Why didn't you address what Nina has brought up? So you have this starvation ketosis, nutritional ketosis. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. 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? 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. Dr. Peter Attia. My Centenarian Olympics has 18 events in it. So I want to start with a story. 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. Sign up (free) to receive the5 Tactics in My Longevity Toolkit delivered by email as a 5-day course,my weeklynewsletter, and newpodcast announcements. But life isnt really about necessarily being the master of something. 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. It comes from this place of, Im not good enough. Lets talk a little bit about the difference between lifespan and healthspan because theres a really key distinction between them. 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. 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. [3] Career [ edit] Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. And I do that in academic seminars and its incredibly embarrassing. Learn more at microsoft.com/teams, 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, said, The human body is the best picture of the human soul., My guest today is physician Dr. Peter Attia. And thats when I stopped my experiment. This mask versus that mask? I hope you loved this episode as much as I did. And then three of those days it would be a shorter run with hill workouts and sprints. Peter Attia has dedicated his medical career to investigating the relationship between nutrition, obesity and diabetes. But the point is, without making these proactive changes, they mightve lived only until 70. And theres no getting around that. Too often, it intervenes with treatments too late to help, prolonging lifespan at the expense of healthspan, or quality of life. Marion Nestle notes the Arnold's working relationship with a National Restaurant . ATTIA: No. Were living to reach older and older ages than ever before, which is great. Criticism and skepticism can be far more useful than praise and unflinching belief. Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. I am a physician focusing on the applied science of longevity. He is of Coptic Egyptian descent. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 20122023 PA IP, LLC. Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. The owner of this blog reserves the right to edit or delete any comments submitted to the blog without notice. But I think every once in a while, its good to make them a little uncomfortable and stretch them a little bit. TheDriveis hosted by Dr. Peter Attia, a Stanford/Johns Hopkins/NIH-trained physician focusing on the applied science of longevity, the extension of human life, and well-being. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. That way, we can live lives that are both long and healthy! is part of the Freakonomics Radio Network, and is produced by, and Stitcher. You got to do it.. 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. This comment policy is subject to change at any time. [4] First wanting to become a professional boxer, he later attended Queen's University, receiving B.Sc. Marion Nestle notes the Arnold's working relationship with a National Restaurant Association and the National Cattlemen's Beef Association consultant. Mass vaccination would interfere with this a lot. And we differentiate that form from the one that we evolved with by calling it nutritional ketosis. Healthspan has three pieces, right? What happened to @DMSabatini. But do you have advice for young people who are trying to find their path in the world? Peter Attia @PeterAttiaMD. LEVITT: And then you became obsessed with nutrition. Hes one of the most intelligent, curious, compassionate people Ive ever met. He is the Co-founder and Chief Medical Officer of the fasting app. In fact, Dr. Peter recommended to stop eating about three hours before bedtime. 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? So we evolved this way to instead break down fat, which even under the leanest times, you still had days, if not months worth of energy from, because fat is so energy-dense, and we could turn that fat into a molecule called a ketone. I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. Dr. Peter says there are four main ways to do it. So, I think it puts N.I.H. 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. . It started very early. Its just so hard to quit stuff. 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. The other two preventions, however, might surprise you. Youll have to wait until Wednesday for Dr. Peters definition of greatness, so for now, Ill leave you with one final piece of wisdom: There are people out there who have so many genetic things working against them, that theyll be lucky to make it to 80. How many other concussions I had, I dont know. Residency didnt seem very merit-based. But I also think it wasnt that hard because I think that the life I was living was untenable. So the other thing we always want to be optimizing around is how much fiber can you get? A SIXTEEN-ARTICLE POWERBOMB. 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. In fact, our conversation was so fascinating, that I decided to split it into two episodes! We can be reached at. 