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#1 NEW YORK TIMES BESTSELLER • OVER TWO MILLION COPIES SOLD • 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
AN ECONOMIST AND BLOOMBERG BEST BOOK OF THE YEAR
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 Attia believes we must replace this outdated framework with a personalized, proactive strategy for longevity, one where we take action now, rather than waiting.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.
From the Publisher
Publisher : Harmony; First Edition (March 28, 2023)
Language : English
Hardcover : 496 pages
ISBN-10 : 0593236599
ISBN-13 : 978-0593236598
Item Weight : 1.4 pounds
Dimensions : 7.16 x 1.58 x 9.27 inches
Customers say
Customers find the book well-written and enjoyable to read. They appreciate the useful information on preventative health and practical advice. Readers say it provides tips for better health and longevity. They also say it’s worth every penny and a great buy. However, some find the length too long with extraneous information and repetition.
AI-generated from the text of customer reviews
SJR –
Great Take Away Points
I first learned about Dr. Attia through watching the series ‘Limitless.’ I found the series to be extremely inspiring, and ultimately life-changing. I then stumbled across a Youtube clip where someone was discussing this book, which led to my purchase of it. It is a very thick book with which I took my time reading, in chunks. (I did not read the last two sections on sleep and emotional health).I read through some of the 1 and 2 star reviews on Goodreads. Many mentioned that the book could be significantly shorter and that they did not like all of the personal stories that Dr. Attia shared. However, I found each of the stories to be quite helpful in putting the information into context. And I think the overall intent of this book was/is two-fold. It was not only written to present ‘information,’ but also Dr. Attia’s personal testament of his journey as he learned new things, changed his perspectives, struggles in life, etc. The addition of this deeply intimate information helps to make the book more personable versus cold and mechanic. And who knows, writing this book may have also provided Dr. Attia with some degree of inner peace and resolution. What is so wrong with that?There are many focal points of this book, but for this book review, I will address what I find to be key take away points, and my perspective of those points discussed by Dr. Attia.READABIITY: Some parts of the book could be difficult for people to understand if they do not have a medical background, fortunately I do. For those who do not, and really want to understand, have Internet access handy so that you can cross-reference between the Internet and the book as you go along. NOTE: There are many parts of the book where animal research studies are discussed. I must preface that I struggle reading about animal studies, as I am anti-animal testing activist. But I do understand why the studies are mentioned in the book.PHILOSOPHY: Dr. Attia makes several comparisons between Medicine 2.0 and Medicine 3.0. I think many Primary Care providers who read and subsequently reviewed this book may have felt offended by Dr. Attia’s views on what he describes as our current healthcare model (Medicine 2.0). However, Dr. Attia is not pointing fingers and intending to insult Primary Care providers. He is simply pointing out flaws in our current healthcare model and how it should shift to a different focus, which I 100% agree with!For those who chose to be insulted by this, shame on you. If you are a Primary Care provider, it is also not your fault that your practice is based upon Medicine 2.0, as you have to operate within the restrictive system and in accordance with insurance coverage. Embrace the Medicine 3.0 philosophy and save it for the day when, perhaps, our current healthcare model will shift closer to it. Everyone will be better off for it.PREVENTATIVE TESTS: I found it odd when a reviewer mentioned that they know many adults who lived to old ages without any fancy tests. That is a strange thing to write, because Dr. Attia does NOT imply that having a bunch of tests contributes to living longer or healthier. Conversely, he implies that having preventative tests provides knowledge of one’s current health state. That knowledge can then enable people to make changes that can contribute to living longer and healthier versus being a ticking time bomb and continuing on the same physiological path. How that reviewer misconstrued these two vastly different concepts is beyond me. This reviewer continued on to say that these seniors also smoked, drank, ate what they wanted, etc. However, I cannot help but wonder about their quality of life, and whether they were active and enjoy(ed) pursing hobbies/interests OR if they were simply ‘existing’ as couch potatoes. These are two vastly different concepts, and is the focal point that