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Master Your Sleep & Be More Alert When Awake | Huberman Lab Podcast #2



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Welcome to the Huberman Lab Podcast,
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where we discuss science and science-based tools
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for everyday life.
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I'm Andrew Huberman, and I'm a professor of neurobiology
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and ophthalmology at Stanford School of Medicine.
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Today's podcast episode is all about sleep.
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We're also going to talk about the mirror image of sleep,
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which is wakefulness.
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Now, these two phases of our life, sleep and wakefulness,
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govern everything about our mental and physical health.
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And we're not just gonna talk about
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what's useful about sleep.
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We're also gonna talk about how to get better at sleeping.
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And that will include how to get better at falling asleep,
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timing your sleep, and accessing better sleep quality.
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In doing so, we're also gonna discuss
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how to get more focused and alert in wakefulness.
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So because sleep and wakefulness are related,
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we really can't have a conversation
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about one without the other.
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Now, in keeping with this theme,
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you may catch a few snores in the background.
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Unlike me, my bulldog Costello
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can fall asleep anywhere, anytime,
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and he happens to be sleeping over there in the corner.
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So if you hear snoring, that's what that's about.
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As always, I wanna just mention that this podcast
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is part of my effort to bring zero cost to consumer,
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public education about science and science-related tools.
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It is unrelated to my teaching and research roles
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at Stanford School of Medicine.
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Today's podcast is brought to us by Helix Mattresses.
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Having the proper sleep environment,
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both the environment you're sleeping in
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and the object you're sleeping on,
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is critically important to getting a good night's sleep.
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Helix Mattresses are a little different than most
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because they're matched to your specific sleep needs,
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as well as whether or not you tend to run hot or cold
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as you sleep through the night,
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what position you sleep in, and so forth.
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So if you go to their website,
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they have a quiz that you can take
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that matches you to the particular mattress
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that's gonna be best for your sleep needs.
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I've always had a lot of trouble sleeping.
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I'm one of these people that can fall asleep easily,
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but then I wake up and I have a hard time
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getting back to sleep.
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And once I switched to a Helix Mattress
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that was precisely matched to my sleep needs,
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I found I could sleep through the night,
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which has made a tremendous difference for me.
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If you wanna try Helix Mattresses,
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you can go to helixsleep.com slash Huberman,
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and that will give you up to $200 off on a mattress order,
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as well as two pillows free with your mattress order.
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And of course, having the proper pillows
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is just as important as having the proper mattress.
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Today's podcast is also brought to us by Headspace.
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Headspace is a meditation app
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that teaches you how to meditate.
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It's fair to say that now there's a ton of research out
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there in peer-reviewed journals,
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supporting the fact that mindfulness meditation
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can support mental and physical health.
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But many people find it hard to meditate.
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In fact, I'm one of these people.
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I started meditating in my teens,
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but then I would drop it every few weeks or so,
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and then I'd get back to it maybe the following week
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or every year.
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I just was not very regular about my meditation practice.
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And then a few years ago, I was flying a lot for work
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and I was on JetBlue flights,
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and they have Headspace as part of the choice of things
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that you can watch on the TV screen.
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And as I started meditating more regularly,
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what I found is my sleep was better,
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I would arrive feeling more rested.
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It just had tremendous effects on my work performance
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and other aspects of my life.
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If you wanna try Headspace, you can go to headspace.com
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slash special offer.
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If you do that, you'll get one month
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of all of Headspace's meditations for free.
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That's the best offer right now.
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So if interested, go to headspace.com slash special offer.
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So let's talk about sleep.
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Sleep is this incredible period of our lives
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where we are not conscious.
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We might dream, we might twitch, we might even wake up,
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but in sleep, we are only in relation
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to things that are happening within our brain and body.
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Outside sensory experience, in most cases,
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can't really impact us.
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And yet sleep is this tremendously important period of life
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because it resets our ability to be focused, alert,
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and emotionally stable in the wakeful period.
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So we can't really talk about wakefulness, focus,
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motivation, mood, wellbeing without thinking about sleep.
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And that's why we're devoting this entire month
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to the discussion about sleep.
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But we also can't talk about sleep and think about sleep
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without thinking about wakefulness,
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because it turns out that the period that we call sleep
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and the period we call wakefulness
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are tethered to one another.
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What we do in the waking state determines
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when we fall asleep, how quickly we fall asleep,
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whether or not we stay asleep,
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and how we feel when we wake up the next day.
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And today, we're gonna talk mostly
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about how to get better at sleeping.
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And the reason for starting the conversation that way,
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as opposed to just diving into a lot of biology about sleep,
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is because first of all, there's a lot of information
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out there already about the biology of sleep.
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We're gonna touch on a little bit of this,
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things like stages of sleep and sleep spindles,
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melatonin, and dreaming.
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But I think that by now, most people are aware
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that getting a really good night's sleep
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on a consistent basis is critically important.
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But most people don't know how to do that.
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In fact, I'm guessing that very few of you out there
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are consistently getting seven to nine hours
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of really terrific sleep, waking up feeling rested,
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like you're ready to attack the day,
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and being able to go through the day feeling focused
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and alert without dips in energy or focus.
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So if you're like most people, which includes me,
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you have some challenges with sleep,
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at least every third or fifth night or so,
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and maybe even more often.
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So we're really gonna go tool heavy today
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and talk about tools that can help you fall asleep,
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sleep better, and emerge from sleep feeling more rested.
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And we're gonna do that by grounding our discussion
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of tools in peer-reviewed studies,
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mostly from the last 10 years,
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although some even more recent than that.
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And we're gonna start by discussing what is sleep
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and what governs the timing of the onset of sleep.
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In other words, what makes you get sleepy
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at a particular time of day.
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So what determines how well we sleep
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and the quality of our wakeful state?
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Turns out that's governed by two forces.
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The first force is a chemical force.
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It's called adenosine.
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Adenosine is a molecule in our nervous system and body
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that builds up the longer we are awake.
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So if you've just slept for eight or nine or 10
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really deep restful hours,
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adenosine is gonna be very low in your brain and body.
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If however you've been awake for 10, 15 or more hours,
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adenosine levels are going to be much higher.
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Adenosine creates a sort of sleep drive or a sleep hunger.
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And actually hunger is the appropriate word here
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because for most of what we're gonna discuss today,
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we can think of it in an analogous way to nutrition.
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Your nutrition and how well you feel
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after you eat certain foods,
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your overall level of fitness and your cellular health
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and your heart health isn't governed by any one food item
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that you might eat or not eat.
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It's governed by a number of different factors.
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How often you eat, how much you eat,
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which items you eat, et cetera,
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and what works best for you.
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In the same way, your sleep and your wakefulness
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are the product of kind of the average
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of a number of different behaviors.
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How long you've been awake is a key one
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because of this molecule adenosine.
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So the reason you get sleepy
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when you've been up for a while
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is because adenosine is creeping up steadily
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the longer you've been awake.
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And a good way to remember this and think about adenosine
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is to think about caffeine.
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Caffeine for most people,
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except a very small percentage of people, wakes them up.
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It makes them feel more alert.
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In fact, some people are so sensitive to caffeine
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that they feel jittery if they drink it
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even in small amounts.
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Other people can drink large amounts of caffeine
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and not feel jittery at all.
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Caffeine acts as an adenosine antagonist.
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What that means is that when you ingest caffeine,
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whether or not it's coffee or soda or tea
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or in any other form, it binds to the adenosine receptor.
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It sort of parks there,
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just like a car would park in a given parking slot,
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and therefore adenosine can't park in that slot.
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Now, when caffeine parks in the adenosine receptor slot,
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nothing really happens downstream of that receptor.
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The receptor can't engage the normal cellular functions
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of making that cell and you feel sleepy.
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So the reason caffeine wakes you up
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is because it blocks the sleepiness receptor.
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It blocks the sleepy signal.
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And this is why when that caffeine wears off,
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adenosine will bind to that receptor,
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sometimes with even greater, what we call affinity,
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and you feel the crash, you feel especially tired.
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Now, I'm not here to demonize caffeine.
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I love caffeine.
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I drink it in the morning and I drink it in the afternoon.
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But I'm one of these people
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that either because of my tolerance
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or because of some genetic variations
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that exist among people
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in terms of their adenosine receptors,
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I can drink caffeine as late as four or 5 p.m.
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in the evening and still fall asleep just fine.
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Some people can't have any caffeine at all
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or can't have any caffeine past 11 a.m.
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or else their sleep is totally disrupted.
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All of this has to do with the relationship
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between adenosine and these adenosine receptors,
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genetic variation, things that are very hard to find out
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except experimentally,
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meaning each of you needs to decide
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and figure out for yourselves
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whether or not you can tolerate caffeine
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and at what times of day you can tolerate caffeine
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in order to still fall asleep easily and get good sleep.
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So rather than demonize caffeine,
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or say that everyone can drink caffeine until late,
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you need to figure out what's right for you.
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Caffeine has a lot of health benefits.
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It also, for some people, can be problematic for health.
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It can raise blood pressure, et cetera.
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Caffeine increases this molecule
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that's a neuromodulator that we call dopamine.
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We discussed this in episode one,
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which tends to make us feel good,
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motivated, and give us energy
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because as you may have learned in episode one,
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dopamine is related to another neuromodulator
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called epinephrine, which gives us energy.
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In fact, epinephrine is made from dopamine.
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So let's just take a step back
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and think about what we're talking about
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when we're talking about sleepiness.
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Sleepiness is driven by increases in adenosine
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that happen naturally.
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Caffeine prevents the adenosine
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from having its action of making us sleepy
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by blocking that receptor.
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So it gives us energy and it increases our dopamine levels,
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but some people can't tolerate caffeine very well.
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Other people can tolerate it just fine.
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So you need to determine that experimentally.
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All the data say there's tremendous variation.
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And right now, the only way that I'm aware of
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for you to decide whether or not caffeine
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is a good or a bad thing for you
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and whether or not you should ingest it
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at a given time of day or at all
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is really to figure that out on your own.
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In fact, there's a small subset of people
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that can drink caffeine until very late
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and they have no trouble falling asleep
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because they actually have a mutant form
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of the adenosine receptor.
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So in keeping with the theme of science
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and science-related tools,
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this is one of those cases where I can't give you
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a one-size-fits-all prescription,
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except to say you need to experiment with caffeine
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in a way that's safe for you
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and explore that and figure out what works for you
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and then stick with that.
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Okay, so adenosine is driving the sleep hunger.
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When adenosine is low, it's like we're well-fed,
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we're not very hungry.
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And when adenosine is high,
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it's like we're fasted for a long time
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and we tend to be very hungry.
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So when adenosine is high, we really wanna fall asleep.
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If you want, I'm not suggesting you do this experiment,
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but you can do it,
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you can stay up for four more hours
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than you're used to staying up
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and you'll find that you're very, very sleepy.
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That's because adenosine is building up
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at levels higher and higher
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because you've been awake for those extra four hours.
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However, if you've ever pulled an all-nighter,
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you'll notice something interesting.
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As morning rolls around,
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you'll suddenly feel an increase in your energy
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and alertness again.
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Even though adenosine has been building up
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for the entire night.
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Why is that?
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The reason that is, is because there's a second force
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which is governing when you sleep and when you're awake.
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And that force is a so-called circadian force.
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Circadian means about a day or about 24 hours.
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And inside all of us is a clock
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that exists in your brain and my brain
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and the brain of every animal that we're aware of,
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that determines when we want to be sleepy
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and when we want to be awake.
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Just think about it.
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We don't go through the day
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wanting to fall asleep every 30 minutes
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and then feeling like we're wide awake.
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Our sleep and our period of sleepiness
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tends to be condensed into one block.
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Typically one six to 10 hour block.
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Although there's also variation
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in terms of how much people want to sleep.
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And we're going to discuss
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how you can diagnose your absolute sleep need
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as well as how to recover sleep that you've lost.
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That block of sleep and when it falls
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within each 24 hour cycle
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is governed by a number of different things.
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But the most powerful thing that's governing
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when you want to be asleep
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and when you want to be awake is light.
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And in particular, it's governed by sunlight.
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Now I can't emphasize enough how important
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and how actionable this relationship is
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between light and when you want to sleep.
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It's quite simple on the face of it.
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And it's quite simple to resolve
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but people tend to make a big mess
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of this whole circadian literature, frankly.
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So let's just break it down from the standpoint
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of what's going on in your brain and body
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as you go through one 24 hour day.
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Let's start with waking.
