#note/sourcereview/book| #source/book📚/nonfiction ## What is the thesis? _If our OBJECTIVE is living well for as long as possible, we need STRATEGIES based in science and then specific TACTICS in the domains of Fitness, Nutrition, Sleep, and Emotional Health you can extend your "healthspan," the time that you are not just alive but thriving and strong and living the way you want._ - Medicine 2.0 (current allopathic mainstream medicine) finds problems late and tries to solve them after they have already taken hold. Medicine 2.0 is fairly poor at fixing most of the "4-horsemen: dementia (neurodegenerative disease), cancer, cardiovascular disease, and metabolic disorders (type 2 DM)." - Medicine 3.0 takes a multi-decade and individualized view focusing on reducing risk through modifiable risk factors to give individuals the longest healthspan ## Am I convinced and why? _Overall, OBJECTIVES STRATEGIES and TACTICS represent multi-scale planning, which is a a great way to implement a plan. If it's [[Forming Habits]] or [[Design my life to live]], these multi-scale planning approaches are really helpful because you don't end up just doing things, you do things in a direction for a reason._ What I am convinced about is the role of everyday exercise, temperance in eating, social connections, and working towards sleep as something to cultivate. The good news is, all of these things can be done while still having an enjoyable day, and while not spending any money or going to see Dr. Peter Attia, Inc. What I'm **NOT** convinced about exists in three main domains: - The major confounders in all wellness research is the impact of confounders, from starting health, to wealth, to culture, there is a reductionism in the domain that worries me. Is it the beta-carotene or the carrot or the fresh air? - Peter Attia, MD Incorporated etc. is the owner of an organization that nominally is interested in longetivity, by the nature the advising has to be more interventionalist then I favor. Especially when it comes to advising testing and nutritional supplementation, his clients are going to _feel like they are getting their money's worth if he does things_. The apple doesn't scream how healthy it is. As a non-interventionalist by nature, my favorite line in the book is at the end of the nutrition chapter: “I have one final piece of advice. Stop overthinking nutrition so much. Put the book down. Go outside and exercise.” - The biggest challenge I have is that it appears to me his view of what is achievable is likely biased by who his clients are. This book and his practice likely perpetuate rather than undermines the biggest biases in our society. I wish the Epilogue was the beginning. The sale of the book is paraphrased by giving the reader a sense of control "You can do things that help you live longer and better." The epilogue gives the book meaning: “What I eventually realized, after this long and very painful journey, is that longevity is meaningless if your life sucks. Or if your relationships suck.” - He acknowledges running away from dying, as opposed to running towards living, in fact, he was avoiding living with a focus on living longer: ironic, huh? ## Summarize the argument - It's never too late to start making strides for wellness. You _may_ be able to live a long and healthy life, but you need to be intentional. ## What is the other side of the argument? **Who, in America in 2023 has access to the private longetivity clinic doctor? Is this type of work just entrenching bias in our society, creating a greater gap between those with wealth-related wellness and those who have few choices, who live in food deserts, heat islands, and lack access to safe, clean, green spaces, quiet and dark nights, comfortable and healthy foods and friends. This is perhaps my biggest problem with this book, it seeks to improve things _for the individual_ instead of the society. I guess this is all one can expect, and it's not a bad thing, just a significant limitation. Maybe my problem is that the people in our society who need the help the most are least likely to benefit from his programs and thinking.** ## What else do I wonder about? _What are the things I do that seem like action but are actually avoidance?_ _What is the balance between striving for something in the future and living now?_ ## Action [[2023 Annual review]] - add the above question Focus on daily review of sleep quality and mid-sleep HRV, look for trends. Two I have already seen are alcohol after 5 pm or domestic disagreements after dinner really play havoc on my HRV. ## When do I want to stumble across this? #on/wellness | #on/life | #on/plan ## Source: Attia, P., & Gifford, B. (2023). _Outlive: The science & art of longevity_ (First edition). Harmony. ## References, Quotes, Ideas ![[🐓 Idea Farm/Deadfall/For myself only/Readwise/Books/Outlive|Outlive]] ```dataview table file.mtime.year + "-" + file.mtime.month + "-" + file.mtime.day as Modified from [[ ]] and !outgoing([[ ]]) sort file.mtime desc ```