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Episode
This Food Reversed My Immune Age by 47% in 90 Days
~246 min
Episode Brief·YouTube

This Food Reversed My Immune Age by 47% in 90 Days

Mark Hyman
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TL;DR

The four things you'd lose by not watching

4 items

TL;DR

The four things you'd lose by not watching

4 items
1

In a pilot human trial, consuming Himalayan tartary buckwheat polyphenols (~1,200 mg per day) for 90 days reduced the epigenetic aging rate of immune cells by 47%.

2

The expert argues that most chronic diseases share a common root: a maladapted immune system driven by modern diet, toxins, and lifestyle—'inflammaging'—and that this can be measured and reversed.

3

Simple, widely available blood tests (CBC with differential, hsCRP, secretory IgA) can serve as a first-line surrogate for immune age and inflammatory state when combined with the immune-inflammatory index.

4

Flavonoids are not merely antioxidants; they are cell-specific regulators of gene expression that convey 'food as information', directly tuning the immune system's epigenome.

Protocols

Concrete recipes — what, when, how much, and why

3 items

Himalayan Tartary Buckwheat Sprout Powder Daily Supplementation

WhatConsume sprouted Himalayan tartary buckwheat powder providing approximately 1,200 mg of polyphenols per day, equivalent to about half a cup of the flour.
WhenDaily, for at least 90 days to see measurable immune age reversal. Can be taken indefinitely as a preventive.
Dose~1,200 mg of polyphenols per day (roughly half a cup of flour equivalent); duration at least 90 days in the pilot trial.
For whomAny adult seeking to improve immune resilience, reduce inflammaging, and potentially lower risk of chronic diseases. Particularly valuable for those with high immune-inflammatory index or evidence of accelerated immune aging.
WhyShown to reduce immune cell epigenetic aging rate by 47% in 90 days, upregulate longevity pathways (ceramide kinase network, COP9), improve insulin sensitivity, reduce inflammation, and lower lipids in prior Asian studies.
CaveatsThe pilot trial was open-label and not placebo-controlled; larger confirmatory trial underway. Not a substitute for medical treatment. Those on medication or with specific conditions should consult a healthcare provider. The sprout powder version is more potent than raw flour.

Jeff Bland, the guest expert, describes resurrecting this 3,500-year-old food after analytical chemistry revealed it contained 121 distinct polyphenols across all flavonoid families—more than almost any other known food. He hypothesized that the plant's extreme environment (Himalayan altitudes with intense UV, pests, and poor soil) forced it to build a redundant, multi-compound defense system, which when consumed acts as a multi-targeted immune restoration signal. The pilot human trial, which he ran through his company Big Bold Health, gave participants the tartary buckwheat polyphenols on top of their usual diet and then conducted deep epigenetic analysis on their immune cells. The result was so strong that it defied the expectation that background diet variation would mask any effect. A functional bioinformatics analysis showed that the upregulated gene networks were exactly those involved in cellular lifespan extension. The expert and host both emphasize that this isn't about treating a specific disease—it's about shifting the entire trajectory of immune aging to make the body better at handling all threats.

Mechanism

The 121+ polyphenols in the sprout—including high levels of delphinidin and other flavonoids—act as epigenetic modulators that calm overactive immune cells, reduce senescent-cell (zombie cell) burden, and activate AMPK. They speak directly to the innate immune pathways that plants themselves use for defense, and in humans they downregulate inflammatory cytokine signaling and promote a balanced, resilient immune response. The sprouting process liberates anthocyanins from the hull, tripling the immune-active phytochemical load.

Personal experience

Mark Hyman states: 'I put that every day in my smoothie... I've incorporated automatically into my daily life cuz I think the literature is so compelling on this.' He also notes that his own routine includes the sprout powder alongside other low-inflammatory lifestyle practices, and that his personal blood markers (via Function Health) improved after adopting this regimen more strictly.

We reduced the rate of aging of those immune cells by 47% over the course of 3 months.

