Dr. Peter Attia - The Science and Art of Longevity
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- Опубліковано 29 лип 2024
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Resources from this episode: tim.blog/2023/03/14/peter-att...
Peter Attia, MD (@PeterAttiaMD), is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan. He is the host of The Drive, one of the most popular podcasts covering the topics of health and medicine.
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. 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.
His new book is Outlive: The Science and Art of Longevity (3/28): www.amazon.com/Outlive-Scienc...
Please enjoy!
ABOUT TIM:
Tim Ferriss is one of Fast Company’s “Most Innovative Business People” and an early-stage tech investor/advisor in Uber, Facebook, Twitter, Shopify, Duolingo, Alibaba, and 50+ other companies. He is also the author of five #1 New York Times and Wall Street Journal bestsellers: The 4-Hour Workweek, The 4-Hour Body, The 4-Hour Chef, Tools of Titans and Tribe of Mentors. The Observer and other media have named him “the Oprah of audio” due to the influence of his podcast, The Tim Ferriss Show, which has exceeded 900 million downloads and been selected for “Best of Apple Podcasts” three years running.
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00:00 Start
00:19 How and why Peter’s muscle mass has increased significantly.
12:50 Why the long wait for Outlive: The Science and Art of Longevity?
17:42 Objective, strategy, and tactics.
22:58 From Medicine 1.0 to Medicine 3.0.
34:20 Randomized control trial results: guidelines, not gospel.
37:28 Revisiting why and how one should increase their medical literacy.
47:36 Avoiding scientific method misconceptions.
50:02 Austin Bradford Hill.
51:21 Observational study versus randomized control trial.
55:31 Are sleep trackers downgrading the quality of our sleep?
58:35 Under what conditions does Peter feel alcohol might be worth its downsides?
1:02:15 Continuous glucose monitors (CGMs).
1:14:22 Underutilized metrics and tools for expanding health and lifespan.
1:21:25 Strength.
1:30:05 Rucking around and finding out about VO2 max.
1:35:22 Finding the zone two sweet spot.
1:38:14 How skinning and rucking have upped my endurance.
1:40:01 Rucking vs. weighted vests.
1:44:00 Are neurodegenerative diseases preventable?
1:49:26 Helping your doctor understand and embrace Medicine 3.0.
1:51:40 How much is an ounce of prevention worth to you?
1:56:37 Early cancer screening.
2:05:02 Outlive chapters.
2:07:20 The chapter on emotional health that almost didn’t make the book.
2:09:01 Peter’s 47 affirmations.
2:13:24 Parting thoughts. - Навчання та стиль
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Tim, we make our own proteins and amino acids - delete the old science understandings of yesteryear, starting with Dr William C rose - who got us on the false idea of certain amino acids being essential - they are not. Todays science knows we can in fact synthesize our own proteins and AAs from scratch - like Leucine, or lysine, Methionine etc. Dietary proteins end up as scraps sent to the toilet. Peter got bigger/stronger via resistance training - and the fuel was carbohydrates. Fasting doesn't allow for carbs so as he said he suffers through training when he fasts - but just one apple a day with the fast he would be fine. Muscles make proteins and AAs, not the other way around - see satellite cells.
Fat is not a source for energy - a lantern burning oil is not giving off energy. A 500 pound man does not have a lot of energy, or stored energy - and will tire much faster and more easily than a lean human.
Scientists can tell you the lifespan of humans hasn't changed much for thousands of years - or longer. I have the details.
The language doctors and scientists use - should stop - they need to automatically, in their mind, transpose if you will, all the words, terms, phrases etc - at the outset so we the lay folk can be fully engaged and follow along properly. Some one who had english as a first language yet can read, speak and write french completely - still knows how to only do english when speaking to an English audience. One huge problem arises is it confuses and or intimidates and can allow for the average bloke to just throw up their hands and say okay, your right whatever you say - lead us down whatever path you wish and we will blindly follow because we don't have the language acumen to counter something that might be or is incorrect on the doctors part. Lawyers do this as well and it sucks... I think we all understand the word 'sucks'.
