Peter Attia, MD, is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of simultaneously lengthening their lifespan and increasing their health span
The Captain
I especially liked and found interesting the section “The Decline In the Quality of Food”.
It wasn’t an evil conspiracy but a business solution to provide enough food for the growing world population. So agriculture has been built to scale. That food needed to have qualities not to spoil easily and be tasty and at low cost. So pesticides have entered ag. Chemical fertilizer has entered ag. End of crop rotation and rise on mono crop use of the land, destroying the soil, which requires more chemical fertilizer. And the federal ag subsidy program pushed the growth of the corporate farm and current practice of chemical fertilizers and use of pesticides.
The reduction of food quality is an unintended consequence of the industrialized agricultural solution. Suboptimal plants [less nutritious] grown in suboptimal soil feed to animals making them suboptimal.
Saw this on a Facebook feed. I’m not sure how accurate it is, but it does make you wonder.
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Frankly I hate the taste of grass-fed. I can taste the grass. The whole point of having the cow or pig convert the grass is not to taste the grass. It’s just cheaper to throw some grass clippings into a protein shake.
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Both pigs were raised under identical free range conditions. The right was supplemented with some grain/corn/soy based feed the left was left to forage naturally
Pretty much shows the benefits of grass fed and finished (no grain fed) meat.
It should also give you some indication of what grain/soy/corn does to our bodies.
Don’t ignore the bit about subsidies!
The Captain
I think it’s safe to say that, even if it were true that modern agricultural practices are gifting us with vegetables of suboptimal quality, it’s something of a moot point. Most folk following this standard American diet aren’t eating much by way vegetables…any vegetables…in the first place.
Interesting. We choose grass fed and finished when available. I personally do not taste grass.
IP
That was a quote from the Facebook feed. It’s not mine.
I’m with you on not tasting the grass.
So today marked the beginning of ploughimg through this podcast. Not so much in search.of The Truth…I’ve been a subscriber to his own podcast series for a number of years now (renewal coming up and yes, there’s still enough value there for to do just that!)…but rather to see if/how what he says can be misconstrued/misinterpreted/misrepresented.
I actually didn’t really like the presentation. Attia’s diction and delivery are usually very clear and precise and, by comparison here, he’s jabbering away like an auctioneer trying to promote a book or something…which he is, of course. His grand opus “Outlive” which has been mentioned a few times on this board. Makes it a bit harder to follow whilst on the treadmill for my Z2/MAF etc training. I cut this session short at 25 minutes so here’s what’s been covered so far (no time stamp available and maybe in random order)
His mention of today’s hamburger being different from 50 years ago and the agriculture being broken were expanded on a bit during this 25 minutes. He pointed out that the difference in hamburgers consumed is one of scale…i.e. hamburgers today are bigger. No surprises there.
The bit about agriculture and suboptimal soil and plants leading to suboptimal animals was also immediately followed by a statement that it’s really only a problem when there’s overconsumption (didn’t imply that the suboptimalness actually led to this overconsumption, mind)
A very sketchy overview of the pathogenesis of ASCVD but this was probably not the venue for the sort of deep dive he provides on his own podcast. A factually incorrect implication from an anecdote of his days as a junior surgical resident…suggesting that NAFLD was almost unheard 25 years ago (well, he was very green at the time, my husband would certainly be able to correct.him)
A very odd suggestion by one of the hosts that even coffee is sweeter here in the US. Obviously, might be the case with one of Starbucks’ concoction (as Attia pointed out) but what I make or buy on a rare Starbucks visit isn’t…maybe because I don’t use sugar🤔.
I have to say that, if this podcast happened to be my only exposure to Peter Attia, I certainly wouldn’t bother withhis book. As it is, I can heartily recommend it. I’ll plough through the rest to see what The Truth.is on Ozempic…even though I’ve listened to multiple episodes on this topic and his use with select patients.
I don’t think I did.
"And the federal ag subsidy program pushed the growth of the corporate farm and current practice of chemical fertilizers and use of pesticides."
The flipside on the verticle is as bad. The supplements industry can kill you. If you max out supplements to offset this mess in farming it will shorten your life.
Finished, thank goodness. I stuck with it because I was wondering what Peter Attia was going to say about Ozempic and The Truth about it that so impressed the OP that it inspired the thread header. From Attia…it works, this class of drugs has been around for a couple of decades with each generation improving upon the one before, there are more in the pipeline, they’re expensive. Oh…and there’s a lot of judgement attached to their use. Can’t say that anything there is a secret to me.
I still think his podcast is a much better bet for someone who’s really interested in these issues and how to get a handle on how they might impact their own health. Failing that, the book…which is also available on audiobooks for someone who prefers that.
