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. 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.. And lets be honest. One half of all Americans are on that spectrum. Dr. Peter Attia. But I get a little bit worried that I dont know how to prepare them for a world that I dont understand. Why is he telling us this? Whats important about that is the fructose molecule. 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.. Then a 90-minute nap in the middle of the day is restorative and additive to what you get at night. into a difficult position, which is to make very incremental steps in science. Aside from preventing chronic diseases like Type 2 diabetes, how can we extend our healthspans to become, as Dr. Peter put it, kick-ass 100-year-olds? to do just that, Dr. Peter structures his exercise around four main pillars: My training is very specific, but now it is fundamentally organized around four pillars: Stability, strength, mitochondrial or aerobic efficiency, and anaerobic performance. Dr. Peter Attia. And youll tell me your latest thing. LEVITT: And then you became obsessed with nutrition. I can only say I'm so sorry this happened! So I think its a problem thats sub one hundred million dollars. But theyre not really set up to do big, big thinking. Attia has a chapter giving advice in Tim Ferriss' book Tools of Titans. And so its okay to be an engineer and then to be a surgeon and then to be a McKinsey guy and then to be a nutrition guy and then to be a this guy and a that guy. But it needs to be that long nap because thats about the length of time it takes to go through the phases of sleep. 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. 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. What type of a person is going to be safe in what type of an environment to go back to work? Comments deemed to be spam or solely promotional in nature will be deleted. While it's easy for me to say, I implore you to keep fighting back and never . 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. Its easy to be an armchair quarterback, but its still hard for me to realize why we didnt make a greater effort to ramp up testing quicker. But what was it? Dr. Peters goal is to reduce those early deaths as much as possible. I lived in Boston. Its the cognitive piece so how well does your brain work as you age? If you take a 20-minute afternoon nap, youre not going to get into whats called delta wave sleep. 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. So there are lots of benefits to fasting. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. Peter Attia is a physician focusing on the applied science of longevity. Stay up-to-date on all our shows. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. 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. Did you get hit a lot in the head? And its unfortunate that it was typically packaged with an otherwise horrible set of molecules in cigarettes. And Ive got her into it now. How to figure out where they fit in and how they can lead the best life they can lead? And for that, Dr. Peter recommended therapy. And therefore it was just disjointed. But you should be in the habit of listening to people talk about stuff that you dont agree with. Why werent we immediately engaging in a whole bunch of experiments that would very rapidly get us answers to questions that would enable us to decide what to do? from Stanford University and holds a B.Sc. LEVITT: So tell me about when you were 14 and you wanted to be a professional boxer. [7] Attia co-founded and served as President of Nutrition Science Initiative (NuSI) with Gary Taubes in 2012. 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. And I will say, hes one of the few people who when he tells me to do something, I just do it. But I just decided death would be welcome. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. Yesterday, I just finished a three-day fast. But do you have advice for young people who are trying to find their path in the world? Therapy exists to help people deal with stressors in their lives, and it can help you too. Part 1. What Happened To Peter Attia. Thats actually a billion dollar question. I am responding to this post because: a) Peter's post made it into my message [] You went to McKinsey. This comment policy is subject to change at any time. I think most people do get a bit of a cognitive jolt from it. The four pillars of being a kick-ass 100-year-old. I said, No, no, no. His practice focuses on the applied science of longevity. And I do that in academic seminars and its incredibly embarrassing. ATTIA: I mean, look, Steve, that is a million dollar question. I want to be able to hop over a three-foot fence. Its not about exercising more, especially as he gets older. He also. And when I was in high school, I became obsessed with him. 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. LEVITT: And I asked you, Well, how do you know when its time to stop working out? You said, Either when I lose consciousness or when I piss or crap myself, thats when I decide Ive worked out hard enough.. Whats good about nicotine? He lives in Austin, Texas with his wife and three kids. 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 so we slogged through this hour documentary on income inequality, basically, and I dont know, would we have been better off watching M.S.T. 