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Peter Attia, M.D.

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2019-11-27
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  1. Yeah, in the 60s, I would say sort of mid early to mid 60s into mid-90s. It was a staggeringly dangerous sport. Uneceptibly so.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  2. Yeah, not even close. He's like, actually, look at what you did at turn five. And then look at how that fed into turn six. And by the time you got to seven, it was, he said, look, the only way you were not going to crash at seven is if you had slowed down enough to a speed much slower than... So, I think for a lot of people, again, it's easy to look at what people are doing in a race car and not think there's much to it. But of course, like many things, the further you are from the shore, the deeper the ocean, as Bob Kaplan says. And so the more I do it, the more I appreciate the gap between me and Sebastian Vedel.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  3. If you think about that or dwell on it anymore, it only increases the likelihood you're going to miss the apex on the next turn or miss your breakpoint or miss your turn in point or do something wrong. So it's one of these things that teaches you a skill that I just think is good for life, which is you don't want to not know that you made a mistake because then you run the risk of making that mistake again, but you can't beat yourself up for making the mistake. So you have to have a relatively short half-life for torturing yourself. Otherwise, you will spiral out of control. And it's really amazing. I just happen to be very lucky to have a great coach, a guy by the name of Thomas Merrill, in driving. And I don't know. He's so good at spotting when my mistakes start. And it's never really the case that when I screw something up at, you know, turn seven where I went off track.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  4. Next thing I'm pretty excited about is just driving, you know, just sort of getting deeper and deeper into the craft of learning how to drive a race car and sort of just training both in the simulator and actually on a racetrack with a race car. And again, I think part of it is I just, I love mechanical things. I love cars. I love driving them fast. And there's no better place to do that than on a racetrack. But also part of it is it's another one of these audits. Like archery, it is not a sport that gets better the more pissed you are. It is not a sport that gets better the harder you squeeze. And it's also a sport where, let's say you miss an apex on a turn.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  5. In true sense. I have talked to people who have said at very low doses, psilocybin has actually enhanced their physical performance. So who knows? Maybe there was something to that.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  6. Yeah, it's like I can't think of one sport that gets better with MDMA. So I was sort of amazed to see that on the WADA list.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  7. And if you take enough of it, obviously you'd see inhibition of lutinizing hormone follicle stimulating hormone, things like that. So no, I'm not close enough to it at all. I just don't, you know, it's been a long time. I mean, one thing that I did notice just through some sort of personal interactions I've had with professional athletes who are also interested in sort of mind altering drugs is psilocybin is not banned by WADA and MDMA is. And I sort of find that hilarious because I don't think either of those things have a performance enhancing like, I mean, MDMA would be a performance pivot.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  8. Well, the latter definitely growth hormone fits into that category. So growth hormone is clearly banned by WADA, USADA, and every entity out there. But it's very difficult to check for because it's a human recombinant equivalent. And unlike something like testosterone, where you can give somebody testosterone, but you can, even though it's bioequivalent, you can if you're getting it from the outside of your body, other things change inside your body that become a signature of it. Whereas that's not quite as easy to do with growth hormone.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  9. It was basically a legal PED. And this was probably six years ago. And at the time, I was still competing in cycling. And I was like, well, I was comfortable with the safety profile. It was legal and it was enhancing performance. So I was like, I want xenon gas. I want to take a big bong of xenon gas every day before I go and work out.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  10. Yeah, it's so funny you remember that. I actually called, what's the name of the company Air Gas and I think it's called Praxair, like the two. And it basically the deal died when I just couldn't get a reasonable supply of xenon gas, reasonable meaning like enough for me to use. I basically had to buy enough to... Provide xenon gas for the entire universe

