In this “Ask Me Anything” (AMA) episode, Peter addresses follow-up questions related to recent conversations around exercise, kidney function, and brain health. He begins with the topic of exercise, covering aspects such as starting rucking, transitioning from muscle building to maintenance, the optimal order of lifting weights and cardio, and exploring heart rate recovery. Shifting gears, he delves into the realm of kidney health, discussing the most effective blood tests to measure kidney function, desired levels, the natural decline with age, and the crucial role of maintaining a high glomerular filtration rate for longevity. Additionally, he discusses the importance of managing homocysteine levels and alcohol consumption for brain health.

Full show notes can be found here: peterattiamd.com/ama49

We discuss:

Topics: exercise, kidneys, and brain health [1:00];
Rucking: advice for beginners, proper load, packs, and shoes [4:00];
Rucking for women, bone health, using a treadmill, zone 2, and more [11:15];
Building vs. maintaining: when and how to transition from the goal of building muscle and strength to focusing on maintenance [15:30];
Should you lift weights before or after a cardio session? [23:30];
Heart rate recovery: defining heart rate recovery and how it relates to cardiovascular fitness [28:15];
How to measure heart rate recovery, and what is considered a "good" heart rate recovery [32:45];
How kidney health and function typically measured [42:00];
Differentiating between creatine and creatinine [47:45];
The cystatin C blood test as a practical way to assess kidney health [52:15];
How kidney function impacts lifespan and the five stages of kidney disease [58:45];
Slowing the decline of kidney function [1:07:45];
The main drivers of kidney disease [1:10:45];
The importance of managing homocysteine levels for brain health [1:13:30];
The relationship between alcohol consumption and brain health [1:21:00]; and
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