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So regardless of how well you slept at night
link |
00:14:11.920
or whether or not you were up all night,
link |
00:14:14.120
most people tend to wake up sometime
link |
00:14:16.940
around when the sun rises.
link |
00:14:19.200
Maybe not right at sunrise,
link |
00:14:20.580
but within an hour or two or maybe three of sunrise.
link |
00:14:24.080
And I realized there are night shift workers
link |
00:14:25.900
and there are people traveling and experiencing jet lag
link |
00:14:28.740
where this is not gonna be the case.
link |
00:14:30.400
We are gonna deal with jet lag and shift work
link |
00:14:33.120
at the end of this podcast.
link |
00:14:35.040
But for most people, we tend to wake up
link |
00:14:36.840
about the time that the sun is rising or so.
link |
00:14:40.400
And as we do that, adenosine levels tend to be low
link |
00:14:44.320
if we've been asleep for reasons that you now understand.
link |
00:14:48.120
And our system generates an internal signal
link |
00:14:52.380
that is in the form of a hormone.
link |
00:14:54.400
Now I've talked a lot about neuromodulators
link |
00:14:56.520
and neurotransmitters.
link |
00:14:57.460
I haven't talked a lot about hormones yet on this podcast.
link |
00:15:01.480
The definition of a hormone is it's a substance,
link |
00:15:04.200
a chemical that's released from one organ in your body
link |
00:15:08.040
that goes and acts on other organs elsewhere in your body,
link |
00:15:11.760
including your nervous system.
link |
00:15:13.980
When you wake up in the morning,
link |
00:15:15.700
you wake up because a particular hormone called cortisol
link |
00:15:19.360
is released from your adrenal glands.
link |
00:15:21.640
Your adrenal glands sit right above your kidneys
link |
00:15:23.780
and there's a little pulse of cortisol.
link |
00:15:26.000
There's also a pulse of some, and when I say a pulse,
link |
00:15:29.120
I just mean that the release of a little bit.
link |
00:15:31.400
There's also a pulse of epinephrine,
link |
00:15:34.360
which is adrenaline from your adrenals
link |
00:15:37.280
and also in your brain, and you feel awake.
link |
00:15:40.600
Now that pulse of cortisol and adrenaline
link |
00:15:43.320
and epinephrine might come from your alarm clock.
link |
00:15:45.520
It might come from you naturally waking up,
link |
00:15:48.160
but it tends to alert your whole system in your body
link |
00:15:51.440
that it's time to increase your heart rate.
link |
00:15:53.040
It's time to start tensing your muscles.
link |
00:15:54.560
It's time to start moving about.
link |
00:15:56.960
It's very important that that cortisol pulse
link |
00:16:00.040
come early in the day,
link |
00:16:02.120
or at least early in your period of wakefulness.
link |
00:16:04.880
I say that because some people are waking up at 8 p.m.
link |
00:16:07.720
and are sleeping all day,
link |
00:16:09.200
but it's very important that that pulse of cortisol
link |
00:16:11.400
occur early in the day and that it happens all at once.
link |
00:16:16.120
It sort of sets a rising tide of cortisol in your system.
link |
00:16:20.100
Now, many of you have probably heard about cortisol
link |
00:16:22.460
in relation to stress,
link |
00:16:23.880
and indeed, as we go through our day and our life,
link |
00:16:26.840
different stressors, different events happen in our life
link |
00:16:30.120
that make us feel more alert.
link |
00:16:32.160
Some of the more stressful ones
link |
00:16:33.440
might be looking at your credit card bill
link |
00:16:35.440
and seeing what seems to be a fraudulent charge,
link |
00:16:38.680
or looking at your phone and suddenly seeing a text
link |
00:16:41.380
that something you thought was gonna happen
link |
00:16:42.760
at a particular time is not gonna happen,
link |
00:16:44.320
or you're running late.
link |
00:16:45.580
Those will tend to increase norepinephrine and epinephrine,
link |
00:16:48.960
an adrenaline in your system.
link |
00:16:50.920
And if they're severe enough,
link |
00:16:52.500
you'll start getting some pulses of cortisol
link |
00:16:55.000
released from your adrenals throughout the day.
link |
00:16:57.400
But there's this normal, healthy, rising tide of cortisol
link |
00:17:01.240
that happens early in the day.
link |
00:17:02.600
And I say healthy because it wakes you up.
link |
00:17:04.880
It makes you feel alert.
link |
00:17:05.880
It makes you feel able to move and wanting to move
link |
00:17:08.760
and to go out about your day for work, for exercise,
link |
00:17:11.400
for school, for social relations, et cetera.
link |
00:17:14.680
So when you wake up in the morning
link |
00:17:16.600
is when that cortisol pulse takes off
link |
00:17:19.720
and something else important happens.
link |
00:17:21.980
A timer is set in your body and in your nervous system
link |
00:17:25.840
that dictates when a different hormone called melatonin,
link |
00:17:29.840
which makes you sleepy, will be secreted
link |
00:17:33.180
from a particular brain region.
link |
00:17:34.700
So let's talk about that.
link |
00:17:36.680
When you wake up in the morning
link |
00:17:37.800
and you experience that rise in cortisol,
link |
00:17:40.980
there's a timer that starts going,
link |
00:17:43.560
and these are cellular timers,
link |
00:17:45.040
and they're dictated by the relation
link |
00:17:46.740
between different organs in your body
link |
00:17:48.620
that says to your brain and body
link |
00:17:51.200
that in about 12 to 14 hours, a different hormone,
link |
00:17:55.400
this hormone we're calling melatonin,
link |
00:17:57.320
will be released from your pineal gland.
link |
00:18:00.280
So there's two mechanisms here,
link |
00:18:01.680
a wakefulness signal and a sleepiness signal.
link |
00:18:04.400
And the wakefulness signal triggers the onset of the timer
link |
00:18:08.200
for the sleepiness signal.
link |
00:18:10.280
Now that sleepiness signal that we call melatonin
link |
00:18:12.560
that's released from the pineal comes only from the pineal.
link |
00:18:16.920
Unless you're taking exogenous melatonin,
link |
00:18:19.120
you're supplementing with melatonin,
link |
00:18:21.120
the only source of melatonin in your body
link |
00:18:23.880
is going to be this pineal gland.
link |
00:18:25.880
So let's talk about the pineal gland for a second.
link |
00:18:28.480
The pineal gland is a gland that sits
link |
00:18:31.920
kind of in the little structure
link |
00:18:34.280
near for the aficionados out there.
link |
00:18:36.460
It's kind of near the fourth ventricle.
link |
00:18:38.560
It's about the size of a pea.
link |
00:18:40.400
Descartes, the philosopher,
link |
00:18:42.400
said that the pineal was the seat of the soul.
link |
00:18:45.280
He said that because it's one of the few structures
link |
00:18:48.120
in the human brain that there's only one of them.
link |
00:18:51.680
Most structures, there's one on either side of the brain,
link |
00:18:54.120
so-called bihemispheric,
link |
00:18:55.440
but the pineal, there's only one.
link |
00:18:57.400
I don't know anything about souls, really.
link |
00:19:00.080
Certainly not the science of souls,
link |
00:19:01.800
but I think it's very unlikely
link |
00:19:03.320
that the pineal is the seat of the soul,
link |
00:19:05.840
but it is a very interesting organ
link |
00:19:08.200
because it's the only organ in our body
link |
00:19:10.520
that releases melatonin.
link |
00:19:13.360
And that melatonin makes us sleepy and lets us fall asleep.
link |
00:19:18.160
Now I'm guessing that many of you are probably asking,
link |
00:19:21.360
should I take melatonin?
link |
00:19:23.460
My personal bias on this is, except in rare cases, no,
link |
00:19:28.520
for the following reason.
link |
00:19:29.960
Melatonin has a second function,
link |
00:19:32.200
which is that melatonin also suppresses
link |
00:19:34.760
the onset of puberty.
link |
00:19:36.900
In kids, and especially in babies,
link |
00:19:38.800
melatonin isn't just released in the evening,
link |
00:19:41.400
12 to 16 hours after we wake.
link |
00:19:44.200
Melatonin is released chronically or tonically
link |
00:19:47.840
throughout the day and night.
link |
00:19:49.600
And that chronic or tonic release of melatonin
link |
00:19:52.340
is known to suppress some of the other hormones
link |
00:19:54.680
in other regions of the brain
link |
00:19:56.120
that trigger the onset of puberty.
link |
00:19:58.240
Now, if you or your child has been taking melatonin,
link |
00:20:00.520
don't freak out.
link |
00:20:01.880
As always, any kind of supplement
link |
00:20:04.720
or anything that you're going to take or think about taking,
link |
00:20:07.900
you really need to consult with your doctor.
link |
00:20:09.920
I've said this many times on this podcast
link |
00:20:11.800
and it's in the show notes, et cetera.
link |
00:20:13.640
But before you remove anything or add anything
link |
00:20:17.560
to what you're already doing,
link |
00:20:18.960
please do consult with a healthcare professional.
link |
00:20:21.460
However, melatonin is known to suppress the onset of puberty
link |
00:20:26.760
so much so that regular cyclic cycled periods
link |
00:20:31.000
of melatonin release from the pineal
link |
00:20:33.040
really correlate with the onset of puberty
link |
00:20:35.260
and early adulthood.
link |
00:20:37.000
Meaning, as we start secreting melatonin only at night,
link |
00:20:40.760
that's also when we tend to transition out of puberty.
link |
00:20:43.760
Now, there are a lot of things that correlate
link |
00:20:45.160
in our nervous system,
link |
00:20:46.040
so it doesn't necessarily mean it controls it,
link |
00:20:48.120
but in this case, we know based on lots of data
link |
00:20:51.340
and endocrinology and so forth
link |
00:20:53.040
that melatonin suppresses the onset of puberty.
link |
00:20:56.160
So supplementing melatonin could be problematic
link |
00:20:58.760
for that reason,
link |
00:21:00.360
but if you've already gone through puberty,
link |
00:21:03.080
it could also have some impact
link |
00:21:05.400
on other hormone systems in your body.
link |
00:21:07.500
So that's why I personally don't like to use melatonin
link |
00:21:10.720
to fall asleep.
link |
00:21:12.040
There's another reason,
link |
00:21:12.860
which is that melatonin will help you fall asleep,
link |
00:21:14.840
but it won't help you stay asleep.
link |
00:21:16.680
And many people who take melatonin find that they wake up
link |
00:21:19.420
three to five hours later, unable to fall back asleep.
link |
00:21:22.760
Part of the reason for that might be
link |
00:21:25.140
that melatonin purchased,
link |
00:21:27.760
you can buy it over the counter in most areas of the world,
link |
00:21:30.440
even though it's a hormone, which is a little unusual.
link |
00:21:32.260
You can't just go into a pharmacy, at least in the US,
link |
00:21:34.560
and buy testosterone or cortisol or estrogen.
link |
00:21:37.380
You need a prescription,
link |
00:21:38.360
but you can go buy melatonin for whatever reason.
link |
00:21:40.540
I don't know the reasons for that legality,
link |
00:21:44.720
but it's been shown many times,
link |
00:21:46.900
and now I'm borrowing from some items
link |
00:21:49.400
that were in Matt Walker's book, Why We Sleep,
link |
00:21:52.080
where he stated there is evidence
link |
00:21:54.760
that in commercially available melatonin,
link |
00:21:57.200
the amount of melatonin has been tested for various brands,
link |
00:22:01.560
and it can range anywhere from being 15%
link |
00:22:05.560
of what's listed on the bottle, okay?
link |
00:22:07.840
So if they list up, this is 100 milligrams,
link |
00:22:09.880
would be a tremendously high dose.
link |
00:22:11.920
It turns out it's only 15 milligrams
link |
00:22:14.120
in that particular pill or capsule,
link |
00:22:16.440
or up to 400 times more than what's listed on the bottle.
link |
00:22:21.000
So it's completely unregulated.
link |
00:22:22.840
And so for those of you taking melatonin,
link |
00:22:25.040
I will discuss at the end of the podcast
link |
00:22:26.760
some other potential alternatives that are probably safer
link |
00:22:30.800
and don't have these issues.
link |
00:22:32.620
So should you take melatonin?
link |
00:22:35.000
My personal bias is no, but for many people,
link |
00:22:39.060
they find that it does help them.
link |
00:22:40.520
And so if you do find it helps you,
link |
00:22:42.040
then just consider what I'm saying
link |
00:22:43.800
in light of the other practices that you're doing
link |
00:22:47.180
and talk to your healthcare professional.
link |
00:22:49.120
Okay, so the rhythm of cortisol and melatonin
link |
00:22:53.440
is what we call endogenous.
link |
00:22:55.080
It's happening in us all the time
link |
00:22:57.140
without any external input.
link |
00:22:59.040
In fact, if we were in complete darkness,
link |
00:23:01.400
living in a cave with no artificial lights whatsoever,
link |
00:23:04.520
or we were in complete brightness,
link |
00:23:07.220
where we never experienced any darkness,
link |
00:23:10.120
these rhythms of cortisol and melatonin would continue.
link |
00:23:14.240
You would have a bump in cortisol or a pulse in cortisol
link |
00:23:17.040
that would drop off with time,
link |
00:23:18.480
and then melatonin would come up about 12 to 14 hours later.
link |
00:23:23.240
But these endogenous systems of our body,
link |
00:23:27.360
which are both hormonal and neural,
link |
00:23:30.600
were set so that external things
link |
00:23:34.900
could govern when they happen.
link |
00:23:36.880
Now, this takes us back to episode one of the podcast
link |
00:23:40.100
that if you haven't listened to already,
link |
00:23:41.700
you might wanna listen to,
link |
00:23:42.700
where we talked about sensation and perception and all that.
link |
00:23:45.320
I'm not gonna review it again here,
link |
00:23:47.240
but there's one particular sensory event,
link |
00:23:51.060
one particular influence on your nervous system
link |
00:23:53.960
that determines when that cortisol is going to start to rise.
link |
00:23:58.320
So if you were in complete darkness,
link |
00:24:00.520
it would happen once per 24 hour cycle,
link |
00:24:03.600
but it would be somewhat later and later each day.
link |
00:24:08.280
Whereas under normal circumstances,
link |
00:24:11.540
what happens is you wake up,
link |
00:24:13.840
and what happens when you wake up?
link |
00:24:15.640
You open your eyes.
link |
00:24:17.000
When you open your eyes, light comes into your eyes.
link |
00:24:20.400
Now, the way this system works
link |
00:24:22.140
is that you have a particular set of neurons in your eye.
link |
00:24:24.820
They're called retinal ganglion cells.
link |
00:24:26.440
You don't have to remember that if you don't want to,
link |
00:24:28.760
but these retinal ganglion cells are brain neurons.
link |
00:24:32.380
Again, the retina is just the one piece of your brain,
link |
00:24:35.120
actually two pieces,
link |
00:24:35.960
because most of you have two retinas that resides
link |
00:24:38.680
outside the skull per se.
link |
00:24:41.880
When light comes into the eye,
link |
00:24:43.560
there's a particular group of retinal ganglion cells
link |
00:24:46.600
or type of retinal ganglion cells
link |
00:24:48.920
that perceives a particular type of light
link |
00:24:52.120
and communicates that to this clock
link |
00:24:54.180
that resides right above the roof of your mouth
link |
00:24:56.000
called the suprachiasmatic nucleus, okay?
link |
00:24:59.360
So I know this can get a little complicated,
link |
00:25:00.960
but these retinal ganglion cells,
link |
00:25:03.420
when you open your eyes, light comes in,
link |
00:25:05.740
and an electrical signal is sent to this central clock
link |
00:25:08.800
we call the suprachiasmatic nucleus.
