Network of physicians
I notice from searching through the AMA's that several people have asked if there is a network of physicians who, at a minimum, have heard of and understand what Peter Attia is working to accomplish. As a full subscriber and participant in Early, I am learning life-changing strategies, but this knowledge can do little good if one's healthcare provider is convinced of an old-school approach. If there is a section in Early that is of less value, it is the section on selecting a physician. Many of us start with referrals from respected friends and relatives, and it is really difficult to tell from that initial interview just how up-to-date they are in their practice. Many will not invite a discussion to begin with - even as well framed as you suggest. It can be daunting. Few professionals have the time or interest to hear about the research their patients have done. I get it. If I were in their shoes and listened to the "latest" thing that every patient had heard on social media, it would be crazy-making. But, how so few people in the medical profession could have heard about Dr. Attia astounds me. His book has been on the NYT best-seller list for almost 50 weeks now, but, it just draws a blank. I don't want or need to know more or better than my doctor, but, I would like to be on the same page so that we can have a real discussion about meaningful directions and next steps. I notice that the questions that were asked on AMA (at least using the term "network of physicians") have not been answered, but I would like to know if there have been any thoughts in this direction. Dr. Attia's book, podcast, and Early are creating a group of educated patients who might be as frustrated as I am. It would be a relief not to have to start at ground zero with my doctor. I don't know how one would go about creating such a network, but has any thought been given to the idea?
Jonathan Haidt Interview
I was wondering if you would consider having Jonathan Haidt on as a guest? His piece in the Atlantic, ‘End the Phone-Based Childhood Now,’ was the most insightful piece of literature I have ever read about the current generation, where it’s going and why, (as well as how to change it). His message is critical for everyone, especially parents. He has a new book coming out on 3/23/24, “The Anxious Generation.”
Pre-workout supplements - beneficial?
I currently use a pre-workout primarily for three main "benefits": energy boost, focus, and pump. My current thinking is that the supplement helps me to have a better workout and as a result, better gains in the areas of muscle growth, stamina and fat loss. Curious to hear your thoughts on the use of pre-workout supplements and if there is one or two that are better than the rest. Also conscious of the effects they may have long term so curious to hear your thoughts on the long term impact on organs such as the kidneys and liver. If there is no science backing the use of pre-workout supplements, what, if any, supplements would you recommend to achieve the three benefits listed at the top? Mahalo!
More than 140min/week of strength training has a negative impact on All cause mortality
I found this study which indicates that there is a J shaped curved for the benefits of strength training on all-cause mortality. I was wondering whether you think this study is worth considering, they disclose "the number of included studies was small and we could not directly examine the frequency of muscle-strengthening activities". What could the potential reason for this J curve be? Are there any risks associated with too much strength training (5-7 days per week)? "Our findings showed that the maximum risk reduction for all-cause mortality, CVD and total cancer was obtained at approximately 30–60 min/week of muscle-strengthening activities, and the RR was low for up to approximately 130–140 min/week. Given this result, the current recommendation of at least 2 days/week could be reasonable, although a higher volume may require caution" Momma, H., Kawakami, R., Honda, T., & Sawada, S. S. (2022). Muscle-strengthening activities are associated with lower risk and mortality in major non-communicable diseases: a systematic review and meta-analysis of cohort studies. British journal of sports medicine, 56(13), 755-763.
Niacin - New Cleveland Clinic Study
I have taken Niacin (1g) for years and recently two different doctor questioned its effectiveness, so I stopped. My triglycerides jumped a bit and I was about to start back when the Cleveland Clinic published a study that says it could actually be harmful. Can you report on the study and/or your thoughts on Niacin? Thanks, Mike