But theyre not really set up to do big, big thinking. Thanks for listening. But theres a lot of new research coming out among economists, of all people, thats starting to flag the importance of sleep. This comment policy is subject to change at any time. LEVITT: And so why? 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. I am responding to this post because: a) Peter's post made it into my message [] 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. 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? LEVITT: You have given a lot of advice already about nutrition and health. I am a physician focusing on the applied science of longevity. But its crazy. I mean, I probably wish I had been a bit more introspective a bit sooner. ATTIA: It was hard, actually. Whats so good about being in ketosis? This episode is informative, and I know youll get a lot of value from it. LEVITT: And did that pay off when you went to surgery? 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. Whats good about nicotine? But not too far behind it is cancer. So I know Ive got the time to get better and better. 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 I think the people who are luckiest and I put myself in that category hit local minima, recognize theyve hit a local minima, but not so much damage has been done that they cant get out of it. What did your day look like? And you say, I die.. 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. Why dont we know the dose of fasting? And that ketone was a substitute fuel for glucose and for fat. Where did this drive come from? I think most people do get a bit of a cognitive jolt from it. 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. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. Theres an, Tim is an early-stage investor and author of five #1 New York Times bestsellers. 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. Residency didnt seem very merit-based. Stay up-to-date on all our shows. 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. And when I was in high school, I became obsessed with him. Case fatality rate (CFR) of COVID19 is largely an academic question and has little real-world importance. 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. ATTIA: I mean, if Im going to be critical, its not what we did in the first moment. Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. 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. And Im the provocateur who helps de-risk these things. 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). And I missed that routine once in four years. 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. 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. When we start to experience those mental health issues, we die in a sense. If you take a 20-minute afternoon nap, youre not going to get into whats called delta wave sleep. Yesterday, I just finished a three-day fast. 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. And I had all the time in the world. 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. So I think the whole boxing thing came from an insecurity. 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. based in San Diego and New York. So I want to start with a story. Mass vaccination would interfere with this a lot. Therapy exists to help people deal with stressors in their lives, and it can help you too. 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. 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. But I just decided death would be welcome. ATTIA: Well, I think the benefits of fasting are legion. But the probability, Steve, that you or I may get the rest of our lives without another pandemic must be viewed as exceedingly small. 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. I said, No, no, no. Dr. Peter Attia is the founder of Attia Medical PC. So thats called starvation ketosis. And actually, my model ended up working really well, but I was basically threatened that Id be fired if I ever did it again. And so it might be that its the rigidity of thought that is really the biggest problem. That way, we can live lives that are both long and healthy! To listen ad-free, subscribe to Stitcher Premium. 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. 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. 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. 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. . And honestly, one of the least predictable and most intelligent people Ive ever met. As we get older, we may develop knee or hip problems, hearing or vision loss, or even memory problems. LEVITT: Thats been my reaction exactly, is, the answer to every one of the questions you just posed is completely and totally knowable. It showed I had cerebral contusions. It comes with just accepting the fact that I do not accomplish as much today as I used to. LEVITT: And did you actually do a lot of fights? Theres days when I think technologys going to solve all of our problems. 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. Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. But the muscles could use it. December 9, 2022, Designed by Elegant Themes | Powered by WordPress. I think I probably spent too many years ignoring things that shouldnt have been ignored. And for that, Dr. Peter recommended therapy. It comes from this place of, Im not good enough. In 2014, Attia founded Attia Medical, PC, a medical practice focusing on the applied science of longevity and optimal performance. 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. Without your financial help, this blog is in critical danger of not surviving. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. I mean, there is, to me, no upside in outliving everyone that matters to you. what happened to peter attia. Note this may include abusive, threatening, pornographic, offensive, misleading or libelous language. But I have to say, hes also completely, totally insane. Now, on with the show. From 2012-2015, he . 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. 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. Hes really it makes me hopeful that I got some of those genes, that I can have a shot at some of that too. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. 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. So, again, evolution won. Throughout our lives, we experience different stressors that can cause strain on our mental health. 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. He remains unbiased and sticks to what the science indicates while also willing to experiment on himself. LEVITT: So, tell me what are your current feelings towards sugar? And it sucked. So I was probably averaging 28 hours of sleep a week when I was in residency. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. I would run between five and 13 miles each morning. Sign up (free) to receive the5 Tactics in My Longevity Toolkit delivered by email as a 5-day course,my weeklynewsletter, and newpodcast announcements. It also has a significant effect in terms of fat oxidation. Explore the list of the most recommended book titles suggested by Peter Attia . On this Wikipedia the language links are at the top of the page across from the article title. Its the cognitive piece so how well does your brain work as you age? So I think its a problem thats sub one hundred million dollars. LEVITT: Oh, God. Were you a good fighter? And thats important, but just as important is our mental health. and holds a B.Sc. 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. CAUSE THE OBESITY EPIDEMIC IN THE UNITED STATES? So, if we can turn off the phones well before bedtime, well find it a lot easier to fall asleep. 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 senescent cells basically send out these really nasty inflammatory signals to other cells that basically age them. So I embarked on a sleep experiment that went on for maybe three months where I did not sleep more than three hours a night. Its about exercising intentionally. Aging often comes with significant physical problems that are increasingly tough to deal with. Your lifespan may be longer, but your healthspan the amount of life you live in good health isnt. 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. According to Tools of Titans, Attia takes 600 to 800 mg per day of magnesium, alternating between mag sulfate and mag oxide. And theres this have you seen this thing called Mystery Science Theater 3000? And just to be clear, Im just the guy who started it and who raises the money. And I dont think Im very good at it, Steve. And they mightve spent the last 20 of those years in an unbelievable state of misery. Your podcasts are like a massive gift to humanity. But I tried to build a mathematical model to address a problem in the I.C.U. Im afraid that I havent done a great job. Donate here: DID THE DIETARY GUIDELINES (AND LOW-FAT DIETS, SUGAR, ETC.) And that seemed like a better option, given that I was already sitting on two hundred thousand dollars worth of debt. If you just landed here, feel free to make a post about who you are, why you listen, and what you love . As an Amazon Associate, Freakonomics may earn commissions from qualifying purchases made through links on this site. By Sydney Bueckert, NASM CPT, CES, FNS, GPT November 23, 2022 Dont just listen to people say stuff you agree with. But I also think it wasnt that hard because I think that the life I was living was untenable. 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 . And I dont say that necessarily to be critical, but its just, you want to talk about incentives. Lets dive in! 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. What type of a mask really matters? What do you do daily to live a longer and healthier life? Ive been enjoying them very much, If you want to know how to live longer, and how to live better, you should be listening to Peter. So it wasnt one thing, Steve. Wouldnt you like to live longer? LEVITT: And it sounds like youre doing it all with private money. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. scan a couple days later. Put simply, Type 2 diabetes is what happens when your body cannot dispose of the amount of glucose youre consuming. So theres this molecule called adenosine. Every time I go to an academic seminar, Im going to bring two pieces of Nicorette gum. [4] 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. [8][9] If you learned something today, please share it with us! The four huge factors of Type 2 Diabetes. But it also comes with letting go of a bunch of stuff, too. Peter Attia is the host of The Drive podcast and . Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. LEVITT: Yeah. I want to be able to hop over a three-foot fence. And my glucose level is very low. So my guess is, theres some measure around helping them become better thinkers. 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