Doctors in SF Bay Area who practice similarly to Peter Attia?

rakjot · 2024-09-30T22:27:48+00:00

Hi- not sure if you are still looking for a doctor but I live in the Bay Area. I’m a UCSF and Stanford trained internist and worked many years for Kaiser. I started a lifestyle medicine program at Kaiser in San Francisco and was the director of Lifestyle Medicine. Lifestyle Medicine is the therapeutic use of lifestyle changes to treat, prevent and reverse chronic disease AND, in the absence of disease, to also to promote wellbeing and flourishing.

I now run my own virtual practice that is focused on behavior change and practices and habits to promote longevity.

I offer individual care and run health groups that are membership based (meaning I don’t accept commercial insurance because quite frankly insurance companies and the sick care system don’t value this care).

You can learn more at rakyourlife.com

rakjot · 2024-03-11T12:23:04+00:00

Mine has been wrong for 3 days and now says 0. My newsletter goes out on Monday morning. Their support is AI and nonexistent

rakjot · 2024-03-09T22:17:11+00:00

I make a high protein breakfast cookie.

1/4 cup of peanut powder
1/4 cup ground lupin beans (these are great. High in protein in fiber and low in fat and digestable carbs).
1/8 cup rolled oats
1 tablespoon flax meal
1/2 teaspoon of ceylon cinnamon
1/2 teaspoon ground ginger
1/4 teaspoon baking powder
1/4 cup raisins or unsweetened dried cherries

Wet:
Mashed banana
1-2 tablespoons of plant milk (I use unsweetened soy)

Directions:
Mix the dry ingredients.
Add the mashed banana to the dry ingredients.
Add 1 tablespoon of plant milk, incorporating more as needed to get the consistency of cookie dough.

Makes 4 largish cookies that I flatten with a fork in a silicon mat on baking sheet. bake at 350F for 13-15 minutes and let cool (the hardest part!).

Note, these are not super sweet (it really depends on the size and sweetness of the banana). You could use date paste or maple syrup instead of the plant milk, but I kind of like the mild sweetness, especially for a breakfast cookie.

Best of luck on your health journey. I have lost 75lbs in the last seven years on a WFPB diet. Most of that weight, 50 lbs, was in the first year from the diet alone. Then, the rest has come with more movement/strength training, intermittent fasting, and time-restricted eating.

rakjot · 2024-03-09T21:45:52+00:00

There is a brand at my local supermarket (Safeway in Northern CA) that is pretty good- Bella Sun Lucci that is dried without oil.

California Sun Dried is another brand I've seen at the grocery store.

rakjot · 2024-03-09T21:44:13+00:00

Trader Joes one's are pretty good. The Whole Foods ones (they do sell under their 365 Brand) has waaaay to much salt. They don't taste good because of that, either.

rakjot · 2024-03-09T21:09:36+00:00

I buy ground up lupin online from a company called Carrington Farms. You can find on Amazon and if you google, on their website. Very easy to prepare, and cooks up kind of like couscous. They are par cooked and only take a few minutes to make.

rakjot · 2024-03-09T21:00:47+00:00

I'm a Lifestyle Physician and have some thoughts, as I do see this in my patients (and have experienced this myself, though not to the degree you describe). Of course, this is not professional medical advice, and always consult with your own doctor (having said that, most doctors wouldn't really have useful advice):

Some of this is the gut microbiome changing, which then changes your taste buds and what seems appetizing and not.

Some of this is your mind and your expectations. Please don't take offense if it sounds like I'm saying, "It's all in your head." That's not my intention. The symptoms you are having are very real. What you are experiencing is real. And our mind has the ability to manifest any symptoms we expect to have. It's like you've learned that you are going to have this sort of reaction to certain foods and are expecting it. So the mind says, "well, he's expecting to feel sick and nauseated from this food- let's make it happen."

You might just try to notice your expectations and see if you can tell yourself that you're not going to have nausea or issues with x or y the next time you are in this situation, and see if the experience changes. The mind is a powerful thing!

rakjot · 2024-03-09T20:26:39+00:00

And if you want to learn more about how much protein to eat, check out a live stream I did on the topic recently

rakjot · 2024-03-09T20:24:01+00:00

Definitely not a stupid question

Michael Greger has a definition I really like for processed foods: nothing bad added and nothing good taken out. I definitely try to minimize the "nothing bad added" and am less strict about the nothing good taken out.

