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The Peter Attia Drive

The Peter Attia Drive

Von: Peter Attia MD
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The Peter Attia Drive will feature guests and experts that will offer advice and insight to help you optimize performance, health, longevity, critical thinking, and life. It's hosted by Stanford M.D., TED speaker, and longevity expert Dr. Peter Attia, founder of Attia Medical, PC, a medical practice with offices in San Diego and New York City.Copyright © Peter Attia, MD Fitness, Diät & Ernährung Gymnastik & Fitness Hygiene & gesundes Leben
  • #378 ‒ Women's health and performance: how training, nutrition, and hormones interact across life stages | Abbie Smith-Ryan, Ph.D.
    Jan 5 2026
    View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Abbie Smith-Ryan is a leading researcher in exercise physiology whose work focuses on how training and nutrition influence body composition, metabolism, cardiovascular health, and women's health across the lifespan, with particular attention on perimenopause and post-menopause. In this episode, Abbie explains how early exercise and play help build the foundation for bone health, muscle development, and cardiorespiratory fitness in girls, as well as how puberty and menstruation shape athletic performance, motivation, and recovery. She also explores how women can tailor training and nutrition across the menstrual cycle through smart fueling, hydration, and inflammation management; examines the evidence behind supplements such as creatine, omega-3s, and magnesium; and unpacks the metabolic and body composition changes that accompany the transition into perimenopause and menopause. Finally, she covers practical exercise programming for busy women, training and nutrition considerations during pregnancy and postpartum, and the evolving role of hormone therapy alongside lifestyle-based, evidence-driven approaches that help women better advocate for their health. We discuss: Abbie's background in distance running and her interest in studying women's health around exercise [3:00];The role of early-life exercise in building lifelong bone, muscle, and cardiovascular health in girls [4:00];Training principles for premenstrual girls, the risks of early specialization and delayed puberty from intense training, and how youth sport participation can shape bone and spinal health [7:15];Nutrition as fuel in young female athletes: supporting training, growth, and performance [11:00];Training and recovery across the menstrual cycle: recovery, nutrition, supplements, and practical strategies for performance support [16:00];The benefits of creatine supplementation and importance of protein intake across the menstrual cycle [27:15];How women should approach training intensity and volume across the menstrual cycle [33:00];How to identify and monitor the perimenopausal transition and why this phase represents a critical window for exercise and nutrition interventions [37:15];Case study: time-efficient exercise program for a busy, perimenopausal woman [42:00];Why improving body composition is a better goal than weight loss, and how to set realistic fat-loss targets in midlife women [53:30];How to preserve muscle and bone while using GLP-1 medications: resistance training, protein intake, and more [58:15];Designing a three-hour-per-week training plan for sustainable body recomposition [1:03:30];Abbie's insights from her 20+ years of self-tracking: nutrient timing, injury prevention, excessive training, bone health, and more [1:07:15];How pregnancy and the postpartum period affect body composition, and how consistent exercise and intentional nutrition can prevent a permanent shift in body fat or muscle mass [1:13:30];Changes in muscle quality and metabolic flexibility during perimenopause and menopause, and how exercise may counteract hormonally driven sarcopenia [1:21:45];The biggest open questions about women's health: combining menopause hormone therapy with exercise, GLP-1 drugs, minimizing injury risk, and more [1:32:00];How the training response differs between men and women, and the importance of type IIa muscle fibers [1:39:15];Training advice for the hypothetical 70-year-old woman who has never exercised deliberately [1:47:00];Misinformation about exercise and nutrition for women, injury risk, supplement hype, and the need for more nuanced messaging around hormones, recovery, and midlife training [1:53:30];Benefits of hormone therapy in midlife women and its interaction with exercise and lifestyle interventions [2:00:15];Peter's overall take on how women should approach exercise volume and intensity at various life phases and time constraints [2:03:00]; andMore. Connect With Peter on Twitter, Instagram, Facebook and YouTube
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    2 Std. und 12 Min.
  • Building & Changing Habits | James Clear (#183 rebroadcast)
    Dec 29 2025

