Dr. Shanna Swan: How to Safeguard Your Hormone Health & Fertility

Dr. Shanna Swan: How to Safeguard Your Hormone Health & Fertility

Welcome to the Huberman Lab Podcast

Introduction of Dr. Shauna Swan

  • Andrew Huberman introduces himself as a professor at Stanford and welcomes Dr. Shauna Swan, an expert in environmental medicine and public health.
  • Dr. Swan specializes in how toxins in food, air, water, cosmetics, and household items affect reproductive health across different life stages.

Impact of Environmental Toxins

  • Discussion on how environmental compounds influence reproductive biology by affecting hormones like testosterone and estrogen.
  • Overview of alarming trends: declining fertility rates, decreasing testosterone levels, increasing sperm count issues, and rising cases of polycystic ovarian syndrome (PCOS).

Actionable Insights for Health

  • Emphasis on simple daily actions that can mitigate exposure to harmful environmental toxins.
  • The episode aims to empower listeners with knowledge about endocrine disruptors and practical steps for better health management.

Sponsorship Messages

Element Electrolyte Drink

  • Introduction of Element as a sponsor; it provides essential electrolytes without sugar for optimal hydration.
  • Importance of maintaining proper hydration for cognitive and physical performance; even slight dehydration can have significant effects.

Personal Hydration Routine

  • Huberman shares his personal routine of using Element packets dissolved in water upon waking up and during exercise to ensure adequate hydration.

Roka Eyewear

  • Introduction of Roka as another sponsor; they offer high-quality eyeglasses designed to filter out harmful light wavelengths at night.

Benefits of Roka Red Lens Glasses

  • Explanation that these glasses are not traditional blue blockers but help improve sleep quality by filtering out short-wavelength light that suppresses melatonin secretion.

Introduction to BetterHelp and Therapy

Importance of Therapy

  • The episode is sponsored by BetterHelp, which offers professional therapy online.
  • Regular therapy is emphasized as equally important as regular exercise, including cardiovascular and resistance training.
  • Great therapy provides three key benefits: a trusting rapport with the therapist, emotional support along with directed guidance, and insights that lead to personal growth.

Benefits of Online Therapy

  • BetterHelp facilitates easy access to expert therapists who resonate with clients.
  • The online format enhances time efficiency by eliminating commuting and waiting times.

Discussion with Dr. Shauna Swan

Environmental Impact on Health

  • Dr. Andrew Huberman welcomes Dr. Shauna Swan for a discussion on environmental factors affecting reproductive health.
  • Inquiry into whether certain environmental elements, particularly food, are diminishing reproductive health; Dr. Swan confirms this concern.

Key Findings in Research

  • Dr. Swan highlights her skepticism towards claims about environmental impacts but acknowledges significant findings over decades.
  • She asserts that man-made chemicals can affect fertility and overall health; the focus will be on hormone-disrupting chemicals.

Hormone Disrupting Chemicals

Definition and Focus Areas

  • Hormone disrupting chemicals (EDCs), which alter body hormones, are central to Dr. Swan's research.
  • These chemicals impact estrogen and testosterone pathways related to masculinization or feminization processes in humans.

Research Background

  • Dr. Swan’s background includes studying oral contraceptives as EDCs designed to change reproductive hormones.
  • Her pivotal research began while working on a large study regarding the adverse effects of oral contraceptives at Kaiser Permanente.

Discovery of Phthalates

Aha Moment in Research

  • An influential conversation during a flight led Dr. Swan to investigate phthalates—chemicals now measurable in populations by the CDC.

National Toxicology Program and Phthalates

Overview of the National Toxicology Program

  • The National Toxicology Program (NTP) is a governmental research center focused on assessing the toxicity of various chemicals, including their reproductive, carcinogenic, and neurotoxic effects.

Phthalates and Reproductive Toxicity

  • NTP identified phthalates as reproductively toxic, particularly affecting males when pregnant mothers are exposed in utero. This raises concerns about how these chemicals enter the mother's body.
  • Exposure routes for phthalates include ingestion through food, inhalation, or dermal contact. These pathways allow phthalates to cross the placental barrier and impact fetal development.

Experimental Findings with Rats

  • In experiments conducted by NTP, mother rats were fed varying doses of phthalates. No significant changes were observed in female offspring; however, male offspring exhibited incomplete masculinization of genitals.
  • The genital tract starts as a single ridge in both sexes and becomes sexually dimorphic under testosterone influence during a critical window (days 9 to 12 of gestation in rats).

Impacts on Male Offspring Development

  • Male offspring exposed to phthalates showed alterations such as smaller penises and undescended testicles. Internal changes were also noted but not explored in human studies due to limitations.
  • A key measure studied was the distance from the anus to the genitals, which has been linked to developmental issues associated with exposure to certain chemicals.