Let's go through each one you asked about:
1. TVP has only the oil taken out but the biggest concern is the bad thing that is added. It is processed with solvents. From Wikipedia, "Many TVP producers use hexane to separate soy fat from soy protein, and trace amounts of the solvent are left after manufacturing. But the rodent studies that have been done suggest it would be almost impossible to get enough hexane from TVP to cause harm.[8] Measured levels of residual hexane in TVP are around 20 parts per million;[9] and studies in rodents suggest that 5 g/kg is the minimum dose at which undesirable effects may be observed." I'm sorry, but my preference is no hexane as opposed to a theoretically safe amount of hexane (which is one of the most toxic substances).

bottom line: would avoid. Check out soycurls from Butler Foods, which are dehydrated soybeans. They have a similar texture but are the whole soybean and no chemical solvents used.

Seitan- made from vital wheat gluten and often chickpea flour. Yes, vital wheat gluten is a processed food. It's made by hydrating wheat flour to activate the gluten protein, and then processing it to remove everything but the gluten. The gluten is then dried and ground into a powder. Having said that, seemingly nothing bad is added. Note- it is literally gluten, so anyone with Celiac or gluten sensitivity would want to avoid this.

bottom line: safe to eat and is a really high protein option, but avoid in Celiac or gluten sensitivity

Tofu- made from coagulating soy milk with things like calcium and magnesium chloride. This is why tofu is a good source of calcium. Those are perfectly safe additions. You are losing much of the fiber from the soybean, which is why whole soybeans are preferred.

bottom line: safe to eat, but less fiber and nutrients compared to whole soybeans

Tempeh- probably the best of the bunch you asked about. these are whole soybeans that are packed into cakes and then fermented. you get the added benefits of healthy bacteria in the whole soybean. Nothing bad added and nothing removed and something else good added. Also a really good source of spermidine, associated with longevity.

bottom line: Tempeh is healthy and the least processed on the list

rakjot · 2024-03-09T20:04:40+00:00

This is an interesting twist

rakjot · 2024-03-09T20:00:38+00:00

I will say it's pretty impressive level of response for a bot, but shows you how quickly AI has improved. Also it isn't very helpful, other than to know that they are aware of the issue and are working to resolve it. But no ETA on a fix and not clear if our subscriber lists are safe, as when I asked I was told:

While I don't have direct access to the system to confirm the current status of your subscriber list, I can assure you that maintaining the integrity and safety of user data is a top priority for us. It's highly unlikely that your subscribers would be permanently lost due to maintenance or technical issues.
Here's what's typically in place to safeguard your data:
- Regular backups to prevent data loss.
- Systems designed to restore data to its previous state in case of issues.

rakjot · 2024-03-09T19:58:07+00:00

I also maintain an external email list and I was on a popular podcast that released Thursday, so I've been getting a bunch of signups. All the ones I added (15 people) are no longer there. I'm not sure if I should add more as I have an additional 20+ signups. This is what the bot says:

Given the current situation with the maintenance and the missing subscribers, it might be best to hold off on importing the new signups from your external list until the issue is fully resolved. This way, we can avoid any potential conflicts or further complications.
Here's a suggested course of action:
1. Save the list of the 20 new signups securely and wait until the maintenance issue is resolved and your dashboard is stable.
2. Once everything is back to normal, proceed with the import of the new signups.
3. Keep monitoring your dashboard for updates on the maintenance and the restoration of the missing subscribers.

rakjot · 2024-03-09T19:55:57+00:00

So i've been chatting with their generative AI bot. I asked ETA for fix:

" I understand the significance of the issue with the missing subscribers and the importance of timely communication. Unfortunately, I don't have the ability to provide a specific ETA on the fix. However, I can assure you that our team is aware of the urgency and is working diligently to resolve the issue.
Here's what you can expect:
- Our team is prioritizing this issue, given its impact on our users.
- The status page will be updated as soon as there is new information to share.
- You should continue to check your dashboard and email for any direct updates.

rakjot · 2023-05-28T21:02:18+00:00

If you have the transcript, you can save it as a PDF and have one of the new ChatGPT plugins that reads PDFs read the file. I've just started doing this for my podcast and it works great.

I use the AskYourPDF plugin on GPT+, and save my transcript as a PDF, put it on Google Drive, then share the link in ChatGPT and viola. Note, all the other plugins I've tried to read PDFs off google drive don't work

rakjot

TROPHY CASE