146. Dr. Joel Warsh: Vaccines, Ultra-Processed Foods for Kids, Screen Time, and the Modern Parent's Playbook

Welcome to Extend with me, Dr. Darshan Shah, a podcast dedicated to cutting-edge science, research, tools, and protocols designed to help you extend your health span. Having become one of the youngest doctors in the country at the age of 21 and trained in board-certified at the Mayo Clinic, I've accumulated three decades of practice as a board-certified surgeon and longevity expert. Over that time, I've discovered that a mere 20% of health knowledge yields 80% of the results when it comes to your health span. We're living in a new era where we are creating a new healthcare system no longer focused on disease management but achieving optimal health and vitality. Join me as I interview world-renowned experts offering you a step-by-step guide to proactively avoid disease and most importantly, extend your health span. I'm really excited with Extend Podcasts to feature topics that a lot of podcasts in the health world miss over. Books such as women's health, hormone optimization, and even children's medicine because so many of us have kids or are going to have kids one day and we really need to talk about their health because decline and chronic disease really does begin earlier on in life, sometimes even in childhood. So in today's episode of Extend, we're zooming out from the noise of social media health debates and asking a bigger question. How do parents actually make informed decisions in a world flooded with misinformation? I'm joined by Dr. Joel Warsh. He's also known as Dr. Gator, a board-certified pediatrician with a master's degree in epidemiology. We talk about the growing credentials crisis online where anyone with a doctor in front of their name can weigh in on topics far outside their training and how that fuels confusion for families. Dr. Gator also explains why it's so important to seek multiple trusted opinions, understand who is funding research you're reading, and recognize the pharmaceutical bias built into much of modern medical education. From there, we dive into the real drivers of childhood health today. Ultra-processed foods, excess sugar, screen time, dairy debates, seed oils, and the realities of sport-related head injuries. We unpack why so much nutrition research is industry-funded, why whole foods and metabolic health should be the foundation, and how parents can make practical changes even on a budget. This episode is not about extremes. It's about nuance, transparency, and helping parents think critically so they can confidently navigate modern medicine and raise healthier kids in a complicated world. Dr. Joel, so good to see you. Thank you for having me back. That was such a great conversation last time, and we need a chance to cover everything I wanted to cover. There's a lot of kids' health. There's more than just vaccines, even though that's what it seems like I'm talking about every day. You took a lot about vaccines out there, and we certainly had a great episode breaking down all of the crazy information people are getting right now from not just social media, but the government too around vaccines. You wrote an incredible book between a shot and a hard place that we recommended on the last podcast for people that are going through this live right now. There's a lot of people out there having kids, and now more than ever, they have the opportunity to make an informed decision about vaccines. Yeah, and I think it's really great that we are able to talk about it now, but it is, I think just a bigger issue in general, the fact that we need to be able to talk about everything. And there's so much controversy going on right now, not just on vaccines, so we hear a lot about it, but on food and social media influencers, and really just pretty every topic seems like it's a war. It's very divisive, even though when you're in the office, most people are somewhere in the middle, but that's not what you seem to hear ever. Yeah, and I think that's a huge benefit that you and I have, is that we actually see people and talk to them, dozens of people every day sometimes. Having a clinical practice, you know what's going on in reality versus a social media influencer that is either a biohacker or talking to people one off and then just screaming it into social media. Yeah, it's very important that more and more practitioners get involved in social media, I think, because that is where people are getting their information from. You can fight it, but that's just the reality of the world. I certainly fought it. You know, when I went through medical school, there was no training in social media. There wasn't much of it at that point. Maybe you can hang out with your friends on Facebook or something like that, but it wasn't important like it is today. And I think most young people and young parents are getting a lot of their health information, information from social media. And most doctors especially are terrible speakers. They're scientists, super smart people, but maybe not social media trained. And I think that's a big problem that individuals who maybe don't always give the best advice, have the huge platforms and can get things to 20 million people in a second, whereas a doctor who has really good information can't. And I'm glad to see it changing. I'm glad to see more people are doing it. I'm glad I got involved. I mean, I hated it a long time ago, and I never would have. I'm like, no, you need to get an history. I was like, why? And now, you know, all these years later, it was good that I did it. But I think that we have to be very mindful that a lot of the people that have the best information don't have the platforms to get that info out there. Right. I think you're absolutely right about that. And I think it's really important for people that aren't getting information from social media is to look at who's putting the information out there. There's another huge problem. A lot of people use the term doctor when they don't really have the MD degree, right? Yeah. And there's a lot of great doctor non-MDs out there. Doctor could be PhD. A lot of times chiropractors use that, and they are all technically doctors, not a physician. And there are a lot of chiropractors that know way more about a lot of topics than doctors do. So it's not that you can't listen to them, but I think people use that term sometimes, and they don't realize what it actually means. And I think that's just a failure of wording. There should never be that same word. It should be two different words, and that would just make it simple. And a chiropractor can give great information, but you would know it's from a chiropractors lens versus a medical doctor's lens, which I think are a little different because the training is just different. I mean, it's the same thing as do I know what a nutritionist knows? No, I don't. They spend five, six years in training, maybe more learning about food. I might have a couple of classes, if anything, or maybe I learned it myself, but I'm not a nutritionist. So I think that's really helpful. But it's hard for parents to know sometime, and that's why I think, I do get asked a lot, like, how do you know who to trust, and how do you know what to listen to? And for me, I think that comes from relationships over time. The following people listening to them, the more that they're honest about things, the more that they can talk about things that they've gotten wrong in the past, I think that helps to build a relationship with them through social media that you can trust them a little bit more. Anyone who's telling you just to trust them, they know everything. That's usually a big red flag for me because the people that I really respect, they say, no, no, don't trust me. Go research yourself. This is what I believe. Go look at it yourself. Get different opinions. And I think that's what parents have never been trained in. They've never been trained in how to aggregate this information for something useful. And that is a really important skill because there's so much noise. There's so many people saying, oh, eat a carrot. No, carrots are going to kill you. And you're like, okay, what do I do? Yeah, yeah, exactly. It's so true. You know, I think also a lot of people have, for many years, gotten information from our government, right? And we somehow were under the impression that the government, when they give us information, they have spent a lot of time, money, and energy synthesizing a lot of science before they give us the information. And if, unfortunately, people have found, or fortunately or unfortunately, people have found out in the last decade that that is not the case. And so how do you feel about the information that's coming currently from Washington, DC? Well, I think there are two questions there. So I think, you know, you have to be mindful with all information that you get from anywhere. You would hope that you could trust your government agencies with the information. I think we've learned over time that we can't always. Generally we would hope and expect that information is a synthesis of the best data out there. And that's what they're supposed to be doing. There are a lot of great committees out there that do, you know, while they were talking about ASIP for vaccines or nutrition councils, their job is literally to sit there, to look at all the data, to synthesize it to the best of their ability, and to come up with recommendations. And you would hope that you could trust that. And oftentimes can trust it to the best that we can trust something. But I do think we're in this weird place now because we realize how much has been funded by the industries that they're supposed to be protecting against and how much we've been influenced by that. And even just as a doctor, you know, you really, at least for me, I sit back now and I think, like, how much of what I know is influenced by pharma. Because we go through medical school and you don't think that you're biased, but you really are biased towards pharma because pharma pays for a lot of the med school, donates