There are very few of us who

Regularly go to the garden or go on regular outings. There are a lot of people in cars, I cycle when I can. And it seems to have a huge impact. So how many hours a day someone spends in the open air, say in a garden or a forest, is a crucial factor,

And that in itself affects their flora. And then the next question is what you eat. So it makes a big difference whether you eat a large-scale meat product that has been raised on corn, chickens that have never seen the sun or the open air…

– So it is not the result of large-scale farming. – For example, take a specific Hungarian curiosity. The huge advantage of the mangalica is that it cannot be kept in such harsh conditions because it cannot survive. So mangalica is much better, despite the demonisation of the high

Fat content of the meat and so on, but it’s not that, it’s the fact that it’s free-range, and it’s expensive because it can’t be produced as efficiently, but it’s much healthier meat, because it’s got a much higher mineral content. – Am I right in thinking that you believe that unhealthy changes in the

Flora of the human intestinal tract could be the origin of many more diseases than previously thought? – I think there is now a scientific consensus on this. 80 percent of the bacteria that live in us are in the large intestine. So, if this type of disease can develop somewhere, the starting

Point, as a nodule, is most often there. – Does the state of our gut flora have something to do with obesity? – Absolutely. This is unquestionable, but it does not mean that it is the cause of all obesity. Because on the one hand, there are innate causes,

As I mentioned before, there are causes differently encoded in lifestyle, and that’s very important. It’s important to see this, because blindly giving advice therefore doesn’t work. For example, for a migraine sufferer with a headache, to stop eating gluten. In 30 percent of cases, this is not an exact figure, it works fantastically well.

If he leaves gluten behind, no more migraines. The wonderful thing is that we now understand why this happens, we understand the mechanism of migraine itself, how it happens and how it is related to nutrition. Who are the patients who should be told not to eat gluten.

– How is meat consumption related to gut flora? I also ask this because I seem to have read that your position is that a plant-based, meat-free diet is best for the body. – But it’s plant-based, comma, low in meat. – That’s right. – So it’s not plant-based meat. – No, no, no, no.

– Plant-based, low in meat. – Let’s go back to hypertension, which is one of the leading causes of death now. Incidentally, this is not only related to myocardial infarction, but cardiovascular disease also includes cerebrovascular disease, so stroke and probably some of the neurodegenerative diseases.

And one of the central players is a meat metabolite. So it is a metabolite that comes from meat and is converted by bacteria into a toxic substance. – A toxic substance. – Researchers looked at vegans and people on a mixed diet, gave them a fatty hamburger, and looked at how that TMA level,

Or TMAO level, changed in their blood. – What is the TMA level? – This is the toxic metabolite product. As expected, this has increased very significantly in people with mixed diets. Which we know has a direct link to cardiovascular risk. – A mixed diet means that they also eat meat.

– They also eat meat. But the interesting thing was that for vegans, the level wasn’t less, it was zero. So in vegans this has not developed. And then from there came the research that it seems that it is not a metabolite produced in the human body, but a function of bacteria.

So it’s very important that the less meat you eat, the less of the type of bacteria you have that can produce this toxic substance, so eating meat once, results in less risk. Not to mention that the less often we eat meat and the less often this toxic metabolite reaches the vascular

Wall, the less it can develop this so-called endothelial dysfunction. There are certain terms that have entered the public consciousness, such as cholesterol. Actually, in hindsight, it didn’t make much sense to learn it, but we did. – Are you saying that cholesterol as a metric or measure is not relevant?

– Inflammation is much more significant. So the level of inflammation is the primary determinant of whether cholesterol as a secondary metabolite is of course very important, but how much of a problem it’s going to cause, so inflammation is much more important. And it’s in the inflamed arterial walls that cholesterol is deposited,

And that’s what leads to atherosclerosis. So the two things are related in such a way that probably if inflammation is at a very low level, so say someone has an HSCRP level of 0.1, which is a marker that can be measured in the blood for

Inflammation, then a relatively higher cholesterol level is safe, whereas if you have a high CRP level, you can’t lower cholesterol so much that lowering it at any one time doesn’t reduce cardiovascular risk even further. – Are you saying that in a simple blood test, the HSCRP value is a

Better indicator of susceptibility to cardiovascular disease than cholesterol? – Yes, because if we say, let’s take the example of cholesterol-lowering drugs to bring cholesterol into the normal range, and we think that as a cause, that’s eliminated the risk, that’s not true, it hasn’t. So lowering cholesterol with medication reduces the risk compared

To doing nothing, but this is true if you have high levels of inflammation. If inflammation can be controlled by lifestyle, for example, then blood pressure will recover, and if it is not necessary to take antihypertensives, then it is safe to say, for example, that the risk of

The classic stroke disease is reduced to almost zero. So the inflammation in the connective tissue between the epithelial layer and the muscle layer makes the blood vessel inflexible. And we need to reverse this inflexibility. And it was a dogma for a very long time that this cannot be reversed. Once it’s established,

It’s a disease that once established, there’s no going back. And the experience has been that there is a way back, for example, by eliminating meat products, for example, by eliminating alcohol consumption, by reversing the flora that has shifted in the inflammatory direction, which goes hand in hand

With eating more raw food, moving more, so by changing many factors, this risk matrix shrinks so that eventually you eliminate this change in inflexibility, you eliminate the inflammation, and you can stop taking medication. And today it’s to the point where ten patients who come to us,

Who are otherwise compliant enough to have the motivation and the desire to change that, can stop taking their medication and have their blood pressure drop to the point where it drops below 110, to 105 to 100, that they have to stop taking their blood pressure medication because

They can’t get out of a chair because they get dizzy. – Now, let me strike at the question of what would, or should, the much talked about conscious eating look like? I would also ask, or could I ask, what are the basic conditions that we

Need to meet in order to largely eliminate risk factors? Put simply: how should we eat every day? – Personalised. There should be a baseline assessment, and I’m not talking about sophisticated measurements, but whether someone is overweight. Is there a problem with your sleep? So it can be about assessed with a questionnaire.

