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    #56 - Jocko Willink, retired Navy SEAL, Part II of II: Sleep, fasting, raising kids, discipline, taking ownership, and the impact of war

    enJune 03, 2019

    Podcast Summary

    • A membership-funded podcast model for ad-free, high-quality contentThe Peter Attia Drive podcast uses a membership model to provide ad-free, exclusive content and maintain trust with listeners, resulting in a valuable learning experience for those seeking to optimize health and performance.

      The Peter Attia Drive podcast is funded through listener support instead of ads to maintain trust and authenticity. By becoming a member, listeners receive exclusive benefits such as full access to show notes, Ask Me Anything episodes, and special deals on products endorsed by Attia. This model ensures that members get more value than they give, and the podcast remains free for all. Attia's obsession with optimizing health and performance, combined with his team's dedication, results in high-quality content. He values transparency and trust with his audience, making this model a perfect fit for his mission. Attia's guests, like Jocko Willink, have impressive backgrounds and provide valuable insights on various topics. Overall, the Drive podcast offers a unique and valuable learning experience for those seeking to live a higher quality, more fulfilling life.

    • Jocko's Reflection on 9-11: From Tactical to StrategicJocko's experience during 9-11 shifted from a tactical to strategic perspective, emphasizing the importance of understanding both levels in life and leadership.

      Jocko's experience on 9-11, like many others, was a pivotal moment in history that he initially processed from a tactical perspective, but in hindsight, understood the strategic implications. During a conversation with the host, they also discussed topics such as machines in war and medicine, raising kids, sleep, and giving up. Jocko shared how he was in college when he heard about the attacks and initially thought it was a prop or an accident, but realized the severity when the second plane hit. The interview also included a quick Q&A session with the host's daughter.

    • Jocko's Eagerness to Return to SEAL Teams After 9/11Jocko's impulsive desire to join the SEAL teams after 9/11 led him to return to Seal Team Seven, where he was given the chance to lead a platoon in Iraq.

      During the aftermath of the September 11 attacks, many individuals, including Jocko, expressed their eagerness to join the Navy SEAL teams to contribute to the ongoing war efforts. Jocko, despite being advised to finish college, called his former commander begging to be sent back to a SEAL team. However, his immaturity and haste were misplaced as everyone was making similar requests. Seal teams consist of multiple platoons, not just a team of 12 individuals. Jocko had served in several SEAL teams, including Seal Team One, Seal Team Two, Seal Team Seven, and Seal Team Three. He returned to Seal Team Seven right after the Iraq invasion in 2003. Upon arriving, he was given the opportunity to lead a platoon that was about to deploy to Iraq, which he considered a fortunate break. Jocko did visit Afghanistan but did not engage in combat there. He noted that the principles of combat remained consistent between Iraq and Afghanistan.

    • Similarities and differences in American and Soviet experiences in AfghanistanThe terrain played a crucial role in both conflicts, but the Soviet soldiers faced harsh conditions and low morale, while American military is more diverse and voluntary. The Afghan fighters effectively utilized weapons like Stinger missiles, while the use of terror tactics added to the brutality of both conflicts.

      The experiences of American and Soviet forces in Afghanistan share similarities, such as the importance of terrain and the brutality of the conflicts, but also have significant differences, particularly in morale and the types of people who serve in their militaries. The Soviet soldiers, as described in the book "One Soldier's War," endured harsh conditions and abuse from their commanders, while the Afghan fighters utilized their mountainous terrain and effective use of weapons like Stinger missiles. The American experience in Afghanistan, though not as extensively discussed, likely had its own unique challenges and dynamics. The morale of the Russian soldiers was reportedly very low, and the conscripts were often from disadvantaged backgrounds, while the American military is more diverse and voluntary. The use of terror tactics and the difficult terrain made both conflicts challenging and brutal in their own ways.

    • Identify and exploit opponents' weaknessesTo outmaneuver larger opponents, focus on their vulnerabilities. Historical context provides valuable insights.

