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The Science of Vision, Eye Health & Seeing Better | Huberman Lab Podcast #24



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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,
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and I'm a professor of neurobiology and ophthalmology
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at Stanford School of Medicine.
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This podcast is separate from my teaching
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and research roles at Stanford.
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It is, however, part of my desire and effort
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to bring zero cost to consumer information
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about science and science-related tools
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to the general public.
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In keeping with that theme,
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I'd like to thank the sponsors of today's podcast.
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Our first sponsor is Roka.
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Founded by two All-American swimmers from Stanford,
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Roka eyeglasses and sunglasses have really been designed
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with the utmost care and the utmost attention
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to the science of optics and the visual system.
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So one of the things I like so much
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about Roka eyeglasses and sunglasses
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is that they're extremely lightweight.
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If you get sweaty, so for instance,
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if you wear them while running or walking or hiking,
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they don't slip off.
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And with the sunglasses, when you're outdoors,
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if there's cloud cover or if there's shadows
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or if the day gets brighter or dimmer,
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you can still see your surroundings perfectly well.
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And that's because the designers at Roka
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really understand the way the visual system works,
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how it habituates, how it adapts.
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You don't need to understand the science behind all that,
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but they do, and as a consequence,
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the eyeglasses perform extremely well under all conditions,
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whether or not that's indoors or outdoors.
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So they put a ton of science and purpose into the design.
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They also happen to look really good.
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They have a really nice aesthetic.
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A lot of, as you know, performance active wear eyeglasses
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look rather ridiculous, but the Roka glasses,
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I think have a very nice aesthetic to them
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that you could wear anywhere.
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If you'd like to check out Roka glasses,
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you can go to Roka, that's R-O-K-A.com
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and enter the code Huberman at checkout,
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and you'll get 20% off your first order.
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That's Roka, R-O-K-A.com and enter the code Huberman
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at checkout for 20% off your order.
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Today's podcast is also brought to us by Inside Tracker.
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Inside Tracker is a personalized nutrition platform
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that analyzes data from your blood and DNA
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to help you better understand your body
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and reach your health goals.
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I'm a big believer in getting regular blood work done
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for the simple reason that many of the factors
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that impact our immediate and long-term health
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can only be analyzed from a blood test.
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And now with the advent of modern DNA tests,
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we can also get insight into our specific DNA makeup
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and how that influences our lifestyle choices
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and our health status.
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The problem with a lot of blood tests
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is that you get a lot of information back,
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but you don't always know what to do with that information.
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With Inside Tracker, they have a very easy to use,
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personalized dashboard platform
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that informs you what sorts of lifestyle, nutrition,
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exercise changes you might want to make
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according to the levels of particular metabolic factors,
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hormone factors, et cetera, in your blood and DNA.
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So it makes everything very simple,
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both in terms of where you're at health-wise
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and what you should or could do
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in order to improve your health,
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something I do believe most everybody would like to do.
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With Inside Tracker, it makes all that very easy.
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They also have something called the Inner Age Test.
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This is a test that shows you what your biological age
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and compares that, of course, to your chronological age.
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And of course, your biological age
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is really what you want to know
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because it's a predictor of how long
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you're going to live and the quality of your life.
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If you'd like to try Inside Tracker,
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you can visit insidetracker.com slash Huberman.
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And if you do that,
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you'll get 25% off any of Inside Tracker's plans.
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Just use the code Huberman at checkout.
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Today's episode is also brought to us by Helix Sleep.
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Helix Sleep makes mattresses and pillows
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that are ideally suited to your sleep needs.
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Everybody needs something different
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in terms of what to sleep on.
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Some people like a hard mattress,
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some people like a soft mattress,
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some people tend to run warm,
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some people tend to run cold.
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With Helix Sleep, you go to their website,
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you take a very brief two-minute quiz,
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and you answer some questions such as,
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do you tend to sleep on your stomach
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or your side or your back?
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Maybe you don't know,
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do you tend to run hot or cold, et cetera?
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At the end of that quiz, you match to a specific mattress.
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I took that quiz about six months ago
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and I matched to the dusk mattress.
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And I've been sleeping on a dusk mattress
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from Helix for the last six months.
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And I've been sleeping better than I ever have before.
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Basically, everyone's unique and Helix understands that.
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And that's built into the design of their mattresses
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and this two-minute quiz that you take to match you to one.
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If you'd like to try a Helix Sleep mattress,
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you can go to helixsleep.com slash Huberman,
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take their two-minute quiz,
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and they'll match you to a customized mattress.
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You'll also get up to $200 off any mattress order
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and two free pillows.
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They make terrific pillows.
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You'll get a 10-year warranty on that mattress
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and you get to try it out for 100 nights risk-free.
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If you don't like it,
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they'll come pick it up and take it away.
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You won't get charged, you'll get your money back, et cetera.
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So that's helixsleep.com slash Huberman
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for up to $200 off and two free pillows.
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We are now beginning a new topic
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for the next four to five episodes
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of the Huberman Lab Podcast.
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Before we move into that,
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I want to just briefly touch on a couple of questions
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that I got from the last episode,
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which was related to the science of endurance training.
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I described the four kinds of endurance training.
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We posted protocols of the specific four kinds
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of endurance training at HubermanLab.com.
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Just go to that episode.
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You can see the download.
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It's a zero-cost PDF.
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I got a lot of questions
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about what's called concurrent training,
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which is how to program endurance training
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if you are also interested
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in strength and hypertrophy training,
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or how to incorporate strength and hypertrophy training,
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which was in the previous episode, with endurance training.
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This can all be made very simple.
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Ask yourself, what are you trying to emphasize?
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And then emphasize that for a 10 to 12-week cycle.
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So if you're mostly interested in endurance,
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I would say use a three to two ratio.
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Maybe get three endurance training workouts per week,
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maybe four, and two strength and hypertrophy workouts.
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If you're mainly focusing on strength and hypertrophy,
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get three or four workouts for strength and hypertrophy,
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and do two endurance workouts.
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Start with the minimum number of sets that's required
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to get the result that you want.
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So if you're not accustomed to doing endurance work,
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you would start with the minimum number
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that's listed on that protocol.
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So if it says three to five sets,
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you would start with three, maybe even just two,
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and then work your way up by adding sets each week.
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I do suggest that people get
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at least one complete rest day per week,
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although I know a lot of people don't like that.
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I benefit from that.
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I actually benefit from having two complete rest days
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each week.
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I just continue to make progress that way,
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whether or not it's for strength and hypertrophy
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or for endurance.
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I am a big believer in rest days.
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Other people are not.
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And those could be active rest days, hiking,
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relaxing, et cetera.
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After a 10 to 12-week cycle,
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then I also suggest taking anywhere
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from five to seven days completely off.
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You can still enjoy life and do things.
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I know for you addicted exercisers
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that you're going to loathe to do that,
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but that's one way to stay injury-free,
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keep your joints and tissues healthy over time,
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and continue to make progress.
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If you don't want to do that week off, don't do it.
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None of this is holy.
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None of it is a strict prescriptive.
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Just ask yourself, what are you going to emphasize?
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And emphasize that in terms of the total volume
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of workouts that you do and work up incrementally
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and then move into another cycle.
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That's what I suggest.
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So go to hebermanlab.com.
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You can get the protocol there.
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We are now going to move into a new topic
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unrelated to physical performance,
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starting with this episode.
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And for the next four to five episodes,
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we are going to talk all about the senses.
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That's sight, eyesight, hearing, touch,
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taste, smell.
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And we are also going to talk about this critical sense
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that we call interoception,
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or our sense of our internal real estate.
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Now, the reason that we are talking about the senses
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is because if you understand
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how the senses are perceived,
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what they're about,
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what the underlying cells and connections are about,
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you will be in a terrific position
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to understand the month's topic that follows,
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which is all about mental health.
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Now, I want to emphasize that if you're somebody
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who doesn't have any trouble
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seeing, hearing, tasting, smelling,
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and has an excellent sense of interoception,
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I do believe that these episodes
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will still be very relevant to you
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because they have everything to do
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with how you move through the world,
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how you make sense of information,
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and how you organize your thoughts and your emotions.
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I also want to emphasize
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that we're going to cover a lot of practical tools.
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So today's episode is going to be all about vision
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and eyesight, a topic that's very near and dear to my heart
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because it's the one that I've been focusing on
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for well over 25 years of my career.
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But we're not just going to get into the mechanistic details
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about how light is converted into electrical potentials
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and things like that.
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We are going to talk about practical tools
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that you can and should use
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to help maintain the health of your visual system
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and your eyesight.
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Very often, young people will say, what should I do?
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You're always talking about neuroplasticity
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and how it tapers off over time,
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but I'm a young person, what should I do?
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You should absolutely train and support your eyesight.
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In fact, if you're a young person and you see perfectly
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or you feel as if you see the world perfectly,
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you are in the best position to bolster,
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to reinforce that visual system
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so that you don't lose your vision as you age.
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In addition, you can leverage your visual system
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for better mental and physical performance,
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and we're going to talk about that.
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If you're somebody who suffers
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from a clinical disorder of vision, you have trouble seeing,
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or if you need corrective lenses in order to see,
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this episode is definitely for you.
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And while, of course, I can't make clinical diagnoses,
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I can't have a one-to-one conversation
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with any of you in this format, nor am I a clinician,
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I'm a scientist, not a physician,
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I did consult with our chair of ophthalmology,
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Dr. Jeffrey Goldberg at Stanford University
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School of Medicine, as well as several other people
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to really vet the information and make sure
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that the protocols that I'm describing
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are consistent with the clinical literature.
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If you have a severe eye problem,
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you should be working with a really good ophthalmologist
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and or optometrist, but certainly an ophthalmologist
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who's a medical doctor.
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But I do believe that the information
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that we're going to discuss today
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is going to be relevant to everybody,
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and we'll set the stage for the month on mental health.
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And mental performance.
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So let's get started.
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When we hear the word vision,
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we most often think about eyesight or our ability
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to perceive shapes and objects and faces and colors.
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And indeed, vision involves eyesight,
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our ability to see shapes and objects
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and faces and colors and so forth.
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However, our eyes are responsible for much more than that,
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including our mood, our level of alertness,
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and all of that is included in what we call vision.
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So I just want to take about three, maybe four minutes
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and talk about how the visual system works,
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how it's built and how you are able
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to so-called see things around you.
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I also want to describe the ways in which your eyes
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and your visual system impact your mood
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and your level of alertness.
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And then we are going to get right into some protocols,
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some specific things that each and all of you
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should do if you want to enhance your vision
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and maintain your vision as you get older.
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And again, if you're a 15-year-old or a 12-year-old,
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this episode is especially for you
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because your nervous system is far more plastic
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than mine is.
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It's much more amenable to change.
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So you can really build a very strong visual system.
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And in doing that, and if you adopt specific behaviors
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at any age of light viewing at particular times
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in particular ways, then you can build an emotional system
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that's also reinforced by your visual system.
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So let's talk about vision.
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What is vision?
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Well, vision starts with the eyes.
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We have no what's called extra ocular light perception.
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While it feels good to have light on our skin,
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while it feels good to be outside in the sunlight
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for most people, the only way that light information
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can get to the cells of your body
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is through these two little goodies
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on the front of your face.
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And for those of you listening, I'm just pointing to my eyes
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as many of you have heard me say before
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on this and other podcasts, your eyes in particular,
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your neural retinas are part of your central nervous system.
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They are part of your brain.
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They're the only part of your brain
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that sits outside the cranial vault.
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In other words, you have two pieces of your brain
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that deliberately got squeezed out of the skull
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during development and placed in these things
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we call eye sockets.
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There's a genetic program for the specific purpose
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of making sure that three little layers of neurons,
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nerve cells got squeezed out
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and form what are called your neural retinas.
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Now the eyes have a lot of other goodies in them
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that are very important.
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And those are the goodies
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that we're going to focus on a lot today.
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There's a lens to focus light precisely to the retina.
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If you're somebody who requires eyeglasses or contacts,
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chances are you don't do that correctly.
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And so that's why you use other lenses
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00:13:24.500
like eyeglasses or contacts.
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00:13:26.560
There are also other pieces of the eye
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00:13:28.060
that are designed to keep the eye lubricated.
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00:13:30.520
You also have these things that we call eyelashes.
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00:13:32.800
Most people don't know this,
link |
00:13:34.060
but eyelashes are there to trigger the blink reflex
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00:13:37.960
if a piece of dust or something gets in front of your eye.
link |
00:13:40.180
It's a beautiful adaptation of nature.
link |
00:13:43.140
They aren't just aesthetically nice.
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00:13:44.880
Costello happens to have very long eyelashes.
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00:13:46.900
He gets compliments about this all the time.
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00:13:49.280
Maybe you have long eyelashes.
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00:13:50.700
I don't have particularly long eyelashes,
link |
00:13:52.560
but the eyelashes are there
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00:13:54.260
so that if a piece of dust or something
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00:13:56.220
starts to head towards the cornea,
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00:13:57.860
the eye blinks very, very fast.
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00:13:59.660
It's the fastest reflex you own is your eye blink reflex.
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00:14:03.780
We also have these things called eyelids.
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00:14:06.140
Now, eyelids might seem like the most boring topic of all,
link |
00:14:08.680
but they are incredibly fascinating.
link |
00:14:10.460
Today, we're going to talk about
link |
00:14:12.020
how you can actually use your visual system
link |
00:14:14.740
to increase your levels of alertness
link |
00:14:17.380
based on the neural circuits
link |
00:14:19.380
that link your brainstem with your eyelids.
link |
00:14:22.660
And no, we are not going to have a blinking contest
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00:14:24.800
because I would win and you would lose,
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00:14:27.020
and that wouldn't be fun for you.
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00:14:28.860
So let's talk about what the eyes do for vision.
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00:14:33.900
Basically, the entire job of the eyes
link |
00:14:36.260
is to collect light information
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00:14:38.620
and send it off to the rest of the brain
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00:14:41.280
in a form that the brain can understand.
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00:14:43.140
Remember, no light actually gets in
link |
00:14:45.580
past those neural retinas.
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00:14:47.020
It gets to the neural retina,
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00:14:49.060
and we have specific cells in the eye
link |
00:14:51.680
called photoreceptors.
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00:14:52.820
They come in two different types, rods and cones.
link |
00:14:56.100
Cones are mainly responsible for daytime vision,
link |
00:15:00.920
and the rods are mainly responsible for vision at night
link |
00:15:04.540
or under low light conditions, generally speaking.
link |
00:15:08.160
So basically what happens is if your eyelids are open,
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00:15:12.220
light comes into the eye, the lens focuses that light,
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00:15:17.260
light is also just called photons, light energy,
link |
00:15:19.580
onto the retina, these photoreceptors, the rods and cones,
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00:15:24.780
have chemical reactions inside them
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00:15:26.620
that involve things like vitamin A,
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00:15:29.820
and that chemical reaction converts the light
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00:15:33.860
into electricity.
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00:15:35.460
Now, that might seem incredibly abstract,
link |
00:15:37.860
but the way to think about this is very similar to,
link |
00:15:40.260
for instance, you have touch receptors on your skin,
link |
00:15:42.580
and when you press on those touch receptors,
link |
00:15:44.580
they convert pressure, physical pressure,
link |
00:15:47.220
into electrical information, and those neurons send it up
link |
00:15:50.260
to your spinal cord and brain can register that somebody
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00:15:52.740
or you are touching the top of your hand, as I'm doing now.
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00:15:56.580
With the eyes and the retina,
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00:15:57.840
it's just that light gets converted
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00:15:59.280
into electrical information.
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00:16:01.460
Within the eye, within the retina,
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00:16:03.460
there are then a series of stages of processing,
link |
00:16:07.660
and that information eventually gets sent into the brain
link |
00:16:10.820
by a very specific class of neurons.
link |
00:16:13.420
I would like you to know the names of these neurons.
link |
00:16:15.820
They're called retinal ganglion cells,
link |
00:16:17.700
so the only thing you need to know
link |
00:16:18.940
about the neuroscience of the eye at this point
link |
00:16:21.220
are that they're rods and cones.
link |
00:16:22.920
The cones are involved in bright daytime vision,
link |
00:16:25.900
and rods are involved in more dusk or nighttime vision,
link |
00:16:29.900
and you've got these cells called retinal ganglion cells
link |
00:16:32.660
that send the information off to the rest of the brain.
link |
00:16:35.720
Now, here's what's incredible.
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00:16:37.360
I just want you to ponder this for a second.
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00:16:39.000
This still blows my mind.
link |
00:16:41.920
Everything you see around you,
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00:16:43.880
you're not actually seeing those objects directly.
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00:16:47.640
What you're doing is you're making a best guess
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00:16:51.040
about what's there based on the pattern of electricity
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00:16:53.920
that arrives in your brain.
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00:16:55.900
Now, that might just seem totally wild
link |
00:16:57.880
and hard to wrap your head around,
link |
00:17:00.360
but think about it this way,
link |
00:17:02.200
because this is the way it actually works.
link |
00:17:04.640
Let's take an example of a color like green or blue.
link |
00:17:09.460
You have cones in your eye that respond best
link |
00:17:14.260
to the wavelength of light
link |
00:17:16.420
that is reflected off, say, a green apple.
link |
00:17:19.520
So you don't actually see the green apple.
link |
00:17:21.200
What you see is the light bouncing off that green apple,
link |
00:17:24.460
and it goes into your eye,
link |
00:17:27.120
and you see it and perceive it as round and green,
link |
00:17:30.960
but not because you see anything green.
link |
00:17:33.640
No green light arrives in your brain.
link |
00:17:36.400
What happens is your brain actually compares
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00:17:39.560
the amount of green reflection coming off that apple
link |
00:17:43.600
to the amount of red and blue around it.
link |
00:17:47.880
Well, you might say, well,
link |
00:17:49.160
the green apple is sitting on a brown table
link |
00:17:51.360
or a white surface.
link |
00:17:53.080
Well, then it will appear very green
link |
00:17:56.040
because the amount of wavelength of light for green
link |
00:18:00.080
is very high, and the amount for red is very low,
link |
00:18:03.980
and so it looks very green, okay?
link |
00:18:06.720
So we don't actually see anything directly.
link |
00:18:09.960
What the brain is receiving is a series of signals,
link |
00:18:13.280
electrical signals, and it's comparing electrical signals
link |
00:18:16.960
in order to come up with what we call these perceptions,
link |
00:18:19.100
like I see something green, a green apple, or I see red.
link |
00:18:21.860
Let me give you a slightly different example.
link |
00:18:23.760
If you were to play a key on the piano,
link |
00:18:26.620
let's say you play, I'm not a musician,
link |
00:18:28.500
but I'm going to, so I'm,
link |
00:18:29.340
hopefully I won't get this too incorrectly,
link |
00:18:31.880
but let's say you have like E sharp,
link |
00:18:34.280
and maybe it's on ding, ding, ding, ding, ding.
link |
00:18:36.480
If the brain gets that signal, it doesn't actually know E.
link |
00:18:41.380
That's what, it doesn't recognize it
link |
00:18:43.640
until you were to play another key next to it,
link |
00:18:46.520
dun, dun, dun, dun, dun,
link |
00:18:47.880
and what it does is it does the math,
link |
00:18:49.420
it does the subtraction, and it compares those two.
link |
00:18:53.040
So when we see something green or we see something red
link |
00:18:55.800
or we see something blue,
link |
00:18:57.240
we're not actually seeing it directly.
link |
00:18:58.720
The brain is making a guess
link |
00:19:00.200
about how green or red or blue that thing is
link |
00:19:02.860
by comparing what's around it, okay?
link |
00:19:07.000
And if that seems hard to wrap your head around,
link |
00:19:08.780
don't worry because we will explain it
link |
00:19:11.400
in more depth going forward,
link |
00:19:12.640
but I really want people to understand this,
link |
00:19:14.720
that vision, eyesight is not looking at things directly
link |
00:19:20.120
and that information getting directly into your brain.
link |
00:19:22.400
It is translated.
link |
00:19:24.120
Light information is transformed into electrical signals
link |
00:19:27.320
that your visual system exquisitely understands.
link |
00:19:29.800
Now, what does this mean?
link |
00:19:31.200
Why should you care about this?
link |
00:19:32.520
Well, if you have a dog like I do or a cat,
link |
00:19:36.240
they are not colorblind,
link |
00:19:38.040
but they lack the cones that respond to red,
link |
00:19:43.160
meaning long wavelength light.
link |
00:19:45.160
So what does that mean?
link |
00:19:46.720
That means that when they see green,
link |
00:19:48.840
it's different than the green you see,
link |
00:19:51.960
not because that apple isn't visible to them,
link |
00:19:55.420
but because they aren't able to compare it to red
link |
00:19:58.560
and you are.