to everything, it donates to the journals and the news and everything is funded by that. So when you go into medical school and you learn about this is the, these are the disease symptoms, here's the pill for that. Okay. I mean, obviously we want pills, we want to save people, not every medication is bad, but that's influenced. And so we are all influenced by that model and it wasn't always that way. Before the Flexner report, before, you know, early 1900s, we really were an America was a nation that really did do homeopathy and alternative practices in many other countries around the world still do a lot more than we do. And that was really taken out of our medical system at that time, some for some good and for some bad, but we now have a very pharmaceutical model. And I think that's just something we have to recognize moving forward. So maybe we can kind of work our way back. But simply, yeah, we have some trust issues in our, in our big societies and our big organizations. And that's, that's where we are today. And I hope that we can rebuild that trust, but it's hard right now because there's a lot of fighting. Sure. There's a lot of fighting. I mean, you know, going back to the Flexner report we just mentioned that turned us in America first and then the kind of like metastasize to the rest of the world into an evidence based model, which sounds really good on the surface, right? However, because it's really hard to get evidence of the effectiveness of therapeutics like nutrition, sleep, exercise, and no one's going to fund that evidence. We kind of turned away from the more holistic and even homeopathic models because it's not funded and you can't do massive studies on that because there's no incentive to do those massive studies. Yeah, I couldn't agree more. There's a lot of great things in the Flexner report. I mean, you don't want people out there being snake oil salesmen and you want things to be evidence based and obviously I don't have it. I have a master's in epidemiology, so I have nothing against science, but there's a very specific science that we're doing now and most of that is very pharmaceutical based because that's who's funding those studies. That is something that I don't even think was intended at that time or wasn't necessarily thought of at that time. Once you move everything to a medical model and everything funded by pharma, then that's the only thing that we see. Whereas there could be and often are other things that would be just as effective, not more effective or certainly have fewer side effects that would be reasonable to do and that integrated practitioners do all the time. If doctors were to have that evidence, they would absolutely do it. It's not like a doctor wants to harm a patient, doesn't want to do something, but they want the evidence. The evidence for a lot of these things doesn't exist or certainly doesn't have the same robust data that a medication does because the company paid a billion dollars to do that study where no one's doing that on vitamin D. Yes, exactly. I think there's a huge, the other huge problem there is that just because there isn't evidence doesn't mean that that doesn't work. We know there's not a lot of great evidence around getting, for example, a lot of vegetables in every single day. But we know it's definitely a healthy way of living and so people have to really kind of- Well, not everyone knows that these days. There's a lot of argue. That seems to be something that we agree upon more fiber, but even with the food pyramid, it's like that everyone can agree on the basics. Yeah, it's really crazy. Let's go back to credentials again. Okay, so you're a physician, you're a board-certified pediatrician, is that correct? Correct. Do you have any other board certifications? So pediatrics and then a master's in epidemiology? Master's in epidemiology, okay, great. So when someone's looking at your profile, you obviously put this on there and so someone knows that you're an expert in pediatrics. Someone knows that you have epidemiological training and so you can sort through a lot of data around epidemiology. I'm a board-certified surgeon, which covers a lot of different buckets, also trained in functional medicine. And so I put that on my profile so people know who I am, but a lot of times people put doctor, and like we talked about earlier, there's a lot of different types of doctors out there and there's some really great ones. There's PhD nutritionists, which I follow that I get a lot of my nutrition information from because they are really good at that data. And to your point, we didn't get a lot of nutrition education in medical school. Correct. I definitely love it when people put their credentials up there beyond just the word doctor, like what are they really a doctorate of, right? And the flip side of that is, for example, chiropractors that are talking about neurology on their Instagram pages or, I mean, there's some even doctors of law that use the word doctor and then they start talking about medical things, you know? And how do you advise people on looking at the credentials and understanding like what does that person really get to talk about based on their credentials versus what they should really be staying away from? Yeah, that's a great question. I think it depends on how you're going to use the information. So I think if it's for entertainment value, if you're watching somebody, it doesn't really matter what their credentials are, if they have a funny video or they're trying to talk about things. But once you're going to implement something into your life, especially if you're going to follow someone and consistently take their advice, I think you do need to do a little bit of digging and make sure that they are educated in what they're talking about. Because just because you're a chiropractor doesn't mean you're not extraordinarily educated in neurology. You could have taken all sorts of courses and programs after you could have got a master's in neurology or something like that or maybe it's specifics to your field. You did a ton of research, got a PhD in diabetes. And so even though you're a chiropractor, you're way more knowledgeable than most doctors. Alternatively, if you're just talking about things because it's the topic of the day, that's something that should be at least a red flag for you to say, all right, well, maybe this person could be correct, but they're not as educated. So maybe I need to also go see what someone who is a researcher in this field would know and kind of match that with that information. So it's hard. I mean, you have to do a little extra work today. But I do think the more you're going to take something in to make a change in your life, the more you have to be skeptical and just make sure that those individuals are giving you the best advice. And I also think it's a really important skill to synthesize like we talked about. Like don't just listen to one person. And one person says, oh, you know, seed oils are bad or seed oils are good. OK, but what what what is the nutritionist say with the PhD? What does some other person that I trust say? What does my doctor say? Like if you can get a bunch of different opinions and they all pretty much match, that's a good that's a good thing. But if just one, I don't want to pick chiropractors, but let's just say what one individual who's an influencer online says seed oils are bad, then you have to go. OK, well, why are they saying that? What does everybody else say? And if they're the only one saying that, or especially if they're trying to sell you a product, which is a seed oil free thing, then that should be a red flag that maybe they they have a motivation or maybe they were paid to do that as an ad. Yeah. And and that's just useful to know it doesn't make it right or wrong. It just means you have to you have to be a little bit aware of how social media works. And a lot of it's about engagement, not about necessarily saying the right thing. Right, right. Absolutely. So let's talk about a few things that I have big question marks on and get your expert knowledge on in pediatrics and just raising children because I have two children, 12 and nine years old. And I've done a lot of my own research around some of these topics, but I think it's important to like get your expert opinion. And most of the listeners out there probably have kids themselves or grandkids even or even if they don't, they might want some in the future. So I think we're at a really critical moment in raising children in America where there's so much conflicting information about really important things. Right. And we just either are developing the data right now and or we have very little data and we're doing massive experiments on society and we're just going to see what happens. And I don't think that's necessarily a great way to raise our kids. I agree. And for people that haven't listened to the vaccine podcast, please listen to it. It goes really, really in depth. But I do want to just touch on vaccines just real quick because in America, we give we recommend many, many more jabs than most other countries do. Is that correct? Well, we did. So tell us, give us the update on this and where are we now? So depending. So this is very complicated because each organization has their own opinions and everyone's currently fighting at the moment. And I don't know if that there's an end in sight with that for the moment. But the CDC schedule originally, we had vaccines for 18 different diseases, multiple vaccines for many of them. So you were doing somewhere between 50 and 100 vaccines, multiple in certain vials. Many other countries have fewer. We have one of the most, if not the most in the industrialized world. And there were many that had many fewer. So Denmark has been in the news a lot because they have one of the fewest like they do for 10 vaccines. And then then they have others where it's shared clinical decision making. So more of your high risk or you decide that you want to do it. So they have a much lower recommendation. Many of the other countries are somewhere