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The Peter Attia Drive
#26 - AMA #3: supplements, women’s health, patient care, and more
Oct 29, 2018
02:08:48
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Quick takeaways
- Choose a subject you're passionate about in college instead of pursuing premed.
- Interacting with patients during medical school is important for students' perspective and sense of purpose.
- Maintaining balance and finding joy in medical school is vital to avoid burnout.
- Considering monetization to sustain the podcast and fund research projects.
- Prioritize quality sleep as a daily habit for overall health and well-being.
Deep dives
Importance of Prioritizing Passion in College
For those interested in pursuing medicine, studying premed in college may not be the best option. Instead, it is recommended to choose a subject that you are truly passionate about and excel in it. This will allow you to develop a deep understanding and love for the subject without worrying about maintaining perfect grades. It is important to find joy in the learning process and not just focus on achieving high marks.
The Value of Interacting with Patients in Medical School
Interacting with patients during medical school is crucial in reminding students of the beauty and privilege of being part of the medical profession. It provides a real-world perspective and helps students appreciate the impact they can have in people's lives. Through patient interactions, students gain a deep sense of purpose and can better understand the importance of their studies and future role as doctors.
Finding Balance and Enjoyment in Medical School and Residency
Maintaining balance and finding joy in medical school and residency is vital to staying motivated and avoiding burnout. It is important to periodically step away from studying and engage in activities that replenish and rejuvenate you. This could include exercise, socializing, or pursuing hobbies. Embracing a "get to" mindset instead of a "have to" mindset can also help reframe challenges and cultivate a sense of gratitude.
Monetizing the Podcast to Support Research Efforts
To sustain the podcast and support research efforts, monetization is being considered. The podcast incurs significant costs, and generating income would not only cover those expenses but also enable funding for additional research projects. Ultimately, the aim is to have the podcast cover the costs of research and provide further resources to invest in scientific investigations at various universities.
Recommendation: Prioritize Quality Sleep
One important habit to add to your daily regimen for overall health is to prioritize quality sleep. Getting enough restful sleep is crucial for numerous aspects of well-being, including cognitive function, immune system function, mood regulation, and physical recovery. Aim for consistent sleep patterns, create a comfortable sleep environment, practice good sleep hygiene, and consider implementing relaxation techniques before bed to ensure a good night's sleep.
Summary: Cocoanut Oil and Saturated Fat
The claims surrounding cocoanut oil and saturated fat can be confusing and overhyped. It is important to consider the context and limitations of the studies conducted on cocoanut oil. While some studies suggest that moderate carbohydrate intake may be the best option for health, it is crucial to evaluate the quality of the research, taking into account the reliance on food frequency questionnaires and other issues with nutrition epidemiology. It is always advisable to consult with a healthcare professional and consider individual factors, preferences, and specific health goals when making dietary choices.
Insight: Heart Rate Variability
Heart rate variability (HRV) is a valuable metric for assessing overall health and autonomic nervous system function. Higher HRV is generally associated with better health outcomes and indicates a well-balanced autonomic nervous system. HRV can also serve as a useful indicator of recovery, stress levels, exercise intensity, and sleep quality. Wearable devices such as the Ora ring can provide valuable insights into HRV and other related metrics, helping individuals make informed decisions about their lifestyle choices.
Top Daily Habit: Prioritizing Sleep
The number one recommendation for a daily habit that promotes overall health and well-being is to prioritize sleep. Getting sufficient high-quality sleep is vital for optimal cognitive function, immune system function, emotional well-being, and physical recovery. Create a consistent sleep routine, optimize your sleep environment, practice good sleep hygiene, and allocate enough time for uninterrupted sleep to reap the benefits of a restorative night's rest.
Sleep is Vital for Health and Well-being
Sleep is an essential component of overall health and well-being. While it may not be the “single most important.
Effectiveness of Nicotinamide Riboside Supplementation
Supplementing with nicotinamide riboside (NR) or nicotinamide mononucleotide (NMN) may not provide significant benefits and may only enrich the companies producing these supplements. New research suggests that these precursors may only be taken up by the liver and not other cells in the body, making them less effective for increasing cellular NAD levels. Intravenous administration of NR or NMN may be necessary for any potential benefits. The supplement industry lacks regulation and finding reputable brands, such as Jarrow and Pure Encapsulations, can be beneficial for other supplements.
In this “Ask Me Anything” (AMA) episode, Peter answers a wide range of questions from readers and podcast listeners. Bob Kaplan, Peter’s head analyst, asks the questions.
This also marks the first video release of the podcast. You can find it on YouTube (https://youtu.be/kzs7GgxR_FQ) and the website (peterattiamd.com/ama03).
If you have any questions for the next AMA, please submit them to the AMA section on the website (peterattiamd.com).
We discuss:
- What references ranges does Peter consider too broad on lab tests? [5:30];
- What aspect of women’s health is the least studied/understood? [21:15];
- What are your thoughts on fasting and ketosis for females? [31:30];
- Advice for medical students and residents, how to get through it, and optimize their time while in med school [38:00];
- What is Peter’s opinion on the best way to monetize a podcast to make it sustainable? [47:45];
- What are you looking to achieve and monitor with your blood glucose monitor? [57:15];
- Thoughts on lithium supplementation? [1:08:15];
- Insights about berberine? [1:16:00];
- Why does Peter take a baby aspirin? What does the science say? [1:19:20];
- How do you use HR variability as a metric in your practice and/or in your own personal use? Sleep, pre/post exercise, pre/post eating, every morning readiness? [1:23:25];
- With the emergence of “the coconut oil is pure poison” article, can you shed some light on saturated fat in the literature and the types of studies done specifically on coconut oil? [1:38:45];
- Would you discuss the recent meta studies that claim that moderate carbohydrate intake may be best for health? [1:40:45];
- What is the number one recommendation/habit you would suggest every person add to their daily regimen (besides physical activity) for wholesome health? [1:42:45];
- What does it mean if your body has a harder time getting into ketosis via fasting than it used to (testing using a Precision Xtra)? [1:44:15];
- Why are you taking Zetia and Lipitor? Are you mitigating risk based on your APOE4? Or is there something else going on? [1:46:10];
- What will your book be about and what is the expected release date? [1:47:45];
- What are your thoughts on nicotinamide riboside supplementation for longevity? [1:49:30];
- Which brand of supplements have you found to be effective? [1:54:30];
- Are you currently accepting new patients? And how do I find a ‘Peter Attia clone’ in my area? [1:56:20];
- Bob’s personal experience with Peter as a doctor [1:58:45];
- Can you tell us more about the latest and best of APOE4? [2:06:15]; and
- More.
Learn more at www.PeterAttiaMD.com
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