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The Peter Attia Drive

#365 ‒ Training for longevity: A roundtable on building strength, preventing injury, meeting protein needs, guidance for women and youth athletes, and more | Gabrielle Lyon, Mike Boyle, Jeff Cavaliere

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 22 September 2025

⏱️ 135 minutes

🧾️ Download transcript

Summary

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In this special episode of The Drive, Peter hosts a strength and conditioning roundtable with three experts in the field—Gabrielle Lyon, Jeff Cavaliere, and Mike Boyle. Together they explore why maintaining muscle mass, strength, and power is essential for healthspan and longevity, and examine how resistance training supports metabolic resilience and injury prevention across the lifespan. The conversation covers practical strategies for getting started and staying consistent, the importance of a protein-centered diet tailored to age and activity level, and approaches to resistance training for peri- and post-menopausal women—including tendon care and optimal programming. They debate single-leg training versus heavy bilateral lifts, share knee-friendly lower-body options, and highlight exercises that belong in the "graveyard" due to poor risk-reward ratios. Finally, the group discusses youth sports specialization, emphasizing the long-term value of variety for developing lifelong athletes.

We discuss:

  • Personal career journeys and philosophies of each guest that shaped their approaches to strength, conditioning, and lifelong health [3:30];
  • Why so few people engage in resistance training despite its proven health benefits [8:30];
  • Mike's low-stress, high-consistency method for training beginners to resistance training [18:45];
  • How resistance training enhances metabolic health and body composition even in lean, highly active endurance athletes [25:30];
  • The dominant role of nutrition in shaping physique and achieving low body fat, the synergistic effect of resistance training, and the unrealistic expectations about muscle growth and fat loss [28:30];
  • Why Jeff advocates for five meals a day, and why meal timing matters less than overall protein intake and caloric consistency [38:00];
  • Optimizing protein for every stage of life: quality, quantity, and guidelines for diverse diets and body types [44:15];
  • The advantages of unilateral lower-body training over heavy bilateral lifts: impact on strength, athleticism, recovery, and functional movement [51:45];
  • Rethinking heavy squats and deadlifts: risk-reward, aging bodies, and the case for reverse lunges and other single-leg alternatives [1:01:15];
  • Adapting with age: Gabrielle on injuries, hip dysplasia, and the shift to smarter training [1:10:15];
  • Exercises that belong in the "iron graveyard": unnecessarily risky exercises and their safer alternatives [1:19:15];
  • The downside of early sports specialization in children and the long-term benefits of encouraging kids to play multiple sports [1:25:00];
  • Advice for preventing an Achilles injury: calf strength, ankle mobility, and listening to pain signals [1:33:15];
  • Shoulder pain: how to keep training the upper body when shoulder pain limits pressing movements [1:40:45];
  • Effective strength training strategies for women before, during, and after the menopausal transition [1:43:15];
  • Best practices for strength training and athletic development in children, and the pitfalls of early sports specialization [1:50:30];
  • How to foster healthy habits and an interest in fitness beyond playing sports [2:00:00];
  • Something each guest has changed their mind about in the last five years [2:04:00]; and
  • More.

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Transcript

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0:00.0

Hey everyone. Welcome to the Drive podcast. I'm your host, Peter Attia. This podcast, my website, and my weekly newsletter all focus on the goal of translating the science of longevity

0:21.5

into something accessible for everyone. Our goal is to provide the best content in health and

0:26.7

wellness, and we've established a great team of analysts to make this happen. It is extremely

0:31.6

important to me to provide all of this content without relying on paid ads. To do this,

0:36.6

our work is made entirely possible

0:38.2

by our members, and in return, we offer exclusive member-only content and benefits above and beyond

0:44.4

what is available for free. If you want to take your knowledge of this space to the next level,

0:49.6

it's our goal to ensure members get back much more than the price of the subscription.

0:58.5

If you want to learn more about the benefits of our premium membership, head over to peteratia m.com forward slash subscribe.

1:04.1

Welcome to a special episode of The Drive, another round table conversation devoted this time

1:10.6

entirely to strength strengthen conditioning.

1:12.6

My guest this week are Dr. Gabrielle Lyon, a fellowship trained physician in geriatrics and

1:18.5

nutritional sciences, founder of muscle-centric medicine and author of The New York Times,

1:23.0

bestseller Forever Strong. She runs a clinical practice in Houston and continues to publish research on skeletal muscle health and metabolism.

1:31.1

Jeff Cavalier, a physical therapist and former head strength coach and physical therapist for the New York Mets,

1:37.2

who parlayed that experience into his incredibly popular YouTube channel using an injury smart approach to make athletic training

1:46.0

accessible to literally millions. And Mike Boyle, a pioneering strength and conditioning coach now

1:52.0

in his 43rd year. Mike popularized NFL Combine training in the 1980s and spent the 1990s

1:58.6

with the Boston Bruins and opened the first for-profit strength and

2:02.3

conditioning facilities in the U.S. He was also part of one of the Boston Red Sox championship

2:07.7

winning team. In this episode, we discussed the critical importance of strength training for

2:11.8

longevity, how muscle mass, strength, and power protect health span as we age. The participation

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