Logo

    James Clear: Building & Changing Habits (#183 rebroadcast)

    enJanuary 01, 2024
    What percentage of daily behaviors are habitual, according to James Clear?
    How can understanding habits help us improve our lives?
    What is backcasting in the context of habit formation?
    How does environmental design influence personal development?
    What strategies can help identify cues for behavior change?

    Podcast Summary

    • Understanding the Power of HabitsUp to 50% of our daily behaviors are habitual, and recognizing their power can help us become architects of our own habits rather than their victims. James Clear's 'Atomic Habits' offers insights into the science of habits and practical strategies for building and maintaining healthy ones.

      Habits play a significant role in shaping our behaviors, and understanding how they work can help us become the architects of our own habits rather than their victims. According to James Clear, author of "Atomic Habits," up to 50% of our daily behaviors are habitual. These habits not only influence our current actions but also shape the ones that follow. By recognizing the power of habits and learning how to form good ones or break bad ones, we can make conscious choices and improve our lives. James Clear's book provides valuable insights into the four components of habit formation and offers practical strategies for building and maintaining healthy habits. If you're looking to make positive changes in your life, understanding the science of habits is an essential first step.

    • Habits shape our long-term resultsHabits significantly influence our future outcomes, as they are the only things we have control over in a modern society with delayed return structures.

      Our habits significantly influence our long-term results in life, as they are a leading indicator of our future outcomes. Our bank account, weight, knowledge, and even the state of our environment are all lagging measures of our financial, health, learning, and cleaning habits, respectively. Habits are not the only factor that determines our results, but they are the only things we have control over. Our ancestors likely focused on changing habits less due to the immediate return environment they lived in, but modern society, with its delayed return structures, favors the development of habits for long-term gains. Understanding this mismatch between our ancestral wiring and modern society may explain the growing interest in habit formation and change.

    • Immediate vs Delayed Feedback in Learning SkillsThe timing of rewards and punishments significantly impacts the ease or difficulty of learning new skills and adopting good habits. Immediate and painful feedback makes learning easier, while delayed and less intense feedback makes it harder.

      The ease or difficulty of learning a new skill depends on the immediacy and intensity of the feedback. Riding a bike provides immediate and painful feedback when out of balance, making it easier to learn. Swimming, on the other hand, offers delayed and less intense feedback, making it more challenging. This concept also applies to habits. Bad habits often provide immediate rewards, while good habits may require more time before showing noticeable benefits. The misalignment between the timing of rewards and punishments can make it harder to adopt good habits and easier to stick with bad ones. To effectively change behaviors, it's crucial to have both quick and meaningful feedback.

    • The Complexity of DisciplineDiscipline is influenced by context and innate tendencies, and our perceived discipline can vary across different areas of life.

      That willpower may not be a reliable long-term strategy, and our perceived discipline can depend on the context of our lives. James, the interviewee, shares his personal experiences of being seen as disciplined in academic settings but not in others. He admits that he avoided areas where he thought he would struggle rather than taking risks. The debate around free will was also touched upon, with James expressing his belief in having free will but acknowledging that certain behaviors may be innate and require varying levels of effort. James's ease with exercising and struggle with nutrition serve as an example of this. Overall, the conversation highlights the complexity of discipline and the role of context and innate tendencies in shaping our behaviors.

    • Philosophical debate on free will vs determinism may not matter practicallyFocus on maximizing potential by choosing right path and working hard, regardless of free will or determinism

      While the debate over free will versus determinism raises interesting philosophical questions, from a practical standpoint, it may not matter much. Whether our actions are predetermined or not, we should continue to make choices that serve us best. The speaker acknowledges that there might be a genetic component to our tendencies and abilities, but it doesn't mean we can't learn or improve. An example given was the tennis player Steffi Graf, who not only had the physical abilities but also the strong desire to train and compete, which contributed to her success. The speaker emphasizes that genes don't dictate our actions but rather inform our strategies. Therefore, we should focus on maximizing our potential by choosing the right path and working hard, regardless of whether we have free will or not.

    • Aligning passions with work increases perseverance and disciplineDiscovering what we're passionate about can help us overcome challenges, increase perseverance, and achieve greater results.

      Finding areas of interest and passion can significantly increase perseverance and discipline, leading to better results. This concept, referred to as "grit is fit," suggests that our natural inclinations and fascinations can be aligned with our work, making it easier to build habits and improve skills. Michael Phelps is an excellent example of this, as his natural abilities and intense dislike for losing contributed to his extraordinary success in swimming. Similarly, discovering what we're truly passionate about can help us overcome challenges and achieve greater results, even when we're not at our best. So, the pursuit of our passions not only brings joy and fulfillment but also increases our chances of success.

    • The human drive for progress and improvementPeople are motivated by progress, whether personal or comparative, and strive for status and prestige. Ayrton Senna's pursuit of perfection in Formula One illustrates this desire, but also highlights the risks and consequences.

      The human drive for progress and improvement, whether relative to our own past performance or in comparison to others, is a powerful motivator. This desire for progress is universal and can be seen in various aspects of life, from personal goals like weight loss to professional achievements. The feeling of making progress, no matter how small, is generally rewarding. Additionally, there is a natural human inclination towards status and prestige, which can also bring feelings of satisfaction and happiness. The balance between focusing on the journey and the destination may vary from person to person, but the desire for progress and improvement is a common thread in the human experience. The discussion also highlighted the impact of Ayrton Senna, a legendary Formula One driver, on the sport. His relentless pursuit of perfection and winning at all costs ultimately cost him his life, leading to increased safety measures in the sport. Despite the high stakes, drivers continue to push boundaries, illustrating the universal human desire to make progress and achieve success.

    • Daily habits shape our results more than goalsFocusing on daily habits rather than just goals leads to long-term success and improvement.

      While goals are important, they are not the primary driver of success. Instead, it's the daily habits, or the system, that shapes our results. The speaker shares his personal experience of setting goals throughout his life and realizing that achieving them was not solely dependent on the goals themselves. He found that the systems, or habits, we establish are the real determinants of our outcomes. This concept is not limited to specific domains, as the winners and losers in various fields often have the same goals. The speaker suggests that goals may be necessary but not sufficient for success. Instead, we should focus on improving our daily habits, as they will naturally lead to better results. The speaker emphasizes that this mindset shift can be particularly useful for sustaining results. He differentiates between people who focus on goals for one-time achievements and those who care about building a system for long-term success. By focusing on the system, we can maintain our progress and continue to improve, regardless of whether we have a specific goal in sight or not. Ultimately, the speaker encourages us to recognize that our habits create our baseline and that by improving our daily practices, we can achieve better results in various aspects of our lives.

    • The Power of Atomic HabitsSmall, easy habits can lead to significant results. Consistently practicing a habit shapes our identity and reinforces our beliefs and values.

      That the concept of "atomic habits" refers to small, easy-to-do changes that, when layered together, can lead to significant and powerful results. These habits serve as the fundamental units in our larger systems and can embody different aspects of our identity. While the idea may not be as scientifically grounded as other parts of the book, it emphasizes the importance of habits as signals of our internal beliefs and values. By consistently practicing a habit, we embody the identity associated with it and reinforce the story we tell ourselves about who we are.

    • Define identity before focusing on outcomeInstead of solely focusing on the outcome, such as weight loss, try defining the identity you want to have and aligning habits with it. This approach can help those who haven't fully embraced their desired identity.

      Instead of focusing solely on the desired outcome, such as weight loss, it can be more effective to first define the identity we want to have and then align our habits with that identity. For instance, rather than focusing on the number of macros, we can ask ourselves what a healthy person would do in a given situation and make choices accordingly. This approach can be particularly helpful for those who have not yet fully embraced the identity they are striving for. While both methods can lead to the same objective, the primary difference lies in the internal belief and alignment with the desired identity. Changing through an epiphany is possible but not a reliable way to change, and it's essential to recognize that everyone's journey is unique. Ultimately, the key is to find the approach that resonates most with us and allows us to act in alignment with the person we aspire to be.