Unique Syndromes Associated with Chemical Exposure

  • The collection of genital changes observed was termed "phthalate syndrome," highlighting its uniqueness among syndromes linked specifically to environmental chemical exposure rather than pharmaceuticals.
  • Comparisons were made with other syndromes like Fetal Alcohol Syndrome and thalidomide-related conditions that also resulted from chemical exposures during pregnancy.

Research Journey into Human Effects

  • Initial findings raised questions about whether similar effects occur in humans. This inquiry led to a decade-long investigation into connections between maternal exposure to phthalates and genital changes in male offspring.

Exploring Phthalate Exposure and Its Effects on Infants

Understanding the Study Design

  • The researcher discusses using urine samples from pregnant women to measure thite metabolites, which indicate exposure to phthalates. This approach aims to understand maternal exposure levels.
  • The study involved measuring the genitalia of infants born to mothers who participated in earlier studies, highlighting parental willingness due to established trust with the research team.
  • Babies measured were approximately 12 months old, raising concerns about potential ongoing phthalate exposure post-birth but still allowing for analysis of in utero effects.

Critical Windows of Exposure

  • Emphasis is placed on critical windows for exposure; animal studies show that phthalate exposure before day 10 or after day 12 had no significant effects, indicating a delicate timing for fetal development.
  • The challenge lies in identifying these critical windows when working with chemicals like phthalates, particularly concerning their impact on brain development as well.

Measurement Techniques

  • The researcher notes difficulties in correlating measurements between newborn mice and human infants due to size differences in genitalia, necessitating careful methodological design.
  • Collaboration with a pediatrician was essential for developing a reliable examination protocol that could accurately translate findings from animal models to human subjects.

Key Measurements Taken

  • Specific measurements included anoscrotal distance and anop penile distance. These metrics are crucial for assessing potential impacts of phthalate exposure on male genital development.
  • A rigorous process was established where independent examiners took measurements on every tenth baby to ensure reliability across different evaluators.

Findings Related to Phthalate Levels

  • Preliminary results indicated a correlation between higher levels of anti-androgenic phthalates in mothers' urine and shorter anogenital distances (AGD) in their male infants, suggesting developmental implications linked to maternal exposure.

Hyena and Elephant Genitalia: A Comparative Study

Anogenital Distance in Males vs. Females

  • The anogenital distance is longer in males than in females across most mammalian species, except for hyenas and elephants.
  • Hyenas exhibit unique genitalia characteristics; female hyenas have larger clitorises than male penises, which plays a role in their reproductive process.
  • The speaker shares personal anecdotes about studying hyenas, emphasizing their dangerous nature and the dominance of female hyenas within their social structure.

Dominance and Behavior in Hyenas

  • Female hyenas are physically dominant (alpha), often eating first, which correlates with their longer anogenital distance due to androgen exposure.
  • Elephants show a more equal anogenital distance between sexes compared to humans, where males typically have a significantly longer distance.

Research on Anogenital Distance

  • Various anti-androgenic substances were identified that correlate with shorter anogenital distances in human males.
  • The speaker discusses ongoing studies replicating animal research on human subjects regarding anogenital distance and its implications for reproductive health.

Infant Development Environment Study (TIDES)

  • The TIDES study aims to track the effects of environmental factors on infant development by examining urine samples during pregnancy.
  • This study seeks to replicate findings from rodent studies more accurately by collecting data at multiple points during gestation.

Health Benefits of AG1 Supplement

  • A brief advertisement for AG1 highlights its benefits as a comprehensive nutritional supplement that supports gut health and overall well-being.

Understanding Male and Female Genital Development

Changes in Male Distribution

  • The male distribution of genital characteristics has shifted to resemble female traits, indicating a feminization effect. This change is not due to females altering but rather the males becoming more similar to females.
  • Observations include smaller penises and reduced descent of testes in males, suggesting a significant alteration in secondary sex characteristics during puberty.

Hormonal Influences on Development

  • Discussion revolves around whether the secondary sex characteristics in males are activated by hormones or if there are precursors present from an early age.
  • In laboratory settings, determining the sex of young mice can be challenging until they mature enough for testicles to become visible.

Maternal Testosterone Exposure Effects

  • If mothers are exposed to higher levels of testosterone, their female offspring may exhibit more masculine genital distances, indicating a bidirectional effect.
  • There is uncertainty regarding whether increased androgen exposure leads to hyper-masculinization in male offspring; studies have not shown this phenomenon.

PCOS and Its Impact on Offspring

  • Women with Polycystic Ovary Syndrome (PCOS), characterized by elevated androgen levels, often display masculine traits such as facial hair.
  • Research indicates that daughters of women with PCOS show longer anogenital distances, reflecting prenatal androgen exposure.

Implications for Future Fertility

  • The study suggests that measuring anogenital distance provides insights into fetal androgen exposure without invasive procedures during pregnancy.
  • Early androgen exposure's impact on fertility remains a critical question; understanding these effects could inform future reproductive health discussions.