This goes along well with mindfulness books like "30 Days to Reduce Anxiety" by Harper Daniels.
Tim, you're on a roll this week. Between this and the Andrew Huberman drop, I'm going to live forever
Agreed
Hahaha I was thinking the same thing. We re all set 💪
DITTO!!! 62 and not even half way into my life!
As usual. Can't get passed 5 min of Attia speaking. Shame considering what he's published; and how much of a natural born, self centred; douchebag he seems to be
@@robertbalfour4313 😮😢
As someone who works in healthcare, we dont normally see physicians who have so much indepth knowledge on mulitple areas of medicine. Peter's knowledg e of CGMs and blood glucose was seriously impressive. Love listening to his brain thought processes...always focused and precise.
As Peter's hero Ayrton Senna said once "If I'm going to live, I want to live fully..." I'm 54 and I have been following Peter's podcast (Drive) since 2020... Gamechanger!!! I no longer fear aging because I know I can be strong and healthy... I AM the strongest and healthiest I've ever been!!! Outlive will be a vade mecum for me. Thank you Tim for this interview, love the overall quality (and the captions 👍)
What are a few of your greatest take aways?!
To live a long life with spiritual growth and success is worth living. The old Saints teach us this. As a former lymphoma survivor I can attest to its importance. Your spiritual journey is of utmost importance. ✝️🕊️
If this dialogue between two good friends doesn't encourage all listeners to get serious about their lives and health, nothing will.
I wish I had discovered Dr. Peter Attia years ago; thank goodness I've been exercising many years now, however, my work has just begun, learning such valuable , new challenges. You two are both dynamic - many thanks.
Ophtho here: there is a bilateral upper lid retraction of Dr Attia's eyelids that suggests thyroid dysfunction especially with the history of loss of weight. This requires T3/T4 and TSH to be checked. Thanks for the info!! Amazing.
I am being 100% honest when I say I have not looked forward to a book's release this much since the Harry Potter days :-D. My family tease me about my Attia obsession. He is the BEST!!!
I've been waiting for so long for this. This's been so long overdue. I just love Dr, Attia. I think he's one of the most honest and most knowledgable doctors. I never miss an episode of his podcast The Drive. I'm going to really enjoy reading his book. I also think this is going to be one of those books that you can keep it in your library and go back to it over and over. Thank you to both of you.
2:09:04
@Tim - I agree with you that the last chapter should be the first!❤
I purchased the book a few weeks back and since it’s like a “ten crapper” or more, I’ve only read the first two chapters😂😂😂
After listening to this interview I jumped straight into chapter 17 and I’ve got tears rolling down my face.
Thank you for this wonderful interview with the amazing Dr. Peter Attia!!👍🏽😝
I think listening to this last night, then buying Peters book and skipping to the last chapter might have saved my life. ❤ thank you.
6:31
If you intend to build muscle:
One needs to be north of 20/25 grams of protein to insure that amino acids aren't going to Gluco... pathways (i.e. we don't want proteins to be converted to glucose (protein should be a structural nutrient)
4 servings of 45 grams of protein seem optimal for Peter (over 50 grams becomes too much)
1:15:00 1:16:30
Vo2 max ; Strength
I am grateful to be aware of this information from such a young age of 15 years
I rarely comment, but for such treat you gave us, I must. I do listen a lot of science oriented talks. But what I enjoyed the most, how often both of you spontaneously laughed. Peter I never thought you had such great sense of humor. Another "bonus" point for mentioned Richard Feynmam, one of my childhood hero. He is one of people if I have a chance to talk to, it would be real treat. Tim thanks for having so many interesting gusts. Btw story with the heavy waste, I cracked laughing as hyeana
Wow. Thank you both so much for what you do. Absolutely one of the best books I have read. I really felt the heart and soul Dr Peter Attia put into the book
Just watching your video called nutrition hormones for vitality. I had a complete hysterectomy at 22 years old. They removed my premerin at 29 years old saying it causes heart attacks and strokes in women. I'm now 62 years old and I developed osteoperosis at 45 years old. Love your video.
