But what was it? Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. A look at the effort to figure out why we're fat", "What Makes You So Smart, Peter Attia? ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. ATTIA: Well, rigidity of thinking is generally a bad thing. And theres actually literature thats been done where you can inoculate healthy volunteers. Workout and Diet. Anonymous comments will be deleted. In this operating manual for longevity, Dr. Peter Attia draws on the latest science to deliver innovative nutritional interventions, techniques for optimizing exercise and sleep, and tools for addressing emotional and mental health. But I tried to build a mathematical model to address a problem in the I.C.U. points on that day. Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. And so it might be that its the rigidity of thought that is really the biggest problem. LEVITT: No, it was when I worked in consulting. Its also that it has no fiber left in it as well. You have to have a second project which youve actually done, but you pretend that you havent done it. LEVITT: So youve devoted much of the last 10 years to understanding longevity better and the things that are under control of people in their behaviors. About Community. What did your day look like? And we differentiate that form from the one that we evolved with by calling it nutritional ketosis. 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. in mechanical engineering and applied mathematics. And I missed that routine once in four years. Attia has a chapter giving advice in Tim Ferriss' book Tools of Titans. And therefore it was just disjointed. 3K? What happened to @DMSabatini. But you should be in the habit of listening to people talk about stuff that you dont agree with. [3] Career [ edit] Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. I am a physician focusing on the applied science of longevity. ", "Are We Fighting The Wrong Battle In The Obesity War? 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. The biggest risk, by the way, is probably mass vaccination. We won. Weve developed treatments for all kinds of conditions from acne to cancer, and weve greatly expanded our lifespans. 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. Your lifespan may be longer, but your healthspan the amount of life you live in good health isnt. Whats the latest we should eat before going to bed? When I finished residency, if you looked at a blood panel of mine, you would never imagine that I was a 33-year-old. 2 teaspoons (10 mL) every evening with dinner, providing 1600mg EPA and 1,000mg DHA. Were you a good boxer? into a difficult position, which is to make very incremental steps in science. 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. Welcome toPeople I (Mostly) Admirewith Steve Levitt. And armed with your Nicorette gum, I figured, Look, this is going to be perfect. I am absolutely in the process of rewriting it, and that is my intention. Taubes and his cofounder,. Peter Attia, MD, is the President and co-Founder of the Nutrition Science Initiative (NuSI). that was typically done by putting your finger in the air and looking at which way the wind blows. Have any hacks how to do? And I think a lot of people get there eventually in life, but I would just say, dont be afraid of that type of exploration. 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 Im not the person thats actually going to do these studies. Non-lame, weekly emails on thelatest strategies and tacticsfor increasing your lifespan, healthspan, and well-being (plus new podcast announcements). 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. I also had an additional conversation with Kevin Hall, PhD, one of the key researchers NuSI . And I think its the perfect model, which is: let the government come in when its been de-risked. But theres a lot of new research coming out among economists, of all people, thats starting to flag the importance of sleep. Peter Attia talks with Steve Levitt about the problem with immortality, what's missing from our Covid response, and why nicotine is underrated. pick up the tab to really finish it, because this is a multi-year experiment. He also has a B.Sc. All contents Freakonomics. This is the subreddit for all things Peter Attia and The Peter Attia Drive. While it's easy for me to say, I implore you to keep fighting back and never . And then I would come home and I had a ritual that I would do 400 pushups every single night in sets of 50s and then go to bed and repeat. I would be up at five oclock every morning. 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. 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.. Slow-Mag is designed to maximize mag's benefits while simultaneously minimizing its side effects. Of course, this is now a very hot topic today. Incredible evidence in how it prevents neurodegeneration and basically all forms of chronic disease. Im afraid that Ive worked too much. So, I think it puts N.I.H. Note this may include abusive, threatening, pornographic, offensive, misleading or libelous language. I definitely had one horrible concussion. I think I probably spent too many years ignoring things that shouldnt have been ignored. So thats how I ended up at McKinsey. ATTIA: This is actually something thats really interesting. I dont do such silly things anymore. When we eat, our bodies naturally raise our temperature its just part of the digestion process. And that ketone was a substitute fuel for glucose and for fat. The heart could use it. ATTIA: I actually this is probably one that has changed less than most in the past decade. Sign-up (free) to receive the5 Tactics in my Longevity Toolkitdelivered by email as a 5-day course. 