Understanding Anogenital Distance (AGD)

  • AGD serves as a long-term marker for hormonal influence during development; it is believed that AGD measurements remain consistent relative to body size throughout life.
  • Misconceptions about testosterone being solely responsible for masculinity and estrogen for femininity complicate the understanding of hormonal roles in development.

Importance of Research Findings

  • The significance of studying variations in anogenital distance lies not only in academic interest but also potential implications for individual concerns regarding masculinity and health.

Understanding the Relationship Between Anogenital Distance and Sperm Count

Study Design and Methodology

  • The study aimed to measure anogenital distance (AGD) in college students as a reflection of their early development, correlating it with sperm count.
  • Participants were compensated $75 for their involvement, which included measuring AGD, providing semen samples, and completing questionnaires.
  • Adjustments were made for body size factors like height and weight to normalize data; however, the study did not attempt to backtrack AGD to birth conditions.
  • Results indicated that men with longer AGD had higher sperm counts, establishing a correlation between these two measures.
  • While the correlation was clear, asserting a direct link between early AGD at birth and current sperm count required assumptions due to lack of direct measurements.

Participant Conditions and Findings

  • There were questions about participant conditions regarding substance use prior to the study; many college students likely consumed alcohol or cannabis.
  • A related study by Dr. Mike Eisenberg examined men from infertility clinics, finding those who fathered children had longer AGD compared to those struggling with fertility issues.
  • Measuring AGD in adults differs significantly from measuring it in newborns; extensive research was conducted on this topic.

Sperm Count Trends and Fertility Implications

  • Discussion arose around whether declining sperm counts impact fertility levels; this is a critical question in reproductive health discussions.
  • A notable Danish study analyzed couples trying to conceive without recent contraceptive use, linking sperm count with time taken to achieve pregnancy.
  • The findings illustrated a curve where lower sperm counts correlated with increased time to conception; specifically noting significant drops below 40–45 million per milliliter of sperm concentration.

Key Insights on Sperm Count Impact

  • The relationship between sperm count and conception probability shows steep increases up until around 45–50 million per milliliter before leveling off at higher counts.
  • Below approximately 45 million per milliliter, there is a rapid decline in conception probability; above this threshold, the effect diminishes significantly.

Sperm Count and Fertility: Understanding the Decline

The Importance of Sperm Count

  • Sperm count is crucial for fertility; below 45 million sperm per milliliter, the chances of successful fertilization drop significantly.
  • A healthy sperm count ranges from 75 to 100 million per milliliter, with counts varying widely from as low as 8 to as high as 400 million.
  • Factors influencing sperm count include age, genetics, and environmental exposures.

Health Testing Insights

  • The speaker discusses their experience with comprehensive lab testing through Function, which analyzes blood, urine, and saliva for health insights.
  • An example shared includes discovering elevated mercury levels in their blood and receiving actionable advice on dietary changes to reduce it.

Societal Trends Affecting Fertility

  • There is a noted decline in sperm counts alongside rising fertility issues; this may be linked to both male and female reproductive health factors.
  • Economic factors and personal choices also contribute to declining birth rates as people opt out of having children.

Research Journey into Endocrine Disruptors

  • The speaker's interest in phthalates began when asked by a colleague about their impact on sperm count.
  • Involvement with the National Academy of Sciences led to investigating claims that sperm counts had dropped by 50% over 50 years.

Evaluating Research Claims

  • Initial skepticism arose regarding the validity of studies claiming significant declines in sperm counts due to limited data quality.
  • The speaker analyzed confounding factors that could explain observed declines rather than attributing them solely to biological causes.

Methodology Considerations

Understanding Sperm Count Decline

Scientific Methodology in Research

  • Dr. Swan describes her astonishment at finding that the slope of sperm count decline matched previous studies, indicating a potential real phenomenon rather than random chance.
  • The importance of rigorous scientific inquiry is emphasized, particularly in human populations where various lifestyle factors (e.g., cannabis use) could influence results.
  • Factors such as alcohol consumption and frequency of ejaculation are discussed as variables that may affect sperm quality but are often underreported by participants.
  • The distinction between studying sperm counts and ovarian reserve is highlighted, noting the complexities involved in measuring male reproductive health compared to female metrics like egg count.
  • Emphasis on meticulous research practices is reiterated, stressing the need for careful consideration of all variables when conducting epidemiological studies.

Longitudinal Studies and Findings

  • Dr. Swan mentions her extensive follow-up on sperm count studies over multiple years, showcasing her commitment to thorough research methods.
  • After reviewing 61 published studies, she confirmed a consistent decline in sperm counts across different time frames and locations.
  • The discussion shifts to exploring potential causes for this decline; genetics is ruled out due to the rapidity of change observed over two generations.
  • Environmental factors are proposed as possible contributors to declining sperm counts, prompting further investigation into specific environmental influences.

Study Design and Execution

  • A new study was designed involving four U.S. cities with varying environments to assess their impact on sperm quality using standardized methods and equipment.
  • To obtain representative samples, partners of pregnant women were selected for semen analysis since they typically seek medical care during pregnancy.
  • This approach aimed to ensure a reliable sample population while examining correlations between pesticide exposure and semen quality.

