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The 4 Horsemen Of Death, Starting TRT, Longevity Drugs, Nootropics, Menopause And F1 - Peter Attia

More Plates More Dates

More Plates More Dates

Health & Fitness, Science, Education, Self-improvement

4.9 β€’ 806 Ratings

πŸ—“οΈ 4 December 2024

⏱️ 210 minutes

🧾️ Download transcript

Summary

πŸ“Œ Sponsors To Check Out: πŸ›Œ For Black Friday code "MPMD" will save $400 off the Pod 4 Ultra, or $600 off the complete bundle: https://www.eightsleep.com/moreplatesmoredates/ βš•οΈ Marek Health - Preventive Medicine, HRT, & Rigorous Blood Work: https://bit.ly/373k791 🦍 https://gorillamind.com/derek (Innovative Pre-Workout, Nootropic, Performance & Health Supporting Formulations) | code "MPMD" for 10% off β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€” πŸ•‘ Timestamps: 0:00:00 - 0:13:37 – Epigenetics, Methylation, And Aging 0:13:37 - 0:19:02 – Books That Have Dramatically Impacted Peter’s Life. His Current Career Goals. 0:19:02 - 0:22:42 – Sponsor: Eight Sleep (The Most Impactful Sleep Enhancing Device I Have Ever Used) 0:22:44 - 0:29:50 – AI, And Why Peter Typically Doesn’t Find Tests That Look For Early ASCVD Valuable 0:29:50 - 0:32:12 – Is There An APOB Level That Guarantees No Risk Of Atherosclerosis? 0:32:12 - 0:33:27 – For Those With Hypofunctioning PCSK9 And Extremely Low LDL-C, What Is Their Average Age Of Death, And What Are They Dying From? 0:33:27 - 0:35:06 – How Much Cholesterol Is Needed For Brain Development? 0:35:06 - 0:36:22 – How Lipid Managing Medications Work 0:36:22 - 0:41:16 – How Peter Evaluates The Best Strategy For Managing APOB For Each Patient 0:41:16 - 0:42:39 – Can You Trust Grocery Store Olive Oil? 0:42:39 - 0:44:09 – Is Olive Oil Healthier Than Eating Less? 0:44:09 - 0:47:56 – If You’re Thriving With Bad Lipids, What Should You Do? 0:47:56 - 0:49:34 – Are Statins Evil? 0:49:34 - 0:53:00 – Tests For Targeted Lipid Management 0:53:00 - 0:56:28 – Bempedoic Acid Vs. Statins 0:56:28 - 1:00:03 – Peter’s Multipronged Approach To Lipid Managing Pharmacology 1:00:03 - 1:05:22 – Sponsor: Marek Health (Preventive Medicine, HRT, & Rigorous Blood Work) 1:05:22 - 1:06:45 – Liver Toxicity And NAFLD 1:06:45 - 1:08:57 – Which Statins Are The Most Likely To Cause Side Effects? 1:08:57 - 1:10:49 – Repatha 1:10:49 - 1:14:04 – Will Obicetrapib Obliterate Atherosclerosis? 1:14:04 - 1:17:47 – Medications That Lower Lp(a) 1:17:47 - 1:25:01 – If Someone Has High Lp(a), But Excellent Metabolic Health, Can They Still Develop Premature Heart Disease? 1:25:01 - 1:26:50 – The Reason Why We Develop Plaque In Arteries, But Not Veins 1:26:50 - 1:27:33 – Maintain ≀ 120/80 Blood Pressure To Smash Your Risk Of Heart Disease And Dementia 1:27:33 - 1:28:34 – Is Lower Than 120/80 Better? 1:28:34 - 1:31:49 – How To Fix High Blood Pressure 1:31:49 - 1:34:12 – DEXA Scans And What A β€œGood” FFMI Is 1:34:12 - 1:36:24 – Is There Any Way To Verify Endothelial Damage? 1:36:24 - 1:38:16 – How Helpful Is A CT Angiogram? 1:38:16 - 1:40:06 – Can You Accurately Detect Plaque Accumulation In Yearly Intervals With CT Angiography? 1:40:06 - 1:43:47 – Why You Can Have No Detectable Inflammation In Bloodwork, But Still Develop Raging Atherosclerosis 1:43:47 - 1:51:24 – Why Peter Is Starting HRT, And What His Protocol Will Be 1:51:24 - 2:00:47 – Women’s Birth Control Options 2:00:47 - 2:05:42 – When Should Women Start HRT? 2:05:42 - 2:15:48 – Optimizing Women’s HRT Protocols 2:15:48 - 2:18:51 – The Prevalence Of Hypothyroidism 2:18:51 - 2:22:09 – When Should You Treat Inflammation With Supplements Or Medications? 2:22:09 - 2:24:48 – Will Cold Plunge Pre-Workout Inhibit Muscle Growth? 2:24:48 - 2:25:43 – Cold Plunge Increases Dopamine As Much As Coke!? 2:25:43 - 2:30:54 – Peter’s Use Of Modafinil, Nicotine, Caffeine, And What He Thinks The Best Nootropic Is 2:30:54 - 2:33:29 – How To Properly Dose Omega-3 Supplements 2:33:29 - 2:38:30 – Sponsor: Gorilla Mind (Innovative Pre-Workout, Nootropic, Performance & Health Supporting Formulations) 2:38:30 - 2:42:33 – What Actually Causes Brain Fog? 2:42:33 - 2:46:36 – How Obesity Impacts Mitochondrial Function 2:46:36 - 2:48:38 – Ideal Daily Magnesium Intake 2:48:38 - 2:51:42 – What Are The Most Important Sleep Metrics? 2:51:42 - 3:22:27 – F1 Talk 3:22:27 - 3:30:26 – Reconnecting Peter Attia With His Long-Lost Obsession... Tearing Phone Books! β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”

Transcript

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0:00.0

All right. We're back again for round two with Peter. Welcome to your own home for my podcast. Nice to be here. Thanks for having me. All right. So we're going to get into off the bat. Something interesting that I kind of wanted to ask last time and it just fell off my radar. But something up and coming you're excited about in like the medicine 3.0 world.

0:24.0

Like oftentimes we hear you have to say the same things over again on podcast and I'm sure it

0:29.4

gets very repetitive.

0:30.5

But I'm interested.

0:32.2

What are some things that we may not know about that isn't necessarily things you'd

0:36.2

recommend or things that are

0:37.8

implementable and practical application, but stuff that you see as super interesting to you

0:43.0

in the near or distant future.

0:47.6

I mean, there's something that stands out above all other things that really, really interests

0:53.0

me scientifically, but, you know, there's no

0:57.2

application for it at this time and there may not be in my lifetime, but it's a, I consider it

1:03.6

one of the, um, one of the most important questions in biology, actually. And it really comes

1:10.5

down to epigenetics so I mean it

1:15.9

might be worth a minute of background just for the audience to kind of understand

1:19.5

the ins and outs of that so I think most people understand you know how the

1:24.9

genome works and how DNA works and how DNA is a template that is used vis-a-vis code to make something called RNA

1:35.3

RNA is then how that code is translated into the production of protein so

1:40.3

everything about our existence comes from this translation of DNA to RNA to protein.

1:47.8

In fact, that's referred to as the central dogma.

1:52.6

And to put some numbers to it, if you kind of took all of the base pairs of DNA that we have in our body, it's about

2:02.5

three billion base pairs.

2:04.6

So the base pairs are C-G-A-T.

...

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