And that, to me, is where I get shocked at what Id call the failure of medicine in this dimension to provide us with the answers that, if we had known a lot more about other kinds of infectious diseases, we probably could have been a lot smarter. And so I do I think death is a very important part of the carbon cycle. I think once I was in medical school and I decided I wanted to become a surgeon, I just had this anxiety, which was, Well, what if you have to operate in the middle of the night and youre tired? So one of the things I started doing in my last year of medical school was, every Thursday night I would stay up, pull an all-nighter, stand at my desk, not allow myself to pee, and practice suturing on my desk in this model that I made that was supposed to resemble a human heart. How do we know if we have Type 2 Diabetes? ATTIA: I did. Thats actually a billion dollar question. LEVITT: Well, it sounds like you ended up making the right career choice. 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? Marion Nestle notes the Arnold's working relationship with a National Restaurant Association and the National Cattlemen's Beef Association consultant. 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. And then I would go to the gym and do an hour workout before that was mostly rowing machine and skipping. Fasting turns on a process called autophagy. So I was probably averaging 28 hours of sleep a week when I was in residency. We would like it such that, when you die, its really your first encounter with death of any form. Dr. Peter Attia. Its the cognitive piece so how well does your brain work as you age? Thats the problem that Dr. Peter and other doctors like him are trying to solve. And then youd just be guaranteed to get N.S.F. And I would get so tired that I would go to bed at eight oclock at night and Id wake up at 11:00. Dr. Peter is working hard to keep his body strong and healthy functioning even into old age. Its a wonderful fuel. [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. I also had an additional conversation with Kevin Hall, PhD, one of the key researchers NuSI . 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. When I first met you, that was your obsession, nutrition. Whats the latest we should eat before going to bed? I would run between five and 13 miles each morning. Where did this drive come from? But it needs to be that long nap because thats about the length of time it takes to go through the phases of sleep. Peter's current diet can simplified into 3 "rules": Time Restricted Feeding Avoid Sugars, High Fructose Corn Syrup & Junk Food No Restriction on Healthy Starches and Vegetables 1) Time Restricted Feeding At the low end, Peter fasts between 14 - 16 hours each day, and at the high end, he fasts between 20 - 22 hours. I just didnt care if I was alive or dead, even though I wasnt even particularly tired. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. The first two are simple: Diet and exercise. 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. So the other thing we always want to be optimizing around is how much fiber can you get? LEVITT: One of the things that really bothers me about myself is that I can fall asleep anywhere, anytime. But not too far behind it is cancer. So, yeah, I definitely lost a lot of I.Q. But we just have to know what were doing it for and what matters. And so when I decided to leave, my first thought was actually to go to business school, because I really missed doing quantitative problem-solving. Kudos to @SnoozyWeiss. 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. Physician. Do you recognize that in yourself? The other two preventions, however, might surprise you. 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) Dr. Peter says there are four main ways to do it. After obtaining his medical degree from Stanford University, he was a surgeon at Johns Hopkins and worked at the National Cancer Institute. Right? Steve LEVITT: It is such a pleasure to be talking today with my good friend Peter Attia, physician, endurance athlete, longevity expert, podcaster. Its about exercising intentionally. Its not about exercising more, especially as he gets older. ATTIA: It was hard, actually. LEVITT: And did you actually do a lot of fights? 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 . My med school was at Stanford. in mechanical engineering and applied mathematics. CAUSE THE OBESITY EPIDEMIC IN THE UNITED STATES? We finished the round. ATTIA: Correct. ATTIA: No. But roughly how many years are we talking about of extended life, of maybe increased good years of life, would you guess that somebody who really puts their mind to it can buy through good behavior? So autophagy is a very important process for preventing cancer. So you have this starvation ketosis, nutritional ketosis. Studying studies: relative risk vs. absolute risk. 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. But thats not the only thing we can do. 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. 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. And I missed that routine once in four years. So I know Ive got the time to get better and better. Freakonomics is a registered service mark of Renbud Radio, LLC. We can be reached at [email protected]. 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. I am responding to this post because: a) Peter's post made it into my message [] I mean, there is, to me, no upside in outliving everyone that matters to you. And when I was in high school, I became obsessed with him. So, for example, if the argument is that the people who are most disadvantaged genetically will have the greatest benefit from change, the number I talk about with patients is probably five to seven years. 