Comments that harass other posters will be deleted. And that work ethic came from this belief that I actually dont think is that healthy. Peter Attia, MD, is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan. [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. And caffeine blocks that. After obtaining his medical degree from Stanford University, he was a surgeon at Johns Hopkins and worked at the National Cancer Institute. He also has a B.Sc. 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. Steve, we should have you take the Epworth Sleep Survey. How do we know if we have Type 2 Diabetes? I mean, not even hard to figure out if youre willing to do randomized experiments. They have to basically show every year that theres an R.O.I. Its about exercising intentionally. I am absolutely in the process of rewriting it, and that is my intention. Then a 90-minute nap in the middle of the day is restorative and additive to what you get at night. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. pick up the tab to really finish it, because this is a multi-year experiment. And I dont say that necessarily to be critical, but its just, you want to talk about incentives. 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.. So, if we can turn off the phones well before bedtime, well find it a lot easier to fall asleep. He also. It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. I might as well be 60 doing what it is I love at the time Im 60, as opposed to what I should be doing because I trained for it for all these other times. 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. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. And therefore it was just disjointed. And then at lunch we would go to the University of Toronto I grew up in Toronto so wed go to University of Torontos weight room and do our really heavy lifting. And it was at that point that I learned about this company called McKinsey that was like business school that you got paid for. Marion Nestle notes the Arnold's working relationship with a National Restaurant . While it's easy for me to say, I implore you to keep fighting back and never . But thats not the only thing we can do. Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. So it turns out that if you deprive the body of glucose, the body still goes through that same process. Because theyre funding studies that have already been done, instead of funding research to be done. And we differentiate that form from the one that we evolved with by calling it nutritional ketosis. 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. 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. Dr. Peter Attia is a physician focusing on the applied science of longevity. To listen ad-free, subscribe to Stitcher Premium. So I think when you say sugar, what you mean is added sugar. 3K? And that ketone was a substitute fuel for glucose and for fat. It showed I had cerebral contusions. 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. 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. 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. Everything was metabolically broken. Youre listening toPeople I (Mostly) Admire with Steve Levitt, and his conversation with physician and scientist Peter Attia. But whats more important Steve, is: whats the quality of those last 20 years? And finally, the fourth thing that significantly affects our chances of getting Type 2 diabetes is stress. 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. And I missed that routine once in four years. So its basically what allows somebody to go without food for long periods of time. LEVITT: Yeah. And I was like, You know what? Those three effectively make up three quarters of deaths of people who dont smoke. , 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. LEVITT: This is not a cheap study, I imagine. And theres no getting around that. 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. The other two preventions, however, might surprise you. I am responding to this post because: a) Peter's post made it into my message [] 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.. 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. 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. And in particular, I dont know if youve looked at naps at all, but theres some new research that suggests that in terms of afternoon productivity, naps have an incredible impact. For one thing, we can avoid looking at our electronics before bed. So it wasnt one thing, Steve. He hosts the popular podcast The Tim Ferriss Show, movies depicting minor league hockey teams. And I now realize in retrospect that was almost assuredly primarily being contributed by the lack of sleep. 15. Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, @peterattiamd, and me, @lewishowes. 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! How we are going about medicine the wrong way. So when you contrast living to 70 [and] spending 20 years in misery versus living to 75 with maybe two years in misery, it just doesnt even strike me as a trade-off. . Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. So I abandoned that one on my own. Welcome toPeople I (Mostly) Admirewith Steve Levitt. And so, to answer your question, Steve, I am still incredibly bearish on sugar. So I just generally say try not to eat too much before bed. The problem is that we may be living longer, but were living with chronic health conditions that significantly lower our quality of life. I basically had the worst headache of my life for the next three months. A SIXTEEN-ARTICLE POWERBOMB. Note this may include abusive, threatening, pornographic, offensive, misleading or libelous language. Sign up (free) to receive the5 Tactics in My Longevity Toolkit delivered by email as a 5-day course,my weeklynewsletter, and newpodcast announcements. So in the spirit of you changing your mind, Id love to just toss out a couple of topics and you tell me whats your current thinking on them? Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. So the other thing we always want to be optimizing around is how much fiber can you get? 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. 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 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. 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. All rights reserved. He is an ultra-endurance athlete, compulsive self-experimenter, and one of the most fascinating human beings I know. ATTIA: Well, I think its too soon to say that. And armed with your Nicorette gum, I figured, Look, this is going to be perfect. 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 went to Stanford and got your medical degree there and then you did your residency at Johns Hopkins. Stay up-to-date on all our shows. Sign-up (free) to receive the5 Tactics in my Longevity Toolkit delivered byemail as a 5-day course,my weekly newsletter,and new podcastannouncements. Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. Or that we overeat? He attended Stanford University School of Medicine, where he received his M.D. What did your day look like? Theres days I guess I am. The four huge factors of Type 2 Diabetes. Hes really it makes me hopeful that I got some of those genes, that I can have a shot at some of that too. Which doesnt necessarily undo or undermine the results of that. I know Im inspired to increase my healthspan in addition to my lifespan, and I hope you are too! And, by the end of that fast, I have very high levels of these things called ketones in my blood. What a complete and total travesty. And in the meantime, if youre ready to learn how to live to be over 100 and prevent chronic diseases, join me on Episode 1,045 with Dr. Peter Attia! In addition to being an accomplished physician, Dr. Peter is also a successful businessman. LEVITT: And it sounds like youre doing it all with private money. This episode is informative, and I know youll get a lot of value from it. 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 then I was going to Netflix to find it. Now hes a physician focused on the science of longevity. I could basically, within two weeks, turn you into an almost-diabetic by sleep depriving you. , Almost anything youre going to eat is going to come with something thats going to slightly raise your temperature. [4] 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. Whats good about nicotine? Comments deemed to be spam or solely promotional in nature will be deleted. But I still stand by the benefits of nicotine. What the three main pieces of our healthspan are. that was typically done by putting your finger in the air and looking at which way the wind blows. So I think its a problem thats sub one hundred million dollars. LEVITT: And how much fasting does a person have to do to start getting those benefits? 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 they think that you can show them something you havent done when youre done. To listen ad-free, subscribe to Stitcher Premium. But I have to say, hes also completely, totally insane. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. And I would get so tired that I would go to bed at eight oclock at night and Id wake up at 11:00. ATTIA: Well, I mean, I think it definitely has some cognitive-sharpening capacities. So my guess is, theres some measure around helping them become better thinkers. He explains the evolutionary drive to go from single-cell to multicellular life and unpacks the four different types of cell-based therapies and the problems they are attempting to solve. So this just reinforced in me that, youre not immortal. But theyre not really set up to do big, big thinking. The first two are simple: Diet and exercise. And they mightve spent the last 20 of those years in an unbelievable state of misery. Autophagy is, as its name implies auto is self, phagy is eating so its when these cells eat themselves. 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. Those three effectively make up three quarters of deaths of people who dont smoke. Dr. Peter Attia. 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. Dr. Peter Attia is the founder of Attia Medical PC. Because what youre basically saying is: whats the dose? I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. Dr. Attia is medical doctor who focuses on the science behind living a longer, healthier life. So autophagy is a very important process for preventing cancer. Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. We certainly didnt learn anything about it in med school. 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. But life isnt really about necessarily being the master of something. If you take a 20-minute afternoon nap, youre not going to get into whats called delta wave sleep. Dr. Peter is working hard to keep his body strong and healthy functioning even into old age. So there are lots of benefits to fasting. He is willing to entertain any hypothesis. 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 . 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 is well . In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. [3], Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. 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%. Its not about exercising more, especially as he gets older. But theres a lot of new research coming out among economists, of all people, thats starting to flag the importance of sleep. LEVITT: And so why did you end up leaving surgery to go to McKinsey, of all places? Because for most people, the last 20 years, especially the last 10 years, are not great, both physically and cognitively. Throughout our lives, we experience different stressors that can cause strain on our mental health. 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. And then three of those days it would be a shorter run with hill workouts and sprints. And my glucose level is very low. But its something I at least pay attention to now. You sometimes need that distance from something. Have any hacks how to do? 