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Trying to Build/Maintain Muscle Within Physical Limitations

Does Dr. Attia have any suggestions for aging people that are exercising and trying to build/maintain muscle within physical limitations? I have had two inguinal hernias, one on each side. One was repaired with tissue and had a great recovery. On the other side had a mesh repair, which I had removed within two years because of pain. Part of the removal process involved an ilioinguinal nerve neurectomy. My search and my 1000-mile travel to find a doctor that could do that surgery is a story in itself. But the focus of my question is related to the fact that my abdominal fascia is weak. I am striving to stay fit and avoid a future hernia. With that in mind, are there any suggestions for aging people that are exercising and trying to build/maintain muscle within physical limitations? For example, physical therapy vs. physical training. Doing leg-only work such as walking and rucking vs. upper-body weightlifting. Using kinesiology tape to reinforce weak body areas externally. Does kinesiology tape even work?

Covid vaccine recommendation

Peter, thank you for all you do. I’m a long term subscriber, and this is my first question. Do you recommend bivalent to booster #3 to your patients? Are there any circumstances under which you would not recommend the booster (e.g. a person who had Covid prior to receiving any vaccine, then vaxed, twice boosted, with another mild case of Covid occurring after the second booster)?

HCM

Hello Doctor! I am a 62 year old male, golfer, fitness enthusiast, husband, father and grandfather. I am in decent shape, but constantly striving to progress. I have been diagnosed with HCM (Hypertrophic Cardiomyopathy), and, while currently asymptomatic, I am constantly trying to find ways to "push myself" both strengthwise and cardiovasularly, with an eye toward not "overdoing" it (whatever that means). I was wondering if you had any experience in this arena, and could offer some training advice / direction?

Doing Zone 2 after weight training

Hi Dr. Attia, Question regarding zone 2. I usually make time to train about 5 x’s per week. Allocating for about 2 hrs for each workout. I start with my mobility and follow that with my strength training and end my workouts with a 45 min zone 2 ride. My question is will doing the weight training prior to zone 2 lessen the impact of the zone 2 benefits? I try to pack everything into one workout per day just for convenience but wasn’t sure if this was optimal. Interested in your feedback. Thanks again for the excellent information you provide. All the best!

Low Free T

Low Free T: My Free T percentage is consistently less than 1% (4.6 of 532.3 to 6.1 of 677.8). I understand a good goal is 2% or more. What are the implications of a low free T? And what should I do to address in terms of exercise and diet first and supplements second)?