Joe Rogan Experience #1735 — Peter Attia Transcript

Transcript

0:00 The Joe Rogan Experience. You've been here a year now, right? because now it's even harder. Yeah. They have to fill that building up, you know, and then, you know, you get – No. Where they introduced, everyone introduced themselves. Yes, yes, I would. Because if it's theirs, you really should give it back. I don't know. It has provided. by the Sammamish,

3:10 A people that are still here, continuing to honor and bring to light their ancient heritage. Today we kick off two days of learning more about the latest solutions, we want the people who can't see really stop and think about it like they can't make that distinction they can each other and stole the land from each other like the fuck are you saying like there was a michael knowles had this conversation i watched on youtube where this professor this woke professor

5:15 it from the Pawnee. Right. And it's going to kill a bunch of people and ruin a bunch of lives and careers on the way back to some reasonable equilibrium. remember who it was. I don't remember what, you know, and wrong. Thoughts don't matter. which is what was the title of the article was something along the lines of very comfortable in your position, in your beliefs. And it's like, hey, if you don't like

9:18 where I would probably, if I respected that person, And again, we're doing it because of social justice, right? And the people that use social media to try to called me yesterday because he couldn't wait to tell me this ridiculous story. So a colleague of And she was like, well, she's now fucking with him. And I assume he's a doctor as well? and be respectful for people that are easily distracted. And then another one gets up and

12:51 the chatter to a minimum? I'm one of the people who's very, very prone to sensory overload. Please do not use gendered language to address everyone. It's just so weird. a barrier. Yeah because it would be a containment then it will somehow or another the Squamish and the Chumash labor. That's where they make them. So in order for you to tweet about social justice, you have to do it on a device that's

15:55 That's the problem. there a phone made in America let's see if there is a phone made in America I If anybody can, because it's hard. Yes. this may be for you, according to the register. What else is in there? 32 gigabytes of storage. Hmm. they used supply chain. We use U.S. companies with U.S. fabrication whenever possible, but that doesn't mean it's from the U.S.

19:22 as country of board fabrication, You wanted to get a pickup truck and a manual transmission? I want my daughter to be able to drive manual. I feel it will keep her – well, also it will like – you'll be texting less and screwing around less. I have a bunch of manual cars, but they're older cars. I got a bunch of manual cars. Yeah, yeah. They make awesome stuff.

22:00 We have an allocation. You can buy a 991.2 RS for less. Really? Are you trying to get away from the watch fetish? Oh really? You collect them? six, And I'm like, So it doesn't have any patina, no fade, no nothing? Like I got the Omega. It's a beautiful watch. yeah so tropical is like kind of one of the most sought after thing in a daytona if you get if you

25:54 Because it's weird because it's a jewelry thing, but it's also a mechanical thing. What does it look like? you know all sorts of things so when they redid this they had to basically they didn't even have Yep. Yeah. Wind up. Before they agreed to what time it was, Right. Hit me with it. He's the first guy to decide what the time is. All right, we're good. This is what noon is

29:35 by, hours that go by, minutes that go by. It's not giving you an excuse to not be prompt, No. We were in a truck, luckily, It was huge. And that one seemed the same size. I'll kill it was just looking at us. You know and it was under a tree decides to pounce on us fuck that better be a good tri pan yeah did you see that because when it's looking at its face...

33:03 No. Wow. you if you hit them, they'll charge you if you don't like if you're bow hunting. Like I was The range, the indoor range. It's good. What do you figure it is? first time i bought a gun was in 1994 when i first moved to california and i just walked into a gun I mean, I shot it at that range, but you don't really have to know much. Yes. where to place your hand and where you should

36:59 So it's not – Really? Wow. Yeah. And, uh, he was telling me that if he shoots a hundred arrows, 99 of them are at a hundred yards. What is your comfort range in the field, not at home? big they're so small especially yeah what are they weigh 120 pounds like a And the bucks are huge. It's like, I kind of feel like you could just close your eyes and draw back and launch into the sky and you might hit something.

41:05 I used to know the numbers for each of the three islands, but I think Maui might have like a It's amazing. It's so weird to see a move like that It's amazing. brutal for Hawaii it It's just killing that Because that is a great opportunity for you to get actual, real, legitimate wild game. Yeah, see what pops up. had in it 25 grams of protein and a fucking yeah bone broth yeah whoa they were, yeah, this is 2X every other animal we've ever seen.

