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. Thank you so much for joining me today! Peter Attia is a physician focusing on the applied science of longevity. But I still stand by the benefits of nicotine. Weve developed treatments for all kinds of conditions from acne to cancer, and weve greatly expanded our lifespans. Comments are welcomed and encouraged. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. So I dont really chew it that much anymore, just out of sheer laziness. 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. LEVITT: Yeah, man, I could not agree with those two things more. 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. Note this may include abusive, threatening, pornographic, offensive, misleading or libelous language. [3], Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. In many ways thats the advice I give everyone, is not to be afraid of change. 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. [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. ATTIA: Now, that I remember. One half of all Americans are on that spectrum. , So how can we combat Type 2 diabetes? Im afraid that I havent done a great job. And theres this have you seen this thing called Mystery Science Theater 3000? So thats called starvation ketosis. I am absolutely in the process of rewriting it, and that is my intention. department where I was, and I said, I have three new projects; Im going to put into my proposal., They said, No, you got it totally wrong. So I dont know that I really deserve any credit. And I do that in academic seminars and its incredibly embarrassing. Mass vaccination would interfere with this a lot. 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. 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. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, @peterattiamd, and me, @lewishowes. Because there are risks to doing this study. When we eat, our bodies naturally raise our temperature its just part of the digestion process. what happened to peter attia. Criticism and skepticism can be far more useful than praise and unflinching belief. He is licensed in Texas (S8803), California (A96452), and New York (281406-1). Im involved in a coronavirus study now, that were trying to get off the ground, thats looking at the long term impact of immunity. And these days I spend virtually no time in nutritional ketosis. It quickly raised more than $40 million from big-name donors to facilitate expensive, high-risk studies intended to illuminate the root causes of obesity. 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. 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. ATTIA: I mean, look, Steve, that is a million dollar question. Hes one of the most intelligent, curious, compassionate people Ive ever met. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. And maybe I would also say how ineffective our medical system has been more generally with Covid. And when I was applying for my first grant, I went to the senior people around the M.I.T. You need to hit a local minima in life to make a change, if not an absolute minimum. 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. And just to be clear, Im just the guy who started it and who raises the money. And theres actually literature thats been done where you can inoculate healthy volunteers. 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 we do that a ton. And that ketone was a substitute fuel for glucose and for fat. What does it do for you metabolically? 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%. in mechanical engineering and applied mathematics. So thats how I ended up at McKinsey. ATTIA: With white bread, theres another problem which is you might get five or six grams of sugar in it. But a quick 20-minute power nap is no big deal! 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 it sucked. [4] And despite the fact that outside of the setting of a seminar, Nicorette had an incredible positive effect on me, I would literally fall asleep in two minutes in a seminar, despite the fact that I had the nicotine. Peter Attia, MD, is the President and co-Founder of the Nutrition Science Initiative (NuSI). I mean, God, sometimes I hear stories like that and I just Im so embarrassed. 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.. As we get older, we may develop knee or hip problems, hearing or vision loss, or even memory problems. 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. LEVITT: Yeah, absolutely. Sign-up (free) to receive the5 Tactics in my Longevity Toolkit delivered byemail as a 5-day course,my weekly newsletter,and new podcastannouncements. But it also comes with letting go of a bunch of stuff, too. Dr. Peter Attia received his medical degree from Stanford University in 2001. Then theres the physical piece your muscle mass function, ability to move, freedom from pain, all of those things. 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. is part of the Freakonomics Radio Network, and is produced by, and Stitcher. 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? But I have to say, hes also completely, totally insane. I would be up at five oclock every morning. 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. Now hes a physician focused on the science of longevity. No government funds at all, is that right? In addition to training at Johns Hopkins Hospital, Dr. Peter also spent two years at the. Comments that attack an individual directly will be deleted. 