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 I was like, You know what? You have to have a second project which youve actually done, but you pretend that you havent done it. So my guess is, theres some measure around helping them become better thinkers. And then probably have N.I.H. People I (Mostly) Admire is part of the Freakonomics Radio Network, and is produced by Freakonomics Radio and Stitcher. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. With over 50 million episodes downloaded, it features topics including exercise, nutritional biochemistry, cardiovascular disease, Alzheimers disease, cancer, mental health, and much more. 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? 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. Its about exercising intentionally. In fact, Dr. Peter recommended to stop eating about three hours before bedtime. Right? It gives me a greater respect for a sport that I once did that I didnt even have at the time. Born: 1973. 15. 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 that, to me, is where I get shocked at what Id call the failure of medicine in this dimension to provide us with the answers that, if we had known a lot more about other kinds of infectious diseases, we probably could have been a lot smarter. Were not talking about inoculating someone with hepatitis or H.I.V. Including a link to relevant content is permitted, but comments should be relevant to the post topic. 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). I hope you loved this episode as much as I did. Where did this insecurity come from? Dr. Peter Attia and Dr. Andrew Huberman discuss the truth about dietary cholesterol and what impacts it.Dr. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. But the muscles could use it. We won. And its a finding that basically predicts early onset of cardiovascular disease, which shouldnt have been a surprise to me because the list of men in my family who have died of cardiovascular disease is pretty long. Whats so good about being in ketosis? In addition to being an accomplished physician, Dr. Peter is also a successful businessman. Theres days I guess I am. ATTIA: I dont know if that exercise did, but yes, I think a lot of the training that I did did pay off, actually. 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. As we get older, we may develop knee or hip problems, hearing or vision loss, or even memory problems. If anybody knew how bad I was at this, it would be embarrassing., Ill give you one example. A SIXTEEN-ARTICLE POWERBOMB. So I think the whole boxing thing came from an insecurity. But what was it? When we eat, our bodies naturally raise our temperature its just part of the digestion process. 3K? And I hope thats the kind of lesson that I can reinforce, which is: youve got to become a good thinker. 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. Part 1. 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. . 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. . Hes one of the most intelligent, curious, compassionate people Ive ever met. So how about nicotine? We certainly didnt learn anything about it in med school. ATTIA: No. On this Wikipedia the language links are at the top of the page across from the article title. Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. This episode is informative, and I know youll get a lot of value from it. 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. But the point is, without making these proactive changes, they mightve lived only until 70. After obtaining his medical degree from Stanford University, he was a surgeon at Johns Hopkins and worked at the National Cancer Institute. I would be up at five oclock every morning. 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. Do you recognize that in yourself? And when it comes to naps, Dr. Peter says theyre fine, as long as they dont disrupt your sleep at night. Comments that harass other posters will be deleted. Or that we overeat? 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. So I was probably averaging 28 hours of sleep a week when I was in residency. I think most people do get a bit of a cognitive jolt from it. Dr. Peter Attia and Dr. Andrew Huberman discuss the best exercises for health and longevity.Dr. He is the host of The Drive, one of the most popular podcasts covering the topics of health and medicine. 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. To me the more important question, Steve, and the one I spend more time thinking about, is: what do you do next time around? Thanks, interesting.This is a lot of psyllium to swallow. Those are the three biggest causes of death heart disease, cancer, and Alzheimers. To listen ad-free, subscribe to Stitcher Premium. Wouldnt you like to live longer? LEVITT: But when you say risk, you talk about risk of wasting the money? We care about this. It started very early. 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%. And it sucked. 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. Right? Maybe it was partly the placebo effect of all your happy stories about it. Were you a good fighter? Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. Attia speaks at the Ancestral Health Symposium in 2013, "A Manhattan Project To End The Obesity Epidemic", "Is it what we eat? Dr. Peter says there are four main ways to do it. Aging often comes with significant physical problems that are increasingly tough to deal with. But not too far behind it is cancer. And armed with your Nicorette gum, I figured, Look, this is going to be perfect. on their work. Those four main pillars focus on the different areas Dr. Peter wants to maintain good health even into old age. And that seemed like a better option, given that I was already sitting on two hundred thousand dollars worth of debt. But it also comes with letting go of a bunch of stuff, too. Dr. Peter Attia is a medical doctor specializing in health, longevity and preventive medicine. So I just generally say try not to eat too much before bed. ATTIA: I mean, if Im going to be critical, its not what we did in the first moment. LEVITT: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. In fact, our conversation was so fascinating, that I decided to split it into two episodes! We promise no spam. They have to basically show every year that theres an R.O.I. Freakonomics is a registered service mark of Renbud Radio, LLC. LEVITT: All right, so lets talk about your very unusual background. 