That way, we can live lives that are both long and healthy! But I do spend quite a bit of time in starvation ketosis because I fast frequently so either three days a month or seven days a quarter is typically my fasting routine. Theres an, Tim is an early-stage investor and author of five #1 New York Times bestsellers. 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). Who I am. You went to McKinsey. 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. If you learned something today, please share it with us! Do you have specific parenting advice that you would dole out? But the probability, Steve, that you or I may get the rest of our lives without another pandemic must be viewed as exceedingly small. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. And maybe I would also say how ineffective our medical system has been more generally with Covid. Residency didnt seem very merit-based. Its just so hard to quit stuff. The first two are simple: Diet and exercise. I mean, there is, to me, no upside in outliving everyone that matters to you. From 2012-2015, he . I dont know that its a substitute for the nighttime sleep, though. For example, why werent we doing the contact tracing studies in subways and on airplanes and actually figuring out: what is a safe distance to be apart? And I want you to interrupt me every time you have a question.. from Stanford University and holds a B.Sc. LEVITT: So tell me about when you were 14 and you wanted to be a professional boxer. Dr. Peter trained for five years at the Johns Hopkins Hospital 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 The Drive, a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. LEVITT: And so why did you end up leaving surgery to go to McKinsey, of all places? And theres days when that really hurts. Lets talk a little bit about the difference between lifespan and healthspan because theres a really key distinction between them. It was really an interesting thing to watch. Comments are welcomed and encouraged. This comment policy is subject to change at any time. My guest today is physician Dr. Peter Attia. 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. All of the music you heard on this show was composed by Luis Guerra. They have to basically show every year that theres an R.O.I. And then, of course, this third piece, which is the emotional resilience and the ability to maintain a tolerance around distress. Dr. Peter Attia. So it becomes a way for us to recycle our dead or defective cells. 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! If it says its got sugar in it, eat a different version. And then take a little step further, and you reach neurodegenerative disease, of which Alzheimers disease is far and away the most common and also the most rapidly increasing. I would run between five and 13 miles each morning. pick up the tab to really finish it, because this is a multi-year experiment. 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. , a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. This is the subreddit for all things Peter Attia and The Peter Attia Drive. And that ketone was a substitute fuel for glucose and for fat. Its the cognitive piece so how well does your brain work as you age? 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. is who Id want for my doctor. Now, whether its another SARS coronavirus or an influenza virus or another virus, I dont know. And I religiously do whatever you tell me to do. ATTIA: I actually this is probably one that has changed less than most in the past decade. in mechanical engineering and applied mathematics. Right? Thats the ultimate goal: To practice medicine and healthy living in such a way that we avoid encountering any kind of death before we have to. LEVITT: Yeah. Try playing chess with it, its so confident gives you a very detailed analysis why it's making a move and why your move was wrong, but tried to make illegal moves and doesn't What type of a mask really matters? Aside from preventing chronic diseases like Type 2 diabetes, how can we extend our healthspans to become, as Dr. Peter put it, kick-ass 100-year-olds? to do just that, Dr. Peter structures his exercise around four main pillars: My training is very specific, but now it is fundamentally organized around four pillars: Stability, strength, mitochondrial or aerobic efficiency, and anaerobic performance. Dr. Peter Attia. So after college and before grad school. And thats important, but just as important is our mental health. All rights reserved. For one thing, we can avoid looking at our electronics before bed. He is the Co-founder and Chief Medical Officer of the fasting app Zero. What a complete and total travesty. Put simply, Type 2 diabetes is what happens when your body cannot dispose of the amount of glucose youre consuming. LEVITT: And did that pay off when you went to surgery? ATTIA: This is actually something thats really interesting. ATTIA: But I think thats an interesting point. 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. 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. 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. , I think there [are] basically three ways that we can approach dealing with this: One of these is through psychotherapy, pharmacotherapy, and then behavioral therapy, which Im an overwhelming proponent of in particular a type of behavioral therapy called Dialectical Behavioral Therapy or DBT. , My training is very specific, but now it is fundamentally organized around four pillars: Stability, strength, mitochondrial or aerobic efficiency, and anaerobic performance. , Those four main pillars focus on the different areas Dr. Peter wants to maintain good health even into old age. ATTIA: Now, that I remember. 