on their work. So maybe some combination of those two things would be helpful as a person navigates their way. Everything was metabolically broken. Something about that fructose molecule is really problematic. 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. But you started out wanting to be a professional boxer. But Im not the person thats actually going to do these studies. Last week, Peter Attia wrote a criticism of Game Changers, where he presented the argument (long repeated him) that nutritional epidemiology is fundamentally flawed. Put simply, Type 2 diabetes is what happens when your body cannot dispose of the amount of glucose youre consuming. But not too far behind it is cancer. And theres this have you seen this thing called Mystery Science Theater 3000? But nobody knows you even started doing it. 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. Yesterday, I just finished a three-day fast. No, the short answer is, Im still trying to make sense of this as well. We won. After medical school, Attia spent five years at the Johns Hopkins Hospital in Baltimore, Maryland as a general surgery resident. We would like it such that, when you die, its really your first encounter with death of any form. Dr. Peter Attia. He is the host ofThe Drive, one of the most popular podcasts covering the topics of health and medicine. By implication, it cannot be used to make nutrition recommendations. Theres days when I think technologys going to solve all of our problems. Dr. Peter Attia and Dr. Andrew Huberman discuss the best exercises for health and longevity.Dr. Airplane versus subway? 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. So you have this starvation ketosis, nutritional ketosis. Physician. 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. 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. Hes one of the most intelligent, curious, compassionate people Ive ever met. 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 I think when you say sugar, what you mean is added sugar. Its not about exercising. Peter Attia talks with Steve Levitt about the problem with immortality, what's missing from our Covid response, and why nicotine is underrated. He lives in Austin, Texas with his wife and three kids. All of the music you heard on this show was composed by Luis Guerra. department where I was, and I said, I have three new projects; Im going to put into my proposal., They said, No, you got it totally wrong. . I think its worth understanding that a little bit. We finished the round. 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 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. 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) His practice also focuses on elements such as diet, sleep, exercise, and, physiological aspects that promote ATTIA: Well, I think the benefits of fasting are legion. Despite the fact that he exercised and followed a healthy diet, in 2009, Attia was overweight and had started developingmetabolic syndrome, putting him at risk for type 2 diabetes, heart disease and stroke. And then probably have N.I.H. ATTIA: Well, my undergrad was actually in Canada, which is where I did math and engineering. So they think that you can show them something you havent done when youre done. ATTIA: Yeah, thats another example of something that I think, prior to 2012, I was very much of the mindset that, Oh, Ill sleep when Im dead. And residency certainly reinforced that. There are a ton of different types of therapy you can get into, but the end-goal is the same. and . Dr. Peter earned his M.D. Im afraid that I havent done a great job. Thank you so much for joining me today! I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. I think I probably spent too many years ignoring things that shouldnt have been ignored. Donate here: DID THE DIETARY GUIDELINES (AND LOW-FAT DIETS, SUGAR, ETC.) ATTIA: I dont know. 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. 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. ATTIA: With white bread, theres another problem which is you might get five or six grams of sugar in it. Dr. Peter is the perfect person to talk to about health and longevity, and Im excited to have him on The School of Greatness today! In fact, Dr. Peter recommended to stop eating about three hours before bedtime. is incredibly risk averse. What happened to @DMSabatini. Sign up (free) to receive the5 Tactics in My Longevity Toolkit delivered by email as a 5-day course,my weeklynewsletter, and newpodcast announcements. And to this day, we still respect each other greatly. Freakonomics is a registered service mark of Renbud Radio, LLC. What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? Part of the practice includes nutritional biochemistry, a field that deals with supplements. Dr. Attia is medical doctor who focuses on the science behind living a longer, healthier life. When it comes to reversing the effects of Type 2 diabetes and preventing further chronic health problems, sleep is essential. Its about exercising intentionally. 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. LEVITT: So, tell me what are your current feelings towards sugar? Enjoy this content? LEVITT: Yeah, man, I could not agree with those two things more. And we differentiate that form from the one that we evolved with by calling it nutritional ketosis. So theyve either died a cognitive death which is to say their minds have become so dull that theyre really not able to be the people they wanted to be [or] their body has broken down so much that the things that once gave them so much joy, theyre deprived of or emotionally theyve become depressed. How we are going about medicine the wrong way. ATTIA: This is actually something thats really interesting. Peter Attia talks with Steve Levitt about the problem with immortality, whats missing from our Covid response, and why nicotine is underrated. The four pillars of being a kick-ass 100-year-old. How often? What did your day look like? Were you a good fighter? Too often, it intervenes with treatments too late to help, prolonging lifespan at the expense of healthspan, or quality of life. 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.. But it also comes with letting go of a bunch of stuff, too. And thats part of the reason why a lot of smokers do gain weight when they stop smoking. All of the music you heard on this show was composed by Luis Guerra. Slow-Mag is designed to maximize mag's benefits while simultaneously minimizing its side effects. All contents Freakonomics. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. Today, we have more medical knowledge than ever before. The heart could use it. , a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. I mean, this is not an unethical thing to do. LEVITT: And did you actually do a lot of fights? And in the meantime, if youre ready to learn how to live to be over 100 and prevent chronic diseases, join me on. But something inside said, You dont feel right. So I said, Hey, Mike, I got to call it a day, man. And when I went down to cool down by hitting the speed bag, which is that tiny little round bag that basically has no weight or impact just the impact of hitting that hurt my head so much that I was like, I got to stop.. So what are some things we can do to improve our sleep to keep this from happening? Most organs could use it. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. Im actually going to tuck them underneath my lip like chewing tobacco and let it just ease out and keep me going.. And I was like, You know what? And I came across this Noam Chomsky documentary. 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. 