    • Consistently casting votes with actions to change identity and build new habitsSmall habits, even if they don't seem significant at first, can lead to aligning actions with identity and feeling autonomic over time.

      Changing your identity and building new habits is not about having a sudden epiphany or faking it till you make it, but rather about consistently casting votes with your actions. Small habits, even if they don't seem to make a big difference at first, can help you prove to yourself that you are the type of person you want to be. It takes time and effort, and it may feel like an internal journey without external feedback for a long time. The remarkable thing is that, with consistency, these small actions can eventually become aligned with your identity and feel autonomic. An example of this is someone who has kept off weight they lost years ago, despite the common understanding that keeping weight off is harder than losing it. This shift from struggling with what the healthy person would do to identifying as a healthy person can take a long time and may feel like a vacuum of external feedback. However, it's important to remember that the journey is worth it, and every small action is a step towards becoming the person you want to be.

    • Hard-to-reverse lifestyle changes lead to lasting behavior changeHard-to-reverse changes like having a child or getting a dog can create strong feedback loops and motivate lasting improvements in behavior

      Irreversible or hard-to-reverse lifestyle changes can lead to rapid and lasting behavior change. This can be seen in the example of someone quitting smoking after having a child, as the presence of the child makes it difficult to continue the habit and creates a strong feedback loop. Other examples of such changes include getting married, changing jobs, moving to a new city, or even getting a dog. The difficulty in reversing these changes makes them effective in helping individuals make lasting improvements in their lives. For instance, the speaker's experience of getting a dog helped him establish a consistent bedtime, as the dog's needs made it necessary for him to wake up early. Similarly, the arrival of a child can be a powerful motivator for quitting smoking, as the parent doesn't want to expose their child to secondhand smoke. Overall, these types of changes can be effective in helping individuals make significant and lasting improvements in their lives.

    • Identity and Social Environment Shape HabitsOur habits are influenced by both our personal identity and social expectations. Joining groups that support desired behaviors and identifying aspects of ourselves we can take pride in can help make behavior change last.

      Our habits are shaped by both our identity and our social environment. The parts of our story that we take pride in and the expectations of others around us can significantly influence the habits that stick with us for a long time. For instance, the interviewee in the discussion changed his habit of biting his nails due to taking pride in presenting himself well, while the habit of mowing the lawn regularly is driven by the social norm of fitting in with the neighborhood. To make behavior change last, it's essential to join groups where the desired behavior is the norm and to identify aspects of our identity that we can take pride in. Ultimately, our habits not only serve functional purposes but also signal to others that we belong and understand the group's norms.

    • Understanding the power of group identity and the laws of behavior changeJoining groups that align with our desired behavior and understanding the predictive nature of human actions can help us create adaptive habits and break free from maladaptive ones.

      Our desire to belong and be part of a group can be stronger than our desire for self-improvement. This is why it's essential to join groups where our desired behavior is the norm. Our identity plays a significant role in shaping our habits. The four laws of behavior change are crucial in understanding how habits form and how to make them adaptive. These laws are based on the idea that human behavior is predictive, not just reactive. We constantly make predictions about what to do next based on our experiences and expectations. The anticipation of a reward can trigger a dopaminergic surge, which is more powerful than the actual behavior that leads to the reward. By understanding these principles, we can create habits that serve us well and break free from maladaptive ones.

    • Dopamine as a Teaching and Learning MoleculeDopamine helps us learn from favorable experiences and anticipate positive outcomes, motivating us to act and creating habits.

      Dopamine plays a crucial role in the formation of habits not just as a reward, but as a teaching and learning molecule. It helps us mark favorable experiences and anticipate positive outcomes. This anticipation or prediction motivates us to act, driving the response and creating an outcome. However, the distinction between individuals in developing habits, such as smoking or eating junk food, seems to have a strong genetic and neurochemical component. Drugs and addictive substances can hack this system by artificially spiking dopamine, leading to a broken learning process and addiction. Additionally, people may have different triggers for pleasure and comfort based on individual preferences and experiences, which can also contribute to the development of habits.

    • Understanding the Four Stages of Habit FormationThe four stages of habit formation - queue, craving, response, and reward - help explain how choices and habits are formed and can be used to recognize and modify unhealthy patterns.

      Our choices and habits are often driven by an attempt to solve underlying problems, but we can get stuck in certain patterns due to the formation of "grooves" and the development of a story around them. The four stages of habit formation - queue, craving, response, and reward - help explain this process. The queue is a trigger, the craving is the desire or positive meaning assigned to the trigger, the response is the action taken, and the reward is the satisfying outcome. Variable rewards, which can be unpredictable or random, tend to intensify behavior and make habits harder to break. For example, slot machines, which offer variable rewards, can be particularly addictive. Understanding these principles can help us recognize and modify unhealthy habits.

    • Making habits obvious, attractive, easy, and satisfying vs invisible, unattractive, difficult, and unsatisfyingTo change habits, make desired behaviors obvious, attractive, easy, and satisfying, while making unwanted ones invisible, unattractive, difficult, and unsatisfying. This framework, called the Four Laws of Behavior Change, can help individuals make desired habits stick and eliminate unwanted ones.

      Establishing good habits and breaking bad ones involve making behaviors obvious, attractive, easy, and satisfying, or invisible, unattractive, difficult, and unsatisfying, respectively. This framework, known as the Four Laws of Behavior Change, can help individuals make desired habits stick and eliminate unwanted ones. When it comes to health, for instance, someone may want to eat better and exercise more, which can be achieved by making healthy habits obvious, attractive, easy, and satisfying, while making unhealthy habits invisible, unattractive, difficult, and unsatisfying. The process of changing habits can also involve eliminating them entirely, reducing them, or replacing them with new behaviors. Ultimately, focusing on building good habits can help crowd out bad ones and lead to a healthier, more fulfilling life.

    • Focus on building good habits to crowd out bad onesBuilding good habits and upgrading behaviors can help eliminate bad habits without directly addressing them. Changing the environment and people around us can also be effective in breaking bad habits.

      Focusing on building good habits and upgrading behaviors can help crowd out bad habits without explicitly trying to break them. For example, if someone wants to start working out and reduce their TV time, they can simply focus on building the workout habit, which will naturally lead to less TV time as they can't do both at once. However, for more complex habits like smoking, it may be necessary to identify and address each specific instance of the habit separately. The environment plays a significant role in shaping habits, and changing the environment or the people in it can be an effective way to break bad habits. The example of smoking in a specific environment with certain triggers and rewards illustrates this point. Ultimately, the goal is to spend our time in the highest leverage way possible and continually look for ways to upgrade our behaviors.

    • Our environment shapes our behaviorsSurrounding ourselves with supportive people and places can help maintain good habits, while avoiding triggers can hinder bad ones. Adjusting our environment can stack the odds in favor of good habits.

      Our environment plays a significant role in shaping our behaviors. It acts like an invisible hand, pulling us towards certain habits and making others more difficult to maintain. The people and places we surround ourselves with can either support or hinder our goals. For instance, someone trying to quit drinking might find it easier to do so if they avoid bars and limit their exposure to drinking cues. Similarly, soldiers who returned from Vietnam and avoided the environments that prompted their heroin addiction were more likely to stay clean. Conversely, those who went through rehab and returned to their addictive environments faced a much harder time. Our environment influences us more than we realize, and making small changes to it, such as rearranging our living spaces or moving apps on our phones, can help stack the odds in favor of good habits. However, for some people, particularly those dealing with food or other necessities, controlling the environment can be challenging. We'll explore this further in the upcoming discussions.

