In many ways thats the advice I give everyone, is not to be afraid of change. I want to be able to hop over a three-foot fence. 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. 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. People Lists Series Gifts. Throughout our lives, we experience different stressors that can cause strain on our mental health. What a complete and total travesty. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 20122023 PA IP, LLC. Its not about exercising. But when we sleep, its best for our bodies to be cold when we sleep cooler, we get more rejuvenating sleep. So thats called starvation ketosis. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. But we just have to know what were doing it for and what matters. And again fortunately, Olivias my oldest and shes 11. You got to do it.. LEVITT: So you love your children with a depth that is rare and I admire. But I have to say, hes also completely, totally insane. Despite the fact that he exercised and followed a healthy diet, in 2009, Attia was overweight and had started developingmetabolic syndrome, putting him at risk for type 2 diabetes, heart disease and stroke. in mechanical engineering and applied mathematics. Its one of the three vetted sleep surveys that really can give us insight into your sleep. [3], Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. And so I do I think death is a very important part of the carbon cycle. I also had an additional conversation with Kevin Hall, PhD, one of the key researchers NuSI . I mean, my testosterone was slightly higher than that of a prepubescent girl. 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). I think nicotine is a remarkable molecule. I mean, God, sometimes I hear stories like that and I just Im so embarrassed. Dr. Attia was a surgical training student at Johns Hopkins Hospital from June 2001 to July 2006. But life isnt really about necessarily being the master of something. Comments that harass other posters will be deleted. And then the evening would be going to the gym for sparring. And theres actually literature thats been done where you can inoculate healthy volunteers. And I want you to interrupt me every time you have a question.. How many other concussions I had, I dont know. Dr. Peter Attia received his medical degree from Stanford University in 2001. 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. 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. It was really an interesting thing to watch. And so now eating a diet thats high in fructose, again, especially liquid fructose, wreaks all metabolic destruction. 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? But something inside said, You dont feel right. So I said, Hey, Mike, I got to call it a day, man. And when I went down to cool down by hitting the speed bag, which is that tiny little round bag that basically has no weight or impact just the impact of hitting that hurt my head so much that I was like, I got to stop.. 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 . HOMA-IR and frailty (same study as #3 linked twice); The studies that use OGTT do not establish that glucose variability above 140 mg/dL is important; None show that the high glucose itself is causal or that reducing it via diet will improve outcomes. My 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). CAUSE THE OBESITY EPIDEMIC IN THE UNITED STATES? And in particular, I dont know if youve looked at naps at all, but theres some new research that suggests that in terms of afternoon productivity, naps have an incredible impact. Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! And the more adenosine you accumulate, the more you fatigue. degrees in mechanical engineering and applied mathematics. is part of the Freakonomics Radio Network, and is produced by, and Stitcher. From 2012-2015, he . Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. But nobody knows you even started doing it. in mechanical engineering and applied mathematics. 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. And these days I spend virtually no time in nutritional ketosis. And so I want to challenge you to do that. And theres no getting around that. My med school was at Stanford. Peter Attia @PeterAttiaMD. Dr. Attia is medical doctor who focuses on the science behind living a longer, healthier life. He is the Co-founder and Chief Medical Officer of the fasting app Zero. And that ketone was a substitute fuel for glucose and for fat. Were living to reach older and older ages than ever before, which is great. Were you a good boxer? 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. [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. Comments requesting medical advice will not be responded to, as I am not legally permitted to practice medicine over the internet. ", 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, 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. Therapy exists to help people deal with stressors in their lives, and it can help you too. So autophagy is a very important process for preventing cancer. ATTIA: I dont know. LEVITT: And did that pay off when you went to surgery? LEVITT: All right, so lets talk about your very unusual background. So this just reinforced in me that, youre not immortal. I know Im inspired to increase my healthspan in addition to my lifespan, and I hope you are too! Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. 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 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. You went to McKinsey. 2 teaspoons (10 mL) every evening with dinner, providing 1600mg EPA and 1,000mg DHA. And then, of course, this third piece, which is the emotional resilience and the ability to maintain a tolerance around distress. , 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. But I loved the benefits of nicotine.. The first two are simple: Diet and exercise. LEVITT: One of the things that really bothers me about myself is that I can fall asleep anywhere, anytime. And Ive got her into it now. Do you recognize that in yourself? Taubes and his cofounder,. ATTIA: No. Now that Im concerned with longevity, that type of working out is totally unnecessary. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. I would run between five and 13 miles each morning. So, Ive done a lot of different things and that makes me a master of nothing. Those three effectively make up three quarters of deaths of people who dont smoke. Dr. Peter Attia. And I religiously do whatever you tell me to do. 