In a GP practice, can you measure whether you have high blood pressure? Have you had any laboratory tests and, for example, has your CRP level changed? This particular inflammatory marker that can be measured in the blood, in general practice, and you can tell whether or not a change from that within the normal

Range indicates a high risk of cardiovascular and cancer mortality. – So why do you say that? Because I often read you say, for example, that eating half a kilo of vegetables a day is very important for everyone. – I think these are misunderstandings. I did not say for everyone.

Looking at the population of patients who come to us with this type of complaint, and my experience is that the vast majority of our patients are sedentary city habitants, urbanites. Now, in this medium, it makes sense, and I think the vast majority of your listeners are like this too.

– But half a kilo of vegetables a day is very expensive, so only few people can afford it. – I don’t know. I don’t really want to argue with that, because I think it can be determined individually, so if somebody wants to introduce it, I think they can introduce it.

So we live in Hungary, not in the Sahara, so if it’s important to someone, they can have a small garden, they can ferment vegetables, they can do it themselves. – Doesn’t it affect things if, for example, that vegetables are highly chemically obtained, over-dosed? I picked up a recent scientific study, for example,

And was shocked at the way in which both Hungarian and imported vegetables are like that. – My starting point is that we have our own studies on this, where patients who come to us with very severely damaged gut flora can restore their flora perfectly in a

Year or two years with vegetables from supermarkets. So there are these kinds of beliefs that there’s a huge problem with plants in terms of food safety, and obviously organically grown vegetables and fruits in safe conditions are much better than what’s available in supermarkets, but if we were to propose a protocol

That could be implemented on a day-to-day basis, I would very strongly suggest that this particular half kilo of vegetables and fruits available in Hungarian supermarkets is better rather than worse. – A week or two ago, the World Wide Fund for Nature, WWF Hungary, published a 20-page document including dietary recommendations.

This included a sample diet consisting of: Chickpea cream with smoked paprika and gnocchi, spicy granola, I don’t even know what this is, and roasted potato skin soup with pickled carrots, and trout served with winter vegetable mince and fresh cold-tempered lettuce leaves.

From this I understood that the plant and the fish are very useful. But who can afford to buy the ingredients, pay for them and even make them? Isn’t it a pity for such recommendations? – This illustrates what is wrong with general recommendations, so it can be tailored to each

Individual and related to their own life and motivations. Perhaps I would highlight the trout in that, like the mangalica, the trout is an animal that does not tolerate large-scale farming very well, especially in polluted conditions. So while salmon can be kept in inhumane conditions with antibiotics

And so on, and it cannot be said that these farmed salmon are healthy, the general consensus on trout is that they are relatively clean animals. Or the other option, I think a very interesting trend is to telecommute. So the fact is that this urbanised life will change, in that Hungary has

Divine potential, many more people will be able to move to the countryside, and there will be, quotes inserted “boxed technologies”, for making a small garden grow, with very simple instructions and prefabricated seeds, fertilizers and so on, where we know exactly that with proper care they will not need as

Much pesticide, and we know that no pesticide will be used, and we can test the soil and certify that it will be a very good soil-grown vegetable, tomato, pepper. We’ll see. – You can tell me and hundreds of thousands of other people, I won’t go to the countryside and

Become self-sufficient because I have other things to do. And so do many others. – Of course, because that requires innovators, and these innovators are already here. So you can know that there is an outflow of intellectuals who are aware of this and who are deep in it,

Who are leaving the city and going back to the depopulated villages. – But not yet en masse. – Because innovators are 2-3 percent of the population, that’s the nature of it. – But will this become the norm over time? You think so? – We will discuss this in hindsight, in ten years’ time.

– Now I would like to turn to, if you could tell me, what are the diseases that can start in the stomach and what is the mechanism of this? – It covers 95 percent of civilisation diseases, so it would be a very long list, so really from autoimmune diseases to tumours to neurodegenerative

Diseases, hypertension, cardiovascular diseases. But this is not so surprising, because our lifestyle is such a major determinant of the incidence of these diseases, since it is known that they simply do not occur in natural populations. Either, say, a grain-dominant diet, or a meat-dominant diet,

Or a beef-dominant diet, has changed that to such an extent that you can say that if you don’t get diabetes, then unfortunately you’re likely to get a tumour, but if you don’t get either of those, you’ll get cardiovascular, but if you don’t get either of those, you’ll get Alzheimer’s in old age,

Which is now also known as type 3 diabetes. – To take one thing from this: why is colorectal cancer almost the leading cause of death in Hungary, almost a widespread disease? What is the reason for this? – There are a number of reasons for this, including the fact that I think

The proper screening programme started very late, at least 20-30 years late compared to Western Europe. Hungarian eating habits and lifestyle, including spicy food and heavy alcohol consumption. We’ve really been world leaders in alcohol consumption for the last 50 years, so we’ve always been in the top 3 in alcohol consumption.

They all contribute to this. – What are the options for screening for colorectal cancer? – From a professional point of view, it would be much more important to prevent early cancer. So from this point of view, if we wanted to detect early lesions,

That is to say polyps, which do not yet contain malignant cells, and from this we would deduce that colon cancer should never develop, and from this point of view the situation is very similar to cervical cancer. So if everyone went for cervical cancer screening, and there are

Regions of the world where this is almost completely done, and the related, we now know that we can detect the virus early and treat it, then there would be no cervical cancer. So, in the same way, colon cancer is a very early detectable disease, so if everyone went for a colonoscopy

Or some kind of imaging procedure, like CT colonography, there are international protocols for this, what density you should go for, then it could be prevented. – Is it subsidised by the state or is it only available in private practice?