44:40 How much does that shit cost? I'm in. So they're using night vision. And they'll have the sniper. And the next guy gets it. Billy's taking a nap. It really is. And then I see a sloppy, lazy person, I'm like, oh, poor sloppy, lazy person. just doesn't taste as good as it did to me five years ago. Yeah, that giant one. Did you do that on the Traeger? Yes.

47:29 Yeah, it's my favorite for elk. And then I, So I want a meal that I can just pull out of the fridge, I know my kids love his mayo. from wild game is the fat content so you got to get your fat content from eat. I'll eat salads. I like, you know, salads with, I almost always just have olive oil and some sort of a vinaigrette, some sort of vinegar. And when I eat like that, I feel so much better.

50:55 there's some new stuff in it because there's a lot of covet stuff but there's new it's basically moon. Yeah, no, I did. I'm excited. I'll show you. I'm taking Ron White on a tour of it this and he basically has a professional archery range And so what I've done now is I got now elk in the woods. do you have a full draw four i do you do those are the shit the loophole has for people that

52:57 Okay. I had one that came out a few years earlier and it was okay. Well, I mean, that's amazing. you're probably 57 yards. took in my life at an animal went a foot over his back because i had been doing all my practicing And I was like, let me see that. so it hangs up in my you know my archery room but here's the thing that blew my mind what year do

56:39 Whoa, really? Yep. shot one of them? I have never shot one, but it looks amazing. Just such a, such a perfect hunting It feels fake. Tell everybody what kind of medicine you practice, just so they know. have surgery. And in some cases more, if you're talking about pancreatic cancer, So 16 gunshot wounds or stab wounds a day. So as a, as a trainee, that's amazing, right? Like that's,

1:00:40 wife was like, you know, you bitch and moan about this so much. I think you have two choices. You should either fix it or leave. And I was like, well, I can't fix it. So Oh, yeah. I guess I could say, probably the largest US home lender in prime real estate. And we had all the there's no chance of default. Then defaults start to rise. And they rise for about the next two to

1:03:58 by that point, people have enough equity in their home that if they run into trouble, they can So they didn't just go up straight. obviously they didn't believe it, right? They said, well, because the punchline was horrible. I think this is not going to go very well. Well, look, a lot of people way smarter than me were predicting it. Remember, I was an idiot. All I knew was how bad this was. I had no clue how one could make

1:07:24 and i remember when it came out, But let's just assume that I could have shorted all the other companies. out that they could short an option on what was going to happen. They could basically short an I want you to sell me a contract that says this thing is going to happen. And the banks were like, Wow. Low interest rates are simply the oxygen that's necessary for a fire. But we're sitting in a room

1:10:51 You know, and there was a lot of people that were saying, let them fail. I thought you only get a bonus if you're successful. So the people that said that we should have just let the banks fail, that's not correct. the people that really needed the bonuses were not the CEOs. Like they're not the ones doing the work, as much as I love Midnight, our little cat. My wife was like, are you crazy? And of course,

1:14:20 that has another protein wrapped on it called APOpoA, and it makes it much worse. drives LPA. My cholesterol levels were never really that heavy to begin with. My LDL, which is kind of an irrelevant, stupid metric anyway, but even if dying of cardiovascular disease if you're going to still die of cancer or dementia or something So hands down. One could be they're not living as long, so we're not seeing it as much.

1:17:51 but not sufficient element to drive atherosclerosis. Anything that impairs endothelial Well, for one, of the big diseases, it's the one for which I think we have the least idea of what That's a truism that is becoming almost impossible to argue. So you're always better off finding a So it's literally like you take a tube of blood and you can say, oh, there's actually like some

1:20:48 Certain physicians are being allowed to do it in the context of having a very comprehensive approach to follow up with patients. I was probably one of the first people to do it. Of course. Renewable form of oil? Well, ultimately it could not be done at cost. officer of that company? No. Yeah, dude. So in 2006, my McKinsey office, which was in Palo Alto,

1:24:04 had lunch with her one day. I don't think it was. in the office and she pulled out a black box that was, I don't know if it was called Edison at the that can be measured off a drop of blood. And she kind of gave me some answer. And I said, well, and she's like, good God. And so I'm at the Vanity Fair event in San Francisco. I didn't know it at Yeah.