Key Findings Related to Environment

Impact of Pesticides on Sperm Parameters

Overview of Study Findings

  • The study identified a correlation between high and low sperm parameters in men, revealing that five specific pesticides were significantly higher in those with low sperm motility and morphology.
  • The discussion highlights the context of pesticide exposure, emphasizing that it is not merely about consuming crops like corn and soybeans but living in areas where these pesticides are actively sprayed.

Methodology Insights

  • Urine samples were analyzed for pesticide metabolites, indicating exposure through air or food sources; however, the exact method of exposure remains unclear.
  • Participants were recruited from a prenatal clinic at the University of Missouri, ensuring a diverse sample beyond just farmers.

Common Pesticides Discussed

  • Atrazine was noted as one of the most widely used pesticides globally, raising concerns due to its prevalence and potential health impacts.
  • The conversation shifts to atrazine's effects on male sexual behavior in amphibians, linking environmental chemicals to significant biological changes.

Tyrone Hayes' Research on Atrazine

Key Findings from Amphibian Studies

  • Tyrone Hayes conducted experiments showing that frogs exposed to atrazine exhibited altered mating behaviors, including attempts to mate with other males.
  • This behavior suggests neuroendocrine changes resulting from atrazine exposure, highlighting how environmental factors can influence sexual behavior.

Implications for Neurobiology

  • The findings indicate that neural circuits controlling mating behaviors are affected by chemical exposures like atrazine.
  • These results have been both supported and misrepresented in media discussions but underscore the impact of environmental chemicals on biological functions.

Sexual Dimorphism and Behavioral Phenotypes

Understanding Sexual Dimorphism

  • The brain exhibits sexual dimorphism influenced by hormones such as testosterone; this does not imply superiority but rather differences in structure and function.
  • Evidence shows variations in brain regions linked to behaviors across species, suggesting evolutionary adaptations related to sex-specific roles.

Controversies Surrounding Gender Differences

  • Discussions around behavioral phenotypes often lead to misunderstandings regarding abilities tied to gender differences; caution is advised when interpreting these findings.

Understanding Play Behavior and Hormonal Influences

Overview of the PSAI Questionnaire

  • The play behavior questionnaire, known as the PSAI, consists of 24 questions assessing children's play preferences, including rough and tumble play.
  • Research involved comparing responses from mothers in different populations, revealing that higher levels of anti-androgenic phthalates were linked to less masculine play behaviors in boys.

Impact of Maternal Exposure on Child Play

  • Findings indicated that boys whose mothers were exposed to phthalates during critical developmental periods exhibited less rough and tumble play by age four.
  • The discussion highlights the concept of dimorphism, noting differences between male and female brains primarily defined by chromosomal presence (XY vs. XX).

Statistical Distributions in Gendered Play

  • Emphasis is placed on understanding gender distributions as overlapping rather than distinct categories; both males and females can exhibit traits typically associated with the opposite gender.
  • The analogy to genital distance is made, suggesting similar statistical changes without significant observable differences in physical attributes among children.

Sociobiological Variables Affecting Play

  • Factors such as sibling dynamics influence play behavior; for instance, boys with sisters may be more inclined towards traditionally feminine activities like dress-up.
  • Personal anecdotes illustrate how cultural messages about gender roles shape individual experiences with play.

Sources of Endocrine Disruptors

  • Inquiry into non-pesticide sources of phthalates reveals a broader range of endocrine disruptors present in daily life beyond just pesticides.

Exploring Environmental Exposures and Fertility

Concerns About Environmental Exposures

  • The discussion begins with a question about various environmental exposures, such as plastic bottles, laundry detergents, and rubber tires. The speaker emphasizes the need to identify which exposures individuals can control.

Food-Related Exposures

  • The speaker highlights food-related exposures as significant concerns. They mention that food packaging, storage, and cooking utensils are areas where people have agency to make better choices.

Focus on Infertility in Film Project

  • The speaker discusses their involvement in a film about six couples struggling with infertility. This project aims to explore how environmental factors may impact fertility over time.

Inventory of Products Used by Couples

  • A company called Million Marker conducts interviews with couples to assess their use of personal care products and household items. This inventory helps identify potentially harmful products they use regularly.

Intervention Strategy for Reducing Exposure

  • An intervention is designed based on the product inventory. Couples are advised to eliminate products containing fragrances, which are identified as major sources of hormonal disruption.

Broader Changes Beyond Fragrance Elimination

  • While fragrance elimination is a primary focus, the intervention also includes recommendations to replace plastic food storage containers and non-stick pans due to harmful chemicals associated with them.

Impact of Chemical Exposure on Obesity

  • The conversation touches upon obesogens—chemicals that contribute to obesity. Although the study focuses on product changes related to fertility, there is an acknowledgment of overlapping health impacts from these chemicals.

