Peter Attia· MD
what we're using is a zone 2 fitness test and so rather than look at vo2 max which is by the time you're at vo2 max you are both anaerobic and aerobic you've in theory maximized your aerobic capacity but you've also now brought in a lot of anaerobic metabolism so what we're interested in is using lactate as a proxy to clamp lactate and figure out what maximum TP production looks like and the higher that number then I think we can say more comfortably the more mitochondrial efficiency you have the healthier you are