„It’s no two-crapper”. Tim and Peter laughing at this was a true highlight. Genius delight! Tears of laughing.
Thank you both for this episode! Peter Attia I am beyond grateful for all the information you provide us all with as it is so applicable and informative!! I share it with co-workers, family, friends, and anyone who will listen!! The wealth of information you have set forth for all of us to utilize and apply to our lives is absolutely life changing and I cannot say thank you enough. I am 43 and have would like to live the rest of my life with the least amount of cognitive decline and in a strong body. I thank you kindly for all of your hard work and effort in ensuring that the information you have gets out to all of us!!!!❤❤
Two of my heroes together! Thank you for putting this on!
If you somehow get Andy Galpin on you'll cap off my 3 favourite doctors, these latest episodes are very exciting
I heard Peter for the first today on the ABC in Sydney. Bravo good Sir, for me at 70 you have my attention.
Enthralling conversation.
Thank you!
Just phenomenal. I will 100% read that book and buy many copies for the ones I love the most. Thank you both for all that you do.
And for the others, give em the Forks over Knives book 😂
Be on guard. Carrying a weight vest caused me to get plantar fasciitis
Two of my favourite people, THANKS....
THANK YOU BOTH FOR A FASCINATING conversation and training. Have started book and am using measures and guidance in my 12 weekly sr fitness classes I teach in 5 locations around Tucson,AZ. At 83 I am snowboarding and skiing and rollerblading, Loving life and FUN.Plan to do it into my 90's and live to 102 or.....Thanks again!
Wonderful interview. Excellent questions and clarification of terms. I've ordered the book. I will share this video with others.
YES. Love Peter Attia
This was great!!! You too together are a match made in podcast heaven!! 🙌
Brilliant as always... Thank you
I always enjoy listening to Peter Attia's perspective on health. This notion of protein intake and muscle mass in connection with longevity is a re-occurring theme with many new health-focused podcasts, but I'm not sure if there is a good understanding of sex differences for this aspect. What is consistent is that women (specifically, biological females who have lived a relatively normal life as a woman) outlive men. What is also consistent - particularly long-lived women aren't super conscious of their muscle mass or protein intake - and they are very likely to be markedly lower than men (across their lifespan). There is always a metabolic cost for everything. I postulate that the greater muscle mass men have relative to women comes with increased metabolism and oxidation that may result in accelerated aging, particularly in the context of low antioxidant capacity. This would also hold for the greater hemoglobin and iron stores men have.
Shirin - we make our own proteins and amino acids - delete the old science understandings of yesteryear, starting with Dr William C rose - who got us on the false idea of certain amino acids being essential - they are not. Todays science knows we can in fact synthesize our own proteins and AAs from scratch - like Leucine, or lysine, Methionine etc. Dietary proteins end up as scraps sent to the toilet. Peter got bigger/stronger via resistance training - and the fuel was carbohydrates. Fasting doesn't allow for carbs so as he said he suffers through training when he fasts - but just one apple a day with the fast he would be fine. Muscles make proteins and AAs, not the other way around - see satellite cells.
A sign of the stress women put men under! lol j/k
Interesting take.🤔
Interesting points! there is a multitude of reasons women live longer, many not only biological. Higher testosterone might have an influence on oxidation and has on behaviour, higher rates of perceived loneliness in men are damaging, greater tendency for abusing drugs and alcohol, higher (completed) suicide rate, more often employed in risky manual labor jobs, the list goes on. Individual risk factors vary greatly.
That said I think that being (comparatively) strong and having high VO2max is certainly good for women aswell.
