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Frontier · Expert StackUpdated April 2026

Peter Attia

Physician · Author, Outlive · Host, The Drive Podcast

Attia frames longevity medicine as 'Medicine 3.0' — proactive, personalised, and focused on the four horsemen of chronic disease (cardiovascular disease, cancer, neurodegenerative disease, metabolic dysfunction). His protocol is anchored in exercise as the single most powerful longevity lever, with supplements playing a supporting role.

8 of 10 molecules matched in index

3 Rx-only items excluded from cart — requires physician prescription.

Supplement Stack

MoleculeDoseTimingTierHallmarksCart
EPA (high-dose omega-3)
Attia uses EPA-only (not DHA-dominant) for Lp(a) and triglyceride management
4 g EPAWith largest mealI
Microbiome alterationsDisabled autophagy
Rapamycin
Prescription only. Attia cycles on/off under physician supervision. mTORC1 inhibitor.
5–6 mg / weekOnce weeklyII
Nutrient-sensing dysreg.Cellular senescence
Rx only
Vitamin D3
5000 IUMorning with fatI
Disabled autophagyMicrobiome alterations
Magnesium (glycinate or L-threonate)
400 mg glycinate or 144 mg L-threonateEveningI
Mitochondrial dysfunctionDisabled autophagy
Vitamin K2 (MK-7)
180 µgWith D3II
Microbiome alterations
Creatine monohydrate
5 gPost-workout or any timeI
Stem cell exhaustionNutrient-sensing dysreg.
Glycine
3–5 gEvening (sleep quality)II
Telomere attritionStem cell exhaustion
Ashwagandha (KSM-66)
Attia uses for cortisol and stress management
600 mgEveningII
Disabled autophagy
Statin (rosuvastatin)
Prescription only. Attia is aggressive on ApoB reduction.
5–20 mgEveningI
Microbiome alterations
Rx only
Ezetimibe
Prescription only. Adjunct to statin for ApoB.
10 mgEveningI
Microbiome alterations
Rx only

Tier I = multiple RCTs in humans · Tier II = human trials, early stage · Tier III = mechanism / animal studies only

Lifestyle Pillars

  • 1Zone 2 cardio 3–4 hours per week (the cornerstone of his protocol)
  • 2Strength training 3× per week with emphasis on muscle mass preservation
  • 3VO₂max training — one high-intensity session per week
  • 4Protein-forward diet: 1 g per pound of body weight, prioritising leucine-rich sources
  • 5Continuous glucose monitoring (CGM) to track metabolic health
  • 6Sleep tracking with Oura Ring; targets 8 hours with high REM and deep sleep
  • 7Sauna 3–4× per week (15–20 min at 80–90°C)
  • 8Annual DEXA scan, coronary artery calcium score, ApoB, Lp(a) testing

Important Caveats

Rapamycin is an immunosuppressant approved for organ transplant rejection; its longevity use is off-label and contested. Attia is explicit that his protocol is personalised and not a template. ApoB and Lp(a) testing is essential before starting aggressive lipid management.

Sources & References

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8 of 10 molecules are available in the index. 3 Rx-only items are excluded.

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Stack summary

Total molecules10
Tier I (RCT)6
Tier II (human trials)4
Tier III (mechanism)0
Rx-only items3
In your cart0
This protocol is curated by Vitaei from publicly available information. It is not endorsed by Peter Attia and does not constitute medical advice. Consult a physician before starting any supplement or medication regimen.