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. 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. So this just reinforced in me that, youre not immortal. Why didn't you address what Nina has brought up? 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. Thats actually a billion dollar question. But that can be carried by a group of philanthropists who can act quickly and take huge risk. This episode is informative, and I know youll get a lot of value from it. And it didnt take me long to realize: not a chance in hell, for that exact reason. He remains unbiased and sticks to what the science indicates while also willing to experiment on himself. LEVITT: I will say that youve taught me a lot and I never told you this before youre one of the few people on the planet whose opinion I trust so completely that when you tell me to do something, no matter how absurd it sounds, I do it. on their work. Its also the one that seemed the most conflicted. 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. 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. And theres days when that really hurts. Peter Attia @PeterAttiaMD. What was the failure of either policy or medicine that led nobody to be generating that knowledge? What type of a mask really matters? Criticism and skepticism can be far more useful than praise and unflinching belief. They have to basically show every year that theres an R.O.I. This episode is informative, and I know youll get a lot of value from it. By reducing the amount of carbohydrates we consume and by exercising, we reduce the amount of glucose were consuming and increase our muscle so that when we do consume glucose, our bodies have somewhere to put it. So my guess is, theres some measure around helping them become better thinkers. 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. To me the more important question, Steve, and the one I spend more time thinking about, is: what do you do next time around? ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. And the more I learned, frankly, the less I agreed with him. 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. And when I was in high school, I became obsessed with him. ATTIA: Well, I think its too soon to say that. How to figure out where they fit in and how they can lead the best life they can lead? ATTIA: No, I think its the hardest job. Its complicated because there are lots of reagents that go into that type of testing and we dont control the origin of each of those reagents. Part 1. The heart could use it. based in San Diego and New York. But the probability, Steve, that you or I may get the rest of our lives without another pandemic must be viewed as exceedingly small. 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. 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. Dr. Attia believes we must replace this outdated framework with a personalized, proactive strategy for longevity, one where we take action now, rather than waiting. ATTIA: It was hard, actually. The problem was, it was the winter. LEVITT: So tell me about when you were 14 and you wanted to be a professional boxer. All of the music you heard on this show was composed by Luis Guerra. Peter Attia Book Recommendations (38 Books) Peter Attia is a Canadian-American physician known for his medical practice that focuses on the science of longevity. In other words we have to learn how to manage the causes of stress and anxiety in our lives. But I loved the benefits of nicotine.. LEVITT: Thats intense. But when we sleep, its best for our bodies to be cold when we sleep cooler, we get more rejuvenating sleep. Now, on with the show. Peter Attia is among the most brilliant people I've ever met, and he's succeeded in packing a life's worth of insights into this book. If you want pasta sauce, find one that has no sugar. This mask versus that mask? 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. What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? But what was it? Peter Attia talks with Steve Levitt about the problem with immortality, what's missing from our Covid response, and why nicotine is underrated. Too often, it intervenes with treatments too late to help, prolonging lifespan at the expense of healthspan, or quality of life. 15. Do you have specific parenting advice that you would dole out? Workout and Diet. People Lists Series Gifts. So they think that you can show them something you havent done when youre done. So I abandoned that one on my own. Peter's current diet can simplified into 3 "rules": Time Restricted Feeding Avoid Sugars, High Fructose Corn Syrup & Junk Food No Restriction on Healthy Starches and Vegetables 1) Time Restricted Feeding At the low end, Peter fasts between 14 - 16 hours each day, and at the high end, he fasts between 20 - 22 hours. Peter Attia, M.D. Which diseases are killing people the most and what to do about it. But heres the problem: Were living longer, but our quality of life is decreasing. 3K? But you should be in the habit of listening to people talk about stuff that you dont agree with. He is the Co-founder and Chief Medical Officer of the fasting app Zero. When we eat, our bodies naturally raise our temperature its just part of the digestion process. Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, @peterattiamd, and me, @lewishowes. 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 I religiously do whatever you tell me to do. ATTIA: I did. LEVITT: You have given a lot of advice already about nutrition and health. He is willing to entertain any hypothesis. And we might have to take a closer look at your sleep habits. CAUSE THE OBESITY EPIDEMIC IN THE UNITED STATES? And it was at that point that I learned about this company called McKinsey that was like business school that you got paid for. ATTIA: I dont know. I mean, this is not an unethical thing to do. But my hunch is, youd know better than me, is that for things like influenza, we actually dont even know the answer, even though weve had 100 years to be thinking about that. But not too far behind it is cancer. and . Im involved in a coronavirus study now, that were trying to get off the ground, thats looking at the long term impact of immunity. LEVITT: Well, it sounds like you ended up making the right career choice. [1][2] He is also the first person to make the round-trip swim from Maui and Lanai. 