– It is also a problem that it is not subsidised, but perhaps a related problem today is that it would not be available. So there are not enough endoscopes in Hungary, so if everybody decided to go for a colorectal cancer screening anyway, which unfortunately they

Don’t, and wanted to go, then everybody would get an endoscopy, because it would be completely impossible. And in comparison, the second step would probably not be colonoscopy at the population level, but those changes that can be measured by early nutrition and exercise and simple laboratory tests,

Starting much earlier in the age 20s, 30s, factors related to exercise and sleep, which do not require a very expensive and sophisticated institutional system, but a much more health-conscious education. – If you have regular check-ups, are you guaranteed prevention? – After a colonoscopy, the chances of someone developing a

Tumour after the next colonoscopy in the next five-year period are very small. – Other than colonoscopy, is there no other civilised approach to screening? Because it’s a very uncomfortable thing. The mechanism is obviously familiar to many people, you have to empty

Yourself first, and then they put a tube in, okay, you can do it under anaesthesia, but it’s a pain in the ass. – Well, I’ll give you that. So it is indeed a cumbersome procedure. – Does science not have a more – how shall I say – civilised solution?

– I myself tried the longer fasting for the first time before my last filter colonoscopy, so I didn’t eat anything for five days, or a filtered broth, just by drinking the juice, a glass of filtered broth, and it was so amazingly meditative,

Of course you have to be prepared for it, you have to take time off, I didn’t work at that time, I exercised very intensively every day, and it was really a cleansing, a real fasting cleansing. – And did you stay strong for five days, eating only this and exercising?

– Every day my performance increased. So it has improved. I did four hours of sport, so I cycled, did gymnastics and swam. – And you ate only filtered broth. – And I had filtered broth. And if you think about it, I just wanted to try it anyway.

You hear so much about it that fasting really does not only clear your mind, but makes you feel more energetic. So I think it’s worth doing this, and part of the preparation for this is that if you pour a philosophical sauce on it, and obviously it’s not attractive to everyone,

To do it in this form, but I think it’s worth trying. – Years ago, colorectal cancer was almost exclusively prevalent in people aged 50-60, but in recent years it has been increasing in young people aged around 30-40. How can this be explained? – In concrete terms, it has doubled.

And again, this is closely related to changes in the gut flora, because they have described the specific mechanism by which bacteria can cause colon cancer, polyps and the malignant progression, or transformation, of these. – So you say lifestyle changes are causing younger and younger people to have or develop colon cancer.

Before we get to the drinking, let me ask you about various – I say, substitutes and alternatives. For example, how medically supportable is it when many people are injecting themselves with various serums, primarily, I believe, for diabetics, in some cases weekly, in other cases daily, and losing weight by that.

– There are several preparations that have been granted marketing authorisation for this, so they can be used. If it is not very organically linked to a lifestyle change, it has to be given for life. And the cost of this, since obesity is not supported by

Social security anywhere in the world, is an unbearable cost. I think there is no way that it can bring about a general reform in its present form, it is a different matter that it can be very effective in promoting lifestyle change through its appetite suppressant effect.

So it has its place for 3 to 6 months, in our experience it can be very effective in helping to introduce, for example, fasting and lifestyle changes that the patient then realises that it provides a much better sense of well-being, a much better quality of

Life, and then under the pressure of the fact that it’s an expensive product, they have the motivation to stick with the lifestyle and to get off the medication. The first thing I usually suggest is to start fasting. And when you start narrowing the window of time, and you’re in a

Window of time that’s not really narrowable otherwise, and there’s still no real effect, then adding the compound can make a big dramatic breakthrough. You get a lot more weight loss and a much more livable life for a couple of months, and by the way, if you lose 10-15-20 kilos there,

You’ll have a huge motivation to keep it off. – But the question is, are there enough years of professional knowledge and experience behind these drugs to be able to say with certainty that they will not be harmful to health in the future?

– To the best of our knowledge, they are safe to use. It’s a natural hormone, so it’s a substance that’s produced in the body, we just don’t know exactly why, it’s under-represented, it’s over-represented by bacteria, and if you take it externally in high

Doses, you take it in high doses in a built-up way, they cause a reduction in appetite, through a very complex mechanism, but they really do cause a reduction in appetite that makes it very easy to change your lifestyle, I would highlight that. – Let’s move on to the drinking, please.

How much alcohol can you drink? – It depends on who we are talking about. One of the most important effects is that alcohol removes this protective mucus from the intestinal mucosa simply because of its hydrophobic, physicochemical properties, and just one glass of wine increases the amount of bacterial debris

Entering the main portal vein of the liver by 30 percent. – Can even a glass of wine do that? – A glass of wine is obviously not a problem, but a glass of wine every day is an inflammatory load that sooner or later can become a serious problem. For example, fatty liver disease.

For example, obesity, since it is an undue amount of extra calories. – So you’re saying that there is no medically acceptable minimum amount of alcohol to consume? Because in the past, for example, ‘a glass of red wine a day’ was explicitly promoted as useful even by doctors, especially cardiologists.

– The WHO recommendation changed about two years ago and the current recommendation is that there is no safe dose. I think we will get to the point in ten years’ time where, like smoking, alcohol will be one of the most serious carcinogens and will be available in designated shops.

But I think that the way in which it’s available now, from petrol stations to supermarkets, without any health contraindications, in general, alcohols, and the idea that obviously it can’t be that much of a pathological, sorry, harmful thing, that’s going to change. – And how about water, for example?

Is it really necessary to drink 3-4 litres of still water a day? – For everyone to be able to say that it’s mandatory to drink up to two litres of fluid, I haven’t seen a randomised controlled trial again that says that for a general population. Let’s turn it around, is two litres allowed?

