Dr. Peter Attia
speaker
5,258 appearances
36 recordings
6 series
first heard Jan 2024
last heard Jun 2025
Dr. Peter Attia’s voice in public audio — every appearance, attributed to the second.
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And I'm like, okay, I want to see everything. I want to watch the post-operative. I want to watch the rehab process. And so one of the big milestones you see for people with labral surgery is when they basically can dangle the arm and rotate like a lightweight. And Alton was really clear, like, you're not going to be doing that for a while.
We're talking about range of motion without stress on the repair. Right.
So in parallel to this, I'm continuing to sort of refine my thinking around the idea that we're all going to have this marginal decade one day. And it does come across as sort of a depressing thought. Nobody really wants to think about the idea that there will be a day when you knowingly or unknowingly enter the final decade of your life.
But at the same time, to act as though it's not true won't make it not so. So I think it occurred to me that the more deliberate we can train for that last decade as though we are athletes, the more we can enjoy it.
Because as I watch people in the final decade of their lives, and I've had the both privilege and curse of seeing a lot of it, I believe that the thing people complain most about is what's taken away from them physically. Now, there are lots of people in the last decade of their life that are lonely because they were miserable sons of bitches and their family, they don't have family or friends.
All of those things. There are many people whose cognition has failed them long before their body has failed them. And that can be very distressing. But if I'm really thinking about this in terms of large numbers, more than two thirds of people, I would say in the final decade of their life, when they're really thinking about what's impacting the quality of their life,
It's this, it's the physical part. That's the thing I've lost that I miss the most. And sometimes it could simply be freedom from pain, but more often it's restriction of activity. Yeah, totally. And that's my biased experience. You see much more of this. Tell me what you think.
Yeah, and I kind of even began to observe that in myself, which was there were a lot of activities that I was doing where I was doing them because I'd historically always done them. We fall in a groove. This is a type of exercise I enjoy doing. This is a type of workout I enjoy doing.
And then I had to kind of take an honest assessment of some of these and say, okay, for every activity, just like for every investment, there's a risk and there's a reward. And the way you might think about investing in your 20s is probably different from how you maybe should be thinking about investing in your 60s or 70s or beyond. And similarly, the risk and reward changes over time.
So for example, when you're 20, the risk is just inherently lower because you have better tissue. We could go through all the reasons why, inflammation, senescence, everything that changes as you age reduces tissue quality. And younger people, I'm sure you see this all the time, can just get away with doing things incorrectly.
In fact, would you agree that sometimes some of the most gifted athletes actually have horrible patterns of movement, but because they're so gifted, it doesn't seem to matter? Yeah.
Yeah, the jumping is a great example because if I go back to when I was in my sort of training peak, so basically age 13 to 20, call it those years when I was training a lot, jumping was an enormous part of what I did. There wasn't a day that I wasn't jumping. So for example, I was skipping rope 25 minutes every single day. You know, lots of those are doubles. So you're really up there.
Absurd amounts of plyometrics. And then from basically 20 to my mid 40s, didn't jump at all. Not a single jump. That became one of the realizations was, oh, you've lost a lot of tissue pliability. As one example, now something that I do a lot of is low level jumping. You're right. Sometimes I get really worried. I'm like, oh man, I don't want to have an Achilles rupture.
Like that's the middle-aged man injury. Oh yeah. Playing soccer with my kid and I'm just waiting for it.
That's right. Because all I'd been doing in the intervening 25 years was swimming, cycling- Non-impact, non-impact. Hiking, which is fine, but it's still not jumping. It's not reactive.
And so part of what made me start to realize this was as my kids got old enough and I was now playing sports with them, when you play basketball, soccer, and baseball with kids, you realize exactly what you just said. It's not a predictable movement. It's never the same movement exactly twice.
Which actually gets to this idea that people listening to us are probably very familiar with, which is the centenary in decathlon. Give me some of the things on your centenary in decathlon.
Wrestling?
Yeah, yeah, yeah. Not a pile driver.
When you're in your marginal decade, how many pounds would be your expectation? Give me some numbers. How many miles, how many pounds?
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