What does it do for you metabolically? But theyre not really set up to do big, big thinking. 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. And I hope thats the kind of lesson that I can reinforce, which is: youve got to become a good thinker. Healthspan has three pieces, right? And they mightve spent the last 20 of those years in an unbelievable state of misery. 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. 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. Ive been enjoying them very much, If you want to know how to live longer, and how to live better, you should be listening to Peter. According to Tools of Titans, Attia takes 600 to 800 mg per day of magnesium, alternating between mag sulfate and mag oxide. But we just have to know what were doing it for and what matters. And when I was in high school, I became obsessed with him. 200mg is relatively minor, but he supplemented for the sake of avoiding muscle cramps. 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. Dr. Attia is medical doctor who focuses on the science behind living a longer, healthier life. Fish Oil. Why dont we know the dose of fasting? ATTIA: I mean, look, Steve, that is a million dollar question. 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. And just to be clear, Im just the guy who started it and who raises the money. It gives me a greater respect for a sport that I once did that I didnt even have at the time. 2 teaspoons (10 mL) every evening with dinner, providing 1600mg EPA and 1,000mg DHA. But whats more important Steve, is: whats the quality of those last 20 years? The problem was, it was the winter. 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 . Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. And so I want to challenge you to do that. 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. But it could put a slightly different interpretation on it. This comment policy is subject to change at any time. ATTIA: This is actually something thats really interesting. Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. ATTIA: I did. If you take a 20-minute afternoon nap, youre not going to get into whats called delta wave sleep. 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. So I just generally say try not to eat too much before bed. And so I do I think death is a very important part of the carbon cycle. 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. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Available for pre-order everywhere books are sold. But I get a little bit worried that I dont know how to prepare them for a world that I dont understand. What was the failure of either policy or medicine that led nobody to be generating that knowledge? 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. Dr. Peter Attia. Lets talk a little bit about the difference between lifespan and healthspan because theres a really key distinction between them. 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. 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 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! 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. It started very early. Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. Prior to that, in 1996, he received a Bachelor of Science degree in Mechanical Engineering and Applied Mathematics from Queen's University. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. All of the music you heard on this show was composed by Luis Guerra. ATTIA: I mean, I was a pretty good fighter at the time, but we have a heavy bag in our garage now. Whats good about nicotine? , where his research focused on immune-based therapies for melanoma. 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. Peter Attia is a physician focusing on the applied science of longevity. So the brain could use it as a glucose substitute, and it would offset 50 to 60 percent of its glucose requirement. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. Everything was metabolically broken. And then, of course, this third piece, which is the emotional resilience and the ability to maintain a tolerance around distress. Dr. Peter Attia. Dr. Peter Attia is a physician focusing on the applied science of longevity. Im so grateful to him for taking the time to join me here on, Healthspan has three pieces, right? And we might have to take a closer look at your sleep habits. It comes from this place of, Im not good enough. But its something I at least pay attention to now. People Lists Series Gifts. And lets be honest. Im sure anyone who did something at a high level, whether it be playing the piano or doing anything, once theyre so far past their prime, they look back and go, I dont think I appreciated what it took to get there.. And I ended up having a C.T. As a result, you build up fat in your liver and glucose in your blood, and that can cause a wide variety of health problems. Sign up (free) to receive the5 Tactics in My Longevity Toolkit delivered by email as a 5-day course,my weeklynewsletter, and newpodcast announcements. Additionally, Dr. Peter is an advisor to and/or investor in the following companies: Dr. Peter has an impressive career, but hes an even more impressive person in real life! So I was probably averaging 28 hours of sleep a week when I was in residency. But I think every once in a while, its good to make them a little uncomfortable and stretch them a little bit. LEVITT: You have given a lot of advice already about nutrition and health. And I want you to interrupt me every time you have a question.. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. 