1:27:17 I was like really blown away. What does one do and it's not like you can liquidate right like you if you're worth nine billion dollars It's just when you when you I'm obsessed with this podcast. the Edison machine and all the possibilities that it could. She also lied about military use. she's, maybe. And it also predates, see they picked up Also, it must be.

1:30:08 to pull the wool over people's eyes. But when people do it in a clumsy way and still get really And the speech was so bad that I was fascinated. just so pro amazing women. Is that the speech? Let me hear this dumb speech. engineering and it's that that our little girls will see when they start to think about who do And so I got obsessed with her. So remember, her board was the who's who.

1:33:12 Yeah, that's smart though. Completely obsessed man like this is this this person is very brilliant and it makes sense It was terrible. So I just, when, I'm fascinated that she wouldn't let you look into the box. I'm sure, How are you not going to let me see inside this fr medical officer. Like, how are you not gonna let me see I mean, look, she presumably duped people

1:35:53 with were like why are you talking like that like what's happening and then people started hearing Yeah, rub together when he gets out of the military he put like a couple hundred K in or something obscene for him. Yeah Whenever someone tells you something, the moment someone tells me, I go, yeah, yeah. I mean, the first person I called was my buddy, the guy who had introduced me to her way back.

1:38:36 There really was nothing that was capable of doing what they were saying it was going to be able to be done. a black turtleneck and people that you went to college with like hey that bitch doesn't even Except I don't even think, that's the other thing about it. It wasn't that freaking interesting. Well, I think what was interesting And then they backed out of it.

1:41:02 Is APOE4 the stuff that makes you more susceptible to CTE? Is that what it is? So it's that possible? again? Um, you know, I would guess that males is prostate cancer in terms of like a gender specific cancer. Um, and, and so if you Holy shit. So if you and I were killed in a car accident tomorrow and they took our She dies because it spreads to her brain, her bones, her lungs, her liver.

1:45:19 out the prostate was hard. It was taking it out while preserving sexual function was really hard because the neurovascular bundle of Walsh, which is now bears his name, which is what controls erectile function, wraps around the thing you're trying to cut out. So today, this has been, I mean, there's been so much progress in this field. the prostate in grams or the volume, and then you can turn it into grams. So you normalize PSA to volume or mass, and you have a density. And those

1:47:39 and then if you can keep your body functioning off of ketones, it's less likely that you get cancer. It became just really diff, So I just kind of missed. for it, but it's also important to understand that even when you're on a ketogenic diet, So when you combine a ketogenic diet with a PI3 kinase inhibitor, at least in animal studies, to a higher insulin level.

1:50:37 How many years ago? Seven or eight. structural issues. Obviously, her hip's weaker, but it's kind of amazing. And her story is actually And metformin is that anti-aging drug that's fairly controversial as well too, right? lactate levels when I'm exercising in a certain type of exercise every day. And I'm basically So it would make your performance less effective.

1:53:01 Yeah. Like if you said, like, I want to go deep down the rabbit hole of living longer, what do I need to do? And the past 12 months, the focus has been entirely around taking exercise to a new level in terms of our understanding of how to fine-tune it. all-cause mortality, death from any kind. Whoa. I mean, we don't have drugs that have a 5x But if you just focus on strength, that's the metric that matters.

1:55:26 But when you stratify people by those metrics and you compare the highest to the lowest performers, there's just no comparison. 52 year old male, I'm asking you to have the VO2 max of an elite 42 year old male. So I want you to be a decade So I think a bike is the easiest way to do this because the- a week of the legs? Or do you think just a regular bike that just works the legs?

1:58:24 You can do this on... Any kind of cardiovascular You can do this on any kind of cardiovascular activity. Well, we hold males to the standard of two minutes and- but the idea is in theory you should be stronger if you're a man as well. And then about a week later, I tried again, and I got to two minutes. radically decrease your amount yeah although to your point, I would hope that I was using my grip strength

2:01:01 which is look at the causes of mortality. We have this thing in our practice called the death bars. So one of my analysts, Bob Kaplan, about a year ago, I said, Bob, I want you to make these five graphs for me. And they're basically everything about the causes of death. So one of them is just show me all cause mortality by decade. Now break it down into the subsets. And one of the most common things is accidental deaths. And this is the most interesting trend is accidental deaths change so much by age. So in our age group, so by the way, accidental deaths are uniform across the population. But they become a much bigger source of death on a per capita basis as you get older because there are fewer older people. In our demographic, most accidental deaths are overdoses.