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. He is licensed in Texas (S8803), California (A96452), and New York (281406-1). When I finished residency, if you looked at a blood panel of mine, you would never imagine that I was a 33-year-old. Or that we overeat? And I religiously do whatever you tell me to do. This is a tragedy. But a quick 20-minute power nap is no big deal! LEVITT: Yeah, for sure. December 9, 2022, Designed by Elegant Themes | Powered by WordPress. Criticism and skepticism can be far more useful than praise and unflinching belief. But I tried to build a mathematical model to address a problem in the I.C.U. ", https://en.wikipedia.org/w/index.php?title=Peter_Attia&oldid=1139971534, Stanford University School of Medicine alumni, Articles with unsourced statements from February 2023, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 17 February 2023, at 19:54. But its crazy. Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. 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. So I went, three days and just had water. Thanks, interesting.This is a lot of psyllium to swallow. Anonymous comments will be deleted. Dr. Peter Attia is a medical doctor specializing in health, longevity and preventive medicine. But of course, we live in an environment where natural selection doesnt have the time to make modifications. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. So theres this molecule called adenosine. Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! So the brain could use it as a glucose substitute, and it would offset 50 to 60 percent of its glucose requirement. Marion Nestle notes the Arnold's working relationship with a National Restaurant . I mean, God, sometimes I hear stories like that and I just Im so embarrassed. So the other thing we always want to be optimizing around is how much fiber can you get? Marion Nestle notes the Arnold's working relationship with a National Restaurant Association and the National Cattlemen's Beef Association consultant. I mean, I probably wish I had been a bit more introspective a bit sooner. But the point is, without making these proactive changes, they mightve lived only until 70. 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. ATTIA: Totally my favorite thing on the planet. You got to do it.. Do you have specific parenting advice that you would dole out? Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. ATTIA: What an obnoxious idiot I was. The problem was, it was the winter. How does our mental health affect our longevity? 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. But heres the problem: Were living longer, but our quality of life is decreasing. 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. I would run between five and 13 miles each morning. So how can we combat Type 2 diabetes? 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. Do you recognize that in yourself? ", "Are We Fighting The Wrong Battle In The Obesity War? But it could put a slightly different interpretation on it. Case fatality rate (CFR) of COVID19 is largely an academic question and has little real-world importance. 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 . ABOUT DR. PETER ATTIA. To me the more important question, Steve, and the one I spend more time thinking about, is: what do you do next time around? 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. is part of the Freakonomics Radio Network, and is produced by, and Stitcher. And again fortunately, Olivias my oldest and shes 11. If anybody knew how bad I was at this, it would be embarrassing., Ill give you one example. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. Aging often comes with significant physical problems that are increasingly tough to deal with. According to his website, Attia is "a Stanford/Johns Hopkins/NIH-trained physician focusing on the applied science of longevity, the extension of human life and well-being." These credentials have given Attia unparalleled clout (along with David Sinclair) in this niche of influencers. And when I was applying for my first grant, I went to the senior people around the M.I.T. Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. In addition to training at Johns Hopkins Hospital, Dr. Peter also spent two years at the. 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). ATTIA: Now, that I remember. 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? ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. Hes really it makes me hopeful that I got some of those genes, that I can have a shot at some of that too. Because what youre basically saying is: whats the dose? Peter Attia is a Canadian-born doctor who focuses on the science of longevity. I want to be able to hop over a three-foot fence. 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. 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. But I also think it wasnt that hard because I think that the life I was living was untenable. I hope you loved this episode as much as I did. ATTIA: I mean, I was a pretty good fighter at the time, but we have a heavy bag in our garage now. In 2014, Attia founded Attia Medical, PC, a medical practice focusing on the applied science of longevity and optimal performance. And so now eating a diet thats high in fructose, again, especially liquid fructose, wreaks all metabolic destruction. Its a bit of luck and its having really good people around me who are really patient, who have been able to help nurture me back to a new way of thinking about life that is unrecognizable compared to the ethos that was 10 years ago. And I am so humbled by how bad I am now. And so for six months, Ive been doing something that was probably a really bad idea as well. 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. LEVITT: And so why? Who I am. And honestly, one of the least predictable and most intelligent people Ive ever met. A surgeon who developed metabolic syndrome himself despite the fact that he ate well and exercised often, Attia realized that our understanding of these important health issues may not actually be correct. 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. So it turns out that if you deprive the body of glucose, the body still goes through that same process. Throughout our lives, we experience different stressors that can cause strain on our mental health. Its a very expensive study for one year. And the more I learned, frankly, the less I agreed with him. It was about 10 things. So youre probably just in what are called theta waves. 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. LEVITT: But when you say risk, you talk about risk of wasting the money? However, theres one disease that underlies all three of these. And tell us about the longest period of time you ever spent in ketosis. 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. His unique spectrum of experience, relentless obsession over details, and ability to translate the cutting edge of science into something the rest of us can use is invaluable., Ive always been fascinated with medicine. 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. Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. 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. And theres actually literature thats been done where you can inoculate healthy volunteers. Incredible evidence in how it prevents neurodegeneration and basically all forms of chronic disease. I rarely have a conversation with Peter in which he doesnt introduce me to something Ive never thought about before. I can only say I'm so sorry this happened! 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. Its also the one that seemed the most conflicted. And I would get so tired that I would go to bed at eight oclock at night and Id wake up at 11:00. I definitely had one horrible concussion. Learn how to live longer, be healthier, and optimize your performance. He remains unbiased and sticks to what the science indicates while also willing to experiment on himself. 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. Comments are welcomed and encouraged. 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