I have not seen anything saying that it’s not allowed. So if you like drinking, and we very often recommend that you drink rather than eat. So when someone is very hungry, the best way is to drink water instead. – And what do you think about energy drinks? – Well, there are clear health

Recommendations, I mean contraindications. So I think that we are again on the verge of these becoming, or being, banned substances. – Is it considered that harmful? – It is quite clear. So it’s not just because of the sleep-inducing effects, because let’s be honest, it’s used today as a kind of morning

Wake-up call instead of coffee, and as a daytime wake-up substitute by a lot of people, which is certainly ruining your sleep at night, and let’s say it’s very artificial substances. There’s a very broad consensus that they are harmful, but I think they are mainly to maintain sleep disturbance, not to get adequate deep

Sleep, and to create a vicious circle, which is a very difficult situation to resolve. So energy drinks are definitely a no-go in my opinion. – So after eating and drinking, let’s move on to sleep, since you mentioned it. You often mention the need to follow as closely as possible the so-called

Circadian rhythm of good sleep, sunrise and sunset, which is not easy to follow in our current, at least urban, culture. According to this, we should be asleep, or at least in bed, two or three hours before midnight, and, accordingly, we should not

Generally be in bed for more than seven hours, if I remember correctly. What studies and experience confirm these principles? – Seven hours is an elusive thing, I was very surprised when I first read this, why it is that if you sleep 9 or 10 hours you are at a

Higher risk of disease than if you sleep seven. I do not quite understand it, but I think that it should be understood in such a way that if you cannot sleep for seven hours and you sleep for nine hours and you wake up tired, this very often happens to

Patients, and the quality of sleep is simply not good enough. – I can answer this from my own example. Sometimes you get 4-5 hours of sleep, and then the next night, or the night after that, it feels good to sleep for 8-9-10 hours. Do they balance each other out or not?

– The longer the time needed to achieve lasting daytime restfulness, the more likely it is that some illness will strike. But again, I think that we should translate this into practice by aiming to get a good night’s sleep in seven hours. And this means going to bed early and

Getting up early, and getting regular exercise. And it follows that if we go to bed at, say, two o’clock in the morning and sleep for ten hours, and we think that we don’t wake up at one hundred percent, and we think that we have compensated

For the fact that we haven’t fallen asleep early, the measurements show that in the vast majority of cases, deep sleep is disturbed. – And why is deep sleep important? – When we fall asleep, we immediately start deep sleep cycles. Because the most necessary processes of renewal, the vegetative processes

Necessary for the biological functioning of our body, take place in this deep sleep phase, and then come the REM-rich sleep cycles, when we now think of the processing of stressful situations during the day, when the brain puts in place the information acquired during the day. You need both for physical and mental health.

I would say, in a simplified way, that deep sleep is necessary for physical health and REM sleep is necessary for mental health. Both of those are very important, and then there’s the restorative sleep, which is probably needed for our body as a whole, not just for our nervous system,

But for our muscles, our heart, and so on. – You link sleep to the night. How does our body know when it is day and night? – The spectrum of light, that is, the range of red, blue – these two are the ones that matter most, it seems

– the light that reaches the eyes is richer, and there are sensors that set our biological clocks in relation to this, and so it’s very important not to press the phone as early as possible in the morning, but to go outdoors, so for example, to go to work as

Early as possible on a bicycle, or to walk the dog, because then this morning blue, sky blue, will start our biological clocks. They compared California with the UK, where it’s much foggier, so it was much harder for the subjects’ bodies to adjust the

Biological clock, especially if they don’t go outside, they have to spend more time outdoors on a cloudy day, to get enough blue light to start the biological clock, and also in the evening when we should be seeing red light rich in the setting sun, again it’s useful to be out in nature

At that time to set the biological clock. If, by comparison, our biological clock is supposed to be set by our smartphone in the morning and our TV in the evening, there is practically a coded disturbance. – The serial lack of sleep, or not sleeping according to this

Rhythm, sleeping at night, but instead sliding into, say, the morning or the day, what kind of diseases does this induce? – This changes the levels of certain stress hormones. And this is biological stress, not being able to rest properly. Deep sleep disturbance is a biological stress.

Stress is associated with certain hormonal changes, and these hormonal changes alter the environment in which these bacteria are supposed to live. And the characteristic change in these bacteria, the characteristic change in the bacterial composition in this stress situation favours bacteria that destroy this protective barrier.

– To sum up, if you have a healthy lifestyle, there are three very important pillars: nutrition, exercise and sleep. Which of these is the most important? – It’s different for everyone. So, if someone is sleeping well but eating badly, it’s nutrition. And I would definitely add to that the environmental burden as chemical

Pollution, that’s one factor, and add to that alcohol, drugs, smoking and air pollution, and add exercise, sleep and nutrition, these are the basic mechanisms for 95 percent of the diseases of civilization today, for sure. And which is the dominant one for a given patient, that has to be

Investigated and determined for that patient. – Yes we shouldn’t forget, it’s good to talk about the exercise. Why is exercise important from a physiological point of view? – In our civilised lives, we live in a state of constant readiness that has no translation into movement.

So one of the most important factors is that the biochemical mediating hormones, shall we say, or factors, of stress are most effectively extinguished by movement, because that’s the way it’s biologically encoded. There are quite specific recommendations on what is the

Minimum that will bring a very marked reduction in risk, so 30 minutes of exercise a day is something that can reduce the risk of cancer by 30-40 per cent, for example. There’s quite concrete data that cardio-type movements are very often risky, precisely in terms of intestinal permeability,

And there’s data that when you have a heart rate that’s persistently above 140, you can have a situation where you have less blood to the digestive system, specifically to the intestines, and that damages the function of the intestinal barrier. Interval-type exercise seems to be safer, where after reaching a higher

Heart rate you hold that movement for 3-5 minutes and then allow the heart rate to return to normal, and then subject it to the challenge again, as children would normally do when running. So you have to be very conscious of learning how to run long distances,

And you can get into that anyway, because it’s a fantastic experience, and if you can do it safely for 5-10 kilometres, I think you can do it. It can be said with certainty that endurance sports, such as triathlon, cycling, long-distance running, have very serious cardiovascular

Risks, because in 30-40% of cases, there can be thickening and lesions affecting the left ventricle of the heart, which can lead to long-term risks, but the risk of weight training is lower in many respects than, say, long-distance running. And not just in terms of joint health, but cardiovascular health.

