The Peter Attia Drive

#364 – AMA #75: Diets: how to evaluate and implement any diet including keto, carnivore, vegan, Mediterranean, and more


Listen Later

View the Show Notes Page for This Episode

Become a Member to Receive Exclusive Content

Sign Up to Receive Peter's Weekly Newsletter

In this "Ask Me Anything" (AMA) episode, Peter explores how to determine the right diet for yourself rather than searching for a universal "best" diet. He begins by laying out five non-negotiable criteria that any sustainable eating pattern must meet—energy balance, metabolic health, adequate protein, micronutrient sufficiency, and long-term adherence—before introducing a practical rubric for evaluating different diets. Using this framework, Peter walks through the ketogenic, carnivore, vegan, and Mediterranean diets, highlighting their strengths, ideal candidates for each, and common pitfalls such as micronutrient gaps or adherence challenges. He explains why this guidance is aimed at people who feel overwhelmed by diet choices, not zealots defending a single approach, and provides practical advice on using tools like DEXA scans, lab markers, continuous glucose monitors, and symptom tracking to assess whether a diet is truly working.

If you're not a subscriber and are listening on a podcast player, you'll only be able to hear a preview of the AMA. If you're a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #75 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • Peter's family chess battle [3:00];
  • Framing the diet discussion: moving past tribalism to practical frameworks for evaluating various dietary strategies [5:00];
  • Peter's high-level nutrition framework [11:00];
  • Why diet is such a uniquely polarizing subject [14:15];
  • The five non-negotiables that apply to any diet [17:45];
  • How to think about energy balance in the context of evaluating a specific diet [20:15];
  • How diet can address metabolic health [21:45];
  • Protein as a dietary foundation [23:30];
  • Micronutrient essentials: avoiding deficiencies in restrictive and processed diets [24:45];
  • Why adherence and sustainability are essential for diet success [27:15];
  • Examining the standard American diet through the five non-negotiables [31:00];
  • The evaluation framework for specific diets [33:30];
  • The ketogenic diet: defining ketosis, clinical origins, modern uses, and potential health benefits [35:00];
  • The main strengths and weaknesses of the ketogenic diet [43:00];
  • How to avoid micronutrient deficiencies while on a ketogenic diet [47:15];
  • Electrolytes and fiber and the ketogenic diet: preventing magnesium loss and maintaining digestive health [49:15];
  • Adherence challenges of the ketogenic diet [51:30];
  • The carnivore diet: definition, motivations, anecdotal benefits, and possible mechanisms [53:15];
  • The main strengths and weaknesses of the carnivore diet [57:30];
  • Plant exclusion on the carnivore diet: nutrient gaps, gut changes, and unanswered questions [1:03:15];
  • Adherence challenges of the carnivore diet [1:04:45];
  • The vegan diet: definition, core beliefs, and various motivations for this strategy [1:05:45];
  • The main strengths and weaknesses of the vegan diet [1:09:15];
  • Adherence to the vegan diet: social acceptance, edge cases, and personal sustainability [1:13:15];
  • The Mediterranean diet: definitional challenges, traditional patterns, and its relatively strong evidence base [1:15:15];
  • Limitations of the Mediterranean diet: loose definitions and indulgence risks [1:19:30];
  • Measuring diet success: why setting clear goals and tracking outcomes matter [1:21:00];
  • Tracking body composition using DEXA scans [1:22:15];
  • Tracking metabolic health: key blood tests and advanced glucose monitoring tools [1:22:45];
  • Using elimination diets to identify food sensitivities that may cause digestive problems, autoimmune symptoms, or low energy [1:23:30];
  • Evaluating "anti-inflammatory diets": confirming inflammation through symptoms and hs-CRP testing [1:25:15];
  • Final takeaways: flexibility, structure, and avoiding dogma in dietary choices [1:27:00]; and
  • More.

Connect With Peter on TwitterInstagramFacebook and YouTube

...more
View all episodesView all episodes
Download on the App Store

The Peter Attia DriveBy Peter Attia, MD

  • 4.7
  • 4.7
  • 4.7
  • 4.7
  • 4.7

4.7

7,331 ratings


More shows like The Peter Attia Drive

View all
The Human Upgrade: Biohacking for Longevity & Performance by Dave Asprey

The Human Upgrade: Biohacking for Longevity & Performance

7,214 Listeners

Boundless Life by Ben Greenfield

Boundless Life

5,004 Listeners

The Rich Roll Podcast by Rich Roll

The Rich Roll Podcast

11,905 Listeners

High Intensity Health with Mike Mutzel, MS by Mike Mutzel shares interviews with Peter Attia, Jason Fung, Stan Efferding,

High Intensity Health with Mike Mutzel, MS

1,222 Listeners

The Ready State Podcast by With Kelly and Juliet Starrett

The Ready State Podcast

505 Listeners

The Proof with Simon Hill by Live better for longer

The Proof with Simon Hill

2,621 Listeners

The Genius Life by Max Lugavere

The Genius Life

4,914 Listeners

Dhru Purohit Show by Dhru Purohit

Dhru Purohit Show

3,535 Listeners

The Dr. Hyman Show by Dr. Mark Hyman

The Dr. Hyman Show

9,274 Listeners

Huberman Lab by Scicomm Media

Huberman Lab

29,122 Listeners

Longevity by Design by Gil Blander PhD

Longevity by Design

181 Listeners

The Matt Walker Podcast by Dr. Matt Walker

The Matt Walker Podcast

910 Listeners

The Dr. Gabrielle Lyon Show by Dr. Gabrielle Lyon

The Dr. Gabrielle Lyon Show

1,191 Listeners

The Ultimate Human with Gary Brecka by Gary Brecka

The Ultimate Human with Gary Brecka

3,102 Listeners

The Dr. Layne Norton Podcast by Layne Norton

The Dr. Layne Norton Podcast

201 Listeners