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Peter Attia, M.D.

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2019-11-27
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2019-11-27
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  1. And I've never stopped. And I take it very seriously and I guard the champion very closely. And as you're alluding to, we did, there was one very, very special egg in my life. In 2007 and 2008, who I nicknamed Ramanujan after the great mathematician, not a great boxer, but he was such a prodigy amongst them. He was a terrible boxer.

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

  2. So it's a sport slash game where whenever you're making something with eggs, you hold an egg, you hold another egg, you bang them off each other, the one that cracks, you obviously break, and the one that didn't crack, that's considered one win. So let's say these are two eggs you've never touched before. You smash them, that guy is now 1-0. And then you pick up another egg. Let's say you want to make five eggs and you smash. And let's say that guy wins again. So he's now 2-0. And then you smash again. And let's say he loses. Well, then he retires with a record of two and one and the other guy is now 1-0. And you keep going. And at the end, like when you break your last egg that day, you write down how many wins the last guy has because by definition the last one standing is always the winner. And then the next time you come to make eggs, you just play again. And so I don't know when I started playing this game, but it was somewhere in high school.

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

  3. So one of them, which is the one that you already know about, and I know you're a big fan of, is eggboxing. I just cannot get enough of eggbox

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

  4. I mean, I think those are exactly the kind of questions I'm still struggling with, which is, does it make sense to cycle metformin? Does it make sense to only use metformin in the evening but not use it in the morning? So let's say in the morning you exercise, but in the evening when most people are fed. Like for one of the things I did notice when I stopped taking Metformin is definitely my nighttime glucose levels are just a little bit higher because nighttime glucose is controlled by the liver. It's not really a function of what you just ate. You're so far outside of that last meal that it's generally the response of the liver putting glucose in circulation and titrating that. So yeah, I think there are probably different like five different ways that you could sort of slice this thing up and decide on how to do it. And I don't know the answer and I guess I reserve the right to change my mind again. But for now, that's been a pretty big change for me.

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

  5. I think no matter what, like if you take somebody who's got diabetes, I don't think people appreciate how potent a tool, fasting, exercise, and sleep are. When you rob someone of sleep, when their sleep sucks, when they're not exercising, and when they have full stores of glycogen in liver and muscles, which is basically the state you're in when you're constantly fed. The ability to reverse those three things is more powerful than all drugs combined. I mean, so I agree. If there's a way that you can treat patients without using medication, one should always do it. Sometimes metformin does offer a great step forward. And again, it comes down to every patient's ability to sort of adhere to exercise and all these other things.

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

  6. The sort of The inflammatory response that would be pro growth to muscle, pro adaptation, for lack of a better word. I think it's still too soon to say how this story shakes out, but I was basically in the past year, I've seen enough data to suggest that for me personally, the benefits of just focusing and doubling down on my exercise are probably going to yield better results than the use of metformin. And of course, then the question is, how do you translate that into patients and where do you draw that line? Which patients are sufficiently on the healthy enough side? And I don't know the answer. I think my thinking on that is the more you exercise and the healthier you are, the less benefit and potentially the more detriment you could experience from Metform.

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

  7. Muscle mass, which again is not as interesting to me, but that appears to be a totally different issue, which is the blocking of sort of the stress response. I think the jury's still out.

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

  8. And then I began to question well, you know, how would you reconcile that with the fact that Metformin is helpful? And then you realize, well, Metformin's only really ever been shown to be helpful in people who have diabetes. And when you look at the sort of mitochondrial performance of people with diabetes, it's abysmal. In fact, even though that's not a hallmark that the medical system would typically pay much attention to, but if you do that type of zone two testing and people with diabetes, it's such a contrast between them and someone without diabetes. So I realized, well, maybe when your mitochondria are that sick, a little bit more toxicity doesn't matter that much. But if you're playing a different game, it might. Now, since that time, a number of other studies have come out. I've written about one of them. Maybe I should two of them, that look at the effect of mitochondria, pardon me, metformin and mitochondrial inhibition on the difficulty of growth.

