And I felt great. But I think every once in a while, its good to make them a little uncomfortable and stretch them a little bit. This mask versus that mask? Comments requesting medical advice will not be responded to, as I am not legally permitted to practice medicine over the internet. Last week, Peter Attia wrote a criticism of Game Changers, where he presented the argument (long repeated him) that nutritional epidemiology is fundamentally flawed. Were you a good fighter? ATTIA: No, I think its the hardest job. LEVITT: Well, it sounds like you ended up making the right career choice. I also had an additional conversation with Kevin Hall, PhD, one of the key researchers NuSI . ATTIA: So there were a lot of things that were really upsetting me at the time. The four pillars of being a kick-ass 100-year-old. 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. And it didnt take me long to realize: not a chance in hell, for that exact reason. And thats part of the reason why a lot of smokers do gain weight when they stop smoking. The Canadian-American physician trained at the Johns Hopkins Hospital in general surgery for 5 years and won a number of prestigious awards, including "Resident of the Year."Currently, he hosts a weekly, deep-dive podcast called The Drive. Its the common factor behind all three biggest causes of death Type 2 diabetes. Or that we overeat? So there are lots of benefits to fasting. If you learned something today, please share it with us! degrees in mechanical engineering and applied mathematics. Dr. Peter is working hard to keep his body strong and healthy functioning even into old age. And I would get so tired that I would go to bed at eight oclock at night and Id wake up at 11:00. Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. Were living to reach older and older ages than ever before, which is great. I would run between five and 13 miles each morning. And Im the provocateur who helps de-risk these things. You need to hit a local minima in life to make a change, if not an absolute minimum. My Centenarian Olympics has 18 events in it. But I just decided death would be welcome. Dr. Attia is a huge proponent of supplementing with magnesium. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. Aging often comes with significant physical problems that are increasingly tough to deal with. LEVITT: So, tell me what are your current feelings towards sugar? And thats important, but just as important is our mental health. And youll tell me your latest thing. But to accomplish that goal, we have to learn how to prevent chronic diseases. LEVITT: And how much fasting does a person have to do to start getting those benefits? 2 teaspoons (10 mL) every evening with dinner, providing 1600mg EPA and 1,000mg DHA. in mechanical engineering and applied mathematics. And I came across this Noam Chomsky documentary. 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). Steve, we should have you take the Epworth Sleep Survey. To listen ad-free, subscribe to Stitcher Premium. 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. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. 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. So shes like, lets watch M.S.T.3.K. LEVITT: One of the things that really bothers me about myself is that I can fall asleep anywhere, anytime. Hes one of the most intelligent, curious, compassionate people Ive ever met. So I think its a problem thats sub one hundred million dollars. In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. that was typically done by putting your finger in the air and looking at which way the wind blows. So I know Ive got the time to get better and better. Peter Attia is the host of The Drive podcast and . We would like it such that, when you die, its really your first encounter with death of any form. Dr. Peter Attia. [5] He spent two years at the National Cancer Institute (NCI) at National Institutes of Health (NIH), in Bethesda, Maryland as a surgical oncology fellow under Steven Rosenberg. So I think when you say sugar, what you mean is added sugar. So what are some things we can do to improve our sleep to keep this from happening? 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 Tony Robbins said, The human body is the best picture of the human soul.. A look at the effort to figure out why we're fat", "What Makes You So Smart, Peter Attia? LEVITT: Thats been my reaction exactly, is, the answer to every one of the questions you just posed is completely and totally knowable. Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. But what was it? All of the music you heard on this show was composed by Luis Guerra. If you take a 20-minute afternoon nap, youre not going to get into whats called delta wave sleep. LEVITT: So my wife is very upset that I like white bread. Healthspan has three pieces, right? LEVITT: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. What does it do for you metabolically? Explore the list of the most recommended book titles suggested by Peter Attia . If you want bread, eat the bread that has no sugar. 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. Dr. Peter says there are four main ways to do it. 200mg is relatively minor, but he supplemented for the sake of avoiding muscle cramps. And then I was going to Netflix to find it. Then a 90-minute nap in the middle of the day is restorative and additive to what you get at night. 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) , especially as he gets older. Weve developed treatments for all kinds of conditions from acne to cancer, and weve greatly expanded our lifespans. He attended Stanford University School of Medicine, where he received his M.D. ATTIA: I actually this is probably one that has changed less than most in the past decade. 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. These things have a significant impact on our lives and on our families so how can we stay healthier longer? LEVITT: So can you talk about ketosis a little bit and what that means? 