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- [Dorian] I can't be the only one
who sometimes dreams what it would be like
to live in a different time period
until I remember the healthcare.
(classical music)
(coughing)
Definitely the common cold.
Don't worry, three leeches for 30 minutes
will fix you right up.
(snarling)
Well some things have definitely changed since then.
I think sometimes people over blow
how backwards traditional medicine was.
Joke about how medieval doctors used leeches
to cure injuries all you want,
but explain why modern-day doctors
are now beginning to use them too as studies demonstrate
leeches are able to stimulation circulation
and draw out contaminated blood.
I think part of the problem lays in the fact
that leeches don't come in that little orange drug bottle,
which in today's world means one thing, results.
While leeches actually have medical backing,
that orange bottle is so powerful
that when given blank sugar pills
and told it was a pharmaceutical drug,
patients still reported feeling
like there were reductions in their symptoms.
A drug is simply a chemical substance of known structure
which has been proven to treat a disease.
All that's special about it is that it has been standardized
and researched conclusively.
But here's the thing, many of these chemical structures
are actually inspire by chemicals found in nature.
Don't believe me?
For thousands of years willow bark was gathered
and used as a pain reliever.
We now know
that it contains the chemical substance salicylic acid.
We know this because centuries later
salicylic acid from willow bark was being extracted and sold
as acetylsalicylic acid,
better known by its brand name aspirin,
now one of the most popular drugs in the world.
While the idea of drinking some willow bark tea
for your achy joints might seem like nonsense,
I doubt you'd think twice
about the efficacy of aspirin, why?
Because thousands of research studies and testimonials
speak to the fact that it works.
This is what is key to remember when we discuss ashwagandha.
For thousands of years ashwagandha root
was one of the staples of traditional Indian medicine
and what I want you to remember
is just because it doesn't come in that orange bottle
doesn't mean that the chemical compounds within it
are any less effective.
In this video we are going to take a scientific approach
looking at the substances within the root,
the research-backed benefits of consuming them,
and how this simple root has helped so many people.
The name itself comes from the translation smell of horse,
which is attributed to the root itself
smelling a bit like a horse and the idea that the root
is supposed to give you the strength and virility
of a wild horse.
More on that later.
In traditional Indian medicine
it is classified as rasayana,
meaning it is believed to lead to a long life.
Similarly, in more modern times,
medicine tends to classify it as an adaptogen.
Adaptogens are compounds which all the body to deal
with the physical and chemical effects of stress.
It's no surprise then
that one of its most celebrated benefits
is an apparent reduction in feelings of anxiety
and a boost in mood.
As people began to understand the importance of hormones,
claims began to surface
that ashwagandha possesses the direct ability
to reduce the stress hormone cortisol.
Ayurvedic medicine also classifies it as bhalaya,
signifying a belief it increases strength and as vajikara,
which means something works as an aphrodisiac.
In a similar vein, the strength and bodybuilding communities
often float claims that it directly increases testosterone,
which could potentially lead
to greater strength and fitness.
There are also claims surrounding a benefit
to male fertility.
Today, we're gonna look at all of these common claims
and check what the published research says.
Beyond that though, let's go a little bit deeper
and understand what the key chemical structures are
within the root, which endow ashwagandha
with its medicinal properties.
So your first question may be,
how could a root even have medicinal properties?
Isn't is just made up of root molecules?
Well, as it turns out
plants are just a little more complicated than that.
See inside plants are an array of special compounds
known as phytochemicals.
Because plants can't move around to meet their needs,
these secondary metabolites exist to perform specific tasks.
Some act as an immune system,
responding to and attacking disease molecules
if their soil becomes contaminated.
Some are designed to deter insects from eating them
as the plant can't exactly run away.
And certain phytochemicals
simply help the plant grow fast and strong.
In any given plant species, there are between 200,000
and a million unique chemical compounds.
When you have an organism
with so many potential phytochemicals,
every so often these molecules can overlap with ones
which activate pathways in our own bodies.
In this way,
they can have a very meaningful effect on our bodies
when consumed, just as the chemicals in willow bark
can trigger receptors and pathways
which dull the sensation of pain.
What makes ashwagandha special is that it contains
an unusually high number of phytochemicals
which positively influence systems in our own bodies.
Worth special attention
is a family of approximately 40 phytochemicals
which ashwagandha contains.
They're a class of steroidal lactones known as withanolides.
Don't let the word steroid confuse you though.
In our bodies
there are a bunch of naturally-occurring steroid hormones,
which do everything from suppressing inflammation
to helping us heal from injury and build muscle.
One of the most common claims regarding ashwagandha
is that it helps to reduce
levels of the stress steroid hormone cortisol
as well as the resultant feelings of anxiety and depression
resulting in an overall improved feeling of well-being
and a new positivity towards life.