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. What type of a person is going to be safe in what type of an environment to go back to work? This is the subreddit for all things Peter Attia and The Peter Attia Drive. 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. ATTIA: Well, I mean, I think it definitely has some cognitive-sharpening capacities. @bariweiss. LEVITT: I cant think of many people who have reflected on their life as effectively as you have especially successful people and been able to rewrite it. So lets say youre someone whos only going to get five and a half hours of sleep at night, which for virtually everyone is still suboptimal. Because what youre basically saying is: whats the dose? The latter is just a liquid mixture of them in a slightly different ratio that favors fructose, which makes it a little sweeter. It comes with just accepting the fact that I do not accomplish as much today as I used to. 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. Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! In 2014, Attia founded Attia Medical, PC, a medical practice focusing on the applied science of longevity and optimal performance. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. The problem was, it was the winter. So theres this molecule called adenosine. Now, whether its another SARS coronavirus or an influenza virus or another virus, I dont know. The biggest risk, by the way, is probably mass vaccination. Its also the one that seemed the most conflicted. Hes really it makes me hopeful that I got some of those genes, that I can have a shot at some of that too. 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. from Stanford University and holds a B.Sc. You sometimes need that distance from something. I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. 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. 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. I hope you loved this episode as much as I did. And we differentiate that form from the one that we evolved with by calling it nutritional ketosis. The problem is that we may be living longer, but were living with chronic health conditions that significantly lower our quality of life. I think most people do get a bit of a cognitive jolt from it. Peter Attia is a physician focusing on the applied science of longevity. And I ended up having a C.T. ", "Are We Fighting The Wrong Battle In The Obesity War? 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.. 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. Airplane versus subway? And I felt great. Prior to that, in 1996, he received a Bachelor of Science degree in Mechanical Engineering and Applied Mathematics from Queen's University. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. Im involved in a coronavirus study now, that were trying to get off the ground, thats looking at the long term impact of immunity. And better? Who I am. If you take a 20-minute afternoon nap, youre not going to get into whats called delta wave sleep. 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. Wouldnt you like to live longer? [7] Attia co-founded and served as President of Nutrition Science Initiative (NuSI) with Gary Taubes in 2012. 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 the brain could use it as a glucose substitute, and it would offset 50 to 60 percent of its glucose requirement. points on that day. LEVITT: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. 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. So how can we combat Type 2 diabetes? Because for most people, the last 20 years, especially the last 10 years, are not great, both physically and cognitively. And tell us about the longest period of time you ever spent in ketosis. LEVITT: So can you talk about ketosis a little bit and what that means? 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. But when you consume too much glucose, your body cant use it. LEVITT: And how much fasting does a person have to do to start getting those benefits? What did your day look like? Dr. Peter says there are four main ways to do it. What type of a mask really matters? So if you have defective cells, you dont want those guys going around replicating, making cancer cells and things like that. If you learned something today, please share it with us! 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. Residency didnt seem very merit-based. He lives in Austin, Texas with his wife and three kids. But the point is, without making these proactive changes, they mightve lived only until 70. Freakonomics is a registered service mark of Renbud Radio, LLC. Hes been an engineer, a surgeon, a management consultant, and even a boxer. Thats the problem that Dr. Peter and other doctors like him are trying to solve. ATTIA: Exactly. What the three main pieces of our healthspan are. Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. based in San Diego and New York. pick up the tab to really finish it, because this is a multi-year experiment. Or that we overeat? 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. And then the key was that they said, If you ever sleep longer than three hours, you ever do one full night of sleep, your body resets completely and youve lost it.. But its something I at least pay attention to now. . 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. Maybe it was partly the placebo effect of all your happy stories about it. We promise no spam. Please be respectful toward other contributors. No government funds at all, is that right? I rarely have a conversation with Peter in which he doesnt introduce me to something Ive never thought about before. And caffeine blocks that. I want to be able to hop over a three-foot fence. If you learned something today, please share it with us! We talk once every six months or four months. And during all of this intentional exercise, Dr. Peter has one thing in mind: his Centenarian Olympics. Youll be able to read more about this in Dr. Peters book when it comes out, but for now, I can tell you that the Centenarian Olympics is a series of activities that Dr. Peter wants to be able to do when he turns 100. [6] As his residency drew to a close, Attia joined the consulting firm McKinsey & Company in the Palo Alto office as a member of the Corporate Risk Practice and Healthcare Practice. I 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). Thank you so much for joining me today! ATTIA: No, I think its the hardest job. 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I am not legally permitted to practice medicine over the internet so talk! A very important process for preventing cancer theres a one-foot gap between the water the...