117 episodes

Expert insight on health, performance, longevity, critical thinking, and pursuing excellence. Dr. Peter Attia (Stanford/Hopkins/NIH-trained MD) talks with leaders in their fields.

The Peter Attia Drive Peter Attia, MD

    • Medicine

Expert insight on health, performance, longevity, critical thinking, and pursuing excellence. Dr. Peter Attia (Stanford/Hopkins/NIH-trained MD) talks with leaders in their fields.

    Qualy #99 - The steroid controversy: Mark’s use of them and Peter’s perspective

    Qualy #99 - The steroid controversy: Mark’s use of them and Peter’s perspective

    Today's episode of The Qualys is from podcast #28 – Mark and Chris Bell: steroids, powerlifting, addiction, diet, training, helping others, documentaries, and living your best life.
     
    The Qualys is a subscriber-exclusive podcast, released Tuesday through Friday, and published exclusively on our private, subscriber-only podcast feed. Qualys is short-hand for “qualifying round,” which are typically the fastest laps driven in a race car—done before the race to determine starting position on the grid for race day. The Qualys are short (i.e., “fast”), typically less than ten minutes, and highlight the best questions, topics, and tactics discussed on The Drive.
    Occasionally, we will also release an episode on the main podcast feed for non-subscribers, which is what you are listening to now.
    Learn more: https://peterattiamd.com/podcast/qualys/  
    Subscribe to receive access to all episodes of The Qualys (and other exclusive subscriber-only content): https://peterattiamd.com/subscribe/ 
    Connect with Peter on Facebook.com/PeterAttiaMD | Twitter.com/PeterAttiaMD | Instagram.com/PeterAttiaMD 

    • 11 min
    #89 - AMA #11: All things fasting

    #89 - AMA #11: All things fasting

    In this “Ask Me Anything” (AMA) episode, Peter answers a wide range of fasting-specific questions from subscribers. Peter starts by defining the various fasting protocols, details his own personal fasting regimen, explains his revised plan for 2020, and provides a ton of value to anyone interested in fasting. Once again, Bob Kaplan, Peter's head of research, will be asking the questions. If you’re not a subscriber and 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 on our website at the AMA #11 show notes page.

    We discuss:

    Defining the various fasting protocols [1:00];
    Why Peter plans to switch to a 3-day fast once per month in 2020 [11:00];
    How Peter uses his CGM to gain insights into the depth of fast [13:15];
    Peter’s supplement protocol during fasting, and why he eats a ketogenic diet leading up to a prolonged fast [17:00];
    Peter’s exercise regimen during a fast [23:30];
    Peter’s hunger levels during a typical 7-day fast [26:45];
    Fasting observations—Core body temperature and thyroid hormone [30:30];
    Fasting observations—Glucose, BHB, and hunger levels [33:15];
    Peter’s sleep protocol during a fast [40:15];
    Does Peter observe any differences between men and women in their ability to fast? [47:00];
    How Peter prefers to break a long fast [50:15];
    Importance of community support while fasting, and is there a perfect fasting protocol? [52:00]; and
    More.
    Learn more: https://peterattiamd.com/

    Show notes page for this episode: https://peterattiamd.com/ama11/

    Subscribe to receive exclusive subscriber-only content: https://peterattiamd.com/subscribe/

    Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter/

    Connect with Peter on Facebook | Twitter | Instagram.

    • 14 min
    Qualy #94 - Comparing the two broad types of meditation, and Peter’s favorite meditation apps

    Qualy #94 - Comparing the two broad types of meditation, and Peter’s favorite meditation apps

    Today's episode of The Qualys is from podcast #34 – Sam Harris, Ph.D.: The transformative power of mindfulness.
     
    The Qualys is a subscriber-exclusive podcast, released Tuesday through Friday, and published exclusively on our private, subscriber-only podcast feed. Qualys is short-hand for “qualifying round,” which are typically the fastest laps driven in a race car—done before the race to determine starting position on the grid for race day. The Qualys are short (i.e., “fast”), typically less than ten minutes, and highlight the best questions, topics, and tactics discussed on The Drive.
    Occasionally, we will also release an episode on the main podcast feed for non-subscribers, which is what you are listening to now.
    Learn more: https://peterattiamd.com/podcast/qualys/  
    Subscribe to receive access to all episodes of The Qualys (and other exclusive subscriber-only content): https://peterattiamd.com/subscribe/ 
    Connect with Peter on Facebook.com/PeterAttiaMD | Twitter.com/PeterAttiaMD | Instagram.com/PeterAttiaMD 