link |
00:25:11.080
And the suprachiasmatic nucleus has connections
link |
00:25:15.180
with essentially every cell and organ of your body.
link |
00:25:18.800
Now, it's vitally important that we get light
link |
00:25:21.680
communicated to this central clock
link |
00:25:23.880
in order to time the cortisol and melatonin properly.
link |
00:25:27.880
When I say properly, I can say that with confidence,
link |
00:25:30.760
because we know based on a lot of evidence
link |
00:25:33.260
that if you don't get your cortisol
link |
00:25:35.680
and melatonin rhythms right,
link |
00:25:38.000
there are tremendously broad and bad effects
link |
00:25:43.060
on cardiovascular health, dementia, metabolic effects,
link |
00:25:46.800
learning, depression, dementia.
link |
00:25:49.520
In fact, there are so many negative effects
link |
00:25:51.200
associated with getting this wrong
link |
00:25:53.600
that I don't want to go into it in too much detail.
link |
00:25:55.320
In fact, I feel like we've been bombarded
link |
00:25:58.220
with all this information about how we're not sleeping well,
link |
00:26:00.500
we're not sleeping at the right times,
link |
00:26:01.700
we're not sleeping enough
link |
00:26:02.880
to the point where people now have sleep anxiety.
link |
00:26:05.720
If they can't sleep well for a night,
link |
00:26:07.660
they're feeling overwhelmed by that
link |
00:26:09.200
and sort of now they're stressed
link |
00:26:10.520
about not being able to sleep,
link |
00:26:11.700
which is making it harder to sleep, et cetera.
link |
00:26:14.120
I really want to focus on what we can do
link |
00:26:16.520
to anchor these systems properly.
link |
00:26:18.880
So let's think about what happens when we do this correctly
link |
00:26:22.160
and how to do it correctly.
link |
00:26:23.580
When we wake up, our eyes open.
link |
00:26:25.840
Now, if we're in a dark room,
link |
00:26:28.240
there isn't enough light to trigger the correct timing
link |
00:26:32.320
of this cortisol-melatonin thing, these rhythms.
link |
00:26:37.200
You might say, well, why won't any light do it?
link |
00:26:39.400
Well, it turns out that these neurons in our eye
link |
00:26:42.660
that set the circadian clock
link |
00:26:44.320
and then allow our circadian clock
link |
00:26:46.100
to set all the clocks of all the cells and organs
link |
00:26:48.380
and tissues of our body responds best
link |
00:26:52.040
to a particular quality of light and amount of light.
link |
00:26:56.880
And those are the qualities of light
link |
00:26:59.320
and amount of light that come from sunlight.
link |
00:27:02.400
So these neurons, what they're really looking for,
link |
00:27:07.080
although they don't have a mind of their own,
link |
00:27:09.040
is the sun at what we call low solar angle.
link |
00:27:12.460
The eye and the nervous system
link |
00:27:13.580
don't know anything about sunrises or sunsets.
link |
00:27:15.880
It only knows the quality of light
link |
00:27:18.320
that comes in when the sun is low in the sky.
link |
00:27:20.960
The system evolved so that when the sun is low in the sky,
link |
00:27:24.880
there's a particular contrast between yellows and blues
link |
00:27:28.960
that triggers the activation of these cells.
link |
00:27:31.460
So if you wake up and you look at your phone
link |
00:27:33.080
or your computer,
link |
00:27:33.920
or you flip on a bunch of artificial lights,
link |
00:27:37.020
will these cells be activated?
link |
00:27:38.960
And the answer is sort of.
link |
00:27:40.620
They'll be activated, but not in the optimal way.
link |
00:27:43.960
What you want to do is get sunlight in your eyes
link |
00:27:46.560
as close to waking as possible.
link |
00:27:48.920
Now, I want to be really clear about this
link |
00:27:50.360
because I've talked about it on other podcasts
link |
00:27:52.880
when I was a guest,
link |
00:27:53.720
and I've talked about it on my Instagram feed,
link |
00:27:55.900
and there seemed to be the same questions
link |
00:27:57.300
coming up again and again.
link |
00:27:59.200
These neurons don't know sunlight per se.
link |
00:28:02.100
They don't know sunrise or sunset for that matter.
link |
00:28:05.400
They don't know artificial light from sunlight.
link |
00:28:08.540
What they respond best to, however,
link |
00:28:11.340
is the quality and amount of light that comes in
link |
00:28:14.060
when the sun is low in the sky.
link |
00:28:16.140
That means that if you can watch the sunrise, great.
link |
00:28:20.520
That's perfect for triggering activation of these cells.
link |
00:28:23.980
However, if you wake up a few hours after the sunrise,
link |
00:28:27.160
which I tend to most days, personally,
link |
00:28:30.100
you still want to get outside and view sunlight.
link |
00:28:33.820
You don't need the sunlight beaming you
link |
00:28:35.660
directly in the eyes.
link |
00:28:36.780
There's a lot of photons, light energy,
link |
00:28:39.140
that's scattered from sunlight at this time.
link |
00:28:41.740
But the key is to get that light energy
link |
00:28:45.460
from sunlight, ideally, into your eyes.
link |
00:28:48.060
Now, I know many of you are already asking,
link |
00:28:50.060
well, I live in Scandinavia or I can't get sunlight.
link |
00:28:52.980
There's buildings around me, et cetera.
link |
00:28:54.640
We will get to all of that.
link |
00:28:56.700
But it's critically important that you get outside
link |
00:28:58.940
to get this light.
link |
00:29:00.460
I had a discussion with a colleague of mine,
link |
00:29:02.340
Dr. Jamie Zeitzer,
link |
00:29:03.380
who's in the Department of Psychiatry
link |
00:29:05.700
and Behavioral Sciences at Stanford,
link |
00:29:09.180
a world expert in this.
link |
00:29:10.500
And he tells me that it's 50 times less effective
link |
00:29:15.980
to view the sunlight through a window,
link |
00:29:19.540
through a car windshield or through a side window of a car,
link |
00:29:23.160
than it is to just get outside with no sunglasses
link |
00:29:26.180
and view light early in the day.
link |
00:29:28.740
Now, if you can't see the sunrise, like I said,
link |
00:29:31.140
you can see this within an hour or two of sunrise,
link |
00:29:33.500
but it has to be low solar angle.
link |
00:29:35.120
Once the sun is overhead, the quality of light shifts
link |
00:29:38.540
so that you miss this opportunity
link |
00:29:40.620
to time the cortisol pulse.
link |
00:29:42.500
And that turns out to be a bad thing to do.
link |
00:29:45.960
You really want to time that cortisol pulse properly
link |
00:29:49.140
because we'll get into this a little bit more later,
link |
00:29:52.320
but a late shifted cortisol pulse,
link |
00:29:55.460
in particular in 9 p.m. or 8 p.m. increase in cortisol,
link |
00:29:59.520
is one of the consequences and maybe one of the causes
link |
00:30:04.540
of a lot of anxiety disorders and depression.
link |
00:30:07.480
So it's kind of a chicken egg thing.
link |
00:30:08.620
We don't know whether or not it's the correlated with,
link |
00:30:10.600
it's the cause or the effect,
link |
00:30:12.580
but it's a signature of depression and anxiety disorder.
link |
00:30:15.840
Bringing that cortisol pulse earlier in your wakeful period,
link |
00:30:19.660
earlier in your day, has positive benefits
link |
00:30:22.980
ranging from blood pressure to mental health, et cetera.
link |
00:30:26.500
I'm not going to list them all off
link |
00:30:27.520
because there's just so many of them,
link |
00:30:29.200
but many, many positive things happen
link |
00:30:31.400
when you are getting the cortisol early in the day,
link |
00:30:34.580
far away from your melatonin pulse.
link |
00:30:37.360
Okay, so how long should you be outside?
link |
00:30:40.060
Well, this is going to vary tremendously
link |
00:30:42.260
because some people live in environments
link |
00:30:43.820
where it's very bright.
link |
00:30:44.660
So let's say it's Colorado in the middle of winter,
link |
00:30:48.500
there's a snow field, there's no cloud cover,
link |
00:30:50.500
and you walk outside.
link |
00:30:52.000
There's going to be so much photon light energy
link |
00:30:55.180
arriving on your retina
link |
00:30:56.660
that probably only takes 30 to 60 seconds
link |
00:30:58.820
to trigger the central clock
link |
00:31:00.260
and set your cortisol and melatonin rhythms properly
link |
00:31:03.080
and get everything lined up nicely.
link |
00:31:07.160
Whereas if you're in Scandinavia in the depths of winter
link |
00:31:09.940
and you wake up at 5 a.m.
link |
00:31:11.140
and the sun is just barely creeping across the horizon
link |
00:31:13.720
then goes back down again a few hours later,
link |
00:31:16.160
you probably are not getting enough sunlight
link |
00:31:19.900
in order to set these rhythms.
link |
00:31:22.220
So many people find
link |
00:31:24.300
that they need to use sunlight simulators
link |
00:31:27.180
in the form of particular lights
link |
00:31:29.040
that were designed to simulate sunlight.
link |
00:31:30.780
However, I'm not out to attack the companies
link |
00:31:33.580
that produce those.
link |
00:31:34.860
There's another solution to that.
link |
00:31:37.660
You can simply go outside for longer.
link |
00:31:40.060
Even if there's a lot of dense cloud cover,
link |
00:31:42.240
you're probably getting
link |
00:31:44.180
anywhere from 10,000 to 50,000 lux, L-U-X,
link |
00:31:48.340
which is just a measure of light energy.
link |
00:31:50.500
And that should be sufficient to set the circadian clock.
link |
00:31:55.540
You could say, well, the lights in my house
link |
00:31:57.820
or my phone are really, really bright, right?
link |
00:31:59.940
Everyone's telling us to stay off our phones at night
link |
00:32:01.700
because they're really bright.
link |
00:32:03.260
But guess what?
link |
00:32:04.100
It turns out that early in the day,
link |
00:32:06.320
your retina is not very sensitive,
link |
00:32:09.240
which means you need a lot of photons,
link |
00:32:12.140
ideally coming from sunlight,
link |
00:32:13.520
to set these clock mechanisms.
link |
00:32:15.280
So looking at your phone or artificial lights is fine
link |
00:32:17.560
if you wake up before sunrise,
link |
00:32:19.860
but it's not going to work to set these clock mechanisms.
link |
00:32:24.160
And this is supported by dozens, if not hundreds,
link |
00:32:26.660
of quality peer-reviewed studies.
link |
00:32:29.100
So you want to use sunlight.
link |
00:32:30.660
If you can't see sunlight because of your environment,
link |
00:32:33.800
then you are going to have to opt for artificial light.
link |
00:32:37.100
And in that case, you're going to want an artificial light
link |
00:32:39.640
that either simulates sunlight or has a lot of blue light.
link |
00:32:44.060
Now, without going off course here,
link |
00:32:45.780
you might be saying, wait, I've heard blue light
link |
00:32:47.920
is bad for me.
link |
00:32:48.880
Actually, blue light is great for this mechanism
link |
00:32:51.820
during the day.
link |
00:32:53.660
We can talk about blue light and blue blockers,
link |
00:32:57.060
but you really want a lot of blue and yellow light
link |
00:33:00.120
arriving on the retina early in the day.
link |
00:33:02.020
Let me be clear about something.
link |
00:33:03.820
You never ever want to look at any light,
link |
00:33:06.280
sunlight or artificial light, that is painful to look at.
link |
00:33:09.980
If you find that your eyes are watering
link |
00:33:11.740
or you're having challenges maintaining,
link |
00:33:14.660
looking at this thing for a while because it's painful,
link |
00:33:17.140
that light is too bright
link |
00:33:18.140
and you do not want to damage your retina.
link |
00:33:20.020
So you don't want to gaze at the sun,
link |
00:33:22.180
refusing to blink and burn your retina.
link |
00:33:25.840
That's actually possible to do.
link |
00:33:27.080
You don't want to do that.
link |
00:33:29.240
You have a proper blink reflex installed in you since birth.
link |
00:33:33.060
And if you feel like something's too bright
link |
00:33:34.980
and you need to blink, it means you need to blink,
link |
00:33:36.660
that it's too much light.
link |
00:33:38.780
So please don't beam your eyes with really bright light.
link |
00:33:41.820
But blue light, in particular blue light
link |
00:33:43.860
and yellow light coming from sunlight is ideal.
link |
00:33:45.980
If you're going to get it from artificial light,
link |
00:33:48.040
because you can't get enough sunlight,
link |
00:33:49.620
well then artificial lights that are rich in blue,
link |
00:33:54.380
blue wavelengths are going to be ideal
link |
00:33:56.580
for setting this mechanism.
link |
00:33:58.340
A lot of people will say,
link |
00:33:59.160
oh, I should be wearing blue blockers throughout the day.
link |
00:34:01.240
No, that's the exact wrong thing.
link |
00:34:03.980
If you're going to use blue blockers,
link |
00:34:05.660
we can talk about that.
link |
00:34:06.540
That should be reserved for late in the evening
link |
00:34:09.380
because light suppresses melatonin.
link |
00:34:12.660
I've been asked many times before about this pineal gland.
link |
00:34:16.860
And there are a lot of ancient practices
link |
00:34:19.400
that map to some of the things that I'm saying.
link |
00:34:21.060
And people always say,
link |
00:34:21.880
oh, I heard that sunlight is great for the pineal.
link |
00:34:24.660
Well, perhaps, but we have to be careful about that phrase.
link |
00:34:28.360
Sunlight inhibits the pineal.
link |
00:34:31.140
It prevents it from releasing melatonin.
link |
00:34:34.260
Darkness allows the pineal to release melatonin.
link |
00:34:38.180
So the pineal is not the gland or the organ of sunlight.
link |
00:34:41.940
It is the gland of darkness.
link |
00:34:43.860
In fact, melatonin can be thought of as a sleepiness signal
link |
00:34:47.180
that's correlated with darkness.