in the middle, maybe somewhere between 12 and 15. So those were the kind of extremes. Recently, the CDC HHS came out with a new schedule, moved it more to look like Denmark. So we're doing the same 10 plus chickenpox. So now it's 11. And then a number of vaccines are no longer on the standard recommended schedule. They are shared clinical decision making. So we're talking about hepatitis B, hepatitis A, rotavirus and flu. Those are now up to the doctor to discuss shared clinical decision making versus on the standard recommended schedule. But the American Academy of Pediatrics and many other organizations don't agree with that. So they have kept the schedule the way that it was before. So technically, there are fewer recommended vaccines on the CDC schedule, but still most people practically are doing the exact same thing as before and haven't really taken that advice and started doing it yet. So what does the parent do? You know, say, say, you know, we're having a baby and in the next six months, what are the vaccines to have followed the CDC schedule? American Academy of Pediatrics, so I listen to my pediatrician. Who knows which one he's or she's looking at? What does the parent do? Yeah, well, the good thing about what has happened is it has increased people's awareness about vaccines, which I think is important because everything at the end of the day should be a discussion with your doctor. And if you have questions, I think if you can get educated, you can read something, some different books, some different articles, you can at least have an understanding of what's going on. So you have a great place to start with your questions. If you want to do the American Academy of Pediatrics schedule and do all the vaccines, that's pretty easy. If you want to do anything else, then you're going to have to have those discussions with your doctor. And I think that's where the education really comes in. It would be nice if you didn't have to do that, if you could just follow the schedule and simple, but that's certainly not the case right now because everybody's arguing and doesn't seem to want to sit at the table together and have a discussion. So I think it'll depend on your values. You're going to have to have discussion with your partner. You're going to have to decide what you, what you feel is the risk level that you're willing to take. And most of the vaccines are still similar on both schedules. So regardless of which one you follow, especially at the beginning, it's not going to change all that much. Hepatitis B is probably the biggest one where there's more discussion around that, but even still, I mean, hepatitis B is very, very low risk if you don't have hepatitis B. So it's not, you know, to me, the end of the world, if that's the discussion point right now. The other ones like measles and whooping cough and polio, and they're still recommended on all the schedules. So that doesn't, doesn't really change for the parent, but it's, it's confusing. It's confusing when even our organizations can't agree, different doctors can't agree. And it's really to be very frustrating that the organizations are not talking. Like you have HHS pulling funding from American Academy, the American Epidemiotics, suing them, not sitting down at the table. Like I listened to the former president of the American Academy speak and he was frustrating because they just decided they don't, you know, they, they don't like what's going on. So they didn't go to the meetings and I don't agree with that. I think they need to be there. I think everyone needs to be at the same place at the same time. And even if you totally disagree with the direction, the only people that are going to change it are going to be sitting there, having discussions, making your points. And I think that everybody's talking over each other right now. Nobody's talking to each other. And everyone has the same goal, which is healthy kids. They don't agree on how you get there, but maybe there's some common ground that doesn't involve lawsuits if everyone says the table, but that's where we are currently. And I hope that changes. Yeah. I think some of the biggest issues that we talked about the last thing we talked about this was number one, is it a highly communicable disease? Right. And so that's not just protecting the individual, but also protecting society. And we also talked about how new the vaccines are and their mechanism of action. Like, is it a live attenuated vaccine versus a dead vaccine versus an mRNA vaccine? And kind of when they were developed and how much experience we have with these types of vaccines as well to also factor into the decision making process. And then there was also a conversation that we had about potential side effects and complications of vaccines, particularly related to things like autism that people are attributing to vaccine usage. And so these are all topics that parents need to sort through. Yeah. I think you need to be educated on first what the diseases are and how risky they are to your kid and how common they are, what's in your area, what's going around. I think that's really important. So you have a understanding of what would you even be protecting against? And then once you have that understanding, then you want to start researching on the reactions, how common they are, what are the questions that people have? Why are some people concerned about vaccines? Why are some people saying they don't want to get vaccines? Why is there all this back and forth? I think at least if you have a little bit of that understanding, it helps to put that into perspective so you can at least ask some educated questions. But if you just watch online, people are just tuning out. And that's not helpful either. And that's why I think, you know, my subsec is doing really well right now because I talk about vaccines, but try to be in the middle. And sometimes I'll be like, well, here's the perspective, but here's the other perspective. And you're not getting a lot of that. And that's why I've tried to do that, but I'm just, I'm not a part of that. I'm not part of the HHS. I'm not a part of what's the inside decision. So I don't know what they're thinking. I can only try to decode it from the outside. But I think that's what we're going to need more of. And I really, really hope that things settle a little bit. And I know that some people don't like Secretary Kenney. Lots of people don't like him. But ultimately you have to ask, well, what is he doing? What he's doing? He's doing what he believes is best for kids. You can agree with it or disagree with it. But I do think if he can be presented with different information, the organizations will eventually hopefully be able to work together, find some middle ground, they may not agree on everything, but when does anybody agree on everything? Right? That's not, that's not realistic, but they're going to have to agree on everything. But I think hopefully they can find some way to sit down together and to stop suing each other and to come up with some unified guidance for parents, which is what they're really looking for. Because otherwise you don't really know who to trust and that's worse. Yeah. I think, you know, the pendulum was so far in one direction for so long and the current secretary and administration has pushed it all the way to the other direction and now it's time to find that middle ground again. Yeah. And hopefully we will. I mean, that seems to be the way things are these days. They're very extreme, but I would hope that there's room to find some more middle ground and things will not be as extreme, but we'll see. I don't know. Do you see anything new coming in vaccine technology that could change a paradigm? Well, I mean, the mRNA technology is the new main thing, right? And so the real question is going to be whether that's going to be used for other infections, other diseases, because there's a lot that was researched on it. And it's such a controversial vaccine now because of the co-vaccine, because of the concerns around side effects and certainly the potential lack of efficacy over time. Those are all major concerns for that platform. So even just as recently, you know, just very recently, given the flu vaccine for Moderna, there was applications on that and it's not even being looked at right now, but they have to because they're just concerns around the trials. But there certainly is potential for that technology. Maybe it's not going to be for respiratory viruses. Maybe it's going to be for more severe things that there certainly could be some potential for cancer. I need a lot of people would trade a lot more side effects for cancer. Right. And so that's a much more severe potentially disease. If you already know you have cancer, you're terminal or severe disease. Well, you're, you're much more likely to be. I have a one in a thousand chance of my or could I guess, okay, cool. Like I will, I will take those risks. So I think that research needs to continue and there could be some usage for that in the future, maybe for very specific diseases. It could be very useful for you. So there's a lot of potential with that technology, but it has to come with appropriate safety. So I think that that's where I'm sure there's all sorts of other technology that they're working on too. And I would hope so. I mean, we really haven't had a lot of change in vaccine technology in a while. Maybe there are ways to do things more orally, skin patches, other things that we can do, like, is it not possible if we have some of our vaccines that are oral? So maybe you could just take a drink and you could get your whooping coffee or RSV, maybe that's possible. You could just take one and it's all in there. I don't know. Yeah, that would be fantastic. So, okay, moving on to other topics and especially related to children, the food pyramid just got flipped upside down. And, you know, we know that the original food pyramid did have a lot of funding behind it from organizations that pushed their agenda for selling more of their products on the original one. And now we have a