Positive Feedback from Participants

  • Participants report positive experiences after making changes suggested during the intervention. Many express feeling happier, sleeping better, and having more energy following these adjustments.

Data Collection on Fertility Outcomes

Insights on Fertility and Environmental Factors

Discussion on Data and Research Findings

  • The speaker mentions that specific results regarding sperm count are not yet available for public discussion until all data is collected and published.

Recommendations for Couples Facing Conception Challenges

  • For individuals struggling to conceive for over 12 months, the speaker suggests exploring certain interventions that are safe and non-harmful.

Cost-Saving Strategies in Daily Life

  • The conversation highlights cost-saving measures such as reducing plastic bottle usage by opting for mason jars or ceramic containers, which may also improve endocrine health.
  • Buying in bulk using reusable containers can be both economical and beneficial for fertility, as it reduces exposure to harmful chemicals found in packaging.

Insights on Food Packaging and Chemical Exposure

  • During a shopping trip with couples, the speaker discovered that unwrapped produce (like lettuce) was cheaper than wrapped options, emphasizing the financial benefits of avoiding plastic packaging.
  • The primary source of BPA exposure is identified as canned goods; thus, avoiding cans is crucial to reduce chemical intake.

Understanding BPA and Its Alternatives

  • The speaker explains that BPA is estrogenic while phthalates are anti-androgenic. Both types of chemicals pose risks due to their roles in plastic production.
  • Following concerns about BPA's safety, manufacturers began producing "BPA-free" products but often replaced it with equally harmful alternatives like BPS and BPF.

Trusting Personal Health Choices Over Agencies

  • The discussion emphasizes skepticism towards larger agencies' ability to protect public health; individuals should prioritize personal knowledge and choices regarding consumption.

Safe Practices Regarding Plastic Use

  • Consumers are cautioned against assuming "BPA-free" means safe; alternative chemicals may still disrupt endocrine function.
  • Recommendations include using glass or stainless steel containers instead of aluminum cans or plastics when consuming food or beverages.

Risks Associated with Heating Plastics

  • It’s advised never to microwave plastic containers since heat can cause harmful chemicals to leach into food.

Reflections on Food Choices

Discussion on Food Safety and Endocrine Disruptors

Concerns About Plastic Packaging

  • The speaker discusses purchasing strawberries from farmers' markets, noting the use of plastic containers and the importance of rinsing produce to mitigate contamination risks.

Avoiding Plastics in Daily Life

  • Emphasizes the need to avoid drinking from cans and plastic bottles, as well as microwaving plastics to reduce exposure to harmful substances.

Pesticides and Phthalates

  • Highlights that phthalates are added to pesticides for better absorption into plants, which raises concerns about their presence in food products.
  • Mentions that phthalates are also found in cosmetics, such as hand creams and lipsticks, due to their ability to hold scent and color.

Sunscreen Safety Debate

  • The speaker clarifies their stance on sunscreen safety, advocating for mineral-based sunscreens like zinc oxide over chemical ones due to potential health risks.
  • Acknowledges differing opinions on sunscreen safety but emphasizes UV damage's dangers while suggesting physical barriers (clothing, hats) for protection.

Finding Safe Sunscreen Products

  • Recommends using resources like the Environmental Working Group’s Consumer Guides to evaluate sunscreen safety based on independent ratings.

Funding Transparency in Research

  • Discusses concerns regarding funding sources for research studies, emphasizing personal integrity in sharing information without bias towards specific products or industries.

Personal Practices Against Endocrine Disruptors

  • The conversation shifts towards personal habits related to avoiding endocrine disruptors. The speaker shares insights into maintaining cognitive and physical health at an advanced age (89 years).

Water Quality Concerns

Water Distillation and Health Practices

The Importance of Water Quality

  • The speaker discusses the process of steam distilling water, which is not the same as reverse osmosis. The distilled water is stored in glass containers in the fridge and is noted for its pleasant taste, likened to "melted snow."

Daily Water Usage

  • Distilled water is used for various purposes including drinking, coffee, tea, cooking, and making ice cubes. The speaker emphasizes the importance of water quality in daily life.

Environmental Awareness

  • There’s a focus on minimizing dust brought into the home due to potential harmful chemicals. The speaker mentions being cautious about personal care products by checking them against resources like the Environmental Working Group.

Organic Choices and Chemical Awareness

  • Buying organic produce at farmers' markets is highlighted as a priority despite cost and availability issues. The speaker expresses concern over chemicals found in clothing, particularly workout wear that can absorb toxins through sweat.

Building Materials and Safety Concerns

  • Discussion shifts to hazardous chemicals present in building materials and furniture. The challenge of creating a toxic-free environment when constructing new communities is raised.

Food Sourcing Challenges

Accessing Healthy Food Options

  • The conversation touches on difficulties people face in sourcing non-fruit/vegetable food items like eggs from local farms. It acknowledges that while some areas have better access (like San Francisco), many do not.