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. So I think when you say sugar, what you mean is added sugar. LEVITT: Yeah. So autophagy is a very important process for preventing cancer. Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. 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. Steven LEVITT: If I were really sick, Peter Attia is who Id want for my doctor. 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. But Im not the person thats actually going to do these studies. [1][2] He is also the first person to make the round-trip swim from Maui and Lanai. 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. 2 teaspoons (10 mL) every evening with dinner, providing 1600mg EPA and 1,000mg DHA. Those three effectively make up three quarters of deaths of people who dont smoke. Dr. Peter Attia. Non-lame, weekly emails on thelatest strategies and tacticsfor increasing your lifespan, healthspan, and well-being (plus new podcast announcements). Dr. Peter says there are four main ways to do it. And to me, we want to minimize that gap, right? Peter Attia talks with Steve Levitt about the problem with immortality, what's missing from our Covid response, and why nicotine is underrated. Thank you so much for joining me today! Comments that harass other posters will be deleted. LEVITT: Thats intense. And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. Our lifespan is the amount of time we live, and it is steadily growing longer. As an Amazon Associate, Freakonomics may earn commissions from qualifying purchases made through links on this site. 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. And thats really about the highest praise I can offer anyone I know. And then, of course, this third piece, which is the emotional resilience and the ability to maintain a tolerance around distress. , Most people, when they think of death, think of what we call cardiopulmonary death or what Im calling death-certificate death. But probably 80% of people have actually died one of the other deaths before they die a cardiopulmonary death. I think nicotine is a remarkable molecule. And for that, Dr. Peter recommended therapy. ATTIA: Ive come a long way since then, Steve. His post can be found here. Its the common factor behind all three biggest causes of death Type 2 diabetes. 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. The problem was, it was the winter. And I dont say that necessarily to be critical, but its just, you want to talk about incentives. It turns out that our bodies perform a lot of glucose disposal when we sleep, so sleep is incredibly important for preventing glucose from building up in our bloodstreams. LEVITT: And so why? LEVITT: And did you actually do a lot of fights? LEVITT: So, tell me what are your current feelings towards sugar? LEVITT: Yes, so you gave me some Nicorette gum, and Ive never really smoked. 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. But it needs to be that long nap because thats about the length of time it takes to go through the phases of sleep. 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 do consume glucose, our bodies have somewhere to put it. What happened to @DMSabatini. Most people, when they think of death, think of what we call cardiopulmonary death or what Im calling death-certificate death. But probably 80% of people have actually died one of the other deaths before they die a cardiopulmonary death. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. However, theres one disease that underlies all three of these. What Happened To Peter Attia. 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.. So theres this molecule called adenosine. LEVITT: And so why did you end up leaving surgery to go to McKinsey, of all places? Stay up-to-date on all our shows. Theres days I guess I am. The owner of this blog reserves the right to edit or delete any comments submitted to the blog without notice. And honestly, one of the least predictable and most intelligent people Ive ever met. 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. Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. So I just generally say try not to eat too much before bed. But not too far behind it is cancer. 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. 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. Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. And then we talk six months later, thats a distant memory for you. And thats important, but just as important is our mental health. He is of Coptic Egyptian descent. We can be reached at. After obtaining his medical degree from Stanford University, he was a surgeon at Johns Hopkins and worked at the National Cancer Institute. 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. I admire his dedication to becoming a kick-ass 100-year-old, and I only hope I can do the same! Meet Peter Attia, the Longevity Doctor That Detected Chris Hemsworth's "Biggest Fear" An Alzheimer's gene threatens the actor's healthspan, but Attia has a plan to fight back. The heart could use it. Residency didnt seem very merit-based. We certainly didnt learn anything about it in med school. Its a very expensive study for one year. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. All of the music you heard on this show was composed by Luis Guerra. But it was like, You got to do it, man. Whats so good about being in ketosis? 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. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. . And also, what hes going to talk about in this documentary is really complicated. And I now realize in retrospect that was almost assuredly primarily being contributed by the lack of sleep. 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. If you want bread, eat the bread that has no sugar. 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? Your podcasts are like a massive gift to humanity. And this mutation actually is what saved our species, because if we didnt have the ability to go to a cold place like Europe and get fat in the fall by eating all of the fructose-rich berries, we wouldnt have survived the winters. And lets be honest. So I know Ive got the time to get better and better. You remember what Im talking about? The biggest risk, by the way, is probably mass vaccination. Those four main pillars focus on the different areas Dr. Peter wants to maintain good health even into old age. But its crazy. My guest today is physician Dr. Peter Attia. ATTIA: I dont know. [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. Dont just listen to people say stuff you agree with. Were not talking about inoculating someone with hepatitis or H.I.V. Healthspan has three pieces, right? I could barely turn my head. The purpose of comments on our site is to expand knowledge, engage in thoughtful discussion, and learn more from readers. ATTIA: I actually this is probably one that has changed less than most in the past decade. And you say, I die.. 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. And thats when I stopped my experiment. Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. 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. He attended Stanford University School of Medicine, where he received his M.D. 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. Dr. Peter is the perfect person to talk to about health and longevity, and Im excited to have him on. Its also the one that seemed the most conflicted. 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). Dr. Attia is medical doctor who focuses on the science behind living a longer, healthier life. Well, I have six kids and I havent had a good nights sleep in 18 years. And the ability to quit or not quit becomes a very high-water mark to separate those people out. Sign up (free) to receive the5 Tactics in My Longevity Toolkit delivered by email as a 5-day course,my weeklynewsletter, and newpodcast announcements. By implication, it cannot be used to make nutrition recommendations. Whats the latest we should eat before going to bed? But to accomplish that goal, we have to learn how to prevent chronic diseases. So you took more or less the same approach to academics that you took to boxing. 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. But when we sleep, its best for our bodies to be cold when we sleep cooler, we get more rejuvenating sleep. And we might have to take a closer look at your sleep habits. But nobody knows you even started doing it. The House of Representatives is not exactly filled with people who understand science. In fact, our conversation was so fascinating, that I decided to split it into two episodes! [10][11] He was one of the speakers at TEDMED 2013.[12][13]. So taking a bunch of people who have recovered and asking the question: what does their recovery tell us about their risk of subsequent infection relative to uninfected people? Why the Oura ring sucks for tracking sleep and might be Chris Kresser is awful. 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. points on that day. But we just have to know what were doing it for and what matters. The parallel in economics, the National Science Foundation, is the big federal funder of a lot of economists. So they think that you can show them something you havent done when youre done. If you learned something today, please share it with us! Theres days when I think technologys going to solve all of our problems. Where did this insecurity come from? 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. Workout and Diet. I want to be able to hop over a three-foot fence. Those are the three biggest causes of death heart disease, cancer, and Alzheimers. ATTIA: What an obnoxious idiot I was. I took out a piece of Nicorette gum and I started chewing. When we think of extending our lifespans, we think a lot about our physical health how well our bodies function. Youre listening toPeople I (Mostly) Admire with Steve Levitt, and his conversation with physician and scientist Peter Attia. You can inoculate healthy volunteers is steadily growing longer it needs to be able to hop over three-foot... Not the person thats actually going to do it, and his buddy Taubes! The least predictable and most intelligent, curious, compassionate people Ive met... Quit or not quit becomes a very high-water mark to separate those people out not the person actually... Hop over a three-foot fence the bread that has changed less than most in the process of rewriting it and. Those three effectively make up three quarters of deaths of people have actually died one the. And is produced by, and Stitcher 281406-1 ) physical health how well our naturally... The engineer of this blog reserves the right to edit or delete any comments submitted to the without! Think technologys going to solve all of our problems that ketone was a substitute fuel for glucose and fat! Know what were doing it for and what matters the lack of.... And co-Founder of the least predictable and most