More Plates More Dates

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0:00:00 - 0:03:38 – What Is “The Vertical Diet”?

0:03:38 - 0:09:53 – 98 Pounds In High School - How Stan Delayed Puberty By Not Eating Or Sleeping Enough

0:09:53 - 0:12:43 – 145 ng/dL Testosterone Level At 20 Years Old – Discovering His Varicocele, Hypogonadism Diagnosis, And Getting On Testosterone

0:12:43 - 0:14:58 – The Steroid Cycle Stan Used In The 90’s To Get To Nearly 300 Pounds

0:14:58 - 0:18:33 – How To Determine If You Have IFBB Pro Bodybuilder Caliber Genetics

0:18:33 - 0:20:27 – Stan’s Thoughts On Cycling Off Vs. Blasting And Cruising

0:20:27 - 0:21:28 – The Results Of Stan’s Varicocele Surgery  

0:21:28 - 0:25:00 – Female Softball Players Who Became Anemic From Removing Red Meat, Dairy, Fruit, And Egg Yolks

0:25:00 - 0:30:03 – Sponsor: Marek Health

0:30:03 - 0:34:22 – Bulking And Cutting Mistakes Preventing Progress

0:34:22 - 0:36:13 – When Are You Too Fat To Bulk?

0:36:13 - 0:44:09 – Permabulking And Staying Healthy While Pushing The Scale

0:44:09 - 0:44:45 – Mitchell Hooper’s Diet For The World’s Strongest Man

0:44:45 - 0:45:40 – Dairy

0:45:40 - 0:46:33 – Fermented Foods - Yogurt, Kefir, Kimchee, Gut Microbiome

0:46:33 - 0:49:48 – Keto Diet Advocates Who Transitioned Back To Including Carbs

0:49:48 - 0:54:04 – The Majority Of Health Benefits From Any Diet Coming From Weight Loss

0:54:04 - 0:55:32 – Paul Saladino’s Bold Assertion About APOB And Metabolic Health

0:55:32 - 0:59:05 – Anthony Chaffee, People With High LDL-C Live Longer?

0:59:05 - 1:03:26 – How Dana White ACTUALLY Transformed (weight loss and TRT) – Gary Brecka’s Wild Claims

1:03:26 - 1:04:53 – Addressing Vitamin Deficiencies

1:04:53 - 1:09:38 – The Ideal Protein Intake For Steroid Users Vs. Nattys

1:09:38 - 1:14:15 – The Best Diet For Weight Loss

1:14:15 - 1:16:38 – One Of The Main Ways Diet Can Lead To Ruthless Brain Fog

1:16:38 - 1:20:02 – The Utility Of Continuous Glucose Monitors (CGM’s)

1:20:02 - 1:20:44 – Why It’s Worthwhile To Count Calories (at least for a bit)

1:20:44 - 1:26:31 – Are Seed Oils Actually Unhealthy?

1:26:31 - 1:28:11 – How Hafþór Júlíus Björnsson Got Up To A Healthier 440 Pounds

1:28:11 - 1:33:39 – After Losing Weight Should You Stop Using Your CPAP Machine For Sleep Apnea?

1:33:39 - 1:38:31 – “It Was Absolutely Horrible!” - Stan Describes Coming Off Testosterone After 10 Years

1:38:31 - 1:41:33 – Why Stan Decided To Go Back On Steroids In 2006 At 39 Years Old

1:41:33 - 1:45:24 – The Steroid Cycle, Training, & Diet Flex Wheeler Put Stan Efferding On To Win His IFBB Pro Card In Bodybuilding

1:45:24 - 1:48:14 – Powerlifter Vs. Bodybuilder Steroid Use - Stan’s 2009 Stack To Hit A 2,221.2 Pound Total

1:48:14 - 1:56:17 – Getting Stronger But Not Getting Bigger - The “Horrible Lesson” IFBB Pro Stan Efferding Learned About Muscle Growth

1:56:17 - 2:01:38 – The Biggest Steroid Cycle Stan Efferding Has Ever Ran And What Happened - At A Point, Less Is More

2:01:38 - 2:03:43 – Can You Grow Muscle On Steroids Without Even Training?