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, the other night, Olivias like, Daddy, lets watch a movie. And were like, all right. Its the cognitive piece so how well does your brain work as you age? Im actually going to tuck them underneath my lip like chewing tobacco and let it just ease out and keep me going.. But the muscles could use it. With over 50 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimers disease, cancer, mental health, and much more. And then at lunch we would go to the University of Toronto I grew up in Toronto so wed go to University of Torontos weight room and do our really heavy lifting. And we differentiate that form from the one that we evolved with by calling it nutritional ketosis. what happened to peter attia. I rarely have a conversation with Peter in which he doesnt introduce me to something Ive never thought about before. And thats when I stopped my experiment. Can you describe how you approached your undergraduate classes at Stanford? Why is he telling us this? Whats important about that is the fructose molecule. And then I was going to Netflix to find it. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. that was typically done by putting your finger in the air and looking at which way the wind blows. LEVITT: And it sounds like youre doing it all with private money. Sign-up (free) to receive the5 Tactics in my Longevity Toolkitdelivered by email as a 5-day course. And, by the end of that fast, I have very high levels of these things called ketones in my blood. Attia speaks at the Ancestral Health Symposium in 2013, "A Manhattan Project To End The Obesity Epidemic", "Is it what we eat? It turns out that food has a huge effect on our bodies ability to sleep, so we need to be careful about eating before bed. Readdressing Dietary Guidelines - Dr. Peter Attia. But roughly how many years are we talking about of extended life, of maybe increased good years of life, would you guess that somebody who really puts their mind to it can buy through good behavior? Non-lame, weekly emails on thelatest strategies and tacticsfor increasing your lifespan, healthspan, and well-being (plus new podcast announcements). If you learned something today, please share it with us! 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. Dr. Peter Attia. According to Tools of Titans, Attia takes 600 to 800 mg per day of magnesium, alternating between mag sulfate and mag oxide. Because what youre basically saying is: whats the dose? Because there are risks to doing this study. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. 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. 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.. 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. . How long? Prior to that, in 1996, he received a Bachelor of Science degree in Mechanical Engineering and Applied Mathematics from Queen's University. Dr. Peter Attia is the founder of Attia Medical PC. 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. I want to be able to hop over a three-foot fence. So I think when you say sugar, what you mean is added sugar. When we think of extending our lifespans, we think a lot about our physical health how well our bodies function. Were not talking about inoculating someone with hepatitis or H.I.V. Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. So you have this starvation ketosis, nutritional ketosis. Physician. How often? 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. 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. Now, in very low doses, which is what you would get if you were eating a piece of fruit, there is no problem in eating fructose. To listen ad-free, subscribe to Stitcher Premium. Attia has a chapter giving advice in Tim Ferriss' book Tools of Titans. A look at the effort to figure out why we're fat", "What Makes You So Smart, Peter Attia? After obtaining his medical degree from Stanford University, he was a surgeon at Johns Hopkins and worked at the National Cancer Institute. 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 . It comes from this place of, Im not good enough. LEVITT: Yeah. pick up the tab to really finish it, because this is a multi-year experiment. Slow-Mag is designed to maximize mag's benefits while simultaneously minimizing its side effects. into a difficult position, which is to make very incremental steps in science. If were going to take Tylenol, we know the dose. Its not about exercising. Were you a good fighter? I would run between five and 13 miles each morning. We can be reached at. 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. Where did this drive come from? And senescent cells basically send out these really nasty inflammatory signals to other cells that basically age them. 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. It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. And they mightve spent the last 20 of those years in an unbelievable state of misery. Taubes and his cofounder,. Enjoy this content? You sometimes need that distance from something. 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. department where I was, and I said, I have three new projects; Im going to put into my proposal., They said, No, you got it totally wrong. And then we talk six months later, thats a distant memory for you. What the three main pieces of our healthspan are. 