Episodes

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    πŸ•‘ Time Stamps:
    0:00:00 – 0:00:50 – Introduction
    0:00:50 – 0:05:32 – Why Paul Saladino Stopped The Carnivore Diet After 2 Years
    0:05:32 – 0:08:41 – Is There Ever A Point Of Doing A Keto Diet?
    0:08:41 – 0:11:21 – Why Paul Reached Out To Me To Do A Second Podcast After Seeing Me Speak With Peter Attia
    0:11:21 – 0:17:36 – What Actually Causes Atherosclerosis? Paul’s Take On The Traditional Hypothesis
    0:17:36 – 0:22:17 – Should We Ignore High LDL-C Or APOB?
    0:22:17 – 0:25:05 – Paul Describes How Some Studies Suggest That Those With Higher HDL-C Levels May Be Less Likely To Get Atherosclerosis Despite Having High LDL-C Levels
    0:25:05 – 0:25:26 – Paul’s Perspective On Why Many Doctors Aren’t Educating Their Patients About Metabolic Health
    0:25:26 – 0:33:41 – "Ignore Nutrition Just Focus On Exercise"
    0:33:41 – 0:37:55 – Sponsor: Eight Sleep
    0:37:55 – 0:39:02 – The Most Important Lab Tests For Avoiding Atherosclerosis
    0:39:02 – 0:42:53 – Is It Possible To Get Atherosclerosis If You Have A Fasting Insulin Of 3 uIU/mL Or Less
    0:42:53 – 0:46:27 – Familial Hypercholesterolemia (FH) And Why It’s A Phenotypic Diagnosis, Not A Genotypic Diagnosis
    0:46:27 – 0:49:41 – What Happens When You Replace Saturated Fat With Linoleic Acid?
    0:49:41 – 0:52:38 – How A Pure Carnivore Diet Affects Thyroid Metabolism
    0:52:38 – 0:56:45 – Can Someone On A Keto Diet Long-Term Develop Atherosclerosis Despite Having A Low Fasting Insulin? Dave Feldman’s Lean Mass Hyper-Responder Study
    0:56:45 – 1:00:56 – How Paul’s Perspective Differs From Dave Feldman and Shawn Baker
    β€’ The Baseline Data From The LMHR Study Paul Mentioned: https://twitter.com/realDaveFeldman/status/1733387107610063195
    1:00:56 – 1:03:55 – What Is APOB And LP(a)?
    1:03:55 – 1:06:44 – Sponsor: Marek Health
    1:06:44 – 1:10:21 – How Long It Takes For Plaque To Develop And Show On A CT Angiogram
    1:10:21 – 1:13:46 – Why Paul Uses Proxy Biomarkers In Atherosclerosis Data Analysis To Discern Insulin Sensitivity
    1:13:46 – 1:18:14 – Does Paul Think It Is Ever Justified To Take Lipid Lowering Medication To Avoid Atherosclerosis?
    1:18:14 – 1:20:13 – How Should You Track If You Are Developing Atherosclerosis?
    1:20:13 – 1:45:27 – Lipid Lowering Medication Risk-Reward Analysis. Will Lowering LDL-C Impair Quality Of Life, Regardless Of The Medication Used? Do Adolescents With Hypofunctioning PCSK9 And Very Low APOB Have Impaired Development Cognitively Or Structurally?
    1:45:27 – 1:47:39 – If You Don’t Lower APOB But Want To Track Plaque Accumulation, Is The Dose Of Radiation From A CT Angiogram Concerning?
    1:47:39 – 1:56:45 –Why Certain Tribes Have Lower Rates Of Cardiovascular Disease Than The Average Person. Should Or Shouldn’t We Copy What They’re Doing?
    1:56:45 – 2:16:17 – The Lowest Hanging Fruit For Avoiding Atherosclerosis And Evaluating Your Risk β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”
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  • πŸ“Œ For more content, check out my appearance on Peter Attia's podcast too from earlier this month: https://open.spotify.com/episode/4P4L9YNqE24DtqFfGnoVee?si=tDW3zOi3TDW-DiJWcKnWxg

    πŸ“Œ You can purchase Peter Attia's new book "Outlive" here: https://peterattiamd.com/outlive/

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    Time Stamps:

    00:00:00 - Peter Attia’s new book β€˜Outlive’
    00:02:26 - Who is Peter Attia? What is Medicine 3.0?
    00:03:28 - Peter Attia’s career. How did he become a doctor? And how did he evolve into his unique approach to preventative medicine?
    00:07:54 - What do the acronyms in Peter’s Instagram bio stand for?
    00:13:53 - The Four Horseman of Death (most will die from one of these)
    00:22:46 - How to not die from atherosclerotic disease (the leading cause of death)
    00:29:59 - The impact of smoking on atherosclerotic disease
    00:30:36 - The impact of high blood pressure (hypertension) on atherosclerotic disease, how common it really is, and how to track it
    00:32:32 - The accuracy of manual vs. automatic blood pressure cuffs
    00:35:41 - The impact of APOB/all atherogenic particles (LDL’s, LP(a)’s, VLDL’s, and IDL’s) on atherosclerotic disease
    00:40:57 - The minimum APOB level needed for adequate function
    00:42:43 - PCSK-9 gene and its effect on LDL. How PCSK-9 inhibitors work to lower LDL
    00:43:24 - APOB vs. APOA
    00:44:56 - The most effective lipid managing dr*gs for preventing atherosclerosis
    00:50:16 - Why Peter doesn’t see a reason why anybody should have an APOB over 60 mg/dL
    00:52:15 - If Peter could go back in time knowing what he knows now and with modern pharmacology, at what age would he start lowering his APOB
    00:55:04 - Arterial plaque accumulation starts as early as when you are a teenager. Calcification takes years to show up on a coronary CT calcium scan, but that does not mean plaque isn’t accumulating
    00:57:12 - Should you screen for atherosclerosis before taking medication? If so, how?
    01:01:06 - Why are carnivore diet zealots so dogmatic about cholesterol and atherosclerosis? What does the data show to date?
    01:06:05 - If those with average genetics maintain a near perfect diet, exercise regimen and sleep hygiene, will many of those individuals still develop atherosclerosis? Even with perfect lifestyle factors, will those individuals still need to take lipid managing dr*gs if they want to essentially guarantee that plaque will never accumulate?
    01:09:41 - How to lower blood pressure
    01:13:25 - Sleep Apnea and the use of CPAP
    01:16:49 - Cancer: Causes, Prevention, and Proactive Screening
    01:35:53 - The devices and metrics Peter uses to track his sleep and recovery
    01:41:50 - Resting heart rate, HRV, heart rate recovery, and how predictive they are of mortality
    01:44:43 - Peter's full daily routine and diet
    01:54:35 - Why Peter stopped fasting
    01:57:12 - Bodybuilders abuse of T3, Clen, DNP, and other metabolic modulators
    01:58:54 - Peter breaks down his 6000+ calorie diet, 6 hours of daily exercise, and the most absurd meals he ate to maintain his weight when he was younger
    02:01:25 - How Peter’s kids eat. How strict should the diet be for your kids when it comes to food quality to maximize growth potential?
    02:07:41 - Where is the best burger in Austin?
    02:08:22 - What time Peter stops eating each night, and the hack he uses to prevent him from overeating
    02:11:33 - Peter's non-negotiable nightly practices for maximizing sleep quality
    02:12:31 - Why Peter has a Bat phone
    02:14:29 - How to live in the moment and be happy. The vicious circle of financial success and/or accolades never being enough.
    02:22:46 - How to decide if you should have kids
    02:25:13 - Peter’s Top 10 Supplements and Top 10 Dr*gs
    02:29:35 - Peter's personal supplement stack and dr*g protocol
    02:42:26 - Homocysteine reduction protocol
    02:44:11 - Vitamin B6 deficiency paradoxically caused by Pyridoxine Hydrochloride supplementation
    02:46:00 - How safe is TRT for cardiovascular health? TRAVERSE clinical trial results
    02:51:31 - Comparison of TRT administration methods. What Peter prefers for patients
    02:52:40 - What podcasts and YouTube channels Peter likes to watch or listen to
    02:55:09 - Formula 1
    02:55:54 - AlphaTauri x Hugo Boss
    02:56:21 - Daniel Ricciardo, Max Verstappen
    02:59:33 - How Red Bull became such a dominant F1 team
    03:01:35 - Sim racing
    03:05:13 - How Peter got so interested in F1
    03:06:33 - Peter’s dream car
    03:06:50 - Ayrton Senna
    03:08:25 - Outro

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