2:03:43 - 2:05:36 – The Steroid Dosages IFBB Pro Bodybuilders Typically Take

2:05:36 - 2:11:30 – How Stan Approaches His Steroid Use And Training Now At 56 Years Old

2:11:30 - 2:15:48 – Stan’s Experience Using Growth Hormone And Insulin

2:15:48 - 2:18:25 – Stan’s Updated Recommendations On Sodium Intake

2:18:25 - 2:19:51 – Stan’s Updated Opinion On Seed Oils And Getting Sufficient Omega 3’s

2:19:51 - 2:28:10 – An Example Full Day Of Vertical Diet Eating For The Average Guy Trying To Gain Muscle

2:28:10 - 2:38:34 – The Most Impactful Changes Stan Made Working With Jon Jones, Hafþór Björnsson, Brian Shaw, Lane Johnson, Henry Cejudo, Mitchell Hooper, Gordon Ryan, And Other Elite Athletes He’s Worked With

2:38:34 - 2:44:08 – Organic Food Is A Scam? How Much Of A Difference Is There In Quality Between Organic Vs. Conventional Meat, Eggs, Fruit, And Vegetables? Grass-Fed Vs. Grain-Fed Beef. Fresh Vs. Frozen Fruit.

2:44:08 - 2:45:15 – Where To Buy The Vertical Diet 4.0 And Where To Follow Stan For More Information

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🕑 Time Stamps: 

0:00:00 – 0:00:50 – Introduction 

0:00:50 – 0:05:32 – Why Paul Saladino Stopped The Carnivore Diet After 2 Years 

0:05:32 – 0:08:41 – Is There Ever A Point Of Doing A Keto Diet? 

0:08:41 – 0:11:21 – Why Paul Reached Out To Me To Do A Second Podcast After Seeing Me Speak With Peter Attia 

0:11:21 – 0:17:36 – What Actually Causes Atherosclerosis? Paul’s Take On The Traditional Hypothesis 

0:17:36 – 0:22:17 – Should We Ignore High LDL-C Or APOB? 

0:22:17 – 0:25:05 – Paul Describes How Some Studies Suggest That Those With Higher HDL-C Levels May Be Less Likely To Get Atherosclerosis Despite Having High LDL-C Levels 

0:25:05 – 0:25:26 – Paul’s Perspective On Why Many Doctors Aren’t Educating Their Patients About Metabolic Health 

0:25:26 – 0:33:41 – "Ignore Nutrition Just Focus On Exercise" 

0:33:41 – 0:37:55 – Sponsor: Eight Sleep 

0:37:55 – 0:39:02 – The Most Important Lab Tests For Avoiding Atherosclerosis 

0:39:02 – 0:42:53 – Is It Possible To Get Atherosclerosis If You Have A Fasting Insulin Of 3 uIU/mL Or Less

0:42:53 – 0:46:27 – Familial Hypercholesterolemia (FH) And Why It’s A Phenotypic Diagnosis, Not A Genotypic Diagnosis

0:46:27 – 0:49:41 – What Happens When You Replace Saturated Fat With Linoleic Acid?

0:49:41 – 0:52:38 – How A Pure Carnivore Diet Affects Thyroid Metabolism

0:52:38 – 0:56:45 – Can Someone On A Keto Diet Long-Term Develop Atherosclerosis Despite Having A Low Fasting Insulin? Dave Feldman’s Lean Mass Hyper-Responder Study

0:56:45 – 1:00:56 – How Paul’s Perspective Differs From Dave Feldman and Shawn Baker

    • The Baseline Data From The LMHR Study Paul Mentioned:         https://twitter.com/realDaveFeldman/status/1733387107610063195

1:00:56 – 1:03:55 – What Is APOB And LP(a)?

1:03:55 – 1:06:44 – Sponsor: Marek Health

1:06:44 – 1:10:21 – How Long It Takes For Plaque To Develop And Show On A CT Angiogram

1:10:21 – 1:13:46 – Why Paul Uses Proxy Biomarkers In Atherosclerosis Data Analysis To Discern Insulin Sensitivity

1:13:46 – 1:18:14 – Does Paul Think It Is Ever Justified To Take Lipid Lowering Medication To Avoid Atherosclerosis?

1:18:14 – 1:20:13 – How Should You Track If You Are Developing Atherosclerosis?

1:20:13 – 1:45:27 – Lipid Lowering Medication Risk-Reward Analysis. Will Lowering LDL-C Impair Quality Of Life, Regardless Of The Medication Used? Do Adolescents With Hypofunctioning PCSK9 And Very Low APOB Have Impaired Development Cognitively Or Structurally?

1:45:27 – 1:47:39 – If You Don’t Lower APOB But Want To Track Plaque Accumulation, Is The Dose Of Radiation From A CT Angiogram Concerning?

1:47:39 – 1:56:45 –Why Certain Tribes Have Lower Rates Of Cardiovascular Disease Than The Average Person. Should Or Shouldn’t We Copy What They’re Doing?

1:56:45 – 2:16:17 – The Lowest Hanging Fruit For Avoiding Atherosclerosis And Evaluating Your Risk

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Time Stamps:

00:00:00 - Peter Attia’s new book ‘Outlive’

00:02:26 - Who is Peter Attia? What is Medicine 3.0?

