Peter Attia previously believed baby aspirin could reduce the risk of blood clots on long flights, especially for individuals with elevated Lp(a).

“my practice used to be to put patients on a baby aspirin if there was at least one other reason to do so so if they had an elevated LP PLA - if I had an elevated LP little-a if they had a significant enough risk of heart disease that I would feel that that those two things and I fit in that category right so I have a normal LP little a normal LP PLA - but my family history for heart disease is high and my aspirin works was high so that's why I take a baby aspirin”

“my view on baby aspirin was if your aspirin works test is positive so the aspirin works test is a test we do in urine that measures metabolites of platelets and basically tries to predict which patients will and won't respond to baby aspirin if that level is high my practice used to be to put patients on a baby aspirin if there was at least one other reason to do so so if they had an elevated LP PLA - if I had an elevated LP little-a if they had a significant enough risk of heart disease that I would feel that that those two things and I fit in that category right”

“my thinking on this has actually changed in the past month historically I took baby aspirin just because I come from a family where heart disease is rampant and that's sort of you know if you know in the spirit of our good friend Charlie Munger you brought up him I'm gonna go you know show me where I'm gonna die and I'll try to not be there so you know the crystal ball says I'm probably gonna die of heart disease so let's do everything in our power to mitigate it let's keep the lipids as low as possible inflammation as low as possible don't do anything that's gonna exacerbate endothelial dysfunction take the baby aspirin which probably acts primary you know somewhat through yeah it probably has some effect on inflammation but probably the majority of its effect uh is is obviously on platelets and therefore reducing thrombotic events which are the final you know like that's that's what pushes you off the cliff when you have an MI”