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Today we have an Ask Me Anything episode that focuses on artificial intelligence. For the past year, AI has dominated the headlines. Perhaps because there’s so much media and public interest, as well as paranoia, about AI, listeners have been flooding our mailbox with AI-related questions. So, today’s AMA is an exclusive focused on artificial intelligence. For our listeners who have been sending questions about ketamine; NASA’s Artemis mission to the Moon; or whether high meat consumption leads to dementia; fear not, because we will follow up today’s episode in a few weeks with a second round of AMA. Dr. Ken Ford will be answering today’s AI questions. He has been working in AI since the 1980s and is a Fellow of the Association for the Advancement of Artificial Intelligence. As a result, he is well-positioned to help us today to separate real advances in AI from hype, panic and science fiction. If you have questions for Ken and Dawn after listening to today’s episode, or any episode of STEM-Talk, email your questions to STEM-Talk producer Randy Hammer at rhammer.ihmc.org. Show notes: [00:03:15] Dawn opens our AMA episode on AI with a listener question for Ken on whether AI companies should be protected under section 230 of the U.S. Communications Decency Act. [00:08:03] Following up on the previous question, a listener asks if Ken foresees a day where laws and courts will designate AI as a judicial person, in the same way that corporations have rights under the legal doctrine of corporate personhood. [00:10:55] A listener asks Ken for his thoughts on a recent article published in the Atlantic titled “The Data-Center Panic is Overblown: Critics are Inflating the Costs.” [00:16:09] A listener asks Ken a question regarding episode 171 of STEM-Talk, in which Ken discussed a June 2024 report by Leopold Aschenbrenner which predicted rates of growth in both compute resources and power requirements for AI data centers. The listener asks how well these predictions have held up in the following year. [00:22:19] Another listener question about data centers asks Ken what his thoughts are on the notion of solving the electricity costs and cooling requirements for data centers by building them in orbit and powering them via solar energy. [00:30:07] Moving on to the applications of AI, Peter Attia recently wrote about a study out of Harvard that suggests that today’s large language models perform extremely well on medical licensing exams and often arrive at the correct diagnosis yet still struggle with differential diagnosis. The listener asks what this means about the use of AI in medicine. [00:36:53] A listener asks Ken about repeated public statements by Anthropic’s CEO that their AI models, and those expected in the future, are already powerful and dangerous enough to justify concern, while at the same time Anthropic and other leading AI companies are continuing to employ these systems and cautioning governments against regulation that could slow down innovation. The listener asks Ken how to resolve this contradiction. [00:45:18] A listener writes that in a previous AMA, STEM-Talk episode 184, Ken objected to the use of the word hallucination to describe errors made by large-language models and asks Ken to expound on this. [00:53:28] A listener asks Ken whether current AI models are evolving from being fundamentally prediction engines to being able to truly understand and reason, or if they are just becoming better and more convincing prediction engines. [00:59:37] A listener writes to Ken, mentioning that a few years ago, a thousand technology experts and researchers signed a letter urging AI labs and executives to pause the development of highly advanced AI systems and tools. This letter, drafted through the not-for-profit Future of Life Institute, warned that AI developers were locked in an out-of-control race to develop and deploy ever more powerful digital minds that no one, not even their creators, can understand, predict or reliably control. The listener also states that they learned recently that ChatGPT 5 was programmed using an earlier version of ChatGPT. If the concerns of tech leaders are to be taken seriously, the listener wonders if it is a good idea to have earlier versions of ChatGPT programing later versions of ChatGPT? [01:07:45] A listener asks Ken about the process of training smaller AI models from larger models, a process called distillation. The listener asks how this process works and if this is a way for the cost of training large models to benefit everyone. [01:14:56] A listener asks Ken what it means for China’s Open Weight GLM 5.2 to be reported to have achieved near parity with Anthropic’s Mythos. On several cyber security and vulnerability discovery benchmarks, it seems alarming that GLM 5.2 is operating at roughly 1/6th the cost and remaining openly available for download and deployment. [01:22:34] A