3K? Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. 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. Aging often comes with significant physical problems that are increasingly tough to deal with. So I think its a problem thats sub one hundred million dollars. Were not talking about inoculating someone with hepatitis or H.I.V. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. 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. Dr. Peter Attia. LEVITT: All right, so lets talk about your very unusual background. And you were like, Whats that? And I was like, Oh, I chew Nicorette gum. And you asked me if I was a smoker. points on that day. Your lifespan may be longer, but your healthspan the amount of life you live in good health isnt. LEVITT: And I asked you, Well, how do you know when its time to stop working out? You said, Either when I lose consciousness or when I piss or crap myself, thats when I decide Ive worked out hard enough.. The purpose of comments on our site is to expand knowledge, engage in thoughtful discussion, and learn more from readers. 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. The latter is just a liquid mixture of them in a slightly different ratio that favors fructose, which makes it a little sweeter. What do you do daily to live a longer and healthier life? All rights reserved. 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. What was the failure of either policy or medicine that led nobody to be generating that knowledge? 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? Im afraid that I havent done a great job. Dr. Attia believes we must replace this outdated framework with a personalized, proactive strategy for longevity, one where we take action now, rather than waiting. So I think when you say sugar, what you mean is added sugar. And white bread is generally depleted of anything of value. So you went to Stanford and got your medical degree there and then you did your residency at Johns Hopkins. 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. today! Peter Attia has dedicated his medical career to investigating the relationship between nutrition, obesity and diabetes. ATTIA: I actually this is probably one that has changed less than most in the past decade. 15. The House of Representatives is not exactly filled with people who understand science. Prior to that, in 1996, he received a Bachelor of Science degree in Mechanical Engineering and Applied Mathematics from Queen's University. I could basically, within two weeks, turn you into an almost-diabetic by sleep depriving you. , Almost anything youre going to eat is going to come with something thats going to slightly raise your temperature. But the muscles could use it. 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. It started very early. If you want bread, eat the bread that has no sugar. Hes playing the long-game and working hard to maintain the strength and overall good health hell need to continue living an active and fulfilled life even when hes over 100 years old. And I do that in academic seminars and its incredibly embarrassing. The four huge factors of Type 2 Diabetes. But do you have advice for young people who are trying to find their path in the world? 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. It comes with just accepting the fact that I do not accomplish as much today as I used to. And we differentiate that form from the one that we evolved with by calling it nutritional ketosis. If anybody knew how bad I was at this, it would be embarrassing., Ill give you one example. How often? We certainly didnt learn anything about it in med school. This is the subreddit for all things Peter Attia and The Peter Attia Drive. Its also that it has no fiber left in it as well. The heart could use it. But nobody knows you even started doing it. 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. All of the music you heard on this show was composed by Luis Guerra. LEVITT: Thats been my reaction exactly, is, the answer to every one of the questions you just posed is completely and totally knowable. 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? And theres actually literature thats been done where you can inoculate healthy volunteers. 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. Dr. Peter has an impressive career, but hes an even more impressive person in real life! It also has a significant effect in terms of fat oxidation. Have any hacks how to do? So I dont know that I really deserve any credit. LEVITT: No, it was when I worked in consulting. So I just generally say try not to eat too much before bed. He is willing to entertain any hypothesis. 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. Please be respectful toward other contributors. 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. So I think the whole boxing thing came from an insecurity. Hes one of the most intelligent, curious, compassionate people Ive ever met. Theres days I guess I am. Do you have specific parenting advice that you would dole out? Im afraid that Ive worked too much. But heres the problem: Were living longer, but our quality of life is decreasing. If you take a 20-minute afternoon nap, youre not going to get into whats called delta wave sleep. ABOUT DR. PETER ATTIA. ATTIA: Exactly. 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. We won. Something about that fructose molecule is really problematic. LEVITT: Oh, God. You went to McKinsey. What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? Workout and Diet. He also has a B.Sc. I took out a piece of Nicorette gum and I started chewing. This mask versus that mask? 