document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. 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. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 20122023 PA IP, LLC. ATTIA: Exactly. 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. This is the subreddit for all things Peter Attia and The Peter Attia Drive. Theres an, Tim is an early-stage investor and author of five #1 New York Times bestsellers. But its crazy. The second thing I would say is: really do not consider sunk costs in your career. But when we sleep, its best for our bodies to be cold when we sleep cooler, we get more rejuvenating sleep. 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. But it also comes with letting go of a bunch of stuff, too. And I will say, hes one of the few people who when he tells me to do something, I just do it. 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 the cognitive piece so how well does your brain work as you age? Now, whether its another SARS coronavirus or an influenza virus or another virus, I dont know. LEVITT: And I asked you, Well, how do you know when its time to stop working out? You said, Either when I lose consciousness or when I piss or crap myself, thats when I decide Ive worked out hard enough.. He also. Im sure anyone who did something at a high level, whether it be playing the piano or doing anything, once theyre so far past their prime, they look back and go, I dont think I appreciated what it took to get there.. ATTIA: Well, I think theres something biologically interesting that happens in people when they have a kid, which is, they sort of realize their own mortality in a way. And then youd just be guaranteed to get N.S.F. I could barely turn my head. LEVITT: But when you say risk, you talk about risk of wasting the money? These things have a significant impact on our lives and on our families so how can we stay healthier longer? In many ways thats the advice I give everyone, is not to be afraid of change. But the muscles could use it. I know Im inspired to increase my healthspan in addition to my lifespan, and I hope you are too! ATTIA: What an obnoxious idiot I was. After medical school, Attia spent five years at the Johns Hopkins Hospital in Baltimore, Maryland as a general surgery resident. But theres a lot of new research coming out among economists, of all people, thats starting to flag the importance of sleep. LEVITT: Yeah, I mean, youve listed a bunch of things that we would want to know the answers to that we dont know the answers to. ATTIA: Yeah, but you have to remember, I mean, the N.I.H. ATTIA: So ketosis is arguably one of the most important, if not the most important, metabolic adaptation that allowed our species to survive, because our brains are so dependent on glucose. Where did this drive come from? Were living to reach older and older ages than ever before, which is great. ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. Im so grateful to him for taking the time to join me here on, Healthspan has three pieces, right? , a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. 200mg is relatively minor, but he supplemented for the sake of avoiding muscle cramps. What do you do daily to live a longer and healthier life? We talk once every six months or four months. ATTIA: I actually this is probably one that has changed less than most in the past decade. And then the evening would be going to the gym for sparring. I mean, not even hard to figure out if youre willing to do randomized experiments. Those four main pillars focus on the different areas Dr. Peter wants to maintain good health even into old age. And honestly, one of the least predictable and most intelligent people Ive ever met. Steve, we should have you take the Epworth Sleep Survey. Peter Attia is the host of The Drive podcast and . Everything was metabolically broken. Lets dive in! So you took more or less the same approach to academics that you took to boxing. makes a complete mockery of what sexual harassment is and is not. 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. Comments requesting medical advice will not be responded to, as I am not legally permitted to practice medicine over the internet. [3] Career [ edit] Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. He is of Coptic Egyptian descent. What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? Im afraid that I havent done a great job. And better? And the more I learned, frankly, the less I agreed with him. And you say, I die.. So I just generally say try not to eat too much before bed. If you take a 20-minute afternoon nap, youre not going to get into whats called delta wave sleep. ATTIA: I did. I dont know that its a substitute for the nighttime sleep, though. 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. This magnesium features what's called an enteric coating to protect it from premature disintegration. Born: 1973. Peter Attia talks with Steve Levitt about the problem with immortality, whats missing from our Covid response, and why nicotine is underrated. How to figure out where they fit in and how they can lead the best life they can lead? What a complete and total travesty. Studying studies: relative risk vs. absolute risk. But the point is, without making these proactive changes, they mightve lived only until 70. I want to be able to hop over a three-foot fence. Including a link to relevant content is permitted, but comments should be relevant to the post topic. I have used CGM extensively as a non-diabetic and correspondingly have personal experience; I am familiar with the literature cited, have considered it at great length, and have been communicating critically about the use of CGM for non-diabetics for more than a year (and warning people that it is a waste); I have followed Peter Attias career for nearly a decade, have listened to almost all of his >100 podcast episodes, was once an admirer, and am deeply familiar with his arguments about CGM; I have medical training and have nearly completed a PhD; Peter Attia once told me he respected me and offered me a job as a fact-checker (which I declined). To listen ad-free, subscribe to Stitcher Premium. The problem was, it was the winter. Peter Attia, MD, is the founder ofEarly Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal oflengthening their lifespan and simultaneously improving their healthspan. Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. And then the key was that they said, If you ever sleep longer than three hours, you ever do one full night of sleep, your body resets completely and youve lost it.. I said, No, no, no. And Ive got her into it now. Its not about exercising. Thanks for listening. Your lifespan may be longer, but your healthspan the amount of life you live in good health isnt. 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 that's vascular disease, meaning heart disease and stroke. Peter Attia is a Canadian-born doctor who focuses on the science of longevity. If I just took 20 guys like you and took them from eight hours a night to four hours a night for two weeks and then did these glucose tolerance tests, I could reduce [their] glucose disposal by 50%. So maybe some combination of those two things would be helpful as a person navigates their way. He told me that a full sleep cycle takes about 90 minutes, so a nap of that length or longer is going to disrupt your sleep at night, since youll already have been through a full cycle. By Sydney Bueckert, NASM CPT, CES, FNS, GPT November 23, 2022 And that, to me, is where I get shocked at what Id call the failure of medicine in this dimension to provide us with the answers that, if we had known a lot more about other kinds of infectious diseases, we probably could have been a lot smarter. The purpose of comments on our site is to expand knowledge, engage in thoughtful discussion, and learn more from readers. I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. And so for six months, Ive been doing something that was probably a really bad idea as well. ", "Are We Fighting The Wrong Battle In The Obesity War? His practice focuses on the applied science of longevity. Anonymous comments will be deleted. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. Theres days when I think technologys going to solve all of our problems. But I think there was a very similar insecurity. But it was like, You got to do it, man. Fasting turns on a process called autophagy. Whats good about nicotine? And we do that a ton. But we just have to know what were doing it for and what matters. So it wasnt one thing, Steve. So it turns out that if you deprive the body of glucose, the body still goes through that same process. But my hunch is, youd know better than me, is that for things like influenza, we actually dont even know the answer, even though weve had 100 years to be thinking about that. But eating the quantities we do now, a mutation that we acquired many years ago starts to work against us. Its our inability to get smarter as we went along. You have to have one project which is 95 percent done and turned out well. So it becomes a way for us to recycle our dead or defective cells. Freakonomics is a registered service mark of Renbud Radio, LLC. Dr. Peter Attia is a physician focusing on the applied science of longevity. Our lifespan is the amount of time we live, and it is steadily growing longer. In Part One, we talked about how mental health affects longevity, daily practices you can do to live a longer and healthier life, and all the details on Type 2 diabetes. And to me, we want to minimize that gap, right? and holds a B.Sc. Peter Attia talks with Steve Levitt about the problem with immortality, what's missing from our Covid response, and why nicotine is underrated. And if people say to me, sometimes hey man, Give me one piece of dietary advice, Id be like, Just start reading labels. And you were like, Whats that? And I was like, Oh, I chew Nicorette gum. And you asked me if I was a smoker. Which diseases are killing people the most and what to do about it. Its about exercising intentionally. But not too far behind it is cancer. And even if there were such data, what data are there that this harm is caused by the glucose itself? And therefore it was just disjointed. And I would get so tired that I would go to bed at eight oclock at night and Id wake up at 11:00. But its something I at least pay attention to now. When it comes to reversing the effects of Type 2 diabetes and preventing further chronic health problems, sleep is essential. No, the short answer is, Im still trying to make sense of this as well. Right? So I want to start with a story. Its not about exercising more, especially as he gets older. is incredibly risk averse. And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. Comments that attack an individual directly will be deleted. And my glucose level is very low. Those are the three biggest causes of death heart disease, cancer, and Alzheimers. So there are lots of benefits to fasting. So if you have defective cells, you dont want those guys going around replicating, making cancer cells and things like that. Bring everyone together in one space with Microsoft Teams! Thanks, interesting.This is a lot of psyllium to swallow. He is of Coptic Egyptian descent. Meet Peter Attia, the Longevity Doctor That Detected Chris Hemsworth's "Biggest Fear" An Alzheimer's gene threatens the actor's healthspan, but Attia has a plan to fight back. If you learned something today, please share it with us! And caffeine blocks that. And I think its the perfect model, which is: let the government come in when its been de-risked. What type of a mask really matters? I mean, my testosterone was slightly higher than that of a prepubescent girl. , especially as he gets older. To listen ad-free, subscribe to Stitcher Premium. So, Ive done a lot of different things and that makes me a master of nothing. It was about 10 things. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. Marion Nestle notes the Arnold's working relationship with a National Restaurant . But I love that about you, that youre willing to change your mind. I mean, I probably wish I had been a bit more introspective a bit sooner. However, theres one disease that underlies all three of these. He also has a B.Sc. He lives in Austin, Texas with his wife and three kids. And so if you can say, Yeah, youll live five to seven years longer, call it 10 years longer, but at 85, youre functioning like a fit 65-year-old, thats actually a much more important win for almost everyone.. ATTIA: Yeah, I mean, most of these viruses are actually benign enough. And for that, Dr. Peter recommended therapy. And look, if you had to choose between someone having your dads life and he dropped dead tomorrow, lets say he had a heart attack on a run tomorrow, Id still take that over the person who lives to be 100 but spent 20 years in a state of decline. And senescent cells basically send out these really nasty inflammatory signals to other cells that basically age them. How does our mental health affect our longevity? Readdressing Dietary Guidelines - Dr. Peter Attia. Donate here: DID THE DIETARY GUIDELINES (AND LOW-FAT DIETS, SUGAR, ETC.) And actually, my model ended up working really well, but I was basically threatened that Id be fired if I ever did it again. Additionally, Dr. Peter is an advisor to and/or investor in the following companies: Dr. Peter has an impressive career, but hes an even more impressive person in real life! And that work ethic came from this belief that I actually dont think is that healthy. So I embarked on a sleep experiment that went on for maybe three months where I did not sleep more than three hours a night. LEVITT: Yeah, man, I could not agree with those two things more. 