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The book- Outlive- by Peter Attia-

Posted on 11/21/23 at 2:44 pm
Posted by mikeytig
NE of Tiger Stadium
Member since Nov 2007
7131 posts
Posted on 11/21/23 at 2:44 pm
Outlive- has anyone read the book yet? Any comments on his thoughts about metabolic health?
Posted by Aubie Spr96
lolwut?
Member since Dec 2009
41336 posts
Posted on 11/21/23 at 4:41 pm to
Haven't made it all the way through yet, but what he lays out is pretty much common sense. Only reason why it's not practiced by every clinician is that there's no way to really monetize it.
Posted by metallica81788
NO
Member since Sep 2008
8675 posts
Posted on 11/21/23 at 6:08 pm to
Have read it and am getting very interested in the longevity space now - all of his thoughts and processes are reasonable and make sense
I’m not super high on using medications to optimize blood markers preemptively but he states that is part of the change in thought process.
Also the idea of routine continuous glucose monitoring is a bit much for me

Basically I understand all of what he’s getting at, I just don’t want to do all of it and think some is probably overkill.
Posted by BigPerm30
Member since Aug 2011
26200 posts
Posted on 11/21/23 at 6:24 pm to
I listened to it. It’s a lot to digest. Basic premise is great. He gets deeeeeep into the weeds. That’s Peter’s style though.
Posted by StringedInstruments
Member since Oct 2013
18550 posts
Posted on 11/21/23 at 7:22 pm to
I’m pretty deep into the Peter Attia world.

I think his concept of Medicine 3.0 is one of the most important innovations we have right now. We have plenty of data now to truly be proactive with our health and ensure that we live a long, high quality life deep into our elderly years. The hard part is sticking to it and finding doctors that will work with you.

Or coughing up the $100k it costs to join his concierge wellness clinic.
Posted by NewOrleansBlend
Member since Mar 2008
1046 posts
Posted on 11/21/23 at 7:34 pm to
quote:

but what he lays out is pretty much common sense


Did you follow him prior to reading the book? If you followed him, listened to the podcasts etc then the book may not seem new. A lot of his themes aren't what I would call common sense though, for instance aggressive lipid management, CAD and cancer screening, Lp(a), APOE4, emphasis on stability, zone 2 and VO2 max training, how steep the physical decline through your 50s to 80s and how fit you need to be when you younger to maintain a quality of life while aging, rapamycin etc.

Attia is rigorous in his research and recommendations, he is obsessive to a fault and a perfectionist. While I don't trust everything, he is probably the most trustworthy voice in the wellness space. He's not trying to sell a diet, a proprietary supplement, or equipment like most of the others.

Overall it's well worth a read and I'd be shocked if you didn't learn a lot from it
Posted by BigPerm30
Member since Aug 2011
26200 posts
Posted on 11/21/23 at 9:03 pm to
I “rented” the audio book digitally through the library for a long drive I had. That may be worth an option to see if you enjoy it before buying it.
Posted by Aubie Spr96
lolwut?
Member since Dec 2009
41336 posts
Posted on 11/22/23 at 6:48 am to
quote:

Did you follow him prior to reading the book? If you followed him, listened to the podcasts etc then the book may not seem new.


This is true. The book is a hard copy of his podcasts.

quote:

A lot of his themes aren't what I would call common sense though


Agreed.

quote:

aggressive lipid management


I disagree with him on this especially in terms of chemically managing these levels.

quote:

CAD and cancer screening


While this currently seems over the top, I bet it becomes more common.

quote:

Lp(a), APOE4


He loses me here honestly.

quote:

stability, zone 2 and VO2 max training,


I spend a lot of time on these two things. 30 mins daily on stability and 80 percent of my cardio is zone 2. Giving it 6 months then will remeasure my VO2 to see if it improves.

Posted by StringedInstruments
Member since Oct 2013
18550 posts
Posted on 11/22/23 at 9:21 am to
quote:

Lp(a), APOE4
quote:

He loses me here honestly.


Why’s that?
Posted by DukeSilver
Member since Jan 2014
2730 posts
Posted on 11/22/23 at 9:48 am to
quote:

I disagree with him on this especially in terms of chemically managing these levels.


Tons of otherwise healthy people need them due to having high hereditary levels.

I do agree that diet, exercise, etc. should be done first if it isn't a hereditary thing though.
Posted by Vastmind
B Ara
Member since Sep 2013
4992 posts
Posted on 11/23/23 at 8:16 am to
I’ve been listening to Peter for years and I used to subscribe to his podcast. His show notes are incredible.

I’ve been using rapamycin on and off since 2019. I feel great. For much more info on Rapa check out

Rapamycin.news
This post was edited on 11/23/23 at 8:17 am
Posted by Big Scrub TX
Member since Dec 2013
33738 posts
Posted on 11/26/23 at 8:33 pm to
He's pretty good, although obviously on the spectrum. I think his indications for how much cardio someone should get are ludicrous for anyone's actual life.

Also, I'm not a fan of "bio hacking" in general - including reductively separating out individual things and focusing on them individually to a fault.

If someone eats clean and is active - including significant resistance training - I can't imagine that's worse than 95% of the way of whatever he advocates in such detail.
Posted by SoFlaGuy
Fort Lauderdale
Member since Apr 2020
885 posts
Posted on 11/27/23 at 11:04 pm to
quote:

I “rented” the audio book digitally through the library


Did not know that existed. Learned something new.

Fan of Attia, hard to be consistent sometimes.
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