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Episode #211 – AMA #36: Fruits & Vegetables – Everything You Need To Know | The Drive with Peter Attia

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Key Takeaways

  • “Don’t confuse the optimal diet for you in a state of health with the optimal diet for you in a state of sickness that’s trying to restore your health.” – Dr. Peter Attia
  • Diet is highly individualized: the reality is we really can’t say that fruit and vegetables themselves are objectively and inherently healthy
  • Metabolic syndrome is when you have three or more of the following: (1) truncal obesity; (2) high blood pressure; (3) high fasting glucose; (4) high fasting triglycerides; (5) low HDL cholesterol

Introduction

In this special “Ask Me Anything” episode of The Drive, Peter Attia sits down with a member of his team to take a deep dive into fruits and vegetables – assessing value, the difference between eating and drinking them, strategy for use as part of nutrition plan, and much more. Note, that this is only a preview. The full episode is only available to subscribers. For full episode, subscribe here.

Host: Peter Attia (@PeterAttiaMD)

Complexities Around Nutrition

  • The reality is we really can’t say that fruit and vegetables themselves are objectively and inherently healthy
  • The obvious – too much is bad, too little is bad, and certain micro and macronutrients are essential
  • The uniqueness of tribalism around nutrition: “We all have expertise in nutrition, albeit not scientific, not necessarily broadly applicable, not necessarily nuanced but there’s no one on this planet that doesn’t expertise of some sort on this thing because we all do it every single day.” – Dr. Peter Attia
  • We rely on epidemiology for nutrition information: it’s hard to infer hard outcomes we care about with nutrition because of the challenges around designing a clinical trial with enough participants, long enough duration, adherence, and significant enough follow-up in relation to disease outcomes
  • Nutrition is variable and personal depending on metabolic health, goals, the current state of health, etc.

What We Know With Certainty

  • Fructose and ethanol will make a sick liver worse (i.e., if you have diabetes and non-alcoholic fatty liver disease, you should probably restrict fruit until things are under control)
  • Metabolic syndrome is when you have three or more of the following: (1) truncal obesity; (2) high blood pressure; (3) high fasting glucose; (4) high fasting triglycerides; (5) low HDL cholesterol
  • Factors of metabolic health: absence or presence of metabolic syndrome plus the function of mitochondria (for example using zone 2 test)

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Notes By Maryann

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