Should your longevity program include ice cream?
A doctor’s case against the longevity-industrial complex (and for dessert)

I’m a little embarrassed, honestly, when I think back at how hardcore I used to be about optimizing my health and wellness. Counting calories, avoiding carbs, tracking my steps. Wearing a special ring to monitor my sleep. Taking expensive supplements without knowing the real benefits. Meditating for two hours a day at the expense of my relationships. This metrics-driven, industrialized approach treats the self as a problem to solve. Hence the expression I always quote, the one about “the subtle aggression of self-improvement.” (Although, in my case, it wasn’t so subtle.)
So it was a genuine relief to sit down with Zeke Emanuel, who is an oncologist, bioethicist, and health policy expert who recently wrote a longevity book that is essentially a 35,000-word eye-roll at the genre. (He’s also the brother of Hollywood super-agent Ari Emanuel and politician Rahm Emanuel.) The book is titled Eat Your Ice Cream and he wrote it, in part, because Peter Attia’s Outlive made him “so pissed off” that he sat down and banged out a first draft in a fury.
Here here are three pieces of advice from the book that stuck with me:
Don’t be a schmuck. (Zeke’s term, not mine.) So much of staying healthy isn’t some heroic optimization protocol, it’s just declining to do dumb shit. Zeke says get the shingles vaccine (it may cut your dementia risk by 20%). Also: sunscreen, don’t keep a gun in the house, and don’t pay the $150,000 it costs to climb Everest for somewhere between a one and four percent chance of dying there.
Forget the protein. Worry about the fiber. This one genuinely surprised me. We’re all walking around clutching protein bars, and Zeke’s response is basically: relax, you’re fine on protein. The thing 93% of us are actually short on is fiber. Fewer expensive powders, more vegetables.
Moderation is the new discipline. This is the most radical and liberating piece of advice he offers. The wellness world runs on the assumption that if something’s good, more of it must be better. The body doesn’t work that way. It’s built to oppose extremes. The discipline isn’t in the deprivation; it’s in the not-lurching. Which brings us to the dessert. The book is called Eat Your Ice Cream for a reason. Dr. Emanuel acknowledges the dangers of eating too much sugar, but points out the data linking dairy to lower type 2 diabetes risk. More importantly, he points out that joy is part of wellness. So eat your ice cream, in moderation.
If you want the full list of longevity do’s and don’ts — and Zeke’s surprisingly persuasive case for putting your phone in another room — check out the full episode here.

Also out now is my conversation with Diego Perez aka Yung Pueblo where we talk about how to get past your past, how not to be owned by your personal history, and how doing so can have a massive impact on how you relate to other people.
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“Don’t be a schmuck” is a brilliant piece of advice that more people need to listen to when it comes to their health (and pretty much everything else). My version of it is the quiet grumble “Don’t be an asshole,” which is the same thing, or intends to be.
This reminds me of something I say frequently to my diet-conscious 90 year-old mother about my 92 year-old father..."Let Dad eat the damn pie!" Their secret to longevity is being proven by the science. No drinking or smoking, ever. Stay intellectually engaged. Surround yourself with community and activities that give you purpose. Be physically active, even if that's just riding the tractor around or cleaning the house at their age. Eat whole foods. And yes, on occasion, it's totally fine to eat a piece of pie. They've made it this far afterall!!