World’s #1 Longevity Expert: What Fitness & Diet Should Look Like After 30 | Peter Attia (E385)
The High Performance Podcast
High Performance
4.6 • 4.8K Ratings
🗓️ 12 January 2026
⏱️ 52 minutes
🧾️ Download transcript
Summary
We’re delighted to welcome back Dr Peter Attia to High Performance, one of the leading voices in modern medicine and longevity. Known for his rigorous, evidence-based approach to health, Peter has built his work around a simple but demanding question: how do we live longer and better?
In this episode, Peter dives deep into what truly drives long-term health. He explains why exercise remains non-negotiable, how strength and cardiovascular fitness underpin independence as we age, and why the new wave of metabolic drugs are changing the conversation around heart health, cognition, and disease, without replacing the need for movement and training.
Peter also shares how he thinks about aging in practical terms, introducing the idea of “backcasting” from later life to guide the choices we make today. He breaks down which supplements actually matter, why he’s sceptical of health fads, and how balance, adaptability, and emotional wellbeing play a bigger role in longevity than most people realise.
Grounded, thoughtful, and highly practical, this episode offers a clear framework for protecting your body, your mind, and your quality of life, now and in the decades to come.
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Transcript
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| 0:00.0 | Creatine is back in vogue. |
| 0:02.6 | There's a little over-hype around it, but I absolutely think this would be on the list of supplements that make sense for almost everybody. |
| 0:09.9 | Testosterone replacement therapy is probably being over-prescribed. |
| 0:14.3 | There's also a tendency to sort of over-promise. |
| 0:18.1 | These next class of drugs, these would be drugs that would actually allow people to |
| 0:22.7 | gain size and strength, even independent of training. You're listening to High Performance. Thanks to |
| 0:31.9 | everyone who's already subscribed. If you've not, right now is the time because you'll get new |
| 0:36.4 | episodes the moment they drop |
| 0:37.6 | and your support helps us bring more world-class guests onto the show. |
| 0:42.6 | Tap subscribe right now and keep growing with high performance. |
| 0:49.9 | Well, Peter, welcome back to high performance. |
| 0:52.3 | Thanks for having me. |
| 0:53.3 | It's actually just over two years ago, can you believe, |
| 0:55.5 | that we met up in London and recorded our last conversation. |
| 0:58.3 | It feels like two minutes. |
| 0:59.7 | In the intervening two and a bit years since we last spoke, |
| 1:02.2 | what area of longevity has been most exciting for you? |
| 1:06.9 | I don't know that there's been any one area. |
| 1:08.8 | I mean, I think as we've seen just how impressive the metabolic drugs are, so the |
| 1:15.2 | GLP-1 agonists and GIP agonists, I think we've come to realize that those drugs do a lot more |
| 1:23.3 | than just help people lose weight. |
| 1:25.1 | They also seem to be protecting from both heart disease |
... |
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