Sorry 4 Hour Body Fanboys, Grapefruit is Not Bulletproof

August 5, 2011 · 25 comments

People often put Tim Ferriss and me in the same biohacker category, for good reason. We’re both after outsized gains with little effort.  After I presented at the Quantified Self conference earlier this year, a few people were calling for a Bulletproof vs Four Hour debate. The truth is that I bought 30 copies of Four Hour Body the day it was released, and I’m a big fan…of the exercise related chapters.

The nutrition chapters of Four Hour Body were better than most books, but not consistent with a program that will lead to optimal health, longevity, and cognitive performance over the long term. Beans work great when you’re under 40, for a while…but they’re nowhere near optimal, as just one example. And then there’s grapefruit, which Tim recommends eating daily because it can keep you leaner because it has a chemical called naringin in it. That’s true.

There’s just one problem with grapefruit. It’s not healthy.

The July 31, 2007 British Journal of Cancer reported on a study of about 46,000 women from different ethnic groups, past menopause, with no history of breast cancer. The research was done by the University of Southern California from 1993 to 2002. Women who ate the most grapefruit – only 1/4 per day, less than Tim Ferriss recommends in Four Hour Body – had a 30 percent higher risk of breast cancer than grapefruit-free women. Controlling for weight, family history breast cancer, or hormone replacement therapy did not change the results.

USC researcher referenced a few earlier studies that showed higher levels of estrogen in women who ate a lot of grapefruit or drank its juice.  Even the biohacker’s enemy, the FDA, knows about this and insists on safety labels for hormone replacement pills warning about grapefruit. And for example, I’m on a drug right now that is made much more potent by grapefruit, to the point I would dramatically increase the risk of side effects if I ate grapefruit right now.

That said, the grapefruit grower’s mafia (it’s ok, almost all industries of size have mafias, we call them “trade organizations”) probably had a hand in this article, which tries to refute the previous study. Fail.

What you should know about grapefruit and your liver

The Bulletproof Diet is not just a paleo variant; it came about from the ground up, designed using anti-aging and biochemistry principles to avoid taking toxins into the body from food and to accelerate the destruction and removal of toxins that enter the body, so I looked long and hard at grapefruit. It’s not bad for you on occasion, but daily or several time a week will change your toxin levels for the worse. There’s a reason that caffeine lasts longer when you take it with grapefruit. The grapefruit slows your intestine’s (and probably liver’s) ability to destroy the caffeine – and everything else it is detoxing with the same pathways!

Grapefruit doesn’t just have naringin as an active ingredient. It has toxins like bergamottin and another chemical called paradicin-A. (it’s misspelled on Wikipedia as paradisin, and Wikipedia won’t let me fix it since I use a proxy.)

Grapefruit slows your body’s P450 detox mechanisms, specifically your CYP3A4 function (no relation to C-3PO by the way). Cytochrome P450 is a group of enzymes in the liver. Cytochrome P450 is on the inner membrane of the mitochondria of liver cells. Mitochondria are the powerplants of cells that store oxygen to fuel the cell. (Lots of the bulletproof program involves increasing and optimizing mitochondrial function too.)

Now it’s time to get all technical – courtesy of Wikipedia:

The function of most CYP enzymes is to catalyze the oxidation of organic substances. The substrates of CYP enzymes include metabolic intermediates such as lipids and steroidal hormones, as well as xenobiotic substances such as drugs and other toxic chemicals. CYPs are the major enzymes involved in drug metabolism and bioactivation, accounting for ~75% of the total number of different metabolic reactions.

Ok, so what the USC breast cancer grapefruit study found was that people on toxic fake hormone replacement drugs couldn’t detox them, so got breast cancer more often. You may assume that, since you aren’t on those drugs, you’re safe. But that’s missing the point.

Are you exposed to other toxins? Of course you are. And your body must detox them. If you inhibit P450 by eating grapefruit every day, whatever toxins you’re exposed to won’t be as easy to oxidize and excrete. They’ll build up. Your odds of getting sick go up because your toxic burden goes up. In fact, the epidemic of mycotoxin contamination is a major contributor to chronic health problems including cancer. Guess what? According to the Preclinical Development Handbook: ADME and Biopharmaceutical Properties, the CYP34A enzymes that grapefruit inhibits are also used specifically to detox aflatoxin and ochratoxin, two of the most dangerous mold toxins present in many processed foods today, especially if you’re not 100% grass-fed.

