Outlive by Peter Attia, MD & Bill Gifford Book Summary

#1 NEW YORK TIMES BESTSELLER • A groundbreaking manifesto on living better and longer that challenges the conventional medical thinking on aging and reveals a new approach to preventing chronic disease and extending long-term health, from a visionary physician and leading longevity expert
“One of the most important books you’ll ever read.”—Steven D. Levitt, New York Times bestselling author of Freakonomics
Wouldn’t you like to live longer? And better? In this operating manual for longevity, Dr. Peter Attia draws on the latest science to deliver innovative nutritional interventions, techniques for optimizing exercise and sleep, and tools for addressing emotional and mental health.
For all its successes, mainstream medicine has failed to make much progress against the diseases of aging that kill most people: heart disease, cancer, Alzheimer’s disease, and type 2 diabetes. Too often, it intervenes with treatments too late to help, prolonging lifespan at the expense of healthspan, or quality of life. Dr. Attia believes we must replace this outdated framework with a personalized, proactive strategy for longevity, one where we take action now, rather than waiting.
This is not “biohacking,” it’s science: a well-founded strategic and tactical approach to extending lifespan while also improving our physical, cognitive, and emotional health. Dr. Attia’s aim is less to tell you what to do and more to help you learn how to think about long-term health, in order to create the best plan for you as an individual. In Outlive, readers will discover:
• Why the cholesterol test at your annual physical doesn’t tell you enough about your actual risk of dying from a heart attack.
• That you may already suffer from an extremely common yet underdiagnosed liver condition that could be a precursor to the chronic diseases of aging.
• Why exercise is the most potent pro-longevity “drug”—and how to begin training for the “Centenarian Decathlon.”
• Why you should forget about diets, and focus instead on nutritional biochemistry, using technology and data to personalize your eating pattern.
• Why striving for physical health and longevity, but ignoring emotional health, could be the ultimate curse of all.
Aging and longevity are far more malleable than we think; our fate is not set in stone. With the right roadmap, you can plot a different path for your life, one that lets you outlive your genes to make each decade better than the one before.

Outlive by Peter Attia, MD & Bill Gifford Book Reviews

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Bloody good work Peter. You should be proud for writing this book. You curated a masterpiece and I loved it. Looking forward to the next one when you have finally outlived.

It gave me a new perspective on what needs to be done to improve not only my physical health but most important my emotional health!

Interesting insights from someone I’ve been following since he appeared on TED. I continue to listen and read him regularly because he is evolving and not afraid to adjust his beliefs accordingly. I always loved how Dr Attia communicates ideas, clearly and concisely. This book was no different.

This books ties together so many things and give one a greater understanding on how to live a longer more quality life. Thanks Dr. Peter Attia!

Loved this book! I have been reading, researching and listening to blogs about nutrition for six years. So much of this book has helped me understand and has made so much information I have accumulated now make sense to me! Thank you, Dr. Attia…loved your informative podcasts in the past, but this book hit a HOME RUN! Truly appreciate your great presentation of the science as I journey my own path in life!

Comprehensive, well researched, and eye-opening!

Dr Attia has applied risk analysis and an extraordinary synthesis of cutting edge science to the current practice of medicine, creating medicine 3.0, a new personalized approach for optimizing our health span and longevity. This is the blue print that every primary care physician and frankly all of us should follow, to live the healthiest life possible. A masterpiece.

The one book I will read ever year!!


This book was extremely boring. Nothing new or insightful. I don’t recommend.

This book is painfully long, has not as much practical advice as I was hoping, way too many “let’s talk about me” moments, and oftentimes it feels the author is just using more complicated-sounding names of things to sound disruptive and cool.