      To beat larger, less maneuverable opponents, you must identify and exploit their weaknesses. This concept was exemplified during the Vietnam War, where insurgents were able to outlast the more powerful American forces by understanding and targeting their vulnerabilities. The same principle applies to business and other contexts. Additionally, public perception and treatment of veterans has evolved over time, with the Vietnam War veterans facing significant backlash due to the unpopularity of the war, while more recent veterans have been generally well-received. Understanding the historical context and nuances of these situations can provide valuable insights.

    • The defeat of ISIS in Iraq and the country's past as a tolerant placeThe defeat of ISIS in Iraq was due to their transformation into a conventional army, and Iraq's past as a secular and westernized nation contrasts with other Middle Eastern countries.

      The presence of ISIS in Iraq is nil, and their defeat was a result of their transformation into a conventional army, making it easier for coalition forces to fight against them. The speaker's personal experiences in Iraq, particularly in Baghdad and Ramadi, highlight the country's westernized and secular past, which contrasted sharply with other Middle Eastern nations. The speaker's parents, who were from Egypt, held a similar view of Iraq as a more tolerant place. However, Saddam Hussein's bluff about weapons of mass destruction ultimately led to the Iraq War, a decision that the speaker believes was a mistake. Looking ahead, the future of warfare remains uncertain, but the lessons from the past 20 years of conflict, including the importance of understanding the cultural and historical contexts of conflicts, are crucial for effective military strategy.

    • The Role of Drones and Robots in Military ConflictsDrones and robots offer advantages in military conflicts, but their impact is not straightforwardly positive or negative. The success of their use depends on their specific advantages and disadvantages in each situation.

      While technology such as drones and robots will play a significant role in future military conflicts, the impact of their introduction is not straightforwardly positive or negative. Drones, for instance, have already made a big step forward in the past decade, reducing the number of human casualties. However, they raise concerns about discernment and the lack of human empathy. Robots, on the other hand, offer advantages like finer motor control and better visibility in complex surgeries. But the human element, including trust and empathy, remains crucial. Ultimately, the success of technology in military conflicts depends on its application and the problem it aims to solve. The decision to use drones or robots should be based on their specific advantages and disadvantages in each situation.

    • Trust and acceptance of new technologiesDespite mistakes, trust and acceptance are crucial for new technologies. Humans make mistakes too, but we learn and grow. Parents want to teach valuable lessons, but allow children to learn on their own. Vulnerability and openness build trust and connection.

      As technology advances and machines make more decisions that were once made by humans, trust and acceptance can be a challenge. From robot surgery to driverless cars, even small mistakes can lead to significant consequences and public scrutiny. However, it's important to remember that humans make mistakes too, and we trust them to learn and grow. As parents, we want to instill valuable principles and lessons in our children to help them succeed in life. We may not always get it right, and it's important to allow them to discover these truths for themselves. Vulnerability and openness can also be valuable in building trust and connection with our loved ones. Ultimately, the key is to approach new technologies and challenges with a thoughtful and open mind, and to continue to strive for growth and improvement, both personally and as a society.

    • Being open about mistakes is essential for being a good dadAdmit mistakes, use them as learning opportunities, don't let anger build up, lead decentralized, have a consistent sleep routine, eat biggest meal after workout, avoid electronics before bed, and lead with empathy and understanding.

      Being open about making mistakes and apologizing for them is an essential part of being a good dad, according to the speaker. He acknowledges that he makes mistakes frequently and tries to use them as learning opportunities for his children. He also emphasizes the importance of not letting anger build up and taking it out on loved ones. The speaker also mentions that he believes in leading his family and team in a decentralized way, allowing them to come up with their own plans and ideas. He shares that he's often asked about sleep and has a typical routine of going to bed at 11 pm and waking up at 4:30 am. He eats his biggest meal after Jiu Jitsu practice and tries to avoid looking at electronics before bed. Despite his intimidating appearance, he insists that he's not a tyrannical father and believes in leading with empathy and understanding.

