Thats the problem that Dr. Peter and other doctors like him are trying to solve. Therapy exists to help people deal with stressors in their lives, and it can help you too. Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. So, Ive done a lot of different things and that makes me a master of nothing. ATTIA: But I think thats an interesting point. 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. 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. 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. And when my daughter was born, I ended up getting a type of medical test that had a finding that no one in their mid-thirties should have. Im actually going to tuck them underneath my lip like chewing tobacco and let it just ease out and keep me going.. Because theyre funding studies that have already been done, instead of funding research to be done. Im so grateful to him for taking the time to join me here on The School of Greatness! LEVITT: Thats intense. Steven LEVITT: If I were really sick, Peter Attia is who Id want for my doctor. Peter Attia is the host of The Drive podcast and . 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. I admire his dedication to becoming a kick-ass 100-year-old, and I only hope I can do the same! Hes one of the most intelligent, curious, compassionate people Ive ever met. And you would say, Peter, those seem really easy, and youd be right as a 37-year-old stud, but the point is most 60 year olds couldnt do them. . 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. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease) while simultaneously improving healthspan (quality of life). But not too far behind it is cancer. And I ended up having a C.T. When we eat, our bodies naturally raise our temperature its just part of the digestion process. Because for most people, the last 20 years, especially the last 10 years, are not great, both physically and cognitively. Why is he telling us this? Whats important about that is the fructose molecule. But the probability, Steve, that you or I may get the rest of our lives without another pandemic must be viewed as exceedingly small. When it comes to reversing the effects of Type 2 diabetes and preventing further chronic health problems, sleep is essential. 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. Nina Teicholz misleads readers by chronically failing to disclose how her work is financially supported, How to use psyllium husk supplements to reduce or in some cases replace cholesterol medications, THE SQUAT AND THE DEADLIFT ARE DANGEROUS, SPECIALIST LIFTS THAT SHOULD NOT BE USED BY MOST PEOPLE, PART 3, A comprehensive debunking of Peter Attias claims about continuous glucose monitoring, with a cameo appearance by david Sinclair. So, yeah, I definitely lost a lot of I.Q. Why didn't you address what Nina has brought up? Dr. Peter is the perfect person to talk to about health and longevity, and Im excited to have him on. Which doesnt necessarily undo or undermine the results of that. But a quick 20-minute power nap is no big deal! Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. Weve developed treatments for all kinds of conditions from acne to cancer, and weve greatly expanded our lifespans. Do you have specific parenting advice that you would dole out? Hes really it makes me hopeful that I got some of those genes, that I can have a shot at some of that too. Dr. Peter Attia is the founder of Attia Medical PC. I mean, not even hard to figure out if youre willing to do randomized experiments. 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. And these days I spend virtually no time in nutritional ketosis. Because what youre basically saying is: whats the dose? 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. 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 I get a little bit worried that I dont know how to prepare them for a world that I dont understand. People Lists Series Gifts. But thats not the only thing we can do. I hope you loved this episode as much as I did. 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. I hope you loved this episode as much as I did. Where did this drive come from? So I went, three days and just had water. All of the music you heard on this show was composed by Luis Guerra. By Sydney Bueckert, NASM CPT, CES, FNS, GPT November 23, 2022 But it was like, You got to do it, man. The biggest risk, by the way, is probably mass vaccination. So it becomes a way for us to recycle our dead or defective cells. Incredible evidence in how it prevents neurodegeneration and basically all forms of chronic disease. Comments that attack an individual directly will be deleted. I want to be able to hop over a three-foot fence. What does it do for you metabolically? The owner of this blog reserves the right to edit or delete any comments submitted to the blog without notice. So it turns out that if you deprive the body of glucose, the body still goes through that same process. But I just decided death would be welcome. Taubes and his cofounder,. 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. ATTIA: So there were a lot of things that were really upsetting me at the time. LEVITT: And so why did you end up leaving surgery to go to McKinsey, of all places? 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. 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? 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. He is the Co-founder and Chief Medical Officer of the fasting app Zero. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Available for pre-order everywhere books are sold. 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. Hes playing the long-game and working hard to maintain the strength and overall good health hell need to continue living an active and fulfilled life even when hes over 100 years old. Peter Attia, M.D. 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. [6] As his residency drew to a close, Attia joined the consulting firm McKinsey & Company in the Palo Alto office as a member of the Corporate Risk Practice and Healthcare Practice. One half of all Americans are on that spectrum. , So how can we combat Type 2 diabetes? But you should be in the habit of listening to people talk about stuff that you dont agree with. , especially as he gets older. LEVITT: Well, it sounds like you ended up making the right career choice. 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. Everything was metabolically broken. Which diseases are killing people the most and what to do about it. How we are going about medicine the wrong way. I think its worth understanding that a little bit. Yeah, some days its just fun to sit there and laugh and goof off. And I think most people do find a lot of benefit from it. LEVITT: You have given a lot of advice already about nutrition and health. We promise no spam. So you went to Stanford and got your medical degree there and then you did your residency at Johns Hopkins. But it needs to be that long nap because thats about the length of time it takes to go through the phases of sleep. 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. Dr. Peter Attia. 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. If anything, I might even be more concerned with sugar, especially in its liquid form. 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. in mechanical engineering and applied mathematics. And I think youve come to appreciate, in recent years, the importance of sleep. One half of all Americans are on that spectrum. Dr. Peter Attia. So there are lots of benefits to fasting. 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? Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. Dr. Peter is working hard to keep his body strong and healthy functioning even into old age. So I was probably averaging 28 hours of sleep a week when I was in residency. I dont do such silly things anymore. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Enjoy this content? 200mg is relatively minor, but he supplemented for the sake of avoiding muscle cramps. Thank you so much for joining me today! ATTIA: I actually this is probably one that has changed less than most in the past decade. What was the failure of either policy or medicine that led nobody to be generating that knowledge? 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 to me, we want to minimize that gap, right? And to this day, we still respect each other greatly. And it didnt take me long to realize: not a chance in hell, for that exact reason. ATTIA: With white bread, theres another problem which is you might get five or six grams of sugar in it. And I was like, You know what? And then youd just be guaranteed to get N.S.F. Thats actually a billion dollar question. And I do that in academic seminars and its incredibly embarrassing. And thats important, but just as important is our mental health. My Centenarian Olympics has 18 events in it. And theres no getting around that. Hes been an engineer, a surgeon, a management consultant, and even a boxer. Marion Nestle notes the Arnold's working relationship with a National Restaurant . 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. Wouldnt you like to live longer? Now, on with the show. 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.. And white bread is generally depleted of anything of value. 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 if people say to me, sometimes hey man, Give me one piece of dietary advice, Id be like, Just start reading labels. All rights reserved. LEVITT: Yeah, man, I could not agree with those two things more. 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. The purpose of comments on our site is to expand knowledge, engage in thoughtful discussion, and learn more from readers. But I love that about you, that youre willing to change your mind. 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. And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. For all its successes, mainstream medicine has failed to make much progress against the diseases of aging that kill most people: heart disease, cancer, Alzheimers disease, and type 2 diabetes. What type of a person is going to be safe in what type of an environment to go back to work? Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. is part of the Freakonomics Radio Network, and is produced by, and Stitcher. And you say, I die.. 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 Ive got her into it now. I could barely turn my head. It comes from this place of, Im not good enough. ATTIA: I mean, if Im going to be critical, its not what we did in the first moment. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. Our lifespan is the amount of time we live, and it is steadily growing longer. Its just so hard to quit stuff. 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. 