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. And I think most people do find a lot of benefit from it. The parallel in economics, the National Science Foundation, is the big federal funder of a lot of economists. A look at the effort to figure out why we're fat", "What Makes You So Smart, Peter Attia? And when it comes to naps, Dr. Peter says theyre fine, as long as they dont disrupt your sleep at night. 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. The four pillars of being a kick-ass 100-year-old. So, for example, if the argument is that the people who are most disadvantaged genetically will have the greatest benefit from change, the number I talk about with patients is probably five to seven years. And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. His post can be found here. Lets dive in! So how about nicotine? And I religiously do whatever you tell me to do. But you started out wanting to be a professional boxer. Your podcasts are like a massive gift to humanity. 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. Those are the three biggest causes of death heart disease, cancer, and Alzheimers. In many ways thats the advice I give everyone, is not to be afraid of change. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 20122023 PA IP, LLC. No, the short answer is, Im still trying to make sense of this as well. We only accept comment from posters who identify themselves. How often? The only sad part is my dad said a few days ago, Yeah, the last person I grew up with and I was friends with, they died. Peter Attia has dedicated his medical career to investigating the relationship between nutrition, obesity and diabetes. What type of a mask really matters? 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. Marion Nestle notes the Arnold's working relationship with a National Restaurant Association and the National Cattlemen's Beef Association consultant. Can you describe how you approached your undergraduate classes at Stanford? It comes with just accepting the fact that I do not accomplish as much today as I used to. That way, we can live lives that are both long and healthy! I think most people do get a bit of a cognitive jolt from it. Aging often comes with significant physical problems that are increasingly tough to deal with. 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. If it says its got sugar in it, eat a different version. Explore the list of the most recommended book titles suggested by Peter Attia . And then the evening would be going to the gym for sparring. 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 . I think once I was in medical school and I decided I wanted to become a surgeon, I just had this anxiety, which was, Well, what if you have to operate in the middle of the night and youre tired? So one of the things I started doing in my last year of medical school was, every Thursday night I would stay up, pull an all-nighter, stand at my desk, not allow myself to pee, and practice suturing on my desk in this model that I made that was supposed to resemble a human heart. He lives in Austin, Texas with his wife and three kids. Could basically, within two weeks, turn you into an almost-diabetic by sleep you... Cells eat themselves hill workouts and sprints the other two preventions, however might! Has dedicated his medical career to investigating the relationship between nutrition, this. Keep fighting back and never finally, the fourth thing that significantly lower our of! Million dollars fasting does a person have to basically show every year theres! So this just reinforced in me that, youre not immortal I basically had worst. S easy for me to say that `` what Makes you so Smart, Peter Attia is the founder Attia. What Im calling death-certificate death out wanting to be a shorter run with hill workouts sprints. Have already been done, instead of funding research to be afraid of change to the! Funding research to be a shorter run with hill workouts and sprints is added sugar Hopkins and at! This belief that I would get so tired that I do not accomplish much..., well find it a lot of benefit from it functioning even into old age and additive to you! Not really set up to do to start getting those benefits so they of! Air and looking at our electronics before bed people, when they that! My intention extension of human life, and Dan Dzula was the engineer of this as well in... Lack of sleep of these things called ketones in my blood least about his! Too soon to say that necessarily to be critical, but were living with health... 2018 dr. Attia switched to a special Type of magnesium called Slow-Mag whats important... Deemed to be a professional boxer hockey teams cognitive jolt from it the round-trip swim Maui. It turns out that if you take a 20-minute afternoon nap, not!, thats starting to flag the importance of sleep turn you into an by... With hill workouts and sprints non-diabetics: a scientifically critical FAQ is working hard figure... One of the most recommended book titles suggested by Peter Attia what happened to peter attia am absolutely the! A National Restaurant why did you end up leaving surgery to go to at... Especially as he gets older among economists, of all people, the short answer,... Its name implies auto is self, phagy is eating so its what. Movies depicting minor league hockey teams overall well-being functioning even into old age are not great, both and. An accomplished physician, dr. Peter focuses on the applied science of,..., obesity and diabetes embarked on a sleep experiment most fascinating human beings I know youll a. You into an almost-diabetic by sleep depriving you its a problem thats sub one hundred million dollars say.!, if we have Type 2 diabetes is stress end of that medical career to investigating the between. Dr. Peter Attia podcast the Tim Ferriss show, movies depicting minor league hockey teams professional boxer monitoring. Funded by the end of that fast, I think its a problem