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  11. There was a big inquiry came into the rule committee about 20 years ago where I thought if I So I decided I would rather lose 90 times out of 91 times, but know that that one time I won, it was the sweetest victory.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  12. It's a sad state of affairs if you're a Spoons fan. But if they win once every three months, it is freaking awesome. It just feels so good when the Spoons win.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  13. But I was always rooting for the spoons because they're the underdog. Because the probability of the spoons winning is very low. You generally have way more forks and knives combined than spoons. So, over the years, the game evolved, and I started to allow other things to be proxies for spoons. So if there was like a spatula or a carrot peeler, that would get to go in the spoon category, just to sort of level the playing field a little bit. The handicap. Yeah, you had to handicap this thing somewhat. But the game started, you know, almost 40 years ago. And to this day, I mean, just two days ago, I played forks and knives versus spoons. And I love it. I love the. And it's at the point now where I don't want anybody else to put that stuff away. So let's say Jill is putting stuff away. I'm like, no, no, I want to get the forks and knives. I got to get those guys. And let me tell you, spoons don't win much.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  14. So basically, every time I got to do this, it turned into a game of who's going to win the forks and the knives or the spoons, which was a

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  15. And it really kind of got to me because I was like, why don't you also include the spoons in that discussion? It's not just forks and knives. It's forks and knives and spoons. And she would be like, acknowledge that I said that, but the next day she'd forget. And she'd be like, can you please put away the forks and the knives? So I was like, I'm going to just start keeping track. And so I played this game where I would count the forks and the knives and the spoons. And the game is the spoons would win anytime there were more spoons than forks and knives. Now if anyone who's played this game, and I'm guessing the answer is nobody.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  16. And I don't know why she doesn't like taking it out because that seems more enjoyable. But anyway, and as a kid, this game started when I was a kid. My mom says I was the best at chores. Like my brother and sister apparently didn't like doing chores as much as I did, but I loved chores. I was like her little helper. So whatever she said to do, I couldn't wait to do. And one of my chores was doing the dishwasher and I loved it. So this started when I was probably like about eight. And I remember she used to always say, Peter, can you put away the forks and the knives?

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  17. So to this day, I still play a game called Forks and Knives. Forks and knives is the name of the game. So I like an awesome system with my wife, which is she likes to put stuff in the dishwasher and hates to take it out. I hate putting stuff in the dishwasher and I love taking it out. I don't like touching dirty stuff. I really like clean stuff.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  18. Yeah, exactly. Esther and Terry and Lori. And I mean I have had some really brutal sessions with Lori and I don't know why it's worked out that way like each I had they all know each other by the way very well so that's another thing there's no it's not a counterproductive experience because the three of them know each other and they all know they're chipping away at different pieces of things but I've had some very difficult you know interactions with her where you know she has just said to me like you are being a spoiled little baby Do you see how you're behaving right now? And I just, I think the fact that she can do that matters a lot. I think there are a lot of people that would give me a pass on stuff because it's easier to. It's hard. To stand up to someone.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  19. I'm going to have to let you edit my book before I catch any of those things in there. Those are two things that matter. So, in other words, like. There's other little things. Like, I think for me, the therapists that are really valuable are also the ones that, you know, frankly just don't have a hard time telling you when you're wrong. You know, they just don't have a hard time telling you. You're totally full of shit and deluded. Or that you're being a dick. So I have three main therapists, which sounds like ridiculous, but I think when you're trying to solve some of my issues, but Esther.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  20. If I feel that there's this connection, chemistry, and constellation of insights that are constantly evolving from the discussions, and it's translating to a phenotypic benefit that's resulting

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  21. I love that. And then that's the sort of short-term tangible that insight is surprising. That's the point where, first of all, I journal in the sessions a lot and I sometimes even record the sessions. That's how powerful I find some of these insights to be where I can't even capture them all if I'm there without those tools. But the second thing that matters to me is the results. In the end, none of this stuff matters if it's not reducing your suffering. And that's sort of, I mean, I use that term very deliberately instead of if you're not happier. Because I don't exactly know what happiness means, but I do know what suffering means. And I do know what it's like to suffer less. And anything that helps me suffer less, which is quite easy for me to assess, is a good thing. And so.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  22. In the end, two things have to be firing, right? There has to be the connection and chemistry between you and the therapist or between, like I'll just talk about me. I have to be able to connect with that person, which is, and for me, that means that their insights have to be such that I exit almost every session thinking, wow I see something I didn't see before