    • The Impact of Relationships on Food ChoicesRelationships can influence food choices positively or negatively. Accountability and consistency in habits can be fostered through supportive relationships. Momentum plays a role in maintaining healthy habits, and self-forgiveness is essential for overcoming slip-ups.

      Even the most disciplined and high-performing individuals can be influenced by their environment and relationships when it comes to food choices. The speaker shares her personal struggle with wheat thins and how her husband's approach to food has helped her maintain consistency in their household. She also discusses the importance of accountability in relationships and how it can impact habits, both positively and negatively. The speaker also touches on the idea of momentum and the power of getting on a good trajectory or reversing a downward spiral. Lastly, she emphasizes the importance of self-forgiveness and not letting a slip-up derail healthy habits. Overall, the discussion highlights the complex ways in which relationships and habits intersect and the importance of finding strategies that work for individuals and their unique situations.

    • Focus on the next play after a mistakeTop performers in various industries quickly recover from mistakes by focusing on the next play and avoiding the spiral of repeated mistakes. Mindfulness meditation and self-acceptance can help maintain momentum and build consistency.

      It's rarely the initial mistake that derails us, but rather the spiral of repeated mistakes that follows. The key is to never let one mistake turn into multiple. Top performers in various industries, such as sports, apply this concept by focusing on the very next play after a mistake and not letting it become a new habit. Gretchen Rubin suggests dividing the day into quarters to contain mistakes and get back on track quickly. It's essential to avoid self-berating and judgment, as playing the victim doesn't help. Mindfulness meditation can be a powerful tool to help observe judgment without judging it. Being flexible and accepting that setbacks are a part of life and getting back on track as soon as possible is crucial for maintaining momentum and building consistency.

    • Working backwards or backcasting for goal achievementTo reach your goal, identify it, assess your current situation, determine the next step, and focus on making directionally correct decisions. Be flexible and adapt to opportunities as they arise.

      Life is dynamic and requires rapid course correction. Knowing your ultimate goal (Z) and being honest about your current situation (A) is key. Then, determine the next step (B) that moves you in the right direction. You don't need to have the entire path planned out (C-Y), but focus on making directionally correct decisions. This approach, known as working backwards or backcasting, allows flexibility and the ability to adapt to opportunities as they arise. When uncertain about cues for behavior change, consider using exercises and strategies to help identify them. The process of behavior change involves making a distinction between intentional and automatic behaviors. By focusing on intentional behavior change, you can create new, adaptive habits.

    • Identifying habits and cues through self-awarenessGain insight into daily routines by listing habits, contexts. Honesty key. Tools like CGMs aid observation and modification.

      Understanding and identifying our habits and the cues that prompt them is a crucial first step in attempting to change behavior. Self-awareness is key, and the habit scorecard exercise, which involves listing out every habit we already do and noting the context surrounding them, can help us gain insight into our daily routines. This exercise can potentially lead to natural behavior changes just by observing and tracking our actions. However, it's important to be honest with ourselves during this process, as biases and stories we tell ourselves about our behavior can influence our perception. Continuous glucose monitors serve as a powerful tool for both gaining insight and behavior modification, demonstrating the potential impact of observing and measuring our actions.

    • Measuring progress boosts motivationMeasuring progress through technology or visual aids can make it more tangible, motivate individuals to continue, and create external accountability.

      Making progress towards a goal more visible can significantly impact behavior change. This concept, known as "what gets measured, gets managed," can be seen in various technologies, such as glucose monitors or water usage trackers, which provide objective insights and encourage users to adjust their behavior accordingly. The use of visual aids, like charts or simple habit trackers, can make progress seem more tangible and motivate individuals to continue making progress. Additionally, creating external accountability, such as committing to meet a friend for a run, can make it more attractive to stick to a goal and less appealing to give in to temptations or distractions. Overall, the ability to see and measure progress can be a powerful tool in driving behavior change.

    • Making habits attractive for formation and maintenanceChange perception, join a social environment, optimize home court habits, and use nudges to make good choices easy

      Making habits attractive is crucial for their formation and maintenance. In the short term, this can be achieved by changing the way we perceive habits through various strategies, making them seem more appealing. Long-term attraction comes from being part of a social environment or tribe where desired behaviors are the norm. The community aspect creates a strong pull and can lead to the adoption of additional desirable habits. Nudging, as discussed in Richard Thaler's book "Nudge," plays a role in making habits obvious and easy by designing the environment to encourage good habits. By optimizing home court habits and making the good choice the path of least resistance, we can set ourselves up for success.

    • Creating a home court advantageOptimizing environment and accountability partnerships can significantly enhance goal achievement. Strongest accountability comes from relationships with social or financial costs for not following through.

      Creating a "home court" advantage by optimizing your personal environment and establishing strong accountability partnerships can significantly enhance your ability to achieve your goals. Accountability partners can come in various forms, such as family members, friends, or coaches, and their effectiveness may depend on the level of personal investment and cost involved. While joining a program or group can provide some accountability, the strongest form often comes from relationships where there are social or financial costs for not following through. The best coaches thread the needle by providing both accountability and encouragement, creating a supportive environment that motivates individuals to overcome challenges and stay committed to their goals.

    • Start small with the 'two-minute rule'To build new habits, start with small actions taking 2 minutes or less to establish consistency and gradually improve.

      Effective coaching, especially for intense objectives, requires a balanced and nuanced approach. Great coaches are valuable and rare, and the relationship between coach and athlete can vary greatly depending on the individual's goals and mindset. A good place to start when building new habits is to follow the "two-minute rule," which involves scaling down habits to something that takes two minutes or less to do. This helps establish the habit and allows for gradual improvement. Remember, the hardest part of forming a new habit is showing up consistently, and the two-minute rule can help overcome the tendency towards perfectionism and all-or-nothing thinking.

    • Start small to form new habitsBegin with a small commitment, like 2 mins/day, to establish a habit. Gradually increase time & effort. Make it satisfying to reinforce desired identity.

      Starting small is key to forming new habits. The speaker suggests using the "two-minute rule" to make habits like meditation more manageable. By committing to just two minutes a day, you can establish the habit and figure out the logistics, like where and when to practice. Once the habit is established, you can gradually increase the time and effort put into it. Additionally, it's important to make the habit satisfying, either through short-term rewards that align with your long-term goals or by finding enjoyment in the habit itself. This will make it easier to stick with and reinforce your desired identity.

    • Focus on small habit changesKeep things simple and focused, eliminate distractions, and focus on one habit change at a time to increase chances of success

      When trying to help someone change a habit, it's important to keep things simple and focused. The person may not have fully selected into wanting to change, making the process even more challenging. The smallest version of change can be as simple as taking a pill or doing one push-up. It's crucial to eliminate distractions and focus on one thing at a time. Once momentum is gained with that one thing, the focus can shift to the next habit change. This approach can be effective in making the process less overwhelming and increasing the chances of success. It's important to remember that not everyone who needs help with habit changes will actively seek it out, so making things simple and manageable is key.

    • Praising good behaviors and creating a conducive environmentFocusing on positive actions and surroundings can significantly impact personal growth and habit formation

      Creating a conducive environment and focusing on praising good behaviors can significantly impact personal development and habit formation, even for those who may lack motivation. Environmental design involves making small, optimized changes that can serve as long-term solutions, requiring only initial motivation. Praising good actions and ignoring bad ones can encourage the repetition of desired behaviors, much like training a pet. This approach, while challenging to maintain in the long run, can lead to positive momentum and long-term progress.

    • Encouraging words and kindness matterKindness and praise can motivate and encourage newcomers, while James P. Kelly's new book offers strategies for effective habit focus and decision-making. The Drive podcast provides in-depth content on longevity and exclusive benefits for subscribers.