link |
00:34:48.940
So get up each morning, try and get outside.
link |
00:34:52.040
I know that can be challenging for people,
link |
00:34:53.680
but anywhere from two to 10 minutes of sunlight exposure
link |
00:34:58.080
is going to work well for most people.
link |
00:34:59.840
And you want to do this on a regular basis
link |
00:35:01.700
and you don't have to do it exactly at sunrise.
link |
00:35:03.580
I realize I'm repeating myself,
link |
00:35:05.180
but somehow despite barking at people about this
link |
00:35:08.340
for a couple of years now,
link |
00:35:09.960
I keep getting the same questions.
link |
00:35:11.380
And somehow it hasn't been sinking in,
link |
00:35:14.700
which could be related to some circadian disorder.
link |
00:35:16.820
I'm just kidding.
link |
00:35:17.640
If it's not sinking in,
link |
00:35:18.600
it's probably that I'm not being effective
link |
00:35:20.180
in communicating the information.
link |
00:35:22.640
But get that bright light early in the day from sunlight.
link |
00:35:25.620
And if you can't get it from sunlight,
link |
00:35:26.820
get it from artificial light.
link |
00:35:28.180
What kinds of artificial lights will work?
link |
00:35:29.960
Well, there are these sunrise simulators,
link |
00:35:33.100
but the ring lights that people use for selfies
link |
00:35:37.220
and this sort of thing for posting on Instagram,
link |
00:35:39.760
those generate a lot of blue light.
link |
00:35:42.060
If you want to get experimental about this,
link |
00:35:44.040
there's a free app.
link |
00:35:45.060
I have no relationship to the app,
link |
00:35:46.640
but it's a great app called Light Meter
link |
00:35:48.800
that you can use your phone
link |
00:35:50.580
and you can measure the amount of photon energy
link |
00:35:53.020
in your environment.
link |
00:35:54.060
And it's kind of a fun experiment to do.
link |
00:35:55.340
You can go outside in the morning
link |
00:35:56.600
and you'll see that there's 10,000, 20,000 lux,
link |
00:35:59.140
even though it might seem like it's kind of dim
link |
00:36:01.060
or there's tree cover or cloud cover,
link |
00:36:02.700
you go inside and you shine that artificial light
link |
00:36:06.900
at your phone, press the button on Light Meter
link |
00:36:09.100
and you'll find that it's only 500 or 1,000 lux.
link |
00:36:12.020
And you realize that even though it seems really bright,
link |
00:36:15.320
the artificial light is very condensed,
link |
00:36:17.860
whereas the outside light is scattered in the atmosphere.
link |
00:36:22.380
And so you can think that you're not getting much sunlight,
link |
00:36:24.420
but you're actually getting much more outside.
link |
00:36:26.040
So get outside, get that sunlight early in the day
link |
00:36:28.260
and try and do it on a consistent basis.
link |
00:36:30.200
If you can't do it every day
link |
00:36:31.380
or you sleep through this period of the early day,
link |
00:36:33.740
low solar angle, don't worry about it.
link |
00:36:36.180
The systems in the body,
link |
00:36:37.560
these hormone systems and neurotransmitter systems
link |
00:36:40.100
that make you awake at certain periods of the day
link |
00:36:42.620
and sleepy at other times are operating
link |
00:36:46.220
by averaging when you view the brightest light.
link |
00:36:50.080
Now, that can immediately tell us
link |
00:36:52.860
that what most people are doing is terrible.
link |
00:36:54.660
They're waking up and they're looking at their phone,
link |
00:36:56.500
which isn't triggering activation of these cells in the eye
link |
00:36:59.300
and the central circadian clock.
link |
00:37:00.980
Then a few hours later,
link |
00:37:02.060
they might get in their car with sunglasses and drive.
link |
00:37:04.460
Now, a note about sunglasses and prescription lenses.
link |
00:37:08.300
Absolutely never, ever, ever compromise safety
link |
00:37:12.300
for the sorts of things I'm talking about.
link |
00:37:13.960
So if you need to wear sunglasses for safety reasons,
link |
00:37:16.260
wear them.
link |
00:37:17.300
Absolutely, if you wear prescription lenses or contacts,
link |
00:37:20.140
wear them.
link |
00:37:20.980
They won't filter out the wavelengths of light
link |
00:37:23.700
that are necessary for setting these central clocks.
link |
00:37:26.100
So safety first, of course.
link |
00:37:28.160
If you have a retinal degenerative disorder,
link |
00:37:30.440
retinitis pigmentosa, macular degeneration, or glaucoma,
link |
00:37:33.320
or those run in your family,
link |
00:37:35.380
you want to avoid excessively bright light all the time.
link |
00:37:38.660
You want to be very cautious about that.
link |
00:37:40.300
You're going to want to get your light exposure
link |
00:37:42.380
by through seeing dimmer light, including sunlight,
link |
00:37:46.780
but for longer periods of time, perhaps.
link |
00:37:49.660
You might immediately ask,
link |
00:37:51.260
what about low vision or blind people?
link |
00:37:53.820
How do they set these central clocks?
link |
00:37:55.340
Well, it turns out that low vision and blind people,
link |
00:37:57.980
most of them, provided they still have eyes,
link |
00:38:00.260
that the eyes weren't removed
link |
00:38:01.260
because of a burn or tumor or something like that,
link |
00:38:03.660
still maintain these neurons that set the circadian clock,
link |
00:38:07.780
which brings me to a really important point.
link |
00:38:10.260
It's not about seeing and perceiving the sun.
link |
00:38:13.720
This is a subconscious mechanism by which these neurons,
link |
00:38:17.580
which are called melanopsin ganglion cells,
link |
00:38:20.860
these neurons set your central clocks
link |
00:38:24.580
by getting activated by the particular wavelengths of light
link |
00:38:28.060
that are present in the atmosphere,
link |
00:38:29.540
even coming through cloud cover.
link |
00:38:32.020
And you don't need to see or perceive the sun
link |
00:38:35.180
in order to get this mechanism to start.
link |
00:38:37.580
Now, it's such a vitally important mechanism
link |
00:38:39.540
because it dictates how well and what time
link |
00:38:44.100
you will want to fall asleep later in the day.
link |
00:38:46.260
So for those of you that are night owls
link |
00:38:47.860
and you insist that you're a night owl
link |
00:38:49.380
and you have the genetic polymorphism
link |
00:38:51.100
that makes you a night owl,
link |
00:38:52.060
you may very well have that genetic polymorphism,
link |
00:38:54.820
those genes that make you want to stay up late
link |
00:38:56.900
and wake up late.
link |
00:38:58.660
But chances are about half of you
link |
00:39:00.360
that think that you're night owls
link |
00:39:01.920
are just not getting enough sunlight early in the day.
link |
00:39:04.840
So viewing light early in the day, ideally sunlight,
link |
00:39:08.380
is key for establishing healthy sleep-wake rhythms
link |
00:39:12.480
and for allowing you to fall asleep easily at night.
link |
00:39:16.420
Now, it's not gonna make sure
link |
00:39:17.740
that all that happens every single time,
link |
00:39:19.660
but it is the foundation of proper sleep
link |
00:39:23.220
and what we call circadian health.
link |
00:39:25.420
It governs metabolism and so many other things
link |
00:39:28.600
that are supposed to exist on a regular 24-hour cycle.
link |
00:39:33.500
Some of you, many of you might be asking,
link |
00:39:36.140
what else can help set this rhythm?
link |
00:39:37.940
Well, it turns out that light
link |
00:39:39.480
is what we call the primary zeitgeber, the time giver.
link |
00:39:43.940
But other things can help establish this rhythm
link |
00:39:48.140
of cortisol followed by melatonin
link |
00:39:49.940
12 to 16 hours later as well.
link |
00:39:52.480
The other things besides light are timing of food intake,
link |
00:39:57.020
timing of exercise, as well as various drugs
link |
00:40:01.380
or chemicals that one might ingest, not illegal drugs,
link |
00:40:04.460
although those will impact circadian mechanisms as well.
link |
00:40:08.200
But the reason we focus so heavily on light
link |
00:40:10.520
is that light is the main way that the central clock,
link |
00:40:15.700
the suprachiasmatic nucleus was supposed to be set.
link |
00:40:18.960
We know that because it's the only direct input
link |
00:40:22.340
to the clock.
link |
00:40:23.440
These neurons in the eye that are also part of the brain
link |
00:40:25.540
that we call melanopsin ganglion cells
link |
00:40:27.720
that not so incidentally were discovered
link |
00:40:30.260
by my friend and colleague David Berson
link |
00:40:32.100
at Brown University and others,
link |
00:40:34.700
Samir Hatar, King Wayao, et cetera,
link |
00:40:37.340
worked out the mechanisms, the molecular mechanisms,
link |
00:40:39.500
but it was really David Berson
link |
00:40:41.500
that discovered these incredibly fascinating non,
link |
00:40:46.420
these are cells that aren't important for sight
link |
00:40:48.520
like pattern vision, but are for setting our clocks.
link |
00:40:51.940
David's really credited with making that discovery.
link |
00:40:55.060
Those cells are the main way
link |
00:40:58.580
and the only direct way to set the clock.
link |
00:41:01.460
In fact, it's fair to say that light
link |
00:41:04.620
viewed by these melanopsin cells, particular sunlight,
link |
00:41:08.580
is 1,000 to 10,000 times more effective
link |
00:41:12.460
than say getting up in darkness and just exercising.
link |
00:41:16.040
That doesn't mean that you shouldn't exercise
link |
00:41:17.580
early in the day in darkness if that's what you like to do.
link |
00:41:20.020
It will have somewhat an effect
link |
00:41:22.340
on raising your wakefulness early in the day
link |
00:41:25.080
and setting these rhythms.
link |
00:41:27.620
And this is because of some other pathways.
link |
00:41:29.460
For the aficionados out there
link |
00:41:31.060
who want to know more neuroscience, here's how it goes.
link |
00:41:33.860
You've got this clock above the roof of your mouth
link |
00:41:35.900
that churns out this 24-hour rhythm
link |
00:41:37.680
and is communicated to all the other organs
link |
00:41:39.580
and tissues of your body.
link |
00:41:41.140
But there's another structure, has a cool name.
link |
00:41:43.540
It's called the intergeniculate leaflet,
link |
00:41:45.840
which sits a few millimeters away in the brain,
link |
00:41:48.300
and it's involved in regulating the clock output
link |
00:41:51.540
through what's called non-photic, non-light type influences
link |
00:41:55.640
like exercise and feeding, et cetera.
link |
00:41:58.420
So if you are not feeling awake during the day
link |
00:42:02.380
and you're having trouble sleeping,
link |
00:42:04.160
get the sunlight exposure that we just talked about.
link |
00:42:07.140
But in addition to that,
link |
00:42:09.140
if you want to become an early riser, for instance,
link |
00:42:11.500
and you want to feel more awake
link |
00:42:12.540
during the early part of the day,
link |
00:42:15.140
by getting that light exposure
link |
00:42:16.460
and exercising early in the day,
link |
00:42:18.940
you will, after two or three days,
link |
00:42:21.220
you will naturally start to wake up earlier in the day.
link |
00:42:23.660
And that's because these clock mechanisms have shifted.
link |
00:42:26.100
It's like setting the clock earlier
link |
00:42:27.820
as opposed to delaying the clock.
link |
00:42:30.220
And that takes us to a somewhat complicated
link |
00:42:33.480
but very important aspect to all this,
link |
00:42:35.780
which is what sets the clock and keeps it anchored.
link |
00:42:39.360
The main thing is that bright light early in the day.
link |
00:42:42.520
The other thing is sunset.
link |
00:42:44.460
When the sun is also at low solar angle,
link |
00:42:47.640
low, close to the horizon,
link |
00:42:49.300
by viewing sunlight at that time of day in the evening
link |
00:42:53.500
or afternoon, depending on what time of year it is
link |
00:42:55.380
and where you are in the world,
link |
00:42:57.300
these melanopsin cells, these neurons in your eye,
link |
00:42:59.780
signal the central circadian clock
link |
00:43:01.940
that it's the end of the day.
link |
00:43:04.060
And there's a really nice study that was published last year
link |
00:43:06.900
and I will put links to these references on a website
link |
00:43:09.740
not too long from now.
link |
00:43:11.820
There was a really nice study that showed
link |
00:43:14.740
that viewing sunlight around the time of sunset
link |
00:43:18.860
doesn't have to be just crossing the horizon,
link |
00:43:21.280
but circa sunset within an hour or so of sunset
link |
00:43:26.420
prevents some of the bad effects of light
link |
00:43:29.900
in preventing melatonin release later that same night.
link |
00:43:33.820
So let me repeat this.
link |
00:43:34.740
Viewing light early in the day is key.
link |
00:43:36.300
Viewing light later in the day when the sun is setting
link |
00:43:39.460
or around that time can help protect these mechanisms,
link |
00:43:43.900
your brain and body against the negative effects
link |
00:43:46.780
of light later in the day.
link |
00:43:48.780
So let me talk about how you would do that.
link |
00:43:51.260
You'd go view the sunset,
link |
00:43:52.620
or you would go outside in the late afternoon or evening.
link |
00:43:55.900
Again, if you safely can do that with sunglasses off,
link |
00:43:58.320
you will.
link |
00:43:59.380
If you need to wear sunglasses, fine,
link |
00:44:00.620
but it will take probably a hundred to a thousand times
link |
00:44:03.220
longer with dark sunglasses than if you take them off.
link |
00:44:07.740
Again, if you want to do this through a window at work,
link |
00:44:09.640
that's fine, but it'll take 50 times longer.
link |
00:44:12.060
So the best thing to do is just to get outside
link |
00:44:14.220
for a few minutes, anywhere from two to 10 minutes
link |
00:44:16.300
also in the afternoon.
link |
00:44:17.740
Having those two signals arriving to your central clock
link |
00:44:21.100
that your body, your internal world,
link |
00:44:23.540
knows when it's morning and knows when it's evening
link |
00:44:25.740
is tremendously powerful.