new food pyramid that is exactly the opposite of that. And so maybe you could take us through your thought process on the food pyramid and specifically how that affects our children. Yeah, I'm a big fan of the new food pyramid. I think there's as soon as it comes out because of Secretary Kennedy, there's some people that just get angry about it. And that again is unfortunate because you shouldn't have a political view of all of these things. I know it always gets that way, but you have to look at each thing individually. You can dislike 99% of what he does and 1% of what he does. If you're like, well, we're going to focus on more food that is healthy, real food, decreasing sugar, decreasing ultra process chemicals. Those are all things that everybody agrees upon. So when you're going to have a new food pyramid that focuses on that, that's a good thing and everybody should be behind the basics of these changes. And then people say, oh, but, you know, we had those changes before. We have made those things 10 years ago. We have different, we have my plate and other things, but nobody knows about that. Nobody heard about those things or they certainly didn't. Certainly nutritionist world they did, but the reality is those things failed. The pyramid, at least back then had really good marketing. It was something that people remembered. You still remember the pyramid. And I think most average individuals never heard of my plate or the other things that came after it. They still think of the food pyramid and that's what they base it on for whatever reasons, got very good PR. So flipping the pyramid, talking about the pyramid again, I think is good PR and certainly something that people heard. And even if you're reiterating a lot of what was in the recommendations after the old food pyramid, even if it's similar, it doesn't matter. If you're rebranding, like that's what good business does, right? You can have a great product, but if nobody knows about it or nobody's following it, then it doesn't work. So I think it's a lot of rebranding and then a focus on very clearly stating ultra processed food is bad. Too much sugar is bad. We need more fruits and vegetables. We need more protein. We need more healthy facts. Don't be so afraid of saturated fat or meats like we were in some people were in the past. And I think that's all good. I think that's what you want. We need a messaging that's very clear. This food is bad for you. This food is going to kill you. This food is going to make you sick. We're seeing skyrocketing chronic disease. Not every country has this. We need a clear unified message on that and that this pyramid does that. So that part is good. You can argue the minutiae. You're going to argue the minutiae. Always someone's going to have some sort of comment, but that's not the bigger takeaway here. The big takeaway is real food, healthy food, cook at home, cook more local food. That's important. If we do that, we're going to change our health drastically in America. Yeah. And then, you know, the other piece of this, though, is that we have such an incredibly huge amount of ultra process food out there and a lot of us geared specifically towards our children, like in the cereal aisle, you know, waffles and pancakes and all this stuff in the frozen aisle. How does a parent kind of fight that? Yeah, it's well, they're two things. If you have a little kid, you know, before the age where they're going to be asking you for specific things, you have all the control. So just don't buy it. Right. I think that's really important for the little kids. They don't introduce them to it. They don't need any of that ultra process food in those first few years. Don't expose them to it. They don't need to know about it. They don't, they won't crave it because they've never eaten it. And you know, if you go to a party, you eat some, okay, fine. But at home, you're just not going to have it and they're not going to really know. Once they get older, that's where it certainly gets a little bit more difficult. If they're seeing it other places, then I think it comes down to explaining to them at an age appropriate level. Like this is the food we're eating at home. We're not going to buy that. It's not good for you. It makes you feel bad. It's going to make you sick. You're not going to grow as well. Whatever it is, the word that you're going to use, most kids will understand that. And they're not the ones doing the purchasing. You are. So you just don't buy it for your home. And then at least if they're out in the world, they eat a little bit of it. It's not the end of the world. The hardest situation is the family that wasn't really aware of this at all and was buying lots of ultra buses foods and wants to change it. I think at that point, it's just really important at this time to understand that that's part of parenting. And we have a very sick country in general, 50% of kids have a Crohn's disease. And if you want to keep eating the same way, that's your right to do it. But most parents don't want kids that have diabetes or obesity or all sorts of autoimmune conditions. And if we keep doing the same thing, we're going to continue to see those numbers rise. And right now you're, if you have two kids, one of them is going to have a chronic disease. That's the statistics. So I think it's okay to say, look, we're not going to buy these things anymore. I want you to be healthy. These foods are not as healthy as what we need. I'm going to try to cook more. We're going to have more foods. You're not trying to get them food that they don't like. You're trying to get them healthier food that they do like and include them, take them with you, give them options, read labels. There are ways to do it in a much healthier way. And we're lucky that we do have a lot of options out there at the store. And not everything necessarily costs more. Some stuff does, but it doesn't always. And at least wherever you can with whatever you can afford, you're buying more local produce, you're buying more things that you know what the words are that are fresh. At least if you can get more of that in, then they're getting those nutrients. So it's possible to do, even if you're on a budget, there are plenty of things that are the exact same price. You read the labels, you get the better version. Right. Right. And you have the kind of the line that I hear a lot of times, it's too expensive to eat healthy. It's really not anymore. We're lucky there are a lot more options. And certainly this year, people are much more mindful of it. But the reality is it can be more expensive depending on what you're buying, but it doesn't have to be. There are many ways to eat healthy on a very limited budget. There are a lot of people I've seen online, you know, different, different pressionals and there's been a lot of discussion because that's the talking point. Oh, it's too expensive. Number one, that's not a reason to promote healthy eating. Right. That is too expensive. Then the answer is, okay, well, then how do we make it cheaper? Right. The answer is not, we should promote unhealthy food. It's, we should promote healthy food to everyone that can get that. And if it's unaffordable, which certain things are difficult because they're more expensive, then we should work to make that cheaper. That's a more long term. Exactly. But that doesn't mean you shouldn't give the right evidence based information for people to be healthy because you don't want to give people these, oh, it's fine, right? That you want them to know this is what you should be eating. It doesn't mean you have to eat that all the time. It's not to shame somebody. It's so that, you know, if you're going to the store, this is healthy and this is not, you're going to get a treat. Okay. You do that, but let's do whatever we can within our budget to try to eat more eggs and try to eat some chicken and try to get some veggies in there. And it doesn't always have to be more expensive. And where people feel like it's more expensive, let's provide the resources to help people to get the healthier food on the budget that they have and to improve those budgets so that way some of that food is cheaper. And that has to be our goal, our bigger goal as a society in the next decade. We have to make that food cheaper. We have to get rid or decrease the subsidies for the crappy food and increase the subsidies for local farms so that way we can get more good food, healthy food at a cheaper price. And that doesn't mean you have to have all of it, but even if everyone has access for 5% of their food, that's going to go a long way. Yeah. Yeah. So the specific foods I wanted to ask you about is for children, there's a lot of talk about dairy, right? And so how do you feel about dairy and children? And maybe you can touch a little bit about the growth hormone, the antibiotics given to cows and how that affects children. Yeah, dairy is always controversial because a lot of kids are so sensitive to it. A lot of kids just don't have the enzymes to break it down or don't have a lot of it. And as you get older, many people, they lose that lactase enzyme to break down milk so they just don't feel good when they're eating it. But also you do see a lot of kids that are just very sensitive to milk now. And I don't know that we know exactly why, but certainly the hormones, antibiotics, the way that they're treated, they're certainly not pasture raised cows most of the time. And so that milk obviously affected. And so you see a lot of kids that have sensitivity. Milk has a lot of nutrients in it. So it certainly can be a good part of your diet, but that's where each kid's an individual. You have to see how they do with it. I don't have any problem with it. I certainly see a lot more people not drinking it than drinking it these days. It seems like the people will drink alternatives, but I don't have any problem with milk if your kid does fine with it. I think it's a great source of nutrients. And that was even just part of the discussion lately, right? I was like, oh, should we have milk back in schools? And we should. There's