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00:20:00.320
As a consequence, when they look at a green lawn,
link |
00:20:03.160
it looks more brownish or orange to them.
link |
00:20:06.140
When you wear a red shirt in front of your dog or cat,
link |
00:20:10.600
if you see a stop sign and they see a stop sign,
link |
00:20:13.240
they see orangish brown and you see red,
link |
00:20:16.560
presuming that you are a trichromat,
link |
00:20:18.400
meaning you have three color vision.
link |
00:20:20.680
So this is all to say that every animal
link |
00:20:24.000
sees the world differently depending on whether or not
link |
00:20:26.840
they have one or two or three of these different cones,
link |
00:20:29.520
the red, blue, or green cones.
link |
00:20:31.640
If you are a mantis shrimp of all things,
link |
00:20:35.660
you see hundreds of colors that human beings can't see.
link |
00:20:42.460
Many animals see into visual ranges
link |
00:20:45.980
that you and I can't see in.
link |
00:20:47.560
So for instance, a pit viper senses heat emissions.
link |
00:20:50.040
It literally sees the heat coming off of you
link |
00:20:53.180
or of an animal that they want to eat.
link |
00:20:55.760
If you are a ground squirrel, you can see ultraviolet light.
link |
00:20:59.760
This is going to sound kind of weird,
link |
00:21:00.820
but ground squirrels actually signal one another
link |
00:21:03.720
by standing up outside and shining sunlight
link |
00:21:06.760
off each other's stomachs to each other,
link |
00:21:08.880
signaling at a distance, just like, you know,
link |
00:21:10.760
you could signal somebody with a mirror
link |
00:21:12.240
in sunlight at distance.
link |
00:21:13.960
There are species of primates,
link |
00:21:15.240
this isn't very pleasant to think about,
link |
00:21:16.640
that urinate on their hands
link |
00:21:18.160
and then wipe it all over their stomach
link |
00:21:19.620
and then use that sunlight to reflect
link |
00:21:22.160
different signals to each other.
link |
00:21:23.240
I don't know what they're saying.
link |
00:21:24.080
We always assume it's something cute and nice,
link |
00:21:25.680
but maybe they're insulting each other.
link |
00:21:27.600
So this actually gets right down to the heart
link |
00:21:30.080
of these bigger questions like consciousness.
link |
00:21:32.220
What do we see?
link |
00:21:33.080
What's out there?
link |
00:21:33.920
How much of life is really accessible to us?
link |
00:21:38.160
And I could go on and on.
link |
00:21:39.320
You know, this used to be kind of an obsession of mine
link |
00:21:42.160
when I was coming up in the field of visual neuroscience
link |
00:21:44.220
to understand how different animals
link |
00:21:45.800
see the world compared to us.
link |
00:21:48.320
You know, I'll give one more example, a diving bird,
link |
00:21:50.680
you know, a bird that flies over the ocean.
link |
00:21:52.800
It has an incredible task.
link |
00:21:54.760
It has to both view the horizon
link |
00:21:56.920
and it has to view schools of fish.
link |
00:21:58.560
And then it has to make a trajectory down into the water
link |
00:22:01.840
and grab one of those fish to eat.
link |
00:22:03.520
And the water has what's called a refractory index.
link |
00:22:05.840
It actually shifts like a prism,
link |
00:22:08.580
the impression or the perception of where that fish is.
link |
00:22:11.720
If the bird sees the fish right below it,
link |
00:22:14.040
it has to know, it has to adjust its diving trajectory
link |
00:22:17.940
just right because it knows that that fish
link |
00:22:20.480
actually isn't where it sees it.
link |
00:22:22.500
It's probably a few inches ahead or to the side of that
link |
00:22:25.280
because of the way that water diverts the image.
link |
00:22:29.160
If you've ever dropped a coin to the bottom of a pool,
link |
00:22:31.600
if you go straight down looking at that location,
link |
00:22:34.940
if you were to look from the top of the pool
link |
00:22:36.320
and you dive straight down with your eyes closed,
link |
00:22:38.140
you will miss because the water refracts.
link |
00:22:41.100
It shifts the visual image.
link |
00:22:43.340
Well, diving birds have an arrangement
link |
00:22:46.400
of these retinal cells that communicate to the brain.
link |
00:22:49.560
That's both a streak to view the horizon
link |
00:22:51.760
because they need to know where they are
link |
00:22:52.800
relative to the horizon.
link |
00:22:53.840
And they have a pupil like we do on the bottom of their eye
link |
00:22:56.500
so that they can make very accurate dive
link |
00:22:59.400
and attacks on these schools of fish
link |
00:23:01.120
and catch fish and eat those fish.
link |
00:23:03.440
We just have pupils in the middle of our eyes.
link |
00:23:05.920
So there's a ton about the optics of the eye
link |
00:23:08.360
and the way that it communicates with the brain
link |
00:23:10.500
that allows us to see.
link |
00:23:12.040
We could spend hours talking about this,
link |
00:23:13.500
but what I'd like to embed in your mind
link |
00:23:15.960
is that what you experience in the outside world
link |
00:23:19.280
is bottlenecked, it's limited by which wavelengths,
link |
00:23:23.280
which colors, if you will, of light that you can see,
link |
00:23:26.740
that your brain is coming up with a best guess
link |
00:23:28.960
about what's there, it doesn't actually know what's there.
link |
00:23:32.840
And that your vision is distinctly different
link |
00:23:36.080
from say the vision of a dog
link |
00:23:38.120
or from the vision of somebody who's a dichromat,
link |
00:23:40.160
meaning they don't have a red cone.
link |
00:23:42.520
A lot of people in particular about one in 80 males
link |
00:23:46.880
lacks a red cone and therefore sees the world
link |
00:23:49.120
much the same way that Costello does,
link |
00:23:50.880
although he sees it from just much lower toward the ground.
link |
00:23:54.720
So that's what I'd like you to understand
link |
00:23:57.140
about the way the eye communicates with the brain.
link |
00:23:59.960
I would also like you to understand
link |
00:24:02.240
that the brain itself is making these guesses
link |
00:24:06.860
and that those guesses are largely right.
link |
00:24:10.120
How do I know that?
link |
00:24:11.680
Well, they're right because when you reach out
link |
00:24:13.220
to grab a glass, most of the time you grab the glass
link |
00:24:15.360
and you don't miss, right?
link |
00:24:17.360
Most of the time when you make judgments
link |
00:24:19.220
about the world around you
link |
00:24:20.560
based on your visual impression of them,
link |
00:24:23.580
it allows you to move functionally through the world.
link |
00:24:27.240
But let me give you some examples
link |
00:24:28.640
of where this guessing is happening right now.
link |
00:24:31.800
And it's so incredible that to this day,
link |
00:24:34.740
this still blows my mind.
link |
00:24:35.960
Cover one eye with one hand,
link |
00:24:38.200
if you're driving, maybe don't do this.
link |
00:24:40.560
If you're viewing the world around you,
link |
00:24:42.300
presumably you can see everything that's out there.
link |
00:24:44.940
I could do this with one eye or the other eye.
link |
00:24:47.120
You probably see better out of one or the other,
link |
00:24:48.760
and we'll talk about that.
link |
00:24:51.880
You have a giant blind spot
link |
00:24:53.840
in the middle of your visual field.
link |
00:24:56.320
It's called your blind spot.
link |
00:24:57.600
It is the spot in which the connections,
link |
00:24:59.560
the wires from all those retinal ganglion cells
link |
00:25:01.840
exit the back of the eye and head off toward the brain.
link |
00:25:06.240
In other words, you are blind
link |
00:25:07.640
for a huge spot of your central vision,
link |
00:25:10.020
the part of your vision that's highest acuity,
link |
00:25:11.880
highest detail, and yet you don't see that ever.
link |
00:25:15.560
You cover one eye and you see perfectly fine.
link |
00:25:17.880
And it's not just because your eye
link |
00:25:19.080
is moving around really quickly.
link |
00:25:20.640
Your brain is guessing what's in that spot,
link |
00:25:23.900
which is absolutely incredible.
link |
00:25:25.500
And so you don't see that blind spot.
link |
00:25:28.120
This is happening all the time.
link |
00:25:30.300
Now, when you have two eyes open,
link |
00:25:32.320
the way that your eyes are positioned in your head
link |
00:25:34.140
and the way they view the world
link |
00:25:35.100
is such that they fill in each other's blind spot.
link |
00:25:37.640
So it's pretty convenient.
link |
00:25:39.420
But if you cover one eye, that's impossible,
link |
00:25:42.520
and yet you still see the world as complete.
link |
00:25:45.540
So the brain is doing these incredible things.
link |
00:25:48.360
It's also creating depth, a sense of depth,
link |
00:25:50.900
even though what arrives from the retina
link |
00:25:53.400
is essentially a readout of a two-dimensional flat image
link |
00:25:56.520
so it can sense depth.
link |
00:25:57.760
How do you know depth?
link |
00:25:58.800
Well, this is very simple.
link |
00:26:01.080
Things that are closer to you tend to be larger
link |
00:26:03.520
than things that are far away.
link |
00:26:05.280
Things that are closer to you
link |
00:26:06.400
tend to look like they're moving faster.
link |
00:26:08.480
If you've ever been in a train and you look to your side,
link |
00:26:10.680
the rungs on a fence or the train tracks going by you
link |
00:26:14.080
look like they're going very fast.
link |
00:26:15.280
If you look off in the distance,
link |
00:26:16.160
they look like they're moving very slowly.
link |
00:26:18.200
And there are differences
link |
00:26:21.160
between what's close to you and what's further away.
link |
00:26:23.320
So a little house on the horizon,
link |
00:26:24.880
you don't look at and say,
link |
00:26:25.720
oh, that must be a tiny little house.
link |
00:26:27.700
You have some prior knowledge
link |
00:26:29.240
that things further away are smaller.
link |
00:26:31.660
So that's the main way that you do that.
link |
00:26:33.120
And you compare the location
link |
00:26:36.600
at which information about light lands on the two eyes.
link |
00:26:40.400
So your eyes are slightly offset from one another.
link |
00:26:43.520
So that, for instance, if I look at you,
link |
00:26:45.160
if you're standing right in front of me right now
link |
00:26:46.760
and I were to look at you,
link |
00:26:48.000
the image of your face,
link |
00:26:49.660
the light bouncing off your face, to be more precise,
link |
00:26:52.440
lands on one eye in a slightly different location
link |
00:26:55.560
than it does in the other eye.
link |
00:26:56.960
And then the brain does math.
link |
00:26:59.880
It basically does the equivalent of geometry
link |
00:27:02.200
and trigonometry and essentially figures out
link |
00:27:05.880
how far away you are from me,
link |
00:27:09.480
which is just incredible.
link |
00:27:10.500
So the brain does all this very, very fast.
link |
00:27:13.040
And the brain uses about 40 to 50%
link |
00:27:16.160
of its total real estate for vision.
link |
00:27:19.320
That's how important vision is.
link |
00:27:20.940
Now, for those of you that are blind
link |
00:27:22.700
or low vision or no vision,
link |
00:27:24.480
that real estate in the brain will be taken over
link |
00:27:27.840
by neurons that control a sense of touch
link |
00:27:31.160
and a sense of hearing.
link |
00:27:32.120
And you're indeed hearing and touch are much better,
link |
00:27:34.800
higher acuity and faster in blind people.
link |
00:27:39.360
But for most of you who I presume are sighted,
link |
00:27:42.420
this is how it works.
link |
00:27:44.140
So that's kind of vision from eye to brain in a nutshell.
link |
00:27:48.240
There are a bunch of different stations in the brain
link |
00:27:49.740
that do different things.
link |
00:27:50.720
That's eyesight.
link |
00:27:52.480
Now I want to talk about the other aspect of vision,
link |
00:27:56.480
which is the stuff that you don't perceive,
link |
00:27:58.720
the subconscious stuff.
link |
00:28:00.720
And then we'll transition directly
link |
00:28:02.720
into how you can use light and eyesight
link |
00:28:05.400
to control this other stuff,
link |
00:28:07.520
because it's very important in that other stuff
link |
00:28:10.460
is mood, sleep, and appetite.
link |
00:28:13.880
And there are ways in which you can use
link |
00:28:16.040
the same protocols that I will describe
link |
00:28:18.760
in order to preserve and even enhance your vision,
link |
00:28:22.520
your ability to see things and consciously perceive them.
link |
00:28:26.440
So the protocols we will describe have a lot of carry over
link |
00:28:29.500
to both conscious eyesight
link |
00:28:32.280
and to these subconscious aspects of vision.
link |
00:28:35.420
And I just want you to understand a little bit more
link |
00:28:37.360
about the science of seeing, of eyesight and vision,
link |
00:28:40.440
and then all the protocols will make perfect sense.
link |
00:28:43.520
So as amazing as eyesight is,
link |
00:28:45.700
it actually did not evolve for us to see shapes and colors
link |
00:28:50.000
and motion and form.
link |
00:28:51.900
The most ancient cells in our eyes,
link |
00:28:56.040
and the reason we have eyes,
link |
00:28:58.640
is to communicate information about time of day
link |
00:29:01.580
to the rest of the brain and body.
link |
00:29:03.760
Remember, there's no extraocular photoreception.
link |
00:29:06.040
There's no way for light information
link |
00:29:07.840
to get to all the cells of your body,
link |
00:29:10.380
but every cell in your body needs to know
link |
00:29:12.380
if it's night or day.
link |
00:29:14.040
I talked a little bit about this in the episodes on sleep,
link |
00:29:17.920
and this episode is not about sleep,
link |
00:29:20.600
but I want to emphasize that there is a particular category
link |
00:29:24.440
of retinal ganglion cell.
link |
00:29:25.680
Remember the neurons that connect the retina to the brain
link |
00:29:30.080
that is involved in a special kind of vision
link |
00:29:32.980
that has nothing to do with conscious perception
link |
00:29:35.000
of what's around you, and it's happening right now.
link |
00:29:37.760
It's happening all the time.
link |
00:29:39.560
These are so-called melanopsin retinal ganglion cells
link |
00:29:43.120
named after the opsin that they contain within them.
link |
00:29:46.220
They are essentially photoreceptors.
link |
00:29:48.120
Remember before I said there are photoreceptors
link |
00:29:49.760
and then these ganglion cells?
link |
00:29:50.720
Well, these melanopsin cells, as the name suggests,
link |
00:29:54.000
melanopsin, have their own photoreceptor built inside them.
link |
00:29:59.960
The opsin that they contain is actually very similar
link |
00:30:03.480
to the melanopsin that is present in the skin
link |
00:30:07.180
of some amphibians, and that causes those amphibians
link |
00:30:12.600
to change their skin color in different light conditions.
link |
00:30:17.720
So you have, believe it or not,
link |
00:30:19.820
a little bit of frog skin in your eye, so to speak.
link |
00:30:25.760
Not exactly, but you essentially have the equivalent
link |
00:30:28.660
of what frogs have in their skin in your eye.
link |
00:30:31.740
Now, if you are low vision or no vision,
link |
00:30:37.200
as long as you have retinas,
link |
00:30:38.800
it's very likely you still have these cells,
link |
00:30:41.020
even though you can't see or you don't see well.
link |
00:30:44.380
These cells, retinal ganglion cells,
link |
00:30:46.460
communicate to areas of the brain
link |
00:30:49.140
when particular qualities of light are present
link |
00:30:52.140
in your environment and signal to the brain, therefore,
link |
00:30:57.260
that it's early day or late in the day.
link |
00:31:00.480
These melanopsin ganglion cells
link |
00:31:03.080
are sometimes also called intrinsically photosensitive cells
link |
00:31:05.840
because they behave like photoreceptors.
link |
00:31:08.500
What do these cells respond to
link |
00:31:10.100
and why should you care about them?
link |
00:31:11.480
Well, you should care about them
link |
00:31:12.700
because they regulate when you'll get sleepy,
link |
00:31:14.680
when you'll feel awake, how fast your metabolism is,
link |
00:31:18.600
excuse me, your blood sugar levels, your dopamine levels,
link |
00:31:22.520
and your pain threshold.
link |
00:31:25.460
There are other factors that impact those things,
link |
00:31:27.280
but they are one of the, if not the most powerful
link |
00:31:30.380
determinant of those other things,
link |
00:31:32.840
like mood and pain threshold, sleepiness,
link |
00:31:35.200
wakefulness, et cetera.
link |
00:31:37.580
These melanopsin ganglion cells have been shown
link |
00:31:41.000
by the NITZ group, N-E-I-T-Z,
link |
00:31:46.000
up at the University of Washington
link |
00:31:47.320
and by Samir Hattar's lab and David Berson's lab
link |
00:31:49.740
and a number of other people's labs,
link |
00:31:51.280
Sachin Panda, Iggy Provencio, et cetera,
link |
00:31:54.360
a number of excellent labs in neuroscience
link |
00:31:56.600
to set the circadian clock and to respond best
link |
00:32:02.460
to the contrast between blue and yellow light
link |
00:32:05.800
of the sort that lands on these cells
link |
00:32:10.200
when you view the sun, when it's at so-called
link |
00:32:13.120
low solar angle, when it's low in the sky,
link |
00:32:15.280
either in the morning or in the evening.
link |
00:32:18.180
What does all this mean?