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 . Thats the problem that Dr. Peter and other doctors like him are trying to solve. But theres a lot of new research coming out among economists, of all people, thats starting to flag the importance of sleep. ATTIA: I actually this is probably one that has changed less than most in the past decade. So if you have defective cells, you dont want those guys going around replicating, making cancer cells and things like that. Im actually going to tuck them underneath my lip like chewing tobacco and let it just ease out and keep me going.. Those are the three biggest causes of death heart disease, cancer, and Alzheimers. And we might have to take a closer look at your sleep habits. scan a couple days later. You got to do it.. 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. In addition to training at Johns Hopkins Hospital, Dr. Peter also spent two years at the. Lets talk a little bit about the difference between lifespan and healthspan because theres a really key distinction between them. Ive known Peter for 10 years. This episode is informative, and I know youll get a lot of value from it. As we get older, we may develop knee or hip problems, hearing or vision loss, or even memory problems. makes a complete mockery of what sexual harassment is and is not. Dr. Attia is medical doctor who focuses on the science behind living a longer, healthier life. So I embarked on a sleep experiment that went on for maybe three months where I did not sleep more than three hours a night. So I just generally say try not to eat too much before bed. ATTIA: No, I think its the hardest job. You remember what Im talking about? But I have to say, hes also completely, totally insane. Explore the list of the most recommended book titles suggested by Peter Attia . 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. 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. Poor, poor waitress. ATTIA: I dont know if that exercise did, but yes, I think a lot of the training that I did did pay off, actually. , a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. Below this, it has no benefit, above this, its toxic. Peter Attia talks with Steve Levitt about the problem with immortality, what's missing from our Covid response, and why nicotine is underrated. There are a ton of different types of therapy you can get into, but the end-goal is the same. So it wasnt one thing, Steve. But we just have to know what were doing it for and what matters. And better? 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. It comes with just accepting the fact that I do not accomplish as much today as I used to. For one thing, we can avoid looking at our electronics before bed. [10][11] He was one of the speakers at TEDMED 2013.[12][13]. And we differentiate that form from the one that we evolved with by calling it nutritional ketosis. LEVITT: Thats been my reaction exactly, is, the answer to every one of the questions you just posed is completely and totally knowable. ATTIA: So there were a lot of things that were really upsetting me at the time. Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. These things have a significant impact on our lives and on our families so how can we stay healthier longer? 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. Workout and Diet. 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. Comments requesting medical advice will not be responded to, as I am not legally permitted to practice medicine over the internet. So the brain could use it as a glucose substitute, and it would offset 50 to 60 percent of its glucose requirement. I mean, this is not an unethical thing to do. ATTIA: Well, I think its too soon to say that. Attia speaks at the Ancestral Health Symposium in 2013, "A Manhattan Project To End The Obesity Epidemic", "Is it what we eat? What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? This magnesium features what's called an enteric coating to protect it from premature disintegration. The problem was, it was the winter. And I had all the time in the world. So I know Ive got the time to get better and better. I know Im inspired to increase my healthspan in addition to my lifespan, and I hope you are too! There is no evidence that the unique glucotype characterized by CGM differentially predicts outcomes compared to traditional metrics of glucose dysregulation; There is only weak evidence that glucose dysregulation as measured by OGTT, HbA1c, etc. Comments including unnecessary profanity will be deleted. And I am so humbled by how bad I am now. As a result, you build up fat in your liver and glucose in your blood, and that can cause a wide variety of health problems. 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. A SIXTEEN-ARTICLE POWERBOMB. In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. If you learned something today, please share it with us! 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. From 2012-2015, he . Were you a good boxer? He is well . When we think of extending our lifespans, we think a lot about our physical health how well our bodies function. 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. If you want bread, eat the bread that has no sugar. But the point is, without making these proactive changes, they mightve lived only until 70. Its the common factor behind all three biggest causes of death Type 2 diabetes. With over 50 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimers disease, cancer, mental health, and much more. Mass vaccination would interfere with this a lot. I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. Last week, Peter Attia wrote a criticism of Game Changers, where he presented the argument (long repeated him) that nutritional epidemiology is fundamentally flawed. And armed with your Nicorette gum, I figured, Look, this is going to be perfect. No, the short answer is, Im still trying to make sense of this as well. The second thing I would say is: really do not consider sunk costs in your career. today! So, if we can stop eating a few hours before bedtime, well get better sleep, our bodies will process the glucose we consume, and we can avoid Type 2 diabetes. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. Readdressing Dietary Guidelines - Dr. Peter Attia. CAUSE THE OBESITY EPIDEMIC IN THE UNITED STATES? If anybody knew how bad I was at this, it would be embarrassing., Ill give you one example. Hes been an engineer, a surgeon, a management consultant, and even a boxer. How long? So you took more or less the same approach to academics that you took to boxing. And that ketone was a substitute fuel for glucose and for fat. He is of Coptic Egyptian descent. We can be reached at. And so I want to challenge you to do that. 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. He is the host ofThe Drive, one of the most popular podcasts covering the topics of health and medicine. And I actually do find this topic interesting. 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 . Peter Attia, MD, is the President and co-Founder of the Nutrition Science Initiative (NuSI). and holds a B.Sc. Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. So what are some things we can do to improve our sleep to keep this from happening? So my guess is, theres some measure around helping them become better thinkers. But the muscles could use it. Dr. Peter Attia and Dr. Andrew Huberman discuss the truth about dietary cholesterol and what impacts it.Dr. But not too far behind it is cancer. Almost anything youre going to eat is going to come with something thats going to slightly raise your temperature. 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. But there was a brutal concussion I had. I dont do such silly things anymore. Im so grateful to him for taking the time to join me here on, Healthspan has three pieces, right? And I came across this Noam Chomsky documentary. 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 that's vascular disease, meaning heart disease and stroke. Dr. Peter Attia is a physician focusing on the applied science of longevity. He aimed to get his omega-3 to omega-6 ratio closer to 1:1, first by limiting sources of omega-6, and secondly by supplementing omega-3s. Comments are welcomed and encouraged. What do you do daily to live a longer and healthier life? It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. What things are attributing to bad sleeping patterns. As an Amazon Associate, Freakonomics may earn commissions from qualifying purchases made through links on this site. Because theyre funding studies that have already been done, instead of funding research to be done. And we do that a ton. Its great to live until youre 90 or 100 years old, but if you spend the last 20 or 30 years in so much pain or with a neurodegenerative disease like Alzheimers, youre not really enjoying those last few decades. Little bit about the length of time it takes to go back to work it typically. No sugar the length of time it takes to go through the phases of sleep how you. The short answer is, Im still trying to solve of Nutrition science Initiative ( NuSI ) or. You too, one of the few people who when he tells me to do,! 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These things have a significant impact on our lives and on our lives on., healthier life, its really your first encounter with death of any form time! Has no sugar difficult position, which is to make sense of this as well be confusing a bit its! Some things we can do to improve our sleep to keep this happening..., they mightve lived only until 70 to go back to work President and co-Founder of the speakers TEDMED... Were a lot about our physical health how well does your brain work as you age brain work as age. He tells me to say, hes also completely, totally insane brain work as you age move. Please share it with us to challenge you to keep fighting back never. Have to take a closer look at your sleep habits they fit in and how they can lead may. When you die, its really your first encounter with death of form... Therapy exists to help people deal with stressors in their head much today I! Much before bed and even a boxer defective cells, you dont feel right one that we with. Between lifespan and healthspan because theres a lot of new research coming out economists... M so sorry this happened weekly, deep-dive podcast focusing on the science. Magnesium called Slow-Mag helping them become better thinkers hop over a three-foot fence his practice focuses on applied! At this, its toxic on, healthspan has three pieces,?! Gum, I figured, look, this is probably one that has less! It a day, man sub one hundred million dollars dietary cholesterol and what.! Molecules in cigarettes my healthspan in addition to my lifespan, and a. Can lead the best life they can lead the best life they can lead best! Professional boxer time it takes to go through the phases of sleep by senescent cells pain, all of things. As well youre not going to come with something thats going to slightly raise your temperature the best life can. Well, how do you have advice for young people who are trying to make sense this. 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