    • Interviewee's sleep patterns and habitsDespite varying sleep durations and restfulness, the interviewee feels fully rested and maintains a high sleep efficiency. He prefers a deep six-hour sleep or multiple short naps, avoids excessive caffeine, and practices foot elevation before bed.

      The interviewee's sleep patterns and habits have evolved over time, with varying durations and degrees of restfulness. He generally feels fine upon waking up, whether it's with or without an alarm, and doesn't experience significant tiredness throughout the month. His most efficient sleep cycle lasts around six hours, but he prefers setting an alarm for 4:30 AM and taking short naps during the day. He avoids excessive caffeine intake and practices elevating his feet before sleeping for eight minutes. His sleep efficiency is suspected to be high based on his description of feeling fully rested even after short sleep durations.

    • Personal experiences and research on sleep's impact on healthPrioritize individual sleep needs for optimal physical and mental health. Experimenting with sleep aids and routines can help improve sleep quality.

      Sleep plays a crucial role in our physical and mental well-being, and the amount of sleep each person needs may vary. The speaker shares his personal experience of waking up in a sweat and having intense dreams, which he believes are linked to his sleep deprivation. He mentions using a chili pad to help him sleep better and reduce these occurrences. The speaker also references an experiment where military personnel were forced into a 12-hour dark and 12-hour light cycle, resulting in improved sleep. The speaker expresses curiosity about the potential impact of sleeping more hours consistently, but hasn't experimented with it himself. He emphasizes that everyone should prioritize getting enough sleep for their individual needs and acknowledges the cognitive decline that can occur when people are tired. The speaker also notes that his own children have different sleep patterns, further highlighting the genetic role in sleep needs.

    • The importance of prioritizing sleep for optimal brain and body functionExperiment with different sleep habits to find what works best for individual needs, while staying committed to the long-term goal of prioritizing sleep for overall health and performance. Sleep deprivation can lead to health issues like weight gain and insulin resistance.

      While there's no one-size-fits-all approach to sleep needs, getting enough rest is crucial for optimal brain and body function. The speaker shared his personal experience of feeling the benefits of increased sleep hours, but acknowledged the challenges of maintaining a consistent sleep schedule due to frequent travel. He also emphasized the importance of distinguishing between giving up on a tactical approach and quitting on a strategic goal. In the context of sleep, this means experimenting with different sleep habits to find what works best, while keeping in mind the long-term goal of prioritizing rest for overall well-being. The speaker also highlighted the potential impact of sleep deprivation on health issues, such as weight gain and insulin resistance. Overall, the conversation underscored the importance of considering individual differences and adapting strategies to meet unique needs, while staying committed to the goal of prioritizing sleep for overall health and performance.

    • Pushing through adversityEven when faced with setbacks, continuing to push forward can lead to valuable lessons and a sense of accomplishment.

      Even in the face of adversity and disappointment, it's important to keep pushing forward. The speaker shares a story about his experience in the Chesapeake Bay Bridge Swim where he felt determined to be in the top 10, but ended up getting disqualified due to a dislocated shoulder. Despite the setback, he refused to give up and continued to swim, even when it was the hardest thing he's ever done. This experience taught him that quitting, even when it seems like an easy option, can lead to regret and a sense of dissatisfaction. The struggle to keep going, despite the pain and frustration, ultimately led to a valuable lesson that has stayed with him for years.

    • Internal struggle of pushing through or giving upAcknowledge weaknesses and learn from experiences, rather than comparing or striving for perfection

      Everyone faces challenges and moments of defeat, no matter how capable or determined they may seem. Jocko's story about paddling out in the big waves of Ocean Beach highlights the internal struggle of pushing through or giving up. He questions whether not making it out was due to physical limitations or quitting, and this experience resonates with the idea that we all have our limits. This relates to the concept of free will, as we may believe we have control over our choices, but external and internal factors can influence our decisions. Ultimately, it's essential to acknowledge our weaknesses and learn from our experiences rather than comparing ourselves to others or striving for an unattainable standard of perfection.