As a side note: Medicine is still heavily biased and representation of XX chromosome humans lacking so I agree with your point, just adding another perspective
@@BongShlong Indeed, that was what I was taught in school (re: women's behaviour - including more likely to seek medical consult, being "healthier", risk aversion etc) was in large part the explanation of the consistent sex difference in longevity - that has (at least up until now) been observed across countries and cultures. As an immunologist, I have noted (both experimentally and in clinical trials) the more robust response (immunologically), on average, of women and their metabolic differences to challenge, which had me pondering this line of thinking (re: the biological). Given caloric restriction (and studies have also shown selective protein restriction - see the new conference review in Cell Metabolism) is linked to increased health and life span (at least in certain models), these seem to challenge the notion of more bulk and protein for longevity - though frailty is decidely not where we want to be. Heaven lies on top of the bell curve.
Many thanks for this excellent talk. Already had an impact on my life. I’m looking forward to the book!
Recently picked this book up. I am having ACL surgery and will devote significantly more time then 2 craps to reading it in its entirety.
An excellent interview, by both of you, an tour de force 👏🏼👏🏼👏🏼
Amazing!!!
🏆🌎 Nice work gentleman. Medicine 3.0 is the conversation more people should be having
Thanks for this video, found it so very informative. Finished watching the video last night, took me a couple of days to watch. My hard cover copy of Outlive arrived today!
If you're still interested, you can check out our interpretation video of "Outlive." It might offer you some new insights. Simple and easy to understand.🤛🤛🤛
Great conversation! Thanks for sharing it!
Love this. I am a senior and very mobile/active and healthy (no meds) I want to live longer and stay active/healthy. Been upping my protein and eat 3-4 meals a day to get in enough protein. Now I am doing weights to build more muscle. I do eat bacon everyday it has not affected my health and heavy red meat. More Ketovore than Carnivore. More low carb lifestyle.
Love my Attia! He is so smart! Way to go, guys ! Hope to get your book on audio, Peter! I have learned so much from your knowledge! Please keep up the great work!!! Stay healthy and stay strong 💪
The biggest challenge I see with medicine 3.0 is how do we get patient's to take the degree of ownership necessary to implement the changes. It seems like the promise of longevity is such a long term concept that most are less than willing to adapt their lifestyle necessary.
The biggest challenge I see is how to get around Doctors narrow mindedness.....
this is life changing. This is the most actionable book, i'm so excited to read. im considering training for the centenarian decathalon. thanks guys.
Emotional health is at least as important as physical health to me. I totally agree that chapter 1 would have been a top choice but, with medicine 3.0, it's probably going to be in the next edition?. Such a beautiful interview!! Thank you.
Peter Attia, please read the Canon of Medicine by Avicenna (1025) to glimpse how medicine was conceived in the early 11th century.
Already pre-ordered. And bought a copy for my parents.
Have the book. LOVE the book. Read the last chapter first. Dr..Attia describes the function of my brain with about 98% accuracy. Well done Doctor!
A Demon doctor
My 2 favourite bald longevity people, I hope you both get hair transplants the same time, I want to see you both grow together in youth❤
Wise ones love bald, leave them alone. It's an overload of testosterone that burns out hair roots. Don't you wish for that?
Just pre-ordered the audiobook!
I really want to see experts who have different opinions talk to each other like Attia and David Sinclair
Like many seniors, I retired at age 65. During my first year of retirement, my goal was to improve my overall health, and maximize my fitness level.
I never set specific markers to measure both my progress, and ultimate achievements. Like most of us, I considered both feeling better, doing more without fatiguing, to be adequate measurements. I also thought an improved overall appearance would be a good indicator.
I just had my 66th birthday. Did I succeed?
I do feel better. However, I started the year, in critical condition. And a few people have said I look better. However, I interact with only a handful of people.
Luckily, I purchased a Fitbit to measure how much walking I was doing.
I began walking a lot. Then incorporated resistance training into my routine. I averaged five gym workouts per week.
Ultimately, now the most important question is.........can I perform physical activity, both better, and longer? Another question is....... will I live longer?
It seems to me, that a slim waist, bulging muscles, explosive strength, and blazing sprinting speed, are not definitive indicators.
