in mechanical engineering and applied mathematics. And Im the provocateur who helps de-risk these things. And therefore it was just disjointed. But you started out wanting to be a professional boxer. And if people say to me, sometimes hey man, Give me one piece of dietary advice, Id be like, Just start reading labels. LEVITT: Yeah, man, I could not agree with those two things more. This is a tragedy. But roughly how many years are we talking about of extended life, of maybe increased good years of life, would you guess that somebody who really puts their mind to it can buy through good behavior? The problem is that we may be living longer, but were living with chronic health conditions that significantly lower our quality of life. Dr. Attia was a surgical training student at Johns Hopkins Hospital from June 2001 to July 2006. So there are lots of benefits to fasting. Its one of the three vetted sleep surveys that really can give us insight into your sleep. ATTIA: I dont know. When it comes to reversing the effects of Type 2 diabetes and preventing further chronic health problems, sleep is essential. I rarely have a conversation with Peter in which he doesnt introduce me to something Ive never thought about before. 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. Its the cognitive piece so how well does your brain work as you age? Why dont we know the dose of fasting? Theres days when I think technologys going to solve all of our problems. 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. LEVITT: And did that pay off when you went to surgery? You have to have one project which is 95 percent done and turned out well. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. I basically had the worst headache of my life for the next three months. Comments that harass other posters will be deleted. 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. Its our inability to get smarter as we went along. department where I was, and I said, I have three new projects; Im going to put into my proposal., They said, No, you got it totally wrong. 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. You got to do it.. What the three main pieces of our healthspan are. and . I actually find a fasting sleep to be some of the most amazing because Im watching this plummeting temperature, rising heart rate variability, falling heart rate, all of those really valuable things. , 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. , My training is very specific, but now it is fundamentally organized around four pillars: Stability, strength, mitochondrial or aerobic efficiency, and anaerobic performance. , Those four main pillars focus on the different areas Dr. Peter wants to maintain good health even into old age. And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. 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. There are papers that have talked about and theorized that theres probably a 15-year extension that is plausible if everything is done right. 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. degrees in mechanical engineering and applied mathematics. Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. 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. Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. Part 1. In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. ATTIA: Yeah, I mean, most of these viruses are actually benign enough. 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.. So in the spirit of you changing your mind, Id love to just toss out a couple of topics and you tell me whats your current thinking on them? based in San Diego and New York. Right? 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 . Thats the problem that Dr. Peter and other doctors like him are trying to solve. on their work. Steve LEVITT: It is such a pleasure to be talking today with my good friend Peter Attia, physician, endurance athlete, longevity expert, podcaster. ATTIA: This is actually something thats really interesting. 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. If you just landed here, feel free to make a post about who you are, why you listen, and what you love . ATTIA: It was hard, actually. Hes one of the most intelligent, curious, compassionate people Ive ever met. I think I probably spent too many years ignoring things that shouldnt have been ignored. Im afraid that I havent done a great job. . 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. And then I would go to the gym and do an hour workout before that was mostly rowing machine and skipping. And then, of course, this third piece, which is the emotional resilience and the ability to maintain a tolerance around distress. Dr. Peter Attia. And we differentiate that form from the one that we evolved with by calling it nutritional ketosis. Were you a good boxer? All of the music you heard on this show was composed by Luis Guerra. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. ATTIA: Well, I think the benefits of fasting are legion. So it becomes a way for us to recycle our dead or defective cells. But thats not the only thing we can do. 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. . 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. Donate here: DID THE DIETARY GUIDELINES (AND LOW-FAT DIETS, SUGAR, ETC.) But it also comes with letting go of a bunch of stuff, too. Readdressing Dietary Guidelines - Dr. Peter Attia. I think its worth understanding that a little bit. In other words we have to learn how to manage the causes of stress and anxiety in our lives. Part of the practice includes nutritional biochemistry, a field that deals with supplements. [10][11] He was one of the speakers at TEDMED 2013.[12][13]. Meet Peter Attia, the Longevity Doctor That Detected Chris Hemsworth's "Biggest Fear" An Alzheimer's gene threatens the actor's healthspan, but Attia has a plan to fight back. The latter is just a liquid mixture of them in a slightly different ratio that favors fructose, which makes it a little sweeter. The House of Representatives is not exactly filled with people who understand science. Whats the latest we should eat before going to bed? A surgeon who developed metabolic syndrome himself despite the fact that he ate well and exercised often, Attia realized that our understanding of these important health issues may not actually be correct. This episode is informative, and I know youll get a lot of value from it. 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. 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. And I am so humbled by how bad I am now. ATTIA: No, I think its the hardest job. Because theyre funding studies that have already been done, instead of funding research to be done. And senescent cells basically send out these really nasty inflammatory signals to other cells that basically age them. And I came across this Noam Chomsky documentary. To listen ad-free, subscribe to Stitcher Premium. The other two preventions, however, might surprise you. He is the Co-founder and Chief Medical Officer of the fasting app. I want to be able to hop over a three-foot fence. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. Fish Oil. And armed with your Nicorette gum, I figured, Look, this is going to be perfect. And they mightve spent the last 20 of those years in an unbelievable state of misery. Aging often comes with significant physical problems that are increasingly tough to deal with. This mask versus that mask? 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.. 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. He is willing to entertain any hypothesis. ATTIA: Well, I mean, I think it definitely has some cognitive-sharpening capacities. HOMA-IR and frailty (same study as #3 linked twice); The studies that use OGTT do not establish that glucose variability above 140 mg/dL is important; None show that the high glucose itself is causal or that reducing it via diet will improve outcomes. 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. 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. Why is he telling us this? Whats important about that is the fructose molecule. Where did this drive come from? His practice also focuses on elements such as diet, sleep, exercise, and, physiological aspects that promote makes a complete mockery of what sexual harassment is and is not. Too often, it intervenes with treatments too late to help, prolonging lifespan at the expense of healthspan, or quality of life. I mean, I probably wish I had been a bit more introspective a bit sooner. funding for the rest of your life.. But it needs to be that long nap because thats about the length of time it takes to go through the phases of sleep. Prior to that, in 1996, he received a Bachelor of Science degree in Mechanical Engineering and Applied Mathematics from Queen's University. And so now eating a diet thats high in fructose, again, especially liquid fructose, wreaks all metabolic destruction. Non-lame, weekly emails on thelatest strategies and tacticsfor increasing your lifespan, healthspan, and well-being (plus new podcast announcements). Of course, this is now a very hot topic today. LEVITT: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. All of the music you heard on this show was composed by Luis Guerra. Ive known Peter for 10 years. 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. What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? And I had all the time in the world. Those three effectively make up three quarters of deaths of people who dont smoke. , 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. What happened to @DMSabatini. But I just decided death would be welcome. 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. Learn more at microsoft.com/teams, 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. 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