And caffeine blocks that. Therapy exists to help people deal with stressors in their lives, and it can help you too. ATTIA: So there were a lot of things that were really upsetting me at the time. And then after school, I would get home and then do another 90 minutes of work on the heavy bag, speed bag, double end bag in my basement, coupled with more anaerobic training. And theres no getting around that. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. 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. Dr. Peter Attia is a physician focusing on the applied science of longevity. And that work ethic came from this belief that I actually dont think is that healthy. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. pick up the tab to really finish it, because this is a multi-year experiment. The problem is that we may be living longer, but were living with chronic health conditions that significantly lower our quality of life. But not too far behind it is cancer. So after college and before grad school. . And the more adenosine you accumulate, the more you fatigue. Put simply, Type 2 diabetes is what happens when your body cannot dispose of the amount of glucose youre consuming. 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 maybe I would also say how ineffective our medical system has been more generally with Covid. 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. 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. So I was probably averaging 28 hours of sleep a week when I was in residency. 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. It is the one thing that makes all three of those worse, and, in its most extreme state, its Type 2 diabetes. Ive been enjoying them very much, If you want to know how to live longer, and how to live better, you should be listening to Peter. 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! LEVITT: But when you say risk, you talk about risk of wasting the money? [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. And they have totally different mechanisms. 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 the more I learned, frankly, the less I agreed with him. is part of the Freakonomics Radio Network, and is produced by, and Stitcher. Where did this insecurity come from? Im afraid that I havent done a great job. 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. While it's easy for me to say, I implore you to keep fighting back and never . And finally, the fourth thing that significantly affects our chances of getting Type 2 diabetes is stress. 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. 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). Kudos to @SnoozyWeiss. Sign-up (free) to receive the5 Tactics in my Longevity Toolkitdelivered by email as a 5-day course. People I (Mostly) Admire is part of the Freakonomics Radio Network, and is produced by Freakonomics Radio and Stitcher. 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. I mean, I probably wish I had been a bit more introspective a bit sooner. By reducing the amount of carbohydrates we consume and by exercising, we reduce the amount of glucose were consuming and increase our muscle so that when we, consume glucose, our bodies have somewhere to put it. Donate here: DID THE DIETARY GUIDELINES (AND LOW-FAT DIETS, SUGAR, ETC.) 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. And then the evening would be going to the gym for sparring. But thats not the only thing we can do. Anonymous comments will be deleted. Dr. Peter says there are four main ways to do it. Most organs could use it. 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. He lives in Austin, Texas with his wife and three kids. , a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. So I dont really chew it that much anymore, just out of sheer laziness. However, theres one disease that underlies all three of these. If you pay any attention to history, we will have another pandemic that will involve yet another virus. ATTIA: But I think thats an interesting point. LEVITT: No, it was when I worked in consulting. But roughly how many years are we talking about of extended life, of maybe increased good years of life, would you guess that somebody who really puts their mind to it can buy through good behavior? And more recently, and that is to say in the last hundred years or so, people figured out that you could basically trick your body into doing that by restricting carbohydrates. 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. I took out a piece of Nicorette gum and I started chewing. 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! ATTIA: Well, rigidity of thinking is generally a bad thing. But life isnt really about necessarily being the master of something. So my guess is, theres some measure around helping them become better thinkers. My 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). And for that, Dr. Peter recommended therapy. Peter Attia, M.D. When we think of extending our lifespans, we think a lot about our physical health how well our bodies function. Attia has a chapter giving advice in Tim Ferriss' book Tools of Titans. I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. I think nicotine is a remarkable molecule. 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. Thats the problem that Dr. Peter and other doctors like him are trying to solve. He is of Coptic Egyptian descent. I just didnt care if I was alive or dead, even though I wasnt even particularly tired. But the muscles could use it. I would be up at five oclock every morning. Born: 1973. Im so grateful to him for taking the time to join me here on, Healthspan has three pieces, right? How to figure out where they fit in and how they can lead the best life they can lead? What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? 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. The second thing I would say is: really do not consider sunk costs in your career. 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. what happened to peter attia. 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. Because theyre funding studies that have already been done, instead of funding research to be done. 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. Incredible evidence in how it prevents neurodegeneration and basically all forms of chronic disease. And youll tell me your latest thing. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. Welcome toPeople I (Mostly) Admirewith Steve Levitt. 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 I still stand by the benefits of nicotine. Learn how to live longer, be healthier, and optimize your performance. And it was very uncomfortable. on their work. And to me, we want to minimize that gap, right? I would run between five and 13 miles each morning. Where did this drive come from? So, yeah, I definitely lost a lot of I.Q. This comment policy is subject to change at any time. Physician. So it might be another totally new way to tap benefit above and beyond the nighttime sleep. 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. LEVITT: Well, it sounds like you ended up making the right career choice. 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. You have to have one project which is 95 percent done and turned out well. So how can we combat Type 2 diabetes? Thats actually a billion dollar question. 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, by the end of that fast, I have very high levels of these things called ketones in my blood. Your podcasts are like a massive gift to humanity. We talk once every six months or four months. Comments that harass other posters will be deleted. And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. Were not talking about inoculating someone with hepatitis or H.I.V. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. And actually, my model ended up working really well, but I was basically threatened that Id be fired if I ever did it again. When I first met you, that was your obsession, nutrition. Were you a good boxer? funding for the rest of your life.. Its the cognitive piece so how well does your brain work as you age? So this just reinforced in me that, youre not immortal. I mean, there is, to me, no upside in outliving everyone that matters to you. How do we know if we have Type 2 Diabetes? What do you do daily to live a longer and healthier life? Its a very expensive study for one year. How does our mental health affect our longevity? We finished the round. 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. 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. [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. 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. And I had all the time in the world. It was really an interesting thing to watch. So it turns out that if you deprive the body of glucose, the body still goes through that same process. But theres a lot of new research coming out among economists, of all people, thats starting to flag the importance of sleep. And while learning to manage stress and overcome trauma may not be the only thing it takes to prevent Type 2 diabetes, it will definitely increase your odds of staying healthy longer. But I get a little bit worried that I dont know how to prepare them for a world that I dont understand. And we do that a ton. ATTIA: Well, I think the benefits of fasting are legion. The other two preventions, however, might surprise you. Mass vaccination would interfere with this a lot. I dont know that its a substitute for the nighttime sleep, though. Below this, it has no benefit, above this, its toxic. Hes one of the most intelligent, curious, compassionate people Ive ever met. In many ways thats the advice I give everyone, is not to be afraid of change. Sleep supplement. 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. So I want to start with a story. And you were like, Whats that? And I was like, Oh, I chew Nicorette gum. And you asked me if I was a smoker. Im actually going to tuck them underneath my lip like chewing tobacco and let it just ease out and keep me going.. You went to McKinsey. In 2014, Attia founded Attia Medical, PC, a medical practice focusing on the applied science of longevity and optimal performance. 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. This episode is informative, and I know youll get a lot of value from it. 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. 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. points on that day. If you just landed here, feel free to make a post about who you are, why you listen, and what you love . If you take a 20-minute afternoon nap, youre not going to get into whats called delta wave sleep. And I missed that routine once in four years. ", 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. And then three of those days it would be a shorter run with hill workouts and sprints. ATTIA: No, I think its the hardest job. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright 20122023 PA IP, LLC. Were living to reach older and older ages than ever before, which is great. So it becomes a way for us to recycle our dead or defective cells. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. 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. 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