Because, I have none of the above. Although, I have a bit of each.
What I do have, is what I consider....... SCOREBOARD.
Both my Resting Heart Rate, and VO2MAX, are .....52!!
It's no surprise, hi I can complete an ultramarathon on a whim, and almost never get sick, or fatigued.
I just don't understand why so many non athlete people, particularly seniors, get caught up in total weight lifted, speed, calories, steps, appearance, etc.
It's logical those could be great motivators. And ultimately, it will improve their own scoreboard.
Nevertheless, I just feel those things don't guarantee better health, and a longer life.
Whereas, the scoreboard I mentioned, are probably the most relevant factors.
In my 66th year, I plan to focus solely on the scoreboard. I will continue to target factors like focus, form, efficiency, consistency, and most importantly, maximum effort during every workout.
All adjustments to my speed walking, and HIIT resistance training will be toward improving my scoreboard. Not winning races, competitions, or looking better in a mirror.
I wish there were more YT videos, and podcasts focused on individual scoreboards. Unfortunately, our society seems to be caught up in appearances, rather than effectiveness.
What's your goal? What are your tracking indicators for measuring progress? And what's your scoreboard?
Here's a link to charts for both RHR, and Vo2max. Look up where you're at. Thereafter, I'd appreciate your thoughts on this topic.
www.tres.in/health-insight/resting-heart-rate-rhr-and-why-it-is-important/
runninforsweets.com/vo2-max-chart/
The only thing that really counts in my book is vascular fitness and one measure of that is a CAC Score.
Do you have one ?
Wow, well medicine 3.0 has actually been around for centuries, if we look at ancient and culturally diverse methods of healing, like ayurveda, which takes a preventative and personalised methodology.... as tim ferris has said in a different interview, on how he developed his methodology of 4 hr body, workweek, etc: look to the very old, fringe cutting edge, and the overlooked discarded, and you'll likely find whats most effective...love to see a day where scientific method dives into ancient methodology and it becimes more mainstream, ...like how fasting regimens have gained popularity 😅
When listening to either one of you, I always come away smarter and a better person. Can’t wait to read Peter’s book.
Pete is obviously contributing a message to assist people to live long health lives - bravo.
I am not convinced about all of his sentiments.
Granted that people who do consume red meat and never get any of the following cancer related illnesses, same factor being with nicotine use, still for someone to advocate for longevity and who passionately promotes carnism, there still remains a considerable residual risk factor of getting cancer through meat consumption. I live in a country which has per population one of the highest rates of bowel cancer anywhere on the planet and where we consume copious amounts of red and processed meat. I mean do the math!
Red meat consumption was significantly associated with greater risk of breast cancer (RR = 1.09; 95% CI = 1.03-1.15), endometrial cancer (RR = 1.25; 95% CI = 1.01-1.56), colorectal cancer (RR = 1.10; 95% CI = 1.03-1.17), colon cancer (RR = 1.17; 95% CI = 1.09-1.25), rectal cancer (RR = 1.22; 95% CI = 1.01-1.46), lung ...
Looking forward to the 3+ crapper from Dr. Attia!
Can't wait until the book comes our. It's in my audible list. Updated. Got it and I'm listening now. Of the 4 horsemen, there's a 5th. The 3rd leading cause of death is iatrogenic. Knowing that might change some of the solutions the author recommends.
I’ve witnessed this decline in quality of life with my mother. She’s 93 and in very poor physical, and cognitive health. She never believed much in exercise or watching her diet and is now suffering the consequences of her decisions. She sadly just sits in a recliner all day with very little interaction with the family, no interest in anything. It’s very sad to see, but it’s also a very potent wake up call!!!
The difference between rucking and hiking is in the pace. It's not just about putting on a heavy pack.
Ironic that this showed up in my feed right beneath Rich Men North of Richmond. While half a nation is working themselves to the ground just to keep a roof over their heads, the other half are enjoying the comfortable illusions discussed on this podcast. But I suspect it won’t be for much longer.