link |
00:44:27.980
Maybe think about it this way.
link |
00:44:29.980
Every cell in your body needs glucose and energy.
link |
00:44:33.060
It needs, whether or not it gets that from meat
link |
00:44:35.200
or it gets it from ketones or it gets it from carbohydrates
link |
00:44:37.740
or fruit or vegetables, it doesn't matter.
link |
00:44:39.460
It is eventually converted into a certain form of energy
link |
00:44:42.300
that all your cells use.
link |
00:44:43.940
But you don't take glucose,
link |
00:44:45.720
you don't take a bread or a steak or a nice orange
link |
00:44:49.020
and shove it in your ear.
link |
00:44:50.320
You put it in your mouth, it goes into your stomach,
link |
00:44:52.340
it's digested, and then that resource is distributed
link |
00:44:55.640
to all the cells of your body.
link |
00:44:57.500
Every cell in your body needs oxygen
link |
00:44:59.860
and you don't put a hose through your nostril
link |
00:45:03.300
or through your ear or through some other orifice
link |
00:45:05.180
in your body.
link |
00:45:06.160
You inhale air and it's then distributed via the lungs
link |
00:45:10.220
to the cells in your bloodstream
link |
00:45:12.320
and that's distributed to all the organs of your body.
link |
00:45:15.360
Every cell and organ in your body needs light information.
link |
00:45:19.420
And the way to get that light information
link |
00:45:21.260
to all those cells, because you have a thick skull
link |
00:45:24.460
and inside of you is dark inside your skin,
link |
00:45:29.180
there's no sunlight getting in there,
link |
00:45:30.780
is by viewing sunlight with your eyes
link |
00:45:32.720
at the two times a day that I'm referring to, okay?
link |
00:45:35.500
That's the only route.
link |
00:45:37.380
There was a study published in Science,
link |
00:45:39.000
an excellent journal well over 10 years ago
link |
00:45:43.180
that showed that light shown on the back of the knee
link |
00:45:46.200
could set these circadian rhythms.
link |
00:45:49.140
That study was retracted
link |
00:45:50.620
and unfortunately most people don't know
link |
00:45:52.100
that it was retracted.
link |
00:45:53.360
There were some experimental flaws
link |
00:45:54.940
that people were actually viewing light through their eyes.
link |
00:45:57.460
That study was repeated.
link |
00:45:58.700
Turns out there is no extra ocular photoreception in humans.
link |
00:46:03.420
Whatever somebody tells you that light to the skin
link |
00:46:05.820
or light to the wherever is beneficial for your health,
link |
00:46:09.460
we can talk about that,
link |
00:46:10.660
but there's no way that light information
link |
00:46:12.700
is setting your clocks.
link |
00:46:14.700
You need these cells in your eyes to perceive
link |
00:46:17.940
or to see light at the particular times of day
link |
00:46:20.660
that I'm referring to.
link |
00:46:22.020
Some animals like snakes and other reptiles
link |
00:46:25.060
actually have a hole in the top of their skull
link |
00:46:27.740
to get light information directly to their pineal
link |
00:46:30.900
where to suppress melatonin.
link |
00:46:32.900
We don't have that hole.
link |
00:46:33.960
I mean, most of you don't have holes in your skull.
link |
00:46:37.100
These holes in your skull that we call
link |
00:46:39.600
the sockets for the eyes are actually there
link |
00:46:43.160
primarily to allow light information to the central clock.
link |
00:46:46.600
And then vision and pattern vision and color vision
link |
00:46:48.660
came much later in evolution.
link |
00:46:50.540
We know this on the basis of genetic studies
link |
00:46:52.320
we get to discuss in a future podcast.
link |
00:46:55.100
So get that light information
link |
00:46:56.880
to the cells of your brain and body
link |
00:46:59.860
by viewing sunlight at the two times a day
link |
00:47:01.420
that I referred to.
link |
00:47:03.980
There's always a lot of questions about how long,
link |
00:47:06.260
how much, how do I know if I've had enough?
link |
00:47:07.840
You'll know because your rhythm will start to fall
link |
00:47:11.020
into some degree of normalcy.
link |
00:47:13.160
You'll start to wake up at more or less
link |
00:47:14.580
the same time each day.
link |
00:47:15.660
You'll fall asleep more easily at night.
link |
00:47:17.340
Generally it takes about two or three days
link |
00:47:19.040
for these systems to align.
link |
00:47:20.720
So if you've not been doing these behaviors,
link |
00:47:22.960
it's gonna take a few days
link |
00:47:24.180
but they can have tremendous benefits
link |
00:47:26.300
and sometimes rather quickly on a number of different
link |
00:47:28.920
mental and physical aspects of your health.
link |
00:47:32.940
Now let's talk about the bad effects of light
link |
00:47:35.780
because light is not supposed to arrive in our system
link |
00:47:40.300
at any time.
link |
00:47:41.500
And nowadays, because of screens and artificial light,
link |
00:47:44.460
we have access to light at times of day and night
link |
00:47:48.540
that normally we wouldn't.
link |
00:47:50.560
Now, earlier I said that you need a lot of light
link |
00:47:53.260
in particular sunlight to set these clock mechanisms.
link |
00:47:56.260
That's true but there's a kind of diabolical feature
link |
00:47:59.060
to the way all this works
link |
00:48:00.180
which is the longer you've been awake,
link |
00:48:02.920
the more sensitive your retina and these cells are to light.
link |
00:48:08.020
So that if you've been awake for 10, 12, 14 hours,
link |
00:48:11.780
it becomes very easy for even a small amount of light
link |
00:48:14.720
coming from a screen or from an overhead light
link |
00:48:19.440
to trigger the activation of the clock
link |
00:48:21.760
and make you feel like you wanna stay up later,
link |
00:48:23.620
make it harder to fall asleep
link |
00:48:24.880
and disrupt your sleep pattern.
link |
00:48:27.040
Okay, so the simple way to think about this
link |
00:48:29.440
is you want as much light as is safely possible
link |
00:48:32.240
early in the day, morning and throughout the day,
link |
00:48:34.600
including blue light.
link |
00:48:35.820
So take those blue blockers off during the day
link |
00:48:37.820
unless you have a real issue with screen light sensitivity.
link |
00:48:40.820
And you want as little light coming into your eyes,
link |
00:48:43.820
artificial or sunlight after say 8 p.m.
link |
00:48:47.560
And certainly you do not want to get bright light exposure
link |
00:48:50.500
to your eyes between 11 p.m. and 4 a.m.
link |
00:48:52.600
And here's why.
link |
00:48:54.040
David Berson, who I mentioned before
link |
00:48:56.140
and another friend and colleague, Samir Hattar,
link |
00:48:58.260
who's director of the Chronobiology Unit
link |
00:49:00.020
at the National Institutes of Mental Health,
link |
00:49:02.180
published a paper in Cell, which is a journal,
link |
00:49:05.740
another excellent journal, very high stringency,
link |
00:49:07.900
showing that light that arrives to the eyes
link |
00:49:13.020
between 11 p.m. and 4 a.m. approximately
link |
00:49:16.840
suppresses the release of dopamine,
link |
00:49:20.300
this neuromodulator that makes us feel good
link |
00:49:22.220
as sort of an endogenous antidepressant
link |
00:49:25.780
and can inhibit learning
link |
00:49:27.000
and create all sorts of other detrimental effects.
link |
00:49:30.580
It does this through a mechanism,
link |
00:49:32.280
for those of you who want to know the neural pathways,
link |
00:49:34.440
that involves light to the eyes
link |
00:49:35.860
that then signal to a structure called the habenula.
link |
00:49:38.800
The habenula looks like two little bat ears
link |
00:49:40.620
sitting right in the middle of you,
link |
00:49:41.860
structuring your brain called the thalamus.
link |
00:49:43.500
Don't worry about these names
link |
00:49:44.620
if you're not interested in this stuff.
link |
00:49:45.680
If you are, these are just avenues to explore.
link |
00:49:48.380
When that habenula gets activated,
link |
00:49:50.320
it's actually called the disappointment nucleus
link |
00:49:53.100
because it actually makes us feel less happy
link |
00:49:57.040
and more disappointed
link |
00:49:58.140
and can lead to certain forms of depression
link |
00:50:00.660
in the wakeful state.
link |
00:50:02.140
Now, if you wake up in the middle of the night
link |
00:50:03.420
and you need to use the bathroom
link |
00:50:04.420
or you're on an all night flight
link |
00:50:05.740
and you need to read or whatever it is, fine.
link |
00:50:11.340
Every once in a while, it's not going to be a problem
link |
00:50:13.300
to get bright light exposure to your eyes
link |
00:50:15.380
in the middle of the night.
link |
00:50:16.820
But if you think about our lifestyle nowadays
link |
00:50:19.500
and being up late looking at phones,
link |
00:50:21.100
even if you dim that screen,
link |
00:50:22.780
you're triggering this activation
link |
00:50:24.660
because your retinal sensitivity
link |
00:50:26.140
and the sensitivity of these neurons has gone up
link |
00:50:28.260
late in the day.
link |
00:50:29.700
Now, I'm not here to dictate what you should or shouldn't do
link |
00:50:32.040
but for those of you that are experiencing challenges
link |
00:50:34.580
with mood, those of you that have anxiety,
link |
00:50:36.540
learning problems, issues focusing,
link |
00:50:39.180
the questions I usually get are, how can I focus better?
link |
00:50:41.340
Well, we will get to that.
link |
00:50:43.040
But one of the best ways you can support your mechanisms
link |
00:50:46.020
for good mood, mental health, learning, focus,
link |
00:50:49.100
metabolism, et cetera, is to take control
link |
00:50:52.940
of this light exposure behavior at night
link |
00:50:55.660
and not get much or any bright light exposure
link |
00:50:58.740
in the middle of the night.
link |
00:50:59.920
Red light won't trigger this pathway
link |
00:51:02.580
but very few people have the kind of infrared lights
link |
00:51:05.180
that are set up or floor lights.
link |
00:51:07.260
And that brings me to an important point
link |
00:51:09.140
which is about the location of light.
link |
00:51:10.640
This hasn't been discussed much out there, I don't think.
link |
00:51:13.560
These cells in our eye, these neurons
link |
00:51:16.180
that signal the central clock reside mostly,
link |
00:51:19.620
not exclusively, but mostly in the bottom half
link |
00:51:22.060
of our retina.
link |
00:51:23.100
And because we have a lens in front of our retina
link |
00:51:25.740
and because of the optics of lenses,
link |
00:51:27.840
that means that these cells are actually viewing
link |
00:51:30.380
our upper visual field.
link |
00:51:31.960
There's an inversion of the visual image, et cetera.
link |
00:51:34.460
You can look that up if you wanna learn more
link |
00:51:36.140
about retinal optics, it's fascinating
link |
00:51:38.460
but not the topic for today.
link |
00:51:40.580
These cells are in the bottom half of your retina mostly
link |
00:51:42.940
and so they're viewing the overhead visual space around you.
link |
00:51:48.220
This is probably not coincidental
link |
00:51:50.840
that these cells were essentially designed
link |
00:51:54.260
to detect sunlight, which is overhead, of course.
link |
00:51:58.100
So if you want to avoid improper activation
link |
00:52:03.940
of these neurons, it's better to place lights
link |
00:52:07.700
that you use in the evening low in your physical environment
link |
00:52:10.780
so on desktops or even the floor,
link |
00:52:13.100
if you wanna go that way, as opposed to overhead lights.
link |
00:52:17.940
So overhead fluorescent lights would be the worst.
link |
00:52:20.900
That would be the worst case scenario.
link |
00:52:23.300
Lights that are overhead that are a little bit softer
link |
00:52:25.740
of the sort of yellow or reddish tints
link |
00:52:28.000
would be slightly better.
link |
00:52:29.040
But dim lights that are set low in the room
link |
00:52:31.660
are going to be best because they aren't going
link |
00:52:33.580
to activate these neurons
link |
00:52:36.180
and therefore shift your circadian clock.
link |
00:52:39.140
So that's a goal.
link |
00:52:40.540
Some people like Samir Hatar that I mentioned earlier,
link |
00:52:43.580
he turns his home basically into a cave in the evenings.
link |
00:52:46.660
Candlelight actually does not trigger
link |
00:52:49.460
activation of these cells.
link |
00:52:50.660
So candlelight and fireplaces and campfires are fine.
link |
00:52:56.280
Dim lights, very dim lights are fine
link |
00:52:58.260
and lights low in the physical environment.
link |
00:53:00.000
Of course, the problem with candlelight and fireplaces
link |
00:53:02.660
is the fire hazard, but you're smart people.
link |
00:53:05.260
You know what to do about that.
link |
00:53:07.620
Don't burn down whatever structure you're in,
link |
00:53:10.820
including forests, please.
link |
00:53:13.220
So keep the lights low in your environment.
link |
00:53:16.840
What if you wake up in the middle of the night
link |
00:53:18.960
and you find yourself watching TV or on the computer?
link |
00:53:23.020
And well, in that case, you might want to wear blue blockers
link |
00:53:25.780
and you certainly would want to dim the screen,
link |
00:53:28.060
but ideally you're not doing that.
link |
00:53:29.580
It's remarkable the positive effects
link |
00:53:32.620
of getting that bit of sunlight early in the day,
link |
00:53:34.600
maybe even also around sunset and avoiding bright lights
link |
00:53:38.060
and especially overhead bright lights
link |
00:53:40.520
between about 11 p.m. and 4 a.m.
link |
00:53:42.680
Now I'm not talking about shift work.
link |
00:53:44.420
I'm realizing that we're probably going to have to have
link |
00:53:46.620
an entire discussion devoted just to shift workers
link |
00:53:49.360
because there's some good information there
link |
00:53:50.820
about how they can protect themselves
link |
00:53:52.700
against some of the very bad health effects of shift work
link |
00:53:56.300
of getting light in the middle of the night.
link |
00:53:57.780
But we rely on shift workers and they're super important
link |
00:54:00.660
to culture and society and the economy.