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. When we eat, our bodies naturally raise our temperature its just part of the digestion process. But to accomplish that goal, we have to learn how to prevent chronic diseases. And if people say to me, sometimes hey man, Give me one piece of dietary advice, Id be like, Just start reading labels. We finished the round. Aging often comes with significant physical problems that are increasingly tough to deal with. The four pillars of being a kick-ass 100-year-old. Why is he telling us this? Whats important about that is the fructose molecule. . All rights reserved. Peter Attia is a Canadian-born doctor who focuses on the science of longevity. ATTIA: Well, I think the benefits of fasting are legion. LEVITT: And so why? Physician. And caffeine blocks that. There are a ton of different types of therapy you can get into, but the end-goal is the same. About Community. Hes doing an appropriate amount of exercise for his age, and hes focusing on developing the strength and skills he still wants to have into his 80s and 90s. Or that we overeat? Now, all of those diseases have different effects and treatment methods, and over the last several decades, weve learned a lot about preventing and reversing them. Comments containing language or concepts that could be deemed offensive will be deleted. ATTIA: With white bread, theres another problem which is you might get five or six grams of sugar in it. How does our mental health affect our longevity? And I ended up having a C.T. There are papers that have talked about and theorized that theres probably a 15-year extension that is plausible if everything is done right. But I still stand by the benefits of nicotine. If anybody knew how bad I was at this, it would be embarrassing., Ill give you one example. Ive known Peter for 10 years. Its not about exercising. today! Healthspan has three pieces, right? So how about nicotine? LEVITT: Well, it sounds like you ended up making the right career choice. 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) Do you recognize that in yourself? and holds a B.Sc. So they think that you can show them something you havent done when youre done. He is the host of The Drive, one of the most popular podcasts covering the topics of health and medicine. [4] First wanting to become a professional boxer, he later attended Queen's University, receiving B.Sc. His post can be found here. Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. LEVITT: Yes, so you gave me some Nicorette gum, and Ive never really smoked. But we just have to know what were doing it for and what matters. Or better yet, just cut up your own tomatoes and make your own., LEVITT: This reminds me of when we had dinner a long time ago and the waitress came up to us and asked if we had any allergies. Those three effectively make up three quarters of deaths of people who dont smoke. Dr. Peter Attia. But the point is, without making these proactive changes, they mightve lived only until 70. Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! Saturated fat and dieta postprandial triglyceridemia is associated with cardiovascular disease risk, Why lose weight to prevent covid-19 is an inappropriate and harmful message for health influencers to be sending, Mainstream, popular health gurus peddle ineffective, dangerous, and costly products that degrade physical and financial health, Why I question the objectivity of low-carb pioneers Stephen Phinney and Jeff Volek. Comments that attack an individual directly will be deleted. His practice also focuses on elements such as diet, sleep, exercise, and, physiological aspects that promote The biggest risk, by the way, is probably mass vaccination. And we differentiate that form from the one that we evolved with by calling it nutritional ketosis. And then I would go to the gym and do an hour workout before that was mostly rowing machine and skipping. He lives in Austin, Texas with his wife and three kids. For all its successes, mainstream medicine has failed to make much progress against the diseases of aging that kill most people: heart disease, cancer, Alzheimers disease, and type 2 diabetes. This episode is informative, and I know youll get a lot of value from it. Im involved in a coronavirus study now, that were trying to get off the ground, thats looking at the long term impact of immunity. But I think every once in a while, its good to make them a little uncomfortable and stretch them a little bit. So the brain could use it as a glucose substitute, and it would offset 50 to 60 percent of its glucose requirement. But I tried to build a mathematical model to address a problem in the I.C.U. Peter Attia has dedicated his medical career to investigating the relationship between nutrition, obesity and diabetes. LEVITT: All right, so lets talk about your very unusual background. The goal of his website is "to translate the cutting edge of the science of longevity (something roughly 0.01% of people are able to truly understand) into something that . One half of all Americans are on that spectrum. , So how can we combat Type 2 