I saw a YouTube comment the other day
which backed this up saying,
"I always feel anxious and stress for no reason at all
"and ashwagandha takes me off the fight-or-flight mode.
"I don't behave like a squirrel.
"I'm more chill and much happier."
But this of course is just anecdotal.
I'm sure many of you are wondering like I was
whether these results are real
or just that placebo effect, which we talked about earlier.
In 2008 a clinical trial was conducted
to address exactly this question.
They found 98 chronically stressed out
but otherwise healthy participants
and had participants complete a survey
to measure the degree of their stress.
The survey was based on a Bengali version
of a modified Hamilton Anxiety Scale for stress
and had participants rate symptoms of anxiety
on a five-point scale.
Zero meaning they never experienced that symptom
and four meaning they feel that symptom to a severe degree.
They divided the participants into four groups.
The placebo group, which would consume a pill
without ashwagandha in it, one group which would consume
one daily dose of 125 milligrams of ashwagandha root powder,
one group would consume 250 milligrams each day,
and the last group would take 500 milligrams
of the root powder each day.
The researchers were smart
to use a standardized ashwagandha extract.
This ensured that the root powder was tested
and verified to contain enough of the key withanolides,
removing some of the guesswork.
That's actually why I also personally choose
to take a standardized extract.
I put a link in the description to the one I take myself
but any standardized extract should work similarly well.
This way they could see if ashwagandha
would truly have the desired effect on the participants.
After 30 and 60 days,
they re-administered the questionnaire
to see if any of the symptoms had reduced.
What they found was pretty amazing.
In the lowest dose group by day 30 their average total score
dropped by 39.5% and by day 60 it had dropped 62.2%
compared to the placebo group,
which saw no significant change at all.
The groups taking larger doses of ashwagandha
saw even greater decreases in their scores
in a dose-dependent manner, leading to the conclusion
that not only is ashwagandha effective
but 500+ milligrams seems to be the optimal amount
for maximum benefits.
Reductions like this make it sound like ashwagandha
is almost too good to be true, begging the question
how are the chemicals in the root
able to have such profound effects?
While the research is far from complete,
there are some very promising theories
backed by some additional findings in the previous studies
which I haven't mentioned yet.
You see, while the questionnaires
provided evidence of an effect,
the researchers also measured biological changes.
At the start of the study
they took baseline levels of several hormones
including cortisol, DHEAS, and C-reactive protein
to name a few.
What happened after the 60 days to these levels
provides a strong clue
as to how ashwagandha is exerting its powerful effects.
To fully understand though,
we need a quick bio lesson on free radicals
and their impact on your health, brain, and mood.
Bear with me here, as understanding this is key
to helping everything else make sense.
If you don't really care about the mechanisms
behind ashwagandha reducing anxiety and depression
you can skip ahead to learn about the rest of the benefits.
In past videos, we've talked about how our bodies
turn the nutrients in the food we eat
into energy our cells can use.
This usable energy is a specific chemical called ATP.
ATP molecules are comprised of adenosine and a chain
of three phosphate molecules.
Think of ATP molecules as our body's energy units.
Our cells create ATP within themselves
by combining oxygen with other precursor chemicals.
ATP is great because once it is time to use this energy
the third phosphate on the chain of the ATP molecule
can be released,
resulting in a burst of energy being given off.
(pop)
This energy powers our cells
and by extension our entire body.
One of the main processes of creating these energy units
is called the electron transport chain,
which involves a complex series of chemical reactions
which create ATP as well as various byproducts.
One of the byproducts of the system are excess electrons,
hence the name.
Now, usually this isn't a problem.
Through a series of oxidation reduction reactions,
the electrons can be brought to an oxygen molecule
which is then combined with hydrogen
to produce simple, harmless water.
However, in anywhere from .1% to 2% of electrons
passing through the chain there is a glitch
where oxygen is instead prematurely
and incompletely reduced,
creating the superoxide radical
which is definitely not harmless.
superoxide is a type of free radical.
Think of these free radicals like the chemical emissions
car engines give off when they misfire
as they become older and less efficient.
Only unlike the accidental chemicals
that come out of your car exhaust,
which can damage the world outside your body,
these free radicals can damage the systems inside your body.
Free radicals can begin causing havoc,
binding with chemicals they aren't meant to,
reacting with harmless chemicals
turning them into toxic ones, even causing DNA damage
which can lead to cell death.
This is why people will warn you
about the dangers of free radicals.
They are hurting your body at a molecular level.
What's worse is because they originate in the mitochondria,
that's often the place they damage the most.
If this energy center is damaged
it can become less efficient in creating ATP,
leading to the creation of even more free radicals.
While energy generation is the most abundant source,
environmental factors
can also lead to the generation of free radicals.