Also said
“When we did a compositional analysis of the phytochemicals in the sprout, we had a three-fold increase of the overall immune active phytochemical. So, it's like a super superfood.”— Explains why the sprout powder is preferred over raw seed.
“There are clinical trials on delphinidin as a cognitive improver as a substance that improves blood sugar. And the level of delphinidin in our sprout powder is therapeutically high.”— Highlights a specific compound and its evidence.

Low-Cost Immune Status Panel (CBC, hsCRP, IgA) with Immune-Inflammatory Index

WhatGet a complete blood count with differential, high-sensitivity C-reactive protein (hsCRP), and secretory IgA. Calculate the immune-inflammatory index from the CBC: (neutrophils × platelets) / lymphocytes (a simple arithmetic formula). Track these over time.
WhenAt baseline and after 3-6 months of intervention, or as part of annual check-ups.
For whomAnyone, including those without access to advanced longevity testing. Clinicians can use it to track patient progress.
WhyThese three inexpensive, widely reimbursed tests provide a practical surrogate for deeper epigenetic immune aging clocks. An immune-inflammatory index above 2 suggests an inflammatory state, and hsCRP above 1-2 mg/L indicates chronic inflammation. Together they reflect innate and adaptive immune status.
CaveatsThis is a first-level screening tool, not diagnostic of a specific disease. The immune-inflammatory index should be interpreted alongside clinical context. Not a replacement for epigenetic testing when available.

Jeff Bland describes his discovery of the immune-inflammatory index as a pivotal moment. He realized that a calculation from a CBC—a test done millions of times a day worldwide—could serve as a 'poor man's immune age clock.' When he and his colleagues started applying it retrospectively to patients on the tartary buckwheat protocol or other anti-inflammatory diets, they saw the index drop quickly. He pairs it with hsCRP (popularized by Paul Ridker) and secretory IgA to get a three-dimensional view of immune unrest. Mark Hyman then connects this to his own platform, Function Health, where such markers are available to consumers. The point is that clinicians and individuals can begin monitoring immune age without waiting for expensive epigenetic assays, and that this panel responds visibly to lifestyle changes.

Mechanism

The immune-inflammatory index integrates the relative abundance of neutrophils and platelets (innate/inflammatory) versus lymphocytes (adaptive/regulatory). High values indicate a shift toward a pro-inflammatory immune state. hsCRP, produced by liver in response to IL-6, reflects systemic immune activation. Secretory IgA reflects mucosal immunity, the first line of defense. Combining them captures multiple layers of immune function and correlates with epigenetic inflammation patterns.

Personal experience

Dr. Hyman shares that after adopting the full low-inflammatory lifestyle including the sprout powder, his own markers on the Function Health panel 'improved improved.'

So now we have a simple marker. I'm not saying it's a beall and endall, but I'm saying it's a very inexpensive first level.

Also said
“If you use that small panel as all of which are inexpensive and readily available now you know this is CBC IgA and a CRP HSCP that's where you start.”— Confirms the exact panel composition.

Anti-Inflammatory Lifestyle Stack (Diet, Exercise, Sleep, Stress, Community)

WhatAdopt a diet rich in diverse colorful plant foods (high polyphenols), minimize processed foods and sugar, prioritize sleep, regular exercise, stress management, and social connection to reduce total inflammatory load.
WhenOngoing daily practice.
For whomEveryone, especially those with any chronic condition or elevated inflammatory markers.
WhyAll chronic diseases of aging are linked to systemic, low-grade inflammation driven by gene-environment mismatch. This lifestyle addresses the root causes rather than blocking single inflammatory mediators.
CaveatsMust be personalized. Not a replacement for acute medical care.