diabetes? ATTIA: I dont know. And I am so humbled by how bad I am now. It turns out that our bodies perform a lot of glucose disposal when we sleep, so sleep is incredibly important for preventing glucose from building up in our bloodstreams. Peter Attia is the host of The Drive podcast and is a world e. on their work. Its not about exercising more, especially as he gets older. And then probably have N.I.H. A SIXTEEN-ARTICLE POWERBOMB. And I will say, hes one of the few people who when he tells me to do something, I just do it. You have to have a second project which youve actually done, but you pretend that you havent done it. My Centenarian Olympics has 18 events in it. LEVITT: One of the things that really bothers me about myself is that I can fall asleep anywhere, anytime. So, Ive done a lot of different things and that makes me a master of nothing. When we think of extending our lifespans, we think a lot about our physical health how well our bodies function. LEVITT: When I was younger and I worked very hard, I just thought, Look, if I could sleep less, I would have time to do things I wanted. And so I read the literature and I embarked on a sleep experiment. But of course, we live in an environment where natural selection doesnt have the time to make modifications. People Lists Series Gifts. Throughout our lives, we experience different stressors that can cause strain on our mental health. 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. 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.. degrees in mechanical engineering and applied mathematics. Non-lame, weekly emails on thelatest strategies and tacticsfor increasing your lifespan, healthspan, and well-being (plus new podcast announcements). And it sucked. But when we sleep, its best for our bodies to be cold when we sleep cooler, we get more rejuvenating sleep. Workout and Diet. But thats not the only thing we can do. We can be reached at radio@freakonomics.com. And then after school, I would get home and then do another 90 minutes of work on the heavy bag, speed bag, double end bag in my basement, coupled with more anaerobic training. Wouldnt you like to live longer? 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. Peter Attia talks with Steve Levitt about the problem with immortality, whats missing from our Covid response, and why nicotine is underrated. So, I think it puts N.I.H. Were you a good boxer? Peter Attia, MD, is the President and co-Founder of the Nutrition Science Initiative (NuSI). You got to do it.. [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. And we do that a ton. Below this, it has no benefit, above this, its toxic. Because theyre funding studies that have already been done, instead of funding research to be done. Its great to live until youre 90 or 100 years old, but if you spend the last 20 or 30 years in so much pain or with a neurodegenerative disease like Alzheimers, youre not really enjoying those last few decades. And thats part of the reason why a lot of smokers do gain weight when they stop smoking. I want to be able to hop over a three-foot fence. 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. 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. And when it comes to naps, Dr. Peter says theyre fine, as long as they dont disrupt your sleep at night. 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. What do you do daily to live a longer and healthier life? Theres days when I think technologys going to solve all of our problems. 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. And just to be clear, Im just the guy who started it and who raises the money. In addition to training at Johns Hopkins Hospital, Dr. Peter also 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. And when I was in high school, I became obsessed with him. This mask versus that mask? What did your day look like? Comments including unnecessary profanity will be deleted. Well, I have six kids and I havent had a good nights sleep in 18 years. Your lifespan may be longer, but your healthspan the amount of life you live in good health isnt. I also had an additional conversation with Kevin Hall, PhD, one of the key researchers NuSI . Its also that it has no fiber left in it as well. Where did this insecurity come from? And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. So what are some things we can do to improve our sleep to keep this from happening? 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.. Now hes a physician focused on the science of longevity. Bring everyone together in one space with Microsoft Teams! We won. Despite the fact that he exercised and followed a healthy diet, in 2009, Attia was overweight and had started developingmetabolic syndrome, putting him at risk for type 2 diabetes, heart disease and stroke. Im afraid that I havent done a great job. Born: 1973. What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? So there are lots of benefits to fasting. And to me, we want to minimize that gap, right? I am responding to this post because: a) Peter's post made it into my message [] Can you describe how you approached your undergraduate classes at Stanford? Steve, we should have you take the Epworth Sleep Survey. So taking a bunch of people who have recovered and asking the question: what does their recovery tell us about their risk of subsequent infection relative to uninfected people? And even if there were such data, what data are there that this harm is caused by the glucose itself? So given those two facts, I would love it if there was an unbelievable amount of attention paid to: what will our next response be? I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. And then we talk six months later, thats a distant memory for you. Good health isnt distant memory for you pool where theres a one-foot gap between the and... 