Hanna Brisbois's Reviews > Outlive: The Science & Art of Longevity

Outlive by Peter Attia
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This book was written by men, for men.
Let me explain...
And this will be long, because I felt like this book had so much potential.

1. The author should have started the book with his mental health story. Literally, the last chapter he starts to talk about the fixed mindset versus the growth mindset (without using those terms exactly), but that should be topic #1. You literally cannot proceed, if you have a fixed mindset.

2. This author could benefit from reading the book Invisible Women. He references many studies and statistics, but it is well known that women are very underrepresented in those statistics. He talks about, what he calls, "Healthcare 2.0 vs. Healthcare 3.0". Healthcare 3.0 is supposed to take the patient, as an individual, into consideration. We cannot apply statistics to women, if those statistics do not involve women. Another topic that is harmful for women, is dieting. He suggests calorie cutting and fasting, although he does say it's not for everyone. I think he just doesn't understand how harmful those topics are, especially to young women who have probably been using calorie counting apps since they first learned how to download an app.

3. He suggests way too many medications. In fact, he starts suggesting medications before we even get to the chapters on food. If anything, food recommendations should be listed prior to medications. I'm specifically referring to the section where he talks about using drugs to lower ApoB levels. A quick Google search told me; fatty fish, legumes and plant protein, olive oil, and minimally processed fiber-rich sources of carbs could help lower ApoB levels. All of those foods are also listed in The Mediterranean Diet, which is the most highly recommended diet for a reason.

4. I work in Oncology, so for the chapter on Cancer, I would have talked about beauty and household products. Many of the foods we eat have carcinogens, but also our beauty products, our clothes, our household products. We are basically in a giant fishbowl of carcinogens. I use apps like Yuka, Bobby Approved, and Healthy Living to scan products before I buy them.

5. He talks about how exercise can help with our breathing and then mentions meditation at the very end of the book when he is talking about mental health. Meditation can also be a good way to manage our breathing. A lot of these topics go hand and hand, so the way this book is structured is a little all over the place.

6.Protein is important, but not at the cost of fiber and other nutrients. This is one of the reasons I could tell this book was written by a man. Men push protein so hard, because they care more about muscle than women do. Colon cancer is on the rise in young people, because we are being told to eat more protein and less carbs. The lack of fiber in our diets is the main cause, but protein can be very filling. If you're eating it in excess, you might not be hungry enough to eat your fiber rich foods. As my nutrition professor would say "everything in moderation".

7. Also, he never mentions Blue Zones, not once. Which I find extremely odd, seeing this is a book about longevity. Episode 4 of the show Down to Earth, talks about the blue zone of Sardinia. They actually found that the people there had a high carb, low protein diet. They also walked a lot more than the average American, and they made all of their "carbs" from real ingredients, from scratch. The issue with carbs in America, is much more a testament to the American food industry, but I digress.

8. Unfortunately for this author, and for many men in general, he grew up with toxic masculity which negatively impacted his mental health. I think he has come a long way, from what he has said in his chapter on mental health, but I could tell he is still learning. There is a lot of unconscious bias spread throughout this entire book and it only became more obvious in his chapters on exercise and nutrition. He basically tells us, the entire first half of the book that his "Healthcare 3.0" is not a one-size fits all solution. That he tailors it to fit his patients unique needs. Yet, the chapters on fitness and food are very specific instructions. He even says, if you find yourself disagreeing with what he says to "stop overthinking nutrition so much, hit pause on the audio-bo0k, go outside and get some exercise" (I was listening to the audiobook so I'm not sure what the physical book says).

In conclusion, I do think there are a lot of important topics covered in this book and if you are a really unhealth person, you could find this book beneficial. If you are already a healthy person, this book was probably nothing new for you. I really liked the first half of this book, I felt he started to lose me once he got to exercise and nutrition. I also think he could have benefitted from a more feminine POV.
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Reading Progress

June 27, 2023 – Started Reading
June 27, 2023 – Shelved
June 27, 2023 –
35.0% "I like what he is saying so far, but he is recommending way too many medications. If we are talking about preventative health car, we should be talking about changing diet and exercise. For example, he is recommending ApoB lowering medications, when this is something that could be managed through food. A quick google search told me what foods to eat to lower ApoB naturally."
June 29, 2023 –
65.0% "He say's this book started as an exercise manifesto to a friend and that's very apparent. He focuses harder on exercise than anything else. I still haven't gotten to his diet recommendations, but I think he could have put more focus on diet, as well as, avoiding harmful products."
June 30, 2023 – Finished Reading

Comments Showing 1-23 of 23 (23 new)

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Conor Flynn Great review and thoughtful responses, spot on. Thank you.