    • Understanding Free Will and LeadershipLeaders can't change people against their will, but they can offer support and resources to help individuals reach their potential. Empathy, collaboration, and empowerment lead to the best outcomes.

      While we may have some level of influence over others and ourselves, ultimately, people make their own choices and transformations. Free will is a complex concept, and while some may argue against it, others believe in its existence. From a leadership perspective, it's essential to understand that people are unique and cannot be changed against their will. Instead, leaders can provide guidance, resources, and support to help individuals reach their potential. When dealing with those who make excuses or lack motivation, it's crucial to empathize, offer solutions, and collaborate to find ways to overcome obstacles. Ultimately, the best outcomes come from empowering individuals to take ownership of their actions and decisions.

    • Emphasizing Accountability and OwnershipTaking responsibility for actions leads to better outcomes and improved team dynamics. Ownership encourages finding solutions instead of making excuses or blaming others.

      Accountability and ownership are essential for individual and team success. The speaker emphasizes the importance of taking responsibility for one's actions, even in situations where external factors may be contributing to the problem. He also suggests that when people take ownership, they are more likely to improve and find solutions, rather than making excuses or blaming others. The speaker shares his experience with his kids, using the example of homework, and how taking ownership leads to better outcomes. Additionally, the speaker reveals that he does not drink alcohol and his biggest indulgence is dark chocolate (72%). The extreme ownership mindset disarms people and encourages them to take responsibility for their mistakes, leading to better performance and improved team dynamics.

    • Balancing Indulgences: Dark Chocolate and SweetenersDark chocolate in moderation and new sweeteners like monk fruit and alulos can help reduce sugar intake while still satisfying sweet cravings.

      While indulging in treats like milk chocolate and mint chocolate chip milkshakes can bring pleasure, finding the right balance is key. Dark chocolate may not be enjoyable for some, but a few squares paired with a decaf espresso can be savored for a longer period. True indulgences, like steak and milkshakes, can be challenging to give up once healthier alternatives are discovered. Monk fruit, a sweetener with the same taste and texture as sugar but with minimal absorption, is a game changer for those looking to reduce their sugar intake. Additionally, a new sweetener called alulos, recently approved by the FDA, is not absorbed like sugar and may even help lower blood sugar levels. It's important to remember that everyone, including the speaker, enjoys indulgences from time to time, and finding balance is crucial.

    • Experiencing the Challenges of FastingDespite initial discomfort, regular fasting can lead to improved sleep quality, better workouts, and mental clarity after the three-day mark.

      Fasting, while generally beneficial, doesn't always come easy or feel good right away. The speaker shared an experience where they didn't feel good for the first few days of a fast, despite being a regular faster. However, they noted that their sleep quality was excellent and their workouts felt good. The cause of their unusual sluggishness remains unclear. The speaker aims to fast quarterly, for at least five days each time, and emphasized the importance of reaching the three-day mark for noticeable benefits. They also shared a personal story about using fasting to gain a mental advantage during a Jujitsu competition. Overall, the speaker highlighted the empowering nature of fasting and how it connects us to our ancestors. Despite the challenges, they plan to continue incorporating fasting into their routine.

    • Discipline Inspired by SEAL TeamsDiscipline in various aspects of life can lead to improved performance and greater freedom.

      Having discipline in various aspects of life, including diet and fitness, can lead to improved performance and greater freedom. Olivia Atia, also known as Jocko, shares how she was inspired by the SEAL teams' discipline and how it led to better outcomes for her. She emphasizes the importance of getting to work early, taking care of one's gear, and putting forth effort. Jocko's workouts consist of common exercises like push-ups, pull-ups, and squats, and she got her nickname "Jocko" because her father wanted her to be a "jock," or athlete. The takeaway message is that having discipline, whether it's related to fitness or other areas of life, can lead to better outcomes and more freedom. Jocko's favorite book, "Way of the Warrior Kid," also emphasizes the importance of discipline and resilience.