      Kindness and praise can go a long way in encouraging people, especially newcomers, to continue their fitness journey or any new endeavor. A simple, kind word can make a significant impact and cost very little. On a different note, James P. Kelly is currently working on a new book about strategy, choices, and decision-making. The book aims to help readers determine which habits to focus on and where to direct their energy and attention. The Drive podcast, hosted by Peter Attia, provides in-depth content on various topics related to longevity, and listeners can access exclusive member-only benefits by subscribing to their premium membership. These benefits include comprehensive show notes, monthly Ask Me Anything episodes, a premium newsletter, access to a private podcast feed, and other added benefits. The podcast is for general informational purposes only and does not constitute medical advice. Remember, small acts of kindness and clear, actionable strategies can make a significant difference.

    Recent Episodes from The Peter Attia Drive

    #316 - AMA #63: A guide for hair loss: causes, treatments, transplants, and sex-specific considerations

    #316 - AMA #63: A guide for hair loss: causes, treatments, transplants, and sex-specific considerations

    View the Show Notes Page for This Episode

    Become a Member to Receive Exclusive Content

    Sign Up to Receive Peter’s Weekly Newsletter

    In this “Ask Me Anything” (AMA) episode, Peter dives deep into the topic of hair loss, exploring its relationship with aging and its impact on quality of life. The conversation focuses on androgenic alopecia, the most common form of hair loss in both men and women, and covers the differences in patterns and causes between the sexes. Peter delves into the right timing for treatment, breaking down various options such as minoxidil and finasteride, low-level laser therapy, platelet-rich plasma injections, and more. Additionally, Peter outlines the pros and cons of the two primary hair transplantation methods and concludes with practical advice on selecting the right specialist or treatment team for those facing hair loss.

    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 #63 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

    We discuss:

    • The impact of hair loss on emotional health [2:15];
    • The prevalence, patterns, and causes of hair loss in men and women [5:15];
    • The genetic and hormonal causes of hair loss, and the role of dihydrotestosterone (DHT) in androgenic alopecia [8:45];
    • The visual differences in hair loss patterns between men and women, and the importance of consulting a specialist to rule out non-genetic causes of hair loss [13:30];
    • How genetic predisposition influences the risk of androgenic alopecia, and how early detection through diagnostic tools and blood tests can help manage risk more effectively [16:45];
    • Ideal timing for starting treatment: why early treatment is crucial for effectively managing hair loss [19:30];
    • The various FDA-approved treatments for androgenic alopecia, their mechanisms, and additional off-label treatments commonly used to manage hair loss [24:30];
    • Topical minoxidil—the most commonly recommended starting treatment for hair loss [30:15];
    • Oral vs. topical minoxidil: efficacy, ease of use, and potential side effects that must be considered [33:45];
    • Finasteride for treating hair loss: efficacy, potential side effects on libido, and the need for careful PSA monitoring in men to avoid missing early signs of prostate cancer [37:15];
    • Other effective hair loss treatments for women: boosting hair density with spironolactone gel and ketoconazole shampoo as part of a comprehensive strategy [41:30];
    • Low-level laser therapy: effectiveness, costs, practicality, and a comparison of in-office treatments with at-home devices [49:00];
    • Platelet-rich plasma (PRP) as a treatment for hair loss: potential effectiveness, varying protocols, and significant costs [53:45];
    • Hair transplant for advanced hair loss: criteria and considerations [58:00];
    • Types of hair transplants: follicular unit transplantation (FUT) vs. follicular unit extraction (FUE) [1:02:00];
    • The financial cost of hair transplant surgery, and what to consider when seeking affordable options [1:06:15];
    • The potential risks and downsides of the various hair transplant procedures [1:09:30];
    • Post-procedure care for hair transplants and whether the procedure must be repeated periodically [1:16:30];
    • Combining different hair loss treatments: benefits, risks, and considerations [1:18:30];
    • Emerging hair loss treatments with limited data [1:21:00];
    • Key considerations for selecting the right treatment plan for hair loss [1:22:00];
    • A summary of the different considerations for men and women facing hair loss [1:24:30];
    • Practical advice on selecting the right specialist or treatment team [1:26:15]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enSeptember 09, 2024

    Improve your decision-making, frameworks for learning, backcasting, and more | Annie Duke (#60 rebroadcast)

    Improve your decision-making, frameworks for learning, backcasting, and more | Annie Duke (#60 rebroadcast)

    View the Show Notes Page for This Episode

    Become a Member to Receive Exclusive Content

    Sign Up to Receive Peter’s Weekly Newsletter

    In this episode, former World Series of Poker champion and author Annie Duke explains how poker is a pertinent model system for decision-making in the real world, a system which blends imperfect information with some unknown percentage of both luck and skill. Annie breaks down the decision-making matrix, revealing how we often focus too narrowly on just one of the four quadrants, missing out on valuable learning opportunities in the remaining 75% of situations. She delves into how our tendency to evaluate only negative outcomes leads to a culture of risk aversion. This mindset, she argues, stifles the kind of bold decision-making necessary for progress and innovation across various fields, from poker and sports to business and medicine. Annie also introduces a robust framework for learning and the levels of thought required to excel in any domain. Finally, she discusses a strategy called “backcasting”, a concept that resonated deeply with Peter in terms of how he thinks about extending healthspan.

    We discuss:

    • Annie’s background, favorite sports teams, and Peter’s affinity for Bill Belichick [1:30];
    • Chess vs. poker: Which is a better metaphor for decision-making in life (and medicine)? [6:45];
    • Thinking probabilistically: Why we aren’t wired that way, and how you can improve it for better decision-making [12:30];
    • Variable reinforcement: The psychological draw of poker that keeps people playing [19:15];
    • The role of luck and skill in poker (and other sports), and the difference between looking at the short run vs. long run [32:15];
    • A brief explanation of Texas hold ‘em [41:00];
    • The added complexity of reading the behavior of others players in poker [47:30];
    • Why Annie likes to “quit fast,” and why poker is still popular despite the power of loss aversion [52:45];
    • Limit vs. no-limit poker, and how the game has changed with growing popularity [55:15];
    • The advent of analytics to poker, and why Annie would get crushed against today’s professionals [1:04:45];
    • The decision matrix, and the “resulting” heuristic: The simplifier we use to judge the quality of decisions —The Pete Carroll Superbowl play call example [1:10:30];
    • The personal and societal consequences of avoiding bad outcomes [1:21:45];
    • Poker as a model system for life [1:31:30];
    • How many leaders are making (and encouraging) status-quo decisions, and how Bill Belichick’s decision-making changed after winning two Super Bowls [1:35:15];
    • What did we learn about decision-making from the Y2K nothingburger? And how about the D-Day invasion? [1:39:30];
    • The first step to becoming a good decision maker [1:43:00];
    • The difference between elite poker players and the ones who make much slower progress [1:49:45];
    • Framework for learning a skill, the four levels of thought, and why we hate digging into our victories to see what happened [1:52:15];
    • The capacity for self-deception, and when it is MOST important to apply four-level thinking [2:00:30];
    • Soft landings: The challenge of high-level thinking where there is subtle feedback and wider skill gaps [2:11:00];
    • The benefits of “backcasting” (and doing pre-mortems) [2:13:30];
    • Parting advice from Annie for those feeling overwhelmed (and two book recommendations) [2:21:30]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enSeptember 02, 2024

    #315 ‒ Life after near-death: a new perspective on living, dying, and the afterlife | Sebastian Junger

    #315 ‒ Life after near-death: a new perspective on living, dying, and the afterlife | Sebastian Junger

    View the Show Notes Page for This Episode

    Become a Member to Receive Exclusive Content

    Sign Up to Receive Peter’s Weekly Newsletter

    Sebastian Junger is an award-winning journalist, bestselling author, and previous guest on The Drive. In this episode, Sebastian returns to discuss his latest book, In My Time of Dying: How I Came Face to Face with the Idea of an Afterlife. This episode delves into Sebastian's profound near-death experience and how it became the catalyst for his exploration of mortality, the afterlife, and the mysteries of the universe. They discuss the secular meaning of what it means to be sacred, the intersection of physics and philosophy, and how our beliefs shape our approach to life and death. He also shares how this experience has profoundly changed him, giving him a renewed perspective on life—one filled with awe, gratitude, deeper emotional awareness, and a more engaged approach to living.