listener writes that they recently heard a story about someone who asked an AI whether they should walk or drive to a car wash in order to get their car washed when the car wash was close by their starting location. The AI in this condition recommended that they walk instead of drive. The listener asks why the AI was unable to give the obviously correct answer to a simple common-sense question. [01:29:05] For our final question in this AMA, a listener writes that, recently, nearly 200 researchers and economists signed a statement warning that as AI becomes more powerful it could take over a large share of human work and lead to widespread joblessness. The listener wants to know if Ken would have signed the statement and what he thinks of the statement’s three points: One: AI may become radically more powerful over the next 10 years. Two: This could drive an unprecedented transformation of our economy larger than the industrial revolution and over a vastly shorter timeframe, with large scale job displacement. Three: Economists, policy makers, and tech leaders must act now in order to understand the economic impacts of transformative AI and to build the incentives guardrails and institutions need to steer AI in a direction that compliments humans and benefits society. Links: Learn more about IHMC STEM-Talk homepage Ken Ford bio Ken Ford Wikipedia page Dawn Kernagis bio

Today we have Dr. Scott Sherr, an internal medicine physician who specializes in Hyperbaric Oxygen Therapy. Scott is the director of Integrative Hyperbaric Medicine and Heath Optimization at Hyperbaric Medical Solutions. It is a division of Hyperbaric Medical Solutions, an independent, hyperbaric oxygen therapy provider that aims to educate people about the benefits of hyperbaric oxygen therapy via telemedicine consulting. He also is COO of Troscriptions, which provides physician-formulated products including popular methylene blue products. In today’s interview, Scott talks about how he uses Hyperbaric Oxygen Therapy (HBOT) to treat a number of health conditions. He also shares how he incorporates methylene blue into some of his treatment strategies and explains how HBOT is now being used as a complementary treatment for autoimmune diseases by helping reduce inflammation, improve blood flow and support immune function. Show notes: [00:03:29] Dawn tells Scott that she heard a story that Scott had his spine adjusted when he was just five minutes old. She asks Scott if he can share what happened. [00:04:15] Dawn mentions that Scott grew up in New York on Long Island and that as a child he spent a lot of time at his father’s chiropractic office. Dawn asks Scott about his father and his practice. [00:05:38] Ken notes that Scott was into sports as a kid and asks him to talk about his childhood and what he was like as a kid. [00:07:09] Dawn notes that after high school, Scott left New York for the West Coast, landing at UCLA. Dawn asks Scott to talk about what led him there. [00:08:00] Dawn explains that Scott initially started to major in biology but quickly changed majors. Scott explains why he changed majors. [00:08:41] Dawn asks Scott why he chose to attend the University of Maryland for medical school after graduating from UCLA. [00:09:26] Dawn asks Scott about the story of how he met his wife at the University of Maryland. [00:09:50] Dawn pivots back to Scott’s love of music, mentioning that Scott and three other medical school students at Maryland formed a band called The Airport Rocking Chairs. Scott describes how the band came together and how they performed at gigs around the Baltimore/D.C. area. [00:11:16] Ken asks Scott to talk about how his early ambition upon entering medical school was to find a way to bridge the gap between conventional and alternative/chiropractic medicine. [00:12:54] Ken explains that in Scott’s third year of medical school, he did rotations at the University Shock and Trauma Facility. Ken asks Scott to talk about why this was such an important experience for Scott. [00:14:32] Dawn explains that hyperbaric chambers are used to treat injuries like necrotizing fasciitis and severe wounds. Dawn asks Scott to talk about finding a hyperbaric chamber in the basement of the University Shock and Trauma Facility and how that led to his fascination with the potential for hyperbaric oxygen therapy. [00:15:51] Dawn asks Scott to talk about how his initial research on hyperbaric therapies led him to conclude that they were being vastly underutilized in conventional medicine. [00:16:31] Dawn mentions that people are likely familiar with hyperbaric oxygen therapy (HBOT) in terms of treating divers suffering from decompression sickness. She asks Scott to give a primer on the mechanisms by which HBOT affects the body and why it has potential to treat other conditions besides decompression sickness. [00:19:38] Ken asks Scott to talk more about other conditions, both acute and