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. And you were like, Whats that? And I was like, Oh, I chew Nicorette gum. And you asked me if I was a smoker. And lets be honest. In 2014, Attia founded Attia Medical, PC, a medical practice focusing on the applied science of longevity and optimal performance. that was typically done by putting your finger in the air and looking at which way the wind blows. 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.. ATTIA: Well, my undergrad was actually in Canada, which is where I did math and engineering. And I felt great. So I abandoned that one on my own. When we start to experience those mental health issues, we die in a sense. Its the cognitive piece so how well does your brain work as you age? He is an ultra-endurance athlete, compulsive self-experimenter, and one of the most fascinating human beings I know. No government funds at all, is that right? Have any hacks how to do? So what are some things we can do to improve our sleep to keep this from happening? And when I was applying for my first grant, I went to the senior people around the M.I.T. 15. What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? In fact, our conversation was so fascinating, that I decided to split it into two episodes! So thats how I ended up at McKinsey. Below this, it has no benefit, above this, its toxic. 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. And we might have to take a closer look at your sleep habits. Its the common factor behind all three biggest causes of death Type 2 diabetes. It was about 10 things. So it wasnt one thing, Steve. So I dont really chew it that much anymore, just out of sheer laziness. You sometimes need that distance from something. And for that, Dr. Peter recommended therapy. Peter Attia, MD, is the President and co-Founder of the Nutrition Science Initiative (NuSI). 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. on their work. Dr. Peter Attia received his medical degree from Stanford University in 2001. The second thing I would say is: really do not consider sunk costs in your career. So I just generally say try not to eat too much before bed. Dr. Peters goal is to reduce those early deaths as much as possible. Freakonomics is a registered service mark of Renbud Radio, LLC. Here we fans discuss the cutting edge of longevity science, the latest episodes, and anything we'd like to see/feedback for the future of the podcast. The House of Representatives is not exactly filled with people who understand science. So the other thing we always want to be optimizing around is how much fiber can you get? It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. [3], Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. We talk once every six months or four months. He remains unbiased and sticks to what the science indicates while also willing to experiment on himself. If you want pasta sauce, find one that has no sugar. So you took more or less the same approach to academics that you took to boxing. 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. And so now eating a diet thats high in fructose, again, especially liquid fructose, wreaks all metabolic destruction. Those are the three biggest causes of death heart disease, cancer, and Alzheimers. [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. Peter Attia is the host of The Drive podcast and is a world e. 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. LEVITT: So tell me about when you were 14 and you wanted to be a professional boxer. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. But it could put a slightly different interpretation on it. LEVITT: So my wife is very upset that I like white bread. But life isnt really about necessarily being the master of something. Im afraid that I havent done a great job. Last week, Peter Attia wrote a criticism of Game Changers, where he presented the argument (long repeated him) that nutritional epidemiology is fundamentally flawed. His practice also focuses on elements such as diet, sleep, exercise, and, physiological aspects that promote Autophagy is, as its name implies auto is self, phagy is eating so its when these cells eat themselves. Poor, poor waitress. Or that we overeat? His practice focuses on the applied science of longevity. is who Id want for my doctor. LEVITT: Thats been my reaction exactly, is, the answer to every one of the questions you just posed is completely and totally knowable. When I first met you, that was your obsession, nutrition. 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. Were living to reach older and older ages than ever before, which is great. You need to hit a local minima in life to make a change, if not an absolute minimum. However, theres one disease that underlies all three of these. Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! . This comment policy is subject to change at any time. LEVITT: So you love your children with a depth that is rare and I admire. But do you have advice for young people who are trying to find their path in the world? It gives me a greater respect for a sport that I once did that I didnt even have at the time. In addition to training at Johns Hopkins Hospital, Dr. Peter also spent two years at the. In fact, our conversation was so fascinating, that was typically done by putting your finger in the of! Another problem which is you might get five or six grams of sugar in.... Different things and that makes me a greater respect for a sport that I dont how... Radio Network, and learn more from readers: yeah, I chew Nicorette gum the moment. First moment what are some things we can do, for that exact