Outlive: The Science and Art of Longevity
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A groundbreaking manifesto on living better and longer that challenges the conventional medical thinking on aging and reveals a new approach to preventing chronic disease and extending long-term health, from a visionary physician and leading longevity expert
“One of the most important books you’ll ever read.”—Steven D. Levitt, New York Times bestselling author of Freakonomics
Wouldn’t you like to live longer? And better? In this operating manual for longevity, Dr. Peter Attia draws on the latest science to deliver innovative nutritional interventions, techniques for optimizing exercise and sleep, and tools for addressing emotional and mental health.
For all its successes, mainstream medicine has failed to make much progress against the diseases of aging that kill most people: heart disease, cancer, Alzheimer’s disease, and type 2 diabetes. Too often, it intervenes with treatments too late to help, prolonging lifespan at the expense of healthspan, or quality of life. Dr. Attia believes we must replace this outdated framework with a personalized, proactive strategy for longevity, one where we take action now, rather than waiting.
This is not “biohacking,” it’s science: a well-founded strategic and tactical approach to extending lifespan while also improving our physical, cognitive, and emotional health. Dr. Attia’s aim is less to tell you what to do and more to help you learn how to think about long-term health, in order to create the best plan for you as an individual. In Outlive, listeners will discover:
Why the cholesterol test at your annual physical doesn’t tell you enough about your actual risk of dying from a heart attack.
That you may already suffer from an extremely common yet underdiagnosed liver condition that could be a precursor to the chronic diseases of aging.
Why exercise is the most potent pro-longevity “drug”—and how to begin training for the “Centenarian Decathlon.”
Why you should forget about diets, and focus instead on nutritional biochemistry, using technology and data to personalize your eating pattern.
Why striving for physical health and longevity, but ignoring emotional health, could be the ultimate curse of all.
Aging and longevity are far more malleable than we think; our fate is not set in stone. With the right roadmap, you can plot a different path for your life, one that lets you outlive your genes to make each decade better than the one before.
*Includes a downloadable PDF of charts, graphs, and illustrations from the book, along with other valuable resources
PLEASE NOTE: When you purchase this title, the accompanying PDF will be available in your Audible Library along with the audio.
- Listening Length17 hours and 7 minutes
- Audible release dateMarch 28, 2023
- LanguageEnglish
- ASINB0B64WL9PK
- VersionUnabridged
- Program TypeAudiobook
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Product details
| Listening Length | 17 hours and 7 minutes |
|---|---|
| Author | Peter Attia MD, Bill Gifford - contributor |
| Narrator | Peter Attia MD |
| Whispersync for Voice | Ready |
| Audible.com Release Date | March 28, 2023 |
| Publisher | Random House Audio |
| Program Type | Audiobook |
| Version | Unabridged |
| Language | English |
| ASIN | B0B64WL9PK |
| Best Sellers Rank | #1 in Audible Books & Originals (See Top 100 in Audible Books & Originals) #1 in Anatomy & Physiology (Audible Books & Originals) #1 in Aging & Longevity #1 in Longevity |
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So what if I, as a moslem, will be “adding” a final chapter to the book, so as to discuss it within my circle, that imparts a transcendental framework to our quest for a long life beyond the raising of a strong healthy physical horse. If you believe that your existence totally ends with death, it makes perfect sense to embark on a quest to lengthen your life, beyond which there is nothing. But if you belief as I do that there is an eternal component to our essence that continues beyond the entombment of our bodies, then your horizon and end point is limitless. Is the martyr who died defending his people and his family against oppression and tyranny at age 20, achieving a dismal Attia-style longevity, a loser, a tragic figure who fell victim to unfortunate conflicts, or is he worth a thousand longevity-focused horses? To exclusively pamper the animal (body) and ignore the horseman (soul) is to put the cart before the horse. In addition, to preach that we should persevere in trying to lengthen life a few more years, and spend a whole lifetime doing it, strikes me as wasting your life in order to lengthen it.
My advice to friends and family is this: Go ahead and double click on exercise and nutrition; huff and buff to raise your VO2 max, and be stable with firm resolve as you prioritize DNS. But do bear in mind that you are making the horse strong to serve the horseman, and not the other way around. We are not mere shells: eat, move, sleep, copulate, repeat. Get yourself a more spacious framework. Be in control as your phosphorylated spirit commandeer the horse so that the both of you can stand, marsh, live, and die with nobility and honor. “Outliving” to me is a transcendent term, to outdo and go beyond the bounds of your biological carbon-based body, to achieve escape velocity through a noble righteous life on Earth that propels your soul to heaven when biology fails you, so as to justify the reason that God commanded the angels to bow to Adam.
Of course, this is not a book about religion, and of course we agree less on religion than we do nutrition, and of course moslems are a zealot punch (attempt at self-deprecating humor), and of course as a physician I would love to read the 2000 page version (sorry, Penguin Random House). But from my perspective this is a beautifully written book by an author that I and my kids grew to love and admire, one who does not do anything half-way. Read it and reread it but put the material to practice by moving a good amount in between reading spurts.
In a word, very. There are two reasons why.