chronic, that HBOT might be helpful in treating. [00:22:51] Dawn asks about Scott’s experience as a hospitalist, which is an internal medicine physician who acts as a primary care physician in a hospital, and how this experience gave him a unique perspective on the strengths and limitations of modern medicine. [00:25:13] Ken asks Scott if it’s fair to say that his experience as a hospitalist was foundational in developing his understanding of patient care and healthspan. [00:26:51] Dawn explains that when Scott’s wife received a fellowship at Stanford University, Scott eventually left his career as a hospitalist to serve as the medical director for a hyperbaric medicine facility in the San Francisco Bay area. Dawn asks Scott to talk about how this experience deepened his understanding and expertise in hyperbaric oxygen therapy. [00:28:26] Ken asks Scott to talk about his relationship with Dominic D’Agostino, who was our recent guest on STEM-Talk episode 196, and who is very active in the field of hyperbaric oxygen therapy. [00:30:48] Dawn mentions that during Scott’s work as a hospitalist, he began to develop a more integrated approach to hyperbaric medicine, taking nutritional status, sleep patterns, mitochondrial function, and a number of other factors into consideration. Doing this work, Scott noticed that a number of patients would require weeks or months of preparation before beginning HBOT, contrary to the status quo of the time. Dawn asks Scott to talk about his insights and how this experience changed his views on medicine. [00:33:19] Dawn asks Scott to talk about the evolution of his work in developing an integrative hyperbaric medicine model and how he caught the attention of HBOT practitioners around the world. [00:35:21] Ken notes that interest in hyperbaric oxygen therapy has grown substantially in the last 20 years and goes on to mention that a particularly promising application of HBOT is as a complementary treatment for autoimmune diseases, being shown to reduce inflammation, improve blood flow and support immune function. Ken asks Scott to talk in depth about HBOT in the context of autoimmune disease treatment. [00:39:13] Following up on Scott’s mention of epigenetic changes following HBOT, Ken asks if this has been directly measured and if so, how long are these changes sustained. [00:41:14] Dawn asks Scott about the potential for HBOT to be used for athletes looking to speed up their recovery times from injuries. [00:43:19] Dawn asks Scott if there are certain populations who should avoid HBOT. [00:46:27] In order to optimize HBOT, Dawn explains that Scott works with people to tailor their treatment to their individual needs and asks Scott to walk listeners through how this process works in practice. [00:50:00] Ken notes that most HBOT studies describe dosages of HBOT in terms of oxygen concentration, oxygen pressure and number of sessions. He asks Scott how he defines a “dose” biologically and what metrics he uses to tell whether a patient has received enough treatment to induce durable change? [00:53:40] Ken asks Scott if his experience treating patients has informed him on different characteristics that can predict whether a patient will have a robust response to HBOT. [00:56:01] Dawn mentions that the benefits of HBOT are often explained in terms of either improved oxygen delivery or improved mitochondrial signaling and neuroplasticity. Dawn asks Scott what mechanisms are most important in the context of chronic neurological disease. [00:58:04] Dawn asks Scott for his thoughts on the hyperoxic-hypoxic paradox (HHP) as an explanation of HBOT-induced adaptation. [01:00:28] Ken asks Scott if he could only measure three variables before and after HBOT treatment, what would they be. [01:03:43] Ken goes on to asks Scott what he sees as the most important unanswered question in HBOT today. [01:06:22] Dawn mentions that in 2017 Scott met Dr. Ted Achacoso, who is the founder of Health Optimization Medicine. Dawn asks Scott to explain how Ted introduced him to a fundamentally different framework for understanding health. [01:10:08] Circling back to the topic of bridging the gap between conventional and alternative medicine, Dawn mentions that Scott has become part of a practice that isn’t afraid to tap into therapies that break from conventional medicine. As an example, Dawn explains that Scott sometimes integrates psychedelic therapy with HBOT. Dawn asks Scott to talk about the framework he uses, combining HBOT with psychedelic therapy. [01:13:56] Ken mentions that Scott also incorporates methylene blue into some of his treatment strategies, Ken directs listeners interested in learning more about how methylene blue can improve cognitive function and energy production to listen to STEM-Talk episode 191 with Francisco Gonzalez-Lima. Ken asks Scott to talk about his use of methylene blue in his practice. [01:20:15] Dawn asks Scott where people can go to learn more about him and his practice. [01:22:33] Ken asks Scott if he has any new projects looming on the horizon. [01:23:54] Dawn closes our interview with Scott by asking if he still plays guitar and if his old band The Airport Rocking Chairs have any plans for a reunion. Links: Scott Sherr bio Learn more about IHMC STEM-Talk homepage Ken Ford bio Ken Ford Wikipedia page Dawn Kernagis bio