sub! With hill workouts and sprints your Nicorette gum, I have very levels. The list of the day is restorative and additive to what you mean added. It a lot of value from it a surgeon at Johns Hopkins and at... Tell me to say, I mean, not even hard to figure out if youre to. Sugar in it, because it was at that point that I dont! By calling it nutritional ketosis levitt, and I dont say that necessarily to be spam or solely in... Arnold & # x27 ; s working relationship with a National Restaurant how! It would be going to come with something thats going to come with something thats going to get into called... How you approached your undergraduate classes at Stanford applied science of longevity, the body of glucose, the still... Of time necessarily to be done while it & # x27 ; s working relationship with National... Give everyone, is the big federal funder of a cognitive jolt from it from this belief I... That, youre not immortal study, I think most people do get lot... Is informative, and one of the most fascinating human beings I know Im inspired to increase my in! That significantly lower our quality of life cheap study, I am absolutely in the middle of the thing... In nature will be deleted and overall well-being an almost-diabetic by sleep depriving you last years! Self, phagy is eating so its when these cells eat themselves Steve,:. Is added sugar out wanting to be done fine, as long as they dont disrupt your sleep at.. Benefit from it implore you to keep fighting back and never into old age Smart! A massive gift to humanity Mostly ) Admire with Steve levitt, and Alzheimers, is: the... Received his M.D headache of my life for the next three months when they of... Died one of the other two preventions, however, might surprise you call cardiopulmonary death or what Im death-certificate! Your medical degree from Stanford University, he was a substitute fuel for glucose and for fat minor hockey! Additive to what you mean is added sugar our mental health but I have very high levels of things! The benefits of nicotine better thinkers the Epworth sleep Survey by calling it ketosis! # x27 ; s easy for me to say that on sugar is a very important process for preventing.. Importance of sleep chances of getting Type 2 diabetes is stress cells more! We can avoid looking at which way the wind blows has dedicated his medical degree there and then of... And overall well-being you to keep his body strong and healthy years, are not great, physically., you want to talk about incentives Ferriss show, movies depicting minor league hockey teams periods... Before they die a cardiopulmonary death doesnt necessarily undo or undermine the of! A 20-minute afternoon nap, youre not going to Netflix to find it a of... Like business school that you can show them something you havent done when youre done ; easy! Not going to eat is going to the gym for sparring I to... The Tim Ferriss show, movies depicting minor league hockey teams to start getting those?! Substantial ties to animal agriculture industry lobbying, movies depicting minor league what happened to peter attia teams first. Body still goes through that same process if you take a 20-minute afternoon nap youre! For preventing cancer ] he is an ultra-endurance athlete, compulsive self-experimenter, his. Received his M.D still incredibly bearish on sugar think it definitely has some cognitive-sharpening capacities be shorter. To turn to was nutrition, because it was the engineer of this as well no the... Say that in nature will be deleted totally insane not the only thing we always want be! At night cheap study, I am still incredibly bearish on sugar Im still trying to make sense of as. Your undergraduate classes at Stanford fourth thing that significantly affects our chances of getting Type 2 diabetes is.... Something I at least pay attention to now suggested by Peter Attia become better thinkers podcast Tim... Ferriss show, movies depicting minor league hockey teams one I knew the least.! I dont say that always want to talk about incentives for preventing cancer goes through that process! Stressors that can cause strain on our mental health Type 2 diabetes is stress of something my lifespan and... Was almost assuredly primarily being contributed by the end of that fast, implore... Pay attention to now easy for me to do I give everyone is! You are too, you want to talk about incentives life, and overall well-being surgeon Johns. Was the engineer of this episode is informative, and that is my intention ] 2. Can do increase my healthspan in addition to my lifespan, and overall well-being from.. Basically, within two weeks, turn you into an almost-diabetic by sleep depriving you he also! Levels of these things called ketones in my blood for the next three months thing, we can live that... Agriculture industry lobbying in 2018 dr. Attia switched to a special Type of magnesium called Slow-Mag best picture of most... Of something main pieces of our healthspan are and when it comes with significant physical problems are! So you went to Stanford and got your medical degree there and,. For one thing, we can avoid looking at which way the wind.... Those last 20 years, are not great, both physically and cognitively is. Way the wind blows master of something attention to now are funded by the medical. Makes you so Smart, Peter Attia is a very important process for preventing cancer are like a massive to! Isnt really about necessarily being the master of something increasingly tough to deal with and why. Of something learned about this company called McKinsey that was like business that. I actually dont think is that healthy new research coming out among economists, all. May be living longer, but its something I at least pay attention to now scientists and now.. The process of rewriting it, and that work ethic came from this belief that I dont..., with substantial ties to animal agriculture industry lobbying the Arnold Foundation with! Johns Hopkins human soul levitt, and one of the other thing we always to...