What a stressful life to live in. Thinking about all calories. Just eat moderately, you’ll be fine. Centenarians in Sardinia and Japan just eat normally
brilliant. i saw tim grimace at the 3 zone 2 training seshes on top of the one zone 5, then two stregnth training seshes on top of that. you either double up some days, or have 6 days.
fascinating
Attia is about longevity but methionine is a cancer amino acid and high animal protein diet increases IGF-1 which is highly stimulating of cancer growth. Especially prostate cancer.
@1:42:20 - I very nearly did this exact thing not too many weeks ago. I thought it would be smart to carry a 50lb weight vest with a + 40lb ruck, 2 clicks out I realised my mistake on weight and I almost had to abandon the weight to make it home.
My wife is a doctor and the problem with medicine 3.0 is it usually requires a 2.0 heart attack to scare people into actually attempting to do something about it. Many patients even facing certain death can't motivate themselves to care. It is a tragedy. Hope people read this book and find the self motivation to actually care about their health.
I'd argue that giving one with relatively good intelligence and physically healthy baseline... Most folks, most of the time would be adequate without much knowledge of western allopathic medicine, noless being able to read and digest scientific reports/studies. Having good diets, exercise/physical activities and minimal medicine...most could live a healthy, long life most of the time just by learning abit about diet (nutrition /fasting) and exercising knowledge. Of course, with good decent sleep...
11:55 What are some brands of high quality whey protein that you would recommend?
One of the latest studies indicate eccentric exercises are more important than concentric
Next guest suggestion; David Sinclair, Rhonda Patrick, Bryan Johnson.
Patrick would be great. Despite some actions of Sinclair that had me wondering, I had been giving him the benefit of the doubt-until recently. His recent actions (trying to get gov’t to classify supplement as drug so his company could make money) have made me question him in which case his ideas are suspect.
@@Scottlp2 what’s the name of his company?
And Mick Jagger
@@Scottlp2 agree! I have Sinclair in the totally dodgy bucket now. Love Rhonda Patrick 🙂
@@chesstictacs3107 not technically “his”, but he’s on board of one that puts out anti-aging supps.
Listening to this whole doing some zone 2 cardio
Game changer
Hi Tim, would love it if you can get Dr Robert Lustig on your podcasts. Just subscribed too. Love your work.
Zone 2 all the way, it’s what I say!
You mean heart-rate?
0:49: 💪 Dr. Peter Attia discusses how he gained muscle mass and improved his protein intake.
10:30: 📚 Dr. Peter Attia discusses the importance of having clear objectives, strategies, and tactics when it comes to improving health and longevity.
20:49: 💡 The transition from Medicine 1.0 to Medicine 2.0 brought remarkable success in acute care and infectious diseases, but failed to address chronic diseases.
32:08: 💡 Medicine 3.0 requires a shift towards prevention and evidence-informed medicine
43:38: 📚 Learning Japanese and understanding scientific studies require clear objectives, strategies, and tactics.
1:03:26: 💡 Continuous glucose monitors (CGMs) are devices that provide real-time information about blood glucose levels, originally designed for people with type one diabetes.
1:05:03: 💡 CGM (continuous glucose monitoring) is a helpful tool for managing glucose levels in people with type two diabetes, and can also be beneficial for non-diabetics in improving overall health and reducing mortality risk.
1:16:02: 💪 Everyone has the potential to be more fit and strong, and it significantly reduces the risk of all-cause mortality.
1:26:17: 💪 Dr. Peter Attia discusses the importance of step-ups and carrying heavy things for overall strength and longevity, as well as the best approaches for improving VO2 max.
1:36:09: 💪 Exercise, particularly zone two training, is a key factor in preventing neurodegenerative diseases like Alzheimer's.
1:46:12: 💡 Exercise is the most important modifiable behavior to reduce the risk of Alzheimer's disease, Parkinson's, and Lewy body dementia, as it improves movement and cognitive reserve.
