The Peter Attia Drive - March 15, 2021


#153 - AMA #21: Deep dive into olive oil, high-intensity exercise, book update, and more


Episode Stats

Length

13 minutes

Words per Minute

165.76328

Word Count

2,314

Sentence Count

111

Hate Speech Sentences

1


Summary

In today's episode, we do a deep dive into all things olive oil, starting with a simple question: What's the best kind of olive oil to buy, and how do you know how to source good olive oil? And then we get into a tour de force explanation around what it means to be extra virgin, and why it's good for you.


Transcript

00:00:00.000 Hey everyone, welcome to a sneak peek, ask me anything or AMA episode of the drive podcast.
00:00:16.500 I'm your host, Peter Atiyah. At the end of this short episode, I'll explain how you can
00:00:20.460 access the AMA episodes in full, along with a ton of other membership benefits we've created,
00:00:25.440 or you can learn more now by going to peteratiyahmd.com forward slash subscribe.
00:00:31.140 So without further delay, here's today's sneak peek of the ask me anything episode.
00:00:39.200 Hey everyone, welcome to ask me anything episode 21. I'm once again joined by the one and only Bob
00:00:47.200 the Cap Kaplan. In today's episode, we do a super deep dive into all things olive oil,
00:00:54.660 which starts from a very simple question. I think the question was something to the effect of
00:00:59.400 what's the best kind of olive oil to buy, or how do you know how to source good olive oil,
00:01:04.480 and then gets into sort of a tour de force explanation around what it means to be extra
00:01:09.940 virgin. And basically we get into all types of oils and the differences between things that
00:01:16.840 are high in saturated fat versus things that are not in the polyunsaturated components and all these
00:01:20.980 other things. So if you've ever really had a question about vegetable oils, lard, tallow,
00:01:27.160 certainly olive oil, it's probably going to be answered here. And we do of course really double
00:01:31.560 down on the olive oil issues specifically. So how do you know you're not getting robbed? How do you
00:01:37.240 check that you're buying the right stuff? What should you be looking for on the label? And of course,
00:01:41.080 what should it taste like, smell like, et cetera? We took so much time on that,
00:01:46.160 that we spent the small remainder of our time together doing a rapid fire Q and A from some
00:01:53.880 quote unquote, simple questions, questions about what's going on with my book. We talk about zone
00:01:59.720 five training, which was a great thing to get into because we're normally talking so deep about zone
00:02:03.980 two, but we get into zone five. We talk about massage guns and foam rollers and professional
00:02:08.060 massage, standing desk versus sitting desk, lactate meters, and a little bit around electrolyte
00:02:15.320 supplementation and ketosis. So without further delay, I hope you enjoy AMA number 21.
00:02:28.220 Hello, Peter.
00:02:29.600 Hey, Bob.
00:02:31.300 You ready for an exciting AMA?
00:02:33.360 I sure am, man.
00:02:34.760 Yeah, I think we have a couple of really good topics here to get going. We got a couple of really
00:02:42.040 interesting questions around olive oil and nicotine.
00:02:47.100 Together?
00:02:47.840 Yeah. Well, no, not together.
00:02:50.660 Dipping your cigarettes in the olive oil?
00:02:51.520 We'll see. After we talk about it, maybe we might do some infusions here.
00:02:56.240 On the olive oil front, I think we got a couple of questions just around, you know, we always hear
00:03:01.960 that olive oil is really healthy for us. It's heart protective. They wanted to know why is that?
00:03:08.540 And is it true? Is it cardioprotective? So curious about your take on olive oil, Peter.
00:03:14.380 This is one of those topics, I think, like many others, where at the surface, it's pretty
00:03:18.940 straightforward. But as is generally the theme of our podcast, the further you get from shore,
00:03:25.780 the deeper the water gets. And I think it's difficult to have a discussion like this in total
00:03:31.000 isolation from the broader discussion of fatty acids, period. But to take your question, where
00:03:39.520 does this perceived benefit of olive oil come from? And I say perceived, not because we're going to
00:03:43.600 necessarily refute that, but I just, I don't want to take anything for granted and I'd like to sort of
00:03:47.720 march down the path. So it really stems primarily from first and foremost, the observational data of
00:03:55.760 the Mediterranean diet. Now this goes back quite a ways. So I think for many folks listening to this,
00:04:01.600 the name Ancel Keys will ring a bell, right? Ancel Keys became one of the first people to
00:04:07.560 utilize and incorporate an assay for measuring serum blood cholesterol. So again, something we totally
00:04:15.600 take for granted today is something that in the 1950s, the early 1950s, if my memory serves me
00:04:21.340 correctly, it was sort of 51, 52, 53, Keys and his wife traveled abroad and began observing societies
00:04:30.200 and asking a very simple question, which was, does the total serum cholesterol, which is the only thing
00:04:37.460 that could be measured at that time. So that means you would take a tube of blood and you would spin it
00:04:44.020 down, fractionate it such that at the time they didn't know that there were various lipoproteins,
00:04:48.680 but you were sort of breaking all the lipoproteins open and you would have the total amount of
00:04:53.180 cholesterol that was being carried by those lipoproteins. And that number, when people talk
00:04:58.500 about my total cholesterol today is 200 milligrams per deciliter, that's what Keys was measuring in the
00:05:03.460 early 50s. And he was asking a question, which was, does that number correlate with heart disease?
00:05:08.840 And the answer was, yes, it did. It wasn't the strongest correlation on earth. And obviously as time
00:05:13.880 would go on and we would learn that there were different fractions of cholesterol, the LDL cholesterol,
00:05:17.700 the HDL cholesterol, non-HDL cholesterol, et cetera, we could refine that thinking. But at the