– Let me conclude this first part by asking how a well-functioning country encourages its citizens to adopt a healthy exercise and lifestyle? There are good examples of this. I may have just read from you that in Germany money is used to encourage healthy lifestyles. – We do need incentives, financial incentives to encourage

People to do prevention, because it is simply not fair that someone who spends a lot on fitness, nutrition and all aspects of staying healthy pays the same amount of social security as someone who doesn’t and smokes, etc. In Germany, there is an insurance company that, with a phone app,

If you take, I think, 50 thousand steps a week, they will reimburse you 50 euros a month, I think that’s the concrete amount, 50 euros. Or, for example, if a family has many certified athletes and no overweight, the parents again get a tax rebate.

– We’ll take a break here for a few seconds with messages from our supporters, and then we’ll continue with Richard Schwab. We continue our conversation with gastroenterologist Richárd Schwab. – The same ideas you advocate, time-box eating, preferably meat-free, daily exercise, no alcohol in the slightest, etc.

Etc., started to take off about ten years ago. Is this enough time to say that these new principles and practices will most certainly rewrite previous knowledge and methods? – It will become general when the professional guidelines come out that make it quasi-mandatory.

– Does what you say mean that they are not yet universal? – These are not yet common. In many cases it’s 10-15-20 years for medicine and 30-50 years for smoking. If you look at the structure of society, you have the innovators, you have the early adopters,

You have the late adopters and you have the masses. So it gets to the public health level when the mass. So when this gets to the level of mandatory lung cancer screening, I don’t want to be pessimistic, but I think it’s decades away from the reality we have now.

Our job as innovators is to discover the rain-sensing wiper and make it available to those who are open to it and think it makes sense. – But if I understand the current situation correctly, in many respects, medicine has lost its way in the past,

In that it has tried to react to the lesions and pathologies that have already developed, and even today many people are forced to subject themselves to this mechanism, but the new wave of medical methods seem to focus on maintaining the state of health for as long as possible, on preventing disease.

Would this have been possible in the past, or has it only now become clearer how this could be achieved and maintained? – It was a Nietzschean moment, I think, at about the turn of the millennium, when it was practically confirmed that the earlier dogmas had been overturned.

We had a common myth in the last fifty years, between the Second World War and the millennium, perhaps the Human Genome Project, as a dividing line, that we thought that if you develop a disease, say hypertension, then we can do drug interventions, or not necessarily just drugs, surgery or whatever,

Which practically, if we do everything according to the protocols, then practically this balance is maintained with drugs, we are not happy about it, but with drugs. But it was financially overthrown. So that there’s simply so much cost today, especially in the treatment of cancer, that it makes the system unsustainable.

So it didn’t fail because it would have been so scientifically unattainable otherwise, but it simply became unsustainable, and in the meantime it was a coincidence I think, and I attribute it to the Human Genome Project, that technologies became available or accessible that otherwise helped us understand the

Cause of a lot of these civilizational diseases and it turned out that it was otherwise curable by lifestyle. And here is a game changer that says we have to do something completely different. – When we talk about a healthy lifestyle, one thing that needs to be

Emphasised, and I confess that I had forgotten about it until now, is genetics, which is very important in terms of whether we are healthy or sick. To your knowledge, do genetics or lifestyle play a more significant role in whether we become healthy or sick? – There is concrete evidence that

Lifestyle is 95 percent and genetics 5 percent. – Really? I could have sworn the scales were tipped in favour of genetics. – Everybody thought so. So the Human Genome Project started with the idea that we would now have the key to all diseases. And since then there have been many large clinical studies.

An amazing amount of genetic information has become available. The most revolutionary thing about tumours was this realisation that they are acquired mutations that are linked to lifestyle. Well, not surprisingly, the rise in lung cancer has gone hand in hand with the rise in smoking and its cheapening.

Professor Szende, who was a professor at the Institute of Pathology at Semmelweis University and examined the 19th century, century autopsy reports, and lung cancer was so rare in the compulsory autopsy material at that time that, in his words, at that time, probably when they found a lung cancer, the whole institute would come

Together to see that this was what a lung cancer was, it was so rare. And if it were genetically inherited, then lung cancer would not be allowed to happen even now. But the most common type of cancer is lung cancer. So our environment has changed so much in a hundred years that lung

Cancer is so common. The same is true for colon cancer. A Japanese person settles in the United States, then… Japan is one of the first countries to have stomach cancer, but in the next generation it reverses and there is hardly any stomach cancer and colon cancer becomes dominant.

So environmental factors cause them, and in the case of colon cancer, we understand how it develops down to a very specific mechanism. So intestinal flora causes colon cancer. – Even if you live your life with all health aspects taken into account, what is the maximum percentage increase in life expectancy?

– Today, if we take the average person, who lives roughly 75 years in Hungary today, leaving aside the male-female variance, this 75 years can be easily pushed out by ten years with a moderate amount of well-tracked, and therefore relatively easy to track, health awareness, in my estimation.

It is almost enough to move to Asia, say to Bali, or to Switzerland. So that the social environment determines how we live and what the local customs are, so much so that if you move to Switzerland and adopt the local customs, you’re guaranteed to live ten years longer.