The conversation portrays the modern chronic disease epidemic as a total load problem: 50,000 new chemicals, ultra-processed foods, sleep disruption, social media stress, and loss of microbial diversity have created an environment our Paleolithic genes never expected. The immune system is simply doing its job by sounding the alarm. The solution is not to pharmacologically suppress the alarm (NSAIDs, biologics) but to remove the triggers and provide the information—through food, movement, rest, and connection—that tells the immune system it's safe. Jeff Bland underscores that blue zones cultures exhibit exactly this pattern, and a recent Nature study from Tanzania showed identical immune cell changes when comparing traditional plant-rich diets to Westernized ones in the same gene pool.

Mechanism

Diets high in sugar and processed foods send epigenetic signals that keep immune cells in an agitated, hyper-alert state, leading to 'pan-allergic' responses and accelerated senescence. Phytonutrient-rich diets, exercise, sleep, and stress reduction send the opposite signals, promoting regulator y gene expression that brings the immune system back to balanced, resilient function (PG1/PG2 balance). The gut microbiome is a central node; when the gut is angry, it triggers angry fat, fatty liver, and neuroinflammation.

Disease is just the body's best ability to deal with a bad set of circumstances. Change the circumstances and the disease goes away.

Also said
“The immune system is not defective. They have an immune system that's doing what it should do based upon the exposure that's been experiencing.”— Reframes the narrative from 'weak' to 'appropriately responsive'.

What's new

Personal practice updates, fresh positions, predictions

3 items

Immune system age as the single best predictor of longevity

early in discussion

Recent evidence shows that the epigenetic age of your immune cells, measured from a simple blood spot, is the most powerful predictor of when you will die—more than any other biomarker.

Why this matters: Shifts the focus from treating individual diseases to monitoring and rejuvenating the immune system as the master clock of aging.

Background

Previously, aging was thought to be a gradual, inevitable wear-and-tear process. The new paradigm sees aging as an inflammatory state driven by environmental signals that can be read in the epigenome of white blood cells.

The expert explains that when you get a biological age test from a blood spot, you are actually measuring DNA methylation patterns in your white blood cells, because red blood cells and plasma proteins have no DNA. This means those 'aging clocks' are really immune system clocks. Epidemiological studies now indicate that the age of your immune system is the strongest predictor of all-cause mortality. This finding re-centers the entire conversation around longevity onto immune health—if you can slow or reverse immune aging, you can extend healthspan. The expert notes that these immune cells are highly responsive to diet, stress, and environmental signals; therefore, the immune age is profoundly modifiable, which is both hopeful and a call to action.

If you were to only measure one thing that would determine the year of your death, it'd be the age of your immune system.

Also said
“When you take a blood sample, even a blood spot, that blood that you are giving for that sample is made of three principal things... the majority of the blood that you have is not immune cells... It turns out that plasma proteins and ariththraittytes don't have DNA. So when you're measuring then the biological age of a blood spot sample, you're actually measuring the age indirectly of the immune system.”— Explains the technical basis for why biological age tests are immune age tests.

Himalayan tartary buckwheat as a bona fide immuno-rejuvenator

latter half of transcript

A pilot clinical trial found that 90 days of supplementation with an extract of Himalayan tartary buckwheat polyphenols produced up to 20-fold changes in immune gene expression and slowed immune cell epigenetic aging by 47%.

Why this matters: This is the first time a single food has been shown to produce such a profound, measurable effect on the immune aging clock in a human trial, even in the absence of a controlled diet.

Background

Himalayan tartary buckwheat is an ancient, nearly forgotten crop that thrives in harsh high-altitude conditions. It contains 121 different polyphenols, more than almost any other plant, which the expert suspects represent a full orchestra of immune-regulating signals rather than isolated antioxidant effects.

The expert and his team at Big Bold Health asked: what happens if you give people about a half cup's worth of tartary buckwheat flour equivalents per day, on top of their normal ad-libitum diet, for three months? Despite skepticism that dietary noise would drown out any signal, they found massive epigenetic shifts in immune cells. Some genes were up- or down-regulated by 20-fold (not percent). A functional analysis revealed that the modulated genes clustered in two fundamental longevity pathways—the ceramide kinase network and COP9 signalosome. When they applied aging-clock algorithms to the immune cell epigenomes, the rate of cellular aging dropped by nearly half over 90 days. The expert is careful to note this was a small, open-label pilot, and an 800-person blinded, placebo-controlled trial is underway.

