DavidPerlmutterMD · 2021-11-29 · David Perlmutter (host), Richard Johnson

Uric Acid - The Acid You May Need to Drop - with Dr. Johnson | The Empowering Neurologist EP. 138

48 claims checked against research: 3 needing context 31 supported 2 corroborated online 12 unverified

3

Needs context

0:46:16Richard Johnsonneeds contextlow

Hibernating bears and long-distance migrating birds become insulin resistant during fat storage.

"The hibernating bear and the long-distance migrating bird, they become insulin resistant as well." (said at 0:46:16)

Reversible metabolic adaptations in hibernators and long-distance migratory species are well-documented, but the timing in bears differs from the typical assumption: physiological studies in brown and grizzly bears demonstrate that they remain insulin sensitive during the hyperphagic fat-storage period (spring and autumn) and develop reversible, protective insulin resistance specifically during winter hibernation fasting to preserve glucose for the central nervous system. In migratory birds, extreme pre-migratory fat accumulation and naturally high circulating glucose levels occur without progressing to pathological insulin resistance or diabetes.

0:56:44Richard Johnsonneeds contextmoderate

As fruit ripens and becomes overripe, its sugar content increases while its vitamin C content decreases.

"they'll eat fruit, but they'll wait till it ripens. Even more, they like it when it's almost a little mushy. And what happens is, when that happens, the sugar content goes up and the vitamin C content goes down." (said at 0:56:44)

The statement requires qualification. As fruits ripen, complex carbohydrates and starches are typically converted into simple reducing sugars (such as glucose and fructose) and total soluble solids increase, confirming the rise in sugar content. However, the trajectory of vitamin C (ascorbic acid) varies significantly depending on the fruit species and ripening phase: during standard maturation and ripening, vitamin C often increases alongside sugars (such as in tomatoes, bell peppers, and papayas), while in the late senescence or overripe ('mushy') stages, oxidative degradation can lead to a net decline in ascorbic acid in several fruits.

1:10:39Richard Johnsonneeds contextlow

A study conducted in Japan on lean, healthy individuals without diabetes, hypertension, or elevated triglycerides found that high uric acid alone increased the risk for developing obesity, diabetes, hypertension, and chronic kidney disease over the following years.

"we did do this one study where we took people—this was a study in Japan, but we took all these people who were lean, did not have diabetes, did not have high blood pressure, did not have high triglycerides. Basically, they were healthy, and the only thing they had was a high uric acid. And that group, you know, we didn't have to worry about confounding factors. None of them were overweight. And that group showed that they had an increased risk for developing obesity, diabetes, high blood pressure, chronic kidney disease in the next few years compared to people who did not have a high uric acid." (said at 1:10:39)

A 5-year longitudinal cohort study conducted in Tokyo, Japan (Kuwabara et al., 2017) examined 5,899 healthy adults who were lean (not overweight/obese) and free of hypertension, diabetes, dyslipidemia, and chronic kidney disease (CKD) at baseline. Over 5 years, isolated asymptomatic hyperuricemia was associated with a statistically significant increased risk of developing overweight/obesity (8.9% vs. 3.0%), hypertension (14.9% vs. 6.1%), dyslipidemia (23.1% vs. 15.5%), and CKD (19.0% vs. 10.7%). The incidence of diabetes was also higher in the hyperuricemic group (1.7% vs. 0.9%), but this difference was a trend that did not reach statistical significance (P = 0.087).

Unverified means no publication matching the claim was located; it does not prove the claim false. Spotted an error? See the corrections policy - disputes from the people quoted are prioritized.