link |
00:54:03.420
So I want to acknowledge them and let you know
link |
00:54:05.540
that we will do a discussion about shift work and jet lag.
link |
00:54:10.540
But let's talk about what light can do
link |
00:54:14.300
in terms of shifting us in healthy ways.
link |
00:54:17.540
So the way to think about this whole system,
link |
00:54:20.200
again, is you've got adenosine building up
link |
00:54:21.940
depending on how long you've been awake
link |
00:54:24.040
and it's making you sleepy.
link |
00:54:25.100
And then you've got the circadian mechanisms
link |
00:54:26.780
that are timing your wakefulness
link |
00:54:28.460
and timing when you want to be asleep,
link |
00:54:30.060
mainly through cortisol and melatonin.
link |
00:54:32.340
But there are a bunch of other things
link |
00:54:33.420
that are downstream of cortisol and melatonin.
link |
00:54:35.500
Like we tend to be hungrier during our wakeful period
link |
00:54:40.040
than late at night.
link |
00:54:41.000
Some people like to eat late at night,
link |
00:54:42.760
but if you're finding that you can't become a day person
link |
00:54:45.660
or a morning person, shifting your light exposure,
link |
00:54:48.860
exercise and food intake to the daytime will help.
link |
00:54:52.900
Some people like to stop eating around six or 8 p.m.
link |
00:54:56.720
because of metabolic reasons
link |
00:54:58.900
or they're trying to maintain their weight or lose weight.
link |
00:55:01.300
That's actually not supported so well by the literature.
link |
00:55:05.660
The literature around nutrition essentially says
link |
00:55:07.460
that it's best to restrict your feeding
link |
00:55:09.840
to a certain period of each 24 hour cycle
link |
00:55:12.080
to not be eating around the clock.
link |
00:55:14.140
And whether or not that's four hours or eight hours
link |
00:55:16.100
or 16 hours is a much lengthier discussion
link |
00:55:19.560
than we have time for now.
link |
00:55:20.580
I would refer you to Sachin Panda's book,
link |
00:55:23.500
The Circadian Code, which talks all about that.
link |
00:55:25.580
He's an expert, a former colleague of mine
link |
00:55:27.340
from the Salk Institute in San Diego.
link |
00:55:29.700
You can explore intermittent and circadian fasting,
link |
00:55:33.320
so to speak, through Sachin's literature.
link |
00:55:35.540
We'll talk about that.
link |
00:55:36.380
We might even get Sachin in here
link |
00:55:37.540
if we're lucky at some point in the future.
link |
00:55:39.820
But you can actually use light to wake up earlier.
link |
00:55:43.340
Jamie Zeitzer and colleagues did a beautiful study
link |
00:55:46.400
showing that if you turn on the lights before waking up,
link |
00:55:51.660
so around 45 minutes to an hour before waking up,
link |
00:55:54.820
even if your eyelids are closed,
link |
00:55:56.340
provided you're not under the covers,
link |
00:55:59.860
after doing that for a few days,
link |
00:56:01.700
that increases your total sleep time
link |
00:56:04.420
and shifts forward the time at which you feel sleepy.
link |
00:56:07.380
It makes you want to go to bed earlier each night.
link |
00:56:10.700
Now, in a kind of a diabolical way,
link |
00:56:13.160
they did this with teenagers who are notorious
link |
00:56:15.700
for wanting to wake up late and stay up late.
link |
00:56:17.460
And what they found was bright light flashes,
link |
00:56:19.940
just turning on the lights in their environment,
link |
00:56:21.400
overhead lights,
link |
00:56:22.240
because they're trying to activate the system,
link |
00:56:24.060
and that's why they're using overhead lights.
link |
00:56:26.500
Even through the eyelids, before these kids woke up,
link |
00:56:30.100
then made those kids naturally want to go to bed earlier
link |
00:56:32.660
and they ended up sleeping longer.
link |
00:56:34.180
So that's something you could try.
link |
00:56:35.200
You could put your lights on a timer to go on
link |
00:56:38.260
early in the day before you wake up.
link |
00:56:40.980
You could open your blind so that sunlight is coming through.
link |
00:56:44.260
And again, if you curl up under the covers,
link |
00:56:46.540
then it's not going to reach these neurons,
link |
00:56:49.300
but it's remarkable the light can actually penetrate
link |
00:56:51.380
the eyelids, activate these neurons,
link |
00:56:53.100
and go to the central clock.
link |
00:56:55.420
That study illustrates a really important principle
link |
00:56:57.940
of how you're built,
link |
00:56:58.900
which is you have the capacity for what are called
link |
00:57:01.900
phase advances and phase delays.
link |
00:57:05.020
And I don't want to complicate this too much.
link |
00:57:07.140
So the simplest way to think about phase advances
link |
00:57:10.480
and phase delays is that if you see light late in the day,
link |
00:57:15.620
and in particular in the middle of the night,
link |
00:57:17.860
your brain and body for reasons that now you understand
link |
00:57:22.300
will think that that's morning light,
link |
00:57:24.380
even though it's not sunlight
link |
00:57:25.540
because you have this heightened sensitivity,
link |
00:57:27.120
and it will phase delay,
link |
00:57:28.460
it will delay your clock.
link |
00:57:29.860
It will essentially make you want to get up later
link |
00:57:32.020
and go to sleep later.
link |
00:57:33.740
So if you get light exposure too late in the evening
link |
00:57:36.500
or in the middle of the night,
link |
00:57:37.900
it's going to make it hard to want to wake up
link |
00:57:40.140
the next morning early and to go to bed early.
link |
00:57:44.340
The opposite is also true.
link |
00:57:46.900
If you wake up early,
link |
00:57:49.620
say 6 a.m. or 7 a.m. and get light exposure,
link |
00:57:54.300
or even earlier, 4 a.m., and get light exposure,
link |
00:57:57.260
it will phase advance your clock, okay?
link |
00:58:00.060
It's going to make your clock think it's earlier
link |
00:58:02.580
and you'll want to wake up earlier.
link |
00:58:04.340
So the simple way to think about this
link |
00:58:06.700
is if you're having trouble waking up early
link |
00:58:08.820
and feeling alert early in the day,
link |
00:58:11.660
you're going to want to try and get bright light exposure
link |
00:58:14.260
even before waking up because it will advance your clock.
link |
00:58:17.540
It's sort of like turning the clock forward.
link |
00:58:20.180
Whereas if you are having trouble waking up early,
link |
00:58:22.700
you definitely don't want to get too much light exposure
link |
00:58:25.900
or any light exposure to your eyes late in the evening
link |
00:58:29.360
and in the middle of the night
link |
00:58:30.220
because it's just going to delay your clock more and more.
link |
00:58:33.140
So rather than get into the specifics
link |
00:58:35.420
of everybody's situation,
link |
00:58:36.680
because there are many of you out there
link |
00:58:38.020
with different situations
link |
00:58:39.180
and lifestyle requirements, et cetera,
link |
00:58:42.340
the way to think about this
link |
00:58:43.960
is that you have these internal mechanisms
link |
00:58:46.220
of adenosine and circadian clocks,
link |
00:58:47.960
and they're always operating.
link |
00:58:49.580
And what you're trying to do is provide them anchors.
link |
00:58:52.420
You're trying to provide them consistent, powerful anchors
link |
00:58:55.860
so that your cortisol, your melatonin,
link |
00:58:59.240
and then everything that cascades down from that,
link |
00:59:02.420
like your metabolism and your ability to learn
link |
00:59:05.140
and your sense of alertness, your dopamine, your serotonin,
link |
00:59:08.220
all that stuff is timed regularly.
link |
00:59:11.580
One of the reasons why there's so much challenge out there
link |
00:59:16.840
with focus and anxiety and depression,
link |
00:59:19.980
there are a lot of reasons for that,
link |
00:59:21.260
but one of the reasons is that people's internal mechanisms
link |
00:59:25.380
aren't anchored to anything regular.
link |
00:59:27.640
Now, this doesn't require being neurotically attached
link |
00:59:30.620
to getting up at a very specific time,
link |
00:59:32.380
going outside, viewing the sunlight, same time every day.
link |
00:59:35.220
These systems, again, will average,
link |
00:59:36.760
but if you can provide them consistent light anchors
link |
00:59:39.860
early in the day and in the evening
link |
00:59:41.760
and avoiding light at night,
link |
00:59:43.320
you will be amazed at the tremendous number
link |
00:59:45.700
of positive effects that can come from that
link |
00:59:47.980
at the level of metabolic factors, hormones,
link |
00:59:50.980
and just general feelings of wellbeing.
link |
00:59:53.420
In fact, most of us are familiar
link |
00:59:56.300
with what it is to not sleep well
link |
00:59:58.340
and all the terrible effects that has.
link |
00:59:59.960
Maybe one night you're fine,
link |
01:00:01.180
two nights even for the new parents out there,
link |
01:00:04.220
I sympathize with you,
link |
01:00:06.120
but most people are not familiar with what it is
link |
01:00:09.540
to sleep really, really well on a consistent basis.
link |
01:00:13.380
And when you start doing that
link |
01:00:15.140
by controlling your sleep environment, right,
link |
01:00:17.000
get the proper sleep surface, get the proper pillow,
link |
01:00:19.780
get the temperature in the room right,
link |
01:00:21.800
get your light exposure right,
link |
01:00:23.760
start timing your exercise at normal periods or times
link |
01:00:26.720
throughout the day and week.
link |
01:00:28.780
It's amazing how many other biological systems
link |
01:00:31.340
just naturally fall in line.
link |
01:00:33.100
And this is why whenever people ask me,
link |
01:00:35.900
what should I take,
link |
01:00:36.760
which is one of the most common questions I get,
link |
01:00:38.460
what supplements should I take?
link |
01:00:39.540
What drugs should I be taking?
link |
01:00:40.700
What things should I be taking?
link |
01:00:42.280
The first question I always ask them is, how's your sleep?
link |
01:00:47.460
And 90% of the time they tell me
link |
01:00:49.560
they either have trouble falling asleep or staying asleep,
link |
01:00:51.760
or they don't feel rested throughout the day.
link |
01:00:54.380
A brief note about naps.
link |
01:00:56.600
Naps, provided that they're less than one ultradian cycle,
link |
01:00:59.620
provided they're 20 minutes or 30 minutes or even an hour,
link |
01:01:02.540
can be very beneficial for a lot of people.
link |
01:01:04.620
You don't have to take them,
link |
01:01:06.260
but many people naturally feel a dip in energy
link |
01:01:09.020
and focus late in the afternoon.
link |
01:01:10.620
In fact, if we were gonna look at wakefulness,
link |
01:01:12.740
what we would find is that
link |
01:01:13.760
you get that morning light exposure,
link |
01:01:15.020
hopefully your cortisol goes up,
link |
01:01:16.420
people will start feeling awake,
link |
01:01:17.500
and then around two or three or four in the afternoon,
link |
01:01:19.820
there's a spike in everything from alertness
link |
01:01:23.420
to ability to learn, some metabolic factors drop,
link |
01:01:26.420
and then it just naturally comes back up,
link |
01:01:28.540
and then it tapers off as the night goes on.
link |
01:01:31.180
So for some of you, naps are great.
link |
01:01:33.720
I love taking naps.
link |
01:01:35.320
Some people, they wake up from naps feeling really groggy.
link |
01:01:38.400
That's probably because they're not sleeping as well
link |
01:01:41.320
as they should at night,
link |
01:01:42.500
or as long as they should at night,
link |
01:01:43.700
and so they're dropping into REM sleep
link |
01:01:46.340
or deeper forms of sleep in the daytime.
link |
01:01:49.100
And then they wake up and they feel kind of disoriented.
link |
01:01:51.240
Other people feel great after a nap.
link |
01:01:52.860
So that's another case where just like with caffeine,
link |
01:01:55.440
you sort of have to evaluate for yourself.
link |
01:01:57.960
As we discuss this, you're probably realizing
link |
01:01:59.580
this is a lot like nutrition,
link |
01:02:01.140
where nowadays it's just crazy.
link |
01:02:02.660
I mean, if you go on social media,
link |
01:02:04.220
it's like you've got people who are pushing carnivore,
link |
01:02:06.340
you've got other people who are pushing vegan,
link |
01:02:08.260
other people who are pushing paleo,
link |
01:02:11.040
every variation of every diet.
link |
01:02:12.980
And there's a lot of data to support any and all of those,
link |
01:02:15.920
and the arguments go on and on.
link |
01:02:17.300
And there's probably a lot of genetic variation
link |
01:02:19.460
and lifestyle variation that's going to dictate
link |
01:02:21.900
whether or not something is good for you,
link |
01:02:23.420
whether or not you like it,
link |
01:02:24.260
whether or not you'll stick to it.
link |
01:02:26.020
The same thing is true for circadian
link |
01:02:29.780
and sleep and wakefulness behaviors,
link |
01:02:32.660
except the light viewing behavior
link |
01:02:34.340
that I talked about before.
link |
01:02:35.380
There's no way around that.
link |
01:02:36.320
That's hardwired into our system.
link |
01:02:37.840
The same way we could factually say
link |
01:02:41.180
that everybody needs some nutrition at some level
link |
01:02:44.580
from some source, everybody needs light information
link |
01:02:47.460
arriving in their system in some way at regular intervals.
link |
01:02:51.660
So that's really what this is about.
link |
01:02:54.020
Okay, so naps are going to be good
link |
01:02:55.380
for some people, not for others.
link |
01:02:56.700
I have a colleague, a very accomplished neuroscientist
link |
01:02:59.240
who likes to take naps just after lunch.
link |
01:03:02.800
I personally like to take a nap around three or 4 p.m.,
link |
01:03:06.100
but there's a practice that I've adopted
link |
01:03:08.180
in the last five years
link |
01:03:09.780
that I've found to be immensely beneficial
link |
01:03:12.340
that is sort of like napping, but isn't napping.
link |
01:03:15.300
It's a thing that they call yoga nidra.
link |
01:03:18.700
Yoga nidra actually means yoga sleep.
link |
01:03:20.980
And it's a sort of meditation that you listen to.