One of the biggest of these sources
is ultraviolet rays from the sun,
which when they impact your skin can knock into molecules,
breaking the electrons free
which then causes the cell and DNA damage,
which we've come to expect from too much sun exposure.
Seeing as how this can be a problem,
our bodies have a complex antioxidant defense system
which is usually able to clear away these free radicals.
Enzymes, such as superoxide dismutase, catalase,
and glutathione peroxidase all exist
to neutralize free radicals.
In addition, there are non-enzymatic defenses;
vitamin C, vitamin E, zinc, and copper to name a few.
However, sometimes, whether it's due to your diet,
lifestyle, or simply genetics
these defenses can get worn down
leading to an overabundance of free radicals.
This is both a major problem
but also a major opportunity for ashwagandha.
Once I get to it, this will all make sense.
See, not only do free radicals destroy DNA
and cause cell death,
but they also trigger immune and stress responses,
both of which lead to the key which ties this all together,
the inflammatory response,
one of the oldest protective mechanisms in our body.
In fact, elements of it existed
even before the development of our nervous system.
Our stress response and immune response
evolved from this primitive inflammatory response.
This is why pathways,
which activate during stress and immune responses,
will trigger inflammation.
If you've ever had an allergic reaction
which led to swelling
that's an example of the immune system
mistaking something harmless for a dangerous pathogen
and when the immune system triggers
it also lights up the inflammatory response.
Here is where it gets crazy though.
If you're antioxidant defense systems are worn down,
levels of free radicals can easily get out of hand.
These free radical levels trigger the immune response
because high levels of free radicals
often indicate cell damage.
The immune system thinks there's a pathogen
damaging your body and what comes with the immune response,
the inflammatory response.
Just like how an allergic reaction can cause swelling
on the outside of your body,
these free radical triggered immune responses
can cause low levels of inflammation within your body.
The brain is especially susceptible to this inflammation
because it has one of the highest
mass-specific oxygen consumption rates in the body.
So even the smallest imbalance
in antioxidant defense mechanisms
can be damaging to brain cells.
Brain regions in the limbic system, both play a large role
in controlling symptoms of depression and anxiety
and also seem to be strongly impacted
by the damaging effects of free radicals.
More and more researchers
are beginning to make the connection
that continual low-grade systemic inflammation in the brain,
termed neuro-inflammation, is deeply involved
in the pathophysiologiy
of feelings of depression and anxiety.
One piece of evidence for this link
is in levels of C-reactive protein.
C-reactive protein is produced
during an inflammatory response.
Doctors actually use elevated levels of C-reactive protein
as an indicator of an inflammatory condition.
An analysis published by JAMA Psychology found
increasing CRP levels were also associated
with increasing risk
for psychological distress and depression.
Let's now look back at the last clinical trial
on ashwagandha which saw subjects report major improvement
in feelings of anxiety and depression.
After 60 days consuming ashwagandha
there C-reactive protein levels were down
by about a third across the different dosage groups.
Meaning the consumption of ashwagandha
reduces neuro-inflammation
which is increasingly being recognized
as causative in feelings of depression and anxiety.
The role neuro-inflammation plays in these conditions
and the evidence
that ashwagandha is able to reduce neuro-inflammation
provides a solid explanation
of how it is able to have such a positive impact
on the subjects.
Science is still figuring out
exactly how ashwagandha is able to do this
but a study on rat brains has demonstrated
the consumption of ashwagandha is able to boost
the body's natural antioxidant defenses
showing increases in levels of glutathione peroxidase,
superoxide dismutase, and catalase.
Through reducing neuro-inflammation
and thereby baseline levels of immune and stress hormones,
it would make sense
that the brain would also be less sensitive
to stressful events through day-to-day life.
As I said, stress and inflammation are closely linked,
so much so
that some of the same neuropeptides control both.
An example of which is the nuclear factor KB pathway
which when activated leads to both inflammation
and the release of various stress hormones
through activation of the HPA axis.
Ashwagandha has been shown in studies
to be able to disrupt this NF KB pathway.
This explains why the clinical trial
which saw reductions in C-reactive protein
also logged reductions
in the levels of the stress hormone cortisol.
So it seems that claims regarding ashwagandha
reducing feelings of anxiety, depression, and stress
are confirmed.
Unsurprisingly, through these positive effects on stress
ashwagandha can decrease
many of the secondary symptoms of stress.
Studies have shown decreases in blood pressure
and heart rate
as well as increases in social functioning and motivation.
Since oxidative stress is also a component of aging
and many degenerative diseases
like arthritis and Parkinson's,
the traditional beliefs about improving life expectancy
could have some actual merit.
While it's beyond the scope of this video,
I should also mention there has even been study
into the cancer-fighting abilities
of some of the active chemicals in ashwagandha.
Studies in live mice have shown growth inhibition
in various types of tumors,
leading more research to be conducted on this topic.
