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Metabolic Mind

Bret Scher, MD FACC
Metabolic Mind
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  • New Research Pinpoints Midlife Brain Decline & How to Slow It
    Dementia, Alzheimer’s disease, and cognitive decline should not be inevitable parts of aging. In this interview, Dr. Lily Mujica-Parodi and Dr. Kirk Nylen join Dr. Bret Scher to discuss groundbreaking research revealing a key metabolic midlife marker of accelerated cognitive decline and a potential solution for slowing it.In this interview, you’ll learn:Why brain network stability rapidly declines in midlifeHow insulin resistance in neurons may be the early driver of neurodegenerationThe critical age window where metabolic interventions could have the biggest impactWhy ketones (from diet or supplementation) may restore brain function and slow cognitive declineHow lifestyle choices like diet and exercise can help protect your brain, long before symptoms ariseIf you’re in your 30s, 40s, or 50s and want to understand how to protect long-term brain health, this episode is for you. Dr. Mujica-Parodi also explains the concept of “control circuits” in physiology and how destabilization can trigger a cascade of disease. Plus, we cover the role of exogenous ketones vs. ketogenic diet and the future of brain health screening.Watch to find out how you can act now, before symptoms appear, to give your brain the best shot at staying resilient and sharp for decades to come.Expert Featured:Dr. Lily Mujica-Parodi, PhDDr. Kirk Nylen, PhDResources Mentioned:Dr. Mujica-Parodi’s websitewww.LCneuro.orgBrain aging shows nonlinear transitions, suggesting a midlife “critical window” for metabolic interventionhttps://doi.org/10.1073/pnas.2416433122Managing Major Mental Illness with Dietary Change: The New Science of Hopehttps://www.mycme.com/courses/managing-major-mental-illness-with-dietary-change-9616Brain Energy: The Metabolic Theory of Mental Illnesshttps://www.mycme.com/courses/brain-energy-the-metabolic-theory-of-mental-illness-9615Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
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  • How Mitochondria Shape Your Mind, Mood, & Mental Health with Dr. Martin Picard
    Mitochondria do more than power our cells: they shape how we think, feel, and experience the world. In this interview, Dr. Martin Picard breaks down his new research that illuminates how mitochondria affect brain energy, brain networks, mental health, and ultimately, our quality of life.Dr. Picard walks us through his team's revolutionary brain mapping study, which examined over 700 sections of the human brain to uncover how mitochondria are distributed and specialized by brain region and cell type. The results have profound implications for how we understand, cognitive decline, and psychiatric disorders like depression bipolar disorder and schizophrenia.In this episode, you'll learn:Why mitochondrial health is essential for brain functionHow different brain regions rely on different types of mitochondriaWhy people respond so differently to the same metabolic dysfunctionHow future scans and biomarkers could help us measure brain energy non-invasivelyWhat it means to think of ourselves as “energetic beings” rather than just biological machinesWhen it comes to metabolic psychiatry, mitochondria are a key player. This research is a huge step towards better understanding these tiny organelles and the role they play in mental health and cognitive function.Expert Featured:Dr. Martin Picardx.com/MitoPsychoBiopicardlab.orgResources Mentioned:Three Ways to Keep Your Mitochondria Healthyhttps://www.youtube.com/watch?v=_3dhmMcj17w&t=159sA human brain map of mitochondrial respiratory capacity and diversityhttps://www.nature.com/articles/s41586-025-08740-6CMEs Mentioned:Managing Major Mental Illness with Dietary Change: The New Science of Hopehttps://www.mycme.com/courses/managing-major-mental-illness-with-dietary-change-9616Brain Energy: The Metabolic Theory of Mental Illnesshttps://www.mycme.com/courses/brain-energy-the-metabolic-theory-of-mental-illness-9615Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
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  • Can Creatine Help with Depression? Exploring the Science with Dr. Nick Fabiano
    Creatine isn’t just for gym gains, it supports your brain too!Creatine is best known for boosting physical performance, but research has also identified its ability to improve areas of cognitive function like memory and mood.Research suggests that when creatine is used alongside first-line treatments, like antidepressants and CBT, it may enhance therapeutic outcomes, leading to faster and more robust improvements in symptoms.In this interview, Dr. Nick Fabiano, a psychiatry resident and researcher at the University of Ottawa, joins Metabolic Mind to explore the emerging evidence behind creatine as a potential tool for improving mood and supporting mental health.In this episode we dive into:What creatine is and how it works in the body and brainThe growing body of research linking creatine to improvements in depression symptomsHow creatine may enhance energy metabolism in the brain—a key focus of metabolic psychiatryIts synergy with other treatments, including SSRIs and cognitive behavioral therapyPractical considerations around dosing, diet, and safetyThe difference between dietary and supplemental creatineCreatine & sleep deprivationCreatine is a well-studied, widely available supplement, and its low risk profile makes it an intriguing candidate for further exploration in psychiatric care. While more research is needed, this conversation is a hopeful and informed look at a promising metabolic intervention.Expert Featured:Dr. Nick FabianoX: https://x.com/NTFabiano?ref_src=twsrc^google|twcamp^serp|twgr^authorResources Mentioned:Dietary creatine intake and depression risk among U.S. adultshttps://doi.org/10.1038/s41398-020-0741-xA Randomized, Double-Blind Placebo-Controlled Trial of Oral Creatine Monohydrate Augmentation for Enhanced Response to a Selective Serotonin Reuptake Inhibitor in Women With Major Depressive Disorderhttps://doi.org/10.1176/appi.ajp.2012.12010009Efficacy and safety profile of oral creatine monohydrate in add-on to cognitive-behavioural therapy in depression: An 8-week pilot, double-blind, randomised, placebo-controlled feasibility and exploratory trial in an under-resourced areahttps://doi.org/10.1016/j.euroneuro.2024.10.004CMEs Mentioned:Managing Major Mental Illness with Dietary Change: The New Science of Hopehttps://www.mycme.com/courses/managing-major-mental-illness-with-dietary-change-9616Brain Energy: The Metabolic Theory of Mental Illnesshttps://www.mycme.com/courses/brain-energy-the-metabolic-theory-of-mental-illness-9615Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