no reason why it shouldn't be there. And we shouldn't make the best quality milk that you can have for the, for those that want it. I mean, it's certainly one of the things that's often forgotten in the discussion is what are you replacing this with? Right? That is a huge part of whether something's good or not. Because if the question is, you know, am I having milk and replacing juice or soda? Almost for sure. That's going to be good for you unless, you know, unless you're intolerant to it. But if you're replacing it with water, maybe it's not as good for some kids. So it really depends on what you're replacing it with. And I think for a lot of kids in school, they're drinking a lot of juice and soda. So milk is a way better option. Yeah. So the way you stack it is water is probably the best. Milk is probably good too. And then soda juices are the bottom of the pyramid of things that you should be considering for your kids. Yeah, I think so. And I think milk depends on the source, right? I think if you get a really good quality milk, it's good for you, but just most milk is probably not the best quality milk anymore. So it doesn't mean you shouldn't do it, but you're at least getting some nutrients and fats and not milk and soy milk and oat milk. I think those are fine too. I think a mixture is fine. A lot of them have, they have fortifications, so you're still getting your calcium and other things that you need. Certainly if you're not able to tolerate regular milk, that can be a good option. If you're eating healthy, you can get all your nutrients from food. So that's fine. I don't think you need milk, but a lot of people do drink it. But again, it's the same question. Like what are you replacing it with? Yeah. If you're going to do almond milk or, you know, whatever, not milk is opposed to juice, that's great. If you're going to just, if your kids fine with water, just let them drink water. And I think that's fine. That's great advice. Hi, Dr. Shah here. I want to take a minute to talk to you about cellular health. So in my clinics, I've actually seen 30 year old people with cells that look like they're pushing retirement. And I've also seen 60 year olds with cells that look like they're 40 years old. So what's the difference? It's really about how fast their telomeres are breaking down. Your cells, you see, are like phones and they have limited cell phone battery. Poor sleep, stress, processed foods, all of these things can drain that battery way faster than it should. So this is the reason why I partnered with IMA. IMA powers that cellular battery. It's not just another multivitamin. It's a comprehensive 92 ingredient formula designed specifically for cellular health and longevity. I'm talking 900 milligrams of vitamin C. That's like 20 oranges worth of DNA protection. The clinical dose of CoQ10 that you need to power your cellular engine. You also get zinc, selenium, vitamin E, alpha, lipoc acid. All of these works synergistically for cellular repair and protecting your telomeres. So instead of taking a handful of pills every day and all these supplements, IMA actually gives you everything that you need in one scientifically formulated system. And this isn't just a theory anymore. IMA had partnered with Oxford University, the International Space Station, San Francisco Research Institute, and they've done studies and they've gotten this NSF certified to truly power your health. Most people are aging twice as fast as they should, unfortunately. You don't have to be one of them. Try IMA. I actually have a discount secured for you. If you go to drshaw.com slash IMA or go to IMA health.com slash discount slash Dr. Shah and you can get 20% off with my discount code Dr. Shah. You can also find the link below. Another big topic that comes up with children all the time is nuts and peanuts and allergies to nuts specifically and then more broadly allergies to anything. And how do we get into the situation where so many people are peanut allergic and how do we protect our kids from this? It depends how controversial you want to get, but nobody knows, right? I think nobody really knows why we have all these allergies. Certainly we're exposed to so many chemicals and toxins these days that I think our immune systems are going haywire and you're over compensating for something that should be normal. We just didn't have the pen allergies back in our day. People had it obviously, but not that common, but now you can't bring peanuts anywhere because there are so many kids. So why that is? I mean, people would debate certainly, but I think we're so we're so deficient in nutrients and so surrounded by chemicals that for whatever reason it's sending our immune system to do things is not really ever meant to do. And I don't know. Hopefully we're going to really forget that. But allergies is a weird one because, you know, you have kids that are totally fine for 10 years and they develop an allergy and other kids, they have it when they're newborns and just goes away over time. So I don't I don't think we have a great understanding of exactly why it happens. But I do know for sure it's happening more. It's happening way more like you look at this. It's been doubled and triple over the last few decades. You probably see a lot of kids in your practice with the peanut allergies. You get some. I mean, we definitely have plenty of eczema, allergies, autoimmune conditions. People in my practice fairly health conscious. So I think it's a little lower, I mean, certainly lower than the diseases that you see, but you definitely see it. Nice. I don't see people come because they have that, but it's a lot more than it used to be, at least by statistics. So I think that's that's a real thing. And we we will need to figure out why, but probably it's a lot to do with our food intoxicants. And, you know, there's some new newer therapeutics out there that I saw. I don't know if they're new, but they're new for me is giving kids through the internet. They send you allergy shots that you can give your children. Right. And how do you feel about that whole method of treating kids with that? It depends how severe your your allergies are. So certainly allergies, mostly with the ones administering it and you would go, you would get low dose allergy therapy. And the research is very good. So especially for severe anaphylaxis, I've seen numbers as high as 25% improvement for kids with peanut allergies. So if you have anaphylaxis, you shouldn't be doing it at home. You should be doing it at the allergist because he oftentimes what happens is because you're going up on the dose, you're getting a very tiny dose, but you're going up slowly and you're never going to know where it can have a reaction. So you give a dose that's slightly high, your kid can have anaphylaxis. So you want to have that, those doctors there to make sure in case that you need it. But low dose therapy makes a lot of sense to me. You're showing your body a little bit of the allergen and hopefully over time, you become more tolerant to it. So the theory is very logical to me, makes a lot of sense. And it's kind of homeopathy in a way. You think about it, it's weird because people like kind of poop who homeopathy totally, but it's like, obviously a much, much, much lower dose, but it's a very similar concept to me. Just with a real, real higher dose, as opposed to like a very, you know, minute dose where you have it in homeopathy, but that kind of theory has been around forever, giving your body small amounts, so it becomes tolerant. So I think there's a lot of logic to it and people definitely find success. It's not everybody, but some do. Okay. You know, I recently got an email from you about seed oils and you broke down the science around the big seed oil controversy online. So what are your thoughts on seed oils? Seed oils is one of the craziest topics that I think this last two years, right? Because, I mean, so I went through it because I thought it was just so interesting. Like even my journey with seed oils, because I don't know, maybe five or 10 years ago I wouldn't have thought about it. Right? Yeah. I mean, I was still mostly cooking with olive oil, but that just because I did that, but it wasn't really so thoughtful of like, oh, I'm so against canola or anything like that. And certainly many, many years ago, I didn't think about it at all. And my parents definitely used seed oils sometimes. My parents said, canola bottle looks super healthy. So that's why my mom bought. And there was a lot of a push maybe 10, 20 years ago to move towards more seed oils just because they were thought of to be more heart healthy. And there was some research that showed that that that was true or, you know, had better effects on your lipids and things like that. Cause there was a lot of concern for many years and still is, but around, you know, heart disease and increasing your cholesterol. And so some of these things were the, then more natural options. And that's kind of where things were for a while. And then maybe a year or two ago, like everything was anti seed oil. Yeah. And that's really the first time when I was thinking about it. And then you start to hear, oh, well, this is the way that it's produced. And it's so bad for you. And that shifted my opinion because I was like, okay, well, it makes sense. Like olive oil sounds healthier. It's what I use anyways. It makes more sense. It's more naturally produced. There's not as many chemicals that are used to obtain it. We never really used seed oils before in history. So maybe they're not, not so good for you. And most of the people that ever talked about it, didn't really talk about the research. They just kind of talked from authority that seed oils are bad for you. And then I started seeing so many conversations about seed oils pop up on, on podcasts and shows and debates and people that are very respectable in the nutrition world, PhDs, that would say like, this is crazy. Like, what are you talking about? The research doesn't show that seed oils are bad for you. And so that was really interesting to me because I was