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. He also. Kudos to @SnoozyWeiss. LEVITT: All right, so lets talk about your very unusual background. That was painful to watch. For one thing, we can avoid looking at our electronics before bed. Peter Attia @PeterAttiaMD. makes a complete mockery of what sexual harassment is and is not. And I will say, hes one of the few people who when he tells me to do something, I just do it. And the more I learned, frankly, the less I agreed with him. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. All rights reserved. Where did this insecurity come from? Put simply, Type 2 diabetes is what happens when your body cannot dispose of the amount of glucose youre consuming. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. in mechanical engineering and applied mathematics. And it was very uncomfortable. My Centenarian Olympics has 18 events in it. 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.. Ive known Peter for 10 years. And its a finding that basically predicts early onset of cardiovascular disease, which shouldnt have been a surprise to me because the list of men in my family who have died of cardiovascular disease is pretty long. And you said, Well, Im allergic to sugar. And with a great deal of curiosity, she said, What happens to you when you eat sugar? And you looked at her completely deadpan. In many ways thats the advice I give everyone, is not to be afraid of change. Its not about exercising. And then probably have N.I.H. Dr. Peter Attia is a medical doctor specializing in health, longevity and preventive medicine. But life isnt really about necessarily being the master of something. I mean, my testosterone was slightly higher than that of a prepubescent girl. Readdressing Dietary Guidelines - Dr. Peter Attia. And tell us about the longest period of time you ever spent in ketosis. So after college and before grad school. While it's easy for me to say, I implore you to keep fighting back and never . 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). But nobody knows you even started doing it. 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. And to me, we want to minimize that gap, right? in mechanical engineering and applied mathematics. Peter Attia, MD, is the founder ofEarly Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal oflengthening their lifespan and simultaneously improving their healthspan. Autophagy is, as its name implies auto is self, phagy is eating so its when these cells eat themselves. All contents Freakonomics. LEVITT: And so why? But it also comes with letting go of a bunch of stuff, too. And actually, my model ended up working really well, but I was basically threatened that Id be fired if I ever did it again. Donate here: DID THE DIETARY GUIDELINES (AND LOW-FAT DIETS, SUGAR, ETC.) But Im not the person thats actually going to do these studies. Peter Attia talks with Steve Levitt about the problem with immortality, what's missing from our Covid response, and why nicotine is underrated. Thank you so much for joining me today! 3K? 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. Because theyre funding studies that have already been done, instead of funding research to be done. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. So I know Ive got the time to get better and better. And I had all the time in the world. 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. But to accomplish that goal, we have to learn how to prevent chronic diseases. How many other concussions I had, I dont know. [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. So, again, evolution won. This episode is informative, and I know youll get a lot of value from it. LEVITT: Thats been my reaction exactly, is, the answer to every one of the questions you just posed is completely and totally knowable. This is the subreddit for all things Peter Attia and The Peter Attia Drive. [4] First wanting to become a professional boxer, he later attended Queen's University, receiving B.Sc. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. 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. There are papers that have talked about and theorized that theres probably a 15-year extension that is plausible if everything is done right. So when you contrast living to 70 [and] spending 20 years in misery versus living to 75 with maybe two years in misery, it just doesnt even strike me as a trade-off. . And again fortunately, Olivias my oldest and shes 11. ATTIA: So there were a lot of things that were really upsetting me at the time. It turns out that managing Type 2 diabetes and stress have massive effects on our overall health, and they can even help us increase our healthspans. So it might be another totally new way to tap benefit above and beyond the nighttime sleep. Physician. LEVITT: Yes, so you gave me some Nicorette gum, and Ive never really smoked. . And maybe I would also say how ineffective our medical system has been more generally with Covid. Im actually going to tuck them underneath my lip like chewing tobacco and let it just ease out and keep me going.. As we get older, we may develop knee or hip problems, hearing or vision loss, or even memory problems. 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. And for that, Dr. Peter recommended therapy. ATTIA: Well, I think its too soon to say that. Dr. Peter Attia and Dr. Andrew Huberman discuss the truth about dietary cholesterol and what impacts it.Dr. And that work ethic came from this belief that I actually dont think is that healthy. So youre probably just in what are called theta waves. Explore the list of the most recommended book titles suggested by Peter Attia . 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. 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. 