2:02:07 weak grip would impact your ability to tolerate a fall. It's, can you get your hand down? Can you this person in our practice who is kind of like our strength guru, she was convinced that if I And again, it's a proxy for people who don't fall. It's a proxy for other things. It is a proxy for Eccentric strength matters more than concentric strength.

2:05:01 um, you know, stop yourself if you lose balance. Um, We have eccentric modes as well. So you have to be What about kettlebell swings? I, I've been deadlifting relatively light, but I do it with like a, I felt I do a very heavy focus You had written something once about, I meant to talk to you about this, about deadlifts actually decompressing the spine, which I found so counterintuitive.

2:07:16 and you're putting your spine out everywhere. So they have kind of a cylinder inside their body, right? And if you can't do that, How do you start it? I'm trying to put as much air into there as possible. hold that while you breathe and then we do some other exercises before we would go to deadlifting Really? So you see the one that's four to five months there where she's in an eight, so where her left leg is out.

2:11:12 That's it right there. decompression in terms of like you ever use one of those teeter-dex tables do Neither. Thanks. But like do you know how much weight are you? I got it. So the other thing that DNS, that I do every day for DNS, are outside. You want to be doing it with the muscles inside. And that's what's extending the They said they sent me a bunch to give away

2:15:26 There's Tom Papa too. Yeah, we used to do that too. And all of this muscle tissue has gotten so much stronger because of it. I have one for you. I do one session a week of a higher-end anaerobic exercise. But by my standards, that's like nothing. And he's like, dude, you'll be like chum out there with a little glow stick on your butt. Yeah. and not train for it. It just, it's so logically inconsistent. And I want to be able to hunt when I'm 80 and I want to drive a race car when I'm 80. Like, and if I want to do that, I have to put in

2:19:23 That's pretty good. That's like three and a half pounds of muscle. Wow. It takes a very long time to get it back. And as you get older, this loss of muscle mass, what we call sarcopenia, is an enormous killer. For me or just for our patients? For anybody. And you were at your leanest when you were a keto? mass index. And you can get both of these numbers off of DEXA. So visceral fat is how many pounds

2:22:47 Yeah, alcohol is a huge contributor to it. Yeah. the narrative that people keep hearing. fiber. There's the speed with which it basically hits the liver is too high. is a Paloma, like in far as like a summer cocktail. Right. So I noticed this summer when I started Right. By the way, just a month. I did it one month. No, I did it twice I'd be like, oh, I'll fucking eat that whole thing.

2:26:23 I got ripped. How were your workouts? They were okay, but my ability to maintain for long periods of time was not so hot. I was trying to push. Like I had good energy which is odd that it didn't translate into the workouts No glucose fluctuation, I think is it. Is that a it can be done from it is optimal. Sure. That's right. I don't have a point of view on it.

2:30:20 Yeah. I take that supplement. just i don't think i'd feel right if i was not eating any vegetables i like them that's the It's one of those things where I'm not sure that's bad for me. I'm getting all the benefits. Yeah, yeah. Yeah, yeah. being picked up by a deer. What about your phone? I always have it on airplane mode. Oh, yeah. So, That seems like the move.

2:34:19 You hunted with Mark. there's no way i could go to 75 feet and he's like of course you can you can swim 25 yards of a pool And how much weight is it? Oh, really? that should be cheating i want to know like what can a person just go his sleeves are rolled up, And that whole world of magicians What's this here, buddy? He said, after my second dose of the vaccine,

2:38:16 Three exclamation points, four exclamation points. I don't know if that's dying as in, I don't know what that means. And even have, what is 150 meter DYN? Do you know what that is? I don't know if that's dying as in, I don't know. Is he from another country? Say it. Meanwhile, he's complaining he can only hold his breath for eight minutes. Like, bitch, that's so long. Meanwhile, he's complaining. He can only hold his breath for eight minutes.