    • 7 min
    #88 - Paul Grewal, M.D.: Treating metabolic disease and strategies for long-term health

    #88 - Paul Grewal, M.D.: Treating metabolic disease and strategies for long-term health

    In this episode, Paul Grewal, internal medicine physician and co-author of Genius Foods, discusses what has got him so focused on lifestyle changes for metabolic health which was partly brought on by his own experience of losing almost 100 pounds at two points in his life. Paul and Peter discuss how the results from a NuSI-funded study has impacted their feelings about the supposed “metabolic advantage” of a low-carb diet. Paul then makes the case for what he calls the “active poisoning” of the American food supply, defines his five phenotypes of obesity manifestation, as well as lays out his nutritional and training approach with his patients (as well as himself personally). Overall, this discussion is a treasure trove of topics from endocrinology, insulin resistance, caloric restriction, fasting, exercise, causes of obesity, LDL and heart disease, and much more.

    We discuss:

    Paul’s health story—two instances of major weight loss [3:15];
    The multiplication of adipocytes after weight loss, and why an obese adult that was overweight in childhood is harder to treat than adult-onset obesity [7:30];
    Low-carb diets—Is there a metabolic advantage in energy expenditure? (And Peter’s take on the NUSI study) [12:45]; The relationship between hyperinsulinemia and hyperglycemia—which is causing which? [27:00];
    Weight gain—Which macronutrients are driving it, processed foods, and overfeeding studies [31:15];
    The active poisoning of our food supply with processed foods [36:15];
    The role of fructose in metabolic disease and NAFLD [39:00];
    Where traditional medicine falls short in the real world and why “functional medicine” is gaining steam [45:45];
    Relationship between heart disease and LDL, residual risk, LDL clearance problem, and a patient case study [54:00];
    Relationship between heart disease and fatty acids (SFA, PUFA, seed oils, etc.) [1:04:30];
    Paul’s nutritional approach with patients [1:12:30];
    High-carb/low-fat diet for muscle gain, and the “reverse diet” to combat the slowdown of metabolism after caloric restriction/weight loss [1:15:00];
    Fasting—ideal duration, how to preserve muscle mass, and the ultimate tool of medicine [1:23:30];
    The 5 phenotypes of obesity, and the impact of carbs, cortisol, and sleep on adiposity [1:28:30];
    Uric acid [1:38:15];
    Paul’s 2nd big physical transformation—How he did it and kept the weight off [1:39:15];
    Paul and Peter’s personal struggles with food, internal dialogue, and self-image [1:45:00];
    Paul’s personal nutritional strategy (and how his exercise influences it) [1:52:00];
    A low-fat diet Peter is willing to try [2:00:40]; The keto diet for competitive athletes [2:05:00];
    How Peter prescribes exercise to his patients [2:08:30];
    Calculating glycogen depletion and RQ, creatinine-kinase system, Tabata workouts, and more [2:10:30]; and
    More. Learn more: https://peterattiamd.com/

    Show notes page for this episode: https://peterattiamd.com/paulgrewal

    Subscribe to receive exclusive subscriber-only content: https://peterattiamd.com/subscribe/

    Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter/

    Connect with Peter on Facebook | Twitter | Instagram.

    • 2 hr 19 min
    Qualy #89 - Cortisol and healthy aging

    Qualy #89 - Cortisol and healthy aging

    Today's episode of The Qualys is from podcast #31 – Navdeep Chandel, Ph.D.: metabolism, mitochondria, and metformin in health and disease.
     
    The Qualys is a subscriber-exclusive podcast, released Tuesday through Friday, and published exclusively on our private, subscriber-only podcast feed. Qualys is short-hand for “qualifying round,” which are typically the fastest laps driven in a race car—done before the race to determine starting position on the grid for race day. The Qualys are short (i.e., “fast”), typically less than ten minutes, and highlight the best questions, topics, and tactics discussed on The Drive.
    Occasionally, we will also release an episode on the main podcast feed for non-subscribers, which is what you are listening to now.
    Learn more: https://peterattiamd.com/podcast/qualys/  
    Subscribe to receive access to all episodes of The Qualys (and other exclusive subscriber-only content): https://peterattiamd.com/subscribe/ 
    Connect with Peter on Facebook.com/PeterAttiaMD | Twitter.com/PeterAttiaMD | Instagram.com/PeterAttiaMD

    • 9 min
    #87 - Rick Johnson, M.D.: Fructose—The common link in high blood pressure, insulin resistance, T2D, & obesity?

