In this episode, my guest is Peter Attia, M.D. He completed his medical and advanced training at Stanford University School of Medicine, Johns Hopkins School of Medicine and the National Institutes of Health (NIH). Dr. Attia is host of the health and medicine podcast, The Drive, and the author of a new book, āOutlive: The Science & Art of Longevity,ā which examines disease prevention and healthy aging, including emotional health. He explains the leading causes of death worldwide and how to measure oneās risk of death and mitigate each risk factor. Dr. Attia shares how, in addition to blood-based markers of lipids and hormones, there are behavioral measures and interventions, and key aspects of emotional health (i.e., relationships, emotional stability, purpose, etc.) that fundamentally impact our physical health and longevity, and how to assess and adjust our emotional health. This episode is rich with actionable information related to disease screening and biomarker testing, nutritional, exercise, behavior and prescription-based tools that area useful to all people regardless of age, male or female, and that can significantly improve vitality, health and lifespan.
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Dr. Peter Attia
Website: https://peterattiamd.com
The Peter Attia Drive Podcast: https://peterattiamd.com/podcast
Newsletter: https://peterattiamd.com/newsletter
Twitter: https://twitter.com/PeterAttiaMD
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Articles
A Wandering Mind Is an Unhappy Mind: https://bit.ly/40ccfw8
Books
Outlive: The Science & Art of Longevity book: https://peterattiamd.com/outlive
The Road to Character: https://amzn.to/42nMx9H
Other Resources
Withings Blood Pressure Cuff: https://amzn.to/42pG3a7
Omron Blood Pressure Cuff: https://amzn.to/3LEnbyj
Prenuvo Whole-Body MRI: https://www.prenuvo.com
Biograph: https://www.biograph.com
The Fentanyl Crisis and Why Everyone Should Be Paying Attention (The Drive podcast episode): https://peterattiamd.com/anthonyhipolito
Timestamps
00:00:00 Dr. Peter Attia
00:03:22 Sponsors: Eight Sleep, LMNT, HVMN, Momentous
00:07:34 Lifespan vs. Healthspan
00:10:54 ā4 Horseman of Deathā, Diseases of Atherosclerosis
00:14:44 Tool: Hypertension & Stroke, Blood Pressure Testing
00:23:14 Preventing Atherosclerosis, Smoking & Vaping, Pollution
00:32:24 Sponsor: AG-1 (Athletic Greens)
00:33:29 Cholesterol, ApoB
00:42:21 Cholesterol Levels, LDL & ApoB Testing
00:49:29 ApoB Levels & Atherosclerosis, Causality
01:01:06 ApoB Reduction, Insulin Resistance, Statins, Ezetimibe, PCSK9 Inhibitors
01:12:30 Monitoring ApoB
01:17:12 Sponsor: InsideTracker
01:18:30 Reducing Blood Pressure, Exercise & Sleep
01:20:50 High Blood Pressure & Kidneys
01:23:11 Alcohol, Sleep & Disease Risk
01:31:21 Cancer & Cancer Risks: Genetics, Smoking & Obesity
01:39:47 Cancer Screening & Survival
01:44:17 Radiation Risks, CT & PET Scans
01:48:48 Environmental Carcinogens
01:52:11 Genetic & Whole-Body MRI Screening, Colonoscopy
01:58:47 Neurodegenerative Diseases, Alzheimerās Disease, ApoE
02:08:08 Alzheimerās Disease & Amyloid
02:13:58 Interventions for Brain Health, Traumatic Brain Injury (TBI)
02:21:26 Accidental Death, āDeaths of Despairā, Fentanyl Crisis
02:31:20 Fall Risk & Stability, 4 Pillars of Strength Training
02:41:05 Emotional Health
02:53:45 Mortality & Preserving Relationship Quality
03:02:20 Relationships vs. Outcomes, Deconstructing Emotions
03:09:34 Treatment Centers, Emotional Processing & Recovery
03:16:34 Tool: Inner Monologue & Anger, Redirecting Self-Talk
03:27:37 Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous, Social Media, Neural Network Newsletter
Title Card Photo Credit: Mike Blabac ā https://www.blabacphoto.com
Disclaimer: https://hubermanlab.com/disclaimer
source
I expected brilliance, but was blown away by the soulfulness of this conversation. Dr. Peter Attia is knowledgeable and articulate, such a pleasure to listen to. One thing I especially like about him is how carefully he interprets the data and then boils it down to give common sense and actionable steps just about anyone can take. I pre-ordered his new book, Outlive, needless to say š Thank you, Professor Andrew Huberman, for inviting him back! One of the best episodes yet, IMHO.