link |
00:32:19.360
It means, and here's the first protocol,
link |
00:32:21.520
and you've probably heard me say this before,
link |
00:32:23.900
but it is appropriate to this episode to say it again.
link |
00:32:27.800
If you are not viewing the sun, sunlight,
link |
00:32:32.280
even through cloud cover for two to 10 minutes
link |
00:32:36.080
in the early part of the day
link |
00:32:37.360
when the sun is still low in the sky
link |
00:32:39.620
and doing the same thing again in the evening,
link |
00:32:42.200
you are severely disrupting your sleep rhythms,
link |
00:32:45.840
your mood, your hormones, your metabolism,
link |
00:32:49.160
your pain threshold, and many other factors,
link |
00:32:51.600
including your ability to learn and remember information.
link |
00:32:54.760
The most central and important aspect of our biology,
link |
00:32:58.480
and perhaps our psychology as well,
link |
00:33:00.440
is to anchor ourselves in time to know when we exist.
link |
00:33:07.100
Okay, it sounds a little bit abstract and philosophical,
link |
00:33:10.720
but it's not.
link |
00:33:11.560
And we don't know time as a real thing
link |
00:33:15.520
because of watches and clocks.
link |
00:33:16.740
We know time at a biological level
link |
00:33:19.360
based on where the sun is and where,
link |
00:33:22.320
which of course is where we are relative to the sun
link |
00:33:25.240
because the earth is spinning around.
link |
00:33:26.800
Now, what does this mean for a protocol?
link |
00:33:29.300
It means see, get that light in your eyes early in the day
link |
00:33:33.620
and anytime you want to be awake.
link |
00:33:35.140
So try and get as much sunlight in your eyes
link |
00:33:36.840
during the day as you safely can.
link |
00:33:38.160
We'll talk about eye safety this episode in depth.
link |
00:33:41.280
And the blue light and the contrast of that blue-yellow,
link |
00:33:45.820
remember, we don't see blue.
link |
00:33:47.380
This is all subconscious.
link |
00:33:48.920
This is blue reflections coming off of sunlight.
link |
00:33:51.100
Blue light, we've been told, is so terrible for us.
link |
00:33:53.120
It is absolutely essential and wonderful
link |
00:33:54.800
for waking up the brain,
link |
00:33:56.280
for triggering all sorts of positive biological reactions,
link |
00:33:59.300
but it needs to be viewed early in the day.
link |
00:34:01.620
If you can't see sunlight
link |
00:34:02.800
because it's the thick cloud cover of,
link |
00:34:05.080
say, you're in the UK and it's winter,
link |
00:34:08.380
then artificial lights, especially blue lights,
link |
00:34:11.600
would be very beneficial to you.
link |
00:34:13.520
You need a lot of this light and its contrast with yellow
link |
00:34:16.920
in order to trigger these melanopsin cells,
link |
00:34:19.160
which would then trigger your circadian clock,
link |
00:34:21.560
which sits above the roof of your mouth,
link |
00:34:22.700
which will signal every cell in your body,
link |
00:34:24.760
including temperature rhythms, et cetera.
link |
00:34:27.060
So first things first,
link |
00:34:28.420
your visual system was not for seeing faces, motion, et cetera.
link |
00:34:33.940
The most ancient cells in your eye,
link |
00:34:36.960
which are there right now as we speak,
link |
00:34:38.920
are there to inform your body and brain about time of day.
link |
00:34:44.480
So you want to get that bright light early in the day.
link |
00:34:46.520
Absolutely essential, two to 10 minutes.
link |
00:34:48.100
You can download the light meter app
link |
00:34:50.100
if you want to measure lux.
link |
00:34:51.680
When I explained how to do that in earlier episodes,
link |
00:34:54.240
it got a little convoluted.
link |
00:34:56.040
Get that two to 10 minutes, ideally without sunglasses.
link |
00:34:59.040
Now, here's another reason to do this,
link |
00:35:01.460
and I've never spoken about this before on any podcast,
link |
00:35:04.680
which is that there have been several studies now
link |
00:35:07.460
in thousands of subjects exploring what can be done
link |
00:35:11.960
to prevent myopia, nearsightedness,
link |
00:35:15.380
and other visual defects.
link |
00:35:18.200
And it turns out in a series of large clinical trials,
link |
00:35:22.480
the conclusion has emerged that getting two hours a day
link |
00:35:27.000
of outdoor time without sunglasses, blue light,
link |
00:35:30.360
this blue light that everyone has demonized,
link |
00:35:32.920
getting that sunlight during the day for two hours,
link |
00:35:36.340
even if you're reading other things
link |
00:35:37.960
and doing other things outside,
link |
00:35:39.920
has a significant effect on reducing the probability
link |
00:35:44.560
that you will get myopia, nearsightedness.
link |
00:35:48.560
Now, whether or not that's also due to the fact
link |
00:35:50.780
that myopia can be caused by viewing things
link |
00:35:52.840
up close too much.
link |
00:35:54.600
So if you're indoors,
link |
00:35:55.500
we tend to be looking at things more closely, right?
link |
00:35:57.280
Unless you have a very large house
link |
00:35:58.700
with walls that are very far away from you.
link |
00:36:01.960
But the effect does seem to be directly related
link |
00:36:04.760
to getting sunlight
link |
00:36:06.120
and not just to the distance that you're viewing.
link |
00:36:08.720
I'm going to describe this study just briefly,
link |
00:36:10.680
but this is a second protocol.
link |
00:36:11.980
So we have one protocol about getting sunlight
link |
00:36:13.680
to set your circadian clocks, meaning wake you up,
link |
00:36:16.680
establish your sleep,
link |
00:36:18.400
will occur about 12 to 16 hours later,
link |
00:36:20.520
that's all in the sleep episode,
link |
00:36:21.640
but also to enhance your mood, to enhance your metabolism,
link |
00:36:24.800
to optimize your hormone levels,
link |
00:36:26.920
and to optimize learning and dopamine levels,
link |
00:36:28.960
this feel-good neuromodulator that's essential
link |
00:36:31.640
to not getting depressed, et cetera.
link |
00:36:35.840
But now's a second protocol, which is ideally,
link |
00:36:39.680
and this includes children,
link |
00:36:40.860
as long as they're not very small infants,
link |
00:36:43.560
ideally, we're all getting two hours of outdoor time,
link |
00:36:46.880
even if there's cloud cover.
link |
00:36:48.660
Remember, we evolved mostly under outdoor conditions,
link |
00:36:52.000
not indoor conditions.
link |
00:36:53.360
And no artificial blue light will not replace this aspect
link |
00:36:57.920
of your visual system and offsetting myopia.
link |
00:37:01.460
So I just want to briefly describe this study
link |
00:37:03.240
because it's a very important one
link |
00:37:04.440
and I don't think it's discussed often enough.
link |
00:37:07.040
There are many studies exploring this,
link |
00:37:08.520
but one of the ones I like the most
link |
00:37:11.080
looked at 693 students and a subset of them
link |
00:37:16.840
were encouraged to spend 11 hours a week outdoors, okay?
link |
00:37:21.080
So most kids are in school five days a week or so.
link |
00:37:24.500
So they're spending 11 hours a week outdoors.
link |
00:37:27.060
They are sometimes reading outdoors.
link |
00:37:28.400
They're not always just playing outdoors.
link |
00:37:29.800
They might be reading books, et cetera.
link |
00:37:33.860
They used eight different schools.
link |
00:37:36.320
And the reason they did this study,
link |
00:37:37.620
I probably should have mentioned,
link |
00:37:38.520
is that myopia, nearsightedness, is a global epidemic.
link |
00:37:41.520
At least that's how it was referred to in the study.
link |
00:37:43.820
I don't know who decides what's an epidemic or not.
link |
00:37:46.020
I think there are thresholds for that.
link |
00:37:48.920
This paper published in the journal Ophthalmology in 2018
link |
00:37:54.040
described the fact that being outdoors for two hours a day
link |
00:37:58.580
could significantly reduce the probability
link |
00:38:01.340
that these children would develop nearsightedness.
link |
00:38:04.580
And it turns out, based on other studies,
link |
00:38:07.000
that adults who spend two hours a day outside,
link |
00:38:10.440
so that would be reading outside, talking outside,
link |
00:38:13.400
no, it does not include light
link |
00:38:14.920
coming through the windshield of your car.
link |
00:38:16.640
I'll explain why in a few moments.
link |
00:38:19.440
Offset the formation of myopia.
link |
00:38:23.540
Now, myopia or nearsightedness has to do with
link |
00:38:26.280
the way that the lens focuses light onto the retina.
link |
00:38:31.300
I don't want to get into a long description of this now,
link |
00:38:33.520
but basically the lens has to bring light to the retina,
link |
00:38:37.080
not in front of it, not behind it.
link |
00:38:39.480
If it brings light to a position in front of the retina,
link |
00:38:43.220
then you won't see clearly.
link |
00:38:44.740
You will need corrective lenses.
link |
00:38:47.000
If it brings light directly to the retina,
link |
00:38:48.880
then you will see clearly.
link |
00:38:50.180
That should be intuitive why that makes sense.
link |
00:38:53.180
So you might say, why would being outside,
link |
00:38:55.320
getting this blue light or this blue-yellow contrast
link |
00:38:58.660
from sunlight actually offset myopia?
link |
00:39:02.560
Well, it probably, and I want to emphasize probably,
link |
00:39:05.680
has to do with the fact
link |
00:39:06.680
that these melanopsin ganglion cells,
link |
00:39:08.360
these intrinsically photosensitive ganglion cells
link |
00:39:10.120
are not just responsible for sleep
link |
00:39:13.080
and talking to your circadian clock and that sort of thing.
link |
00:39:15.720
They also make connections within the retina.
link |
00:39:18.320
They connect to things like, this is for the aficionados,
link |
00:39:21.420
the ciliary body, the iris, the muscles,
link |
00:39:25.440
and the structures within the eye
link |
00:39:26.760
that actually move the lens
link |
00:39:29.000
and allow you to adjust your vision to things up close
link |
00:39:32.800
or far away.
link |
00:39:34.200
And in doing so, they increase or improve the health
link |
00:39:37.980
of the little tiny muscles within the eye
link |
00:39:40.820
that move the lens.
link |
00:39:42.840
And they probably, again,
link |
00:39:44.800
this needs a little bit more work
link |
00:39:46.620
in order to really tamp down the mechanism.
link |
00:39:48.720
They're probably also involved in bringing growth factors
link |
00:39:52.700
and blood supply to the muscles and to the neurons
link |
00:39:57.540
that are responsible for this focusing mechanism
link |
00:40:01.640
within the eye.
link |
00:40:02.780
So remember, your eye is an optical device.
link |
00:40:05.620
You were born with lenses.
link |
00:40:06.660
You don't have to use glasses, or maybe you do,
link |
00:40:08.360
because you have lenses in your eyes.
link |
00:40:10.280
And those lenses need to move.
link |
00:40:11.780
It's not a rigid lens like a glass lens.
link |
00:40:14.440
It's a dynamic lens and has little muscles
link |
00:40:16.800
that pull on it and squeeze it
link |
00:40:18.640
and make it thicker or thinner
link |
00:40:21.420
as you look at things close and far away.
link |
00:40:23.240
And I'll describe how that works in a moment.
link |
00:40:25.220
These melanopsin cells and their activation by sunlight,
link |
00:40:30.120
completely subconsciously, unaware, you're unaware of this,
link |
00:40:34.360
promote the health of this system within the eye
link |
00:40:38.160
and allow you to offset the myopia, nearsightedness.
link |
00:40:43.000
In other words, getting outside for two hours a day,
link |
00:40:46.200
each day, on average,
link |
00:40:48.080
even if there's cloud cover without sunglasses on,
link |
00:40:51.560
will allow you to offset the formation of myopia.
link |
00:40:56.680
Now, you might still form myopia
link |
00:40:58.480
if you have certain structural features
link |
00:41:00.160
or genetic basis for that.
link |
00:41:01.340
We will talk about things that you can do as well.
link |
00:41:03.560
But for everybody, we should be doing this.
link |
00:41:05.800
And that might seem like a lot,
link |
00:41:07.240
but this is the way that your visual system works.
link |
00:41:09.640
Staying indoors, just getting artificial light,
link |
00:41:13.080
and looking at things up close leads to visual defects, okay?
link |
00:41:17.720
It's a form of kind of like visual obesity, right?
link |
00:41:21.080
The posture of your visual system, if you will,
link |
00:41:23.600
is going to be unhealthy if you're just indoors
link |
00:41:26.080
and you're not getting sunlight early in the day
link |
00:41:28.240
and for at least two hours per day.
link |
00:41:30.760
I want to talk a little bit more about how our eyes adjust
link |
00:41:33.840
to things that are close to us or far away.
link |
00:41:37.120
This is an absolutely brilliant consequence
link |
00:41:40.220
of our nature and our design.
link |
00:41:42.660
And whenever I say nature and design,
link |
00:41:44.640
people always ask me, you know,
link |
00:41:46.240
what are you really trying to say?
link |
00:41:47.440
Are you trying to talk about creators?
link |
00:41:49.920
Are you talking about intelligent design?
link |
00:41:51.400
Look, I want to be very frank with you.
link |
00:41:53.720
I wasn't consulted at the design phase and neither were you.
link |
00:41:56.960
And so that is all very interesting,
link |
00:41:59.120
but it's not the topic of this discussion.
link |
00:42:02.240
What is clear and what is the topic of this discussion
link |
00:42:05.600
is that the eye can dynamically adjust where light lands
link |
00:42:10.640
by moving the lens and changing the shape
link |
00:42:12.720
of the lens in your eye
link |
00:42:14.080
through a process called accommodation.
link |
00:42:16.760
And if you understand this process of accommodation,
link |
00:42:19.780
you not only can enhance the health of your eyes
link |
00:42:22.880
in the immediate and long-term, but you also can work better.
link |
00:42:26.800
You'll be able to focus better on physical and mental work.
link |
00:42:29.880
You will be able to concentrate for longer.
link |
00:42:32.800
And I want to emphasize that so much of our mental focus,
link |
00:42:37.000
whether or not it's for cognitive endeavors
link |
00:42:38.800
or physical endeavors,
link |
00:42:41.240
is grounded in where we place our visual focus, okay?
link |
00:42:45.200
What we look at and our ability
link |
00:42:46.960
to hold our concentration there is critically
link |
00:42:50.580
determining how we think.
link |
00:42:53.780
So in other words, if you can hold visual focus,
link |
00:42:56.920
you can hold mental focus, cognitive focus,
link |
00:42:59.520
but holding visual focus is challenging.
link |
00:43:01.800
It's tiring because it requires movement of the lens
link |
00:43:07.240
and that movement of the lens requires activation of muscles
link |
00:43:10.180
and the activation of muscles,
link |
00:43:11.360
as you know from the physical performance episodes,
link |
00:43:13.880
if you saw them and even if you don't,
link |
00:43:15.440
is dictated by neurons.
link |
00:43:17.520
So what is accommodation?
link |
00:43:19.180
Well, it's actually very simple and very elegant.
link |
00:43:24.160
And again, this is another case
link |
00:43:25.880
where whenever I look at this stuff,
link |
00:43:27.520
even though I've been looking at it for years,
link |
00:43:29.160
learning about it for years,
link |
00:43:30.280
it still boggles my mind
link |
00:43:31.680
that we have these apparatus built into our eyes.
link |
00:43:35.700
So we have lenses in our eyes
link |
00:43:37.400
and we have these things called the irises.
link |
00:43:39.680
You're all familiar with the iris
link |
00:43:40.980
because you'll see people's pupils get bigger or smaller
link |
00:43:44.100
and we intuitively think of eyes as having the pupils.
link |
00:43:47.960
If you actually draw two circles on a sheet of paper
link |
00:43:52.080
and they look like two circles,
link |
00:43:53.920
but if you put little dots in the middle of them,
link |
00:43:55.760
they look like eyes.
link |
00:43:56.960
Your brain recognizes those as eyes
link |
00:43:58.780
because one of the first things you see
link |
00:44:00.080
when you come into this world are eyes.
link |
00:44:01.960
And actually, if you put the little dots close together,
link |
00:44:04.520
it'll look kind of wrong, like it's cross-eyed.
link |
00:44:06.920
And if you put them at different locations
link |
00:44:09.160
within those two dots, opposing locations,
link |
00:44:11.040
it'll look Google-eyed.
link |
00:44:12.080
And so your brain is actually filling in all the face
link |
00:44:14.160
and other information, even emotional information,
link |
00:44:16.800
just based on this recognition of eyes.
link |
00:44:19.360
And so there's clearly, we know this,
link |
00:44:21.600
there's real estate further up in the brain
link |
00:44:24.720
that's responsible for analyzing and recognizing faces
link |
00:44:29.340
and the eyes and the position of these little things
link |
00:44:31.640
we call irises and pupils, et cetera,
link |
00:44:33.840
is really important for how we interpret
link |
00:44:36.900
the status of others.
link |
00:44:39.480
And that's why it's such a powerful thing
link |
00:44:40.980
just to put two circles
link |
00:44:42.360
and move the pupils around on paper.
link |
00:44:45.680
In fact, I want to get into a combination,
link |
00:44:47.960
but if you think about it,
link |
00:44:49.220
if one of my pupils was up there
link |
00:44:50.900
and the other one was down there,
link |
00:44:51.920
one was really big and one was really small,
link |
00:44:53.600
that would actually be a sign of pretty severe damage.
link |
00:44:55.940
If someone gets hit hard on the side of the head,
link |
00:44:58.060
you'll notice that they shine a light in one eye.
link |
00:45:00.840
You know why they're doing that?
link |
00:45:01.740
They're actually looking at the other eye.
link |
00:45:04.360
When you shine light of the eye,
link |
00:45:05.400
that pupil constricts to limit the amount of light
link |
00:45:07.800
that comes in so it doesn't damage the eye.
link |
00:45:09.640
This also happens when you walk outside and it's bright.
link |
00:45:11.780
It constricts,
link |
00:45:13.440
but we have what's called the consensual pupil reflex.
link |
00:45:16.120
There's a connection deep in the brainstem,
link |
00:45:18.060
deep back here in the brain near my neck
link |
00:45:20.460
that connects the pupil mechanism for the two eyes
link |
00:45:24.000
and they're looking at the other eye.
link |
00:45:25.040
And if you shine light in one eye
link |
00:45:27.020
and that pupil constricts, but the other one doesn't,
link |
00:45:29.120
there's a good chance there's brainstem damage.
link |
00:45:31.560
This is what they do on the side of a football field
link |
00:45:34.040
or a boxing match,
link |
00:45:35.080
or if someone unfortunately hits their head.
link |
00:45:37.760
So two pupils, and don't freak out
link |
00:45:39.720
if one pupil is a little bit smaller than the other,
link |
00:45:42.440
that doesn't necessarily mean brain damage.
link |
00:45:44.000
But if you suddenly have one pupil bigger than the other,
link |
00:45:46.880
you absolutely want to go see a neurologist right away.