– Human civilisation has come to its present stage through many changes in its way of life, including its diet. Obviously as a result, the average human lifespan, once limited to 35-40 years, has now multiplied. These civilisational changes may also have left some evolutionary mark on modern humans.

In view of all this, would it not be a more vital concept, and I ask you this, if doctors and lifestyle researchers were to try to prepare humanity for today’s conditions, today’s living situations, today’s food production and food processing technologies? So if they would rather try to focus on mitigating, avoiding and adapting

To the impacts that are considered negative. Although I know this is not primarily a medical question, I have raised it in case you have something to add. – Absolutely. It’s a customer requirement, so to speak, so that I don’t have to do anything. It is a natural…

– No, I would say that the majority is incapable of adaptation. Because what we see, as with climate change, is that nothing happens. So you give good advice, and you’re right, but in comparison, you see that the number of people with cancer in the population is increasing, and I don’t know,

So you won’t be able to solve it with good advice, you don’t even want to. – No, I certainly disagree with that. Just as smoking seemed hopeless in America in the 1980s, it is now almost solved. So it really is socially unacceptable to smoke in a normal intellectual society in America today.

And smoking prevalence among young people has fallen dramatically, because evolution is unfortunately hard at work, and the more adaptable are the winners, not the strong and not the smart. – But I’m talking about the fact that the majority of humanity is incapable of adaptation. – But they will be selected out.

– But the majority cannot be selected out. – This is the pessimistic version. The optimistic version is that we look at America, where obesity now seems to have stopped, and these new drugs that we talked about earlier, the new generation of weight loss drugs, these new drugs,

For the first time in the history of medicine, have been able to make a dramatic breakthrough in obesity, and if it works for smoking, it works for alcohol and it works for obesity, and we can find an answer to how to systemise them, then I think your point is more akin

To the way to what we saw at the turn of the century, the 19th century turning into the 20th, when we were talking about the first revolution in obesity. At the turn of the 20th century, people were still worried that urbanisation would bring with it an intolerable amount of horse manure in

Cities, and that there should be a mechanism for dealing with horse manure. Where is the horse manure now? – I was talking about something quite different. I started from human nature. You say that human nature can be influenced. This is a philosophical debate between us. – Yes, and I think that…

– I don’t think so. – It is indeed the task of society to facilitate change for those pioneers and early adopters and late adopters, who make up about 40 percent of society as a whole, because after that they have enough influence on the masses, and just as change seemed hopeless,

And I think in this respect it’s a good example, and a very serious problem was the situation of horse-litter in cities, and today the air pollution is unbearable, but in 20 years it probably won’t be, because electric cars will solve that problem anyway. So there will be other challenges. – Then neither human,

But at most man-made techniques or technology. And I’m not sure that it can cover all areas of life, but we can’t decide that, that debate. Let me ask a little bit about you, about your personality. How health-conscious are you as a doctor? Very, right? – I try, yes, I try.

– It was clear from your sentences here that you cycle and swim every day. – It feels very good. – And do you eat half a kilo of vegetables a day? – I also eat vegetables, well about that much. I prefer fasting. I really like that.

– Do you also use the time window method? – Yes. And I’m even more rigorous than the patients’ recommendations, and accordingly I’m more indulgent, so I don’t always have half a kilo of raw vegetables because I eat less. – And how did you start? Overnight, so you thought it up one

Day and the next day you were doing it? – No, I’m open to innovations, I try things, and what I feel is good for me, and otherwise measurably good too, I follow it. – And how hard are you on yourself when you suddenly get hungry?

– I’m a very hedonistic person in my own way. I don’t ride a bike because I can’t afford to drive a car, or I don’t ride a bike in a gloomy way to be healthier, like this billionaire mentioned before we started talking, who I don’t know, follows such

Terribly complicated protocols and I think has a very unhappy life. – That Bryan Johnson? I prepared it here. – Yes. – So if you’ve already brought it up, it’s for the sake of the audience. An American businessman entrepreneur, he started his project in 2021 to

Reverse the ageing of his body, he gets up at 5am every morning, exercises for an hour, does a high intensity exercise routine three times a week with 25 different workouts, then drinks a green smoothie with creatine, cocoa flavonoids and collagen, his daily diet consists mainly of vegetable puree, nuts, seeds and berries,

Basically everything you say, but at such an intensity. No sugar, no salt, only vegan products in his 1977 calorie diet, sometimes he’ll nibble on a bit of dark chocolate, but only from the world’s polyphenol-rich regions. As a dietary supplement, he takes more than a hundred pills,

Of which there are all kinds, I’m not going to say or list them, and every minute is elaborate in his day. After brushing his teeth daily, he gets a tea tree oil rinse, antioxidant tooth gel, seven different skin creams, and goes to bed at 8:30 every night.

I tell you, it’s very much like you being one of his doctors, even though this billionaire has twenty independent doctors. He wear blue light-neutralising glasses for two hours before going to bed. Here is the blue light. His room is completely dark, and protocol requires him to sleep alone.

I’m not going to comment on that here, but if you live like that, you don’t live a minute, do you? – Well, yes. That’s why I think it’s better to measure the identified risks that have a proven impact, and only do that until you have to narrow the field otherwise, until it’s important.

– Okay, but was there any food from your previous diet that you found hard to give up? – No. – No? – No, because we also advise patients to change slowly. So I didn’t change anything quickly. – Why? Because where did you have to start?

So were you ever overweight? – No, I don’t mean that. So I ate a lot more meat. So I ate cold cuts and stuff like that. Like all Hungarian people, I think. – But now you don’t eat them. – No, I don’t buy cold cuts. So I eat meat every d…

Or once or twice a week, but I don’t eat meat every day. I don’t wish it anyway. – And what is it when you cheat a littlet bit? What’s that like? I mean in terms of food? – Well, I eat sweets. The children take me to sin,

And we have a great time eating sweets together. – But I think of that in moderation. – Well, in moderation, they move an incredible amount, so they have almost no moderation. I have to pay more attention to that, but obviously not… – Is a cube of chocolate the maximum? – Of course not.

