Peter Attia· MD
in general the biggest issue is how how how much blood can you pump and and so what is that heart rate time stroke volume equation where does that leave us now when you train you get so you can extract more and if you're at high altitude or if you've got problems with your lungs maybe the lungs don't work as well but in general I like to tell people you cannot extract what has not been delivered so the key is delivery and that's heart rate times stroke volume