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The Peter Attia Drive

The Peter Attia Drive

Auteur(s): Peter Attia MD
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The Peter Attia Drive will feature guests and experts that will offer advice and insight to help you optimize performance, health, longevity, critical thinking, and life. It's hosted by Stanford M.D., TED speaker, and longevity expert Dr. Peter Attia, founder of Attia Medical, PC, a medical practice with offices in San Diego and New York City.Copyright © Peter Attia, MD Entraînement physique et mise en forme Hygiène et mode de vie sain Mise en forme, régime et nutrition Troubles et maladies
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  • #377 ‒ Special episode: Understanding true happiness and the tools to cultivate a meaningful life—insights from past interviews with Arthur Brooks
    Dec 22 2025

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    In this special episode of The Drive, Peter presents a curated "best of" conversation with bestselling author and previous guest Arthur Brooks, organized around four core themes: happiness itself, the forces that undermine it, the tools and practices that help cultivate it, and the courage required to live and love well. The episode brings together the most meaningful moments from two past interviews into a single, focused discussion that distills Brooks' most insightful ideas and offers practical takeaways for building a life that's both successful and deeply happy.

    We discuss:

    • Happiness vs. happy feelings, and how happiness and unhappiness can coexist [2:15];
    • The six fundamental emotions [5:30];
    • The three main "macronutrients" of happiness [15:00];
    • Enjoyment: one of the three macronutrients of happiness [22:45];
    • Satisfaction: one of the three macronutrients of happiness [30:45];
    • Sense of purpose: one of the three macronutrients of happiness [38:45];
    • Fame: one of the traps that hijack our happiness [46:30];
    • Success addiction, workaholism, and their detriment to happiness [49:15];
    • The reverse bucket list: one of Arthur's tools and practices he recommends for moving past the traps that hijack our happiness [59:15];
    • Metacognition: one of Arthur's tools and practices he recommends for moving past the traps that hijack our happiness [1:01:00];
    • Taking charge of your happiness: discipline, transcendent experiences, and other deliberate actions for "happier-ness" [1:11:30];
    • Tracking happiness: the biomarkers and micronutrients behind the macronutrients of happiness [1:22:45];
    • The value of minimizing the self and looking outward [1:30:45];
    • How Arthur surprised himself with his ability to improve his happiness [1:34:45]; and
    • More.

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    1 h et 40 min
  • #376 - AMA #78: Longevity interventions, exercise, diagnostic screening, and managing high apoB, hypertension, metabolic health, and more
    Dec 15 2025
    View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this "Ask Me Anything" (AMA) episode, Peter tackles a wide-ranging set of listener questions spanning lifespan interventions, exercise, cardiovascular risk reduction, time-restricted eating, blood pressure management, hormone therapy, diagnostics, and more. Peter reveals the single most important lever for extending healthspan and lifespan, and explains how he motivates midlife patients using the Centenarian Decathlon framework. He discusses the importance of addressing high apoB and cholesterol even in metabolically healthy individuals with calcium scores of zero, how to manage high blood pressure, and how to accurately evaluate metabolic health beyond HbA1c. Additional topics include time-restricted eating, practical considerations around ultra-processed foods, nuanced approaches to HRT for women and TRT for men, and why early and expanded screening for chronic disease—colonoscopy, PSA, coronary imaging, low-dose CT—can be lifesaving. He also offers insights into treating prediabetes, crafting exercise programs for those short on time, and safely incorporating high-intensity training in older adults. If you're not a subscriber and are listening on a podcast player, you'll only be able to hear a preview of the AMA. If you're a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #78 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here. We discuss: Introducing a wide-ranging AMA: practical perspectives on lifespan interventions, metabolic health, diet, hormones, diagnostics, and more [2:45];Why exercise is the most powerful single intervention for lifespan and healthspan [4:15];How Peter motivates midlife patients to prioritize exercise [6:00];Why lifespan and healthspan should not be treated as competing priorities and how choosing sustainable interventions benefits both [9:30];Why high apoB deserves treatment even in a metabolically healthy patient with a CAC score of zero [14:00];Managing hypertension: ideal targets for blood pressure, lifestyle levers, and why early pharmacology matters [18:15];Assessing metabolic health beyond HbA1c: fasting insulin, triglycerides, lactate, zone 2, and more [23:30];How to avoid common self-sabotaging patterns by choosing sustainable habits over extreme health interventions [26:00];Time-restricted eating: minimal effect beyond calorie control, implications for protein intake, and practical considerations for implementing it [28:00];Ultra-processed foods: definitions, real-world risks, and practical guidelines for smarter consumption [30:30];How women should prepare for menopause and think about hormone replacement therapy: early planning, symptom awareness, and guidance on HRT [36:45];Testosterone replacement for aging men: indications, benefits, and safe clinical management [39:45];Why Peter recommends earlier and more aggressive screening tests than guidelines suggest: colonoscopies, coronary imaging, PSA, Lp(a), and low-dose CT scans, and more [43:30];Full-body MRI screening: benefits, limitations, potential false positives, and the importance of physician oversight [47:15];Prediabetes: individualized treatment strategies using tailored combinations of nutrition, sleep, and training interventions [51:00];Time-efficient training plans for people with only 30 minutes per day to exercise [53:00];How to safely introduce high-intensity exercise for older adults [55:00];Timed dead hangs and ripping phone books: a playful look at Peter's early attempts to impress his wife [57:15];Peter's carve out: The Four Kings documentary about a golden era of boxing [1:01:15]; andMore. Connect With Peter on Twitter, Instagram, Facebook and YouTube
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    22 min
  • #375 - Ketogenic diet, ketosis & hyperbaric oxygen: metabolic therapies for weight loss, cognition, Alzheimer's & more | Dom D'Agostino, Ph.D.
    Dec 8 2025