Today we have Dr. Dominic D’Agostino, who over the past 10 years has been a frequent guest on STEM-Talk. Today Dom joins us to give us an update on his recent research into ketogenic metabolic therapies, ketone supplements as well as hyperbaric oxygen therapy for traumatic brain injuries. Dom and his lab at the University of South Florida have published more than 20 papers since his last appearance on STEM-Talk in 2023. Dom is an Associate Professor in the Department of Molecular Pharmacology and Physiology at South Florida’s Morsani College of Medicine. Dom has a background in neuroscience, molecular pharmacology, nutrition and physiology. In addition to developing and testing metabolic-based therapies, Dom’s lab also investigates seizure disorders, brain cancer, neurodegenerative diseases and rare genetic-metabolic disorders. Show notes: [00:03:28] Dawn welcomes Dom back to the show and explaining that he has been quite busy since his last appearance, authoring or co-authoring more than 20 papers. Over the past several years, Dom has been helping to advance the science and application of ketogenic metabolic therapy (KMT) with colleagues at Moffitt Cancer Center, particularly focusing on using KMT to enhance immune-based therapies for certain types of cancers. Dawn asks Dom about this collaboration. [00:05:04] Dawn explains that ketogenic metabolic therapy is a dietary approach that focuses on a high-fat/low-carb diet to reduce glucose availability for cancer cells, potentially slowing their growth and improving treatment outcomes. It has been explored as a complimentary treatment for a variety of cancers including gliomas by shifting the metabolism of tumor cells away from glucose. Dawn asks Dom to explain what is involved in KMT. [00:06:58] Dawn clarifies that KMT requires less than 20-25 grams of carbohydrates per day, and that ketosis is a metabolic state in which the body switches from glucose metabolism to metabolizing fats in the form of ketones. Dawn goes on to explain that cancer cells typically consume glucose at a higher rate than normal cells. However, cancer cells are also very adaptable, and Dawn asks Dom to talk about this feature of cancer cells. [00:09:14] Ken explains that KMT has shown the most promise in treating high-grade gliomas, or brain cancers, such as glioblastoma, which is the most aggressive primary brain tumor in adults. Ken explains that Dom was part of a massive review titled “Clinical research framework proposal for ketogenic metabolic therapy in glioblastoma,” which proposed guidelines for the management of glioblastoma based on an understanding of cancer as a metabolic disease, particularly involving mitochondria. Ken asks Dom to talk about this review. [00:11:21] From a patient advocacy perspective, Ken notes that the review recommends that there should be an aggressive education campaign that can arm patients with knowledge about KMT and other novel therapies. Ken asks Dom to talk about that recommendation. [00:13:15] Ken asks about the process of cutting the review from upwards of 200 pages down to around 50 pages with 49 authors. [00:15:04] Dawn mentions that Dom was part of another paper in 2024 titled “Targeting the mitochondrial stem cell connection in cancer treatment – a hybrid orthomolecular protocol.” Dawn explains that this paper looked at the mitochondrial stem cell connection theory (MSCC), which argues that cancer originates from chronic oxidative phosphorylation insufficiency in stem cells. This insufficiency leads to the formation of cancer stem cells and abnormal energy metabolism ultimately resulting in malignancy. There were 16 research centers and organizations involved in this paper which introduced a hybrid orthomolecular protocol to target the mitochondrial stem-cell connection. Dawn asks Dom to give an overview of MSCC. [00:18:26] Dawn explains that in this paper Dom and his co-authors propose a protocol that would enhance oxidative phosphorylation and inhibit the primary fuels of cancer, glucose and glutamine. This would target both cancer stem cells and metastasis. Dawn asks Dom to explain why this concept is attracting so much interest as a potential therapeutic approach for cancer. [00:20:48] Dawn asks if Dom could discuss the orthomolecular protocol, which is an approach that focuses on preventing and treating diseases by correcting nutritional balances in the body. [00:24:41] Ken asks if the proposed dietary intervention in the orthomolecular approach is different from a standard or typical ketogenic