– More? – Lucky for me, because I don’t like chocolate so much, so I never eat chocolate. I’m a sucker for homemade cakes, that’s my weakness, but I’m not particularly attracted to, say, going into a cake shop. The one difficulty in our life is that my father is 98 years old and he

Has a helper who bakes fantastic, otherwise gluten and everything free, but really fantastic cakes. Now I have to ask her to stop baking because I just can’t resist. – Speaking of your father, who is in good health over 90. For example, could you ever get him to go for any kind of screening,

Or is he still old school and only goes to the doctor when he has a complaint? – No, no, he was very rigorous in following the principles that I, as a young, ardent doctor, often advised to perform various interventions on him,

But of course in a justified way, and let’s not go into details again. So I think I have a part to play in the fact that he is in relatively good health despite being 98 years old. At 94, he was still driving and going

To the gym with a personal trainer, but that’s all in the past. – He went to the gym with a personal trainer? – Yes. – That’s what I call incredible… – Yes. – With what frequency? – Once or twice a week. Thank God he’s not on medication yet,

So he’s fine, but we were just talking about… – Not taking any medication? – No. So no high blood pressure, diabetes, etc. – I understand where you’re coming from, so I understand more or less. Let me conclude by asking you which would you rather choose

– a constant sense of well-being, lasting as long as it takes, or doing everything you can to make your life last as long as possible? – The two are not antagonistic. So I want to feel good all the time and I want it to last as long as possible.

I think that’s the answer to that. So I see it more as a hedonistic, classically hedonistic lifestyle, so the binge drinking and so on and the binge eating, that goes hand in hand with the fact that after the big holidays and these recurring celebratory rituals, that person doesn’t feel good.

And he also escapes back into this hedonism because he lacks purpose in many cases in his life, and he compensates for that. The health benefits we offer go hand in hand with a lasting happiness. No compromise of any kind. It’s not about being brutally rigorous about things that make you

Unhappy, but about changing your life in a way that gives you constant happiness and not worrying about how your health is otherwise. – How much I would like to learn how to do that! In your biography that I’ve read, and I’m really going to end the

Conversation with this, I mentioned that between 2010 and 2018 you were a colleague of the well-known entrepreneur Sándor Demján. What did that mean in more detail? – I was very lucky to be awarded the Demján scholarship for this MBA in the US. – Is this the business university? – Yes, yes, yes.

I was the most shocked when, a little over a year after our graduation, my phone rang and he said it was Sándor Demján, and he immediately called me “to talk about your future”. And then we met within a day or two, and he asked me for a job as a fresh

Graduate, trained at the highest business school. I couldn’t imagine that, I was a doctor, how could he think that, he hired me to work for a real estate company? And he quasi asked me for a year, he really did ask me, in return for an amazing salary and a

Very serious perspective. – But what did he do? – He wanted to restructure this large real estate company, and he asked for my help as an outsider to help him with objective measurements as a quasi-economist, without being tied to anyone. – And so you gave up medicine for that time?

– Well, we agreed that in order to keep my practice, and to keep my exams and everything, that I would work one day, the Monday as a doctor, and then he said that I could do the rest of the time as I saw fit,

And then unfortunately in many cases that meant six days. So that one day became not an extra one plus four days, but an extra one plus six days. But I don’t regret a minute of it. So he was a man of amazing spirit and amazing intellect and practicality,

And the way I see the world now, he contributed to it as much as – let me mention a few names – as much as Ákos Pap, or as much as György Kéri, who was a very, very important mentor for me as a researcher,

Our mentor, and I must also mention Professor Balázs Sarkadi, but Sándor Demján was the dot on the i. It’s a great help to have mentors who can show you how things work in a workshop-like way, and the way I learned translational clinical research with Ákos, and the world of real researchers

With György Kéri, with really Nobel Prize winners and a very serious international network of contacts, and how business works and how the economy works, I couldn’t have learned from them, but that was a gift with Demján. And I’ve really been able to work as one of his five or six closest

Colleagues for eight years as a direct collaborator, that’s probably one of the greatest gifts of my life. – We’ve learned a lot from you today, and there’s a lot to consider from all your expert advice, but sometimes just getting on with life is just as good, isn’t it? – I agree.

– Thank you for your patience and your answers. Today, I spoke to gastroenterologist Richárd Schwab about how we should live the right way in terms of eating, drinking, sleeping and exercising. For those of you who have found that you have learned a lot from what we

Have said, please support our programming either by clicking on the ‘Thank You’ button here on YouTube, just below the screen on the right, or on patreon.com by going to the Friderikusz Podcast page, where you can find a number of ways to support us on a regular basis,

Or even here on the screen after the content description, where we also provide details of the support options. Thank you in advance for your support. – And now comes the big announcement, but in 15 seconds before, our supporters have something to say.

– Did you ever think that the interview with you in late November and early December would have such a huge impact? – Not at all, but I am very happy about it. I had some live performances in mid-December where people were giving

Me feedback that they had seen it and how good it was, and I believed it and I didn’t believe it, but then in January I had a lot, a lot, a lot of feedback about the live performances. – Do you regularly tour the country with live performances? – I’ve been travelling around the

Country regularly, especially since I’ve been here with you, since then I’ve been travelling all over. And what is very striking is that about two to three times as many people come as before. So I felt that it was very interesting for people,

It really moved a lot of people in the country, and there was very good feedbacks about how much of an aha-experience people had. – Aha-experience? So that they will then realise that, yes, that’s how it is? – Yes.