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    Dom D'Agostino is a neuroscientist and professor at the forefront of metabolic therapies, including ketogenic diets, exogenous ketones, and hyperbaric oxygen. In this episode, Dom breaks down nutritional versus supplemental ketosis, defines meaningful ketone thresholds, and outlines practical ways to achieve ketosis. He explains how a ketogenic diet can support metabolic health and weight loss, and advises on how to maintain adequate protein and avoid common mistakes. Dom surveys the growing landscape of exogenous ketones—from salts and esters to 1,3-butanediol—and effective pairings like caffeine, MCT oil, and alpha-GPC. He highlights the role of ketogenic therapy in cancer (particularly glioblastoma) and its promise for neurodegenerative diseases. The conversation also covers recommended hyperbaric oxygen protocols for brain injuries and cognitive function, situations where fasting or ketones offer cognitive and anti-inflammatory benefits, and touches on the carnivore diet as a ketogenic variant with potential relevance for autoimmune and metabolic conditions.

    We discuss:

    • Dom and Peter's shared interest in ketosis, and Dom's scientific journey [2:30];
    • Dom's work for the Navy on oxygen toxicity [7:00];
    • Nutritional ketosis defined: physiology, biomarkers, and how fasting and diet generate therapeutic ketones [15:00];
    • The historical roots of ketogenic diets in epilepsy treatment, and evidence showing ketones reduce seizure activity and strengthen brain resilience [19:00];
    • Dom's personal experience on the ketogenic diet: tracking macros, getting enough protein, and monitoring ketone levels [24:15];
    • Using a ketogenic diet for weight loss: Dom's guidance on protein, fiber, calorie tracking, lipid monitoring, and more [31:00];
    • Protein on ketogenic diets: Dom's rationale for higher intake and muscle preservation [38:00];
    • Incorporating carbohydrates into keto: timing, high-fiber foods, and other considerations [41:30];
    • The carnivore diet: whether this diet induces ketosis, how it functions metabolically, and why it may help individuals with autoimmune conditions [44:15];
    • Early exogenous ketones: how 1,3-butanediol works, its liver toxicity risk, and why ketone esters replaced it [48:15];
    • The progression of exogenous ketones: why BHB monoesters and ketone salts emerged as better alternatives to 1,3-butanediol for ketone supplementation [59:30];
    • Ketone salts: easing the transition into ketosis, dosing, and how they compare to ketone esters [1:04:00];
    • The differences between D- and L-β-hydroxybutyrate, and how racemic mixtures may elevate ketones longer and offer unique biological effects [1:09:30];
    • How ketosis may boost NAD, and why NAD supplements have fallen short so far [1:16:30];
    • Emerging evidence for using a ketogenic diet to treat anorexia and other psychiatric disorders [1:20:30];
    • Potential cognitive and performance benefits of ketone supplementation, and why pushing ketones too high can be dangerous [1:23:45];
    • Applications for ketone esters, and why ketone salts or MCT-blended formulations may be safer and more practical for most people [1:29:15];
    • The role of a ketogenic diet in treating cancer [1:34:45];
    • The potential of a ketogenic diet for treating Alzheimer's disease [1:45:45];
    • Tools for cognitive enhancement: ketones, alpha-GPC, MCT, caffeine, strategic fasting, and more [1:53:45];
    • Hyperbaric oxygen therapy for concussion, TBI, PTSD, and cognitive function, including protocols and dosing approaches [1:55:30];
    • Peter's takeaways, recommended products, and additional resources to learn more [2:03:00]; and
    • More.

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    2 h et 8 min
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