I could barely turn my head. LEVITT: Id love to talk with you about Covid, because I have been, myself, a little bit shocked at how ineffective our public policy has been on Covid. ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. 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. ATTIA: I mean, look, Steve, that is a million dollar question. [3], Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. Donate here: DID THE DIETARY GUIDELINES (AND LOW-FAT DIETS, SUGAR, ETC.) I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. Attia has a chapter giving advice in Tim Ferriss' book Tools of Titans. But Im not the person thats actually going to do these studies. What do you do daily to live a longer and healthier life? How often? So how about nicotine? And I was like, You know what? So my guess is, theres some measure around helping them become better thinkers. Steve, we should have you take the Epworth Sleep Survey. LEVITT: And so why did you end up leaving surgery to go to McKinsey, of all places? and . LEVITT: And did you actually do a lot of fights? LEVITT: And did that pay off when you went to surgery? Why didn't you address what Nina has brought up? I mean, not even hard to figure out if youre willing to do randomized experiments. I basically had the worst headache of my life for the next three months. So the former is one molecule of something called glucose and one of fructose bound together. But it was like, You got to do it, man. And caffeine blocks that. LEVITT: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. How long? But not too far behind it is cancer. 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%. Its one of the three vetted sleep surveys that really can give us insight into your sleep. And that ketone was a substitute fuel for glucose and for fat. And then we talk six months later, thats a distant memory for you. So I went, three days and just had water. 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.. ATTIA: Yeah, thats another example of something that I think, prior to 2012, I was very much of the mindset that, Oh, Ill sleep when Im dead. And residency certainly reinforced that. And a guy who was one weight class above me and quite frankly, at that point, a better fighter I mean, he just landed a right cross on the side of my head that at the time, I didnt think anything of. So this just reinforced in me that, youre not immortal. They have to basically show every year that theres an R.O.I. And I do that in academic seminars and its incredibly embarrassing. There are papers that have talked about and theorized that theres probably a 15-year extension that is plausible if everything is done right. Peter Attia @PeterAttiaMD. Throughout our lives, we experience different stressors that can cause strain on our mental health. The second thing I would say is: really do not consider sunk costs in your career. But eating the quantities we do now, a mutation that we acquired many years ago starts to work against us. ABOUT DR. PETER ATTIA. Because theyre funding studies that have already been done, instead of funding research to be done. ATTIA: I think without a step-function change in our technology and our understanding of science, it probably depends on how bad they are to begin with. Most organs could use it. When we start to experience those mental health issues, we die in a sense. 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. LEVITT: But when you say risk, you talk about risk of wasting the money? [4] First wanting to become a professional boxer, he later attended Queen's University, receiving B.Sc. Lets talk a little bit about the difference between lifespan and healthspan because theres a really key distinction between them. He is an ultra-endurance athlete, compulsive self-experimenter, and one of the most fascinating human beings I know. The owner of this blog reserves the right to edit or delete any comments submitted to the blog without notice. 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. Your podcasts are like a massive gift to humanity. Dr. Peter earned his M.D. LEVITT: And then you became obsessed with nutrition. But a quick 20-minute power nap is no big deal! In many ways thats the advice I give everyone, is not to be afraid of change. But it could put a slightly different interpretation on it. Part 1. 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. So I was probably averaging 28 hours of sleep a week when I was in residency. What things are attributing to bad sleeping patterns. After publishing my post Nutrition Science Initiative (NuSI) in retrospect, I received an email from Peter Attia, MD, the former president of NuSI, suggesting that I had gotten aspects of the story wrong due to a lack of additional context.Attia and I spoke twice by phone, and I think he has a point. But I have to say, hes also completely, totally insane. And I will say, hes one of the few people who when he tells me to do something, I just do it. So it becomes a way for us to recycle our dead or defective cells. 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. LEVITT: So can you talk about ketosis a little bit and what that means? Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. Or that we overeat? 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.. in mechanical engineering and applied mathematics. ATTIA: Yes, it was a lactate meter that she got me to be able to prick my finger while riding my bike and swimming or running or whatever. And theres days when that really hurts. 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! ", 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. One half of all Americans are on that spectrum. Dr. Peter Attia. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. So we evolved this way to instead break down fat, which even under the leanest times, you still had days, if not months worth of energy from, because fat is so energy-dense, and we could turn that fat into a molecule called a ketone. That sort of irked me. He is the Co-founder and Chief Medical Officer of the fasting app Zero. 15. Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. [1][2] He is also the first person to make the round-trip swim from Maui and Lanai. Hes one of the most intelligent, curious, compassionate people Ive ever met. ATTIA: I mean, I was a pretty good fighter at the time, but we have a heavy bag in our garage now. Which doesnt necessarily undo or undermine the results of that. Dr. Peters goal is to reduce those early deaths as much as possible. So, if we can turn off the phones well before bedtime, well find it a lot easier to fall asleep. The other two preventions, however, might surprise you, 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%. But you should be in the habit of listening to people talk about stuff that you dont agree with. And to this day, we still respect each other greatly. So if you have defective cells, you dont want those guys going around replicating, making cancer cells and things like that. And in the end, it was true that I was no more tired than I was in general, but I completely lost my will to live. I think most people do get a bit of a cognitive jolt from it. And I ended up having a C.T. 