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The Peter Attia Drive

#332 - AMA #67: Microplastics, PFAS, and phthalates: understanding health risks and a framework for minimizing exposure and mitigating risk

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 20 January 2025

⏱️ 25 minutes

🧾️ Download transcript

Summary

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In this “Ask Me Anything” (AMA) episode, Peter tackles a topic that's been dominating headlines and sparking widespread concern: microplastics and plastic-associated chemicals, including BPA, PFAS, and phthalates. Peter explores the science behind these substances including how and why they've become so prevalent, the extent of our exposure, and the potential risks to our health. Most importantly, he provides a practical framework for understanding microplastics and plastic-associated chemicals and minimizing exposure while distinguishing genuine risks from exaggerated concerns.

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 #67 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • The complexity of the topic of microplastics and associated chemicals [1:30];
  • Definitions: microplastics, BPA, PM2.5, phthalates, and more [6:30];
  • The reasons behind the increase in microplastics in our environment and the surge in interest in them [12:00];
  • The various ways that humans are exposed to microplastics and nanoplastics [14:00];
  • Volume of plastic consumed by humans, and how the body eliminates or absorbs microplastics [16:00];
  • How microplastics accumulate in the body, the variability in tissue accumulation, and the challenges in studying their long-term health effects [21:30];
  • Limitations of blood tests for microplastics, and the importance of reliable biomarkers for guiding behavior and interventions [26:30];
  • The speculative health risks of microplastics, the limitations of current research, and the need for more robust studies [29:15];
  • The challenges of measuring microplastics in human tissues, the need for better methodologies, and the importance of critically evaluating study relevance and claims [39:45];
  • If it’s unclear whether microplastics actually cause harm, should we still be concerned about exposure? [42:15];
  • Strategies to minimize microplastic exposure [45:00];
  • The financial cost and effort involved in various microplastic exposure mitigation strategies [51:00];
  • The role of airborne microplastics in total exposure and accumulation [1:03:00];
  • Chemicals associated with plastics, their role as endocrine disruptors, and the challenges in linking exposure to specific health outcomes [1:04:00];
  • BPAs: role in plastic production, and its potential developmental risks [1:05:45];
  • BPA's potential health risks: pregnancy, fertility, obesity, and diabetes, and the socioeconomic confounders in the data [1:08:30];
  • Regulatory limits on BPA exposure, and practical considerations for reducing exposure [1:12:45];
  • The prevalence of BPA in modern products and how to identify it [1:17:15];
  • PFAS: chemical structure and purpose in products [1:18:30];
  • Why PFAS are considered endocrine disruptors [1:19:45];
  • The main sources of PFAS exposure, and practical steps to reduce exposure [1:21:30];
  • The potential health risks of PFAS exposure [1:24:00];
  • Phthalates: role in making plastics flexible and presence in personal care products [1:24:45];
  • Why phthalates are considered endocrine disruptors [1:25:15];
  • The main sources of phthalate exposure, and how manufacturing practices are evolving to reduce exposure [1:26:45];
  • Practical strategies to reduce exposure to phthalates in food, air, water, and personal care products [1:28:30];
  • Navigating microplastics and associated chemicals: a framework for personalized risk reduction [1:29:30]; and
  • More.

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Transcript

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0:00.0

Hey everyone. Welcome to a sneak peek, Ask Me Anything, or AMA episode of the Drive podcast.

0:16.0

I'm your host, Peter Attia. At the end of this short episode, I'll explain how you can access the AMA episodes in full,

0:22.3

along with a ton of other membership benefits we've created.

0:25.2

Or you can learn more now by going to Peter AtiyahmD.com forward slash subscribe.

0:30.8

So without further delay, here's today's sneak peek of the Ask Me Anything episode.

0:38.9

Welcome to Ask Me Anything AMA, episode 67.

0:44.0

For today's AMA, we're going to focus on something that's gotten a lot of attention

0:46.9

lately in the news, online, social media, and as a result, we've received an endless

0:51.6

stream of questions, not only from our audience, but also from our patients.

0:55.7

And that topic is microplastics and all other accompanying chemicals, such as BPAs, PFSs, and phthalates.

1:03.8

Given the interest, we decided to dedicate an AMA to this topic.

1:07.7

In this conversation, we dive deeply into what we know and what we don't know

1:12.1

about these chemicals, why they seem to appear all of a sudden everywhere, how we're exposed to

1:18.1

them, how much exposure we have, and how dangerous they may or may not be to our health.

1:23.9

Ultimately, and perhaps most importantly, I think, we propose a framework for how someone can

1:29.2

think about avoiding and mitigating exposure to these chemicals.

1:34.2

If you are a subscriber and you want to watch the full video of this podcast, you can find

1:38.9

it on the show notes page.

1:40.4

If you're not a subscriber, you can watch a sneak peek of the video on our YouTube page.

1:45.0

So without further delay, I hope you enjoy AMA 67.

1:49.0

Peter, thanks for coming back for another AMA. How are you doing?

1:58.0

Good. Thank you for having me.

...

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