4.6 • 17.4K Ratings
🗓️ 20 August 2025
⏱️ 105 minutes
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Dr. Jeffrey Goldberg is Professor and Chair of Ophthalmology and Director of the Byers Eye Institute at Stanford University, a leading scientist in the development and degeneration of the visual system from eye to brain, and a practicing ophthalmologist and surgeon.
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Timestamps:
[00:00:00] Start.
[00:05:30] How do you solve a problem like presbyopia?
[00:08:34] The athletic benefits of training supranormal (better than 20/20) vision.
[00:11:49] Indigenous eye drops and FDA-approved pilocarpine for presbyopia.
[00:14:05] Understanding basic eye anatomy.
[00:17:27] Exploring AREDS 2, CoQ10, ginkgo, vitamin B3, and other supplements for vision.
[00:23:00] Visual training devices and psychedelic-prompted brain plasticity.
[00:25:12] Thoughts on visual training effectiveness and motor action requirements.
[00:28:29] Concussion rehabilitation and visual perception exercises.
[00:32:36] Red light and violet light therapy for myopia and mitochondrial health.
[00:36:07] Vision loss correlation with cognitive decline and depression.
[00:39:36] Presbyopia progression and psychological dependence on readers.
[00:41:15] Cognito Therapeutics headset for Alzheimer's treatment.
[00:46:46] Glaucoma basics: neurodegenerative disease and risk factors.
[00:48:53] Eye pressure variability and diurnal cycles.
[00:50:02] Cannabis effects on eye pressure and compound isolation.
[00:51:47] Stem cell research for vision restoration.
[00:53:09] Anti-inflammatory effects and immune system role in eye diseases.
[00:55:15] Gut microbiome connection to glaucoma in animal models.
[00:58:43] Metabolic syndrome and GLP-1 receptor agonists.
[01:00:50] Microbiome sharing and future therapeutic possibilities.
[01:03:31] Dry eye treatment: preservative-free tears and serum drops.
[01:08:43] Vision screening recommendations and UV protection.
[01:11:22] Full-spectrum light benefits vs. UV exposure.
[01:13:27] Paradigm shifts: irreversible vision loss becoming reversible.
[01:17:18] Convergence of neuroscience advances and biotech investment.
[01:21:58] Miraculous mitochondria: health, transplants, and three-parent babies.
[01:26:24] My family history concerns and metabolic health screening.
[01:29:26] Exercise's biggest gain: going from none to some.
[01:33:03] Clinical trial participation resources and parting thoughts.
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| 0:00.0 | Hello, boys and girls, ladies and germs. This is Tim Ferriss. Welcome to another episode of the |
| 0:04.3 | Tim Ferriss show. This episode is deeply personal because, as someone who is now in his late |
| 0:09.8 | 40s, my eyes have started to go for the first time. I've always had 2010 vision, and this is |
| 0:15.4 | unacceptable for me. So I spoke to everyone I knew, and good old Andrew Huberman saw a post that I put up, |
| 0:24.1 | texted me, said the person you need to talk to is Dr. Jeffrey Goldberg. So guess who my guest |
| 0:29.1 | is today? Dr. Jeffrey Goldberg, professor and chair of ophthalmology and director of the |
| 0:34.3 | Byers Eye Institute at Stanford University. He has a wide breadth of expertise. |
| 0:40.5 | He is a leading scientist in the development and degeneration of the visual system from eye to brain, |
| 0:45.7 | and their interventions depending on where you want to go at many points along that chain, |
| 0:50.2 | although it's more of a network, I guess, and a practicing ophthalmologist and surgeon. |
| 0:54.8 | We dive into all sorts of stuff in this episode, ranging from super performance or supernormal |
| 1:00.6 | performance, let's just say for professional athletes, if you wanted to take your vision from |
| 1:04.7 | normal or pretty good to unbelievably good for, say, competitive purposes, We talk about that. And we also talk about |
| 1:14.2 | repair and slowing the degeneration of the eye, which naturally comes with age. Dr. Goldberg's |
| 1:21.5 | research is directed at vision restoration, including neuroprotection and regeneration of the retina |
| 1:26.4 | and optic nerve, a major |
| 1:28.2 | unmet need in glaucoma and other eye diseases. And we'll define all of these terms in the |
| 1:32.9 | conversation. So don't worry. His laboratory is developing novel molecular stem cell and |
| 1:37.1 | nanotherapeutics approaches for eye repair. And he is widely recognized for translating |
| 1:41.4 | advances in the lab into clinical trials for patients. So from bench |
| 1:46.5 | to bedside in some respect. And I really enjoyed this conversation. I took a lot of notes. |
| 1:52.1 | There's a lot of actionable detail. So we'll dive right into the conversation, but first, |
... |
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