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Peter Attia

👤 Person
1935 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

and where its reputation may exceed the evidence.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

In this episode, we will discuss how different types of fiber, soluble, insoluble, viscous, and fermentable work in the body and how their distinct properties result in different functional outcomes, whether fiber meaningfully impacts satiety, weight management, and glycemic control, and how those effects compare with more potent tools, how certain fibers influence lipid metabolism and cardiovascular risk, and whether their magnitude of effect justify their reputation,

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

what the mechanistic and epidemiologic evidence really say about fiber's role in colorectal cancer prevention, including the potential influence of short-chain fatty acids like butyrate, who might not tolerate certain fibers well and how to tailor their intake accordingly, how to move beyond the simplistic goal of getting enough fiber towards a more strategic approach that maximizes its actual benefits,

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

Now, if you're a subscriber and you want to watch the full video of this podcast, you can find it on the show notes page.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

If you're not a subscriber, you can watch the sneak peek of the video on our YouTube page.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

So without further delay, I hope you enjoy AMA number 77.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

It really comes down to the importance of occasionally checking things that we view as axiomatic or dogma.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

So the general consensus is that fiber is good, the more you eat the better, end of story, case closed.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

But if we're going to be critical of our beliefs, we have to acknowledge that the recommended daily allowance for fiber is almost entirely based on epidemiologic studies.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

And we know that epidemiologic studies have left us on the wrong track with many of their recommendations.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

And of course, just because epidemiologic studies point to something being the way to do it doesn't mean it's wrong either.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

But basically, we just don't have as much clear causal evidence as we would like to make the type of recommendations that we're making.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

Now, I would say historically, it's not that I haven't known this.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

I've just let it slide because my view has been, what is the harm?

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

So what if the epidemiology says you should be eating whatever, 50 grams or 30 grams a day?

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

What's the downside in that?

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

But look, there's been some polarizing discussions on this topic lately, and you seem to have people accumulating on either sides of this debate.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

You've got the, you need zero fiber crowd, obviously more on the carnivore side of the diet landscape.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

And then you've got the, if you're not getting 50 grams a day, you're probably going to die.

The Peter Attia Drive
#372 - AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications

in the next week or so.