The Peter Attia Drive
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Iñigo San-Millán, Ph.D. (@doctorinigo) is an internationally renowned applied physiologist. His research and clinical work focus on exercise-related metabolism, metabolic health, diabetes, cancer metabolism, nutrition, sports performance, and critical care
Iñigo San-Millán returns to The Drive to take a deep dive into Zone 2 training. He and Peter Attia breakdown metrics and levers of elite athletes, how to assess Zone 2 threshold, training levels for optimal health, and touch on learnings gathered from studying the mitochondria of long COVID patients in the ICU.
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As exercise intensity increases, you need more oxygen so VO2 increases then you give off more CO2 – you are recruiting type II muscle fibres, using more glucose for energy, consuming more oxygen, and producing more CO2.
Mitochondria oxidize fuels differently at different exercise intensities – an elite athlete can still recruit slow-twitch muscle fibres at high intensities and rely on fat to produce energy while the average person fully relies on glucose (instead of fat) to sustain the effort.
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The metabolic stress of an elite athlete is not the same as a recreational athlete or layperson at the same blood lactate – 2 mmol of stress in an elite athlete might be higher than 2 mmol of stress in the average person because of the intensity it takes the elite athlete to get to 2 mmol in the first place
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Two routes of lactate:
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You can accomplish very important mitochondrial adaptations and very important metabolic adaptations by exercising for one hour…3-4 days per week.
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You’d much rather err on the side of hyperglycemia than hypoglycemia under a period of stress
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