Menu
Sign In Search Podcasts Charts People & Topics Add Podcast API Blog Pricing

Peter Attia

๐Ÿ‘ค Speaker
See mentions of this person in podcasts
2609 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

As LDL-C goes lower, cardiovascular mortality goes lower.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

What's interesting, though, is you can see that there are different points in the curve at which it starts to matter more.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

And at some point it flattens out.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

You don't get as much benefit from reduction.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

And so we could use the same argument of, well, what is optimal?

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

Because we're doing the reverse here.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

Here, lower is better as opposed to going up on protein.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

But Peter Libby has done an analysis that has demonstrated that you will continue to see a meaningful reduction in cardiovascular disease as ApoB heads towards 30 milligrams per deciliter.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

30 milligrams per deciliter is really low by most people's standards.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

For context, 60 milligrams per deciliter is about the fifth percentile at the population level.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

30 milligrams per deciliter is about what a child is.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

So we're born with relatively low levels of ApoB, and as we age, they just keep going up and up and up, which of course is one of the things that's driving cardiovascular disease is this rise in ApoB.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

So the question then becomes, how low do you need to go?

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

Should everybody be walking around at 30 milligrams per deciliter?

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

Is that the solution to eliminating ASCVD?

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

And the answer is probably not.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

It probably depends on your previous exposure, though.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

So if I have a patient who's already had two stents placed and has a significant burden of disease, you bet your bottom line they're at 30 milligrams per deciliter of ApoB, even if we have to put three drugs on them to make sure that's the case, because their burden of disease and their lifetime exposure to ApoB has been so high.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

But if I have an individual who's 40 years old, who has perfectly pristine coronary arteries and is walking around with an ApoB of 60 milligrams per deciliter, I don't think you need to do a thing.

The Peter Attia Drive
#369 โ€’ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

I think they're just fine.