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  23. I mean, that's a great question. And I don't have an answer. I mean, I have my answer, but I don't know that that's the answer. It almost assuredly is not

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  24. Those types of exercises are helpful. Again, it comes down to this idea that once you accept that this is not something you are hardwired to, like your height or your shoe size, and you can start to change it, you just have to start working at it. So there are a number of other tools as well. I think a lot of this sort of David Foster Wallace relational reframing stuff also has been just incredibly helpful.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  25. Feelings of another person and realize wait a minute the much more important thing to do here is make sure that person is okay and not go down your own stupid rabbit hole Another tool that I think has been very important here you know Ryan Holliday recently put out and I'm sure it's still available a whole work like a whole sort of 10 day or 11 day course on anger Ryan writes about anger a lot And I've talked with him about this actually on in my interview of him very recently, which probably by the time this is out, will not even be out yet.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  26. But I lost an opportunity, which was my daughter's actually very upset about this. I mean, like, you know, not only do our chickens give us eggs, but like the kids love them. They play with them every day. They all have names. They all have, like, we know everything about every one of those chickens and their personality. So it's no different than her losing her cat or her dog. And instead of consoling her, like I'm wrapped up in my own nonsense. So sometimes you just actually have to be confronted with that type of brutal truth. And again, if you go back to the first thing, which is you now have a gap, the next time, a couple months later, something came up. It wasn't related to the chicken, but it was something where I think the Peter of Old would have gone right down the default pathway of just raging. I had that breathing room to notice.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  27. I feel helpless, blah, blah, blah, all these other things. But the point is in that moment. I missed an opportunity to console my daughter. I was so consumed with my own rage and my own rage, as you can probably relate to and many people who get angry can relate to is a very numbing, transiently numbing thing. Lots of dopamine gets secreted in that outburst that actually makes you feel a bit better. Now that doesn't last long. It's a very hollow, I think there's a saying about the, it's like a honey with a poison tip or something like that. It's a very short-lived, transient benefit that comes with a long tail of misery.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  28. What Esther was able to point out was let's deconstruct that whole situation. So first of all, why are you angry? Well, if I'm going to be brutally honest about it, I'm angry because I feel inadequate. I failed. Like my job is to protect my family and my chickens are now a part of my family. Like I failed at protecting these chickens. Like it can't be that I'm actually angry at the bobcat for being a bobcat. Marcus Aurelius once said something along the lines of be, you know, it's like being angry at a fig for making fig juice or something like that, like a fig tree for growing figs or something. I think he's so there's no way I'm pissed at the actual bobcat who killed the chicken. That's called the site. That's like the carbon cycle. Like that's the way it works. I'm pissed at myself. I have failed to protect my family.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  29. And so I'm up actually shooting doing my archery. And I hear my daughter kind of scream like something's wrong. And I kind of run down and she's crying. And I see one of our chickens is mangled into like a million pieces. And of course I immediately figure out what's going on. And we had just lost one like, I don't know, a month earlier. I thought I had reinforced the coupe as much as possible, but clearly I hadn't done a good enough job And I just went off on a tirade. I mean, and again, I'm embarrassed to even say all the things I said because it's so stupid. I'm basically yelling at whatever animal that is no longer there that killed our chicken about what I'm going to do to it. I mean, again, we can laugh at it. It's so ridiculous, though, right?

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  30. I'll take it. So I'll give you another, I'll tell you the last time I actually lost my shit. I thought it wasn't a year ago. It was a year ago was with that funeral. It was more recently than that. It was when one of our chickens got killed.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  31. You're feeling X, but you have such a beautiful default wide lane highway that turns X into anger. And oh, by the way, yours turns Y into anger. And yours turns Z into anger too. Like that's Peter's thing. Other people might have depression or sadness or anxiety as these other well-worn paths that come out of these various converging stimuli. So learning how to recognize what was understanding that has made a big difference. Another thing has just been traditional. Insight related therapy. So Esther Perel, who actually met through you many years ago, who is an incredibly important part of my life today. I'm trying to think. Oh, I know for every job.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  32. Emotional check in. I didn't have a vocabulary. So the question was, how do you feel right now? Pissed off. Okay, say more. How do you feel? Fucking pissed off. How do you feel? So fucking pissed off that if you fucking ask me again, I'm going to fucking kill you. Like that was the only response I had, right? What I didn't have at the time was I didn't even have a vocabulary to understand I'm hurt. I'm sad. I feel helpless. I don't feel in control. So I had to learn a new vocabulary and start to learn what those other things looked like so that I could, in that gap of time, start to say, oh