Personal experience

The host (Mark Hyman) states that he has personally incorporated the sprout powder into his daily smoothie regimen and tracked improvements in his own surrogate markers via Function Health, saying he believes the literature is so compelling that it is a staple of his routine.

We reduced the rate of aging of those immune cells by 47% over the course of 3 months.

Also said
“We are doing an 800 person trial under very controlled blinded placeboc controlled conditions initiated actually this month to be completed by the end of the year of 2025.”— Shows the commitment to rigor and next steps.

The immune-inflammatory index (IIS) as a free, accessible surrogate for immune age

mid discussion

A simple calculation from a standard complete blood count with differential—neutrophils, lymphocytes, platelets—yields a number that reflects overall immune-inflammatory burden and changes rapidly with intervention.

Why this matters: It provides an immediate, cost-free clinical tool that anyone can use to track immune system status without needing sophisticated epigenetic testing.

Background

The index was discovered by researchers in Denmark and has been validated in numerous recent papers as correlating with many chronic diseases. Despite being derivable from any CBC, it is almost never calculated in routine practice.

The expert describes his 'aha moment' of the last two years upon encountering a paper on the immune-inflammatory index. The math is simple enough to do by hand. A value above 2 indicates an inflammatory state linked to a wide range of pathologies. He began applying it retrospectively to patients on dietary interventions (including tartary buckwheat) and observed that the index fell rapidly, preceding clinical improvement. Combined with hsCRP and secretory IgA, this trio of low-cost tests gives a decent read of innate and adaptive immune status that correlates with deeper epigenetic changes. This means that immune monitoring can move from expensive research tools into everyday practice immediately.

It's a standard part of every blood test that a person has. We're just not doing the calculation.

Also said
“Lo and behold, the immune inflammatory index starts coming down very rapidly.”— Shows responsiveness to lifestyle change.

Recommendations

Products, supplements, and tools mentioned in the episode

1 item

Oura Ring

Tool

Jeff Bland used the Oura Ring to monitor biometrics such as heart rate variability, body temperature, sleep patterns, and heart rate, suspecting these are indirect surrogate markers for immune system function.

The expert explains that he became curious whether the Oura Ring's biometrics could correlate with immune age and function. He did preliminary analyses and found that Oura was already collaborating with Stanford to use its data to predict infections days before symptoms. This suggests that common wearable data can serve as a continuous, non-invasive window into immune resilience, potentially making immune monitoring even more accessible.

vs alternatives

Compared to episodic blood draws, wearables offer continuous, real-time data that may reveal immune shifts earlier. However, they are correlative, not mechanistic.

Personal experience

Jeff Bland (recounted by Mark Hyman) started this line of inquiry by wondering: 'I wonder if the Aura ring when it's measuring these biometrics is indirectly measuring aspects of my immune system.'

A paper showing that you could detect some days before you got an infection based on your Aura ring data whether you were going to have an immune problem.

Find Oura
Disclosed sponsorships2speaker disclosed

Big Bold Health Himalayan Tartary Buckwheat Sprout Powder

Supplement Sponsored · disclosed

This is the sprouted, powdered form of the ancient Himalayan tartary buckwheat used in the immune-aging trial. It contains a three-fold higher concentration of immune-active polyphenols compared to the dormant seed, including therapeutically high levels of delphinidin.

DisclosureMark Hyman is an investor in and adviser to Big Bold Health, and Jeff Bland is the founder.

