The four pillars of being a kick-ass 100-year-old. LEVITT: No, it was when I worked in consulting. Steve LEVITT: It is such a pleasure to be talking today with my good friend Peter Attia, physician, endurance athlete, longevity expert, podcaster. I dont do such silly things anymore. 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. So it becomes a way for us to recycle our dead or defective cells. 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. And then probably have N.I.H. How does our mental health affect our longevity? ATTIA: I did. So I dont really chew it that much anymore, just out of sheer laziness. And then I was going to Netflix to find it. 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. People I (Mostly) Admire is part of the Freakonomics Radio Network, and is produced by Freakonomics Radio and Stitcher. Ive been enjoying them very much, If you want to know how to live longer, and how to live better, you should be listening to Peter. LEVITT: So tell me about when you were 14 and you wanted to be a professional boxer. LEVITT: You have given a lot of advice already about nutrition and health. Im so grateful to him for taking the time to join me here on, Healthspan has three pieces, right? I definitely had one horrible concussion. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. 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. Throughout our lives, we experience different stressors that can cause strain on our mental health. But it could put a slightly different interpretation on it. And so now eating a diet thats high in fructose, again, especially liquid fructose, wreaks all metabolic destruction. And so I do I think death is a very important part of the carbon cycle. I am absolutely in the process of rewriting it, and that is my intention. 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. Thank you so much for joining me today! His post can be found here. LEVITT: Yeah. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. 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. And we might have to take a closer look at your sleep habits. 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. 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. Thanks for listening. But not too far behind it is cancer. If you learned something today, please share it with us! 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. 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. Explore the list of the most recommended book titles suggested by Peter Attia . No government funds at all, is that right? 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. 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. After obtaining his medical degree from Stanford University, he was a surgeon at Johns Hopkins and worked at the National Cancer Institute. 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. 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. 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. Your podcasts are like a massive gift to humanity. So I just generally say try not to eat too much before bed. So what are some things we can do to improve our sleep to keep this from happening? If you want pasta sauce, find one that has no sugar. Its not about exercising more, especially as he gets older. Its just so hard to quit stuff. And these days I spend virtually no time in nutritional ketosis. You can really imagine the matrix of studies that needs to be done, which says, O.K., what does transmission look like inside versus outside? So, Ive done a lot of different things and that makes me a master of nothing. LEVITT: Thats intense. It gives me a greater respect for a sport that I once did that I didnt even have at the time. That was painful to watch. December 9, 2022, Designed by Elegant Themes | Powered by WordPress. Peter Attia @PeterAttiaMD. A look at the effort to figure out why we're fat", "What Makes You So Smart, Peter Attia? So my guess is, theres some measure around helping them become better thinkers. Workout and Diet. It also has a significant effect in terms of fat oxidation. And thats when I stopped my experiment. We finished the round. 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. So I just generally say try not to eat too much before bed. I dont know that its a substitute for the nighttime sleep, though. Its a very expensive study for one year. He attended Stanford University School of Medicine, where he received his M.D. And thats part of the reason why a lot of smokers do gain weight when they stop smoking. Dr. Attia was a surgical training student at Johns Hopkins Hospital from June 2001 to July 2006. Physician. 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? And senescent cells basically send out these really nasty inflammatory signals to other cells that basically age them. LEVITT: And did that pay off when you went to surgery? When we think of extending our lifespans, we think a lot about our physical health how well our bodies function. 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. I know Im inspired to increase my healthspan in addition to my lifespan, and I hope you are too! Peter Attia is the host of The Drive podcast and . Hes one of the most intelligent, curious, compassionate people Ive ever met. In addition to training at Johns Hopkins Hospital, Dr. Peter also spent two years at the. Today, we have more medical knowledge than ever before. His practice focuses on the applied science of longevity. And finally, the fourth thing that significantly affects our chances of getting Type 2 diabetes is stress. Studying studies: relative risk vs. absolute risk. They have to basically show every year that theres an R.O.I. ATTIA: What an obnoxious idiot I was. So after college and before grad school. Because what youre basically saying is: whats the dose? Healthspan has three pieces, right? on their work. And the more adenosine you accumulate, the more you fatigue. Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. So this just reinforced in me that, youre not immortal. 