Lac-Phe is a molecule derived from lactate, produced during high-intensity exercise. It suppresses appetite by signaling to the brain, which is why people often don't feel hungry after a hard workout. It is primarily produced in the gut and represents a gut-to-brain axis controlling feeding behaviors. Lac-Phe levels remain elevated for up to 12-18 hours after exercise, providing long-lasting physiological effects.
Trained athletes have more efficient systems for metabolizing lactate, so their Lac-Phe levels do not spike as high after exercise. In contrast, untrained individuals experience a significant spike in both lactate and Lac-Phe levels, leading to a more pronounced effect of this pathway in untrained individuals.
Lac-Phe has been shown to help obese animal models lose weight, which in turn resolves diabetes. However, this effect is likely indirect, as weight loss improves overall metabolic health rather than Lac-Phe directly affecting glucose control systems.
Lac-Phe is a promising candidate for future weight loss drugs, but it is still in the early stages of research, similar to where GLP-1 drugs were in the 1980s. Further understanding of its pathway and mechanisms is needed before it can be developed into a therapeutic.
Losing fat while preserving lean muscle mass is crucial because lean mass (muscle tissue) is essential for overall health and metabolic function. Losing muscle mass can negatively impact strength, metabolism, and long-term health. Resistance training is recommended to maintain lean mass during weight loss.
Metformin, a diabetes drug, unexpectedly stimulates the Lac-Phe pathway. In fact, metformin is a stronger inducer of Lac-Phe than sprint exercise. This connection highlights how exercise and metformin converge on the same molecular pathways, providing a mechanism for metformin's weight loss effects.
An 'exercise pill' is a long-term goal that would require a deep understanding of the molecular pathways of exercise. Such a pill could benefit individuals who cannot exercise intensely, such as older adults. However, current research is still in its early stages, and it may take decades to develop such a therapeutic.
Psychological preparation for exercise is a complex and poorly understood area. In humans, motivation to exercise involves endocannabinoids, which are natural molecules that activate cannabinoid receptors in the brain. This system is less understood in animals, which may not plan exercise in the same way humans do.
Happy New Year! For many of us, a new year brings a renewed sense of motivation when it comes to health. Earlier this year, Russ sat down to speak with Jonathan Long), a Stanford biochemist who studies the chemicals produced during exercise. The conversation was one of our most popular during 2024 and today we’re re-sharing it. As many of us look to create healthy habits in 2025, we hope you’ll tune in to hear the exciting research Professor Long is doing to better understand the deep chemical connections between diet, exercise, and human health.
Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your quest. You can send questions to [email protected]).
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Chapters:
(00:00:00) Introduction
Host Russ Altman introduces guest Johnathan Long, a professor of pathology at Stanford University.
(00:01:55)** Effective Weight Loss Drugs**
The history and development of GLP-1 receptor agonists.
(00:03:27)** Understanding Metabolism and Exercise**
The role of metabolic chemicals released during physical activity.
(00:05:02)** Animal Models in Exercise Studies **
The use of animal models in exercise studies and the discovery of Lac-Phe.
(00:06:40)** Psychological Preparation for Exercise **
The psychology of exercise preparation and the involvement of endocannabinoids.
(00:08:53) **Lac-Phe's Role and Mechanism **
Lac-Phe’s role in suppressing appetite and its production in the gut.
(00:11:46)** Differences in Exercise Response **
Exercise response between trained athletes and untrained individuals.
(00:12:50)** Diabetes and Metabolic Diseases **
The relationship between diabetes, exercise, and metabolic diseases.
(00:14:54)** Lac-Phe as a Potential Therapeutic **
Lac-Phe’s potential and parallels to the early stages of GLP-1 drug development.
(00:16:13)** Importance of How Weight is Lost **
The importance of losing fat while preserving lean muscle mass.
(00:19:04) **Exercise as Medicine **
The need to define physical activity at the same resolution as modern medicines.
(00:22:03) **Metformin and Exercise Pathways **
The unexpected connection between metformin and the Lac-Phe pathway.
(00:23:53) **Prospects of an Exercise Pill **
The future of an exercise pill, and challenges associated with its development.
(00:26:57)** Conclusion **
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