No, the short answer is, Im still trying to make sense of this as well. Of course, this is now a very hot topic today. Right? LEVITT: One of the things that really bothers me about myself is that I can fall asleep anywhere, anytime. What Happened To Peter Attia. Its the common factor behind all three biggest causes of death Type 2 diabetes. How often? 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. It started very early. 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. ATTIA: I did. Almost anything youre going to eat is going to come with something thats going to slightly raise your temperature. Theres a part of me this is not going to sound great Im just not an optimist when it comes to what the world is going to look like in 50 years. And then you have to have a third project, which is like 75 percent done. All contents Freakonomics. ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. Peter Attia: "I Definitely Lost a Lot of IQ Points That Day" He's been an engineer, a surgeon, a management consultant, and even a boxer. With over 50 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimers disease, cancer, mental health, and much more. 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. LEVITT: This is not a cheap study, I imagine. I rarely have a conversation with Peter in which he doesnt introduce me to something Ive never thought about before. 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. But I still stand by the benefits of nicotine. People Lists Series Gifts. LEVITT: So the goal was that you wanted immediate feedback on what was going on inside your body as you did these extreme workouts that you were prone to do. Last week, Peter Attia wrote a criticism of Game Changers, where he presented the argument (long repeated him) that nutritional epidemiology is fundamentally flawed. Every time I go to an academic seminar, Im going to bring two pieces of Nicorette gum. 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. And that ketone was a substitute fuel for glucose and for fat. 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. And theres days when that really hurts. Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? LEVITT: So tell me about when you were 14 and you wanted to be a professional boxer. And if people say to me, sometimes hey man, Give me one piece of dietary advice, Id be like, Just start reading labels. I think most people do get a bit of a cognitive jolt from it. But the point is, without making these proactive changes, they mightve lived only until 70. No government funds at all, is that right? I mean, there is, to me, no upside in outliving everyone that matters to you. I think nicotine is a remarkable molecule. Were you a good fighter? But it was like, You got to do it, man. ATTIA: Yeah, but you have to remember, I mean, the N.I.H. Youre listening toPeople I (Mostly) Admire with Steve Levitt, and his conversation with physician and scientist Peter Attia. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. 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. ABOUT DR. PETER ATTIA. 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. Dr. Attia is a huge proponent of supplementing with magnesium. And thats really about the highest praise I can offer anyone I know. He lives in Austin, Texas with his wife and three kids. 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. My Centenarian Olympics has 18 events in it. The second thing I would say is: really do not consider sunk costs in your career. On this Wikipedia the language links are at the top of the page across from the article title. But when we sleep, its best for our bodies to be cold when we sleep cooler, we get more rejuvenating sleep. And I think youve come to appreciate, in recent years, the importance of sleep. And I missed that routine once in four years. Dr. Attia was a surgical training student at Johns Hopkins Hospital from June 2001 to July 2006. Im actually going to tuck them underneath my lip like chewing tobacco and let it just ease out and keep me going.. 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. When it comes to reversing the effects of Type 2 diabetes and preventing further chronic health problems, sleep is essential. makes a complete mockery of what sexual harassment is and is not. LEVITT: And did you actually do a lot of fights? This mask versus that mask? What a complete and total travesty. Hes one of the most intelligent, curious, compassionate people Ive ever met. [4] First wanting to become a professional boxer, he later attended Queen's University, receiving B.Sc. LEVITT: Yeah, for sure. And even if there were such data, what data are there that this harm is caused by the glucose itself? So I just generally say try not to eat too much before bed. 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? If you learned something today, please share it with us! Lets dive in! 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. Six feet versus two feet., And if you could now paint the boundary conditions of that universe with actual data, the next time a virus comes up, we would at least have boundary conditions to say, Oh, this virus looks most like this virus.. , especially as he gets older. One half of all Americans are on that spectrum. , So how can we combat Type 2 diabetes? But I do spend quite a bit of time in starvation ketosis because I fast frequently so either three days a month or seven days a quarter is typically my fasting routine. Why dont we know the dose of fasting? Where did this drive come from? It turns out that our bodies perform a lot of glucose disposal when we sleep, so sleep is incredibly important for preventing glucose from building up in our bloodstreams. LEVITT: And then you became obsessed with nutrition. LEVITT: Well, it sounds like you ended up making the right career choice. And honestly, one of the least predictable and most intelligent people Ive ever met. Peter Attia talks with Steve Levitt about the problem with immortality, whats missing from our Covid response, and why nicotine is underrated. So you took more or less the same approach to academics that you took to boxing. from Stanford University and holds a B.Sc. And you say, I die.. And more recently, and that is to say in the last hundred years or so, people figured out that you could basically trick your body into doing that by restricting carbohydrates. And I felt great. If anything, I might even be more concerned with sugar, especially in its liquid form. I basically had the worst headache of my life for the next three months. CAUSE THE OBESITY EPIDEMIC IN THE UNITED STATES? He remains unbiased and sticks to what the science indicates while also willing to experiment on himself. [7] Attia co-founded and served as President of Nutrition Science Initiative (NuSI) with Gary Taubes in 2012. Its also that it has no fiber left in it as well. And thats important, but just as important is our mental health. ATTIA: I mean, look, Steve, that is a million dollar question. Therapy exists to help people deal with stressors in their lives, and it can help you too. Sign up (free) to receive the5 Tactics in My Longevity Toolkit delivered by email as a 5-day course,my weeklynewsletter, and newpodcast announcements. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. Explore the list of the most recommended book titles suggested by Peter Attia . Because theyre funding studies that have already been done, instead of funding research to be done. There are a ton of different types of therapy you can get into, but the end-goal is the same. To listen ad-free, subscribe to Stitcher Premium. That way, we can live lives that are both long and healthy! 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 to figure out where they fit in and how they can lead the best life they can lead? Taubes and his cofounder,. , a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. My guest today is physician Dr. Peter Attia. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. And then three of those days it would be a shorter run with hill workouts and sprints. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. ATTIA: I mean, I was a pretty good fighter at the time, but we have a heavy bag in our garage now. 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. I am a physician focusing on the applied science of longevity. Which is: what are those people who cant quit also incapable of doing on a day to day basis, vis vis their very rigid view of, this is the way to do things versus not. And Im still generally a somewhat rigid person. ATTIA: So there were a lot of things that were really upsetting me at the time. 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. Peter Attia is the host of The Drive podcast and . [3], Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. 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. All of the music you heard on this show was composed by Luis Guerra. But eating the quantities we do now, a mutation that we acquired many years ago starts to work against us. 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. Because there are risks to doing this study. 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. scan a couple days later. 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. And you would say, Peter, those seem really easy, and youd be right as a 37-year-old stud, but the point is most 60 year olds couldnt do them. . You sometimes need that distance from something. So this just reinforced in me that, youre not immortal. So youre probably just in what are called theta waves. I dont know that its a substitute for the nighttime sleep, though. 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. Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. LEVITT: Yeah. LEVITT: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. People I (Mostly) Admire is part of the Freakonomics Radio Network, and is produced by Freakonomics Radio and Stitcher. Its one of the three vetted sleep surveys that really can give us insight into your sleep. 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 then I would go to the gym and do an hour workout before that was mostly rowing machine and skipping. This episode is informative, and I know youll get a lot of value from it. They have to basically show every year that theres an R.O.I. And I think most people do find a lot of benefit from it. And in the meantime, if youre ready to learn how to live to be over 100 and prevent chronic diseases, join me on Episode 1,045 with Dr. Peter Attia! The purpose of comments on our site is to expand knowledge, engage in thoughtful discussion, and learn more from readers. Fasting turns on a process called autophagy. I dont do such silly things anymore. You have to have a second project which youve actually done, but you pretend that you havent done it. So it becomes a way for us to recycle our dead or defective cells. And then youd just be guaranteed to get N.S.F. Your lifespan may be longer, but your healthspan the amount of life you live in good health isnt. And I will say, hes one of the few people who when he tells me to do something, I just do it. Were living to reach older and older ages than ever before, which is great. 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. Theres days I guess I am. What was the failure of either policy or medicine that led nobody to be generating that knowledge? 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. 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. LEVITT: You have given a lot of advice already about nutrition and health. So, again, evolution won. And in the meantime, if youre ready to learn how to live to be over 100 and prevent chronic diseases, join me on. 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. 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. 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. 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 do that a ton. 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. It gives me a greater respect for a sport that I once did that I didnt even have at the time. ATTIA: I mean, if Im going to be critical, its not what we did in the first moment. Born: 1973. Who I am. I lived in Boston. The problem was, it was the winter. 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 . What happened to @DMSabatini. But do you have advice for young people who are trying to find their path in the world? To improve sleep, Peter Attia takes phosphatidylserine, magnesium and a supplement called Doc Parsley's Sleep Remedy (a company in which Attia invested), comprising of vitamin D, niacin, magnesium (150 mg), and a blend of tryptophan, GABA, phosphatidylserine, theanine, 5-HTP and melatonin. Donate here: DID THE DIETARY GUIDELINES (AND LOW-FAT DIETS, SUGAR, ETC.) He attended Stanford University School of Medicine, where he received his M.D. We can be reached at. Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! Poor, poor waitress. So I think when you say sugar, what you mean is added sugar. His practice focuses on the applied science of longevity. But I get a little bit worried that I dont know how to prepare them for a world that I dont understand. We would like it such that, when you die, its really your first encounter with death of any form. Dr. Peter Attia. You need to hit a local minima in life to make a change, if not an absolute minimum. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. ", 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. Now, on with the show. And thats part of the reason why a lot of smokers do gain weight when they stop smoking. 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. Thank you so much for joining me today! 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. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. One half of all Americans are on that spectrum. Dr. Peter Attia. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. I could barely turn my head. Its just so hard to quit stuff. based in San Diego and New York. A SIXTEEN-ARTICLE POWERBOMB.
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