– I used to do it instinctively, but now I know why I do it that way. By the way, what is the explanation or explanation for why the topic of generation is such a popular topic? So why does everyone actually care? So even in the comment box, which is below the conversation with

You, the number of commenters is well over a thousand, and the number of viewers is around 850,000, right? – I think it’s something that affects everybody. Either in her role as a parent, or in her role at work, or in her role at school, and that I think a lot of questions

Have been answered clearly in this conversation. My feeling is that, based on most of the feedback you just gave me, I suspected, I suspected, but now I have an answer that I can put together for myself what I may have done wrong and what I may have done right.

And I also hear a lot of people throwing it around, saying, “Look at it, look at it, look at it. – Yes, they keep sending the interview. – They send it to each other, because they discuss questions between themselves, and there are a lot of answers in the interview that move people forward.

– Now we’re starting a series, because many, many people, I’m not exaggerating, hundreds of people, thousands of people, have asked for much more information on all the topics, so we’re going to do a six-part series, which will start on 14 March on our channel.

What topics will you focus on in the six parts of the series? – In the first part, we will actually get into the mood or introduce the topic, where we will talk about the differences between generations and ages and the connections between them. This was also mentioned in the

Interview, so we’ll go a little deeper here. – He says it’s a conversation, when it’s not a conversation, it’s a lecture. – It’s actually a lecture, but I always say the lecture is a conversation, because I think everyone will react to it at home,

So if possible it won’t be interactive live, but whatever I say, the conversation in December already moved people, I think it will move people, and a lot of people will talk about it at home in front of the screen in the family. – So the first part is about the

Relationship between generations and age. The other episodes? – The second and the third are very closely related, we’re actually going to go through the six generations one by one, and that doesn’t fit into one lecture, because it’s worth going into quite a lot of depth about each of them.

So until the second and third episodes, we’re actually looking at generational theory a little bit more, a little bit deeper. Then we will move to the practical side, the fourth lecture will be on parenting, on redefining parenting roles, and the fifth on the stories of generations impacting on everyday

Life, on the trans-generational spread of attention. – Attention, in what sense? – How our ability to pay attention has changed, how our capacity to concentrate has changed, for example, in the digital age, because of audiovisual culture. How this translates into education, learning, conversations at work. – Does it also give you a handle?

So, if someone understands a certain subject only in theory, but can give practical advice that can help to make the relationship between generations, between different generations, easier or better? – That is my goal. In the first three episodes there will also be experiences, practical examples that will allow us to have such aha-experiences,

Where we can recognize ourselves, but in the fourth and fifth episodes the central aim will be to give practical advice on parenthood and other everyday events. – And the sixth episode of the series will actually be a forum type of show, because you’ll be encouraging the audience to ask questions during

Episodes one to five, if there are any questions, and you’ll be answering the questions in the final episode of the series, so the sixth episode, right? – That’s right, that’s right, our plan and our intention is that it’s going to move the listeners, the viewers, very much,

And we expect that there will be specific questions, and we’re going to devote the whole sixth episode to questions. I will tell you the email address in each episode. This is studio@friderikusz.hu, where we are looking for questions that are as simple as possible, and the intention is to get as many

Questions as possible answered in the sixth episode. – Well, in fact, so many questions have been asked in the comments section that even if a piece didn’t come, which I believe it will, it would still be enough to make a full show, which viewers have been asking since December.

Now, what we can say is that this will bring about a change in the schedule so that every two or three weeks I’ll be on with the usual talks and on the Thursdays in between, so if you like, on the alternate Thursdays you’ll be on with the six episodes of the series, right?

– That’s right, that’s right. – What can viewers and listeners expect this generation series to look like? You giving a presentation, but just talking through the topic for 40-45 minutes? – We thought a lot about how to put it together, so that it would be inclusive. After all, I will not be inviting

Guests, but there will be virtual guests. Of the episodes, the Friderikusz Podcast episodes that I’ve watched over the last two or three years, I’ve always had one or two favourites that I’ve found generational connections in, and then I can finally use them to support my own work.

– So will you be playing in extracts from these? – We’ll streamline in clips of these. I think it’s going to be very interesting, because we’re going to have a few speeches from different generations, a few minutes of discussion, and we’re going to reflect on that.

– Give me an example, please, of what you’re importing from whom, and in what subject area, in what broader subject area are you inserting it in? – Azahriah will be one of them, as a representative of Generation Z. I think he brought this generational difference brilliantly when talking to you, for example.

– I gave my opinion on a lot of things to him from my point of view, and he was very direct, sometimes very well contradicted and gave his own generational characteristic. – And he said it very firmly and very clearly and honestly. The other is László Krasznahorkai,

Who is on the other side of the age spectrum. – He is closer to my age. – He very beautifully, very clearly articulated those baby boomer veteran values that we may not even know today. – The first part of the Generation series will be shown and heard next Thursday, 14 March,

From 8pm, but we’ll bring it to your attention as we go. Well, I’m looking forward to this series, along with many viewers and listeners, I suppose. I wish you every success and thank you very much. – Thank you very much. So, one week from today, on Thursday 14 March at 8pm,

Our new series on generations starts with generational researcher Krisztián Steigervald. Without exaggeration, I can say that it is what hundreds of our viewers and listeners have asked for. And until next Thursday, you can listen to my previous reports, interviews and shows, 274 of which have already been

Uploaded to the Friderikusz Podcast page on youtube.com, where you can find our archive in the fourth horizontal row. There are about 15 to 20 of the lyrical reportage films in My Cinema, and at least 15 to 18 of the Children’s Mouth, in which children

Aged 6 to 8 years sparkle, but there are also many forward-looking conversations with well-known people or unknowns whose stories or things to say are worth listening to. There’s no shortage of entertaining programmes in the archives either, so please take your pick of those too until we meet again.

– And then, a week from today, on Thursday evening, we have a very informative new series on generations by Krisztián Steigervald, the generation researcher. It will be very good.