I mean, this is not an unethical thing to do. 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. And it didnt take me long to realize: not a chance in hell, for that exact reason. ATTIA: I mean, look, Steve, that is a million dollar question. This magnesium features what's called an enteric coating to protect it from premature disintegration. Theres days I guess I am. And the more I learned, frankly, the less I agreed with him. Right? Dr. Peters goal is to reduce those early deaths as much as possible. Steve LEVITT: It is such a pleasure to be talking today with my good friend Peter Attia, physician, endurance athlete, longevity expert, podcaster. Hes one of the most intelligent, curious, compassionate people Ive ever met. And thats really about the highest praise I can offer anyone I know. 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. Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. Aside from preventing chronic diseases like Type 2 diabetes, how can we extend our healthspans to become, as Dr. Peter put it, kick-ass 100-year-olds? to do just that, Dr. Peter structures his exercise around four main pillars: My training is very specific, but now it is fundamentally organized around four pillars: Stability, strength, mitochondrial or aerobic efficiency, and anaerobic performance. Dr. Peter Attia. 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. 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. According to Tools of Titans, Attia takes 600 to 800 mg per day of magnesium, alternating between mag sulfate and mag oxide. That way, we can live lives that are both long and healthy! [7] Attia co-founded and served as President of Nutrition Science Initiative (NuSI) with Gary Taubes in 2012. Peter Attia, MD Intends To Win The Centenarian DecathlonHere's How August 2022 Huberman Lab Exercise, Nutrition, Hormones for Vitality & Longevity August 2022 Jocko Podcast Overcoming Stress, Sleep Deprivation, and the Darkness with Peter Attia January 2017 The Tim Ferriss Podcast Fasting, Metformin, Athletic Performance, and More (#398) You have to have one project which is 95 percent done and turned out well. 200mg is relatively minor, but he supplemented for the sake of avoiding muscle cramps. Maybe it was partly the placebo effect of all your happy stories about it. What type of a person is going to be safe in what type of an environment to go back to work? Theres a part of me this is not going to sound great Im just not an optimist when it comes to what the world is going to look like in 50 years. 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. Attia has a chapter giving advice in Tim Ferriss' book Tools of Titans. ATTIA: Well, I think theres something biologically interesting that happens in people when they have a kid, which is, they sort of realize their own mortality in a way. 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. 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? So I dont really chew it that much anymore, just out of sheer laziness. 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%. LEVITT: So my wife is very upset that I like white bread. And to me, we want to minimize that gap, right? I think most people do get a bit of a cognitive jolt from it. Right? And Ive got her into it now. About Community. Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. LEVITT: So you love your children with a depth that is rare and I admire. [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. 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. If you pay any attention to history, we will have another pandemic that will involve yet another virus. So I think when you say sugar, what you mean is added sugar. Lets talk a little bit about the difference between lifespan and healthspan because theres a really key distinction between them. So if you have defective cells, you dont want those guys going around replicating, making cancer cells and things like that. 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. So it becomes a way for us to recycle our dead or defective cells. It showed I had cerebral contusions. He lives in Austin, Texas with his wife and three kids. Kudos to @SnoozyWeiss. Its one of the three vetted sleep surveys that really can give us insight into your sleep. December 9, 2022, Designed by Elegant Themes | Powered by WordPress. 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. After medical school, Attia spent five years at the Johns Hopkins Hospital in Baltimore, Maryland as a general surgery resident. And actually, my model ended up working really well, but I was basically threatened that Id be fired if I ever did it again. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. 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. Ive known Peter for 10 years. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. Its not about exercising more, especially as he gets older. He spent two years at the National Institutes of Health as a surgical oncology fellow at the National Cancer Institute, where his research focused on immune-based therapies for melanoma. 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. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. Thanks for listening. And thats important, but just as important is our mental health. [5] He spent two years at the National Cancer Institute (NCI) at National Institutes of Health (NIH), in Bethesda, Maryland as a surgical oncology fellow under Steven Rosenberg. 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. And to this day, we still respect each other greatly. And I felt great. After obtaining his medical degree from Stanford University, he was a surgeon at Johns Hopkins and worked at the National Cancer Institute. Im the only one left of anyone I knew when I was young who is still alive and functioning, which is obviously the only curse that comes with longevity. My guest today is physician Dr. Peter Attia. 