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  33. Unrelated. Yes, exactly. The brothers harris no relation. So yes, just having, just, just, again, I can think of a million analogies. It's like, imagine being a race car driver and you get to see time travel half as fast as the other drivers. Well, you're going to be a much better driver. Like you see the road coming at you at half the speed. The second thing is just work through really helpful therapy has been actually examining what anger stems from.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  34. No, I use either Sam's or Dan Harris's. I go back and forth between them. And yeah, so sometimes I'll do like a month on one and not see the other one and vice versa. I sort of go back and forth with no rhyme or reason.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  35. Which meant stimulus. You know, woman cuts you off while you're on the way to worst funeral you could be imagining going to, blowing up. That's happening in microseconds, not milliseconds. Well, the difference is today, because that's, I mean, that still happens every day, like some stupid thing will happen that would have normally fired me off. The difference is now I have seconds to inspect that and look at the template of beliefs that are feeding into that and examine the why, which is what is anger, right? I mean, so that's if the first thing is using a practice of vipassana meditation to create a tool in the mind to slow time down, then the second one is

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  36. There were many things. So I'll start with one. Meditation has made a big difference, not by itself. Meditation simply gives a gap. That's the only thing meditation does is it creates a pause between the stimulus and the response. And that gap used to never exist. That gap, I didn't even know it was a gap. So it was a potential space that I didn't realize had the potential to be a space.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  37. I think there have been a lot of things there's no one thing which isn't to say that for others one thing couldn't do the trick I think the good news is if somebody's listening to this and they're also thinking to themselves man like I just wish I was a little less angry too I think the good news is the probability that you were walking around with as much anger as me is hopefully low you're probably starting from a better place and therefore maybe your anger is less recalcitrant to change

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  38. And to be clear, these are two-edged swords. There are some good things that can come from hard experiences. I'm not suggesting everything is negative, but you don't have to throw the baby out with the bathwater, right? You can accept some of the positives that come from these things without ignoring the things that need to be mended or repaired. I think that broad topic is something that I have really been much more attentive to both in myself and in my patients and in understanding their lives and their emotional health as it pertains to the events of their childhood.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  39. I never for a moment would have realized like that could have an effect on my daughter. It's like I'm not yelling at her. I'm not yelling at my wife. I'm not like, you know, I'm yelling at some random stranger in front of us. But I realized that kids internalize that stuff different. Kids, and my daughter is not a baby, but she's still a child. They internalize that type of stuff as it's still like it's still hitting them, right? So I don't know how to think about it. There's still shrapnel that is hitting them in a way it wouldn't hit an adult. And so you take an extreme that's very minor. You take an example that's very minor, like that one, versus something that's very major, like the funeral we were going to, which is for her friend's mom. I don't think we are paying enough attention to how these things that kids experience can shape their personality.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  40. And there's this woman who's not paying even a modicum of attention to what's going on. She's on her phone or something. And then at the last minute, she just goes, like, accelerates, jumps in front of us. I almost hit her. I mean, normally that would be annoying, but on that day, I went ballistic. Now, she didn't even hear me, right? She's in another car. But the torrent of just, you know, profanities and what I wanted to do to her and say to her and blah, blah, blah, blah, blah, was unbelievable. Heightened presumably by the fact that I was just in this awful mood about all this other stuff, whatever.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  41. Begin to make sure I wasn't so angry, I almost never got angry at my kids, right? But my kids saw me angry. So, you know, the last time I got really, really pissed in front of my kids was a year ago. And I remember this very well. We were actually driving to a funeral of the mother of one of my daughter's best friends. So this is a young woman, a woman who's, you know, in her 40s who dies of cancer. And we're going to the funeral. It was exactly a year ago. So it's not a happy day And so it's me, my wife, and my daughter going to the funeral, and I'm driving. And traffic is sort of moving along at a sort of slow pace. And there's an emerging lane that's coming on.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  42. If a child perceives that as helplessness, that can really shape the subsequent years of their life. That can shape aspects of their personality that I don't think I ever, I just don't think I really understood and appreciated before. And I've seen this now with a number of my patients, for example, using that example, patients who lost parents when they were very young, seven years old, eight years old, 12 years old, suddenly and or tragically, or not suddenly or tragically. I mean, you could have someone who's suffering for three years with cancer and it's not sudden, but it's still to a child, they perceive things differently. An extension of that, which comes back to this whole thing around anger. And this was part of my motivation to sort of