I have had to deal with smoking, alcoholism, and obesity. Data does not matter.
Finding something that works and doing it matters. The data is then just some small inspirations.
Quit two packs a day in 1989 age 26 with a smoking cessation class.
Quit alcohol for 31 years with AA for first ten years.
Lost 50 pounds for 3 years now still 43 pounds off with Noom no pharma at that time.
Most people won’t solve one of those problems. So yes popping a pill makes sense for them. Better than their problems killing them faster.
It used to be 1 in 36 alcoholics stopped drinking. Probably fewer were losing weight longer term. Ex smokers were more successful.
If the pill causes a major side effect? For some it was necessary. For many others it is a tragedy that could have been avoided. The “could have been avoided” is missing from the discussion.
Missing from which discussion? This statement reads as if you didn’t listen to this podcast, or any of those hosted by Attia himself or read “Outlive”.
If there’s one thing about Attia’s take…and there’s a big hint in the name of his concierge practice, “Early Medical”…it’s the emphasis on tackling the issues involved in metabolic dysfunction/obesity related disorders at the very earliest signs of departure from healthy homeostasis. To the extent that he looks superficially similar to one of these biohackers you read about. In your case, for but one example, you would’ve been given a heads-up of your early disease state long before that A1c even began to approach “pre” diabetes…
Apologies if this doesn’t “read” in full. It’s a brief overview of why the Usual Suspects on a metabolic panel (fasting blood glucose and HbA1c) miss those early warnings signs. This is layered upon the insight gained from the physiology/biochemistry lectures provided by his guests (which is the format of his podcast, for the most part)
Again, just one example…but quite apropos given the concurrent thread on the risk of developing dementia for anyone interested.
Doctors give up on patients in the office as these meds are offered. It is about salvaging patient lives. But the conversation happened for years to no avail.
At the end of the day most patients were not successful in weight loss. Why? Well whatever the discussion of losing weight without drugs goes AWOL.
Honestly I could less of a crap what Dr. Pete has to say. He is not changing things. Most of it seems like overkill.
You mean like taking non-pharmacologic steps to reverse the trajectory towards T2D before (long before) you’ve gotten to the point where pill popping is necessary to manage the disease…or even getting a heads-up you’re on the fast track? That’s an odd take for someone who blathers so much about side effects of drugs
No I mean the incessant fear of death. Turning to every last word hanging onto life. The doctor won’t get you one more moment on earth. It is an anxiety fest and he charges for admission.
He is a user of your fears.
At the end of the day it is what it is. You know your crap. Listening ten times more won’t change things.
If you had any clue what a great practitioner was you’d grow up. The center of drug therapy is protecting the patient from side effects.
For every 1000 doctors that will let a desperate patient pop a pill there might be one great doctor who looks at the side effects first and foremost to the point of denying the patient’s wishes. Anyone can roll over and say okay. Most doctors will do just that.
It is this simple but most doctors will fail to diagnose well and stray from the rest.
Excellent insightful diagnosis
One perhaps two drugs for a disease, not more
Less dosage if efficacy
Monitoring for side effects
These are the central principles. The only one blathering is you.
What a bizarre set of inferences. I get that folk who haven’t been good custodians of their body are predisposed to a different way of thinking than those who are/have been, but still…incessant fear of death???
For sure, I don’t want to die right now (does anyonereading this?)…far too much in my life to live for…but that’s a long way from incessant fear of death. There are, to my mind though, things worse than death…and disease related disability/morbidity is right up there. For myself (and my aggressive therapy for ASCVD) it’s to avoid just this…a damaging heart attack that I survive, peripheral artery disease, high blood pressure, stroke etc (which I believe is the rationale for your mother’s use of statins at an advanced age, no?)
My past Good Custodianship wasn’t ever for longevity purposes but rather the benefits in the here and now (or, more accurately, there and then since I’m talking about my teens, 20s, 30s etc). Take smoking, for instance…I pegged that as a mug’s game early on. Paying money I didn’t have for the privilege of stinking like an old ashtray? No thanks. Boozing to excess…another waste of money to look like a sloppy drunk? Another no thanks. Maintaining a “healthy” bodyweight/body composition…pure vanity. Didn’t fancy looking in the bathroom mirror of a morning and seeing a blimp staring back at me…now that would’ve been an anxiety fest and no mistake.
Why do you think he is in business? Out of the goodness of his heart?
Ha!!!
He is out to mass market. It is quite bizarre. He is a user.
Dr. Oz sort of crap. Yeah he gets his fact straight. So what? It won’t do anything for you. You can research this stuff for free. The drama in a podcast or video just to squeeze money.
I do not like his style one bit.