In Outlive, Peter Attia presents, without hyperbole, an ambitious yet actionable and evidence-informed strategy to dramatically minimize the risk and burden of the chronic diseases that rob us of vitality as we age and ultimately end our lives. Amidst a vast wasteland of books on health, is this one any different? In a word, very. There are two reasons why. First, Attia’s knowledge base is unparalleled. He graciously attributes this to the all-star line-up of experts in cardiology, lipidology, oncology, neurology, psychiatry, endocrinology, biochemistry, nutrition, exercise physiology, etc. who’ve tutored him over the years, and whose expertise is shared generously on his podcast. The depth of his dives with them and his fluency in each specialty are extraordinary. But Peter’s superpower is not simply the intellect to master the nuances of each niche. It’s that, plus the broad perspective to integrate that knowledge into the grand landscape of human health—to see the forest and the trees. It’s a rare alchemy of assets: the breadth of a primary care physician, the depth of a specialist, the granularity of a laboratory scientist, and the heart of a teacher. That is Peter Attia. Second, Outlive stands uniquely poised to do what others have not: transform healthcare. Not simply because his tactics for longevity are cutting edge and informed by the best science available—and they surely are. And not because those tactics won’t evolve as science progresses—for they surely will. No, Attia’s contribution will endure because his strategy is as timeless as it is revolutionary, and it will remain relevant as long as our objective is the extension of human health and lifespan. Medicine 2.0, as he calls it, is the conventional paradigm, the model I learned in medical school. It served us well when infection was our greatest threat, and still does against acute disease or trauma. But today’s top killers are chronic diseases that exploit the one factor current treatment paradigms neglect: time. Heart disease, cancer, dementia, and metabolic disease mock our feeble 9th inning attempts to medicate them away after an eight-inning head start. To put more than a modest dent in their devastation, Attia argues, we must attack from the other end of the timeline, long before these diseases manifest clinically—before the game even begins. This is Medicine 3.0, and it truly is revolutionary. To be clear, Outlive is not another sensational anti-establishment exposé on the failures, lies, and corruption of mainstream medicine. Rather, it graciously acknowledges Medicine 2.0’s success. But, noting its inadequacy against modern diseases, Attia has cleverly “back-casted” and reverse engineered a new strategy forward—and it is brilliant. If we do achieve significant improvement in human health and longevity, absent some miraculous sci-fi discovery, it will be because we followed the strategies presented in Outlive, even if its tactics are refined over time. This book is important. It’s carefully compiled, meticulously fact-checked, thoughtfully organized, and masterfully presented. It’s cutting edge, yet careful in its claims. Passionate, yet explicitly non-dogmatic. Deeply personal, yet rigorously clinical. Speaking of personal, I must comment on the final chapter. Those of us who consider Peter superhuman may be surprised—and relieved, perhaps—to learn that he battles the same insecurities and weakness that beset the rest of us mortals. His candid account of recent struggles with emotional health is as inspiring as it is moving and provides precious layers of meaning and perspective to all that comes before it. If chapters 1 through 16 are the how, chapter 17 is the why. Whether serendipitous or providential, that his crisis manifested in time to consummate the finished project is fortuitous for us, as it changes the entire work in a compelling—and beautiful—way. Since discovering The Drive in 2018, I’ve considered Attia’s podcast the most comprehensive and reliable resource for all things health and longevity. It changed the way I live, and how I practice medicine. Going forward, Outlive will be my primary textbook. Thank you, Peter.

I would not have expected this genre of book to be a page turner, but it was!

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Peter Attia, MD & Bill Gifford - Outlive Comments

About Peter Attia, MD & Bill Gifford Wiki

Peter Attia (born 1973) is a Canadian-American physician. He is the author of the book Outlive: The Science & Art of Longevity (with Bill Gifford), which, according to The New York Times Magazine, "has been a runaway best seller since it was published this spring [of 2023]."After medical school, Attia worked at Johns Hopkins Hospital in Baltimore, Maryland. Later, Attia joined the consulting firm McKinsey & Company. Attia co-founded Nutrition Science Initiative (NuSI) with Gary Taubes in 2012. He was one of the speakers at TEDMED 2013.Attia was the 120th person to swim across the channel between Santa Catalina Island and Los Angeles. References .

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