Live Long and Well with Dr. Bobby

#29: Total Body Detox-Sadly, Where Hype Outpaces Science


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Episode Summary:
Detox programs promise to rid your body of toxins, boost your energy, and restore balance—but is there any credible science behind them? In this episode, we break down the claims, explore the evidence (or lack thereof), and discuss why detox diets and supplements may be more about profit than actual health benefits.

Key Topics Covered:

🔹 The Detox Hype & Marketing Pitch

  • Detox cleanses claim to remove toxins like heavy metals, pesticides, and plastics.
  • Programs promise benefits like increased energy, improved digestion, and reduced inflammation.
  • Many naturopathic practitioners promote detox therapies, despite limited scientific backing (study on detox therapies).

🔹 How Detoxes Are Supposed to Work

  • Short-term fasting, juice cleanses, or restrictive diets.
  • Addition of "cleansing" foods like coriander and supplements.
  • Methods like saunas, enemas, diuretics, and laxatives to "flush out" toxins.

🔹 Does Detoxing Actually Work?

  • Your kidneys and liver already detox your body—detox programs claim to enhance this process but lack scientific proof.
  • Studies on coriander and citric acid showed toxin reduction—in mice and fish (study on toxin reduction).
  • A systematic review found no reliable human trials showing benefits (NIH detox overview).
  • A randomized control trial of detox supplements (papaya, peppermint, ginger) showed no difference in GI symptoms or health markers (RCT on detox supplements).

🔹 Can You Sweat Out Toxins?

  • A systematic review of 24 studies found metals in sweat—but in minuscule amounts (sweating and detox study).
  • Most toxins are removed via the liver and kidneys, not sweat.

🔹 Why Do People Feel Better After a Detox?

  • Placebo effect: Expecting to feel better often leads to feeling better.
  • Water weight loss: Temporary weight loss can create a sense of improvement.
  • Psychological agency: Taking action makes people feel empowered.

🔹 Is Detoxing Safe?

  • Short-term detoxing may be harmless, but long-term detoxes can cause nutrient deficiencies, electrolyte imbalances, and risks for diabetics or kidney patients.
  • The supplement industry is unregulated, making detox products a potential safety concern.

🔹 What Should You Do Instead?

  • No strong evidence supports detox cleanses, but if you’re determined to try one, consider an N of 1 trial (self-experimentation). Discuss with your doctor first.
  • Measure baseline health markers before and after, and consult your doctor.
  • For guidance, check out Episode 27 on how to conduct an N of 1 trial.

Takeaways:

Your liver and kidneys already detox your body—no supplement or cleanse is necessary.
If detoxing makes you feel better, it’s likely due to a placebo effect, temporary water loss, or increased self-awareness of diet.


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Live Long and Well with Dr. BobbyBy Dr. Bobby Dubois

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