00:03:28 - Peter Attia’s career. How did he become a doctor? And how did he evolve into his unique approach to preventative medicine?

00:07:54 - What do the acronyms in Peter’s Instagram bio stand for?

00:13:53 - The Four Horseman of Death (most will die from one of these)

00:22:46 - How to not die from atherosclerotic disease (the leading cause of death)

00:29:59 - The impact of smoking on atherosclerotic disease

00:30:36 - The impact of high blood pressure (hypertension) on atherosclerotic disease, how common it really is, and how to track it

00:32:32 - The accuracy of manual vs. automatic blood pressure cuffs

00:35:41 - The impact of APOB/all atherogenic particles (LDL’s, LP(a)’s, VLDL’s, and IDL’s) on atherosclerotic disease

00:40:57 - The minimum APOB level needed for adequate function

00:42:43 - PCSK-9 gene and its effect on LDL. How PCSK-9 inhibitors work to lower LDL

00:43:24 - APOB vs. APOA

00:44:56 - The most effective lipid managing dr*gs for preventing atherosclerosis

00:50:16 - Why Peter doesn’t see a reason why anybody should have an APOB over 60 mg/dL

00:52:15 - If Peter could go back in time knowing what he knows now and with modern pharmacology, at what age would he start lowering his APOB

00:55:04 - Arterial plaque accumulation starts as early as when you are a teenager. Calcification takes years to show up on a coronary CT calcium scan, but that does not mean plaque isn’t accumulating

00:57:12 - Should you screen for atherosclerosis before taking medication? If so, how? 

01:01:06 - Why are carnivore diet zealots so dogmatic about cholesterol and atherosclerosis? What does the data show to date?

01:06:05 - If those with average genetics maintain a near perfect diet, exercise regimen and sleep hygiene, will many of those individuals still develop atherosclerosis?

01:09:41 - How to lower blood pressure

01:13:25 - Sleep Apnea and the use of CPAP

01:16:49 - Cancer: Causes, Prevention, and Proactive Screening 

01:35:53 - The devices and metrics Peter uses to track his sleep and recovery

01:41:50 - Resting heart rate, HRV, heart rate recovery, and how predictive they are of mortality

01:44:43 - Peter's full daily routine and diet

01:54:35 - Why Peter stopped fasting

01:57:12 - Bodybuilders abuse of T3, Clen, DNP, and other metabolic modulators

01:58:54 - Peter breaks down his 6000+ calorie diet, 6 hours of daily exercise, and the most absurd meals he ate to maintain his weight when he was younger

02:01:25 - How Peter’s kids eat. How strict should the diet be for your kids when it comes to food quality to maximize growth potential?

02:07:41 - Where is the best burger in Austin?

02:08:22 - What time Peter stops eating each night, and the hack he uses to prevent him from overeating

02:11:33 - Peter's non-negotiable nightly practices for maximizing sleep quality

02:12:31 - Why Peter has a Bat phone

02:14:29 - How to live in the moment and be happy. The vicious circle of financial success and/or accolades never being enough.

02:22:46 - How to decide if you should have kids

02:25:13 - Peter’s Top 10 Supplements and Top 10 Dr*gs

02:29:35 - Peter's personal supplement stack and dr*g protocol

02:42:26 - Homocysteine reduction protocol

02:44:11 - Vitamin B6 deficiency paradoxically caused by Pyridoxine Hydrochloride supplementation

02:46:00 - How safe is TRT for cardiovascular health? TRAVERSE clinical trial results

02:51:31 - Comparison of TRT administration methods. What Peter prefers for patients

02:52:40 - What podcasts and YouTube channels Peter likes to watch or listen to

02:55:09 - Formula 1

02:55:54 - AlphaTauri x Hugo Boss

02:56:21 - Daniel Ricciardo, Max Verstappen

02:59:33 - How Red Bull became such a dominant F1 team

03:01:35 - Sim racing

03:05:13 - How Peter got so interested in F1

03:06:33 - Peter’s dream car

03:06:50 - Ayrton Senna

03:08:25 - Outro

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💡 https://intelligent.shop/derek (Intelligent Shop - Gorilla Mind's Sister Company For Niche Products) discount code "MPMD" for 10% off your entire order

⚕️ My Preventive Medicine & HRT Clinic: https://bit.ly/373k791

🧪 Blood Work: http://bit.ly/2wI3k9J

🧴 The Best Hair Loss Prevention Shampoo: https://bit.ly/3pXu5UB | discount code "MPMD" for 10% off your entire order 

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🧴 The Skincare Products I Use: https://bit.ly/3pdS2DO - discount code "MPMD" for 10% off your entire order

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