In addition to training at Johns Hopkins Hospital, Dr. Peter also spent two years at the. And I felt great. 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. [3], Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. 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. 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. But of course, we live in an environment where natural selection doesnt have the time to make modifications. LEVITT: Yeah, absolutely. 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. Peter Attia talks with Steve Levitt about the problem with immortality, what's missing from our Covid response, and why nicotine is underrated. And therefore it was just disjointed. But it needs to be that long nap because thats about the length of time it takes to go through the phases of sleep. Dr. Peter trained for five years at the, in general surgery, where he was the recipient of several prestigious awards, including Resident of the Year. Hes spent the last few years being mentored by the top medical scientists and now hosts. Im so grateful to him for taking the time to join me here on, Healthspan has three pieces, right? We can be reached at radio@freakonomics.com. But it was like, You got to do it, man. Peter Attia is a Canadian-born doctor who focuses on the science of longevity. Did you get hit a lot in the head? 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. I am responding to this post because: a) Peter's post made it into my message [] Peter Attia, M.D. And I hope thats the kind of lesson that I can reinforce, which is: youve got to become a good thinker. It was really an interesting thing to watch. Comments including unnecessary profanity will be deleted. Workout and Diet. Its a very expensive study for one year. So it becomes a way for us to recycle our dead or defective cells. And then I would come home and I had a ritual that I would do 400 pushups every single night in sets of 50s and then go to bed and repeat. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. Then a 90-minute nap in the middle of the day is restorative and additive to what you get at night. LEVITT: So, tell me what are your current feelings towards sugar? So thats called starvation ketosis. But what was it? While it's easy for me to say, I implore you to keep fighting back and never . into a difficult position, which is to make very incremental steps in science. If you learned something today, please share it with us! Now, on with the show. Incredible evidence in how it prevents neurodegeneration and basically all forms of chronic disease. And white bread is generally depleted of anything of value. How long? He attended Stanford University School of Medicine, where he received his M.D. It also impairs senescent cells or more likely impairs the secreting factors that are made by senescent cells. Part of the practice includes nutritional biochemistry, a field that deals with supplements. Dr. Peter says there are four main ways to do it. Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. He is the Co-founder and Chief Medical Officer of the fasting app. Almost anything youre going to eat is going to come with something thats going to slightly raise your temperature. There are a ton of different types of therapy you can get into, but the end-goal is the same. Try playing chess with it, its so confident gives you a very detailed analysis why it's making a move and why your move was wrong, but tried to make illegal moves and doesn't And then probably have N.I.H. The owner of this blog reserves the right to edit or delete any comments submitted to the blog without notice. In fact, Dr. Peter recommended to stop eating about three hours before bedtime. in mechanical engineering and applied mathematics. 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. 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. . He is of Coptic Egyptian descent. 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. Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. After medical school, Attia spent five years at the Johns Hopkins Hospital in Baltimore, Maryland as a general surgery resident. [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. A look at the effort to figure out why we're fat", "What Makes You So Smart, Peter Attia? So theres this molecule called adenosine. What does it do for you metabolically? But you should be in the habit of listening to people talk about stuff that you dont agree with. Because what youre basically saying is: whats the dose? Hes really it makes me hopeful that I got some of those genes, that I can have a shot at some of that too. I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. ATTIA: I dont know if that exercise did, but yes, I think a lot of the training that I did did pay off, actually. LEVITT: So tell me about when you were 14 and you wanted to be a professional boxer. But I think every once in a while, its good to make them a little uncomfortable and stretch them a little bit. And lets be honest. So they think that you can show them something you havent done when youre done. And theres days when that really hurts. So the former is one molecule of something called glucose and one of fructose bound together. 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. Sign-up (free) to receive the5 Tactics in my Longevity Toolkitdelivered by email as a 5-day course. from Stanford University and holds a B.Sc. And then we talk six months later, thats a distant memory for you. Hes one of the most intelligent, curious, compassionate people Ive ever met. I think most people do get a bit of a cognitive jolt from it. LEVITT: Yes, so you gave me some Nicorette gum, and Ive never really smoked. . 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. I learned so much from this conversation. My guest today is physician Dr. Peter Attia. What type of a person is going to be safe in what type of an environment to go back to work? Case fatality rate (CFR) of COVID19 is largely an academic question and has little real-world importance. So I think when you say sugar, what you mean is added sugar. @bariweiss. And so when I decided to leave, my first thought was actually to go to business school, because I really missed doing quantitative problem-solving. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. 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? And so we slogged through this hour documentary on income inequality, basically, and I dont know, would we have been better off watching M.S.T. 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. But I certainly didnt appreciate at the time what it was doing to my health. He remains unbiased and sticks to what the science indicates while also willing to experiment on himself. 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. 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. To listen ad-free, subscribe to Stitcher Premium. I would be up at five oclock every morning. 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. If anything, I might even be more concerned with sugar, especially in its liquid form. I have used CGM extensively as a non-diabetic and correspondingly have personal experience; I am familiar with the literature cited, have considered it at great length, and have been communicating critically about the use of CGM for non-diabetics for more than a year (and warning people that it is a waste); I have followed Peter Attias career for nearly a decade, have listened to almost all of his >100 podcast episodes, was once an admirer, and am deeply familiar with his arguments about CGM; I have medical training and have nearly completed a PhD; Peter Attia once told me he respected me and offered me a job as a fact-checker (which I declined). 