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

  9. And water. So that's why we breathe out carbon dioxide and water vapor in exchange for taking food and making energy. So they play an essential role, obviously, in energy production. And if you lose the ability to make energy with the mitochondria, that's effectively what happens to a cancer cell. So this idea of zone to efficiency is so important for metabolic health that I started questioning, well, why the hell would Metformin be a good thing if it's impairing that? And basically after doing a lot of experimenting with and without metformin, metformin under different clearance pathways, et cetera, et cetera, it became unambiguous to me that metformin was impairing this, and there was no two ways about it

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

  10. I think Yeah, they do a lot of things, but for the purpose of this discussion, what they do is they do the most efficient form of energy transfer, which is transferring energy that comes in the chemical form of energy, like food energy, right? So when you eat something like glucose or fat or your body breaks down and gives you glucose and fat, how do you turn the energy that is stored within those chemical bonds, the carbon-carbon bond, the carbon hydrogen bond, et cetera, how do you turn that into ATP? And you do that by first breaking those things down and getting electrons into these electron donors. And people who might remember from a high school class, something called the electron transport chain, that runs through the mitochondria. And those electron donors eventually donate back, make an energy gradient that makes ATP. And in the end, all they spit out is carbon dioxide.

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

  11. You're asking the body to make ATP, which is the energy currency at a rate faster than can be sustained aerobically using oxygen only. So by pushing the boundaries of how much work you can do, and I mean work in the very technical sense, so how fast you could run, how many watts you could push on a bike, and ratcheting up that level while still keeping lactate below two, you're training your mitochondria to become more and more efficient. And what I started noticing when I was mucking around with different drugs was whenever you have met foreman in your system, that output goes down. And again, when you thought about it for a minute, that shouldn't be surprising. It's a mitochondrial toxin.

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

  12. And in the last five years, frankly, it's become a very popular topic. And I've interviewed a guy named Nir Barzalai on my podcast, and we've talked exclusively about this. Nir is one of the world's experts on Metforman. And he's leading the charge to do a very large clinical trial to test the question of whether Metformin is a longevity drug in non-diabetics. Anyway, the point is my baseline view was that this is the case and I had been taking Metformin since 2010. What changed a year ago was I began doing a very focused type of exercise that was geared towards mitochondrial performance and efficiency, something called zone two training, where you basically push the boundaries of how much work you can do while keeping labor.

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

  13. Yeah, and that's part of the rub. Is Metforman does a lot of things? It's a mild mitochondrial toxin. And this becomes relevant to the story. So it sort of inhibits the first complex of the mitochondria, what's called complex one. And by doing so, and it seems to do so almost, I mean preferentially in the liver, it leads to a cascade of events that activates an enzyme called AMP kinase. And when you do that, the body basically starts acting like it's in a fasted state. So it's sort of like a junior fast in a pill. And for people with diabetes, what's beneficial about it is it lowers the amount of glucose that the liver puts into circulation. So there's plenty of benefit to that. And there's no disputing its efficacy there.

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

  14. So, my 2010 View which sharpened and became more and more bullish from say 2010 through 2015-16 was that Met Foreman was a very, very low risk cancer mitigating drug in anybody. Now I believed that it was more so in patients who had diabetes or conditions that approximated diabetes like hyperinsulinemia. But the data were, I think, quite convincing to me and my extrapolation was, well, even in people who don't have diabetes, this is still a great longevity agent.

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

  15. So in no particular order other than the order that I listed these things out, the use of Metformin in very healthy individuals is something I've changed my mind on. So I don't think we talked about this on any of our other podcasts.

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

  16. And once you learn the proprioceptive cues that you're supposed to feel, you know when you're having a good day and a bad day. And if you're having a good day, that's the feeling you want to replicate.