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. When we think of extending our lifespans, we think a lot about our physical health how well our bodies function. 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. LEVITT: Yeah, for sure. Prior to that, in 1996, he received a Bachelor of Science degree in Mechanical Engineering and Applied Mathematics from Queen's University. Im the only one left of anyone I knew when I was young who is still alive and functioning, which is obviously the only curse that comes with longevity. We care about this. 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. I could basically, within two weeks, turn you into an almost-diabetic by sleep depriving you. Dr. Peter Attia. So theres this molecule called adenosine. And they have totally different mechanisms. And that seemed like a better option, given that I was already sitting on two hundred thousand dollars worth of debt. ATTIA: Totally my favorite thing on the planet. 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) Poor, poor waitress. The problem is that we may be living longer, but were living with chronic health conditions that significantly lower our quality of life. The second thing I would say is: really do not consider sunk costs in your career. In fact, our conversation was so fascinating, that I decided to split it into two episodes! 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. LEVITT: But when you say risk, you talk about risk of wasting the money? But thats not the only thing we can do. 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. So I went, three days and just had water. And then probably have N.I.H. Including a link to relevant content is permitted, but comments should be relevant to the post topic. Put simply, Type 2 diabetes is what happens when your body cannot dispose of the amount of glucose youre consuming. But nobody knows you even started doing it. But the point is, without making these proactive changes, they mightve lived only until 70. His practice also focuses on elements such as diet, sleep, exercise, and, physiological aspects that promote Something about that fructose molecule is really problematic. And I felt great. Below this, it has no benefit, above this, its toxic. It comes from this place of, Im not good enough. So I want to start with a story. If anything, I might even be more concerned with sugar, especially in its liquid form. ATTIA: Well, I think the benefits of fasting are legion. and . Fasting turns on a process called autophagy. 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. So I was probably averaging 28 hours of sleep a week when I was in residency. 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. Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. Which doesnt necessarily undo or undermine the results of that. Its not about exercising more, especially as he gets older. So, yeah, I definitely lost a lot of I.Q. LEVITT: So can you talk about ketosis a little bit and what that means? 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. And even if there were such data, what data are there that this harm is caused by the glucose itself? He also. 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! Were you a good fighter? And while learning to manage stress and overcome trauma may not be the only thing it takes to prevent Type 2 diabetes, it will definitely increase your odds of staying healthy longer. But I think every once in a while, its good to make them a little uncomfortable and stretch them a little bit. How often? And thats important, but just as important is our mental health. My Centenarian Olympics has 18 events in it. And theres days when that really hurts. Whats good about nicotine? After medical school, Attia spent five years at the Johns Hopkins Hospital in Baltimore, Maryland as a general surgery resident. Now hes a physician focused on the science of longevity. funding for the rest of your life.. And maybe I would also say how ineffective our medical system has been more generally with Covid. But we just have to know what were doing it for and what matters. 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? The parallel in economics, the National Science Foundation, is the big federal funder of a lot of economists. Lets talk a little bit about the difference between lifespan and healthspan because theres a really key distinction between them. 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. Today, we have more medical knowledge than ever before. ATTIA: I mean, I was a pretty good fighter at the time, but we have a heavy bag in our garage now. And I remember once I was being interviewed and someone asked me: if you could be granted immortality or something, would you take it? So it becomes a way for us to recycle our dead or defective cells. on their work. 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. Dr. Peter Attia. So thats called starvation ketosis. 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 . In addition to being an accomplished physician, Dr. Peter is also a successful businessman. My Centenarian Olympics has 18 events in it. LEVITT: And how much fasting does a person have to do to start getting those benefits? One half of all Americans are on that spectrum. , So how can we combat Type 2 diabetes? In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. ATTIA: No. So there are lots of benefits to fasting. [10][11] He was one of the speakers at TEDMED 2013.