2:07:31: ✍ The chapter 'The High Price of Ignoring Emotional Health' is included at the end of the book and was suggested to be the first chapter by Hugh Jackman.
2:08:11: 📚 The chapter on affirmations in the book 'Outlive: The Science and Art of Longevity' is discussed, emphasizing the importance of positive self-talk and the power of belief.
Recap by Tammy AI
The Bradford Hill criteria include nine viewpoints by which to evaluate human epidemiologic evidence to determine if causation can be deduced: strength, consistency, specificity, temporality, biological gradient, plausibility, coherence, experiment, and analogy.
If we pose dark matter / dark energy interchangeability, we can see how, by merely living in that extra dimension, we can do seamless tissue-health trans-locations. We can skip the deterioration that ageing has on human tissues. Via the closer, more thorough dark matter / dark energy relationship, we’ve simplified human health in easy, extra-dimensional terms. Closer adherence to dark matter / dark energy terms allows us to skip entire phases of bad science. It’s as though, when we live in universe-spanning time-space, we can extra-dimensionally lift out of the present and connect the past with the future. To best do this, we need to do it on a regular basis. If you think about it, it’s like when, in many-minds consciousness we use a universe-spanning energy phase to lift out and above a lesser space, then we immerse ourselves into it to get better over-views. We know that e.t.’s do this, and they all live longer than we do. Living in an easily inter-changeable, universe-spanning context, they enjoy gently-lofted lives of universal peace. With the added intelligence of giant-brained whales in our mix, so should we.
re the above: Let’s look at this with improved, extra-dimensional physics definitions. If, long ago, the observable universe expanded away from all black holes, that would have added mass and vacuum energy to the black holes, as it does today. If, at plus-or-minus light speed, energy is really change in extra-dimensional order-in-complexity, then, given the 5 to 1 ratio of dark matter to atomic matter, time is better explained as extra-dimensional order-in-complexity. Consistent with this insertion of extra-dimensions into our science, we re-define mass as alternate time-space, or alt t. In other words, we’ve added super-fluid, extra dimensions into every part of Einstein’s equivalency. Outwardly, nearly-instantly expanding dark energy is, by definition, super-fluid because it falls up and out. So, in our alternative to the big bang, an older, condensed phase extension of the universe poses multiply more mass and vacuum energy in its black holes. In super-liminal phases, that would be expected. In other words, our newer parts of universe didn’t occur at the end of 10 99th to 10 120th year black hole evaporation phases. Given that the universe is accelerating its expansion, we should assume that older extensions of universe will have done the same, hence we don’t see them visually. However, their dark matter phases still register, right here, where we are.
The only way to see this all clearly is to frame it all in terms of dark matter / dark energy equivalency. The inter-changeability of dark matter and dark energy in an adapted version of Einstein’s equation explains how black holes gain mass as the universe expands, even without absorbing atomic matter. If we expand all relationships outside of black holes, that has to affect black holes internally. So, in place of energy and mass in Einstein’s equation, let’s put dark energy and dark matter so that we get a better, intuitive view of the relationship. Now, our extra-dimensional re-phrasing makes perfect sense, and we can see how we experience condensed dark matter phases across super-luminal, fraction-of-the-universe expanses in many-minds consciousness.
Great information, thanks, but all that info is for people whose knees are intact. How about with knees busted due to osteoarthritis ( literally bone on bone) how do we train our muscles in that mode.
one of the best intro
Could you explain percentiles of any labs results please?
Regarding the 34m mark on scientific literacy (AMA 30, Layne Norton's Research Explained In Practical Summary, Peter's 5 Part "Studying Studies", Bradford Hill Criteria, etc) .. if Peter could design a dream study what would be first?
For example, exactly how much strength/cardio is needed, CVD/lipid , Omega-3s (DHA for the brain, EPA for the heart) , or anything on vitamins/minerals (Niacin/ oxaloacetate acid (like that in squab heart) / malate)?