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 do consume glucose, our bodies have somewhere to put it. 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). LEVITT: I will say that youve taught me a lot and I never told you this before youre one of the few people on the planet whose opinion I trust so completely that when you tell me to do something, no matter how absurd it sounds, I do it. from Stanford University and holds a B.Sc. Enjoy this content? I mean, God, sometimes I hear stories like that and I just Im so embarrassed. And again fortunately, Olivias my oldest and shes 11. And to me, we want to minimize that gap, right? The problem is that we may be living longer, but were living with chronic health conditions that significantly lower our quality of life. According to Tools of Titans, Attia takes 600 to 800 mg per day of magnesium, alternating between mag sulfate and mag oxide. And I remember once I was being interviewed and someone asked me: if you could be granted immortality or something, would you take it? ATTIA: Now, that I remember. This is a tragedy. Part 1. You went to McKinsey. And then you have to have a third project, which is like 75 percent done. And then I was going to Netflix to find it. pick up the tab to really finish it, because this is a multi-year experiment. I think most people do get a bit of a cognitive jolt from it. Non-lame, weekly emails on thelatest strategies and tacticsfor increasing your lifespan, healthspan, and well-being (plus new podcast announcements). Ive known Peter for 10 years. Dr. Peter is working hard to keep his body strong and healthy functioning even into old age. 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! Youll have to wait until Wednesday for Dr. Peters definition of greatness, so for now, Ill leave you with one final piece of wisdom: There are people out there who have so many genetic things working against them, that theyll be lucky to make it to 80. He remains unbiased and sticks to what the science indicates while also willing to experiment on himself. Because for most people, the last 20 years, especially the last 10 years, are not great, both physically and cognitively. Please be respectful toward other contributors. How we are going about medicine the wrong way. Youve decided that was a terrible idea. How do we know if we have Type 2 Diabetes? ATTIA: No, I think its the hardest job. Sleep supplement. Maybe it was partly the placebo effect of all your happy stories about it. So my guess is, theres some measure around helping them become better thinkers. He is the Co-founder and Chief Medical Officer of the fasting app Zero. And I dont think Im very good at it, Steve. It also has a significant effect in terms of fat oxidation. So I know Ive got the time to get better and better. [4] All contents Freakonomics. Mass vaccination would interfere with this a lot. Today, we have more medical knowledge than ever before. . I am responding to this post because: a) Peter's post made it into my message [] Dr. Peters goal is to reduce those early deaths as much as possible. The first two are simple: Diet and exercise. You got to do it.. Thank you so much for joining me today! 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. Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. But life isnt really about necessarily being the master of something. ATTIA: It was hard, actually. So, yeah, I definitely lost a lot of I.Q. No government funds at all, is that right? LEVITT: So youve devoted much of the last 10 years to understanding longevity better and the things that are under control of people in their behaviors. So I dont know that I really deserve any credit. And then probably have N.I.H. Attia has a chapter giving advice in Tim Ferriss' book Tools of Titans. Thats actually a billion dollar question. [7] Attia co-founded and served as President of Nutrition Science Initiative (NuSI) with Gary Taubes in 2012. 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. So the brain could use it as a glucose substitute, and it would offset 50 to 60 percent of its glucose requirement. 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. But thats not the only thing we can do. LEVITT: Thats been my reaction exactly, is, the answer to every one of the questions you just posed is completely and totally knowable. LEVITT: One of the things that really bothers me about myself is that I can fall asleep anywhere, anytime. And I felt great. Its also the one that seemed the most conflicted. LEVITT: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. My Centenarian Olympics has 18 events in it. 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. Marion Nestle notes the Arnold's working relationship with a National Restaurant Association and the National Cattlemen's Beef Association consultant. December 9, 2022, Designed by Elegant Themes | Powered by WordPress. And that seemed like a better option, given that I was already sitting on two hundred thousand dollars worth of debt. What does it do for you metabolically? For one thing, we can avoid looking at our electronics before bed. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. So this just reinforced in me that, youre not immortal. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. @bariweiss. ATTIA: Totally my favorite thing on the planet. So they think that you can show them something you havent done when youre done. Peter focuses on the what happened to peter attia areas dr. Peter wants to maintain good health isnt by WordPress want! Wake up at 11:00 % of people have actually died one of the app... They die a cardiopulmonary death cognitive jolt from it a smoker but theres a of! The way, whatever genes killed everyone before you are coming for you you! 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