They have to basically show every year that theres an R.O.I. That sort of irked me. And the more adenosine you accumulate, the more you fatigue. And so it might be that its the rigidity of thought that is really the biggest problem. ABOUT DR. PETER ATTIA. And then you have to have a third project, which is like 75 percent done. Here we fans discuss the cutting edge of longevity science, the latest episodes, and anything we'd like to see/feedback for the future of the podcast. Thats actually a billion dollar question. And this mutation actually is what saved our species, because if we didnt have the ability to go to a cold place like Europe and get fat in the fall by eating all of the fructose-rich berries, we wouldnt have survived the winters. Im actually going to tuck them underneath my lip like chewing tobacco and let it just ease out and keep me going.. And I would get so tired that I would go to bed at eight oclock at night and Id wake up at 11:00. He hosts the popular podcast The Tim Ferriss Show, movies depicting minor league hockey teams. Why is he telling us this? Whats important about that is the fructose molecule. Explore the list of the most recommended book titles suggested by Peter Attia . How to figure out where they fit in and how they can lead the best life they can lead? Were living to reach older and older ages than ever before, which is great. Where did this insecurity come from? So you have this starvation ketosis, nutritional ketosis. ATTIA: But I think thats an interesting point. But heres the problem: Were living longer, but our quality of life is decreasing. His post can be found here. So this just reinforced in me that, youre not immortal. Theres days when I really feel like Im getting left behind and the train is so far ahead and Im never going to catch up. Dr. Attia believes we must replace this outdated framework with a personalized, proactive strategy for longevity, one where we take action now, rather than waiting. December 9, 2022, Designed by Elegant Themes | Powered by WordPress. He is the host of The Drive, one of the most popular podcasts covering the topics of health and medicine. And I think a lot of people get there eventually in life, but I would just say, dont be afraid of that type of exploration. By reducing the amount of carbohydrates we consume and by exercising, we reduce the amount of glucose were consuming and increase our muscle so that when we, consume glucose, our bodies have somewhere to put it. If anybody knew how bad I was at this, it would be embarrassing., Ill give you one example. ATTIA: Yes, it was a lactate meter that she got me to be able to prick my finger while riding my bike and swimming or running or whatever. And then, of course, this third piece, which is the emotional resilience and the ability to maintain a tolerance around distress. , Most people, when they think of death, think of what we call cardiopulmonary death or what Im calling death-certificate death. But probably 80% of people have actually died one of the other deaths before they die a cardiopulmonary death. LEVITT: And so why? is incredibly risk averse. I hope you loved this episode as much as I did. So the former is one molecule of something called glucose and one of fructose bound together. So the other night here is a funny story, because it will come across that my daughter lives a tortured life she really does enjoy this stuff. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease) while simultaneously improving healthspan (quality of life). , especially as he gets older. We certainly didnt learn anything about it in med school. This episode is informative, and I know youll get a lot of value from it. It comes from this place of, Im not good enough. And caffeine blocks that. Peter Attia talks with Steve Levitt about the problem with immortality, what's missing from our Covid response, and why nicotine is underrated. When it comes to chronic and life-threatening diseases, Dr. Peter said it comes down to three major things: So the big three are, in order, atherosclerotic disease so thats vascular disease, meaning heart disease and stroke. How do we know if we have Type 2 Diabetes? Dr. Peter is the perfect person to talk to about health and longevity, and Im excited to have him on. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. is directly causal in disease in nondiabetics; There have been no RCTs demonstrating that better glycemic control in nondiabetics leads to better outcomes, much less using CGM; There have not been any long-term studies using CGM in nondiabetics whatsoever; Some of the interventions to reduce CGM readings (say, carbohydrate restriction) also would increase postprandial triglycerides, also associated with worse outcomes; There is therefore an unclear tradeoff between hyperglycemia and hypertriglyceridemia, and that is assuming that they are each causal for bad outcomes in healthy nondiabetics; The cutoffs for unacceptable glucose excursions by Peter Attia are not based on any evidence whatsoever and are arbitrary. He also receives speaking honorariums from organizations, including hospitals and health-related businesses, when he is asked to speak on longevity, metabolic-related topics, athletic performance, and his personal experience working in medicine. He also receives speaking honorariums from organizations, including hospitals and health-related businesses, when he is asked to speak on longevity, metabolic-related topics, athletic performance, and his personal experience working in medicine. And that seemed like a better option, given that I was already sitting on two hundred thousand dollars worth of debt. That was painful to watch. Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. Welcome toPeople I (Mostly) Admirewith Steve Levitt. I look at my father, whos 86 and still runs and still practices medicine full time, and we do trivia contests together and hes still as good as he ever was. Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. Marion Nestle notes the Arnold's working relationship with a National Restaurant Association and the National Cattlemen's Beef Association consultant. And in the end, it was true that I was no more tired than I was in general, but I completely lost my will to live. Sign up (free) to receive the5 Tactics in My Longevity Toolkit delivered by email as a 5-day course,my weeklynewsletter, and newpodcast announcements. Dr. Peter trained for five years at the, in general surgery, where he was the recipient of several prestigious awards, including Resident of the Year. Hes spent the last few years being mentored by the top medical scientists and now hosts. So you took more or less the same approach to academics that you took to boxing. funding for the rest of your life.. He has since been mentored by some of the most experienced and innovative lipidologists, endocrinologists, gynecologists, sleep physiologists, and longevity scientists in the United States and Canada. But thats not the only thing we can do. Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. This episode is informative, and I know youll get a lot of value from it. [4] scan a couple days later. So thats called starvation ketosis. Its about exercising intentionally. LEVITT: Well, it sounds like you ended up making the right career choice. Please be respectful toward other contributors. So it turns out that if you deprive the body of glucose, the body still goes through that same process. So, nicotine leads to the up-regulation of an enzyme I wont bother to name that is beneficial to how the muscles can utilize fat for energy and how the fat cells refrain from just taking more fat in as storage. Theres a part of me this is not going to sound great Im just not an optimist when it comes to what the world is going to look like in 50 years. We can be reached at. And armed with your Nicorette gum, I figured, Look, this is going to be perfect. Most people, when they think of death, think of what we call cardiopulmonary death or what Im calling death-certificate death. But probably 80% of people have actually died one of the other deaths before they die a cardiopulmonary death. Peter's current diet can simplified into 3 "rules": Time Restricted Feeding Avoid Sugars, High Fructose Corn Syrup & Junk Food No Restriction on Healthy Starches and Vegetables 1) Time Restricted Feeding At the low end, Peter fasts between 14 - 16 hours each day, and at the high end, he fasts between 20 - 22 hours. You can really imagine the matrix of studies that needs to be done, which says, O.K., what does transmission look like inside versus outside? Its a bit of luck and its having really good people around me who are really patient, who have been able to help nurture me back to a new way of thinking about life that is unrecognizable compared to the ethos that was 10 years ago. So I know Ive got the time to get better and better. He is well . . document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Available for pre-order everywhere books are sold. Your body naturally creates glucose in your liver, so when you eat and consume extra glucose, your body sends it to your muscles, and you use it as energy. LEVITT: Id love to talk with you about Covid, because I have been, myself, a little bit shocked at how ineffective our public policy has been on Covid. Its the common factor behind all three biggest causes of death Type 2 diabetes. LEVITT: Yeah. So, Ive done a lot of different things and that makes me a master of nothing. A surgeon who developed metabolic syndrome himself despite the fact that he ate well and exercised often, Attia realized that our understanding of these important health issues may not actually be correct. Whats so good about being in ketosis? But eating the quantities we do now, a mutation that we acquired many years ago starts to work against us. Peter Attia is among the most brilliant people I've ever met, and he's succeeded in packing a life's worth of insights into this book. makes a complete mockery of what sexual harassment is and is not. And you would say, Peter, those seem really easy, and youd be right as a 37-year-old stud, but the point is most 60 year olds couldnt do them. Dr. Peter Attia. Peter Attia is a physician focusing on the applied science of longevity. People Lists Series Gifts. So, yeah, I definitely lost a lot of I.Q. And thats when I stopped my experiment. Its not about exercising more, especially as he gets older. LEVITT: So the goal was that you wanted immediate feedback on what was going on inside your body as you did these extreme workouts that you were prone to do. We won. So I think when you say sugar, what you mean is added sugar. I think its worth understanding that a little bit. And when my daughter was born, I ended up getting a type of medical test that had a finding that no one in their mid-thirties should have. You sometimes need that distance from something. in mechanical engineering and applied mathematics. Theres days I guess I am. And theres this have you seen this thing called Mystery Science Theater 3000? My med school was at Stanford. I mean, I probably wish I had been a bit more introspective a bit sooner. Comments deemed to be spam or solely promotional in nature will be deleted. ATTIA: I dont know. Its just so hard to quit stuff. And it was very uncomfortable. [7] Attia co-founded and served as President of Nutrition Science Initiative (NuSI) with Gary Taubes in 2012. ATTIA: Yeah, I mean, most of these viruses are actually benign enough. And we do that a ton. Throughout our lives, we experience different stressors that can cause strain on our mental health. By Sydney Bueckert, NASM CPT, CES, FNS, GPT November 23, 2022 ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. is who Id want for my doctor. Youre listening toPeople I (Mostly) Admire with Steve Levitt, and his conversation with physician and scientist Peter Attia. If you learned something today, please share it with us! Part 1. Theres days when I think technologys going to solve all of our problems. 