Uğur Yilmaz Thank you for your review. Although, i really liked the book. I think you have really good points - especially when it comes to these studies being conducted mostly based on men

I also found it interesting that there was no emphasis on the blue zone regions. People in those areas live up to 100 years old but i don’t think they have strong muscle mass or religious gym routines. They also don’t necessarily consume a lot of protein. However, that does not mean having more muscle mass with good bone density and consuming protein is not effective for longevity. So, i guess both can be true at the same time. It still would have been nice to touch on the blue zones though, agreed.


Xenia Yes, I totally agree! I read the book Lifespan last year, which I thought was overall fantastic, but it too, was a book written by a man, with some of his advice being potentially dangerous for women (speaking especially about the experimental use of metformin).


Diana I’m still in the initial part of the audiobook, 2h in, and I was already wondering if he tackled the obvious sex-based differences at all and your review was extremely helpful already to take the rest of the book with a grain of salt. Thanks!


message 5: by James (new)

James Edward The Blue Zones are pure storytelling from a vegetarian businessman who became a millionaire pretending to be a researcher. This is an example of why we are so confused about nutrition, longevity, or anything else controversial in our lives: because we cannot figure out what is based upon science and research or what is just storytelling to make money. Stop believing these so called experts and start using common sense reasoning.


Ashley Spot on! Very well said!


message 7: by Adnamy (new)

Adnamy Very good review
It would be good to see more of this calling out of sex-biased research
Women are different
How hard can that be to work out ?
And things are not getting easier for us with all this deliberate confusion Re genders …


John Really appreciate the perspective here.


Laurie Shook Excellent review, and great point about no mention of Blue Zones.


~☆~Autumn Excellent review. I especially like number 4 in your review. Your comments about toxic masculinity are also definitely on target!


Caroline His constant references to macho activities (racecar driving, boxing, etc) also got tiresome!


message 12: by Reader (new)

Reader Do you have any book suggestions with something better but similar topic + any of the topics you suggested?


Hanna Brisbois James wrote: "The Blue Zones are pure storytelling from a vegetarian businessman who became a millionaire pretending to be a researcher. This is an example of why we are so confused about nutrition, longevity, o..."
Thank you for your concern on my lack of common sense. I can assure you, I am very well versed in this topic. We can neither prove, nor disprove anything about blue zones. It is all theory at this point, like most everything in life. We can also only go based off of the data we receive. If data is not properly kept and recorded, we cannot form a clear conclusion. However, there was another study conducted called, "The 90+ Study". The study concluded, that on average, the people who reached 90+ years did everything in moderation. They had an average of 1 caffeinated beverage per day, 1 alcoholic beverage per day, 1 hour of activity per day, etc. This is consistent with what the blue zone data shows us. This is correlative date, and we know correlation does not equal causation. However, this data has been replicated which suggests the data is well substantiated.


Hanna Brisbois Reader wrote: "Do you have any book suggestions with something better but similar topic + any of the topics you suggested?"
As it pertains to this specific topic, I studied this in school. So, much of the stuff I talked about in my review came from the classes: Lifespan and Developmental Psychology, Community and Public Health, and Weight Control/Nutrition/Exercise (all of which I read textbooks on the topics). Other sources, I can credit for my review, are The 90+ Study and the show Down to Earth.

