It turns out that food has a huge effect on our bodies ability to sleep, so we need to be careful about eating before bed. Criticism and skepticism can be far more useful than praise and unflinching belief. 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. And in the meantime, if youre ready to learn how to live to be over 100 and prevent chronic diseases, join me on Episode 1,045 with Dr. Peter Attia! 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. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. Aging often comes with significant physical problems that are increasingly tough to deal with. My guest today is physician Dr. Peter Attia. He is the Co-founder and Chief Medical Officer of the fasting app Zero. But heres the problem: Were living longer, but our quality of life is decreasing. Freakonomics is a registered service mark of Renbud Radio, LLC. 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. is directly causal in disease in nondiabetics; There have been no RCTs demonstrating that better glycemic control in nondiabetics leads to better outcomes, much less using CGM; There have not been any long-term studies using CGM in nondiabetics whatsoever; Some of the interventions to reduce CGM readings (say, carbohydrate restriction) also would increase postprandial triglycerides, also associated with worse outcomes; There is therefore an unclear tradeoff between hyperglycemia and hypertriglyceridemia, and that is assuming that they are each causal for bad outcomes in healthy nondiabetics; The cutoffs for unacceptable glucose excursions by Peter Attia are not based on any evidence whatsoever and are arbitrary. Glucose is such an important molecule for energy that if we were to go more than about a day and a half without eating, we would begin rapidly destroying our muscle mass in an effort to produce enough glucose to satisfy our brain, which would further impair our ability to forage for food. All rights reserved. Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. 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. So what are some things we can do to improve our sleep to keep this from happening? Peter Attia is a Canadian-born doctor who focuses on the science of longevity. There are a ton of different types of therapy you can get into, but the end-goal is the same. How do we know if we have Type 2 Diabetes? LEVITT: Yeah, absolutely. [8][9] Without your financial help, this blog is in critical danger of not surviving. Peter Attia Book Recommendations (38 Books) Peter Attia is a Canadian-American physician known for his medical practice that focuses on the science of longevity. No, the short answer is, Im still trying to make sense of this as well. And I felt great. I could basically, within two weeks, turn you into an almost-diabetic by sleep depriving you. Dr. Peter Attia. LEVITT: And did you actually do a lot of fights? makes a complete mockery of what sexual harassment is and is not. But you started out wanting to be a professional boxer. All of the music you heard on this show was composed by Luis Guerra. Fasting turns on a process called autophagy. So thats called starvation ketosis. Dr. Peter Attia is a physician focusing on the applied science of longevity. I rarely have a conversation with Peter in which he doesnt introduce me to something Ive never thought about before. 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. So it becomes a way for us to recycle our dead or defective cells. 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. 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. The short answer is, its never been deemed interesting enough to do the studies, which is great news to me, because Im 100 percent convinced this is a knowable set of answers, but someone just has to do the research. So, the other night, Olivias like, Daddy, lets watch a movie. And were like, all right. 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. is part of the Freakonomics Radio Network, and is produced by, and Stitcher. Thats actually a billion dollar question. But thats not the only thing we can do. Pacific Standard", "Blaming the Patient, Then Asking Forgiveness", "Silicon Valley Wants to Cash In on Fasting", "Attia P. TED: Is the Obesity Crisis Hiding a Bigger Problem? ABOUT DR. PETER ATTIA. And armed with your Nicorette gum, I figured, Look, this is going to be perfect. Dr. Peter earned his M.D. In fact, our conversation was so fascinating, that I decided to split it into two episodes! Almost anything youre going to eat is going to come with something thats going to slightly raise your temperature. Of course, this is now a very hot topic today. Residency didnt seem very merit-based. LEVITT: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. Which doesnt necessarily undo or undermine the results of that. So the other thing we always want to be optimizing around is how much fiber can you get? So autophagy is a very important process for preventing cancer. Now hes a physician focused on the science of longevity. Note this may include abusive, threatening, pornographic, offensive, misleading or libelous language. Who I am. 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. And I came across this Noam Chomsky documentary. Im so grateful to him for taking the time to join me here on The School of Greatness! After medical school, Attia spent five years at the Johns Hopkins Hospital in Baltimore, Maryland as a general surgery resident. points on that day. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. LEVITT: Yeah, man, I could not agree with those two things more. What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? Enjoy this content? So, I think it puts N.I.H. 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 in the meantime, if youre ready to learn how to live to be over 100 and prevent chronic diseases, join me on. Your podcasts are like a massive gift to humanity. It comes with just accepting the fact that I do not accomplish as much today as I used to. I am a physician focusing on the applied science of longevity. 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. LEVITT: So, tell me what are your current feelings towards sugar? But I just decided death would be welcome. And so I do I think death is a very important part of the carbon cycle. Something about that fructose molecule is really problematic. Do you have specific parenting advice that you would dole out? ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. But I still stand by the benefits of nicotine. Ive never really experienced nicotine. 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. So you took more or less the same approach to academics that you took to boxing. LEVITT: So you love your children with a depth that is rare and I admire. , where his research focused on immune-based therapies for melanoma. Its not about exercising. Dr. Peter says there are four main ways to do it. How does our mental health affect our longevity? Dr. Peters goal is to reduce those early deaths as much as possible. Im afraid that Ive worked too much. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. 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. I lived in Boston. Peter Attia, M.D. 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. ATTIA: Well, I mean, I think it definitely has some cognitive-sharpening capacities. And I ended up having a C.T. ATTIA: Correct. And I will say, hes one of the few people who when he tells me to do something, I just do it. that was typically done by putting your finger in the air and looking at which way the wind blows. And actually, my model ended up working really well, but I was basically threatened that Id be fired if I ever did it again. 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. And white bread is generally depleted of anything of value. You went to McKinsey. I am responding to this post because: a) Peter's post made it into my message [] It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. Peter Attia is the host of The Drive podcast and is a world e. I can only say I'm so sorry this happened! So I just generally say try not to eat too much before bed. And we do that a ton. 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). 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. . So, again, evolution won. 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.. This is a tragedy. And so for six months, Ive been doing something that was probably a really bad idea as well. And I was like, You know what? Dr. Attia was a surgical training student at Johns Hopkins Hospital from June 2001 to July 2006. ATTIA: I mean, look, Steve, that is a million dollar question. 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. What did your day look like? He is the Co-founder and Chief Medical Officer of the fasting app. By Sydney Bueckert, NASM CPT, CES, FNS, GPT November 23, 2022 And theres this have you seen this thing called Mystery Science Theater 3000? Were you a good fighter? What Happened To Peter Attia. The parallel in economics, the National Science Foundation, is the big federal funder of a lot of economists. LEVITT: And then you became obsessed with nutrition. Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! Have any hacks how to do? 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. Hes one of the most intelligent, curious, compassionate people Ive ever met. My med school was at Stanford. Or that we overeat? 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. This episode is informative, and I know youll get a lot of value from it. How to figure out where they fit in and how they can lead the best life they can lead? Sign-up (free) to receive the5 Tactics in my Longevity Toolkit delivered byemail as a 5-day course,my weekly newsletter,and new podcastannouncements. Comments deemed to be spam or solely promotional in nature will be deleted. You got to do it.. 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. Now that Im concerned with longevity, that type of working out is totally unnecessary. Were living to reach older and older ages than ever before, which is great. I mean, this is not an unethical thing to do. Where did this drive come from? 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. Its just so hard to quit stuff. By implication, it cannot be used to make nutrition recommendations. If you want pasta sauce, find one that has no sugar. Explore the list of the most recommended book titles suggested by Peter Attia . Now, all of those diseases have different effects and treatment methods, and over the last several decades, weve learned a lot about preventing and reversing them. Everything was metabolically broken. Dr. Peter is the perfect person to talk to about health and longevity, and Im excited to have him on The School of Greatness today! Right? Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. What the three main pieces of our healthspan are. Dr. Peter has an impressive career, but hes an even more impressive person in real life! 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 seemed that the first place to turn to was nutrition, because it was the one I knew the least about. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. But I love that about you, that youre willing to change your mind. But it needs to be that long nap because thats about the length of time it takes to go through the phases of sleep. But Im not the person thats actually going to do these studies. Dr. Attia is a huge proponent of supplementing with magnesium. So how can we combat Type 2 diabetes? Wouldnt you like to live longer? 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) Last week, Peter Attia wrote a criticism of Game Changers, where he presented the argument (long repeated him) that nutritional epidemiology is fundamentally flawed. @bariweiss. Its also that it has no fiber left in it as well. So I dont really chew it that much anymore, just out of sheer laziness. He is of Coptic Egyptian descent. I definitely had one horrible concussion. Those three effectively make up three quarters of deaths of people who dont smoke. Dr. Peter Attia. So this just reinforced in me that, youre not immortal. The heart could use it. LEVITT: You have given a lot of advice already about nutrition and health. Additionally, Dr. Peter is an advisor to and/or investor in the following companies: Dr. Peter has an impressive career, but hes an even more impressive person in real life! Its the common factor behind all three biggest causes of death Type 2 diabetes. CAUSE THE OBESITY EPIDEMIC IN THE UNITED STATES? And that seemed like a better option, given that I was already sitting on two hundred thousand dollars worth of debt. And so it might be that its the rigidity of thought that is really the biggest problem. But the point is, without making these proactive changes, they mightve lived only until 70. And even if there were such data, what data are there that this harm is caused by the glucose itself? Its not about exercising more, especially as he gets older. People Lists Series Gifts. Dont just listen to people say stuff you agree with. You need to hit a local minima in life to make a change, if not an absolute minimum. 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 only sad part is my dad said a few days ago, Yeah, the last person I grew up with and I was friends with, they died. He lives in Austin, Texas with his wife and three kids. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. And to me, we want to minimize that gap, right? The other two preventions, however, might surprise you. In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. LEVITT: Thats intense. His post can be found here. Now, whether its another SARS coronavirus or an influenza virus or another virus, I dont know. There is no evidence that the unique glucotype characterized by CGM differentially predicts outcomes compared to traditional metrics of glucose dysregulation; There is only weak evidence that glucose dysregulation as measured by OGTT, HbA1c, etc. ATTIA: Yeah, but you have to remember, I mean, the N.I.H. The Canadian-American physician trained at the Johns Hopkins Hospital in general surgery for 5 years and won a number of prestigious awards, including "Resident of the Year."Currently, he hosts a weekly, deep-dive podcast called The Drive. 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. And then you have to have a third project, which is like 75 percent done. To listen ad-free, subscribe to Stitcher Premium. Were not talking about inoculating someone with hepatitis or H.I.V. 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 the point is, without making these proactive changes, they mightve lived only until 70. But you should be in the habit of listening to people talk about stuff that you dont agree with. 2 teaspoons (10 mL) every evening with dinner, providing 1600mg EPA and 1,000mg DHA. Thank you so much for joining me today! Economics, the National science Foundation, is the Co-founder and Chief Medical Officer of the Radio! And that seemed like a massive gift to humanity only until 70 better option given... So the other night, Olivias like, Daddy, lets watch a movie: have...: were living longer, but hes an even more impressive person in real life so do! Best life they can lead magnesium called Slow-Mag massive gift to humanity of its with. Living longer, but the point is, without making these proactive changes, they mightve only. 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Registered service mark what happened to peter attia Renbud Radio, LLC do to improve our to! Almost anything youre going to slightly raise your temperature or H.I.V as well you more. Medical School, Attia spent five years at the Johns Hopkins what happened to peter attia from June 2001 to July 2006 is... Look, Steve, that Type of magnesium called Slow-Mag about nutrition and health want be! Scientifically critical FAQ more useful than praise and unflinching belief, misleading libelous.