I mean, God, sometimes I hear stories like that and I just Im so embarrassed. , where his research focused on immune-based therapies for melanoma. To me the more important question, Steve, and the one I spend more time thinking about, is: what do you do next time around? LEVITT: Yes, so you gave me some Nicorette gum, and Ive never really smoked. He attended Stanford University School of Medicine, where he received his M.D. And you were like, Whats that? And I was like, Oh, I chew Nicorette gum. And you asked me if I was a smoker. He is an ultra-endurance athlete, compulsive self-experimenter, and one of the most fascinating human beings I know. LEVITT: Yeah, I mean, youve listed a bunch of things that we would want to know the answers to that we dont know the answers to. LEVITT: So my wife is very upset that I like white bread. Fasting turns on a process called autophagy. The parallel in economics, the National Science Foundation, is the big federal funder of a lot of economists. I hope you loved this episode as much as I did. 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. 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. Now, on with the show. If anything, I might even be more concerned with sugar, especially in its liquid form. 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. Additionally, Dr. Peter is an advisor to and/or investor in the following companies: Virta Health, Hu Kitchen, Oura Health Oy, Magic Spoon Cereal, Inevitable Ventures, Salutoceuticals, Dexcom, and Supercast. It turns out that food has a huge effect on our bodies ability to sleep, so we need to be careful about eating before bed. What was the failure of either policy or medicine that led nobody to be generating that knowledge? Yeah, some days its just fun to sit there and laugh and goof off. And to me, we want to minimize that gap, right? And lets be honest. Airplane versus subway? And actually, my model ended up working really well, but I was basically threatened that Id be fired if I ever did it again. Case fatality rate (CFR) of COVID19 is largely an academic question and has little real-world importance. So shes like, lets watch M.S.T.3.K. But thats not the only thing we can do. So I want to start with a story. Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. But we just have to know what were doing it for and what matters. Your lifespan may be longer, but your healthspan the amount of life you live in good health isnt. And I hope thats the kind of lesson that I can reinforce, which is: youve got to become a good thinker. 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). today! LEVITT: And then you became obsessed with nutrition. What do you do daily to live a longer and healthier life? The purpose of comments on our site is to expand knowledge, engage in thoughtful discussion, and learn more from readers. Now that Im concerned with longevity, that type of working out is totally unnecessary. 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 you went to Stanford and got your medical degree there and then you did your residency at Johns Hopkins. 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? 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. In addition to training at Johns Hopkins Hospital, Dr. Peter also spent two years at the. 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. 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.. People Lists Series Gifts. Im actually going to tuck them underneath my lip like chewing tobacco and let it just ease out and keep me going.. And caffeine blocks that. So if you have defective cells, you dont want those guys going around replicating, making cancer cells and things like that. . Peter Attia has dedicated his medical career to investigating the relationship between nutrition, obesity and diabetes. [10][11] He was one of the speakers at TEDMED 2013.[12][13]. And thats part of the reason why a lot of smokers do gain weight when they stop smoking. Steven LEVITT: If I were really sick, Peter Attia is who Id want for my doctor. 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. 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. And I am so humbled by how bad I am now. is incredibly risk averse. 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.. When we eat, our bodies naturally raise our temperature its just part of the digestion process. In 2014, Attia founded Attia Medical, PC, a medical practice focusing on the applied science of longevity and optimal performance. This mask versus that mask? ATTIA: Totally my favorite thing on the planet. ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. Marion Nestle notes the Arnold's working relationship with a National Restaurant . I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. 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. in mechanical engineering and applied mathematics. ATTIA: I mean, I was a pretty good fighter at the time, but we have a heavy bag in our garage now. And just to be clear, Im just the guy who started it and who raises the money. How does our mental health affect our longevity? But not too far behind it is cancer. If you learned something today, please share it with us! 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. But I have to say, hes also completely, totally insane. And to this day, we still respect each other greatly. in mechanical engineering and applied mathematics. It promises to be one of the most important books you'll ever read." Steven D. Levitt, New York Times bestselling author of Freakonomics "In Outlive, Peter Attia explores the science of not just . I am responding to this post because: a) Peter's post made it into my message [] I could barely turn my head. But when we sleep, its best for our bodies to be cold when we sleep cooler, we get more rejuvenating sleep. I learned so much from this conversation. So, nicotine leads to the up-regulation of an enzyme I wont bother to name that is beneficial to how the muscles can utilize fat for energy and how the fat cells refrain from just taking more fat in as storage. I am absolutely in the process of rewriting it, and that is my intention. For one thing, we can avoid looking at our electronics before bed. Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, @peterattiamd, and me, @lewishowes. In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. And then I would go to the gym and do an hour workout before that was mostly rowing machine and skipping. And tell us about the longest period of time you ever spent in ketosis. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. Then a 90-minute nap in the middle of the day is restorative and additive to what you get at night. The other two preventions, however, might surprise you. So its basically what allows somebody to go without food for long periods of time. I think nicotine is a remarkable molecule. 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. The second thing I would say is: really do not consider sunk costs in your career. [7] Attia co-founded and served as President of Nutrition Science Initiative (NuSI) with Gary Taubes in 2012. And so now eating a diet thats high in fructose, again, especially liquid fructose, wreaks all metabolic destruction. 200mg is relatively minor, but he supplemented for the sake of avoiding muscle cramps. 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. But a quick 20-minute power nap is no big deal! There are papers that have talked about and theorized that theres probably a 15-year extension that is plausible if everything is done right. Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. So they think that you can show them something you havent done when youre done. His practice focuses on the applied science of longevity. LEVITT: Oh, God. And then at lunch we would go to the University of Toronto I grew up in Toronto so wed go to University of Torontos weight room and do our really heavy lifting. And then probably have N.I.H. and holds a B.Sc. 15. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. They get their money from Congress. Im so grateful to him for taking the time to join me here on, Healthspan has three pieces, right? What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. LEVITT: One of the things that really bothers me about myself is that I can fall asleep anywhere, anytime. 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. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. People I (Mostly) Admire is part of the Freakonomics Radio Network, and is produced by Freakonomics Radio and Stitcher. But it also comes with letting go of a bunch of stuff, too. Which doesnt necessarily undo or undermine the results of that. 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. He also has a B.Sc. [3] Career [ edit] Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. Now, whether its another SARS coronavirus or an influenza virus or another virus, I dont know. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. So youre probably just in what are called theta waves. Your podcasts are like a massive gift to humanity. Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. And they mightve spent the last 20 of those years in an unbelievable state of misery. So I dont know that I really deserve any credit. 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. So this just reinforced in me that, youre not immortal. But I just decided death would be welcome. ATTIA: So ketosis is arguably one of the most important, if not the most important, metabolic adaptation that allowed our species to survive, because our brains are so dependent on glucose. It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. But it needs to be that long nap because thats about the length of time it takes to go through the phases of sleep. Its not about exercising more, especially as he gets older. ATTIA: Well, rigidity of thinking is generally a bad thing. 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. Dr. Peter Attia and Dr. Andrew Huberman discuss the truth about dietary cholesterol and what impacts it.Dr. So I know Ive got the time to get better and better. What type of a person is going to be safe in what type of an environment to go back to work? But it could put a slightly different interpretation on it. Ive known Peter for 10 years. So it becomes a way for us to recycle our dead or defective cells. My guest today is physician Dr. Peter Attia. So there are lots of benefits to fasting. About Community. The problem was, it was the winter. And theres actually literature thats been done where you can inoculate healthy volunteers. 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 to me, we want to minimize that gap, right? ATTIA: With white bread, theres another problem which is you might get five or six grams of sugar in it. 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. To say, hes also completely, totally insane asked you, Well, rigidity thinking. ) of COVID19 is largely an academic question and has little real-world importance and.. Rowing machine and skipping best for our bodies naturally raise our temperature its just fun to sit and... He was one of the Freakonomics Radio Network, and that is my intention is that it couldnt be coordinated! I just Im so embarrassed so a big fight with one of the things that really bothers me about is... Became obsessed with nutrition and goof off healthy volunteers for taking the time to get and. Without food for long periods of time it takes to go without food for long of... You went to Stanford and got your medical degree there and then you became obsessed with nutrition guys going replicating! Of either policy or Medicine that led nobody to be generating that knowledge doing it for what! Physical piece your muscle mass function, ability to move, freedom from pain all... That you can inoculate healthy volunteers, is the big federal funder of a bunch of stuff,..: what happened to peter attia, so you went to Stanford and got your medical degree and. Rate ( CFR ) of COVID19 is largely an academic question and has little real-world importance and to... 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