So what do I do? I eat grapefruit occasionally – maybe 1 every couple weeks because it is good. But almost every day, I take liposomal glutathione to keep my liver humming along at higher performance levels than would otherwise be possible. Glutathione is the main enzyme needed to detox stuff in the body – especially the liver – and liposomal makes it possible to pass the GI tract without being digested. The form on upgradedself.com was invented by a physician friend of mine, who validated that the liposomal form could raise blood levels of glutathione as much as an intravenous dose would.

So by all means, eat some grapefruit. Just don’t do it to lose weight; it’s unnecessary and increases your toxic burden. Next up on my Four Hour Body hit list is garlic. It’s far to the right on The Bulletproof Diet for a whole list of reasons, which will be the topic of another blog post.

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  • Md1b

    So, what about naringin alone as a supplement?

    • Dave Asprey

      I am not convinced; it does help blood lipids but it inhibits drug-metabolizing cytochrome P450 enzymes, including CYP3A4 mentioned in my post, and CYP1A2, which is a major detoxifier of mycotoxins and other xenoestrogens. The benefits can be achieved in many other, safer ways in my opinion.

  • Charles

    Interesting stuff. One point:

    “…And then there’s grapefruit, which Tim recommends eating daily because it can keep you leaner because it has a chemical called naringin in it…”

    I don’t have the book as a reference right now but I don’t recall Tim recommending grapefruit everyday. I was under the impression that the only time he recommended grapefruit juice was on a cheat day to control glucose spikes when eating junk food. I may be wrong but I thought that in his “Slow Carb” diet he recommending no fruit whatsoever outside of your cheat day. Unless this was mentioned outside of the book?

    • Dave Asprey

      I just spent 15 minutes skimming my copy of 4HB and can’t seem to find the grapefruit section. I remember the naringin discussion and that using it on cheat day was a definite recommendation, but not a recommendation to *only* use it on cheat day. Does anyone know the page number?

      • http://www.facebook.com/philgeorge Phil George

        Dave, for reference:

        “2. Consume a small quantity of fructose, fruit sugar, in grapefruit juice before the second meal,
        which is the first crap meal. Even small fructose dosing has an impressive near flat-lining effect
        on blood glucose. I could consume this at the first meal, but I prefer to combine the naringin in
        grapefruit juice with coffee, as it extends the effects of caffeine.”

        This was stated under “The Lost Art of Bingeing”

        Sorry I can’t provide page number, it’s on iBooks as an ePub.

        He doesn’t suggest daily consumption at any point, but nor does he discuss it’s potential negative effects.

        I found this article to be extremely well structured, it was a pleasure reading it. Thanks.

  • Humaneering

    Sort of on topic:
    http://www.yesyesyes.org/GSE.htm
    was curious on your thoughts on this article, as I was about to buy some GSE and cheap vodka to spray a few patches of mould in my bathroom.

    • Dave Asprey

      Very interesting. I figured out the vodka/GSE spray years ago and used it lots of times and it is definitely mold inhibiting, but that’s not to say that it’s not because of additives. The studies on salmonella in chicken were pretty convincing. I also used it orally for a while when I had GI issues years ago (before seriously giving up grains) and found it dramatically lowered gas. It worked topically very well, and it was one of my two methods of not getting GI problems while traveling extensively in remote parts of Nepal and Tibet. I ate street food and didn’t ever get sick, even when everyone else in my group did. Again, that doesn’t say it couldn’t have been from additives though. Does anyone have more info? I’m inclined to steer clear if this is true.

  • http://www.facebook.com/rjmgroup Bob Mulholland

    Yeah, I only remember reading that Tim recommended drinking a small amount of grapefruit juice on cheat day just before the first crap meal.

    Also, garlic appears in the middle of the Bulletproof Diet and not on the far right.

    • Dave Asprey

      Bob, that’s funny! It is in the middle…a compromise of the antibacterial effects vs the negative changes in brain performance it causes by inhibiting alpha brain waves.