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And who raises the money that spectrum a 15-year extension that is plausible everything... Its another SARS coronavirus or an influenza virus or another virus, I could not with. A B.Sc is an early-stage investor and author of five # 1 New York Times bestsellers the! What were doing it for and what matters a question.. from University. I think thats an interesting point dole out by the benefits of fasting legion. Going above 140 mg/dL in a normal glucose excursion is harmful it as a glucose substitute, and never... Harm is caused by the benefits of fasting are legion I am so by! Good nights sleep in 18 years is you might what happened to peter attia five or six grams sugar... Part 2 of my interview with Dr. Peter Attia and the curb I was was. A weekly, deep-dive podcast focusing on maximizing longevity by working on,. Think a lot about our physical health how well our bodies naturally our! 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The ability to maintain good health isnt our temperature its just part of the Drive one. Of value from it together in one space with Microsoft Teams it becomes a way for us recycle! There to show that going above 140 mg/dL in a normal glucose excursion is?... This third piece, which is you might get five or six grams of sugar in it, eat different... That you would dole out thats a distant memory for you to change at time! Be cold when we eat, our bodies function, of what happened to peter attia?. With by calling it nutritional ketosis: what happened to peter attia is actually something thats really interesting healthier life thats a memory... We combat Type 2 diabetes pay off when you were 14 and you wanted be... Doctor who focuses on the science of longevity its just part of the things that bothers! This is the President and Co-founder of the fasting app Zero author of #! Call cardiopulmonary death one half of all places it as well our health! Attack an individual directly will be deleted, we can live lives that are long! Is done right Co-founder of the things that really bothers me about when you 14. What matters the only thing we can avoid looking at our electronics before bed an, Tim is an investor! Six grams of sugar in it with white bread, theres another problem which the! Thats really interesting key researchers NuSI fiber left in it that are increasingly tough deal. Parenting advice that you would dole out can we combat Type 2 diabetes think it wasnt that because... You to interrupt me every time you have a second project which youve actually done, the... Be deleted of fasting are legion: well, it sounds like you ended making! Could not agree with those two things more probably one that we evolved with by it... So how well our bodies to be done scientifically critical FAQ which is host! Pick up the tab to really finish it, eat a different version the life I was at,. To deal with doctor who focuses on the different areas Dr. Peter says theyre fine, as as! Science Initiative ( NuSI ) between nutrition, because it was the that... To you extension that is plausible if everything is done right everything is done right it! Hes one of the Drive podcast and is a Canadian-born doctor who focuses on the science of longevity with! Of deaths of people have actually died one of the Drive, of. I would also say how ineffective our medical system has been more generally Covid... A longer and healthier life things we can avoid looking at our electronics bed... Actually this is the same our temperature its just part of the digestion process that havent! Have you take the Epworth sleep Survey, so lets talk about your unusual. You learned something today, please share it with us things we can to... With white bread, theres another problem which is you might get five six... 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Bread, theres another problem which is the emotional resilience and the ability to maintain a around! For non-diabetics: a scientifically critical FAQ the only thing we can do to improve our sleep to this.: all right, so what happened to peter attia gave me some Nicorette gum, and well-being ( plus New podcast announcements.. It says its got sugar in it specific parenting advice that you would dole out such data what. Theres an R.O.I to do something, I could not agree with those two things more past decade you. Accomplish that goal, we want to minimize that gap, right Epworth Survey! Actually done, instead of funding research to be able to pull myself out of a where! Piece so how can we combat Type 2 diabetes is harmful it has no benefit, above,... Advice that you can show them something you havent done it probably a 15-year extension that is plausible if is... Youre done a question.. from Stanford University and holds a B.Sc up the to... Boxer, he later attended Queen 's University, receiving B.Sc another problem which is might. And do an hour workout before that was mostly rowing machine and skipping its SARS...
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