really thinking that seed oils were bad for you. It made sense to me that, that not terrible for you, but not, not good for you. And it makes sense to say, don't take seed oils, you know, eat something else as much as you can. But that's not actually what the research shows. And the more that I listened to the experts talk about it, the more that you see that the research doesn't necessarily show them to be bad for the outcomes, which we really think of like heart disease and, and cardiovascular disease. I think it's still up in the air. I don't necessarily personally think that seed oils are great for you. I think they're probably olive oil and avocado oil and using butter and things that are more natural, probably going to be better for you in the long run. And there's some concern that maybe over the long run, seed oils could be inflammatory, but at least to me, the research is not very clear that it's so bad for you, that I don't think you need to be worried if you use a seed oil every now and again. Or if you go to a restaurant and they have it, I don't think you need to be very dogmatic not to have a seed oil, at least based on the research. If you want to never eat it, I think that's fine. But looking back to what we just said before, what are you replacing it with? Right. That to me is what's so important. And a really great point that some of the nutritionists make because a lot of people, that's either what they can afford or what they have. Right. And if that's going to get you to eat veggies, because you're going to cook in that, then that's good. You don't want to have any oil in no veggies. I think seed oil plus veggies is better than no veggies. So if that's what you're going to be able to use and that's what's available, then I think that's totally fine and we need those veggies. So that's where I've landed, but it's been back and forth. Yeah. And I think it's to me still a little bit undecided yet because I still, if I had had my gut, I still feel like seed oils are not that great for you. And we haven't found that research as to why it's problematic yet. And maybe that's a part of long-term inflammation, but the research does not show that there are problem. Yeah. I'm kind of just as confused as you are, but my gut is still that is really not that great for you. One of the things I think we need to do a lot more research into is how does it affect your actual gut? Does it have, how does it affect your microbiome? What, um, short chain fatty acids are you doing with it? Like there's so many things there as well. Yeah. Cause maybe it's affecting in terms of, you know, allergies, autoimmune conditions. Like maybe that is actually one of the factors, which is long term, which most of those studies were never really looking at. They were looking in cardiovascular disease, death. And if they are mucking up your immune system in some way, that would be really useful to know. And are they doing that more or less than olive oil or other things? I don't know. My guess is they're, they're, they're pretty industrially produced. And it's not that using chemicals is inherently always bad, but it just seems like when you look at that process, that there's probably something that we're losing there. That's probably not that great for you. That, that's my gut. My gut is that it's not that great for you. And I would still choose to do the more natural thing, but you know, you could be wrong. I could be wrong. Those large studies that some of the nutritionists are using that they're trying to say the C. Doyle's are probably not that bad for you. The end outcome that they're looking at is cardiovascular disease, which is only one end outcome, right? So there's many other outcomes that we need to look at. Gut health, for example, is one of them, like inflammation. So I think you're right. I think we still don't know, but in my opinion, the way I talk about it is like, look, olive oil, avocado oil is not made industrially. Like it's a pretty natural process. If you just YouTube how's the seed oil made? You can see like it is a big chemical experiment, just being thrown together in massive factories. And because it's, you know, because of colors, horrible, they take the color out of it, they change the consistency. It's, it's a lot of manufacturing, basically. And to your point, like that might not all be bad. We just don't know, but why wouldn't he just go with a more natural one anyway? Yeah. And the other point that I've heard that a number of very pro-seed oil people have made that I think is very relevant to whether you're making these choices is they always say, well, you know, a lot of seed oils are in foods that are not that good. And so that, that is very logical and very common sense. And most of them concede. Well, even if you stop taking seed oils, even if it's not that bad for you, but you stop eating all those other foods because you're not eating seed oils. So therefore you're not eating all that crap. And that's going to be a good thing. So sometimes for, for taking out seed oils can be good just for the fact that you're going to eat way healthier because you're not going to eat any of those foods that have the seed oils in it. And to me, that's a win. So I, I think that that's something to consider. A decreasing seed oils probably has a very big net benefit for someone who's not eating all that healthy and a lot of ultra process food, because you just by nature take out a lot of those ultra process foods and then you're eating healthier. So that's a net win. So it's, it's, it's a net kind of effect that we're looking for, which is very complicated when it comes to nutrition research, because it's really hard to control people with what they're eating and then following them for a long period of time. And unless you stick them in a room for a year or two years or five years, like, how do you know if your CEDA was reading today or affecting your autoimmune condition in six years? Like that's hard. That's a hard thing to control for. So it's not a very simple question. Yeah. It's, it's, it's a difficult one, but I fully agree with you on the food topic. I feel like we've covered some good ground there. Is there anything that I've missed? You talk about your patients a lot and you're in the clinic every day. So I would love to hear what your clients are coming in, talking about food wise. Oh, I mean, those are the big ones. CEDA was the big one. Milk is a big one. Gluten is always a big one. So yeah, I think it's the same thing as dairy. You know, not everyone has problems with gluten, but a lot of people do seeming these days. So I think, you know, minimizing it, especially by having symptoms is very reasonable. Sugar, same thing. That's always a big topic and we eat way too much sugar, sugars and everything. So refined grains being kind of like an offshoot of sugars as well, right? Yeah. Easily broken down into sugar. Yeah. And, and okay. I guess one important topic always is sugar. Generally when people are talking about sugar, they're not talking about food and vegetables. Right. So we don't want people to stop eating fruit because of sugar. That's a very different kind of sugar. We're talking about the refined sugar, that there are scoops in it, in your sodas, in your candies that you have tons of grams every day that way more than you ever need. Most kids are eating more added sugar in a day than they need in a whole month. You don't really need any for very little, but more than is even, you know, the maximum. So that's a good area to focus is just decreasing that extra added sugar and really try to use the natural ones whenever you can for cooking. And that I think will get most people a long way. Yeah. I think one important fact also about sugar that many parents should consider is that when you give your kids sugar, like every day or they have free access to candy, that you need more of it over time to feel that sweetness and that energy burst, right? Absolutely. They get more of a, they get more of a craving for it, but they also get less of an effect from it, which is then puts them into the spiral of just needing more and more. Yeah. And a lot of times it's just in food that makes you crave it more as opposed to getting something with fiber and the other nutrients that helps to satiate your body. So you're not eating a ton. So we're, I mean, the companies know they've created all this food so that you want it more, that you have to eat more, that you have to buy more. Nobody created an app, you know, an orange, right? It's like, it's there. It's, it's, it's, it's, it's, it's got it's sugar, but it's got all sorts of other things that are, are very helpful for you. So, yeah, we just have to be mindful of that because it's so easy to buy that package food and it's so much easier on busy parents. And we live in a very, it's tough. It's really tough for parents. I mean, you go back just a few decades ago and most moms were home and most dads were working and you were able to be home and cook for longer and, and spend time. And that was a priority for people and they valued cooking and it was important in the family and that's changed a lot in the last few decades where now we have, many families have two working parents. Food's not all that important to a lot of us when we were growing up. It was faster, cheaper, easier. And we lost health. We lost cooking. We were never trained in it. And I think we need that pushback and hopefully that's one of the big messages coming out of the food pyramid and just, you know, I know, my heart health in general right now, the most positive, like that's what we have to get back to it. You have to prioritize cooking. It has to be important. And I know it's tough and it's easier to grab something, but we're seeing the effects of that and something has to give and what's given is our health. And we have to find a way and this is bigger than just each family, but we have to find a way to find some balance and to prioritize food and to make sure that families have that time to prepare food and have the ability to buy food and have the ability to