How often? ATTIA: I dont know. I think I probably spent too many years ignoring things that shouldnt have been ignored. Prior to that, in 1996, he received a Bachelor of Science degree in Mechanical Engineering and Applied Mathematics from Queen's University. When it comes to chronic and life-threatening diseases, Dr. Peter said it comes down to three major things: So the big three are, in order, atherosclerotic disease so thats vascular disease, meaning heart disease and stroke. This is a tragedy. But not too far behind it is cancer. And this mutation actually is what saved our species, because if we didnt have the ability to go to a cold place like Europe and get fat in the fall by eating all of the fructose-rich berries, we wouldnt have survived the winters. 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. 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. And its unfortunate that it was typically packaged with an otherwise horrible set of molecules in cigarettes. ATTIA: Well, I think its too soon to say that. Everything was metabolically broken. So, again, evolution won. I think nicotine is a remarkable molecule. It gives me a greater respect for a sport that I once did that I didnt even have at the time. And that, to me, is where I get shocked at what Id call the failure of medicine in this dimension to provide us with the answers that, if we had known a lot more about other kinds of infectious diseases, we probably could have been a lot smarter. 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. Hes doing an appropriate amount of exercise for his age, and hes focusing on developing the strength and skills he still wants to have into his 80s and 90s. ATTIA: Totally my favorite thing on the planet. 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. Thats the ultimate goal: To practice medicine and healthy living in such a way that we avoid encountering any kind of death before we have to. is who Id want for my doctor. How to figure out where they fit in and how they can lead the best life they can lead? , especially as he gets older. TheDriveis hosted by Dr. Peter Attia, a Stanford/Johns Hopkins/NIH-trained physician focusing on the applied science of longevity, the extension of human life, and well-being. LEVITT: This is not a cheap study, I imagine. what happened to peter attia. 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. Its our inability to get smarter as we went along. 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. 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. 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? So I know Ive got the time to get better and better. ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. What was the failure of either policy or medicine that led nobody to be generating that knowledge? Dr. Attia is a huge proponent of supplementing with magnesium. Comments that harass other posters will be deleted. In other words we have to learn how to manage the causes of stress and anxiety in our lives. Whats good about nicotine? One half of all Americans are on that spectrum. , So how can we combat Type 2 diabetes? LEVITT: Well, it sounds like you ended up making the right career choice. For all its successes, mainstream medicine has failed to make much progress against the diseases of aging that kill most people: heart disease, cancer, Alzheimers disease, and type 2 diabetes. on their work. 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. Dr. Peter Attia. And even if there were such data, what data are there that this harm is caused by the glucose itself? Part of the practice includes nutritional biochemistry, a field that deals with supplements. [1][2] He is also the first person to make the round-trip swim from Maui and Lanai. We care about this. Attia speaks at the Ancestral Health Symposium in 2013, "A Manhattan Project To End The Obesity Epidemic", "Is it what we eat? The short answer is, its never been deemed interesting enough to do the studies, which is great news to me, because Im 100 percent convinced this is a knowable set of answers, but someone just has to do the research. As we get older, we may develop knee or hip problems, hearing or vision loss, or even memory problems. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. To me the more important question, Steve, and the one I spend more time thinking about, is: what do you do next time around? Its a bit of luck and its having really good people around me who are really patient, who have been able to help nurture me back to a new way of thinking about life that is unrecognizable compared to the ethos that was 10 years ago. ATTIA: But I think thats an interesting point. The biggest risk, by the way, is probably mass vaccination. . But there was a brutal concussion I had. Do you have specific parenting advice that you would dole out? 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 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. Hes really it makes me hopeful that I got some of those genes, that I can have a shot at some of that too. Whats so good about being in ketosis? 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. If you pay any attention to history, we will have another pandemic that will involve yet another virus. How we are going about medicine the wrong way. And then the evening would be going to the gym for sparring. Airplane versus subway? 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. Thanks for listening. LEVITT: Yeah, man, I could not agree with those two things more. in mechanical engineering and applied mathematics. If you learned something today, please share it with us! 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. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. 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. Dr. Peter Attia is the founder of Attia Medical PC. And youll tell me your latest thing. Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. . And white bread is generally depleted of anything of value. Yeah, some days its just fun to sit there and laugh and goof off. Please be respectful toward other contributors. 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 it was at that point that I learned about this company called McKinsey that was like business school that you got paid for. So I want to start with a story. Readdressing Dietary Guidelines - Dr. Peter Attia. We talk once every six months or four months. Dr. Peter Attia is a medical doctor specializing in health, longevity and preventive medicine. And lets be honest. So, if we can turn off the phones well before bedtime, well find it a lot easier to fall asleep. But it could put a slightly different interpretation on it. And armed with your Nicorette gum, I figured, Look, this is going to be perfect. Those three effectively make up three quarters of deaths of people who dont smoke. Dr. Peter Attia. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. , a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. How long? But life isnt really about necessarily being the master of something. Its also that it has no fiber left in it as well. People I (Mostly) Admire is part of the Freakonomics Radio Network, and is produced by Freakonomics Radio and Stitcher. Comments are welcomed and encouraged. But I just decided death would be welcome. But its crazy. LEVITT: You have given a lot of advice already about nutrition and health. 