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The Peter Attia Drive

#369 ‒ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 20 October 2025

⏱️ 110 minutes

🧾️ Download transcript

Summary

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Rhonda Patrick is a scientist, health educator, and host of the FoundMyFitness podcast whose work explores the intersection of nutrition, aging, and disease prevention. In this episode, Rhonda joins Peter for part two of his deep dive on protein, continuing last week's discussion with David Allison and expanding the conversation to include creatine supplementation and sauna use. She discusses why the current RDA for protein is insufficient, how much more is needed to maintain muscle mass and prevent frailty, how activity level and aging influence protein requirements through mechanisms such as anabolic resistance, and how to determine optimal protein intake. The conversation also covers creatine's proven effects on strength, endurance, and performance; its overlooked benefits for cognition and brain health; and the optimal dosing for different populations. Rhonda closes with the science behind sauna use, including its cardiovascular and cognitive benefits, the role of heat shock proteins, and practical guidance on temperature and duration.

We discuss:

  • Why the current protein RDA is too low, and why maintaining sufficient amino acid intake is vital for muscle preservation and health [3:30];
  • The case for raising the protein RDA by at least 50% [9:45];
  • Anabolic resistance: why inactivity—more than aging—blunts the body's response to protein, and how resistance training restores it [14:00];
  • How sarcopenia develops, the profound effect of frailty on quality of life, and why it's crucial to build and maintain muscle early [20:00];
  • Finding the optimal protein dose [25:00];
  • Why aiming higher is smarter: the case for targeting 2g of protein per kg of body weight in the real world [32:15];
  • Protein needs for pregnant women and growing adolescents [37:30];
  • Why higher protein intake is crucial when trying to lose fat while preserving or gaining muscle [39:45];
  • GLP-1 drugs: protein needs, muscle preservation, dosing strategies, evidence of broader health impacts, and more [43:45];
  • How overweight individuals should calculate protein needs based on target body weight [50:45];
  • Unpacking a misunderstood topic: the relationship between protein intake, mTOR activation, and longevity [52:00];
  • Why it's unclear whether rapamycin is geroprotective in humans, and how misinterpreted animal data have fueled misconceptions about protein or mTOR activation being harmful [1:00:45];
  • The unmatched longevity benefits of exercise, its synergy with higher protein intake, and
  • Peter's recommended protein intake [1:06:15];
  • How Rhonda became fascinated with creatine—a well-studied, safe, and effective supplement for improving exercise performance [1:09:00];
  • Creatine for the brain: how higher doses may enhance cognition under stress and support resilience against aging and disease [1:16:30];
  • Optimal creatine use: dosing for adults and teens, safe product selection, debunking kidney myths, and more [1:25:45];
  • Sauna: how deliberate heat exposure mimics exercise, boosts cardiovascular and brain health, and shows promise for improving mood and mental resilience [1:32:15];
  • The benefits of sauna for reducing risk of dementia, and why hotter may not be better [1:41:15];
  • The FoundMyFitness podcast [1:45:30]; 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

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our work is made entirely possible

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it's our goal to ensure members get back much more than the price of the subscription. If you want to learn more about the benefits of our premium membership, head over to peter

0:59.0

atia m.com forward slash subscribe.

1:03.0

My guest this week is Rhonda Patrick.

1:07.0

Rhonda, returning for her third conversation on the drive, is a scientist, health educator,

1:11.7

and host of Found My Fitness podcast. Her work focuses on the intersection of nutrition,

1:17.9

aging, and disease prevention, and she is widely recognized for bringing clarity to complex topics

1:23.2

in health science. This is part two of a deep dive on protein, but we expand into other topics

1:29.5

like creatine supplementation and sauna use. In this episode, we discuss why the RDA for protein

1:35.5

is too low and why a new minimum at least 50% more than the RDA is needed to avoid negative

1:42.2

protein balance. The distinction between minimum, optimal, and high

1:46.5

protein intake, and how activity level and aging can affect requirements. Anabolic resistance, what it is,

1:53.3

why inactivity drives it, and how resistance training restores sensitivity. The role of protein

1:59.3

in preventing frailty and sarcopenia and the quality of life

2:03.1

implications in aging. Evidence on protein intake during pregnancy, adolescence, weight loss, and while

2:10.1

using GLP1 agonists. Addressing the concerns about EMTOR, cancer risk, and reconciling protein intake with longevity research.

...

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