    We discuss:

    • How Sebastian’s near-death experience shaped his thinking about mortality and gave him a reverence for life [3:00];
    • The aneurysm that led to Sebastian’s near-death experience [6:30];
    • Emergency room response, his subsequent reflections on the event, and the critical decisions made by the medical team [16:30];
    • Sebastian’s reaction to first learning he nearly died, and the extraordinary skill of the medical team that save his life [26:00];
    • Sebastian’s near-death experience [37:00];
    • The psychological impact of surviving against overwhelming odds [48:00];
    • Ignored warning signs: abdominal pain and a foreshadowing dream before the aneurysm rupture [54:30];
    • Sebastian's recovery, his exploration of near-death experiences, and the psychological turmoil he faced as he questioned the reality of his survival [58:15];
    • A transformative encounter with a nurse who encouraged Sebastian to view his near-death experience as sacred [1:03:30];
    • How Sebastian has changed: a journey toward emotional awareness and fully engaging with life [1:08:45];
    • The possibility of an afterlife, and how quantum mechanics challenges our understanding of existence [1:15:15];
    • Quantum paradoxes leading to philosophical questions about the nature of reality, existence after death, and whether complete knowledge could be destructive [1:26:00];
    • The sweet spot of uncertainty: exploring belief in God, post-death existence, and meaning in life [1:37:00];
    • The transformative power of experiencing life with awe and gratitude [1:53:00]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enAugust 26, 2024

    #314 ‒ Rethinking nutrition science: the evolving landscape of obesity treatment, GLP-1 agonists, protein, and the need for higher research standards | David Allison, Ph.D.

    #314 ‒ Rethinking nutrition science: the evolving landscape of obesity treatment, GLP-1 agonists, protein, and the need for higher research standards | David Allison, Ph.D.

    View the Show Notes Page for This Episode

    Become a Member to Receive Exclusive Content

    Sign Up to Receive Peter’s Weekly Newsletter

    David Allison, a leading expert in obesity and nutrition, quantitative genetics, clinical trials, and research methodology, returns to The Drive to explore the evolving landscape of nutrition science and obesity treatment. In this episode, David begins by discussing the intricate relationship between nutrition, obesity, and body composition, emphasizing the multifaceted impacts of food beyond mere calorie intake. David provides a critical analysis of the complexities in nutrition research and their practical implications for tackling obesity. He critiques historical public health policies, addresses the trust issues plaguing nutrition science, and underscores the need for a paradigm shift to more effectively combat obesity. The conversation also delves into the rise of GLP-1 receptor agonists like Ozempic and Mounjaro, exploring their ethical and practical considerations in obesity treatment. The episode concludes with an in-depth look at protein intake recommendations and highlights the significant research gaps that remain in the field.

    We discuss:

    • The complex relationship between nutrition, body weight, and body composition [2:30];
    • The slow progress in addressing obesity and public health despite substantial effort and investment [7:30];
    • The very limited success of public health initiatives in curbing obesity [17:15];
    • The evolving landscape of obesity research: public health initiatives and the impact of pharmacological success [26:30];
    • Rethinking obesity solutions: the need for a paradigm shift [32:45];
    • Understanding environmental triggers and embracing a balanced approach to addressing obesity that includes both pharmacological treatments and realistic lifestyle changes [41:45];
    • The need for higher standards in obesity research [51:45];
    • The rapid success of GLP-1 receptor agonists for weight loss: a discussion on the societal impact and controversy of their growing usage [1:02:15];
    • The ethical and practical considerations of obesity drugs: risks, benefits, and motivations for usage [1:11:30];
    • The use of GLP-1 agonists by athletes as performance enhancers [1:23:45];
    • Unanswered questions about protein intake and health [1:30:45];
    • Future research needed to understand basic questions around protein intake [1:45:00];
    • David’s weekly newsletter: “Obesity and Energetics Offerings” [1:50:45]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enAugust 19, 2024

    #313 - AMA #62: Protein’s impact on appetite and weight management, and uric acid's link to disease and how to manage levels

    #313 - AMA #62: Protein’s impact on appetite and weight management, and uric acid's link to disease and how to manage levels

    View the Show Notes Page for This Episode

    Become a Member to Receive Exclusive Content

    Sign Up to Receive Peter’s Weekly Newsletter

    In this “Ask Me Anything” (AMA) episode, Peter dives into two important health topics: uric acid and protein, examining them from unique perspectives. For uric acid, he explores its metabolic role and connection to various diseases, focusing on the potential causal link with cardiovascular disease. He also discusses factors influencing uric acid levels, such as diet, genetics, and lifestyle, providing practical tips for effective management. Shifting to protein, Peter delves into its role in appetite and weight management, the consequences of insufficient protein, and the “protein leverage hypothesis” linking protein deficiency to obesity. He covers optimal protein intake and its impact on energy expenditure, and he compares the satiety effects of solid versus liquid protein. Finally, Peter shares his strategy for incorporating protein into a comprehensive weight management plan.

    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 #62 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

    We discuss:

    • Overview of episode topics (and an important discussion on fanny packs) [2:00];
    • Understanding uric acid: its role in metabolic processes, its association with gout and kidney stones, its impact on blood pressure, and more [6:00];
    • Non-modifiable factors that influence uric acid levels [11:00];
    • Modifiable factors that influence uric acid levels [14:15];
    • Association between high uric acid levels and cardiovascular disease [20:00];
    • Evidence suggesting a causal link between high uric acid levels and cardiovascular disease [24:00];
    • Inconclusive evidence about the cardiovascular benefits of lowering uric acid pharmacologically [28:15];
    • Exploring the potential risks of low uric acid levels in neurodegenerative diseases [37:00];
    • Managing uric acid levels: dietary interventions and pharmacological approaches [42:00];
    • The impact of protein on appetite and weight management [44:00];
    • The consequences of insufficient protein on eating behaviors and satiety [52:15];
    • The relationship between protein deficiency and obesity: exploring the “protein leverage hypothesis” [57:15];
    • The impact of protein intake on energy expenditure [1:02:15];
    • Determining optimal protein intake to avoid deficiency and support health [1:05:45];
    • The role of different amino acids and protein sources in promoting satiety [1:08:15];
    • Comparing the satiety effects of solid vs. liquid protein sources [1:10:30];
    • Peter’s framework for incorporating protein intake into a strategy for controlling body weight [1:12:00]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enAugust 12, 2024

    #312 - A masterclass in lactate: Its critical role as metabolic fuel, implications for diseases, and therapeutic potential from cancer to brain health and beyond | George A. Brooks, Ph.D.

    #312 - A masterclass in lactate: Its critical role as metabolic fuel, implications for diseases, and therapeutic potential from cancer to brain health and beyond | George A. Brooks, Ph.D.

