He also. But it needs to be that long nap because thats about the length of time it takes to go through the phases of sleep. 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! But not too far behind it is cancer. All rights reserved. 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! Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. But its crazy. I am responding to this post because: a) Peter's post made it into my message [] Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! Peter Attia is a Canadian-born doctor who focuses on the science of longevity. Dr. Attia is medical doctor who focuses on the science behind living a longer, healthier life. 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. 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. , where his research focused on immune-based therapies for melanoma. Im afraid that Ive worked too much. Dr. Peter Attia is the founder of Attia Medical PC. We finished the round. LEVITT: So, tell me what are your current feelings towards sugar? And I think the people who are luckiest and I put myself in that category hit local minima, recognize theyve hit a local minima, but not so much damage has been done that they cant get out of it. 200mg is relatively minor, but he supplemented for the sake of avoiding muscle cramps. It showed I had cerebral contusions. Did you get hit a lot in the head? Dr. Peter is the perfect person to talk to about health and longevity, and Im excited to have him on. ABOUT DR. PETER ATTIA. [4] I mean, God, sometimes I hear stories like that and I just Im so embarrassed. And I had all the time in the world. And we might have to take a closer look at your sleep habits. Theres days when I think technologys going to solve all of our problems. Because there are risks to doing this study. So the former is one molecule of something called glucose and one of fructose bound together. The four pillars of being a kick-ass 100-year-old. 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. And you might say, Well, gosh, thats a lot of money. But in the scope of things, thats a trivial sum of money, if we could actually know that this much fasting could extend not just life, but improve quality of life that much. His practice also focuses on elements such as diet, sleep, exercise, and, physiological aspects that promote Peter Attia @PeterAttiaMD. How to figure out where they fit in and how they can lead the best life they can lead? degrees in mechanical engineering and applied mathematics. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. He is the Co-founder and Chief Medical Officer of the fasting app. 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. Do you recognize that in yourself? Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. 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. Dr. Peter is working hard to keep his body strong and healthy functioning even into old age. I am absolutely in the process of rewriting it, and that is my intention. Your lifespan may be longer, but your healthspan the amount of life you live in good health isnt. All contents Freakonomics. Criticism and skepticism can be far more useful than praise and unflinching belief. Dont just listen to people say stuff you agree with. 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. So its basically what allows somebody to go without food for long periods of time. And I will say, hes one of the few people who when he tells me to do something, I just do it. 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. And to me, we want to minimize that gap, right? ATTIA: It was hard, actually. Of course, this is now a very hot topic today. Which diseases are killing people the most and what to do about it. ATTIA: Exactly. In addition to training at Johns Hopkins Hospital, Dr. Peter also 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. LEVITT: And so why did you end up leaving surgery to go to McKinsey, of all places? So I dont really chew it that much anymore, just out of sheer laziness. funding for the rest of your life.. But not too far behind it is cancer. ATTIA: This is actually something thats really interesting. We care about this. Kudos to @SnoozyWeiss. Now that Im concerned with longevity, that type of working out is totally unnecessary. Thats the problem that Dr. Peter and other doctors like him are trying to solve. Residency didnt seem very merit-based. 2 teaspoons (10 mL) every evening with dinner, providing 1600mg EPA and 1,000mg DHA. what happened to peter attia. Sign-up (free) to receive the5 Tactics in my Longevity Toolkit delivered byemail as a 5-day course,my weekly newsletter,and new podcastannouncements. 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 the other thing we always want to be optimizing around is how much fiber can you get? ATTIA: Well, I think its too soon to say that. So thats how I ended up at McKinsey. He is well . scan a couple days later. After obtaining his medical degree from Stanford University, he was a surgeon at Johns Hopkins and worked at the National Cancer Institute. That was painful to watch. Yesterday, I just finished a three-day fast. When we eat, our bodies naturally raise our temperature its just part of the digestion process. 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. All of the music you heard on this show was composed by Luis Guerra. 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. He remains unbiased and sticks to what the science indicates while also willing to experiment on himself. 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. Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. 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? Enjoy this content? And then I was going to Netflix to find it. It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. 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. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. Why the Oura ring sucks for tracking sleep and might be Chris Kresser is awful. And then probably have N.I.H. 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. And thats important, but just as important is our mental health. Attia speaks at the Ancestral Health Symposium in 2013, "A Manhattan Project To End The Obesity Epidemic", "Is it what we eat? 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. 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. 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. To listen ad-free, subscribe to Stitcher Premium. and holds a B.Sc. 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. But we just have to know what were doing it for and what matters. He lives in Austin, Texas with his wife and three kids. I mean, I probably wish I had been a bit more introspective a bit sooner. So I think when you say sugar, what you mean is added sugar. What does it do for you metabolically? Whats the latest we should eat before going to bed? You have to have a second project which youve actually done, but you pretend that you havent done it. LEVITT: This is not a cheap study, I imagine. on their work. 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. For one thing, we can avoid looking at our electronics before bed. So, the other night, Olivias like, Daddy, lets watch a movie. And were like, all right. Dr. Peter says there are four main ways to do it. LEVITT: And did that pay off when you went to surgery? LEVITT: Oh, God. And to me, we want to minimize that gap, right? And it was very uncomfortable. Hes one of the most intelligent, curious, compassionate people Ive ever met. But the muscles could use it. As we get older, we may develop knee or hip problems, hearing or vision loss, or even memory problems. Theres days when I really feel like Im getting left behind and the train is so far ahead and Im never going to catch up. But life isnt really about necessarily being the master of something. But I have to say, hes also completely, totally insane. 