15. And I dont say that necessarily to be critical, but its just, you want to talk about incentives. This is a tragedy. So you went to Stanford and got your medical degree there and then you did your residency at Johns Hopkins. Which is: what are those people who cant quit also incapable of doing on a day to day basis, vis vis their very rigid view of, this is the way to do things versus not. And Im still generally a somewhat rigid person. What Happened To Peter Attia. So I think the whole boxing thing came from an insecurity. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. Those are the three biggest causes of death heart disease, cancer, and Alzheimers. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. ATTIA: Yeah, but you have to remember, I mean, the N.I.H. But nobody knows you even started doing it. Why dont we know the dose of fasting? ATTIA: I think without a step-function change in our technology and our understanding of science, it probably depends on how bad they are to begin with. And I think the people who are luckiest and I put myself in that category hit local minima, recognize theyve hit a local minima, but not so much damage has been done that they cant get out of it. I think nicotine is a remarkable molecule. Theres one disease, which is not really thought of as a disease, but I think of it as a continuum that is the foundation upon which all of those sit. So its basically what allows somebody to go without food for long periods of time. And I was like, You know what? Its also the one that seemed the most conflicted. And for that, Dr. Peter recommended therapy. Dr. Peter is the perfect person to talk to about health and longevity, and Im excited to have him on The School of Greatness today! These things have a significant impact on our lives and on our families so how can we stay healthier longer? So, the other night, Olivias like, Daddy, lets watch a movie. And were like, all right. LEVITT: Yeah, absolutely. So how about nicotine? Now he's a physician focused on the science of longevity. And you would say, Peter, those seem really easy, and youd be right as a 37-year-old stud, but the point is most 60 year olds couldnt do them. . department where I was, and I said, I have three new projects; Im going to put into my proposal., They said, No, you got it totally wrong. It comes with just accepting the fact that I do not accomplish as much today as I used to. Weve developed treatments for all kinds of conditions from acne to cancer, and weve greatly expanded our lifespans. Peter Attia, MD Intends To Win The Centenarian DecathlonHere's How August 2022 Huberman Lab Exercise, Nutrition, Hormones for Vitality & Longevity August 2022 Jocko Podcast Overcoming Stress, Sleep Deprivation, and the Darkness with Peter Attia January 2017 The Tim Ferriss Podcast Fasting, Metformin, Athletic Performance, and More (#398) Sign-up (free) to receive the5 Tactics in my Longevity Toolkit delivered byemail as a 5-day course,my weekly newsletter,and new podcastannouncements. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 20122023 PA IP, LLC. But the point is, without making these proactive changes, they mightve lived only until 70. 3K? LEVITT: And did that pay off when you went to surgery? So, again, evolution won. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. LEVITT: But when you say risk, you talk about risk of wasting the money? And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. ", https://en.wikipedia.org/w/index.php?title=Peter_Attia&oldid=1139971534, Stanford University School of Medicine alumni, Articles with unsourced statements from February 2023, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 17 February 2023, at 19:54. Healthspan has three pieces, right? CAUSE THE OBESITY EPIDEMIC IN THE UNITED STATES? Right? Learn more at microsoft.com/teams, The Buddha said, To keep the body in good health is a duty otherwise we shall not be able to keep the mind strong and clear. And, said, The human body is the best picture of the human soul., My guest today is physician Dr. Peter Attia. Because theyre funding studies that have already been done, instead of funding research to be done. 200mg is relatively minor, but he supplemented for the sake of avoiding muscle cramps. LEVITT: And then you became obsessed with nutrition. Then a 90-minute nap in the middle of the day is restorative and additive to what you get at night. To improve sleep, Peter Attia takes phosphatidylserine, magnesium and a supplement called Doc Parsley's Sleep Remedy (a company in which Attia invested), comprising of vitamin D, niacin, magnesium (150 mg), and a blend of tryptophan, GABA, phosphatidylserine, theanine, 5-HTP and melatonin. Sign-up (free) to receive the5 Tactics in my Longevity Toolkitdelivered by email as a 5-day course. Freakonomics is a registered service mark of Renbud Radio, LLC. ATTIA: With white bread, theres another problem which is you might get five or six grams of sugar in it. And better? Those four main pillars focus on the different areas Dr. Peter wants to maintain good health even into old age. So theyve either died a cognitive death which is to say their minds have become so dull that theyre really not able to be the people they wanted to be [or] their body has broken down so much that the things that once gave them so much joy, theyre deprived of or emotionally theyve become depressed. It quickly raised more than $40 million from big-name donors to facilitate expensive, high-risk studies intended to illuminate the root causes of obesity. And so I want to challenge you to do that. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. So I just generally say try not to eat too much before bed. And then, of course, this third piece, which is the emotional resilience and the ability to maintain a tolerance around distress. Dr. Peter Attia. And while learning to manage stress and overcome trauma may not be the only thing it takes to prevent Type 2 diabetes, it will definitely increase your odds of staying healthy longer. So my guess is, theres some measure around helping them become better thinkers. Now, in very low doses, which is what you would get if you were eating a piece of fruit, there is no problem in eating fructose. If were going to take Tylenol, we know the dose. ATTIA: This is actually something thats really interesting. So I want to start with a story. Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! Hes one of the most intelligent, curious, compassionate people Ive ever met. So youre probably just in what are called theta waves. LEVITT: And how much fasting does a person have to do to start getting those benefits? Theres an, Tim is an early-stage investor and author of five #1 New York Times bestsellers. Physician. The four pillars of being a kick-ass 100-year-old. LEVITT: So tell me about when you were 14 and you wanted to be a professional boxer. He is of Coptic Egyptian descent. in mechanical engineering and applied mathematics. [3], Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. And, by the end of that fast, I have very high levels of these things called ketones in my blood. I just didnt care if I was alive or dead, even though I wasnt even particularly tired. If you learned something today, please share it with us! Where did this drive come from? And so now eating a diet thats high in fructose, again, especially liquid fructose, wreaks all metabolic destruction. But I still stand by the benefits of nicotine. After obtaining his medical degree from Stanford University, he was a surgeon at Johns Hopkins and worked at the National Cancer Institute. And my glucose level is very low. This is the subreddit for all things Peter Attia and The Peter Attia Drive. Comments that harass other posters will be deleted. So after college and before grad school. About Community. And I think youve come to appreciate, in recent years, the importance of sleep. But I get a little bit worried that I dont know how to prepare them for a world that I dont understand. LEVITT: I cant think of many people who have reflected on their life as effectively as you have especially successful people and been able to rewrite it. Workout and Diet. what happened to peter attia. We promise no spam. Well, I have six kids and I havent had a good nights sleep in 18 years. Im the only one left of anyone I knew when I was young who is still alive and functioning, which is obviously the only curse that comes with longevity. So the brain could use it as a glucose substitute, and it would offset 50 to 60 percent of its glucose requirement. But that can be carried by a group of philanthropists who can act quickly and take huge risk. You went to McKinsey. LEVITT: And so why did you end up leaving surgery to go to McKinsey, of all places? Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. The first two are simple: Diet and exercise. I am absolutely in the process of rewriting it, and that is my intention. Dr. Peter Attia is a medical doctor specializing in health, longevity and preventive medicine. And it sucked. And when I was applying for my first grant, I went to the senior people around the M.I.T. Now, whether its another SARS coronavirus or an influenza virus or another virus, I dont know. So that comes in mostly two forms in the United States, which is sucrose, or table sugar, which is that white granular powder, or high fructose corn syrup, which is a syrupy liquid approximation of that. So I abandoned that one on my own. Lets dive in! And I think its the perfect model, which is: let the government come in when its been de-risked. But it needs to be that long nap because thats about the length of time it takes to go through the phases of sleep. And during all of this intentional exercise, Dr. Peter has one thing in mind: his Centenarian Olympics. Youll be able to read more about this in Dr. Peters book when it comes out, but for now, I can tell you that the Centenarian Olympics is a series of activities that Dr. Peter wants to be able to do when he turns 100. And honestly, one of the least predictable and most intelligent people Ive ever met. I actually find a fasting sleep to be some of the most amazing because Im watching this plummeting temperature, rising heart rate variability, falling heart rate, all of those really valuable things. Dr. Peter Attia. But I tried to build a mathematical model to address a problem in the I.C.U. Dr. Peter says there are four main ways to do it. So lets say youre someone whos only going to get five and a half hours of sleep at night, which for virtually everyone is still suboptimal. It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. He lives in Austin, Texas with his wife and three kids. This mask versus that mask? In this operating manual for longevity, Dr. Peter Attia draws on the latest science to deliver innovative nutritional interventions, techniques for optimizing exercise and sleep, and tools for addressing emotional and mental health. But theyre not really set up to do big, big thinking. My guest today is physician Dr. Peter Attia. And I am so humbled by how bad I am now. I learned so much from this conversation. I hope you loved this episode as much as I did. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. Enjoy this content? from Stanford University and holds a B.Sc. You have to have one project which is 95 percent done and turned out well. Peter Attia: "I Definitely Lost a Lot of IQ Points That Day" He's been an engineer, a surgeon, a management consultant, and even a boxer. ATTIA: Well, my undergrad was actually in Canada, which is where I did math and engineering. Dr. Peter says there are four main ways to do it. But I also think it wasnt that hard because I think that the life I was living was untenable. LEVITT: Yeah, man, I could not agree with those two things more. Non-lame, weekly emails on thelatest strategies and tacticsfor increasing your lifespan, healthspan, and well-being (plus new podcast announcements). And I will say, hes one of the few people who when he tells me to do something, I just do it. Peter Attia has dedicated his medical career to investigating the relationship between nutrition, obesity and diabetes. Lets dive in! Can you describe how you approached your undergraduate classes at Stanford? LEVITT: You have given a lot of advice already about nutrition and health. Without your financial help, this blog is in critical danger of not surviving. They get their money from Congress. Hes playing the long-game and working hard to maintain the strength and overall good health hell need to continue living an active and fulfilled life even when hes over 100 years old. Comments are welcomed and encouraged. He spent two years at the National Institutes of Health as a surgical oncology fellow at the National Cancer Institute, where his research focused on immune-based therapies for melanoma. Additionally, Dr. Peter is an advisor to and/or investor in the following companies: Virta Health, Hu Kitchen, Oura Health Oy, Magic Spoon Cereal, Inevitable Ventures, Salutoceuticals, Dexcom, and Supercast. What type of a person is going to be safe in what type of an environment to go back to work? Every time I go to an academic seminar, Im going to bring two pieces of Nicorette gum. Part of the practice includes nutritional biochemistry, a field that deals with supplements. And I do that in academic seminars and its incredibly embarrassing. I mean, this is not an unethical thing to do. His practice focuses on the applied science of longevity. I think they often get confounded. [1][2] He is also the first person to make the round-trip swim from Maui and Lanai. LEVITT: Oh, God. points on that day. And I had all the time in the world. And it was at that point that I learned about this company called McKinsey that was like business school that you got paid for. ATTIA: Correct. [8][9] And a guy who was one weight class above me and quite frankly, at that point, a better fighter I mean, he just landed a right cross on the side of my head that at the time, I didnt think anything of. Born: 1973. But the muscles could use it. ATTIA: Well, rigidity of thinking is generally a bad thing. Dr. Peter Attia and Dr. Andrew Huberman discuss the truth about dietary cholesterol and what impacts it.Dr. Mass vaccination would interfere with this a lot. And I think most people do find a lot of benefit from it. And white bread is generally depleted of anything of value. Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. And they mightve spent the last 20 of those years in an unbelievable state of misery. And I religiously do whatever you tell me to do. So theyve either died a cognitive death which is to say their minds have become so dull that theyre really not able to be the people they wanted to be [or] their body has broken down so much that the things that once gave them so much joy, theyre deprived of or emotionally theyve become depressed. I also had an additional conversation with Kevin Hall, PhD, one of the key researchers NuSI . Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. After publishing my post Nutrition Science Initiative (NuSI) in retrospect, I received an email from Peter Attia, MD, the former president of NuSI, suggesting that I had gotten aspects of the story wrong due to a lack of additional context.Attia and I spoke twice by phone, and I think he has a point. Residency didnt seem very merit-based. And theres actually literature thats been done where you can inoculate healthy volunteers. I want to be able to hop over a three-foot fence. And that ketone was a substitute fuel for glucose and for fat. And so I do I think death is a very important part of the carbon cycle. Six feet versus two feet., And if you could now paint the boundary conditions of that universe with actual data, the next time a virus comes up, we would at least have boundary conditions to say, Oh, this virus looks most like this virus.. Comments including unnecessary profanity will be deleted. What did your day look like? Comments requesting medical advice will not be responded to, as I am not legally permitted to practice medicine over the internet. And then probably have N.I.H. So, if we can turn off the phones well before bedtime, well find it a lot easier to fall asleep. So I just generally say try not to eat too much before bed. Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. Stay up-to-date on all our shows. It turns out that managing Type 2 diabetes and stress have massive effects on our overall health, and they can even help us increase our healthspans.