Tim, what camera setup are you using? You two seem to do a great job at making eye contact for a video conference.
The transcript is a conversation between Dr. Peter Attia and Tim Ferriss, covering topics related to health, fitness, and longevity. Dr. Attia discusses the importance of metrics in assessing muscle mass and provides actionable recommendations for muscle gain and longevity. He also explores the concept of Medicine 3.0 and emphasizes the significance of early intervention and prevention. The interview concludes with a discussion on the importance of medical literacy and understanding the scientific method. Overall, the conversation offers insights into Dr. Attia's approach to health and longevity, emphasizing muscle mass, protein intake, early intervention, and medical literacy.
10 crap minimum book i’m sure! Awesome content as usual 🙏
I love the talk about medicine 2.0 and 3.0! Prevention is the way to go. One way to implement would be through insurance companies. If a law was passed that insurance companies had to pay for gym memberships, that would at least make the threshold to entry lower. Just an idea. What do you guys think?
Does Peter supplement with creatine to stoke muscle growth?
Yes @32ish!
Follow up question, what is Peter's typical meals throughout the day to hit these types of protein ?
What are the cliff notes to 4 hour body, so I too can not follow them?
Haha. Right?!
Nutter Butter Lovers unite 😂 Great examples in here. I often think about how the difference between causation and correlation is not thought about enough in analyzing study results. I just heard on Swiss radio this week about a study on how porn consumption by either male or female partners can affect the couple. However, they basically said that porn consumption in the men had negative effects whereas porn consumption in women had positive effects. But, there was no mention as to quantities or quality of the porn consumption. Also, they kind of framed it as if porn consumption in women helped the sex life of the couple versus looking at maybe it’s women who are innately more sexual or have a higher sex drive that will actively seek out watching more porn versus others. I also felt they didn’t emphasize enough that this is only in a certain generation of mostly people in their early 20s. In any case, great studies to start doing, but I feel they need to be talked about in a certain ways so that the general public starts learning how to analyze and scrutinize results of studies.
Did anyone pick up on an explanation about how grip strength somehow CAUSES longevity? Seems wild to think that that has any causal relationship. Does that mean rock climbers should be expected to live super long (assuming all else equal)??
I don’t think a strong grip extends longevity but is a sign of how fit an older person is and thus a sign how long that person could live
5:45, on protein and muscle hypertrophy
19:27, what makes you die
47:36, on the scientific method
Couldnt there be a study done on the letter carriers thay have to carry satchels all day.
I wish Peter would join force with a Canadian province healthcare system and government to see if he can make a big scale difference.
oh god please
1:14:22 Underutilized metrics and tools for expanding health and lifespan.
28:45 he forgot about plumbing/sanitation. More important than everything else he mentioned.
2:04:00 they don’t mention new research shows colonoscopies miss 75% of colon cancers! So even if their friend went for screening they would’ve missed it 75% of the time. I have 2 parents who both had regular colonoscopies and the cancer was missed in all of them until they were state 3/4.
Whats the best way for future physicians to learn about medicine 3.0?
Perhaps buy the book?
What Attia mentions about max protein is flawed. The problem with max 50G protein per meal is all body building research shows that if you're a natural athlete and looking to lose fat and maintain muscle your protein consumption goes from 1g/lb of lean body mass to 2.2g/lb of lean body mass. I'm quite sure it's the same research Attia got the 1g/lb lbm from in the first place. So in practical terms a person that is looking to gain muscle and weighs 160lbs, 160g /4 meals = 40g protein. If that person gained the 10lbs of lean body mass Dr. Peter Attia did but also gained some fat their lbm is now 170lbs. This means protein requirement to lose fat is 374g per day. That means 8 meals a day if 50g of protein is the max per meal. Yes these recommendations are for trained individuals but the research was on people training consistently for max 18-24 months.
Tim is quite the rambler
Just a couple of eggs discussing how to not crack. I love it
Tim, are you a fan of Longevity and Life Extension science?