Comments including unnecessary profanity will be deleted. So if you have defective cells, you dont want those guys going around replicating, making cancer cells and things like that. ATTIA: Well, rigidity of thinking is generally a bad thing. So my guess is, theres some measure around helping them become better thinkers. . LEVITT: One of the things that really bothers me about myself is that I can fall asleep anywhere, anytime. ATTIA: Well, I think the benefits of fasting are legion. So, if we can turn off the phones well before bedtime, well find it a lot easier to fall asleep. And so for six months, Ive been doing something that was probably a really bad idea as well. It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. Youre listening toPeople I (Mostly) Admire with Steve Levitt, and his conversation with physician and scientist Peter Attia. And tell us about the longest period of time you ever spent in ketosis. 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. I rarely have a conversation with Peter in which he doesnt introduce me to something Ive never thought about before. And the more adenosine you accumulate, the more you fatigue. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. Youve decided that was a terrible idea. ATTIA: I mean, look, Steve, that is a million dollar question. And for that, Dr. Peter recommended therapy. And while learning to manage stress and overcome trauma may not be the only thing it takes to prevent Type 2 diabetes, it will definitely increase your odds of staying healthy longer. 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. Taubes and his cofounder,. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. So theres this molecule called adenosine. I think they often get confounded. funding for the rest of your life.. It comes from this place of, Im not good enough. To improve sleep, Peter Attia takes phosphatidylserine, magnesium and a supplement called Doc Parsley's Sleep Remedy (a company in which Attia invested), comprising of vitamin D, niacin, magnesium (150 mg), and a blend of tryptophan, GABA, phosphatidylserine, theanine, 5-HTP and melatonin. I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. We promise no spam. , a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. Dr. Peter Attia is a physician focusing on the applied science of longevity. Do you recognize that in yourself? [3], Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. Without your financial help, this blog is in critical danger of not surviving. I learned so much from this conversation. [7] Attia co-founded and served as President of Nutrition Science Initiative (NuSI) with Gary Taubes in 2012. Which is: what are those people who cant quit also incapable of doing on a day to day basis, vis vis their very rigid view of, this is the way to do things versus not. And Im still generally a somewhat rigid person. 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. I mean, I probably wish I had been a bit more introspective a bit sooner. He remains unbiased and sticks to what the science indicates while also willing to experiment on himself. 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. But do you have advice for young people who are trying to find their path in the world? Our lifespan is the amount of time we live, and it is steadily growing longer. 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. Peter Attia is the host of The Drive podcast and . Thanks for listening. LEVITT: Yes, so you gave me some Nicorette gum, and Ive never really smoked. While it's easy for me to say, I implore you to keep fighting back and never . But I still stand by the benefits of nicotine. The problem is that we may be living longer, but were living with chronic health conditions that significantly lower our quality of life. But I certainly didnt appreciate at the time what it was doing to my health. 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 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. Peter Attia, M.D. I think nicotine is a remarkable molecule. ATTIA: I dont know if that exercise did, but yes, I think a lot of the training that I did did pay off, actually. 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. Marion Nestle notes the Arnold's working relationship with a National Restaurant . If you take a 20-minute afternoon nap, youre not going to get into whats called delta wave sleep. 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. But theres a lot of new research coming out among economists, of all people, thats starting to flag the importance of sleep. 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.. Ive known Peter for 10 years. Enjoy this content? I want to be able to hop over a three-foot fence. And I ended up having a C.T. Its our inability to get smarter as we went along. Which doesnt necessarily undo or undermine the results of that. Were you a good fighter? ATTIA: Well, I think theres something biologically interesting that happens in people when they have a kid, which is, they sort of realize their own mortality in a way. 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? 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. But you started out wanting to be a professional boxer. 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. is part of the Freakonomics Radio Network, and is produced by, and Stitcher. So you took more or less the same approach to academics that you took to boxing. I definitely had one horrible concussion. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Available for pre-order everywhere books are sold. 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. 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. [1][2] He is also the first person to make the round-trip swim from Maui and Lanai. ATTIA: So there were a lot of things that were really upsetting me at the time. I think I probably spent too many years ignoring things that shouldnt have been ignored. What the three main pieces of our healthspan are. So how can we combat Type 2 diabetes? 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. in mechanical engineering and applied mathematics. But whats more important Steve, is: whats the quality of those last 20 years? And theres this have you seen this thing called Mystery Science Theater 3000? And I think youve come to appreciate, in recent years, the importance of sleep. I mean, there is, to me, no upside in outliving everyone that matters to you. His practice focuses on the applied science of longevity. Whats so good about being in ketosis? And so I want to challenge you to do that. ATTIA: I actually this is probably one that has changed less than most in the past decade. But that can be carried by a group of philanthropists who can act quickly and take huge risk. Peter Attia talks with Steve Levitt about the problem with immortality, whats missing from our Covid response, and why nicotine is underrated. As we get older, we may develop knee or hip problems, hearing or vision loss, or even memory problems. ", "Are We Fighting The Wrong Battle In The Obesity War? But it could put a slightly different interpretation on it. This is a tragedy. His practice also focuses on elements such as diet, sleep, exercise, and, physiological aspects that promote Whats good about nicotine? 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. And that work ethic came from this belief that I actually dont think is that healthy. Im afraid that Ive worked too much. 