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. Dr. Peter has an impressive career, but hes an even more impressive person in real life! But we just have to know what were doing it for and what matters. Its one of the three vetted sleep surveys that really can give us insight into your sleep. How to figure out where they fit in and how they can lead the best life they can lead? It promises to be one of the most important books you'll ever read." Steven D. Levitt, New York Times bestselling author of Freakonomics "In Outlive, Peter Attia explores the science of not just . The purpose of comments on our site is to expand knowledge, engage in thoughtful discussion, and learn more from readers. By Sydney Bueckert, NASM CPT, CES, FNS, GPT November 23, 2022 Its the cognitive piece so how well does your brain work as you age? 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. [3] Career [ edit] Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. So maybe some combination of those two things would be helpful as a person navigates their way. ATTIA: But I think thats an interesting point. Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. No, the short answer is, Im still trying to make sense of this as well. So I think the whole boxing thing came from an insecurity. But that can be carried by a group of philanthropists who can act quickly and take huge risk. ATTIA: With white bread, theres another problem which is you might get five or six grams of sugar in it. 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. in mechanical engineering and applied mathematics. And I hope thats the kind of lesson that I can reinforce, which is: youve got to become a good thinker. And I missed that routine once in four years. Ive never really experienced nicotine. But theyre not really set up to do big, big thinking. 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. Dr. Peter Attia. I think they often get confounded. So you went to Stanford and got your medical degree there and then you did your residency at Johns Hopkins. So, yeah, I definitely lost a lot of I.Q. makes a complete mockery of what sexual harassment is and is not. What do you do daily to live a longer and healthier life? I said, No, no, no. 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. Sign up (free) to receive the5 Tactics in My Longevity Toolkit delivered by email as a 5-day course,my weeklynewsletter, and newpodcast announcements. And I dont think Im very good at it, Steve. ATTIA: Well, rigidity of thinking is generally a bad thing. I mean, there is, to me, no upside in outliving everyone that matters to you. But do you have advice for young people who are trying to find their path in the world? Poor, poor waitress. 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. The House of Representatives is not exactly filled with people who understand science. Thanks, interesting.This is a lot of psyllium to swallow. ATTIA: Exactly. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. But not too far behind it is cancer. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. And when it comes to naps, Dr. Peter says theyre fine, as long as they dont disrupt your sleep at night. Including a link to relevant content is permitted, but comments should be relevant to the post topic. LEVITT: And so why? Welcome toPeople I (Mostly) Admirewith Steve Levitt. I could basically, within two weeks, turn you into an almost-diabetic by sleep depriving you. Dr. Peter Attia. Thats actually a billion dollar question. degrees in mechanical engineering and applied mathematics. 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. Part 1. We talk once every six months or four months. 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. I mean, I probably wish I had been a bit more introspective a bit sooner. Yeah, some days its just fun to sit there and laugh and goof off. Dr. Attia is a huge proponent of supplementing with magnesium. Its also the one that seemed the most conflicted. So I dont know that I really deserve any credit. I want to be able to hop over a three-foot fence. So you have this starvation ketosis, nutritional ketosis. About Community. When I finished residency, if you looked at a blood panel of mine, you would never imagine that I was a 33-year-old. So, again, evolution won. To listen ad-free, subscribe to Stitcher Premium. 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. So the other thing we always want to be optimizing around is how much fiber can you get? And again fortunately, Olivias my oldest and shes 11. 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? 3K? The first two are simple: Diet and exercise. If were going to take Tylenol, we know the dose. That way, we can live lives that are both long and healthy! 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. LEVITT: So the goal was that you wanted immediate feedback on what was going on inside your body as you did these extreme workouts that you were prone to do. 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. Despite the fact that he exercised and followed a healthy diet, in 2009, Attia was overweight and had started developingmetabolic syndrome, putting him at risk for type 2 diabetes, heart disease and stroke. I also had an additional conversation with Kevin Hall, PhD, one of the key researchers NuSI . Bring everyone together in one space with Microsoft Teams! Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, @peterattiamd, and me, @lewishowes. LEVITT: Oh, God. 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. ATTIA: No. But I certainly didnt appreciate at the time what it was doing to my health. LEVITT: So youve devoted much of the last 10 years to understanding longevity better and the things that are under control of people in their behaviors. 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. So, Ive done a lot of advice already about nutrition and health on applied! 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