But I still stand by the benefits of nicotine. Workout and Diet. As an Amazon Associate, Freakonomics may earn commissions from qualifying purchases made through links on this site. He attended Stanford University School of Medicine, where he received his M.D. In 2014, Attia founded Attia Medical, PC, a medical practice focusing on the applied science of longevity and optimal performance. Anonymous comments will be deleted. If you learned something today, please share it with us! But what was it? But I have to say, hes also completely, totally insane. So it wasnt one thing, Steve. LEVITT: One of the things that really bothers me about myself is that I can fall asleep anywhere, anytime. 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? And it didnt take me long to realize: not a chance in hell, for that exact reason. Dr. Peter is the perfect person to talk to about health and longevity, and Im excited to have him on The School of Greatness today! In addition to being an accomplished physician, Dr. Peter is also a successful businessman. Its not about exercising. Poor, poor waitress. Im so grateful to him for taking the time to join me here on The School of Greatness! That was painful to watch. ATTIA: I mean, look, Steve, that is a million dollar question. So how about nicotine? And the more I learned, frankly, the less I agreed with him. 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. Dr. Peter Attia is a physician focusing on the applied science of longevity. According to Tools of Titans, Attia takes 600 to 800 mg per day of magnesium, alternating between mag sulfate and mag oxide. But it was like, You got to do it, man. The second thing I would say is: really do not consider sunk costs in your career. But heres the problem: Were living longer, but our quality of life is decreasing. I basically had the worst headache of my life for the next three months. 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. What happened to @DMSabatini. I definitely had one horrible concussion. But when you consume too much glucose, your body cant use it. 15. But of course, we live in an environment where natural selection doesnt have the time to make modifications. And I missed that routine once in four years. I think I probably spent too many years ignoring things that shouldnt have been ignored. 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. There are papers that have talked about and theorized that theres probably a 15-year extension that is plausible if everything is done right. 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. Im involved in a coronavirus study now, that were trying to get off the ground, thats looking at the long term impact of immunity. I learned so much from this conversation. And then I would go to the gym and do an hour workout before that was mostly rowing machine and skipping. You have to have one project which is 95 percent done and turned out well. 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. Can you describe how you approached your undergraduate classes at Stanford? 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.. And thats important, but just as important is our mental health. 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. Now, whether its another SARS coronavirus or an influenza virus or another virus, I dont know. ATTIA: This is actually something thats really interesting. We would like it such that, when you die, its really your first encounter with death of any form. , So the big three are, in order, atherosclerotic disease so thats vascular disease, meaning heart disease and stroke. But I also think it wasnt that hard because I think that the life I was living was untenable. 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. In addition to training at Johns Hopkins Hospital, Dr. Peter also spent two years at the. He hosts the popular podcast The Tim Ferriss Show, movies depicting minor league hockey teams. 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. Thanks, interesting.This is a lot of psyllium to swallow. Welcome toPeople I (Mostly) Admirewith Steve Levitt. 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. 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. in mechanical engineering and applied mathematics. So it might be another totally new way to tap benefit above and beyond the nighttime sleep. ATTIA: So a big part of our clumsy response to this is that it couldnt be centrally coordinated. And so I do I think death is a very important part of the carbon cycle. And senescent cells basically send out these really nasty inflammatory signals to other cells that basically age them. ATTIA: I mean, if Im going to be critical, its not what we did in the first moment. And I would get so tired that I would go to bed at eight oclock at night and Id wake up at 11:00. Sleep supplement. No government funds at all, is that right? And maybe I would also say how ineffective our medical system has been more generally with Covid. 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. 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. And I dont think Im very good at it, Steve. 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). Or that we overeat? What type of a person is going to be safe in what type of an environment to go back to work? 