Every Monday, this podcast continually raises the bar. Extraordinary content, and I thank you both! And to Dr Huberman, you have completely changed my relationship to light. It honestly used to bother me how incessantly you speak of it, but because of your dedication to the subject I now feel light to be a fuel, and I have become more aware of it, it's presence, it's intensity, and the way it can fill a space, from a closet to forest. Thank you!
The emotional part was mind blowing. Enjoyed that part and will try to apply.
Now herniated discs are going to impair my ability to do type II explosive movement that I used to. Seriously thinking about the consequences.
Sounds like APOa & APOb should be ordered with every yearly physical. Even if your lipids are all normal. BUT i bet my doctor will pushback when i ask him.
Gentlemen, I can't Thank You both enough for the work you are doing, and the priceless health information that you are giving to anyone who bothers to listen. Every moment of this particular discussion has great value and I appreciate the time, energy, and intensity put into it. I really respect Peter's self disclosure on his personal mental health journey. It certainly resonated with me and things that I still struggle even though I worked as a Therapist for several years. As a Woman, there is nothing I like more than a Man who is very candid, genuine, and present "in the moment". Both of you Gentlemen are stellar examples of just that. Your affection for each other as colleagues and friends was extremely heartfelt and a great ending to this broadcast.
Amazing.
Many pharmacies have BP machines that are free to us and seem in line with my usual BP readings.
I can listen to this conversation like forever. ā¤ā¤ā¤
It's hard for me to see Andrew still promotes AG1. It was debunked scientifically several times here in Europe already. It decreases his credibility imo.
Holy crap. I am stunned, amazed, and grateful. š¢š®š
Sorry to be personal but, Iām listening to your podcast whipping the tears from my face, because 6 months ago I lost my dad to a heart attack at 63 years old, just like he also lost his father for the same reason. Sometimes I feel a little lost because Iām very scared for my brother and myself we are on our 30s, so I just wanted to thank you, many doctors in my country wonāt give the time of the day with this stuff and this information is vital but also difficult to access for people like me with no medical education. Thank you for the podcast and the book, this gives me a blueprint to improve our lives and try to outlive our ancestors which my family has been failing at.
I applaud Peter for revealing his emotional issues. I'm guessing most of us have them, very few of us seek treatment, and fewer even have access. For those that have basic, limited access and seek treatment, it usually comes in the form of a pill. As if our healthcare system wasn't already failing and in crisis, emotional healthcare is virtually non existent, unless of course you're happy with your treatment coming in the form of a pill, or even multiple pills. That is so scary, most won't even seek treatment for that reason alone. I've seen these treatments turn people into zombies. It's freakin' scary what psychiatry does to people. Worse, GPs are giving out SSRI's like they're antibiotics these days. How in the hell is a GP who allocates not more than 5 minutes to a patient, with zero psychiatric training, qualified to be giving mind altering medications to desperate patients I'll never know. Gotta love big pharma. These people are more powerful than entire governments, as we've seen quite vividly since 2019 when covid hit the planet.
Such a wonderful conversation! Feeling very thankful that Dr Attia included the part about emotional health. Sometimes itās the only basis for everything else. People who donāt have hope and who suffer emotionally often donāt care about the agility of their limbs or insulin sensitivity. Iām coming from the country where so many people are unhappy and so many just binge drinking and smirk skeptically when you are trying to mention anything regarding health and wellbeing. And honestly even my own life at some point felt so miserable that I wouldnāt pay attention to what I was eating whatsoever, smoke minimum a pack a day and binge drink to the point of a blackout
Amazing. You 2 are the best.
