Name: Ep 534 - Outlive (feat. Peter Attia)
Uploaded: 2024-12-05T14:00:19.000Z
Description: Watch the stand-up comedy video 'Ep 534 - Outlive (feat. Peter Attia)' from Matt and Shane's Secret Podcast on Comedy Buff. Published 2024-12-05. Transcript available.

Watch the stand-up comedy video 'Ep 534 - Outlive (feat. Peter Attia)' from Matt and Shane's Secret Podcast on Comedy Buff. Published 2024-12-05. Transcript available.

Ep 534 - Outlive (feat. Peter Attia)

wow wow wes dr peter atia dude thank you for coming thank you for doing this um
thank you for
doing this i'm really i'm really pumped i read your book so i'm kind of
familiar thank you so
much i kind of like what you're about thanks for having me thanks for doing the
podcast um and i
guess i'll give you an introduction and correct me if anything if i'm wrong you
were a medical
doctor and you did cancer surgery right a general surgery with a focus on
cancer with the focus on
cancer and then you just kind of i liked your origin story a lot and so from
what i remember
in your book you did this big swim like right it was like a marathon swim or
something and how far
did you swim uh it was about 21 miles that's insane so you did a 21 mile swim
and then if i remember
correctly you were eating a cheeseburger in celebration and your wife that was
a slightly
longer swim but yes yes now i know the story you're talking about okay yeah
that i that honestly dude
that made me laugh so hard that you did like a what i think that was like 25
miles or something 25 mile
swim you go out to have a cheeseburger and i believe a coca-cola yeah and your
wife more or
less was like you're fat yeah dude that's the best and then you it launched you
and then you just got
the ultimate revenge it started like a super successful business how do you
feel she was very sweet she said
she just she just she didn't say you're fat she goes you need to work on being
less not thin
that's worse though i'd rather someone be like you fat ass and be like you need
to be less not thin
but you just swam 25 miles
yeah well that's wonderful though that is good though to have a woman to push
you to those heights
because then that's is that really like the genesis of you kind of branching
out into like
um i had actually already left medicine at that point i had been out of
medicine for
three years i was working um at that time god what was i doing i was working at
an energy company
i think or maybe i was in finance or something i was but i was like i had
nothing to do with medicine
um but that was right around the time my daughter was born as well
and so i think that was kind of the one-two punch it was sort of my daughter's
born
um and then i'm realizing actually like i'm not that healthy even though i
exercise a lot i'm
actually not that healthy and that those those two things were what kind of got
me to be pretty
obsessed with just trying to figure out how to not die prematurely the kids do
that i have a two
and a four-year-old and that really kind of i i actually thought you'll find
this interesting i
thought i was healthy i did all i was doing the um you know all these apps like
i did the one
where you like mail your poop and all that stuff and i did that they came back
like dude you're like
six years younger biologically i was like this is awesome dude i had the
fucking the order thing i
had that going on telling me i'm seven years younger than my age and then i
took a blood panel dude i'm
like pre-diabetic i was like what the fuck man it was like i thought i was like
killing it i got it
back and it was like i literally just found out two days ago so this this
timing couldn't be more
perfect my what is it a1c i think it was my a1c is like 5.7 which was like but
i did eat uh two
bites of a pancake before my blood work which i'm not you know shouldn't impact
the a1c dude i was
fucking hoping that was the answer yeah that so that is kind of crazy because
you and again i don't
you know i'm not the definition of fitness but i'm not like i wouldn't think i
thought i had the
almost type 2 diabetes well it takes a while like you don't no one wakes up
diabetic but also most
people don't kind of don't recognize that it's a 10-year journey for most
people really to get there
yeah so what i have like four like four more years of pre-diabetes i mean i
think that's impossible to
predict for any one person but but we we definitely know that disease is so
much more complicated than
people i think historically have thought of it people have historically said
well i mean type 2 diabetes
is your pancreas can't make enough insulin you can't get enough glucose out of
your blood into the
muscles and eventually we just cut off some arbitrary number we just say once
you reach a certain level
of blood glucose then you have type 2 diabetes but you know to me that's just
um not a great way to
think about it i think of it as a continuum and a spectrum and pre-diabetes is
a step along the way
but we also know that the lower your blood sugar the better so 5.7 is better
than 5.8 is better than
5.9 but even though we would call you quote unquote normal at 5.6 i would argue
five is much better than
5.6 gotcha i see what you're saying yeah yeah it was like for real joke because
i was like dancing in
the end zone on my wife because she's she is her biological age and i'm not
rubbing it in but it
was like whatever and i was like i'm five years older than her so i was like
her peer biologically
and i i was laughing you know i was these biologic clocks things are such a
such a scam
it is incredible i love it i love it it's brilliant marketing it is brilliant
mark i woke up one day and
i went like i lost half a year of my biological age i was like what the did i
do i like start went into a
panic but yeah so the uh that was like a real revelation for me i was like holy
man because
my dad has type 2 diabetes and i was like yeah that's on him he eats ice cream
all the time i'm
healthy and i like got my blood work and i was like son of a by the way i'm
just breaking this
right now i don't i don't this is breaking news this is breaking news this is
this is like so timely
i have free and i was actually it is very timely and i have been leveraging it
