Theres an, Tim is an early-stage investor and author of five #1 New York Times bestsellers. What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? 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. LEVITT: No, it was when I worked in consulting. So youre probably just in what are called theta waves. Because what youre basically saying is: whats the dose? But when you consume too much glucose, your body cant use it. LEVITT: And so why did you end up leaving surgery to go to McKinsey, of all places? [10][11] He was one of the speakers at TEDMED 2013.[12][13]. Its not about exercising. ATTIA: I mean, I was a pretty good fighter at the time, but we have a heavy bag in our garage now. 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. Peter Attia is a physician focusing on the applied science of longevity. Today, we have more medical knowledge than ever before. Aging often comes with significant physical problems that are increasingly tough to deal with. 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. Youre listening toPeople I (Mostly) Admire with Steve Levitt, and his conversation with physician and scientist Peter Attia. Now, whether its another SARS coronavirus or an influenza virus or another virus, I dont know. But when we sleep, its best for our bodies to be cold when we sleep cooler, we get more rejuvenating sleep. 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. Why didn't you address what Nina has brought up? . 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. I definitely had one horrible concussion. Now he's a physician focused on the science of longevity. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. I basically had the worst headache of my life for the next three months. 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? I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. The other two preventions, however, might surprise you, If I just took 20 guys like you and took them from eight hours a night to four hours a night for two weeks and then did these glucose tolerance tests, I could reduce [their] glucose disposal by 50%. But of course, we live in an environment where natural selection doesnt have the time to make modifications. In fact, our conversation was so fascinating, that I decided to split it into two episodes! I mean, there is, to me, no upside in outliving everyone that matters to you. 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. I mean, my testosterone was slightly higher than that of a prepubescent girl. He is an ultra-endurance athlete, compulsive self-experimenter, and one of the most fascinating human beings I know. Please be respectful toward other contributors. Its just so hard to quit stuff. I took out a piece of Nicorette gum and I started chewing. Part of the practice includes nutritional biochemistry, a field that deals with supplements. And caffeine blocks that. We certainly didnt learn anything about it in med school. One half of all Americans are on that spectrum. , So how can we combat Type 2 diabetes? What type of a person is going to be safe in what type of an environment to go back to work? So the other night here is a funny story, because it will come across that my daughter lives a tortured life she really does enjoy this stuff. ATTIA: Well, rigidity of thinking is generally a bad thing. And I felt great. 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. And I now realize in retrospect that was almost assuredly primarily being contributed by the lack of sleep. LEVITT: So can you talk about ketosis a little bit and what that means? How often? Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. Your body naturally creates glucose in your liver, so when you eat and consume extra glucose, your body sends it to your muscles, and you use it as energy. Fish Oil. 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. And Tony Robbins said, The human body is the best picture of the human soul.. 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. Dr. Peter Attia. There are papers that have talked about and theorized that theres probably a 15-year extension that is plausible if everything is done right. 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. Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. It was about 10 things. 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. Slow-Mag is designed to maximize mag's benefits while simultaneously minimizing its side effects. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. So my guess is, theres some measure around helping them become better thinkers. Thanks for listening. LEVITT: This is not a cheap study, I imagine. Ive known Peter for 10 years. Dr. Attia is a huge proponent of supplementing with magnesium. Hes really it makes me hopeful that I got some of those genes, that I can have a shot at some of that too. 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). 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. I could basically, within two weeks, turn you into an almost-diabetic by sleep depriving you. Dr. Peter Attia. Throughout our lives, we experience different stressors that can cause strain on our mental health. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. Its one of the three vetted sleep surveys that really can give us insight into your sleep. Too often, it intervenes with treatments too late to help, prolonging lifespan at the expense of healthspan, or quality of life. And so for six months, Ive been doing something that was probably a really bad idea as well. Below this, it has no benefit, above this, its toxic. Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. 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. Dont just listen to people say stuff you agree with. But its something I at least pay attention to now. Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. is who Id want for my doctor. And the ability to quit or not quit becomes a very high-water mark to separate those people out. A look at the effort to figure out why we're fat", "What Makes You So Smart, Peter Attia? I would be up at five oclock every morning. Anonymous comments will be deleted. Im so grateful to him for taking the time to join me here on, Healthspan has three pieces, right? And I would get so tired that I would go to bed at eight oclock at night and Id wake up at 11:00. Attia speaks at the Ancestral Health Symposium in 2013, "A Manhattan Project To End The Obesity Epidemic", "Is it what we eat? So how about nicotine? 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 . But life isnt really about necessarily being the master of something. is part of the Freakonomics Radio Network, and is produced by, and Stitcher. This magnesium features what's called an enteric coating to protect it from premature disintegration. By implication, it cannot be used to make nutrition recommendations. I think they often get confounded. He also receives speaking honorariums from organizations, including hospitals and health-related businesses, when he is asked to speak on longevity, metabolic-related topics, athletic performance, and his personal experience working in medicine. And so many years later, as I began to actually understand the benefits of sleep, it stands alone as one of what I think of as one of the four or five pillars of longevity. And just to be clear, Im just the guy who started it and who raises the money. Learn how to live longer, be healthier, and optimize your performance. Lets dive in! I think nicotine is a remarkable molecule. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. It started very early. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. I mean, God, sometimes I hear stories like that and I just Im so embarrassed. Youll have to wait until Wednesday 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. 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. We can be reached at radio@freakonomics.com. I just didnt care if I was alive or dead, even though I wasnt even particularly tired. Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. Did you get hit a lot in the head? Yesterday, I just finished a three-day fast. 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. All contents Freakonomics. What do you do daily to live a longer and healthier life? 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. Dr. Peter earned his M.D. And a guy who was one weight class above me and quite frankly, at that point, a better fighter I mean, he just landed a right cross on the side of my head that at the time, I didnt think anything of. Peter Attia has dedicated his medical career to investigating the relationship between nutrition, obesity and diabetes. 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. It comes with just accepting the fact that I do not accomplish as much today as I used to. I might as well be 60 doing what it is I love at the time Im 60, as opposed to what I should be doing because I trained for it for all these other times. And these days I spend virtually no time in nutritional ketosis. What the three main pieces of our healthspan are. And I am so humbled by how bad I am now. 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. And we do that a ton. And it was very uncomfortable. Well, I have six kids and I havent had a good nights sleep in 18 years. Its the cognitive piece so how well does your brain work as you age? Dr. Peter Attia is the founder of Attia Medical PC. Were you a good boxer? How many other concussions I had, I dont know. 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. in mechanical engineering and applied mathematics. 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. Comments that attack an individual directly will be deleted. ATTIA: It was hard, actually. So I just generally say try not to eat too much before bed. And I came across this Noam Chomsky documentary. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. Lets watch this thing instead. And shes like, Who is this guy? And I said, Look, I dont agree with half the things this guy says, but he is categorically one of the smartest dudes ever. You sometimes need that distance from something. He hosts the popular podcast The Tim Ferriss Show, movies depicting minor league hockey teams. LEVITT: One of the things that really bothers me about myself is that I can fall asleep anywhere, anytime. 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. He is the Co-founder and Chief Medical Officer of the fasting app. Its a bit of luck and its having really good people around me who are really patient, who have been able to help nurture me back to a new way of thinking about life that is unrecognizable compared to the ethos that was 10 years ago. 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! And then take a little step further, and you reach neurodegenerative disease, of which Alzheimers disease is far and away the most common and also the most rapidly increasing. ", https://en.wikipedia.org/w/index.php?title=Peter_Attia&oldid=1139971534, Stanford University School of Medicine alumni, Articles with unsourced statements from February 2023, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 17 February 2023, at 19:54. But not too far behind it is cancer. If anything, I might even be more concerned with sugar, especially in its liquid form. Dr. Peter Attia and Dr. Andrew Huberman discuss the truth about dietary cholesterol and what impacts it.Dr. Why dont we know the dose of fasting? But to accomplish that goal, we have to learn how to prevent chronic diseases. Lets dive in! For one thing, we can avoid looking at our electronics before bed. Residency didnt seem very merit-based. And then I would come home and I had a ritual that I would do 400 pushups every single night in sets of 50s and then go to bed and repeat. You went to McKinsey. Dr. Attia is medical doctor who focuses on the science behind living a longer, healthier life. And I think its the perfect model, which is: let the government come in when its been de-risked. So this just reinforced in me that, youre not immortal. 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. [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. 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