The Peter Attia Drive - March 18, 2019


#45 - AMA #4: sleep, jet lag protocol, autophagy, metformin, and more


Episode Stats

Length

12 minutes

Words per Minute

182.25768

Word Count

2,262

Sentence Count

137

Hate Speech Sentences

1


Summary

In this episode of The Drive, I talk about why we don't run ads on this podcast, and why we rely entirely on listener support to sustain it. If you're a subscriber, you get access to the show notes, access to all episodes, and access to special offers from companies that make the products that I already love for free.


Transcript

00:00:00.000 Hey everyone, welcome to the Peter Atiyah Drive. I'm your host, Peter Atiyah.
00:00:10.140 The Drive is a result of my hunger for optimizing performance, health, longevity, critical thinking,
00:00:15.600 along with a few other obsessions along the way. I've spent the last several years working with
00:00:19.840 some of the most successful, top-performing individuals in the world, and this podcast
00:00:23.620 is my attempt to synthesize what I've learned along the way to help you live a higher quality,
00:00:28.360 more fulfilling life. If you enjoy this podcast, you can find more information on today's episode
00:00:33.000 and other topics at peteratiyahmd.com.
00:00:41.440 Hey everybody, welcome to this week's episode of The Drive. I'd like to take a couple of minutes
00:00:45.980 to talk about why we don't run ads on this podcast and why instead we've chosen to rely entirely on
00:00:51.660 listener support. If you're listening to this, you probably already know, but the two things I care
00:00:56.460 most about professionally are how to live longer and how to live better. I have a complete fascination
00:01:02.780 and obsession with this topic. I practice it professionally, and I've seen firsthand how
00:01:07.480 access to information is basically all people need to make better decisions and improve the quality of
00:01:12.560 their lives. Curating and sharing this knowledge is not easy, and even before starting the podcast,
00:01:18.200 that became clear to me. The sheer volume of material published in this space is overwhelming.
00:01:22.820 I'm fortunate to have a great team that helps me continue learning and sharing this information
00:01:27.880 with you. To take one example, our show notes are in a league of their own. In fact, we now have a
00:01:33.840 full-time person that is dedicated to producing those, and the feedback has mirrored this. So all of this
00:01:39.720 raises a natural question. How will we continue to fund the work necessary to support this? As you probably
00:01:46.240 know, the tried and true way to do this is to sell ads, but after a lot of contemplation, that model just
00:01:52.440 doesn't feel right to me for a few reasons. Now, the first and most important of these is trust. I'm not sure
00:01:58.380 how you could trust me if I'm telling you about something when you know I'm being paid by the company that
00:02:03.740 makes it to tell you about it. Another reason selling ads doesn't feel right to me is because I just know
00:02:10.200 myself, I have a really hard time advocating for something that I'm not absolutely nuts for. So if
00:02:15.660 I don't feel that way about something, I don't know how I can talk about it enthusiastically. So instead
00:02:20.840 of selling ads, I've chosen to do what a handful of others have proved can work over time, and that is
00:02:26.860 to create a subscriber support model for my audience. This keeps my relationship with you both simple
00:02:33.080 and honest. If you value what I'm doing, you can become a member and support us at whatever level
00:02:39.460 works for you. In exchange, you'll get the benefits above and beyond what's available for free.
00:02:44.680 It's that simple. It's my goal to ensure that no matter what level you choose to support us at,
00:02:50.040 you will get back more than you give. So for example, members will receive full access to the
00:02:57.520 exclusive show notes, including other things that we plan to build upon, such as the downloadable
00:03:04.240 transcripts for each episode. These are useful beyond just the podcast, especially given the technical
00:03:09.180 nature of many of our shows. Members also get exclusive access to listen to and participate
00:03:15.940 in the regular ask me anything episodes. That means asking questions directly into the AMA portal
00:03:22.660 and also getting to hear these podcasts when they come out. Lastly, and this is something I'm really
00:03:28.000 excited about. I want my supporters to get the best deals possible on the products that I love.
00:03:32.820 And as I said, we're not taking ad dollars from anyone, but instead what I'd like to do is work
00:03:37.360 with companies who make the products that I already love and would already talk about for free and have
00:03:43.220 them pass savings on to you. Again, the podcast will remain free to all, but my hope is that many of
00:03:51.000 you will find enough value in one, the podcast itself, and two, the additional content exclusive
00:03:57.900 for members to support us at a level that makes sense for you. I want to thank you for taking a moment
00:04:02.960 to listen to this. If you learn from and find value in the content I produce, please consider
00:04:08.480 supporting us directly by signing up for a monthly subscription. Welcome to AMA number four. I am joined
00:04:14.240 again by Bob Kaplan, my head of research. This will be our first subscriber only AMA. If you're a
00:04:19.400 subscriber, you can watch or listen to this full episode on our website. If you're listening to this
00:04:23.820 on a podcast player, you'll be able to hear a preview on the AMA, and then you'll have to finish
00:04:28.060 listening or watching on the website. As a reminder, we pull these questions from the AMA forum and any
00:04:32.660 subscriber is welcome to participate. In this episode, we talk about the following blue blocking
00:04:37.700 glasses and lighting, cortisol and sleep, my jet lag protocol, a discussion about PMS and the hormones
00:04:44.360 around it, a discussion around autophagy, and then we close with a rapid fire, which gets into some
00:04:49.640 issues like CME for podcasts, how to find a good doctor, interesting biomarkers to monitor if the tech