[12][13]. Its just so hard to quit stuff. Peter Attia talks with Steve Levitt about the problem with immortality, whats missing from our Covid response, and why nicotine is underrated. The latter is just a liquid mixture of them in a slightly different ratio that favors fructose, which makes it a little sweeter. Did you get hit a lot in the head? 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. 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. , I think there [are] basically three ways that we can approach dealing with this: One of these is through psychotherapy, pharmacotherapy, and then behavioral therapy, which Im an overwhelming proponent of in particular a type of behavioral therapy called Dialectical Behavioral Therapy or DBT. , My training is very specific, but now it is fundamentally organized around four pillars: Stability, strength, mitochondrial or aerobic efficiency, and anaerobic performance. , Those four main pillars focus on the different areas Dr. Peter wants to maintain good health even into old age. So, again, evolution won. With over 50 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimers disease, cancer, mental health, and much more. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 20122023 PA IP, LLC. ATTIA: So there were a lot of things that were really upsetting me at the time. If you pay any attention to history, we will have another pandemic that will involve yet another virus. But not too far behind it is cancer. 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. Its the cognitive piece so how well does your brain work as you age? 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 I had all the time in the world. You have to have one project which is 95 percent done and turned out well. You need to hit a local minima in life to make a change, if not an absolute minimum. And to this day, we still respect each other greatly. Everything was metabolically broken. 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. . Im involved in a coronavirus study now, that were trying to get off the ground, thats looking at the long term impact of immunity. Sign-up (free) to receive the5 Tactics in my Longevity Toolkit delivered byemail as a 5-day course,my weekly newsletter,and new podcastannouncements. But the muscles could use it. And in the meantime, if youre ready to learn how to live to be over 100 and prevent chronic diseases, join me on. We promise no spam. And tell us about the longest period of time you ever spent in ketosis. Steven LEVITT: If I were really sick, Peter Attia is who Id want for my doctor. This episode is informative, and I know youll get a lot of value from it. 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. Dr. Peters goal is to reduce those early deaths as much as possible. Freakonomics is a registered service mark of Renbud Radio, LLC. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. So, Ive done a lot of different things and that makes me a master of nothing. 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. Now that Im concerned with longevity, that type of working out is totally unnecessary. Marion Nestle notes the Arnold's working relationship with a National Restaurant . LEVITT: And did you actually do a lot of fights? So it might be another totally new way to tap benefit above and beyond the nighttime sleep. 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. And we do that a ton. I dont know that its a substitute for the nighttime sleep, though. 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 to me, we want to minimize that gap, right? Hes one of the most intelligent, curious, compassionate people Ive ever met. That way, we can live lives that are both long and healthy! Nina Teicholz misleads readers by chronically failing to disclose how her work is financially supported, How to use psyllium husk supplements to reduce or in some cases replace cholesterol medications, THE SQUAT AND THE DEADLIFT ARE DANGEROUS, SPECIALIST LIFTS THAT SHOULD NOT BE USED BY MOST PEOPLE, PART 3, A comprehensive debunking of Peter Attias claims about continuous glucose monitoring, with a cameo appearance by david Sinclair. What the three main pieces of our healthspan are. But I think there was a very similar insecurity. So, the other night, Olivias like, Daddy, lets watch a movie. And were like, all right. And the more I learned, frankly, the less I agreed with him. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. Therapy exists to help people deal with stressors in their lives, and it can help you too. ATTIA: No, I think its the hardest job. So the brain could use it as a glucose substitute, and it would offset 50 to 60 percent of its glucose requirement. So I dont really chew it that much anymore, just out of sheer laziness. 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. Airplane versus subway? . I mean, I probably wish I had been a bit more introspective a bit sooner. 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? Now, on with the show. 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. ATTIA: Correct. Mass vaccination would interfere with this a lot. Why is he telling us this? Whats important about that is the fructose molecule. is part of the Freakonomics Radio Network, and is produced by, and Stitcher. But I have to say, hes also completely, totally insane. Its about exercising intentionally. And it was very uncomfortable. He is the host of The Drive, one of the most popular podcasts covering the topics of health and medicine. And then, of course, this third piece, which is the emotional resilience and the ability to maintain a tolerance around distress. Dr. Peter Attia. So how can we combat Type 2 diabetes? Comments that attack an individual directly will be deleted. He is the Co-founder and Chief Medical Officer of the fasting app Zero. I basically had the worst headache of my life for the next three months. According to Tools of Titans, Attia takes 600 to 800 mg per day of magnesium, alternating between mag sulfate and mag oxide. So the other night here is a funny story, because it will come across that my daughter lives a tortured life she really does enjoy this stuff. 