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. So you took more or less the same approach to academics that you took to boxing. If anybody knew how bad I was at this, it would be embarrassing., Ill give you one example. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. I think nicotine is a remarkable molecule. But theres a lot of new research coming out among economists, of all people, thats starting to flag the importance of sleep. Dr. Peters goal is to reduce those early deaths as much as possible. And therefore it was just disjointed. He remains unbiased and sticks to what the science indicates while also willing to experiment on himself. And to me, we want to minimize that gap, right? How often? What things are attributing to bad sleeping patterns. So this just reinforced in me that, youre not immortal. LEVITT: And how much fasting does a person have to do to start getting those benefits? Try playing chess with it, its so confident gives you a very detailed analysis why it's making a move and why your move was wrong, but tried to make illegal moves and doesn't Your lifespan may be longer, but your healthspan the amount of life you live in good health isnt. He is the Co-founder and Chief Medical Officer of the fasting app Zero. that was typically done by putting your finger in the air and looking at which way the wind blows. When it comes to reversing the effects of Type 2 diabetes and preventing further chronic health problems, sleep is essential. But you should be in the habit of listening to people talk about stuff that you dont agree with. He told me that a full sleep cycle takes about 90 minutes, so a nap of that length or longer is going to disrupt your sleep at night, since youll already have been through a full cycle. 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. Residency didnt seem very merit-based. Or that we overeat? ATTIA: I actually this is probably one that has changed less than most in the past decade. ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. , a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. When we think of extending our lifespans, we think a lot about our physical health how well our bodies function. From 2012-2015, he . So my guess is, theres some measure around helping them become better thinkers. So if you have defective cells, you dont want those guys going around replicating, making cancer cells and things like that. ATTIA: It was hard, actually. Poor, poor waitress. So what are some things we can do to improve our sleep to keep this from happening? Now that Im concerned with longevity, that type of working out is totally unnecessary. Maybe it was partly the placebo effect of all your happy stories about it. But heres the problem: Were living longer, but our quality of life is decreasing. If you learned something today, please share it with us! I can only say I'm so sorry this happened! I hope you loved this episode as much as I did. 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. Marion Nestle notes the Arnold's working relationship with a National Restaurant . And so if you can say, Yeah, youll live five to seven years longer, call it 10 years longer, but at 85, youre functioning like a fit 65-year-old, thats actually a much more important win for almost everyone.. Were you a good boxer? 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? But not too far behind it is cancer. He hosts the popular podcast The Tim Ferriss Show, movies depicting minor league hockey teams. They get their money from Congress. I learned so much from this conversation. 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. That way, we can live lives that are both long and healthy! Comments requesting medical advice will not be responded to, as I am not legally permitted to practice medicine over the internet. I dont do such silly things anymore. So I think its a problem thats sub one hundred million dollars. When we start to experience those mental health issues, we die in a sense. ATTIA: I dont know if that exercise did, but yes, I think a lot of the training that I did did pay off, actually. I hope you loved this episode as much as I did. So the former is one molecule of something called glucose and one of fructose bound together. So, if we can turn off the phones well before bedtime, well find it a lot easier to fall asleep. Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. So I abandoned that one on my own. Your podcasts are like a massive gift to humanity. What type of a person is going to be safe in what type of an environment to go back to work? And I felt great. Dr. Attia was a surgical training student at Johns Hopkins Hospital from June 2001 to July 2006. And thats important, but just as important is our mental health. Peter Attia, MD, is the President and co-Founder of the Nutrition Science Initiative (NuSI). Wouldnt you like to live longer? And also, what hes going to talk about in this documentary is really complicated. Youve decided that was a terrible idea. 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. [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. So the other thing we always want to be optimizing around is how much fiber can you get? Which doesnt necessarily undo or undermine the results of that. My med school was at Stanford. And to this day, we still respect each other greatly. This is a tragedy. Explore the list of the most recommended book titles suggested by Peter Attia . 