← The Peter Attia Drive

#50 - AMA #5: calcium scores, centenarian olympics, exercise, muscle glycogen, keto, and more

Apr 22, 2019 11m 56s 13 insights
<p>In this "Ask Me Anything" (AMA) episode, Peter answers a wide range of questions from readers and podcast listeners. Bob Kaplan, Peter's head of research, asks the questions. If you're listening on a podcast player, you'll be able to hear a preview of the AMA.</p> <p>If you're a subscriber, you can watch or listen to this full episode on our website at the AMA #5 show note's page.</p> <p><strong>PLEASE NOTE: </strong>We are currently building a private RSS feed that will allow subscribers to listen uninterrupted on the podcast player of their choice. This will be released shortly.</p> <p>Questions are pulled from the AMA section on the website (<a href="https://peterattiamd.com/ask-me-anything/" rel="noopener" target="_blank">peterattiamd.com</a>). Any subscriber is welcome to submit questions.</p> <p>We discuss:</p> <ul> <li>Coronary calcium score: what it means and how to interpret your results [<a href="">1:15</a>];</li> <li>How to train for the "centenarian olympics" [<a href="">18:00</a>];</li> <li>Explaining the blood glucose response to various types of exercise [35:30];</li> <li>The Tabata protocol [43:15];</li> <li>Exercising on a ketogenic (or low-carb) diet: performance, muscle glycogen, adaptation, and more [49:30];</li> <li>The work of Dr. Gabor Maté and its impact on Peter [54:15];</li> <li>What's the best book you've read in the past year? [55:45];</li> <li>What is "pattycakes?" [59:00];</li> <li>What is the latest and greatest of egg boxing [59:30]; and</li> <li>More.</li> </ul> <p><span style="white-space: pre-wrap;">Learn more at <a href="http://www.peterattiamd.com/">www.PeterAttiaMD.com</a><br /> Connect with Peter on <a href="Facebook.com/PeterAttiaMD">Facebook</a> | <a href="Twitter.com/PeterAttiaMD">Twitter</a> | <a href="Instagram.com/PeterAttiaMD">Instagram</a>.<br /></span></p>
Actionable Insights

1. Aggressively Manage Non-Zero CAC

If your coronary artery calcium (CAC) score is anything other than zero, it indicates advanced lesion and repair, serving as a marker of risk that suggests you need to be more aggressive in managing your case.

2. Don’t Misinterpret Zero CAC

Do not assume a zero coronary artery calcium (CAC) score means you are ‘scot-free’ from coronary events, as this is categorically untrue and can lead to complacency, given that plenty of soft plaque can exist without calcification.

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