    • The Importance of Discipline for Freedom and SuccessDeveloping discipline through training and healthy habits leads to better academic performance and personal growth. If you want to do something, just do it. Military service instills a sense of responsibility and makes you a better person.

      Discipline plays a crucial role in achieving freedom and success in various aspects of life. Mark's story illustrates how developing discipline through training and healthy habits led him to better academic performance and personal growth. The importance of discipline was further emphasized when Peter shared his experience of being asked about waking up early and his response that if one wants to do something, they should just do it. Additionally, Peter expressed gratitude for the opportunity to serve in the military and how it instilled a sense of responsibility and made him a better person. Overall, the conversation highlighted the importance of discipline and personal responsibility in overcoming challenges and making the most of opportunities.

    • Supplementing, not replacing, professional medical adviceListen to health podcasts for valuable info, but always consult healthcare pros for medical conditions and never disregard seeking help

      While listening to health-related podcasts, including this one, can provide valuable information, it's crucial to remember that the information shared should not replace professional medical advice. Users should always consult their healthcare professionals for any medical conditions they have and never disregard or delay seeking medical help. Additionally, the speaker, Peter A. Diamandis, takes conflicts of interest seriously and encourages listeners to check out his disclosures on his website for transparency regarding his investments and advisory roles. In essence, this podcast is meant to supplement, not replace, professional medical advice. Always prioritize your health and wellbeing by seeking the guidance of qualified healthcare professionals.

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    View the Show Notes Page for This Episode

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    • Behavioral changes that have come about from the conversation with Olav [56:00];
    • Alex Aravanis episode: liquid biopsies for cancer detection [1:01:30];
    • Colleen Cutcliffe episode: the importance of gut bacteria balance, and the potential therapeutic uses of probiotics, particularly Akkermansia [1:16:45];
    • Mark Rosekind: the significant issue of road fatalities and injuries, their causes, and practical safety measures to reduce risks [1:27:00]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enJune 03, 2024

    #303 - A breakthrough in Alzheimer’s disease: the promising potential of klotho for brain health, cognitive decline, and as a therapeutic tool for Alzheimer's disease | Dena Dubal, M.D., Ph.D.

    #303 - A breakthrough in Alzheimer’s disease: the promising potential of klotho for brain health, cognitive decline, and as a therapeutic tool for Alzheimer's disease | Dena Dubal, M.D., Ph.D.

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    Dena Dubal is a physician-scientist and professor of neurology at UCSF whose work focuses on mechanisms of longevity and brain resilience. In this episode, Dena delves into the intricacies of the longevity factor klotho: its formation and distribution in the body, the factors such as stress and exercise that impact its levels, and its profound impact on cognitive function and overall brain health. Dena shares insights from exciting research in animal models showing the potential of klotho in treating neurodegenerative diseases as well as its broader implications for organ health and disease prevention. She concludes with an optimistic outlook for future research in humans and the potential of klotho for the prevention and treatment of Alzheimer’s disease.

    Disclosure: Peter is an investor in Jocasta Neuroscience, a company working to develop klotho as a therapy for people with Alzheimer’s disease.

    We discuss:

    • Dena’s fascination with aging and how she came to study klotho [3:30];
    • Biological properties of klotho: production, regulation, decline with age, and factors influencing its levels [11:45];
    • Potential benefits of klotho on brain health [22:00];
    • The relationship between soluble klotho protein, platelet factors, and cognitive enhancement [33:45];
    • The role of platelet factor 4 (PF4) and it’s interaction with GluN2B in mediating cognitive enhancement [46:45];
    • Benefits of klotho observed in a mouse model of Parkinson’s disease [55:45];
    • Benefits of klotho observed in a mouse model of Alzheimer’s disease [1:03:00];
    • Promising results of klotho in primate models, and the importance of finding an appropriate therapeutic dose before moving to human trials [1:08:00];
    • Speculating why a single klotho injection has such long-lasting effects [1:25:30];
    • Potential cognitive benefits of klotho in humans, the impact of the KL-VS genetic variant on klotho levels, and the need for human trials to confirm these effects [1:27:45];
    • The interaction between the KL-VS genetic variant and APOE4 and how it impacts risk of Alzheimer’s disease [1:34:45];
    • The significance of klotho levels: studies linking lower levels to increased mortality and the broader implications for organ health and disease prevention [1:47:15];
    • Measuring klotho levels and determining an individual’s KL-VS status [1:52:15];
    • The promising potential of klotho for Alzheimer’s disease treatment, and the importance of philanthropy for funding research [1:58:00]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enMay 27, 2024