Consumer Awareness as a Catalyst for Change

  • Being aware of food sourcing issues can empower individuals to seek healthier options. Increased demand may lead to better availability of safe food products.

Regulations on Chemicals: A Comparison Between US and Europe

Chemical Safety Regulations

  • A comparison between US regulations and European policies reveals significant differences; Europe requires proof of safety before chemicals enter the market under REACH policy, unlike the US system which often reacts post-market introduction.

Historical Context on Child Safety Products

  • There was significant public concern regarding harmful substances in children's toys leading to bans on certain chemicals (e.g., BPA). This reflects an innate protective instinct towards children but highlights regulatory gaps for older populations.

Understanding the Challenges of Chemical Safety Regulations

The Role of Animal Testing in Chemical Safety

  • The effectiveness of animal and human testing is highlighted as a potential avenue for improving chemical safety regulations, though it varies by product.

Legislative Hurdles in Chemical Regulation

  • Despite the need for better regulations, significant opposition exists against changes, making it difficult for manufacturers to adapt.

Case Study: DEHP in Medical Products

  • A recent California bill successfully banned DEHP (di(2-ethylhexyl) phthalate), an endocrine disruptor, from IV bags, showcasing progress but also the challenges of regulating individual chemicals.

Alternative Materials and Their Safety Concerns

  • A company has developed alternative IV bags using polyolefin; however, concerns about the safety of this new material complicate regulatory efforts.

Long-term Effects of Prenatal Exposure to Chemicals

  • Discussion on how prenatal exposure to harmful substances can have lasting effects on health, emphasizing the importance of reducing exposure during pregnancy.

The Impact of Parental Behavior on Future Generations

Inherited Health Risks from Maternal Smoking

  • Research indicates that if a mother smokes during pregnancy, her son may experience a 50% reduction in sperm count—a permanent effect that cannot be reversed later in life.

Responsibility During Pregnancy

  • Expecting parents are urged to minimize their exposure to harmful substances due to potential generational impacts on health.

Understanding Germ Cells and Their Legacy

  • Germ cells responsible for producing eggs and sperm carry implications for future generations' health; thus, awareness and responsibility are crucial.

Practical Steps Towards Reducing Chemical Exposure

Resources for Reducing Endocrine Disruptors

Identifying Endocrine Disruptors in Food and Pesticides

Overview of Research Efforts

  • The speaker discusses the expedition to identify endocrine disruptors in food and pesticides, questioning the size and scope of the research team involved.
  • NIH funding plays a significant role in supporting this research, indicating a robust international effort with many scientists engaged.

Global Plastics Treaty

  • An international treaty on plastics is under negotiation, involving numerous scientists, activists, and legislators focused on chemical impacts from plastics.
  • While plastic is highlighted as a major concern, other classes of chemicals like pesticides also pose risks that need attention.

Historical Context and Current Challenges

  • The rise of plastic usage since the 1950s has created long-term challenges for health and fertility; lifespan increases do not correlate with improved reproductive health.
  • The speaker notes that while longevity has increased due to better disease control, it does not imply overall robustness or reproductive competence.

Fertility Trends

  • A demographic shift is observed where birth rates are declining significantly across various countries, leading to societal challenges due to an aging population structure.
  • This decline in fertility is recognized globally as one of the most pressing issues facing societies today.

Data Insights on Fertility Rates

  • The World Bank provides data showing global fertility rates have declined sharply over recent decades; replacement fertility rate is critical at 2.1 children per woman.
  • Many countries are falling below this replacement level, including South Korea (0.78), Japan (1), and parts of the United States.

Impact of Environmental Factors on Reproductive Health

  • Discussion shifts towards environmental factors affecting egg count and quality; previous studies explored electric blankets' impact on pregnancy outcomes but found no convincing evidence linking electromagnetic radiation to fertility issues.

Impact of Cell Phone Use on Fertility

Heat Effects on Sperm Quality

  • Discussion on the potential heat effects from cell phone use and its impact on sperm count and motility, emphasizing caution in drawing conclusions.
  • Acknowledgment that while heat is related to fertility, direct evidence linking EMFs (electromagnetic fields) from phones to sperm disruption is lacking; ongoing investigations are noted.

Relationship Between Heat and Sperm Count

  • Solid data indicates that prolonged sitting or obesity can lead to increased scrotal temperature, negatively affecting sperm count due to heat's detrimental effects.

Trends in Female Reproductive Health

  • Evidence suggests girls are entering puberty earlier, while women experience perimenopause and menopause at younger ages; new studies link these trends to various chemicals.
  • Mention of premature ovarian failure as a growing concern, indicating women may not produce eggs for as long as previous generations.

Declining Fertility Rates: Social vs. Environmental Factors

  • The decline in fertility rates is often attributed to social factors such as education and workforce participation; however, this perspective overlooks broader ecological issues.
  • Noting the increasing extinction rates among species alongside human fertility decline challenges the narrative that reduced birth rates are solely a matter of choice.