    View the Show Notes Page for This Episode

    Become a Member to Receive Exclusive Content

    Sign Up to Receive Peter’s Weekly Newsletter

    George A. Brooks is a renowned professor of integrative biology at UC Berkeley. Known for his groundbreaking "lactate shuttle" theory proposed in the 1980s, George revolutionized our understanding of lactate as a crucial fuel source rather than just a byproduct of exercise. In this episode, George clarifies common misconceptions between lactate and lactic acid, delves into historical perspectives, and explains how lactate serves as a fuel for the brain and muscles. He explores the metabolic differences in exceptional athletes and how training impacts lactate flux and utilization. Furthermore, George reveals the significance of lactate in type 2 diabetes, cancer, and brain injuries, highlighting its therapeutic potential. This in-depth conversation discusses everything from the fundamentals of metabolism to the latest research on lactate's role in gene expression and therapeutic applications.

    We discuss:

    • Our historical understanding of lactate and muscle metabolism: early misconceptions and key discoveries [3:30];
    • Fundamentals of metabolism: how glucose is metabolized to produce ATP and fuel our bodies [16:15];
    • The critical role of lactate in energy production within muscles [24:00];
    • Lactate as a preferred fuel during high-energy demands: impact on fat oxidation, implications for type 2 diabetes, and more [30:45];
    • How the infusion of lactate could aid recovery from traumatic brain injuries (TBI) [43:00];
    • The effects of exercise-induced lactate [49:30];
    • Metabolic differences between highly-trained athletes and insulin-resistant individuals [52:00];
    • How training enhances lactate utilization and facilitates lactate shuttling between fast-twitch and slow-twitch muscle fibers [58:45];
    • The growing recognition of lactate and monocarboxylate transporters (MCT) [1:06:00];
    • The intricate pathways of lactate metabolism: isotope tracer studies, how exceptional athletes are able to utilize more lactate, and more [1:09:00];
    • The role of lactate in cancer [1:23:15];
    • The role of lactate in the pathophysiology of various diseases, and how exercise could mitigate lactate's carcinogenic effects and support brain health [1:29:45];
    • George’s current research interests involving lactate [1:37:00];
    • Questions that remain about lactate: role in gene expression, therapeutic potential, difference between endogenous and exogenous lactate, and more [1:50:45]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enAugust 05, 2024

    #311 ‒ Longevity 101: a foundational guide to Peter's frameworks for longevity, and understanding CVD, cancer, neurodegenerative disease, nutrition, exercise, sleep, and more

    #311 ‒ Longevity 101: a foundational guide to Peter's frameworks for longevity, and understanding CVD, cancer, neurodegenerative disease, nutrition, exercise, sleep, and more

    View the Show Notes Page for This Episode

    Become a Member to Receive Exclusive Content

    Sign Up to Receive Peter’s Weekly Newsletter

    In this special episode, Peter provides a comprehensive introduction to longevity, perfect for newcomers or those looking to refresh their knowledge. He lays out the foundational concepts of lifespan, healthspan, and the marginal decade. Additionally, Peter discusses the four main causes of death and their prevention, as well as detailing the five key strategies in his longevity toolkit to improve lifespan and healthspan. Detailed show notes provide links for deeper exploration of these topics, making it an ideal starting point for anyone interested in understanding and improving their longevity.

    We discuss:

    • Key points about starting exercise as an older adult [2:45];
    • Overview of episode topics and structure [1:45];
    • How Peter defines longevity [3:45];
    • Why healthspan is a crucial component of longevity [11:15];
    • The evolution of medicine from medicine 1.0 to 2.0, and the emergence of medicine 3.0 [15:30];
    • Overview of atherosclerotic diseases: the 3 pathways of ASCVD, preventative measures, and the impact of metabolic health [26:00];
    • Cancer: genetic and environmental factors, treatment options, and the importance of early and aggressive screening [33:15];
    • Neurodegenerative diseases: causes, prevention, and the role of genetics and metabolic health [39:30];
    • The spectrum of metabolic diseases [43:15];
    • Why it’s never too late to start thinking about longevity [44:15];
    • The 5 components of the longevity toolkit [46:30];
    • Peter’s framework for exercise—The Centenarian Decathlon [47:45];
    • Peter’s nutritional framework: energy balance, protein intake, and more [58:45];
    • Sleep: the vital role of sleep in longevity, and how to improve sleep habits [1:08:30];
    • Drugs and supplements: Peter’s framework for thinking about drugs and supplements as tools for enhancing longevity [1:13:30];
    • Why emotional health is a key component of longevity [1:17:00];
    • Advice for newcomers on where to start on their longevity journey [1:19:30]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enJuly 29, 2024

    #310 - The relationship between testosterone and prostate cancer, testosterone replacement therapy, and tools for predicting cancer aggressiveness and guiding therapy | Ted Schaeffer, M.D., Ph.D.

    #310 - The relationship between testosterone and prostate cancer, testosterone replacement therapy, and tools for predicting cancer aggressiveness and guiding therapy | Ted Schaeffer, M.D., Ph.D.

    View the Show Notes Page for This Episode

    Become a Member to Receive Exclusive Content

    Sign Up to Receive Peter’s Weekly Newsletter

    Ted Schaeffer is an internationally recognized urologist specializing in prostate cancer and a returning guest on The Drive. In this episode, Ted provides insights into the role testosterone plays, or doesn't play, in the initiation and progression of prostate cancer. He unpacks the findings and limitations of the recent TRAVERSE trial, exploring the complex relationship between testosterone and prostate cancer. Ted delves into the molecular nature of prostate cancer, explaining the androgen receptor saturation theory and the potential impact of testosterone on cancer growth. He also discusses the use of the Decipher test to predict cancer aggressiveness and guide targeted treatment. Furthermore, Ted shares how he counsels patients regarding testosterone replacement therapy (TRT), including its safe administration in patients with low-grade prostate cancer. Additionally, he highlights advancements in prostate cancer therapies and biomarkers that help develop precise treatment strategies while minimizing the need for broad androgen deprivation therapy.

    We discuss:

    • Background on the TRAVERSE trial: insights into exogenous testosterone and prostate cancer risk [3:00];
    • The androgen receptor saturation theory: how different organs respond to varying levels of testosterone [10:30];
    • The relationship between testosterone levels and prostate cancer aggressiveness: how aggressive prostate tumors have lower androgen receptor activity and rely on different growth mechanisms [16:15];
    • Using the Decipher score to assess prostate cancer aggressiveness and guide personalized treatment strategies [23:45];
    • Considerations for testosterone replacement therapy: how Ted counsels patients, how TRT can be safely administered in patients with low-grade prostate cancer, and more [31:15];
    • Advancements in prostate cancer therapies and PSA as a biomarker for precise treatment decisions, minimizing the need for broad androgen deprivation therapy [38:30]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enJuly 22, 2024

    #309 ‒ AI in medicine: its potential to revolutionize disease prediction, diagnosis, and outcomes, causes for concern in medicine and beyond, and more | Isaac Kohane, M.D., Ph.D.

    #309 ‒ AI in medicine: its potential to revolutionize disease prediction, diagnosis, and outcomes, causes for concern in medicine and beyond, and more | Isaac Kohane, M.D., Ph.D.

    View the Show Notes Page for This Episode

    Become a Member to Receive Exclusive Content

    Sign Up to Receive Peter’s Weekly Newsletter

    Isaac "Zak" Kohane, a pioneering physician-scientist and chair of the Department of Biomedical Informatics at Harvard Medical School, has authored numerous papers and influential books on artificial intelligence (AI), including The AI Revolution in Medicine: GPT-4 and Beyond. In this episode, Zak explores the evolution of AI, from its early iterations to the current third generation, illuminating how it is transforming medicine today and unlocking astonishing possibilities for the future. He shares insights from his unconventional journey and early interactions with GPT-4, highlighting significant AI advancements in image-based medical specialties, early disease diagnosis, and the potential for autonomous robotic surgery. He also delves into the ethical concerns and regulatory challenges of AI, its potential to augment clinicians, and the broader implications of AI achieving human-like creativity and expertise.

