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cover of episode Dr. Peter Attia: Supplements for Longevity & Their Efficacy

Dr. Peter Attia: Supplements for Longevity & Their Efficacy

2024/7/29
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Huberman Lab

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A
Andrew Huberman
是一位专注于神经科学、学习和健康的斯坦福大学教授和播客主持人。
P
Peter Attia
Topics
Andrew Huberman:长寿方法可分为四大类:1. 应该做和不应该做的事情;2. 卡路里、葡萄糖、胰岛素等;3. 靶向特定细胞通路(例如NAD通路);4. 采取一切方法。他认为NAD通路补充剂的科学依据不足,但补充剂可以作为辅助手段,并列举了他自己服用的补充剂。 Peter Attia:长寿方法可分为三类:1. 必需的行为(饮食、睡眠、运动);2. 靶向疾病的分子;3. 靶向衰老的分子。他详细阐述了NAD通路的研究历史,包括酵母实验、小鼠实验以及人体研究,指出目前没有足够的证据表明补充NAD可以延长寿命。他认为,雷帕霉素是目前最有效的延缓衰老药物,并分享了他自己的补充剂方案。他强调,生活方式(饮食、睡眠、运动、情绪健康)比补充剂对健康和寿命的影响更大。 Andrew Huberman: 他总结了关于NAD补充剂的讨论,认为目前没有充分的证据支持其对寿命的益处,但可能对健康状况有一些轻微的积极影响,例如降低某些类型的皮肤癌风险。他强调,生活方式的改变比补充剂更重要。 Peter Attia: 他再次强调了生活方式的重要性,并用泰坦尼克号的比喻说明了生活方式和补充剂在长寿中的作用:生活方式决定了泰坦尼克号航行的方向,而补充剂只是船上的食物选择(龙虾或牛排)。

Deep Dive

Chapters
Dr. Attia and Dr. Huberman discuss the different approaches to longevity, including lifestyle changes, caloric restriction, and targeting specific cellular pathways like the NAD pathway. They delve into the role of NAD in cellular energy production and DNA repair, highlighting its importance in various biological processes. The conversation also touches upon sirtuins, enzymes that use NAD for DNA repair, and their potential connection to lifespan extension, as observed in yeast and mice studies.

Shownotes Transcript

In this episode, my guest is Dr. Peter Attia, M.D.), a Stanford and Johns Hopkins School of Medicine-trained physician expert in improving human healthspan and lifespan. Dr. Attia is also the host of The Drive) podcast and author of the best-selling book Outlive). 

We discuss the NAD pathway in human cells and its possible links to aging and health. We evaluate how supplementation can augment molecules in the NAD pathway; we compare NAD, NMN, and NR, different routes of administration, their safety, and bioavailability. Then, we discuss the broader research and clinical literature on longevity to decide if supplementation with NAD, NR, NMN, rapamycin, or resveratrol can indeed extend lifespan. 

Finally, we each describe our supplement regimens and compare the role of supplementation to behaviors such as sleep, nutrition, and exercise for longevity. We also discuss whether tests of biological age are true indicators of aging and whether normal radiation levels increase cancer risk. 

Listeners of this episode will learn if supplements purported to improve lifespan show any efficacy and the behaviors and other factors that can prevent disease and extend lifespan.

Access the full show notes for this episode at hubermanlab.com).

Thank you to our sponsors

AG1: https://drinkag1.com/huberman)

LMNT: https://drinklmnt.com/huberman)

Levels: https://levels.link/huberman)

Eight Sleep: https://eightsleep.com/huberman)

Timestamps

00:00:00 Dr. Peter Attia, NAD Pathway

00:02:31 Sponsors: LMNT, Levels & Eight Sleep

00:06:38 Categories of Longevity Approaches

00:17:22 Peter’s Supplements; Rapamycin & Research Data

00:25:01 NAD Pathway: Energy & DNA Repair; Knock-Out & Knock-In, Klotho

00:30:35 Sponsor: AG1

00:32:25 Yeast, Sirtuins, Caloric Restriction & Lifespan

00:38:56 Sirtuins, Transgenic Mice, Gender & Lifespan

00:43:42 DNA Repair, Sirtuins, Cancer; Resveratrol

00:53:31 Perform with Dr. Andy Galpin Podcast

00:54:18 NAD & NADH, Reactive Oxygen Species (ROS), Mitochondrial Health

01:02:17 NAD vs NR vs NMN Supplementation; IV & Oral Routes

01:11:33 NR vs. NMN, Doses, Side Effects; Interventions Testing Program

01:17:43 Fatty Liver Disease & NR; NMN & Glucose; Clinical Significance

01:25:17 Safety & FDA, NMN & NR Supplementation; Skin Cancer Benefits

01:30:38 Longevity, NR & NMN Supplementation, Inflammation

01:41:00 Rapamycin & Immune Function

01:44:37 Biological Aging Tests, Chronologic & Biologic Age; Vigor 

01:55:24 Radiation & Cancer Risk

01:58:12 Tool: Self-Care in 50s-70s & Aging; Energy Decline

02:07:12 Tool: Exercise Timing & Energy Levels

02:11:22 Peter’s Supplements

02:18:46 Andrew’s Supplements

02:24:34 Tool: Supplement Use vs. Critical Behaviors; Titanic Analogy 

02:26:52 NAD Pathway Supplementation for Longevity?

02:28:52 Zero-Cost Support, YouTube, Spotify & Apple Follow & Reviews, YouTube Feedback, Social Media, Neural Network Newsletter

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