00:05:24.160 simplest level, when you took the bottom five percentile of people's total cholesterol and the
00:05:30.320 top five percentiles people with total cholesterol, that clearly created a wide enough degree that you
00:05:35.980 could predict those with higher cholesterol had more heart disease, et cetera. So the idea that what
00:05:42.920 you ate could influence that became the next and obvious thing to look at. And it was really Ancel Keys
00:05:49.320 observation. I shouldn't say observation. I think this is getting a little off topic, but the way he
00:05:55.800 presented his data would suggest that the more saturated fat that was in the diet, the higher the
00:06:01.620 cholesterol, the higher the incidence of heart disease. And there's a zeroth order truth to that,
00:06:07.140 but it turns out the devil's in the details. And maybe we can save that for another podcast.
00:06:12.600 Let's fast forward a little bit. Ancel Keys by the 1970s was really coming to an observation that
00:06:22.960 a diet that was high in a different type of fat from a saturated fat called a monounsaturated fat
00:06:29.080 would actually be more heart healthy. So he believed that fats or food sources that were
00:06:36.020 high in saturated fats were the problem. Whereas those that were high in polyunsaturated and
00:06:41.300 monounsaturated fats were going to be cardio protective. So you could say about 50 years ago
00:06:47.280 is when this idea started. And I guess maybe Bob, before we go further, I know we've had a couple of
00:06:53.520 podcasts recently that talk about what those fats are, but do you want to talk about the difference
00:06:58.880 between those three broad categories of fat or did we get any questions about that or should we just
00:07:03.440 keep marching along the MUFA olive oil story? No, I think it makes sense to just stop and talk
00:07:09.560 about the, at least the three main, you've got the saturated fats, the monounsaturated fats,
00:07:17.340 and polyunsaturated fats. And when we, you know, we say saturated fats, you think like saturated with
00:07:23.120 what it's, you know, it's, it's, it's hydrogens, I guess is, so you've got, you know, a long chain
00:07:28.960 fatty acid is just, it's a string of carbon atoms. At least that's one part of it. And depending on the
00:07:36.760 number of carbons, that's, that's, that's in part how we classify it in terms of whether it's, we'll get
00:07:41.320 into this a little later, but palmitic acid, let's say versus stearic acid, which are both saturated
00:07:46.180 fats, but all those carbon to carbon bonds are single bonds. And if you have single bonds on
00:07:52.900 those carbons, then you're going to have, if you know your chemistry, you're going to have hydrogen
00:07:57.360 sticking off of, of each one of those carbon atoms as well. And then when you get into something like
00:08:03.300 a monounsaturated fat, it means mono, which is one, and it is an unsaturated fat, which means more or
00:08:09.180 less it's less saturated with hydrogens. And so when you have that carbon to carbon, if you have a double
00:08:15.000 bond, you're actually, you're going to be removing a hydrogen there because you're adding the carbon
00:08:20.320 to carbon bond. And then with the polyunsaturated fats, you've got more than one double bond.
00:08:27.180 So if you have more than one double bond, you're going to have even, it's going to be more unsaturated
00:08:32.040 than a monounsaturated fat. And I don't know if we're going to get into this, but that also changes
00:08:36.520 the configuration or the structure of those atoms as well, where you have a, if you look at a saturated
00:08:41.820 fat, normally it's, it's relatively, the chain would be straighter. Monounsaturated fat kind of
00:08:46.980 has like a little crank and where the double bond is. And then PUFAs have the same thing going on,
00:08:51.920 but if they have multiple double bonds, you're going to get multiple little crinks in the, in that chain.
00:08:58.660 Yeah. And the nomenclature is not trivial. So you, you mentioned a saturated fat a moment ago,
00:09:06.000 palmitic acid. And in sort of chemistry speak, we would reference that with two numbers. So
00:09:13.840 we would say, well, we wouldn't expect people to remember the structure of palmitic acid. So we
00:09:18.400 would denote it 16, zero or 16 colon zero. And what that tells you is, ah, it's got 16 carbons in it
00:09:26.740 and it has zero double bonds. And therefore, you know, it's a saturated fat. And you also mentioned,
00:09:33.700 I believe, stearic acid, which is also a saturated fat. But if you couldn't remember that, if you
00:09:38.620 could remember that it was 18, zero, you would know that it's got 18 carbons and zero double bonds.
00:09:44.300 Now let's contrast that with oleic acid. Oleic acid now has another designation. It's 18, one. So it's
00:09:54.220 18 carbons, one double bond, but you have to add an additional piece of information,
00:09:59.980 which is where is that double bond. And it's denoted N9, which means that it's the ninth carbon.
00:10:07.400 And I'm sure the astute listener is saying, well, which side are you counting from? Because the ninth
00:10:13.500 and the 10th carbons, even though right next to each other, would, could each be considered the
00:10:18.000 ninth carbon, depending on which side you count from. And you always count from the carboxylic side.
00:10:23.580 Now I realized as I, that was coming out of my mouth, I'm going to have to explain what the
00:10:27.700 carboxylic side is. I'm not going to, for the sake of time, just suffice it to say, there's a clear
00:10:33.700 nomenclature for which side you begin the counting. And therefore you can have an 18, one N seven and
00:10:42.060 an 18, one N nine that are both monounsaturated fats of the same length, but they're going to have
00:10:47.740 different properties because the double bond is in a different place. And to your point,
00:10:51.380 that might mean that they kink a slightly different way, et cetera. So let's go back to
00:10:57.900 olive oil. What is olive oil, Bob? What makes up olive oil? Thank you for listening to today's
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