Now there's one major category
which we haven't touched on yet.
These would be the claims regarding boosts in testosterone,
muscle size, strength, and male fertility.
While luckily for us,
there was also research on these topics.
In 2015 a study was published in the Journal
of the International Society of Sports Nutrition
to take on the longstanding claims
of ashwagandha boosting strength.
The idea was to take 57 young men
with little training experience
and divide them into two groups.
Subjects in the treatment group consumed 300 milligrams
of ashwagandha root extract twice daily
while the control group consumed starch placebos.
They all tested their one-rep max strength
on the bench press and leg extension
then performed the same resistance training program
for eight weeks.
At the end of the eight weeks
they tested for changes in one-rep max strength
as well as measured for muscle size
and testosterone level changes.
Now, if you've watched my channel for a little bit,
you know I'm always skeptical of the ability of a herb
to significantly affect muscular development,
which is why I was surprised with the results.
Compared to the placebo group,
the group consuming the ashwagandha
gained significantly more strength
while the placebo group packed on
an average of 26.4 kilograms onto their bench press
over the two months.
The group consuming ashwagandha
added an average of 46 kilograms.
A similar difference was also seen on the leg extension.
Additionally, the ashwagandha group
also gained a bit more muscle size
than the placebo group did.
Now it's well known that new lifters
will usually make the fastest gains in strength.
So I'd be curious to see how a similar study
on trained individuals would turn out.
But regardless, these numbers really caught my interest.
The authors of the study
put forth several explanations for the results.
I'll quickly touch on a couple.
See the ability to hit a one-rep max lift
can be broken into three components;
the size of the muscles doing the lift,
their ability to produce energy,
and the central nervous system's ability
to recruit the muscles and coordinate them
to generate the required force.
While we already saw that ashwagandha consumption
can help with brain function
through reductions in inflammation,
it is reasonable to hypothesize
that this might have a carryover benefit
to the rest of the CNS as well.
Also, from an energy production standpoint
we know that the antioxidant properties of the herb
can have beneficial effects
on mitochondrial energy levels and functioning
but the most interesting element by far is muscle size.
Based on the measurements the researchers took,
we already know that the group consuming ashwagandha
did see slightly more muscle growth.
So for certain, this factor is playing some role.
There are two possible explanations for this.
One is that the boost in testosterone levels
led to greater muscle growth.
After all, it's well proven
that super-physiological levels of testosterone
lead to increases in muscle size.
My issue with that explanation though
is that while the increase was statistically significant
and impressive for a herb,
testosterone levels still remained within natural levels.
While the placebo group's serum testosterone levels
increased to about 695 nanograms per deciliter,
the treatment group's average level was 725.
In my opinion, that isn't enough alone
to explain such a large discrepancy in gains.
So what is mediating the ability of ashwagandha
to promote muscle growth?
I think the answer lies in the benefits
we've previous covered.
For one, the ability of ashwagandha
to lower cortisol levels.
We saw that cortisol levels fell significantly
in the subjects consuming ashwagandha.
Cortisol is known to be causative in muscle breakdown.
Also, a recently conducted population-based study found
that higher levels of IL-6 and CRP
increased the risk of muscle strength loss.
Ashwagandha, as you may remember, both lowers CRP
and suppresses the NF KB pathway,
which is what produces IL-6.
You can see how one study put it here.
This means while ashwagandha is promoting growth pathways,
it's also reducing the activation of pathways
which break down muscle.
In terms of fertility benefits, studies on infertile men
have found improvements in sperm health and quality.
This coincides with both reductions
in markers of oxidative stress in testicles
and improvements in reproductive hormone levels.
So now I hope you have a better idea
of how ashwagandha really works.
I had to read through countless papers
to get to this understanding, but now you won't have to.
One thing I should mention,
if you're interested in picking some up
make sure you buy from a reputable brand.
Some brands will dilute the root powder
with material from other parts of the plant,
which haven't been shown to produce the same result.
Some brands are doing it right though.
They select strains of the plant
to breed with potency in mind.
They also test and standardize all of their extract
to ensure it contains the active withanolides.
I personally always go with these
since it gives me a better idea of what I'm getting.
While there are few on the market,
the most common one you'll see is called KSM-66.
Developed by a lab in India,
I like that it's certified as USDA Organic
and it's what's used
in the ashwagandha supplement I linked below,
the one I take.
Also, this channel just has 5,000 subscribers,
so if you wanna make sure you see my next video,
consider subscribing or you may never see me again.
Also, feel free to follow me on Instagram,
shoot me a DM, like all my pictures if you must insist,
it's up to you.
Also, as we get closer to 10,000 subscribers,
I hope you're all getting hyped for my next PR video.
You're gonna be downing some ashwagandha before that one.
Until next time, D Man signing off.