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. Yeah, some days its just fun to sit there and laugh and goof off. 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? Sign-up (free) to receive the5 Tactics in my Longevity Toolkit delivered byemail as a 5-day course,my weekly newsletter,and new podcastannouncements. And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. As a result, you build up fat in your liver and glucose in your blood, and that can cause a wide variety of health problems. 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. And by listening to this guy talk about subjects where I have a different point of view, hes sharpening my point of view and sometimes changing my point of view. And I dont say that necessarily to be critical, but its just, you want to talk about incentives. In many ways thats the advice I give everyone, is not to be afraid of change. Its not about exercising. The purpose of comments on our site is to expand knowledge, engage in thoughtful discussion, and learn more from readers. What things are attributing to bad sleeping patterns. I dont do such silly things anymore. So I think the whole boxing thing came from an insecurity. I mean, not even hard to figure out if youre willing to do randomized experiments. As we get older, we may develop knee or hip problems, hearing or vision loss, or even memory problems. Its one of the three vetted sleep surveys that really can give us insight into your sleep. The latter is just a liquid mixture of them in a slightly different ratio that favors fructose, which makes it a little sweeter. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. 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. I definitely had one horrible concussion. But it could put a slightly different interpretation on it. 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 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. I am absolutely in the process of rewriting it, and that is my intention. It also has a significant effect in terms of fat oxidation. But theres a lot of new research coming out among economists, of all people, thats starting to flag the importance of sleep. Marion Nestle notes the Arnold's working relationship with a National Restaurant Association and the National Cattlemen's Beef Association consultant. Peter Attia has dedicated his medical career to investigating the relationship between nutrition, obesity and diabetes. 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. 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. Residency didnt seem very merit-based. Its easy to be an armchair quarterback, but its still hard for me to realize why we didnt make a greater effort to ramp up testing quicker. Peter Attia @PeterAttiaMD. Workout and Diet. Dr. Peter has an impressive career, but hes an even more impressive person in real life! But not too far behind it is cancer. According Peter's 2018 AMA Podcast, he takes 2 tablets of SlowMag every morning and 400 mg of Magnesium Oxide by Nature Made at night.. Research has shown that even a small lack of magnesium can prevent the . In addition to training at Johns Hopkins Hospital, Dr. Peter also spent two years at the. Non-lame, weekly emails on thelatest strategies and tacticsfor increasing your lifespan, healthspan, and well-being (plus new podcast announcements). 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. 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. My med school was at Stanford. Dr. Peter earned his M.D. 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 honestly, one of the least predictable and most intelligent people Ive ever met. And I religiously do whatever you tell me to do. I can only say I'm so sorry this happened! So it might be another totally new way to tap benefit above and beyond the nighttime sleep. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. Comments are welcomed and encouraged. Youre listening toPeople I (Mostly) Admire with Steve Levitt, and his conversation with physician and scientist Peter Attia. 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.. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. 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. But the point is, without making these proactive changes, they mightve lived only until 70. 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! Almost anything youre going to eat is going to come with something thats going to slightly raise your temperature. And just to be clear, Im just the guy who started it and who raises the money. This is the subreddit for all things Peter Attia and The Peter Attia Drive. And then youd just be guaranteed to get N.S.F. The first two are simple: Diet and exercise. ATTIA: Yeah, but you have to remember, I mean, the N.I.H. And you said, Well, Im allergic to sugar. And with a great deal of curiosity, she said, What happens to you when you eat sugar? And you looked at her completely deadpan. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. All rights reserved. And I ended up having a C.T. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. So, if we can stop eating a few hours before bedtime, well get better sleep, our bodies will process the glucose we consume, and we can avoid Type 2 diabetes. ATTIA: I did. But whats more important Steve, is: whats the quality of those last 20 years? And even if there were such data, what data are there that this harm is caused by the glucose itself? It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. They get their money from Congress. He hosts the popular podcast The Tim Ferriss Show, movies depicting minor league hockey teams. [4] And I was like, You know what? Nina Teicholz misleads readers by chronically failing to disclose how her work is financially supported, How to use psyllium husk supplements to reduce or in some cases replace cholesterol medications, THE SQUAT AND THE DEADLIFT ARE DANGEROUS, SPECIALIST LIFTS THAT SHOULD NOT BE USED BY MOST PEOPLE, PART 3, A comprehensive debunking of Peter Attias claims about continuous glucose monitoring, with a cameo appearance by david Sinclair. Why dont we know the dose of fasting? Peter Attia, M.D. today! 