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. And Im the provocateur who helps de-risk these things. If anything, I might even be more concerned with sugar, especially in its liquid form. Sign-up (free) to receive the5 Tactics in my Longevity Toolkit delivered byemail as a 5-day course,my weekly newsletter,and new podcastannouncements. Stay up-to-date on all our shows. Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. ATTIA: Well, my undergrad was actually in Canada, which is where I did math and engineering. The second thing I would say is: really do not consider sunk costs in your career. When I first met you, that was your obsession, nutrition. Its the common factor behind all three biggest causes of death Type 2 diabetes. Sleep supplement. And thats part of the reason why a lot of smokers do gain weight when they stop smoking. For example, why werent we doing the contact tracing studies in subways and on airplanes and actually figuring out: what is a safe distance to be apart? A look at the effort to figure out why we're fat", "What Makes You So Smart, Peter Attia? Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! Criticism and skepticism can be far more useful than praise and unflinching belief. Ive known Peter for 10 years. 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. ATTIA: It was hard, actually. How long? Because theyre funding studies that have already been done, instead of funding research to be done. 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. If you learned something today, please share it with us! Your lifespan may be longer, but your healthspan the amount of life you live in good health isnt. LEVITT: So you love your children with a depth that is rare and I admire. LEVITT: But when you say risk, you talk about risk of wasting the money? points on that day. So this just reinforced in me that, youre not immortal. What type of a person is going to be safe in what type of an environment to go back to work? Lets dive in! And again fortunately, Olivias my oldest and shes 11. Everything was metabolically broken. Where did this insecurity come from? LEVITT: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. But I do spend quite a bit of time in starvation ketosis because I fast frequently so either three days a month or seven days a quarter is typically my fasting routine. 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 the former is one molecule of something called glucose and one of fructose bound together. 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 . 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. This magnesium features what's called an enteric coating to protect it from premature disintegration. These things have a significant impact on our lives and on our families so how can we stay healthier longer? But its something I at least pay attention to now. 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. By implication, it cannot be used to make nutrition recommendations. @bariweiss. So maybe some combination of those two things would be helpful as a person navigates their way. No, the short answer is, Im still trying to make sense of this as well. His post can be found here. What a complete and total travesty. The first two are simple: Diet and exercise. The latter is just a liquid mixture of them in a slightly different ratio that favors fructose, which makes it a little sweeter. Of course, this is now a very hot topic today. One half of all Americans are on that spectrum. Dr. Peter Attia. 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. And when I was in high school, I became obsessed with him. Those four main pillars focus on the different areas Dr. Peter wants to maintain good health even into old age. Part 1. 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. Hes been an engineer, a surgeon, a management consultant, and even a boxer. So I just generally say try not to eat too much before bed. Including a link to relevant content is permitted, but comments should be relevant to the post topic. So, the other night, Olivias like, Daddy, lets watch a movie. And were like, all right. So after college and before grad school. According to his website, Attia is "a Stanford/Johns Hopkins/NIH-trained physician focusing on the applied science of longevity, the extension of human life and well-being." These credentials have given Attia unparalleled clout (along with David Sinclair) in this niche of influencers. 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? So what are some things we can do to improve our sleep to keep this from happening? According to Tools of Titans, Attia takes 600 to 800 mg per day of magnesium, alternating between mag sulfate and mag oxide. Comments are welcomed and encouraged. And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. In 2014, Attia founded Attia Medical, PC, a medical practice focusing on the applied science of longevity and optimal performance. That way, we can live lives that are both long and healthy! Right? I mean, God, sometimes I hear stories like that and I just Im so embarrassed. And you say, I die.. , where his research focused on immune-based therapies for melanoma. And then, of course, this third piece, which is the emotional resilience and the ability to maintain a tolerance around distress. Dr. Peter Attia. Most organs could use it. Dr. Peters goal is to reduce those early deaths as much as possible. Why dont we know the dose of fasting? And you were like, Whats that? And I was like, Oh, I chew Nicorette gum. And you asked me if I was a smoker. To listen ad-free, subscribe to Stitcher Premium. And then you have to have a third project, which is like 75 percent done. Peter ATTIA: If Im proudest of anything Ive done in my life, its that every time Ive made a change that has looked really stupid, Ive always been able to think that its okay, because Im going to be 60 one day. Its just so hard to quit stuff. Peter Attia: "I Definitely Lost a Lot of IQ Points That Day" He's been an engineer, a surgeon, a management consultant, and even a boxer. Dr. Peter says there are four main ways to do it. So you went to Stanford and got your medical degree there and then you did your residency at Johns Hopkins. Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. And then we talk six months later, thats a distant memory for you. So I think when you say sugar, what you mean is added sugar. He is the Co-founder and Chief Medical Officer of the fasting app Zero. It was about 10 things. He is of Coptic Egyptian descent. My Centenarian Olympics has 18 events in it. What do you do daily to live a longer and healthier life? ATTIA: What an obnoxious idiot I was. Theres days I guess I am. ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. But not too far behind it is cancer. 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 thats not the only thing we can do. Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, @peterattiamd, and me, @lewishowes. And so, to answer your question, Steve, I am still incredibly bearish on sugar. I could basically, within two weeks, turn you into an almost-diabetic by sleep depriving you. Dr. Peter Attia. It comes with just accepting the fact that I do not accomplish as much today as I used to. 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. 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