The framing of medicine 2.0 (reactive) vs medicine 3.0 (proactive) was compelling and makes me frustrated. As a young relatively healthy person, if I go to the doctor they don’t really tell me anything useful because nothing is “wrong”, but obviously there are things i could be optimizing to improve my longterm health.

Healthspan vs lifespan was also a very good framing. As I’m seeing people I love age, it is clear that there is a difference between being alive and living your life. Attia gives good motivation and tactics for maximizing your ability to live the life you want over the longest possible time period. It was also a helpful framing for me to see the value in things like cardio and getting lean. I’m psychologically predisposed to reject things that I see as vanity for whatever reason. Probably why I did powerlifting instead of bodybuilding. The data driven story Attia tells about how being lean and muscular with a high vo2 max positively affects health outcomes resonates with my vanity-resistant brain.

I also appreciated that Attia had a section dedicated to mental health with his own personal story. I do feel like the physical health optimization space often neglects the mental component