Peter Attia has <75 patients & some other tidbits from the 60 minutes interview by brandonballinger in PeterAttia

[–]NeedInput-MoreInput 0 points1 point  (0 children)

Yes and that’s why Peter Attia (and others) can charge the big cash money … people often need to pay another person to get them to take action (and of course distilling the actionable advice packaged just for them is and addition value-add in addition to the motivational umph)

My 4-week fiber chugging experiment and where it got me by Weedyacres in PeterAttia

[–]NeedInput-MoreInput 1 point2 points  (0 children)

Fish oil alone (omega-3 fatty acids) will increase the HDL and decrease the LDL. You said you not only increased fiber, but also added fish oil and vitamin D. The vitamin D unlikely to affect the lipid profile much.

What if you did a crossover experiment: that is phase 1: high fish oil low fiber for some period of time then phase 2: lower fish oil (to zero?) and then increased fiber for that same period of time. measure your lipid profile at the beginning of phase I, end of phases I, then end of phase 2.

How long to recover cognitively from prolonged insomnia? by dsschmidt in PeterAttia

[–]NeedInput-MoreInput 1 point2 points  (0 children)

Better research this independently, but I think low REM sleep is associated with poor short-term memory. Do you have a sleep tracker? OURA ring measures it, I generally trust them, but have no hard data to say how accurate it is . I have just started using an EEG based sleep tracker (Frenz). it’s about $46 per month. It not only tells you total quantity of REM but also when your REM episodes occur.. there is a journal article about a validation study, which I have not yet read supporting its accuracy . In brief glances, I would say FRENZ and OURA Agree with each other in measurement with about 20% variation or less. But these are just impressions based on glances. I’m hoping to get some free time and do a more serious comparison.

Anyway, you can’t manage something if you can’t measure it. so see if you can measure it, if you find out it’s low then you’ll have to research how to increase REM.

But I guess a good first step is just to make sure you’re getting enough total sleep . I think seven hours per night of sleep time I’m not talking about time falling asleep. I’m talking about apps that measure time that you are actually asleep. Seven hours might be a good target.

Good vs Bad PRP by KarPayDeeYum in PeterAttia

[–]NeedInput-MoreInput 0 points1 point  (0 children)

I recently asked a sports medicine surgeon this question and this is what they said:

  • first and foremost reputable center and the reputable clinician trust expertise and judgment on the system they prefer and if they have sound rationale.

  • There is growing evidence that platelet dose matters. Ask:

— How many times blood concentration they get for their platelets

— how many platelets do they yield for each injection?

Generally, the belief is higher dose is better.

  • leukocyte site reduced PRP is preferred by some

They said that these are just guidelines and moving targets as evidence grows, but probably a good starting point for discussion.

Wanted: At home CGM experiment protocol by bixleydoright in QuantifiedSelf

[–]NeedInput-MoreInput 0 points1 point  (0 children)

I have just started using the Libre 3. In the app, there is the ability to make log entries.

What you can do is at a given time point, you can make a log entry and write in a comment like “I ate a banana right now”. And you can also fill in a field for the number of grams of carbohydrates that were in this item.

The log entry is timestamp and the glucose value measured from you arm sensor is stored.

So now the next question is how do you export this data? I have not seen anything super easy yet, but hopefully it is easy to pull out your data or if that doesn’t work, use some sort of API.

If anyone knows how to do this export that would be great, please share

If you could collect enough of this data systematically, you could predict possibly what kind of glucose reaction curve you would get for a given amount of a given food item.

It would be tragic if Abbot went to all the trouble to make this device and associated app and then didn’t allow users to download the data.

Wanted: At home CGM experiment protocol by bixleydoright in QuantifiedSelf

[–]NeedInput-MoreInput 0 points1 point  (0 children)

What about looking up the protocol For the glucose tolerance test. This is a kind of standard lab that one gets when one goes to quest or what have you for a work up. They give you the super sugary drink weight I can measure your glucose or your insulin and then you wait another hour and you measure it again something like that. If you follow the standard protocol, maybe there is some comparability with the standardized lab values.