    #302 - Confronting a metabolic epidemic: understanding liver health and how to prevent, diagnose, and manage liver disease | Julia Wattacheril, M.D., M.P.H.

    #302 - Confronting a metabolic epidemic: understanding liver health and how to prevent, diagnose, and manage liver disease | Julia Wattacheril, M.D., M.P.H.

    View the Show Notes Page for This Episode

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    Julia Wattacheril is a physician scientist and director of the Metabolic Dysfunction Associated Steatotic Liver Disease (MASLD) program at Columbia University Irving Medical Center. In this episode, Julia delves deep into the complex world of liver health, beginning with a foundational overview of liver physiology. She provides an in-depth look at how alcohol impacts liver function, breaking down the metabolism of ethanol and its detrimental effects. Julia then shifts the focus to understanding liver function tests and optimal enzyme levels, providing a detailed explanation of AST and ALT and elucidating why fluctuations in these levels may or may not be concerning. She provides a primer on the four major stages of liver disease, discussing risk and emphasizing the importance of early diagnosis. Julia highlights the role of liver disease in increasing the risk of cancer and cardiovascular disease and covers in detail the various strategies for diagnosing, treating, and preventing the progression of liver disease.

    We discuss:

    • Julia’s training, the importance of liver health, and the challenges and innovations of hepatology [3:15];
    • The complex and crucial functionality of the liver, its four most essential functions, and more [8:45];
    • Liver injuries: historical and evolving understanding of causal factors, and the progression to liver diseases and cancer [13:15];
    • How the liver metabolizes nutrients and what happens in the presence of excess calories or alcohol [24:45];
    • Methods of diagnosing liver disease and how insights guide treatment and management strategies [33:30];
    • The poisonous nature of ethanol to the liver [40:30];
    • Varied responses to alcohol, damaging effects of alcohol beyond the liver, and the process of advising patients on their alcohol consumption [47:15];
    • Understanding liver enzymes AST and ALT—interpreting levels, lifestyle factors that affect them, and diagnostic approaches [58:30];
    • Interpreting liver function tests for fatty liver disease, and the challenges of diagnosing liver pathologies, particularly in children versus adults [1:13:15];
    • Comprehensive liver health assessments via imaging and various diagnostic tools to prevent overlooking potential liver pathologies [1:18:45];
    • Potential impact of recreational drugs, statins, and other medications on liver function test results [1:26:45];
    • Shifting nomenclature from NAFLD to MASLD to reflect accuracy in the underlying pathophysiology and understanding of liver diseases [1:30:30];
    • Pathophysiology of MASLD, the need for proactive screening, and the significance of liver fat percentage as an indicator of metabolic health [1:36:30];
    • The importance of screening for rare conditions alongside common metabolic diseases associated with fatty liver accumulation [1:42:45];
    • Practical strategies for managing MAFLD [1:45:30];
    • The impact of fructose consumption on liver health and the challenges of disentangling its effects from other factors like obesity and insulin resistance [1:52:45];
    • The potential of GLP-1 agonists for the treatment of MASLD [1:57:45];
    • How the four stages of liver disease have evolved [2:00:30];
    • Increased cancer and heart disease risk associated with early-stage MAFLD [2:05:15];
    • Emerging drugs and therapies for addressing fat accumulation and fibrosis related to MAFLD [2:12:15];
    • Peter’s major takeaways [2:18:45]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enMay 20, 2024