Dr. Attia expresses throughout the book.On another note, Dr. Attia describes the perfect world where everyone has access to a plethora of preventative tests. Many of these preventative tests (scans, blood, etc.) are not covered by typical insurance plans, which means people have to pay out of pocket for them. I do plan to have most of the screening tests done that he recommends, because I want that in-depth knowledge of my current health state. However, doing all of these are just out of reach for many, or until patients reach a certain age (DEXA scan, for example).MACRO NUTRITION: As many others mentioned, I do not think that any new/novel information about macro nutrition was presented. Some reviewers got the impression that Dr. Attia is pro-Keto diet. But I did not infer that at all. Conversely, I thought Dr. Attia did a great job with pointing out key advantages and disadvantages of many different types of diets, not just Keto. And I think he made it quite clear that no one type of nutrition regimen/approach is going to work for everyone. This point was made quite clear when he discussed his friend/patient (the Lipidologist) who benefited from a fasting regimen. I also think he did a good job explaining how different macro nutrients affect the body in an easy to understand fashion. I particularly found the information about Fructose and Purine quite interesting.EXERCISE: It was made abundantly clear that Dr. Attia believes that exercise is the foundation for good health, which I agree with! He describes, in detail, how exercise is the best preventative tool for the “Horsemen.” Yes, it makes good sense: Exercise = improved blood flow = improved perfusion AND = building and/or maintenance of muscle tissue and maintenance of bone = potential reduced risk for the “Horseman.” But in reality, is it really THAT simple? I do not think so. There are so many other factors that come into play.Additionally, what is disheartening, and what other reviewers found discouraging about this, is how complex Dr. Attia makes exercise out to be. While I agree with the benefits of all the different types of exercises he discusses, I also think it is unrealistic for many people to achieve all of it in it’s entirety. Again, it comes back to the perfect world where there are no life-stressors, no major time consuming life-demands, not having to work a full-time job, etc.For example, let’s talk about a rich celebrity who is one of Dr, Attia’s patients: Chris Hemsworth. I am not criticizing or picking on Mr. Hemsworth. Below is just a great example that helps my point hit home here.Does he work a 40-hour week desk job, staring at a computer all day? No. Is he on his feet all day working at a store helping customers? No. Does he come home from that job, after a commute, and have to try to squeeze in a workout? No.Does he have personal trainers and nutritional coaches? Yes. Does he have plenty of time most days to exercise and enjoy leisurely activities? Yes. Is his job as an actor focused on being physically fit? Yes. Is he able to wake up naturally most days instead of being blasted awake by an alarm clock? Yes. Does he have plenty of income to not have to worry about paying the bills? Yes.This is the perfect world that Dr. Attia describes. Not everyone has enough time in the day to devote to exercising like Dr. Attia believes is necessary. I am a poly-outdoorsman, and I am an endurance (non-professional) athlete. I would love nothing more than to have the amazing opportunity to devote as much time as I want to exercise and my outdoor sports versus working a full-time job. However, that is not my reality despite how much I would like it to be.For most people who live in the real world, doing some exercise each day/week just has to be enough because that’s all they can do. So to even remotely imply that that amount just isn’t enough to obtain a long, healthy lifespan is quite sad. This is where the notion of ‘weekend warriors’ comes into play. For some, weekends are the only time that people have to exercise and/or recreate in the outdoors. This pattern does not align with Dr Attia’s ideology, but doing something on the weekends is better than doing nothing at all.What I do think readers can benefit and take away from this section of the book is to, perhaps, incorporate different exercises into their daily/weekly regimen that they may not have thought of. This is key! For myself, I have now incorporated new things into my exercise regimen because I have a better understanding of how they can have a long-term impact.FINAL THOUGHTS: This is not a concrete book of science. It is a book that discusses some scientific information combined with Dr. Attia’s life-experiences. I think it is a well-rounded book because of this. Take whatever information you found useful and run with it! Be as active as you possibly can each day/week, keep your body trim, and feed it with good nutrition. For us “Commoners,” that is the best we can do.