First, Attia’s knowledge base is unparalleled. He graciously attributes this to the all-star line-up of experts in cardiology, lipidology, oncology, neurology, psychiatry, endocrinology, biochemistry, nutrition, exercise physiology, etc. who’ve tutored him over the years, and whose expertise is shared generously on his podcast. The depth of his dives with them and his fluency in each specialty are extraordinary. But Peter’s superpower is not simply the intellect to master the nuances of each niche. It’s that, plus the broad perspective to integrate that knowledge into the grand landscape of human health—to see the forest and the trees. It’s a rare alchemy of assets: the breadth of a primary care physician, the depth of a specialist, the granularity of a laboratory scientist, and the heart of a teacher. That is Peter Attia.
Second, Outlive stands uniquely poised to do what others have not: transform healthcare. Not simply because his tactics for longevity are cutting edge and informed by the best science available—and they surely are. And not because those tactics won’t evolve as science progresses—for they surely will. No, Attia’s contribution will endure because his strategy is as timeless as it is revolutionary, and it will remain relevant as long as our objective is the extension of human health and lifespan.
Medicine 2.0, as he calls it, is the conventional paradigm, the model I learned in medical school. It served us well when infection was our greatest threat, and still does against acute disease or trauma. But today’s top killers are chronic diseases that exploit the one factor current treatment paradigms neglect: time. Heart disease, cancer, dementia, and metabolic disease mock our feeble 9th inning attempts to medicate them away after an eight-inning head start. To put more than a modest dent in their devastation, Attia argues, we must attack from the other end of the timeline, long before these diseases manifest clinically—before the game even begins. This is Medicine 3.0, and it truly is revolutionary.
To be clear, Outlive is not another sensational anti-establishment exposé on the failures, lies, and corruption of mainstream medicine. Rather, it graciously acknowledges Medicine 2.0’s success. But, noting its inadequacy against modern diseases, Attia has cleverly “back-casted” and reverse engineered a new strategy forward—and it is brilliant. If we do achieve significant improvement in human health and longevity, absent some miraculous sci-fi discovery, it will be because we followed the strategies presented in Outlive, even if its tactics are refined over time. This book is important. It’s carefully compiled, meticulously fact-checked, thoughtfully organized, and masterfully presented. It’s cutting edge, yet careful in its claims. Passionate, yet explicitly non-dogmatic. Deeply personal, yet rigorously clinical.
Speaking of personal, I must comment on the final chapter. Those of us who consider Peter superhuman may be surprised—and relieved, perhaps—to learn that he battles the same insecurities and weakness that beset the rest of us mortals. His candid account of recent struggles with emotional health is as inspiring as it is moving and provides precious layers of meaning and perspective to all that comes before it. If chapters 1 through 16 are the how, chapter 17 is the why. Whether serendipitous or providential, that his crisis manifested in time to consummate the finished project is fortuitous for us, as it changes the entire work in a compelling—and beautiful—way.
Since discovering The Drive in 2018, I’ve considered Attia’s podcast the most comprehensive and reliable resource for all things health and longevity. It changed the way I live, and how I practice medicine. Going forward, Outlive will be my primary textbook.
Thank you, Peter.
Top reviews from other countries
Die Themen drehen sich um „The Four Horsemen“, die Hauptursachen für, wie er es nennt, „Slow Death“: Herzerkrankungen, Krebs, Neurodegenerative Erkrankungen, Metabolisches Syndrom. Im Vordergrund stehen immer Vorsorgemaßnahmen.
Besonders gut hat mir die Erklärung vom Cholesterinkreislauf und den Lipoproteinen gefallen. Das macht es viel besser nachvollziehbar warum man ApoB testen sollte, und nicht LDL.
Der größte Hebel scheint Sport und Bewegung in Form von Cardio-, Kraft- und Stabilitätstraining zu sein (der sogenannte „Centenarian Decathlon“), gefolgt von Ernährung und Schlaf. Einige Übungen werden textuell beschrieben, es gibt aber auch Links zu Videos auf seiner Webseite.
Zum Beispiel wird für den Bereich Cardio folgendes Pensum vorgeschlagen: 4x45 Minuten pro Woche sollte man ein „Zone 2“ Ausdauertraining machen, wobei mit Zone 2 der Laktatbereich zwischen 1,7 und 2 gemeint ist. Einmal pro Woche sollte man im maximalen Bereich trainieren (VO2max Training): 4 Minuten hohe Intensität gefolgt von 4 Minuten leichter Intensität bis der Puls unter 100 fällt, 4 Sätze.
Stabilitätstraining ist wichtig um Verletzungen vorzubeugen, er empfiehlt das Konzept von DNS (dynamic neuromuscular stabilization) beim dem auch Atemübungen eine zentrale Rolle spielen.
Das Kapitel über Ernährung fand ich am schlechtesten, ist sicher auch das kontroverseste Thema im Buch. Warum er mindestens 1,6 g Protein pro kg pro Tag empfiehlt war für mich nicht nachvollziehbar (das ist das doppelte was Ernährungsgesellschaften als Minimum empfehlen). Er gibt auch keine konkrete Studie an, sondern schreibt nur es gibt „reichlich Evidenz“. Aber der Schlusssatz hat mir wieder gefallen: „denk nicht zu viel über Ernährung nach, geh’ lieber trainieren“.
Das letzte Kapitel dreht sich um „Emotional Health“, er schreibt über seine eigene Therapie und wie wichtig das Thema ist. Seine Erkenntnis: Longevity ist meaningless if your life sucks.


