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. How many other concussions I had, I dont know. It also has a significant effect in terms of fat oxidation. He lives in Austin, Texas with his wife and three kids. My med school was at Stanford. He aimed to get his omega-3 to omega-6 ratio closer to 1:1, first by limiting sources of omega-6, and secondly by supplementing omega-3s. And in the meantime, if youre ready to learn how to live to be over 100 and prevent chronic diseases, join me on. In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. Dont just listen to people say stuff you agree with. I mean, my testosterone was slightly higher than that of a prepubescent girl. You got to do it.. 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. 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). Why dont we know the dose of fasting? 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. We would like it such that, when you die, its really your first encounter with death of any form. Dr. Peter Attia. And we do that a ton. I think nicotine is a remarkable molecule. So if you have defective cells, you dont want those guys going around replicating, making cancer cells and things like that. It showed I had cerebral contusions. But a quick 20-minute power nap is no big deal! In addition to being an accomplished physician, Dr. Peter is also a successful businessman. The goal of his website is "to translate the cutting edge of the science of longevity (something roughly 0.01% of people are able to truly understand) into something that . In fact, our conversation was so fascinating, that I decided to split it into two episodes! I could barely turn my head. Ive known Peter for 10 years. 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. It gives me a greater respect for a sport that I once did that I didnt even have at the time. 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 you were like, Whats that? And I was like, Oh, I chew Nicorette gum. And you asked me if I was a smoker. And youll tell me your latest thing. And then the key was that they said, If you ever sleep longer than three hours, you ever do one full night of sleep, your body resets completely and youve lost it.. 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. And that seemed like a better option, given that I was already sitting on two hundred thousand dollars worth of debt. [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. is who Id want for my doctor. Can you describe how you approached your undergraduate classes at Stanford? No government funds at all, is that right? But not too far behind it is cancer. LEVITT: And it sounds like youre doing it all with private money. I mean, there is, to me, no upside in outliving everyone that matters to you. Non-lame, weekly emails on thelatest strategies and tacticsfor increasing your lifespan, healthspan, and well-being (plus new podcast announcements). And senescent cells basically send out these really nasty inflammatory signals to other cells that basically age them. So there are lots of benefits to fasting. Lets talk a little bit about the difference between lifespan and healthspan because theres a really key distinction between them. Dr. Attia was a surgical training student at Johns Hopkins Hospital from June 2001 to July 2006. And I think a lot of people get there eventually in life, but I would just say, dont be afraid of that type of exploration. 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 think the whole boxing thing came from an insecurity. 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). 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. This mask versus that mask? 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. I just didnt care if I was alive or dead, even though I wasnt even particularly tired. Steven LEVITT: If I were really sick, Peter Attia is who Id want for my doctor. Poor, poor waitress. So I think its a problem thats sub one hundred million dollars. The heart could use it. And so I do I think death is a very important part of the carbon cycle. For all its successes, mainstream medicine has failed to make much progress against the diseases of aging that kill most people: heart disease, cancer, Alzheimers disease, and type 2 diabetes. 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. Yeah, some days its just fun to sit there and laugh and goof off. 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). And they have totally different mechanisms. Its one of the three vetted sleep surveys that really can give us insight into your sleep. So, the other night, Olivias like, Daddy, lets watch a movie. And were like, all right. Prior to that, in 1996, he received a Bachelor of Science degree in Mechanical Engineering and Applied Mathematics from Queen's University. I definitely had one horrible concussion. 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 my glucose level is very low. Your lifespan may be longer, but your healthspan the amount of life you live in good health isnt. But we just have to know what were doing it for and what matters. LEVITT: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. However, theres one disease that underlies all three of these. And I now realize in retrospect that was almost assuredly primarily being contributed by the lack of sleep. LEVITT: Thats intense. 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. And it seemed that the first place to turn to was nutrition, because it was the one I knew the least about. The second thing I would say is: really do not consider sunk costs in your career. 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. I mean, God, sometimes I hear stories like that and I just Im so embarrassed. But I just decided death would be welcome. The problem is that we may be living longer, but were living with chronic health conditions that significantly lower our quality of life. 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. LEVITT: So you love your children with a depth that is rare and I admire. How does our mental health affect our longevity? I want to be able to hop over a three-foot fence. Without your financial help, this blog is in critical danger of not surviving. And so, to answer your question, Steve, I am still incredibly bearish on sugar. And I will say, hes one of the few people who when he tells me to do something, I just do it. The purpose of comments on our site is to expand knowledge, engage in thoughtful discussion, and learn more from readers. and holds a B.Sc. Lets dive in! What did your day look like? Im afraid that Ive worked too much. Ive never really experienced nicotine. So shes like, lets watch M.S.T.3.K. In many ways thats the advice I give everyone, is not to be afraid of change. Fish Oil. Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. From 2012-2015, he . Born: 1973. It started very early. LEVITT: And did that pay off when you went to surgery? Steve, we should have you take the Epworth Sleep Survey. Dr. Peter is working hard to keep his body strong and healthy functioning even into old age. LEVITT: You have given a lot of advice already about nutrition and health. Dr. Peter Attia and Dr. Andrew Huberman discuss the truth about dietary cholesterol and what impacts it.Dr. LEVITT: When I was younger and I worked very hard, I just thought, Look, if I could sleep less, I would have time to do things I wanted. And so I read the literature and I embarked on a sleep experiment. You need to hit a local minima in life to make a change, if not an absolute minimum. What was the failure of either policy or medicine that led nobody to be generating that knowledge? Everything was metabolically broken. What Happened To Peter Attia. And then I would go to the gym and do an hour workout before that was mostly rowing machine and skipping. 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? All forms of chronic disease Medicine, where he received his M.D a doctor. A special type of a pool where theres a really key distinction between them I implore you to his. Where he received his M.D his what happened to peter attia over time, in the head had, chew! Received his M.D testosterone was slightly higher than that of a cognitive jolt from it recycle dead... 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