    We discuss:

    • Zak’s unconventional journey to becoming a pioneering physician-scientist, and his early interactions with GPT-4 [2:15];
    • The evolution of AI from the earliest versions to today’s neural networks, and the shifting definitions of intelligence over time [8:00];
    • How vast data sets, advanced neural networks, and powerful GPU technology have driven AI from its early limitations to achieving remarkable successes in medicine and other fields [19:00];
    • An AI breakthrough in medicine: the ability to accurately recognize retinopathy [29:00];
    • Third generation AI: how improvements in natural language processing significantly advanced AI capabilities [32:00];
    • AI concerns and regulation: misuse by individuals, military applications, displacement of jobs, and potential existential concerns [37:30];
    • How AI is enhancing image-based medical specialties like radiology [49:15];
    • The use of AI by patients and doctors [55:45];
    • The potential for AI to augment clinicians and address physician shortages [1:02:45];
    • The potential for AI to revolutionize early diagnosis and prediction of diseases: Alzheimer’s disease, CVD, autism, and more [1:08:00];
    • The future of AI in healthcare: integration of patient data, improved diagnostics, and the challenges of data accessibility and regulatory compliance [1:17:00];
    • The future of autonomous robotic surgery [1:25:00];
    • AI and the future of mental health care [1:31:30];
    • How AI may transform and disrupt the medical industry: new business models and potential resistance from established medical institutions [1:34:45];
    • Potential positive and negative impacts of AI outside of medicine over the next decade [1:38:30];
    • The implications of AI achieving a level of creativity and expertise comparable to exceptional human talents [1:42:00];
    • Digital immortality and legacy: the potential to emulate an individual's personality and responses and the ethical questions surrounding it [1:45:45];
    • Parting thoughts [1:50:15]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enJuly 15, 2024

    Zone 2 training: impact on longevity and mitochondrial function, how to dose frequency and duration, and more | Iñigo San-Millán, Ph.D. (#201 rebroadcast)

    Zone 2 training: impact on longevity and mitochondrial function, how to dose frequency and duration, and more | Iñigo San-Millán, Ph.D. (#201 rebroadcast)

    View the Show Notes Page for This Episode

    Become a Member to Receive Exclusive Content

    Sign Up to Receive Peter’s Weekly Newsletter

    Iñigo San-Millán is an internationally renowned applied physiologist and a previous guest on The Drive. His research and clinical work focuses on exercise-related metabolism, metabolic health, diabetes, cancer metabolism, nutrition, sports performance, and critical care. In this episode, Iñigo describes how his work with Tour de France winner Tadej Pogačar has provided insights into the amazing potential of elite athletes from a performance and metabolic perspective. He speaks specifically about lactate levels, fat oxidation, how carbohydrates in food can affect our lactate and how equal lactate outputs between an athlete and a metabolically unhealthy individual can mean different things. Next, he discusses how Zone 2 training boosts mitochondrial function and impacts longevity. He explains the different metrics for assessing one’s Zone 2 threshold and describes the optimal dose, frequency, duration, and type of exercise for Zone 2. Additionally, he offers his thoughts on how to incorporate high intensity training (Zone 5) to optimize health, as well as the potential of metformin and NAD to boost mitochondrial health. Finally, he discusses insights he’s gathered from studying the mitochondria of long COVID patients in the ICU.

    We discuss:

    • The amazing potential of cyclist Tadej Pogačar [2:00];
    • Metrics for assessing athletic performance in cyclists and how that impacts race strategy [7:30];
    • The impact of performance-enhancing drugs and the potential for transparency into athletes’ data during competition [16:15];
    • Tadej Pogačar’s race strategy and mindset at the Tour de France [23:15];
    • Defining Zone 2, fat oxidation, and how they are measured [26:00];
    • Using fat and carbohydrate utilization to calculate the mitochondrial function and metabolic flexibility [35:00];
    • Lactate levels and fat oxidation as it relates to Zone 2 exercise [39:15];
    • How moderately active individuals should train to improve metabolic function and maximize mitochondrial performance [51:00];
    • Bioenergetics of the cell and what is different in elite athletes [56:30];
    • How the level of carbohydrate in the diet and ketogenic diets affects fuel utilization and power output during exercise [1:07:45];
    • Glutamine as a source for making glycogen—insights from studying the altered metabolism of ICU patients [1:14:15];
    • How exercise mobilizes glucose transporters—an important factor in diabetic patients [1:20:15];
    • Metrics for finding Zone 2 threshold—lactate, heart rate, and more [1:24:00];
    • Optimal Zone 2 training: dose, frequency, duration, and type of exercise [1:40:30];
    • How to incorporate high intensity training (Zone 5) to increase VO2 max and optimize fitness [1:50:30];
    • Compounding benefits of Zone 2 exercise and how we can improve metabolic health into old age [2:01:00];
    • The effects of metformin, NAD, and supplements on mitochondrial function [2:04:30];
    • The role of lactate and exercise in cancer [2:12:45];
    • How assessing metabolic parameters in long COVID patients provides insights into this disease [2:18:30];
    • The advantages of using cellular surrogates of metabolism instead of VO2 max for prescribing exercise [2:25:00];
    • Metabolomics reveals how cellular metabolism is altered in sedentary individuals [2:33:00];
    • Cellular changes in the metabolism of people with diabetes and metabolic syndrome [2:38:30]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    The Peter Attia Drive
    enJuly 08, 2024

    Related Episodes

    The Secret To Always Staying Motivated

    The Secret To Always Staying Motivated
    Welcome to an exciting journey towards unlocking your full potential and harnessing 100% of your motivation! In today's video, we'll dive deep into the fascinating realm of motivation, exploring not only what holds you back but also powerful techniques to supercharge your drive. Learn more from Dr. K in his Guide to Mental Health: https://bit.ly/47yln26 Not sure which module to start on? Take our quiz: https://bit.ly/47dGzKj Learn more about your ad choices. Visit podcastchoices.com/adchoices

    Overcoming Distractions: How to Stay Focused

    Overcoming Distractions: How to Stay Focused

    Are you struggling to stay focused and productive? Do you find yourself constantly getting distracted by notifications, social media, or other interruptions? If so, you're not alone. Distractions are a common problem in today's fast-paced world, and they can have a serious impact on our productivity and mental wellbeing.

    In this episode, we'll discuss the different types of distractions that can affect our productivity, from external distractions like social media and colleagues to internal distractions like procrastination and perfectionism. We'll share practical tips and strategies for identifying your distractions and overcoming them, so you can stay focused and achieve your goals.

    Join us as we explore the latest research on distractions and productivity, and learn how to take back control of your workday. Whether you're a busy professional, student, or entrepreneur, this episode is packed with actionable insights and advice that will help you stay focused, productive, and mentally healthy.

    Don't forget to leave a rating for this episode and follow us on your favorite podcast platform to stay up to date with our latest episodes. Also, be sure to check out our stagram page at https://www.instagram.com/shredology.co/ for more tips on how to stay motivated and productive.

    Thank you for tuning in!

    #229 BITESIZE | The 4 Steps to Make Habits Stick | James Clear

    #229 BITESIZE | The 4 Steps to Make Habits Stick | James Clear

     

    The start of a new year is the time many of us look to make changes in our lives, incorporating healthy habits and removing unhelpful ones.

     

    Feel Better Live More Bitesize is my weekly podcast for your mind, body, and heart. Each week I’ll be featuring inspirational stories and practical tips from some of my former guests.

     

    Today’s clip is from episode 145 of the podcast with James Clear – an entrepreneur and New York Times best-selling author of the book ‘Atomic Habits’.

     

    In this clip, James explains why our daily habits are so important and gives some great tips for creating healthy habits that can last a lifetime.