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! [7] Attia co-founded and served as President of Nutrition Science Initiative (NuSI) with Gary Taubes in 2012. is incredibly risk averse. ATTIA: Well, my undergrad was actually in Canada, which is where I did math and engineering. So youre probably just in what are called theta waves. Everything was metabolically broken. You remember what Im talking about? He is licensed in Texas (S8803), California (A96452), and New York (281406-1). Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. I am a physician focusing on the applied science of longevity. Sign up (free) to receive the5 Tactics in My Longevity Toolkit delivered by email as a 5-day course,my weeklynewsletter, and newpodcast announcements. I would run between five and 13 miles each morning. LEVITT: Thats been my reaction exactly, is, the answer to every one of the questions you just posed is completely and totally knowable. LEVITT: All right, so lets talk about your very unusual background. in mechanical engineering and applied mathematics. 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. LEVITT: Yeah, absolutely. But what was it? [8][9] Peter ATTIA: If Im proudest of anything Ive done in my life, its that every time Ive made a change that has looked really stupid, Ive always been able to think that its okay, because Im going to be 60 one day. 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. This episode is informative, and I know youll get a lot of value from it. But it also comes with letting go of a bunch of stuff, too. They have to basically show every year that theres an R.O.I. One half of all Americans are on that spectrum. , So how can we combat Type 2 diabetes? He is of Coptic Egyptian descent. Stay up-to-date on all our shows. 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. Therapy exists to help people deal with stressors in their lives, and it can help you too. And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. It also has a significant effect in terms of fat oxidation. Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. I can only say I'm so sorry this happened! 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. I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. 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 the ability to quit or not quit becomes a very high-water mark to separate those people out. HOMA-IR and frailty (same study as #3 linked twice); The studies that use OGTT do not establish that glucose variability above 140 mg/dL is important; None show that the high glucose itself is causal or that reducing it via diet will improve outcomes. We promise no spam. Comments that attack an individual directly will be deleted. So this just reinforced in me that, youre not immortal. Its not about exercising. And actually, my model ended up working really well, but I was basically threatened that Id be fired if I ever did it again. . Where did this insecurity come from? ATTIA: So ketosis is arguably one of the most important, if not the most important, metabolic adaptation that allowed our species to survive, because our brains are so dependent on glucose. ATTIA: I did. And white bread is generally depleted of anything of value. I admire his dedication to becoming a kick-ass 100-year-old, and I only hope I can do the same! No government funds at all, is that right? I think most people do get a bit of a cognitive jolt from it. It turns out that managing Type 2 diabetes and stress have massive effects on our overall health, and they can even help us increase our healthspans. But I think there was a very similar insecurity. So you have this starvation ketosis, nutritional ketosis. So I dont know that I really deserve any credit. in mechanical engineering and applied mathematics. Steve, we should have you take the Epworth Sleep Survey. As an Amazon Associate, Freakonomics may earn commissions from qualifying purchases made through links on this site. 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. So I think the whole boxing thing came from an insecurity. Fasting turns on a process called autophagy. People Lists Series Gifts. Its a wonderful fuel. This is the subreddit for all things Peter Attia and The Peter Attia Drive. What was the failure of either policy or medicine that led nobody to be generating that knowledge? According to Tools of Titans, Attia takes 600 to 800 mg per day of magnesium, alternating between mag sulfate and mag oxide. Im actually going to tuck them underneath my lip like chewing tobacco and let it just ease out and keep me going.. They get their money from Congress. ATTIA: But I think thats an interesting point. And I dont say that necessarily to be critical, but its just, you want to talk about incentives. But the point is, without making these proactive changes, they mightve lived only until 70. Learn how to live longer, be healthier, and optimize your performance. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. Born: 1973. 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. 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. 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. 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 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. Lets dive in! You went to McKinsey. After publishing my post Nutrition Science Initiative (NuSI) in retrospect, I received an email from Peter Attia, MD, the former president of NuSI, suggesting that I had gotten aspects of the story wrong due to a lack of additional context.Attia and I spoke twice by phone, and I think he has a point. Dr. Peter Attia is a physician focusing on the applied science of longevity. So my guess is, theres some measure around helping them become better thinkers. Please be respectful toward other contributors. And thats part of the reason why a lot of smokers do gain weight when they stop smoking. 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. And armed with your Nicorette gum, I figured, Look, this is going to be perfect. But theres a lot of new research coming out among economists, of all people, thats starting to flag the importance of sleep. 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. In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. 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? Its also that it has no fiber left in it as well. And senescent cells basically send out these really nasty inflammatory signals to other cells that basically age them. LEVITT: Yeah. So how can we combat Type 2 diabetes? The first two are simple: Diet and exercise. ATTIA: Ive come a long way since then, Steve. I basically had the worst headache of my life for the next three months. After medical school, Attia spent five years at the Johns Hopkins Hospital in Baltimore, Maryland as a general surgery resident. It was really an interesting thing to watch. Anonymous comments will be deleted. 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. Its also the one that seemed the most conflicted. Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. So autophagy is a very important process for preventing cancer. The first two are simple: Diet and exercise. 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. Always want to be generating that knowledge of working out is totally unnecessary and so why did get. 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