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. So it becomes a way for us to recycle our dead or defective cells. For one thing, we can avoid looking at our electronics before bed. Whats so good about being in ketosis? Including a link to relevant content is permitted, but comments should be relevant to the post topic. If anything, I might even be more concerned with sugar, especially in its liquid form. One half of all Americans are on that spectrum. Dr. Peter Attia. But its crazy. There are a ton of different types of therapy you can get into, but the end-goal is the same. [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. LEVITT: And how much fasting does a person have to do to start getting those benefits? Donate here: DID THE DIETARY GUIDELINES (AND LOW-FAT DIETS, SUGAR, ETC.) 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 . If I just took 20 guys like you and took them from eight hours a night to four hours a night for two weeks and then did these glucose tolerance tests, I could reduce [their] glucose disposal by 50%. And look, if you had to choose between someone having your dads life and he dropped dead tomorrow, lets say he had a heart attack on a run tomorrow, Id still take that over the person who lives to be 100 but spent 20 years in a state of decline. 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. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 20122023 PA IP, LLC. 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. Part of the practice includes nutritional biochemistry, a field that deals with supplements. So what are some things we can do to improve our sleep to keep this from happening? But I think there was a very similar insecurity. So, Ive done a lot of different things and that makes me a master of nothing. Youre listening toPeople I (Mostly) Admire with Steve Levitt, and his conversation with physician and scientist Peter Attia. And I will say, hes one of the few people who when he tells me to do something, I just do it. , a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. Did you get hit a lot in the head? And my glucose level is very low. Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. [3] Career [ edit] Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. So if you have defective cells, you dont want those guys going around replicating, making cancer cells and things like that. 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. Thats the problem that Dr. Peter and other doctors like him are trying to solve. Its a very expensive study for one year. 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 then three of those days it would be a shorter run with hill workouts and sprints. As an Amazon Associate, Freakonomics may earn commissions from qualifying purchases made through links on this site. The second thing I would say is: really do not consider sunk costs in your career. Explore the list of the most recommended book titles suggested by Peter Attia . And thats really about the highest praise I can offer anyone I know. 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. But there was a brutal concussion I had. in mechanical engineering and applied mathematics. So how about nicotine? So I went, three days and just had water. 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. We finished the round. ATTIA: Correct. [10][11] He was one of the speakers at TEDMED 2013.[12][13]. Our lifespan is the amount of time we live, and it is steadily growing longer. And again fortunately, Olivias my oldest and shes 11. We would like it such that, when you die, its really your first encounter with death of any form. Dr. Peter Attia. I took out a piece of Nicorette gum and I started chewing. LEVITT: Oh, God. Studying studies: relative risk vs. absolute risk. How many other concussions I had, I dont know. And so many years later, as I began to actually understand the benefits of sleep, it stands alone as one of what I think of as one of the four or five pillars of longevity. Whats the latest we should eat before going to bed? From 2012-2015, he . So my hours from 11:00 at night until like 5:00 in the morning, in a cold apartment. I dont know if you remember the first time we met, but we were at dinner and it must have been just after your birthday because you were glowing and you said, Oh my God, I got the best birthday present ever from my wife. And just to jog your memory, shed given you some kind of equipment that allowed you to prick your finger and do blood tests. LEVITT: So you love your children with a depth that is rare and I admire. Those three effectively make up three quarters of deaths of people who dont smoke. Dr. Peter Attia. In 2014, Attia founded Attia Medical, PC, a medical practice focusing on the applied science of longevity and optimal performance. So, I think it puts N.I.H. LEVITT: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. ATTIA: But I think thats an interesting point. And just to be clear, Im just the guy who started it and who raises the money. 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, consume glucose, our bodies have somewhere to put it. Links on this show was composed by Luis Guerra Ferriss ' book of! To take Tylenol, we get more rejuvenating sleep out these really inflammatory... 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Ketones in my longevity Toolkitdelivered by email as a 5-day course Medical PC them are funded the! Look at your sleep habits three-foot fence to make very incremental steps in science mg/dL... Free ) to receive the5 Tactics in my blood advice in Tim '. Some measure around helping them become better thinkers recommended book titles suggested by Peter Attia is! Theres an R.O.I not an unethical thing to do about it similar insecurity so the big three,! Can be carried by a group of philanthropists who can act quickly and take huge.. Be cold when we eat, our bodies naturally raise our temperature just. Me long to realize: not a chance in hell, for that exact reason what are some we! The other night, Olivias like, Daddy, lets watch a movie how many concussions! I loved the benefits of nicotine.. levitt: Well, it intervenes with too! Your brain work as you age body over time, in order, atherosclerotic so!