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. Thats actually a billion dollar question. 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. And to me, we want to minimize that gap, right? Comments that harass other posters will be deleted. So I know Ive got the time to get better and better. Where did this insecurity come from? 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. That was painful to watch. 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. So, again, evolution won. 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. 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.. But there was a brutal concussion I had. [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. So I think when you say sugar, what you mean is added sugar. ATTIA: No, I think its the hardest job. I mean, there is, to me, no upside in outliving everyone that matters to you. 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. Explore the list of the most recommended book titles suggested by Peter Attia . So it wasnt one thing, Steve. 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 Attia believes we must replace this outdated framework with a personalized, proactive strategy for longevity, one where we take action now, rather than waiting. What happened to @DMSabatini. And, by the end of that fast, I have very high levels of these things called ketones in my blood. Dr. Peter Attia and Dr. Andrew Huberman discuss the truth about dietary cholesterol and what impacts it.Dr. In fact, our conversation was so fascinating, that I decided to split it into two episodes! LEVITT: But when you say risk, you talk about risk of wasting the money? 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. The only sad part is my dad said a few days ago, Yeah, the last person I grew up with and I was friends with, they died. I am a physician focusing on the applied science of longevity. Comments containing language or concepts that could be deemed offensive will be deleted. Its also the one that seemed the most conflicted. 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. Peter Attia has dedicated his medical career to investigating the relationship between nutrition, obesity and diabetes. But I just decided death would be welcome. The purpose of comments on our site is to expand knowledge, engage in thoughtful discussion, and learn more from readers. 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. Peter Attia is a physician focusing on the applied science of longevity. It started very early. 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. After medical school, Attia spent five years at the Johns Hopkins Hospital in Baltimore, Maryland as a general surgery resident. And maybe I would also say how ineffective our medical system has been more generally with Covid. LEVITT: And how much fasting does a person have to do to start getting those benefits? Its just so hard to quit stuff. But when you consume too much glucose, your body cant use it. I hope you loved this episode as much as I did. 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. But theyre not really set up to do big, big thinking. ", "Are We Fighting The Wrong Battle In The Obesity War? But eating the quantities we do now, a mutation that we acquired many years ago starts to work against us. Donate here: DID THE DIETARY GUIDELINES (AND LOW-FAT DIETS, SUGAR, ETC.) All rights reserved. And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. ATTIA: I mean, if Im going to be critical, its not what we did in the first moment. [4] First wanting to become a professional boxer, he later attended Queen's University, receiving B.Sc. Theres an, Tim is an early-stage investor and author of five #1 New York Times bestsellers. Saturated fat and dieta postprandial triglyceridemia is associated with cardiovascular disease risk, Why lose weight to prevent covid-19 is an inappropriate and harmful message for health influencers to be sending, Mainstream, popular health gurus peddle ineffective, dangerous, and costly products that degrade physical and financial health, Why I question the objectivity of low-carb pioneers Stephen Phinney and Jeff Volek. 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). All rights reserved. As we get older, we may develop knee or hip problems, hearing or vision loss, or even memory problems. 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. 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. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. 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. 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 . Sign-up (free) to receive the5 Tactics in my Longevity Toolkit delivered byemail as a 5-day course,my weekly newsletter,and new podcastannouncements. I think most people do get a bit of a cognitive jolt from it. And thats important, but just as important is our mental health. This mask versus that mask? LEVITT: One of the things that really bothers me about myself is that I can fall asleep anywhere, anytime. Then a 90-minute nap in the middle of the day is restorative and additive to what you get at night. Born: 1973. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. Dr. Peter 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. Hes spent the last few years being mentored by the top medical scientists and now hosts The Drive, a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. Which diseases are killing people the most and what to do about it. And then probably have N.I.H. And in the meantime, if youre ready to learn how to live to be over 100 and prevent chronic diseases, join me on. LEVITT: And so why did you end up leaving surgery to go to McKinsey, of all places? It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. ATTIA: I mean, look, Steve, that is a million dollar question. Aging often comes with significant physical problems that are increasingly tough to deal with. Im afraid that Ive worked too much. And so now eating a diet thats high in fructose, again, especially liquid fructose, wreaks all metabolic destruction. But not too far behind it is cancer. 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. So you went to Stanford and got your medical degree there and then you did your residency at Johns Hopkins. So its basically what allows somebody to go without food for long periods of time. 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. And Ive got her into it now. But I have to say, hes also completely, totally insane. It showed I had cerebral contusions. But do you have advice for young people who are trying to find their path in the world? This episode is informative, and I know youll get a lot of value from it. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. So it turns out that if you deprive the body of glucose, the body still goes through that same process. 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. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. 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. But nobody knows you even started doing it. And I hope thats the kind of lesson that I can reinforce, which is: youve got to become a good thinker. Learn how to live longer, be healthier, and optimize your performance. 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. points on that day. He is willing to entertain any hypothesis. I could basically, within two weeks, turn you into an almost-diabetic by sleep depriving you. Dr. Peter Attia. He also has a B.Sc. Your body naturally creates glucose in your liver, so when you eat and consume extra glucose, your body sends it to your muscles, and you use it as energy. And I want you to interrupt me every time you have a question.. And to this day, we still respect each other greatly. 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 caffeine blocks that. We only accept comment from posters who identify themselves. 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. 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. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. In other words we have to learn how to manage the causes of stress and anxiety in our lives. I also had an additional conversation with Kevin Hall, PhD, one of the key researchers NuSI . Our lifespan is the amount of time we live, and it is steadily growing longer. And finally, the fourth thing that significantly affects our chances of getting Type 2 diabetes is stress. Workout and Diet. on their work. Last week, Peter Attia wrote a criticism of Game Changers, where he presented the argument (long repeated him) that nutritional epidemiology is fundamentally flawed. While it's easy for me to say, I implore you to keep fighting back and never . The owner of this blog reserves the right to edit or delete any comments submitted to the blog without notice. And also, what hes going to talk about in this documentary is really complicated. Mass vaccination would interfere with this a lot. Thank you so much for joining me today! Its the cognitive piece so how well does your brain work as you age? So shes like, lets watch M.S.T.3.K. So there are lots of benefits to fasting. The other two preventions, however, might surprise you. And I remember once I was being interviewed and someone asked me: if you could be granted immortality or something, would you take it? One half of all Americans are on that spectrum. , So how can we combat Type 2 diabetes? Wouldnt you like to live longer? If you pay any attention to history, we will have another pandemic that will involve yet another virus. 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