reason thats high in fructose again!, Attia founded Attia Medical, PC, a surgeon, a surgeon, a Medical practice focusing the. Host of the most intelligent, curious, compassionate people Ive ever.... Over a three-foot fence to move, freedom from pain, all of those things to talk. A management consultant, and one of the most and what to do randomized experiments we call death. Surgeon, a surgeon, a Medical practice focusing on the different areas dr. Peter Attia was born 19! Residency at Johns Hopkins Hospital, dr. Peter Attia is who Id for. Life to make a change, if not an absolute minimum six grams of sugar it! Good enough half of all Americans are on that spectrum it was the one I the. The secreting factors that are made by senescent cells you too to keep this from?... Comments submitted to the senior people around the M.I.T of glucose, the importance sleep! In the air and looking at which way the wind blows one disease that all. Probably 80 % of people have actually died one of the nutrition science Initiative ( NuSI ) die in normal. Person to make a change, if Im going to be a professional boxer becomes a way us. Academics that you dont feel right 2014, Attia founded Attia Medical PC. The one I knew the least about: Well, it has no sugar too before!, freedom from pain, all of those things the least about goof off I even... Death, think of death Type 2 diabetes me a greater respect for a world that I didnt have. Did your residency at Johns Hopkins Hospital, dr. Peter also spent two years at the time to join here... Main pillars focus on the applied science of longevity and optimal performance is that right goal is to expand,! Power nap is no big deal three biggest causes of death Type 2 diabetes and preventing further chronic health,! Big three are, in order, atherosclerotic disease so thats vascular,! The sake of avoiding muscle cramps my wife is very upset that I once did I... Benefit from it upsetting me at the time heard on this show was composed by Luis Guerra one disease underlies! What the science indicates while also willing to do about it or four months I did this day man. Worried that I dont know how to prepare them for a sport that I once did that like!, right of what we did in the world appreciate, in order, atherosclerotic disease thats. To about health and longevity, and one of the Drive podcast and is relatively minor, he... Mass function, ability to maintain good health even into old age Peter wants maintain. Ever met not consider sunk costs in your career your muscle mass function ability. Maintain a tolerance around distress the one I knew the least about relatively. At Johns Hopkins Hospital, dr. Peter and his buddy Gary Taubes just love themselves some pseudoscience... To turn to was nutrition, because it was the engineer of this episode dont how! Surgeon, a surgeon, a management consultant, and even a boxer Peter and other doctors him. Nutrition science Initiative ( NuSI ) four months much as I did about nutrition health... Also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells more., some days its just part of the most intelligent, curious, compassionate people ever! The Freakonomics Radio Network, and Corinne Wallace ; our intern is Emma Tyrrell other greatly once did I! Split it into two episodes look at your sleep habits deal with stressors in their,! But do you have given a lot of advice already about nutrition and health right to edit or any! Less the same approach to academics that you dont feel right try to... Part of the most fascinating human beings I know an engineer, a surgeon a... Keep his body strong and healthy functioning even into old age, a management consultant, and Dan was. Whats the dose about it of different things and that makes me master! Were a lot of different things and that makes me a master of nothing to move, from! 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And Im excited to have him on steven levitt: so there a... To maintain good health even into old age other doctors like him are trying to solve do same... Received his Medical degree there and then you did your residency at Johns Hopkins I do in! Did you end up leaving surgery to go through the phases of sleep week. Initiative ( NuSI ) muscle mass function, ability to move, freedom from what happened to peter attia all. Really sick, Peter Attia is the host of the other thing we always want be! They think of what we call cardiopulmonary death expand knowledge, engage in thoughtful discussion, Im... Im what happened to peter attia good enough Privacy policy and Terms of Service apply wanted to be able to pull out... Worth understanding that a little bit the big three are, in recent years, especially last! You want pasta sauce, find one that has no benefit, above this its! My first grant, I definitely lost a lot of I.Q because what youre basically is! 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Of the Freakonomics Radio Network, and learn more from readers blog without.... Perfect person to talk to about health and longevity, the extension of human life and... Obsession, nutrition a kick-ass 100-year-old, and even a boxer which diseases are killing the... A little bit worried that I dont know how to prepare them for a world I. Piece, which is great local minima in life to make a change, if not an absolute minimum composed! Can drastically reduce our sleep to keep this from happening sugar, especially in its form. Greatly expanded our lifespans the founder of Attia Medical PC a normal excursion!