So how can we combat Type 2 diabetes? The heart could use it. 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. And so now eating a diet thats high in fructose, again, especially liquid fructose, wreaks all metabolic destruction. Welcome toPeople I (Mostly) Admirewith Steve Levitt. Fish Oil. ATTIA: I mean, if Im going to be critical, its not what we did in the first moment. 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. And then you have to have a third project, which is like 75 percent done. If you learned something today, please share it with us! 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? ATTIA: So there were a lot of things that were really upsetting me at the time. ATTIA: Totally my favorite thing on the planet. 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. 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. 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? We finished the round. We care about this. And then, of course, this third piece, which is the emotional resilience and the ability to maintain a tolerance around distress. , Most people, when they think of death, think of what we call cardiopulmonary death or what Im calling death-certificate death. But probably 80% of people have actually died one of the other deaths before they die a cardiopulmonary death. LEVITT: And it sounds like youre doing it all with private money. LEVITT: I will say that youve taught me a lot and I never told you this before youre one of the few people on the planet whose opinion I trust so completely that when you tell me to do something, no matter how absurd it sounds, I do it. I am responding to this post because: a) Peter's post made it into my message [] pick up the tab to really finish it, because this is a multi-year experiment. The second thing I would say is: really do not consider sunk costs in your career. 3K? Steve LEVITT: It is such a pleasure to be talking today with my good friend Peter Attia, physician, endurance athlete, longevity expert, podcaster. And so, to answer your question, Steve, I am still incredibly bearish on sugar. He is the host ofThe Drive, one of the most popular podcasts covering the topics of health and medicine. But I just decided death would be welcome. 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. And I religiously do whatever you tell me to do. Steve, we should have you take the Epworth Sleep Survey. We can be reached at. 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. I know Im inspired to increase my healthspan in addition to my lifespan, and I hope you are too! Where did this insecurity come from? All rights reserved. I rarely have a conversation with Peter in which he doesnt introduce me to something Ive never thought about before. 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. And caffeine blocks that. So my hours from 11:00 at night until like 5:00 in the morning, in a cold apartment. We won. You need to hit a local minima in life to make a change, if not an absolute minimum. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. 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. What a complete and total travesty. And we differentiate that form from the one that we evolved with by calling it nutritional ketosis. I mean, God, sometimes I hear stories like that and I just Im so embarrassed. But there was a brutal concussion I had. 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. I could barely turn my head. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Available for pre-order everywhere books are sold. He is an ultra-endurance athlete, compulsive self-experimenter, and one of the most fascinating human beings I know. Which diseases are killing people the most and what to do about it. I mean, there is, to me, no upside in outliving everyone that matters to you. He lives in Austin, Texas with his wife and three kids. 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.. And it didnt take me long to realize: not a chance in hell, for that exact reason. And theres this have you seen this thing called Mystery Science Theater 3000? ATTIA: Well, I think its too soon to say that. 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. Dr. Peter says there are four main ways to do it. Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! His practice also focuses on elements such as diet, sleep, exercise, and, physiological aspects that promote And better? So I was probably averaging 28 hours of sleep a week when I was in residency. That way, we can live lives that are both long and healthy! Now hes a physician focused on the science of longevity. So thats how I ended up at McKinsey. [4] So they think that you can show them something you havent done when youre done. 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. 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. Dr. Peter is the perfect person to talk to about health and longevity, and Im excited to have him on. And that seemed like a better option, given that I was already sitting on two hundred thousand dollars worth of debt. Enjoy this content? what happened to peter attia. So the other thing we always want to be optimizing around is how much fiber can you get? ATTIA: I did. Dr. Peter is working hard to keep his body strong and healthy functioning even into old age. I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. Peter Attia has dedicated his medical career to investigating the relationship between nutrition, obesity and diabetes. But I get a little bit worried that I dont know how to prepare them for a world that I dont understand. Non-lame, weekly emails on thelatest strategies and tacticsfor increasing your lifespan, healthspan, and well-being (plus new podcast announcements). Peter Attia is a Canadian-born doctor who focuses on the science of longevity. 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. today! So after college and before grad school. And I had all the time in the world. 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. But we just have to know what were doing it for and what matters. Why didn't you address what Nina has brought up? The owner of this blog reserves the right to edit or delete any comments submitted to the blog without notice. Thanks for listening. And the ability to quit or not quit becomes a very high-water mark to separate those people out. 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. 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. In addition to training at Johns Hopkins Hospital, Dr. Peter also spent two years at the. 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. He is the host of The Drive, one of the most popular podcasts covering the topics of health and medicine. But it also comes with letting go of a bunch of stuff, too. in mechanical engineering and applied mathematics. No government funds at all, is that right? How we are going about medicine the wrong way. When I finished residency, if you looked at a blood panel of mine, you would never imagine that I was a 33-year-old. LEVITT: Yes, so you gave me some Nicorette gum, and Ive never really smoked. Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! ATTIA: What an obnoxious idiot I was. And I felt great. The first two are simple: Diet and exercise. LEVITT: And did that pay off when you went to surgery? How does our mental health affect our longevity? And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. And actually, my model ended up working really well, but I was basically threatened that Id be fired if I ever did it again. Including a link to relevant content is permitted, but comments should be relevant to the post topic. But I loved the benefits of nicotine.. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. And to me, we want to minimize that gap, right? I definitely had one horrible concussion. is who Id want for my doctor. Peter Attia @PeterAttiaMD. 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. So I dont really chew it that much anymore, just out of sheer laziness. So I just generally say try not to eat too much before bed. So theres this molecule called adenosine. It showed I had cerebral contusions. And I missed that routine once in four years. 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. Of a pool where theres a one-foot gap between the water and the curb prepare! Thats high in fructose, wreaks all metabolic destruction something Ive never really smoked youre going eat. That form from the one that we evolved with by calling it nutritional ketosis, but should! 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