    Thanks to our sponsor http://www.athleticgreens.com/livemore


    Order Dr Chatterjee's new book Happy Mind, Happy Life: UK version: https://amzn.to/304opgJ, US & Canada version: https://amzn.to/3DRxjgp


    Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/3oAKmxi. For other podcast platforms go to https://fblm.supercast.com.

     

    Show notes and the full podcast are available at drchatterjee.com/145

     

    Follow me on instagram.com/drchatterjee


    Follow me on facebook.com/DrChatterjee


    Follow me on twitter.com/drchatterjeeuk

     

    DISCLAIMER: The content in the podcast and on this webpage is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website.



    Hosted on Acast. See acast.com/privacy for more information.


    James Clear: Building & Changing Habits (#183 rebroadcast)

    James Clear: Building & Changing Habits (#183 rebroadcast)

    View the Show Notes Page for This Episode

    Become a Member to Receive Exclusive Content

    Sign Up to Receive Peter’s Weekly Newsletter

    James Clear is the author of the New York Times bestseller Atomic Habits. His extensive research into human behavior has helped him identify key components of habit formation and develop the “Four Laws of Behavioral Change.” In this episode, James provides insights into how both good and bad habits are formed, including the influence of genetics, environment, social circles, and more. He points to changes one can make to cultivate more perseverance and discipline and describes the profound impact habits can have when tying them into one’s self-identity. Finally, James breaks down his “Four Laws of Behavioral Change” and how to use them to create new habits, undo bad habits, and make meaningful changes in one’s life.

    We discuss:

    • Why James became deeply interested in habits [1:45];
    • Viewing habits through an evolutionary lens [6:00];
    • The power of immediate feedback for behavior change, and why we tend to repeat bad habits [9:15];
    • The role of genetics and innate predispositions in determining one’s work ethic and success in a given discipline [14:30];
    • How finding one’s passion can cultivate perseverance and discipline [23:15];
    • Advantages of creating systems and not just setting goals [29:15];
    • The power of habits combined with self-identity to induce change [36:30];
    • How a big environmental change or life event can bring on radical behavioral change [50:30];
    • The influence of one’s social environment on their habits [54:15];
    • How and why habits are formed [1:00:30];
    • How to make or break a habit with the “Four Laws of Behavior Change” [1:09:30];
    • Practical tips for successful behavioral change—the best strategies when starting out [1:16:15];
    • Self-forgiveness and getting back on track immediately after slipping up [1:30:30];
    • Law #1: Make it obvious—Strategies for identifying and creating cues to make and break habits [1:39:45];
    • Law #2: Make it attractive—examples of ways to make a new behavior more attractive [1:47:45];
    • Law #3: Make it easy—the 2-minute rule [1:58:45];
    • Law #4: Make it satisfying—rewards and reinforcement [2:03:30];
    • Advice for helping others to make behavioral changes [2:06:00]; and
    • More.

    Connect With Peter on TwitterInstagramFacebook and YouTube

    712 My Strength Is My Story with Janin Johnston, A Work in Progress

    712 My Strength Is My Story with Janin Johnston, A Work in Progress

    "Life is always a work in progress." Janin Johnston shares her life lessons learned in marriage, self care, identity, and refinement.

    Janin Johnston: A married mother of 31 years with 4 beautiful children, 4 grandchildren, one of which is in Heaven. Early in her life, she made a decision to care for herself. In doing so, she was able to take care of her growing family and multiple separations. Through her journey, she discovered the importance of her gifts. Listen and see what she uncovers.

    Consult with Janin

    Enjoy the multitude of topics discussed. Many nuggets of wisdom throughout this coffee chat. Sit back and absorb Janin's beauty, hope, and love!

    • Self-care
    • Exercise
    • Clean eating
    • What is your body telling you?
    • Stretching
    • Identity - Who am I?
    • Guilt for putting yourself first
    • Marriage
    • Perfection in marriage
    • Refinement
    • Separation
    • Anger and ugliness
    • Fighting in front of children
    • What kept you coming back?
    • Asking God permission to divorce
    • Self worth
    • Counseling
    • Privacy and social media
    • A sacred marriage
    • Prayer
    • Creativity and Sewing
    • Finances
    • Tangible business verses Intangible business
    • Use of gifts
    • Frustration
    • Thinking things through
    • Instant fixin' and Instant gratification

    CONSULTATION: Work with Janin fashionablefinance.com

     

    Quotes and statements within the interview:

    "Whatever it was going to take, I was going to take care of myself."

    "I didn't want to be a burden on anyone."

    "I wish exercise would come to me."

    "I listen to my body. I really do."

    "It's always a work in progress."

    "A marriage is a form of refinement."

    "God had a bigger plan. There were things I needed to help my husband with."

    "He was willing to do whatever it takes."

    "You need to acknowledge the gifts you've been given." ~ Janin Johnston

    "Frustration doesn't look good on anyone."

    "Keep the conversation going."

    What has your story gifted you?

    • Knowing what my strengths are. There is a strength within you.
    • Rely on God.
    • Awareness of who I am.

    "The conversations we have with ourselves are most important. We talk to ourselves all day."

    "Everything I've done has created who I am." ~ Janin Johnston

    Resources mentioned in the episode:

     

    "One step at a time leads to miles of greatness!"

    Ready to see if coaching and a mentorship is for you? It's time you TAKE A.I.M. ~ Action Ignites Motivation. This is FREE for you. Stop trying to do it by yourself. Invest in YOU! You are worth the time!!!

     

    ANNOUNCEMENT: Ready to shine your light and tell your story. Please click on MY STRENGTH IS MY STORY. Here you can submit yourself to appear on the podcast or make recommendations as who you would like to hear. This is going to be a beautiful series!

     

    Listen to Create Your Now on iHeart Radio. Click here.

    The Create Your Now Archives are LIVE!! You can subscribe and listen to all the previous episodes here.  http://bit.ly/CYNarchive1 and http://bit.ly/CYNarchive2

     

    PERISCOPE USERS!!!

    Click here for ANDROID Users / GOOGLE  https://play.google.com/store/apps/details?id=tv.periscope.android

    Click here for APPLE Users  https://itunes.apple.com/app/id972909677

     

    THE NO FUSS MEAL PLAN

    Twitter
    @KristianneWargo
    @CreateYourNow

    Facebook
    www.facebook.com/TheKISSCoach
    www.facebook.com/CreateYourNow

    Contact me at YourBestSelfie@CreateYourNow.com

    Read more from Kristianne, a contributor to The Huffington Post and MindBodyGreen

    http://www.huffingtonpost.com/kristianne-wargo/

    http://www.mindbodygreen.com/search?q=kristianne+wargo

     

    DOMESTIC BEAUTIES (Announcements)

    1. Come and let's connect on Facebook - Women Of IMPACT  http://facebook.com/groups/thewomenofimpact

    2. Create Your Now ~ Your Best Selfie can be heard on iHeart Radio

    3. Create Your Now Archive 1 is LIVE! You can subscribe and listen to all the previous episodes here. http://bit.ly/CYNarchive1

    4. Create Your Now Archive 2 is LIVE! You can subscribe and listen to all the previous episodes here. http://bit.ly/CYNarchive2

    5. NEW Website! Go check it out and tell me what you think. http://www.createyournow.com

    6. Sign Up for The A.I.M. Academy! You will be the first to learn all about it. http://createyournow.com/m-academy-2

    7. Schedule a Discovery Call. This is a free 30-45 minute call for those serious about coaching with me.

    8. Newsletter and Library: If you desire to get weekly emails,be sure to sign up here so you can stay connected. http://createyournow.com/library

     

    Music by Mandisa - Overcomer

    http://www.mandisaofficial.com

     

    Cover Art by Jenny Hamson