In addition to training at Johns Hopkins Hospital, Dr. Peter also spent two years at the. Were you a good fighter? 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. 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. Can you describe how you approached your undergraduate classes at Stanford? Ive known Peter for 10 years. Freakonomics is a registered service mark of Renbud Radio, LLC. Im involved in a coronavirus study now, that were trying to get off the ground, thats looking at the long term impact of immunity. In fact, Dr. Peter recommended to stop eating about three hours before bedtime. I dont know that its a substitute for the nighttime sleep, though. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. The first two are simple: Diet and exercise. What does it do for you metabolically? But you started out wanting to be a professional boxer. I think its worth understanding that a little bit. He is well . This magnesium features what's called an enteric coating to protect it from premature disintegration. today! If you pay any attention to history, we will have another pandemic that will involve yet another virus. Studying studies: relative risk vs. absolute risk. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. [10][11] He was one of the speakers at TEDMED 2013.[12][13]. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. And then I was going to Netflix to find it. 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). To listen ad-free, subscribe to Stitcher Premium. We certainly didnt learn anything about it in med school. My Centenarian Olympics has 18 events in it. We talk once every six months or four months. But of course, we live in an environment where natural selection doesnt have the time to make modifications. 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. So I dont know that I really deserve any credit. 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? But to accomplish that goal, we have to learn how to prevent chronic diseases. While it's easy for me to say, I implore you to keep fighting back and never . LEVITT: So can you talk about ketosis a little bit and what that means? Whats good about nicotine? So you took more or less the same approach to academics that you took to boxing. 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! But when you consume too much glucose, your body cant use it. There are a ton of different types of therapy you can get into, but the end-goal is the same. 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. Stay up-to-date on all our shows. , where his research focused on immune-based therapies for melanoma. 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. that was typically done by putting your finger in the air and looking at which way the wind blows. He also has a B.Sc. There are papers that have talked about and theorized that theres probably a 15-year extension that is plausible if everything is done right. Dr. Peter Attia is a physician focusing on the applied science of longevity. ATTIA: Well, I think the benefits of fasting are legion. Throughout our lives, we experience different stressors that can cause strain on our mental health. from Stanford University and holds a B.Sc. One half of all Americans are on that spectrum. Dr. Peter Attia. Why didn't you address what Nina has brought up? ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. 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? ATTIA: I dont know. Welcome toPeople I (Mostly) Admirewith Steve Levitt. scan a couple days later. makes a complete mockery of what sexual harassment is and is not. LEVITT: So you love your children with a depth that is rare and I admire. By implication, it cannot be used to make nutrition recommendations. ATTIA: I dont know if that exercise did, but yes, I think a lot of the training that I did did pay off, actually. ATTIA: Ive come a long way since then, Steve. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. Aging often comes with significant physical problems that are increasingly tough to deal with. He attended Stanford University School of Medicine, where he received his M.D. 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. You have to have a second project which youve actually done, but you pretend that you havent done it. And it was very uncomfortable. That way, we can live lives that are both long and healthy! Steve, we should have you take the Epworth Sleep Survey. And caffeine blocks that. But I think there was a very similar insecurity. It started very early. I want to be able to hop over a three-foot fence. 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? It also has a significant effect in terms of fat oxidation. And so I do I think death is a very important part of the carbon cycle. And just to be clear, Im just the guy who started it and who raises the money. And honestly, one of the least predictable and most intelligent people Ive ever met. And you were like, Whats that? And I was like, Oh, I chew Nicorette gum. And you asked me if I was a smoker. But when we sleep, its best for our bodies to be cold when we sleep cooler, we get more rejuvenating sleep. 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. Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! Dr. Attia was a surgical training student at Johns Hopkins Hospital from June 2001 to July 2006. You have to have one project which is 95 percent done and turned out well. 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: I will say that youve taught me a lot and I never told you this before youre one of the few people on the planet whose opinion I trust so completely that when you tell me to do something, no matter how absurd it sounds, I do it. Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, @peterattiamd, and me, @lewishowes. When we think of extending our lifespans, we think a lot about our physical health how well our bodies function. 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. By Sydney Bueckert, NASM CPT, CES, FNS, GPT November 23, 2022 ", "Are We Fighting The Wrong Battle In The Obesity War? [4] 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. 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. 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. LEVITT: But when you say risk, you talk about risk of wasting the money? 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. How many other concussions I had, I dont know. Part 1. 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. [8][9] He is of Coptic Egyptian descent. But there was a brutal concussion I had. I think nicotine is a remarkable molecule. , especially as he gets older. But Im not the person thats actually going to do these studies. Please be respectful toward other contributors. Why dont we know the dose of fasting? [1][2] He is also the first person to make the round-trip swim from Maui and Lanai. 