link |
01:03:23.740
There are a number of scripts.
link |
01:03:24.780
I've talked about this on podcasts before,
link |
01:03:26.420
but I'm going to post a link to the two that I like most
link |
01:03:29.660
that allows you to consciously bring your entire body
link |
01:03:35.700
and mind into a state of deep relaxation.
link |
01:03:38.100
And sometimes you fall asleep and sometimes you don't.
link |
01:03:41.180
This is done for 10 to 30 or even 60 minutes at a time.
link |
01:03:46.140
The other thing that works really well is meditation.
link |
01:03:49.220
So I'm talking about naps,
link |
01:03:51.100
but I'm also talking about yoga nidra,
link |
01:03:52.700
which is sort of a form of meditation,
link |
01:03:54.460
and then more standard forms of meditation.
link |
01:03:57.460
All three of those do something powerful,
link |
01:04:00.140
which is that they bring our mind
link |
01:04:02.220
into a state of less so-called
link |
01:04:04.020
sympathetic nervous system activation.
link |
01:04:05.980
Go back and listen to episode one
link |
01:04:07.660
if that doesn't make any sense,
link |
01:04:08.820
which is what governs your alertness.
link |
01:04:10.460
And instead it activates cells and circuits in your body
link |
01:04:14.440
that promote the parasympathetic nervous system
link |
01:04:16.940
or the calming system.
link |
01:04:18.660
A lot of people are not good at falling asleep
link |
01:04:20.880
because they're not good at calming down.
link |
01:04:23.780
So some people have no trouble falling asleep,
link |
01:04:26.140
but many people have a hard time falling asleep
link |
01:04:28.580
or at least every once in a while
link |
01:04:30.020
experience challenges falling asleep.
link |
01:04:32.260
I don't have problems falling asleep most nights,
link |
01:04:35.040
but I've noticed that if I'm working very hard
link |
01:04:37.100
or if the world is particularly stressful,
link |
01:04:39.000
my mind gets into a bit of a kind of OCD loop
link |
01:04:41.380
where I tend to ruminate on things.
link |
01:04:42.820
And I'm not even thinking about anything in particular.
link |
01:04:44.820
It's just challenging for me to disengage and fall asleep.
link |
01:04:48.180
Meditation and yoga nidra scripts
link |
01:04:50.540
have been immensely helpful for me
link |
01:04:52.540
in terms of accelerating the transition to sleep.
link |
01:04:55.880
So they involve taking a few minutes,
link |
01:04:58.740
10 to 30 minutes or so, just like you would for a nap,
link |
01:05:01.460
and just listening to a script almost passively.
link |
01:05:04.500
And it has you do some particular patterns of breathing
link |
01:05:07.700
and some other kind of body scan-like things
link |
01:05:10.580
that can really help people learn to relax,
link |
01:05:13.100
not just in that moment, but get better at relaxing
link |
01:05:16.100
and turning off thinking in order to fall asleep
link |
01:05:18.660
when they want to do that at night.
link |
01:05:20.660
There's another thing that's similar to this,
link |
01:05:22.320
which is certain forms of hypnosis for sleep.
link |
01:05:25.000
For that, I'll just refer you to the website
link |
01:05:26.820
of a colleague and collaborator of mine, David Spiegel,
link |
01:05:30.600
who's our Associate Chair of Psychiatry
link |
01:05:33.040
and Behavioral Sciences at Stanford.
link |
01:05:35.540
He's developed a website, which is reverie,
link |
01:05:38.180
R-E-V-E-R-I-E, health.com, so reveriehealth.com,
link |
01:05:43.580
that has a lot of science-supported,
link |
01:05:46.260
clinically-supported hypnosis scripts
link |
01:05:49.340
that essentially take the brain
link |
01:05:50.700
into states of deep relaxation
link |
01:05:53.100
for sake of rewiring the brain and neuroplasticity.
link |
01:05:55.820
But one of those scripts that's there
link |
01:05:57.400
and is available free is for sleep.
link |
01:05:59.900
And we'll talk more about hypnosis at a later time
link |
01:06:01.940
because it has a ton of other effects
link |
01:06:04.280
that aren't just limited to sleep.
link |
01:06:07.120
So a period of time each day that you devote
link |
01:06:10.140
to getting better at falling and staying asleep
link |
01:06:12.420
is actually a really good practice to adopt.
link |
01:06:15.100
The other thing about these practices like meditation,
link |
01:06:17.840
yoga nidra, and hypnosis is people always say to me,
link |
01:06:21.140
well, when should I do them?
link |
01:06:22.160
And I always say, well, the best time of day to do it is
link |
01:06:24.700
when you first wake up in the morning,
link |
01:06:26.060
provided you've gotten your sunlight already,
link |
01:06:28.460
anytime you wake up in the middle of the night
link |
01:06:30.060
or any time of day.
link |
01:06:30.920
In other words, they're always good for you
link |
01:06:32.860
because it's a training mechanism
link |
01:06:34.460
by which you self-train your nervous system
link |
01:06:36.740
to go from a state of heightened alertness
link |
01:06:39.260
that you don't want to heightened relaxation
link |
01:06:42.060
that you do want.
link |
01:06:43.420
And so it's really teaching you to hit the brake.
link |
01:06:46.300
And that brings us to an even more important point perhaps,
link |
01:06:48.960
which is we've all experienced
link |
01:06:51.520
that we can stay up if we want to, right?
link |
01:06:54.300
If we wanna stay up late on New Year's
link |
01:06:56.880
or we wanna push an all-nighter,
link |
01:06:58.260
some people can do that more easily than others,
link |
01:07:00.780
but we're all capable of doing that.
link |
01:07:03.340
But it's very hard to make ourselves fall asleep.
link |
01:07:05.860
And so there's a sort of asymmetry
link |
01:07:07.680
to the way our autonomic nervous system,
link |
01:07:09.620
which governs this alertness calmness thing,
link |
01:07:11.820
the sympathetic and parasympathetic nervous system,
link |
01:07:14.300
there's an asymmetry there where we are more easily able
link |
01:07:17.680
to engage wakefulness and drive wakefulness.
link |
01:07:20.500
We can force ourselves to stay awake.
link |
01:07:22.660
Then we are able to force ourselves to fall asleep.
link |
01:07:26.380
And one of the things that I say over and over again,
link |
01:07:29.340
and I'm gonna continue to say over and over again,
link |
01:07:31.480
is it's very hard to control the mind with the mind.
link |
01:07:34.440
When you have trouble falling asleep,
link |
01:07:36.260
you need to look to some mechanism that involves the body.
link |
01:07:39.240
And all the things I described, meditation, hypnosis,
link |
01:07:42.040
yoga nidra, all involve exhale emphasized breathing,
link |
01:07:46.720
certain ways of lying down and controlling the body.
link |
01:07:49.780
We're gonna get into breathing
link |
01:07:51.080
in real depth at another time.
link |
01:07:53.080
But all of those involve using the body to control the mind
link |
01:07:56.580
rather than trying to wrestle your mind
link |
01:08:00.060
into a certain pattern of relaxation.
link |
01:08:02.600
So earlier in episode one, I talked about the Mobius strip,
link |
01:08:07.820
this continuous loop that is the brain-body relationship
link |
01:08:11.220
or the mind-body relationship.
link |
01:08:13.020
And when we're having trouble controlling the mind,
link |
01:08:15.120
I encourage people to look towards the body,
link |
01:08:17.620
look toward sunlight, avoid sunlight and bright light
link |
01:08:20.720
if that happens to be late at night.
link |
01:08:22.580
So there's a theme that's starting to emerge,
link |
01:08:24.760
which is in order to control this thing
link |
01:08:26.100
that we call the nervous system,
link |
01:08:27.520
we have to look back to some of the things
link |
01:08:29.720
we discussed earlier, like sensation, perception, et cetera.
link |
01:08:32.960
But we have to ask, what can we control?
link |
01:08:35.140
Well, I'm talking about controlling light exposure,
link |
01:08:37.740
controlling your breathing and body.
link |
01:08:40.000
I'm not going into details right now,
link |
01:08:41.460
but you can see the yoga nidra script
link |
01:08:43.140
or the reveriehealth.com or Headspace would be a great place
link |
01:08:46.900
to adopt the meditation practice.
link |
01:08:49.400
Any of those are really teaching you to use your body
link |
01:08:52.060
to control your mind and to allow you
link |
01:08:54.420
to explore the mind-body relationship in a way
link |
01:08:56.760
that gives you more control over your mind
link |
01:08:59.740
and the mind-body relationship, okay?
link |
01:09:02.300
So we talked about light,
link |
01:09:04.620
we talked about activity and timing of light,
link |
01:09:07.180
talked about the usefulness of naps
link |
01:09:09.140
and these things that I'm calling non-sleep deep rest,
link |
01:09:12.380
which include meditation, yoga nidra and hypnosis.
link |
01:09:16.860
Non-sleep deep rest, or what I hear after
link |
01:09:20.280
we will refer to as NSDR,
link |
01:09:23.140
not to be confused with EMDR,
link |
01:09:24.980
I don't think I've ever heard NSDR,
link |
01:09:26.620
so I'm planting a flag for NSDR, non-sleep deep rest,
link |
01:09:32.040
as a way to reset one's ability to be awake
link |
01:09:36.280
after you emerge from NSDR,
link |
01:09:38.100
so to get some more wakefulness and ability to attend,
link |
01:09:40.580
some emotional stability reset,
link |
01:09:43.520
as well as make it better and easier to fall asleep
link |
01:09:47.640
when you wanna go to sleep at night.
link |
01:09:49.440
Now, non-sleep deep rest does have some research
link |
01:09:52.180
to support it.
link |
01:09:53.140
There's a beautiful study done
link |
01:09:54.940
out of a university in Denmark,
link |
01:09:56.940
I will later provide a link to that study,
link |
01:09:59.660
that showed that this meditation
link |
01:10:02.380
and yoga nidra type meditation
link |
01:10:05.220
allows dopamine and other neuromodulators
link |
01:10:08.100
in an area of the brain called the striatum
link |
01:10:09.740
that's involved in motor planning and motor execution,
link |
01:10:13.000
to reset itself.
link |
01:10:14.340
In other words, this NSDR can reset our ability
link |
01:10:17.860
to engage in the world in a way that's very deliberate,
link |
01:10:21.580
not to throw in another acronym,
link |
01:10:22.940
but NSDR resets your ability to engage in DPOs,
link |
01:10:26.180
duration, path, and outcome.
link |
01:10:27.800
So now you're probably rolling your eyes,
link |
01:10:29.240
like, oh my goodness, the number of acronyms,
link |
01:10:30.900
but just bear with me because NSDR is so powerful
link |
01:10:36.140
because first of all,
link |
01:10:37.500
it doesn't require that you rig yourself to any device,
link |
01:10:41.340
it doesn't require that you take much time out of your day,
link |
01:10:44.420
it doesn't require that you ingest anything except air,
link |
01:10:47.780
and it can have so many positive effects,
link |
01:10:51.240
right down to the neuromodulator level.
link |
01:10:53.400
So I think in the years to come,
link |
01:10:54.900
my lab's exploring this in collaboration
link |
01:10:57.120
with David Spiegel's lab,
link |
01:10:58.420
but other labs are looking at this as well.
link |
01:11:00.060
I think NSDR is going to start to play a more prominent role
link |
01:11:04.040
in what we call wellness and health,
link |
01:11:06.120
both mental health and physical health.
link |
01:11:07.540
So I encourage you to explore those practices.
link |
01:11:09.940
Okay, so what about things that we can and maybe should
link |
01:11:13.300
or should not take in order to control
link |
01:11:15.880
and access better sleep and better wakefulness?
link |
01:11:18.860
We've talked about things you can do or not do.
link |
01:11:22.820
We've talked about nutrition and the timing of nutrition.
link |
01:11:26.260
Now let's talk about compounds.
link |
01:11:27.660
Those could be prescription drugs,
link |
01:11:29.100
those could be supplements.
link |
01:11:30.820
There are a number of different things
link |
01:11:31.880
that will affect your circadian timing and behavior.
link |
01:11:36.060
In fact, almost everything that you could take
link |
01:11:41.380
will affect your circadian timing and behavior.
link |
01:11:44.020
That's right.
link |
01:11:44.860
So years ago, when I was in graduate school,
link |
01:11:47.480
I had a professor,
link |
01:11:48.320
unfortunately he passed away now,
link |
01:11:49.440
but his name was Ted Jones, the late Edward Jones,
link |
01:11:52.100
who was a world-class neuroanatomist.
link |
01:11:53.900
He wrote the book on the thalamus,
link |
01:11:55.820
in fact, it's called The Thalamus,
link |
01:11:57.460
and an expert on patterns of activation
link |
01:11:59.980
in the brain during sleep.
link |
01:12:01.500
And I'll never forget that during one of these lectures,
link |
01:12:03.980
someone asked Ted the question,
link |
01:12:06.300
what is the effect of some drug
link |
01:12:08.300
on these waves of activity in the thalamus or something?
link |
01:12:11.340
And his answer was incredible.
link |
01:12:13.420
He was a pretty gruff guy.
link |
01:12:15.420
And so his answer was delivered
link |
01:12:17.180
in the form of a kind of aggressive direct statement.
link |
01:12:19.460
He said, a drug is a substance
link |
01:12:22.460
that when injected into a person
link |
01:12:24.460
produces a scientific publication.
link |
01:12:26.940
And what he was saying is actually quite true,
link |
01:12:29.820
which is that most every compound
link |
01:12:32.860
will have some effect on some aspect of biology.
link |
01:12:36.180
This is why it's hard to sort through everything
link |
01:12:37.900
that's on PubMed.
link |
01:12:38.740
If you put any molecule or compound or drug into PubMed,
link |
01:12:43.500
and then you put sleep next to it or alertness next to it,
link |
01:12:47.120
you're likely to find a paper where there's an effect.
link |
01:12:49.900
But that's not necessarily telling you
link |
01:12:53.380
that that drug is useful or helpful for that.