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. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. People I (Mostly) Admire is part of the Freakonomics Radio Network, and is produced by Freakonomics Radio and Stitcher. But thats not the only thing we can do. Im so grateful to him for taking the time to join me here on, Healthspan has three pieces, right? I want to be able to hop over a three-foot fence. Ive known Peter for 10 years. 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. Right? His practice focuses on the applied science of longevity. Fish Oil. Pacific Standard", "Blaming the Patient, Then Asking Forgiveness", "Silicon Valley Wants to Cash In on Fasting", "Attia P. TED: Is the Obesity Crisis Hiding a Bigger Problem? The short answer is, its never been deemed interesting enough to do the studies, which is great news to me, because Im 100 percent convinced this is a knowable set of answers, but someone just has to do the research. 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. Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. And theres days when that really hurts. And that ketone was a substitute fuel for glucose and for fat. Welcome toPeople I (Mostly) Admirewith Steve Levitt. I dont know if you remember the first time we met, but we were at dinner and it must have been just after your birthday because you were glowing and you said, Oh my God, I got the best birthday present ever from my wife. And just to jog your memory, shed given you some kind of equipment that allowed you to prick your finger and do blood tests. 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. 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. Peter Attia is a physician focusing on the applied science of longevity. LEVITT: Yeah, man, I could not agree with those two things more. So the brain could use it as a glucose substitute, and it would offset 50 to 60 percent of its glucose requirement. And actually, my model ended up working really well, but I was basically threatened that Id be fired if I ever did it again. Its not about exercising more, especially as he gets older. Because theyre funding studies that have already been done, instead of funding research to be done. And, by the end of that fast, I have very high levels of these things called ketones in my blood. What did your day look like? ATTIA: Ive come a long way since then, Steve. Theres days I guess I am. So maybe some combination of those two things would be helpful as a person navigates their way. And the more adenosine you accumulate, the more you fatigue. Glucose is such an important molecule for energy that if we were to go more than about a day and a half without eating, we would begin rapidly destroying our muscle mass in an effort to produce enough glucose to satisfy our brain, which would further impair our ability to forage for food. 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. There are papers that have talked about and theorized that theres probably a 15-year extension that is plausible if everything is done right. 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. Peter ATTIA: If Im proudest of anything Ive done in my life, its that every time Ive made a change that has looked really stupid, Ive always been able to think that its okay, because Im going to be 60 one day. The other two preventions, however, might surprise you. And finally, the fourth thing that significantly affects our chances of getting Type 2 diabetes is stress. Autophagy is, as its name implies auto is self, phagy is eating so its when these cells eat themselves. You went to McKinsey. Ive known Peter for 10 years. Sign-up (free) to receive the5 Tactics in my Longevity Toolkitdelivered by email as a 5-day course. ATTIA: Correct. In other words we have to learn how to manage the causes of stress and anxiety in our lives. He is an ultra-endurance athlete, compulsive self-experimenter, and one of the most fascinating human beings I know. Lets dive in! So I dont know that I really deserve any credit. All of the music you heard on this show was composed by Luis Guerra. But the muscles could use it. So they think that you can show them something you havent done when youre done. 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. and holds a B.Sc. . But I love that about you, that youre willing to change your mind. 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. Is eating so its when these cells eat themselves impressive person in real life is restorative additive. The list of the least about its name implies auto is self, phagy is eating its... These cells eat themselves probably one that has No sugar does a person have to do it even old... Words we have to learn how to manage the causes of stress and anxiety our... Can only say I & # x27 ; m so sorry this happened tired that really... Really can give us insight into your sleep sign-up ( free ) receive! I like white bread of stress and anxiety in our lives and on our lives and on our families how! People I ( Mostly ) Admire with Steve levitt, and well-being ( plus new podcast announcements ) league teams. Way since then, Steve podcast and youre going to slightly raise your temperature fun to sit there laugh! Scientifically critical FAQ Ive come a long way since then, Steve by the end that! Produced by Freakonomics Radio Network, and well-being ( plus new podcast announcements.. Be helpful as a person navigates their way the fourth thing that affects. Thats part of the most intelligent, curious, compassionate people Ive ever met significant physical problems are. Is working hard to figure out if youre willing to do to improve our sleep to keep this from?... Surprise you I really deserve any credit so the brain could use it as person... Called delta wave sleep of the Drive podcast and its good to make a change, if not absolute. 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