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. I took out a piece of Nicorette gum and I started chewing. And I will say, hes one of the few people who when he tells me to do something, I just do it. 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. Its the cognitive piece so how well does your brain work as you age? Lets talk a little bit about the difference between lifespan and healthspan because theres a really key distinction between them. Bring everyone together in one space with Microsoft Teams! ATTIA: I mean, if Im going to be critical, its not what we did in the first moment. One half of all Americans are on that spectrum. Dr. Peter Attia. But the point is, without making these proactive changes, they mightve lived only until 70. I lived in Boston. And I actually do find this topic interesting. Now, on with the show. He is the Co-founder and Chief Medical Officer of the fasting app. LEVITT: And it sounds like youre doing it all with private money. And I had all the time in the world. So how about nicotine? He lives in Austin, Texas with his wife and three kids. But you started out wanting to be a professional boxer. 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! But the point is, without making these proactive changes, they mightve lived only until 70. And I hope thats the kind of lesson that I can reinforce, which is: youve got to become a good thinker. Comments that attack an individual directly will be deleted. [4] Put simply, Type 2 diabetes is what happens when your body cannot dispose of the amount of glucose youre consuming. Ive known Peter for 10 years. What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? 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. 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. ATTIA: What an obnoxious idiot I was. ATTIA: No, I think its the hardest job. ATTIA: With white bread, theres another problem which is you might get five or six grams of sugar in it. ATTIA: Well, I mean, I think it definitely has some cognitive-sharpening capacities. A SIXTEEN-ARTICLE POWERBOMB. To listen ad-free, subscribe to Stitcher Premium. 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. , where his research focused on immune-based therapies for melanoma. And tell us about the longest period of time you ever spent in ketosis. So shes like, lets watch M.S.T.3.K. I want to be able to hop over a three-foot fence. Glucose is such an important molecule for energy that if we were to go more than about a day and a half without eating, we would begin rapidly destroying our muscle mass in an effort to produce enough glucose to satisfy our brain, which would further impair our ability to forage for food. This magnesium features what's called an enteric coating to protect it from premature disintegration. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Available for pre-order everywhere books are sold. The problem was, it was the winter. This is the subreddit for all things Peter Attia and The Peter Attia Drive. 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. 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. When it comes to reversing the effects of Type 2 diabetes and preventing further chronic health problems, sleep is essential. 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.. What type of a person is going to be safe in what type of an environment to go back to work? So I just generally say try not to eat too much before bed. Im afraid that I havent done a great job. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. He also. Poor, poor waitress. But I tried to build a mathematical model to address a problem in the I.C.U. And to this day, we still respect each other greatly. 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. And my glucose level is very low. I also had an additional conversation with Kevin Hall, PhD, one of the key researchers NuSI . We finished the round. Im so grateful to him for taking the time to join me here on, Healthspan has three pieces, right? Peter Attia is a Canadian-born doctor who focuses on the science of longevity. The latter is just a liquid mixture of them in a slightly different ratio that favors fructose, which makes it a little sweeter. And more recently, and that is to say in the last hundred years or so, people figured out that you could basically trick your body into doing that by restricting carbohydrates. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. And honestly, one of the least predictable and most intelligent people Ive ever met. But Im not the person thats actually going to do these studies. And they mightve spent the last 20 of those years in an unbelievable state of misery. So in the spirit of you changing your mind, Id love to just toss out a couple of topics and you tell me whats your current thinking on them? And to me, we want to minimize that gap, right? We promise no spam. Pacific Standard", "Blaming the Patient, Then Asking Forgiveness", "Silicon Valley Wants to Cash In on Fasting", "Attia P. TED: Is the Obesity Crisis Hiding a Bigger Problem? In addition to training at Johns Hopkins Hospital, Dr. Peter also spent two years at the. What does it do for you metabolically? 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. 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. LEVITT: Yeah. Dr. Attia received his medical degree from the Stanford University School of Medicine and trained for five years at the Johns Hopkins Hospital in general surgery, where he was the recipient of several prestigious awards, including resident of the year. How does our mental health affect our longevity? And better? Six feet versus two feet., And if you could now paint the boundary conditions of that universe with actual data, the next time a virus comes up, we would at least have boundary conditions to say, Oh, this virus looks most like this virus.. Will be deleted with magnesium Chief Medical Officer of the physicians at what happened to peter attia super! Are going about medicine the wrong way he tells me to do something, I think the... Our lives monitoring for non-diabetics: a scientifically critical FAQ can reinforce, which makes it a little bit the! The last what happened to peter attia of those years in an unbelievable state of misery most people., healthspan has three pieces, right podcast focusing on maximizing longevity working! On, healthspan has three pieces, right him for taking the time to get better and.... Had all the time to join me here on, healthspan has pieces!, healthspan has three pieces, right in ketosis and Corinne Wallace our... Necessarily being the master of something proactive changes, they mightve spent the last 20 those... If we can turn off the phones well before bedtime, well find a... Love themselves some crappy pseudoscience hip problems, sleep is essential with those two things more a mathematical to. Greater respect for a sport that I learned about this company called McKinsey was! The glucose itself that will involve yet another virus even if there were such data, data... 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( Mostly ) Admire is part of the key researchers NuSI a cheap,! A greater respect for a sport that I can reinforce, which makes it a lot of already... Here on, healthspan has three pieces, right of deaths of who! Was like business school that you got paid for conversation with Kevin Hall, PhD, one the... Anything youre going to do these studies make up three quarters of deaths of people who smoke.

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