link |
00:45:49.800
So the eyes and the pupils are indicative
link |
00:45:52.120
of things that are happening deep in the brain.
link |
00:45:54.780
Now, accommodation is our ability to accommodate
link |
00:45:58.520
to things that are up close here or further away.
link |
00:46:02.060
And the way this works is that the iris
link |
00:46:04.520
and the musculature and a structure
link |
00:46:06.520
called the ciliary body move the lens.
link |
00:46:08.640
So when you look far away, okay,
link |
00:46:10.940
when you see things far away, your lens actually relaxes.
link |
00:46:16.280
It can flatten out.
link |
00:46:17.920
So I want you to think about this.
link |
00:46:18.760
When you look far away,
link |
00:46:20.360
when it may be anywhere from like 20 feet away from you
link |
00:46:23.720
out to a horizon that's miles or kilometers away from you,
link |
00:46:27.960
the lens can just relax.
link |
00:46:29.440
It can flatten out.
link |
00:46:30.960
And you'll notice that it actually is relaxing
link |
00:46:33.280
to look at a horizon.
link |
00:46:35.080
It's relaxing to look far away.
link |
00:46:36.820
Whereas if I look at something up close to me,
link |
00:46:38.940
like this pen or my phone or a computer screen
link |
00:46:41.680
or this microphone, it takes effort.
link |
00:46:44.840
You'll sense the effort.
link |
00:46:46.440
Now, some of that effort is actually eye movements
link |
00:46:48.660
because you have muscles that can move your eyes
link |
00:46:50.360
within their sockets.
link |
00:46:52.160
But a lot of the work, quote unquote, is neural work
link |
00:46:55.640
of the muscles having to move and contract
link |
00:46:59.280
such that the lens actually gets thicker
link |
00:47:02.400
in order to bring the light to the retina
link |
00:47:05.500
and not to a location in front of it or behind it,
link |
00:47:08.240
so-called accommodation.
link |
00:47:10.240
There's also changes in the size of the pupil
link |
00:47:12.280
as things are closer and further away from you.
link |
00:47:14.760
In fact, there's a simple way to think about this.
link |
00:47:18.320
Healthy pupils are going to dilate
link |
00:47:20.920
when you look at something far away from you.
link |
00:47:23.520
Now, when you see something that excites you
link |
00:47:25.600
or stresses you out, your pupils also get big.
link |
00:47:28.200
Your eyes get wide.
link |
00:47:29.280
But if you look at something far away,
link |
00:47:33.460
your pupils are going to dilate.
link |
00:47:35.680
And when you look at things that are closer to you,
link |
00:47:38.140
when you move them up close,
link |
00:47:39.040
the pupils are going to shrink.
link |
00:47:40.600
That's all part of this accommodation mechanism.
link |
00:47:43.520
Now, you might say,
link |
00:47:44.960
why are you telling me about accommodation?
link |
00:47:46.560
This is crazy.
link |
00:47:47.400
Why are you telling me about this?
link |
00:47:48.240
Well, these days we're spending a lot of time
link |
00:47:51.680
looking at things, mainly our phones up close
link |
00:47:53.960
and computers up close, and we are indoors.
link |
00:47:56.760
If you are a young person, and even if you are 25 or older,
link |
00:48:00.800
and you are spending a lot of time
link |
00:48:02.480
looking at things up close,
link |
00:48:04.280
and you are not allowing your vision to relax,
link |
00:48:08.180
in other words, you are not giving your lens
link |
00:48:10.440
the opportunity to flatten out
link |
00:48:11.800
and for these muscles to relieve themselves of this work,
link |
00:48:15.960
you may or may not have migraine headaches.
link |
00:48:17.760
You may or may not have headaches.
link |
00:48:19.780
You might, and that could be the cause of those.
link |
00:48:22.600
But you are also training your eyes
link |
00:48:28.100
to be good at looking at things up close and not far away.
link |
00:48:32.840
And as a consequence,
link |
00:48:33.920
you are reshaping the neural circuitry in your brain,
link |
00:48:37.200
and it is not good, it is not healthy,
link |
00:48:40.880
to only look at things up close.
link |
00:48:43.640
Now, there are a lot of recommendations out there right now,
link |
00:48:45.800
especially with all the lockdowns of the last 12 to 18 months
link |
00:48:49.560
that people should look up from Zoom every once in a while,
link |
00:48:51.580
or maybe now I'm hearing that people should take calls
link |
00:48:53.700
instead of doing Zoom,
link |
00:48:55.000
or you should look up from your computer screen.
link |
00:48:56.580
It's actually not going to solve the problem
link |
00:48:59.680
just to look up from your computer screen.
link |
00:49:01.600
You need to go to a window.
link |
00:49:02.860
You need to look out at a distance.
link |
00:49:05.400
Ideally, you would even open the window
link |
00:49:08.120
because those windows actually filter out
link |
00:49:10.480
a lot of the blue light that you want during the daytime,
link |
00:49:13.400
a lot of the sunlight.
link |
00:49:14.520
It's actually 50 times less gets through.
link |
00:49:17.120
You want to get out onto a balcony.
link |
00:49:18.440
You want to relax your eyes and look out at the horizon.
link |
00:49:21.520
You want to go into what's called panoramic vision
link |
00:49:23.400
and let your vision expand.
link |
00:49:25.000
You want this lens mechanism to be very elastic.
link |
00:49:28.280
You don't want it to get stuck in that configuration
link |
00:49:31.200
of looking at things up close.
link |
00:49:32.300
Accommodation is a wonderful feature of your visual system,
link |
00:49:35.260
but you don't want to push that too hard,
link |
00:49:38.160
too often or for too long.
link |
00:49:41.820
You want to view the horizon.
link |
00:49:44.000
You want to get outside,
link |
00:49:45.320
not just to lighten the load on your mind
link |
00:49:48.720
or to think about other things,
link |
00:49:49.960
but to maintain the health of your visual system.
link |
00:49:54.260
In other words, you want to exercise these muscles
link |
00:49:58.760
and that involves both the lens moving
link |
00:50:02.140
and getting kind of thicker and relaxing that lens.
link |
00:50:05.640
And the relaxation of the lens
link |
00:50:06.920
is actually one of the best things you can do
link |
00:50:08.560
for the musculature of the inner eye.
link |
00:50:10.920
So what's the protocol?
link |
00:50:12.800
How often should you do this?
link |
00:50:14.920
You might be surprised,
link |
00:50:15.820
but for every 30 minutes of focused work,
link |
00:50:19.060
you probably want to look up every once in a while
link |
00:50:21.200
and just try and relax your face and eye muscles,
link |
00:50:23.200
including your jaw muscles,
link |
00:50:24.420
because all these things are closely linked
link |
00:50:26.360
in the brainstem and allow your eyes
link |
00:50:28.900
to go into so-called panoramic vision,
link |
00:50:30.580
where you're just not really focusing on anything
link |
00:50:32.320
and then refocus on your work.
link |
00:50:34.800
At least every 90 minutes of looking at things up close,
link |
00:50:40.680
or even if you're looking at a screen,
link |
00:50:42.840
a television screen or you're watching a movie
link |
00:50:45.680
or you're indoors, for every 90 minutes of that,
link |
00:50:49.160
you ideally would have at least 20,
link |
00:50:53.480
probably more like 30 minutes of being outside, ideally,
link |
00:50:57.360
but if you can't be outside, of non up close vision.
link |
00:51:02.040
Now you might say, that's impossible.
link |
00:51:03.220
How am I supposed to do that?
link |
00:51:04.520
I'm in an office or I'm in a building.
link |
00:51:05.940
Get to a window, get outside if you can do it safely,
link |
00:51:09.520
get onto a balcony and just let your eyes relax.
link |
00:51:13.900
Many people are experiencing severe vision problems
link |
00:51:18.000
because they're not getting enough sunlight during the day.
link |
00:51:20.160
They have sleep problems
link |
00:51:21.360
because they're not viewing sunlight early in the day.
link |
00:51:24.640
And as I've mentioned in previous episodes,
link |
00:51:27.840
they're getting a lot of artificial stimulation,
link |
00:51:30.140
artificial light stimulation of the eye
link |
00:51:31.660
in the middle of the night.
link |
00:51:33.760
All of this is through the visual system.
link |
00:51:35.880
So migraines, fatigue,
link |
00:51:38.880
challenges with your eyesight getting worse as you age,
link |
00:51:42.280
or even in young people there's a, you know,
link |
00:51:43.880
at least according to the articles,
link |
00:51:45.520
they described it as this epidemic of myopia
link |
00:51:48.480
can largely be dealt with by getting outside,
link |
00:51:52.460
going into panoramic vision,
link |
00:51:54.280
experiencing some distance division,
link |
00:51:56.800
look at things off on the horizon.
link |
00:51:59.000
If you're walking or hiking or biking,
link |
00:52:00.940
not looking at your phone the whole time
link |
00:52:02.500
that you're doing that.
link |
00:52:03.600
If you're at the bus stop or you're commuting,
link |
00:52:06.240
certainly not looking at your phone
link |
00:52:07.920
the entire time you're doing that.
link |
00:52:10.200
So this is vital.
link |
00:52:11.480
And I want to emphasize another protocol,
link |
00:52:13.720
although I don't want to get into it in too much depth,
link |
00:52:15.320
because I want to make sure that I also talk about
link |
00:52:17.500
a number of other important aspects of the visual system
link |
00:52:19.500
that are more related to sight.
link |
00:52:21.320
But getting into optic flow is very important
link |
00:52:25.920
for de-stressing your system.
link |
00:52:29.380
When you move through space,
link |
00:52:30.720
whether or not it's through walking, biking, even swimming,
link |
00:52:34.560
if it's self-generated optic flow,
link |
00:52:37.480
so probably not driving or motorcycling,
link |
00:52:40.080
but yes, bicycling or, I don't know, unicycling.
link |
00:52:43.800
I don't know why I thought about unicycling.
link |
00:52:44.960
There used to be a graduate student at Stanford
link |
00:52:46.260
who was a really impressive unicycler.
link |
00:52:47.640
Those are pretty rare.
link |
00:52:49.900
As long as it's self-generated optic flow,
link |
00:52:51.920
meaning you're generating motion of your body
link |
00:52:54.520
and the visual images around you are passing by
link |
00:52:57.560
on your eyes, that is very good for the visual system.
link |
00:53:00.900
And it's very good for the mood systems
link |
00:53:02.960
and the neuromodulator systems of the brain and body
link |
00:53:05.080
that regulate mood.
link |
00:53:06.280
This is well-established.
link |
00:53:08.200
So I'm not telling people to get away
link |
00:53:10.280
from their phone and their computers.
link |
00:53:11.400
I spend a lot of time staring at a page,
link |
00:53:13.640
drawing, writing, texting, et cetera, just like you do.
link |
00:53:16.520
But we're really talking about some very simple protocols
link |
00:53:20.040
that aren't just designed to improve your sleep,
link |
00:53:22.200
but are really designed to bolster and enhance your vision.
link |
00:53:26.200
And of course, because it's this podcast,
link |
00:53:27.960
we will also talk about things that you can take
link |
00:53:30.120
to improve your vision.
link |
00:53:31.000
But if your visual behavior isn't right,
link |
00:53:35.120
and I do believe we should always start with behaviors
link |
00:53:37.320
and then think about nutrition, supplementation, et cetera.
link |
00:53:39.880
If your behaviors around vision aren't right,
link |
00:53:42.120
you cannot expect to have good, healthy eyesight
link |
00:53:45.240
for a long time, meaning throughout your lifespan.
link |
00:53:48.560
And if your vision is already poor,
link |
00:53:50.360
many of these things that I'm talking about today,
link |
00:53:52.820
perhaps all of them, will improve your vision
link |
00:53:54.840
to some degree.
link |
00:53:56.480
And if your vision is starting to go,
link |
00:53:59.040
then doing these behaviors is likely
link |
00:54:01.400
to really enhance the quality of the vision
link |
00:54:03.920
that you will build and maintain over time.
link |
00:54:06.600
And all of these are essentially zero cost, okay?
link |
00:54:09.780
If you live in a very dark environment,
link |
00:54:11.740
like a cave or outer space,
link |
00:54:14.740
it's going to be hard to do some of this stuff.
link |
00:54:16.520
But if you're on planet earth, even if there's cloud cover,
link |
00:54:20.560
chances are you can do some or most,
link |
00:54:22.960
or even all of these, some, most, or all days.
link |
00:54:26.060
What I'm about to describe next is going to seem so silly
link |
00:54:29.280
on the face of it, but has deep mechanism to support it.
link |
00:54:32.080
Put simply, when you get tired, your eyelids close.
link |
00:54:39.000
And when you're alert, your eyelids are open.
link |
00:54:42.400
That is because you have neurons in your brain
link |
00:54:46.440
that depending on your level of alertness
link |
00:54:49.080
will make it easy or hard to keep your eyes open.
link |
00:54:53.060
Now that's a complete duh,
link |
00:54:55.200
except that we don't often think about the relationship
link |
00:54:57.300
between alertness and where we are looking and our eyelids.
link |
00:55:02.400
Now, I learned this from a colleague of mine in psychiatry
link |
00:55:05.240
who happens to work on hypnosis.
link |
00:55:06.480
I'm not going to hypnotize you right now.
link |
00:55:07.920
That's actually for a future episode.
link |
00:55:10.320
But what happens when we get tired?
link |
00:55:14.520
Our eyelids close and our chin moves down.
link |
00:55:18.160
We tend to nod out this way.
link |
00:55:20.060
If you have ever been in a classroom,
link |
00:55:22.880
certainly not one of mine,
link |
00:55:24.040
but if you've been in a classroom
link |
00:55:25.920
and the lecture is kind of drawing on or it's the afternoon,
link |
00:55:29.680
what you'll notice is that a number of students,
link |
00:55:31.200
their heads are kind of,
link |
00:55:34.180
their eyelids are closing and their chin is dropping.
link |
00:55:36.480
And then you'll see a bunch of heads balancing back up.
link |
00:55:39.160
I was definitely one of those people in class.
link |
00:55:41.560
If it was post-lunch in the afternoon, it's warm,
link |
00:55:44.660
the hum of the air conditioner or whatever it is,
link |
00:55:47.400
and I just out, okay?
link |
00:55:50.500
When we're wide awake, the opposite happens.
link |
00:55:53.320
Our eyelids are open all the way
link |
00:55:56.440
and our chin happens to be up.
link |
00:55:58.360
And no, this is not me telling you to have good posture.
link |
00:56:01.280
However, what I learned from my colleague at Stanford
link |
00:56:04.720
is that these circuits actually act in loops.
link |
00:56:08.560
When we look up,
link |
00:56:10.880
maybe it's because these melanopsin cells
link |
00:56:13.640
are in the bottom of our retina, they are.
link |
00:56:15.660
And maybe it's because they're there
link |
00:56:17.240
in order to view sunlight, which is overhead, which it is.
link |
00:56:21.720
But that system of alertness
link |
00:56:24.360
is linked to the position of our eyes.
link |
00:56:26.560
So when we look up and our eyelids are up,
link |
00:56:28.520
it actually has a purpose.
link |
00:56:31.520
It actually creates a wakefulness signal for the brain.
link |
00:56:35.760
And so while this might seem like the silliest
link |
00:56:37.900
and simple tool that I might ever describe on this podcast,
link |
00:56:41.280
if you are feeling tired,
link |
00:56:44.040
it actually can be beneficial
link |
00:56:45.840
to the wakefulness systems of the brain,
link |
00:56:47.520
including the locus coeruleus
link |
00:56:48.880
and these areas that release norepinephrine,
link |
00:56:51.020
to actually look up, to actually look up toward the ceiling.
link |
00:56:54.600
You don't want your chin all the way back,
link |
00:56:56.360
but to look up and to raise your eyes toward the ceiling
link |
00:56:59.480
and to look up and try and hold that for 10 to 15 seconds.
link |
00:57:02.920
So this isn't looking up and closing your eyes
link |
00:57:04.760
like on a nice sunny day, that's relaxing.
link |
00:57:07.120
This is looking up and actually looking up at the ceiling.
link |
00:57:11.120
It actually triggers some of the areas of the brain
link |
00:57:13.680
that are involved in wakefulness.
link |
00:57:15.400
So if you're somebody who's falling asleep at your work,
link |
00:57:18.220
this can be very beneficial.
link |
00:57:20.220
Likewise, many people are looking at their phone all day
link |
00:57:26.720
and their chin is down,
link |
00:57:28.360
and then they're sitting at a computer
link |
00:57:29.860
that's positioned below them
link |
00:57:31.000
and they're having trouble staying awake or focusing.
link |
00:57:33.960
It can be very bad.
link |
00:57:34.840
I tell Costello this all the time
link |
00:57:36.120
because he's always falling asleep
link |
00:57:37.160
while he's trying to do his work.
link |
00:57:38.380
Positioning your computer screen up at eye level
link |
00:57:42.880
or sometimes having it actually above eye level
link |
00:57:46.360
can actually create wakefulness and alertness
link |
00:57:49.120
for the work that you're going to do.
link |
00:57:50.400
This is simply because of this connection
link |
00:57:53.220
between the brainstem circuits and the other neural circuits
link |
00:57:55.920
that control wakefulness and eyelids opening and looking up.
link |
00:58:01.920
Okay, so again, it's remarkably simple,
link |
00:58:04.480
almost laughably simple,
link |
00:58:05.680
but it's grounded in some of the most hardwired,
link |
00:58:08.600
meaning present from birth aspects of our neural circuitry.
link |
00:58:12.160
And norepinephrine released from locus coeruleus
link |
00:58:15.480
isn't just a mouthful.
link |
00:58:16.960
It's a really interesting and powerful mechanism
link |
00:58:20.960
for how the rest of the brain wakes up.
link |
00:58:22.600
Locus coeruleus hoses the rest of your brain
link |
00:58:25.240
with norepinephrine in order to wake up those circuits
link |
00:58:28.980
for work and attention.
link |
00:58:30.200
And so eyes up is actually a way,
link |
00:58:34.200
a route into increased alertness.
link |
00:58:36.560
Eyes down is a route into sleepiness,
link |
00:58:39.480
into reduced alertness.
link |
00:58:41.520
And I have only one friend that texts up here,
link |
00:58:45.320
like on the street, holds his phone up here.
link |
00:58:47.480
It looks ridiculous.
link |
00:58:49.000
And yet, you know, if we were trying to create
link |
00:58:52.960
more sense of alertness, if that's your goal,
link |
00:58:55.300
positioning computer screens up high, chin up,
link |
00:58:58.520
looking up if you need to kind of create
link |
00:59:00.400
an alertness signal, not always being chinned down
link |
00:59:03.000
and texting or working into typewriters or reading below us
link |
00:59:06.760
is actually going to send a recurring wakefulness signal.
link |
00:59:10.400
When things are up, we tend to be alert.
link |
00:59:11.840
When everything's focused down, including our eyes,
link |
00:59:14.160
it tends to have a more suppressive or sedative type
link |
00:59:16.880
signaling to the deeper centers of the brain.
