DavidPerlmutterMD · 2025-02-24 · David Perlmutter (host), Jeff Krasno

Yes, Stress Can Be Good: The Health Benefits of Doing Hard Things | Jeff Krasno

30 research-tied claims examined: 1 contradicted 2 overstated 5 context 19 supported 2 corroborated online 1 unverified

5

Needs context

0:48:27David Perlmutter (host)needs contextlow

Studies demonstrate that frequent sauna use significantly reduces the risk of both cardiovascular disease and cognitive decline.

"much of the work did start with the Swedish research demonstrating pretty significant reduction in risk of both cognitive decline as well as cardiovascular disease in individuals who use the sauna quite frequently living in a cold environment." (said at 0:48:27)

Prospective cohort data demonstrate strong inverse associations between frequent sauna bathing and the risk of both cardiovascular mortality and neurocognitive disorders. In the landmark Kuopio Ischaemic Heart Disease (KIHD) study of middle-aged Finnish men (often misattributed as Swedish), bathing 4–7 times per week was associated with a 66% lower risk of dementia (HR 0.34, 95% CI 0.16–0.71) and a 63% lower risk of sudden cardiac death (HR 0.37, 95% CI 0.18–0.75) compared with 1 session per week. However, these data are observational cohort findings establishing statistical associations rather than randomized trials demonstrating causality, and they originate primarily from Finnish rather than Swedish populations.

0:53:37David Perlmutter (host)needs contexthigh

Skeletal muscle acts as an endocrine organ that produces and secretes myokines and signaling molecules, including irisin, cathepsin D, BDNF, and interleukin-6.

"there's a move to begin to consider muscles as an endocrine gland in that, you know, here they are creating these chemicals that uh go elsewhere in the body and do good things. You mentioned BDNF earlier, uh others like irisin, cathepsin D, even lactate, even acting as a neurotransmitter, nurturing mitochondria, uh and um, you know, certainly interleukin-6" (said at 0:53:37)

Skeletal muscle is widely recognized as an endocrine organ that synthesizes and secretes hundreds of signaling peptides, termed myokines, into circulation to communicate with other tissues such as the brain, liver, and adipose tissue. Interleukin-6 (IL-6), irisin, and brain-derived neurotrophic factor (BDNF) are thoroughly documented contraction-induced myokines. However, regarding cathepsin, the literature establishes cathepsin B (CTSB)—rather than cathepsin D—as the key exercise-induced myokine that crosses or communicates across the muscle-brain axis to influence neurogenesis and cognitive function.

1:05:35David Perlmutter (host)needs contexthigh

In the progression of insulin resistance, the pancreas produces increasingly high levels of insulin to compensate, and blood sugar only rises once the insulin stops working effectively.

"as we go down the path of insulin resistance, our pancreas works overtime, creates higher and higher levels of insulin, and ultimately, it's not a question of having not enough insulin, it's just not working anymore. And that's when the the blood sugar then goes up" (said at 1:05:35)

The speaker accurately describes the initial compensatory phase of insulin resistance, where the pancreas hypersecretes insulin to maintain normoglycemia despite reduced peripheral insulin sensitivity. However, the assertion that blood sugar rises purely because insulin 'is not working anymore' rather than from 'not enough insulin' misstates the pathophysiology. As established in extensive metabolic literature, blood glucose levels rise and overt type 2 diabetes manifests specifically when pancreatic beta-cells fail to produce enough insulin to meet the increased demand—representing a state of relative insulin deficiency combined with insulin resistance.

1:08:56Jeff Krasnoneeds contexthigh

Blue light around 480 nanometers stimulates intrinsically photosensitive retinal ganglion cells, which signal the suprachiasmatic nucleus and the pineal gland to release melatonin roughly 12 to 14 hours later.

"especially when the light is within that very um blue light range of around 480 nanometers, which is kind of just a little sliver of the electromagnetic wave spectrum. And, you know, we can receive that light from the superior field, kind of up here into the inferior part uh of our retina. There's these specialized neurons there called I think intrinsically photosensitive retinal ganglion cells, and they send a signal kind of down to the suprachiasmatic nucleus, which is sort of this timekeeper of the body, sends another signal to the pineal gland, which produces melatonin right around 12 or 14 hours later" (said at 1:08:56)

The core physiological pathways described are accurate, but the mechanics of melatonin release require clarification. Blue light around 480 nm activates intrinsically photosensitive retinal ganglion cells (ipRGCs), which express melanopsin (peak sensitivity ~481–483 nm) and project to the suprachiasmatic nucleus (SCN). The SCN controls the pineal gland, which synthesizes melatonin. However, light exposure does not send a signal that directly triggers melatonin release 12 to 14 hours later. Rather, acute light suppresses melatonin synthesis, while morning light entrains the SCN master circadian clock, setting the phase so that melatonin is produced and released at night in darkness, typically about 12 to 14 hours after morning wakefulness and light exposure.

1:16:04Jeff Krasnoneeds contexthigh

In the early 1900s, raw milk was a vector for transmitting tuberculosis.

"in kind of earlier times, in the early 1900s, that raw milk can actually, um, transmit tuberculosis in very, very rare cases" (said at 1:16:04)

Historical and epidemiological evidence confirms that unpasteurized (raw) milk from infected cattle was a major vector for transmitting zoonotic tuberculosis (Mycobacterium bovis) to humans in the early 1900s. However, describing this transmission as occurring in 'very, very rare cases' understates its historical public health impact. In the late 19th and early 20th centuries, consumption of raw milk contaminated with M. bovis caused substantial morbidity and a significant number of deaths, particularly from extrapulmonary tuberculosis in young children, until bovine tuberculin testing and widespread milk pasteurization effectively mitigated the risk.

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.