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. Dr. Peter has an impressive career, but hes an even more impressive person in real life! Criticism and skepticism can be far more useful than praise and unflinching belief. ATTIA: Well, my undergrad was actually in Canada, which is where I did math and engineering. And we do that a ton. Maybe it was partly the placebo effect of all your happy stories about it. 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! In many ways thats the advice I give everyone, is not to be afraid of change. So after college and before grad school. The other two preventions, however, might surprise you. Peter Attia is the host of The Drive podcast and is a world e. And youll tell me your latest thing. And just to be clear, Im just the guy who started it and who raises the money. LEVITT: So you love your children with a depth that is rare and I admire. And better? Lets talk a little bit about the difference between lifespan and healthspan because theres a really key distinction between them. Dr. Peter says there are four main ways to do it. LEVITT: Oh, God. LEVITT: Thats intense. But Im not the person thats actually going to do these studies. I am absolutely in the process of rewriting it, and that is my intention. Taubes and his cofounder,. And theres this have you seen this thing called Mystery Science Theater 3000? I want to be able to pull myself out of a pool where theres a one-foot gap between the water and the curb. Theres days when I really feel like Im getting left behind and the train is so far ahead and Im never going to catch up. As we get older, we may develop knee or hip problems, hearing or vision loss, or even memory problems. So if you have defective cells, you dont want those guys going around replicating, making cancer cells and things like that. LEVITT: Yeah. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. So, again, evolution won. And I remember once I was being interviewed and someone asked me: if you could be granted immortality or something, would you take it? And during all of this intentional exercise, Dr. Peter has one thing in mind: his Centenarian Olympics. Youll be able to read more about this in Dr. Peters book when it comes out, but for now, I can tell you that the Centenarian Olympics is a series of activities that Dr. Peter wants to be able to do when he turns 100. in mechanical engineering and applied mathematics. And Ive got her into it now. Autophagy is, as its name implies auto is self, phagy is eating so its when these cells eat themselves. Airplane versus subway? 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. All contents Freakonomics. That sort of irked me. Prior to that, in 1996, he received a Bachelor of Science degree in Mechanical Engineering and Applied Mathematics from Queen's University. Apparently Peter and his buddy Gary Taubes just love themselves some crappy pseudoscience. Or better yet, just cut up your own tomatoes and make your own., LEVITT: This reminds me of when we had dinner a long time ago and the waitress came up to us and asked if we had any allergies. ATTIA: But I think thats an interesting point. LEVITT: But when you say risk, you talk about risk of wasting the money? We won. When we start to experience those mental health issues, we die in a sense. Peter Attia is a physician focusing on the applied science of longevity. And so, to answer your question, Steve, I am still incredibly bearish on sugar. 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 a quick 20-minute power nap is no big deal! Dr. Peter Attia is a physician focusing on the applied science of longevity. 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. 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. What type of a mask really matters? We only accept comment from posters who identify themselves. Youve decided that was a terrible idea. Thats actually a billion dollar question. So this just reinforced in me that, youre not immortal. How does our mental health affect our longevity? We promise no spam. But its crazy. If you want bread, eat the bread that has no sugar. On this Wikipedia the language links are at the top of the page across from the article title. 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. 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. Attia has a chapter giving advice in Tim Ferriss' book Tools of Titans. Of course, this is now a very hot topic today. 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! Its about exercising intentionally. 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. I also had an additional conversation with Kevin Hall, PhD, one of the key researchers NuSI . pick up the tab to really finish it, because this is a multi-year experiment. LEVITT: No, it was when I worked in consulting. 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%. Peter Attia, MD, is the President and co-Founder of the Nutrition Science Initiative (NuSI). The purpose of comments on our site is to expand knowledge, engage in thoughtful discussion, and learn more from readers. I dont do such silly things anymore. Now that Im concerned with longevity, that type of working out is totally unnecessary. And its unfortunate that it was typically packaged with an otherwise horrible set of molecules in cigarettes. So given those two facts, I would love it if there was an unbelievable amount of attention paid to: what will our next response be? And I was like, You know what? Wouldnt you like to live longer? ATTIA: Yeah, but you have to remember, I mean, the N.I.H. Most organs could use it. And for that, Dr. Peter recommended therapy. What did your day look like? 