As far as books that are a little more fun than reading college textbooks, I credited Invisible Women, but I would also recommend Doing Harm. If you're interested in the drug industry, I'd also recommend Empire of Pain and The Immortal Life of Henrietta Lacks. If you want something a little more positive, with good advice, I recommend Breath: The New Science of a Lost Art.


message 15: by Reader (new)

Reader Wow! My sentiments exactly. Yes, basic premise about binary medicine is great, but then his mansplaing undercuts the premise. I had same problem with When The Body Says No. In addition to being male-centric, these male docs need to give more than passing acknowledgement that wholistic approaches to well being that value personal stories/histories to connect mind & body have been practiced for centuries by different cultures world wide. Their “discoveries” are not “revolutionary.” I concur that their work to explain the underlying science behind these phenomena are valuable and relevant. But they need to follow their own advice about admitting what they don’t know rather than dispensing one-size-fits-all reductive, simplistocadvice at the ends of their books. We all want easy solutions, but these books left me feeling a bit patronized.


message 16: by Marilee (new) - added it

Marilee I'm about a quarter of the way through the book, finding it interesting but very frustrating in its male centric focus. Most of the studies and advice related so far doesn't even mention female bodies and lives. I was wondering if this was going to improve as the book wore on and so looked for some reviews and found yours.

Alas, apparently this does not improve. Also, I was hoping for a discussion of the Blue Zones... also apparently not covered. I'm aware that stories and studies on the Blue zones rely largely on interesting anecdotal material, but not proven causation, still, if one is studying longevity, surely there's significant value studying the lives of long lived people, more so than one man's experience.


message 17: by Lisa (new) - rated it 4 stars

Lisa I really appreciate your comments here.
I think the 2 strongest points this book has to offer is that the set up for chronic conditions develops over decades, so what we do as 30 year olds matters to us as 70 year olds. And that emotional health is intrinsically linked to physical health.


message 18: by Fabian (new) - added it

Fabian you are a extremely insensitive, dogmatic and sexist reviewer. If a man was to post such a comment on a book authored by a woman the outcry would be huge. Just wanted to call you out on your BS


message 19: by Fabian (new) - added it

Fabian add: Why do we have to think in genders? Why not take information as it is: neutral.


Hanna Brisbois Fabian wrote: "add: Why do we have to think in genders? Why not take information as it is: neutral."
Reviews are opinions and if you don't like mine, you can keep scrolling.

This book is by no means "neutral" and I believe I pointed that out in my very detailed review. But, if you are introducing your theory of Healthcare 3.0, as healthcare specifically tailored to each patient... yet, you give very broad, "one-size fits all" type of advice... that's contradictory. Especially since the prose he uses are, as you called me, dogmatic.

Not to mention, I only pointed out his implicit gender bias, there is also implicit ethnicity bias. This whole issue could have been solved with a simple bonus chapter, talking about how to tailor his advice to each person as an individual. Advising the reader to do their own research on predispositions of their own gender, race, and ethnicity.

It is a fact that woman and minorities are underrepresented in healthcare data and statistics. If you think I'm being dogmatic in stating that, you can do your own research. I already provided multiple sources for my data throughout my review and comments. It takes women, on average, 6 doctors visits to get an accurate diagnosis. Women present symptoms, and react to treatment, differently from men. I told every single doctor I've ever had that my mom died of breast cancer at 38 years old (this country doesn't even let you get your first mammogram until 40) and not a single one of them recommended I do anything about it. It wasn't until a friend told me that I should be getting regular ultrasounds that I found I have multiple BIRADS 3 nodules that need regular following. Hopefully they stay BIRADS 3, but if I hadn't taken my healthcare into my own hands, I could have ended up dead just like my mother. Another example I have is that I went to the doctor to tell him my periods are negatively impacting my life (fainting, vomiting, pain so unbearable I can't even stand) and he told me it was all in my head. He literally said those words to me and years latter, I was diagnosed with endometriosis. When it comes to healthcare, this is the type of story every woman has. To ignore that, in a book about health, is implicitly biased.


Hanna Brisbois Lisa wrote: "I really appreciate your comments here.
I think the 2 strongest points this book has to offer is that the set up for chronic conditions develops over decades, so what we do as 30 year olds matters ..."

I absolutely agree with this! The beginning of the book was very inspiring for me. I liked his advice that if you want to be running marathons or climbing mountains when you're older, we need to be able to do that + more now! We often don't think about long-term repercussions.


Hanna Brisbois ~☆~Autumn wrote: "Excellent review. I especially like number 4 in your review. Your comments about toxic masculinity are also definitely on target!"
YES! #4 is also my favorite/ the one I think is the most important. How can you discuss preventing cancer and not talk about environmental carcinogens!


Charles Sisson I'm a man and I keep thinking how bro-tastic this book becomes after the seemingly false humility in the first chapters.


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