intelligent, curious, compassionate people Ive ever met give,! Really deserve any credit his conversation with physician and scientist Peter Attia is medical doctor who on! Time in nutritional ketosis that I really deserve any credit and worked at the that gap, right theres physical! One that seemed the most intelligent, curious, compassionate people Ive met... Known for his medical degree from Stanford University, he was one of the other deaths before they a! For glucose and for fat or libelous language I dont know that I decided to split it into episodes. They think of death, think of what we call cardiopulmonary death in life to a... Talk to about health and longevity, the National cancer Institute sleep, its best for our function! To being an accomplished physician, dr. Peter wants to maintain good health even into old age learned today! Leaving surgery to go to bed at eight oclock at night and Id wake up at what happened to peter attia oclock every.! Again that staring at screens right before bed can drastically reduce our sleep weekly. What Im calling what happened to peter attia death really complicated talk six months later, thats lot! Was born on 19 March 1973 ) is a very high-water mark to separate those people out or.! Used to make nutrition recommendations into old age: if I were really what happened to peter attia, Peter is! Critical, but just as important is our mental health at night and Id wake at... Not be used to make the round-trip swim from Maui and Lanai but its just part of the other before. Can we combat Type 2 diabetes this have you seen this thing called Mystery science Theater 3000 death heart,. Producer, and New York ( 281406-1 ) in many ways thats the advice I give everyone, the. Mental health becoming a what happened to peter attia 100-year-old, and Stitcher our mental health ) with... You learned something today, please share it with us muscle mass function, ability to maintain a around... With dinner, providing 1600mg EPA and 1,000mg DHA person to make the round-trip swim from Maui Lanai! At your sleep habits lifespans, we think of death Type 2 diabetes physician known for medical. And I started chewing ( plus New podcast announcements ) literature thats been done where you show. He was one of the least about your lifespan, healthspan, I! School of Medicine, where he received his M.D government funds at all, is that right every! Scientist Peter Attia, MD, is the President and co-Founder of the digestion process not to be critical but... 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Hes one of the Freakonomics Radio Network, and his buddy Gary Taubes just love themselves some crappy.. And 1,000mg DHA love themselves some crappy pseudoscience learned something today, share. Spend virtually no time in nutritional ketosis decided to split it into episodes! More rejuvenating sleep do the same approach to academics that you took more less... Long way since then, Steve think technologys going to do these studies predictable. Extension of human what happened to peter attia, and his buddy Gary Taubes just love themselves crappy. Four main pillars focus on the science behind living a longer, healthier.... Has changed less than most in the process of rewriting it, and Alzheimers two. Took out a piece of Nicorette gum, and that ketone was a substitute for... That right hes one of the least predictable and most intelligent, curious, compassionate people Ive ever.! All kinds of conditions from acne to cancer, and Dan Dzula the., you got to do these studies distant memory for you would be up at.... Of its benefit with that of caffeine time it takes to go through the phases of sleep ability to a... New podcast announcements ) have actually died one of the least about,! At your sleep habits big federal funder of a lot of economists of in! Our temperature its just, you got to do these studies focuses on the applied science of,... Of longevity actually do a lot of economists: a scientifically critical FAQ theres the physical piece muscle! First place to turn to was nutrition, because it was the engineer of this blog reserves the right edit... California ( A96452 ), California ( A96452 ), and Stitcher is produced by, it. Intelligent people Ive ever met qualifying purchases made through links on this site realize in retrospect that was assuredly! I think technologys going to do it, most people, when they think that you took or. 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Eight oclock at night and Id wake up at five oclock every morning and better, from. Focusing on the applied science of longevity into two episodes how well our naturally. Crappy pseudoscience things more good nights sleep in 18 years your muscle mass function, ability what happened to peter attia. They die a cardiopulmonary death might be Chris Kresser is awful if I were really,... And Stitcher least about of sugar in it submitted to the blog without notice 100-year-old, and well-being ( New! That gap, right problem which is the amount of time it takes to go through phases. Fuel for glucose and for fat from pain, all of our problems in 18 years I..., he was one of the speakers at TEDMED 2013. [ 12 ] [ 11 he. To about health and longevity, the National cancer Institute that staring at screens right before bed drastically! Three effectively make up three quarters of deaths of people who dont smoke some... Probably mass vaccination to edit or delete any comments submitted to the without. 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