diet. [00:26:48] Ken shifts the discussion to talk about ketone supplements, explaining that Dom recently published a paper titled “Divergent hepatic outcomes of chronic ketone supplementation.” Ken goes on to explain that ketone salts preserve liver health, while some ketone esters and precursors appear to drive inflammation and steatosis. There is a lot of interest in ketone supplementation because they substantially elevate circulating ketones without having to restrict carbohydrates as strictly. The problem, as Ken explains, is that the long-term hepatic safety of ketone supplements remains unclear. In the aforementioned paper, Dom’s rodent study evaluated the formulation-dependent impact of chronic ketone supplementation on liver histopathology, inflammatory signaling and systemic biomarkers. Ken asks Dom to discuss this paper and its findings and to give an overview of the various ketone supplements currently available. [00:30:49] Dawn asks Dom to dive into the methods and findings of the rodent study. [00:34:36] Ken asks Dom what his confidence is in the rodent model used in this study, and what are the next step for further research. [00:37:47] Regarding the two different doses given to rats in the study, Ken asks Dom how these doses correlate to doses in humans [00:40:23] Ken mentions that Ben Bikman, who was our guest on episode 143, published a study in February which Dom helped co-author. It examined the effects of ketone supplements on liver function. Ken asks Dom to discuss this study. [00:44:38] Dawn pivots to ask about a joint paper that Dom did with Andrew Koutnik, who was our guest on episode 185, on carbohydrates and physical performance titled “Carbohydrate ingestion on exercise metabolism and physical performance.” Dawn asks Dom to talk about this paper, which showed that a small amount of carbohydrates is sufficient to fuel athletic performance, and how additional carbohydrate intake showed diminishing returns. [00:49:18] Ken follows up on the finding that endurance athletes who rely on carb loading can tend toward pre-diabetes. [00:51:39] Ken asks Dom about the University of South Florida trial that Dom is an advisor for on traumatic brain injury and hyperbaric oxygen therapy. [00:54:41] Dawn mentions that Dom recently had an editorial in Frontiers that gave an overview of the emerging applications of hyperbaric/hyperbaric-oxygen therapy in the treatment of different neurological disorders. Dawn asks Dom what the key points in that editorial were. [00:59:06] Dawn explains that Dom recently gave a lecture at IHMC (available to view on IHMC’s YouTube page), on traumatic brain injury and the populations at greatest risk in that context. Dawn asks Dom to give an overview of how an injury to the brain can result in neurometabolic crisis. [01:02:53] Ken asks Dom, excluding occupation demographics, what demographic is most at risk for traumatic brain injury (TBI) and why. [01:04:45] Ken mentions that it is understandable the risk that young people face with TBI due to the activities that young people engage in. Older people, however, have increased risk of TBI from falling as well as an additional age-related biological component that young people are not subject to. Ken asks Dom to elaborate on this. [01:07:12] Dawn mentions that several years ago, Dom and his wife bought some acreage in the countryside and started farming and asks Dom how the farm life is going. [01:07:57] Dawn closes the interview asking how Dom’s wife is doing.

Neuroscientist and frequent STEM-Talk guest Dr. Tommy Wood rejoins us today for part two of our interview about Tommy’s book that is fresh off the press and now available in bookstores and Amazon, “The Stimulated Mind: Future-Proof Your Brain from Dementia and Stay Sharp at Any Age.” Tommy is an Associate Professor of Pediatrics and Neuroscience at the University of Washington, where his laboratory focuses on brain health across human lifespan. Tommy is a colleague and good friend who also is a Visiting Research Scientist here at IHMC. In part one of our interview with Tommy, episode 193, we discussed his mission to dispel the myth that the brain is doomed to decline with age. Tommy gave us a fascinating history of neuroscience and how researchers go about studying the brain. Tommy also talked about what is holding us back in terms of addressing an ever-increasing burden of cognitive and mental health disorders that we are experiencing not only here in the U.S., but also around the world. Today, Tommy shares science-backed strategies to help people future-proof their brains. We talk about the importance of diet and exercise in terms of brain health as well as the importance of stimulating and challenging our brains throughout our lifespans. Tommy has a bachelor’s degree in biochemistry from the University of Cambridge, a medical degree from the University of Oxford, and a Ph.D. in Physiology and Neuroscience from the University