120: The Pancreas - Our Most Underrated Metabolic Organ & Why Its Health is Vital w/ Dr. Ben Bikman

📢 Ask Dr. Bikman’s Digital Mind

In this episode of Metabolic Classroom, Ben Bikman takes a detailed look at the pancreas, a small but mighty organ with two major roles—endocrine and exocrine. The endocrine pancreas (just 1–2% of its mass) regulates metabolism by secreting hormones like insulin, glucagon, somatostatin, pancreatic polypeptide, and ghrelin. These hormones work together in a push-pull fashion to control blood sugar, fat storage, appetite, and nutrient use. Importantly, the flow of blood from endocrine tissue directly into the exocrine portion of the pancreas allows these hormones to rapidly influence digestion—a unique design seen in few other organs.

Dr. Bikman explains that the exocrine pancreas (about 98% of the organ) produces powerful digestive juices that include enzymes for breaking down carbohydrates, fats, and proteins. This fluid is rich in bicarbonate to neutralize stomach acid and protect the small intestine. The enzymes are released in inactive forms and activated only in the intestines to avoid damaging the pancreas itself.

The endocrine and exocrine systems are closely linked. For example, insulin not only manages nutrient storage but also supports the function and growth of the exocrine acinar cells. Conditions like pancreatitis and type 2 diabetes often affect both systems due to this interdependence. If one side of the pancreas is disrupted—such as when insulin production is impaired—the exocrine side may also begin to fail, leading to digestion and nutrient absorption problems.

This lecture underscores the critical role the pancreas plays in total metabolic health. From blood sugar control to nutrient absorption, its dual functionality makes it a cornerstone of digestive and hormonal balance. Supporting the pancreas through diet, exercise, and reduced insulin demand is essential for maintaining metabolic health across the board.

Show Notes/References:

For complete show notes and references, we invite you to become an Insider subscriber. You’ll enjoy realtime, livestream Metabolic Classroom access which includes live Q&A with Ben after the lecture, adfree podcast episodes, show notes and references, and online, live Office Hours access with Dr Bikman. It also includes Ben’s Research Review Podcast, and a searchable archive that includes all Metabolic Classroom episodes and Research Reviews. Learn more

Translation Notes:

You can click the gear icon at the bottom of this video to auto-translate captions. For example, to translate into Polish, select Subtitles, choose Auto-Translate, then first choose English, then choose Auto-Translate again, then choose Polish.)

In addition, our channel has first access to YouTube’s new, innovative “auto-dubbing” feature. The process currently supports translations from English into many languages, with more to come. Click on the gear icon, then choose “Audio track” to access. (Sometimes this availability is delayed several weeks or more, so check back often.)

Timestamps (approximate):

IMPORTANT NOTE: The information presented is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Dr. Bikman is not a clinician—and, he is not your doctor. Always seek the advice of your own qualified health providers with questions you may have regarding medical conditions.

#PancreasHealth #EndocrineSystem #ExocrineFunction #InsulinResistance #HormonesAndMetabolism #DigestiveEnzymes #MetabolicHealth #Glucagon #Somatostatin #Bicarbonate #AcinarCells #Type2Diabetes #Pancreatitis #NutrientAbsorption #HumanMetabolism #FatDigestion #BloodSugarControl #HormonalBalance #GutHealth #MetabolicClassroom

Ben’s favorite yerba mate

Ben’s favorite mealreplacement shake(discountBEN10)

Ben’s favorite allulose source(discountBEN20)

Ben’s favorite health checkup for men(discountDRBEN15)