So it becomes a way for us to recycle our dead or defective cells. And maybe I would also say how ineffective our medical system has been more generally with Covid. Thats actually a billion dollar question. And during all of this intentional exercise, Dr. Peter has one thing in mind: his Centenarian Olympics. Youll be able to read more about this in Dr. Peters book when it comes out, but for now, I can tell you that the Centenarian Olympics is a series of activities that Dr. Peter wants to be able to do when he turns 100. We would like it such that, when you die, its really your first encounter with death of any form. , So the big three are, in order, atherosclerotic disease so thats vascular disease, meaning heart disease and stroke. I want to be able to hop over a three-foot fence. Why didn't you address what Nina has brought up? This episode is informative, and I know youll get a lot of value from it. Peter Attia is a Canadian-born doctor who focuses on the science of longevity. on their work. Criticism and skepticism can be far more useful than praise and unflinching belief. And when I was in high school, I became obsessed with him. The owner of this blog reserves the right to edit or delete any comments submitted to the blog without notice. He hosts the popular podcast The Tim Ferriss Show, movies depicting minor league hockey teams. Why werent we immediately engaging in a whole bunch of experiments that would very rapidly get us answers to questions that would enable us to decide what to do? 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. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 20122023 PA IP, LLC. And armed with your Nicorette gum, I figured, Look, this is going to be perfect. What Happened To Peter Attia. . Aging often comes with significant physical problems that are increasingly tough to deal with. And if people say to me, sometimes hey man, Give me one piece of dietary advice, Id be like, Just start reading labels. Airplane versus subway? But I just decided death would be welcome. 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. And to me, we want to minimize that gap, right? We can be reached at. 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. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. However, theres one disease that underlies all three of these. I definitely had one horrible concussion. And honestly, one of the least predictable and most intelligent people Ive ever met. By reducing the amount of carbohydrates we consume and by exercising, we reduce the amount of glucose were consuming and increase our muscle so that when we, consume glucose, our bodies have somewhere to put it. So I want to start with a story. Fish Oil. Because what youre basically saying is: whats the dose? So they think that you can show them something you havent done when youre done. Yesterday, I just finished a three-day fast. And we might have to take a closer look at your sleep habits. Theres days I guess I am. LEVITT: You have given a lot of advice already about nutrition and health. If you pay any attention to history, we will have another pandemic that will involve yet another virus. And I think its the perfect model, which is: let the government come in when its been de-risked. And senescent cells basically send out these really nasty inflammatory signals to other cells that basically age them. I dont know that its a substitute for the nighttime sleep, though. The heart could use it. Most organs could use it. scan a couple days later. Peter Attia has dedicated his medical career to investigating the relationship between nutrition, obesity and diabetes. No, the short answer is, Im still trying to make sense of this as well. Dr. Peter earned his M.D. 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. ATTIA: Well, I think its too soon to say that. Note this may include abusive, threatening, pornographic, offensive, misleading or libelous language. Residency didnt seem very merit-based. 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 His practice also focuses on elements such as diet, sleep, exercise, and, physiological aspects that promote The first two are simple: Diet and exercise. So I just generally say try not to eat too much before bed. pick up the tab to really finish it, because this is a multi-year experiment. But theyre not really set up to do big, big thinking. And then the evening would be going to the gym for sparring. But the point is, without making these proactive changes, they mightve lived only until 70. What type of a mask really matters? And again fortunately, Olivias my oldest and shes 11. We care about this. 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. And then probably have N.I.H. And theres this have you seen this thing called Mystery Science Theater 3000? Thats the problem that Dr. Peter and other doctors like him are trying to solve. Today, we have more medical knowledge than ever before. , a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. You remember what Im talking about? People Lists Series Gifts. ATTIA: Exactly. But we just have to know what were doing it for and what matters. Its complicated because there are lots of reagents that go into that type of testing and we dont control the origin of each of those reagents. But Im not the person thats actually going to do these studies. And I am so humbled by how bad I am now. And then three of those days it would be a shorter run with hill workouts and sprints. In fact, our conversation was so fascinating, that I decided to split it into two episodes! Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. Dr. Peter Attia received his medical degree from Stanford University in 2001. 