of Oslo. Show notes: [00:03:55 Dawn welcomes Tommy back for part two of his interview by asking him about his recent trip to the UK. [00:04:32] Dawn recaps where we left off with Tommy in part one of our interview, explaining that when we last spoke with Tommy about his book, The Stimulated Mind, we focused on dispelling myths about the adult brain, in particular the idea that the adult brain is fixed. [00:05:22] Ken asks Tommy about advice his father offered when Tommy got accepted into the University of Cambridge. [00:08:03] As a follow-up, Dawn asks if it’s fair to say that when Tommy first started working with patients, what he learned in textbooks and classrooms didn’t necessarily translate perfectly into the real world and that there is no one-size-fits-all fix. [00:11:54] Ken asks Tommy to expand on what he wrote in his book about the fact that while science can give us a framework for understanding the world, we are always only one experiment or one well-phrased question away from having to completely rethink everything. [00:16:44] Dawn launches into talking about what people can do to future-proof their brain, starting with diet. In the Nourish chapter of his book, Tommy seeks to help people see food as an opportunity for nourishment rather than a source of stress since there are so many conflicting messages about diet and healthy foods out there. Dawn asks Tommy if his opinion is that there is no one-size-fits-all diet? [00:22:21] Dawn explains that what we eat has a direct effect on our long-term health and dementia risk, and within the literature a common theme that emerges regarding eating for brain health is maximizing nutrients. Dawn asks Tommy to talk about what this looks like. [00:24:49] Dawn points out that people today are inundated with advice from health influencers in all directions. She asks Tommy to talk about his advice to tune out the noise and instead of chasing whatever supplement or super food that is currently in vogue, simply to focus on filling your diet with whole, nutrient dense foods. [00:29:43] Ken explains that nutrients are sometimes hard to get in the diet, with somewhere between 15 and 25 percent of people in the U.S. and Europe having inadequate intakes of most B vitamins and even higher deficits in iron, magnesium, calcium, and vitamins C and E, with nutrient deficiencies differing by sex. Women on average are lower in B12, iron, iodine, and calcium, while men are typically lower in magnesium, zinc, and various B vitamins. Ken asks Tommy to give an overview of what these nutrients do in the brain that makes them so critical to cognitive function. [00:35:51] Ken follows up on this discussion by moving on to the section in Tommy’s book titled “To Supplement or Not to Supplement” where he discusses the evidence of the benefits of targeted supplementation to fill in the nutrient gaps that exist in the diet. Ken asks Tommy to talk about this more in depth and maybe give a framework by which people can think about adding or not adding key nutrients via supplementation. [00:41:21] Given the controversial reputation red meat has, Ken asks Tommy to weigh in on how he thinks people should think about red meat. [00:46:26] Fish as well, Dawn explains, has become controversial, due to microplastics and mercury concerns. However, given the positive effects on cognitive health that fish consumption has, Dawn asks Tommy to talk about the costs and benefits of increasing fish consumption. [00:50:30] Ken asks about the genetic basis for dementia and in particular Alzheimer’s, particularly regarding the APOE genotypes and a recent paper that made the claim that homozygous APOE4/4 carriers were essentially guaranteed to develop ALzherimer’s, a strong claim that Ken is skeptical of. [00:57:06] Ken switches gears to talk about brain energy consumption, noting that while the brain is only about 2% of total body mass, it consumes roughly 20% of total energy at rest. Ken mentions that we discussed this topic in episode 59 with Steven Cunnane and asks Tommy to touch on the importance of getting enough energy for the brain and the consequences of not. [01:01:43] Dawn mentions that time restricted eating and fasting have become quite popular in recent years, and is a topic we discussed in episodes 7, and 133 with Mark Mattson. Dawn asks Tommy what some key considerations are for fasting and time restricted eating. [01:04:52] Ken contrasts low energy availability with the prevalent issue in today’s modern food environment of high energy availability, leading to epidemics of obesity and type 2 diabetes, both of which are associated with lower brain volume and are both also implicated in projections of higher dementia burdens in the coming decades. Ken asks Tommy to talk about this. [01:08:55] Dawn asks if Tommy has any practical recommendations on how people can assess whether they are fueling the needs of their brain properly. [01:10:38] Ken notes