emotionally in my
household which is nice anytime my wife bothers me i'm like dude i have pre-diabetes
this
cortisol is going to mess up my insulin so i i got a text message literally on
the way over
here from a buddy who just got a vasectomy yesterday and we had recommended the
urologist
to him um who was going to do it so he goes look i just want to tell you man
literally the best
experience ever the guy was incredible so funny um you know he's got me draped
like over the table
so like you know he's like there's a drape like i'm laying on my back like a c-section
they do like
they don't let you see yeah it's like you're sterile i'm gonna keep you sterile
right gotcha and
the guy walks in the room first time he hasn't seen me doesn't see my face he
just sees my my schlong
and he goes oh i remember you but he was like but it was just all jokes and he's
so he says today
he goes you know look honestly zero pain at all but don't tell my wife i am
going to milk this as
10 out of 10 pain for another week so important yeah yeah yeah so also the vasectomy
you can't
ejaculate for like what seven days or something that's a good question i don't
know how many days
i don't know how many days i don't know it's like seven my friend did it he uh
he had to hold off
yeah seven whole days and he said he went a little prematurely and said he had
a little bit of pain
so that's not good but yeah dude so that's that was kind of crazy man because
again i've been doing
all the the services because i haven't i haven't like been to a doctor in
forever because i'm like
you know i go to it and this is what i think was cool in your book you have
like what was it healthcare
2.0 versus like three what was the latest yeah medicine 2.0 versus medicine 3.0
yeah so 3.0 is
kind of where you're at that's kind of more cutting edge 2.0 is like what a
step up from like medieval
humors and yeah but but still important i mean we still want medicine 2.0
medicine 2.0 will take care
of a problem when it shows up and if you you know if you if you're in a car
accident you break your leg
you get pneumonia you you want you want someone who knows how to deal with
those problems um but it's a
very different system from hey how do i take a guy whose hemoglobin a1c is 5.5
who no one everyone
thinks is just perfect but i think he's on the path to actually you know being
diabetic in 10 years
and why would i wait till he's staring down the door when i could just make the
changes now and that was
kind of my beef with doctors i would go there and they're like nice i don't
have anything against them
but i go there and they're just kind of like yeah cholesterol is good and i'm
like this is all we're
worried about like this is it's like and then they lowered the window to like
blood pressure the one
day i went in there and they're like oh by the way uh high blood pressure is
lower now i'm like okay
i didn't have a blood pressure problem but it's like i just feel like you go
there and it's like
you're like a car you go in they check like two things like yeah you're good
but so i really liked
your book how you're like you want to check for more things and try to increase
the health
span not just the lifespan which i like because a lot of people are very
unhealthy i thought i was
a poster child for health dude i'm one of the suffering americans just i need
michelle obama
to come get make me lunch dude i'm fucked up right now so what are you working
on right now because
the book has anything changed from the book because and again correct me if i'm
wrong but the summary
was like the four horsemen that's the things that the four leading causes of
death and there are what
heart disease cancer cancer neurodegenerative diseases and dementing diseases
like alzheimer's disease
and metabolic disease that's me that's diabetes right and they overlap so when
you have type 2 diabetes
your risk of those other diseases goes up by 50 percent so that one sort of
feeds into the other and
also if you have cardiovascular disease your risk of dementia goes way up so oh
really oh yeah yeah
that sucks yeah and you know what's weird too because i don't want to turn this
into like a personal
doctor visit but like i for real had like crazy brain fog like i couldn't i was
like messing up
recalling words and a lot of my my mom's side had um like dementia stuff when
they got older so i started
being like damn i might be like getting like early dementia and as soon as i
learned about the high a1c
and i don't know if that's like high enough to cause brain fog like i was like
forget i forgot the word
croissant i was like trying to think of that word couldn't think of that but i
as soon as i got off all
the carbs and now i'm like basically doing like keto my brain just like came
right back to life it's
it's pretty nuts yeah i mean i don't know that that's related to the a1c per se
but fluctuating
levels of blood glucose are make it just a little more difficult and and some
people are more
sensitive to it than others some people you know they can eat all the carbs in
the world and it
doesn't seem to phase them and a lot of people are like no the moment i go to
slower carbs or
just no carbs at all or just more complex carbs my energy levels normalize and
so too does my attention
yeah dude that's that happened for me and i also don't uh i don't you have to
eat as much like i
was eating so much man it would be like four cups of rice i'd be i was just
picking out yeah and then
as soon as i stopped eating that much carbs i eat like two meals a day and they're
pretty like sparse
so tell me about these pictures here oh thank you man um this i just figured it
was funny it's just
kind of like a um just an ample naked lady sitting at a picnic so i like saw i
literally picked the
pictures very quickly i i this one i just wanted very intense imagery yeah and
so this is kind of
like you know this is pleasant it's a little complicated you have what do you
think is going
on here why is she naked and who who are these guys these guys are up to no
good for sure they uh
i think these guys it looks like they just got happened upon and someone's
going what the hell
are you doing with that ample naked lady in the park and this gu