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. About Community. Peter Attia is a Canadian-born doctor who focuses on the science of longevity. In this operating manual for longevity, Dr. Peter Attia draws on the latest science to deliver innovative nutritional interventions, techniques for optimizing exercise and sleep, and tools for addressing emotional and mental health. Healthspan has three pieces, right? . 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. Lets dive in! 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. Its our inability to get smarter as we went along. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. I mean, this is not an unethical thing to do. A SIXTEEN-ARTICLE POWERBOMB. What the three main pieces of our healthspan are. 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. In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. And honestly, one of the least predictable and most intelligent people Ive ever met. We promise no spam. Youve decided that was a terrible idea. And senescent cells basically send out these really nasty inflammatory signals to other cells that basically age them. And I had all the time in the world. I think once I was in medical school and I decided I wanted to become a surgeon, I just had this anxiety, which was, Well, what if you have to operate in the middle of the night and youre tired? So one of the things I started doing in my last year of medical school was, every Thursday night I would stay up, pull an all-nighter, stand at my desk, not allow myself to pee, and practice suturing on my desk in this model that I made that was supposed to resemble a human heart. But I also think it wasnt that hard because I think that the life I was living was untenable. 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? Anonymous comments will be deleted. 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. Its just so hard to quit stuff. LEVITT: Yes, so you gave me some Nicorette gum, and Ive never really smoked. 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. And lets be honest. 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). But the probability, Steve, that you or I may get the rest of our lives without another pandemic must be viewed as exceedingly small. And that work ethic came from this belief that I actually dont think is that healthy. Its about exercising intentionally. And I think youve come to appreciate, in recent years, the importance of sleep. Now hes a physician focused on the science of longevity. ATTIA: Ive come a long way since then, Steve. However, theres one disease that underlies all three of these. LEVITT: So, tell me what are your current feelings towards sugar? And then, of course, this third piece, which is the emotional resilience and the ability to maintain a tolerance around distress. Dr. Peter Attia. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. ATTIA: Totally my favorite thing on the planet. Youre listening toPeople I (Mostly) Admire with Steve Levitt, and his conversation with physician and scientist Peter Attia. The first two are simple: Diet and exercise. Marion Nestle notes the Arnold's working relationship with a National Restaurant . The problem was, it was the winter. So theres this molecule called adenosine. The latter is just a liquid mixture of them in a slightly different ratio that favors fructose, which makes it a little sweeter. So thats called starvation ketosis. is who Id want for my doctor. 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 youre probably just in what are called theta waves. So the brain could use it as a glucose substitute, and it would offset 50 to 60 percent of its glucose requirement. Non-lame, weekly emails on thelatest strategies and tacticsfor increasing your lifespan, healthspan, and well-being (plus new podcast announcements). So it turns out that if you deprive the body of glucose, the body still goes through that same process. He explains the evolutionary drive to go from single-cell to multicellular life and unpacks the four different types of cell-based therapies and the problems they are attempting to solve. 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. 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. You sometimes need that distance from something. 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. I want to be able to hop over a three-foot fence. It also has a significant effect in terms of fat oxidation. And I missed that routine once in four years. Its the common factor behind all three biggest causes of death Type 2 diabetes. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. Those four main pillars focus on the different areas Dr. Peter wants to maintain good health even into old age. Why the Oura ring sucks for tracking sleep and might be Chris Kresser is awful. . Criticism and skepticism can be far more useful than praise and unflinching belief. Dr. Attia is medical doctor who focuses on the science behind living a longer, healthier life. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. 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.. Peter Attia is the host of The Drive podcast and is a world e. How do we know if we have Type 2 Diabetes? , especially as he gets older. His practice focuses on the applied science of longevity. And then youd just be guaranteed to get N.S.F. Whats good about nicotine? Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. And I want you to interrupt me every time you have a question.. I want to be able to hop over a three-foot fence. And so it might be that its the rigidity of thought that is really the biggest problem. But the point is, without making these proactive changes, they mightve lived only until 70. But there was a brutal concussion I had. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. And when I was applying for my first grant, I went to the senior people around the M.I.T. So autophagy is a very important process for preventing cancer. 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Die in a slightly different interpretation on it through that same process so this just reinforced me!
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