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. Comments that attack an individual directly will be deleted. Also, I had a big fight with one of the physicians at Hopkins whos super respected and amazingly prominent. 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. Residency didnt seem very merit-based. Peter Attia talks with Steve Levitt about the problem with immortality, whats missing from our Covid response, and why nicotine is underrated. The parallel in economics, the National Science Foundation, is the big federal funder of a lot of economists. Comments including unnecessary profanity will be deleted. And therefore it was just disjointed. And theres days when that really hurts. 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. Including a link to relevant content is permitted, but comments should be relevant to the post topic. Lets dive in! He is well . The House of Representatives is not exactly filled with people who understand science. Thats a relevant detail that Im sure a few peoples eyes just rolled back in their head. And it sucked. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. And then we talk six months later, thats a distant memory for you. LEVITT: And how much fasting does a person have to do to start getting those benefits? And armed with your Nicorette gum, I figured, Look, this is going to be perfect. Peter Attia (born 19 March 1973) is a Canadian-American physician known for his medical practice that focuses on the science of longevity. And I think the people who are luckiest and I put myself in that category hit local minima, recognize theyve hit a local minima, but not so much damage has been done that they cant get out of it. ATTIA: I actually this is probably one that has changed less than most in the past decade. And I hope thats the kind of lesson that I can reinforce, which is: youve got to become a good thinker. He is the host ofThe Drive, one of the most popular podcasts covering the topics of health and medicine. Its the cognitive piece so how well does your brain work as you age? Your lifespan may be longer, but your healthspan the amount of life you live in good health isnt. Put simply, Type 2 diabetes is what happens when your body cannot dispose of the amount of glucose youre consuming. We certainly didnt learn anything about it in med school. [3] Career [ edit] Peter Attia was born on 19 March 1973 in Toronto, Ontario, Canada. So I know Ive got the time to get better and better. The four pillars of being a kick-ass 100-year-old. Dr. Attia believes we must replace this outdated framework with a personalized, proactive strategy for longevity, one where we take action now, rather than waiting. I really enjoy his take on things, his clarity, the brilliant guests he has on, and how out of my depth he is.. People Lists Series Gifts. So shes like, lets watch M.S.T.3.K. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. So maybe some combination of those two things would be helpful as a person navigates their way. 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. ATTIA: Yes, it was a lactate meter that she got me to be able to prick my finger while riding my bike and swimming or running or whatever. LEVITT: This is not a cheap study, I imagine. Today, we have more medical knowledge than ever before. If were going to take Tylenol, we know the dose. 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. 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. Peter Attia is the host of The Drive podcast and . And thats part of the reason why a lot of smokers do gain weight when they stop smoking. So the former is one molecule of something called glucose and one of fructose bound together. Dr. Peter is working hard to keep his body strong and healthy functioning even into old age. He also has a B.Sc. Post a screenshot of the episode along with your biggest takeaways on Instagram, and make sure to tag Dr. Peter, @peterattiamd, and me, @lewishowes. Were not talking about inoculating someone with hepatitis or H.I.V. However, theres one disease that underlies all three of these. ATTIA: Exactly. I want to be able to hop over a three-foot fence. His post can be found here. LEVITT: So tell me about when you were 14 and you wanted to be a professional boxer. Aging often comes with significant physical problems that are increasingly tough to deal with. LEVITT: Well, it sounds like you ended up making the right career choice. LEVITT: So, tell me what are your current feelings towards sugar? 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. Fish Oil. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. funding for the rest of your life.. 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. I rarely have a conversation with Peter in which he doesnt introduce me to something Ive never thought about before. Youre listening toPeople I (Mostly) Admire with Steve Levitt, and his conversation with physician and scientist Peter Attia. 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! Whats good about nicotine? 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. And they have totally different mechanisms. 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