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  • Can Keto Help Pediatric Bipolar? Groundbreaking Trial Begins
    The first-ever clinical trial of ketogenic therapy for pediatric bipolar disorder is now enrolling.In March, we announced two new initiatives funded by the Baszucki Group aiming to explore ketogenic metabolic therapy in pediatric bipolar patients.The first major initiative—now actively enrolling participants—is a multi-site clinical trial conducted by four institutions within the Baszucki Group-funded Child and Adolescent Bipolar Network (CABIN): the UCLA Semel Institute, University of Cincinnati College of Medicine, University of Pittsburgh Medical Center, and University of Colorado Anschutz Medical Campus.In this video, Dr. David Miklowitz, a renowned expert in adolescent bipolar disorder and the study’s lead investigator, joins Dr. Bret Scher to discuss the new trial.As a Professor of Psychiatry at the UCLA Semel Institute and Senior Clinical Research Fellow at Oxford University, Dr. Miklowitz brings decades of insight to the discussion. Together, they explore the design and objectives of this groundbreaking study and share how families in Los Angeles, Cincinnati, Denver, and Pittsburgh can take part in this important research effort aimed at transforming outcomes for young people living with bipolar disorder.In this interview you’ll learn:✅ The challenges of diagnosing bipolar disorder in kids and teens✅ How family involvement impacts long-term outcomes✅ Why standard treatment approaches may not always work for adolescents✅ The potential benefits of ketogenic therapy as an adjunctive treatmentFor those interested in enrolling in the study, visit the link below to learn more about the study, the participant criteria, and how to enroll!https://clinicaltrials.gov/study/NCT06920940?term=miklowitz&rank=1Expert Featured:Dr. David Miklowitzhttps://www.uclahealth.org/providers/david-miklowitzResources Mentioned:Living Well with Bipolar Disorder by Dr. David MiklowitzCMEs Mentioned:Managing Major Mental Illness with Dietary Change: The New Science of Hopehttps://www.mycme.com/courses/managing-major-mental-illness-with-dietary-change-9616Brain Energy: The Metabolic Theory of Mental Illnesshttps://www.mycme.com/courses/brain-energy-the-metabolic-theory-of-mental-illness-9615Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
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  • Can Ketogenic Therapy Help Autism and Mental Health? | Dr. Eline Dekeyster on Mechanisms & Hope
    Could ketogenic therapy change the future of autism spectrum disorder (ASD) treatment?The CDC estimates that 1 in 36 children are affected by ASD but due to the wide variety of signs and symptoms associated, it’s likely that this doesn’t account for everyone impacted. And treatment options are scarce and vary in effectiveness.In this video, Dr. Bret Scher sits down with Dr. Eline Dekeyster, Assistant Professor at Leiden University and Head of the Lifestyle Brain Interaction research group, to explore how nutritional ketosis may support individuals with autism and other brain-based conditions.Dr. Dekeyster brings a rare blend of personal insight and scientific expertise. She opens up about her own experience with mood disorders and how ketosis helped shift her mental energy, leading her to dedicate her research to metabolic psychiatry.In this episode, you’ll learn about:The early but promising evidence supporting ketogenic therapy in autism spectrum disorderThe metabolic and neurological mechanisms involvedA real-life case of a child with ASD whose symptoms improved on a ketogenic diet and the troubling response from the medical systemThe challenges and strategies around adherence to ketogenic interventions in neurodivergent populationsDr. Dekeyster’s vision for a collaborative, individualized care model that includes dietary, medical, and emotional supportWhile more research is needed to fully understand the impact of nutritional therapies for autism spectrum disorder, ketogenic therapy may offer meaningful hope to individuals and families navigating the challenges of ASD today.Expert Featured:Dr. Eline Dekeysterhttps://www.instagram.com/lbi.research/CMEs Mentioned:Managing Major Mental Illness with Dietary Change: The New Science of Hopehttps://www.mycme.com/courses/managing-major-mental-illness-with-dietary-change-9616Brain Energy: The Metabolic Theory of Mental Illnesshttps://www.mycme.com/courses/brain-energy-the-metabolic-theory-of-mental-illness-9615Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
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About Metabolic Mind

Metabolic Mind is working to transform the study & treatment of mental disorders by exploring the connection between metabolism & brain health. Metabolic interventions like ketogenic therapy are being used to treat serious mental illnesses like Bipolar Disorder, Schizophrenia, & Major Depressive Disorder. We explore topics that can help you understand how Metabolic Psychiatry might help you or a loved one treat mental disorders Watch our videos at https://www.youtube.com/@metabolicmind Our channel is for information only. Consult your physician before changing your lifestyle or medications.
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