Andrew, I would love to see you interview Gabor Mate.
Please Could you have a speaker on the podcast to discuss METABOLIC THERAPY in particular for Cancer patients. I think this is so relevant for so many people to learn about.
This podcast & the Drive are what keep me chasing functional fitness, I love it when you converge. I hope many people hang on till the end for Dr. Attiasā journey of emotional strength through vulnerability. He is a much different fellow than at his first TED talk, that is a good thing for him, and us. Hugs to both of you for sharing knowledge with the masses.
What a fantastic episodeš„š„the part about emotional health was incredible – thank you so much for sharing your story. Cannot wait for my book to arrive to Polandš„°all the best!
What about the power of glutathione on diseases and cancer as you age? Such as taking NAC to increase glutathione. Also, how beneficial is Omega 3-6-9 ratio and its effectiveness on diseases?
Man I simply love you that is all I want to write here ā¤
Very important & informative, thank you, more power to both of you.
No, thank you!
First time I had my LDL and HDL checked, I was 12 or 13 years old and it was high. Now, 25 years after, I am using statins for nearly two years. But my doctors didn't talked about Apob, I will ask them about it. Thank you š
Yesterday, I asked my cardiologist why I have never been tested for ApbO. My total LDL is very high (familial hyperlipidemia) He said ābecause the treatment is the sameā. I hate doctors. We really have to do a ton of research today because we certainly canāt trust the medical establishment.
Peter is so great. Loved that, thank you Andrew for bringing this up
How about hair growth?
Right around 1:03:47, Peter indicates that exercise plays a "minimal role in improving lipids in general". I'm not sure that i heard anything over the course of the discussion with respect to addressing high ApoB other than the only way to improve lipids and specifically a "high ApoB" value is pharmacotherapy. Is this Peter's position? how should someone in their mid 40s that is checking the right boxes, diet, regular exercise etc. but still has high ApoB and perhaps LDL and HDL slightly outside of the reference ranges handle this?
I need to change my workout. I must admit that the last few times I have been hiking up mountains I have literally slipped every time when descending. I put it down to rushing, but it could also be to do with what is described around 02:31:20
lol…fleece these suckers!
The last hour was really something. I so resonate with the anger part. Thanks for sharing and writing the book.
You mentioned when wer're in a stress situation we utilize a lot of cholesterol to create energy (if i recall correctly). Is this the underlying mechanism for hormonal imbalances and, say, for example, low sex drive in chronically stressed individuals as a consequence of chronically low cholesterol levels? Or am I oversimplifying the matter and if so what are the mechanisms for this health outcome? Thanks!
The last part I had to stop and really be present š¢. Wow .
Most doctor's offices/clinics check blood pressure incorrectly, and i feel that most of those same professionals (doctors & nurses alike) know this. I think that the main issue is that it takes too much time for them, and time = $
Re: 02:43:30 about quality of life. It is cruel to keep late stage dementia sufferers alive – especially when is such a state as to be wheelchair or bed bound, doubly incontinent and literally agitated every waking moment – and this stage can go on for years in some people. Anyone that has seen this will become a supporter of Assisted Dying for sure.
It is why I no longer follow "the religious crowd" . . . . .All life is not precious.
Just incredible!
I imagine bouldering (low height rock climbing over a mat without a harness) would be great for grip and overall upper body strength, but I wonder if it's also good for stability
love how he simplified so much for us normies to understand
Question please. What are the pros and cons on donating blood with regards to living a longer life, well? Thank you šš¼
Wow. Perhaps one of the most insightful episodes and impactful segments from Peter. I hope he finds it in himself to write that second book.
cognitive development and learning in early childhood. Suggestion for topic next time.
Easily one of the best collabs Iāve seen! Thank you both so much for sharing so much wisdom!
Great discussion on general health – and i think I understand most of it!