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Risks

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.

Reducing heavy alcohol intake: a lifeline for cardiovascular health

Can reducing heavy alcohol intake significantly lower cardiovascular risk, or is the damage already done?

#304 – NEW: Introducing quarterly podcast summaries – Peter shares his biggest takeaways on muscle protein synthesis, VO2 max, toe strength, gut health, and more

Getting a high VO2 max and being very strong are very hard to do. They take a long time. Everybody can do them, but they can’t be done quickly and easily, so therefore, they are the tip of the spear.” —Peter Attia

High Lp(a) warrants intervention, even without other cardiovascular risk factors

A new study shows that the oft-ignored metric is strongly associated with heart attacks, regardless of the presence or absence of standard modifiable risk factors for cardiovascular disease

#303 – A breakthrough in Alzheimer’s disease: the promising potential of klotho for brain health, cognitive decline, and as a therapeutic tool for Alzheimer’s disease | Dena Dubal, M.D., Ph.D.

I have this dream that people might be able someday to benefit from klotho, this factor that naturally circulates in our body, that helps with longevity, that helps with other organ systems and enhances the brain.” —Dena Dubal

#302 – Confronting a metabolic epidemic: understanding liver health and how to prevent, diagnose, and manage MAFLD and liver disease | Julia Wattacheril, M.D., M.P.H.

The average person you’re seeing with MASLD is much more at risk for cardiovascular-related outcomes and malignancy-related outcomes from their metabolic health than they are for liver-related risks.” —Julia Wattacheril

#301 – AMA #59: Inflammation: its impact on aging and disease risk, and how to identify, prevent, and reduce it

Inflammation really becomes chronic once it’s persisted for several months, but it can persist for much longer than that.” —Peter Attia

Can ovarian cancer be detected by genetic analysis of cervical cancer screening samples?

A proof-of-concept method for adding ovarian cancer screening to existing protocols

Body composition: impact on disease risk and how to assess and improve it

A refresher on why you should care about body composition and a practical guide to determining and interpreting your measurements

#300 – Special episode: Peter on exercise, fasting, nutrition, stem cells, geroprotective drugs, and more — promising interventions or just noise?

The probability that having a high VO2 max, high muscle mass, and high muscle strength are going to increase the length of your life and improve the quality of your life. . .is so high that to act in disregard of that is irresponsible.” —Peter Attia

Special episode with Dax Shepard: F1 and the 30th anniversary of Ayrton Senna’s death

Senna lived 10 lives in his 34 years. And not only that, he’s one of the few people who still matters in his death.” —Peter Attia

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