    #87 - Rick Johnson, M.D.: Fructose—The common link in high blood pressure, insulin resistance, T2D, & obesity?

    In this episode, Rick Johnson, Professor of Nephrology at the University of Colorado, explains how his research into the causes of blood pressure resulted in a change of research direction to focus more on how fructose has such profound metabolic effects. Rick discusses the relationship between salt and high blood pressure, provides a masterclass into uric acid, and expertly reveals the mechanisms and pathways by which sugar (specifically fructose) can profoundly impact metabolic health. From there, he explains how he applies this information to real life patients, as well as touches on some of the most promising ideas around pharmacotherapy that are being developed in response to the epidemics of fatty liver, insulin resistance, diabetes, and obesity. Furthermore, Rick gives his take on artificial sweeteners compared to real sugar, discusses cancer’s affinity for fructose, and much more.
    We discuss: 
    The connection between blood pressure and fructose that shifted Rick’s professional focus [4:00];
    The relationship between salt and blood pressure (and the role of sugar) [5:45];
    Defining fructose, glucose, and sugar [19:30];
    An ancient mutation in apes that explains why humans turn fructose into fat so easily [23:00];
    The problems with elevated uric acid levels, and what it tells us about how sugar causes disease [31:30];
    How sugar causes obesity—explaining the difference in glucose vs. fructose metabolism and the critical pathway induced by fructose [40:00];
    Why drinking sugar is worse than eating it [50:00];
    Unique ability of sugar to drive oxidative stress to the mitochondria, insulin resistance, and diabetes [54:00];
    Why cancer loves fructose [1:00:15];
    The many areas of the body that can use fructose [1:05:00];
    Fructokinase inhibitors—a potential blockbuster? [1:07:15];
    Treating high uric acid levels—Rick’s approach with patients [1:10:00];
    Salt intake—what advice does Rick give his patients? [1:16:30];
    How excess glucose (i.e., high carb diets) can cause problems even in the absence of fructose [1:21:00];
    Artificial sweeteners vs. real sugar—which is better? [1:29:15];
    Umami, MSG, alcohol, beer—do these have a role in metabolic illness? [1:33:45];
    Fructose consumption—Is any amount acceptable? Is fruit okay? Where does Rick draw a hard line? [1:38:45]
    How does Rick manage the sugar intake of his young kids? [1:43:00]; and
    More. Learn more: https://peterattiamd.com/

    Show notes page for this episode: https://peterattiamd.com/rickjohnson

    Subscribe to receive exclusive subscriber-only content: https://peterattiamd.com/subscribe/

    Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter/

    Connect with Peter on Facebook | Twitter | Instagram.

    • 1 hr 50 min

Customer Reviews

jk1212 ,

100% Worth Paid Subscription

Probably the best podcast for all things health. There’s not much more to say, other than that Peter is a gem, an impressive concoction of intelligence, real world experiences, and perspective. His wisdom is transformative. Also him and Paul Conti should have their own psyche-specific show - it would be a top 10 podcast.

Jake Woodad ,

Great Podcast but the Paywall is Absurd

I highly respect Dr. Attia and have enjoyed this podcast but the paywall seems unjust. I understand there is a cost to production and his time, but recoup those through ads - not a paywall. All the paywall does is limit your most important topics to a small group, and likely excludes the people that most need it. The people that are struggling to be healthy every day and can’t afford or don’t see the value in the episodes (yet).

As a Doctor, I’d think Peter would want everyone to listen and benefit from this content - including the poor and less privileged as well. $15/month may not be much to him but it is to a lot of people. And a lot of those people need to hear this content.

My suggestion: Provide every episode for free - but include ads. People just fast forward through them anyway.

Provide a premium subscription option with the ad-free episodes and other exclusive offers/discounts.

You may not make as much money but you’ll help a heck of a lot more people and I hope that is your objective.

SFYang ,

Great Information!

There’s lots of free scientific information on the internet nowadays. After following Peter for a year, I decided to subscribe (frugal Asian stereotype!). His content is very unique, great guests! It’s truly worth every penny!

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