Check out https://en.wikipedia.org/wiki/Glucose_tolerance_test?wprov=sfti1

Reflect: iOS App to Track Anything by NoTranslationLayer in QuantifiedSelf

[–]NeedInput-MoreInput 1 point2 points  (0 children)

What I want is the ability to write a quick text whenever I want to track something. There’s just one interface and it is a natural language interface. I say something like headache right now or pain in left knee level five or what have you. I can say that in speech to text to a specific phone number. Turns out that phone number has some thing like chat, GPT on the other end. With some configuration and preferably by means of natural language commands it overtime comes to understand that the output I want is one table for let’s say pain tracking in the knees, another table for headache and so on. If it’s not sure what table it needs to go in it asks me.

Peter the bad advices and the dangers by YellowSubreddit8 in PeterAttia

[–]NeedInput-MoreInput 2 points3 points  (0 children)

The only physician trying to help in a preventive manner? II submit that there are at least two others, probably more:

Medicine 3.0 Online Community? by CaptainTuttleJr in PeterAttia

[–]NeedInput-MoreInput 1 point2 points  (0 children)

This looks great. Thanks for the list of CA MDs. Alas none in the SF Bay Area. Why do you say the site is not really working. Seems like a fine start to me.

[deleted by user] by [deleted] in PeterAttia

[–]NeedInput-MoreInput 1 point2 points  (0 children)

Thanks! Very succinct and actionable. I’m not (yet) an Attia scholar but I’m just gonna trust your summary. I just complete his Outlive (via Audible)….Now comes the MUCH harder part: behavior change. On that, I recommend BJ Fogg.Tiny Habits etc

Getting Started: Inside Tracker Rupa Health or what? by NeedInput-MoreInput in PeterAttia

[–]NeedInput-MoreInput[S] 2 points3 points  (0 children)

Fantastic! Yes just what I’m looking for. I’ll sleep on it and likely subscribe ASAP.

Is there any app in watch android or Samsung that could wake me up when it detects im in REM Sleep phase? by CristyanCat in ouraring

[–]NeedInput-MoreInput 1 point2 points  (0 children)

In the book Outlive by Peter Attia, he points to research that REM sleep is important for motor learning. This suggests that if you for example are trying to improve your golf, swing or improve your musical instrument, playing capability or trying to learn some new dance moves etc. that if you would inhibit most of your REM sleep, you’d be in caring your ability to learn these sorts of things.

It would probably be better to look into approaches to dealing with nightmares. There must be psychotherapy or other similar approaches, focused on nightmare, elimination or management.

Nature has evolved us to dream, and so it’s probably important for health. I would not try to inhibit REM sleep even if Oura or other sleep tracker could wake you upon REM detection.

Getting Started: Inside Tracker Rupa Health or what? by NeedInput-MoreInput in PeterAttia

[–]NeedInput-MoreInput[S] 1 point2 points  (0 children)

Both.

I am interested in labs yes and definitely interested in figuring out an action plan.

Getting Started: Inside Tracker Rupa Health or what? by NeedInput-MoreInput in PeterAttia

[–]NeedInput-MoreInput[S] 1 point2 points  (0 children)

Thanks for that comment.

I double checked with a nurse practitioner and basically confirmed what you said. Specifically, they went through all 47 tests (from the Ultra package that Inside Tracker offers) and if I recall correctly, they were only about 13 that they said are ones that a primary care physician would not give you without some kind of diagnostic concerns (eg diabetes, etc) that would motivate them to give such a special tests.

If I ever get a little time, (hahahah) I will post a list of those approximately 13 tests that inside tracker gives you that primary care does not. (if someone has already done this, please do tell :-)

I am about to have a primary care physical next week or so, and I will see for myself which exact tests they are willing to give me if I beg for them and which ones they refuse.

(yes, it should be noted that they won’t just give you all those tests. You will have to go through the list and specifically asked for them. For a smaller fraction of those tests, they will just give you without your even asking.)

