Category

Preventing Chronic Disease

One of the foundational lessons we can take away from studying centenarians — those who have lived to the age of 100+ — is that if you want to live longer, you have to live longer without chronic disease, not live longer with chronic disease. Unfortunately, our current healthcare system is primarily geared toward helping you live longer once you develop chronic disease. This, of course, is the opposite of the approach I take with my patients. 

Over 80% of deaths in people over 50 who do not smoke can be grouped into 4 main categories, what I like to call the four horsemen of chronic disease. These are: (1) atherosclerotic disease (comprised of cardiovascular disease and cerebrovascular disease), (2) cancer, (3) neurodegenerative disease (Alzheimer’s disease being the most common), and (4) metabolic disease (a spectrum of everything from hyperinsulinemia to insulin resistance to fatty liver disease to type 2 diabetes).

We have five main longevity tactics at our disposal to affect our longevity: (1) exercise, (2) sleep, (3) nutrition, (4) medications & supplements, and (5) distress tolerance. Below is a collection of podcasts and articles discussing how we can use these tactics to mitigate, prevent, and reverse chronic disease.

Preventing Chronic Disease

Peter on the four horsemen of chronic disease

This audio clip is from AMA #14: What lab tests can (and cannot) inform us about our overall objective of…

For triglycerides, “normal” may not be “optimal”

How do triglyceride levels relate to cardiovascular risk?

Intro to lipids & lipoproteins: why there is no ‘bad’ or ‘good’ cholesterol

I recently posted on Twitter about my frustration with the way the press writes about “good” and “bad” cholesterol, and…

How to engage with your doctor

This audio clip is from ask me anything (AMA) episode #19, originally released on January 18, 2021. If you’re not…

Is cold exposure beneficial for metabolic health?

A look at whether activating brown fat through cold exposure therapy offers metabolic benefits.

Cancer screening: what blood tests can (and cannot) tell you

This audio clip is from AMA #14: What lab tests can (and cannot) inform us about our overall objective of…

Peter on the importance of cancer screenings

This video clip is from AMA #25: Navigating the complexities and nuances of cancer screening, originally released on July 26,…

Peter on the importance of regular colonoscopies

This audio clip is from episode #202 – Peter on nutrition, disease prevention, sleep, and more, originally released on April…

#203 – AMA #34: What Causes Heart Disease?

Not everybody dies from atherosclerosis, but… everybody dies with it.” — Peter Attia

Can a father’s metformin cause birth defects in his sons?

Several studies have examined the effects of both maternal diabetes and maternal metformin exposure on offspring, but prospective fathers have received comparatively little attention. A recent study sought to change that.

When CAC Tests Are Useful and When They Are Not

This video clip is from episode #185 – Allan Sniderman, M.D.: Cardiovascular disease and why we should change the way we…

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