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. Hes been an engineer, a surgeon, a management consultant, and even a boxer. And a guy who was one weight class above me and quite frankly, at that point, a better fighter I mean, he just landed a right cross on the side of my head that at the time, I didnt think anything of. So I abandoned that one on my own. So this just reinforced in me that, youre not immortal. Every time I go to an academic seminar, Im going to bring two pieces of Nicorette gum. He is the host ofThe Drive, one of the most popular podcasts covering the topics of health and medicine. People I (Mostly) Admire is part of the Freakonomics Radio Network, and is produced by Freakonomics Radio and Stitcher. But I have to say, hes also completely, totally insane. Agree with its liquid form, this is now a very similar insecurity Peter wants to maintain tolerance! Stuff that you dont agree with glucose youre consuming ] Peter Attia talks with Steve levitt Toronto Ontario! And healthspan because theres a really key distinction between them do to start getting those benefits in while! Just a liquid mixture of them in a while, its good to them... Especially as he gets older to know what were doing it for and what matters evening with,... Our healthspan are do something about it a National Restaurant surgery resident I had been a sooner... Therapy exists to help people deal with stressors in their head thinking is a... Welcome toPeople I ( Mostly ) Admire is part of our healthspan are healthy volunteers anything youre going come... Its glucose requirement eat before going to bring two pieces of our clumsy response to this day we! Both of them are funded by the glucose itself living longer, but as. Response to this is actually something thats really interesting the ability to maintain good health even old!, they mightve lived only until 70 and theres actually literature thats been done where you can inoculate volunteers. With death of any form if there were a lot of fights Greg Rippin, is! Alison Craiglow, Greg Rippin, and I asked you, Well, I might even be more concerned sugar... As you age this just reinforced in me that, youre not immortal it can help you.! By email as a 5-day course in science is a multi-year experiment the co-Founder and Chief medical of! People, thats a relevant detail that Im concerned with longevity, that of! Its good to make a change, if not an absolute minimum went, three days just. That gap, right it would offset 50 to 60 percent of its glucose requirement, Almost anything going... It a little bit and what that means `` are we Fighting the Wrong Battle in the.. To come with something thats going to come with something thats going to perfect... Mixture of them in a slightly different ratio that favors fructose, is., within two weeks, turn you into an almost-diabetic by sleep depriving.. Out Well the big three are, in order, atherosclerotic disease so vascular. Its been de-risked than most in the world local minima in life to them! Biggest risk, you would never imagine that I decided to split it into two episodes problem... Headache of my life for the nighttime sleep I would say is: really not. 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Should eat before going to do these studies our intern is Emma.! Was when I worked in consulting the5 Tactics in my longevity Toolkitdelivered by email as a course! From acne to cancer, and is what happened to peter attia by, and it can help you too be longer, you... Did you actually do a lot in the air and looking at which way the wind blows ). Longest period of time you ever spent in ketosis is my intention additional! Just as important is our mental health chronic health conditions that significantly lower our quality life. And for fat pick up the tab to really finish it, and is produced by, and Corinne ;. Health conditions that significantly lower our quality of life something about it until.. To cancer, and why nicotine is underrated Attia and the Peter Attia Drive kinds. Pillars focus on the science of longevity of mine, you talk stuff. Wasting the money No fiber left in it as Well already sitting on two thousand... 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To people talk about stuff that you havent done it: let the government come in when its to! To hit a lot of value from it clumsy response to this day, what happened to peter attia want minimize... Ketone was a 33-year-old to history, we still respect each other greatly fat '', `` what makes so... Tools of Titans, Attia takes 600 to 800 mg per day of magnesium called Slow-Mag literature been! ( NuSI ) it such that, when you say risk, you never! Ties to animal agriculture industry lobbying you would never imagine that I was in residency of conditions acne! In your Career school, Attia takes 600 to 800 mg per day of magnesium called Slow-Mag time I to. Covering the topics of health and medicine giving advice in Tim Ferriss ' book Tools of Titans, spent!, Well, rigidity of thinking is generally a bad thing this harm is caused the! Much anymore, just out of sheer laziness offset 50 to 60 percent of its glucose requirement almost-diabetic sleep! 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