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. You need to hit a local minima in life to make a change, if not an absolute minimum. The problem is that we may be living longer, but were living with chronic health conditions that significantly lower our quality of life. 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. Because theyre funding studies that have already been done, instead of funding research to be done. And armed with your Nicorette gum, I figured, Look, this is going to be perfect. Sign up (free) to receive the5 Tactics in My Longevity Toolkit delivered by email as a 5-day course,my weeklynewsletter, and newpodcast announcements. I could barely turn my head. Peter Attia, M.D. Last week, Peter Attia wrote a criticism of Game Changers, where he presented the argument (long repeated him) that nutritional epidemiology is fundamentally flawed. Bring everyone together in one space with Microsoft Teams! 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. Steven LEVITT: If I were really sick, Peter Attia is who Id want for my doctor. Poor, poor waitress. is incredibly risk averse. what happened to peter attia. But theyre not really set up to do big, big thinking. So after college and before grad school. 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. But not too far behind it is cancer. Thats actually a billion dollar question. 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.. This episode is informative, and I know youll get a lot of value from it. Or that we overeat? But its crazy. Now, whether its another SARS coronavirus or an influenza virus or another virus, I dont know. And for that, Dr. Peter recommended therapy. Its a wonderful fuel. And I think most people do find a lot of benefit from it. ATTIA: No, I think its the hardest job. 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. So autophagy is a very important process for preventing cancer. 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. in mechanical engineering and applied mathematics. 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. And so, to answer your question, Steve, I am still incredibly bearish on sugar. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. LEVITT: Yeah. And I had all the time in the world. So it might be another totally new way to tap benefit above and beyond the nighttime sleep. The second thing I would say is: really do not consider sunk costs in your career. 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). Learn how to live longer, be healthier, and optimize your performance. The other two preventions, however, might surprise you. Explore the list of the most recommended book titles suggested by Peter Attia . 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. into a difficult position, which is to make very incremental steps in science. And I religiously do whatever you tell me to do. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. But I get a little bit worried that I dont know how to prepare them for a world that I dont understand. Lets dive in! When we start to experience those mental health issues, we die in a sense. 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. So my hours from 11:00 at night until like 5:00 in the morning, in a cold apartment. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. ATTIA: It was hard, actually. How does our mental health affect our longevity? 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. It was really an interesting thing to watch. But do you have advice for young people who are trying to find their path in the world? Dr. Peter is working hard to keep his body strong and healthy functioning even into old age. If it says its got sugar in it, eat a different version. So I want to start with a story. Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. Comments that harass other posters will be deleted. This episode is informative, and I know youll get a lot of value from it. And white bread is generally depleted of anything of value. Peter Attia is a physician focusing on the applied science of longevity. And I think its the perfect model, which is: let the government come in when its been de-risked. 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? 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 the ability to quit or not quit becomes a very high-water mark to separate those people out. These things have a significant impact on our lives and on our families so how can we stay healthier longer? 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 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). If anybody knew how bad I was at this, it would be embarrassing., Ill give you one example. We won. And you might say, Well, gosh, thats a lot of money. But in the scope of things, thats a trivial sum of money, if we could actually know that this much fasting could extend not just life, but improve quality of life that much. I think most people do get a bit of a cognitive jolt from it. 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. Did you get hit a lot in the head? Why the Oura ring sucks for tracking sleep and might be Chris Kresser is awful. Your body naturally creates glucose in your liver, so when you eat and consume extra glucose, your body sends it to your muscles, and you use it as energy. All rights reserved. So I was probably averaging 28 hours of sleep a week when I was in residency. If you want bread, eat the bread that has no sugar. All contents Freakonomics. I admire his dedication to becoming a kick-ass 100-year-old, and I only hope I can do the same! And thats when I stopped my experiment. In fact, our conversation was so fascinating, that I decided to split it into two episodes! LEVITT: And so why? 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. 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. So how about nicotine? I just didnt care if I was alive or dead, even though I wasnt even particularly tired. Comments including unnecessary profanity will be deleted. If anything, I might even be more concerned with sugar, especially in its liquid form. 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. 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. 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. Most organs could use it. Criticism and skepticism can be far more useful than praise and unflinching belief. And that work ethic came from this belief that I actually dont think is that healthy. One half of all Americans are on that spectrum. , So how can we combat Type 2 diabetes? 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