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 thats vascular disease, meaning heart disease and stroke. Something about that fructose molecule is really problematic. But a quick 20-minute power nap is no big deal! Everything was metabolically broken. The parallel in economics, the National Science Foundation, is the big federal funder of a lot of economists. You remember what Im talking about? How to figure out where they fit in and how they can lead the best life they can lead? LEVITT: You have given a lot of advice already about nutrition and health. And at the time, what they said I dont know if they still say it was that if you just limit yourself to something like three hours of sleep, you get used to it and your body adjusts to it. 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. While it's easy for me to say, I implore you to keep fighting back and never . But I get a little bit worried that I dont know how to prepare them for a world that I dont understand. There is no evidence that the unique glucotype characterized by CGM differentially predicts outcomes compared to traditional metrics of glucose dysregulation; There is only weak evidence that glucose dysregulation as measured by OGTT, HbA1c, etc. Now hes a physician focused on the science of longevity. Because there are risks to doing this study. It was really an interesting thing to watch. 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. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. ATTIA: Ive come a long way since then, Steve. 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. And then youd just be guaranteed to get N.S.F. And thats really about the highest praise I can offer anyone I know. Dr. Attia received his medical degree from the Stanford University School of Medicine and 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. Yesterday, I just finished a three-day fast. 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: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. 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 Attia. In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. This episode is informative, and I know youll get a lot of value from it. Well, I have six kids and I havent had a good nights sleep in 18 years. By implication, it cannot be used to make nutrition recommendations. I think I probably spent too many years ignoring things that shouldnt have been ignored. [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. Its one of the three vetted sleep surveys that really can give us insight into your sleep. 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 lets be honest. No, the short answer is, Im still trying to make sense of this as well. I just didnt care if I was alive or dead, even though I wasnt even particularly tired. 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. Freakonomics is a registered service mark of Renbud Radio, LLC. Poor, poor waitress. LEVITT: Thats intense. 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 for that, Dr. Peter recommended therapy. And when I was in high school, I became obsessed with him. [6] As his residency drew to a close, Attia joined the consulting firm McKinsey & Company in the Palo Alto office as a member of the Corporate Risk Practice and Healthcare Practice. Right? today! So thats how I ended up at McKinsey. Donate here: DID THE DIETARY GUIDELINES (AND LOW-FAT DIETS, SUGAR, ETC.) And I think its the perfect model, which is: let the government come in when its been de-risked. Dr. Peter Attia is the founder of Attia Medical PC. 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. We promise no spam. Dr. Peter earned his M.D. [4] It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. 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.. 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. I think its worth understanding that a little bit. 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. It turns out that food has a huge effect on our bodies ability to sleep, so we need to be careful about eating before bed. in mechanical engineering and applied mathematics. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. HOMA-IR and frailty (same study as #3 linked twice); The studies that use OGTT do not establish that glucose variability above 140 mg/dL is important; None show that the high glucose itself is causal or that reducing it via diet will improve outcomes. Ive never really experienced nicotine. Now, whether its another SARS coronavirus or an influenza virus or another virus, I dont know. And to me, we want to minimize that gap, right? LEVITT: So my wife is very upset that I like white bread. So it wasnt one thing, Steve. And so it might be that its the rigidity of thought that is really the biggest problem. Were you a good boxer? 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 . 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. Im so grateful to him for taking the time to join me here on, Healthspan has three pieces, right? ATTIA: No, I think its the hardest job. He spent two years at the National Institutes of Health as a surgical oncology fellow at the National Cancer Institute, where his research focused on immune-based therapies for melanoma. Additionally, Dr. Peter is an advisor to and/or investor in the following companies: Dr. Peter has an impressive career, but hes an even more impressive person in real life! [10][11] He was one of the speakers at TEDMED 2013.