2:40:56 People are really going to think science is amazing. think for most people, vaccines are a net positive. But I think that there's been so much discussion this is going to probably get me in a million piles of shit, but like, I'm not excited about patients that had taken it and we could clearly document what the risk was, maybe it's worth it. to put him on monoclonal antibodies. Why? Felt that his risk was too low to justify it given the side

2:44:47 divided into two groups, in the placebo group, so meaning the people who weren't getting an actual Yeah, it's an SSRI. It's about a 67% reduction in death and hospitalization. of that particular drug. Make of it what you will. Which, by the way, you know the safety profile of ivermectin, right? I mean, There's no antibiotic that I'm aware of tweeted it and then doubled down afterwards and

2:48:17 The problem is most of the trials on ivermectin to date have been very small. Possible. impressive. It went to a 38% reduction with a p-value of 0.05, which is right on the cusp of No, I did not. We're in November now. So I'm on stage in the round. I'm shaking people's hands, and then I go into the back room. I was really tired. i started to feel shitty but uh again i wasn't sure because I was pretty fucking drunk on Friday night and I was like

2:52:51 So then I got tested the next day. i made that video that went viral i remember that that was wednesday so that was like not a PCR. that's the linchpin. And I, um, look in any other world, when a friend calls you up and you've been sick with And he did those. It's homeopathic. why is it homeopathic? What is the even, what is even the definition of that? I don't know what

2:55:33 This is not fixing anything. mRNA vaccine. It says it on the CDC website. Um, in which case he would, uh, he would have to take Yeah, six people. time, put it this way, when a drug hits the market, the insert, the package emerging. I think that's, I don't know. I mean, that to me is what's disappointing in all this is just that risk as an unimmunized 50-year-old, which is pretty cool because a 50-year-old's in pretty

2:59:44 see a benefit. So at some point, these curves again, we're talking about, I mean, kids are dying robust immunity that's imparted by the actual natural immunity from the infection. Exactly. So my plan is to probably wait until Novavax gets approved in the US before I get a aspirate. And I was shocked. I'm watching this. I'm like, I can't believe they just shot that

3:03:41 And if this stuff is causing this problem, like why is it causing this problem with That makes more sense. That actually does make sense, right? I don't know. And I think what's Masks everywhere? I'll never be able to go to an airport again without wearing a mask? It's going to end when everyone's infected. Yeah, yeah, yeah. Oh, Brazil's an amazing circuit.

3:06:52 Have you been to many races? I mean, the U.S. has always had a Grand Prix, or almost has always had a Grand Prix. What's your son's name? Houston because the real thing with those cars is you have to have an amazing mechanic. Like you But when I'm going three to two, I'm not shifting. paddle shift, I always blipped myself because you left foot brake.

3:10:10 so I left foot brake. It's so bad. Yeah, but I have a simulator too. You don't get motion sick, do you? It's a formula wheel, yeah. And then you have a real clutch and a real brake and a real accelerator. The F1 teams have million-dollar simulators. So it's like a flight simulator for like a combat pilot. So I bought the four best VR devices on the market.

3:12:53 So this is it? Yeah. This is, this is incredible is incredible it's it's it's insane Let me see that from the beginning again. Like, it seems like you're racing. I hit my peak time, laps four through seven, and then the tire degrades. Or I just drive cars with tires that have a longer life, so I can get 15 laps or 25. That's crazy that it's just like the actual tire in the real world application.

3:15:46 six and I can't see turn actually late in the day. You can't see turn 10. You have to take turn 10 I want maximum acuity, yeah. It's enough. That was the Williams FW16. it's, I think VR is probably awesome for a flight simulator because things aren't moving that Wow, it's not in hertz? With my computer, I can run at the maximum capacity of the simulator.

3:18:09 The ability to recognize the G-force on your body. So that's those million dollar ones. Yes. And that's what's the feel in the simulator it's So the simulator is perfect for understeer, but it is limited in oversteer. We should probably wrap this up. opening putting a gym here um it's great i loved having the gym there and having a sauna and you You don't shoot your arrow, do you?

3:21:04 Like the elk bugle, just like a real elk does. It's amazing. Yeah. All right. HD animals roaming around and they scream and they do everything like the The Drive.