Big Bold Health was founded by Dr. Jeff Bland to resurrect this neglected crop using regenerative agriculture, believing that the soil quality further enhances phytochemical density. The company offers sprout powder, flour, and specific supplements. Mark Hyman explicitly states that he takes it daily and, while acknowledging his financial connection, frames it as a remarkable advance in food-as-medicine that people can easily add to smoothies, yogurt, or baked goods. The sprout powder is intended as a daily staple, not a disease-specific intervention, and its effects on immune epigenetics, blood sugar, lipids, and the microbiome have multiple preliminary and published data points.

vs alternatives

Compared to isolated flavonoid supplements (e.g., quercetin, resveratrol), this whole-food-derived powder provides 121+ polyphenols that act synergistically in a way nature intended. It also provides high-quality protein and prebiotic fiber, unlike single-compound pills.

Personal experience

Mark Hyman says he mixes the sprout powder into his daily smoothie and has done so for an extended period, noting that he made it a staple after reviewing the early trial data and seeing his own biomarkers improve.

I'm an investor in adviser to and very proud to be... I put that every day in my smoothie.

Also said
“This is kind of a moment in history when we're finally able to sort of make sense of food as medicine not in this abstract highlevel framework but actually in a very specific way with very sophisticated testing.”— Frames the product within the broader food-as-medicine movement.
Find Big

Function Health

Service Sponsored · disclosed

Function Health is a service that offers access to the full panel of immune-relevant blood tests discussed, including CBC with differential, hsCRP, and IgA, along with many other biomarkers. It allows individuals to track their immune-inflammatory index and other metrics over time.

DisclosureMark Hyman is a co-founder of Function Health, a consumer-facing platform for comprehensive blood testing and health tracking.

Dr. Hyman mentions Function Health directly as the place where listeners can go to get the same markers he and Jeff Bland have been discussing. He shares that he himself is a client and has had two sets of analyses done, which showed improvement in his immune and inflammatory markers after intensifying his anti-inflammatory lifestyle and adding the tartary buckwheat sprout powder. The service is positioned as a practical tool for anyone wanting to move from passive healthcare to active immune-age monitoring.

vs alternatives

Function Health provides a direct-to-consumer, aggregated dashboard alternative to piecemeal lab orders from a primary care physician, which often omit the immune-inflammatory index or hsCRP unless specifically requested.

Personal experience

Mark Hyman states: 'myself being a a client of function health... When I got more heavily on our program... Lo and behold, all these markers that I were just talking about in my function improved improved.'

At function health we offer this. You can go to functionalth.com and test all these things and find out what your numbers look like.

Find Function

Notable quotes

Lines worth pulling out — contrarian, specific, or perfectly phrased

5 items
If you were to only measure one thing that would determine the year of your death, it'd be the age of your immune system.
A stark, single-sentence reframing of mortality prediction that places the immune system at the center of longevity.
Disease is just the body's best ability to deal with a bad set of circumstances. Change the circumstances and the disease goes away.
Encapsulates the functional medicine philosophy in a memorable, actionable phrase.
We reduced the rate of aging of those immune cells by 47% over the course of 3 months.
The headline numeric result of the pilot trial, delivering a concrete, attention-grabbing statistic.
Nature doesn't divulge her secrets easily. I think you have to do it a step at a time.
A philosophical yet humble nod to the scientific process, underscoring the decades of work behind the breakthrough.
80% of autoimmune disease is seen in women. That's a fact. Does that mean that females have a weak immune system? ... They're born with a perfect immune system to adapt to that which is the biggest stress on their immune system that a woman will ever have: childbearing.
Presents a counterintuitive, empowering model of female immune superiority that flips the conventional narrative of deficiency.

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Topics covered

immune-agingepigeneticshimalayan-tartary-buckwheatimmuno-rejuvenationimmune-inflammatory-indexphytochemicalsflavonoids-as-gene-regulatorsinflammaginglongevityfood-as-medicineautoimmune-diseasewomen-immune-healthfriendly-fat-vs-angry-fatcatabolism-anabolism-balancechronic-disease-epidemicblue-zones-dietgut-immune-axisnatural-killer-cellssenescenceregenerative-agriculture
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Educational summary of the cited expert source — not medical advice. Open the source recording linked above and consult a qualified physician before acting on any protocol.