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  43. You might say, well, look, they have another parent. That other parent is a loving parent. Everything is going to be fine. But there's an enormous amount of chaos that's inserted into that person's life.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  44. Yes, that's correct. The current belief is, so I'll rephrase it. I used to believe that Traumatic events in your childhood probably weren't that relevant or could be net positives if they, you know, and this is effectively like a parallel to the first thing to the previous one we talked about about personality stuff. I think what I've come to realize through extensive interaction with experts in this space, my own experience, the experience now of many people that I know is If a child perceives helplessness, even as an adult, if you look back and think, that wasn't so helpless. You have to be thoughtful about what the implications and ramifications of that are going forward, right? So, For example, let's take an extreme example. If a child loses a parent when they're young.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  45. This in some ways sort of builds off the last one a little bit, but it's basically this idea that childhood experiences can matter in ways that after the facts seem sort of irrelevant.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  46. Yeah, I've never fired a gun in my life, which sounds odd, I suppose. But anyone I've talked to who's like a marksman, they'll say the same thing. There's still a surprise release on the trigger.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  47. That's right, so you have to get those two things lined up in the site, there's a level, like you know, the thing you'd hang a picture with or something with a little bubble. So the first thing you're doing is you're getting rear sight, front sight acquisition. Then you have to get the bubble level, and then you have to get the pin where you want it to be. Now, I use a pin that comes in the side because I have multiple pins in the bow, but if you have a pin at the bottom with a single pin, it's the same idea. So you've now got rearsight front sight acquisition, bubble level, pin on target, and then the target is still going to be moving. That's okay. You have to trust the process. If all those other things are fine and that site, that pin is sort of moving gently around your target, that's okay. What you don't want to do is try to time that and punch the trigger while it's there. So instead, that's where you're contracting the rhomboid and being surprised by when the tension is actually

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  48. Absolutely. Yes, you have to, yeah. So when you think about looking at, so what are you doing with a compound bow? You have two holes. You have the site, which is one hole, and you have the peep, which is another hole. So those have to be aligned.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  49. So, if you picture your, let's say your right eye dominant, that would mean your left arm is holding the bow out and your right arm is pulling the string back. Now these compound bows are very hard to pull back. In the olden days, you used to actually pull compound bows with your fingers and you would release off your finger. Today we have a release that clips onto a little loop on the string called a D loop and you're pulling on that release. But whether you're doing that or just pulling on a string, you still need the release to be a surprise. So a surprise release or a surprise shot is an essential part of archery because it combats the sort of need of the motor system of your CNS and motor system to sort of have this trigger anxiety or trigger panic while looking at the target. So if you're looking at the target and you pull the trigger, you're going to have a less accurate shot than if you're following the perfect biomechanic.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT

  50. I use John Dudley's release called The Noctu It and the Silverback. So he has a pure back tension release called The Silverback and then the Noctuet is a thumb trigger on it, but you still do it with back tension. So when your thumb is on it and the rhomboid contracts, that's what actually pulls the thing back. But technically you could cheat with the knock to it. You can't with the silver back. The silverback is a pure back tension release.

    2019-11-27 · The Tim Ferriss Show · #398: Peter Attia, M.D. — Fasting, Metformin, Athletic Performance, and More · IDENTIFIED FROM THE TRANSCRIPT