Dr. Peter Attia received his medical degree from Stanford University in 2001. Fasting turns on a process called autophagy. So the other thing we always want to be optimizing around is how much fiber can you get? 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. One half of all Americans are on that spectrum. Dr. Peter Attia. And that work ethic came from this belief that I actually dont think is that healthy. Last week, Peter Attia wrote a criticism of Game Changers, where he presented the argument (long repeated him) that nutritional epidemiology is fundamentally flawed. But I have to say, hes also completely, totally insane. Ive known Peter for 10 years. He is the Co-founder and Chief Medical Officer of the fasting app Zero. LEVITT: You have given a lot of advice already about nutrition and health. But I think there was a very similar insecurity. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. pick up the tab to really finish it, because this is a multi-year experiment. You got to do it.. I could barely turn my head. Whats so good about being in ketosis? What type of a mask really matters? Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. My med school was at Stanford. I dont know that its a substitute for the nighttime sleep, though. 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. How often? He hosts the popular podcast The Tim Ferriss Show, movies depicting minor league hockey teams. But when you consume too much glucose, your body cant use it. LEVITT: So tell me about when you were 14 and you wanted to be a professional boxer. I am absolutely in the process of rewriting it, and that is my intention. Peter Attia @PeterAttiaMD. [8][9] The first two are simple: Diet and exercise. from Stanford University and holds a B.Sc. 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. This episode is informative, and I know youll get a lot of value from it. He is the Co-founder and Chief Medical Officer of the fasting app. Have any hacks how to do? There are papers that have talked about and theorized that theres probably a 15-year extension that is plausible if everything is done right. Its the common factor behind all three biggest causes of death Type 2 diabetes. LEVITT: And did that pay off when you went to surgery? Now to your question, I did at one point in my life, circa 2011 to 2014, spend three years in uninterrupted nutritional ketosis. You remember what Im talking about? 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. 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. What things are attributing to bad sleeping patterns. Something about that fructose molecule is really problematic. And so now eating a diet thats high in fructose, again, especially liquid fructose, wreaks all metabolic destruction. So the brain could use it as a glucose substitute, and it would offset 50 to 60 percent of its glucose requirement. funding for the rest of your life.. I basically had the worst headache of my life for the next three months. Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. And youll tell me your latest thing. This is the subreddit for all things Peter Attia and The Peter Attia Drive. However, theres one disease that underlies all three of these. 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. 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. @bariweiss. Why the Oura ring sucks for tracking sleep and might be Chris Kresser is awful. My guest today is physician Dr. Peter Attia. Case fatality rate (CFR) of COVID19 is largely an academic question and has little real-world importance. We certainly didnt learn anything about it in med school. 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. . 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. And then I would go to the gym and do an hour workout before that was mostly rowing machine and skipping. The House of Representatives is not exactly filled with people who understand science. If you learned something today, please share it with us! In fact, our conversation was so fascinating, that I decided to split it into two episodes! Enjoy this content? 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. Theres days when I think technologys going to solve all of our problems. And honestly, one of the least predictable and most intelligent people Ive ever met. But I loved the benefits of nicotine.. 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? Dr. Peter Attia and Dr. Andrew Huberman discuss the truth about dietary cholesterol and what impacts it.Dr. It was really an interesting thing to watch. Who I am. Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, @peterattiamd, and me, @lewishowes. Theres an, Tim is an early-stage investor and author of five #1 New York Times bestsellers. Its our inability to get smarter as we went along. When I finished residency, if you looked at a blood panel of mine, you would never imagine that I was a 33-year-old. But it needs to be that long nap because thats about the length of time it takes to go through the phases of sleep. 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. 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. 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 thats vascular disease, meaning heart disease and stroke. 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. Its complicated because there are lots of reagents that go into that type of testing and we dont control the origin of each of those reagents. 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. in mechanical engineering and applied mathematics. Theres days I guess I am. So this just reinforced in me that, youre not immortal. So it turns out that if you deprive the body of glucose, the body still goes through that same process. Dr. Peter 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. Hes spent the last few years being mentored by the top medical scientists and now hosts The Drive, a weekly, deep-dive podcast focusing on maximizing longevity by working on physical, cognitive, and emotional health. The Buddha said, To keep the body in good health is a duty otherwise we shall not be able to keep the mind strong and clear. And Tony Robbins said, The human body is the best picture of the human soul.. And theres this have you seen this thing called Mystery Science Theater 3000? [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. Peter Attia is the host of The Drive podcast and . And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. 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). Whats good about nicotine? 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. 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 mean, God, sometimes I hear stories like that and I just Im so embarrassed. And I hope thats the kind of lesson that I can reinforce, which is: youve got to become a good thinker. Or that we overeat? LEVITT: And I asked you, Well, how do you know when its time to stop working out? You said, Either when I lose consciousness or when I piss or crap myself, thats when I decide Ive worked out hard enough.. 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. That was painful to watch. So they think that you can show them something you havent done when youre done. 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