afford it, which is, which these are big topics, but, but that's important. That's why we're here because it's really easy to take a snack bar and tell your kid to go versus spending all day cooking for your family of five or five people or whatever it is. Like that takes a lot of time and effort that just a lot of parents don't have because you know, the moms or dads not home, like both people are out in who's, who's, who's home cooking all day. They're just not an option for every family. Yeah, exactly. Yeah. I think for most families, it's more of a question of time versus affordability as well, because the affordability, another aspect of it that is more and more true, the better the food companies get at making processed food is you end up buying a lot more of it, right? In like industrial quantities at Costco. And because it is hyper palatable and it's not nutrient dense. So your body just craves more of it. And so you think you're buying more food, but the reality is you could eat so many less packages of a vegetable, for example, than the amount of chips that you're eating. Correct. No, that's very quick. And I, and I think that in the next couple of years, I hope that there's a lot of education that's available to everybody, especially those that aren't aware that feel like they can't afford to eat healthy. I think we need to do our best to provide an understanding for everybody of how they could eat healthy on their budget. Yes. And that is something that is very, very, very attainable because that's just education and that's just making sure that those things are available at the price points that people have. The harder part, like you said, is time. Time is harder because not everyone has time. Then you might have a single parent who's got three kids who's got three jobs. Like they don't always have the time, but that's something we're going to have to deal with. And it's a bigger issue, but at least from the education standpoint, we can move the needle for a lot of families who might think, I just, there's no way I could eat healthy. There's no way I could afford that. And maybe there is a way that we can help families to understand, okay, well, you can buy this and you can afford this. And this is a meal that you can make. And this is actually the same price. This is cheaper. Here's where you can go to get this cheaper food that's better for you. Like that. Those are all things that are possible with the right education from the right people in the right place to the people that need it. And that's the kind of support that this country does need because there's such a wide, I mean, there's, you know, very wealthy people, very, very different needs for different populations, but we need to make sure that we're getting to the communities that need it so that everyone can understand how they can afford what they can afford. And it's not just about being wealthy because a lot of wealthy people don't buy good food either. So, you know, and even if you're like middle class, I mean, people are struggling no matter where you are. So understanding that you can buy healthy food on the same budget, even if you have a bigger budget, it's still important because I think there are a lot of people that would be considered middle class that feel like their budget is very strained for food and buy things because they feel like it's cheaper. And they don't even necessarily realize where you could go or what you could get that would be way healthier. And that's just a lack of education because I don't think our generations were really taught this at all. Like we really weren't taught it. So you're just buying what's easy and you may have no skills in cooking. And I've told this to many times before, like maybe you have to go take a cooking glass, maybe like some people need some humility and like maybe your cooking is not that good. Maybe it's not that your kids won't eat the good food. It's that you don't know how to cook it. Like that's the reality. Like we just weren't taught it. That's okay. Yeah. Take a cooking class. It's a lot of fun actually. I want to switch gears also because we have a lot to talk about is into another big topic. You're probably hearing a lot of questions from your parents that see you with their children. What is the appropriate amount of screen time for a child? And how do they think about screen time? Screen time. So I would say it's a little different for different ages, right? I think for little kids don't really need a lot of screen time or any screen time. I mean, the technical recommendations are zero screen time before too, but that's not really realistic for most families, especially with older kids. You might be watching something and I do get questions often from parents that are so concerned like, oh, you know, the older ones watching a cartoon and the younger one was watching it a little bit. Like I'm scared. Is it ruining their brain? No, I'm not worried about that. It's not ruining their brain. We all watched a little bit of TV when we were little. Yeah. To me, the big concern when it comes to screen time, especially as kids are getting older is the ever increasing amounts of hours of screen time that our kids are getting where it's in some studies, like seven to nine hours a day on average for older kids. That's way too much. You have to be thinking about what they're not doing during that time. I'm not worried, but you're doing your homework on a screen. You're watching a cartoon for half an hour or whatever, but that doesn't bother me with your onscreen all day. That does. Yeah. So to me, we have to focus on minimizing that back down to something reasonable and focus on, well, what are they doing while they're on those screens? I don't think they're going anywhere. So having them to be the boogeyman is probably not realistic. Kids are going to have their screens, but we can certainly minimize it. Yeah. So to your point about screens, eight to 10 hours a day, a lot of schools are requiring the kids have a computer. And so they're using their computer all day, potentially at school, then they're coming home, they're doing homework on the computer. So it's really hard for them to even get through life without having their computer with them. And then you add in the additional iPad, the additional iPhones and things like that. And it becomes really difficult for a parent to manage. I agree. I'm not so worried about the school. I think that's something that we're going to have to continue to study to see our kids doing better or worse with screens. It's pretty mixed in terms of the research that I've seen in terms of schools with screens, but we know that actively learning is by far the best way. But whether a screen is a big problem for kids at school, I don't know. We know phones are. So we know phones are a big problem. And that we've really moved the needle on. And I think we're really at a point now where it's pretty widely accepted that screens or phones at school are a problem and a lot of schools are starting to take it away, really minimize it, which to me is just common sense. Like how can you possibly focus if you're scrolling through Instagram? And, you know, this is going on in the world and that thing happened. And this friend is talking about this, like you're not going to be able to focus at school. It's hard enough sometimes to focus. So I think that's a good step forward. I think we want to minimize phones at school, doing your homework, being on a word processor, if that's what you need to do for school, fine, but minimizing the other stuff, being on social media all day, scrolling for hours. That is very damaging. The research is very clear. I mean, for adults, it's very damaging, but for kids, you know, with a developing brain, even worse. So most of the studies show that we really want to push back kids in terms of their social media as far as you possibly can. And I think that's just a good guidance right now. We just don't need. Yeah. We don't need that. Not at that age. Yeah. I think social media, a lot of countries are now outlawing it completely. I think Australia, India have totally said no social media if you're under 18 years old. Yeah. And I, you know, one thing that I think China does really well is they actually shut social media for kids from what I know, like at 10 o'clock or something like that, or eight o'clock, whatever the time is, which I think is reasonable. Like you need to be able to sleep. Yeah. And we know how important that is. And, and, you know, not that much important stuff is going to happen at 11 p.m. that you can't see tomorrow morning. So like, I think there are a lot of guardrails that we can start to put in. This is an experiment. We never had this before. It's changed so quickly. Things are changing every week and every day. And we have not had the ability to catch up for what's good or not good for our kids. But I think it's quite clear that we need guardrails on this for our kids. Is it true that kids, their dopamine system is more likely to be hijacked than adults? I would think so. Yeah. I would think so too. Yeah. I mean, they're not as developed. So I would think that, that you would, it would be much harder, well, much easier to hijack that, that system. And you just don't have the life experience to put things in perspective sometimes. Like even it's hard enough for an adult when you see your friend off, you know, on a beach somewhere and you're like, ah, but if a kid's seeing that or they're seeing they're missing out on, on, on, you know, some activity there, they weren't invited to something there. I think they're much more apt to this while much more severe mood swings and, and, and not being able to put into perspective that it'll be okay. Cause they weren't invited to the party. That I think we see a lot of that with kids. It's just, it's tough to see these things over and over again to feel excluded. Right. Right. And what about the gaming? Okay. So Roblox is huge right now. So is the Minecraft Roblox. There's a few other games, you know, like, and you see kids on these games for hours