link |
00:59:19.120
Now, before we move on to the science and tools
link |
00:59:22.120
and protocols related to pattern vision,
link |
00:59:24.660
I want to mention another study that was done
link |
00:59:26.800
by the University of Pennsylvania.
link |
00:59:28.420
They have a terrific group there that works on sleep
link |
00:59:31.680
that made an important discovery
link |
00:59:33.380
that I think everybody should know about,
link |
00:59:35.760
which is that children that sleep in rooms
link |
00:59:39.920
that have a nightlight or dim lights
link |
00:59:43.480
are much more likely to develop myopia, nearsightedness.
link |
00:59:48.800
Conversely, children that sleep in very dark rooms,
link |
00:59:53.080
so either very dim nightlights or a complete black,
link |
00:59:58.480
they have a much lower, statistically speaking,
link |
01:00:01.420
a significantly lower probability
link |
01:00:03.160
of developing myopia, nearsightedness.
link |
01:00:06.120
Now, why is that?
link |
01:00:07.960
It's because the wavelengths of light that matter
link |
01:00:12.400
for these melanopsin cells
link |
01:00:15.120
oftentimes can get through the eyelids.
link |
01:00:18.620
And that's particularly true for children
link |
01:00:21.840
and people that have thin eyelids.
link |
01:00:23.760
Some people, like me, have very thin eyelids.
link |
01:00:26.360
I've been told this before.
link |
01:00:28.800
Not many people touch my eyelids,
link |
01:00:30.140
but among those that have, they have very thin eyelids.
link |
01:00:33.520
I notice I have very thin eyelids compared to, say, Costello.
link |
01:00:36.780
Now, Costello's eyes droop.
link |
01:00:38.200
He can't even close his eyes all the way.
link |
01:00:39.580
They're so droopy.
link |
01:00:40.620
But many people have thin eyelids,
link |
01:00:43.600
and those people are going to be even more prone
link |
01:00:45.680
to light coming in through the eyelid.
link |
01:00:48.240
So for parents, for kids, and for adults,
link |
01:00:52.540
you really want to try to get to a place
link |
01:00:54.940
where you can sleep in a completely black
link |
01:00:57.380
or dark environment.
link |
01:00:58.940
One little exposure to light, no big deal.
link |
01:01:00.880
But this ties back to the other protocol
link |
01:01:03.600
that I've described before in the mood and sleep episodes,
link |
01:01:06.420
which is that viewing light, even a very low intensity,
link |
01:01:10.260
between the hours of 10 p.m. and 4 a.m.,
link |
01:01:12.400
it's extremely detrimental to the dopamine
link |
01:01:14.440
and other mood-producing systems of the brain.
link |
01:01:17.140
It can negatively impact learning and immunity
link |
01:01:19.720
and even blood sugar and make people type 2 diabetes prone
link |
01:01:23.360
by way of communication from these melanopsin cells
link |
01:01:26.120
to a structure in the brain called the habenula.
link |
01:01:28.660
Why am I throwing out all this verbiage?
link |
01:01:30.500
Well, because people have asked for more mechanisms.
link |
01:01:32.400
So if you really want to know when you look at blue light
link |
01:01:35.200
or if blue light is getting in through your eyelids
link |
01:01:36.980
in the middle of the night,
link |
01:01:38.280
it is likely distorting these lens accommodation mechanism
link |
01:01:42.940
in the eye and leading to myopia in some cases.
link |
01:01:47.220
So that's one reason to avoid blue light exposure
link |
01:01:49.620
and bright light exposure,
link |
01:01:50.460
even nightlight exposure in the middle of the night.
link |
01:01:52.700
Viewing any light of bright intensity
link |
01:01:55.300
between the hours of 10 p.m. and 4 a.m.
link |
01:01:58.000
on a consistent basis is going to suppress dopamine
link |
01:02:01.000
because of the way that that light activates
link |
01:02:03.200
these melanopsin cells and the habenula
link |
01:02:04.980
and the dopamine system.
link |
01:02:06.740
So it's all very simple.
link |
01:02:08.660
Get as much bright light as you can safely, right?
link |
01:02:12.260
You never want to look at any light so bright
link |
01:02:13.760
that it's painful to look at during the daytime.
link |
01:02:16.720
Try and go without sunglasses unless you need them.
link |
01:02:18.920
Now I wear sunglasses for sake of sport
link |
01:02:21.080
and sake of when it's really bright out,
link |
01:02:23.140
but I try to get two hours a day of working outside
link |
01:02:26.200
or being outside, even if there's cloud cover,
link |
01:02:28.820
that's going to offset myopia.
link |
01:02:30.700
It's going to help you get better sleep.
link |
01:02:32.280
It's going to support mood and metabolism, et cetera.
link |
01:02:35.280
And at night, if you're sleeping with a lot of lights
link |
01:02:38.140
in the room, and especially if there are kids
link |
01:02:40.380
that need a nightlight,
link |
01:02:41.420
you should try and wean them off that nightlight
link |
01:02:43.860
because it's going to be beneficial for their vision
link |
01:02:46.020
to wean them off that nightlight
link |
01:02:47.260
and put them into a darker environment.
link |
01:02:49.220
Obviously you want to get them emotionally comfortable
link |
01:02:50.840
with that first.
link |
01:02:52.440
Now let's talk about pattern vision,
link |
01:02:54.160
actual seeing things like faces and colors, et cetera.
link |
01:02:58.000
I'm presuming that some of you out there are colorblind.
link |
01:03:01.240
We can all help the red-green colorblind folks out there.
link |
01:03:05.240
By not using red in slides and diagrams and on menus
link |
01:03:09.360
and things of that sort, try and use magenta instead.
link |
01:03:12.000
They can see the contrast between magenta and green better
link |
01:03:16.440
than if there's red and green.
link |
01:03:18.960
So be kind to the colorblind folks out there.
link |
01:03:21.120
It's actually a fair percentage.
link |
01:03:23.040
And there are a lot of different kinds of colorblind.
link |
01:03:25.360
I should just mention some people are true monochromats.
link |
01:03:28.280
They see the world in black and white.
link |
01:03:29.660
That's exceedingly rare.
link |
01:03:32.080
Most colorblind people, colorblind in quotes,
link |
01:03:35.120
are red-green colorblind,
link |
01:03:36.880
meaning they lack red cone photopigment,
link |
01:03:39.640
meaning they can't see long wavelengths of light.
link |
01:03:42.100
So they see the world much as a canine or a cat does
link |
01:03:45.520
where they don't get the green-red contrast.
link |
01:03:48.160
That's where we call it red-green colorblind.
link |
01:03:50.500
They have the green cones,
link |
01:03:51.960
but they can't do the contrast comparison
link |
01:03:54.000
that I described at the beginning of the episode.
link |
01:03:56.680
So use magenta and they will be able to see things.
link |
01:04:00.420
You wonder why stop signs and stop lights
link |
01:04:02.400
and things aren't in magenta.
link |
01:04:03.880
Well, because the world is unkind
link |
01:04:05.360
to the red-green colorblind individuals
link |
01:04:07.760
and they have to learn the position
link |
01:04:09.080
of those lights in the street lights
link |
01:04:11.360
and they have to learn the shapes of signs,
link |
01:04:13.400
which they can do readily
link |
01:04:14.320
and it usually says stop on it as well.
link |
01:04:16.700
But if you care about colorblind folks, which I do,
link |
01:04:19.600
then we could all do them a service by,
link |
01:04:21.960
I think by law actually in the US,
link |
01:04:24.600
menus are required to be colorblind accessible.
link |
01:04:28.840
How can you improve your vision?
link |
01:04:31.480
How can you get better at seeing things?
link |
01:04:33.980
Well, one way is to make sure that you spend
link |
01:04:36.780
at least 10 minutes a day total,
link |
01:04:39.360
at least, viewing things off in the distance.
link |
01:04:42.280
So that would be well over half a mile or more.
link |
01:04:45.360
Try and see a horizon,
link |
01:04:46.720
try and get your vision out to a location
link |
01:04:50.080
that's beyond the four walls of your house or apartment
link |
01:04:53.960
or the doors of your car and the windshield of your car.
link |
01:04:56.660
I know that can be hard to do, but it's very valuable.
link |
01:04:59.360
If you live in a city like New York
link |
01:05:00.940
and it's skyscrapers everywhere,
link |
01:05:02.820
you've probably experienced
link |
01:05:04.080
the incredible sense of relaxation.
link |
01:05:06.680
And it's aesthetically beautiful
link |
01:05:08.080
when you are walking down one of these long avenues
link |
01:05:10.240
and you turn,
link |
01:05:11.560
and I think they have a name for this in New York,
link |
01:05:14.080
where the sunset is suddenly visible
link |
01:05:17.560
along a long avenue between some skyscrapers.
link |
01:05:20.320
And it's just very relaxing
link |
01:05:21.800
to be able suddenly to see at a distance.
link |
01:05:23.720
And that's actually because this eye mechanism
link |
01:05:25.960
relaxing the lens and relaxing some of the musculature
link |
01:05:30.840
around the eyes send signals deep into the brainstem
link |
01:05:34.040
that release some of the centers
link |
01:05:35.420
that are involved in alertness, AKA stress.
link |
01:05:39.040
And it's very pleasant for a reason.
link |
01:05:40.880
It's not a placebo effect, if you will.
link |
01:05:45.240
There are a bunch of neurochemicals
link |
01:05:46.520
and things that are associated with that.
link |
01:05:48.300
So try and see at a distance
link |
01:05:49.820
because it's good for your eyesight.
link |
01:05:51.380
It'll keep this lens nice and elastic
link |
01:05:54.020
and the muscles nice and strong
link |
01:05:55.560
that move the lens.
link |
01:05:56.660
And it has this relaxing component to it.
link |
01:06:00.480
Now, our visual system is exquisitely tuned to motion,
link |
01:06:05.200
not just our self-generated motion,
link |
01:06:07.080
but the motion of things around us.
link |
01:06:08.840
And one of the things that it does
link |
01:06:11.000
is something called smooth pursuit.
link |
01:06:13.740
Smooth pursuit is our ability
link |
01:06:16.360
to track individual objects moving,
link |
01:06:19.320
as the name suggests,
link |
01:06:20.160
smoothly through space in various trajectories.
link |
01:06:23.960
You can actually train or improve your vision
link |
01:06:29.960
by looking at smooth pursuit stimuli.
link |
01:06:33.000
And that sounds really boring.
link |
01:06:34.000
What you can do is,
link |
01:06:34.840
and I'll provide a link to some that I think are pretty good
link |
01:06:37.080
that are used in various clinics,
link |
01:06:39.420
ophthalmology and optometry clinics.
link |
01:06:42.360
You can actually take a few minutes each day,
link |
01:06:45.000
or maybe if you don't do it each day,
link |
01:06:46.640
you could do every third day or so,
link |
01:06:47.880
and actually just visually track a ball.
link |
01:06:50.440
Sometimes it's moving in and kind of an infinity symbol.
link |
01:06:52.580
Sometimes it's more of a sawtooth.
link |
01:06:54.880
Sometimes it's changing speed.
link |
01:06:56.680
Sometimes the cue that you're following,
link |
01:06:59.780
the little target, is dilating and contracting.
link |
01:07:03.360
This is going to keep the muscles,
link |
01:07:05.920
I want to be clear,
link |
01:07:06.760
this is going to keep the extraocular muscles
link |
01:07:09.420
conditioned and strong
link |
01:07:11.200
and allow you to have a healthy smooth pursuit system.
link |
01:07:15.460
Remember, the brain follows the eye.
link |
01:07:17.520
It follows the movements of the eye.
link |
01:07:19.680
It has to deal with that.
link |
01:07:20.840
And the neural circuits within the brain have to cope
link |
01:07:23.720
with changes in smooth pursuit.
link |
01:07:25.560
So if you're doing a lot of reading up close,
link |
01:07:27.560
you're not viewing horizons,
link |
01:07:28.680
you're not getting a lot of smooth pursuit type stimulation
link |
01:07:31.720
from your life,
link |
01:07:34.180
or you're just getting it within the confines
link |
01:07:35.920
of a little box on your phone,
link |
01:07:37.320
like your smooth pursuit is over millimeters
link |
01:07:40.540
or what we always talk in terms of visual angle,
link |
01:07:43.060
but the amount of degrees of visual angle.
link |
01:07:44.880
But if you're just looking at smooth pursuit
link |
01:07:46.320
in this little tiny box on your phone
link |
01:07:48.020
or on your computer screen,
link |
01:07:49.360
and you're not looking at objects in your environment,
link |
01:07:51.420
like swooping birds and things like that,
link |
01:07:52.940
which I'm guessing many of you
link |
01:07:53.920
are not spending your time doing,
link |
01:07:55.560
well, these mechanisms for smooth pursuit
link |
01:07:57.360
will get worse over time.
link |
01:07:58.420
Your vision will get worse.
link |
01:07:59.560
And so while I prefer that people get out
link |
01:08:02.160
into the real world and experience
link |
01:08:04.080
smooth pursuit tracking of visual objects,
link |
01:08:07.040
and maybe it's a good reason to go to a hockey game
link |
01:08:08.800
or try and keep your eye on the puck,
link |
01:08:11.080
which I can never seem to do, move so fast,
link |
01:08:13.880
or I guess this is a good reason to watch live sports
link |
01:08:16.520
if that's your thing,
link |
01:08:17.620
or watch a tennis match like a cat, like a kitten,
link |
01:08:19.880
watching the ball go back and forth.
link |
01:08:21.940
Whatever, watching kids play, it doesn't really matter.
link |
01:08:25.040
The idea is that you want to use the visual system regularly
link |
01:08:29.960
for what it was designed for,
link |
01:08:31.000
and smooth pursuit is a great way
link |
01:08:33.440
to keep the visual and motion tracking systems
link |
01:08:36.440
of the brain and the eye and the extraocular muscles
link |
01:08:38.820
working in a really nice coordinate fashion.
link |
01:08:41.120
I would say five to 10 minutes, three times a week,
link |
01:08:46.120
will be great if you care about your vision,
link |
01:08:47.940
you can train your vision in this way.
link |
01:08:50.180
The other one is to train accommodation.
link |
01:08:53.540
There are a lot of videos out there,
link |
01:08:55.180
I want to be clear, on the internet,
link |
01:08:57.000
some of which are from clinicians, some of which are not,
link |
01:09:01.320
some of which are from scientists,
link |
01:09:02.600
some of which are from other sources,
link |
01:09:04.580
talking about things you can do to make your vision better,
link |
01:09:08.380
to improve your vision.
link |
01:09:09.560
Most of those are geared toward improving
link |
01:09:12.700
the extraocular eye muscles,
link |
01:09:14.440
but I did consult with our chair of ophthalmology
link |
01:09:18.120
at Stanford School of Medicine, Jeff Goldberg,
link |
01:09:20.960
who's an MD and a PhD, a phenomenal scientist
link |
01:09:23.780
and a phenomenal clinician,
link |
01:09:25.600
and incidentally, a phenomenal chairman as well,
link |
01:09:28.360
about what sorts of things,
link |
01:09:31.120
tools are actually beneficial for pattern vision and sight,
link |
01:09:35.200
because there's just so much out there on the internet,
link |
01:09:37.440
not all of which is accurate or good, frankly.
link |
01:09:40.960
And he agreed that a smooth pursuit stimulus,
link |
01:09:43.940
that kind of training, as well as, or exercise,
link |
01:09:47.920
as well as near far.
link |
01:09:49.720
So spending a few minutes,
link |
01:09:51.280
you might even just do this for two minutes
link |
01:09:52.840
of looking at something up close,
link |
01:09:54.920
that's going to activate these accommodation mechanisms
link |
01:09:57.160
and then moving it at arm's length
link |
01:09:59.240
and focusing on it for five, 10 seconds,
link |
01:10:01.360
maybe more, maybe 15 or 20 seconds,
link |
01:10:03.840
then slowly moving it into a location and then out.
link |
01:10:07.480
This is actually a lot like the visual training
link |
01:10:09.700
that's done post-concussion to try and repair
link |
01:10:13.740
actually repair some of the balance and motor
link |
01:10:16.300
and visual and cognitive aspects of the brain.
link |
01:10:20.360
And we are going to have a guest on in a future time
link |
01:10:23.520
to deal with concussion and some post-concussion training.
link |
01:10:26.560
A lot of post-concussion recovery and training
link |
01:10:28.720
centers around the visual system,
link |
01:10:30.360
not just because people are trying to recover their vision
link |
01:10:33.800
and their sense of balance,
link |
01:10:35.560
but because, as I mentioned earlier,
link |
01:10:37.300
the brain's ability to make sense of its environment
link |
01:10:40.480
and the brain's ability to parse time,
link |
01:10:42.840
not just on the day-night schedule,
link |
01:10:44.800
but also shorter time intervals follows the visual system.
link |
01:10:49.200
Something we'll turn to a little bit more at the end.
link |
01:10:51.140
So what does this mean?
link |
01:10:52.080
The tool is spend two to three minutes doing smooth pursuit.
link |
01:10:56.840
There's some programs on YouTube.
link |
01:10:59.000
You can just look up smooth pursuit stimulus
link |
01:11:00.840
and I'll provide a link to a couple I like as well.
link |
01:11:04.220
You could do this with a pen if you wanted.
link |
01:11:06.600
You could do this, someone else could hold a wand
link |
01:11:09.160
and you could do that
link |
01:11:10.000
if you've got someone that can do that for you.
link |
01:11:11.540
Practice accommodation for a few minutes,
link |
01:11:13.260
maybe every other day, just bringing something in close.
link |
01:11:16.360
You'll feel the strain of your eyes doing that.
link |
01:11:18.240
I can feel it right now.
link |
01:11:19.540
Move it out.
link |
01:11:20.980
You'll feel a relaxation point.
link |
01:11:22.520
Move it past that relaxation point
link |
01:11:24.200
where you will have to do what's called a virgin side
link |
01:11:25.920
movement to maintain focus on that location
link |
01:11:27.840
as it moves out, bring it back in.
link |
01:11:30.080
At the point where you actually have to go cross-eyed,
link |
01:11:32.720
this will differ for different people
link |
01:11:33.940
depending on how far apart your eyes are,
link |
01:11:35.840
so-called interpupillary distance.
link |
01:11:37.540
So for me, I have been teased before,
link |
01:11:39.280
I have a very short interpupillary distance.
link |
01:11:41.480
I'm not a cyclops, but I'm heading there.
link |
01:11:44.300
Some people are more wall-eyed like a flounder.
link |
01:11:47.040
Well, depending on your interpupillary distance,
link |
01:11:49.820
the point at which things get blurry
link |
01:11:51.860
and cross-eyed will vary.
link |
01:11:53.880
But for me, as I get about, oh gosh,
link |
01:11:57.440
I guess it's about six inches from my nose,
link |
01:11:59.340
it's really hard, I can't accommodate any longer.
link |
01:12:01.440
I move it out another inch and everything's in nice focus.