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    James Clear is the author of the New York Times bestseller Atomic Habits. His extensive research into human behavior has helped him identify key components of habit formation and develop the "Four Laws of Behavioral Change." In this episode, James provides insights into how both good and bad habits are formed, including the influence of genetics, environment, social circles, and more. He points to changes one can make to cultivate more perseverance and discipline and describes the profound impact habits can have when tying them into one's self-identity. Finally, James breaks down his "Four Laws of Behavioral Change" and how to use them to create new habits, undo bad habits, and make meaningful changes in one's life.

    We discuss:

    • Why James became deeply interested in habits [1:45];
    • Viewing habits through an evolutionary lens [6:00];
    • The power of immediate feedback for behavior change, and why we tend to repeat bad habits [9:15];
    • The role of genetics and innate predispositions in determining one's work ethic and success in a given discipline [14:30];
    • How finding one's passion can cultivate perseverance and discipline [23:15];
    • Advantages of creating systems and not just setting goals [29:15];
    • The power of habits combined with self-identity to induce change [36:30];
    • How a big environmental change or life event can bring on radical behavioral change [50:30];
    • The influence of one's social environment on their habits [54:15];
    • How and why habits are formed [1:00:30];
    • How to make or break a habit with the "Four Laws of Behavior Change" [1:09:30];
    • Practical tips for successful behavioral change—the best strategies when starting out [1:16:15];
    • Self-forgiveness and getting back on track immediately after slipping up [1:30:30];
    • Law #1: Make it obvious—Strategies for identifying and creating cues to make and break habits [1:39:45];
    • Law #2: Make it attractive—examples of ways to make a new behavior more attractive [1:47:45];
    • Law #3: Make it easy—the 2-minute rule [1:58:45];
    • Law #4: Make it satisfying—rewards and reinforcement [2:03:30];
    • Advice for helping others to make behavioral changes [2:06:00];
    • More.

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    2 Std. und 20 Min.
  • #377 ‒ Special episode: Understanding true happiness and the tools to cultivate a meaningful life—insights from past interviews with Arthur Brooks
    Dec 22 2025

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    In this special episode of The Drive, Peter presents a curated "best of" conversation with bestselling author and previous guest Arthur Brooks, organized around four core themes: happiness itself, the forces that undermine it, the tools and practices that help cultivate it, and the courage required to live and love well. The episode brings together the most meaningful moments from two past interviews into a single, focused discussion that distills Brooks' most insightful ideas and offers practical takeaways for building a life that's both successful and deeply happy.

    We discuss:

    • Happiness vs. happy feelings, and how happiness and unhappiness can coexist [2:15];
    • The six fundamental emotions [5:30];
    • The three main "macronutrients" of happiness [15:00];
    • Enjoyment: one of the three macronutrients of happiness [22:45];
    • Satisfaction: one of the three macronutrients of happiness [30:45];
    • Sense of purpose: one of the three macronutrients of happiness [38:45];
    • Fame: one of the traps that hijack our happiness [46:30];
    • Success addiction, workaholism, and their detriment to happiness [49:15];
    • The reverse bucket list: one of Arthur's tools and practices he recommends for moving past the traps that hijack our happiness [59:15];
    • Metacognition: one of Arthur's tools and practices he recommends for moving past the traps that hijack our happiness [1:01:00];
    • Taking charge of your happiness: discipline, transcendent experiences, and other deliberate actions for "happier-ness" [1:11:30];
    • Tracking happiness: the biomarkers and micronutrients behind the macronutrients of happiness [1:22:45];
    • The value of minimizing the self and looking outward [1:30:45];
    • How Arthur surprised himself with his ability to improve his happiness [1:34:45]; and
    • More.

    Connect With Peter on Twitter, Instagram, Facebook and YouTube

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    1 Std. und 40 Min.
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