that brain health is tied closely to the extent to which we stimulate our brains, especially as we age, a topic which was discussed at length with Dr. Rudy Tanzi in episode 174. Ken goes on to ask Tommy to talk about the importance of stimulating our brains as we age. [01:13:38] Dawn notes that Tommy made the realization that the brain adapting to stimulus is very similar to how muscles adapt to resistance training after meeting Josh Turknet, a neuroscientist who loves the banjo as much as Tommy loves weight training. Dawn asks Tommy to talk about how his and Josh’s respective hobbies have more in common than he originally thought. [01:16:11] Ken asks if this analogy between the brain and muscle extends to ‘muscle memory’ or the phenomenon that people who were at one time more muscular are able to gain back that muscle mass more quickly than when they first trained. [01:19:11] Ken mentions that Josh Turknet, the author of the book Anyone Can Play Music, and our guest on episode 130, co-authored a paper with Tommy titled, “Demand coupling drives neurodegeneration, a model of age-related cognitive decline and dementia.” Ken asks Tommy to discuss this paper. [01:22:58] Dawn explains that Tommy writes in his book that exercise science and athletic coaching have given us a really good idea of how a specific stimulus effects performance. But when it comes to this kind of measurement tracking for cognitive function, it’s less straightforward. Dawn asks Tommy to talk about this. [01:25:22] Ken mentions that there are lots of ways to stimulate the brain, with some being more potent than others, such as learning a language or an instrument. Ken asks Tommy what some other examples are of good cognitive exercises and learning endeavors that can help develop cognitive headroom as we age. [01:29:14] Ken asks Tommy about the fact that retirement is often the point in someone’s life where their cognitive abilities are most at risk, and that delaying retirement, or retiring and choosing to reinvent oneself and engage in a new and challenging adventure can help prevent the cognitive risks associated with retirement. [01:32:32] Dawn notes that exercise is also incredibly important for brain health and asks Tommy to talk about his framework that people can use to think about movement and physical activity as a way to support brain health. [01:37:28] Ken asks Tommy about a study out of Norway that found that people who increased their fitness in their 50s and 60s decreased their subsequent risk of dementia. [01:39:52] Dawn asks Tommy to talk about the growing issue of social media causing people to lose their attention span. [01:44:03] Dawn asks Tommy how he sees AI affecting our brains today. [01:49:17] Ken notes that while most STEM-Talk guests who have written a book say that they would prefer to not repeat the experience, Tommy however, is already thinking about his next book. Ken asks if Tommy can share what this next book will be about. [01:51:26] Dawn asks Tommy about his wife Elizabeth, who was our guest on episode 71, and a researcher at the University of Washington. [01:52:52] Dawn wraps up asking Tommy if, since moving from North Carolina to Washington, if he and Elizabeth have had any luck finding good barbecue in Seattle. Links: Tommy Wood bio STEM-Talk episode 47 with Tommy Wood STEM-Talk episode 110 with Tommy Wood STEM-Talk episode 111 with Tommy Wood STEM-Talk episode 128 with Tommy Wood STEM-Talk episode 193 with Tommy Wood, part 1 Learn more about IHMC STEM-Talk homepage Ken Ford bio Ken Ford Wikipedia page Dawn Kernagis bio

Today we have Dr. Marina Walther-Antonio, a Mayo Clinic researcher who investigates the role of the microbiome in cancer and reproductive health, particularly endometrial and ovarian cancers. According to the World Cancer Research Fund International, endometrial and ovarian cancers are among the top 10 most prevalent cancers in women worldwide, and there are still no standard screenings for early detection. Marina is an assistant professor in the Department of Surgery and the Mayo Clinic Center for Individualized Medicine Microbiome Program. She has a joint appointment in the department of Obstetrics and Gynecology. Today we talk to Marina about how she and her colleagues are utilizing the methodologies of environmental microbiology and technologies used in astrobiology to improve our understanding of endometrial and ovarian cancers. Through her investigations into the microbiome, she and her team are developing early detection tests that will enable clinical interventions before certain cancers develop. Show notes: [00:03:13] Dawn opens our interview asking Marina about the history of her interest in extraterrestrial life. [00:05:49] Dawn mentions that Marina did her undergraduate studies in Portugal at the University of Aveiro, where she majored in biology. Dawn asks why Marina chose biology as her major. [00:06:39] Ken explains that the