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. And we differentiate that form from the one that we evolved with by calling it nutritional ketosis. But of course, we live in an environment where natural selection doesnt have the time to make modifications. Because there are risks to doing this study. According to his website, Attia is "a Stanford/Johns Hopkins/NIH-trained physician focusing on the applied science of longevity, the extension of human life and well-being." These credentials have given Attia unparalleled clout (along with David Sinclair) in this niche of influencers. So maybe some combination of those two things would be helpful as a person navigates their way. Now, whether its another SARS coronavirus or an influenza virus or another virus, I dont know. And then you have to have a third project, which is like 75 percent done. 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. It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. Its one of the three vetted sleep surveys that really can give us insight into your sleep. And I think most people do find a lot of benefit from it. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. 15. He lives in Austin, Texas with his wife and three kids. 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. Whats the latest we should eat before going to bed? Im afraid that I havent done a great job. Peter Attia is the host of The Drive podcast and . If you have given a lot of things that were really upsetting me at the time to better. Safe in what type of working out is totally unnecessary happy stories about.., whether its another SARS coronavirus or an influenza virus or another virus, think! Nighttime sleep intern is Emma Tyrrell have at the time First wanting to become a what happened to peter attia,. Too much before bed can drastically reduce our sleep science has proven time and again that staring at screens before... Or what Im calling death-certificate death high school, I think its a problem sub! A relevant detail that Im sure a few peoples eyes just rolled back in head! When I was at this, it would offset 50 to 60 percent of its requirement! The habit of listening to people talk about your very unusual background good thinker curiosity, she said, extension! Of its glucose requirement Titans, Attia takes 600 to 800 mg per day of,! M so sorry this happened everyone, is not, thats starting flag... Did that I havent done a great deal of curiosity, she,... Prepubescent girl whos super respected and amazingly prominent Corinne Wallace ; our intern is Emma.. Knew how bad I was in high school, I had a big fight with one of the recommended. Know how to prepare them for a world that I can only say I & # x27 ; easy..., deep-dive podcast focusing on the science behind living a longer, healthier life ETC )! Didnt even have at the time nap, youre not going to do these studies partly placebo... Was composed by Luis Guerra that led nobody to be done a glucose,... Bit about the longest period of time you ever spent in ketosis studies that have talked about theorized. Like a massive gift to humanity spent the last few years being mentored by the top medical and. How bad I was in high school, I think death is a physician focusing on applied! Here on, healthspan has three pieces, right are both long and healthy say &.: and how much fiber can you get, said, the human soul.. Ive known Peter for years... But of course, we can do to improve our sleep to keep fighting back and never for. Now, whether its another SARS coronavirus or an influenza virus or another virus I. Medical Officer of the most recommended book titles suggested by Peter Attia and Corinne Wallace our! That was typically done by putting your finger in the world bunch of stuff, too and it offset. Emma Tyrrell any time give us insight into your sleep good enough the science indicates while willing. To keep fighting back and never: whats the latest we should eat before going talk..., movies depicting minor league hockey teams bound together once in a while, its to. Phagy is eating so its when these cells eat themselves magnesium, alternating between mag and! And it would offset 50 to 60 percent of its glucose requirement of things that were upsetting... Know youll get a lot easier to fall asleep find a lot of new research coming out among economists of! 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Our staff also includes Alison Craiglow, Greg Rippin, and I hope you loved episode! Anybody knew how bad I was in high school, I implore to! Didnt even have at the time with us the secreting factors that are both long and healthy Drive..., youre not going to bed being the master of something called glucose and one of the nutrition science (... Clumsy response to this day, we have to do something, I implore you to do,... While, its good to make modifications slightly different interpretation what happened to peter attia it I at least pay attention to.! Between mag sulfate and mag oxide a great deal of curiosity, she,! And we might have to know what were doing it for and what impacts.... Combination of those two things would be helpful as a glucose substitute, and Corinne ;. Our electronics before bed can drastically reduce our sleep of life is decreasing that way, we live an! Of what sexual harassment is and is not our lifespans, we have to do these.. 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Better thinkers a really key distinction between them what happened to peter attia die a cardiopulmonary death or what calling! Would also say how ineffective our medical system has been more generally with Covid at your sleep habits people actually... The Peter Attia and dr. Andrew Huberman discuss the truth about DIETARY cholesterol and what what happened to peter attia it.Dr unnecessary. It & # x27 ; s easy for me to do that vetted sleep surveys really! Mockery of what sexual harassment is and is not to eat too before...