    #301 - AMA #59: Inflammation: its impact on aging and disease risk, and how to identify, prevent, and reduce it

    #301 - AMA #59: Inflammation: its impact on aging and disease risk, and how to identify, prevent, and reduce it

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    In this “Ask Me Anything” (AMA) episode, Peter delves into the often misunderstood concept of inflammation. He first defines inflammation and differentiates between acute inflammation and chronic inflammation, the latter of which is linked to aging and a plethora of age-related diseases. Peter breaks down the intricate relationship between chronic inflammation, obesity, and metabolic health, and highlights the signs that might suggest someone may be suffering from chronic inflammation. From there, the conversation centers on actionable advice and practical steps one can take to manage and minimize chronic inflammation. He explores how diet plays a crucial role, including the potential benefits of elimination diets, and he examines the impact of lifestyle factors such as exercise, sleep, and stress management. Additionally, he discusses the relevance of food inflammatory tests and concludes by examining the potential benefits and drawbacks of drugs and supplements in managing inflammation.

    If you’re not a subscriber and are listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #59 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

    We discuss:

    • Defining inflammation (and the cultural impact of Napoleon Dynamite) [1:45];
    • Acute vs chronic inflammation [8:00];
    • The connection between chronic inflammation, aging, and age-related diseases [11:00];
    • The impact of inflammation on metabolic health [18:30];
    • Understanding and diagnosing chronic inflammation: blood tests and other approaches, and challenges with measurement [20:00];
    • Factors that contribute to low-level chronic inflammation [28:00];
    • Minimizing inflammation through diet [29:45];
    • The important role of fiber for gut health and inflammation [33:45];
    • A closer look at the impact of trans fats and saturated fats on overall health [34:45];
    • Why Peter prefers dietary fiber from food sources over supplements [38:30];
    • Debunking “superfoods”: emphasizing proven methods over marketing claims for reducing inflammation [39:00];
    • Is there any value in over-the-counter food inflammatory tests? [42:30];
    • Food elimination diets: how they work, symptoms and markers to watch, challenges and limitations [45:15];
    • Identifying dietary triggers for gut-related symptoms through low-FODMAP diets like the “carnivore diet” [51:15];
    • Dairy: the complex role of dairy on inflammation and individual responses [55:00];
    • Wheat: the complexities and conflicting evidence around wheat's inflammatory effects [57:45];
    • How exercise influences inflammation [1:02:00];
    • How sleep quality and duration impacts inflammation [1:07:00];
    • The potential impact of chronic psychological stressors on inflammation [1:13:00];
    • The impact of oral health on inflammation and overall well-being [1:15:00];
    • The role of medications in managing chronic inflammation [1:18:15];
    • Supplements: evaluating the efficacy of various anti-inflammatory supplements [1:22:15];
    • Parting thoughts and takeaways [1:27:00]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enMay 13, 2024

    #300 - Special episode: Peter on exercise, fasting, nutrition, stem cells, geroprotective drugs, and more — promising interventions or just noise?

    #300 - Special episode: Peter on exercise, fasting, nutrition, stem cells, geroprotective drugs, and more — promising interventions or just noise?

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    In this special edition celebrating 300 episodes of The Drive, Peter discusses a variety of popular topics and health interventions and classifies them based on their level of evidence and relevance using the following categories: proven, promising, fuzzy, noise, and nonsense. Peter first delves into the topic of geroprotective molecules, covering rapamycin, metformin, NAD and its precursors, and resveratrol. Next, he explores the significance of metrics like VO2 max and muscle mass, as well as emerging concepts like blood flow restriction and stem cells. The conversation extends to nutrition, addressing questions surrounding long-term fasting, sugar consumption, sugar substitutes, and the contentious role of red meat in cancer. Peter not only provides his current stance on each topic—most of which have been covered in great detail in the previous 300 episodes—but also reflects on how his opinion may have evolved over the years.