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

  17. What I've realized over the past now is most of us have lost the ability to put air into our pelvis or put pressure really is the right way to think about it. You're not literally putting air in your pelvis. The air doesn't go below the diaphragm, but we don't know how to generate that pressure in the abdomen. And by being able to do that, that's what enables you to actually stabilize your spine. So people who say, you know, people say to me all the time, I can't believe you would deadlift. Like that seems so crazy. Aren't there better ways to get the same activation of the muscles in your glutes or hamstrings or quads? And the answer is yes and no. I mean, you can certainly do those things without having to go under that load. But a deadlift is an amazing audit, as is a squat for that matter. And I think of those things as audits. Because if you're doing them correctly,

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

  18. So picture someone putting a yeah, yeah, picture somebody putting a balloon inside your belly. Let's pretend for a moment they could strip all your guts and liver and everything out and you could put a cylindrical shaped but round top and round bottom balloon inside your abdomen. So at the top it's mimicking sort of the shape of your diaphragm and at the bottom it's sort of like the shape of your pelvis. And then the idea is you sort of start to blow that up and you generate this pressure that comes out. So all of the muscles are sort of getting longer and under more tension and the force is sort of uniform all the way throughout. And that's called intra-abdominal pressure or IAP.

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

  19. And so the hex bar is much easier to deadlift because you are in a more advantaged position, but it's also easier to do incorrectly. And the reason for that is you don't have a bar in front of your shins. And so if you're like me, you tend to default into a very quad dominant deadlift. And what Beth realized was we had to break that cycle. And the only way we were going to get you to use your hamstrings, Peter, is if we changed your position. And the idea was the best way to change your position was put a bar in front of your shins that you can't go through. So anyway, that's one example. But yeah, to your point about checking ego, so much of what I do these days in the weight room looks really silly and it's not using nearly that much weight. I mean, today you should have seen me like what I was doing in the gym today was sort of comical to watch. You know, a lot of single arm pressing in.

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

  20. Well, luckily we had 10 pound bumper space. I'm kidding. So we were juxtaposing the straight bar deadlift with very lightweight. And she was letting me use more weight on the hex bar. But we had to fix a whole bunch of movement defects.

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

  21. And I mean, she had me starting at 105 pounds. And I was not allowed to progress from that for a couple of months. And I was like, Beth, at least let me just get to 135 so I can use the goddamn 45s on the side of this thing. I mean, it's getting ridiculous here. And she's like, no, you're not ready yet. And, you know, so I'm just.

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

  22. I mean, I work with three people, a woman named Beth Lewis, a guy named Michael Stromsnis, and another guy named Michael Rintala. And all of them have a training in something called dynamic neuromuscular stabilization or DNS. And then they all, of course, bring in their own expertise outside of that from powerlifting and other athletic disciplines. And Beth, who's sort of the one that kind of defaults into my deadlift program. So I deadlift twice a week. And we started from scratch. So we have basically imagined I've never deadlift even though I started deadlifting at the age of 15 and powerlifted all the way through high school. Her view is no, we're starting from scratch. It's as though you've never done this before.

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

  23. And once you start doing it biomechanically correctly at the age of forty or fifty or whatever, and you start to carry that forward, then you're sort of winning on two fronts with the more important of those being by the time you get to 90, you actually have the ability to even move in that direction and stabilize your trunk, which is the rate limiting step for a squat.

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

  24. Yeah, so, and then, of course, you get into the real minutia of what does it really mean to be able to squat safely? And again, for most people, myself included before I was really putting a lot of thought into this, to do a heavy hip hinge activity like a squat or a deadlift, you will naturally tend to fall into a place of lumbar compression. You will compress the spine when you do these things. That's not that sustainable. What you really want to be able to do is get to a point where you can do those things under spinal traction, which sounds very counterintuitive. Most people think of traction as something you can only achieve when you hang, which is elongating the spine. But it turns out if you generate concentric interabdomal pressure from diaphragm to pelvis, you can actually stretch out the spine while you're under load.