LH –
Attia does nothing half-way: amazing!
I normally donât write product reviews but after I read the few one- and two-star reviews describing the book as fluff I could not control my fingers! What?? Are you kidding me? To paraphrase senator Lloyd Bentsen, I know âfluffâ and my friends this book is no fluff. Rather, to say that this amazing book is by far and away at the top of its genre is an understatement. I write this as I embark on a second reading of âOutliveâ, having read it once almost in one setting, skipping a couple of exercise sessions no less. Attia clearly possesses the intellect, integrity, wit, vigor, candor, and God knows what else that went into the making of this amazing mind and person. Everyone will experience the book from his special angle, based on background and knowledge, but no one will leave empty handed. As an eye surgeon, professor, and author of several books myself, I can say that I so thoroughly enjoyed this book and will be sharing it with my friends and family and recommending it to patients and colleagues. Attiaâs content is a favorite discussion topic with my children: podcast, emails, and finally the book, and sometimes my son or daughter would wonder aloud âwhat do you think is Attiaâs position on this?â.So what if I, as a moslem, will be âaddingâ a final chapter to the book, so as to discuss it within my circle, that imparts a transcendental framework to our quest for a long life beyond the raising of a strong healthy physical horse. If you believe that your existence totally ends with death, it makes perfect sense to embark on a quest to lengthen your life, beyond which there is nothing. But if you belief as I do that there is an eternal component to our essence that continues beyond the entombment of our bodies, then your horizon and end point is limitless. Is the martyr who died defending his people and his family against oppression and tyranny at age 20, achieving a dismal Attia-style longevity, a loser, a tragic figure who fell victim to unfortunate conflicts, or is he worth a thousand longevity-focused horses? To exclusively pamper the animal (body) and ignore the horseman (soul) is to put the cart before the horse. In addition, to preach that we should persevere in trying to lengthen life a few more years, and spend a whole lifetime doing it, strikes me as wasting your life in order to lengthen it.My advice to friends and family is this: Go ahead and double click on exercise and nutrition; huff and buff to raise your VO2 max, and be stable with firm resolve as you prioritize DNS. But do bear in mind that you are making the horse strong to serve the horseman, and not the other way around. We are not mere shells: eat, move, sleep, copulate, repeat. Get yourself a more spacious framework. Be in control as your phosphorylated spirit commandeer the horse so that the both of you can stand, marsh, live, and die with nobility and honor. âOutlivingâ to me is a transcendent term, to outdo and go beyond the bounds of your biological carbon-based body, to achieve escape velocity through a noble righteous life on Earth that propels your soul to heaven when biology fails you, so as to justify the reason that God commanded the angels to bow to Adam.Of course, this is not a book about religion, and of course we agree less on religion than we do nutrition, and of course moslems are a zealot punch (attempt at self-deprecating humor), and of course as a physician I would love to read the 2000 page version (sorry, Penguin Random House). But from my perspective this is a beautifully written book by an author that I and my kids grew to love and admire, one who does not do anything half-way. Read it and reread it but put the material to practice by moving a good amount in between reading spurts.
Richard –
Good tips, unexpected ending
Very good. Although could have been much shorter. First part good background, middle chapters a dive into the weeds, a little too much medical terminology. Last chapter a big surprise. Worth reading.Although basic advice- exercise 4-5 X a week, eat right, sleep right, etc. maybe nothing you haven’t heard before.
Bruna –
Ãtimo
Kim Blomme –
Very well written. Easy to read. TONS of great and useful information and highly motivating to improve your health and well-being.
Cam O. –
Fue un regalo, llegó bien empacado y sin golpes y a la persona le gustó mucho
Charles Gauthier –
Passionnant câest un nouveau regard sur les maladies liées à la longévité.
Rita Saliba –
Original book from amazon.