link |
01:12:55.820
What it's telling you is that anytime you change
link |
01:12:59.440
what you take or you stop taking something,
link |
01:13:02.700
say you're taking sleeping pills,
link |
01:13:03.960
Ambien or whatever it is, and you stop taking them,
link |
01:13:06.220
your sleep behavior will change.
link |
01:13:08.740
Let's say you take an aspirin,
link |
01:13:10.000
you don't normally take aspirin,
link |
01:13:11.100
you will shift your circadian rhythm.
link |
01:13:13.280
Now you might not shift it perceptibly,
link |
01:13:15.200
you might not create problems for yourself,
link |
01:13:17.100
but anytime you ingest a compound at high potency,
link |
01:13:20.820
you're going to provide some shift to your circadian rhythm.
link |
01:13:24.100
Now, that said, there are a couple of things
link |
01:13:25.980
that are directly in line with the biology
link |
01:13:28.220
related to falling and staying asleep
link |
01:13:29.900
and directly in line with the biology of wakefulness.
link |
01:13:32.940
There's a whole category of things like stimulants,
link |
01:13:36.440
cocaine, amphetamine, and prescription stimulants,
link |
01:13:40.620
the prescription ones were designed
link |
01:13:42.060
for the treatment of narcolepsy.
link |
01:13:43.420
So things like modafinil or armodafinil
link |
01:13:46.740
that are designed to create wakefulness,
link |
01:13:48.140
they are all essentially chemical variants
link |
01:13:52.680
of things that increase epinephrine and dopamine.
link |
01:13:55.580
Now, of course, I'm of the standpoint
link |
01:13:58.100
that things like cocaine and amphetamine
link |
01:13:59.620
are just across the board bad,
link |
01:14:01.140
they have so many addictive and terrible effects.
link |
01:14:04.040
In the proper setting prescribed by the proper professional,
link |
01:14:08.060
things like modafinil for narcolepsy might be appropriate.
link |
01:14:12.300
I know that a lot of people out there take Adderall,
link |
01:14:15.560
even though they haven't been prescribed Adderall
link |
01:14:18.060
in order to increase wakefulness.
link |
01:14:20.380
That is essentially, well, it's illegal for one,
link |
01:14:24.020
but it's also, it's abusing the system
link |
01:14:26.100
in the sense that you're pushing back
link |
01:14:27.500
on the adenosine system slightly differently
link |
01:14:29.420
than you do caffeine.
link |
01:14:31.100
It will make you feel more alert.
link |
01:14:32.340
There tends to be a heavy rebound
link |
01:14:33.560
and they do have an addictive potential.
link |
01:14:35.340
There are also some other effects of those
link |
01:14:36.900
that can be quite bad.
link |
01:14:37.740
So we're going to explore stimulants
link |
01:14:40.020
in a whole month related to drugs,
link |
01:14:42.820
but there are some supplements and some things
link |
01:14:44.900
that are safer, certainly safer,
link |
01:14:48.300
and that in cases where you're doing
link |
01:14:51.140
all the right behaviors,
link |
01:14:52.200
you're exercising and eating correctly,
link |
01:14:54.720
and you're still having trouble with sleep,
link |
01:14:56.420
that can be beneficial for falling and staying asleep.
link |
01:15:00.020
Now, I want to be very clear.
link |
01:15:01.080
I am not pushing supplements.
link |
01:15:02.540
I'm just pointing you towards some things
link |
01:15:04.780
that have been shown in peer-reviewed studies
link |
01:15:07.340
to have some benefit.
link |
01:15:09.440
The first one is magnesium.
link |
01:15:11.820
There are many forms of magnesium,
link |
01:15:13.340
but certain forms of magnesium can have positive effects
link |
01:15:16.740
on sleepiness and the ability to stay asleep,
link |
01:15:18.860
mainly by way of increasing neurotransmitters like GABA,
link |
01:15:23.620
which help turn off the DPO,
link |
01:15:26.780
the kind of thinking about the future,
link |
01:15:28.260
duration path outcome analysis,
link |
01:15:29.860
and make one's mind kind of drift in space and time
link |
01:15:35.020
and make it easier to fall asleep.
link |
01:15:36.700
There are a lot of forms of magnesium out there,
link |
01:15:38.480
but one in particular is magnesium threonate, T-H-R-E-O-N-A-T-E,
link |
01:15:43.980
which you have to check to see if this is right for you,
link |
01:15:47.300
check with your doctor,
link |
01:15:48.420
but magnesium threonate is associated with transporters
link |
01:15:51.420
in the body that bring more of it into cells
link |
01:15:54.480
that allow people to feel this kind of drowsiness
link |
01:15:57.340
and help them fall asleep.
link |
01:15:58.380
So I personally, I can only talk about what I personally do.
link |
01:16:01.100
I personally take three or 400 milligrams
link |
01:16:03.720
of magnesium threonate about 30 to 60 minutes before sleep,
link |
01:16:07.380
and it helps me fall asleep.
link |
01:16:08.820
The other thing is theanine, T-H-E-A-N-I-N-E, theanine,
link |
01:16:17.780
100 to 200 milligrams of theanine for me
link |
01:16:20.140
also helps me turn off my mind and fall asleep.
link |
01:16:22.980
I take it 30 to 60 minutes throughout the day.
link |
01:16:24.940
Interestingly, theanine is now being introduced
link |
01:16:27.340
to a lot of energy drinks
link |
01:16:29.300
in order to take away the jitters that are associated
link |
01:16:32.320
with drinking too much caffeine
link |
01:16:33.900
or with some other things that are in the energy drinks.
link |
01:16:36.100
Energy drinks can be problematic.
link |
01:16:39.140
They can contain a lot of L-Taurine.
link |
01:16:41.780
I'll just tell you an anecdote.
link |
01:16:42.780
When I was a postdoc,
link |
01:16:43.620
I was drinking a lot of a particular energy drink,
link |
01:16:45.780
has a lot of taurine in it.
link |
01:16:47.820
And actually the whites of my eyes, the sclera,
link |
01:16:51.860
as it's called in my eyes, turned beet red.
link |
01:16:54.440
And I went to a friend who's an ophthalmologist.
link |
01:16:57.680
I said, look, I'm not a marijuana smoker.
link |
01:16:59.780
I haven't been hit on the head.
link |
01:17:00.900
I don't know what's going on.
link |
01:17:01.980
And he looked and he said,
link |
01:17:03.060
I think you've got some microvascular damage.
link |
01:17:06.380
And we walked through what I was taking and doing.
link |
01:17:08.420
And he said, oh, it's probably the taurine,
link |
01:17:10.420
excessive levels of taurine
link |
01:17:11.580
can create some microvascular damage.
link |
01:17:13.880
So if you're having the microvascular damage in your eye,
link |
01:17:15.920
you'll probably have microvascular damage deeper
link |
01:17:18.280
in your skull.
link |
01:17:19.120
So I stopped.
link |
01:17:19.940
That's the reason why I don't take energy drinks.
link |
01:17:21.740
So just a consideration.
link |
01:17:23.940
Again, I'm not here to tell you what to do or not do,
link |
01:17:25.900
but just want to arm you with information.
link |
01:17:28.120
The thing about theanine and magnesium is taken together.
link |
01:17:33.800
They do, for some people,
link |
01:17:35.400
they can make them so sleepy and sleep so deeply
link |
01:17:38.200
that they actually have trouble waking up in the morning.
link |
01:17:39.960
So you have to play with these things and titrate them
link |
01:17:42.140
if you decide to use them.
link |
01:17:43.240
Again, if you decide to go this route.
link |
01:17:44.780
I would not start by taking supplements.
link |
01:17:47.080
I would start by getting your light viewing behavior correct
link |
01:17:50.420
and then think about your nutrition
link |
01:17:52.000
and then think about your activity
link |
01:17:53.280
and then think about whether or not you want a supplement.
link |
01:17:55.760
We already talked about melatonin earlier.
link |
01:17:57.860
There's another supplement that could be quite useful,
link |
01:17:59.820
which is apigenin, A-P-I-G-E-N-I-N,
link |
01:18:03.700
which is a derivative chamomile.
link |
01:18:05.680
50 milligrams of apigenin also can augment
link |
01:18:09.400
or support this kind of creation of a sleepiness
link |
01:18:13.160
to help fall asleep and stay asleep.
link |
01:18:15.400
A note about sleepwalkers
link |
01:18:16.600
and people with very vivid dreams.
link |
01:18:19.120
Theanine can often make your dreams very vivid.
link |
01:18:21.720
Sleepwalkers should be careful about taking theanine.
link |
01:18:24.400
Everyone should be careful about taking anything
link |
01:18:26.800
and don't take anything without consulting
link |
01:18:28.560
your board certified MD or healthcare professional first.
link |
01:18:31.840
Okay?
link |
01:18:33.100
Your health is your responsibility.
link |
01:18:34.720
I am not going to take responsibility
link |
01:18:36.120
for what you decide to do experimentally in any case,
link |
01:18:38.740
but especially as it relates to supplementation and drugs.
link |
01:18:43.620
As a important point,
link |
01:18:44.880
apigenin is a fairly potent estrogen inhibitor.
link |
01:18:48.560
So women who want to keep their estrogen levels high
link |
01:18:52.280
or at whatever levels they happen to be at
link |
01:18:54.200
should probably avoid apigenin altogether.
link |
01:18:56.720
And men take that into consideration as well.
link |
01:19:00.320
Men need estrogen also.
link |
01:19:01.580
You don't want to completely eliminate your estrogen.
link |
01:19:03.960
That it can create all sorts of bad effects
link |
01:19:05.640
on libido and cognition, et cetera.
link |
01:19:08.220
So apigenin in some people
link |
01:19:10.240
is going to be a pretty strong estrogen inhibitor.
link |
01:19:12.080
So keep that in mind.
link |
01:19:14.600
There are other things you can take to help you sleep better.
link |
01:19:17.460
Those are the legal ones that at least I'm aware of
link |
01:19:20.240
have pretty broad safety margins.
link |
01:19:21.760
But again, you need to explore your safety margins
link |
01:19:24.300
with any compound.
link |
01:19:25.340
I think a great website that I can refer you to
link |
01:19:29.120
is examine.com.
link |
01:19:30.780
Examine the word, just as it sounds,.com is a website.
link |
01:19:33.620
I have no relation to them,
link |
01:19:35.060
but there you can find links to peer-reviewed studies
link |
01:19:38.660
for any compound or supplement,
link |
01:19:40.140
as well as some important warnings
link |
01:19:41.800
related to the things I discussed,
link |
01:19:43.360
as well as any other thing
link |
01:19:44.860
that you might decide to supplement with or ingest
link |
01:19:48.020
to help improve your sleep.
link |
01:19:50.600
Okay.
link |
01:19:51.620
That was a lot of information
link |
01:19:53.100
about how to get better at sleeping, falling asleep,
link |
01:19:56.860
wakefulness, et cetera.
link |
01:19:59.780
An important feature of this podcast, as you know,
link |
01:20:01.740
is that we dive deep into topics
link |
01:20:03.300
for several episodes at a time,
link |
01:20:05.440
at least a month at a time.
link |
01:20:07.320
So by stopping here,
link |
01:20:09.140
I recognize that there are probably many more questions
link |
01:20:12.540
that you still have.
link |
01:20:13.780
And the great thing about that
link |
01:20:15.480
is that we have another episode coming up soon.
link |
01:20:18.040
I'm going to hold office hours
link |
01:20:19.980
where I'm going to answer your specific questions
link |
01:20:22.320
about episodes one and two.
link |
01:20:24.500
So if you have questions about this episode,
link |
01:20:26.800
you have questions about episode one,
link |
01:20:28.280
write them down, put them in the comments.
link |
01:20:30.940
I'll also do a post on Instagram
link |
01:20:32.460
where you can put them in the comments there,
link |
01:20:34.540
but put them in the comments to this episode.
link |
01:20:37.340
As well, please recommend the podcast if you like it.
link |
01:20:41.940
Please subscribe to it here on YouTube.
link |
01:20:44.300
Please subscribe to it on Apple.
link |
01:20:46.420
We're now on Spotify as well.
link |
01:20:48.320
Recommend it to a friend.
link |
01:20:49.860
The community that we're creating here
link |
01:20:52.040
around these topics of sleep and wakefulness
link |
01:20:54.100
and other neuroscience and health-related themes
link |
01:20:56.500
is best supported by your involvement and your questions.
link |
01:21:00.020
And so I'm going to be reading all of your questions,
link |
01:21:02.140
distilling those into the most commonly asked questions
link |
01:21:05.580
and liked questions.
link |
01:21:06.780
So if you see something below
link |
01:21:07.840
that you are particularly interested in,
link |
01:21:09.740
you don't have to put that question in again,
link |
01:21:11.140
you can just give it a like, the little thumbs up tab.
link |
01:21:13.780
And if you're listening to this on Spotify or Apple,
link |
01:21:17.780
please go to YouTube,
link |
01:21:19.300
subscribe and put your question there,
link |
01:21:20.940
or check out the Huberman Lab Instagram,
link |
01:21:23.040
and you can put your questions there
link |
01:21:24.620
so that next episode I can answer those questions
link |
01:21:27.060
and then we can move forward even more deeply
link |
01:21:29.480
into these critical topics around sleep and wakefulness
link |
01:21:32.640
so that you can be armed with all the information
link |
01:21:34.820
and resources that you need.
link |
01:21:37.060
Last but not least,
link |
01:21:38.180
a number of you have very graciously asked
link |
01:21:40.020
how you can support the podcast.
link |
01:21:42.080
The best way to support the podcast
link |
01:21:43.540
is to subscribe on YouTube or one of the other platforms.
link |
01:21:46.820
We're now on Spotify and Apple.
link |
01:21:49.820
And the other way you can really support the podcast
link |
01:21:51.940
is to check out our sponsors,
link |
01:21:53.520
which were discussed at the beginning.
link |
01:21:55.220
So thank you so much for your time and attention,
link |
01:21:57.180
and above all, thank you for your interest in science.
link |
01:21:59.740
And I'll see you in the next one.