undergraduate programs at Aveiro University require students to do a year of research outside the university and asks Marina about her experience with this requirement. [00:08:34] Ken explains that while Marina was conducting her internship at NASA Ames Research Center, there were several projects under way at the astrobiology institute, with the one that Marina was assigned to looking at a Mars analogue site in Oregon’s Warner Valley. Ken asks what kind of work Marina did on this project. [00:10:06] Ken asks Marina why after earning a master’s degree in microbiology from Indiana University, she went to Washington State University to earn a Ph.D. in environmental sciences. [00:13:29] Dawn asks about Marina’s Ph.D. research on microbialites, which are microbial structures that can thrive at the bottom of certain freshwater lakes and other extreme environments. [00:16:02] Dawn explains that just as Marina began researching microbial populations, the Mayo Clinic Center for Individualized Medicine created a microbiome program. Dawn asks Marina about the circumstances that led to her joining Mayo. [00:19:05] Dawn mentions that Dr. Claire Fraser, the director of Maryland’s Institute for Genome Sciences pointed out in Episode 32 of STEM-Talk that there are more microbes on a single person’s hands than there are people on Earth, as well as the fact that our gut is home to more than 100 trillion bacteria. Dawn asks Marina to talk about this microbial side of humanity. [00:21:51] Ken mentions that if listeners are interested in learning more about the microbiome and how it affects human health, they should listen to Episodes 20 and 168 with Dr. Alessio Fasano. Ken asks Marina to give a short overview of the microbiome. [00:25:37] Dawn asks Marina how the focus of her research shifted to the role of the microbiome in cancer and reproductive health. [00:29:00] Dawn explains that endometrial and ovarian cancers are among the top 10 most prevalent cancers in women worldwide; with ovarian cancer being the most common gynecological malignancy and the fifth leading cause of death due to cancer in women in the nation. Dawn goes on to explain that in a 2023 paper Marina investigated the area of microbiome that is associated with ovarian cancer to better understand the microbiome’s potential in early detection. Dawn asks Marina to talk about this study and its findings. [00:35:55] Given the small scale and sample size of her initial study, Ken asks Marina what her ideal follow-up study would look like. [00:38:37] Ken mentions that in 2019 Marina published the results of a study that found that post-menopause is a key factor in the composition of endometrial cancer microbiome. This study also investigated the impact of patient factors on the microbiome, including menopausal status, BMI, and vaginal pH balance. Ken asks Marina to elaborate on the findings. [00:44:13] Dawn notes that there is no standard screening for early detection of ovarian and endometrial cancers despite their prevalence worldwide. Dawn asks Marina about the work she and her colleagues are engaged in in this space. [00:47:17] Dawn explains that prior to Marina’s aforementioned study, vaginal pH had not been associated as a risk factor in endometrial cancer. Dawn goes on to explain that variations in microbial compositions are implicated in a number of gynecologic and obstetric diseases. Marina’s core question was that since the vaginal microbiome is so crucial to women’s health, why then do vaginal microbial profiles vary strikingly from person to person. This question, as Dawn explains, led to a study and 2020 paper titled “Daily Vaginal Microbiota Fluctuations Associated with Natural Hormonal Cycle, Contraceptives, Diet, and Exercise.” Dawn asks Marina to talk about this study. [00:54:23] Ken asks Marina about her finding that exogenous hormones in contraceptives may affect vaginal microbiota. [00:56:42] Dawn asks Marina about future research that will stem from her study. [01:00:29] Dawn asks Marina about her job as director of Mayo’s mentorship and Ph.D. program, and her passion for mentorship. [01:05:24] Given her accomplished and varied career, Ken asks Marina what advice she has for young people beginning their careers in science. [01:10:06] Circling back to Marina’s original interest in the search for extraterrestrial life, Ken explains that among the NASA scientists we’ve had on STEM-Talk there is disagreement on our chances of discovering intelligent life. While our guest Ed Wiler is confident that we will be able to prove the existence of life off earth within the next 20-30 years, Pascal Lee says he doesn’t think it is likely that we will discover intelligent or complex life anytime soon. Ken asks Marina to weigh in on the matter. Links: Marina Walther-Antonio Learn more about IHMC STEM-Talk homepage Ken Ford bio Ken Ford Wikipedia page Dawn Kernagis bio
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