link |
01:12:04.000
Try and see whether or not you can get things closer.
link |
01:12:05.920
Now you don't want to get cross-eyed.
link |
01:12:07.280
Remember what your parents told you,
link |
01:12:09.000
or my parents told me that if you cross your eyes
link |
01:12:11.240
when you're young, that they can stay that way.
link |
01:12:13.520
Actually, they won't necessarily stay that way,
link |
01:12:16.040
but your brain can start losing information
link |
01:12:18.940
and the ability to see binocular depth,
link |
01:12:21.840
something we'll talk about in a moment.
link |
01:12:22.960
But for now, the protocol would be two to three,
link |
01:12:26.560
maybe five minutes, just practice that,
link |
01:12:28.400
practice accommodation,
link |
01:12:29.400
and then be sure to give your eyes some rest.
link |
01:12:31.880
Get outside, look at a horizon or do nothing,
link |
01:12:34.500
just kind of let your eyes go soft.
link |
01:12:36.280
I guess what the yogis would call soft gaze,
link |
01:12:38.120
just kind of relax your eyelids,
link |
01:12:39.760
not this, not eyes closed, just relax.
link |
01:12:43.020
Panoramic vision, try and see the walls around you
link |
01:12:45.040
without moving your head.
link |
01:12:46.920
Exercise your eye muscles,
link |
01:12:48.280
exercise the accommodation mechanisms of your eyes.
link |
01:12:50.940
Practice a little bit of smooth pursuit.
link |
01:12:53.160
You don't have to be neurotic about this,
link |
01:12:54.580
but if you do this often enough,
link |
01:12:57.120
meaning every other day, every third day or so,
link |
01:12:59.660
you can be the strange person on the plane
link |
01:13:01.280
or in the classroom doing this.
link |
01:13:03.460
People might chuckle or look at you funny or tease you,
link |
01:13:06.360
but that's okay because you'll be able to see
link |
01:13:08.780
when they are losing their vision,
link |
01:13:11.040
so you'll get the last laugh.
link |
01:13:13.000
Please don't laugh at them,
link |
01:13:13.920
but maybe you can help them at that point.
link |
01:13:15.420
You can hold the pen for them.
link |
01:13:18.320
It's worth doing.
link |
01:13:19.280
It's really worth preserving your vision.
link |
01:13:21.200
And again, if you're a young person, this is great
link |
01:13:23.600
because then you can actually build
link |
01:13:24.920
an extra strong visual system
link |
01:13:27.260
using all the tools that we're describing.
link |
01:13:29.600
I do want to talk about a new set of findings
link |
01:13:33.160
that are related to red light
link |
01:13:34.920
and offsetting age-related macular degeneration.
link |
01:13:37.960
There are a lot of ways in which our visual system
link |
01:13:39.940
gets worse over time,
link |
01:13:40.780
but one is so-called age-related macular degeneration.
link |
01:13:44.020
Glenn Jeffrey at the University College London,
link |
01:13:46.160
somebody I've known for decades because he's a scientist,
link |
01:13:50.280
has done beautiful work on development
link |
01:13:52.000
and function of the visual system,
link |
01:13:53.040
has published a number of papers recently.
link |
01:13:55.720
One that got a particularly high amount of attention
link |
01:13:59.600
in the press was one that showed that flashing red light
link |
01:14:02.520
into the eyes early in the day, not late in the day,
link |
01:14:05.360
early in the day can help offset
link |
01:14:08.240
some age-related macular degeneration,
link |
01:14:11.180
presumably by enhancing the mitochondrial function
link |
01:14:14.120
in the photoreceptors.
link |
01:14:15.680
There does seem to be some evidence for that,
link |
01:14:17.920
although it's still early days.
link |
01:14:19.480
I want to emphasize you don't want to shine
link |
01:14:21.760
really bright lights into your eyes.
link |
01:14:23.200
You never want to look at any light that's so bright
link |
01:14:25.620
that it's painful,
link |
01:14:26.860
and you never want to force your eyelids to stay open.
link |
01:14:28.700
If you need to close your eyes in order to be comfortable,
link |
01:14:30.980
well, then chances are that light is too bright.
link |
01:14:33.380
But doing just a couple minutes a day,
link |
01:14:35.540
like two minutes a day of flashing this red light
link |
01:14:38.640
into one eye and then the other,
link |
01:14:41.340
as long as it was early in the day before noontime,
link |
01:14:44.440
and as long as it was in individuals
link |
01:14:46.080
that were 40 years or older,
link |
01:14:48.860
did seem to have a significant effect
link |
01:14:50.640
in offsetting some of the age-related macular degeneration
link |
01:14:53.800
that would otherwise occur.
link |
01:14:55.560
Again, these are early findings.
link |
01:14:56.860
If you want to do this, please be careful.
link |
01:14:59.200
Please talk to your optometrist and or ophthalmologist.
link |
01:15:02.600
Your eyesight is precious.
link |
01:15:03.680
You don't want to damage it, but it is interesting,
link |
01:15:06.120
and it does seem like red light
link |
01:15:07.460
can improve the function of the mitochondria.
link |
01:15:09.280
These photoreceptors have a lot of mitochondria,
link |
01:15:11.820
the energy-producing organelles within the cells,
link |
01:15:14.520
because they are some of the most metabolically active cells
link |
01:15:17.720
in your entire body.
link |
01:15:18.920
Your photoreceptors are active all the time
link |
01:15:20.940
as you're looking around,
link |
01:15:21.780
and even when your eyes are closed, they're active.
link |
01:15:23.840
In fact, through a weird twist of the biology,
link |
01:15:26.400
and please look this up if you're really interested in this,
link |
01:15:29.080
your photoreceptors are actually most active in the dark.
link |
01:15:32.540
This is so weird.
link |
01:15:33.380
It's a twist of biology, the way the system's arranged,
link |
01:15:37.060
that when light comes on, they shut off their activity.
link |
01:15:40.120
So actually, whether or not you see something in front of you
link |
01:15:42.920
like this pen or my face
link |
01:15:44.840
is because the way your photoreceptors are turning off,
link |
01:15:48.160
not turning on, it's a really cool twist,
link |
01:15:50.240
and I don't want to go too far down that rabbit hole,
link |
01:15:53.540
but check it out.
link |
01:15:54.560
If you're interested in how photoreceptors work,
link |
01:15:56.120
it's an absolutely incredible literature.
link |
01:15:59.000
Just Google, excuse me, look up on the web.
link |
01:16:01.640
We are not partial just to Google.
link |
01:16:03.000
I happen to use Google, but use your web browser
link |
01:16:06.040
to look up a photoreceptors hyperpolarization site,
link |
01:16:10.280
and you can learn a lot about that
link |
01:16:11.480
if you're a real nerd for the stuff like I am.
link |
01:16:14.160
Okay, so red light to the eye can perhaps, it seems,
link |
01:16:19.420
help maintain vision, doing smooth pursuit exercises,
link |
01:16:22.760
and accommodation, near-far exercises.
link |
01:16:25.320
Some people suffer from poor eyesight
link |
01:16:27.860
simply because their eyes get dry.
link |
01:16:29.760
There are incredible, believe it or not,
link |
01:16:31.920
lubricating mechanisms for the eye,
link |
01:16:34.380
not just tears, but thin sheet of oil.
link |
01:16:37.200
I mean, it's just amazing.
link |
01:16:38.040
Unless you have some sort of corneal abrasion,
link |
01:16:40.000
the cornea is the clear stuff on the outside of your eye,
link |
01:16:42.680
corneal abrasion, when you blink, it's smooth.
link |
01:16:45.960
You don't feel it.
link |
01:16:47.200
It's just really, really smooth,
link |
01:16:48.660
and yet if you've ever had a corneal scratch,
link |
01:16:50.880
I've had this, it's really rough.
link |
01:16:52.440
It is so painful.
link |
01:16:54.080
You have a ton of pain receptors in the cornea.
link |
01:16:56.580
The lubrication of the cornea is supported by blinking,
link |
01:17:03.780
and while it seems a little silly,
link |
01:17:06.060
some people actually benefit from doing, you know,
link |
01:17:09.240
some, you know, five or 10 or 15 seconds of blinking,
link |
01:17:12.380
and then doing their focused work.
link |
01:17:15.020
Some people, their eyes are drying out,
link |
01:17:16.460
because as we focus, if we're trying to do something,
link |
01:17:19.080
our eyelids stay open, the eyes can dry out,
link |
01:17:22.080
but it also can make it such
link |
01:17:23.720
that when we blink the next time,
link |
01:17:25.380
there's a kind of a need to focus,
link |
01:17:26.900
because there's some distortions in these oils and liquids
link |
01:17:29.980
across the corneal surface.
link |
01:17:32.020
If you're somebody who suffers from dry eye,
link |
01:17:33.660
I do hope they'll find a treatment or a cure for dry eye
link |
01:17:36.140
soon, there isn't one at present.
link |
01:17:37.860
Someone stands to make a lot of money out there.
link |
01:17:39.620
If you can find a cure for dry eye,
link |
01:17:42.060
let the companies know or start a company.
link |
01:17:44.980
Right now, it's still a mystery as to how to do that,
link |
01:17:47.100
but blinking for five to 15 seconds,
link |
01:17:49.060
probably slowly, not as quickly as I'm doing here on video,
link |
01:17:51.480
but just, you know, maybe a blink every second or two
link |
01:17:54.340
for 15 seconds can lubricate the eyes,
link |
01:17:56.380
and that's not directly related to anything neural,
link |
01:17:59.300
it's just going to allow the optics of your eye to be clear,
link |
01:18:01.580
just like when the screen of your phone gets dirty,
link |
01:18:03.940
like when Costello is texting on my phone
link |
01:18:05.620
and I pick it up and it's like covered with smudge,
link |
01:18:07.700
to clean it off in order to see things clearly,
link |
01:18:09.580
the same thing is happening for these optical devices
link |
01:18:12.060
on the front of your brain.
link |
01:18:14.100
Remember, these are brain.
link |
01:18:15.980
Okay, so a lot of protocols today, almost all of them.
link |
01:18:21.380
Behavioral protocols.
link |
01:18:22.620
I do want to talk a little bit more about vision
link |
01:18:26.100
and how it works internally,
link |
01:18:27.620
and then I also want to talk about
link |
01:18:29.380
some of the foods and supplements
link |
01:18:31.220
that have been shown to support vision
link |
01:18:32.880
and offset visual loss,
link |
01:18:34.400
and maybe even reverse some visual loss.
link |
01:18:36.940
Let's talk about binocular vision and lazy eye.
link |
01:18:41.020
I'm very familiar with lazy eye because when I was a kid,
link |
01:18:44.580
I went swimming one day, one day,
link |
01:18:47.620
and I didn't have my goggles,
link |
01:18:49.300
and so something must have been happening, as I recall,
link |
01:18:52.320
with the eye moving down through the water.
link |
01:18:54.900
I've always had this problem
link |
01:18:55.980
that I can only do the freestyle stroke off to one side.
link |
01:18:58.580
The people I swim with are always laughing.
link |
01:19:00.260
Somehow I kind of move toward drowning
link |
01:19:02.380
when I try and breathe on the right side.
link |
01:19:04.300
I think there's some asymmetry in the way I'm organized.
link |
01:19:07.420
Anyway, I was off to my left
link |
01:19:09.780
and my eye kept going in and out of the water,
link |
01:19:12.240
and there was chlorine in the water,
link |
01:19:13.400
and it was making my eye uncomfortable,
link |
01:19:14.460
so I just closed my eye.
link |
01:19:15.560
I just decided, you know,
link |
01:19:16.780
I knew more or less how to swim straight-ish.
link |
01:19:19.820
Might've bounced off the lane lines a few times,
link |
01:19:21.640
but I just used the other eye
link |
01:19:22.640
to kind of steer for that mark on the wall.
link |
01:19:25.100
Got out of the pool, took a shower, dried off,
link |
01:19:28.780
and then completely lost binocular vision for three days.
link |
01:19:32.540
Completely.
link |
01:19:34.220
The young brain up until about age seven,
link |
01:19:37.100
but maybe even extending out until about age 12,
link |
01:19:40.260
is extremely vulnerable to differences
link |
01:19:44.220
in ocular input between the two eyes.
link |
01:19:46.860
My scientific great-grandparents won the Nobel Prize
link |
01:19:49.500
for discovering so-called critical periods.
link |
01:19:51.620
Periods of time in which the brain is more plastic,
link |
01:19:53.960
more able to change.
link |
01:19:55.500
Those two guys, David Hubel and Torrance Wiesel,
link |
01:19:57.900
thank you, David and Torrance,
link |
01:19:59.100
forever changed the face of visual neuroscience
link |
01:20:01.500
and forever changed the way we think about treatment
link |
01:20:05.220
of the young brain.
link |
01:20:06.740
It used to be thought that you wouldn't want to do a surgery
link |
01:20:08.880
on a young kid because of risk of anesthesia
link |
01:20:12.100
in young individuals,
link |
01:20:13.860
but we now know that you need to repair these imbalances
link |
01:20:16.980
that even a few hours, okay, I don't want to scare anybody.
link |
01:20:20.060
I'll talk about reversal, but a few hours
link |
01:20:22.220
of occluding one eye early in life can lead to permanent,
link |
01:20:26.740
unless something's done, permanent changes
link |
01:20:28.580
in the way that the brain perceives the outside world,
link |
01:20:31.300
such that when that eye is opened up again,
link |
01:20:33.820
the brain actually can't make sense
link |
01:20:35.420
of anything that's coming through it.
link |
01:20:36.380
It shuts down that visual pathway somehow.
link |
01:20:38.580
So what happened to me was I actually was, my eye was fine.
link |
01:20:42.340
I got out of the pool, I opened my eye,
link |
01:20:43.820
but I couldn't see through that eye.
link |
01:20:45.420
Everything was blurry, double vision,
link |
01:20:47.380
unless I covered this eye
link |
01:20:48.740
and then I could see perfectly fine.
link |
01:20:50.780
Fortunately, I went to an ophthalmologist
link |
01:20:53.200
who understood the literature.
link |
01:20:55.220
Thank you, Dr. Mark Lurie, who understood the literature
link |
01:20:59.640
and made it clear that what I needed to do
link |
01:21:03.460
was to occlude the other eye,
link |
01:21:05.660
the eye that was working very well.
link |
01:21:07.460
Clearly he understood the work of Hubel and Wiesel.
link |
01:21:09.340
Now, again, you don't want to start playing games
link |
01:21:11.180
with this kind of stuff when you're a kid.
link |
01:21:12.500
If you wear, let's say you have a Halloween costume
link |
01:21:14.820
and you wear an eye patch,
link |
01:21:15.940
you're a pirate or something for Halloween
link |
01:21:17.980
and you cover it up on one side,
link |
01:21:19.840
probably for the night of Halloween, it's okay.
link |
01:21:21.660
I do not recommend doing that recreationally
link |
01:21:25.100
if you don't need that if you're a young child
link |
01:21:27.180
or for your child to do that,
link |
01:21:28.140
because indeed you create imbalances in the brain machinery
link |
01:21:32.420
that compares information coming in through the two eyes
link |
01:21:34.880
and it can shut down the neural information
link |
01:21:37.980
for the occluded, the closed eye.
link |
01:21:40.420
Now, I was able to reverse this issue,
link |
01:21:42.220
but my binocular vision has never been terrific.
link |
01:21:44.220
I'm much better at the dartboard and still not very good.
link |
01:21:47.020
If I close one eye, I'm much better at the pool table.
link |
01:21:49.380
If I close one eye and I still am terrible.
link |
01:21:52.280
I was the kid in the outfield,
link |
01:21:55.880
the ball's coming towards me, the ball's coming towards me,
link |
01:21:57.500
I'm going to catch the ball
link |
01:21:58.320
and like a hit me square in the lip.
link |
01:22:00.500
My binocular vision isn't great
link |
01:22:02.980
as a consequence of this early event.
link |
01:22:05.740
And I have a hard time with those binocular stereograms,
link |
01:22:09.920
those images that are kind of,
link |
01:22:11.140
you're supposed to look at them
link |
01:22:12.200
and then the binocular depth image like pops out.
link |
01:22:15.460
All the other kids were going, oh, there's the whatever,
link |
01:22:17.780
the Statue of Liberty, there's the American,
link |
01:22:19.300
I see dots, okay?
link |
01:22:21.340
So I have binocular vision, but I use other cues.
link |
01:22:24.580
I use the near far cues that I talked about before,
link |
01:22:27.400
motion parallax, the fact that things are closer to me
link |
01:22:29.700
or moving faster than things further away
link |
01:22:32.000
in order to judge depth.
link |
01:22:33.740
And years later when I got involved in,
link |
01:22:35.520
and I don't suggest this for most people,
link |
01:22:39.120
I got involved in boxing and martial arts
link |
01:22:40.800
when I was younger.
link |
01:22:42.340
Sometimes we'll see fighters,
link |
01:22:43.440
this is a slip to avoid getting punched.
link |
01:22:46.060
It's also generating motion parallax.
link |
01:22:48.140
Many animals judge depth by moving their head,
link |
01:22:52.660
not by using other mechanisms of accommodation, okay?
link |
01:22:56.380
So a lot of birds and monkeys and animals
link |
01:22:59.180
will judge depth by moving their head like this,
link |
01:23:02.580
or they'll move from side to side.
link |
01:23:04.540
Animals that will undulate sometimes
link |
01:23:06.420
are actually doing a depth measurement
link |
01:23:08.340
because as you move from side to side,
link |
01:23:10.060
the brain is able to do the math of depth.
link |
01:23:12.500
So what does this all mean in terms of protocols?
link |
01:23:14.340
If you're a young person,
link |
01:23:15.280
do your best to get really good binocular vision,
link |
01:23:18.540
not just at level of your phone or your tablet,
link |
01:23:20.980
but also at distance.
link |
01:23:22.060
You will build strong binocular visual machinery
link |
01:23:25.660
in the brain and at the level of the eyes
link |
01:23:28.080
and the eye musculature.
link |
01:23:30.060
Now, if you're somebody who did have an occlusion,
link |
01:23:32.800
what's needed is to cover up the other eye
link |
01:23:35.140
to create an imbalance so that the weak eye,
link |
01:23:37.020
the so-called lazy eye,
link |
01:23:38.100
this is sometimes referred to as amblyopia,
link |
01:23:40.380
that eye has to work harder.
link |
01:23:42.060
So for me, they patched this other eye and made this eye,
link |
01:23:46.180
eventually I got vision through that eye back,
link |
01:23:47.720
then they opened them both up.
link |
01:23:49.100
Now, you might ask,
link |
01:23:50.820
what happens if you cover both eyes early in life?
link |
01:23:53.300
And this is where it gets interesting.
link |
01:23:54.680
You might think, well,
link |
01:23:55.520
if covering one eye leads to poor vision for that eye
link |
01:23:58.860
after that eye is open,
link |
01:24:00.380
covering both eyes will probably make you blind, right?