Ecosystem Interconnectedness and Human Impact

  • Highlighting how pesticides affect both humans and wildlife, stressing that non-human species' declining fertility cannot be explained by human social choices alone.
  • Examples of endangered species illustrate the domino effect within ecosystems when one species declines; emphasizes interconnectedness in nature.

Future Considerations for Human Fertility

  • Speculation about humans potentially becoming an endangered species due to environmental impacts; contrasts with advancements in reproductive technologies like IVF.
  • Discussion on assisted reproductive technologies raises questions about genetic diversity compared to natural selection processes during conception.

Innovations in Reproductive Technology

Mitochondrial DNA and Assisted Reproductive Technology

Understanding Mitochondrial Replacement Therapy

  • Mitochondrial replacement therapy involves using DNA from one woman, spindles from a younger female donor, and sperm to create an embryo. This method is currently legal in the UK for mitochondrial diseases but remains illegal in the US.
  • Theoretically, this technique allows women of any age with viable eggs to propagate their DNA by utilizing younger egg spindles that enhance cell production.

Future of Fertility Solutions

  • Advances in medically assisted conception are anticipated over the next 10 to 20 years as solutions to declining fertility rates evolve.
  • A significant concern is whether there will be adverse effects on offspring resulting from these advanced reproductive techniques, particularly when considering genetic inheritance from parents who may have fertility issues.

Challenges in Assessing Offspring Health

  • Determining if adverse effects in offspring stem from assisted reproduction or pre-existing parental conditions poses a complex challenge for researchers and practitioners.

Public Concerns About Endocrine Disruptors

Questions Raised on Social Media

  • Prior to the discussion, questions were solicited via social media regarding endocrine disruptors found in everyday products like tap water and cosmetics.
  • Topics included safety concerns about tap water and effective filtration methods such as reverse osmosis combined with remineralization.

Household Products and Their Risks

  • The conversation touched on alternatives to harsh chemicals in laundry detergents, suggesting hydrogen peroxide instead of bleach without endorsing specific brands.
  • Mentioned was a company called Million Marker that tests urine for various chemicals, providing insights into personal exposure levels through a paid service.

Food Dyes and Their Effects

  • A study highlighted by Science magazine showed alarming results where yellow food dye (specifically Yellow No. 5), used in products like Cheetos, caused adult mice's organs to become visible through their skin—raising concerns about its safety for human consumption.

Endocrine Disruptors: General Implications

Everyday Exposure Risks

  • There were inquiries about common household items such as soaps and cleaning products potentially containing endocrine disruptors; caution is advised when selecting these items.
  • Concerns were raised regarding BPA exposure from receipts; it was suggested that opting for electronic receipts could mitigate this risk effectively.

Impact on Thyroid Health

Effects of Endocrine Disruptors on Health

Concerns About Vaccination Responses

  • Discussion on the potential impact of endocrine disruptors (like posos) on immune responses, particularly in relation to vaccinations. The speaker expresses concern about whether these chemicals alter vaccination efficacy.

Detoxification and Chemical Classes

  • Inquiry into methods for detoxifying endocrine disruptors from the body, highlighting that approaches may vary based on chemical solubility.
  • Explanation that water-soluble chemicals (e.g., photes, bisphenols) are eliminated quickly through urine, while fat-soluble "forever chemicals" persist longer in the body.

Non-Stick Pans vs. Seasoned Iron Pans

  • Comparison between non-stick coated pans and seasoned iron pans; seasoned iron is deemed safer with no associated risks.

Regulatory Differences and Public Awareness

  • Acknowledgment of stricter regulations in Europe regarding harmful substances and a summary of various public inquiries about specific chemicals like atrazine.
  • Recognition of the complexity surrounding what is known versus unknown about these chemicals, emphasizing ongoing research needs.

Importance of Public Education

  • Appreciation for experts' efforts in educating the public about health risks posed by environmental toxins and their potential long-term effects on human reproduction.
  • Reflection on existential threats to humanity not just from external factors but also from internal biological disruptions caused by these chemicals.

Emotional Impact and Agency Over Health

  • Discussion on how awareness of harmful exposures can evoke strong emotional reactions among individuals who feel misled about product safety.
  • Emphasis on providing people with knowledge and agency regarding their health choices, integrating scientific rigor into discussions around these topics.

Closing Remarks and Further Resources

  • Gratitude expressed towards Dr. Shanna Swan for her contributions to understanding endocrine disruptors; encouragement to continue sharing findings with the public.