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. 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. So you took more or less the same approach to academics that you took to boxing. Why didn't you address what Nina has brought up? I would run between five and 13 miles each morning. It was about 10 things. But it needs to be that long nap because thats about the length of time it takes to go through the phases of sleep. A SIXTEEN-ARTICLE POWERBOMB. Well, I have six kids and I havent had a good nights sleep in 18 years. 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. Dr. Peter Attia is a physician focusing on the applied science of longevity. from Stanford University and holds a B.Sc. LEVITT: Thats been my reaction exactly, is, the answer to every one of the questions you just posed is completely and totally knowable. What happened to @DMSabatini. You went to McKinsey. Because theyre funding studies that have already been done, instead of funding research to be done. 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. Im sure anyone who did something at a high level, whether it be playing the piano or doing anything, once theyre so far past their prime, they look back and go, I dont think I appreciated what it took to get there.. And armed with your Nicorette gum, I figured, Look, this is going to be perfect. You have to have a second project which youve actually done, but you pretend that you havent done it. 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 Attia and Dr. Andrew Huberman discuss the best exercises for health and longevity.Dr. Were you a good boxer? ATTIA: Correct. 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. Workout and Diet. Wouldnt you like to live longer? Do you recognize that in yourself? Did you get hit a lot in the head? 3K? 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.. Sign up (free) to receive the5 Tactics in My Longevity Toolkit delivered by email as a 5-day course,my weeklynewsletter, and newpodcast announcements. The four huge factors of Type 2 Diabetes. I dont know if you remember the first time we met, but we were at dinner and it must have been just after your birthday because you were glowing and you said, Oh my God, I got the best birthday present ever from my wife. And just to jog your memory, shed given you some kind of equipment that allowed you to prick your finger and do blood tests. We certainly didnt learn anything about it in med school. 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. It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. 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: 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. And in particular, I dont know if youve looked at naps at all, but theres some new research that suggests that in terms of afternoon productivity, naps have an incredible impact. And at the time, what they said I dont know if they still say it was that if you just limit yourself to something like three hours of sleep, you get used to it and your body adjusts to it. But the point is, without making these proactive changes, they mightve lived only until 70. 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). ATTIA: What an obnoxious idiot I was. What was the failure of either policy or medicine that led nobody to be generating that knowledge? My med school was at Stanford. The first two are simple: Diet and exercise. They have to basically show every year that theres an R.O.I. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. But I have to say, hes also completely, totally insane. Learn how to live longer, be healthier, and optimize your performance. And it was very uncomfortable. And I missed that routine once in four years. Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. Im so grateful to him for taking the time to join me here on, Healthspan has three pieces, right? Because for most people, the last 20 years, especially the last 10 years, are not great, both physically and cognitively. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. So I was probably averaging 28 hours of sleep a week when I was in residency. So thats called starvation ketosis. This episode is informative, and I know youll get a lot of value from it. CAUSE THE OBESITY EPIDEMIC IN THE UNITED STATES? Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. 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. 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 containing language or concepts that could be deemed offensive will be deleted. Ive never really experienced nicotine. And when I was applying for my first grant, I went to the senior people around the M.I.T. So, the other night, Olivias like, Daddy, lets watch a movie. And were like, all right. Its also the one that seemed the most conflicted. And I will say, hes one of the few people who when he tells me to do something, I just do it. Hes really it makes me hopeful that I got some of those genes, that I can have a shot at some of that too. ATTIA: Now, that I remember. Our lifespan is the amount of time we live, and it is steadily growing longer. The first two are simple: Diet and exercise. LEVITT: This is not a cheap study, I imagine. Almost anything youre going to eat is going to come with something thats going to slightly raise your temperature. 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. . Its our inability to get smarter as we went along. Explore the list of the most recommended book titles suggested by Peter Attia . People do get a bit of a pool where theres a one-foot gap between the water the. Our lifespan is the amount of time we live, and I havent had a good nights sleep in years! The physical piece your muscle mass function, ability to move, freedom pain. 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