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

  25. Something else. Yeah, yeah. So if you're picturing holding a dumbbell or a kettlebell and you have both hands on it and it's in front of you and you're going into a squat position that way. So as opposed to like a barbell squat where the bar is on your back and you're holding it back, the nice thing about this goblet squat is it's a little bit more representative of real world movement because you now have your scapula that have to move forward. That's called protraction. And you have to be able to stabilize that position, which is, you know, going to be holding the kettlebell or the dumbbell or the child.

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

  26. It's exactly that. So it's not rocket science to figure out a 30-pound goblet squat at 90 equals how many pounds at 50. The bigger question is to understand how you have to do it biomechanically at 50 to ensure you can still even do it safely at 90. So let's just say the number's 90 pounds at 50. It's not that hard to goblet squat 90 pounds for a fit guy like you But it's actually kind of hard at our age or anybody's age, frankly, to do it perfectly, especially with complete scapular protraction, which is another thing you want to be able to do because remember you're holding a toddler here, so you need to be completely stabilized through the upper and lower body. And the thing that's nice about a goblet squat, just as one example.

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

  27. My strong belief is you can and you should. And if you don't do this, if you just assume by chance you're going to get there, I think the likelihood of that is low.

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

  28. And then you back out of that and say, well, if you want to be able to do all of those things by the time you're 100 or say in your 10th decade, so between 90 and 100, what do you need to be doing when you're 70? Because there is going to be an inevitable decline from 70 to 100. And if you can do this metric at 70, what do you need to be able to do at 60? And what do you be able to do at 50? And, you know, since that's the decade I'm closest to, I'll be 50 soon. that becomes my benchmark is okay so that's what i'm training for And so this idea we've sort of translated to our patients, which is unless you really have a strong desire to do an Ironman or run a marathon, most people are exercising without a real sense of purpose. And so the question is, could you create a true sense of purpose around this and then work backwards to build towards it? And obviously, we're not going to know the answer to that question until people start getting there.

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

  29. Exactly. Like, again, I would not want to know. I don't want to get to the day when I can't put my luggage above myself in the airplane. And once I sort of mapped out all these things, I kind of broke down what the movement patterns that were necessary to do this. So this requires the ability to hip hinge. This requires a certain amount of aerobic efficiency. This requires a certain amount of anaerobic efficiency. This requires a certain amount of scapular stability, et cetera, et cetera. And they basically condense into four elements of health, which is stability, so the ability to control using the muscles of the body control the exoskeleton such that load is transferred safely through muscles as opposed to unsafely out joints strength, aerobic efficiency, and anaerobic performance.

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

  30. So basically, I listed out 18 things that I can do today that I want to be able to do when I'm 90, for example. And those events constitute my centenarian Olympics. And so I'll rattle off a couple of them. But a 30-pound goblet squat. Again, could you do that today, Tim? Yeah, you could do a hundred of those today. But how many 90-year-olds can do that? Very few. Walking up three flights of stairs with 10 pounds of groceries in each hand and walking down under the same load. Again, biomechanically, that's not a trivial task. The walking down has its own challenges. The walking up has its own challenges. Being able to pull myself out of a pool where the gap between the water and the surface, the lip of the ground is six inches away. So being able to actually pull myself up. As I said, getting up.

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

  31. 70s and 80s can't do that. And then you start to deconstruct why. What are the structural misgivings that prevent someone from doing that? Another thing I noticed is how often toddlers come running at you head first and they don't actually stop when they get to you. So there's an implicit assumption that as they're running to you, you're going to be able to pick them up and stop that momentum. And if you can't, you're going to get a headbutt to the groin. So that's a very essential part of the equation here. So I started saying, well, how many times is my son, my youngest son, come running at me and how often do I have to drop down into a goblet squat, grab him and pick him up?