link |
01:24:03.080
Actually, that's not what happens.
link |
01:24:05.100
What Hubel and Wiesel discovered
link |
01:24:06.340
and what's been affirmed many, many more times over
link |
01:24:09.780
in subsequent studies
link |
01:24:11.500
is that it's competitive,
link |
01:24:13.180
that the two eyes are competing
link |
01:24:14.900
for real estate up in the brain.
link |
01:24:16.460
So if you actually cover both eyes,
link |
01:24:18.740
you actually extend the period of critical plasticity.
link |
01:24:23.060
This is a really interesting aspect
link |
01:24:24.660
that other people are starting to leverage now
link |
01:24:26.860
in terms of how to reopen plasticity later in life.
link |
01:24:29.440
But please don't go around
link |
01:24:31.260
with your eyes covered for too long.
link |
01:24:33.040
There are some like retreats and stuff
link |
01:24:35.100
where people go into caves with absolutely no vision.
link |
01:24:38.140
It creates hallucinations.
link |
01:24:39.300
We'll talk about why that is in just a moment.
link |
01:24:41.440
But here's my suggestion.
link |
01:24:43.100
Try and get balanced visual input through the two eyes.
link |
01:24:45.460
Almost everybody has a dominant eye.
link |
01:24:47.780
It usually doesn't relate to your dominant hand,
link |
01:24:50.280
although it can.
link |
01:24:51.120
And so for me, if I cover up my right eye,
link |
01:24:53.900
I see much less well, much more poorly.
link |
01:24:56.960
It's a little bit fuzzy
link |
01:24:58.180
and I have to work harder
link |
01:24:59.420
in order to see the camera, for instance.
link |
01:25:01.540
Then if I cover up my left eye,
link |
01:25:03.220
it's actually really easy for me to relax.
link |
01:25:04.860
I have a dominant eye.
link |
01:25:06.900
Yeah, you can balance that out
link |
01:25:08.220
by covering up the dominant eye a little bit each day.
link |
01:25:10.900
But I would warn any young people,
link |
01:25:12.900
meaning 12 or younger,
link |
01:25:15.960
against creating these imbalances
link |
01:25:18.080
if there isn't a clinical need to do that.
link |
01:25:20.340
And if you do have strong imbalances between the two eyes,
link |
01:25:23.700
which can be caused by cataract and lens issues,
link |
01:25:27.500
can be caused by neuromuscular issues, et cetera,
link |
01:25:29.900
to try and get those dealt with as early as possible
link |
01:25:32.700
by contacting a really good ophthalmologist
link |
01:25:35.380
and ideally a neuro-ophthalmologist.
link |
01:25:37.660
It is very normal.
link |
01:25:39.180
I should say it's very common for young children, babies,
link |
01:25:42.580
to have an eye with strabismus
link |
01:25:45.340
that either deviates out or that deviates in.
link |
01:25:47.980
It is important to correct that
link |
01:25:50.140
if you would like to have balanced vision
link |
01:25:53.180
between the two eyes
link |
01:25:54.020
and for the brain to respond equally to the two eyes
link |
01:25:57.340
and to have, I would say, high-fidelity quality vision.
link |
01:26:01.440
Although some people who have an eye
link |
01:26:03.300
that drifts can function normally in life,
link |
01:26:06.580
you have an opportunity early in life to rescue that.
link |
01:26:10.720
Well, maybe I will do this,
link |
01:26:11.700
but I can actually relax this eye.
link |
01:26:14.500
It's so weak in some cases
link |
01:26:16.120
that it actually can start to deviate.
link |
01:26:17.460
Here, I'll just do this here.
link |
01:26:18.380
It's not crossing my eyes.
link |
01:26:19.220
So I actually can move my, I can misalign my eyes
link |
01:26:22.260
because I have to fight very hard
link |
01:26:23.940
to have the musculature for this eye,
link |
01:26:26.600
keep that eye aligned with the other eye.
link |
01:26:28.700
And that's because I've been doing eye exercises
link |
01:26:30.920
since I was in my 20s
link |
01:26:32.340
because I noticed when I would study a lot,
link |
01:26:34.220
this eye would start to drift in.
link |
01:26:35.300
I'd start to see double,
link |
01:26:36.200
and then next thing you know, I was just covering the eye up.
link |
01:26:38.600
It was getting weaker and weaker,
link |
01:26:39.900
just like the atrophy of a muscle.
link |
01:26:41.780
So I went to the doctor.
link |
01:26:43.100
What did they do?
link |
01:26:43.940
They did the exact wrong thing.
link |
01:26:45.620
The optometrist I went to gave me a prism,
link |
01:26:47.820
which adjusted it so that I could see things normally,
link |
01:26:50.020
which just made the eye weaker and weaker.
link |
01:26:51.780
It's like putting a weak arm into a sling.
link |
01:26:54.600
So I had to spend at least three years of 10 minutes a day,
link |
01:26:58.700
is what I recommend, doing near-far,
link |
01:27:01.780
covering up my good eye, doing near-far with my bad eye,
link |
01:27:05.900
and now it's been about 10, 12 years
link |
01:27:09.380
that I have pretty decent binocular vision.
link |
01:27:12.460
Now, many of you aren't dealing with this
link |
01:27:15.360
or have these early childhood issues.
link |
01:27:17.420
Some of you might be experiencing challenges
link |
01:27:20.260
with fatigued eyes or with differences
link |
01:27:23.060
in focus with the two eyes.
link |
01:27:24.260
These eye exercises of near-far smooth pursuit
link |
01:27:26.860
and checking for dominant and non-dominant eye
link |
01:27:29.960
can be very beneficial.
link |
01:27:31.700
Again, I'm not a clinician,
link |
01:27:32.820
so I don't want to give you protocols or enforce protocols
link |
01:27:36.780
on anybody.
link |
01:27:37.620
You need to figure out what's right and safe for you,
link |
01:27:39.340
given your vision history.
link |
01:27:42.060
I do recommend talking to a really good ophthalmologist
link |
01:27:44.340
if you have severe vision problems of any kind,
link |
01:27:46.640
or if you want to offset vision problems of any kind.
link |
01:27:49.760
An optometrist as well,
link |
01:27:51.160
but ideally it would be a neuro-ophthalmologist.
link |
01:27:53.920
Okay, I did mention hallucinations,
link |
01:27:56.580
and they're fun to talk about and think about.
link |
01:27:58.980
For years, people have asked,
link |
01:28:00.460
why do people get visual hallucinations?
link |
01:28:03.260
Costello's in sleep right now.
link |
01:28:04.620
You can probably hear him snoring, he's snoring so loud.
link |
01:28:06.680
He's probably having hallucinations about rabbits, pizza,
link |
01:28:09.780
and those are mainly his favorite, and sleep.
link |
01:28:12.420
He's dreaming about sleep in sleep.
link |
01:28:15.420
Hallucinations are a property of the visual system,
link |
01:28:18.440
and it was always thought that hallucinations arise
link |
01:28:21.940
because of over-activation or activation
link |
01:28:24.280
of certain aspects of the visual system.
link |
01:28:25.820
I just briefly want to mention a paper
link |
01:28:27.420
that was published by my good friend
link |
01:28:28.740
and phenomenal scientist and physicist for that matter,
link |
01:28:33.040
Chris Neal, who's up at the University of Oregon in Eugene,
link |
01:28:36.580
they studied LSD-like compounds
link |
01:28:38.940
and discovered that hallucinations actually occur
link |
01:28:42.260
because portions of your brain become underactive.
link |
01:28:46.200
The visual portions of your brain are understimulated.
link |
01:28:49.020
This is probably why when people go into these cave retreats,
link |
01:28:52.540
something I've never done, I don't think I ever will do,
link |
01:28:55.180
where it's completely black,
link |
01:28:56.760
pretty soon they start hallucinating.
link |
01:28:58.900
They start seeing things, even though there's nothing there.
link |
01:29:01.860
The visual system is desperate to make guesses
link |
01:29:04.880
about what's out in the world.
link |
01:29:06.020
It's like the eager beaver of your brain.
link |
01:29:07.520
It's like, what's out there, what's out there,
link |
01:29:08.620
what's out there?
link |
01:29:10.220
Even in low to no vision people, blind people,
link |
01:29:13.820
their brain is going to be making guesses
link |
01:29:15.540
about what's out there in the auditory world,
link |
01:29:17.180
what sounds are there, what touch sensations are there.
link |
01:29:20.740
For sighted folks, it's going to be
link |
01:29:23.380
what's out there in terms of light.
link |
01:29:24.940
Light is the dominant way, vision is the dominant way
link |
01:29:27.180
that we evaluate the world around us.
link |
01:29:29.220
So it turns out that hallucinations
link |
01:29:31.740
are an underactivation of the visual system
link |
01:29:34.220
and then a compensatory, a compensation
link |
01:29:36.840
by which the visual system creates activity
link |
01:29:39.900
and hallucinations.
link |
01:29:41.020
So if you're in the dark long enough,
link |
01:29:42.640
you start to hallucinate and see things.
link |
01:29:44.660
So that's a little note about hallucinations.
link |
01:29:47.680
One of the things that you can do to improve your vision,
link |
01:29:49.860
and it's also kind of fun,
link |
01:29:51.500
is to put a Snellen chart in your home.
link |
01:29:54.980
A Snellen chart is that list of letters.
link |
01:29:57.220
If you go to the dreaded Department of Motor Vehicles,
link |
01:29:59.840
actually, I'm up for renewal soon,
link |
01:30:01.120
so I love the Department of Motor Vehicles.
link |
01:30:03.560
The Department of Motor Vehicles
link |
01:30:04.680
will have you cover up an eye,
link |
01:30:06.260
read the letters on the chart.
link |
01:30:09.420
The letters, of course, get smaller and smaller.
link |
01:30:11.060
They're trying to figure out roughly what your vision is.
link |
01:30:13.580
Cover up the other eye, you'll do that.
link |
01:30:16.480
Some people, including nerdy vision scientists like me,
link |
01:30:19.580
have had Snellen charts in their office
link |
01:30:22.020
or in their home for many years now,
link |
01:30:24.240
and you can just practice,
link |
01:30:25.220
and you can see how you're doing
link |
01:30:26.240
sitting at a particular distance.
link |
01:30:29.660
This is something that's not often mentioned,
link |
01:30:31.200
but your performance on the Snellen chart will vary
link |
01:30:34.540
depending on time of day,
link |
01:30:36.140
because your level of fatigue
link |
01:30:37.980
and your ability to control that accommodation
link |
01:30:39.900
and other mechanisms of the eye muscles will vary.
link |
01:30:42.540
So you can take it as an average.
link |
01:30:44.540
It's also a good thing
link |
01:30:46.380
if you're going to get your vision tested
link |
01:30:48.100
for corrective lenses,
link |
01:30:49.620
or maybe you're going to do laser surgery
link |
01:30:51.500
or something of that sort.
link |
01:30:52.540
If you're thinking about any of that,
link |
01:30:53.780
to really get it measured by a professional,
link |
01:30:55.620
the ones that you get in those supermarkets
link |
01:30:58.900
or in many eyeglass stores,
link |
01:31:00.980
apologies to the eyeglass stores,
link |
01:31:02.220
are often wrong by an order of magnitude.
link |
01:31:06.360
And then when you start putting corrective lenses on
link |
01:31:08.900
that are over-correcting or under-correcting,
link |
01:31:12.340
but more often are over-correcting,
link |
01:31:14.340
then you're essentially weakening the system.
link |
01:31:16.180
It's like putting a prosthetic on a limb that you didn't
link |
01:31:18.340
necessarily need or a robot arm
link |
01:31:21.220
when you didn't need the use of the robot arm.
link |
01:31:23.620
Although now there's so much excitement about robots,
link |
01:31:25.720
I think people are going to be doing that.
link |
01:31:26.780
Anyway, nonetheless,
link |
01:31:29.140
get your vision tested by somebody
link |
01:31:30.500
who really understands vision,
link |
01:31:32.100
like an ophthalmologist or a really good optometrist.
link |
01:31:35.740
If you put a Snellen chart in your home,
link |
01:31:38.880
you can do that as part of your visual training.
link |
01:31:41.380
Now, this might seem excessively nerdy,
link |
01:31:43.380
but what is more important than your eyesight, right?
link |
01:31:46.760
Eyesight is so vital.
link |
01:31:48.020
It's right up there with movement
link |
01:31:49.420
and our ability to move, to generate,
link |
01:31:51.340
to get up out of chairs and to walk and to run
link |
01:31:53.340
and to take care of ourselves.
link |
01:31:55.240
Eyesight and movement are the main ways
link |
01:31:57.860
that we are able to take care of ourselves
link |
01:32:00.620
and take care of others.
link |
01:32:01.780
When you start having compromised eyesight
link |
01:32:03.980
or compromised movement,
link |
01:32:05.280
people need to take care of us
link |
01:32:06.660
and we become much more challenged
link |
01:32:08.700
in moving through our daily life.
link |
01:32:10.320
So while it might seem nerdy to have a Snellen chart
link |
01:32:12.340
in your home or to do a smooth pursuit exercise
link |
01:32:15.700
a couple of times a week
link |
01:32:16.540
or to get outside for a few hours a day
link |
01:32:18.100
and do your reading or your laptop work there,
link |
01:32:20.780
preserving your eyesight and preserving your vision
link |
01:32:23.220
is one of the most life enhancing
link |
01:32:25.660
or quality of life enhancing things that you can do.
link |
01:32:27.940
And if you're a young person
link |
01:32:29.580
and you can build some of this into your framework
link |
01:32:32.820
of exercise or brain training, if you want to call it that,
link |
01:32:36.300
that can be immensely beneficial
link |
01:32:37.540
and will really set you up to have really good vision
link |
01:32:39.900
over a long period of time.
link |
01:32:41.260
Now, of course there are genetic factors
link |
01:32:42.940
and there are injury related factors
link |
01:32:45.300
that can compromise eyesight and our ability to see.
link |
01:32:48.500
And of course, the things I'm talking about today
link |
01:32:51.620
aren't going to solve all those issues
link |
01:32:53.500
but they can have a tremendous positive impact
link |
01:32:57.000
if you're willing to do just a little bit of work
link |
01:32:58.900
and none of this is involving any cost, right?
link |
01:33:02.660
It's just time cost.
link |
01:33:04.320
So I do want to talk about a few other things
link |
01:33:06.840
that can perhaps improve vision.
link |
01:33:09.360
I want to dispel a few myths about stuff to take
link |
01:33:12.340
to improve vision.
link |
01:33:13.540
And then I want to just close
link |
01:33:15.780
by talking about how we perceive time using our vision
link |
01:33:19.800
because that will nicely set the stage
link |
01:33:21.460
for what we're going to talk about next episode.
link |
01:33:23.980
So now you understand a lot about the biology of vision.
link |
01:33:27.540
You understand that light has to arrive at the retina
link |
01:33:29.540
and get converted into electrical signals.
link |
01:33:32.020
That process requires things like vitamin A,
link |
01:33:36.420
a fat soluble vitamin.
link |
01:33:38.540
It requires things like the carotenoids.
link |
01:33:42.060
That metabolic cascade, the biochemical cascade
link |
01:33:46.320
is essential for vision.
link |
01:33:47.820
And this is why you've been told
link |
01:33:49.220
that carrots help you see better
link |
01:33:50.900
because they're high in vitamin A.
link |
01:33:53.900
There are a few simple things you can do
link |
01:33:55.340
to support your vision.
link |
01:33:56.820
First of all, it is true that eating vegetables,
link |
01:34:02.300
the dark leafy vegetables and things like carrots
link |
01:34:05.060
that have vitamin A in abundance
link |
01:34:08.020
and eating them in close to their raw form.
link |
01:34:11.160
So naturally occurring foods that contain a lot of vitamin A
link |
01:34:14.740
in their raw form can help support vision.
link |
01:34:19.420
Now, does that mean that
link |
01:34:20.260
if you ingest super physiological amounts of that stuff
link |
01:34:23.540
that it's going to make your vision that much better?
link |
01:34:25.800
No, but you do need a threshold level of vitamin A
link |
01:34:29.580
in order to see and in order to see well.
link |
01:34:33.740
Now, there's a lot of excitement nowadays
link |
01:34:36.560
about supplementation to help support
link |
01:34:39.300
the health of the visual system.
link |
01:34:40.740
And I'm somebody who's pretty open
link |
01:34:43.060
to novel forms of supplementation.
link |
01:34:45.180
You've probably gathered that
link |
01:34:46.220
if you've been listening to this podcast for a while.
link |
01:34:48.800
You have to determine what's safe and economical
link |
01:34:51.780
and right for you, what your risk tolerance is, et cetera.
link |
01:34:55.660
But I want to talk about a molecule
link |
01:34:58.620
that's in a lot of supplements to support vision.
link |
01:35:01.700
And there are some really good data on and that's lutein.
link |
01:35:05.900
Now, the study I want to describe
link |
01:35:08.720
is actually published in 2016.
link |
01:35:11.300
It's from the Journal of Ophthalmology.
link |
01:35:12.980
It's a good journal.
link |
01:35:15.060
And the title of this paper might catch your attention.
link |
01:35:18.360
It's increased macular pigment optical density.
link |
01:35:22.020
That just means that the macula is an area of the eye
link |
01:35:25.980
for central vision, for high acuity vision.
link |
01:35:29.060
Pigment density there is good.
link |
01:35:31.180
You want pigment there.
link |
01:35:32.860
Increased macular pigment optical density.
link |
01:35:35.760
And visual acuity, visual acuity
link |
01:35:37.580
is your ability to see things in fine detail.
link |
01:35:40.420
Following consumption of a buttermilk drink
link |
01:35:43.060
containing lutein enriched egg yolks.
link |
01:35:45.680
Remember raw foods, lutein enriched egg yolks.
link |
01:35:49.160
Sounds like a Rocky movie
link |
01:35:50.420
where he would drink the raw egg yolks.
link |
01:35:52.820
A randomized double blind placebo controlled trial.
link |
01:35:56.160
Now I'm not suggesting you go out and eat raw egg yolks.
link |
01:35:59.460
There's the risk of salmonella.
link |
01:36:00.580
Although I did hear this, someone correct me if I'm wrong,
link |
01:36:02.740
but the salmonella is actually on the outside of the egg,
link |
01:36:06.020
not actually in the egg itself.
link |
01:36:07.700
It's on the shell for reasons that relate
link |
01:36:10.860
to how that egg got into the world.
link |
01:36:13.280
That's where the salmonella lives.
link |
01:36:15.100
But I could be wrong about that.
link |
01:36:17.300
But raw egg yolks are not something
link |
01:36:19.700
that most people want to consume.
link |
01:36:21.920
What is this lutein stuff?
link |
01:36:23.260
Well, lutein is in the pathway that relates to vitamin A
link |
01:36:27.540
and the formation of the opsin, the photopigment
link |
01:36:31.940
that captures light in the back of your eye,
link |
01:36:33.820
literally absorbs light pigment in your eye
link |
01:36:37.460
and converts that into electrical signals
link |
01:36:39.300
and allows you to see.