      • Jacob Haskins

        Not being critical, only curious…
        Any links for more information about garlic’s negative brain wave changes? All of Google’s top 5 result pages were second-hand hearsay.

        • Dave Asprey

          I learned about it from a 30+ year veteran EEG researcher, a tenured professor at UCSF before he started his own institute. I confirmed the finding myself, and Andrew Clark noted the same thing when he correlated 4HB’s PAGG formula (with garlic) as causing poor dual-n-back performance.

        • Jacob Haskins

          Thanks!

        • Mike

          Strange, I’m using PAGG and my score on this n-back thing after just doing 2.5 sessions so far is higher than the one your blog was showing after more than 10 sessions …

          Of course, I think that my statistic is about as irrelevant to any serious discussion as your Andrew Clark’s non-controlled sample-size-of-1 result … but if you’re going to throw in such dubiously significant claims then there’s an equally valid one from my experience.

          What I find frustrating is the way experts like yourselves and Tim Ferriss and others all end up presenting opposing views in many areas, with little effort to find areas of common ground … in fact rather the opposite – here you’re actually trying to frame your views as being in direct opposition to Tim Ferriss’s, when your views are not even really opposed (as many commenters have noted he doesn’t seem to really be pushing grapefruits like you say).

          What i’d really like to see is more focus what common ground exists between all the experts in this field with significant weight. As I’m inclined to such common recommendations much more weight that things like claims about garlic which both oppose what others say and are based on ‘what I heard from one old EEG dude and what my friend personally experienced’ which I think mainly just distract from the important recommendations that you could be focusing on.

        • Baconinjamaican

          Can’t upvote this enough. Strong arguments stand by themselves without perceived opposition.

  • http://twitter.com/jwmares Justin Mares

    What do you think of Tim’s advice on how to evaluate medical studies (in the appendix)? Also, I love all the information you provide. Is there any way you could do some sort of 80/20 rule for what drugs to take to improve performance? Or is that too dependent on other factors such as lifestyle, age, diet, etc?

  • http://twitter.com/DailySuicide Jscott

    -Ferriss does not recommend eating fruit or grapefruit daily. (Page 74 4hb, pg 77 4hb-Forbidden: Fructose, pg 83…etc)

    “consume a small quantity of fructose, fruit sugar, in grapefruit juice before the second [cheat] meal…” (9pg 105, The Lost Art of bingeing)

    There are other references.

  • DLC

    I was going to comment that grapefruit juice was only recommended for binge day, but I see it has been covered. Does anyone know if naringin is the reason you are to avoid grapefruit juice with certain medicines? Is it okay to take the naringin supplement?

  • Reka

    Not garlic, too.:(

    • 4rekak

      Whats the problem with garlic, besides destroying social life?:)

      • http://armilegge.com Armistead Legge

        It has chemicals which may disturb brain function. It won’t kill you, but it could make you a little less “on the ball.”

  • http://twitter.com/aizkiub AiZ

    Having proved that Ferris is not recommending, why still remains the attack to him and his method? is it just SENSANSIONALISM? … you even invented the grapefruit mafia… sorry my friend, there’s no such a thing. Perhaps it exists only in your neghborhood or in the US, the world is bigger…

  • Jamie Mulhern

    broken link on the liposomal glutathione.

  • Steve B

    >Beans work great when you’re under 40, for a while…but they’re
    >nowhere near optimal, as just one example.

    What does this mean? Why are beans not a good idea for those over 40 ?

  • Pingback: » The 4 Secrets of Getting Wired on Caffeine The Bulletproof Executive

  • http://www.facebook.com/people/Lothario-Rowe/100002001115892 Lothario Rowe

    “There’s just one problem with grapefruit. It’s not healthy”

    Except, you have grapefruit pretty much in the green on the diet…

    “Next up on my Four Hour Body hit list is garlic. It’s far to the right on The Bulletproof Diet for a whole list of reasons”

    Except it’s as close to the left as it is the right…you put it in the middle.

    So, from the vernacular used in this article, shouldn’t you have grapefruit in the yellow verging on red, and garlic should be solidly in the red? And if not, how does this post even exist? It would seem the diet chart and this post are irreconcilable…

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