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

  32. And that gave me kind of a mental model of what the world looks like when I'm in my 10th decade. And what I realized is the things that are probably going to give me the greatest joy at that stage will involve interacting with those littler people. And my kids won't be that little. They'll be in their 60s or whatever. But their kids will be in their 20s and 30s, and their kids' kids will be basically the age of my youngest kids now. And so I just started paying more attention to what I do with them. And it's stuff that, you know, Tim, you and I would take for granted that, in fact, I'm guessing anybody listening to this is going to take it for granted. But kids, you've seen my kids a million times, they play on the floor. So step one, can you get up off the floor? Can you lay on the floor? Can you do something on the floor? And can you get up under your own support? Again, you could do that blindfolded today, but watch how many people, even in their 60s, let alone...

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

  33. Set of events so you and I might have a different looking centenary in Olympics, though I think there are some common things to all. So, the first thing I did to figure this out was for myself, which is the person I'm solving for in the first iteration is sort of mapped out how old everyone in my life would be when I'm 100. So how old would my kids be? How old would their kids' kids be and all the way down?

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

  34. I don't know. I'm just thinking there's got to be a way to stop this because nobody's really thinking about this. We do all this amazing training for athletes who are trying to go to the Olympics or even being weekend warriors or doing whatever they're going to do. But why aren't we training to be kick-ass 90 year olds? So my hypothesis was, well, it's just a lack of specificity. I mean, what separates, you know, a professional athlete from a weekend warrior is generally the specificity and the intensity with which they pursue this thing. So I said, well, what if we came up with an event that actually defined what one would want to be able to do when there are 100, using that just as a benchmark? Again, you may never live to 100, but to train to achieve this thing when you're 100, you'll obviously be in great shape when you're 80. And so I sort of came up with this idea of the centenary and Olympics. And the first thing you got to know about the centenary Olympics is it's very personal. It's individual. Everyone will have a different event.

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

  35. Pleasure, you know, beyond spending time with their grandkids and things like that, which was golf and gardening, like landscaping, really some killer landscaping. We're basically off the table. You know, courtesy of hip injuries, shoulder injuries, back injuries, all these other things. And so I sort of reflected on this for a while and realized that's pretty much the standard path that people go on, which is before they actually die, their physical death, you know, the sort of what I call death certificate death, they tend to die some combination of a cognitive and physical as an exoskeleton death. And so we're sitting there at the funeral and I'm

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

  36. Like all funerals, there's a somber nature to them. But on some level, people are also generally rejoicing in the fact that a person hasn't suffered too much. And in the case of my friend's parent who'd been diagnosed with Alzheimer's disease, the time from diagnosis to death was like six months. And everyone was like, oh, that's great. There wasn't much suffering there. But I knew that parent for many years. And what I realized in spending more time talking with everybody was that the last 10 years of their life, even though their brain was still intact, shy of the last six months of that 10 years, the body had broken down. And the two things that gave that person

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

  37. So, the first thing, and I guess for the listener, you were very kind enough to give me a heads up that this is what you wanted to talk about. So I actually did have some time to think about this, which fortunately allows me to not sound like an idiot, which is what I would have sounded like if you had just asked me this cold. So the first thing I have on my list about excited stuff is the centenarian Olympics, which is my favorite sport. It's the sport that I am exclusively training for. And it has become one of the highest priorities within my medical practice in the past probably two years. So the idea is the following. I had this Think I can call it an epiphany actually maybe 18 months ago to two years ago. I was at the funeral of a close friend, the parent of a close friend.

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

  38. Ooh, that's a good question. I don't know. I was all mentally prepared to go from one category to the next. So I would suggest do the opposite of what I was prepared for.

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

  39. Podcast host, Courtesy of You. Podcast is called The Drive, and it focuses on things beyond driving, mostly, I guess, things related to longevity. And dad, I guess that's another thing on the

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