Huberman Lab Podcast Overview

Social Media and Newsletter Promotion

  • The speaker discusses their presence on social media platforms, particularly LinkedIn, where they share insights related to science and tools that may overlap with the Huberman Lab podcast content but also include distinct topics.
  • They promote a zero-cost monthly newsletter called the "Neural Network," which includes summaries of podcasts and protocols in PDF format covering various topics such as cold exposure, heat exposure, dopamine optimization, and sleep improvement.
  • To subscribe to the newsletter, listeners are directed to visit hubermanlab.com, navigate to the top right corner menu, scroll down to "newsletter," and enter their email address.
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Video description

In this episode, my guest is Dr. Shanna Swan, Ph.D., professor of environmental medicine and reproductive health at the Mount Sinai School of Medicine. Dr. Swan is the world’s leading expert on the harmful impact of chemicals in our food, water, cosmetics, and various household and consumer products on our hormones, and the consequences for fertility and overall reproductive health. She explains how exposure to phthalates and other endocrine disruptors adversely impacts fetal development, puberty, and the adult brain and body. We discuss the global decline in human fertility due to disruptive environmental toxins, such as pesticides, and certain foods and beverages we consume. We discuss practical strategies to minimize exposure to harmful chemicals, such as phthalates, bisphenol A (BPA), BPS, and PFAS. This includes reducing disposable plastic use, making healthier food preparation, consumption, and storage choices, and selecting personal and household products that don’t contain harmful toxins. This episode allows you to assess your risk of exposure to endocrine disruptors accurately and empowers you to take control of your hormone health and fertility. Access the full show notes for this episode, including referenced articles, resources, and people mentioned: https://go.hubermanlab.com/wJEWPYC Use Ask Huberman Lab, our chat-based tool, for summaries, clips, and insights from this episode: https://go.hubermanlab.com/uyYEsaS Pre-order Andrew's new book, Protocols: https://go.hubermanlab.com/protocols *Thank you to our sponsors* AG1: https://drinkag1.com/huberman LMNT: https://drinklmnt.com/huberman ROKA: https://roka.com/huberman BetterHelp: https://betterhelp.com/huberman Function: https://functionhealth.com/huberman *Follow Huberman Lab* Instagram: https://www.instagram.com/hubermanlab Threads: https://www.threads.net/@hubermanlab Twitter: https://twitter.com/hubermanlab Facebook: https://www.facebook.com/hubermanlab TikTok: https://www.tiktok.com/@hubermanlab LinkedIn: https://www.linkedin.com/in/andrew-huberman Website: https://www.hubermanlab.com Newsletter: https://www.hubermanlab.com/newsletter *Dr. Shanna Swan* Website: https://www.shannaswan.com Academic Profile: https://profiles.mountsinai.org/shanna-h-swan Count Down (book): https://amzn.to/4fsvRDC Resources: https://www.shannaswan.com/resources Instagram: https://www.instagram.com/drshannaswan X: https://x.com/DrShannaSwan LinkedIn: https://www.linkedin.com/in/shanna-swan-phd-339a4258 *Timestamps* 00:00:00 Dr. Shanna Swan 00:02:58 Sponsors: LMNT, ROKA & BetterHelp 00:06:49 Environmental Chemicals, Fertility, Hormones, Phthalates 00:13:30 Phthalate Syndrome, Animal Data, Male Offspring 00:19:11 Phthalate Syndrome in Humans, Pregnancy & Babies 00:27:30 Hyenas; Phthalate Syndrome in Males 00:32:49 Sponsor: AG1 00:34:22 Polycystic Ovary Syndrome (PCOS), Mothers & Female Offspring 00:39:03 Anogenital Distance & Sperm Count 00:45:03 Sperm Count & Fertility 00:49:24 Sponsor: Function 00:51:11 Sperm Count Decline 00:58:19 Sperm Quality & Pesticides 01:04:12 Atrazine, Amphibians, Sexual Dimorphism, Behavior 01:09:00 Preschoolers, Phthalate Exposure, Sexually Dimorphic Behaviors 01:14:08 Tools: Lowering Exposure to Endocrine Disruptors, Fertility 01:24:52 Tools: BPA, BPS, BPF & Can Linings; Drinkware; Plastics & Microwave 01:30:07 Tools: Buying Organic; Skin Products, Fragrance; Sunscreens, Consumer Guides 01:32:58 Funding 01:34:31 Tools: Distilling Water, Shoes, Clothing, Food Sourcing; Building Materials 01:40:12 Europe vs. US Chemical Safety, REACH Program 01:46:20 Tool: Pregnancy & Fetal Health 01:49:23 Plastics & Environmental Concern; Fertility 01:55:26 Sperm Quality, Fertility, Cell Phone, Temperature 01:58:04 Other Animals & Fertility Decline, Ecosystems 02:01:58 Advancing Technologies, Fertility, Offspring & Adverse Effects 02:06:02 Tool: Consumer Guides, Personal & Household Products 02:09:39 Tool: Receipts; Thyroid System; Non-Stick Pans 02:15:18 Zero-Cost Support, YouTube, Spotify & Apple Follow & Reviews, Sponsors, YouTube Feedback, Protocols Book, Social Media, Neural Network Newsletter #HubermanLab #Science #Microplastics Disclaimer: https://www.hubermanlab.com/disclaimer