and hours in a row. And that also seems to me like to be a hijack of the dopamine system as well, because, you know, they're getting this fast moving screens, constant buzzes and, you know, explosions and this and that. And so like, how do you think about gaming? Yeah, I think it's a tough one. You know, we know for surgeons, it's very good, right? A lot of surgeons, the more they play, the better they are as surgeon, but for kids, to me, it goes back to what we're really not doing. You know, if you play a game for a few hours, is that the end of the world? Probably not. But if you're playing it for a few hours every day all the time, what are you not doing? You're not getting outside. You're not moving. You're not socializing. You're not getting out into nature. That can't be good for you. Now, you know, if you're making millions of dollars playing video games, which people do these days, but I mean, it's just not that common. So I think in general for your health, which we're talking about health, it's not good for you. Unless you're making millions then. Do you think there's an effect on kids' ability to socialize if they're socializing purely through like texting while gaming or texting on their devices? Yeah. I mean, you, if you're not working on your skills to socialize, then you're not going to be very good at it. So I think it's just a different world that people are exposed to. And if you're only exposed to gaming and that's where you get your validation, then that's what you're going to do more as opposed to being put into maybe more social situations where you're on a soccer team, you're on a dance team, whatever it is. And you start to meet people and make friends in real life as opposed to on the screen. And then you start to build your confidence in that way. It's a new world. I think it's hard because it's hard to say, you know, we didn't grow up with this. So it's easy to say, oh, well, you know, screens are bad, video games are bad. And I think there are some kids that maybe do quite well with it. But I think mostly if you're sitting in front of a screen all day, it can't be good for you. It can't be good for your health, your heart, your longevity, because you're not moving. So that part is certainly bad for you. And you got to find some sort of compromise or middle ground there. Have you seen that hashtag iPad kids? Yeah, where kids go crazy when you take their iPads away. I've had that experience with my own kids. Like, why does that happen? I think they're just addicted to it. They want it and they're used to it. And, you know, they're happy when they're watching their video or whatever it is on their mat when you take it away. So I don't think that's anything new. It's the same thing as if you take away their car that they want to play with. They're it's what they're what they're using. So kids get mad sometimes. Yeah. On the topic, I would like to cover a lot. We have a few more minutes, but I do want to cover one more topic for kids is that we encourage our kids to play sports and obviously there's a lot of different sports out there that they can be playing. And one of the ones that my son wants to play right now is football. I get really concerned about CTE with football and also, you know, not just not just having a concussion, but also the many hits that come over time. And so is there a rethinking of sports with children, specifically sports where there is a propensity to get injured in your head over many, many years that could lead to long term damage? Yeah. I mean, we have a lot more research and data now on head injuries and concussions and understanding that back to back injuries, multiple injuries have synergistic effects. And then the more head injuries you have, the worse it is for you. We've seen it a lot with boxers and wrestlers and football players and soccer players and people that hit their head a lot. So we know that it's a problem. It doesn't mean you shouldn't play a sport, but it is a known risk for sure. So certainly for those, if you do start having a few concussions, it should have a higher threshold to stop playing that sport. If you can, it's definitely identified because you see in all these sports now, they have much stricter precautions. They won't let people come back in. They have to have an evaluation. If they get something that looks like a concussion before they can even go back into the game. So even professional sports are taking it much more seriously because there's a very clear understanding that multiple back to back concussions have a severe effect on your brain and can lead to long term damage. And the more that you have in a short time, the more likely that's going to happen. So I think we're, we pretty definitively know that at this point. So I don't think that's not true. It doesn't mean you shouldn't play football, but it does mean that that's a real risk that you need to understand before you're going to play. And I think it's something that needs to be reiterated to kids as they get older, because you, you do have to understand that that you're putting your future at risk. If you're getting a bunch of concussions, not everybody does get a lot of concussions, but certainly it's a much higher risk in football to get concussions or boxing. I mean, you're going to hit the head all the time. So you see a lot of boxers that have a very severe mental difficulties when they're older. Yeah. What about not just concussions though? Also just head injuries that don't lead to like concussive type of syndromes. Yeah. I mean, any injury is probably not good for you. So I think that that's an issue, but I think any, any sort of head injuries are much, there, there's so much more emphasis on that now, so much more research and none of it's good. So I think that's just something that parents need to be aware of. And I think it's a reasonable concern. And a lot of parents do have that concern that say you're not playing football. I mean, that's an option that you can have. I mean, if your kid's willing to listen to you, then so be it, but they may or may not be. But I think it's a reasonable concern, but you can get hurt doing anything too. So it doesn't mean that you're a professional, whatever you shouldn't do it. It's just there's that risk. Yeah. But I do think that parents need to be more aware of that risk because I think there's also, this is not a controversial topic anymore. It's not like, well, maybe there's a problem. No, it's not controversial at all. Like we know for sure. And that is why even with professional athletes, they won't even let them back in the game after they get a head injury until they get an evaluation because they know that you let that person back in there, they get another head injury. It's going to be a problem. Like it's clear. We've seen it over time. Lots of professional athletes had to stop because of that. So they see it all the time and we have that data because you can kind of see it on screen. But that's the same thing for kids and you're seeing it more and more in the college level, high school level before that, where kids get injured and they're not the same after. No, exactly. Wow, we covered a lot of ground there. Thank you so much. I think this is going to be a fantastic episode for, like I said, anyone who has kids or is going to have kids are going to learn so much from this. And thank you so much for the updates. And I just think we got to have you back on every year. Keep it updated on what's the best thing to do for our children. Thank you. It'll be all different at that point too. All the rules that we changed it for people. You can include in, you can go play football. You can have a hundred vaccines. No problem. No, just kidding. I'm kidding about all of that. But thank you so much. As always, Dr. Warsh's pleasure having you. Thank you. Thank you. That was a fantastic conversation with Dr. Gader here, my top five takeaways. Number one, the credential crisis is fueling confusion. Not everyone who puts doctor in front of their name online is trained in the topic that they're speaking about. And when these people step outside their expertise for viral moments, misinformation spreads fast. Number two, follow the incentives in research. Much of modern medicine is shaped by pharmaceutical funding. While lifestyle interventions like sleep, exercise and nutrition are underfunded because there's no product attached. Number three, vaccines require open nuance conversation. Vaccines schedules and recommendations very globally, which can feel confusing for parents. Highlighting the need for more transparent dialogue, individualized discussion and informed conversation between families and their pediatricians rather than one size fits all narratives. Number four, screen time is rewiring developing brains. It's not just about limiting hours on a device. It's about how their time is spent when off the device. Constant digital stimulation is affecting kids, dopamine systems, emotional regulation. And when it's not paired with real world social development and activity, the effects can be detrimental. And number five, health decisions for kids require nuance, not extremes. From dairy to seed oils to youth sport head injury, most pediatric health topics aren't black and white. Parents need balanced risk of air conversations and multiple sources of information instead of polarized narratives. Thank you so much for listening to the podcast today. Please remember to subscribe if you like this episode and give us a good review and share a link with your friends. It really helps to support all of our efforts. I also want to remind you that the information shared on this podcast is for educational purposes only and is not intended to replace professional medical advice, diagnosis or treatment. Please consult with your health care provider or physician before making any decisions or taking any action based on what you hear today, especially if you have any underlying health conditions or on any medications. Your doctor knows your personal health situation the best and is always important to seek their guidance.