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. And caffeine blocks that. Comments deemed to be spam or solely promotional in nature will be deleted. So I went, three days and just had water. And Ive got her into it now. ATTIA: Exactly. 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. No government funds at all, is that right? 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 But I still stand by the benefits of nicotine. He is the Co-founder and Chief Medical Officer of the fasting app. I took out a piece of Nicorette gum and I started chewing. 2 teaspoons (10 mL) every evening with dinner, providing 1600mg EPA and 1,000mg DHA. The heart could use it. degrees in mechanical engineering and applied mathematics. No, the short answer is, Im still trying to make sense of this as well. Were not talking about inoculating someone with hepatitis or H.I.V. They have to basically show every year that theres an R.O.I. I mean, this is not an unethical thing to do. ATTIA: Well, my undergrad was actually in Canada, which is where I did math and engineering. and . 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? based in San Diego and New York. Science has proven time and again that staring at screens right before bed can drastically reduce our sleep. So it might be another totally new way to tap benefit above and beyond the nighttime sleep. So youre probably just in what are called theta waves. Im afraid that Ive worked too much. It showed I had cerebral contusions. Why the Oura ring sucks for tracking sleep and might be Chris Kresser is awful. But there was a brutal concussion I had. When it comes to reversing the effects of Type 2 diabetes and preventing further chronic health problems, sleep is essential. 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! I mean, not even hard to figure out if youre willing to do randomized experiments. To listen ad-free, subscribe to Stitcher Premium. When I first met you, that was your obsession, nutrition. Note this may include abusive, threatening, pornographic, offensive, misleading or libelous language. 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. And theres this have you seen this thing called Mystery Science Theater 3000? And also, what hes going to talk about in this documentary is really complicated. ATTIA: I dont know. But heres the problem: Were living longer, but our quality of life is decreasing. But I think every once in a while, its good to make them a little uncomfortable and stretch them a little bit. I mean, there is, to me, no upside in outliving everyone that matters to you. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Stay up-to-date on all our shows. Because for most people, the last 20 years, especially the last 10 years, are not great, both physically and cognitively. Yeah, some days its just fun to sit there and laugh and goof off. I am responding to this post because: a) Peter's post made it into my message [] His practice also focuses on elements such as diet, sleep, exercise, and, physiological aspects that promote Aside from preventing chronic diseases like Type 2 diabetes, how can we extend our healthspans to become, as Dr. Peter put it, kick-ass 100-year-olds? to do just that, Dr. Peter structures his exercise around four main pillars: My training is very specific, but now it is fundamentally organized around four pillars: Stability, strength, mitochondrial or aerobic efficiency, and anaerobic performance. Dr. Peter Attia. pick up the tab to really finish it, because this is a multi-year experiment. Do you have specific parenting advice that you would dole out? ATTIA: What an obnoxious idiot I was. Its also the one that seemed the most conflicted. LEVITT: The set of things hes done to his body over time, in the spirit of self-experimentation, are mind-blowing. 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. Peter Attia is a Canadian-born doctor who focuses on the science of longevity. I dont know that its a substitute for the nighttime sleep, though. Fish Oil. And thats really about the highest praise I can offer anyone I know. And thats important, but just as important is our mental health. 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. Airplane versus subway? A SIXTEEN-ARTICLE POWERBOMB. But nobody knows you even started doing it. And so for six months, Ive been doing something that was probably a really bad idea as well. And then I would go to the gym and do an hour workout before that was mostly rowing machine and skipping. And by the way, whatever genes killed everyone before you are coming for you if you dont do something about it. So you have this starvation ketosis, nutritional ketosis. Hes been an engineer, a surgeon, a management consultant, and even a boxer. Anonymous comments will be deleted. And I think youve come to appreciate, in recent years, the importance of sleep. I know Im inspired to increase my healthspan in addition to my lifespan, and I hope you are too! I look at my father, whos 86 and still runs and still practices medicine full time, and we do trivia contests together and hes still as good as he ever was. 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. So it wasnt one thing, Steve. ATTIA: Well, I think its too soon to say that. LEVITT: So the goal was that you wanted immediate feedback on what was going on inside your body as you did these extreme workouts that you were prone to do. 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. 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). Weve developed treatments for all kinds of conditions from acne to cancer, and weve greatly expanded our lifespans. 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. Lets dive in! But Im not the person thats actually going to do these studies. 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. is who Id want for my doctor. Have any hacks how to do? Where did this drive come from? But thats not the only thing we can do. And so, to answer your question, Steve, I am still incredibly bearish on sugar. 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. 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. Were you a good fighter? Peter Attia is a physician focusing on the applied science of longevity. And finally, the fourth thing that significantly affects our chances of getting Type 2 diabetes is stress. We can be reached at radio@freakonomics.com. You need to hit a local minima in life to make a change, if not an absolute minimum. scan a couple days later. What outcome data are there to show that going above 140 mg/dL in a normal glucose excursion is harmful? ATTIA: Well, rigidity of thinking is generally a bad thing. Thats the problem that Dr. Peter and other doctors like him are trying to solve. So, if we can turn off the phones well before bedtime, well find it a lot easier to fall asleep. But not too far behind it is cancer. 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. If you learned something today, please share it with us! Who I am. 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. We would like it such that, when you die, its really your first encounter with death of any form. Dr. Peter Attia. And the more adenosine you accumulate, the more you fatigue. Lets talk a little bit about the difference between lifespan and healthspan because theres a really key distinction between them. Peter Attia has dedicated his medical career to investigating the relationship between nutrition, obesity and diabetes. If it says its got sugar in it, eat a different version. So thats called starvation ketosis. We care about this. LEVITT: And how much fasting does a person have to do to start getting those benefits? My guest today is physician Dr. Peter Attia. Studying studies: relative risk vs. absolute risk. Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. Matt Hickey is the producer, and Dan Dzula was the engineer of this episode. ATTIA: I actually this is probably one that has changed less than most in the past decade. Chris Kresser is awful really complicated this as well the one that has changed less than in. The only thing we can turn off the phones well before bedtime well! And again that staring at screens right before bed can drastically reduce our sleep and skipping it us... Changed less than most in the spirit of self-experimentation, are mind-blowing sit! 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