[12][13]. Peter Attia is the host of The Drive podcast and . I dont do such silly things anymore. Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. Im actually going to tuck them underneath my lip like chewing tobacco and let it just ease out and keep me going.. And so now eating a diet thats high in fructose, again, especially liquid fructose, wreaks all metabolic destruction. He is the host ofThe Drive, one of the most popular podcasts covering the topics of health and medicine. He is the Co-founder and Chief Medical Officer of the fasting app Zero. 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? The other two preventions, however, might surprise you, If I just took 20 guys like you and took them from eight hours a night to four hours a night for two weeks and then did these glucose tolerance tests, I could reduce [their] glucose disposal by 50%. So given those two facts, I would love it if there was an unbelievable amount of attention paid to: what will our next response be? Have any hacks how to do? So, the other night, Olivias like, Daddy, lets watch a movie. And were like, all right. So you went to Stanford and got your medical degree there and then you did your residency at Johns Hopkins. And it didnt take me long to realize: not a chance in hell, for that exact reason. Studying studies: relative risk vs. absolute risk. Do you recognize that in yourself? Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. If were going to take Tylenol, we know the dose. Whats good about nicotine? How do we know if we have Type 2 Diabetes? But I tried to build a mathematical model to address a problem in the I.C.U. He is of Coptic Egyptian descent. So it turns out that if you deprive the body of glucose, the body still goes through that same process. In many ways thats the advice I give everyone, is not to be afraid of change. Which is: what are those people who cant quit also incapable of doing on a day to day basis, vis vis their very rigid view of, this is the way to do things versus not. And Im still generally a somewhat rigid person. But it was like, You got to do it, man. So theres this molecule called adenosine. So lets say youre someone whos only going to get five and a half hours of sleep at night, which for virtually everyone is still suboptimal. He is the host of The Drive, one of the most popular podcasts covering the topics of health and medicine. 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. After publishing my post Nutrition Science Initiative (NuSI) in retrospect, I received an email from Peter Attia, MD, the former president of NuSI, suggesting that I had gotten aspects of the story wrong due to a lack of additional context.Attia and I spoke twice by phone, and I think he has a point. Those three effectively make up three quarters of deaths of people who dont smoke. Dr. Peter Attia. Who I am. What do you do daily to live a longer and healthier life? . And to this day, we still respect each other greatly. Kudos to @SnoozyWeiss. Thanks for listening. And then we talk six months later, thats a distant memory for you. The four huge factors of Type 2 Diabetes. I am absolutely in the process of rewriting it, and that is my intention. And thats part of the reason why a lot of smokers do gain weight when they stop smoking. And I dont say that necessarily to be critical, but its just, you want to talk about incentives. Dr. Peter has an impressive career, but hes an even more impressive person in real life! Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. 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 At Johns Hopkins medical PC it wasnt that hard because I think I probably spent many! It intervenes with treatments too late to help, prolonging lifespan at the expense of healthspan, quality! Curious, compassionate people Ive ever met hes an even more impressive in. Take me long to realize: not a chance in hell, for that exact reason us! People who are trying to find their path in the spirit of self-experimentation are... Attended Queen 's University, receiving B.Sc the Drive, one of the Drive podcast and when I alive... Be critical, but its just, you want to minimize that gap, right sleep in 18.! 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Comment policy is subject to change at any time two episodes GUIDELINES ( and LOW-FAT DIETS,,! Your sleep 4 ] First wanting to become a professional boxer, he later attended 's! Of advice already about nutrition and health you went to Stanford and got your medical degree there then! Self-Experimentation, are mind-blowing here on, healthspan has three pieces, right has one thing in mind his! 11 ] he is the host of the most intelligent, curious, people. Have been ignored difference between lifespan and healthspan because theres a really key distinction between them funder a., Steve that form from the one that we evolved with by calling it ketosis! First person to make the round-trip swim from Maui and Lanai wasnt even particularly tired Ive ever.. That is really the biggest problem, compassionate people Ive ever met without notice: not chance... 2 diabetes: no, I implore you to keep fighting back and never, which:! 2 ] he is also the First person to make sense of this well... 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