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. Steven LEVITT: If I were really sick, Peter Attia is who Id want for my doctor. 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. So, I think it puts N.I.H. December 9, 2022, Designed by Elegant Themes | Powered by WordPress. Its not about exercising more, especially as he gets older. He aimed to get his omega-3 to omega-6 ratio closer to 1:1, first by limiting sources of omega-6, and secondly by supplementing omega-3s. Lets talk a little bit about the difference between lifespan and healthspan because theres a really key distinction between them. How to figure out where they fit in and how they can lead the best life they can lead? I mean, God, sometimes I hear stories like that and I just Im so embarrassed. LEVITT: Yeah, for sure. Then a 90-minute nap in the middle of the day is restorative and additive to what you get at night. And despite the fact that outside of the setting of a seminar, Nicorette had an incredible positive effect on me, I would literally fall asleep in two minutes in a seminar, despite the fact that I had the nicotine. And so we slogged through this hour documentary on income inequality, basically, and I dont know, would we have been better off watching M.S.T. What was the failure of either policy or medicine that led nobody to be generating that knowledge? We talk once every six months or four months. I think most people do get a bit of a cognitive jolt from it. And that seemed like a better option, given that I was already sitting on two hundred thousand dollars worth of debt. A SIXTEEN-ARTICLE POWERBOMB. You need to hit a local minima in life to make a change, if not an absolute minimum. But I think every once in a while, its good to make them a little uncomfortable and stretch them a little bit. I said, No, no, no. But I have to say, hes also completely, totally insane. What the three main pieces of our healthspan are. [4] The latter is just a liquid mixture of them in a slightly different ratio that favors fructose, which makes it a little sweeter. 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 I came across this Noam Chomsky documentary. Now that Im concerned with longevity, that type of working out is totally unnecessary. Case fatality rate (CFR) of COVID19 is largely an academic question and has little real-world importance. 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.. This is a tragedy. Comments deemed to be spam or solely promotional in nature will be deleted. And when I was applying for my first grant, I went to the senior people around the M.I.T. And so many years later, as I began to actually understand the benefits of sleep, it stands alone as one of what I think of as one of the four or five pillars of longevity. I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. Throughout our lives, we experience different stressors that can cause strain on our mental health. I think they often get confounded. And more recently, and that is to say in the last hundred years or so, people figured out that you could basically trick your body into doing that by restricting carbohydrates. He is well . ATTIA: I mean, look, Steve, that is a million dollar question. Dr. Peter has an impressive career, but hes an even more impressive person in real life! And I dont think Im very good at it, Steve. So shes like, lets watch M.S.T.3.K. You have to have one project which is 95 percent done and turned out well. And thats really about the highest praise I can offer anyone I know. If you learned something today, please share it with us! And it sucked. I hope you loved this episode as much as I did. Its not about exercising. But I tried to build a mathematical model to address a problem in the I.C.U. Or that we overeat? And then you have to have a third project, which is like 75 percent done. Lets dive in! Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that 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%. That sort of irked me. , where his research focused on immune-based therapies for melanoma. In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. Comments requesting medical advice will not be responded to, as I am not legally permitted to practice medicine over the internet. But not too far behind it is cancer. And the more adenosine you accumulate, the more you fatigue. Can you describe how you approached your undergraduate classes at Stanford? Part of the practice includes nutritional biochemistry, a field that deals with supplements. But not too far behind it is cancer. There are a ton of different types of therapy you can get into, but the end-goal is the same. 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. 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 thats part of the reason why a lot of smokers do gain weight when they stop smoking. He has since been mentored by some of the most experienced and innovative lipidologists, endocrinologists, gynecologists, sleep physiologists, and longevity scientists in the United States and Canada. Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. And therefore it was just disjointed. He lives in Austin, Texas with his wife and three kids. Its also that it has no fiber left in it as well. But you should be in the habit of listening to people talk about stuff that you dont agree with. 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. 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. My 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). ATTIA: I actually this is probably one that has changed less than most in the past decade. What type of a person is going to be safe in what type of an environment to go back to work? Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, @peterattiamd, and me, @lewishowes. 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