    We discuss:

    • Defining the categories of “proven, promising, fuzzy, noise, and nonsense” [3:15];
    • Rapamycin [9:30];
    • Metformin [17:00];
    • NAD and its precursors [24:30];
    • Resveratrol [32:45];
    • The importance of VO2 max, muscle mass, and muscular strength for lifespan [38:15];
    • Blood flow restriction (BFR) training [44:00];
    • Using stem cells to treat osteoarthritis or injury [51:30];
    • Fasting as a tool for longevity (and why Peter stopped his fasting protocol) [55:45];
    • The energy balance theory [1:06:30];
    • The idea that sugar is poison [1:12:00];
    • The idea that sugar substitutes are dangerous [1:22:15];
    • The debate on red meat and cancer [1:28:45]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    Special episode with Dax Shepard: F1 and the 30th anniversary of Ayrton Senna’s death

    Special episode with Dax Shepard: F1 and the 30th anniversary of Ayrton Senna’s death

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    This is a special episode of The Drive with Peter’s friend and fellow car enthusiast Dax Shepard. In this podcast, which commemorates the 30th anniversary of the death of Brazilian Formula One legend Ayrton Senna, Dax sits down with Peter to better understand what made Senna so special and why Peter remains an enormous fan. This conversation focuses on Senna’s life, the circumstances of his death, and his lasting impact and legacy on the sport of F1.

    We discuss:

    • Peter’s interest in motorsports began as a child [2:30];
    • The drama and dangers of F1 [6:00];
    • What made Senna special [13:00];
    • What Senna meant to Brazilians [24:00];
    • The cause of the fatal crash [28:15];
    • Why Peter is obsessed with Senna [40:30];
    • Being the best versus having the best record [43:30];
    • Senna’s unique driving style and incredible intuition about automotive engineering [46:30];
    • Back to the day of the dreadful race [53:00];
    • What Peter believes caused the crash [1:02:45];
    • Views on dying young, in the prime of life [1:13:00];
    • Senna lives on in his foundation and in safety changes adopted by F1 [1:21:00];
    • Statistics aren’t enough for fandom, and why people like who they do [1:24:15];
    • The biggest difference between F1 today and F1 in the 80s [1:28:30];
    • Senna’s driving superpower [1:30:30];
    • The fastest drivers currently in F1 [1:38:30];
    • Current F1 obsessions [1:45:00];
    • How hard it is to do what the top F1 drivers do [1:50:15];
    • Dax’s love of motorcycles and his AMG E63 station wagon [1:52:15];
    • Awesome Senna mementos from Etsy [2:01:15];
    • What makes specialists interesting, and Max’s devotion to F1 [2:10:15];
    • What Senna might have done if he had not died that day [2:14:00];
    • Michael Schumacher and Max Verstappen are also top F1 drivers [2:17:30];
    • Interlagos in Sao Paulo Brazil is always an incredible experience [2:18:45]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

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    About Tom Rath

    Tom Rath is a researcher and writer who studies the role of human behavior in business, health, and well-being.

    Tom has written six New York Times and Wall Street Journal bestsellers over the past decade, starting with the #1 New York Times bestseller How Full Is Your Bucket? In 2016, his book StrengthsFinder 2.0 was listed by amazon.com as the top selling non-fiction book of all time. Tom’s bestsellers include Strengths Based Leadership, Wellbeing, and Eat Move Sleep and Are You Fully Charged?. He has also written two children’s books and produced a feature-length documentary. In total, Tom’s books have sold more than 6 million copies and have made more than 300 appearances on the Wall Street Journal bestseller list.

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    What we talked about:

    Eat Move Sleep

    1. Walking Meetings
    2. 10,000 steps
    3. Standing
    4. no sugar in coffee
    5. cut out fruit juices
    6. cut down on bread
    7. SLEEP!!!!

    Are You Fully Charged?

    1. Work in bursts
    2. Pomadora Technique
    3. Search for meaning, not happiness

    Strengths Finders 2.0

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    2. grades...ugh!

    How full is your bucket

    1. Give what you want
    2. Filling others buckets, fills  your own

    Tom's Books


    Connect with Tom


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