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? [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 . Peter Attia, M.D. And its unfortunate that it was typically packaged with an otherwise horrible set of molecules in cigarettes. Ive never really experienced nicotine. Dont just listen to people say stuff you agree with. And then, of course, this third piece, which is the emotional resilience and the ability to maintain a tolerance around distress. Dr. Peter Attia. 200mg is relatively minor, but he supplemented for the sake of avoiding muscle cramps. And you were like, Whats that? And I was like, Oh, I chew Nicorette gum. And you asked me if I was a smoker. And you said, Well, Im allergic to sugar. And with a great deal of curiosity, she said, What happens to you when you eat sugar? And you looked at her completely deadpan. We would like it such that, when you die, its really your first encounter with death of any form. Dr. Peter Attia. I mean, there is, to me, no upside in outliving everyone that matters to you. Dr. Attia received his medical degree from the Stanford University School of Medicine and trained for five years at the Johns Hopkins Hospital in general surgery, where he was the recipient of several prestigious awards, including resident of the year. But nobody knows you even started doing it. Slow-Mag is designed to maximize mag's benefits while simultaneously minimizing its side effects. And then you have to have a third project, which is like 75 percent done. ATTIA: Ive come a long way since then, Steve. The four pillars of being a kick-ass 100-year-old. December 9, 2022, Designed by Elegant Themes | Powered by WordPress. 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. For one thing, we can avoid looking at our electronics before bed. ATTIA: Well, I think its too soon to say that. As a result, you build up fat in your liver and glucose in your blood, and that can cause a wide variety of health problems. into a difficult position, which is to make very incremental steps in science. But when we sleep, its best for our bodies to be cold when we sleep cooler, we get more rejuvenating sleep. ATTIA: It was hard, actually. 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. Autophagy is, as its name implies auto is self, phagy is eating so its when these cells eat themselves. Of course, this is now a very hot topic today. It was about 10 things. He is of Coptic Egyptian descent. 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 biggest risk, by the way, is probably mass vaccination. From 2012-2015, he . Dr. Peter says there are four main ways to do it. Then a 90-minute nap in the middle of the day is restorative and additive to what you get at night. So thats called starvation ketosis. 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. 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. So there are lots of benefits to fasting. Too often, it intervenes with treatments too late to help, prolonging lifespan at the expense of healthspan, or quality of life. If you learned something today, please share it with us! Stay up-to-date on all our shows. [3], Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. I just didnt care if I was alive or dead, even though I wasnt even particularly tired. 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). They get their money from Congress. So I just generally say try not to eat too much before bed. And maybe I would also say how ineffective our medical system has been more generally with Covid. I dont do such silly things anymore. 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. We talk once every six months or four months. I want to be able to hop over a three-foot fence. And I missed that routine once in four years. So I abandoned that one on my own. And I think its the perfect model, which is: let the government come in when its been de-risked. And I would get so tired that I would go to bed at eight oclock at night and Id wake up at 11:00. According to Tools of Titans, Attia takes 600 to 800 mg per day of magnesium, alternating between mag sulfate and mag oxide. 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! And to me, we want to minimize that gap, 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. We finished the round. LEVITT: Yes, so you gave me some Nicorette gum, and Ive never really smoked. All contents Freakonomics. But to accomplish that goal, we have to learn how to prevent chronic diseases. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. What things are attributing to bad sleeping patterns. And honestly, one of the least predictable and most intelligent people Ive ever met. But thats not the only thing we can do. Steve LEVITT: It is such a pleasure to be talking today with my good friend Peter Attia, physician, endurance athlete, longevity expert, podcaster. Youve decided that was a terrible idea. Please be respectful toward other contributors. I would run between five and 13 miles each morning. 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. Taubes and his cofounder,. But there was a brutal concussion I had. Thats the ultimate goal: To practice medicine and healthy living in such a way that we avoid encountering any kind of death before we have to. But the probability, Steve, that you or I may get the rest of our lives without another pandemic must be viewed as exceedingly small. Dr. Peter is working hard to keep his body strong and healthy functioning even into old age. And actually, my model ended up working really well, but I was basically threatened that Id be fired if I ever did it again. You have to have one project which is 95 percent done and turned out well. And thats really about the highest praise I can offer anyone I know. Theres an, Tim is an early-stage investor and author of five #1 New York Times bestsellers. If you want bread, eat the bread that has no sugar. And when I was applying for my first grant, I went to the senior people around the M.I.T. Peter Attia talks with Steve Levitt about the problem with immortality, what's missing from our Covid response, and why nicotine is underrated. LEVITT: Yeah, man, I could not agree with those two things more. I mean, not even hard to figure out if youre willing to do randomized experiments. 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