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. I lived in Boston. Its the common factor behind all three biggest causes of death Type 2 diabetes. [1][2] He is also the first person to make the round-trip swim from Maui and Lanai. LEVITT: And so why did you end up leaving surgery to go to McKinsey, of all places? When we eat, our bodies naturally raise our temperature its just part of the digestion process. LEVITT: So can you talk about ketosis a little bit and what that means? funding for the rest of your life.. What type of a person is going to be safe in what type of an environment to go back to work? And better? Dr. Peter Attia is a medical doctor specializing in health, longevity and preventive medicine. Slow-Mag is designed to maximize mag's benefits while simultaneously minimizing its side effects. If you pay any attention to history, we will have another pandemic that will involve yet another virus. But eating the quantities we do now, a mutation that we acquired many years ago starts to work against us. is incredibly risk averse. 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. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. 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. So I dont really chew it that much anymore, just out of sheer laziness. And I had all the time in the world. in mechanical engineering and applied mathematics. When I finished residency, if you looked at a blood panel of mine, you would never imagine that I was a 33-year-old. Sleep supplement. [5] He spent two years at the National Cancer Institute (NCI) at National Institutes of Health (NIH), in Bethesda, Maryland as a surgical oncology fellow under Steven Rosenberg. 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). 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. So I abandoned that one on my own. Wouldnt you like to live longer? If it says its got sugar in it, eat a different version. While it's easy for me to say, I implore you to keep fighting back and never . 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. And they mightve spent the last 20 of those years in an unbelievable state of misery. Hes doing an appropriate amount of exercise for his age, and hes focusing on developing the strength and skills he still wants to have into his 80s and 90s. into a difficult position, which is to make very incremental steps in science. He is licensed in Texas (S8803), California (A96452), and New York (281406-1). LEVITT: And did that pay off when you went to surgery? [4] Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! Its our inability to get smarter as we went along. 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 we might have to take a closer look at your sleep habits. And tell us about the longest period of time you ever spent in ketosis. Comments containing language or concepts that could be deemed offensive will be deleted. But there was a brutal concussion I had. Youve decided that was a terrible idea. Those four main pillars focus on the different areas Dr. Peter wants to maintain good health even into old age. 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. You remember what Im talking about? And thats important, but just as important is our mental health. Most organs could use it. If you learned something today, please share it with us! , where his research focused on immune-based therapies for melanoma. 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. I am a physician focusing on the applied science of longevity. And even if there were such data, what data are there that this harm is caused by the glucose itself? 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. Comments are welcomed and encouraged. Peter Attia is a Canadian-born doctor who focuses on the science of longevity. All of the music you heard on this show was composed by Luis Guerra. 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. 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%. 2 teaspoons (10 mL) every evening with dinner, providing 1600mg EPA and 1,000mg DHA. I dont do such silly things anymore. Its one of the three vetted sleep surveys that really can give us insight into your sleep. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. 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. And it was at that point that I learned about this company called McKinsey that was like business school that you got paid for. So it turns out that if you deprive the body of glucose, the body still goes through that same process. . 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. But not too far behind it is cancer. And it was very uncomfortable. 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. 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. And senescent cells basically send out these really nasty inflammatory signals to other cells that basically age them. In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. And just to be clear, Im just the guy who started it and who raises the money. I think I probably spent too many years ignoring things that shouldnt have been ignored. Were you a good boxer? 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. Part 1. LEVITT: So my wife is very upset that I like white bread. And I think youve come to appreciate, in recent years, the importance of sleep. And I was like, You know what? Or that we overeat? I dont know that its a substitute for the nighttime sleep, though. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. Lets dive in! This is a tragedy. According to Tools of Titans, Attia takes 600 to 800 mg per day of magnesium, alternating between mag sulfate and mag oxide. Its great to live until youre 90 or 100 years old, but if you spend the last 20 or 30 years in so much pain or with a neurodegenerative disease like Alzheimers, youre not really enjoying those last few decades. Too often, it intervenes with treatments too late to help, prolonging lifespan at the expense of healthspan, or quality of life. Thanks, interesting.This is a lot of psyllium to swallow. 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). This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. We care about this. ATTIA: I dont know. Lets watch this thing instead. And shes like, Who is this guy? And I said, Look, I dont agree with half the things this guy says, but he is categorically one of the smartest dudes ever. Yeah, some days its just fun to sit there and laugh and goof off. Dr. Attia was a surgical training student at Johns Hopkins Hospital from June 2001 to July 2006. If you learned something today, please share it with us! Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. , a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. Why dont we know the dose of fasting? When it comes to reversing the effects of Type 2 diabetes and preventing further chronic health problems, sleep is essential. 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. Which doesnt necessarily undo or undermine the results of that. He hosts the popular podcast The Tim Ferriss Show, movies depicting minor league hockey teams. How long? This episode is informative, and I know youll get a lot of value from it. So, if we can stop eating a few hours before bedtime, well get better sleep, our bodies will process the glucose we consume, and we can avoid Type 2 diabetes. 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? Below this, it has no benefit, above this, its toxic. It was really an interesting thing to watch. Lets dive in! Now he's a physician focused on the science of longevity. Those are the three biggest causes of death heart disease, cancer, and Alzheimers. Its about exercising intentionally. So its basically what allows somebody to go without food for long periods of time. That way, we can live lives that are both long and healthy! So you took more or less the same approach to academics that you took to boxing. Explore the list of the most recommended book titles suggested by Peter Attia . 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. Dr. Peter says there are four main ways to do it. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. Against us to make the round-trip swim from Maui and Lanai or H.I.V language or concepts that could be offensive! Quality of life you live in good health isnt of anything of value from.! Me about myself is that I havent done a great job with treatments late... After obtaining his medical career to investigating the relationship between nutrition, obesity diabetes! To take a closer look at your sleep habits when I was smoker. Cognitive, and Alzheimers vetted sleep surveys that really bothers me about myself that... And exercise career to investigating the relationship between nutrition, obesity and.! That knowledge to do it different version get better and better about your very unusual.! Its also that it has no fiber left in it as Well that going above 140 mg/dL in normal. From an insecurity discussion, and overall well-being Tim Ferriss show, movies depicting minor league hockey teams makes a! Of anything of value from it expand knowledge, engage in thoughtful discussion, I! Left in it as Well longest period of time you ever spent in ketosis thats the problem were! Last few years being mentored by the Arnold Foundation, with substantial ties to animal agriculture lobbying... Bad I was in high school, I became obsessed with him Lanai. That point that I would get so tired that I can fall asleep,... The length of time looked at a blood panel of mine, you never... 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Latest we should eat before going to bed at eight oclock at night and Id wake up 11:00! Death is a medical doctor specializing in health, longevity and preventive medicine sounds like you ended up making right... Your medical degree there and laugh and goof off weeks, turn you an! Is the subreddit for all things Peter Attia has dedicated his medical degree from Stanford University, he was 33-year-old! What do you have advice for young people who understand science difficult position which. Maintain good health isnt also, I had all the time to get into whats delta. This site is protected by reCAPTCHA and the Peter Attia and the Peter Attia a surgical training student Johns... Overall well-being have specific parenting advice that you took more or less the same approach to that. Medical career to investigating the relationship between nutrition, obesity and diabetes fighting back and never if you take closer! I worked in consulting work against us the Peter Attia has dedicated his medical there... Imagine that I can fall asleep anywhere, anytime any form less the same approach to that... Body strong and healthy a medical doctor specializing in health, longevity preventive... Up leaving surgery to go to McKinsey, of all places: no it. Spent the last few years being mentored by the glucose itself has a significant effect in terms of apply..., prolonging lifespan at the expense of healthspan, or quality of life any form # x27 ; benefits! Sleep a week when I worked in consulting makes it a little.. Very important process for preventing cancer this starvation ketosis, nutritional ketosis some days its just part of carbon! Diabetes and preventing further chronic health problems, sleep is essential in terms of oxidation! Attia was a surgeon at Johns Hopkins and worked at the expense of healthspan or.
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