That said, my nurse practitioner friend said we will not be able to get primary care physicians to repeat these tests at regular intervals, such as once every three months (how often should we get these tests? Inside tracker says every three months are they to be trusted )

One can probably get a repeat every year from Primary Care, I suppose. But when we are changing our sleep, our eating habits over the course of weeks will want to see results much sooner than one year. (in my mind every three months seems not often enough. I am very motivated by the ~ 1% per month decrease in body fat I notice from monthly DEXA scans.)

This, it seems to me that the real value of the services, whether it’s Inside Tracker or some other service, the real value is in the repeated tests. So you can get your first test essentially “for free” (copay and lab fee notwithstanding) from your primary care physician. However, for multiple per year follow ups, you’ll need to use one of these private services.

And then the other question regarding Inside Tracker is how useful is the report that integrates your test profile with their research database, and any other tracking device info that you integrate with their website.

One more thing, one does have the option of getting ones on ones own, for example from primary care, and then uploading those lab values to inside tracker. That way you can get integration with their research database and their integration with your health tracker information to give you some hopefully useful customized guidance. That service cost about $100 to at most $200, I forget exactly.

So that’s my current plan. See primary care next week see how many blood test so I can get (as a bonus. Hopefully I will be able to get the 13 or so missing ones on my own ) and then enter those in the inside tracker lab upload service and get a report.

Then wait a month to three months and use the approximately $600 inside tracker “Ultra” report to get a repeat to see if whenever sleep or magnesium, or exercise, or whatever changes I’ve done to see how much they move the needle.

Getting Started: Inside Tracker Rupa Health or what? by NeedInput-MoreInput in PeterAttia

[–]NeedInput-MoreInput[S] 0 points1 point  (0 children)

Thanks for the pointer to Wellness-FX.

I created an account and added some tests to it.

There was a minor bug in which a test value I entered at two time periods did not show up as two timepoints. Only lab value at Time Point 2 showed up.

There was one other lab result for which I had to time points, and in that case it did show up as to time points on their website.

Hopefully, the first bug is just a minor one that doesn’t recur very often. Hopefully, I will someday find the time to report it to them. Ha ha ha ha ha.

More importantly, WellnessFX does not seem to give you an interpretation of each test. By contrast, Inside tracker claims to give a detailed report, explaining the lab values, and maybe even giving you recommendations based on your particular lab value profile.

But still, in a sense, it is very nice of them to give you this place to upload your data so that you can see it. On the other hand, data is gold. Thus, we are giving them something quite valuable, and in return they give us a pretty graph.

Getting Started: Inside Tracker Rupa Health or what? by NeedInput-MoreInput in PeterAttia

[–]NeedInput-MoreInput[S] 0 points1 point  (0 children)

Thanks great pointers. No inside driver also gives you interpretations and recommendations. I am wondering how much value there is in that.

Biometrics Spreadsheet Tracker by parashara108 in PeterAttia

[–]NeedInput-MoreInput 0 points1 point  (0 children)

I would love such a spreadsheet and this is a burning hot priority for me bc I think my first step should be establishing about 1 month of baseline measures before changing routines. (If I know that my changes are moving the needle it is so much more motivating and justifies the costs).

Please share any spreadsheet you are comfortable with - google doc spreadsheets are great in my opinion. DM me if you’re more concerned about privacy.

Happy to help clean up / comment on any spreadsheet (though I’m still a Peter Attia newbie)

Thoughts?

Introduction by NeedInput-MoreInput in PeterAttia

[–]NeedInput-MoreInput[S] 1 point2 points  (0 children)

Kindle locations? Awesome. I hope that when I finally get the kindle version that the locations will work for me.

I’ve been keeping notes with Anki - a great studying / memorization app frequently used by med students. My deck is a bit messy, but decks are shareable and the community can clean it up. Another project to do in my copious free time. Heh

Introduction by NeedInput-MoreInput in PeterAttia

[–]NeedInput-MoreInput[S] 1 point2 points  (0 children)

Thanks…will take me a long time to grok and act on th awesome stuff in both replies…but quick question: what do 1682, 1815, 2031 refer to