15 Dec 2025
22m

#376 - AMA #78: Longevity interventions, exercise, diagnostic screening, and managing high apoB, hypertension, metabolic health, and more

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The Peter Attia Drive

This is a sneak peek of an Ask Me Anything (AMA) episode of The Drive Podcast with Peter Attia, focusing on listener questions about lifespan interventions, cardiovascular risk, fasting, blood pressure management, hormone replacement therapy, and diagnostic screening. Peter discusses his personal, clinical, and philosophical approaches to these topics, including the most important intervention for extending lifespan and healthspan, motivating midlife patients to prioritize training, managing high apoB and cholesterol, optimal blood pressure targets, assessing metabolic health, common mistakes in improving health, the effects of time-restricted eating and fasting, the nuances of ultra-processed food, approaches to hormone replacement therapy, the evolving understanding of testosterone replacement therapy, and earlier and expanded screening and diagnostics. He emphasizes exercise as the most impactful intervention and introduces the concept of "centenarian decathlon goals" to help patients visualize and plan for their physical capabilities in their later years.

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