00:04:56.100 was not an issue, and the idea of a PhD versus an MD if you wanted to study longevity. Welcome to AMA
00:05:03.140 number four. Welcome everyone to Ask Me Anything before I guess we're starting. Peter, what's up with
00:05:13.180 those glasses? Ah, the glasses. These are one of my two favorite sets of glasses that I like to wear when
00:05:20.660 I'm looking at electronics in the evening. This brand, which I am neither sponsored by nor receive
00:05:27.800 any compensation from, but I do fancy, is called Gunner, G-U-N-N-A-R. And I went through a bunch of
00:05:36.020 these before deciding that these are the ones I liked more than the others. I started out with gaming
00:05:42.100 glasses first, and I just didn't find that I had enough sort of coverage. So for whatever reason, these optics
00:05:48.860 are the ones I like the most, they have a ton of stuff on there and they're not that expensive and
00:05:54.040 they usually have sales. So when they have a sale, I recommend buying like two or three pair and then
00:05:58.780 figure out which one you're going to like the most. There's another brand that I like whose name I'm
00:06:03.360 blanking on now that's not a Gunner, but it's a pretty solid brand. It's about twice as expensive
00:06:09.740 though. With these guys, you're into about 40 bucks. The main issue is if you can remember to do so,
00:06:16.740 putting these on once the sun goes down, as you're looking at electronics, huge difference,
00:06:22.900 especially for computer. So I'm more of a laptop guy than I am a phone guy. And I'm usually working
00:06:29.120 on a computer, I don't know, till at least an hour before bed, unfortunately. And this is key.
00:06:35.560 Whereas on the phone, there is a setting that like renders the phone completely red or completely gray,
00:06:43.200 which is different from just the usual light setting on the phone. And that usually is more
00:06:47.720 than adequate than needing these glasses. And on the laptop too, at least for the Mac,
00:06:51.960 they have the efflux. Yeah. Which will take the light down. And that's pretty good. I do that as
00:06:58.300 well. I kind of view the glasses as an insurance policy. And I definitely notice a difference in my
00:07:04.500 sleep quality, at least objectively and sometimes subjectively based on my remembering to do that.
00:07:11.560 And there are times I just, I don't know, I space, I don't do it. And I'm going to bed having just
00:07:16.320 been blasted by that light. And it sort of sucks. Do we want to explain what's actually going on with
00:07:21.860 when you're wearing blue blockers? It's probably taken us back a little bit with the glasses, but
00:07:26.640 what is it actually doing? It actually seems like it's one of those hacks for lack of a better term
00:07:32.040 that is effective in terms of light and sleep and circadian rhythms. Yeah. So, I mean,
00:07:38.220 I think to understand sleep, you've got to think of three things. So, sleep is kind of like a
00:07:43.420 balancing act of forces. Now, this is a gross oversimplification. And, you know, in our podcast
00:07:49.040 with Matthew Walker, we're going to go into much more detail on sleep. But I like to think of sleep
00:07:55.520 as a balancing act between cortisol, melatonin, and adenosine. So, we'll talk about each of those
00:08:03.200 for a second. So, adenosine, if that sounds familiar, it's because you remember from high
00:08:07.780 school biology that ATP, which is the currency of energy, is adenosine triphosphate. So, the way to
00:08:14.100 think about adenosine is it's something that gets built up the more energy you've expended. So,
00:08:19.640 if you were to measure adenosine levels in the morning, and then adenosine levels in the evening,
00:08:24.400 they should be higher if you've been doing something. And so, that's the first thing you want
00:08:29.880 happening when you sleep is you want adenosine levels to be high. And in fact, that's actually
00:08:34.440 how caffeine works. Caffeine keeps you awake by lowering adenosine levels. The second thing you
00:08:40.820 want is cortisol. Cortisol has to go down. And I've spoken about this a little bit before, but basically
00:08:47.260 you have a cycle to cortisol. So, if the x-axis is time, and that's the moment you wake up, and that's
00:08:54.120 the moment you go to bed, and that's your cortisol level, you want to wake up at a low level.
00:08:59.880 And you want to go to bed at a low level. And what should be happening is in about the first
00:09:04.840 two hours, you should have a huge surge in cortisol. Oh, for the listeners only, Peter is actually,
00:09:11.960 as luck would have it, there's an easel behind us as we're having this conversation.
00:09:16.100 Oh, yes. And he's drying this out. He's drying the cortisol pattern. And so, you want to have this
00:09:22.340 uptick, gradual down, nice and low at night. And just as you're waking up, it should be just about
00:09:28.780 to kick off. So, that's the second factor. So, you want adenosine to be high, you want cortisol to be
00:09:34.880 low. And then the third thing you want is you want melatonin to rise. And melatonin is secreted by this
00:09:42.120 tiny, tiny little gland called the pineal gland. And it is secreted in the absence of light, specifically
00:09:49.240 blue light. And it's basically a signal to tell the brain that it's dark. So, it's melatonin basically
00:09:56.900 removes the brakes of staying awake. And that's where the glasses fit in. So, if you're really
00:10:02.760 trying to optimize your sleep, you want high adenosine. You can accomplish that by not having
00:10:09.020 caffeine and by being active. You want low cortisol. That's probably a lengthier topic in and of itself.
00:10:16.180 And then you want high levels or rising levels of melatonin.
00:10:20.400 So, we got a bunch of questions around sleep. So, while we're on the topic, maybe we can cover
00:10:25.800 a few more. One of the questions was how to minimize jet lag and sleep disruption while traveling.
00:10:33.180 Hey, everyone. Hope you enjoyed a sneak peek of this AMA. AMAs, along with extensive show notes and
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00:10:55.160 you'll be able to finish listening via audio or watch the rest of this AMA on video.
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