link |
01:36:40.500
And there is some evidence.
link |
01:36:42.340
I spoke to our chair of ophthalmology.
link |
01:36:44.320
There is some evidence through quality peer reviewed studies
link |
01:36:48.060
that supplementing with lutein can help offset
link |
01:36:53.440
some of the detrimental effects
link |
01:36:56.260
of age-related macular degeneration.
link |
01:36:58.760
But, I want to emphasize but or emphasize however,
link |
01:37:04.660
only for individuals with moderate
link |
01:37:07.100
to severe macular degeneration.
link |
01:37:09.540
For people that have normal vision
link |
01:37:11.580
or with just a low degree of macular degeneration,
link |
01:37:16.740
these studies did not see a significant improvement
link |
01:37:19.300
of vision from supplementing with lutein.
link |
01:37:21.980
So I'm not going to tell you
link |
01:37:22.980
to supplement with lutein or not.
link |
01:37:26.140
I don't think any study is holy,
link |
01:37:27.980
but it does seem that if you have moderate
link |
01:37:30.620
to severe macular degeneration,
link |
01:37:32.600
talk to your physician of course,
link |
01:37:33.800
talk to your ophthalmologist.
link |
01:37:35.140
I'll always say that and I'll say it three times.
link |
01:37:39.180
Supplementing with lutein could perhaps support vision
link |
01:37:42.960
and offset some vision loss in that case.
link |
01:37:45.020
Probably also talk to your ophthalmologist
link |
01:37:46.980
or consider the red light therapy
link |
01:37:48.300
that I talked about earlier.
link |
01:37:49.720
Whereas if you have normal vision
link |
01:37:51.900
or a low amount of macular degeneration,
link |
01:37:55.500
it does not seem at least from these studies
link |
01:37:57.500
that lutein can have much of an effect.
link |
01:37:59.720
Now I know and I confess I'm sort of of the mind
link |
01:38:03.820
that if I personally had age-related macular degeneration
link |
01:38:09.140
or a propensity for it in my family,
link |
01:38:10.700
which fortunately I don't,
link |
01:38:13.440
but in that case, I would think that supplementing
link |
01:38:16.580
with lutein provided it's safe could perhaps be of benefit
link |
01:38:20.500
and you might want to consider a low dose of that.
link |
01:38:22.440
So again, I'm not pushing any of this on anybody
link |
01:38:25.040
by any means, but you should know
link |
01:38:27.180
that under certain conditions
link |
01:38:29.020
of severe macular degeneration
link |
01:38:30.460
or moderate macular degeneration,
link |
01:38:31.820
it does seem like lutein can be beneficial.
link |
01:38:33.380
It does not have to be consumed through raw egg yolks,
link |
01:38:36.060
although that is the highest density source.
link |
01:38:39.860
Cooking your eggs, if you like your scrambled eggs dry
link |
01:38:43.440
or you like your eggs not easy over or whatever, not runny,
link |
01:38:48.340
then you aren't going to get the benefits of the leucine.
link |
01:38:50.980
There are other sources of leucine,
link |
01:38:52.380
non-animal sources of leucine as well.
link |
01:38:53.880
You can look those up on the internet.
link |
01:38:56.980
Now, there are other compounds that have been shown
link |
01:39:00.800
to perhaps be important for offsetting
link |
01:39:03.020
or helping different forms of vision loss.
link |
01:39:06.460
One is, I'm going to spell this out,
link |
01:39:08.420
I-D-E-B-E-N-O-N-E, indebene, indebenone, indebenone.
link |
01:39:14.860
I can never pronounce these compounds.
link |
01:39:16.700
Forgive me, unless I've worked with them.
link |
01:39:20.440
There is evidence that it can be beneficial
link |
01:39:22.580
for Lieber's congenital eye disease.
link |
01:39:27.540
I would definitely go onto examine.com,
link |
01:39:29.980
put in I-D-E-B-E-N-O-N-E,
link |
01:39:32.700
and for things like Lieber's optic neuropathies,
link |
01:39:36.580
which is a degenerative condition of the eye.
link |
01:39:39.640
Whether or not people should just be taking this stuff anyway
link |
01:39:42.100
is still an open question.
link |
01:39:43.220
There aren't a lot of studies about it.
link |
01:39:45.260
A lot of people that are interested in taking things
link |
01:39:47.460
to support their vision are taking leucine
link |
01:39:50.460
as a preventative measure.
link |
01:39:53.020
I don't pass any judgment one way or the other.
link |
01:39:55.380
Typically, those supplements also include
link |
01:39:58.820
the zeaxathins and the astaxyns.
link |
01:40:02.500
Okay, the pronunciation of this is terrible, I'm sure,
link |
01:40:05.660
but that's not too far off,
link |
01:40:07.020
but basically, Z-E-A-X-A-N-T-H-I-N.
link |
01:40:12.820
Let's see what I start to pronounce.
link |
01:40:13.820
Z-E-A-X-A-N-T-H-I-N.
link |
01:40:16.980
And the other one is A-S-T-A-X-A-N-T-H-I-N.
link |
01:40:21.420
Both of these have been shown, excuse me,
link |
01:40:24.420
both of these have been shown to offset
link |
01:40:27.740
some of the disruption in vision that occurs with aging.
link |
01:40:32.740
What is astaxaxin?
link |
01:40:35.340
It's a really interesting compound.
link |
01:40:37.420
It's the red pink pigment found in various seafoods.
link |
01:40:41.120
So shrimp, I'm not a big seafood fan,
link |
01:40:43.860
but like certain fish, like you'll see at the fish market,
link |
01:40:47.180
will have that red pink pigment,
link |
01:40:49.500
and it's also in the feathers of flamingos.
link |
01:40:51.740
Please don't eat the feathers of flamingos,
link |
01:40:54.240
and please also don't eat flamingos.
link |
01:40:57.260
It's structurally similar to beta carotene,
link |
01:40:59.500
so it's very pro vitamin A,
link |
01:41:01.980
but it has some chemical differences
link |
01:41:03.680
which may make it safer than vitamin A.
link |
01:41:05.860
Remember, vitamin A is a lipid-soluble vitamin,
link |
01:41:09.180
so it can be stored in our body for long periods of time.
link |
01:41:12.700
What is the deal with this astaxaxin?
link |
01:41:15.520
What are its drawbacks?
link |
01:41:16.460
Well, we can go to our ever favorite, examine.com.
link |
01:41:20.740
What does it do?
link |
01:41:21.580
Well, it has a number of different effects,
link |
01:41:23.400
a huge number, in fact,
link |
01:41:24.380
but it does seem to notably increase,
link |
01:41:27.800
it's now been shown in three studies,
link |
01:41:29.600
the antioxidant enzyme profile.
link |
01:41:32.800
It has a number of different effects,
link |
01:41:34.820
but the most notable for sake of this episode
link |
01:41:36.780
is the one on ocular blood flow.
link |
01:41:39.140
It does seem to increase the amount of ocular blood flow,
link |
01:41:41.900
so the blood supply to the eyes,
link |
01:41:43.700
so that makes it an interesting compound.
link |
01:41:46.060
There's a number of other effects.
link |
01:41:47.900
For whatever reason, it also has a notable effect,
link |
01:41:51.760
several studies have shown this, on fertility in males,
link |
01:41:55.580
so it seems to at least double the pregnancy rate
link |
01:41:59.600
when men take astaxanthin and works as,
link |
01:42:05.560
in particular, it seems here,
link |
01:42:06.900
in men that were previously infertile,
link |
01:42:08.600
so I don't know if that has something to do
link |
01:42:11.220
with the blood flow to the eyes, probably not.
link |
01:42:13.340
It probably has something to do
link |
01:42:14.180
with something unrelated to the eyes.
link |
01:42:16.620
Nonetheless, that's an effect of this molecule.
link |
01:42:19.100
It's also been shown to have positive effects
link |
01:42:21.820
on things like skin elasticity, skin moisture,
link |
01:42:24.260
skin quality, et cetera,
link |
01:42:25.780
probably due to its effects on blood flow.
link |
01:42:28.740
So lutein, astaxanthin, A-S-T-A-X-A-N-T-H-I-N,
link |
01:42:34.380
and for people who have concerns
link |
01:42:37.340
about Leber's optic neuropathies,
link |
01:42:39.400
which is going to be a small percentage of people out there,
link |
01:42:41.740
but that is a pretty severe condition,
link |
01:42:44.080
there are supplements that are available out there.
link |
01:42:46.960
I do encourage you, as always,
link |
01:42:48.200
to talk to your ophthalmologist and physician about them.
link |
01:42:51.580
And I will say that there are a number of people
link |
01:42:53.620
that take lutein and some of these other things
link |
01:42:56.140
as a precautionary measure in order to bolster their health
link |
01:42:59.220
in the same way that some people take vitamins and minerals
link |
01:43:01.540
to bolster their health,
link |
01:43:02.380
and some people are very, health, excuse me,
link |
01:43:04.260
and some people are very averse
link |
01:43:05.860
to taking vitamins and minerals
link |
01:43:07.080
because they feel like they can get all that
link |
01:43:08.640
from healthy whole foods.
link |
01:43:10.060
And of course, you can get these things from whole foods.
link |
01:43:13.820
The question is whether or not
link |
01:43:14.660
you can get them in concentrations that are sufficient.
link |
01:43:17.300
I do think that in the years to come,
link |
01:43:19.220
we are going to see more about lutein.
link |
01:43:22.740
I think we are going to see
link |
01:43:23.780
more about some of these other compounds,
link |
01:43:25.840
like astaxanthin, and hopefully by then
link |
01:43:29.020
I'll be able to pronounce it.
link |
01:43:30.780
But at present, these things are more or less
link |
01:43:34.160
in the kind of experimental or self-experimental phase.
link |
01:43:36.900
There are some good double-blind placebo-controlled studies
link |
01:43:39.220
like the egg yolk buttermilk study of all things,
link |
01:43:41.840
published in really good journals.
link |
01:43:43.500
Journal of Ophthalmology,
link |
01:43:44.740
Journal of Investigative Ophthalmology and Vision Sciences,
link |
01:43:48.760
these are good journals.
link |
01:43:50.400
These are journals that are peer-reviewed by experts.
link |
01:43:53.360
The study that I mentioned earlier about keeping rooms dark,
link |
01:43:57.920
that was also published in an excellent journal.
link |
01:43:59.860
I think it was JAMA, I'll go back and look.
link |
01:44:01.940
It's not on my screen any longer, but very easy to find,
link |
01:44:04.860
and there've been some follow-up studies as well
link |
01:44:06.420
from the University of Pennsylvania and other universities.
link |
01:44:09.620
So everything I've talked about today
link |
01:44:11.560
relates to studies that were done
link |
01:44:13.820
and published in quality peer-reviewed journals.
link |
01:44:15.940
That doesn't necessarily mean you want to run out
link |
01:44:17.800
and start taking the stuff that I've described,
link |
01:44:19.940
or even doing the protocols I've described.
link |
01:44:21.620
I've given you an array, a palette, a buffet, if you will,
link |
01:44:24.620
of things that you could do to try and enhance
link |
01:44:26.740
or support your vision, depending on how good your vision is
link |
01:44:30.060
your family history of vision and vision loss,
link |
01:44:33.300
your occupational hazards,
link |
01:44:35.340
people that work with metal filings
link |
01:44:38.060
that are flying out of machines
link |
01:44:39.580
are going to have a higher degree of risk
link |
01:44:44.420
to their visual system
link |
01:44:45.500
than will people who just do office work.
link |
01:44:47.060
Although if you're doing a lot of office work,
link |
01:44:48.940
chances are you're not getting a lot of long view vision,
link |
01:44:51.660
your accommodation mechanisms
link |
01:44:52.960
are going to start to suffer over time.
link |
01:44:54.480
I think we can reliably predict that.
link |
01:44:56.660
So I've tried to give you an array of behavioral tools,
link |
01:44:59.520
and we did touch upon some supplementation tools.
link |
01:45:03.060
I'd be remiss if I didn't say that
link |
01:45:04.860
because blood flow is so critical
link |
01:45:07.160
for the neurons of the eye.
link |
01:45:08.100
Remember, these are the most metabolically active cells
link |
01:45:10.120
in your entire body, the cells within your retina,
link |
01:45:12.760
because blood flow is required to get them
link |
01:45:14.620
the energy and nutrients they need.
link |
01:45:16.220
Having a healthy cardiovascular system, right?
link |
01:45:19.360
Doing endurance work, doing strength training work regularly
link |
01:45:23.100
is going to support your eyes and your brain
link |
01:45:25.780
and your vision.
link |
01:45:26.600
It's indirect, but it's essential, right?
link |
01:45:28.860
It's necessary, but it's not going to be sufficient.
link |
01:45:31.740
You're going to have to do other things
link |
01:45:33.100
to support your eyesight as well.
link |
01:45:34.820
But having a healthy cardiovascular system
link |
01:45:36.700
because it's going to deliver blood and oxygen
link |
01:45:39.420
and nutrients to this incredible apparati
link |
01:45:42.500
on the front of your face, these two pieces of brain,
link |
01:45:45.900
is going to support your overall brain health
link |
01:45:48.420
and vision over time.
link |
01:45:50.080
So early in the podcast, I talked about
link |
01:45:51.740
how the optimal window for learning is 90 minutes.
link |
01:45:54.700
That's the so-called ultradian cycle for learning.
link |
01:45:57.420
That's why we held our episodes to about 90 minutes.
link |
01:45:59.480
They're now starting to extend into the hour and 50 minute
link |
01:46:02.140
and two hour mark.
link |
01:46:03.660
That simply reflects my enthusiasm and excitement
link |
01:46:06.060
about these topics and my desire to give you
link |
01:46:07.700
as much information as I possibly can in each episode.
link |
01:46:10.980
Please remember, you don't have to listen
link |
01:46:12.400
to the whole episode all at once.
link |
01:46:14.060
Everything is timestamped.
link |
01:46:15.140
Everything is captioned in English and Spanish.
link |
01:46:17.940
The captions take a few days on YouTube.
link |
01:46:20.220
We apologize for that,
link |
01:46:21.100
but in order to have them done correctly,
link |
01:46:23.140
it takes a few days after it's posted.
link |
01:46:25.900
So if you need those captions,
link |
01:46:27.980
please check back maybe 24 or 48 hours
link |
01:46:31.380
after the episodes are released.
link |
01:46:33.420
If you're enjoying this podcast and the information,
link |
01:46:36.020
if you're finding it beneficial,
link |
01:46:37.480
there are a couple of things that you can do
link |
01:46:38.420
that are totally zero cost that really help us
link |
01:46:40.860
and help you get this information going forward.
link |
01:46:44.260
One is if you don't already subscribe on YouTube,
link |
01:46:46.740
please do subscribe.
link |
01:46:48.400
We release episodes every Monday and hopefully soon,
link |
01:46:50.540
more often than that, shorter episodes as well.
link |
01:46:53.180
But every Monday we release an episode,
link |
01:46:54.820
please do subscribe.
link |
01:46:56.780
If you don't already subscribe on Apple and Spotify,
link |
01:46:59.240
that's very beneficial, please do that.
link |
01:47:01.720
That helps us as well.
link |
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If you could give us a five star review on Apple,
link |
01:47:04.900
if you feel that that's what we deserve
link |
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and Apple also gives you the opportunity
link |
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link |
01:47:11.640
If you have suggestions about episodes,
link |
01:47:13.660
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link |
01:47:15.660
please put it in the comment section on YouTube.
link |
01:47:19.120
Routinely throughout the week
link |
01:47:20.340
after the release of each episode,
link |
01:47:21.820
I cover content in shorter format
link |
01:47:23.580
and in more depth on Instagram at Huberman Lab.
link |
01:47:27.220
Every episode is also indexed and searchable
link |
01:47:31.860
in the search function on our website, HubermanLab.com.
link |
01:47:34.820
That's also where we post links to various studies
link |
01:47:37.820
and downloadable protocols, all zero cost.
link |
01:47:40.620
And as I mentioned, you can search for different topics
link |
01:47:42.760
and it will bring you to the particular episodes
link |
01:47:45.200
that contain the information on those topics.
link |
01:47:48.020
If you'd like to support us on Patreon,
link |
01:47:50.500
we have a Patreon account,
link |
01:47:51.620
it's patreon.com slash Andrew Huberman.
link |
01:47:54.780
There you can support us at any level that you like.
link |
01:47:57.400
As well, if you'd like to support us,
link |
01:47:59.540
please check out our sponsors.
link |
01:48:01.020
The sponsors that we discussed
link |
01:48:02.180
at the beginning of the podcast
link |
01:48:03.580
are a vital way to keep the information
link |
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being distributed at zero cost to everybody.
link |
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We only work with sponsors
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and that we really respect the people
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link |
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And of course, there's no obligation to purchase
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or to even check out those sponsors,
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01:48:19.920
but if you're in a position to do so,
link |
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that really does help us.
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01:48:23.040
Routinely throughout the podcast,
link |
01:48:24.460
we talk about supplements.
link |
01:48:25.520
There are a lot of supplement companies
link |
01:48:26.780
and sources of supplements out there.
link |
01:48:28.940
The one that we work with and that we partnered with
link |
01:48:30.700
is Thorne, T-H-O-R-N-E,
link |
01:48:33.160
because Thorne has the highest levels of stringency
link |
01:48:35.340
in terms of what they say is in their supplements
link |
01:48:38.300
is actually in their supplements
link |
01:48:39.380
because it's independently tested and verified,
link |
01:48:41.220
as well as the amounts that they list on the bottles
link |
01:48:44.200
actually are matched by what's in the capsules and tablets.
link |
01:48:47.620
That's a serious problem in the supplement industry.
link |
01:48:49.820
And Thorne deals with that problem by being very truthful
link |
01:48:52.880
and very accurate about what's in their supplements
link |
01:48:55.200
and how much of those things are in there.
link |
01:48:56.820
If you want to see the supplements that I take,
link |
01:48:58.660
you can go to Thorne, thorne.com,
link |
01:49:01.340
slash the letter U, slash Huberman.
link |
01:49:04.340
There you'll see all the supplements that I take.
link |
01:49:06.580
You can get 20% off any of those supplements,
link |
01:49:08.820
as well as 20% off any of the other supplements
link |
01:49:11.300
that Thorne happens to make
link |
01:49:13.040
if you happen to navigate into their website
link |
01:49:14.740
through that portal, thorne.com,
link |
01:49:17.500
slash the letter U, slash Huberman.
link |
01:49:19.860
And last but not least,
link |
01:49:21.260
I want to thank you for your time and attention today,
link |
01:49:23.380
your willingness to learn about vision
link |
01:49:25.020
in the visual system and the various things that you can do
link |
01:49:27.560
to help support the health
link |
01:49:28.820
and functioning of your visual system.
link |
01:49:30.780
And of course, I want to thank you
link |
01:49:31.920
for your interest in science.
link |
01:49:33.460
I'll see you in the next one.