How Fast Does Muscle Protein Turn Over in the Body?

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June 3, 2024
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Peter Attia MD
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How Fast Does Muscle Protein Turn Over in the Body?

TL;DR

Every muscle in the body completely turns over its amino acids within 50 to 100 days, and the brain even faster at about 30 days. Around 300 grams of amino acids are utilized daily, but most are recycled endogenously since you only eat roughly 150 grams. Amino acids act as signaling molecules that trigger muscle protein synthesis even without exercise.

Transcript

hey everyone welcome to the drive podcast I'm your host Peter AA Peter welcome to a special AMA how you doing very well thank you before we get started there's a question I've been forgetting to ask you but now that the McLaren sent out Lego is officially available how many have you put together uh I'm actually really embarrassed to answer that que... Read More

Key Insights

  • The fat athlete's paradox describes how both elite athletes and people with type 2 diabetes store large amounts of intramyocellular lipid in muscle, yet sit at opposite ends of the metabolic spectrum, revealing the limits of static biopsy information.
  • Intramyocellular lipid means opposite things in each group: in type 2 diabetics it is a storage depot where excess energy seeps out of adipose tissue, while in athletes it is a rapidly turned-over fuel source in constant flux.
  • Amino acids are signaling molecules in their own right, meaning that ingesting protein alone stimulates muscle protein synthesis even in the absence of any physical activity.
  • mTOR is the master nutrient-sensing molecule, and amino acids signal mTOR to activate muscle protein synthesis; combining protein intake with exercise produces even more synthesis.
  • About 300 grams of amino acids are utilized by the body per day, but most are recycled endogenous amino acids since a person may only eat around 150 grams, with turned-over muscle being reincorporated.
  • Complete turnover of a muscle takes between 50 and 100 days, so within two to three months every muscle in the body is rebuilt from an entirely different set of amino acids.
  • Brain protein turns over even faster than muscle, at roughly 30 days, meaning the proteins making up your brain a month ago were a totally different set of amino acids.
  • Bodybuilders show more myofibrillar protein synthesis in type 2 fibers, while endurance athletes increase mitochondrial protein synthesis and capillary density in type 1 fibers, reflecting their differing training stimuli.

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Questions & Answers

Q: How long does it take for muscle to completely turn over?

Complete turnover of a muscle takes somewhere between 50 and 100 days. This means that within two to three months, every muscle in your body is rebuilt from an entirely different set of amino acids. As Peter notes, the bicep he looks at today was made up of completely different amino acids about 100 days ago, making static biopsy snapshots an incomplete picture of what is really a dynamic, constantly turning-over tissue.

Q: What is the fat athlete's paradox?

The fat athlete's paradox refers to the observation that both elite athletes and people with type 2 diabetes, who sit at opposite ends of the metabolic spectrum, show large stores of intramyocellular lipid within their muscle on biopsy. The paradox is why athletes are not insulin resistant despite this fat storage. The answer is that for athletes the lipid is a rapidly turned-over fuel source in flux, whereas for diabetics it is a storage depot linked to insulin resistance.

Q: Why are athletes not insulin resistant despite storing fat in muscle?

Athletes are not insulin resistant because their intramyocellular lipid functions as a state of flux rather than a storage depot. The fat is an immediate-access fuel source used at the low-end aerobic point, so it primes the pump for Zone 2 energy production where the goal is burning lipid rather than glucose. In type 2 diabetics, by contrast, that same lipid store is excess energy seeping out of adipose tissue and remaining stagnant in the muscle, which is a hallmark of the cascade leading to insulin resistance.

Q: Do amino acids stimulate muscle growth without exercise?

Yes. Amino acids are signaling molecules in and of themselves, so ingesting protein by itself stimulates muscle protein synthesis even in the absence of any physical activity. The amino acid signals mTOR, the master nutrient-sensing molecule, and mTOR activation triggers muscle protein synthesis. When you combine protein intake with exercise, you get even more muscle protein synthesis. Luc van Loon offered the analogy that this is like the bricks calling the bricklayers.

Q: How many grams of amino acids does the body use per day?

The body utilizes about 300 grams of amino acids each day. However, you are not eating 300 grams per day; a person might eat only around 150 grams as exogenous input. The rest comes from recycled endogenous amino acids, because the muscle itself is constantly turning over and part of what is broken down is reincorporated. This insight was originally connected to Lane's work on isotope labeling of amino acids to understand amino acid flux.

Q: How fast does the brain turn over its proteins?

Brain protein turns over even more rapidly than muscle, at about 30 days according to Luc van Loon. This means the actual structure and proteins that make up your brain a month ago were a totally different set of amino acids than the ones present today. Peter describes this as a striking fact to sit with, given how much faster it is than the 50 to 100 day complete turnover seen in muscle tissue.

Q: What is the difference in muscle protein synthesis between bodybuilders and endurance athletes?

The difference comes down to the nature of the training stimulus. Bodybuilders undergoing muscle protein synthesis show more myofibrillar protein synthesis in type 2 fibers, which produces bigger muscles. Endurance athletes instead see increases in two things, mitochondrial protein synthesis and capillary density, and this occurs in the type 1 fiber. So the same overall process of muscle protein synthesis is directed toward different structural outcomes depending on the type of training performed.

Q: How does Peter capture his takeaways from each podcast episode?

During the podcast itself, Peter feverishly takes notes off camera while the guest is speaking, which he finds the best time to extract insight. Immediately afterward, usually the same day, he synthesizes everything from his prep and notes onto 5x8 cards. The goal is to minimize the cards so they hold the highest-yield essence of what he learned, focusing on things he did not know, underappreciated, or that might change his mind or practice.

Summary & Key Takeaways

  • Peter introduces a new podcast format where he shares his biggest personal takeaways from recent guest episodes. He takes notes during each recording, then synthesizes his prep and notes onto 5x8 cards afterward, aiming to capture the highest-yield, most salient insights he could return to years later.

  • From the Luc van Loon episode, Peter highlights the fat athlete's paradox: athletes and type 2 diabetics both store high intramyocellular lipid, but for athletes it is a fuel source in flux while for diabetics it is a pathologic storage depot linked to insulin resistance.

  • Amino acids signal mTOR to drive muscle protein synthesis even without exercise. Roughly 300 grams of amino acids are used daily, mostly recycled. Full muscle turnover takes 50 to 100 days, and the brain turns over in about 30 days.


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