Longevity: Dr. Peter Attia

Dr. Peter Attia, author of Outlive: The Science and Art of Longevity, has one central conclusion on longevity:

Living longer isn’t just about lifespan—it’s about healthspan.
The goal is not merely to avoid death, but to live vibrantly for as long as possible.

Here’s his longevity philosophy, distilled like a potent serum:


Dr. Attia’s Core Longevity Framework

1. Medicine 3.0 – The New Paradigm

Traditional medicine (Medicine 2.0) focuses on treating disease once it appears.
Attia advocates for Medicine 3.0: proactive, personalized, preventive care based on data, early intervention, and long-term strategy.


Four Horsemen of Death (that need early attention)

Attia targets the major causes of chronic death:

  • Atherosclerosis (heart disease & stroke)

  • Cancer

  • Neurodegenerative disease (like Alzheimer’s)

  • Type 2 Diabetes / Metabolic dysfunction

He argues most people die too soon because these aren't addressed early or precisely enough.


His Longevity Prescription: The 5 Pillars

Pillar Why It Matters Dr. Attia’s Advice
1. Nutrition Core to metabolic health Low sugar/carbs, low insulin load, high protein. Fasting optional but not magical.
2. Exercise “The single most potent longevity drug” Prioritize strength, stability, aerobic & VO₂ max
3. Sleep Essential for brain & metabolic recovery Optimize circadian rhythm. Track, test, protect.
4. Emotional Health Often overlooked, deeply impactful Therapy, meditation, purpose, relationships
5. Medical Testing Be proactive, not reactive Use blood panels, CAC scans, Dexa, VO₂ tests—early and often

Key Takeaways from Outlive

  • Your healthspan can outpace your chronological age. Start training for your 80s and 90s now.

  • Muscle mass and VO₂ max are two best predictors of longevity and late-life independence.

  • Metabolic health (insulin resistance especially) is central to delaying all chronic diseases.

  • Standard medical care isn’t enough. You need custom biomarkers, scans, and strategies before disease shows up.

His Signature Quote:

“The goal is not to live forever. The goal is to die young—as late as possible.